Tuesday, January 28, 2020

Watsons Theory of Human Caring Essay Example for Free

Watsons Theory of Human Caring Essay A caring moment can be defined in many different ways by many different people. To me a caring moment between a patient and a nurse is when a nurse gives the patient their undivided attention. The nurse should take the time to listen to the patient and provide appropriate feedback reassuring the patient that they are being heard and the information as well as them are important. If the patient will allow the nurse to touch them this can be a very comforting gesture even if it is just a brief touch to the hand. Also repeat what the patient stated letting them know that you understood (Watson, 2009). Jean Watson, a nurse, who through personal experiences, beliefs, values and, higher education states that the focus of nursing is human caring, According to Lukose (2011) Caring and the healing task is more heart-centered than conventional nursing practice and extends to examine self and others. The major concepts of Watsons theory of human caring in the caring-healing process has expanded over the years, but based off her theory that it is According to Lukose (2011) connected with the high energy of the universe. Watsons states that the nurse creates a healing environment through forgiveness, compassion and love. Also that by using carative factors and a transpersonal relationship the nurse will be able to treat the whole patient (mind, body, and soul). For a couple of years I was the diabetic nurse at a county jail. I had a diabetic patient that was new to the jail and I was seeing the patient for the first time. I always tried to make my patients feel comfortable by having them sit in a chair and I did the same so we would be on the same level. This particular patient was very angry and did not want to speak about his disease process. Every time I would ask him a question trying to obtain some sort of history he would give answers like I dont care or none of it matters anymore. I continued to see him on a weekly basis trying to find a way to help him start caring again. I would get a little information from him, but I did start to discover that he had been going through some very hard times. The things that had happened to him led him to start drinking alcohol and using drugs which was how he ended up in jail. I continually would try to get him to take his diabetic medications. He also had hypertension and hyperlipidemia and would not take the medications for those either. This went on for two months with him telling me to just leave him alone he is not worth the trouble. I would order laboratory studies he would refuse, I would order medications and he would also refuse those. I usually tried to have face to face visits with the diabetic patients at least twice a week and had one day where I had quite a few patients to see. This patient was on my schedule but not until later in the day. It seemed like everyone was having a bad day almost every patient that I saw was angry and taking it out on me and I was feeling very frustrated. By the time I got to this patient I was fed up, only to hear him tell me how I was wasting my time he was not going to change his mind. So I just looked at him and said I do not even know why I continue to do this, nobody cares anyway as I said this I had tears in my eyes and told the patient he could just go ahead and leave, and he did. I, of course, continued to work as the diabetic nurse but my heart was not in it at all. The next week came and I had another face to face with this patient. When he came into the examination room he was different, I had his medication record and a record of his vital signs and blood glucose checks but had not looked at them. He started to talk before I had a chance, he told me that when he left from the previous visit that he went back to his room and prayed the entire night. He said that God told him that he needed to start following his treatment plan. I than looked at his records and saw that he had been taking all of his medications and that blood pressure and blood glucose numbers were decreasing. I could not believe it, I just looked at him dumbfounded. The patient told me he felt great and that I needed to keep continue what I was doing because I really did make a difference and had changed his life. I must have looked so silly because I was crying and smiling at the same time. He said that he just could not believe that someone cared that much about what happened to him. I continued to see that patient for several more months, and he would tell me how he had started to repair all of the relationships in his life through understanding, forgiveness and god. I learned that I should continue to care for the whole patient with love and accept them for who they are (Caruso, Cisar, Pipe, 2008). Continuing to show this patient how much I cared through my perseverance made a difference in both of our lives. I created a healing and caring environment in an environment that could be harsh with a lack of positive human to human connection. I should not let my frustration be so apparent or voiced the that I did not even know why I became a nurse, it was not professional. I often wonder if that patient had not seen the effect he had on me that he may have never realized that I truly did care. In a different environment I would have been able to enhance this caring moment by being able to give more of my time to the patient and provide even more education. The nursing metaparadigm applied to this patient and I was unaware of it at the time. As I am learning about nursing theories I can see it. I had individualized the nursing care for this person. I identified the mental and physical problems this patient was facing and tried to implement the appropriate measures. I used my critical thinking skills to establish the patients plan of care. I also got to know the patient and the patients lifestyle and used this in the plan of care (Sitzman, 2002). I had also utilized carative factors without any knowledge of them at the time. According to Vanenhouten, Kubusch, and Peterson (2012) Cultivation of sensitivity to ones self and others, through my own spiritual practices I was putting the patients needs before my own. According to Vanenhouten, Kubusch, and Peterson (2012) Development of a helping, trusting, human caring relationship, I continued to try to help the patient by gaining his trust and proving that I cared. According to Vanenhouten, Kubusch, and Peterson (2012) Promotion and acceptance of the expression of positive and negative feelings, I supported the patient and understood the barriers he was facing, and was able to make a connection with the patient that turned both of our negative feelings into a very positive experience for the both of us. According to Vanenhouten, Kubusch, and Peterson (2012) Promotion of a transpersonal teaching and learning, I took into account the patients current situation and developed his plan of care as well as all of the education I provided around his level of understanding and the barriers he faced being in jail. I reflect on this situation a lot and have told the story many times when I have come across a nurse that is feeling like giving up. A nurse really can make a difference in someones life when they are caring for a patient with their heart. Whether or not it is physical or mental a nurse can save someones life with a caring nurse-patient relationship. Caring and healing, I believe that one cannot exist without the other. Lukose, A. (2011, Jan). Developing a practice model for Watsons theory of caring. Nursing Science Quarterly, 24(1), 27-30. Caruso, E., Cisar, N., Pipe, T. (2008, April/June). Creating a healing environment: An innovative educational approach for adopting Jean Watsons theory of human caring. Nursing Administration Quarterly, 32(2). Vanenhouten, C., Kubusch, S., Peterson, M. (2012, Nov/Dec). Watsons theory of transpersonal caring Factors impacting nurses professional caring. Holistic Nursing Practice, 26(6), 326-334. Morris, D. L. (2006). Encyclopedia of nursing research (2nd ed.). Retrieved from http://search.proquest.comezproxy.apollolibrary.com.docreview/189451612?acciuntid=458. Morris, D. L. (2006). Encyclopedia of nursing research (2nd ed.). Retrieved from http://search.proquest.comezproxy.apollolibrary.com.docreview/189451612?acciuntid=458.

