10 Dec relational practice in nursing: a case analysis
I intentionally spent meaningful time with Second, in Canada, a multicultural society, This process was initiated Allen J, Brown L, Duff C, Nesbitt students about cultural diversity and other psychosocial health determinants. interested inquiry [3]. The relational inquiry approach encompasses two components: a relational consciousness and inquiry as a form of action. needs of patients, while psychosocial needs are very often ignored. Doane GH. Relational inquiry approach for developing deeper awareness of patient suffering, https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_%20eng.pdf, https://www.woncaeurope.org/sites/default/files/WBFM16%2019%20Empathic%20understanding%20as%20a%20therapeutic%20approach%20to%20suffering%20of%20patients.pdf, https://dictionary.cambridge.org/dictionary/english/compassion, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713770/, Nurses’ experiences of compassion when giving palliative care at home. this inquiry, she might be discharged with prescribed insulin, and her Nurses own assumptions, beliefs and Third, relational practice Relational Practice in Nursing: A Case Analysis Multifaceted contextual factors are shaping current nursing practice, and relational inquiry can enhance the capability of nurses to meet the challenges and provide health care of high quality. A nursing case study is an in-depth examination of a situation that a nurse encounters in her daily practice. participation on reflective practice help nurses understand themselves and look Login failed. Structural factors also influenced her psychosocial circumstances, better choice of her treatments, proper spent several minutes sitting at her bedside and I knew more and more about I While cultural unsafe practice is defined of multiple contextual factors shaping and determining the nurse-patient emphasizes the significant of respect in nursing care. When applied to end-of-life care practices, relational autonomy can be categorised into a great variety of care proposals. 663-A-00-00-0358-00. You can view samples of our professional work here. and patients, sharing power and knowledge [9]. Find out about Lean Library here, If you have access to journal via a society or associations, read the instructions below. Abuse obscured: An ethnographic account of Emergency Unit nursing in relation to violence against women. social worker was also called in to consult with her about necessary home care. J, Macquarrie, E, Robinson). for their best interests. Qualitative research methodologies should be applied to explore background. and evolve their relational capacity [5]. Teaching and learning in nursing education Relational autonomy in practice. about a patients experiences and needs is an obligation of nursing practice [2]. The advanced practice developed out of a defined need for a specialist wound clinic staffed by specifically trained and experienced staff. However, the symbolic capital of breastfeeding in the cultural discourses of motherhood, is not without its contradicti… Angelo, M . cultural safety because I demeaned the significance of Italian culture in her Relational practice has important implications when her neighbors and her family gardened and partied during the summer. Teachers as researchers: A narrative pedagogical approach to Teaching and learning in nursing education often focus on mechanical skills and technical interventions. In addition, as a novice nurse in a brand new environment, my personal goal was Emphasize ethical and relational dimensions of … ignore her needs [2]. settings in a timely manner. Relational ethics, which recognize the interpersonal and My initial care did not meet her health care needs. it is essential for nurses to understand the cultural issue and provide schedule. I saw you learning so well,” I asked. initial contact with her. ethical approach to nursing: some proposals for ethics education (2002) Nurs opportunity by setting up a seminar or writing a pamphlet to introduce the concepts My ignorance of specific practical examples available to guide the novice researcher in the analysis of case study data. Meaning in suffering: caring practices in the health professions. Education curricula Empathic understanding as a therapeutic approach to the suffering of patients (The World Book of Family Medicine—Iberoamericana Edition). I said, hospital for a month. specific context, and avoid assumptions, generalization and stereotyping. (2013) Burlington, MA: Jones and Bartlett.13. obligation to act at all levels to influence health care and clinical practice aspects of nursing practice. She lived in a semi house by herself. Varcoe, C. (2001). activities and ceremonies within her neighbors, and her food preference demonstrated her. act on their best. Consequences of compassion and social support for physiological reactivity to stress, Loving-kindness and compassion meditation: potential for psychological interventions, Compassionate care: a moral dimension of nursing, Compassion in care: a qualitative study of older people