The study of Willard and Luker actually notes the factor that contributes to the capabilities of the health institutions and their staff in handling the preferences of their patients especially that of the issues regarding EOL or the End of Life situations. People are usually concerned on their preferences with which they are to entrust their health with either for medication or simply for therapy.
The issues that were particularly dealt with in the journal presented by Willard and Luker were pointing to the capabilities of the nurses and other medical staff officers present in the hospitals to make their patients feel the assurance that they are to be given the best service and care that they are due as clients of the medical industries. From this particular article, it could be noted that the role of nurses as caregivers in the medical institutions play a great role in the process of keeping up with the reputation of the medical industries.
Their skills and their natural want of serving the values of their patients the best way that they can involves not only their willingness of becoming the best in the filed but also the aim of becoming a great help to the society that they are particularly serving. Implications of the Study What the article points out as part of the study is that the nurses have a great part in understanding the needs of their patients. This particularly coincides with the ideal practices of nursing as per noted through the writings and philosophies of Faye Abdelah.
“A nurse is a person who nourishes, fosters, and protects—a person who is prepared to care for the sick, injured, and aged. ”(Nursing in Today’s World—Challenges, Issues, and Trends, 2) UNSELFISHNESS, though essential, is not enough to make a proficient nurse. Good nurses also need extensive training and a breadth of experience. One essential requirement is from one to four years or more of study and practical training. But what qualities make a good nurse?
Faye Glenn Abdellah’s book on “Patient-Centered Approach to Nursing” (1960) answers those queries basing from real life experiences and practical application of the said nursing theory. As reported in a survey made by the Awake magazine regarding the real qualities making up a good nurse, many answered almost the same ideas about the issue. Carmen Gilmartin, of Spain puts it this way: “The doctor heals, but the nurse cares for the patient. This often requires building up patients that have been damaged both inside and outside when, for example, they are informed that they have a chronic disease or will face imminent death.
You have to be a mother to the sick person. ” It is really true that aside from Abdellah , many nurses around the world believes that being able to empathize with the patients that the nurses are caring for. How is this so? The theory’s or the idealism of Abdellah’s scope includes the nurses working with children and other older patients dealing with either patients’ slightly affected with illnesses or those who are already dealing with terminal cases.
The whole idea of the theory lies on how nurse- patient relationship should always be given attention to. Not only because it’s a protocol by the hospital or whosoever but also because it should be an innate character of a nurse to feel what the patient feels. Its content includes the process and application of the nurses’ empathizing with their patients to be able to give them not only the kind of medication or cure they need as said by the doctor but also the kind of cure they want. Application of the Theory on the Article Reviewed:
Significance: The said approach on patient-centered service in and out of the hospital services is much significant especially to those patients who are usually ill or to those who have terminal diseases who at times need to stay in the hospitals for long times. It is very true that the patient-nurse relationship must be mutual and peaceful to be able to gain best results for both parties. Internal Consistency: This approach has been amazingly working well for the hospitals and health organizations that apply it.
Doctors and nurses who are able to coordinate well with each other and thus able to attend to their patient’s needs and wants are the ones who usually gets the best result. One encyclopedia defines nursing as “the process by which a patient is helped by a nurse to recover from an illness or injury, or to regain as much independence as possible. ”(Encarta) Of course, much is involved in that process. It is more than just the performance of routine tests, such as checking the pulse and the blood pressure. The nurse plays an integral role in the patient’s recovery.
According to The American Medical Association Encyclopedia of Medicine, “the nurse is more concerned with the patient’s overall reaction to the disorder than with the disorder itself, and is devoted to the control of physical pain, the relief of mental suffering, and, when possible, the avoidance of complications. ” In addition, the nurse offers “understanding care, which involves listening with patience to anxieties and fears, and providing emotional support and comfort. ” And when a patient is dying, this source notes, the nurse’s role is “to help the patient meet death with as little distress and as much dignity as possible.