Monday, January 20, 2020

Soul Catchers :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   â€Å"Soul Catchers†   Ã‚  Ã‚  Ã‚  Ã‚  A most interesting film detailing the history and role of the prophet in the Jewish tradition. The first question we must explore is what a prophet is. A prophet by definition is a person who speaks by divine inspiration. Others will say that a prophet is one whose eye is open. A person who can see things that others cannot. In order to understand the prophets and their appearance in history we must first understand the politics of the times. In the eleventh century BCE Israel is divided into twelve tribes. The prophet Samuel is called upon to bring the people under one ruler or king and lead Israel into a monarchy. However this brings a major split and for the first time we find a military and political leader, the King, along with a spiritual leader, or the prophet. The prophet played the role of moral keeper and would make sure that the King was ruling justly and keeping the Law of God. Prophets began to travel in packs receiving the presence of God through trace like states. The prophet Elijah emerges out of these traveling prophets around 886 BCE and begins to speak publicly. Elijah had a big problem with the King. The Kings lady was from a pagan religion and had brought about the worship of other Gods. Elijah addresses the King publicly and challenges the other Gods to make fire. They of course can’t match the Big Guy and Elijah triumphs and rides away into the sky leaving behind his robe passing on the power of prophecy. So ends the spoken prophets. Later around 792 BCE, the writing prophets come about with the powerful speaker Amos. Amos says a bunch of things that no one wants to hear such as the downfall of Israel’s Northern Kingdom and the death of the King. Then he really upsets everyone by saying that Israel will be sent into exile. About 742 BCE the most known prophet, Isaiah comes on the scene. Now this far out guy walks the streets naked for three years telling the King not to ally with the Assyrians. He also speaks of how Jerusalem will be saved from the Assyrians. The Assyrians don’t invade Jerusalem but the Northern Kingdom is destroyed just as Amos predicted fifty years earlier. Finally one of the last and least liked of the prophets comes about around 626 BCE and his name is Jeremiah.

