Week 5 Personal Centered Care
You will be required to complete reflective journaling as part of the tutorial activities in weeks five, six and seven. You will use your reflective journal from these weeks as the basis for this submission.
Nurses require models to standardize and continuously improve health care delivery. A Clinical Reasoning Cycle (CRC) is a commonly used process by nurses or health practitioners to consider patient’s situation, collect clues, process information, and identify problem issues (Kuiper, Pesut, & Arms, 2016). The CRC is an important process to understating a patient illness to administer treatment or medication. Rapor-Logan-Tierney (RLT) model on the other hand is a model where nursing care is based on activities of living (Ayd?n, & Mucuk, 2015). The RLT model factors that influence activities of living are biological, social cultural, psychological, environmental, and politico-economic. Learning and understanding CRC and RLT models enables a nurse to understand a patient problem in order to plan and implement an intervention (Williams, 2015). The following write-up is my reflection on concepts covered in week 5 on person centered care, week 6 on biological factors on health (RLT) and week 7 on psychological factors on health (RLT).
The fifth week involved study of personal centered care and code of conduct from NMBA standards. The NMBA (2018) outlines standards for professional practice where person centered care is fitted in the principle 2 domain. The nursing practice should be safely effective and collaborative to achieve person centered nursing care (McSherry, 2016). I was able to realize the importance of person centered care. Person centered care enable a nurse to consider a patient situation and gather relevant information that is important in providing clue on a patient problem. I was able to easily learn how person centered care enhance therapeutic relationship and help nurses to gather patient information. On the other side, I had difficulties figuring how NMBA standards for professional practice relate to person centered care. The difficulty was as a result of being unfamiliar with NMBA Standards for professional Practice. I had little understanding of the objectives of the NMBA Standards in delivering holistic nursing care to patients. I also didn’t understand the personal centered care was an important approach to creating a therapeutic relationship. Person centered care approach is a useful approach that will help e to create objective therapeutic relationship with patient. This will enable effective application of CRC model in understanding patient problem, planning and implementing interventions (Murphy, Mc Mullin, Brennan, & Meehan, 2018). Therefore, the CRC and person centered care are important concept in my practice and professional development. In order to maintain my knowledge on CRC and person centered care, I will continuously research on the concepts while am practicing nursing. This will expose me to new NMBA standards and effective application of CRC model in my professional practice that will improve my delivery of nursing care.
Week 6 Biological factors RLT
In week 6, the five factors of Roper Logan Tierney model of care were outlined with a focus on biological factors that relate to TLT model of nursing. Biological factors in the RLT model addresses impact of overall health that involve current illness or injuries and the scope of a patient anatomy and physiology (Feo, Conroy, Alderman, & Kitson, 2017). The biological factors are weight, height, genetic ability, and age. Another important concept learnt in week 6 was medical terminologies. The medical terminologies are composed of suffix, prefix, root and combining of vowels (McEwen, & Wills, 2017). I was happy to learn biological factors that affect living and how they can be used in CRC model in considering clues when gathering and processing information to understand patient’s condition. I also felt confused in the process of separating medical terminologies in terms of suffix, root, prefix or combining of vowels. Considering my past, I knew that age, weight and genetics have an impact to a patient’s life but did not know that height was among the biological factors. I have always been unable to understand medical terms context without checking meaning from a secondary source. My limited understanding on height as a biological factors that impact a patient health living is because the issue is not common as compared to other factors. In terms of medical terms, I had not learnt about the systematic naming of medical conditions. The biological factors in RLT model are an important concept when applying CRC model in nursing care. Understanding the biological factors will enhance my ability to consider patient situation and identity patient issues and situation when delivering health care. Learning medical terminologies will help me understand contexts and conditions when expressed in medical terms. As part of improving my understanding of biological factors and medical terminologies, I will continuously read to improve my vocabulary and understand more about biological factors in RLT model.
In week 7, we learnt about psychological factors that relate to Roper Logan Tierney Model. I learnt psychological factors that determine rational behavior of a person. Psychological factors in RLT address a patient psychological care conditions when a nurse is planning nursing care (Goudreau et al., 2015). The RLT model uses 12 activities of living that have impact to an individual ability to improve or support their life (Williams, 2017). From week 7 study, I attained an insight on psychological factor and their impact to a patient. The RLT model outlines a comprehensive approach that gave me an insight towards observation and recording of psychological factors. From my past experience, I knew that psychological factors lead to mental illness. However, I did not have a comprehensive knowhow on the psychological factors that lead to patient illness. My understanding on psychological factors was informed by high prevalence of depression more than 1million cases in the country each year (Jorm, Patten, Brugha, & Mojtabai, 2017). The gap in my understanding is a result of thinking that mental and physical health is two distinct conditions that should be treated separately. I now understand the relationship between psychological factors an individual living that affect physical health. In order to improve my practice in nursing, I will periodically research on psychological factors to establish was is affecting my patients when applying CRC model in the process of delivering person centered care.
Conclusion
From the reflection, I have been exposed to several concepts in nursing. I now understand CRC model and it application in delivering person centered care. I have also learnt how biological and psychological factors in the RLT model affect an individual living. In the process of improving my future professional practice, I will commit myself to periodic reading and research in order to effectively apply CRC model and deliver person centered nursing care.
References
Ayd?n, G., & Mucuk, S. (2015). The evaluation of daily living activities, pressure sores and risk factors. Rehabilitation Nursing, 40(2), 84-91.
Feo, R., Conroy, T., Alderman, J., & Kitson, A. (2017). Implementing fundamental care in clinical practice. Nursing Standard (2014+), 31(32), 52.
Goudreau, J., Pepin, J., Larue, C., Dubois, S., Descôteaux, R., Lavoie, P., & Dumont, K. (2015). A competency-based approach to nurses’ continuing education for clinical reasoning and leadership through reflective practice in a care situation. Nurse education in practice, 15(6), 572-578.
Jorm, A. F., Patten, S. B., Brugha, T. S., & Mojtabai, R. (2017). Has increased provision of treatment reduced the prevalence of common mental disorders? Review of the evidence from four countries. World Psychiatry, 16(1), 90-99.
Kuiper, R., Pesut, D. J., & Arms, T. E. (2016). Clinical reasoning and care coordination in advanced practice nursing. Springer Publishing Company.
McSherry, W. (2016). Reintegrating spirituality and dignity in nursing and health care: A relational model of practice. Stories of Dignity within Healthcare: Research, Narratives and Theories. Edited by O. Tranvåg, O. Synnes and W. McSherry. Keswick: M&K Publishing, chp, 6, 75-96.
McEwen, M., & Wills, E. M. (2017). Theoretical basis for nursing. Lippincott Williams & Wilkins.
Murphy, S., Mc Mullin, R., Brennan, S., & Meehan, T. C. (2018). Exploring implementation of the Careful Nursing Philosophy and Professional Practice Model© in hospital?based practice. Journal of nursing management, 26(3), 263-273.
Williams, B. C. (2017). The Roper-Logan-Tierney model of nursing. Nursing2017 Critical Care, 12(1), 17-20.
Williams, B. C. (2015). The Roper-Logan-Tierney model of nursing: A framework to complement the nursing process. Nursing2017, 45(3), 24-26.
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