Introduction the highest level of care. Although I

Introduction

Through this essay, I will be exploring different values and attitudes within quality nursing care and its importance in the nursing profession. Reflection is the most important tool to achieve personal and family centred care. It is also vital that nurses reflect on the effectiveness of their practice to ensure they are carrying out their job correctly. For example, Linda, D.J and Christine (2017) tell us that if nurses are able to they should reflect directly on their experiences to enrich and develop their skills so that they can become the best practitioners. With reflection, nurses will be able to review and change any mistakes so that they can provide first class care to those who need it. Furthermore, reflective practice helps us to gain knowledge and to learn from others, this is shown when (2013) says, “Reflective practice is about learning from our experiences and developing our practice as a result. Reflective learning is the process of learning from our experiences.” In turn, this article shows that reflection is needed to become a successful nurse who can provide quality nursing care to all patients.

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What?

Before I researched or even began to even look further into what quality nursing care was I had a small idea. I firstly believed that quality nursing care was solely focused on the efficiency of the hospital and the treatment that patients received. I truly thought it was all about patient waiting times and operation times. If the hospital had good statistics then the patients must be receiving the highest level of care. Unknown to me, this was far from the truth. At the start, I knew that family involvement was important but I wasn’t aware of just how important. I failed to realise that this can in some cases effect the outcome of the patient’s health. Professionalism was something that I thought was important in quality nursing care if the staff were behaving in a professional manner then without a doubt I believed that the patients must be receiving the highest level of care. Although I was yet to realise that staff can be professional but the patients can still feel that they are being neglected. Overall at the start of this course, my idea of quality nursing care is far different to what it is now, my perception of what I thought quality nursing care has now been diminished.

 

 

So what?

A therapeutic interpersonal relationship is key to proving personal and family centred care. They can also help to make the patients experience less daunting when they are being cared for. A therapeutic relationship can be described as being the most import relationship between patient and carer and is built on trust, selflessness, and willingness. This kind of relationship will not only help to resolve any issues physically but mentally and emotionally too. In this article Kornhaber (2016) says that therapeutic relationships have the power to enhance the care that they patent receives while in hospital. The outcome of the patient may be influenced by the interpersonal relationships that they have with their nurse. Another article that shows Professional relationships can help to provide personal and family-centred care is one written by Kitson (2003). It shows that this care can be achieved by providing ongoing support where it is needed until the service is no longer required. The care must be carried out in a professional and skill full manor. Kitson highlights that the relationship the nurse has with their patient is strictly professional and is focused on their rehabilitation and not on their personal life. An article by westerhof (2014) outlines the “buberian” approach which will enrich our knowledge on how their quality of life can be improved in nursing homes.it also highlights that by maintaining these positive relationships it can also impact the quality of life especially for those undergoing palliative care. Within doing this, it is also helping to achieve personal and family-centred care as the care is not just focused on the induvial but is also focused on the family.

On placement, I hope to demonstrate a positive attitude to everything that I do. This will also make a positive outcome of the patient’s care which in turn helps will help me to deliver the best quality nursing care. One key part of having a positive attitude is showing empathy. The importance of empathy is highlighted in this article by Tracy (2017) it tells us that empathy is lacking in everyday care for those with a disability. As a result of this personal family-centred care in not being provided. Tracy also states that therapeutic relationships can be built if the nurse shows empathy towards that individual in a calm and soft mannerr. When I am in a clinical setting I will make sure that I am being as empathetic with patients as possible. When talking about the personal values of the patient it is important that these are considered throughout their treatment and not only on their admission. An article written by Shea (2017) says that it provides them with a sense of identity even though they may be in an unfamiliar place. It is important that the values of the patient are adhered to at all times. Shea also shows the importance of putting your own values aside and understand the values of that individual care so that personal and family centred care can be provided. Bob price (2015) suggests that we should be asking the important questions to our patients. In doing this simple task the patients feel like the care they are receiving is tailored to their needs and values. Without asking these questions we cannot successful understand the induvial or care for them in the most professional way. One of the most important values within care and care settings is being caring. Shiau (2010) highlights the fact that to fully be able to use the value of care nurses first must reflect on their own values and what they perceive them to be. Once reflection has taken place then they can begin to understand the needs of the patient better and how they should be cared for. This shows just how important reflection is to provide personal and family-centred care. This information has enabled me to think more deeply about the values and attitudes of patients and the level of skill required to meet these standards. I will take this new knowledge and put it into practice by being, caring, empathetic and having a positive attitude.

When on placement I will change and tailor my quality of care to specifically cater to the needs of older adults.as patents age, their level of communication, drops significantly and it is important as a nurse that we can effetely communicate with all patients. Without this communication we can’t successfully carry out personal and family-centred care. Through the healthcare setting, medical jargon can be used quite a lot and can be off-putting to some people especial older adults. This is highlighted by Clair Boyd and Janet Dare (2014) when it was identified as a communication barrier. Care can be changed towards older adults by making sure that when they receive medical info that it is simpler and easily understand. If this is done correctly then the patients will feel more at ease and would improve their overall experience. Older patients with reduced communication maybe find it difficult to speak. If I was in this situation in clinical practice then I would find the easiest way for the patient to communicate. This differs from one person to the next and this is where personal care plans can be put in place to ensure that the patient’s communication needs are met. An example of this could be using a whiteboard and marker or using charts with different pictures/symbols on them. These charts could help indicate something as simple as thirst or the need to use the toilet or pain charts.

Now what?

My knowledge about quality nursing care has widened and I now know the steps needed to undertake to become a successful student nurse. Although through this reflection I have realised that I need to work on my nonverbal communication skills. This is a vital skill as a nurse and is shown in this article Capple (2009) when it highlights the importance of communication to the deaf and the blind. Examples of helping visibly impaired patients is to not only communicate verbally but by touch. Once the patient knows that they have maintained a good communication with the nurse then it makes their overall experience better. A study has shown that nonverbal communication can be the best pain reliever to those who have suffered a traumatic brain injury. Buben, blanch-hartigan and Hail (2016) highlights that people receiving supportive nonverbal communication report less physical pain compared to those who are just receiving stander unsupportive communication. This is based on the social communication model of pain (2009).

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