Page 199 - ACCCN's Critical Care Nursing

176 P R I N C I P L E S A N D P R A C T I C E O F C R I T I C A L C A R E

Learning activities
1. Delivering patient- and family-centred nursing care can be and dying, by identifying situations when your personal and
assisted by a philosophy for nursing practice. To develop and professional beliefs are in conflict. Once these beliefs have
articulate your own nursing philosophy, or way of doing things, been identified, the critical care nurse may ask:
complete the following activities: ● ‘How do these personal and professional beliefs influence
● List any organisational practices you can identify in the clini- my practice?’
cal practice setting in which you most recently worked that ● ‘What strategies do I need to implement to minimise nega-
might influence the model of nursing. tive impacts?’
● Write out a list of characteristics of a clinician you admire ● ‘When faced with a conflict between personal and profes-
and indicate how these complement good nursing care. sional beliefs and practices, which one is more likely to
● If you were a patient in the critical care unit in which you direct practice decisions, and why?’
recently worked, what would be important to you about the 3. Using the information established in Learning Activity 2,
nursing care you received? identify:
● If you had a family member in a critical care unit, write down ● your personal cultural beliefs and practices, and the impact
the top eight things you consider most important about the these have on the patients and families that use the services
care that you and your family member receive. Compare this of critical care
with the list provided earlier in the chapter in the section ● what actions you take to meet the patient’s and family’s
Needs of family during critical illness. needs during their critical care experience
● Having completed the above four activities, write three sen- ● how you can integrate culture into nursing practice and the
tences that reflect your desired way of nursing which can critical care setting that you work in.
constitute your philosophy of nursing. This information can serve as a baseline for the development
2. Ascertain the personal and professional beliefs you hold as a of strategies to improve practice.
critical care nurse about (a) health and illness, and (b) life, death

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