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Nursing Ways Knowing Rounds

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Jennifer O

on 10 March 2014

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Transcript of Nursing Ways Knowing Rounds

Nursing Ways of Knowing Rounds
Becca, Katelyn, Sarah & jenniE
Alex Crowe
N2NN3
MaRch 10, 2014
Introduction of the case scenario
Knowing VS Knowledge
The ways of knowing
Comparison of personal and professional values
Metalanguage concepts
Decision & Nursing action
Summary
Q&A
Agenda
Case Scenario
You are a nursing student on medical unit at Greenview Hospital. One of your patients is Mrs. Alberton. She is 40 years old, and was recently was involved in a motor vehicle accident (MVA) where she was hit by a drunk driver leaving her paraplegic. She has an ulcer on her sacral area that requires a dressing change. You also notice that Mrs. Alberton sits for extended periods of time in bed and only asked to get up because her two daughters and husband were coming to visit. Discuss the ways of knowing that apply to this situation and identify the most important nursing decision that you would make. Describe the nursing actions resulting from that decision.
Knowing VS Knowledge
Knowing
Refers to "ways of perceiving and understanding the Self and the world"
Personal emotional process
Knowledge
Refers to "knowing that is expressed in a form that can be shared or communicated with others"
It is an intellectual process
1. personal ways of knowing
Focuses on the inner experience
Subjectively knowing Self
channels the nurses' ability to carry out therapeutic actions
"To make decisions about ethical situations, nurses need to be a ware of their personal values"
Integration into the case scenario
Do I have comparable experiences to Mrs. Alberton's situation?
Therapeutic communication
2. AESTHETIC way of knowing
The art of nursing
Practical application to nursing
Meaning of a situation
Integration into the case scenario
Unique human experience
Facial expressions and body language
Imagery
3. ethical ways of knowing
Ethics is doing what is morally right or good
In nursing, it extends beyond identifying what is right
It does not provide a clear-cut answer
Ethical issues are often multidimensional
Ethical principles and values lead nurses through reasoning
Integration into the case scenario
Conflict between patient and nurse
Ethical obligation to Mrs. Alberton's confidentiality
4. emancipatory ways of knowing
Praxis
Inequality & Injustice
The Process: Being aware of the social program> Question why these social programs exist> Critique the status quo> Imagine changes needed to create equitable and just conditions to support all humans to reach full potential> formal written expression
Integration into the case scenario
5. EMPIRACAL ways of knowing
What is known is accessible through the physical senses
It is grounded in science
It has objective meanings
Integration into the ways of knowing
Patient's growth and development
Patient's susceptibility
Knowing how to assess pressure ulcers
Knowing the best practice guidelines for caring for pressure ulcers
The Ways
of Knowing
Metalanguage
Concepts

1. nursing
Interpersonal interactions
Nurse's Primary Functions
Intuition
2. person
Reductionism
All aspects of a person need to be considered when providing care
Patient choices
3.environment
Family support for a good environment
Physical environment and it's impact on reparative process
Fairness
4. health
The goal of nursing
Nightingale implies that health is dealt with holistically
Compassion/empathy
Decision and nursing action
DECISION: Ulcer care

ACTION: Wound care
Repositioning
Health teaching
Family meeting


Burger, J. (2010) Working with clients and families: Communication in Potter & Perry's Canadian Fundamentals of nursing: (4th Ed.) Toronto, Canada: Elsevier (p.250)

Chinn, L.P & Kramer, M.K. (2011) Integrated Theory and Knowlege Development in Nursing, (8th ed.) St Louis. MO: Elsevier, Mosby Inc.

College of Nurses of Ontario. (2009). Ethics. Toronto, ON: College of Nurses of Ontario.

Registered Nurses’ Association of Ontario. (2005). Risk assessment and prevention of pressure ulcers Retrieved from http://www.rnao.ca/sites/rnao-ca/files/Risk_Assessment_and_Prevention_of_Pressure_Ulcers.pdf
references
comparison of personal and professional values
Personal Values:

Intuition
Compassion/Empathy
Professional Values:
Fairness
Client choices
IF I HAVE COMPARABLE EXPERIENCES, AM I ABLE TO TAKE THOSE AND APPLY THEM TO THE SITUATION?
WHAT DOES THIS MEAN?
HOW IS THIS SIGNIFICANT?
IS IT RESPONSIBLE?
WHAT CHANGES ARE NEEDED?
WHAT IS THIS?
HOW DOES IT WORK?
Q&A
Social issue of drunk driving
Advocacy for the patient and the cause
CONSIDERING THE TOA FROM THE NIGHT NURSE, WHAT WOULD THE PRIORITies BE ?


certifiedmedicalillustrations . com/images/products/detail/B0011 . jpg
Summary
Scenario TOA & Braden scale
Knowing VS Knowledge
5 Ways of Knowing
Personal & Professional Values
Metalanguage Concepts
Decision & Nursing Action
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011), (Burger, 2010)
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011), (RNAO, 2005)
(Chinn & Kramer, 2011)
(CNO, 2009), (Chinn & Kramer, 2011)
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011), (CNO, 2009)
(Chinn & Kramer, 2011), (CNO, 2009)
(Chinn & Kramer, 2011)
(Chinn & Kramer, 2011), (RNAO, 2005)
chpre.org/wp-content/uploads/2013/03/Nurse-tending-patient-in-008 . jpg
media.philly.com/images/longerandsicker . jpg
Thank You!
Full transcript