INTERPERSONAL : SCIENCES
Yes, I am a nurse - thanks for asking.
Why is that?
Surely you have to be quite knowledgeable,
all the lectures, the training on wards, clinics, out in the community, staying updated too?
|ethics, giving bad news, communication, self-awareness, empathy and rapport, recovery model, education...||anatomy & physiology, healing, homeostasis, medicines, basic life support, drug side effects, risk of falls, observations, infection control...|
|cultural competence, team work, respect and dignity, the 6Cs, carer education, handling conflict, family therapy...||policy, records, scope of practice, continuing education, professional development, confidentiality...|
Inevitably, assumptions are made as there's a job to do, but it's important not to prejudge. There's a big difference between assumptions, judgements, stereotypes, biases, hypotheses, and the like.
There's general warmth, friendliness, being approachable, civil, being professional.
Then there's warmth as an ingredient in those critical instances.
So, it's a case of yes and no. At first you've to be open-minded. Take the conceptual framework Hodges' model. Initially it is all structure, but this structure provides four empty care domains - five when wrapped by the spiritual. This can act as a great aide-mémoire.
With a referral you make use of any information that is provided because that's very important too. The information that is received initially is hopefully sufficient to indicate the nature of the problem in broad terms. It may be more specific pointing to an existing diagnosis, a relapse, or multiple diagnoses.
|SELF - |
|HARM TO OTHERS|
HARM BY OTHERS - ABUSE
ABILITY TO GIVE CONSENT,
Anyway, that first day can be a lesson in dynamics. If not the first day it will soon follow!
There is much more to do on that 'humanistic' side.
It's not just the days that are different either. The people we encounter, the patients, the clients - call them what you will, they are all pearls. Aggregated, yes sure, you see so many oysters; but open and face-to-face as a nurse each one shines, unique and peerless with individuality.