Analysis Of ASPIRE: The Four Stages Of Nursing

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The six stages of ASPIRE involve a problem solving approach that helps nurses to identify patient’s problems and nursing diagnosis. Yura and Walsh (1967) present the nursing process that comprise the four stages which are assessment, planning, implementation and evaluation (APIE). The nursing process was presented as is a systematic method of planning and delivering care to patient. (McCormack and McCance, 2010). It also a process by which nurses obtain information, then record the information in order to evaluate whether the care implemented is proving successful (Barrett, Wilson and Woollands, 2012). This implies that to effectively develop a comprehensive plan of care, nurses would require a range of skills. Before assessing Joy, consent …show more content…
This suggests that the nurse’s role in assessing a patient requires the ability to communicate verbally and nonverbally as to ensure comprehensive assessment. Egan’s (1986) theory of ‘SOLER’, was applied which involved nonverbal communication to create a relaxed atmosphere through open body language (Stickley, 2011). Joy cooperated as she was smiling and interacting well with the assessing nurse. According to Sully and Dallas (2010) questioning methods are crucial for gathering information, however these questions must be aimed to suit the patient’s understanding. Similarly, Hussey (2011) suggests that open-ended questions are crucial to identifying key information. Joy became agitated as she could not elaborate which required the involvement of Peter (Joy’s husband). However, this presented a challenge in Joy’s assessment. Fulfilling the nurse’s role entails the ability to respond to the needs of the patients in a therapeutic, dignified and sensitive manner (RCN, 2014b). This suggests an alternative technique was needed to maintain a person-centred approach. The joint contributions from Joy and Peter were the appropriate method to produce a comprehensive assessment. Ideally an accurate assessment should be based on first-hand information (RCN, 2004), (See Appendix 2). Therefore, a competent nurse should understand that this will vary from one patient to another. Nurses need to promote a patients psychological and emotional wellbeing in order to facilitate physical healing, Nurses have a professional duty of care which is integral to the health professional-patient relationship (Dimond,

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