In today's era of nursing, it's easy to get caught up in the hustle and bustle of the job. It may be easy some days to forget the fundamental driving forces that brought us to the bedside years ago. To get back to the basics of the practice, I interviewed an Air Medical flight nurse, John Rhodes, a graduate nurse from State University, Alumni 1990. After the interview, I observed him providing direct care to a couple of patients during the flight. By performing the given tasks, I was able to reveal the theories that a member of our nursing community lives by. The daily helicopter bed configuration includes two flight nurses or a flight nurse and a flight paramedic to provide patient care. For this reason, I worked for two years on an intimate level alongside Flight Nurse (FN) Rhodes. Even though she may think she is not following nursing ideals, she is an exemplary example. “I learned nursing theories more than thirty years ago. I don't think I use any of them” (M. Rhodes, personal communication, August 13, 2011). When I asked FN Rhodes what drives him to care for patients, he told me that "the patient, conscious or unconscious, tells us what to do for him by his assessment." I found that FN Rhodes embodies Faye G. Abdellah's theory that emphasizes “Patient-Centered Nursing Approaches” (McEwen & Wills, 2011, p. 129). This is emphasized by the most important aspect of nursing for John which is “doing the right or best thing for the patient, whatever that may be” (M. Rhodes, personal communication, August 13, 2011). Abdellah's theory identified twenty-one nursing problems and a list of ten elements that nurses should include in the focus of the article, facts and hypotheses (p. 223). Through this intuition is born; a skill that can only be generated abstractly from experience with real situations. It is obvious that FN Rhodes involved Benner's seven domains of nursing practice: helping role, teaching or coaching function, client monitoring diagnostic function, effective management of rapidly changing situations, administration and monitoring of therapeutic interventions and regimens, monitoring and quality assurance of nursing practice. health practices and organizational skills and skills related to the work role. (McEwen & Wills, 2011, p. 223) These two theories are only a small portion of what has been witnessed and interpreted from FN John Rhodes' interviews and observations. References McEwen, M. & Wills, E. M. (2011). Theoretical foundations for nursing (3rd ed.). Philadelphia, PA: Lippincott, Williams and Wilkins.
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