Note book reflection: 4 fundamental patterns of knowing in nursing.
Introduction: according to four fundamental patterns of knowing in nursing. There are distinguished according to logical type of meaning and designed as empirics-the science of nursing, aesthetics –the art of nursing, personal- knowing in nursing knowledge of the self and others in relationship about self awareness and ethics- component of moral knowledge in nursing( Carper,1978).
1) Empirical knowing- empirics leadership knowing is based on the science of nursing and includes a body of empirical knowledge that is based on research and systemically organized ( Carper ,1978)&(Fawcett,2001).
Ms W,56 years old diagnose as CAD, post PTCA finding single vessel disease admitted to ICU/CCU. during admission post angiogram finding patient looking pale, sweating ,facial expression in pain and compliant of left side chest pain. Immediately continue vital sign checked and obtain hypotension and tachycardia, sign of cardiac tamponade. I’m as a team leader for that shift immediately put patient in trendelenburg position ,fluid challenge normal saline ,instruct team member to prepare procedure assist in cardiac tamponade tapping and informed doctor to come urgently. From here, apply this empirical …show more content…
Unstable vital sign with inotrope support, weak heart echo EF:25% and ECG arrthymia. Patient relative difficult in making decision either to end of life support or continue resuscitation with poor prognosis. I’m as a nurse incharge ,I provide a quiet place and time for family member gather and think it properly about decision making. Beside that, also make a appointment relative with doctor about explanation of patient condition. Some more , in between I given eyes contact, soft touch for spiritual support to be strong. From here, apply ethic knowing for to be more sensitive to the moral
Introduction: according to four fundamental patterns of knowing in nursing. There are distinguished according to logical type of meaning and designed as empirics-the science of nursing, aesthetics –the art of nursing, personal- knowing in nursing knowledge of the self and others in relationship about self awareness and ethics- component of moral knowledge in nursing( Carper,1978).
1) Empirical knowing- empirics leadership knowing is based on the science of nursing and includes a body of empirical knowledge that is based on research and systemically organized ( Carper ,1978)&(Fawcett,2001).
Ms W,56 years old diagnose as CAD, post PTCA finding single vessel disease admitted to ICU/CCU. during admission post angiogram finding patient looking pale, sweating ,facial expression in pain and compliant of left side chest pain. Immediately continue vital sign checked and obtain hypotension and tachycardia, sign of cardiac tamponade. I’m as a team leader for that shift immediately put patient in trendelenburg position ,fluid challenge normal saline ,instruct team member to prepare procedure assist in cardiac tamponade tapping and informed doctor to come urgently. From here, apply this empirical …show more content…
Unstable vital sign with inotrope support, weak heart echo EF:25% and ECG arrthymia. Patient relative difficult in making decision either to end of life support or continue resuscitation with poor prognosis. I’m as a nurse incharge ,I provide a quiet place and time for family member gather and think it properly about decision making. Beside that, also make a appointment relative with doctor about explanation of patient condition. Some more , in between I given eyes contact, soft touch for spiritual support to be strong. From here, apply ethic knowing for to be more sensitive to the moral