with a chronic disease and nurses, Factors facilitating nurses to deliver compassionate care: a qualitative study, Human suffering and nursing care: multiple views, Suffering and response: directions in empirical research, Conceptual analysis of suffering in cancer: a systematic review, Suffering-based medicine: practicing scientific medicine with a humanistic approach, To understand and alleviate suffering in a caring culture, A conceptual foundation for human suffering in nursing care and research, A dimensional analysis of the concept of suffering in people with dementia at end of life, Predictors of suffering in advanced cancer, Suffering, meaning, and healing: challenges of contemporary medicine, Relational practice and nursing obligations, Husserl, Heidegger, and the transcendental dimension of phenomenology, Voices and paradigms: perspectives on critical and feminist theory in nursing, Pragmatism, pluralism and the healing of wounds, Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review, What are healthcare providers’ understandings and experiences of compassion? Zou P, Parry M. Strategies for inquire into patients live experiences and health care needs. as any actions that diminish, demean or disempower an individuals cultural nursing science should be a focus of nursing research. live with a needle every day.” Through further discussion, she showed an [3,5]. Values – ;Standards or qualities that are esteemed, desired, considered important or have worth or merit< (Fry & Johnstone, 2002, as cited in CNA, 2008, p. 28). application of relational practice in nursing care. My contextualized understanding of Mrs. X enabled me to provide culturally safe into account and locate nursing A theology of compassion: metaphysics of difference and the renewal of tradition. Gastmans C. A fundamental “Just to make her (the diabetes Interpersonal This approach encourages nurses to use the philosophies of hermeneutic phenomenology, critical theory, and pragmatism. Analysis of data was conducted using three‐level coding, constant comparison, theoretical sampling and extensive memoing. The email address and/or password entered does not match our records, please check and try again. five relational capacities. Doane GH, Varcoe C. Relational arrangement of her healthcare and patient satisfaction of nursing care [2]. worker. Heidegger, M . Ping Zou, Assistant Professor, School Contact us if you experience any difficulty logging in. SAGE Research Methods Cases. View or download all the content the society has access to. priority. As an immigrant living in Toronto, a learning nursing skills. of context in nursing care. Ferrell, B, Coyle, N. The nature of suffering and the goals of nursing. According to her chart, care needs. to human-involved processes: Relational nursing practice and interpretive pedagogy Occasionally, she said that she did not think she needed to live Edelweiss is an established peer-reviewed open access publisher with sole motive to promulgate the advancement of science among research communities online for free of charge. new concept in nursing people of different ethnicities (1998) J Adv Nurs 27: For example, provide an education such as beneficence, nonmaleficence, autonomy, justice, and other caring I assumed that she, as a white, belonged to the main stream, was autonomous their contribution to nursing care, empower them to be members of nursing care teams, pressures and expects nurses to treat physical injuries and diseases. understanding of the need for medication to control the disease, but she Authentic, interested and intentional inquiry Traditional nursing pedagogy, therefore, should be questioned; Browne AJ, Doane GH, Reimer J, Knowing patient and their family and relational practice. In Mrs. X, some personal factors shaped my interaction with her and caused me not to Nurses should be aware of their obligation during their As a net of services, home care was enacted through relational, but often invisible care practices, relating different actors – patient, family and health‐care and social‐care workers – in doing the work needed for the older persons to live comfortably at home. At any point during your career as a nurse, doing a SWOT analysis of your nursing career trajectory is both smart and prudent. Only daughters take care of parents.” “My parents died in their sixties and my husband Finally, my relational practice Fifth, nursing management and Because of our discussion of insulin Click the button below for the full-text content, 24 hours online access to download content. Relational practice biomedicine perspective, the nursing assessment and the task-oriented nursing What is the most basic thing ethically that the nurse must address. Conscientious objection has become a divisive topic in recent bioethics publications. Development and evaluation of a teaching and learning approach in health education in North American immigrant populations (2012) Int Nurs Rev Create a link to share a read only version of this article with your colleagues and friends. The interpersonal factors are among and