Running head: STRENGTH BASED NURSING 1

STRENGTH BASED NURSING 5

Strength Based Nursing

Strength-based nursing refers an approach to health care which promotes empowerment, hope, and self-efficacy. This approach acts as a guideline to health delivery for people and families and is at the front position of international reforms in health care and developments in nursing. This approach aims to optimize the well being of human beings, health and make better conditions for healing in the human lifespan. The approach works with persons and family strengths and resources together with the individual family and healthcare group (Melnyk, 2015). The approach is based on five main principles which include Person/family-centered care is a principle which is based on mutually cooperative partnerships among families, patients, and healthcare providers according to (Coyne, et al 2018). The principle redefines relationships in health care through emphasizing on collaborating with people of all levels and ages in all the healthcare settings. This principle aims to support the health and individuals well being as well as their families and uphold their control. The core concepts of this principle are participation, collaboration, sharing of information, dignity, and respect. Empowerment is also a strength-based nursing principle. This principle underpins the strengths model outlook of people as an energetic contributor in the delivery of service instead of diagnostic categories, passive consumers, and objects to be managed (Noble et al., 2000, p. 144). Health promotion and healing, the third principle aims at ensuring that better care is provided to the patients. The general emphasis of this principle is to ensure that the general outcome in health care is positive. The principle of Collaborative partnership aims at building a strong relationship between the patient, family, community and the professionals. All the parties involved in the partnership share a common goal which is better health care. Innate capacities for health and healing which the last principle of strength based nursing views people as inherently whole. Therefore mental health can be controlled by individuals and that can influence other factors of life such as the behaviour of an individual. While caring for families and the caregivers should also focus on the inner strengths (Castro et al 2016)

Strength-based Nursing is Built on Eight Core Values which Include: Health and healing: According to SBN, health and healing are the core goals of nursing. Health helps people to be flexible to challenges in life. Healing brings back wholeness and leads to the rediscovery of equilibrium. Uniqueness recognizes the fact that no one is like another person. All people are genetically dissimilar and have specific dissemination. Holism and embodiment is a value that recognizes how different parts of the human body are interconnected since they affect each other and the performance of the complete person. Subjective reality and created meaning bring forward the argument that perceptions, experiences emotions, representations, and meanings guide a person’s understanding of events. Person and environment are integral is a value which means that family and person are affected by the environment, both the social environment and physical environment. One environment may bring the best out of a person while another environment may bring the worst (Mbalinda, et al 2017). Other values include self-determination, learning, timing and readiness, and collaborative partnership. Identify How Emma’s Healthcare Needs can be Enhanced by SBNC Collaborative partnership could have greatly enhanced Emma’s health care needs. It was good for the IVM clinic to invite Emma and her family to discuss Emma’s treatment. However, Emma complains that the discussion among them was not patient-centered. If this partnership had been well implemented, all partners especially Emma could have benefitted much from it. She could have become more prepared for the intervention. According to (Gottlieb and Feeley, 2017, in most of the partnerships, all the partners gain benefits to varying degree. However, this can only be achieved, when the partnership is built on agree goals, openness, and respect and shared power. The joint partnership is reliable with a strength-based approach. It is founded on essentials that bring forward the respective talents and skill of the partners to achieve the target and work in a consequential way ( Rycroft-Malone, et al 2016). A collaborative partnership could have focused on what each partner does best and what the patient has to say about it. This partnership calls for help to the other partners to help them make the best out of their potentials and talents. It is a strategy that bring about assurance by supporting competency. It also involves engaging in true friendship and trusting self and others (Sofarelli and Brown 1997). Joint partnership need that each partner raises their concern, defend their opinions and presents proof on which to support excellent clinical decisions (Schmalenburg et al. 2005). Empowerment Emma should have been allowed to make her own decision. However, she was not even involved in contributing during the AVM discussion. Contributing to her treatment could have facilitated cooperation between her and health care professionals’. Allowing a patient to make decision is widely valued. Acknowledgment of its weakness in the healthcare environment contributed to the addition of respect for independence as the main apprehension in biomedical principles. The supposition of autonomy respect is usually linked to permitting or enabling helping the patients decide on the interventions in health care they would prefer. concentrating on decision circumstances is challenging, particularly when joined with a trend to pressure the significance of patients’ sovereignty in deciding. It divert concentration from other chief phases and problems to independence in care (Berger and Polivka, 2015). The relational understanding of self-rule tries to explain the good and bad implication of communal relations for the independence of a person. They propose that different healthcare practices can influence self-rule by their influence on management preference and of the patients and self assessment, self uniqueness, and potential for independent decision making. According to Coyne, Holmström, and Söderbäck, (2018) Relational considerations de-emphasize autonomy and make easy well- shaded differences between clinical communication forms that hold and destabilize the autonomy of a patient. These considerations sustain acknowledgment of the worth of high-quality interactions between the patient and profession and can supplement the requirement of the standard of independence respect (Leine, et al 2017). Incorporate Family Functioning in Strength Based Nursing