”(145) Parsimony: This approach doesn’t require much of the funds. Instead, investing on the nurse’s desirable traits has been the key to reaching the goals of giving the patients an A+ service during their recovery. Testability: This approach has been widely tested by different hospitals and health organizations. Some had even made extra steps to achieve perfection in application. Some went to the homes of possible patients to take not of their medical preferences with regards to their religious and cultural beliefs. It also included health statistics of the patients in order to modify their medical records.
These steps had been proven effective and stress reducing for the nurses when the time comes when they already need to attend to the said patients. Empirical Adequacy: Every organization and hospital who tries to apply this approach to patients would agree that everything is perfect with it. It relieves both the pain of the patient and gives the nurses a better work environment, as they are able to meet the expectations of both their patients and the doctors they assist. Pragmatic Adequacy: Record shows that actual results from the application of this approach are rather desirable and convincing to be successful.
It made everything and everyone workable with and every patient satisfied with the medications they receive. As with other jobs, considerable education and training are required to be a good nurse. It also takes courage, and a real desire to help fellow humans. Keeping physically fit, too, is important, due to one’s being exposed to communicable diseases. But a good nurse will especially have sympathy for patients, and give of herself to furnish their needs. Abdellah’s book on Patient-Centered approach has been truly proven by herself by being a nurse and an aid to many that suffer from different illness.
Making it more practical and approval worthy that this approach to patients is indeed effective. However it may be, nurses are always reminded to continue having a good heart for their patients as it always works. PART B: • Problem Definition The study of Willard and Luker places a certain implication on the ways by which the nurses intend to perform their tasks as healthcare professionals. Their enthusiasm in making it possible for the clients[ the patients] to receive the best possible service that they deserve naturally, especially considering the fact that they are in need of care.
IT is mostly undeniable that the nurses are expected to handle their profession in a more careful way considering their patients needs and demands all the time. As their clients, patients have the right to demands service from the nurses, this is especially when they are needing special care because of their exceptional health situation. People who are in their EOL stages are usually demanding, trying to get the attention of others for the sake of attending to their needs. Passion always pays in this particular situation.
Most likely, the patients who are in need of special care when they are undergoing the EOL stage are also most appreciative of the people staying up with them. From the study that has been presented by Willard and Luker, it could be observed that attending to these particular needs actually increase the level of considerable reputation for the medical industries. • Literature Review It could be observed that the literatures used by the researchers as basis of their primary claims about the issue were indeed authoritative, thus giving the research a stronger voice in being valid for actual application in the future.
Most likely, the ability of the researchers to find the right research materials to cite within the paper made the research even more powerful in terms of being constantly aligned with what is theoretically right and what is actually practiced by the hospital staffs in real life. • Research Design With the utilization of grounded theory, the researchers of this particular study were able to make a greater use for such controlled details that were given to them through observable informations in actual situations that are concerned with nursing and the issue that is being tackled within the said study.
Applying it to actual nursing practice requires deeper comprehension of the issue. To develop the science of the nursing field and its general application in the health service of the society, further research and development are needed. In this aspect of nursing research, different new approaches and concepts are discover and can be incorporated in the general field of healthcare application thus, promoting the quality of the said service. Because of this, the said two concepts namely the aspect of research and its application are indeed important for the field of nursing service.
• Sampling Protocol The researchers particularly utilized the best sample population available to strengthen their study. The said samples include three nurse practitioners, two research nurses, eleven specific CNS’s, nine palliative care CNS’s, and four CNS with combined tumor-specific and palliative care roles. These samples helped the researchers in understanding the field of nursing in a much deeper sense of responsibility scale measurement. The samples and their experiential background on the issue actually helped the researchers see the situation in an certain actualized level of understanding.
• Data collection Strategies Aside from the literary based researches, the interview based observations made it easier for the researchers to create opinionated claims thereby making the research more acquainted with the literature review that the researchers themselves previously presented in their paper. The integration of the research together with the survey results made it possible for the researchers to measure both the possibilities and the limitations that their topic has upon application in the actual field of medical health assistance among hospitals.
