NRS385: Assessment 2 Nursing Culture – Assessment Answer

Introduction

Healthcare is a dynamic and complex setting that offers challenges at various time frames. It displays the need for transformation in the nursing profession. Nursing is a profession that is founded on the traditional value of caring. It is facing rapid and tumultuous changes in the healthcare system that is making the nurses find the environment more stressful and less supportive (Anderson et al., 2018). Therefore, it is crucial to make changes in the organisational culture that is allowing the nurses to be responsive to the changing needs of the healthcare settings. To tackle the challenges, it is important to create a positive and supportive environment that makes the employees feel they have the resources and assistance to accomplish their tasks. The assessment will discuss the nursing culture that may impact nursing care. It includes the components that are essential for nursing culture (Sharifi et al., 2019). Followed by nursing culture and its impact on caring principles in nursing practices that are done with the support of literature. Discussion about how nursing culture might impact the professional practices of registered nurses is taken into consideration and at last life long learning. Reflecting on the above points will allow a comprehensive understanding of nursing culture and its impact on the nursing profession.

Nursing Culture may Impact upon Nursing Care

Nursing culture may impact nursing care. There are variable factors that require the understanding of communication, developing the relationship with the patients and other nurses and providing cultural practices. All these factors will be influencing nursing care which shows that it is important to take cultural views and practices (Oikarainen et al., 2019). Cultural competency implementation is the way that makes nurses can improve the nursing culture and will lead to the quality of nursing care. It makes the nurses empathise, relates with the patients and attend to their needs deeply. It creates the nurses to come out from the background and provides services in the best interest of patients. Following is the significance that is seen with the adoption of culture competency understanding of the relationship between the nurse and patients. It allows the implementation of the nursing care plan and improves the condition of patients. Secondly, it allows nurses to acquire knowledge of various cultures and viewpoints of the world (Drevdahl, 2018). Furthermore, it improves the communication skills that are promoting and achieving interaction among cultures. The positive influence of the adoption of the following practices will help in improving the nursing culture. Taking the inference from the given case study, nursing culture is having a different meaning for the placed nurses. Like Taylor states that " You don't want to ask questions because you don't want to get in people's but you need to. Jess states that sometimes there is a conflict between what we have learned to do and what is expected. Jess further adds that it is more about the consumer base ideology rather than care-based services (Chisholm et al., 2018). In addition, frustration comes when someone does not understand things. Taylor " it is hard to talk to somebody else who doesn't understand and has a little rant to. All these factors are depicting the nursing culture of the case study. The factors that impact nursing care will involve gaps in learning nurses do not have an idea of what is expected and what is learnt (Choi & Kim, 2018). Communication gaps create a challenge in terms of understanding what a patient is saying and what we are comprehending. All these circumstances will lead to frustration that makes the nurses unable to focus on the care. Therefore, the best practice is to improve the nursing culture that is possible with the cultural competency by which nurses can understand, communicate and interact with people effectively.

Nursing Culture may Impact Implementation of the Caring Science Principles in Nursing Practice

Caring science principles implementation in nursing practices. Caring science principles hold the aim of the interconnectedness of the universe. It teaches nurses how to behave in harmony not only with the patients but also with their surroundings. One of the suitable concepts of caring science is Jean Watson's theory of human caring and caring sciences (Turkel et al., 2018). The core of the theory is a relational caring for self and others that is centred on moral, ethical and philosophical foundations of love and values. Encourages the transpersonal caring relationship that is allowing the nurses to show the moral commitment to protect and enhance human dignity. It makes nurses able to maintain harmony between what skills are needed and how one can do it. Promotes caring moments and caring occasions that is making the human-to-human interaction by which the nurses can discover their new selves and other new life possibilities (Sitzman & Muller, 2018). Furthermore, it makes the reflective and meditative approach that is allowing the understanding of self and expressing caring to the patient, clients, institution and larger world. Help the nurses to grasp the fact that caring is inclusive, circular and expansive that is addressing the multiple factors of care in the practice. In conclusion, the prime aim of caring science is to promote kindness, caring consciousness, caring healing practices and teaching a learning experience that is attending to the whole meaning. But factors like nursing culture make the caring principles positive and negative. Positively, it is seen in the context of learning that helps the nurses to continue with the learning. For example, Taylor states that while you do not wait to learn, you are still going to continue the learning process (Bagnall et al., 2018). It reflects that nursing culture will make the nurses learn various ways that are helping in improving the culture. The negative influence of the nursing culture will be seen in terms of getting involved in politics, a discussion that is a frustrating factor. Jess stated that " Politics bothers me; poor patient outcomes because of avoidable actions and instances bothers me". It is indicating that nurses sometimes get involved in unnecessary factors that are a bit critical and become the reason for poor performance. Henceforth, to deal with and address the following circumstances of the nursing culture, the implementation of caring principle science is recommended. It consists of the formation of a humanistic-altruistic system of values that makes the nurses practise the love-kindness that solves the challenges like vulnerability of the groups and pays attention to others (Thorp & Bassendowski, 2018). Second, is making installation of faith and hope that enables the belief system of care for self and one's other. Third is the cultivation of sensitivity to oneself and others which is nurturing the individual's beliefs, personal growth and practices. Lastly, developing helping-trusting authentic caring relationships (Sterchi et al., 2019). Altogether, the caring principles adoption in nursing settings will acknowledge the need for the transformation of traditional practices and provide a reliable way. It enhances the positive influence in the nursing culture and overcomes the negative outcomes.

