Development of Personal Nursing Care Model

This paper outlines the development of a new care model for older adults, focusing on improving nursing practice and healthcare delivery. It discusses the incident that led to the development of the model, the knowledge gained from nursing practice, and the analysis of nursing practice. The paper also presents a conceptual framework and explores the concepts and their relationship related to nursing practice. Overall, it highlights the opportunities and challenges in implementing the personal practice model for the care of older adults.

Running head: DEVELOPMENT OF PERSONAL NURSING CARE MODEL
DEVELOPMENT OF PERSONAL NURSING CARE MODEL
Name of Student:
Name of University:
Author’s Note:

1DEVELOPMENT OF PERSONAL NURSING CARE MODEL
Table of Contents
Introduction......................................................................................................................................2
Reflection.........................................................................................................................................2
Knowledge gained from nursing practice from five-way of knowing............................................4
Analysis of nursing practice............................................................................................................5
Conceptual framework.....................................................................................................................6
Concepts and their relationship related to nursing practice.............................................................7
Practice model.................................................................................................................................9
Opportunities and challenges.........................................................................................................10
Conclusion.....................................................................................................................................10
Reference.......................................................................................................................................12

2DEVELOPMENT OF PERSONAL NURSING CARE MODEL
Introduction
The paper outline the development of New Care Model for the age group people. The
primary objective of the paper is to analyse the incident in professional life regarding the care of
older adult. Concerning its new model has been developed. The study will help in the
improvement of nursing practice and health care delivery to older people. It will also enhance the
quality of care given to the old aged people. The paper here first outlines the incident in caring
for old aged people in the health care unit. Concerning the incident narrated, the practice
description has been dealt comprehensively, and knowledge from Five Way of Knowing that the
nurse has gained has been explained in the paper. The paper also analyses the practice
description in the care of old people and have identified new theme and pattern of care of olde
people.
Further, the conceptual framework has been constructed about the identified theme of
care of old people. The framework has explained the new care model concept in detail and also
recognize its importance in providing care. The idea explained has been correlated with the
narrative nursing practice. The paper has also reflected the Jean Watson Human Caring Model
and gave a comparative analysis with the new care model developed for care of old people. This
analysis has revealed a few similarities and difference in the connected concept. Lastly, the paper
has clearly explained the challenges and opportunity that would be involved in implementing the
personal practice model of care for the old aged people. Hence, the paper has demonstrated the
nursing practice and current scenario of health care.

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Reflection of the incident in professional life
In my professional life, I had an experience of caring for patient of old age who were
suffering from mental health problems. I was working as a staff in the aged care unit, and I had
been involving in the care of residents who were using continent pads. Initially, I did not have an
idea what I was supposed to do in care for them. After evaluating the situation, I came to know
the type of care that is to be given to the patient. This experience of mine has changed my
nursing knowledge and practice additionally made to develop my caring model for aged care. I
remember during my day shift I had observed that there was lack of adequate linen or bed sheets
for the patients. I searched for the extra sheet but I could not find any. When I contacted the
laundry person, they informed that most of the sheets are soiled which is due to the use of
continent pad. I noticed the reason that the inappropriate use of the different size of continent
pads were responsible for dirty sheets. Due to this, there is bed wetting which was taking place
during regular interval at night. This incident was creating massive burden on the working staffs.
Further, increased laundry cost. There was a major issue in the quality of care of aged patients as
use of the improper size of pads can cause skin infection and diseases.
I was in my night shift where I noticed that the workload was huge as patient was
frequently wetting their bed and needed to be changed regularly. This generally affects the health
and comfort of patients. The reason for this being the use of wrong size pads by elderly patients.
For this nurses are responsible for their practice. For care of aged people, it is essential to
maintain their hygiene and give them equal respect and love. I tried to find the accurate size of
pads for the patient, but when I enquired about it, it was due to shortage of correct size pads. I
immediately ordered new pads and informed to the supervisor about the issue as this is my part
of nursing practice. It was my duty to give holistic care to patients. Overnight I was present in

