NBNS1223 Concept of Nursing – Nursing Theories and Ethical Practice

Purpose:

The purpose of this assignment is to evaluate learners’ critical thinking skills in analysing nursing theories focused on nursing goals and integrating these concepts into clinical nursing practice to enhance patient outcomes.

Tujuan:

Tujuan tugasan ini adalah untuk menilai kemahiran pemikiran kritikal pelajar dalam menganalisis teori kejururawatan yang berfokus kepada matlamat kejururawatan serta mengintegrasikan konsep tersebut ke dalam amalan klinikal bagi meningkatkan hasil penjagaan pesakit.

Requirement:

Nursing theories focused on nursing goals provide a structured approach in guiding patient care and improving recovery outcomes. These theories, such as the Environmental Model, Nursing Need Theory, Behavioural System Model, and Health Promotion Model, emphasise the importance of patient environment, independence, behaviour, and health promotion in achieving optimal health.

Understanding and applying these theories enable nurses to deliver more effective, holistic, and patient-centred care in clinical settings.

1. Refer to the above statement, you are required to choose ONE (1) suitable nursing theory related to nursing goals and justify your choice.
2. Discuss the application of the selected theory and its impact on patient care and clinical practice in your workplace.

[TOTAL/JUMLAH: 30 MARKS/MARKAH]

Keperluan:

Teori kejururawatan yang berfokus kepada matlamat kejururawatan menyediakan pendekatan yang tersusun dalam membimbing penjagaan pesakit serta meningkatkan hasil pemulihan. Teori-teori ini, seperti Model Persekitaran, Teori Keperluan Kejururawatan, Model Sistem Tingkah Laku, dan Model Promosi Kesihatan, menekankan kepentingan persekitaran pesakit, tahap kebergantungan, tingkah laku, dan promosi kesihatan dalam mencapai tahap kesihatan yang optimum.

>Pemahaman dan aplikasi teori-teori ini membolehkan jururawat memberikan penjagaan yang lebih berkesan, holistik, dan berfokuskan pesakit dalam persekitaran klinikal.

1. Merujuk kepada kenyataan di atas, anda dikehendaki memilih SATU (1) teori kejururawatan yang sesuai berkaitan dengan matlamat kejururawatan dan berikan justifikasi terhadap pilihan anda.
2. Bincangkan aplikasi teori yang dipilih serta kesannya terhadap penjagaan pesakit dan amalan klinikal di tempat kerja anda.

Part II/ Bahagian II

>Online Class Participation (10%) / Penglibatan Kelas Atas Talian (10%)

>Discuss the following topic(s) in the forum and submit proof of your participation in the online discussions:

>“Ethical issues are common in nursing practice, especially when nurses face complex patient conditions and difficult decisions. Nurses are expected to apply ethical principles such as autonomy, beneficence, non-maleficence, and justice in their care. However, in real clinical settings, these principles may conflict and create challenges in decision-making.”

>Do you think nurses are well-prepared to handle ethical dilemmas, or do factors such as workload and workplace environment affect their decisions? What strategies can help nurses manage ethical issues and provide safe, ethical, and patient-centred care? Discuss your opinion.

>Bincangkan topik berikut dalam forum dan serahkan bukti penyertaan anda dalam perbincangan atas talian:

>“Isu etika sering berlaku dalam amalan kejururawatan, terutamanya apabila jururawat berdepan dengan keadaan pesakit yang kompleks dan keputusan yang sukar. Jururawat dijangka mengaplikasikan prinsip etika seperti autonomi, benefisens, non-malefisens, dan keadilan dalam penjagaan mereka. Walau bagaimanapun, dalam situasi klinikal sebenar, prinsip-prinsip ini mungkin boleh menimbulkan cabaran dalam membuat keputusan.”

>Pada pendapat anda, adakah jururawat benar-benar bersedia untuk menangani dilema etika, atau adakah faktor seperti beban kerja dan persekitaran tempat kerja mempengaruhi keputusan mereka? Apakah strategi yang boleh membantu jururawat mengurus isu etika dan memastikan penjagaan yang selamat, beretika, serta berfokuskan pesakit? Bincangkan pendapat anda.

Experts Answer on Above Nursing Theory Concept in Malaysia

Nursing theory selected

The most appropriate theory considered for analysis is Florence Nightingale environmental theory. This theory is selected because it directly analyses the impact of environmental factors on outcomes which is crucial in healthcare setting, especially in maintaining cleanliness, hygiene and patient comfort for faster recovery. In respect to Malaysian hospitals, maintaining a safe and hygienic environment is challenging especially in public healthcare facilities with high patient volume.

Application in clinical practice

The application of environmental theory in respect to Malaysian clinical settings is evident from the practices followed by nurses such as maintaining infection control procedures, and during proper sanitation and hygiene, and educating patients on cleanliness and preventive care.

Impact on patient care

The theory has a significant effect on patient care as it contributes towards fater patient recovery rates, prevention of infection, complete patient care and satisfaction, and quality of nursing care. The theory positively supports the standards of the Ministry of Health Malaysia in promoting safe and sound healthcare services.

Opinion on ethical dilemmas in nursing

Ethical dilemmas in nursing is highly evident especially in situations involving staff shortages, heavy workloads, long shifts and significant patient volumes can result in ethical stress among nurses while providing patient care. The workplace challenges have a direct implication on the ethical decision making process of nurses and it is highly influenced by factors like:

• High nurse to patient ratio.
• Time pressure in urgent care.
• Lack of medical equipment and resources.
• Communication barriers with multicultural patients.

Strategies to manage ethical issues

Some of the strategies that can be considered to deal with the ethical dilemma in nursing care are training nursing staff, providing clear ethical guidelines, proper senior supervision, maintaining adequate resources to avoid issues, stress management and mental health support etc.

Want Detailed Answers with References?

The above nursing assignment discusses a nursing theory and applies it in Malaysian clinical context, discusses ethical dilemmas in nursing and provides strategies to manage ethical issues effectively. If you need assistance with a nursing task, get help from professional nursing experts of Student Life Saviour Malaysia.