Nursing Care

As a nursing student, there are many different topics and titles that I have come across. These topics and titles have made me learn and look at nursing as a practice in a specific perspective. In this reflective essay, I chose to write about the title of ‘Resilience.’ It is a popular notion that being a nurse is a demanding profession that requires a lot of determination, hard work, and sacrifice. Sometimes being a nurse can be so tiring and frustrating especially in a busy working environment. The stress is caused by long working hours that take away the resting time needed to refresh a nurse’s mind and body. To deal with the stressful life and to allow nurses to live a fulfilled life then resilience is what is needed. Resilience is the remedy that allows people to deal with stress and live a fulfilled life.

By reading and looking at the title “Resilience,’ I feel motivated, empowered and confident of achieving my goals in life including in school and later in my working place. Resilience is a skill that people need to learn to feel empowered to achieve their goals in life. It is a skill that I easy to learn and can be used in different aspects of our lives. As I read the title, I feel like it is a skill that I need to have to go through my education and eventually become successful as a nurse later in life. What comes to my mind when I read about resilience is growth and success.

Resilience is defined as the ability to come back from adversity and use the adversity to grow. In this case, it is relevant to note what is classified as adversity. Illness, loss, stress, disaster or challenging conditions are adversities (Rushton et al. 2015) Resilience in nursing is not only associated with nurses but also to the way patients positively adjust to illnesses. Resilience is attached t the theory of attachment that was developed by John Bowlby in 1951. According to the attachment theory, there is an early establishment of a bond between children and their parents. According to the theory when there is a strong and good bond between a child and their parent then the child grows to be confident and has a strong sense of security that plays an imperative role when it comes to facing adversity, separation and challenges later in life.

Resilience has four essentials that include a surplus of love that is accumulated in childhood, satisfaction of needs, a defense mechanism which is importance for dealing with adversity and a caring hand that helps a person to survive and grow. Resilience individuals have some specific personality that makes them be classified as resilient. Psychologists have found out that there are personalities that are prone to resilience. It is further believed that these personalities are responsible for guiding an individual from behaving defiantly.

Self- esteem is one of the personalities. I can relate to this because I have a high self-esteem and sometimes can be mistaken for arrogance, but it helps me express myself and always believe I can find a solution to a problem. Confidence, hope, and optimism are other personalities related to individual prone to resilience. Most resilient people have an aptitude for self- development. Personally I believe that my constant hope for a better future for my family and me is what pushes me to want to improve myself and develop constantly. When I think about my family and what I have been through I, continue to find ways that I can develop myself into a better perform.

I believe that after reading the above articles and different kinds of literature on resilience I have learned that people behave the way they do for different reasons. In the future I know I might face patients that might be going through a difficult time, and I will need to help them. The first thing that I will do is to understand clearly the patient. Through understanding, I will be able to set my next plan. The second step is to ensure that I find the best way that will help them cope with their situation. Depending on if the patient is a child on an adult I would recommend methods of coping. If the patient is a child, I would recommend they built characters and personalities that will make them resilient in future.

Gillespie et al. (2009) carried out a study on the influence of personal characteristics on the resilience of operating room nurses. Through the use of a predictive method that saw the collection of data from 1430 nurses, the study concluded that as far operating rooms were concerned, resilience were predicted by other attributes and not only the personal characteristics.

The study also recommended that when selecting personnel for operating rooms it does not mean only experienced nurses can thrive but also young and less experienced nurses can thrive if they are supported. McCann et al. (2013) reviewed several kinds of literature that discussed resilience.

In their article, several conclusions were made including the conclusion that between nurses and social workers, nurses who chose to use avoidance as a coping method reported higher job stress than their counterparts. Furthermore, the social workers were concluded to be better at choosing coping methods than the workers. This review also looked at doctors and resilience and concluded that there are specific resilient qualities found in doctors. One quality of resilience they interact positively with patients.

I had envisioned my future as far as practicing nursing is concerned, and I must admit that after this reflection my vision has changed. My future practicing has changed in the sense that I now know more about resilience. Especially what it means and how a person can develop to be resilient and what personalities relate to resilience. Furthermore, I believe that in my future practicing I may also face adversity. Knowing more about being resilience will make me a better person and nurse which is important to ensure I succeed in future. This reflection has increased my knowledge of the title that has made me more conscious when it comes to encouraging others and learning to appreciate people around me.

In conclusion, the title of ‘Resilience’ has made me feel like I should not give up in life and my nursing education and practice. I have learned that resilience is mostly connected with childhood bond to parents which makes an individual grow up with high self-esteem, become confident and can deal with adversity. The articles that I have read on resilience have made me learn more about coping and different qualities that individuals who are resilient posses. I hope to be a better practitioner in the future because of what I have learned so far about resilience.

