The Terms care and «professional care» are used in used in a variety of ways. As a member of the International Council of Nurses ICN takes over and supports the SBK Definition of professional care:
"Professional care includes the independent care and care, alone or in cooperation with other professionals, of people of all ages, of families or communities, as well as groups and social communities, whether sick or healthy, in all life situations (settings). Care includes the promotion of health, the prevention of diseases and the care and care of sick, disabled and dying people. Other key tasks of nursing are the perception of interests and needs (advocacy), the promotion of a safe environment, research, participation in the design of health policy as well as in the management of health care and education."(Official translation of the ICN Definition of Nursing,recognized by the professional associations of Germany, Austria and Switzerland) – https://www.sbk.ch/pflegethemen
Care can be seen, understood and defined differently in many respects. Of course, there are standards for almost everything these days. Especially in nursing professions, the tendency is very strong in the direction of assigning actions in nursing to a standard.
Care-specific Diagnoses are now made by default. In the Jungle of definitions and different formulations must be find your way around first. There are clear diagnoses and very unclear diagnoses. What has changed over the last twenty years? Years of my career changed? What has developed? Where the nursing staff can benefit and where will they be in the Standard madness driven?
I would like to look back at my first years of work. In 1996 -1999 we were trainees as nurses at the nursing school. A great deal of value was placed on the positive formulation of the patient's problems. We were urged to put the problems as specifically as possible into a positive formulation. We nursing students were encouraged to recognize and formulate the problems of the patient. However, our interpretations should not be included in the problem presentation. Because where we see a problem, it does not mean that the patient also sees his problems.
For example, if a person sleeps little at night, it does not mean that it is a problem for the person. When does this become a problem? If the patient himself expresses that he suffers from constant fatigue because he does not get enough sleep at night? It is helpful to take over the words of the patients in the problem recording. Through the right questions, we can capture and outline this in a conversation and with good observation. According to our formulation, we can let the patient actively participate in the goal setting and formulation of measures. This is about him.
Let us ask the patient what his ideas are. After recording the exact problems, we can create the nursing diagnoses in the NANDA catalog and work together with the patient on the formulation of measures. After all, we depend on the patient's participation to successfully achieve the goals set for SMART. I would like to share my personal impression by being of the opinion that I will continue to use individual care and individualized care planning despite standardization and care diagnosis.
Furthermore, I would like to remind you directly of the joint finding of resources when finding a problem. They also belong in the recording of the problems and the resources can tell us a cognitively healthy person very well. Let nurses take advantage of this opportunity and shape the everyday care routine with our patients and avoid planning around the patient.
The patient will thank this with active help and the use of his resources. We will enjoy everyday care much more and we will develop constructive thinking.