Person-centred and holistic nursing care

2014 ◽  
pp. 137-162
Author(s):  
Inmaculada Corral‐Liria ◽  
Miriam Alonso‐Maza ◽  
Julio González‐Luis ◽  
Sergio Fernández‐Pascual ◽  
Ricardo Becerro‐de‐Bengoa‐Vallejo ◽  
...  

2019 ◽  
Vol 10 (2) ◽  
pp. 148
Author(s):  
Lalu Wirentanus

The increasing need for health services requires nurses currently to have knowledge and skills in various fields. At present, nurses have a broader role with an emphasis on improving health and preventing disease, as well as looking at clients comprehensively. This study discusses the role and authority of nurses in carrying out their duties based on the provisions of law number 38 of 2014 concerning nursing. This research is normative research with a legislative approach and critical legal studies. The results of the study that the role of nurses must be able to ensure that the company meets the laws and regulations, develop health surveillance programs, conducts counseling, coordinates health promotion activities and fitness, at all. As for the authority of nurses, based on article 30 paragraph (1) of law number 38 of 2014 that nurses carry out their duties as providers of nursing care in the field of individual health efforts, nurses are authorized to a) carry out holistic nursing assessments, b) establish a nursing diagnosis, c) plan nursing actions. Carry out nursing actions, d) evaluating the results of nursing actions and so on which, based on reality, are still not well implemented.Keywords: authority of nurses, nursing law, roleABSTRAKBertambahnya kebutuhan pelayanan kesehatan menuntut perawat saat ini memiliki pengetahuan dan keterampilan di berbagai bidang. Saat ini perawat memiliki peran yang lebih luas dengan penekanan pada peningkatan kesehatan dan pencegahan penyakit, juga memandang klien secara komprehensif. Penelitian ini membahas tentang peran dan wewenang perawat dalam menjalankan tugasnya berdasarkan ketentuan undang-undang nomor 38 tahun 2014 tentang keperawatan. Penelitian ini merupakan penelitian normatif dengan pendekatan perundang-undangan dan studi hukum kritis. Hasil penelitian, bahwa peran perawat harus mampu meyakinkan bahwa perusahaan memenuhi peraturan perundangan-undangan, mengembangkan program surveilance kesehatan, melakukan konseling, melakukan koordinasi untuk kegiatan promosi kesehatan dan fitnes, dan seterusnya. Adapun kewenangan perawat, berdasarkan pasal 30 ayat (1) undang-undang nomor 38 tahun 2014 bahwa perawat menjalankan tugas sebagai pemberi asuhan keperawatan di bidang upaya kesehatan perorangan, perawat berwenang a) melakukan pengkajian keperawatan secara holistik. b) menetapkan diagnosis keperawatan. c) merencanakan tindakan keperawatan. melaksanakan tindakan keperawatan. e) mengevaluasi hasil tindakan keperawatan dan seterusnya yang berdasarkan kenyataan masih belum terimplementasi dengan baik.Kata kunci: undang-undang keperawatan, peran, wewenang perawat


2006 ◽  
Vol 13 (1) ◽  
pp. 17-28 ◽  
Author(s):  
Huey-Ming Tzeng ◽  
Chang-Yi Yin

This article aims to help readers to learn about health care related cultural and religious beliefs and spiritual needs in Chinese communities. The recall diary of a severe acute respiratory syndrome (SARS)-infected intern working in Hoping Hospital in Taiwan during the 2003 SARS epidemic is presented and used to assist in understanding one patient’s spiritual activities when personally confronted with this newly emerging infectious disease. The article also gives an overview of the 2003 SARS epidemic in Taiwan, and discusses people’s general perceptions towards infectious diseases, their coping strategies concerning disease, and their spiritual beliefs, the psychological impact of the 2003 SARS outbreak in Chinese communities, Chinese myths about infectious disease, and the religious activities of a SARS-infected intern in Taiwan. Recommendations are given on how to achieve quality holistic nursing care.


BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Sahar Rajabpour ◽  
Masoud Rayyani ◽  
Parvin Mangolian shahrbabaki

Abstract Background Holistic care is comprehensive care that emphasizes the interaction of human existential dimensions and has a significant role in accelerating the recovery process. Since nurses interact and communicate with patients more than other health care providers, the current study aimed to determine the Iranian patients’ perceptions of holistic care and overall satisfaction with nursing care. Methods It is a descriptive-correlational study done on patients admitted to the oncology wards of hospitals in southeastern Iran. The holistic caring inventory and patient satisfaction instrument were used to measure the patients’ perceptions of holistic care and their satisfaction, respectively. SPSS 19 was used to analyze the data. Results The results showed that there is a significant positive correlation between patients’ perception of holistic care and overall satisfaction with nursing care (P < 0.01, r = 032), which means that the higher the patients’ perception of holistic care, the greater their overall satisfaction. Based on the regression model, type of hospital, Patient’s perception of holistic care, education, previous experience of hospitalization, age and marriage are respectively predictors of overall satisfaction with nursing care (P < 0.05). Conclusion The present study showed that patients’ overall satisfaction with nursing care depends on holistic nursing care, meaning that nurses should pay attention to patients’ physical, mental, emotional aspects and increase the quality of care.


2013 ◽  
Vol 34 (5) ◽  
pp. 329-333 ◽  
Author(s):  
Carol Boswell ◽  
Sharon B. Cannon ◽  
Joyce Miller

2014 ◽  
Vol 23 (2) ◽  
pp. 214-222 ◽  
Author(s):  
Eva Martine Bull ◽  
Venke Sørlie

Background: Less sedated and more awake patients in the intensive care unit may cause ethical challenges. Research objectives: The purpose of this study is to describe ethical challenges registered nurses experience when patients refuse care and treatment. Research design: Narrative individual open interviews were conducted, and data were analysed using a phenomenological hermeneutic method developed for researching life experiences. Participants and research context: Three intensive care registered nurses from an intensive care unit at a university hospital in Norway were included. Ethical considerations: Norwegian Social Science Data Services approved the study. Permission was obtained from the intensive care unit leader. The participants’ informed and voluntary consent was obtained in writing. Findings: Registered nurses experienced ethical challenges in the balance between situations of deciding on behalf of the patient, persuading the patient and letting the patient decide. Ethical challenges were related to patients being harmful to themselves, not keeping up personal hygiene and care or hindering critical treatment. Discussion: It is made apparent how professional ethics may be threatened by more pragmatic arguments. In recent years, registered nurses are faced with increasing ethical challenges to do no harm and maintain dignity. Conclusion: Ethically challenging situations are emerging, due to new targets including conscious and aware critical care patients, leaving an altered responsibility on the registered nurses. Reflection is required to adjust the course when personal and professional ideals no longer are in harmony with the reality in the clinical practice. RNs must maintain a strong integrity as authentic human beings to provide holistic nursing care.


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