Yet nursing, as one of a massive amount of health care professions, does not have a control on caring. Physicians, physical therapists, pharmacists, and occupational therapists all refer to caring in their literature
Valentine has opined that caring is a multidimensional idea that comprises of attributes of the nurse, which includes vigilance, professional knowledge, and therapeutic communication. 5 Knowledge and communication are essential elements in health care. We submit, therefore, that professional care is the core of caring in nursing, and, as such, characterize the crucial role of nursing within the health care system.
I feel health is the face of psychological, physical, spiritual, and social well being that is manifested and determined by the adaptive capacity of persons. Perceptions and levels of health differ among people right through the life span. Health is also influenced by personal initiative, communication between health care providers and persons as they access the health care system. Nursing has a foremost role in being culturally responsive to the requirements of increasingly diverse populations and in assisting people access health care services.
Critical thinking, appliance of theory and use of research are intrinsic in the professional nursing role and offers the basis for sensible decision-making, problem solving as well as health planning. As a professional nurse, I learnt that I had to hold on to values, behaviors, and recognized standards that are the basis for moral and legal practice. Professional nurses should provide clients/patients kind, culturally sensitive care.
Also important, I feel, is Evidence Based Nursing, which is the process by which nurses make medical decisions by means of the best obtainable research evidence, their clinical know-how and patient preferences.
The three areas of research capability are:
1. Interpreting and using research
2. Evaluating practice
3. Conducting research
These three competencies arevital to Evidence Based Nursing (EBN).
To carry out EBN these factors have to be considered:
1. Adequate research must have been published on the particular topic
2. The nurse must have talent in accessing and decisively analyzing research
3. The nurse’s practice must permit her/him to apply changes based on EBN.
Evidence-based Nursing Practice solves problems faced by nurses by executing four steps:
1. Clearly recognize the issue or problem based on correct analysis of existing nursing knowledge and practice.
2. Search the literature for pertinent research
3. Assess the research evidence using recognized criteria concerning scientific merit
4. Choose interventions and give good reason for the selection with the most valid facts.
With proper nursing knowledge I was able to give appropriate care to the patient, and cater to all his needs: health related, psychological and emotional.
Vigilance is also an important part of nursing knowledge. It has been described as "a state of watchful attention, of maximal physiological and psychological readiness to act and of having the ability to detect and react to danger" 6