W‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍eek 1 – Initial Post . Philosophy of Nursing Practice COLLA

W‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍eek 1 – Initial Post . Philosophy of Nursing Practice COLLAPSE Nursing philosophy is critical in determining the path we take in providing patient care. My nursing philosophy is centered on the provision of compassionate care to patients. Every nurse, regardless of specialty, displays genuine care and a respected communicating relationship with a patient through the provision of compassionate care (Ritchie and Roser, 2018). The overall impact of caring is to improve the quality of patient treatment, foster trust, and improve the patient’s perspective on recovery (McCutcheon et at.,2017). Compassionate patient care comprises making healthcare accessible to individuals from various socio-economic, religious, and sexual backgrounds. I was born and raised in a country classified as a Developing Nation. The majority of people in my hometown do not entirely grasp the concept of mental health. Compassionate treatment is meaningless unless government entities and the community take the lead. Historically, mental health has been overlooked in Africa’s health and development policy agendas. Policy leaders and the community in general typically ignore the critical nature of mental health. This tendency is often exacerbated by three factors: misinformation about the scope of mental health issues, stigma against those who live with mental illness, and mistaken ideas that mental disorders are incurable. The lack of compassionate care is firmly ingrained in traditional beliefs and cultural practices, with most Africans believing that mental illness is caused by “witchcraft.” This concept and practice contribute to the further stigmatization of victims who are not acknowledged as members of society, with some being abandoned in the “evil forest.” Across the continent, the absence of therapy is the rule rather than the exception. The World Health Organization’s (WHO) initiative on mental health (2019) highlights that the percentage of persons with mental illness who do not get treatment stands between 80 and 90 percent in the majority of African Nations. The above-identified problem also exists in the United States. Health systems have not fully addressed the burden of mental illnesses. Between 76 and 85 percent of patients with mental problems do not obtain treatment in low- and middle-income nations (WHO, 2019). Anyone should get high-quality, compassionate treatment regardless of race, gender, ethnic origin, sexual orientation, or wealth. It is my obligation, and I hope that other practitioners will do the same. Eliminating stigma and making healthcare accessible to all is the first step in providing compassionate patient care. Reference: McCutcheon, Kimberly A. BA, RN; Stalter, Ann M. ., MSN, RN Discovering my nursing philosophy, Nursing: May 2017 – Volume 47 – Issue 5 – p 68-69 DOI: Ritchie, H., & Roser, M. (2018, April). Mental health. Our World in Data. World Health Organization. (?2019)?. The WHO unique initiative for mental health (?2019-2023)?: universal health coverage for mental health. World Health Organization. License: CC BY-NC-SA IGO Week 2 Valery Nkendong Initial post COLLAPSE Since the pandemic began, our organization has seen a spike in provider and therapist caseloads, resulting in professional exhaustion and patient discontent. Nurses are a group of healthcare workers that aim to care for others while lacking self-care in a high-demand, complicated setting. The COVID-19 pandemic has created several elements contributing to this concern among healthcare practitioners. As frontline caregivers and communicators with patients, their families, and friends, they face conditions that make it challenging to retain personal compassion and self-care. Nursing Theories of the Middle Range: Nursing practice and research are combined in middle-range theories. More nurses do research using this theory because it is abstract, covers an extensive range of nursing, and specifies relationships between two or more ideas (McEwen & Willis, 2019). The theory of human caring developed by Jean Watson, the idea of holistic comfort developed by Kolcaba, and the Roy adaption model are all theories and approaches that may address clinician burnout and patient discontent. Jean Watson’s philosophy of human caring focuses on both the patient and the healthcare practitioner; Watson thinks that self-care, self-compassion, and respect are all elements that must be addressed both inside oneself and with others. This idea assesses the healthcare practitioner individually and professionally (Durgun Ozan et al., 2020). Numerous hospitals use her idea as a guide for transforming the professional nursing practice and enhancing patient safety, such as the magnet hospital program (Watson, 2009). Durgun Ozan et al. (2020) published a paper examining the influence of clinical education on students’ coping and anxiety levels using the idea of human caring. The factors, such as stress, were addressed by strengthening coping mechanisms and preparing pupils for new surroundings, lowering stress and anxiety. Katherine Kolcabas’ holistic comfort theory enhances nursing practice and offers best practices for nursing guides. Kolcaba (1994) defines comfort as “the active, passive, or cooperative satisfying of fundamental human desires for relief, ease, or transcendence originating from stressful health care conditions.” She created a taxonomic comfort framework (comfort grid) to categorize the patient’s demands. The physical, psychospiritual, social, and environmental demands are covered (1994). They reviewed the comfort grid and