Essay on Caring Clinical Wisdom and Ethics in Nursing Practice

The concept of caring, clinical wisdom and ethics in nursing regards nursing as a practice that should be carried out for the good of the patient. The idea vividly acknowledges that knowledge accrues over time in a practice discipline and is developed through experimental learning and situated thinking and reflection on practice in a particular practice situation. It is referred to as articulation research defined as: describing, illustrating, and giving language to taken-for-granted areas of practical wisdom skilled know-how and notions of good practice (Benner, 1995). Many philosophers believe that nurses have been delinquent in documenting their clinical learning and this lack of charting of or practices and clinical observations deprives nursing theory of the uniqueness and richness of the knowledge in expert clinical practice. They have immensely contributed to the description of the know-how of nursing practice. The model is situation based and is not the trait found which means the level of performance is not an individual characteristic of a unique performer but instead is a function of a given nurses familiarity with a particular situation in collaboration with her or his educational background. In applying this model to nursing, many noted that experience based skill acquisition is safer and thicker when it rests upon a sound educational base.

Personal Nursing Philosophy in Practice

There is also a fundamental nursing philosophy which is vital to nursing practice. The personal nursing philosophy in nursing practice helps the nurses administer quality service. Nursing philosophies and theories stress the importance of providing patient care as a means of achieving improvement in health status (Green, 2009). Nursing science helps to identify the need for appropriate nursing interventions, such as starting an intravenous (IV). It enables nurses to tailor nursing care to meet the unique requirement of the family and neonate. A good example, in the starting an IV, nursing art uses family-centered developmentally sensitive responsibility to be mindful of the babys behavioral cues and respond accordingly through the provision of comfort measures for the infant. Philosophy of nursing practice recognizes the critical role of the nurse in the delivery of care. It is the relationship between nurses and patient that is the foundation of nursing practice. Nurses must understand in all ways they affect patients because every interaction a nurse has with a patient has an impact that can affect the patient in different ways.

Benners Philosophy in Nursing Practice

Philosophers around the world have attempted to breakdown nursing philosophy which is a remarkable thing because they make nurses improve the quality of their services to patients. According to Patricia Benners theory in nursing practice which she began 30 years ago and describes it as an articulation project of the knowledge embedded in nursing practice. She articulates the nursing perspective of approach person in their lived experience of stress and coping with health and illness which is based on the notion of the right inherent in the practice and the knowledge embedded in the expert practice of nursing. Benners work is research-based and derived from actual practice situations. The work is among the most sustained, thoughtful, deliberative, challenging, and empowering. Her work has developed and applied in general staff nursing, critical care nursing, community health nursing, advanced practice nursing and nursing education. Embodied expertise is embodied-that is, the body takes over the skill. The expert performs so deftly and effortlessly that the ration mind feelings and perceptions are available to notice that patient and others in the situation and to perceive the salient aspect of the situational context.

Development of Professional Nursing Framework

Another critical theory is the development of a professional nursing framework. One of the most hallmarks of a profession is to demonstrate a unique body of knowledge. A conceptual entity is defined as a set of concepts and those assumptions that integrate them into meaningful combinations. All nursing theories explain some portion of phenomena in nursing such as Jean Watson and her philosophy of human caring. During the development and incorporation of the project, restructuring occurred at Banner Health, which changed the goal of seeking magnet designation a system. However, the facility CNOS and nurses felt strongly about the success and need for the standardized structured and have continued to include and use it to help their professional nursing and individual Magnet journeys. The revisions to the structure made it necessary to reprint the framework posters to report on all units as well as corrections required to any supporting documents were completed to remain in line with the new framework version. The Mindful use of the theory separates the technical from the professional worker. It is created to provide a structure for nurses that describe various evidenced-based methods that are essential to support and develop professional nursing practice and promote patient care experiences.

Nursing in the 21st Century

The other way in how philosophers look at the nursing aspect is by studying nursing in the 21st century and asking themselves if there is indeed a plus for nursing philosophy. The pace of change is relentless, and these other changes are potentially challenging to what might be thought of as the traditional values to what might be considered of as the general nursing such as caring, maintaining dignity, and individualized care. The delivery of nursing care takes time and is costly, but there is evidence to show that below grade nurse staffing levels in hospitals are in conjunction with poorer patient outcomes. Irrespective of what the knowledge base is, as degrees are awarded in nursing, then it is plausible to consider it to be distinct subject veracity and credibility of its knowledge claims amenable to verification.

Conceptual Model of QSEN

Lastly, we take a look at the concepts of quality and safety education for nurses who their primary goal is to come across the obstacle of preparing nurses future nurses who will have in hand the knowledge, skills, and attitude necessary to consistently improve the quality and safety of healthcare systems. This centered patient care which includes; having knowledge, skills, and attitudes to provide coordinated care according to the patients values and needs. Learning should involve among patience centered consideration and integration of family and friends and understand the concepts of pain and suffering including psychological model and comfort. Skills include need as part of the clinical interview and the putting in place a care plan and evaluation of are. Communicate the patient preferences to other healthcare members and respect the diversity of human experiences. Attitudes may involve seeing health care situations in patients perspective and seek learning opportunities with patients who represent all aspect of human diversity. Values and beliefs about the containment of pain and suffering should be put grasped and also the appreciation of the nurse in relief of all types of pain and suffering.