Concept of Nursing Care
The way we think about and deliver nursing care reflects our view of the human being as an individual, formed by his or her social and cultural environment.This view is the precondition for our understanding of his or her feelings and needs, physical, mental, emotional and spiritual. Nursing care has two primary aspects, the use of one’s professional knowledge and skills and the establishment of a professional relationship of trust. This relationship is matched to the individual needs of the person in care.
We see health and sickness as a complex, dynamic interplay between the person’s subjective state and their objective condition. We make every effort to support and accompany the individual in his or her present situation. While taking into account the patient’s abilities and needs, we try to foster independence, responsibility for oneself, and personal decision-making when patients are dealing with the issues of illness, convalescence, recurrent illness, or death. In fostering the maintenance of health we try to help the person recognize and define his or her own wishes and take action.
Careful preparation for discharge from the hospital, which starts with the initial conversation with the patient, ensures continuity of care at home or on an ambulatory basis. For us, nursing care also means helping the individual adjust to dependency and accompanying the patient through every phase and until death. We endeavor to include family members and other persons close to the patient in our plans and actions to the extent possible.
Principles of Nursing Care
Our care is carried out in accordance with the patient-centered organizational model.During each shift, each nurse provides the entirety of nursing care for those patients she/he is responsible for; we endeavor to have this nurse accompany these patients as consistently as possible for the duration of their hospital stay. Our familiarity with different recognized nursing theories enables us to respond successfully to the different demands made on nursing and so to offer professional, individual care.
A key concept in nursing is the “nursing process” and specifically its differentiation from the “medical process”. The “nursing process” defines the course of care activities for which nurses bear responsibility, and it creates the framework for our team efforts. Nursing documentation plays an important role here. Documentation of each step of the nursing process provides for continuity of care as well as evidence of the effectiveness of care, contributes to nursing knowledge, and provides legal protection with the evidence of the nursing procedures carried out. Scientific findings are the basis of our nursing activities, and we support research progress by reflecting on and evaluating our work.
We foster and assure the quality of the care we offer by examining nursing issues in project settings, both at individual workplaces as well as in working groups made up of participants from different nursing units. We carry out our work with a view to economy and ecology. Of importance to us as a profession is networking with other institutions in order to further the development of our profession.