Essay Sample on Expertise in Caring: Nursing Care for Better Health

Introduction

According to Butts and Rich (2018), "caring is an evolving human science, a relational process, a 'nurturing way to relate to a valued other,' and a way of being human that enhances personhood" (p. 545). Caring places much emphasis on having compassion on other people who are worried about one thing or the other, specifically their health. Thus, there is expertise required in caring. Nursing care depends on the abundance of expertise and knowledge. Moreover, caring involves doing what other people cannot do on their own. This knowledge and expertise in nursing are essential and important in facilitating the provision of quality care. As caring is essentially a part of healthcare, advanced practice nurses can use the caring practice model as a guide when working with patients to be able to relate to them. Caring practice models can also guide advanced practice nurses on nurturing the individual patient on enhancing their personhood. I chose the Model of Practice for caring as I believe, as advanced practice nurses, we need to understand caring to be able to care.

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Model Characteristics for the

Model of Practice for Caring Application to Your Advanced Practice Role

Characteristic 1: "Caring is an essential part of nursing" (Nurse-Clarke, Diciccio-Bloom, and Limbo, 2019, p. 31). Advanced practice nurses should be emotionally present, understand the patient's illness and what it means to the patient, and protect and support the patient (Nurse-Clarke, Diciccio-Bloom, and Limbo, 2019).

Characteristic 2: People have the innate ability to care as part of their "humanness" (Butts and Rich, 2018). Because people have the innate ability of caring, advanced practice nurse brings their "caring self and comes to know the other person as a caring human" (Butts and Rich, 2018 p. 546).

Characteristic 3: Nursing has a role in the health and healing of patients (Wei, Fazzone, Sitzman, and Hardin, 2019) Advanced Practice nurses should not only focus on the patient's illness, but also their biopsychosocial and spiritual needs (Wei, Fazzone, Sitzman, and Hardin, 2019).

Characteristic 4: As caring is an abstract term, it can be difficult for humans to grasp (Wei, Fazzone, Sitzman, and Hardin, 2019). As advanced practice nurses need to understand caring, using interventions can promote biopsychosocial and spiritual health (Wei, Fazzone, Sitzman, and Hardin, 2019). It assists in the development and maintenance of clinical skills as well as expanding professional competency. This is so important among marginalized and social and mental displaced groups in society who APN's may care for. (Bahouth et al., 2012). EBP gives APN's the privilege to "infuse scientific evidence into clinical practice to apply, interpret, evaluate and collaborate care." (AMA, 2003).

Characteristic 5: Dignity is a significant factor in the care of the older patient (Rahemi and Williams, 2015). Advanced practice nurses should encourage autonomy, respect the patient, and respond to the needs of the patient in a prompt manner (Rahemi and Williams, 2015). Older patients have many needs that nurses should respond to promptly.

Characteristic 6: Patients want to feel "cared for" as it meets their needs and makes them feel accepted (Butts and Rich, 2018). To make sure that patients feel cared for, advanced practice nurses should individualize patient care, communicate effectively with the patient and the family, provide support for loved ones involved with the patient, and include an interdisciplinary team approach to care (Montoya, 2017). This is helpful as it ensures that the patient receives quality care that will help save his life. Nurses should make patients feel cared for by providing quality care.

Characteristic 7: Clinical judgement and accountability These characteristics help APN's to develop skills that can help identify changes in patient conditions which can then be evaluated, corrective recommendations made in unison with patients, families, APN 's , providers and other members of the multidisciplinary. So, informed decisions can be made, and treatment implemented. Clinical Judgment and accountability provide a responsible approach to care. In so doing, the patient receives quality care.

Characteristic 8: Consultation Through this model, APN's can consult interprofessional for all levels to enhance their practice in providing patient care. This will boost their knowledge in various aspects of patient care as they will integrate ideas from various professionals into practice. Besides, APN's gain professional guidance into their role as coaches and mentors to the patients and also ehnahce professionalism in their service delivery. "Consultation also lays the ground work for APN 's to be advocates for EBP policies in patient centered care" (Avery & Saftner, 2018).

Conclusion

The discussed model has looked at the role of APN's in various ways. It has shown that nurses should be more caring to their patients, conduct more research, and observe EBP stipulation, consult with other professionals and promote accountability. Patients have many problems and they need to be cared for in a manner that would satisfy them. Therefore, nurses should include their expertise and skills in providing quality patient care to their patients.

References

American Medical Association. (2003). AMA survey shows patients losing access to care: America's liability crisis, causing physicians to limit their practices. Chicago, IL.

Avery, D, M, & Saftner, M (2018). The certified nurse-midwife. In A, B, Hamric, C, M, Hanson, M, F, Tracy & E, T, Ogrady. (Eds). Advanced Practice Nursing: An Integrative Approach. (6 th. Ed). St. Louis. MO. Elsevier Saunders.

Bahouth, M.N, Blum, K & Simone, S. (2012). Transitioning into hospital-based practice: A guide for nurse practitioners and administrators. New York, NY: Springer Publishing Company.

Butts, J. B., & Rich, K. L. (2018). Philosophies and theories for advanced nursing practice. Burlington, MA: Jones & Bartlett Learning.

Montoya, V. (2017). Advanced practice nurses and end-of-life care for patients with progressive chronic kidney disease and end-stage renal disease. Nephrology Nursing Journal, 44(3), 256- 259.

Nurse-Clarke, N., Dicicco-Bloom, B., & Limbo, R. (2019). Application of Caring Theory to Nursing Care of Women Experiencing Stillbirth. MCN, The American Journal of Maternal/Child Nursing, 44(1), 27-32. doi: 10.1097/nmc.0000000000000494

Rahemi, Z., & Williams, C. L. (2015). Development of a Dignity-Enhancing Model of Caring for Older Adults. International Journal for Human Caring, 19(3), 36-41. doi: 10.20467/1091-5710-19.3.36

Wei, H., Fazzone, P. A., Sitzman, K., & Hardin, S. R. (2019). The Current Intervention Studies Based on Watson's Theory of Human Caring: A Systematic Review. International Journal for Human Caring, 23(1), 4-22. doi: 10.20467/1091-5710.23.1.4