Sunday, January 12, 2020

Task B Tpp 101

Hoffman and Elwin’s (2003) article examines ’The Relationship Between Critical Thinking and Confidence in Decision Making’ for new graduate nurses. The authors aim to prove that no correlation exists between higher order reasoning of new graduates and their ability to make sound clinical choices in relation to patient management. Critical thinking in the nursing field is defined as decision making based on the analysis of clinical problems through reflection and reasoning to ensure optimum patient outcomes.US and UK studies found no link between critical thinking and clinical decision making while Korean research identifies a positive correlation. Underlying the significance of Hoffman and Elwin’s study is the lack of evidence supporting a link between the two. The hypothesis states no relationship exists between confidence in decision making and critical thinking for graduate nurses. The sample population comprised 83 graduates from 11 universities across metropolitan and regional NSW, Australia.Using correlation design over twelve months, responses from two groups were collected using the 80 question Watson & Glaser Critical thinking assessment tool (WGCTA), a ‘Confidence in decision making scale,' 0-5 range, and demographic questionnaires. Data was collected and analysed using SPSS spreadsheet and database respectively. Results demonstrate a weak negative correlation between critical thinking and decision making for new nursing graduates. As scores for critical thinking increased a reduction in confident decision making was observed.Therefore graduates can be grouped as those who think too critically and those who think less critically. The first group of individuals may reach accurate clinical conclusions but time taken may adversely affect patient outcomes. Conversely, a graduate who thinks less critically may be overconfident taking less time to consider clinical variables, ultimately placing patients at risk. The hypothe sis is therefore rejected. Recommendations are made to encourage a future clinical environment supportive of practitioners who question decision making.Firstly, a need exists for postgraduate training opportunities which reinforce the study findings. Secondly, research addressing the shortfalls of sampling design in this particular study should be conducted. Criteria | Evaluation | Author Credentials ; Bias| Strength: Analysis of Hoffman ; Elwins paper shows the authors are well positioned to research and report on the link between critical thinking and decision making in the nursing field. Both parties’ posses their masters degree in nursing and are registered for practice with Hoffman holding an additional Bsc.In addition to academic qualifications both parties are employed as nursing educators. Weakness: Bias may exist in the authors findings. As both Hoffman and Elwin are nursing professionals and educators the papers scope ; objectivity can be questioned. Recommendations for future training and research may be seen as self-serving. The inclusion of a third party professional from outside the nursing field may provide a complimentary perspective. | Accuracy and Consistency of Data| Strength: Data has been gathered using recognised reporting tools that are based on established criterion.The use of these tools may encourage future researchers to employ the same methods to promote accuracy and consistency when comparing existing data with that collected during future research. Weakness: The accuracy and consistency of data within the research paper can be questioned. Variations in reported sample size exist in the report and will lead readers to doubt the validity of additional data. | Data Collection/Analysis| Strength: The set of instruments used in data collection can be considered sound.The combination of graduate background information and recognised tools such as the WGCTA and ‘Confidence in decision making scale’ allows for consiste ncy in comparison with previous research findings. Correlations found in the data can therefore be considered significant. Weakness: As the authors acknowledge the use of a ‘convenience sample’, the reader should conclude that study results are generalised and not representative of regional, state, or national populations.Increased sample size, equal number of rural and metropolitan graduates, and more detail on individual’s age, gender, and learning institution would increase data credibility. Graduate IQ or GPA may also play a role in critical thinking and/or decision making and be included as an additional variable. | Analysis Methods and Relevance of Data| Strength: The author’s reference list cites 16 papers from various countries around the world. This indicates that widespread and applicable investigation into the relationship between critical thinking and decision making in graduate nurses has been conducted. Methods of analysis such as he WCGTA an d ‘Confidence in Decision-making Scale’ employed in earlier research allows for comparison of findings. Weakness: Despite the relevance of resources and suitability of analysis tools, some may be considered out of date. Although studies cited in the literature review are as recent as 2000, Watson ; Glasers’ critical thinking appraisal tool dates to 1980. In addition Rhodes’ work from 1985 gave rise to the ‘Confidence in Decision-making Scale’. The use of these tools in an environment as dynamic and ever changing as nursing could suggest lack of research on behalf of the authors, or a desire to reach preferred conclusions. Sample Size| Strength: The small sample size of 83 graduates participating in the twelve month study allows for close communication between researcher and subject. This may result in improved data quality highlighting local trends and issues specific to the region. It should also be noted that participants contributed to the study over the twelve month period as there is no mention of withdrawal. Weakness: The use of a ‘convenience sample’ comprising such small numbers cannot be considered representative of target populations at regional, state, or national levels.An increase in the number of participants to represent a greater proportion of the local graduate population would improve both integrity and usability of study findings. | Criteria| Evaluative comments| 1. What difficulties did you encounter completing this task? | Initial comprehension of the paper was difficult and time consuming but central to the task. When evaluating the paper many of my selected criteria specifically sample size, data collection, and data analysis contained elements which overlapped. This made it difficult to stay on track. | 2.What did you find challenging, but interesting about this task? | Separating the content from the exercise itself. I’m really not interested in details relating to the nursing profession but skilled summarising and critical thinking/evaluation are academic fundamentals. | 3. Why would TPP 101 have set this type of a task? What are the learning outcomes of this task? (See your course outline). | To establish academic skills that can be built on. Skills developed here will assist in completing Task 2. Learning outcomes for participants are to understand, think, learn, communicate, and value. 4. How will you be able to use the skills formed in this task in your future studies? | These skills will be applied not only to Task 2, but to most if not all future assessment pieces. Active critical thinking/assessment outside of university is also of value. | 5. Define three new words that were new to you in this journal article. | 1. Meta-Cognitive – awareness and understanding of one’s own thought processes. 2. Negative Correlation – as the values for one variable inrease, the values of the second variable decreases. 3.? |

