Returning Nursing to Nightingale: The Bigger Picture of MainstreamingKenya-Nursing Process

C. Rakuom, M. Wagoro, J. O. Mirereh, Sudi Galo
{"title":"Returning Nursing to Nightingale: The Bigger Picture of MainstreamingKenya-Nursing Process","authors":"C. Rakuom, M. Wagoro, J. O. Mirereh, Sudi Galo","doi":"10.4172/2471-9846.1000140","DOIUrl":null,"url":null,"abstract":"Application of all Nursing Process steps as a standard practice in nursing at national scale is a very rare occurrence in clinical practice and in nursing literature. This paper presents lessons learnt in the bigger picture of mainstreaming Nursing Process within a public sector context at national level covering issues on policy, financing, training, implementation (practice and management) and effects. It discusses Nursing Process in context; structuring discussion in a way integrating nursing theories, facilitating professional empowerment, ensuring higher quality nursing care, and nursing visibility and contributions in healthcare delivery. Based on practical experience in integrating Virginia Henderson’s need theory, Orem’s health systems theory, total nursing care and team nursing within Nursing Process, it suggests replacement of medical model paradigm with caring model paradigm to facilitate effective independence and meaningful dependence and interdependence in nursing operations. Thus significant organizational cultural shift is proposed. Nursing Process is presented as the principal vehicle propelling nursing profession and practices forward, sampling success stories that demonstrate effectiveness and improved patient care. On standardization of nursing language, new innovative ideas under Nursing Process steps of assessment, diagnosis, planning and documentation are presented with suggestions of a new approach in measuring Nursing Process implementation using Benner’s “stages of clinical competence” scale, focusing on levels of knowledge and skills in Nursing Process. In that thinking Nursing Process implementation is likely to succeed through challenges, especially when competency level is reached and surpassed; notwithstanding exogenous challenges such as restructuring in a health system or a political system that bear influence on nursing operations. It is proposed that nurturing Nursing Process implementation through training to competency level within the premise of “totality of knowledge and experience” is critical in achieving reasonable nursing visibility in clinical settings, enhancing quality nursing care, and ensuring sustainability through the principle of critical mass. Thus a significant shift from developing individual nurses in single bits to collective development of a nursing workforce in Nursing Process must be made, availing a committed and cohesive critical mass of nurses working towards achieving desired professional and organizational goals despite challenges; promoting Nursing Process practices to the level of organizational culture in healthcare delivery. This requires time, resources, commitment and above all, strong and focused leaderships in nursing.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":"7 1","pages":"2-20"},"PeriodicalIF":0.0000,"publicationDate":"2016-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000140","citationCount":"5","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of community & public health nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4172/2471-9846.1000140","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 5

Abstract

Application of all Nursing Process steps as a standard practice in nursing at national scale is a very rare occurrence in clinical practice and in nursing literature. This paper presents lessons learnt in the bigger picture of mainstreaming Nursing Process within a public sector context at national level covering issues on policy, financing, training, implementation (practice and management) and effects. It discusses Nursing Process in context; structuring discussion in a way integrating nursing theories, facilitating professional empowerment, ensuring higher quality nursing care, and nursing visibility and contributions in healthcare delivery. Based on practical experience in integrating Virginia Henderson’s need theory, Orem’s health systems theory, total nursing care and team nursing within Nursing Process, it suggests replacement of medical model paradigm with caring model paradigm to facilitate effective independence and meaningful dependence and interdependence in nursing operations. Thus significant organizational cultural shift is proposed. Nursing Process is presented as the principal vehicle propelling nursing profession and practices forward, sampling success stories that demonstrate effectiveness and improved patient care. On standardization of nursing language, new innovative ideas under Nursing Process steps of assessment, diagnosis, planning and documentation are presented with suggestions of a new approach in measuring Nursing Process implementation using Benner’s “stages of clinical competence” scale, focusing on levels of knowledge and skills in Nursing Process. In that thinking Nursing Process implementation is likely to succeed through challenges, especially when competency level is reached and surpassed; notwithstanding exogenous challenges such as restructuring in a health system or a political system that bear influence on nursing operations. It is proposed that nurturing Nursing Process implementation through training to competency level within the premise of “totality of knowledge and experience” is critical in achieving reasonable nursing visibility in clinical settings, enhancing quality nursing care, and ensuring sustainability through the principle of critical mass. Thus a significant shift from developing individual nurses in single bits to collective development of a nursing workforce in Nursing Process must be made, availing a committed and cohesive critical mass of nurses working towards achieving desired professional and organizational goals despite challenges; promoting Nursing Process practices to the level of organizational culture in healthcare delivery. This requires time, resources, commitment and above all, strong and focused leaderships in nursing.
护理回归南丁格尔:肯尼亚护理进程主流化的更大图景
在全国范围内,将所有护理过程步骤作为护理的标准实践,在临床实践和护理文献中是非常罕见的。本文介绍了在国家一级公共部门背景下将护理进程主流化的更大背景下的经验教训,涵盖政策、融资、培训、实施(实践和管理)和效果等问题。它在语境中讨论护理过程;以整合护理理论的方式组织讨论,促进专业授权,确保更高质量的护理,以及护理在医疗保健服务中的可见度和贡献。通过在护理过程中整合Virginia Henderson的需求理论、Orem的卫生系统理论、整体护理和团队护理的实践经验,提出以护理模式范式取代医学模式范式,促进护理操作的有效独立和有意义的依赖和相互依存。因此,提出了重大的组织文化转变。护理过程是推动护理专业和实践向前发展的主要工具,抽样成功的故事,证明有效性和改善病人护理。在护理语言标准化方面,提出了护理过程评估、诊断、计划和记录步骤的新创新思想,并建议使用Benner的“临床能力阶段”量表来衡量护理过程实施的新方法,重点关注护理过程中的知识和技能水平。在这种情况下,护理过程的实施很可能通过挑战取得成功,特别是当达到和超越能力水平时;尽管存在外部挑战,如卫生系统重组或政治系统对护理业务产生影响。在“知识和经验的总和”的前提下,通过培训来培养护理流程的实施,对于实现临床环境中合理的护理可见性,提高护理质量,并通过临界质量原则确保可持续性至关重要。因此,必须在护理过程中从发展单个护士到集体发展护理劳动力的重大转变,利用一群忠诚和有凝聚力的关键护士,尽管面临挑战,但仍致力于实现所需的专业和组织目标;将护理过程实践提升到医疗保健服务的组织文化水平。这需要时间、资源、承诺,最重要的是,需要护理领域强有力和重点突出的领导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信