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As Aaron’s health care providers, we allowed ourselves to be instruments for his care. Since I know Aaron, I understand the situation and agree with the plan of care. He would just look at me waiting to hear more. He looked at me but instead of the sad look, he had a painful look and tears in his eyes. Aaron being a rational being demands respect. She further states that “palliative care should address symptom management comprehensively and flexibly so that the person’s comfort and dignity are preserved” (Benner et al., p. 558). The first categorical imperative is Universalisability which states that, “Act only according to that maxim whereby you can at the same time will that it should become a universal law.” The second categorical imperative is the Law of Nature which states that, “Act in such a way that you treat humanity, whether in your own person or in the person of any other, always at the same time as an end and never merely as a means to an end.” The third categorical imperative is known as the Kingdom of Ends states that, “every rational being must so act as if he were through his maxim always a legislating member in the universal kingdom of ends” (Kant, n.d., ¶ 43). The patient must satisfy lower order needs before attempting to attain higher order needs. Assist with basic physical, emotional, and spiritual human needs. The first maxim shows Kant’s ethical theory asserts that right actions are those that practical reason would will as universal law. Hospital policy states they only allow visit every three hours for five minutes in the critical care unit. All the teaching-learning process was still directed towards the care of Aaron. Watson’s major assumptions of the science of caring in nursing are the following: Caring can be effectively demonstrated and practiced only interpersonally. Develop helping-trusting-caring relationships. Study for free with our range of university lectures! I never saw his parents come to visit in the morning but I have heard that the physicians and social workers were in regular contact with the family. He was using his accessory muscles to breathe. According to Watson (1999), a caring occasion is the moment when the nurse and the patient come together with their uniqueness and an occasion for caring is created. He introduced her to phenomenology. Im doing research on the moral & ethical theory of Immanuel Kant. Benner’s novice to expert skill acquisition was used in establishing expectations for both staff and administration in the implementation of laptops in the home care setting (Larrabee, 1999). Morality of an act must be assessed in terms of the impulse behind it. Example Everyday a nurse should be using categorical imperatives because it, 1 out of 1 people found this document helpful, Example: Everyday a nurse should be using categorical imperatives because it involves thinking, and reflecting on our own actions. This time gave me the opportunity to acquire skills in being attentive to patient’s needs especially those who are sedated or paralyzed, and acquire knowledge and expectations in the progression of disease and end of life measures. All work is written to order. Significant clinical experience is a prerequisite to attaining the higher stages of skill acquisition (Dracup & Bryan-Brown, 2004). Cannot be used in conjunction with other promotional codes. Kant used the term good will to define the resolve to act purely in accordance to one’s duty. The development of a helping-trusting-caring relationship involves empathy, warmth, and effective communication. Benner called these patients the silent patient (Benner, 2002). Discussion Board_ Scope of Nursing Practice.docx, Short Answer Code of Ethics for Nurses 2.docx, prof nursing M3_A6_Definitions and examples.docx, Ohio University, Athens • NURSING BS 4510, Copyright © 2020. Transpersonal relationship is a deeper connection of the mind, body and spirit, and the intentional caring for the whole being of the patient. By the end of the week, I saw the hospital’s palliative care physician come in to check on the patient. Each nurse brings to the profession their own set of altruistic and humanistic values that each have learned in their lifetime. Categorical imperative is defined as the standard of rationality from which all moral requirements are derived (Categorical imperative, 2007). Watson considers this factor to be difficult to understand but is included to provide thought provoking experience leading to a better understanding of the self and others (Watson, 1979). moral obligation or duty that is universally binding and unconditional It involves congruence, empathy, nonpossessive warmth, and effective communication (Watson, 1979). According to Watson, the book emerged from her “attempt to bring meaning and focus to nursing as an emerging discipline and distinct health profession with its own unique values, knowledge and practices, with its own ethic and mission to society (Watson, 2007, ¶ 1).   Privacy Good will is making moral decisions without considering personal happiness or pain avoidance. This factor allows the patient to be well informed about their care in order to participate in their plan of care and healthcare decisions. Aaron was breathing in the 10s and his heart rate was back to where his baseline was. He believed that using reason, a person could work out what one’s duty was. Benner’s work, especially the five stages of skill acquisition, has been applied in administration, education, practice, and research (McEwen & Wills, 2007). A decision was made to give propofol. During the time of discussion, other nursing measures were instituted like music, touch, and cold compress to the head. I learned to change the channels to any sports related shows. rude and uncooperative or if there’s no benefit to the nurse for the care they are giving. It commands us to exercise our wills in a particular way. There is nothing in a rational beings character to waver. For a limited time, find answers and explanations to over 1.2 million textbook exercises for FREE! CI requires an autonomous will. Paired interviews were conducted with preceptors and preceptees, and nurse clinicians with newly graduated nurses and senior nursing students. 10FRIDAY2020 can only be used on orders that are under 14 days delivery. Her most recent book, Caring Science as Sacred Science (2005), “seeks to bridge paradigms as well as point toward transformative models for the 21st century” (Watson Caring Science Institute, 2009). The purpose of the book was to address some of the problems that still existed in nursing (Tomey & Alligood, 2002). So even if I was busy that day being in charge, I dropped everything in order to assist the physician to give the necessary medications, and just simply to be there for Aaron until he passed away. x, Application of Benner’s work in nursing practice. Application of Benner’s Novice to Expert Theory. Course Hero is not sponsored or endorsed by any college or university. In order to adhere to the categorical imperatives and as a result make ethical choices, one must distance oneself from their emotions. These are examples of virtue ethics that help a nurse fulfill their ethical. Duty consists of bare respect for lawfulness. Will is the ability to act according to the law. He lost a tremendous amount of weight, and eventually his muscles atrophied, and his joints became contracted. This preview shows page 1 - 2 out of 2 pages. It commands us to exercise our wills in a particular way. With a sound educational base, nurses develop skills and patient understanding through clinical experiences. Kant wrote numerous works in his lifetime but most of Kant’s work on ethics is presented in two works, The Foundations of the Metaphysics of Morals written in 1785, and the Critique of Practical Reason written in 1787 (McCormick, 2006). Nursing: Human Science and Human Care- A Theory of Nursing was published in 1985. Categorical imperative is defined as the standard of rationality from which all moral requirements are derived (Categorical imperative, 2007). I was able to monitor Aaron’s progression, and this allowed me to effectively manage his changing situation. The last part is whether you as an agent will act on the maxim. He was never left alone. According to the Aaron’s family, he was neither religious nor spiritual so that was respected. The teaching-learning process was more dynamic between the nursing and medical staff about end of life measures. Benner and Wrubel further explained the background to this study in The Primacy of Caring: Stress and Coping in Health and Illness (Benner & Wrubel, 1989). I continued to wipe his forehead, and to talk to Aaron. A time I had to use this would be when I was caring for an elderly gentleman that did not want to be in an assisted living though he … Example: Everyday a nurse should be using categorical imperatives because it involves thinking and reflecting on our own actions. By using the model in nursing practice, Benner noted that “experience-based skill acquisition is safer and quicker when it rests upon a sound educational base” (Benner, p. xix). Use creative scientific problem-solving methods for caring decision making. Watson used the term “carative factors” to describe the framework for the core of nursing values. My desire for each person to die with dignity and with someone by their side is important.

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