Commitment to Nursing Ethics in The Recovery Model

Introduction

Nursing models are conceptual models, conducted of theories and concepts. They are frameworks designed to organise knowledge and explain phenomena in nursing, at a more concrete and specific level (Currentnursing.com, 2012). The nursing framework I have chosen which upholds the values and concepts of patient/clients dignity and allows nurses to focus on the fundamentals of patient/client care is the “The recovery model”. This framework demonstrates a commitment to nursing by aiming to facilitate patients in their recovery process, recognizing that recovery encompasses the entirety of a person's well-being, not solely their mental health problems (HSE, 2019). This framework is broken into four principles which allow nurses to comprehend the main focuses of the framework and to put them into action when communicating and helping a patient.

Fundamentals of Patient Care in Nursing

The main philosophical claim of this chosen nursing model is the ability to understand recovery and work within a recovery-orientated environment. Recovery is the most important aspect of mental health for service users This framework is primarily patient focused that strives to deliver a high-quality standard of care with self-determination being the main aspect throughout. Unlike the Hildegard Peplau framework which focuses on the patient requiring assistance by a professional and not having much say, this model allows patients to be included within all decisions and choices that are made within the duration of their time spent within the service.

The first point to note is that the “Recovery model” evidently supports the nurses focus on the fundamentals of patient care. It covers all aspects of fundamental care and focuses primarily on the importance of respecting the patient’s choice. Patient choice has an intrinsic value. As a result of including patients within their care you are respecting their autonomy (A Better NHS, 2011). Within two out of the four principles in this framework the MDT work along the patient to carry out a care plan, a vital step to recovering. In addition to this, the other two principles also aid the recovery process. Principal 1 highlights the importance of the service users experience of living with mental health problems. This allows the patients/service users to share their lived experience, recovery experience and expert by experience. As a result, this enables nurses to identify the patient’s needs and wants and allows them to provide any support and care the patient may need to recover. According to (Nursing, 2019), providing a patient with care and support develops a therapeutic relationship between the pair which can result in positive patient outcomes such as: shorter hospital stays, decreased anxiety and an optimistic outlook about recovery. Similarly, principle 3 also helps nurses to focus on the fundamentals of patient/client care. This principle states that the recovery of the people using their service is their most important work (Hse.ie, 2018). Therefore, the service makes sure that all nurses and staff work within the values of the recovery. The nurses ensure that they are providing help to the patient’s in a way that is comfortable for them and their family. They achieve this by regularly asking the patient’s and families if they are receiving the care and respect, they need. They also always include the patient in decision making and co-production to make them feel comfortable and settled.

Recovery Model: Commitment to Nursing

It is clear to say that the “recovery model” upholds the values and concepts of patient dignity as expressed in the Code of Professional Conduct and Ethics for Registered Nurses and Midwives. According to the HSE and the NMBI a national consultation process was carried out in which the three core values of nursing were identified. The findings identified that Compassion, Care and Commitment were the core values agreed by nurses within Ireland (Health.gov.ie, 2016). Throughout the framework these values can be clearly seen. For example, the first principle used within this framework involves nurses understanding that the recovery of the patient Is their most important work. Nurses within the ward provide an enormous amount of commitment to their patients to ensure they can recover as much as possible. Providing the patient with hope has been identified as demonstrating commitment in practice (O’Halloran, 2017). As a result of hope being one of the main aspects within the framework, this is a clear example of how the framework upholds the values and concepts of patient/client dignity. In addition to this, the recovery model keeps within the values and codes of nursing by providing the remaining two core values and codes of nursing, care and compassion. Care is considered to be the essence of mental health nursing and is clearly shown throughout the model.

Conclusion

The nurses on my ward upheld the dignity of the patient’s at all times. The NMBI states that each nurse must respect and maintain the dignity of every stage of human life. For example they respected the patient while assisting them to get dressed. They did this by closing the door and they also didn't discuss confidential information with other people, even family members, without their permission. Another very important standard of conduct upheld within this framework is protecting and promoting the autonomy of patients.

References

1. A Better NHS. (2011). Patient autonomy and choice. Retrieved from https://abetternhs.net/2011/11/14/patient-autonomy-and-choice/
2. Currentnursing.com. (2012). Nursing Theories and Nursing Practice. Retrieved from http://currentnursing.com/nursing_theory/nursing_theories.html
3. Health.gov.ie. (2016). Core Values of Nursing. Retrieved from https://www.gov.ie/en/publication/875bf-core-values-of-nursing/
4. HSE. (2018). A recovery approach within the Irish mental health services. Retrieved from https://www.hse.ie/eng/about/who/cspd/ncps/mental-health/recovery/
5. HSE. (2019). Recovery Model. Retrieved from https://www.hse.ie/eng/about/who/cspd/ncps/mental-health/recovery/recovery-model/
6. Nursing. (2019). Nursing and Autonomy: A Literature Review. Retrieved from https://www.nursing.org.nz/autonomy
7. O'Halloran, P. (2017). Hope and recovery in mental health care: Supporting the unvoiced. Journal of Psychiatric and Mental Health Nursing, 24(1), 71-77.