Nursing Process-Personal Nursing Philosophy Essay Example

Introduction

Nursing is one of the most challenging and most interesting fields in health care in the 21st century. On the one hand, it is necessary to consider recent progress, technological achievements, and human rights to make sure that high-quality care and assessment are offered. On the other hand, it is required to remember the history of nursing and its significant contributors like Nightingale, Watson, or Orem because they indicate the essence of nursing practice and promote the creation of own philosophies and theories (Alligood, 2014). In this paper, I am going to develop my own nursing philosophy the goal of which is to evaluate the concept of trust in nurse-patient relationships.

Key Concepts

The creation of nursing philosophy is a time-consuming process that should improve current practice and solve existing problems and challenges. Today, such factors as globalization, industrialization, the Internet, and cultural diversity play an important role in nursing. They determine the quality of in-hospital communication and its effects on treatment and care processes. At the same time, these factors challenge nurses and create new unknown conditions.

My philosophy consists of the concepts of human interaction, social environment, and an understanding of trust. Human interactions include communication that nurses have to develop with patients and colleagues. Nursing can be approved as the application of this concept helps to exchange information and promote trust. The social environment should be recognized as it defines human qualities and expectations. Its application is a chance to understand what people want to obtain from nursing services. Finally, an understanding of trust is the concept that helps create the standards according to which people can talk to each other, ask questions, and share personal information.

Metaparadigms

Four paradigms can be used to define my nursing philosophy of trustful relationships between nurses and patients. First, a person is a patient who wants to receive care and is provided with fair and clear information. Being affected by the environment, a person has the right to develop trustful relationships with a nurse. Therefore, an understanding of the environment has to be properly developed. In this case, the environment includes a hospital and the community where the patient lives. Health is another concept that introduces a combination of physical and emotional well-being with the possibility to be involved in human processes and constructive decision-making. Finally, nursing is an interpersonal process where trust, care, and respect are properly demonstrated by nurses and used to support patients and their families. All these meta paradigms are the parts of a nursing philosophy or theory. The examples of other nurses prove their correct application to practice helps achieve positive results.

Nursing Process – Philosophy

When I was a child, I visited hospitals a lot because of the disease of my grandparents. I observed how families came and left hospitals, being inspired by their recovery or being frustrated because of untreated diseases being diagnosed or deaths. Nurses tried to support patients and chose the best words they could. Still, it was not enough. Not all patients or their families could trust them. With time, I learned that ethics, emotions, and respect could define the quality of nursing care (Newham, 2015; Scott, Matthews, & Kirwan, 2014). I dreamed about the possibility to create a plan of care where communication and fair relationships can help people deal with their health problems.

My philosophy is based on trust combined with care and information that is offered to patients and their families. When a person comes to a hospital, he or she should not be afraid of being mistreated or poorly informed. Nurses are ready to answer the questions, give recommendations within their qualifications, and support people. This philosophy can be applied to present practice through compassion, empathy, and the use of simple and kind words.

Nursing Process – Strengths and Limitations

As well as any other project, theory, or method, my nursing philosophy has its strong and weak sides. For example, its strength is the maintenance of strong relationships in hospitals. Trust should be the basic issue in professional communication between nurses, doctors, and other health care workers, as well as interpersonal communication between nurses, patients, and their families. However, the main limitation is the inability to create common standards to an understanding of trust. There are as many opinions and attitudes to trust as people in this world. They are free to accept this concept in the most convenient ways. Therefore, one way a person understands trust can vary from the way another person does it.

Conclusion

To conclude, my philosophy of nursing promotes a possibility to develop trustful relationships between nurses, patients, their families, and other health care workers. Though not every person is able to become a good nurse, there is always a chance for a nurse to become a good person. I want to believe that my past knowledge, experience, and respect for the achievements of other theorists help create a unique approach to nursing care in the modern world. Nowadays, people are not always ready to trust each other. Such shortcoming has to be eliminated in nursing practice using this individual philosophy and the combination of concepts and meta paradigms.

References

Alligood, M. R. (Ed.). (2014). Nursing theorists and their work (8th ed.). St. Louis, MO: Elsevier.

Newham, R. A. (2015). Virtue ethics and nursing: On what grounds? Nursing Philosophy, 16(1), 40-50. Web.

Scott, P. A., Matthews, A., & Kirwan, M. (2014). What is nursing in the 21st century and what does the 21st century health system require of nursing? Nursing Philosophy, 15(1), 23-34. Web.

Ethical Challenges In Advanced Heart Failure

Ethical Considerations

Heart failure is a serious health condition that requires researchers that study the problem to be aware of potential ethical issues. There is a problem of systematic differences “in the treatment of patients of different race, sex, and socioeconomic status with heart failure” (Kini & Kirkpatrcik, 2013, p. 28). This means that efforts are needed for reducing the gap in the provision of effective care among the mentioned groups. Strategies for overcoming this ethical issue include the understanding of cultural differences in approaches to heart failure treatment and the exploration of moral values that may impact the relationship between study subjects and the researcher.

Informed consent is another ethical issue involved in the study. It is associated with following ethical codes and regulations in research involving human subjects. Without obtaining informed consent from study participants, the researcher has no right to share sensitive information on heart failure and the effectiveness of the implemented intervention (Nijhawan et al., 2013). To address this ethical issue, the researcher will make sure to compile a document that described procedures, information that will be disclosed, relevant players, and potential implications of the study and will ask participants to sign the document after reading it.