Health problem

Family Nursing ProblemsGoal of CareObjectives of CareIntervention Plan Nursing InterventionsRationaleMethod of Nurse-Family ContactEvaluation Unhealthful lifestyle and personal habits specifically cigarette smoking as a health threat.

•  Inability to recognize the presence of the problem due to Inadequate knowledge
• Inability to make decisions with respect to taking appropriate health action due to fear of consequences of action, specifically physical consequences
• Inability to provide adequate nursing care to the at-risk member of the family due to:

A. Inadequate knowledge about the disease or health condition

B. Lack of the necessary facilities, equipment and supplies for care

• Inability to provide a home environment conducive to health maintenance due to lack of knowledge of preventive measures
• Failure to utilize community resources for health care due to inadequate knowledge of community resources for health care After nursing intervention, Rusty Cacal with the help of his family members will be able to lessen the cigarettes he smokes from 10 sticks to 15 sticks a day to gradual cessation of smoking

Objectives

1. .After discussing the definition of cigarette smoking, the family will be able to state the meaning of cigarette smoking accurately within 3 minutes.
2. After 10 minutes of discussion, the family will be able to enumerate the components of cigarette completely in 5 minutes.
3. Given the components of cigarette, the family will be able to state at least 8 out of 11 effects of nicotine in 8 minutes.
4. Given the components of cigarette, the family will be able to state the effects of tar completely in 5 minutes
5. After discussing the effects of nicotine and tar, the family will be able to distinguish the effects of addiction in cigarette smoe within 5 minutes.
6. After 15 minutes of discussion, the family will be able to discuss 7 out of 9 management on how to reduce the  of cigarette smoked per day within 8 minutes.
7. Given a sample of a time table, the family will be able to formulate a schedule on the reduction of  of sticks of cigarette smoked per day within 20 minutes. 8. In a day-to-day basis, the clients will be able to practice the formulated schedule plan in 1 month and 2 weeks.

Developmental

1. The health care provider will discuss the meaning of cigarette smoking.
2. The health care provider will enumerate the components of cigarette.
3. The health care provider will discuss the effects of nicotine.
4. The health care provider will discuss the effects of tar.
5. The health care provider will distinguish the effects of addiction in cigarette smoking.
6. The health care provider will discuss the different management on how to reduce the # of cigarette smoked per day
7. The health care provider will provide a sample of a time table.She will guide the client in formulating her schedule for 1 month
8. The HCP will monitor the clients’ compliance to the formulated schedule

1.Discussing the meaning of cigarette smoking will enable the clients to have a wide understanding about this habit and be aware that smoking contributes significantly to diseases that shortens life and is leading cause of death like heart attack, stroke, respiratory diseases which make smokers “pulmonary cripples” as in asthma, emphysema, bronchitis, recurrent infections, and cancer.

2. Discussing the components of cigarettes will enable the clients to be aware of the possible effects of the listed components

3. Discussing the effects of nicotine will enable the clients to know the medical consequences of nicotine exposure

4. Discussing the effects of tar will enable the clients to know how it affects their respiratory tract.

5. Discussing the effects of smoking addiction give the conclusion that there are many health effects of smoking cigarettes products and not one of them are beneficial. It’s not an exaggeration; it is reality that smoking tobacco does unquestionably not only destroy client’s well being but also health of acquaintances and family around her. *Ref: Winn, Jackie (2008), “No Positive Effects From Smoking Can Be Found”. September 28, 2008, from http://ezinearticles. com/? No-Positive-Effects-From-Smoking-Can-Be-Found&id=1290284

6.Discussing the different management on how to reduce the use of cigarette smoke per day increases quit rates by 30 percent. Every person who uses cigarettes should be offered at least brief advice to quit smoking. More intensive counseling and medications are even more effective and should be provided to all cigarette users willing to use them.

Efficiency:

Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy : Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness: Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability: Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness: 2. Was the family able to enumerate the components of cigarette? Yes__ No__ Why? Efficiency: Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy : Was the no. of intervention sufficient?

Yes__ No__ Why no? __ Appropriateness: Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability: Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness: 3. Was the family able to discuss the effects of nicotine Yes__ No__ Why? Efficiency: Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy : Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness: Was the no. of intervention, setting, time table, realistic to client situation?

Yes__ No__ Why no? __ Acceptability: Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness: 4. Was the family able to discuss the effects of tar Yes__ No__ Why? Efficiency: Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy : Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness: Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability: Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness: 5.

Was the family able to discuss the effects of addiction in cigarette smoking? Yes__ No__ Why? Efficiency: Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy : Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness: Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? _ Acceptability: Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness: 6. Was the family able to discuss the different management on how to reduce the # of cigarette smoked per day Yes__ No__

Why? Efficiency: Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy : Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness: Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability: Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness: 7. Was the family able to formulate a schedule on the reduction of # of sticks of cigarette smoked per day Yes__ No__ Why? Efficiency: Was the time, materials, human resources used economically? Yes__ No__