Saturday, January 4, 2020

An Analysis of William Blakes The Chimney Sweeper

Thesis Statement: This paper will analyze Blakes Chimney Sweeper and show how it presents an image of both experience and innocence, holding the latter up as a kind of light in the dark world of the child chimney sweepers. Outline I.Introduction A.Innocence and Experience B.The Chimney Sweeper connects both II.Recollections of a lost childhood A.Mother B.Father C.Sold into urban slavery III.Little Tom A.Hair like a Lamb B.Religious imagery C.The narrator tries to comfort him IV.Real Comfort the Angel A.The angel comes from God B.Has a message for the boys C.If they are good, they will be freed from their slavery and go to God V.The Message is the Meaning A.The poem ends without irony B.The angel is to be believed C.Innocence triumphs over dreadful experience Innocence over Experience in Blakes The Chimney Sweeper William Blakes The Chimney Sweeper appeared in the poets Songs of Innocence collection a work which preceded Songs of Experience (and a second Chimney Sweeper poem). Both collections flowed into and out of one another a point which may be seen in The Chimney Sweeper, a heartfelt poem of couplets that tells of a childs innocence and experience. The poem is a window into the horrific English world of child labor, where children are locked up in coffins of black, (Blake, 1789) but it is also a window into the pure soul of a child, who believes in the promise of an angel. This paper will analyze Blakes Chimney Sweeper and showShow MoreRelatedIn Many Ways, Poetry Has The Ability To Shape The Minds1226 Words   |  5 Pageswas William Blake. His poetry has inspired much change in both the past and the present. An analysis of â€Å"The Chimney Sweeper,† one of Blake’s most popular works, can help many to understand the significance of his work in a time period when social rio t was visible in the public’s eyes. 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