Study Limitations

Several limitations are expected to affect the outcome of the study on congestive heart failure and reducing the readmission rates. Access is likely to be a limitation because the researcher does not have enough resources to have unrestricted access to a large sample size of participants due to the characteristics of their condition. Also, this problem may occur because heart failure may be the reason for patients receiving end-of-life care, which makes the limitation of access even more complex. It is possible that access will be restricted or denied for the sake of protecting the physical and emotional well-being of patients who have experienced congestive heart failure. Because of access limitations, the study will have a relatively small sample size since finding participants diagnosed with a serious heart condition and willing to engage in research is a complex task. It is possible that the researcher will have to spend long hours at healthcare facilities to recruit patients for the study, which contributes to the time and resource limitation. Lastly, while it is expected that prejudice will be avoided, the fact that the researcher will work with a diverse patient sample may lead to arising biases either on participants’ or the scientist’s part.

Implications for Practice

In the case, if nurses’ actions regarding educating patients about congestive heart failure, interventions on follow-up, and the use of transitional care are successful, the implications for practice will be vast. As there is great variability of research on the topic of congestive heart failure, the use of specific interventions that will improve patients’ well-being and promote their self-care will greatly benefit the body of available studies. Also, the research will be valuable for nurses who will get an understanding of how they can contribute to the follow-up and monitoring of patients that experienced congestive heart failure. The study can become a basis for future research on a similar topic with the integration of other nurse-led interventions targeted at improving patients’ self-efficacy and ensuring that the survivors of congestive heart failure take control in overcoming the adverse implications of their health condition.

References

Kini, V., & Kirkpatrick, J. (2013). Ethical challenges in advanced heart failure. Current Opinion in Supportive and Palliative Care, 7(1), 21-28.

Nijhawan, L. P., Janodia, M. D., Muddukrishna, B. S., Bhat, K. M., Bairy, K. L., Udupa, N., & Musmade, P. B. (2013). Informed consent: Issues and challenges. Journal of Advanced Pharmaceutical Technology & Research, 4(3), 134-140.

Financial Statements Of Titus Lake Hospital

Financial statements can provide substantial information regarding a hospital’s operations, including its revenue, assets, and cash flow, which display the ability of an organization to be profitable. The General Practice Affiliates intends to partner with the Titus Lake Hospital, which will provide the former with the ability to take advantage of the provider leasing model. This paper aims to evaluate the validity of this offer by examining the financial statements of Titus Lake Hospital.

Titus Lake Hospital is an excellent financial partner for the General Practice Affiliates because the organization earns substantial revenue, has sufficient assets and cash flow. The current financial statement provided by the hospital indicates that in 2012 this organization was able to generate an income of $360,000. This provides an understanding of the net revenue that this organization was able to obtain. Paterson (2014) states that the balance sheet, income, and loss statements are critical elements that should be examined. The total assets increased in 2012 from 366,666 to 375,500, which indicates that the hospital’s value improved. A cash flow statement is also a valuable part of the financial reporting that will help understand the revenue that Titus Lake Hospital was able to receive. The report indicates that the hospital had several sources of receiving cash and used it to pay for short-term loans and acquisitions. The levels of debt that Titus Lake Hospital has are not high, which indicates that the reassurance in the establishment’s repayment capacity.

The level of financial resources required to support the transition from one electronic health record system to the other is estimated at $275,000. In case the General Practice Affiliate’s current system is not compatible with that used by Titus, the organization will have to transition and use the new program fully. The cost of purchasing a new system is $175,000, while additional investment will be required for staff training, and it is estimated at $100,000. Therefore, in order to transfer 750 patient records, the practice will have to invest at least $275,000 in total.

Based on the analysis of the current capital structure of the General Practice Affiliates, the purchase of the new electronic health record system should be made using retained earnings. Paterson (2014) states that healthcare providers rely on financial capital that can support their daily operations. The financial statement indicates that in 2012 the company was able to retain $306,180. This money is usually saved and applied for purchasing equipment; thus, re-investing this money will help the general practice avoid additional expenses. Alternatively, the organization can attract investors since it is capable of servicing its debt. In this case, the $275,000 required for the new health record system can be paid both from the retained earnings and by using the investment, which will help the General Practice Affiliates to minimize risks.

Return on investment (ROI) allows identifying the gain from purchasing the health record system when compared to the amount of money used to buy it. A reasonable return on investment for the General Practice’s new medical record system would be 15%, which is currently an average ROI in the business. The current economic environment pertinent to this discussion is the healthcare industry. Thus, the assumptions were based on relevant data regarding the ROI.

The risks inherited by the Titus Lake provider are connected to the reimbursement for services that will be facilitated through the hospital. According to Paterson (2014), two primary categories of risks should be considered – financial and business-related, which will be discussed below. Thus, the issue is the ability of Titus Lake to process and provide timely payments to general practitioners. The three risk managing strategies for the partners involve penalties, fee negotiation, and a unified accounting system. It is crucial to ensure that the payments for services provided by the General Affiliates are received on time. Thus, the two organizations should have an agreement regarding possible penalties in case of a delay.

Next, the General Affiliates should have a right to negotiate fees in case of price changes of its services. Due to the fact that the General Affiliates are going to operate under the hospital’s name and receive payments from third parties, the process of determining fair market value may be complicated. The issue may arise in case the tax policy or approaches that insurers use for reimbursement change, which will have a significant problem for General Affiliates. Finally, to avoid accounting and reporting issues that may lead to a rejection of payment claims, both General Affiliates and Titus Lake should ensure that their accounting systems are compliant.

Overall, the leasing agreement will benefit General Affiliates because it will allow the establishment to have a more substantial number of patients referred to them by Titus Lake. Based on the fact that the hospital has a coherent financial statement that displays sufficient revenue, the two organizations can become efficient partners. Due to the requirement of purchasing a new electronic health record system, the General Affiliates will have to use the retained revenue and apply management strategies to mitigate prospective risks.

Reference

Paterson, M. A. (2014). Healthcare finance and financial management. Lancaster, PA: Destech Publications.