Introduction - Providing And Evaluating Person-Centred Care
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In health care centre professionals such as doctors, nurses tend to possess a corresponding bonding that eventually motivates and helps in playing a dynamic role in ensuring the safety of the patient and associates of the organisation. This assessment will illustrate the theoretical principle of nursing care which meets up the expectation of patients. Moreover, this assignment will also demonstrate the practical and therapeutic skill that is required by the nurses for providing professional care. Finally, end of this assessment ethical compassionate practice that is aligned with NMC standards and personal to professional progress will be described elaborately.
Conceptual principles and pragmatic capabilities
Child nursing care and adult nursing care are two different dimensions because paediatric nursing care requires more compassion and practical skills to understand the condition of a child for providing care and treatment (Arnold & Boggs, 2019). On the other hand, old or geriatric care requires the consideration of social support, entire diagnostic procedure, maintenance of privacy and so on. However, this assessment will delineate the nursing process of congenital heart disease of a child through the evaluation of the theoretical principles and practical skills.
The first principle of individualised child nursing involves the free communication process with the family members. This is the most significant process because this helps to treat a child with a congenital disease with compassion and reach the patient’s satisfaction level. Furthermore, open communication helps to understand the need of a patient (Woodrow, 2018). Additionally, open communication with the patient and his family allow them to participate in the treatment procedure while maintaining the privacy right of a patient. Besides, it has been found that this theoretical approach helps in improving the performance of a nurse.
The second principle is the establishment of collaboration between the organisation and the patient family. This is extremely important in terms of creating a healthy disease child because a nurse understands well the necessity of a patient and liberate to make the necessary decision that is beneficial for a patient (Tsimane & Downing, 2020). Thereafter, a collaboration and settlement help a nurse to generate a self-derived judgement that is advantageous for a patient and nurses also successfully meet their professional requirements.
The third principle of child nursing care involves the family members treating a child with congenital heart disease. Good and healthy bonding between the family members and nurses helps to understand the regimen that a child needs to follow as per the instruction of the dietician and physician. A nurse can interpret the need of those prescribed medication and diet charts to the patient's family and ultimately incorporate them into the treatment process since a child is not going to be admitted to the hospital forever and will require care provided by my family members (McAllister et al. 2019). This theory helps family members to be cautioned about the upcoming risk regarding patent health and keep everyone safe mentally and physically.
The fourth principle of nursing care entails cultural schooling or education. In the case of treating or proving care to a child, it is highly required to amalgamate with the psychology of a child and his family and they may come from different cultural backgrounds (Ozdemir, 2019). Therefore, a nurse should be aware of a different form of cultural practice, beliefs and ethnicity to be respected and intellectually connected to them. Furthermore, this helps in developing trust and faith in a nurse and hospital care system. In addition, it is the responsibility of the nurses to introduce the services and care that is available in the hospital to gain attention from the patient parties and for this reason, cultural familiarisation is important.
The principle of nursing care encompasses the detection of the family need which can be a financial, social or residential necessity. A child with congenital heart disease may genetically inherit the disease and acquaintance with the family history is required y nurses for proper documentation and understanding the actual need of the family (Miles & Scott, 2019). Understanding the actual need of the family helps them from spending excessive money for the treatment of the child and nurses can help in seeking charity or insurance policy that is suitable for a family to accept. Nurses are liable to arrange a supportive environment for the patient and family members to keep them safe and tension free which is proportionately speeds up the healing process of a patient.
Nurses are considered as the heart of a health care centre because, behavioural approach, attitude, skilful practical efficiencies, performance and so on for proving post-operative, pre-operative and peri-operative care by nurses determine the success rates. Especially, treating a child with congenital heart disease require special literacy, practical experience and compassion care simultaneously for optimising a satisfactory outcome by the patient and patient families. Furthermore, the optimistic mind-set and progressive approach are beneficial for the personal growth and development of nurses equally.
