Professional Commitment in Developing Patient Education Essay

Professional Commitment in Developing Patient Education Essay

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

Define patient compliance and explain its importance in your field.
Identify the health care professionals’ role in compliance and give examples of ways in which the health care professional may actually contribute to noncompliance.
Compare compliance and collaboration.
Compare and contrast patient education in the past with that practiced today.
Explain the importance of professional commitment in developing patient education as a clinical skill. Professional Commitment in Developing Patient Education Essay
Explain the three categories of learning and how they can be used in patient education.
List three problems that may arise in patient education and how they would be solved?
List some methods of documentation of patient education.


Nursing Commitment – Marika Chunyk
I remain in nursing because I believe I make a difference. I currently work in the
cardiovascular intensive care unit (CVICU), and as a nurse I recover patients after open heart
surgery, or valve replacements. These patients get a new lease on life, and are able to change
their lifestyles, and enjoy many more years. We get cards, flowers, candy, and visits from
previous patients and their families thanking us for our care that we provided to them; however
the progress and smiles of the previous patients is the best gift any nurse can ask for.
Cardiovascular patients are hard to take care of, and decisions need to be made promptly to
save their life, and manage their care. As a cardiovascular nurse I trained hard, work hard, and
collaborate with a great team in CVICU. Some patients do not recover after surgery, or have
complications and that can be hard to deal with. I feel like the majority of the cardiovascular
patients are grateful that surgery was available for them, and they work hard to recover. These
patients now have more time for their families, activities, and often a new outlook on life. I am
able to teach patients about how to live a healthy lifestyle, manage their health problems, and to
evaluate their progress. I remain in nursing because these patients need us to not only lead by
example, but teach them, advocate for them, and encourage them to live as healthy as possible.
Cardiac issues are frightening to most people. As a cardiac nurse I am able to provide
emotional support to patients and families faced with life threatening conditions. Nurses are
responsible for patient education, and for making sure the patient understands what the doctor
tells them. We have meaningful interactions with our patients, and we often become attached to
the patients and their families. I always have tried to treat every patient as if they were my own
family member. We work as a team in CVICU, and we work hard to encourage our patients in
order for them to have the best outcome possible. A team approach is good because we all
have the same goals and the patient’s best interest at heart.
A caring and compassionate nurse is considered as a guardian angel by patients. I do
not believe that nurses are always angels; however, we strive to provide the best care we can
for each patient. Nursing can be a very satisfying, and gratifying career for the compassionate.
As a nurse I have learned that it takes compassion and patience because patients and families
are in their worst state. It is up to us as nurses to help our patient become their best. I am
continuing my education as family nurse practitioner and I plan to work with the underserved
population in Nevada. I remain in nursing to help those in need, and those that do not have
access to medical care. I believe it is important to help our community, and to strive to be the
best in all that we do. I remain in nursing because there is no other career that is as rewarding
and fulfilling as nursing. I am able to go home after work, knowing that what I did all day truly
mattered. Nursing allows me to gain new perspectives, and by making changes in our
community, we can start to make changes in the world.
Passion for the Profession – Lori Winchell, DrPH, APRN-BC
Change provides the opportunity to reflect and grow. Such was the case when I was
packing the last few boxes for my parents move to a Las Vegas retirement community. Moving
boxes filled with childhood memories surrounded me. Memories such as sitting next to my dad
in a surgery suite and pumping the black bag filled with ether to anesthetize a patient having an
appendectomy—I was seven years old and this was before HIPPA and OSHA. I grew up in
surgery locker rooms listening to medical cases, going on house calls, and making hospital
rounds with my dad. I even earned my first paycheck working as a medical assistant at the age
of thirteen. My father retired only, to continue as a volunteer training nurse anesthetists, medical
students and residents worldwide in places such as the Philippines, China, and South America.
He turned in his medical license at the age of 82. Professional Commitment in Developing Patient Education Essay
Surrounded by bubble wrap, tape and boxes, the difference between the art of medicine
and the business of medicine became clear. My father, a World War 2 Veteran in the 82nd
airborne took the witnessed loss of life and used his GI bill to learn how to heal, became a
physician. My dad did not teach about increasing patient numbers or patient financial
transactions. He taught me the art of medicine as a combination of knowledge, skills, and
creativity, intertwined to affect a patient’s wellbeing and promote healing.
Healing and wellbeing is multilevel. It is an intuitive sense of what the patient needs
beyond the immediate medical problem. It is the potential act of healing the whole person. Each
time I enter an exam room I try to listen with intuition and develop a sense of what the needs of
the patient may be. Intuition is not a spiritual product rather it is the act of empowerment. In the
physical sense a patient may need a medication or procedure. However, intuitive healing
encompasses the whole person and not just the immediate and may be as simple acceptance
without judging, respect, or providing self-esteem by giving a patient the right to choose his or
her care, or perhaps allowing the patient to reach into their faith through their prayer. The art of