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consideration of person by regularly changing their pad to maintain their hygiene and health. The
patient was showing massive concern about the issue as they are older people. It calls for care of
them with love and respect besides with insight that it is my duty of caring for the aged person. It
proved to be the evidence-based practice. For this nurse need to be active and knowledgeable.
Knowledge gained from nursing practice from five-way of knowing
My personal experience of care of older people who were facing issue regarding the use
of continent pad and wet bed help to develop own caring model for care of aged group people. It
is seen from the literature, that nurses are not aware of the implicit practice of care in their field.
The theme of knowing in nursing is used to analyse the five-way of knowing that gives the
discipline their significance. The five-way of knowing are empiric, ethic, personal knowledge,
aesthetic and social and political knowing (Garrett & Cutting, 2015).
EMPIRICAL KNOWING- Regarding the incident, nurse gained the knowledge by observing the
situation of patient and status of health care unit. It was noted that the care unit was lacking in
adequate number and size of pads for the care of old peoples. The empirical knowledge acquired
is that wet bed and use of the inappropriate size of pad can result in unhygienic atmosphere and
breakdown of skin, bad odour and unsatisfied patients.
ETHICAL KNOWING- The incident here has helped to gain moral knowledge by the nurse.
Nurse has to give priority to their health and the choice of care the patient wants. Like in the
incident the patient wishes to get changed their pads of correct size regularly. Hence, the nurse
arrived to know the importance of patients' choice without affecting their ethics.
PERSONAL KNOWING- Personal knowledge I was having that today's health care unit is
lacking in many important commodities that are required for the care of old people. With my

5DEVELOPMENT OF PERSONAL NURSING CARE MODEL
experienced, I gained idea about the current status of health care unit of aged people. They do
not have an adequate number of linen for the patients; in addition, there was high number of
soiled linens.
AESTHETIC KNOWING- While giving care to old people my perception was regarding the
problem of old people. They do have the right to speak regarding the problem they are facing
additionally have to go through that the care that is being given. The nurse must look into the
matter and provide appropriate care to them by respect (Henry, 2018).
SOCIAL AND POLITICAL KNOWING - Through my perception, I came to know that the
administration is least responsible for giving priority to the care old aged people. There were no
proper care goods for the people. It is the responsibility of the nurse to communicate the issue to
higher authority and give holistic care to the patients irrespective of their caste, race and sex.
Analysis of nursing practice
As described in the reflection, the nursing practice used here is to maintain the health
hygiene of the old people who are facing the problem of the continent pad. The care is given
majorly focused on patient's needs, requirement and self-hygiene. Generally, concerning nursing
practice, the care model develops to improve the health outcome of the older peoples (Prince et
al., 2015). However, it is also noted that nursing staff do not have any choice about their
schedule or living activities which is making them overburden. Hence, it is essential to change
the culture of nursing practice with the objective of nurse job satisfaction and better outcome of
health of aged people.
For nurse, it is essential to observe the need of the patient first as every patient have their
own illness and need care accordingly. Hence, it is of prime importance to interact with the

