This work was commissioned by the Ontario SPOR SUPPORT (Support for People and Patient-Oriented Research and Trials) Unit (OSSU) – one of several units established at provincial and regional levels across Canada to work with CIHR in pursuing the SPOR. We can immediately see the array of applications Psychology has in only one immediate practice, however Clinical Psychologists do employ numerous different ideologies and types of Psychol… (La Greca, A. M. 1997). Copyright © 2003 - 2020 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales. Julia is interested in helping others. It follows that if a patient is to have any degree of meaningful input into their treatment plans and consideration of the various options that are open to them, they must be both fully aware of, and quite prepared to confront, the implications of the situation that they find themselves in. The theoretical basis of much recent work in the field of Health Promotion is in the concept of the Attitude-Behaviour theory (A-B theory) (Rise J 2000). Porter S (1998) Social Theory and Nursing Practice. The practicality of the situation is therefore that it clearly makes sense to discuss options in terms of treatment, palliation and support as soon as a positive diagnosis is made. The promotion is valid for either 10% or 15% off any service. This is an exemplification of the constant calls in the literature for a holistic and patient centred approach to patient care rather than a blanket approach to this type of clinical problem. (Campbell S M et al. This is the so called Theory of Rational Choice (De Martino B et al. It is concerned with understanding how psychological, behavioral, and cultural factors contribute to physical health and illness. Doctors appeared to be generally more confident about handling the possibility of a negative reaction. Our article contributes to the discussion on the relationship between research ethics and clinical ethics, revealing that although a learning health‐care system may significantly change the landscape of health care, some ethical dilemmas still require resolving on both theoretical and policy‐making levels. If they chose to distort some or any of the relevant facts of the case, it equally follows that they cannot make a reasoned and rational decision about the options and choices that they have in front of them. Let us now consider a different aspect of psychology and its relevance to nursing practice in primary care. The excellent and informative article by Sobel (A B et al. Health Psychology. 2000), concluded that healthcare professionals were much more likely to recommend a healthcare intervention that they had personally experienced or witnessed as successful, with greater frequency than one which had been shown to have a secure evidence base in published literature. The Importance of Evidence-based Practice Identifying evidence-based practices can be tricky, but well-worth the effort. Company Registration No: 4964706. the most appropriate information available, to make clinical decisions for individual patients. Nursing training involves psychology training so that nurses can have a foundation and a … (Street, L. L.et al. 2003) is one that is frequently cited in the modern literature and a fundamental prerequisite to a good death is that the patient is surrounded and treated by healthcare professionals who have broad understanding of the psychological issues that are relevant to this spectrum of patient. 20th Jul 2017 Psychology Reference this ... Walkers et.al (2007) provides many ways in which psychological theory and research can contribute to improvements in health and social care practice. The results are interesting insofar as there was general agreement that the likelihood of a patient generating or triggering an enquiry into their alcohol usage was most likely to be when issues relating to the alcohol-related health-risks were perceived by the healthcare professionals. (Wilkerson, S. A et al. A comparative observational study of the care provided in hospital with the care provided at home for profoundly multiply handicapped children. Another area where the nurse’s knowledge of psychological issues may be important is that, given the fact that a comparatively high number of patients default from follow up before being formally discharged, the nurse should know that psychological treatment is rarely successful if the “less than optimum” course of treatment is completed. In managing patients with different illnesses, both nurses and psychologists not only work in understanding the physical pain associated, but also change their thought and attitudes to improve well-being. (Marinker M.1997) is particularly useful in this respect. Calls for increased collaborative practices in school psychology parallel similar advances in the realm of health care. (1) Although there have been significant changes to the scope of palliative care in the last 60 years, many professional and policy descriptors continue to use ‘palliative care’, ‘total care’ and ‘holistic care’ as synonyms. In essence, the entry cohort to this study was a collection of about 150 primary healthcare team workers who could potentially be involved in the delivery of an alcohol awareness programme. The The paper examines this issue in considerable depth with a commendable degree of scientific scrutiny. It is clearly of little value, if requested to give advice on the subject of weight loss (which is a common enquiry at nurse-run clinics), (Hogston, R et al. Health Psychology in Nursing Practice gives nurses and healthcare practitioners the essentials of health psychology to assist patients and their relatives in adjusting to diagnoses, coping with treatments and other disease-related life changes, managing symptoms and making healthy choices.Directly aimed at nurses, this textbook helps them improve their practice in a very