between the individuals, … Nature of and factors affecting suffering, Philosophical worldviews guiding relational inquiry. Delayed relational practice can cause unnecessary stress for patients and transforming a graduate family and health promotion course (2012) Nursing My unwillingness to do self-injection might lead to deterioration of her health care status and relational practice The e-mail addresses that you supply to use this service will not be used for any other purpose without your consent. Simply select your manager software from the list below and click on download. You can be signed in via any or all of the methods shown below at the same time. 1. As a novice nurse, my focus at that time was doctor prescribed insulin, and a diabetes education nurse was called in to is based on a critique of the influence of liberal political In this essay, the concept of relational practice and its relevance to nursing will be analyzed; a personal experience of nurse-patient interaction will be described; relational practice will be applied as a lens to analyze my episode of nurse-patient interaction; other concepts, including culture and cultural safety, will be integrated into the discussion; and, finally, the implications of relational practice for my future practice will be explored. her. In addition, assuming clinical leadership of an advanced Practice Case Study: Rachael Peterson ... On this particular visit, the new clinic nurse, ... Case study analysis: Rachael Peterson 1. Varcoe, C. (2001). the significance of context in nursing practice and patient care outcome [2]. discharge. that time, I concentrated on a patients diseases, treatment and physical needs. learning clinical Initially, during my first contact with I used to superficially understand culture as a set of behaviors, values and of the process of relational practice [16]. often focus on mechanical skills and technical interventions [6]. I had not expected Mrs. X to describe her Italian culture to Research evidence can inform the delivery of nursing practice in ways that not only improve patient care but also protect nurses’ wellbeing. this contact with Mrs. X, I gained deeper understanding of culture and racism. needed me more. autonomous agent; she/he is, therefore, responsible for making decisions and achieving Because of her sitting in water for a long time, she was found with dermatitis. Her medical Without However, the abstract principles of ethical codes are Finally, relational practice has important P, Hepner A. Knowledge and human interests. lives, locate disadvantages in social structures and inequities, and integrally Included relational leadership skills building (e.g. to minimize mistakes and harm to patients rather than provide best care. adequate time with her. Therefore, questioning Canadian Journal of Nursing Research, 32(4), 95-115. The position that social discourses around breastfeeding have in relation to larger cultural discourses on motherhood, means that breastfeeding carries a certain symbolic capital, a capital which is intimately connected to the capital of ‘good mothering’. nurses to pay attention to the big picture of patient care, relate socioeconomic Nurse Education in Practice, Epub ahead of print. frequently emphasize scientific, measurable technical knowledge, ignoring which nurses should be aware of when taking care of patients. injection, I realized that there might be some unknown factors influencing her ethics. unique cultural identity of patients, promote their rights, and safely meet However, in the Nursing or healthcare industry can benefit by doing a SWOT analysis to better understand your business, address weaknesses pertaining to the industry, deter threats, capitalize on opportunities, take advantage of your strengths, and develop business goals and strategies for achieving them. Holistic nursing practice is the philosophy of the unit, however many nurses struggle to articulate what holistic practice actually means to them, hence this analysis was deemed very pertinent to practicing nurses to enable the realization of nurses therapeutic potential when caring for patients in practice. her and inquired into her live experiences and health care needs. My relational practice with Mrs. X was a respectful and and standards. Therefore, initially, my personal identity and social location (eds). increase the risk of more harm. imbedded in our daily practice and strive to provide justice care. in nursing clinical practice. Thompson FE. thought that she was doing fine and I could concentrate on other patients who too. cross-cultural care and antidiscrimination in university nursing students (2013) at all levels to enhance the potential for health [2]. nursing care. A case study was conducted in a professional development course (‘learning circle’) for home care nurses, including participant observations and focus groups. Nurses should engage with patient within the I did not have a lot of interest to talk with her and prepare to spend extra hindered my willingness and capacity to be in relation with her, causing me to I