364JA Bachelor Of Nursing

Introduction

A novice Registered Nurse (RN) requires the concepts of belongingness, emotional intelligence, and resilience as well as effective communication in person-centered care. Emotional intelligence is the ability to deal with one’s emotions and that of the surrounding people. Its features include self-awareness, motivation, empathy and social skills. Effective communication is the excellent communication between two or more people which is characterized by a standard frame of reference and mutual congruence. Thirdly, belongingness is the human emotional need for an individual to be accepted in a particular place and is characterized by a strong sense of identity, performance, and engagement. Resilience is the ability of a person to deal with life’s setbacks. Its features include the ability to build trust through collective actions and partnerships, and holistically working across scales with a particular focus based on socio-economic systems. Resilient people know their boundaries, and they keep good company. All these concepts are very vital in person-centered care as discussed in this paper.

Discussion 

Person-Centered care is an old concept in the nursing practice field, but it has continued to very difficult to build in the healthcare. It is a requirement of all consumers to partner with the service providers in the care industry (ACSQH Annual Report 2015/2016). Person-centered care is defined as a philosophical approach to the service development as well as service delivery, and perceives service provision in a manner that holds respect, is responsive to the needs and values and preferences of the people as well as those who provide them with care.

There exist several models and theories that guide person-centered care. The reasons for the development of the methods and models is to meet the needs of specific concern surrounding as well as residential care setting and the environment of the hospital.  Valuing people ensures the support of the perception that the several theories of the PCC are all in essence and based on the same principles (Oldham 2016).

The first principle is valuing people who encompass on treating people with respect and dignity by ensuring that the nurse is aware of and is supporting the personal perspectives, beliefs, preferences, and values of the person. It focuses on working in partnerships and listening to each other to design and deliver services.

Secondly, autonomy comes out as another principle. It states that there should be the provision of choice and subsequent respect for the made choices. It balances risks, rights, and responsibilities. Optimizing a person’s control via the sharing of power and decisions making builds the principle (Oldham 2016).

Life experience is the third principle which focuses on supporting the sense of self by understanding the significance of the past of the person, their daily experience, and their future hopes.  Understanding the relationships is another principle of PCC which establishes a collaborative connection between the service user, its provider, and the careers as well as in the staffing protocols. Lastly, the environment is another principle which focuses on making sure that the person-centered care principles based on the organizational values well.  

Emotional intelligence is defined as the ability to deal with your emotions as well as the emotions of the people around you. According to Foster et al. (2017), the aspect of intelligence involves having a proper scope of the emotions together with the ability to adapt positively and productively to establish productive relationships with people and the best outcomes of practice.  Registered nurses who deploy this concept can influence the results of patient care, right security level in practice, and the nurse-patient relationship nature. They are aware of the needs of others, establish positive relationships, work towards team performance and conflict resolution, and are concerned about others.

According to Hart et al., (2014) resilience is the concept that examines the abilities as well as mechanisms which people have to overcome and recover from obstacles or challenges. In regards to the future career of a novice registered nurse, resilience is defined as the potential and confidence primary on change, use of professional knowledge, as well as creating a productive, personally meaningful and satisfying work environment (Waddell et al. 2015, p. 164). The concept builds its reflection by personal traits, attributes as well as behaviors.  Significant use of resilience in the workplace is how you dodge to unexpected change, stress, and criticisms in your practice.

Effective communication between the nurses and patients and also to the multidisciplinary team is vital for the successful experiences of the care for each patient. A novice Registered Nurse must demonstrate courtesy, sincerity, and kindness when helping their patients to achieve effective communication. Graduate nurses should also sacrifice their time for the patients and ensure confidentiality using a simple language that is easily understood by the patients and those who surround the sick person. The nurses’ experience and education determine it. Communication between the nurse and the patient begins when they first meet and proceeds until the end of the therapeutic relationship.

Belongingness is a shared experience to have a sense of belonging. Belonging refers to the acceptance as a member or part of a particular group. In your future career as a learning nurse, a sense of belonging is that feeling that you belong to the workplace and the job. The feeling is important because it helps one to see value in life and to cope with painful emotions and stress (Peter, M.Z., Peter, P.F.J. and Catapan 2015). In real life, some people create a sense of belonging by devaluing others hence this concept can be very technical to apply.

During the first working days, weeks or months as a registered nurse or as a graduate resilience must get tested. Expectations which are personal and also hopes for others exist because one gets introduced to a new role and a new clinical environment. These expectations might concern the holistic provision of patient-centered care. The organizational expectations of the health center might differ from yours hence resilience must apply.  According to Philips et al. (2015) is of great significance that new graduate nurses get rigorous orientation in the workplace, new graduates should get assigned to patients who fit their experience as well as seeking feedback which is constructive and respectful form their seniors. Resilience exists to help them recognize and cope with challenges a nurse practice. Without resilience, novice registered nurses could find it hard to adapt to work standards.