Nursing Culture may Impact on ongoing Professional Practice of Registered Nurses

Impact of nursing culture on ongoing professional practices of registered nurses. Nursing culture makes nurses experience valuable learning in the workplace. For example, communication in universities and other practices where nurses get involved in informal communication while working in the hospitals makes the nurses learn the professional way of communication. A supportive nursing culture will help the nurses to be adoptive for communication in a team and allows knowledge about active listening and documentation (Philip et al., 2019). For example, Jess seems to be engaged in the activity of arranging the beds on a busy day. It requires communication within the team that is making nurses work effectively. Evidence-based practice is a process used for review, analysis and translation of the latest scientific evidence. The goal of evidence-based practices is to implement the resolution with the best clinical experience and preferences of patients (Ross et al., 2019). Nursing culture will act as a factor that keeps on supporting the nurses to work with the consumer-based ideology rather than care-based services. It is a holistic approach present that is making the nurses responsible for their practices. For instance: Jess stated that " I think I am moving toward a consumer-based ideology instead of a care-based service". It is enough to understand how nurses make themselves able to adopt to the transition in nursing practice (Brunton & Cook, 2018). Conflict resolution and management of tasks can be done with the understanding and being part of the nursing setting. In the regional hospital, the nurse is working within a multidisciplinary team that requires engagement, harmony and mutual understanding for a positive change. It makes the nurses get the outcomes that are expected and resolve any kind of conflict that is there. For instance: Jess is assigned to the patient and has to make a bed which is a little bit stressful (O'Hara et al., 2019). Jess stated that it was frustrating as getting involved in such politics is a bothering element. So, Jess decided to smile and then move on. That makes frustration to be overcome which allows working according to the nursing standard. Therefore, nursing culture will bring a positive impact that is seen in the context of adopting communication and active listening skills, stress management and conflict resolution. It makes the nurses work with the patient and other nurses to deliver the quality of care. Nursing culture opens up the door of learning that is helping nurses to be culturally competent. In the case study, it is seen that Taylor and Jess are facing difficulties in communication due to cultural barriers (Chun et al., 2018). Barriers to culture can be better addressed by learning cultural competency.

Nursing Culture may Impact on Lifelong Learning

Impact of nursing culture in lifelong learning; taking the case study of sturt regional health service base hospital. Taylor and Jess reflected on their nursing culture that made the lifelong learning contribution. Taylor explained that you don't want to ask questions but you do. Jess states that they are kind toward me as a grad. They further explained that yes, conflict arises that is due to what we have learned and what is expected to learn. Jess further stated that healthcare settings are about the consumer base ideology that pushes more toward care. Jess explained that we have to deal with the frustration by which the patient outcomes are improved. With the case study, lifelong learning is attained in terms of providing a kind and supportive environment that will help the new nurses to get settled down in the new healthcare settings (Newton et al., 2018). It is found to be a positive aspect by which the nurses learn new things. Second is conflict resolution that is allowing the nurses to focus more on the care rather than involving in unnecessary arguments. Stress management can be promoted by having a conversation and understanding the need of the situation. Application of evidence-based practices is a way by which the hit and trial-based practices are eliminated and research-based practices are provided (Murray et al., 2019). It will save the cost, effort and error in the setting and help in elevating the level of patient care. Lastly, caring science principles by which empathy, compassion and understanding can be provided in healthcare settings. All these practices will make the best course of action that resolve the issue and make nursing standards to be applied.

Conclusion

The case study is about the locals caring for locals where the experience of new graduate nurses has been reported. Taylor and Jess, two nurses, are interviewed about their experiences in the nursing culture and the challenges they have been facing in healthcare. The primary aspect that is taken into consideration is the nursing culture that is impacting nursing care. Nursing culture is the term that is used to describe the healthcare environment and circumstances. Nursing culture is dependent on variable factors such as what is the support of the staff, what are the actions taken by other nurses and resources. Altogether, the factors will have an impact on nursing care. Therefore, it is important to maintain a positive and supportive environment that moulds the new graduate nurses in healthcare. To control the dynamics of healthcare settings, applying caring science principles is a way. Jean Watson's theory is a core that is covering the aspects of nursing. It will make application of relational caring for self and others, transpersonal caring relationship and promotes caring moments and caring occasions. The positive influence will be seen in the improvement of practices by nurses and give them lifelong learning.

