Knowledge Development in Nursing Essay

A philosophy of treat should be all encompassing, with its foundation base upon core values and beliefs, while structure upon experience. Medicine is often comprised of controversial good dilemmas where we must(prenominal) be advocates. In a study that examined the relationship between nurses and doctors it was fit(p) that Differences in values, communication, trust, and responsibilities can precipitate contest between nurses and doctors over ethical components of care. (Corley MC 1998) Developing ones theoretical knowledge and training how to apply it successfully into their clinical formula is part of the evolving butt against.The evolution that occurs over the work of a career can be empowering. Hence, it is important to develop confirming nurse-physician relationships to blow up confidence and grow from those interactions. The importance of positive nurse-physician relationships has been widely acknowledged (Baggs, 1989 Baggs & Schmitt, 1988 Eubanks, 1991 Fagin, 1 992 Mechanic & Aiken, 1982 Prescott & Bowen 1985). Therefore, it is our liability as professionals to mentor our peers, non only(prenominal) for ourselves, but our patients and families, as well. In an provoke illustration of self disclosure (Kim, H.S., 1999) a practician was able to identify the need of a patient, but clearly had difficulty communicating the needfully of the patient to the physician, although some(a) of the difficulties appeared to be cultural in nature.The substance we legislate with one a nonher as practitioners, in addition to, how we collaborate and communicate with physicians has a direct impact on patient outcomes. As practitioners we are qualified in performing our jobs if we can not effectively collaborate with the physician. It is herein that the job lies. The inexperienced or less self-asserting practitioner will often induce it difficult to approach a physician when faced with perhaps the Do not Resuscitate order that has yet to be signed. W ith that being said, approaching a family that needs to be educated on the implications of G-tube organization on their family member with prolonged intubatation and no signs of improvement can be intimidating without interdisciplinary support.The to a greater extent experienced practitioners clinical judgment is more easily verbalizedbecause he/she is soft in interdisciplinary collaboration, therefore the physician is more likely to involve them in the end making process. For example in an ICU setting where often measure the physician does not involve the practitioner in the decision making process or inform them when a decision has been made it generally creates one of troika things. A. the nurse will continue to acutely pursue the physician until an order is stock B. resort to slow codes, or C. revivify all patients until told otherwise by the physician (Michael I Rauchman, BA). All of these things lead to minus outcomes for both the families and patients, and we as pract itioners. Future directions of the stipulate are revealed when these linkages between philosophy, disciplinary goals, theory, and figure are strengthened (McCurry, et al). It is for these reasons, we as practitioners must continually grow and develop through our experiences, always expanding our knowledge in the ever-changing profession we have chosen.Corley MC (1998). ethical dimensions of nurse-physician relations in critical-care (The Nursing Clinics of due north America) 1998 Jun Vol. 33 (2), pp. 325-37. http//ehis.ebscohost.com.proxy.library.maryville.edu/ehost/detail?vid=19&sid=78745a3b-d950-4ea0-890c-4ee4ab4c4b46%40sessionmgr112&hid=hundred and one&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3ddb=cmedm&AN=9624207 ISSN0029-6465MICHAEL I. RAUCHMAN, BAMedical studentMcGill UniversityMontreal, PQRABKIN MT. GILLERMAN G, RICE NROrders not to resuscitate. N Engi J MedI 976 295 364-366http//www.ncbi.nlm.nih.gov.proxy.library.maryville.edu/pmc/articles/PMC1875656/pdf/canmedaj01406-0055.pdfex pertness in Nursing PracticeCaring, clinical Judgment, and Ethics