Influence of Context in Knowing the Patient
The Nurse and the Patient
It is evident that many different types of knowledge influenced Allison’s decision-making process when caring for her patients. There were also contextual factors that played a role in each nurse-patient interaction. The first contextual was the intrinsic nature of the nurse and the patient as individuals. Working in an understaffed nursing environment can cause nurses to experience burnout. Allison ensures she cares for herself physically and emotionally; allowing her to come to work refreshed and prepared for the stressful environment. She also focuses on the positive aspects of her work, such as believing that a busy shift will go by faster, rather than dwelling on having a heavy workload. Although Allison attempts to create relationships with her patients, patients must also contribute to the relationship. Mr. Nelson was dealing with stress and frustration. In his opinion, he had lost control over his life and was angry with himself for his failing health. He then projected his anger on to Allison. Although Allison did not let his anger influence her opinion of him, it influenced their interactions as it was an apparent issue that needed to be addressed promptly. Mrs. Johnson’s anxiety level also may have influenced the interaction between herself and Allison. Due to the stressful situation she perceived, Allison bypassed the social norm of greetings in the beginning of an interaction. Allison was able to adapt and provide Mrs. Johnson with reassuring care that did not hinder their relationship.
Allison’s individual capacities as well as the patient’s capacities influence each interaction. Allison for example, is an experienced CCU nurse who is accustomed to working in a busy environment. Although having a heavier than normal workload, she was able to make sure all her patients were receiving the care they needed. This was due to her prioritizing and clinical skills and being able to delegate appropriately. Mr. Nelson is a good example of how the capacities of a patient can be limited. He expressed his anger about not being able to go about his activities of daily living, such as being able to go the bathroom by himself. He surrendered certain aspects of control in his life due to the hospitalization, which can cause a power shift and negatively impact relationships. Mrs. Johnson capacities were limited as well. Her capacity to understand the information presented to her may have been limited due to the stress of being in the hospital. Allison understood this and was able to speak with her family members to ensure everyone was informed regarding Mrs. Johnson’s health.
The amount of time one has to communicate with another person also influences the interactions people share. Mr. Nelson had many worries and his primary outlet was anger. Some people may have not taken the time, or had time, to explore the source of his anger....