Term Paper: Downward Transition From the Role

Pages: 9 (3365 words)  ·  Bibliography Sources: 0  ·  Level: College Senior  ·  Topic: Health - Nursing  ·  Buy This Paper

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[. . .] In gaining this qualification there are two aspects. One is the personal development and the way I can grow my own skills to use for others., However, I also need to have these skills recognised and documents so that there is peace of mind regarding my employment and a recognising in terms of the requirements for nursing professional. I see it as the first step in developing my nursing career, but not the last, I know I will need to continue to learn and develop afterwards, but with a good foundation this will be easier, and my main goal is to be a good, efficient nurse that patients find caring and ethical and peers and employers respect.

There are many different aspect to the nursing career, we can look at the different ingredients in terms of the nurse and the patient, and also the concept of nursing and health and the environment in which they occur.

In defining what we mean by human this can be perceived from an external or an internal perspective. The internal level may be seen as stating with the cells formations and branching outwards with the physiological. This includes not only the physical presence of the different organs and body parts, but their interaction and the systems that operate the body. It is at this level that my professional experience of the past has focused. Looking at the body as the sum of the parts and seeking to identify the systems that were not functioning properly and attribute this to the physiological causes. Moving into nursing this underlying understanding of the physiological functions should help.

However, we also need to look at the patient in terms of externalities. These may be seen in aspects such the psychological attitudes, fears and desires, the personality. A human may have a very similar make up to every other human on the earth, but even identical twins will have different characters and personalities, with different hopes and fears. These attitudes may be influences by the outside world, the environment such as the political and social conditions, economic ability or class will impact on the development of the individual, in both physiological and psychological terms. If we look to theorist such as Betty Newman these ideas may all come tighter, we have the patient as an holistic whole which is not only their symptoms, and as such we need to treat the entire body and the person, looking at what they need in order to consider the quality of life for the patient (Weingourt, 1998).

The role of the nurse is also difficult to define, it can be seen as both reactive and proactive, and has been defined in many ways, for example, by the American Nurses Association it is defined as; "the diagnosis and treatment of human responses to actual and potential health problems" (American Nurses' Association, 1980, p. 9).

Nursing is a caring profession, if we look to the philosophy of Leininger then this philosophy of caring is continued. Caring is described as "human acts and processes that provide assistance to another individual in order to meet an expressed, obvious or anticipated need." (Leininger, 1985, p. 209). Nursing is an act of caring under this definition, with the nurse aiding and working with the patient. Therefore the nurse will be skilled not only in caring, but demonstrating that care to the patient, such as the use of advanced listening skills and the ability to see things not only from a medical perspective but also a social perspective and the patients perspective (Leininger, 1992). Here the way the treatment is approached is different as there is a great input form the patient here the patient is a client and the decisions are made "with rather than for the client" (Leininger, 1992, p. 32).

We can also look to the theories of people such as Betty Newman, there is a bi-directional relationship between patients and nurses and the patient may often be able to recognise what is best for them, as such we can look at servant leadership theory. This is not new, and can be seen as influencing not only the nursing care of the individual by the nurse, but also the way in which nursing leaders will

Servant leadership theory can be briefly described as a management technique where the leader is a facilitator making the necessary resources and facilities available to those they manage, rather than the authoritarian approach where it is the manager that determines the course of action in the first place (Porter, 2000). Therefore nursing can be the indirect care as well as the direct care.

If we look at the term health then this must also be seen as subjective. For a young man health may be that all his organs are functions and he is fit both mentally and physically, for an elderly patient with several conditions health may be sought to the level where they feel well and can cope with everyday life. We need to consider this from the perspective of the patient.

In defining health we may also argue that is created and impacted on by a range of factors, the internal environment, from the body and the organs, as well as the external environment, for example factors such as stress and pollution. There needs to be an equilibrium between the different factors reach as well as the internal and external well being of the patent. The model of servant leadership may be seen as aiding with achieving better 'health' for patients in some cases. In some cases management of the patients by the servant leadership principle there will be a faster recovery, but in others it will not speed recovery, but will lead to a higher quality of life and a much happier patient, and this in turn aids the nursing profession as when the patient in happier as well as the potential for faster results there are also practical implications.

In looking at the role of society and the environment this cannot be avoided. I have seen from my experience that there are many different attitudes and expectations that are individual or even cultural. These will impact on the health of the individual. For some communities there may be a reluctance to go to a doctor or a nurse, for some communities a nurse may be seen as more approachable by the community. Therefore, as a nurse I have to understand what the environment will be or may be.

The environment is everything around us, that which we can see feel or hear, and that which we cannot. These may have direct or indirect influences on health. Just as the position of the patient, for example rich or poor, young or old will have an impact on the level of heath and potential problems, they will also be element that are results of an creators of the environment. It is well-known that in environment where there is poverty there are different illnesses than in wealthy neighbourhoods. These influences may be positive or negative, air quality, food quality, also aspects such as stress, family life and any other factor may have an impact on the health, and also on the way that nursing can take place.

As a nurse we need to appreciate the different interactions, but also the wider implications, for example, a patient may also have a family, these may be able to help the patient but may also need some help from the nurse in how to help the patient or simply need information so they are clear regarding the situations. An awareness of the environment is also needed in order to identify wider patterns that may be occurring, such as within families as well as communities. The patient is the sum of their parts both external and internal, but thirty are also a part of the wider environment and their final presentation is also a result of the environment.

In writing this document there are a range of feelings. It has enabled me to clarify many of the thoughts that had been occurring over the course and also how I feel about nursing. My perspective on nursing has changed. My former experience was as a physician and here I saw different nursing acting in different ways. As already mentions, aspects such as breathing and massage theory appeared to be a little strange, But now it is clear what was occurring. I was treating an illness or a conditions and the nurse was treating the person.

In looking at the questions it has enabled me to increase the level of commitment not only to the job, but to the ideals of nursing. In the changes of perspective there has been some confusion. It is always difficult to let go of some former ideas, and reassess them. The role of the nurse is increasing in my estimation of… [END OF PREVIEW]

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