• Data Analysis Strategies To analyze the data, a qualitative process of understanding the gathered informations could be noted to have a huge implication on the success of the research. With the measurement of validity and reality based understanding of the matter, the research of Luker and Willard made it easier for the readers to understand the yielded information from the literature as well as the survey based analysis.
The analysis of the data that the researchers used actually helped the outside readers who have no idea of the topic to have a better understanding of the connection of the study with the actual application of nursing practices. Most likely, it is undeniable that the people involved in understanding the research naturally made a clear opinionated view with regards the presentations of the researchers with regards the actuality of the study and how far the efficiency of the research applies well in the efficiency of the healthcare institutions’ performance for their clients, the patients.
• Findings, Conclusion and Recommendation Maintaining and promoting the healthcare quality of the people is one of the most important concerns of the society. People indeed like to live healthy away from any ailment and disease and stay in this state for the longest possible lifestyle. Because of this, significant efforts and resources are invested in the healthcare nursing field to promote the stability of the said healthcare practice and its continuous development. One of this concept evidentiary manifestation is the field’s research aspect.
The value of nursing is significant for the society as this greatly involve their health promotion and assistance to their medical needs thus, this field’s development through research must be established as one of the primary concern. Without this field, society’s healthcare needs will certainly not be addressed. However, without the continuous innovative development of this field, the aspect of healthcare nursing will also not be able to properly cater to the contemporary needs of the society alongside its newly discovered diseases and others.
To cope up with these modern concerns, the nursing society together with the concerned citizens and the health practitioner field devote their time, efforts, knowledge and resources to further develop the nursing field through research to maintain the relevance of the value of nursing for the society themselves. As a vital part also of the general field of nursing healthcare, the research also demonstrate the importance of practitioners of the nursing field in an independent concern from the multidisciplinary team.
Research through experimentation procedure will explore the significance of the nursing role in each medical procedures and in the healthcare service itself. In addition, most researches are also solely focused on developing the healthcare practice alone as this as this is viewed to be more related in the aspect of caring for the patients. • Ethical Values and Concerns The ethical values in this case would naturally be involved in the process of gaining the results from the target samples.
The results are to be derived not only upon observation but upon question and answer process of evaluation of the job that the staff are undergoing. It could not be denied that gaining these results meant that the sample population must be met in personal by the researchers. Through the considerable thought that the researchers placed upon the fact that the target sample are working and have responsibilities towards their patients, the said individuals were given their own choice on when or where they are to answer the survey. Through this, the researchers were the once who adjusted to the convenience of the sample population.
It Is undeniable that through this process, the researchers were able to take control of the ethical measures that they are expected to carry on throughout the process. Part C: Conclusion Healthcare is concerned and mainly focused on the betterment and the preservation of the life of an individual who has a certain medical condition or ailment preventing him or her from being healthy. Because it is concern with humanity and life, most of the aspects in healthcare are greatly attributed to ethics and morality thus rendering this field to be very controversial and debatable.
Many aspects of healthcare, especially its field of administration for people who have damaging illnesses, are greatly regarded as a question of morality. This idea is mainly because of certain cases where the healthcare decision regarding the condition of the patient becomes contradictory to the patient’s will and/or the medical decision of the physician involved. Thus, the medical procedures often become morally questionable because of the conflicting desires and the substantiality of the consent of the people concerned in the situation.
This is primarily the reason why the study analyzed herein could be noted beneficial for the actual nursing practice application. The study of Willard and Luker clearly points out that nurse-patient relationship could be enhanced through the behavioral adjustments that are to be taken into consideration by the nurses themselves. It is undeniable that the nurse’s importance to the medical industry places a strong implication on the basic practices of ethical healthcare provisions. Patients in their EOL stages need to realize that they are being cared for.
Not only that, it should also be noted that aside from EOL patients, nurses have to attend to a wide variety of patients who have different health issues that they need to deal with. Moat often than not, it is the realization of the nurses with regards their primary responsibility that holds the capability of the medical industries to cater to the needs of their clients, their patients. Reference: Carole Willard and Karen Luker. (2006). Challenge to End OF Life Care in the Acute Hospital Setting. University of Manchester.
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