Emotional intelligence can help organizations to deliver better services based on person-centered care and to achieve superior outcomes (Carragher and Gormley 2017). Health service providers should use nurse leaders and front liners to rigorously train new graduates t to develop a person-centered care mindset. Emotional intelligence has been subjected to criticism in that it is not a measure of real intelligence. 

Effective communication is very vital for a learning nurse.  According to Hafskjold et al., (2015), person-centered care relies on effective communication. Very few studies exist to support this, but graduate nurses lack experiences in the person-centered care. Person-Centered Care needs effective communication for success. Nurses should also sacrifice their time for the patients and ensure confidentiality using a simple language that is easily understood by the patients and those who surround the sick person to enable the success of the strategy. The nurses’ experience and education determine it. Without effective communication, nurses cannot perform their role well. It’s not at all times that the novice nurses adhere to excellent communication. Sometimes they fail due to conversing inappropriately with the patients.  Communication between the nurse and the patient begins when they first meet and proceeds until the end of the therapeutic relationship.  In the first days of the work, the graduate nurse finds it challenging to establish a therapeutic relationship with patients due to lack of practical communication skills. The Nursing and Midwifery Board in Australia requires that nurses must go through informal training and do a reflection of their experiences to perfect the future abilities of their career. It is indicated in the reflective and analytical care domain (Nursing and Midwifery Council 2017). It relates to the strength of the EN to make reflections on evidence-based practice. It gets done while ensuring essential knowledge and currency as well as skills to care for the personal, psychological, and physical needs for themselves and others (Nagle et al., 2015). New graduate nurses should use emotional intelligence to foster person-centered care by leaning the emotions of the patient and also controlling their feelings towards the sick person and those who surround them. They are aware of the needs of others, establish positive relationships, work towards team performance and conflict resolution, and are concerned about others.

In Australia, the person-centered care gets supported by the Australian Charter of Healthcare rights the Australian safety and quality framework for healthcare as well as the quality health service standards and other reports, policies and private sector advancement.

The sense of belonging is vital in health issues. Based on Maslow’s hierarchy theory of basic needs in 1956, this concept relates to recent studies on its importance in mental health. The feeling that one belongs to a particular group is identified as a primary concept specifically for health professionals. Barut et al. (2016), in a qualitative study that used a semi-structured interview aimed at exploring the meaning of belongingness and hope, found that the concept of belongingness was vital.

Conclusion

In conclusion, the concepts of emotional intelligence, belonging, effective communication, as well as resilience, are very vital to new graduates when getting their first experiences in the workplace. It is because; they provide the new graduates with physical, mental and technical abilities to cope up with change, challenges and to work according to the organizational values. In the development of the person-centered care in many organizations, graduate nurses use those concepts to establish a good relationship with patients.  Future studies should be done to build enough literature on the integration of these concepts with their application by learning and graduate nurses as far as the field of person-centered care is concerned.

References

Barut, J.K., Dietrich, M.S., Zanoni, P.A. and Ridner, S.H., 2016. The sense of belonging and hope in the lives of persons with schizophrenia. Archives of psychiatric nursing, 30(2), pp.178-184.

Carragher, J. and Gormley, K., 2017. Leadership and emotional intelligence in nursing and midwifery education and practice: a discussion paper. Journal of advanced nursing, 73(1), pp.85-96.

Foster, K., Fethney, J., McKenzie, H., Fisher, M., Harkness, E. and Kozlowski, D., 2017. Emotional intelligence increases over time: A longitudinal study of Australian pre-registration nursing students. Nurse education today, 55, pp.65-70.

Hafskjold, L., Sundler, A.J., Holmström, I.K., Sundling, V., van Dulmen, S. and Eide, H., 2015. A cross-sectional study on person-centered communication in the care of older people: the COMHOME study protocol. BMJ open, 5(4), p.e007864.

Hart, P.L., Brannan, J.D. and De Chesnay, M., 2014. Resilience in nurses: an integrative review. Journal of nursing management, 22(6), pp.720-734.

Nagle, C., Heartfield, M., McDonald, S., Morrow, J., Kruger, G., Bryce, J., Birks, M., Cramer, R., Stelfox, S. and Hartney, N., 2017. A necessary practice parameter: Nursing and Midwifery Board of Australia Midwife standards for practice. Women and Birth, 30, pp.10-11.

Nursing and Midwifery Council (Great Britain), 2017. Nursing and Midwifery Council Annual Report and Accounts 2016-2017 and Strategic Plan 2017-2018. Dandy Booksellers Limited.

Oldham, J., 2016. Person-centered care. Future Hospital Journal, 3(2), pp.85-86.

Peter, M.Z., Peter, P.F.J. and Catapan, A.H., 2015. Belonging: Concept, Meaning, and Commitment. US-China Education Review, 5(2), pp.95-101.

Waddell, J., Spalding, K., Canizares, G., Navarro, J., Connell, M., Jancar, S., Stinson, J. and Victor, C., 2015. Integrating a career planning and development program into the baccalaureate nursing curriculum: Part I. Impact on students’ career resilience. International journal of nursing education scholarship, 12(1), pp.163-173.