Professional Presence and Influence – NURS 5121

Professional Presence and Influence – NURS 5121

Professional Presence and Influence – NURS 5121

Professional Presence A1: Compare Two Models of Health and Healing Era 1, (body) beginning in the 1800’s, reflected the fundamental view that health and illness are totally physical in nature, all about the body.[CITATION Dos99 \l 1033 ] The effect of the mind or soul did not enter into treatment in ERA 1. In ERA 1 , the body was nothing more than a machine, as parts broke down they were removed or fixed. Era 3 (mind, body , soul) began in the 1990’s and is still evolving today and builds on the prior era’s. In Era 3, the mind is boundless, and may not only effect a person body, but the body of another person [CITATION Dos99 \l 1033

A2: Analyze the Difference of ERA 1 and ERA 3

Over the years the Era’s of medicine have changed, the connection between the eras are intertwined like a braided rope, yet very different as evidenced by Era 1 and Era 3. The main focus in ERA 1 is on the body and addresses the health and healing of humans based onbodily functions and how it can be treated. [ CITATION Dos99 \l 1033 ] The body in ERA 1 is nothing more than a machine with parts that breakdown like a car.

Era 3 takes a more holistic approach by incorporating the body, mind and spirit, the body is not just parts as discussed inWatson’s Theory of Nursing, which states that human caring consciousness, administering ‘human care essentials’, which potentiate alignment of mind body spirit, wholeness, and unity of being in all aspects of care, tending to both embodied spirit and evolving spiritual emergence [ CITATION Fal05 \l 1033 ]. My nursing career spans 36 year,

which has included clinical areas such as the ED, ICU and now in an administrative role focusing on quality outcomes and patient experience . Medicine has significantly progressedsince ERA 1, in the early twentieth century most medicines prescribed were prepared by the pharmacist. In 1928, Fleming discovered penicillin which changed the treatment of care from how surgery was performed to how wounds were treated. In ERA 1 mental illness was treated by preforming a prefrontal lobotomy or shock therapy. My nursing career mainly evolved in ERA 3.

Over the past several years the fundamentals of ERA 3 intrigue me; The World Health Organization states that “it is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity and is a conscious, self-directed process” (WHO, 2013) Era 3 is more of an era of integrated medicine ,this approach blends conventional medicine, including use of drugs and high-tech techniques, with evidence-based, natural, less invasive therapies examples include dietary change, meditation, acupuncture, yoga, herbal medicine and therapeutic massage [ CITATION Fre13 \l 1033 ].

The adoption of the mind, body, spirit model has proved to be an effective method to promote well-being. Examples of this includes the practice of Lamaze during labor, ,the use of aromatheraphy to help decrease anxiety and deceasing the use of opioids is a whole new era for nurses and physicians. Hospital administrators understand the importance of ERA 3 and have now employed full time chaplins to pray with patients and not just give last rights. The integration of the mind body spirit model into treatment has significantly enhanced mental and physical health along with the improved sense and support from the social entities.

My recent work involvement was in the development of a policy on M technique therapy. This is a registered method of gentle touch, it is suitable for the critically ill,

actively dying, very fragile, or anxious patient. The M-Technique has been described as ‘physical hypnotherapy’, ‘a spiritual dance’ and ‘the essence of nursing’ and is profoundly relaxing for both giver and receiver[CITATION Buc08 \l 1033 ].A3 Comparison and influence on nursing practice In the nursing profession, the concepts of ‘presence’ and mindfulness have gained immense popularity. Awareness of one’s personal beliefs, how it affects work situations and how it may potentially affect the way a nurse views a patient, or a patient’s condition and care is paramount[ CITATION Men15 \l 1033 ].

In the early nineteen eighty’s the AIDS epidemic and recently with the increased heroin addiction is an example of how personal beliefs affect work situations. The real key is to find solutions to discrepancies between personal values, patient beliefs and our professional duty to care for patients and families without burnout. I am a very mindful nurse, especially as a patient advocate. I am able to critically think before making a decision, because of my years of experience I am confident enough to make decisions in emergency situations. McCormack and McCance (2010) developed the original Patient Centered Nursing Framework. The framework defines five attributes as fundamental to patient centered nursing and they are: being professionally competent, having developed interpersonal skills, commitment to the job , clarity of beliefs and knowing self (McCormack & McCance, 2010).

Professionally my work ethic is a mixture of ERA 1 and ERA 3. As the Director of Nursing Quality, one area of developing high quality is on concentrating on stabilizing the body by improving door to needle times with t-PA for the ischemic stroke patient but as the patient advocate, consideration for a patient’s emotional, spiritual and cultural factors is essential because of the influence on the patient experience. For example, a few years ago my assignment was to care for an Asian women with breast cancer and diabetes, and her appetite was very poor. Her culture included white rice with every meal, and her belief was that she should eat only fresh organic fruits and vegetables to promote healing and prevent further disease progression. She also practiced daily meditation and prayer. Her order diet was a standard diabetic diet, was placed in a double bedded room, which did not allow for privacy, meditation or prayer.

As the days went on she became increasingly depressed because her cultural beliefs and needs were not considered. By focusing on her physical body needs of chemotherapy and diabetic management, the interdisiciplinary team did not focus on her mind body spiritual needs, one could argue this caused more harm to the patient. The practice of professional presence and mindfulness allowed me to listen to the patient with patience to effectively develop a multi disciplary plan toward the intervention. Eventually the team was able to move her into a private room and provide small separate refrigerator in her room for her own foods..

A. Personality Preferences

Keirsey Temperament Personality Test The Keirsey Temperament Personality Test is the most extensively used questionnaire for the self-assessment which is designed with the aim to help the individuals in understanding themselves as well as the others. The test describes the four different temperaments, i.e. Artisan or iconic, Guardian or Pistic, Idealist or Noetic and Rational or Dianoetic. Artisans involve the adaptability and tangibility of a person. Such individuals seek forthe virtuosity and stimulation with the greater concern to induce the impact on others. The biggest strength of such individuals is tactic. Artisans have the excellent grasping power and