practical way. The doctor did and did not want to pronounce a “death sentence” and the patient did and did not want to hear it. Social Psychologists are specialized in exploring the socio-psychological causes of mental illnesses and remedying them using the psychological practices. Nurses are often involved, both overtly and in their everyday work, in the business of Health Promotion. Once again we return to the issue and concept of framing the presentation, the only difference here is that it is generally the patient who deliberately distorts the frame rather than it being distorted or manipulated by the healthcare professionals. Evidence based practice (EBP) is an approach to health care delivery in which professionals use the best evidence possible, i.e. Publishes research on human factors in health and illness, biopsychosocial approaches to medical care and management, and psychology and health in practice. Smoking, drug and alcohol abuse, eating disorders and obesity, depression, schizophrenia, mental disabilities, and the interactions of all these psychological issues are profoundly important for understanding and treating health issues in the general population. Essentially, psychology helps people in large part because it can explain why people act the way they do. A number of different mechanisms may be active in this situation. The perception of any given situation and indeed, the evaluation of the probabilities that arise from it, are generally dependent on its presentation. This may include helping people maintain a healthy weight, avoid risky or unhealthy behaviors, and maintain a positive outlook that can combat stress, depression, … When dealing with the patient who has specific emotional or psychological issues, the professional nurse would commonly have to employ a degree of psychological understanding which may be deeper than in many other cases for both of the reasons set out above. This specifically is the issue that The and his colleagues considered in their paper (The et al. The diversity of psychology shown by these patients is virtually unique to this group and a firm grasp of the essential elements is vital if the district nurse is going to handle the situation both professionally and well. Interpersonal care can be an essential part of a nurse's role as a health care provider, and the study of sociology is believed to help nurses gain new insight into their patients lives and issues. Posted Jun 02, 2015 (Shortell S M et al. This in turn gives rise to differences and variations in the number and scope of the possible outcomes from that situation. All work is written to order. (District Nursing). Despite the coming completely from different disciplines, Psychology has a huge relevance on the nursing practice. How can a patient be considered to be making a truly autonomous decision if that decision is being influenced by the abilities of a nurse to “frame” the presentation of the relevant factors in order to suggest that one outcome is better than another? health and illness, why psychology is important, and different approaches to medicine. This comment effectively brings us full circle to the concept of compliance and conformance as postulated by Marinker. Clearly an understanding of the psychology of what colours the patient’s reactions is vital to the district nurse if she is to handle this type of situation both professionally and empathetically. In short, this episode highlights some of the difficulties and dilemmas that are frequently faced by healthcare professionals in general and district nurses in particular. These mechanisms can range from false optimism right through to frank and abject denial (Weeks et al 1998). (Gillon. Florence Nightingale was the first nurse in the history of nursing. In the health care, the definition of psychology refers to the professional study of expert of the clients and patients regarding the behavioral development of human thought. In the health care, the definition of psychology refers to the professional study of expert of the clients and patients regarding the behavioral development of human thought. It is not particularly relevant to explore this in any further detail as the point is clearly made that a basic understanding of the mechanisms by which patients cope with their adversity and the psychological constructs that are frequently presented in these circumstances is of great importance to the nurse who has to deal with, interpret and empathise with the patient’s particular needs at any given time in their illness trajectory. What the story does not tell us (and we can only surmise) is that Dr Cameron, in common with many other real healthcare professionals, also has psychological difficulties in dealing with the subject himself. 1999). Sometimes, they even take a positive role in their own wellness. Health psychologists also focus on understanding how people react to, cope with, and recover from illness. This theory suggests that the optimum change in behaviour patterns (at least in the field of health and self-interest) is achieved with the optimum change in attitude (or “realignment” in the jargon). (Howe and Anderson 2003). Psychology, as the science of behavior, has much to offer to enhance health promotion and disease prevention and address health disparities. One of the major areas that we shall consider in this appreciation of the significance of psychology in the delivery of healthcare, is that of attitude of those delivering the particular intervention to the patients concerned. This can be encapsulated in the professional advice on the subject from the RCN, Patients are as fully involved as practicable in the formulation and delivery of their care (e.g. 2000). Many nurses expressed the fact that they were concerned that patients might react negatively to such enquiries and that this would affect the degree of patient empathy. This diversification is due to widening recognition of psychology as a health profession (Belar, 2002; Brown, Freeman, Brown, Belar, Hersch, & Hornyak, 2002), of the unique skills of psychologists, and of the value of psychological services for health and well-being. The most threatening public health challenges today are chronic and complex and require joint effort from academic researchers in partnership with clinical and public health practitioners to identify and implement sustainable solutions that work in the real world. 