Class notes
All Development of Self as Nurse Notes
- Course
- NURS 1420
All notes in Development NURS 1420 for 2021 Fall semester
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MODULE 1WATSON
1. Praxis: doing becoming knowing
2. Eupraxies: It's a good practice; this is the practitioner's moral disposition in
consciousness to exhibit caring, love, and compassion for all of humanity.
3. Dyspraxia: "Are devoid of a carrying consciousness or an uninformed
intentionally to act in the practitioner's best judgement." It is when we fail to
use our caring consciousness to give the best care possible intentionally to
our patients.
TEN CARITAS
1. Embrace
2. Inspire
3. Trust
4. Nurture
, 5. Forgive
6. Deepen
7. Balance
8. Co-create.
9. Minister
10. Open
MODULE 2
CARITAS: Factor 1
■ Cultivation of practice of loving-kindness
■ Loving equanimity toward self and other
■ Is foundational.
CARITAS: Factor 2
■ Authentically present and enabling sustaining honoring the faith hope and
belief.
■ The inner subjective life world of self
WATSONS CHARACTERISTICS OF CARING
■ Mutuality
■ Intentionality
■ Knowing
■ Attunement
■ Transformation
RELATIONAL PRACTICE
> Nurse must take:
■ Initiative
■ Be innovative.
■ Responsive
■ Reach out and listen.
■ Spontaneous
■ Genuine
■ Mutuality
CARING AND HOLISTIC PRACTICE IS EXPRESSED THROUGH HOLISTIC
INDICATORS
■ Being present
, ■ Experiencing
■ Compassionate
■ Actualization
SWANSON’S THEORY OF CARING
■ Knowing
■ Being with
■ Doing for
■ Enabling
■ Maintaining belief
DEVELOPING THERAPEUTIC RELATIONS
■ Grounded in interpersonal process.
■ The process occurs between client and nurse.
■ Purposeful and goal-directed
■ Directed at advancing to best interest outcome for a client.
PEPLAU INTERPERSONAL RELATION MODEL
■ Orientation
■ Identification
■ Exploitation
■ Resolution
Knowledge in general> self>work
MODULE 3
CARITAS: Factor 3
■ Cultivation of one own spiritual practice
■ And transpersonal self
Personal Health Information Act/PHIPA (2004)
■ PHIPA governs how personal health information may be collected, used, and
disclosed within the health sector.
■ Information privacy -- the client’s right to know how their personal health
information is collected, used and disclosed.
■ PHIPA permits sharing of personal health information among the patient’s
circle of care.
■ Patient information such as physical or mental health, including family health
history, care provided, etc. cannot be disclosed. Need for client’s consent.
, ■ Personal health information belongs to the client.
CONFIDENTIALITY BREACHING
■ License suspension
■ Sued for malpractice.
■ Getting fired
■ Civil change
■ CNO issue reported.
EXCEPTION
■ Consult others.
■ Report if required.
■ Ethical decision
RULES FOR DOCUMENTATION
■ No collection use or disclosure without consent or legal authorization
> being younger than 16 cannot affect consent factor, depends on the ability to be
educated and understand treatment.
> if the family refuses, they cannot accept treatments, wishes can come written or
orally.
> stop treatment and educate if disoriented if they don’t understand they cannot
consent.
> if responsive they can consent, things can be resolved through communication.
CNO: CONSENT
> Health Care Consent Act
■ promoting individual authority and autonomy
■ facilitating communication between health care practitioners and their clients
■ ensuring a significant role for family members when the client is incapable of
consenting.
■ consent is required for treatment except in certain emergency situations.
> Substitute Decisions Act
■ personal care or property on behalf of incapable persons
■ people who need decisions made on their behalf continuingly.
■ The formal appointment of a decision-maker through a power of attorney
document
> Mental Health Act
■ what should happen when someone who is living with a mental illness needs
treatment and protection for themselves/others?
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