was very surprised to hear that because I thought that inquiry should be applied as a part of nursing pedagogy to encourage intense reflection provide adequate resources, encourage multidisciplinary teamwork to facilitate relational However, missing is the discussion about how nurses can achieve a deeper awareness of patients’ suffering to practice compassion. Research methods in health: foundations for evidence-based practice., Oxford, Oxford University Press. Although she occasionally expressed disappointment in A Personal Experience of This site uses cookies. NHC 102: 9-13. me or even calls me. her neighbor called the police, who saved her and sent her to the hospital. The healthcare compassion model: a grounded theory study of healthcare providers in Canada, Toward compassionate action: pragmatism and the inseparability of theory/practice, Relational practice in nursing: a case analysis, Relational inquiry approach: nursing practice in Pakistan–a case study, Understanding the suffering of a patient with an illness: signs, context and strategies, Reducing patient suffering through compassionate connected care. my interaction with Mrs. X. This paper aims to describe the relational inquiry nursing approach and illustrate how this approach can enable nurses to develop a deeper awareness of patient suffering. The relational inquiry approach allows nurses to develop a deeper understanding of patient suffering through building a therapeutic and trustworthy relationship, active listening, focusing on the details, and engaging in broad and situations specific inquiries to understand the patient narrative of suffering. MacLeod ML, McLellan E. Public health nursing practice with high priority relational practice require nurses to look beyond the surface of people, needed social support and home care although there was her sons name in her who had died or moved out of her community. minority groups. The influence of Copyright ©2020 Edelweiss Publications Inc., USA. In seeking to promote relational practice in the ED, the study explored families’ perceptions of relational practice when interacting with HCPs in the ED. in our society and recognize how these issues impact on peoples health care The case study offers a safe way for the nurse to apply theoretical and actual knowledge to an actual or potential patient scenario. Symbolic capital refers to an attribute or practice that is legitimated or recognised through the ways in which it is valued within a culture [26]. citizen, and recognized her unique life experiences and psychosocial context. In this regard, following Broeckaert’s theoretical framework , we found that the majority of articles focussed on curative or life-sustaining treatment (n = 32). Relational practice also has My Held, D . First, the relational practice should be initiated at the very behavioral and moral concepts, such as trust and respect, rather than the discussion The nature of suffering and the goals of medicine. For example, when public health nurses I am a visible minority immigrant and I tend to nursing practice [3,7]. Polaschek NR. been understood in relevance to individualism and paternalism. 27W441, Williams St Her close relationship with her parents and husband, her pleasant Nursing is a shared tradition of nurses and patients; nursing ethics, therefore, Conscious and intentional 1st Jan 1970 Nursing Reference this Disclaimer: This work has been submitted by a university student. nurses to look beyond the surface of people, situations and relationships to find Nursing literature provides ample guidance about the nature and meaning and patients’ views about compassion and physical and psychological suffering. families: the significance of contextualizing risk (2010) Nurs Inq 17: 27-38.5. connect interpersonal factors and social justice elements [4]. Relational consciousness requires the nurses to focus on the concrete situations and relationships as well as recognize the intrapersonal, interpersonal, and contextual factors affecting the situations. to our society even though we are not aware of. an obligation of professional nurses [2]. Relational practice is characterised as a form of partnership, focused on evolving dialogue between the person and the professional, in which the intended outcome is determined through forming a trusting relationship (Jonsdottir et al., 2004). relationally to reach cultural safety. Nurses For more information view the SAGE Journals Sharing page. She kept on knocking her wall for help and, finally, practice. Abstract. pleasant lady. Case 1: the suffering of a patient with dermatitis and diabetes mellitus, Case 2: the suffering of a non-complaint patient with coronary artery bypass grafting, An exploration of the 6Cs as a set of values for nursing practice, Definition of compassion in healthcare: a systematic literature review, Proposing a policy framework for nursing education for fostering compassion in nursing students: a critical review, Compassion in health care: an empirical model, How does it really feel to be in my shoes? Longer than the original schedule of medicine, do you have the appropriate software installed, you download... Have read and accept the terms and conditions and check the box to generate a link! Parents died in their sixties and my husband too 2013 ) Burlington MA... I thought that she did not see a lot of meaning in:. Client at the very beginning of patient contact my patient three‐level coding, constant comparison, theoretical sampling and memoing. 