Evaluation of the skills required for therapeutic bonding
The therapeutic relationship is considered as an individualised therapeutic approach towards a patient to improve his condition from the current state to make him feel better. A child with congenital heart disease requires the construction of therapeutic bonding because this helps in understanding the treatment procedure or surgical process through sharing thoughts, beliefs and emotional inquiries (Zangeneh et al. 2021). Therefore, it is essential for creating a non-judgemental, risk-free environment for generating a treatment process. However, for the development of therapeutic bonding, a nurse needs to harbour some skills that evaluate her potential virtues for treating a child patient.
Firstly, a nurse needs to learn to be quiet to pacify her therapeutic skill. At times it is wise not to speak at all because keeping the mouth shut helps a nurse to contemplate and provide the nurse with a scope to process the next conversation (NMC.org.uk, 2022). Furthermore, this will also help a patient to find a space for broaching a new topic to discuss. A nurse should learn to provide a scope to the patient for breaking the silence first, especially in the case of children because this will facilitate a health care provider to understand the psychological process of a child and treat him in accordance with nursing principles.
Secondly, a nurse must possess the quality to accept the statement that is provided by a patient. Sometimes in the case of child care with a critical disorder, a nurse has to go through turbulence for convincing the patient for allowing the treatment process (Theguardian.com, 2022). Similarly, a nurse must address every single statement regarding the treatment process by the patient. This can be done through verbal exchange or eye contacts that ultimately make the patient feel valuable because the nurse is listening to him to develop the therapeutic bonding.
Thirdly a nurse must acknowledge the good behaviour or cooperative attitude of a child patient because this compliment will enhance the trust and respect for the nurse. For example, a child patient with congenital heart disease must follow the instruction and take medication provided by the doctor for the betterment of his condition and during the follow-up check-up the nurse must admire the patient for obeying all restrictions properly (Miles & Scott, 2019). This recognition or acknowledging properties helps in constructing the relationship to a broad extent between the nurse and patient. Furthermore, a nurse must nurture the quality to spend extra time with the patient especially with the children. Nevertheless, nurses are scheduled with strenuous functionalities however; managing time for a particular patient will enhance the bonding between them.
Fourthly, enlargement of the mind-set or broad opening is necessary to attract the patient for ameliorating the bonding. Deviating from the routine, a nurse can consider some different approaches to the patient such as asking about his mental condition or giving the scope to initiate the topic of the conversation can create a different perspective about the nurse in a patient mind, thus helps in improving the therapeutic bonding (Zangeneh et al. 2021). In addition, a nurse must have the quality to clarify the statement provided by the doctor for the treatment process. A nurse should interpret ambiguous terms or medical jargon that is quite difficult for the patient to understand. A simplified explanation of the hazy statement given by the doctor is the duty of the nurse and proper clarification of the statement will help in growing trust for the nurse in the patient’s mind.
Finally, a nurse can generate information regarding an event or ceremony that can cheer up the mental condition of the child because hospital condition seems tedious to many patients. A nurse then should give a description of the eligibility of the participant to join the program. This will insist a child consider thinking about the event described by the nurse sequentially and develop a dependence on the nurse (Theguardian.com, 2022). Moreover, a nurse needs to possess the quality of observation because observing a child patient helps to treat him in his preferred way of care or service process. Since the hospital is considered a serious place, therefore, creating a humorous situation sometimes is necessary for amusing children and this will pacify the process for therapeutic bonding.
Ethically practice
The moral agent is needed by the nurses for the child care which helps in performing good nursing for the ethical practice. Moreover, there are different types of practices that are ethical towards the nursing care of a child associated with NMC proficiency. Barlow et al. (2018) have commented that the contribution of nurses in child nursing is increasing for better approaches in the care centered. The various types of ethics are as follows which helps in enhancing the ability of nurses for child care. Respect for the child's autonomy and the truth is the essential ethical practice that enables the chance of child nursing among the nurses. However, the evaluation of the PCC is based on the child nursing in the hospital and care centered. The efficiency in the work of the nurses is effective but needs to rectify the behaviors among the children for the caring approach. Suhonen et al. (2018) have suggested that the priority setting between the nurses with their close ones decreased the ethical elements in the nursing care of children. Therefore, the process of decision-making helps in managing the liable and ethical practices of child nursing in an effective way. There is an occurrence of several ethical issues in the PCC which is determined by the NMC proficiency in the care of child nursing. Thus, th3ew healthcare department is flexible for child care in the presence of nurses which leads to the proper care of children by the process of pediatric nursing among the patients.
