Philosophy of Nursing
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.
In order for our nursing staff to be able to offer professional care, we expect proficiency that is as comprehensive as possible (primary and advanced training, special training) as well as social and personal competence.The nursing care team provides the basic structure of our collaborative nursing efforts, which are marked by transparency, open communication, ability to criticize, the right of everyone to have their say, responsibility for one’s work, and the creation of mutual goals. Interdisciplinary cooperation, i.e., cooperation with other professions, is a central orientation of our work. The preconditions for the success of our activities are respect for the tasks of the other professional groups and and the awareness that we have mutual goals.
For us, to lead means to create a climate of motivation and openness in order to reach mutual goals.The basic principles of our work culture are cooperative behaviour, optimization of the communications and information flow, and respect for the dignity and privacy of each member of our staff. The furtherance of professional, personal and social competence, participation in decision-making processes, as well as mutual conflict resolution contribute to satisfaction and fulfillment in carrying out one’s role. We realize that these goals can be reached only if everyone cooperates.
Continued and Further Training
The Rudolfinerhaus sees itself as a learning institution. We support further training in the profession in order to increase the individual’s professional competence with the aim of ensuring a high level of quality care.Expanding one’s knowledge is seen as a basic prerequisite to working in the Rudolfinerhaus and as a personal responsibility.
As the location for the practicum in primary training, we share responsibility for the professional development of the student nurses in the Nursing School of the Rudolfinerhaus.In cooperation with the School, we endeavor to foster the student nurses in accordance with their training level and to create the optimal conditions for them to translate theoretical knowledge into practice.