NUR-4590 Rasmussen College, Florida – Core Clinical Objective Promote physiologic integrity by providing care and comfort, reducing risk potential and managing health alterations.

Core Clinical Objective

Promote physiologic integrity by providing care and comfort, reducing risk potential and managing health alterations.

Activity Statements

• Integrate evidence and client preferences when planning, implementing, and evaluating nursing care.
• Demonstrate knowledge of healthcare policy, finance, and regulatory environments, including healthcare trends.
• Design a holistic, client-centered plan of care that reduces risks and manages health alterations.

Reflective Questions

• How did you integrate evidence and client preferences in the practicum experience?
• How would you feel about integrating client preferences that may not align with your own values and beliefs?
• How does the integration of new knowledge of healthcare policy, finance, and regulatory environments impact the healthcare environment and your nursing practice?

ANSWER

Integrating Evidence, Client Preferences, and Healthcare Knowledge: Enhancing Physiologic Integrity and Nursing Practice

Integrating evidence and client preferences in the practicum experience was crucial in promoting physiologic integrity and providing effective nursing care. To achieve this, I first ensured that my nursing interventions were based on current and reliable evidence. I stayed updated with the latest research, guidelines, and best practices in the field of nursing (Papathanasiou et al., 2014). This allowed me to provide care that was evidence-based and supported by scientific literature.

Furthermore, I actively involved clients in the decision-making process by considering their preferences, values, and goals. I communicated with clients and their families to understand their individual needs, preferences, and expectations. I took the time to listen to their concerns, fears, and desires regarding their care. By doing so, I could tailor the nursing care plan to their specific needs and ensure that it aligned with their preferences.

For example, during one practicum experience, I had a client who expressed a preference for alternative therapies and natural remedies (Papathanasiou et al., 2014). Instead of dismissing their preferences, I engaged in an open and non-judgmental conversation to understand their reasoning. I then integrated this information into the care plan by incorporating complementary and alternative therapies alongside traditional medical interventions. This approach allowed the client to feel more involved in their care and empowered them to actively participate in their healing process.

Integrating client preferences that may not align with my own values and beliefs can be challenging but is an essential part of providing client-centered care. As a nurse, my primary responsibility is to advocate for the well-being and autonomy of my clients. It is crucial to recognize that clients have the right to make decisions about their own health, even if those decisions differ from my own personal beliefs.

While it may be difficult to set aside personal biases, it is essential to approach these situations with empathy, respect, and cultural humility. I would strive to understand the client’s perspective, engage in open and non-judgmental communication, and provide them with accurate and unbiased information. Ultimately, it is the client’s right to make informed decisions about their care, and as a nurse, I would support and respect those choices to the best of my ability.

The integration of new knowledge of healthcare policy, finance, and regulatory environments has a significant impact on the healthcare environment and nursing practice (National Academies Press (US), 2002). In today’s complex healthcare landscape, understanding these aspects is essential for providing high-quality care while navigating the various challenges and constraints.

Healthcare policy influences the overall framework within which healthcare is delivered, including regulations, reimbursement systems, and quality standards. By staying informed about healthcare policies, nurses can ensure that their practice aligns with legal and ethical guidelines, while also advocating for improvements in the system. Knowledge of finance is crucial for managing resources efficiently, making cost-effective decisions, and optimizing the allocation of healthcare resources (Hughes, 2008). This helps to provide the best possible care while considering financial constraints.

Additionally, being aware of regulatory environments and healthcare trends allows nurses to adapt and respond to changes in the healthcare system. It enables them to stay updated with new technologies, treatment modalities, and emerging practices, ultimately enhancing their nursing practice.

By integrating this knowledge, nurses can contribute to the improvement of healthcare outcomes, the safety of patients, and the overall efficiency of the healthcare system. They can also play an active role in policy development, quality improvement initiatives, and advocating for the rights and needs of their patients.

In conclusion, integrating evidence and client preferences in the practicum experience is essential for promoting physiologic integrity and providing effective nursing care. It requires staying up to date with evidence-based practices and actively involving clients in the decision-making process. Integrating client preferences that may differ from my own values and beliefs is a necessary aspect of client-centered care, and it should be approached with empathy and respect.

Furthermore, the integration of new knowledge of healthcare policy, finance, and regulatory environments significantly impacts the healthcare environment and nursing practice. It enables nurses to navigate the complex healthcare landscape, advocate for improvements, and provide high-quality care while considering resource constraints. By embracing this knowledge, nurses can contribute to positive healthcare outcomes and actively shape the future of nursing practice.

References

Hughes, R. G. (2008, April 1). Tools and Strategies for Quality Improvement and Patient Safety. Patient Safety and Quality – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK2682/ 

National Academies Press (US). (2002). The Health Care Delivery System. The Future of the Public’s Health in the 21st Century – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK221227/ 

Papathanasiou, I. V., Kleisiaris, C. F., Fradelos, E. C., Kakou, K., & Kourkouta, L. (2014). Critical Thinking: The Development of an Essential Skill for Nursing Students. Acta Informatica Medica : AIM : Journal of the Society for Medical Informatics of Bosnia & Herzegovina : ČAsopis DrušTva Za Medicinsku Informatiku BiH, 22(4), 283. https://doi.org/10.5455/aim.2014.22.283-286