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By definition, holistic care addresses the whole person and not just medical diagnoses, test results, and vital signs. Communication is therefore a critical component in holistic care. The healthcare worker establishes rapport and empathy, gaining insight into the patient’s attitudes and perceptions of health, illness, and healthcare. Similarly, the healthcare worker inquires about the patient’s social network, their spiritual or religious values, and their goals in treatment.
Likewise, knowledge of the therapeutic relationship is an essential component of health promotion. The nature of the therapeutic relationship may differ for different members of the healthcare team, but all are based on fundamental ethical principles like autonomy and respect for privacy. For ideal health promotion goals, the therapeutic relationship needs to be built on trust and respect.
Communication takes place not just in face-to-face settings, but continually throughout the therapeutic relationship. Technology facilitates communication by allowing the patient to read and respond in their own time, and likewise offering the healthcare worker the chance to do the same. While digital communication does pose some challenges, and can lead to miscommunications, it is overall helpful in promoting patient care. Both the patient and the healthcare workers do need to set boundaries when using email, text, and other digital communication.
The nursing code of ethics governs the profession, providing the basis for standards of care and for core competencies. General ethical principles in nursing like respect, doing no harm, autonomy, beneficence, confidentiality, and privacy remain sacrosanct. Yet there are often grey areas and conflicts between multiple ethical principles. Contemporary issues in health promotion can often be resolved by analyzing the ethical principles at stake and determining which principle should take precedence, taking into account cross-cultural differences in values and the patient’s attitudes and beliefs.
Nursing Administration-Staffing A strategy for recruiting nurses for the acute care units The effect of the nursing shortage crisis combined with higher patient acuity has become a crucial concern for the nursing management team. This relates largely to the balancing patient needs with staffing needs. Nurse executives at hospitals contribute to the shortage of women having numerous opportunities outside the health care industry and to inadequate compensation for work done. However, diverse
Nursing Leadership Regardless of the field, most research studies show that collaboration and teamwork are among the top examples of job satisfaction and performance. In the modern healthcare situation, this tends to move far beyond just the physician/nurse relationship, and into the manner in which interdisciplinary teams work together for more positive patient outcomes. Leadership in nursing has become an expected part of the job description, and over the past few
They must experience these values and behaviors with autonomy and dignity in long-term care. But focus group participants said that these facilities were few and far between for African-Americans. Their comment was also that they did not know they had dignity until someone imparted the idea to them by speaking and acting. It was not inherent in them. The elements of dignity included self-respect vs. shame, honor vs. humiliation,
Competencies Among the Core Competencies for nursing educational components provided by the Massachusetts Department of Higher Education, "Patient-Centered Care" is listed first. The important task for nursing students in this component is to provide: "…holistic care" that fully recognizes "an individual's preferences, values and needs," and also "respects the patient or designee as a full partner in providing compassionate, coordinated, age and culturally appropriate safe, and effective care (MACN). Within this milieu,
nursing profession has debated the relevance of nursing models to nursing practice and it is clear that most nurses, particularly practicing nurses, continue to judge them to be not relevant" (Meehan, 2012, p. 2906). I disagree and believe firmly in implementation of sound nursing models in nursing practice. My philosophy nursing centers around holistic care and knowledge of care to drive practice. This means that in order to heal
Nursing Concept Theoretical Background One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a