NURSING CLINIC
The nursing clinic or patient
presentation utilizes the presence of a selected patient as its focus for group
discussion. It affords a direct experience in the discussion of principles and
practices of nursing care relative to a given patient. The purpose is the
improvement of nursing care.
The most effective nursing clinics are those that
are planned, which involves
- Determining the purpose
- Selecting a patient for whom students have given nursing care
- Securing the patients consent and proper legal clearance
- Selecting the setting to be used-the patient’s bedside or a conference room visited by the patient.
· Providing
advance preparation of the student in terms of the name of the patient, the
purpose, place, date and time and any specific instructions regarding
preparation for the discussion.
The
group discussion generally consists of three phases:
· The
introduction-
It serves to acquaint the students with the patient’s background,
presenting nurse care situation, the purpose of the discussion, significant
observations, types of questions to be asked and needed information.
· The
patient-centred discussion- A few simply asked questions directed to the
patient are usually sufficient for obtaining the needed information. Ample
opportunities should be allowed for patients to verbalize their needs and how
they see their particular problem.
· The
evaluation discussion- It offers an excellent opportunity for students to
evaluate the patient’s behaviour, ability to solve his own problems and various
other aspects. The students can be evaluated in terms of their observations and
ability to use problem solving techniques.
In
nursing clinic the patient’s medical history and therapy are discussed only
briefly, but the emphasis is on the nursing problems, including the physical,
mental and social aspects.
PURPOSE
1. To
apply theory into actual practice by observing interviewing and studying a
patient
2. To
apply knowledge and experience to the real life situation
3. To
understand certain type of apparatus.
4. To
improve the nursing care
PREPLANNING THE CLINIC
1. Determining
the purpose of the clinic.
2. Selecting
a patient for whom students have given the nursing care.
3. Securing
the patient’s consent
4. Selecting
the setting to be used.
5. Providing
advance preparation for the students
LEVELS OF DISCUSSION
1. Introduction
2. Patient
centred discussion
3. Post
clinic evaluation discussion
Clinics
develop the powers of observation and stimulate thought and consideration of
the nursing care of the patients. All the students apply their knowledge,
skills, attitudes and appreciation to the subject of clinic. Clinics also help
to meet situations presented by the patient.
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