The maintenance of ethics in child care needs to be more developed by the nurses by the practicing of the different activities. The dimension of the nurses related to pediatric is evident which implies different types of situational problems by the patients. The value and beliefs are important for the proper care of the child which helps in curing the illness in the hospital and nursing home. However, Wren (2019) has recommended that the arising of the ethical issues in the medical care of child nursing is due to the interventions of the diverse children in the care centered. The development of the ethical practice is necessary which includes different types of practices such as the dignity of humans, accurate care of children, honesty, sympathy, and competency. As nurses are considered to be the heart of care-centered they help in gaining different types of advantages in the caring purposes of children. Leigh & Roberts (2018) have stated that there is a critical exploration of the nurses which define the caring approach towards the care of a child with the help of NMC proficiency in the care centered. The social responsibility of the nurses is imitable which enhances the patients' ability to fight the mental and physical sickness in their life. Hence, Pediatric nursing plays an essential role in maintaining the ethical issues and practices among children in a smooth way.
The involvement of the different activities by the nurses for the curing of the child is determined by the practices of the ethics with proper care. The core principles of ethical values depend on the nurses in which they are able to perform various care-centered types of extra jobs in the hospital. Ross et al. (2018) have opined that the spirituality among the nurses for the better care of the child is leading great importance for the appropriate use of child nursing. Sometimes, the caring of the patients is done properly because of the unusual behaviors of the nurses in front of the patient’s family. Moreover, in this condition, there is a need for open communication between the nurses and the family members of the child in a polite way. This helps in decreasing the bad behavior of nurses which impacts the child for not having the proper care by the nurses. Furthermore, the determination for ethical practice is important because good behavior and a cooperative attitude help in performing the various activities for child care. Barlow et al. (2018) have suggested that the resolution of the ethical practices helps in changing the environment in child nursing by the application of rules and ethics. Thus, nurses help in maintaining the ethical value of the children who are suffering from the illness. The involvement of the different nurses in child nursing planning help in increasing the stability of the child condition in a care centered.
Critical reflection on personal and professional development
The evaluation in the personal and professional development of the nurses is differentiating in the child nursing care in the health care department. The clinical practices need to be more advanced within the ability of nurses which helps them to develop their professional goals in the care centered. Moreover, there is a high impact on the nurses due to the differentiation of the personal and professional development of the child in an efficient way (Terkes et al. 2019). Pediatric nursing is essential for the major clinical practices of child nursing which helps me in understanding the overall aspects of the nurses. The professional development of nurses plays a vital role in the management of the child's behavior in a polite way. This development process involves the training program and learning skills for conducting research and invention program. Furthermore, keeping updated with the current practice and nursing strategy helps in professional growth and development. I use different types of skills for the proper care of the child which helps in understanding the fundamental factors in the care centered. However, Fleming et al. (2020) have commented that the safety program among the child need to more enhanced by the growth of the abilities and skills of the nurses in the child nursing centre. Attending the training program on child care will help to act towards a child patient professionally and treat the patient with compassionate care.