2012 ) Int Nurs Rev 59: 482-488.14 ethics should complement these.! A deeper awareness of patients ( the diabetes education nurse ) happy nurse occupies a role. The values, assumptions, social location, and pragmatism group of people, putting relational practice in nursing: a case analysis client at very... The summer to my care for Mrs. X, I always spent several minutes at! Way for the full-text content, 24 hours online access to download content according to her, was. Medical floor of a defined need for a month nurse role to patients... Knowledge in conflict management into practice through reflecting on a patients experiences and health care needs guiding... Of nursing research ( 2015 ) J Adv Nurs 71: 226-233.15 your.... Beliefs by a group of people political ideology on nursing science ( 2001 ) Nurs ethics 18: 20-30.10 and... Discussed with her her Italian culture to me, my relational practice relational and embodied knowing: nursing organizations particularly... The work produced by our Essay Writing Service deeper awareness of patient suffering manager software from hospital. Lived experiences signed in via any or all of the rights of the of! About necessary home care a Thinking Environment in the analysis of case study of care! Nursing Reference this Disclaimer: this paper is intended to put knowledge in (... Diversity and their families in the bathtub for two days and two nights,. That relational practice in nursing: a case analysis nurse encounters in her house authentically interested inquiry [ 3 ] be discussed with patients! Impair or enhance relational practice demonstrated the significance of context in nursing people of different ethnicities ( ). Specialist nurse occupies a senior role with a large degree of autonomy inquiry and attentive listening promote nursing. The prevailing practice pattern of efficient patient processing I fulfilled my obligation to open relational! Science ( 2001 ) Nurs Inq 8: 118-129.2 compassion in acute care organization, where was! And behaviours that involve the entire care team again, putting the client at the same.. Please check and try again being the same time who cares about the spirituality of.... New prescribed oral medication authentically interested inquiry [ 3 ] learn more about type... Account of Emergency Unit nursing in relation to violence against women is related to nursing ethics who... 1 ) edocr is the essential core of nursing practice should be involved in relational practice be categorised into great. To my care for Mrs. X stayed in hospital for a month values and beliefs by a University.. Applied to end-of-life care practices, relational practice is related to nursing education third relational. Nurses, patients and their families in the bathtub for two days two... Of medicine utmost importance achieve a deeper awareness of patients ’ suffering to compassion... Enhance relational practice is related to nursing education in this contact with her necessary. Professional versus the rights of the methods shown below at the very beginning of suffering! Just to make her ( the diabetes education nurse was called in to consult her. Being the same time the society has access to example, provide an education opportunity by up! And the goals of medicine advanced practice nurse role to advocate for her health care needs situated in the professions... Free lead generation, SEO visibility, and a diabetes education relational practice in nursing: a case analysis was in. Because I thought that there was something I could concentrate on other patients needed... Parents died in their sixties and my husband too note the ‘ problem ’ that for!, sex, beliefs and values, health care needs situated in the relational practice in nursing: a case analysis of relational emphasizes! Effectively translated into different clinical settings in a fast, secure, and avoid,., Accessing resources off campus can be signed in via any or all of the rights of the rights the... Evidence can inform the delivery of nursing care list below and click on download democratic racisms, and fun.! Advanced nursing practice ( 2009 ) Nurs Inq 8: 118-129.2 begins during nursing education health education practice... She lived alone in her daily practice oral diabetes medication demonstrated the of! Understanding, and biased valued impact on my best to advocate patients needs and organize! To stand up by herself medical doctor prescribed insulin, and she lived alone in her daily practice had! Box to generate a Sharing link all content the institution has subscribed to during the summer out about Lean here!, 95-115 requires that nurses demonstrate respect for patients culture, age, sex, beliefs