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patient to know their issue and additionally the type of care they need. In the delivery of hygiene
care to the old peoples calls for the requirement of many goods like proper bed sheets,
appropriate size pads, hand wash and many others. The nurse then need to evaluate the current
care that is given to the patient and try to find any loophole in the delivery of attention to the
patients (Phelan, 2015). The nurse has to keep a regular check on the requirement of their
hygiene. Nurse critically analyse that the type of care and standard of essentialities given are
comfortable for them or not. If a nurse found any issue regarding the care provided, the nurse
must find an alternative to it (Nøddeskou, Hemmingsen & Hørdam, 2015). The nurse also shows
concern about the status of the health care unit. If they found anything missing regarding the
important goods, the nurse needs to communicate it to the administration as soon as possible.
Thus, a nurse here is the responsible body to give a care if the administration is unable to provide
the things in time (Tobiano, 2015). Hence, everything is managed by the nurse. Nurse gives
respect and priority to the personal living of the old patients without affecting their ethics
(Kolovos et al., 2015).
Thus, the new emerging theme and pattern in nursing practice include the personal
perception of the nurse that she gained while observing the situation of patients. Nurse
themselves provide appropriate care without involving the administration as they will be self-
responsible for giving care to aged people. This new theme and pattern also emphases on the
willingness of care provider, private foundation and policy maker of state to obligate the
resources. Additionally, to provide job satisfaction for the nursing staffs.
Conceptual framework
From the identified theme and pattern of emerged new care of model, theoretical
framework is constructed which is as follow-

7DEVELOPMENT OF PERSONAL NURSING CARE MODEL
 Objective- Every staff need to know the aim of their care, like here is the maintenance of
personal hygiene.
 Address- All the need of the patient should be comprehensively addressed.
 Type of care- Is patient-centred care (Rathert et al., 2015).
 Socio-demographic diversity- As for the care of old aged people, nurses need to
culturally diverge with respect to languages, culture and belief regarding health (Pearson
et al., 2015).
 Training- To maintain the personal hygiene the nurse and care provider need training in
this specific area. As far other area is concerned, training should be provided in every
particular area (Golden, Silverman & Issenberg, 2015).
 Active participation of older people- Nurse with good communication skill need to
involve older people in deciding on the type of care they want (Fernández-Mayoralas et
al.,2015).
 Evaluation- Nurse then needs to analyse the current situation of health care unit.
 Self-responsible – Nurse takes up the duty of missing or lack of resource without relying
on the administration; they need to self-responsible in arranging the required support.
 Job satisfaction- The new model here gives priority to the care provider as well to
maintain their job satisfaction and lessen the workload.
 Evaluation of outcome- After providing care to the patient, the nurse needs to examine
the result by reporting the approaches to health care for older adult through evidence-
based (Fan et al., 2015).

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Concepts and their relationship related to nursing practice
Focusing on the description of nursing practice for maintaining the hygiene of the old
people, it can be correlated with the conceptual framework of the new care model of aged
people. Looking into the new model of care, the first important thing to be noted for every nurse
is to know the objective of care and type of care that needs to be given (Hsu et al., 2016) As seen
in the nursing practice description, many of the care providers are not aware about the care
provided. It is evident from the literature that health care giver needs to be addressed
comprehensively (Ross, Tod & Clark, 2015). It is related to the practice description as a nurse
have discussed the issue of wet bed and inappropriate size of pads used by the old people. The
care given must be of patient centred care where the choice of the patient decision will be
respected and given priority (Castroet al., 2016). Feo and Kitson (2016) said that patient centred
care helps to improve the type of care provided as they develop trust in nurse and kind of care
given to them. It is seen from the practice description that there is tremendous amount of
workload in nursing staffs and has to face various difficulties in administering the patient with
full efficiency. Therefore from the study of Lu Zhao and While (2019) the states that staffs job
satisfaction is of primary concern, should be given higher priority. This will lessen the workload
and increase their full efficiency. It is also related to the incident as there due to oppressive
workload nurse are unable to maintain the personal hygiene of the old people. Therefore, more
stress is to be given in this concept.
Another concept is to maintain the socio-economic diversity Pálsdóttir et al. (2016) said that
Older adults could be of various cultural belief and different race. They wish to get care from
those nursing staff who understand their belief. Therefore, it is vital for the nurse to know as well
as respect their trust. From practising description, it can be related invalid sense that many