One of the principles which have been integrated into Emma’s case is the empowerment of the stakeholders. Emma’s dad was present in the AVM clinic and could challenge the professionals to explain themselves clearly. The patient was in a position to deliberate with her family friends and doctors and decided that she could have brain surgery. In her rehab, Emma received holistic nursing care which could help in healing her soul, mind, and body. She received assistance with the effects of the disease on the emotions as well as personal relationships. Many factors were put into considerations which helped Emma accept the situation she was in and allow she to move on.

How Strengths and Outcomes Interact through Relationships

There are many positive outcomes which are associated with power based nursing. A good result is mainly determined by people working together hence capacity building for the people supported by services. These outcomes are contributed by individuals, groups, families, as well as the professional’s strengths. When personal forces are deployed, they act as help to recovery and empowerment. Strength-based nursing has contributed to engaged communication, the growth of positive metrics, sharing an abundanceof ideas and increased transparency(White and Waters, 2015).

Transition Point and Strength based Nursing Care Plan

One of the major transition points that Emma went through on her journey was being released from rehabilitation. She had been used to staying in bed with her pajamas, and she could be done for everything. In Talbot, everything had to go by the routine in the hospital. In Sydney, she could get her breakfast in bed, but now it turned to a chore. She was also offered a shaving mirror to help her eat. She could get her shower after breakfast which she was not used back in Sydney.

Strength-based Nursing Care

AssessmentGoalsNurse ordersRequirements needed to fasten Emma’s recoveryExplanation
After all the medications that Emma has gone through, she needs to optimize her transfer’s mobility, articulation, swallowing balance and coordination. She will, therefore, be subjected to physiotherapy, occupational therapy, and speech therapy.The primary goals of the intervention or the nursing care plan are to ensure that Emma is independent in that she can swallow, be in a position to stand on her own, coordinate and articulate as well as gain back her speech.Emma will be subjected to exercises such as standing on one leg exercise. This will help her acquire balance. To achieve this faster and for better results, she will do the task with her eyes closed.Emma will also be balancing on wobble board. This is gym gizmos which will help in her gaining back her stability.After she improves, she will also be required to walk heel to toe and do squats.Love and careAccording to Townsend & Morgan, (2017), deep care and love is the greatest asset of a faster recovery. Love from parents, friends, and healthcare providers will lead to a more satisfying and intimate relationship. The feeling of being loved will encourage Emma.
Hand-eye coordination.For this to be achieved, the patient will be subjected to some activities. That will help her process information which is received through the eyes into right responsive movements of the hands. She will be playing games with a tennis ball. She will be required to toss a shot on the wall. She will also try different angles, try to catch and toss the ball again with different hands. She could do this while still on her, but the activity will start after she has gained back her strength.The collaboration between Emma and her familyDuring the recovery period, Emma and her family will be involved in all what Emma will be subjected to. If Emma or her family is not contented with any of the professions, they will raise the issue and be allowed to offer better ideas.
Gaining back her speechEmma will be subjected to a speech therapist that will help her talk again.
Emotional balanceEmma will go through counseling where she will be advised on be who she is and will be encouraged that it is okay grief, show fear, and resentment that will help her stay connected with herself and others. The parents will also help Emma remain connected to her spirituality. However, this will depend if she is comfortable with the practice or not. Allowing her to make the decision will help her be comfortable in her recovery journey.
Being creativeEmma will be left in some situation where she will be needed to come up with an idea to solve the problem. That will help her mind become active too and get her life running.
Holistic approachThis goal will be to ensure that Emma receives a nursing practice whose purpose is to heal the whole person. That is why love, care, and patient autonomy will be granted to Emma. The idea is that health care professionals will not only concentrate on her physical but also inner healing. The professionals will also take care of the mind and soul, and that is why spiritual concepts will be integrated into the care. Social and cultural differences will also be considered in the recovery process.The approaches that will be used in to improve the professionals’ relationship with Emma are promoting a healthy psychological, emotional, and spiritual environment.Some of the activities will include1. Learning the name of the patient and using it2. Ensuring that there is a good and robust eye contact between the patient and the professional3. Sincerely care for the patient and frequently ask how they are doing4. Laughing and smiling when appropriate5. Using a therapeutic touch6. Preserving the patient’s dignity7. Educating the patient on the importance of self-care8. Encouraging the patient to offer alternative interventions9. Being sensitive of the spiritual and cultural beliefs of the patient.

