Professional Presence – Week 1 PDF

Professional Presence N1I02-Week Amy Palma, RN, MSc,1 BScN, Hon.BSc September 2024 mcmaster.ca |  This class introduces students to the concept of being present, scientific and humanistic caring,...

Professional Presence N1I02-Week Amy Palma, RN, MSc,1 BScN, Hon.BSc September 2024 mcmaster.ca |  This class introduces students to the concept of being present, scientific and humanistic caring, and the McMaster Model of Nursing. Learning Goal mcmaster.ca |  Professional Presence-Learning Outcomes Through research, class discussion and learning activities, students will be able to: 1. Provide a definition of caring. 2. Define the difference between professional caring and the generic human capacity to care. Loading… 3. Explore caring in different contexts. 4. Define key terms and definitions of the McMaster Model of Nursing. 5. Discuss the relationship between the concepts in the McMaster Model. 6. Describe the concepts of Health and Nursing according to the McMaster Model of Nursing. 7. Describe the concept of nursing presence. 8. Explore the necessity and importance of caring for self in order to care for others. mcmaster.ca | Professional Presence-Large Group Identify and discuss the key elements of the McMaster Model of Nursing. For each section of the model (Context, Dialogue, Mutuality), discuss what the section means, how it is related to the rest of the model and the role of the nurse, and how it relates to caring. Define client-centered care (person-centered care), discuss its importance to nursing practice, and how nurses demonstrate or enact client-centered care. Discuss the remaining key terms and their application to professional nursing. View the following video demonstrating the ABCD of Caring from DignityinCare.ca o http://www.dignityincare.ca/en/the-abcds-of-dignity-in-care.html mcmaster.ca |  Caring in Nursing Practice Caring concern our person , events projects or things > - a , scientific caring > - knowledge , skills , actions , interventions communication relational a spects Humanistic caring > - o , , diginity , respect Loading… " · "the ar t of nursing * competent nursing practice caring includes practices and expert knowledge * mcmaster.ca |  McMaster Philosophy-BScN Program Handbook “We believe professional caring has both scientific and humanistic components. It is both a science and an art …” The scientific component of professional caring encompasses the beliefs that the nurse must possess knowledge of the client’s needs and capacities, knowledge and skill to be able to meet these needs, and the ability to choose actions based on tested or verified knowledge Inherent in the humanistic component of professional caring is the acknowledgment of the client’s rights to be treated as an individual entitled to dignity and respect. We believe that before nurses can engage in a professional caring relationship with a client, they must learn to value and care for themselves. Self-awareness and self-knowledge are foundational to the creation of a therapeutic relationship. McMaster BScN Program Handbook mcmaster.ca |  The Importance of Caring science = 17 humanistic = 1 Helps focus on clients Assists with identifying successful nursing actions, implement individualized solutions To understand client’s illness and its meaning Vital to recovery from illness and maintain healthy practices Caring is vital to understanding patients, and to finding and implementing individualized solutions At the heart of nurses’ ability to work with patients in a respectful and therapeutic manner This Photo by Unknown Author is licensed under CC BY-ND mcmaster.ca |  Barriers to Caring Increasing use of technology Perception that caring is less important This Photo by Unknown Author is licensed under CC BY-ND o Focus on biomedical model o More value placed on scientific caring ** Time, institutional demands Caring is unique to each patient This Photo by Unknown Author is licensed under CC BY-SA mcmaster.ca | Stop and Think… Think about your own experiences with illness and health care. How did (or didn’t) nurses show caring? A nurse enters the patient’s room, greets the patient warmly, introduces themselves, makes eye contact, sits down for a few minutes, and asks the patient about their thoughts and concerns. The nurse listens, checks the IV, takes vital signs, then leaves the room. priority patient on The nurse enters the room, checks the IV, takes vital signs, talks to the patient but never sits down. The nurse makes eye contact from above while the patient is lying in bed. The nurse asks a few quick questions about the patient’s symptoms then leaves. mcmaster.ca priority on the job | Compare & Contrast Which patient would you prefer to be? Which nurse do you want to be? mcmaster.ca |  present Calm presence: being there and being with o Presence established through eye contact, body language, tone of voice, listening, positive & encouraging attitude Touch: physical and non-verbal, eye contact Active listening Caring in o Involves taking in patient’s story and Nursing conveying your understanding Practice Loading… Establishes trust o ** o Must silence yourself to LISTEN Concern about patient well being - Knowing the patient o Aids in clinical decision making and your ability to detect changes in patient status and to select appropriate responses mcmaster.ca | Patient Perspectives on Caring Patients become more active in the plan of care when nurses are sensitive, demonstrate empathy, and show interest in them as people Increases patient satisfaction with care