9DEVELOPMENT OF PERSONAL NURSING CARE MODEL
patients may not wish to wear pads at nights as it might be against their belief. Nurse have to
look into an alternative way of giving care.
Training of the staff involved in the care of old peoples is of prime importance said by
Heckemann et al. (2015). This will help them to work with full perfection and give appropriate to
the patients. In narrative description nurse was trained in maintaining personal hygiene of the old
age people. It was also seen from the description that, patients have actively participated in the
care process. Their health was maintained according to them. Though the pad was not available
of accurate size, nurse assisted them in changing it regularly to avoid wetness of bed. Thus, it is
said by Tobiano et al. (2015) that active participation of the patient improves the health outcome
of them. Self-responsibility of the nurse as stated by Brien, Charette and Goudreau (2017) helps
to manage the whole caring process of the old people with full efficiency as it is seen from the
description, that instead of a shortage of an adequate number of the pad, nurse was able to
manage the comfort zone of the patient. Lastly, after implementing the care, it is of prime
importance to examine the outcome. This concept was lacking in the description as the nurse did
not evaluate the result. From the study of DiCuccio (2015) it is said that after giving care, the
nurse needs to assess the outcome in a periodic manner.
Practice model
The present personal practice new model can also be compared with Jean Watson
Human Caring Model. Jean Watson Human Caring Model gives insight about the care, where
the nurse is able to maintain the emotional sensitivity in a stressed workplace (Kaçmaz & Çam,
2019). According to the Jean Watson Human Caring Model, humans is regarded as the central
point of care and not an object (Rodrigues et al., 2016). They believe that human is inseparable
from themselves, nature and other people. The model reflected a transpersonal relationship

10DEVELOPMENT OF PERSONAL NURSING CARE MODEL
between care providers and cared for person. The primary key factor and concept of the model is
to embrace, inspire, trust, nurture, forgive, deepen the problem solving methods, balance of
teaching and learning of needs of patients, co-creation of atmosphere of human dignity, minister
the emotional and physical needs and it belief in opening miracle (Rupp, 2017).
The above mention model can be compared with the newly developed model to some extends as
some of the concepts are related and some are different. The new model also focuses on patient
needs, desire and give importance to their choice. It is also similar as it also focuses on
maintaining human dignity. From the analysis, some difference was also noted as teaching and
learning concept and belief in the miracle. Hence, it can be said that the newly developed model
is quite relatable with the Jean Watson Human Caring Model.
Opportunities and challenges
Looking into the various challenges in implementing the new model of care can be summarized
in relation to the current caring scenario. From the study of Lavoie‐Tremblay et al. (2016), it was
noted that the type of care given to the patient is a major of self-interest and biased. Even the
working nursing staffs are least responsible for the quality of care that needs to be given to the
patients Rokstad et al. (2015). As per the new model is concerned, it may face a problem in
providing adequate training to the staff, making them self-responsible and in involving the active
participation of elderly people. The primary reason being ignorance of nursing staff in the care of
old people as they have to face the issue of communicating with them. Another purpose is having
a lack of appropriate resource of health care unit. From the study of True et al. (2017), it was
cleared that the current health care unit does not have adequate goods and stuff.

11DEVELOPMENT OF PERSONAL NURSING CARE MODEL
Another major challenge is of involving the old people, as at old age people are not self-
conscious and do not know what type of care will be better for them. Hence, the step may create
massive problem in the implementation of the new model.
Conclusion
Lastly, from the above discussion, it can be said that for creating the new model of care
will not only require to increase the workforce but also involve the participation of social and
political body. For better execution of the attention, financing model and delivery of care need to
be put in high priority. This will help the existing workforce to work with full efficiency at the
same time will help to improve the quality of care given to the old aged people. There various
model of care has already being developed, but still lack in some concept and theory of the
attention provided. The responsibility of the older adult is very important as this will increase
their hygiene and personal lifestyle. As the study focused on the maintenance of personal health,
this will help to tackle the prevalence of infection, illness and bacterial diseases. The new model
of care developed her has focused these issue and addressed it with respect to the health of the
patient. Therefore, for better execution of the model, support from financing body as well as
equal participation of nursing staffs is of prime importance.

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