I have held constantly that nursing is an encounter of care my experiences in home care have further deconstructed my notion of nursing as encounter of care.
In this paper, I will touch upon my experiences when I, together with my preceptor, visited two home care clients of Alberta Health Services. In this regard, I will present two scenarios wherein I will expound on the nursing competencies as espoused in CARNA by sharing the health visits we had with the clients. Then, I will also show how the theory of evidence-based knowledge and theory of quality care nursing with phenomenology augments the minimal discourse on instruments to measure quality of home care (Robinson et al., 1999). Finally, I will conclude the paper with my reflection and its summary.
Alberta health Services (AHS) is the largest health care provider in Canada. AHS diverse health care services, employing highly qualified health care providers. Also, AHS view health care services as no one size fits all. Instead, they acknowledge the significance of divergence as it affects the needs and health concerns of their patients. AHS turned diversity into an enabling ethos, thus, it has established the care arena that is responsive, holistic and client-centered. However, in the midst of the condition of diversity, AHS holds a stable pillar – CARNA competencies. AHS strongly advocates knowledge-based and ethical nursing care practice in all the services they offer. As such, undertaking my home care services with AHS afforded me a chance to take a re-look in what I now know as a nurse and how I can further strengthen it while improving on aspects of the nursing practice where I may falter – a readiness for change.
The client is suffering from enlargement of the prostate. He lives at home with his wife. The patient has a Foley catheter inserted. Concurrently, the client is also suffering from other