Nursing Therapy As an Unique Intervention of a Professional Nurse
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1 Nursing Therapy As an Unique Intervention of a Professional Nurse By Prof. Dr. Ratna Sitorus, S.Kp., M. App.Sc Senior Lecturer Faculty of Nursing, Universitas Indonesia Presented at The 5 th International Nursing Conference, Faculty of Nursing, Universitas Indonesia, Jakarta, September 18 th, 2015
2 Outlines Background What is nursing therapy? What are the problems? How to facilitate?
3 Background Nursing has been accepted as a Profession in Indonesia (1983) Nursing Higher Education Bachelor Nursing Master of Nursing Nursing Specialty (Post Master of Nursing) Doctor in Nursing 1962 Nursing Diploma
4 The goal of the nursing development as a profession The provision of professional nursing care for the society - At the hospital - Out of the hospital
5 A Profession has an unique intervention (Luckman & Sorensen, 2004) Nursing Therapy Discussion/ sharing in ASEAN countries
6 Terms in literature Therapeutic Nursing Therapeutic Nursing Intervention Therapeutic Instruments Therapeutic Activities Nursing Treatment Nursing Therapy Nursing as Therapy
7 Nursing Therapy (Mellow, 1968) A Nurse as an agent therapy for psychiatric clients Caring is the heart and soul of therapeutic relationship
8 Nursing Therapy is based on Nursing Theory Florence Nightingle (1859) What nursing has to do is to put the patient in the best condition for nature to act upon him Manipulating the environment
9 Henderson (1955) The unique function of the nurse is to assist the individual sick or well, in the performance of those activities contributing to health or its recovery (or peaceful death) that he would perform unaided if he had the necessary strength, will, or knowledge Watson (1979) It is the client who knows what hurts and the facilitator should allow the direction of the therapeutic process to come from the client Ten Carative Factors
10 King (1982) To help individuals maintain their health Through interpersonal process of action, interaction and transaction. Roy (1984) Nursing aims to increase person s adaptive response and to decrease ineffective response
11 Therapeutic Intervention (Mcmahon & Pearson, 1998) Development of partnership, Intimacy and reciprocity in nurse-client relationship Caring and Comforting Physical interventions Teaching Manipulate the environment Alternative health practices
12 Nursing therapy is the composite of several nursing interventions Development of partnership, Intimacy and reciprocity in nurse-client relationship Caring and comforting Physical interventions Teaching Manipulate the environment Alternative health practices Psychosocio-spiritual interventions To improve the adaptation response
13 Nursing therapy is the composite of several interventions Is needed a professional nurse as a manager/leader of nursing care (Marquis & Houston, 2006)
14 Problems Do nurses already provide the clients in the hospital with nursing therapy? Most of the time nurses provide medical interventions There is no manager/leader of nursing care but nurses only focus on task in every shift
15 The Study: Analysing nursing professionalism based on nursing interventions provided Average contact with clients (29,87%) Collaboration intervention (51,8%) Nursing procedures (48,2%) No nursing therapy (Sitorus et al., 2009)
16 Why nursing Therapy is not obvious in nursing care? Education - Lack of preparation to perform nursing therapy - Lack of preparation as a manager/leader of nursing care Service - Shortage of nurses - Lack of knowledge about nursing therapy - Utilization of BSc, Nursing Specialist is not optimal - Nursing care delivery system used
17 Solutions Education - Evaluate the curriculum - Evaluate the process of clinical experience, do the students facilitate to implement nursing therapy?
18 Services As a nursing therapy is a composite of several nursing intervention The nursing care delivery system used is the breadth of primary nursing
19 Primary Nursing (Marie Manthey, 1969) A system of nursing care delivery which emphasizes continuity of care and responsibility acceptance by having one registered nurse to provide complete care for a group of clients throughout their stay in hospital unit
20 Problems with Original Primary Nursing Primary nurses have to do very simple tasks Cost effectiveness, more primary nurses needed Modified primary nursing (1980) (Combination between team method and primary nursing)
21 Head Nurse Clinical Care Manager PP1 PP2 PP3 PP4 PA PA PA PA PA PA PA PA PA PA PA PA PA PA PA PA PA PA PA PA 8-10 Clients 8-10 Clients 8-10 Clients 8-10 Clients
22 Conclusions The development of nursing as a profession must has an impact on the service provided as a moral obligation The provision of nursing therapy for the society /client is the must as an unique intervention of professional nurse To facilitate the implementation of nursing therapy it is needed to re-structure, re-engineering, and redesigning nursing care delivery system through the use of the breadth of primary nursing
23 THANK YOU
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