Instructions
- You should respond to your peers by extending, refuting/correcting, or adding additional nuance to their posts. References need to be within 5 years and at least 150 words.
- All replies must be constructive and use literature where possible.
Respond to Vivianne
The concept of personhood is central to the nursing as caring theory, emphasizing the inherent worth and dignity of each individual patient. This concept goes beyond mere biological or clinical considerations, recognizing patients as whole persons with unique identities, histories, and experiences (Ariné Kuyler & Johnson, 2023). In the context of nursing care, especially in critical and intensive care settings, understanding and honoring personhood is crucial for providing compassionate and ethical care.
Personhood in Nursing as Caring Theory
Definition and Importance
Personhood in the nursing as caring theory refers to acknowledging and respecting the individuality and humanity of each patient (Sorensen et al., 2021). It involves seeing patients not just as cases or medical conditions, but as complete persons with their own needs, preferences, and values (Sorensen et al., 2021). This perspective is essential for holistic care, which aims to address the physical, emotional, psychological, and spiritual needs of patients (Sorensen et al., 2021).
Application in Critical Care Settings
Impact on Critically Ill Patients
According to Kuyler and Johnson (2023), the experiences of critically ill patients regarding nursing care significantly affect their sense of personhood. Their retrospective study highlights that positive nursing care, which respects and acknowledges the patient’s personhood, can lead to better emotional and psychological outcomes for patients (Kuyler & Johnson, 2023). Conversely, neglecting this aspect can result in feelings of dehumanization and distress among patients (Kuyler & Johnson, 2023).
Ethical Considerations in ICU
In the intensive care unit (ICU), where patients are often in vulnerable states, maintaining a focus on personhood is particularly challenging yet crucial. Sorensen et al. (2021) discuss the ethical implications of nursing practices in the ICU, particularly in the context of organ donation. They argue that supporting ethical nursing practice requires a deep understanding of personhood, ensuring that patients are treated with dignity and respect throughout their care journey, even in end-of-life scenarios (Sorensen et al., 2021).
Practical Approaches to Upholding Personhood
Holistic Care Practices
To uphold personhood, nurses are encouraged to engage in holistic care practices. This involves listening to patients, acknowledging their fears and concerns, and involving them in care decisions as much as possible (Kuyler & Johnson, 2023). By doing so, nurses can create a therapeutic relationship that honors the patient’s individuality and promotes a sense of security and trust (Kuyler & Johnson, 2023).
Training and Support for Nurses
Providing training and support for nurses to understand and implement the principles of personhood in their practice is essential. Sorensen et al. (2021) emphasize the need for educational programs that focus on ethical practices and the importance of personhood in critical care settings. Such training helps nurses navigate complex situations, such as organ donation, with sensitivity and ethical integrity (Sorensen et al., 2021).
In conclusion, the concept of personhood is integral to the nursing as caring theory and is essential for providing compassionate, ethical, and holistic care. The studies by Kuyler and Johnson (2023) and Sorensen et al. (2021) underscore the importance of recognizing and honoring the individuality of patients, especially in critical care settings. By focusing on personhood, nurses can ensure that their care practices not only address the physical needs of patients but also support their emotional and psychological well-being.
References:
Ariné Kuyler, & Johnson, E. (2023). Critically ill patients’ experiences of nursing care and the effect on their personhood: A retrospective study. Nursing Open, 10(10), 6903–6911. https://doi.org/10.1002/nop2.1944