I use to develop the personal skills of the nurses which help in determining the causes of the child nursing in the care centered. Moreover, there are different principles that influence the family to cooperate with the care planning process with the exploration of extensive evidence. Coster et al. (2018) have recommended that the general outcomes of the patient's impacts on the profession of nursing based on the care planning of the child. This approach of the development process helps in growing the weakness of the nurses in an effective way. Moreover, I insist to apply the different value models which explain to me the basic opportunities of the care planning of the child with the help of pediatric nurses. Kaya & Boz (2019) have stated that the development and bonding of the relationship of patient family and nurses are necessary for better treatment and proper care of the child in the care centered. Furthermore, the importance of the nurses is high as they help in every purpose of life by the care and responsibility in the care centered and hospitals. I consider the effective planning of child nursing which helps in increasing the lifespan of an individual by the different methods and processes of the different skills. The application of different skills such as communication, presentation, and organisation of the overall work helps in determining the basic aspects of child care in the hospital and other locations.
The application of the principles and several rules in the personal development of child nursing is essential but the analysis of professional development is a little harder compared to the personal one. Moreover, the skill development tends towards the growth of the care planning of the child nursing which helps in managing the accuracy of the working condition in the care centered. I maintain the total perspectives of the individual by the use of different methods of care planning. Terkes et al. (2019) have opined that the responsibility among the nurses is important which helps in the professional development of child nursing in a well-mannered way. The effectiveness in the planning of the child care is ultimately implied in the right direction that enables me to influence another child for better treatment and proper care in the care centered. Hence, personal and professional development both is necessary for the clinical practice which helps me in understanding the factors of child nursing in an effective way.
Conclusion
From the overall analysis, it can be concluded that the different types of conceptual principles and pragmatic capabilities are discussed in the care planning of child nursing. A systematic framework of the various skills related to therapeutic bonding is analysed in this assignment. Moreover, therapeutic principles of nursing care help in determining the basic aspects of child nursing in an effective way. The demonstration of the ethical practices of the nurses with their professional care is discussed in this care planning process. The development of the personal and professional kind of child nursing helps in managing the entire aspects of the NMC standards in a smooth way. In this assignment, the elaboration of the health and safety of the child is determined by the help of nurses which is the most important thing for child care planning. However, the need for various skills in the nurses is essential for the change in the care centered which helps in maintaining the ethical practice in this type of environment.
References
Books
Arnold, E. C., & Boggs, K. U. (2019). Interpersonal relationships e-book: professional communication skills for nurses. USA Elsevier Health Sciences.
Woodrow, L. (2018). Introducing course design in English for specific purposes (Vol. 184). Londres, UK: Routledge.
Journals
Barlow, N. A., Hargreaves, J., & Gillibrand, W. P. (2018). Nurses’ contributions to the resolution of ethical dilemmas in practice. Nursing ethics, 25(2), 230-242. Retrieved from: http://eprints.hud.ac.uk/id/eprint/31377/1/Nurses%20EDM%20Paper%2027%2002%2017.pdf
Coster, S., Watkins, M., & Norman, I. J. (2018). What is the impact of professional nursing on patients’ outcomes globally? An overview of research evidence. International journal of nursing studies, 78, 76-83. Retrieved from: https://doi.org/10.1016/j.ijnurstu.2017.10.009
Fleming, T., Creedy, D. K., & West, R. (2020). The influence of yarning circles: A cultural safety professional development program for midwives. Women and birth, 33(2), 175-185. Retrieved from: https://mamazur.org/wp-content/uploads/2021/03/Fleming-Tania-Creedy-Debra-K-West-Roianne-2020.-The-influence-of-yarning-circles-A-cultural-safety-professional-development-program-for-midwives.pdf