medicine is to provide the opportunity to each patient to maximize their healing process and to
work toward the goal of wellbeing. Recognizing that healing and wellbeing is multilevel and
encompasses the whole person. I have found that the practice of intuitive healing contributes to
positive patient outcomes and increases patient satisfaction as reflected in feedback by
improved patient outcomes, patient satisfaction surveys.
The most empowering experiences I have had, is to work with patients diagnosed with
long term chronic conditions such as diabetes, obesity, heart disease, TBI, addictions
intertwined mental health concerns and compounded by their economic and social struggles.
Each patient contact offers the opportunity to share skills and support, so the patient can initiate
their unique process of multilevel healing and wellbeing. I feel fortunate that my employers have
placed me in a position to assist patients through the process of a complex medical system to
obtain the care needed.
The opportunity to assist patients may be through provision of direct patient as a Nurse
Practitioner, as a co-facilitator for a Healthy Living class to Veterans, a TEACH class for Health
Care providers, or participating in change process such a policy change, or developing
community partnerships for improved patient outcomes. I have practiced as an RN/APRN since
1974 and have never once considered a different profession. The challenges motivated
continued professional growth that resulted in obtained my Doctorate in Public Health at the age
of 59. The profession of Nursing offers the opportunity to design your own practice. I have
worked in a variety of healthcare settings: College Health; rural health; a county jail, county
outpatient clinic, with Veterans, and as an educator in a University setting. All of these
experiences have enriched my personal life, helped me grow into better person, and have given
value to the importance of being part of a larger community.
Why I Remain in Nursing – Evangeline S. Vida
Some days, nursing can be a thankless profession. Nurses work long hours, doing more
with less, and often missing out on regular breaks. Nurses are self-less, often putting the needs
of others before their own. Most nurses do not go into nursing because of the pay but because
of their desire to care for others. I have been a nurse for 25 years and throughout those years, I
have accumulated a melting pot of experiences. I remain in nursing not only because I am
passionate about helping people but also because nursing is a career that allows me to cultivate
myself into the kind of nurse I want to be. Nursing allows me to explore a variety of areas where
I can grow as a person and as a nurse. I remain in nursing because it is never “boring” – you
can branch out into a variety of areas in the nursing field, thus transforming yourself with each
new experience. Professional Commitment in Developing Patient Education Essay
When I graduated from nursing school, I was excited and scared to start my nursing
career. I knew that I did not acquire everything I needed to learn to help prepare me for the “real
world.” My focus as a new nurse was to learn all the skills required of me so I could provide the
best care for my patients. I worked on a medical-surgical ward for a Veterans Administration
Medical Center in Tacoma, Washington. It was a challenging and rewarding job as I cared for
our nation’s veterans. I had a great preceptor who took me under her wings and nurtured me
until I could “fly” on my own. I was lucky to have had a preceptor who was dedicated and
passionate about nursing. Looking back, I feel my first preceptor out of nursing school instilled in
me the kind of nurse I wanted to be – compassionate, dedicated, great work ethics, and a
wonderful patient advocate.
After I left the Veterans Administration, I returned home to Guam, where I worked initially
as a nurse on a Medical-Telemetry ward at the only local hospital on the island. I learned a lot
while working on that ward, especially about cardiac diagnoses and drugs! What I love about
nursing and why I choose to stay in nursing is that I am ALWAYS learning something new.
Nursing is a profession that requires constant learning – you cannot allow yourself to become
“stagnant”, because healthcare is constantly in a state of flux.
Eventually I left the hospital and worked as a family practice clinic nurse – again, this
was a new environment for me, so it was another opportunity for me to learn and grow from the
experience. While working in the clinic, I worked two other part-time jobs – one was as a
certified nursing assistant instructor for a community college and the other was as a diabetic
health educator. I later transitioned from the family practice clinic to the ambulatory surgery
clinic where I worked as the surgical coordinator and later became the recovery room nurse. I
enjoyed my time in the surgery clinic because I was able to go into the operating room when
needed to assist with intravenous sedation or positioning patients on the table. Ultimately, I felt
like I learned all I could from the surgery clinic and I was “itching” for something more. I was not
feeling challenged any longer so I surprised myself – I joined the Air Force (AF).
Joining the AF was the best thing I could do for my nursing career. The AF exposed me
to nursing in the military. As an AF nurse, I worked in family practice, the emergency room, the
trauma room while deployed, and the flight medicine clinic. Working in the ER/trauma room
while deployed to Afghanistan was the BEST nursing experience I have ever had! It was scary,
but looking back, it was all worth it. I was also given the opportunity during another deployment,
to work with a company to develop an online electronic version of a deployment waiver
application. As the nurse on the “team”, I provided valuable input that allowed the IT Company
to create an electronic form that provided the information required to process waiver
What other careers can you think of that will allow you to dabble in so many different
areas? Each new area I work in ignites a new passion for my profession because I am
constantly learning something new. Whether I am taking care of patients in a clinic, an ER, a
trauma room, or working in an office as a case manager, I know that I am making a difference in
the lives of my patients while growing as a person and as a nurse – and THAT, is why I remain
in nursing.

