Preamble
„Participation“ is no usual, conversational term in the German nursing language. Translated as “part taking” and “co-determination” participation means the political co-determination of the public in bills and in democratic elections. If the German nursing literature and language speaks of participation we rather use terms like “patient self-government” and “self-determination” which mean cooperation or participation in nursing and caring processes.
Saunders (1995) who explicitly uses the term of patient participation defines it as „active process of participation in and advancement of therapeutic or general self nursing abilities or the participiation in decisions concerning from reception to dismissal“
My presentation follows the central Theme “Participiation” in this way of definition.
This issue will give you an overview about the concepts of Participation in the vocational training of nurses, in nursing sciences and especially in the practice of nursing. Therefore i give you an outline of the different areas.
Table of Contents
1. Participations in the educational laws of nursing profession
2. Participation in nursing sciences and research
3. Participation in the context of social politics, rights and institution
3.1 Authority of provision
3.2 Decree of care
3.3 Testament of patient
4. Participation in organisation
Objectives and Topics
This paper aims to explore the concept of "participation" within the German nursing profession, examining its application in educational frameworks, scientific research, legal institutions, and daily clinical practice to better understand how patient autonomy is facilitated.
- The integration of participation into modern German nursing education and training.
- Theoretical perspectives on patient self-care and autonomy, specifically referencing Orem's nursing models.
- The legal foundations of patient rights and self-determination in the German health system.
- Practical implementation of patient participation, such as briefing at the patient's bedside.
Excerpt from the Book
2. Participation in nursing sciences and research
Though nursing sciences and research is a rather young branch of science pretentious standards of self determination, autonomy and self nursing are evident in its theories, concepts and results of research. Several theories and studies often adopted from the Anglo-American are based on these central ideas.
For example the american nursing scientist Dorothy E. Orem, obliged to the principle of subsidiary as a principle of Christian social science, speaks of the standards of „self-care“ and „dependent-care“. The latter meaning the care thorugh relatives.
Only if both systems – the system of self-care and the system of dependent -care (care through relatives, neighbours, friends) is not sufficient to fulfil the requirements of care, professional nursing-care is justified.
The principle of participation is also reflected in the various nursing practises (nursing practice systems) that are carried out in cooperation with the client and/or his relatives depending on the degree of decision making abilities and competency (partial-compensatory or supportive-educating nursing practice system).
According to Orem the complete overtaking of nursing (complete compensatory nursing practice system) by a professional nurse is only justified in exceptions and usually in a temporally very restricted way.
Most nursing theories and concepts work with the so called nursing process meaning a working method that structures the complexe nursing practice comprehending several systematically combined phases: assessment of the situation and of the requirements of nursing; setting of nursing aims and measures of nursing; the actual nursing; its evaluation.
Summary of Chapters
1. Participations in the educational laws of nursing profession: This chapter discusses the shift in nursing education from a purely bio-medical model to a health-oriented, salutogenetic approach that emphasizes the client's right to self-determination.
2. Participation in nursing sciences and research: This chapter analyzes how nursing theories, particularly those influenced by Dorothy E. Orem, incorporate the principles of self-care and autonomy, while noting that patient passivity can vary based on the nature of their illness.
3. Participation in the context of social politics, rights and institution: This chapter outlines the legal basis for patient rights in Germany, highlighting specific mechanisms like the "living will" and "authority of provision" that protect the patient's will.
4. Participation in organisation: This chapter details the practical application of participatory structures in hospitals, focusing on "briefing at the patient's bed" as a method to increase transparency and involve patients in their own care planning.
Keywords
Participation, Nursing Practice, Nursing Science, Self-determination, Autonomy, Self-care, Patient Rights, Nursing Education, Salutogenesis, Dorothy E. Orem, Bedside Briefing, Healthcare Law, Living Will, Clinical Decision-making, Patient-centered Care.
Frequently Asked Questions
What is the primary focus of this paper?
The paper examines the concept and implementation of "participation" in German nursing, bridging the gap between theoretical definitions and practical application in clinical settings.
Which fields of nursing are discussed?
The paper covers vocational nursing training, theoretical nursing science, the legal framework regarding patient rights, and organizational practices in hospitals.
What is the central research question?
The core inquiry is how the concept of participation—often understood as co-determination—can be operationalized to support a patient's self-care abilities and autonomy within the German healthcare system.
What methodology is used in this work?
The author employs a literature-based review, integrating nursing theories (like Orem's), legal documents, and empirical studies to provide an overview of the topic.
What aspects are addressed in the main body?
The main body breaks down participation into education, research, social policy/legal rights, and organizational communication structures in hospital wards.
Which keywords best characterize the work?
Key terms include Participation, Nursing Science, Autonomy, Self-care, Patient Rights, and Bedside Briefing.
How does Dorothy E. Orem's theory relate to participation?
Orem's theory emphasizes the principle of subsidiary, suggesting that professional nursing should only intervene when a patient's own self-care systems are insufficient, thus prioritizing patient independence.
What is the significance of the "briefing at the patient's bed"?
This organizational practice aims to move the communication of patient information away from private files to the bedside, allowing the patient to participate directly in the planning of their own care.
- Quote paper
- M.A Mareike Hümmerich (Author), 2008, Particpiation in nursing praxis and sciences, Munich, GRIN Verlag, https://www.grin.com/document/158186