their results in the research, “A‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍pplication of Kolcaba’s comfort theory to the treatment of a patient with hepatocellular cancer” (Shu Hua, 20170), in order to determine the demands of patients in pain receiving palliative care, therefore Caring for someone in need during a stressful event and reacting to their needs improves both the patient’s results and their perception of healthcare providers’ care (McEwen & Willis, 2019; Kolcaba, 1994). The Roy adaptation model (RAM) encourages patient adaptation, a goal of nursing care; this theory represents how people or groups respond to environmental events. Callis (2020) examined several nursing factors, including CF and BO, their influence on patients, and their negative results. According to Roy’s idea, nursing is a scientific and humanistic profession that requires specialized knowledge to meet the community’s health demands and well-being (Hamzehpour et al., 2018). Callis (2020) examined the use of Roy’s theory in developing and evaluating hospital-based initiatives. Clergy and social workers established T for the soul at a hospital to meet the needs of nurses experiencing difficult circumstances, such as grief. Emphasizing the importance of self-care, the well-being of patients and staff, compassion, and an awareness of people and their needs can help minimize staff burnout and patient dissatisfaction Utilizing nursing theory in conjunction with nursing practice is mutually beneficial. Nursing theories guide establishing, comprehending, and implementing processes and procedures that promote the nursing practice. Theoretical frameworks enable healthcare professionals and others to fulfill their needs, hence enhancing results and patient and healthcare professional satisfaction. Reference: Callis, A. M. (2020). Application of the Roy Adaptation Theory to a care program for nurses. Applied Nursing Research, 56. Durgun Ozan, Y., Duman, M., Çiçek, Ö., & Baksi, A. (2020). The effects of clinical education program based on Watson’s theory of human caring on coping and anxiety levels of nursing students: A randomized control trial. Perspectives in Psychiatric Care, 56(3), 621-628. Hamzehpour, H., Valiee, S., Majedi, M. A., Roshani, D., & Seidi, J. (2018). The Effect of Care Plan Based on Roy Adaptation Model on the Incidence and Severity of Delirium in Intensive Care Unit Patients: A Randomised Controlled Trial. Journal of Clinical & Diagnostic Research, 12(11), 21-25. Week 3 – Initial Post – Transformational Leadership in Nursing and in Health Care COLLAPSE Marshall (2010) describes how the established health care hierarchy impedes the implementation of the transformational leadership process in his article “Transformational leadership in nursing.” Persons in potential transformational leadership roles in most hospitals include directors, chief executives, operating personnel, nursing, and medical officers. These healthcare ranks have been made up of individuals who solely rely on the traditional transactional approach to leadership. This makes substantive changes challenging to achieve, let alone sustain because those in higher positions tend to engage in ongoing, frequent, and contradictory renegotiations with employees in response to rapidly changing external forces. This impedes the implementation of transformational leadership, which seeks to engage all members of an organization in recognizing and pursuing a common goal of patient safety. Nurses, for example, may wish to have a wide range of working hours. They may be willing to work on a weekly or 24-hour basis. That may cause them to try to secure their commitment to the specific organization to accommodate their request, although doing so is likely to jeopardize the patient’s safety. That is likely to be unsuccessful and time-consuming. On the other hand, transformational leadership will engage the nursing staff in a discussion that considers both worker fatigue and patient safety. This is critical because it will seek the development of policies regarding working hours and scheduling requirements within the construct. Because of the knowledge sharing, the discussion will play a critical role in transforming both management and staff (Hughes, 2008). That has not been the case with the existing healthcare hierarchy. According to Hutchinson and Jackson (2013)’s article “Transformational leadership in nursing: towards a more critical interpretation,” transformational leadership will be achieved through specific actions of the leaders. To begin, leaders must take the initiative to establish and commit to their relationships with their followers. The effort could include the development of formal and ongoing strategies to promote two-way communication and the exchange of ideas and information. Leaders play an essential role in nurturing and maintaining relationships with their followers. To understand the followers’ needs wants, and motivations (Cumming et al., 2010). Leaders in health care can change and elevate their followers’ goals, motives, and values by addressing their needs and teaching them about their common goals. Reference: Cummings, G. G., MacGregor, T., Davey, M., Lee, H., Wong, C. A., Lo, E., … & Stafford, E. (2010). Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review. International journal of nursing studies, 47(3), 363-385. Doody, O., & Doody, C. M. (2012). Transformational leadership in nursing practice. Hughes, R. (Ed.). (2008). Patient safety and quality: An evidence-based handbook for nurses (Vol. 3). Rockville, MD: Agency for Healthcare Research and Quality. REPLY‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ QUOTE

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