This Photo by Unknown Author is licensed under CC BY-ND Providing presence (being there and being with) Comfort through touch (contact, non- contact) Listening-taking in, interpreting, understanding, and conveying that understanding *# This Photo by Unknown Author is licensed under CC BY-SA mcmaster.ca | Nursing Presence “a holistic and reciprocal exchange between the nurse and patient that involves a sincere connection and sharing of the human experience through active listening, attentiveness, intimacy and therapeutic touch, spiritual exploration, empathy, caring and compassion, and recognition of the patient’s psychological, psychosocial, This Photo by Unknown Author is licensed under CC BY-SA-NC and physiological needs” Fahlberg & Roush, 2016 mcmaster.ca |  Incorporating Mindful Presence 1 Slow down 2 Sit down This Photo by Unknown Author is licensed under CC BY 3 Focus This Photo by Unknown Author is licensed under CC BY 4 Learn about patients as people 5 Empathize This Photo by Unknown Author is licensed under CC This Photo by Unknown Author is licensed BY-SA under CC BY-SA-NC mcmaster.ca | Person-Centered Care Health care focus on patient satisfaction and patient-centered care McMaster philosophy (BScN Program Handbook, 2020-2021) o “When a nurse engages in professional caring, a nurse-client - TheyWor relationship is established within which the nurse and client become partners working towards creating an enabling context in which the client can meet health-related needs.” Nurses should select approaches that best meet patient needs Choosing different approaches based on client context o Patient not being able to afford their medications vs. not understanding how to take them appropriately Teaching a patient to give their own insulin instead of doing it for them Supporting a client’s choice, even when it is not the choice you would personally make mcmaster.ca | Family Centered Care Family is an important resource ** How families share information, their understanding of treatments, and how interventions will fit with their daily lives will impact care Caring behaviours (Astle & Duggleby, 2019) o Being honest o Giving clear explanations, keeping family informed o Making patient comfortable, teaching family how to keep patient comfortable o Promoting patient independence * * This Photo by Unknown Author is licensed under CC BY-SA-NC o Answering questions openly and willingly mcmaster.ca | The ABCD’s of Dignity in Care Attitude: personal attitudes, assumptions J walk in open mind) humanistic Behaviour: small gestures, trust, compassion, professionalism, connectedness Compassion: deep awareness of the suffering of another, coupled with the wish to relieve it Dialogue: trust, openness and honesty > - the aspects of conversation o “What should I know about you as a person to give you the best care possible?” http://www.dignityincare.ca/en/the-abcds-of-dignity-in-care.html (up to 11 mins) mcmaster.ca |  McMaster Philosophy of Nursing We believe that nursing is a scientific and humanistic activity of professional caring. The goal of nursing is the promotion and restoration of health. ** We believe that HEALTH is the extent to which people are able to achieve aspirations, satisfy needs and cope with or change their context. Health is a dynamic life experience that can be threatened physically, mentally, emotionally, socially or spiritually at any given McMaster BScN Program Handbook time. mcmaster.ca |  McMaster Nursing Philosophy & McMaster Model of Nursing The CLIENT may be an individual, family, group, population or community. The nurse and client become partners working towards creating an enabling context in which the client can meet health-related needs. We believe that the nurse engages in PROFESSIONAL CARING by supporting the client in the processes of identifying, determining and acting upon experiences relevant to health and healing. We distinguish professional caring from the generic human capacity to care. Nursing as a profession is guided by professional standards, adheres to professional values, and uses learned behaviours, validated knowledge, theories, techniques and processes that characterize professional caring. McMaster BScN Program Handbook mcmaster.ca |  McMaster Model of Nursing hospital conditions , political climate et c... age , education , gender, developmental age race etc... , "go board" back to the drawing · 3 general a consensus between nurse + patient * * * mcmaster.ca | References Astle, B.J. & Duggleby, W. (Eds.), (2024). Potter & Perry: Canadian fundamentals of nursing (7th ed.). Toronto, ON: Elsevier Canada. Fahlberg B, Roush T. (2016). Mindful presence: Being "with" in our nursing care. Nursing 2016, 46(3):14-15. McMaster University BScN Program. (2024). Undergraduate nursing education: Program handbook, 2024-2025. Hamilton, ON: McMaster University. The ABCDs of Dignity in Care. (2016). http://www.dignityincare.ca/en/the- abcds-of-dignity-in-care.html mcmaster.ca |  Preparation for Week 1 Small Group Lab & Week 2 Week 1 – Small Group Lab o If you haven’t already…prior to class reading and activities listed in the Course Manual o Think of reasons you have chosen to enter the nursing profession o Find a picture that represents caring and bring it with you to small group lab Nursing as a Profession Complete Prior to Class reading and learning activities on p. 16-17 of Course Manual Week 2 Complete prior to class activities for Infection Prevention & Control (parts 1 & 2) Bring all PPE supplies from your kits to lab (gown, gloves, shield, mask) mcmaster.ca |