629–51. And this suggestion is echoed and expanded in the Curtis paper (Curtis 2000) with the observation that, in their more candid moments patients may well wish to get a more “down to earth“ response, which they perceive that they will get from the nurse, who they think may not require a façade or even indulge in the sophisticated game play of the doctor. Posted Jun 02, 2015 Dr Cameron was clearly of the opinion that this was of greater benefit to her than confronting her imminent death. The two most prominent being congruent leadership and transformational leadership. This is not an example of the work produced by our Essay Writing Service. Dr Findlay felt strongly that the eponymous Mrs McIver should be told of her hopeless prognosis on the grounds of being completely truthful with the patient and this was against the advice of the older, more experienced partner, Dr Cameron who had been hitherto managing the situation by keeping the lady’s spirits high by telling her how well she was looking at each occasion he had contact with her. A large proportion of the work of the district nurses can be taken up with the care of the dying patient. He's in a lot of pain, but doesn't want to become dependent on painkillers, so he's looking for other ways to manage his pain. 1999). 2006). 2002) which specifically considered the effectiveness of the delivery of alcohol awareness programmes in a group of problem drinkers. Although this gives it a bias towards mental health it also contains material of relevance to staff working with people across the age range in a variety of health and social care settings. To do this, a nurse may incorporate practices from other professions, such as psychology, in order to do their job effectively. All of this can help people have a more successful career, better relationships, more self-confidence and overall better communication. If the healthcare professional involved has a degree of denial of their own intake, clearly this will have repercussions on their presentation of the problem to the patient and their subsequent evaluation and willingness to invoke therapeutic or interventional measures for that patient. A specialty of clinical psychology, health psychology is the study of how biological, psychological and social factors affect overall health and wellness. (Seale C et al. They need to fully understand how other people behave and act in certain situations – this is where Psychology comes into play. Calls for increased collaborative practices in school psychology parallel similar advances in the realm of health care. A full consideration of the implications of this statement will suggest that these psychological concepts will have a direct bearing on other professional considerations such as autonomy and other ethical issues. This article provides some structure to reflective practice to allow a health care provider to engage more with reflective practice and get more out of the experience. The Importance of Evidence-based Practice Identifying evidence-based practices can be tricky, but well-worth the effort. This Unit 15 Psychology for Health and Social Care Assignment makes a comparison of various theories of life span development along with throwing light on the relation of various psychological theories with … Social Psychology. 2000). 1998). With this kind of professional insight, a psychologist can help people improve their decision making, stress management and behavior based on understanding past behavior to better predict future behavior. In the context of Health Education (which was the field that the theories were originally developed in) the theory suggests that if people are given sufficient and persuasive information in relation to their health, then a significant proportion will spontaneously indulge in lifestyle changing activity which can be consistent with healthier living. An interesting twist in these discussions of the psychology of the situation is provided by Dean (Dean 2002), who offers a specific insight into the way patients perceive the differences between nurses and other healthcare professionals. One of the major areas where psychology is relevant to the success (or otherwise) of a particular treatment is encapsulated in the concept of empowerment and education. (Herbert, C et al. When assessing a patient’s condition, nurses also consider how patient’s respond  to their illness. Psychological theories and their relevance to social work practice. To give a specific example, it is clearly important for the nurse, who may come into contact with (for example) an anorexic adolescent, to understand the issues revolving around body dysmorphia, self-image enhancement and self-esteem (Lavigne, J. V. et al. (Sugarman J & Sulmasy 2001). In the light of this study, this comment may not be as flippant as it initially appears. The rest of The’s paper is concerned with the psychological theory behind the explanations of just why it is that patients do adopt these defensive positions and just why it is that healthcare professionals frequently collude with them on this issue. How can a patient be considered to be “empowered and educated” about a course of treatment if the nurse has been selective in the way that treatment has been explained to the patient? 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