Nursing Partnership Model
...preting the experience is everything that the client has experienced so far in their passage (Christensen, 1995). The work of the nurse in the beginning involves maintaining readiness, self, nursing protocols, associate protocols, and organization protocols. This then leads on to Entering the Nursing Partnership in where the client goes from one phase of familiarity in being in their own home to a phase in the hospital setting where they must become accustomed to the change and prepare themselves of the upcoming experience they are about to embark on. Both the nurse and client have roles. Firstly the role of the client is to become the patient and in turn the role of the nurse is to admit the client into the hospital. Once in hospital the patient suspends social roles, this is when their daily responsibilities and roles are put aside for the time they are in hospital. The last role of the patient is revealing self. In order to receive optimum care the patient must reveal ones’ self mentally and physically. Throughout this experience the role of the nurse will be Appraising. It is a way in which the nurse can establish information from the client so as to assist with the clients nursing care as well as decisions that will need to be made on behalf of the client (Christensen, 1995). The second concept is mutual work. According to Christensen (1995) “Within the Nursing Partnership there is a patterned between patient and nurse which is essential to the outcome of the patient’s passage” p28. They both have a particular pattern of work each one does in order to advance the patient through their health related experience (Christensen, 1995) In order for the patient to have a maximum outcome in their passage, both the patient and the nurse must work together to reach set goals. “ Nursing Partnership requires the nurse to view nursing as a collaboration” (Christensen, 1995. p31). Mutual work involves Negotiating the Nursing Partnership. The negotiation begins when the patient is admitted to hospital and continues until the patient is discharged (Christensen, 1995). The role of the patient in mutual work involves Managing Self, Affiliating with experts, surviving the ordeal and Interpreting the experience. The role of the nurse has five concepts. The first one is Attending which include being present, ministering, listening and comfort. The second is enabling which have five sub concepts that include coaching, conserving, extending, harmonising and encouraging. The third concept is interpreting; it allows the nurse to constantly find a meaning with regards to the patient’s status and situation (Christensen, 1995). The fourth concept is Responding; the nurse must be ready to respond to any changes in the patient’s situation. Lastly anticipating is the concept where the nurse is continuously being challenged practice their skills and knowledge towards the patients short term and long term well being (Christensen, 1995). Leaving the partnership is the ending of the passage for the patient; it is the transition from which the patient leaves the hospital setting and back to their home. However roles still need to be met as the nurse and patient prepare to end the Nursing Partnership (Christensen, 1995). The work of the patient includes maximising readiness, making arrangements, discovering requisites and lastly resuming control (Christensen, 1995). The work of the nurse includes appraising and supplementing. The last concept in Christensen’s’ Nursing Partnership model is Contextual Determinants (Christensen, 1995). “ The Contextual Determinants are those factors within the nursing context itself which exert a specific influence on the shape of the Nursing Partnership” (Christensen, 1995. p45). There are four categories in which contextual determinants have been grouped; they are within the community, within the client, within the nursing partnership, within the nurse (Christensen, 1995). Within the nurse there are four sub concepts. The first concept it Nursing Knowledge, this is the current knowledge skill and attitudes which the nurse has already attained and is obtainable within the Nursing Partnership. Secondly there is Nursing wisdom which is the knowledge and practice experienced gained by a nurse. The third concept regulation of nursing which are the behaviours required from a nurse. Lastly there is Conditions of Service that determines the work environment for the nurse (Christensen, 1995). Another concept is within the client. This has two sub concepts, which are casual and environmental (Christensen, 1995). Casual is the result of various human situations and interactions, which require nursing (Christensen, 1995). Lastly environmental is the sociocultural, physical and biological aspects that influence each individual in a health related occurrence (Christensen, 1995). The three central concepts of passage, mutual work and contextual determinants all relate to each other to for the Nursing Partnership model. “Maintaining Readiness refers to the work nurses undertake to be fully prepared for the initiation of each Nursing Partnership” (Christensen, 1995. p188). This includes essentially having the skills, attitudes and attaining the appropriate knowledge in order for one to practice safely and to implement professionalism, responsibility and accountability (Christensen, 1995). There are four distinct areas in which maintai...