In this report there are different factors identified that has positive and negative impacts and these includes; communication, interpersonal skills, Care environment, correct treatment, emotional support, comfort and clinical care, etc.
What is Care?
Care is defined by Heidegger (2005) as the fundamental manifestation of man’s existence in the world, consisting of worrying about things and taking care of others. Care sustains relationships between men. If there were no care, the human being would be isolated. Because they needed each other, men organized themselves in groups so that their needs were met.
What is caring behavior?
These are the actions which is related to the patient’s well-being such as comforting, sensitivity, honesty, & listening attentively. Nurse caring behavior refers to “those things that a nurse says or does that communicate caring to the patients. Caring is the service the nurse renders while caring behaviors are those attitude, competencies and skills the nurse exhibits while rendering the services (Ehiemere, 2011).
The role and importance of nursing in the health system
Nurses are essential within the health system, after all they are present throughout the treatment of patients: from the moment of entry until discharge and often also outside the hospital environment. In addition to direct contact with the sick, these professionals also form the “bridge of communication” between other members of the hospital team, such as physiotherapists and doctors. Nurses, are key players in facing great challenges such as the new coronavirus pandemic and in Primary Care for patients. According to one survey, the nursing group is responsible for 60% to 80% of actions in Primary Care and 90% of health processes in general. Care must be individualized, based on current knowledge about the effectiveness / risks of the interventions implemented. In patients with the nursing diagnosis of hyperthermia, regardless of age, an evaluation of the parameters is recommended: temperature; heart and respiratory rate; tremors, flushing and lethargy; evaluation of culture exams; signs of infection; maintenance of the administration of medicines for continuous use. Patient care is the act of avoiding, preventing or improving adverse results or injuries arising from the medical-hospital care process. Safety is an important dimension of quality, defined as the right of people to have the risk of unnecessary harm associated with health care reduced to an acceptable minimum.
The patient’s experience has been debated on a recurring basis in all spheres of care and health care and one of the most relevant aspects has been to understand people as complex human beings, with particular goals and experiences. Within this context, providing humanized care is essential, since it impacts not only patient loyalty, but also the credibility built over time in relation to the health institution. As a consequence, we have a more effective treatment. Thus, hospitals are investing and preparing their professionals to work on the patient’s experience in an inc easingly constant way and not just propagate it as a trivialized term in the health area.
What is some evidence that being caring improves the patient experience and patient outcomes?
In the health area, advances have spread with the computerization and the emergence of modern equipment, which bring benefits and speed to the diagnosis and treatment of diseases. This technology at the service of man has contributed to the solution of previously unresolved problems, and can provide better living and health conditions for people
However, technologies do not always result in benefits. With capitalism, technique / technology leave its role of use and become a commodity. This generates the commodification of health, in which caring for others and healing become profitable objects.
In this context, Nursing, as a health profession, has historically had its disciplined knowledge in human care. It is, therefore, incoherent and unacceptable that this care is performed through actions considered “robotized”.
Before reading this report, my concept of care is totally different and I am only considering it as a care in terms of proper medication and clinical advice. As per my view nurses need to understand that care and technology are interconnected, as nursing is committed to principles, laws and theories. Therefore, technology is represented by the expression of scientific knowledge and its transformation as a science, while philosophy enables professionals to reflect critically and participate in their actions. Following are the major qualities that needs to be developed in nurse
Strengthening the patient experience often means implementing simple steps that could make a difference for patients. Some examples:
– increase care so that the caregiver / patient is understood and their doubts are formally documented in notes, folders or other type of information that can be consulted later.
– maintain an open conversation with the patient, making him feel comfortable opening up to any of the health professionals.
– interpret the demands of patients and family members according to their personal and cultural values, assumptions and beliefs.
– understand the caregiver as a “partner”, in order to make it easier for them to get involved with the assistance.
What I have learned?
From this study, the most important thing I have learned is developing communication and interpersonal skills. These points are very important while you are working as a nurse. From different literature, I have seen my researches where patient shows their dissatisfaction with the lack of proper communication even nurses do not properly educate the patient about the treatment. Also, it has seen that involvement with family also impact this care process.
Importance of Nurse:
Self-care is the key to health care and is seen as a guideline underlying the nurse’s activity and which distinguishes it from other disciplines. It can be said that through self-care actions, health promotion interventions are implemented that are oriented towards the practice of nursing care over a continuum, from primary health care to inpatient services, long-term inpatient units. duration and rehabilitation services. These interventions aim to inform people about their condition and treatment and train them about self-monitoring, perception and identification of changes in functionality, assessing the severity of these changes and the options for managing these changes, as well as selecting and taking appropriate actions. Promoting and maintaining self-care in people with chronic illness is a central role of nurses’ intervention, as their interaction is constant in any context – hospitals, health centers, outpatient clinics, continuing care and the community. The implementation of self-care actions promotes a partnership between nurse and person / family, so that the latter develop skills and knowledge to adapt and make informed decision-making regarding their chronic illness.
Connor SR, S. B. (2015). Global atlas of palliative care at the end of life. Worldwide Palliative Care Alliance and World Health Organization.
Hammoda Abu-Odah, A. M. (2020). Challenges on the provision of palliative care for patients with cancer in low- and middle-income countries: a systematic review of reviews. BMC Palliative Care.
Piper D, I. R. (2010). Experience-based Co-Design Program 2 Stage 1 Evaluation Report – Final Report to Health Services Performance Improvement Branch. NSW Health. Sydney: Centre for Health Communication, University of Technology Sydney.
Tanrıverdi Ö, K. Ş. (2016). Structuring in palliative care units.
Virna. (2017). The essence of care in health vulnerability: a Heideggerian construction.
Williams AM, D. S. (2006). Emotional comfort: the patient’s perspective of a therapeutic context. International Journal of Nursing Studies, 405–15.
Sox Jr, H. C. (1979). Quality of patient care by nurse practitioners and physician’s assistants: a ten-year perspective. Annals of Internal Medicine, 91(3), 459-468.
Kane, R. L., Shamliyan, T., Mueller, C., Duval, S., & Wilt, T. J. (2007). Nurse staffing and quality of patient care. Evidence report/technology assessment, (151), 1-115.
Papastavrou, E., Andreou, P., & Efstathiou, G. (2014). Rationing of nursing care and nurse–patient outcomes: a systematic review of quantitative studies. The International journal of health planning and management, 29(1), 3-25.