Conclusion

Strength-based nursing plays a massive role in ensuring quality in health care. This approach helps in promoting health, achieving patient and family empowerment, and promoting collaborating partnership. In most health care facilities in Australia, this approach has been tested and found to have a significant positive impact in the healthcare setting. The collaboration of family, patient, and professionals helps in coming up with the best intervention for the patient. The patients are empowered and their patient autonomy respected. They can make their own decisions regarding the treatment they prefer hence this promotes cooperation with health care providers.

References

Berger, J. and Polivka, B., 2015. Advancing nursing research in hospitals through collaboration, empowerment, and mentoring. Journal of Nursing Administration45(12), pp.600-605.

Castro, E.M., Van Regenmortel, T., Vanhaecht, K., Sermeus, W. and Van Hecke, A., 2016. Patient empowerment, patient participation and patient-centeredness in hospital care: a concept analysis based on a literature review. Patient education and counseling99(12), pp.1923-1939.

Coyne, I., Holmström, I. and Söderbäck, M., 2018. Centeredness in Healthcare: A Concept Synthesis of Family-centered Care, Person-centered Care and Child-centered Care. Journal of pediatric nursing42, pp.45-56.

Gottlieb, L. N., & Gottlieb, B. (2017). Strengths-Based Nursing: A Process for Implementing a Philosophy Into Practice. Journal of family nursing23(3), 319-340.

Leine, M., Wahl, A.K., Borge, C.R., Hustavenes, M. and Bondevik, H., 2017. Feeling safe and motivated to achieve better health: Experiences with a partnership‐based nursing practice programme for in‐home patients with chronic obstructive pulmonary disease. Journal of clinical nursing26(17-18), pp.2755-2764.

Mbalinda, S. N., Nabirye, R. C., Ombeva, E. A., Brown, S. D., & Leffers, J. M. (2017). Nursing partnership activities, Components, and outcomes: Health Volunteers overseas in Uganda 2001–2016. Frontiers in public health5, 173.

Melnyk, B. M. (2015). Important information about clinical practice guidelines: Key tools for improving quality of care and patient outcomes. Worldviews on Evidence‐Based Nursing12(1), 1-2.

Rycroft-Malone, J., Burton, C.R., Bucknall, T., Graham, I.D., Hutchinson, A.M. and Stacey, D., 2016. Collaboration and co-production of knowledge in healthcare: opportunities and challenges. International journal of health policy and management5(4), p.221.

Schmalenberg M., Brewer, B.B., Halfer, D., Hnatiuk, C.N., MacPhee, M., Duchscher, J.B., Maguire, P., Coe, T. and Schmalenberg, C., 2005. Impact of professional nursing practices on patient/nurse outcomes: testing the essential professional nursing practices instrument. Journal of Nursing Administration47(5), pp.278-288.

Sofarelli, S. and brown, . , I., (1997). Leadership and Job Satisfaction in the Healthcare Sector: An Exploratory Study in Lebanon. International Business Research11(7), p.46.

Townsend, M. C., & Morgan, K. I. (2017). Psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis.

White, M.A. and Waters, L.E., 2015. A case study of ‘The Good School:’Examples of the use of Peterson’s strengths-based approach with students. The Journal of Positive Psychology10(1), pp.69-76.