Nurses as educators within health systems
Lori C. Marshall, Immacolata Dall’Oglio, David Davis, Gloria Verret, Tere Jones | 01 October 2015

This chapter from Mastering Patient & Family Education: A Healthcare Handbook for Success focuses on the nurse’s primary role in planning and coordinating patient and family education.


“Improving world health through knowledge.”
–Sigma Theta Tau International

Explain the nurse’s role in leading patient and family education.
Discuss the core components of the Marshall Personalized Patient-Family Education Model-Health System Approach (PPFEM-HSA) and highlight the specific actions that nurses need to take to achieve the learning goals.
Recognize the different self-regulated learning strategies used by patients and caregivers.
Mastering Patient & Family Education bookThis chapter focuses on the nurse’s unique and important role as a leader in patient and family education. It emphasizes a paradigm shift toward forward thinking and includes systems thinking when it comes to planning and coordinating patient and family education. Age/developmentally appropriate population-health management and self-care management strategies are presented here, with a focus on patients from vulnerable populations, including pediatrics, patients with cognitive processing issues including traumatic brain injury, and gerontology. Professional Commitment in Developing Patient Education Essay

Toward a New, Not-So-New, Paradigm
Why is it important for nurses to embrace a new paradigm in which they view patient and family education as a primary role function? Nurses have the power to shape their care environment (Ponte et al., 2007). In particular, bedside nurses are with the patient more than any other discipline, and out of all the healthcare providers, play the most critical role to observe, detect, advocate, and “ensure patients receive high-quality care” (Agency for Healthcare Research and Quality [AHRQ], 2015, para. 1).
“Nurses, in concert with other health professionals, need to adopt roles as care coordinators, health coaches and system innovators.” (The Institute of Medicine, 2011, p. 66)

Lori C. Marshall, Immacolata Dall’Oglio, David Davis, Gloria Verret, Tere Jones
One of the nurse’s core roles is coordination of care, with patient and family education being one of the most important elements, to ensure there is continuity of care across the continuum for all care settings (American Nurses Association [ANA], 2015). It’s fundamental for the nurse to know the difference among self-care, complex care, and population health management for patients. Understanding the principles and tools you might use as a coordinator of care for each of these, as well as how they might be applied in different settings across the continuum, is also key. Each of these is fundamentally different within the care-coordinator role. Professional Commitment in Developing Patient Education Essay

One of the focuses of self-care is to ensure competency of the patient and/or family to carry out aspects of basic care of themselves, developing their knowledge of care tasks such as activities of daily living (ADLs), medication administration, and care of supplies or equipment necessary to meet their health needs. Engaging the patient is essential for the patient to demonstrate competency. How do you achieve this? The nurse must listen to the patient’s point of view, explore how the patient feels, and determine how confident the patient is to care for the problem.

The nurse must assess these issues about the patient and caregivers:

What is their knowledge about the problem? (What do they know?)
What are they already doing to address the issue/problem? What have they tried? (What do they know to do?)
What is their feeling about the problem? (What do they feel?)
What do they think could be done differently? (What do they think to change?)
What matters to them?
You must ask these questions from both a short-term and long-term perspective, because the answers may be different.