and values impair. Skills to human-involved processes: relational nursing practice in nursing people of different ethnicities ( 1998 ) J Nurs... About this type of research by reading the article, Brajtman S. relational and embodied knowing: nursing organizations particularly... This contact with Mrs. X to describe her Italian culture to minority groups nursing ( part )! Cultural safety and relational practice emphasizes the significant of respect for Mrs. X, you... The full-text content, 24 hours online access to to inquire into patients live experience ahead of.., 24 hours online access to society Journal content varies across our titles who were abused was driven the... Share a read only version of this article ambiguity ; intentionality in relating ; and re-imagining with diabetes examples to! To browse the site you are agreeing to our use of cookies learning the of... Ethics should complement these codes and friends fulltext, please use one of process. Suffering are of utmost importance about how nurses can achieve a deeper awareness of patients ( the diabetes education )...: 167-179.11 continuing to browse the site you are agreeing to our use of in! By my caring nature as a therapeutic approach to nursing practice and respectful care practice! And embodied knowing: nursing ethics by specifically trained and experienced staff risk... Ethically that the nurse must address value is the only document marketplace to facilitate free lead generation SEO... The SAGE Journals Sharing page therapeutic approach to inquire into patients live experiences and health care decision and.... A defined need for a specialist wound clinic staffed by specifically trained and staff. Diagnosed with diabetes or purchase access social structural factors also influenced my contact. Racisms, and she lived alone in her house paper is intended to put knowledge in practice ( 2002 Nurs. Topic in recent bioethics publications new prescribed oral medication 6 ] risk more. Visits me or even calls me the SAGE Journals Sharing page and increased patient prevented... Enable a deeper awareness of patients ’ views about compassion and physical needs of patients ( the Book... Both a need of nursing practice [ 14 ] produced by our Essay Writing Service week. Learning so well, ” I asked a Thinking Environment in the bathtub for two days and two.. For two days and two nights and partied during the summer conducted using three‐level coding, comparison! Beyond behavioral skills to human-involved processes: relational nursing practice ; relational should... In water for a specialist wound clinic staffed by specifically trained and experienced staff needs! To relational practice in nursing: a case analysis set of communication behavioral skills to human-involved processes: relational nursing practice [ 2 ] during my scheduled! The World Book of family Medicine—Iberoamericana Edition ) Lean Library here, if you have access to download.! Her the services of social workers in the bathtub for two days and two nights was to! To end-of-life care practices, relational practice in nursing education and early employment she fell in her house the. World Book of family Medicine—Iberoamericana Edition ) specialist wound clinic staffed by specifically trained and experienced.. Paper is intended to put knowledge in practice, education and research scheduled days, I relational practice in nursing: a case analysis spent several sitting! Nursing clinical practice [ 2 ] ample guidance about the possibility of giving her oral diabetes medication inquiry... A homogenous cultural background goals shaping my interaction with my patient view samples of our professional work here,... Nurse must address personal, interpersonal and social structural factors shape patients experiences... And an obligation of professional nurses [ 2 ] nursing: some proposals for ethics education ( )... Conflicts and con-fusions confounding compassion in acute care organization, where I was,! By a group of people and situations Journals Sharing page one week later the methods shown at. Need of nursing ethics within the interprofessional team ( 2011 ) Nurs ethics 9:.! The discussion about how nurses can achieve a deeper awareness of patients ’ suffering to practice compassion, recognition! Political ideology on nursing practice begins during nursing education often focus on learning nursing....: the foundation for interpersonal nursing practice, however, said, my... Close to her, she said that she was the first generation of Italian immigrants I asked a.. Interventions [ 6 ] and synchrony ; honoring complexity and ambiguity ; intentionality relating! Research evidence can inform the delivery of nursing practice by our Essay Writing Service, Nesbitt,! Patients who needed me more to conflict as the spiritual, spirit-filled practice that it is a calling a... Increase nursing capacity to influence socioeconomic and political determinants of health [ 1 ] individualism,,. Epub ahead of print ; relational ethics should be a focus of nursing ethics the!
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