Reflection on a clinical encounter
In the tenure of my clinical placement in a reputed healthcare organization I was working in the orthopedic and vascular ward under the supervision of a senior doctor who was a specialist in the field of orthopedic.
In the due course of my tenure I was asked to assist the senior orthopedic doctor in the case of an orthopedic trauma patient. In the very first step, I was asked to study the case of the concerned patient, wherein I learned that he suffered from a critical injury on his bones due to a car accident and his mobility has been affected (Kunstler, 2019). In this context, I think the concerned patients needs the help of a psychologist in addition to the medical treatment he was getting.
I think, my senior doctor was right, when he included the family of the patient in the treatment plan, wherein through effective communication and coordination, he was able to find out about the internal and external things that can be executed by the patient and his family members. Moreover, along with the specialist who was the senior that I was observing, a registered nurse and a psychologist was included in the multidisciplinary team, who worked together in determining the main problem of the patient and took appropriate steps to resolve the same.
Through a detailed observation of the patient and discussion with my senior doctor, I was able to determine that since the patient has lost his mobility due to severe bone injury (Kunstler, 2019), he was also getting mentally depressed, hence his family was also involved in the care plan, with the assistance of whom the improvement in the patient can be observed in a faster rate.
The main purpose of this report is to critically analyze the view-point that states the advantage of a strength-based perspective over an issue-based perspective in terms of the Australian Healthcare System.
A strength- based nursing (SBN) care is a kind of perspective, wherein eight significant beliefs helps in the actions of a nursing care staff. In this way, it serves the function of encouraging acceptance, self-effectiveness as well as optimism in the whole system. Moreover, in the course of taking care of a patient, it is the accountability of a nursing care staff to concentrate bon on the intrinsic as well as extrinsic strengths in terms of the things which the patient and his family can do effectively and also assist them in dealing with the issues being faced along with in terms of reducing their weaknesses (Gottlieb, 2013). SBM is known to be a process in which the nursing objectives are reconstructed in the context of health promotion, enabling cure as well as mitigating any issue being experienced by patient by offering them with an environment that will strengthen the potential of the concerned patient in terms of their wellbeing and elemental techniques of getting cured. Moreover, this procedure can be implemented both in the context of a primary care patient as well as critical care patients. In this way a strength-based approach makes the nursing care system effective and offers a language that will convey the role that has been played by the nursing care system in terms of enhancing the health of the concerned patient and his family (Savery, 2015) . Furthermore, it also authorizes a particular patient or even his family to achieve command in terms of their health and treatment process. In the Australian Healthcare System, family commitment perspective is embraced in the direction of a nursing care system that is oriented towards the patient. This plays a vital role in terms of improving the health condition of a patient, receiving feedbacks on the part of the work executed by the nursing care team from the family of the patient, who are not only their relatives but also are the members of a particular society. In the context of the problem-oriented nursing care perspective (Cosgrave et al., 2015), the nursing employees not just seeks to determine the issues that is being experienced by a particular patient but they also tend to relate the same to associated nursing setting that would be applicable in the concerned context.
Furthermore, in the context of a multi-disciplinary system, the chances of the success of a nursing care system is very much high. Hence, in terms of a strengths-based nursing care perspective a multi-disciplinary team can be developed that will consist of different healthcare experts from various different fields with integrative competencies, specializations as well as experiences. The key purpose behind creating such a team is to contribute the standard of care that a particular patient is receiving. Moreover, the key motive behind this strategy is to enhance the level of communication and integration among the different healthcare professionals present in the team and the concerned patients (Savery, 2015). This in turn will assist the healthcare team to determine both the internal and external activities that can be done by the patient as well as his family and also assist in terms of reducing the weaknesses of the patient in concern.
Additionally, the three important collaborators in the care team of a patient is the patient himself, the different healthcare practioners as well as the concerned healthcare organization. In this context, a patient reaps the benefit of an enhanced health consequences, reduced stay in the hospital and reduced use of ventilators as well as an enhanced level of communication with care service provider. The presence of a multidisciplinary team plays a significant role to authorize the patient and the healthcare practitioners to provide their recommendations in the care plan of a particular patient (Rashid, 2015). However, a problem-based nursing care approach in terms of the Australian Health Care system will require holistic clinical related knowledge and experiences on the part of the practioners and it will consume huge span of time.
Hence, it can be concluded strength-based nursing care approach has a number of benefits over the problem-based care approach by means of making use of a multidisciplinary system, while a problem-based care approach will require extensive knowledge on the part of every healthcare practioner in order to achieve success
Cosgrave, C., Hussain, R., & Maple, M. (2015). Factors impacting on retention amongst community mental health clinicians working in rural Australia: A literature review. Advances in Mental Health, 13(1), 58-71. Retrieved from https://www.tandfonline.com/doi/full/10.1080/18374905.2015.1023421?casa_token=_u-m3Ql5st0AAAAA%3Af9HFryYg9aGLoouFZSmq3xrx4qpu6QalBr1vrhguySaVaWJAJIIIq_4WMwFk5LTUTw-e-qfnAwK2Pw
Gottlieb, L. N 2013. Strengths-based nursing care: Health and healing for persons and family. Springer, New York. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1111/nuf.12011
Kunstler, B., Fuller, R., Pervan, S., & Merolli, M. (2019). Australian adults expect physiotherapists to provide physical activity advice: A survey. Journal of physiotherapy, 65(4), 230-236. Retrieved from https://www.sciencedirect.com/science/article/pii/S183695531930089X
Rashid, T. (2015). Positive psychotherapy: A strength-based approach. The Journal of Positive Psychology, 10(1), 25-40. Retrieved from https://www.tandfonle.com/doi/full/10.1080/17439760.2014.920411?casa_token=Yb9d59KNEWUAAAAA%3ALsQAOpeI4SjGmFR12L6ghLnIjtRv9eMuYrluGgm1VCMPSxlXKpooO5gug-r8bQe-2mAWXJuNAzFYbw
Savery, J. R. (2015). Overview of problem-based learning: Definitions and distinctions. Essential readings in problem-based learning: Exploring and extending the legacy of Howard S. Barrows, 9, 5-15. Retrieved from https://books.google.co.in/books?hl=en&lr=&id=KhF-BgAAQBAJ&oi=fnd&pg=PA5&dq=problem-+based+nursing+care+approach&ots=awqco1jtWu&sig=cthWbiT_9DsR-E2CHoWMb7sQCak&redir_esc=y#v=onepage&q&f=false
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