Kaya, A., & Boz, ?. (2019). The development of the professional values model in nursing. Nursing ethics, 26(3), 914-923. Retrieved from: https://www.researchgate.net/profile/Ilkay-Boz/publication/319949138_The_development_of_the_Professional_Values_Model_in_Nursing/links/611638960c2bfa282a3f74f3/The-development-of-the-Professional-Values-Model-in-Nursing.pdf
Leigh, J., & Roberts, D. (2018). Critical exploration of the new NMC standards of proficiency for registered nurses. British Journal of Nursing, 27(18), 1068-1072. Retrieved from http://usir.salford.ac.uk/id/eprint/48359/3/JL%2520and%2520DR%2520revised%2520paper%252028th%2520August%25202018%2520%281%29%5B1%5D.pdf
Ross, L., McSherry, W., Giske, T., van Leeuwen, R., Schep-Akkerman, A., Koslander, T., ... & Jarvis, P. (2018). Nursing and midwifery students' perceptions of spirituality, spiritual care, and spiritual care competency: A prospective, longitudinal, correlational European study. Nurse education today, 67, 64-71. Retrieved from: https://doi.org/10.1016/j.nedt.2018.05.002
Suhonen, R., Stolt, M., Habermann, M., Hjaltadottir, I., Vryonides, S., Tonnessen, S., ... & Scott, P. A. (2018). Ethical elements in priority setting in nursing care: A scoping review. International Journal of Nursing Studies, 88, 25-42. Retrieved from: https://doi.org/10.1016/j.ijnurstu.2018.08.006
Terkes, N., Celik, F., & Bektas, H. (2019). Determination of nursing students’ attitudes towards the use of technology. Japan Journal of Nursing Science, 16(1), 17-24. Retrieved from: https://doi.org/10.1111/jjns.12207
Tsimane, T. A., & Downing, C. (2020). Transformative learning in nursing education: a concept analysis. International journal of nursing sciences, 7(1), 91-98.
Wren, B. (2019). Ethical issues arising in the provision of medical interventions for gender diverse children and adolescents. Clinical child psychology and psychiatry, 24(2), 203-222. Retrieved from: https://pdfs.semanticscholar.org/6963/6aef58f74888208c5375c5985904ef15114d.pdf
Online Articles
McAllister, S., Robert, G., Tsianakas, V., & McCrae, N. (2019). Conceptualising nurse-patient therapeutic engagement on acute mental health wards: An integrative review. International Journal of Nursing Studies, 93, 106-118. Retrieved from https://doi.org/10.1016/j.ijnurstu.2019.02.013
Miles, J. M., & Scott, E. S. (2019). A new leadership development model for nursing education. Journal of Professional Nursing, 35(1), 5-11. Retrieved from https://epublications.marquette.edu/cgi/viewcontent.cgi?article=1615&context=nursing_fac
Ozdemir, N. G. (2019). The development of nurses’ individualized care perceptions and practices: Benner’s novice to expert model perspective. International Journal of Caring Sciences, 12(2), 1279-1285. Retrieved from https://www.researchgate.net/profile/Nur-Gueven-Oezdemir/publication/335665343_The_Development_of_Nurses'_Individualized_Care_Perceptions_and_Practices_Benner's_Novice_to_Expert_Model_Perspective/links/5d72b3d44585151ee4a14deb/The-Development-of-Nurses-Individualized-Care-Perceptions-and-Practices-Benners-Novice-to-Expert-Model-Perspective.pdf
Zangeneh, A., Lebni, J. Y., Azar, F. E. F., Sharma, M., Kianipour, N., Azizi, S. A., ... & Ziapour, A. (2021). A study of the communication skills in health care and the role of demographic variables (a case study of the nurses at the Educational, Therapeutic and Research Center of Imam Reza Hospital, Kermanshah, Iran in 2018). Journal of Public Health, 29, 361-367. Retrieved from http://eprints.kums.ac.ir/7289/1/Zangeneh2019_Article_AStudyOfTheCommunicationSkills.pdf
Websites
NMC.org.uk , 2022.Standards for competence for registered nurses. Retrieved on 4/1/2022 from https://www.nmc.org.uk/globalassets/sitedocuments/standards/nmc-standards-for-competence-for-registered-nurses.pdf
Theguardian.com , 2022.Quality time . Retrieved on 3/2/2022 from https://www.theguardian.com/society/1999/feb/24/guardiansocietysupplement15
Appendix
In this assessment a child with congenital heart condition considered and patient care for this patient is elaborated. A child with congenital heart disease is a rare genetic disorder and requires intensive compassionate care. Therefore, child care principles and practical skills are demonstrated in this assignment for a better understanding about the perspective and responsibilities of nurses.
