Emma's Strength Based Nursing Approach

EMMA SBN 1
EMMA’S STRENGTH BASED NURSING APPROACH
Student’s name
Student ID
Code + Course Name
Professor’s Name
University Name
City, State
Date

EMMA SBN 2
Table of Contents
Table of Contents.............................................................................................................................2
Introduction......................................................................................................................................3
Understanding Strength Based Nursing...........................................................................................3
Values and Principles of SBN (Gottlieb, 2014)...........................................................................4
SBN Intervention to reduce Emma’s Anxiety.................................................................................5
Transition Point; Admission to Rehabilitation and Plan of Care................................................6
Summary of Nursing Care Practices and Outcomes........................................................................8
Conclusion.......................................................................................................................................9
References......................................................................................................................................10

EMMA SBN 3
Introduction
Strength-based nursing is an approach to care that is driven by some values to bring about
an environment of empowerment, self-efficacy, and hope (Gottlieb, 2014). When giving care and
support to patients and their families, there are inner and outer strengths that nurses focus on
especially what both parties like doing best as they are dealing with problems. SBN is all about
summoning, exploiting and developing a patient’s strengths to enhance healing (Gottlieb L,
Gottlieb B, and Shamian, 2012, Moyle, Parker, and Bramble, 2014). This essay will discuss the
applicability of strength based nursing and healthcare for Emma (a survivor of stroke) across her
healthcare journey. The study is outlined to first explain what SBN is while explaining its values
and principles. Then the discussion will show how SBN is applicable to control Emma’s anxiety.
How a holistic approach, family focus, and Emma’s collaboration can lead a successful SBN
care will be explained when Emma is transiting to surgical care. Before concluding, the
discussion will summarize the nursing care activities and results expected after an SBN is
implemented.
Understanding Strength Based Nursing
Strength-based nursing is an attitude and value-driven methodology that can guide,
educators, managers, researchers, and clinicians. It is grounded in principles of patient/family
centered care, relational care, empowerment, and instinctive health and healing. SBN shuns the
traditional way of focusing on problems and things that are not working. The SBN model does
not just lay its concern on prevention, wellness and patient-centered care practices which are
more affiliated to deficits of the patient and not strengths. However, SBN regards looking and
understanding these deficits and challenges in broader and holistic contexts and uncovering inner
and outer strengths. The goals of promotion of health, facilitation of healing and alleviation of
suffering are reaffirmed in this type of care. These goals are achieved through the creation of a
favorable environment that bolsters the patient’s capacities to enhance health and distinctive
healing mechanisms (NursingCenter, 2018). An SBN care complements medical care, converses
nursing contribution to the health of the patient and family and healing, plus it empowers the
ailing to have a better control over the illness and healing processes (Gottlieb, 2014). Factors that

EMMA SBN 4
influence the successful implementation of SBN are aligned to SBN values like acceptance of
SBN, curiosity- courage-commitment during early adoption, a critical build of early adopters and
a context relevant and specific SBN approach (Gottlieb L and Gottlieb B, 2017).
Values and Principles of SBN (Gottlieb, 2014)
(a) Health and Healing: these are the key objectives of nursing. Health supports the patient’s
ability to adapt to changes in life and lead to a purposeful life. Healing, on the other hand,
restores wholeness and it involves rediscovering and reestablishing self, back to a state of
equilibrium. Actually, in the healing journey, a patient gains new skills that maintain and
improve his health.
(b) Holism and embodiment: Holism is the recognition of the interconnectedness of the parts
and their relative impacts on each other in response to internal and external environments. In
order to enhance or restore wholeness in innate healing, there must be symptom treatment and
elimination of the cause of dysfunction (Iglehart, 2013).
(c) Uniqueness: SBN is aware that all people are uniquely different in terms of genetic
definition and precise disposition. Uniqueness is defined by strengths and deficits and their effect
on physical, interactive and relational responses and the formation of a person’s distinctiveness.
(d) Subjective reality and created meaning: SBN affirms that understanding of events and
responses is shaped by perceptions, emotions, experiences, representations, and meanings
because they all carry specific meanings. These factors create a narrative which is a significant
integrative process that creates health and enhances healing.
(e) Self-determination: The person’s values choice, self-determination as well as self-
knowledge are all recognized by SBN. SBN values the inner thrill of individuals undergoing a
healthcare process (Elder, Evans, and Nizette, 2011).
(f) Learning, timing and readiness: Learning is an important and transformation aspect and it
includes biological, physiological and social processes. Readiness to engage in learning new
things is a precondition for learning. Timing in healthcare settings is harmonizing the anticipated
outcomes and body aptitudes and the inclination of the mind. The three combined values
determine healing and SBN recognizes that healing may occur even at the jaws of death.