Coordinating complex care involves being a health coach and helping patients navigate within and across the systems they must directly interact with to meet their health needs. Population health management is a higher level of aggregate coordination, and it involves assessing the needs of a specific patient population, analyzing population outcomes, and making adjustments in care. These changes will ultimately affect the population as a whole, but also the individual patient within the population. Professional Commitment in Developing Patient Education Essay

In today’s dynamic healthcare environment, with its constant changes and new initiatives, healthcare team members, and specifically nurses, can often get lost in the shuffle of competing elements. Among all their other duties, nurses must remember their primary role as an educator. Common barriers that keep nurses from adopting this paradigm include the perception of lack of time, knowledge of how to teach, and a commitment and investing effort into patient education (Boswell, Pichert, Lorenz, & Schlundt, 1990; Carpenter & Bell, 2002).

Adopting a new paradigm involves thinking differently, as well as adopting and integrating behaviors for leading patient and family education within health systems into your practice as a nurse.

Self-Reflecting on and Assessing Your Competencies
How ready are you for change? The nurse’s role is a facilitator and clinical leader for patient and family education. According to the ANA Scope and Standards of Nursing Practice, Standard 5B, Health Teaching and Health Promotion, states, in part, “that the registered nurse employs strategies to promote health and a safe environment” (ANA, 2010, p. 10). The registered nurse:
“Provides health teaching that addresses such topics as healthy lifestyles, risk-reducing behaviors, developmental needs, activities of daily living, and preventive self-care” (ANA, 2010, p. 41). Professional Commitment in Developing Patient Education Essay
“Uses health promotion and health teaching methods appropriate to the situation and the healthcare consumer’s values, beliefs, health practices, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture, and socioeconomic status” (ANA, 2010, p. 41).
By your licensure as a professional nurse, you are obligated to these standards, which expect all nurses to play a significant role in patient and family education.

Do you take charge of your own career? Assuming accountability and taking responsibility for developing one’s competencies are critical and basic to being a professional. While it’s valid to say that some nursing professionals have a passion or propensity for patient and family education, every nurse must maintain a basic competency for educating patients and families. Nurses have a professional obligation and responsibility to perform the core functions of nursing. Regardless of the degree to which an individual nurse participates in each function, all of the functions come into play throughout our practice, including patient-family education.

The core competencies you must embody as a nurse are related to the following core functions:

Understanding the patient and family educational process
Coordinating care
Reinforcing patient and family partnerships and engaging them
The healthcare team begins and ends with the patient (and family) as the core team member. Engaging patients in their own care and constructing the patient-clinician partnership determines in part how successfully the patient moves from illness to wellness (or in maintaining wellness). Professional Commitment in Developing Patient Education Essay

Are you a good communicator? A nurse who educates others must learn to be a good communicator. Open and transparent communication is vital. It is a partnership of educating that involves give and take. You learn from the family and patient, and they learn from you the things they still need to know to provide the best care moving forward. Be conscious that the patient, parents, family, and friends are all invaluable resources. Everyone represents a resource at their own level.

Do you facilitate self-efficacy? Another core element of the nurse’s role is to facilitate the development of self-care or independence through teaching and education. This is key to the professional and therapeutic role of the nurse. Many clinicians develop close relationships with patients, especially those with chronic conditions, because they provide clinical care over extended periods of time. To facilitate independence, nurses must pay special attention to cultivating self-care as opposed to enabling dependence on clinicians and on the system. Professional Commitment in Developing Patient Education Essay

When you deliver on these competencies, you’ll see various benefits to clinical care outcomes. The Institute of Healthcare Improvement (IHI) Triple Aim focuses on improving the patient experience of care (e.g., US CAHPS, patient experience/satisfaction), improving the health of populations (e.g., health functional status, morbidity and mortality), and reducing the per capita costs of healthcare (e.g., total costs per member per month, hospital and ED utilization rate) (IHI, 2015). Patient and family education not only directly contributes to each of these outcomes but is a necessity to enable them to occur.

The Nurse’s Role in Educating Patients and Families
As stated previously in this chapter, educating patients and families is fundamentally the most important role of the nurse. To achieve better learning outcomes, we’ll walk you through the core model components and highlight the specific actions that nurses need to achieve the PPFEM-HSA learning goals. Professional Commitment in Developing Patient Education Essay

Using a Patient’s and Family’s Story
Starting with the patient’s and family’s story, Table 2.1, you are reminded to modify your instructional approach in a linguistically appropriate manner and to consider relevant age and developmental aspects, as needed. Also take into account the patient’s and family’s culture, because “concepts of illness, health, and wellness are part of the total cultural belief system. Culture is one of the organizing concepts upon which nursing is based and defined” (ANA, 1991, Para 3). Professional Commitment in Developing Patient Education Essay

The post Professional Commitment in Developing Patient Education Essay appeared first on Online Nursing Essay.

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