References

Anderson, V. L., Johnston, A. N., Massey, D., & Bamford-Wade, A. (2018). Impact of MAGNET hospital designation on nursing culture: An integrative review. Contemporary nurse, 54(4-5), 483-510.https://doi.org/10.1080/10376178.2018.1507677

Bagnall, L. A., Taliaferro, D., & Underdahl, L. (2018). Nursing students, caring attributes, and opportunities for educators. International Journal for Human Caring, 22(3), 126-135.https://doi.org/10.20467/1091-5710.22.3.126

Brunton, M., & Cook, C. (2018). Dis/Integrating cultural difference in practice and communication: A qualitative study of host and migrant Registered Nurse perspectives from New Zealand. International journal of nursing studies, 83, 18-24.https://doi.org/10.1016/j.ijnurstu.2018.04.005

Chisholm, L., Zhang, N. J., Hyer, K., Pradhan, R., Unruh, L., & Lin, F. C. (2018). Culture change in nursing homes: What is the role of nursing home resources?. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 0046958018787043.https://us.sagepub.com/en-us/journals-permissions

Choi, J. S., & Kim, J. S. (2018). Effects of cultural education and cultural experiences on the cultural competence among undergraduate nursing students. Nurse education in practice, 29, 159-162.https://doi.org/10.1016/j.nepr.2018.01.007

Chun Tie, Y., Birks, M., & Mills, J. (2018). The experiences of internationally qualified registered nurses working in the Australian healthcare system: An integrative literature review. Journal of Transcultural Nursing, 29(3), 274-284.https://doi.org/10.1177/1043659617723075

Drevdahl, D. J. (2018). Culture shifts: From cultural to structural theorizing in nursing. Nursing research, 67(2), 146-160.https://doi.org/10.1097/NNR.0000000000000262

Murray, M., Sundin, D., & Cope, V. (2019). New graduate nurses' clinical safety knowledge by the numbers. Journal of Nursing Management, 27(7), 1384-1390.https://doi.org/10.1111/jonm.12819

Newton, L., Pront, L. M., & Giles, T. M. (2018). Registered nurses’ experiences supervising international nursing students in the clinical setting. Collegian, 25(5), 533-540.https://doi.org/10.1016/j.colegn.2018.01.005

O'Hara, M. A., Burke, D., Ditomassi, M., & Lopez, R. P. (2019). Assessment of millennial nurses' job satisfaction and professional practice environment. JONA: The Journal of Nursing Administration, 49(9), 411-417.https://doi.org/10.1097/NNA.0000000000000777

Oikarainen, A., Mikkonen, K., Kenny, A., Tomietto, M., Tuomikoski, A. M., Meriläinen, M., ... & Kääriäinen, M. (2019). Educational interventions designed to develop nurses’ cultural competence: A systematic review. International journal of nursing studies, 98, 75-86.https://doi.org/10.1016/j.ijnurstu.2019.06.005

Philip, S., Woodward‐Kron, R., & Manias, E. (2019). Overseas qualified nurses’ communication with other nurses and health professionals: An observational study. Journal of Clinical Nursing, 28(19-20), 3505-3521.https://doi.org/10.1016/j.colegn.2018.02.002

Ross, C., Rogers, C., & King, C. (2019). Safety culture and an invisible nursing workload. Collegian, 26(1), 1-7.https://doi.org/10.1111/jocn.14942

Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International journal of nursing studies, 99, 103386.https://doi.org/10.1016/j.ijnurstu.2019.103386

Sitzman, K., & Muller, D. H. (2018). Usefulness of Watson's Caring Science for online educational practices in disciplines outside of nursing. Advances in Nursing Science, 41(4), E53-E63.https://doi.org/10.1097/ANS.0000000000000223

Sterchi, S., Brooks, S., Shilkaitis, M., & Ris, L. (2019). Reconnecting Nurses to Their Passion and Enhancing the Patient and Family Experience. JONA: The Journal of Nursing Administration, 49(9), 423-429..https://doi.org/10.1097/NNA.0000000000000779

Thorp, L., & Bassendowski, S. (2018). Caring values and the simulation environment: an interpretive description study examining select baccalaureate nursing students’ experiences. International Journal for Human Caring, 22(3), 68-81.https://doi.org/10.20467/1091-5710.22.3.68

Turkel, M. C., Watson, J., & Giovannoni, J. (2018). Caring science or science of caring. Nursing Science Quarterly, 31(1), 66-71.https://doi.org/10.1177/0894318417741116

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