The Importance Of Covening In Nursing

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The medical establishment continues to attempt to reduce the nearly100,000 patient lives lost unnecessarily, annually since the IOM surveillance began reporting this as a problem in 1999 (IOM, 2010). Nursing is attempting to help solve this problem of untimely deaths. In order to do this, Dr. Watson encourages us to make more explicit the reality that if nursing is to survive in this millennium, it has to sustain and make explicit its covenant with the public. This covenant includes taking mature, professional responsibility, forging voices to stand up for and act on its knowledge, values, ethics and skilled practices of caring, healing and health (Watson, 1999). The medical establishment continues to attempt to reduce the nearly100,000 …show more content…
This initial connection builds trust as well as a beginning bond with the patient. As a nurse of forty plus years, upon meeting my patients, I have practiced this type of connecting. Prior to engaging, taking a cleansing breath in order to clear our minds and help us focus on being present, we set the stage for truly connecting. Next, we need to truly listen to our patient’s story. We need to take the time to engage in listening to their goals for care. We are indeed setting a path for a patient centered dialogue that can enhance our current and future conversations about healing and health promotion. If we take the time with our beginning engagement, it is believed that not only will patients and providers begin a journey towards healing, outcomes of care will also improve (Nelson & Watson, 2012). We have beginning scientific data to say that this is true. My CSP will be adding to that data …show more content…
the advance of communication skills/processes to lead to quality improvement and patient safety initiates in health care (Essentials, 2006)
The IOM in its 2001report Crossing the Chasm encouraged the health care system to find a way to bridge the chasm between what was happening in health care through six improvements. Care was to become safer, more effective, patient-centered, timely, efficient and equitable. The International Institute for Healthcare Improvement, a nonprofit think tank and school believed in order to accomplish those goals care should include: improving the patient experience (including quality and satisfaction), improving the health of populations, and improving the cost of healthcare (IHI 2015).
Enhancing engagement strategies that begin with our first encounter with a patient can initiate a trust bond for caring. If communication techniques to support the initiation of this bond by being present, mindful in the moment can be taught, modeled, and supported not only by academia but also through corporate acknowledgement, perhaps we can begin advance patient centered care. Dr. Watson’s Caritas principles embody the framework we need to support this step in health care improvement. Once engaged, patient-centered listening will ensue. As the staff begins to more genuinely accept the need to really listen, connect and commit to the patient’s stated needs,

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