Caring, compassionate and knowledgeable nurses do make a difference in a person’s life journey. Cullens, V. (1999). We propose that a second type of nursing diagnoses is needed, one which is called surveillance diagnoses. Gathering and recording data is only one part of the nurse’s responsibility in patient assessment. Nominated by peers, educators, patients, families or nursing leaders, the Essence of Nursing Award recognizes clinical nurses whose practice demonstrates advanced skills in the central work of nursing, which is the care of patients and their families. Reacting to information and intervening appropriately are the result of professional nursing vigilance and will often include both independent nursing action and mobilization of other members of the health care team. E-mail: email@example.com. Critical thinking and intuitive nursing practice. The art of watching out: Vigilance in women who have migraine headaches. To err is human: Building a safer health system. Exploring the ethos of the physical therapy profession in the United States: Social, cultural, and historical influences and their relationship to education. “Caring is based on a guiding force and value system that affect the encounters between the nurse and other persons. Leininger, M. Her emphasis on basic human needs as the central focus of nursing practice has led to further theory development regarding the needs of the person and how nursing can assist in meeting those needs. Caring: The moral motivation for good occupational therapy practice. The question is: How is professional nursing vigilance practiced to maximize intended patient outcomes and minimize adverse outcomes? Benner, P.A., Tanner, C.A., & Chesla, C.A. Nurses routinely chart the medications they have given, the treatments they have done or the teaching they have initiated. Curtin, L. (2003). Vigilance is the backdrop against which professional nursing activities are performed. What follows will be a discussion of how I was called to nursing and my vision for my future in the nursing profession. (Ed.). 2, Manuscript 4. Valentine (1997) has suggested that caring is a multidimensional concept that consists of attributes of the nurse including professional knowledge, vigilance, and therapeutic communication. It focuses on health promotion, as well as the treatment of diseases. Neonatal, Paediatric and Child Health Nursing, 2(3), 14-16. Geralyn Meyer, PhD, RN Exploring the concept of vigilance in psychology can suggest an answer to this question. They stated: The habit of observation is one of the most (if not the most) essential qualities in nursing. Such personnel might be able to gather data accurately, but they do not have the educational preparation and scientific background needed to attach meaning to those data. This readiness is about more than mere convenience. The Institute of Medicine 2014 Committee on Approaching Death has identified opportunities for improving end of life care in America. The profession, as a whole, and language developers, in particular, need to expand standardized nursing diagnosis terminology so that the contribution of nurses' vigilance to patient safety may be effectively communicated and documented. The elements of vigilance derived in the migraine study have been adapted for relevance in nursing: attaching meaning to what is, anticipating what might be, calculating risks, readiness to act, and monitoring the results of interventions (Figure ). 2. It is only through that action, however, that others see that vigilance has occurred. We conducted a search of the Cumulative Index of Nursing and Allied Health Literature (CINAHL) from 1982 through 2005 via the Ovid database on March 23, 2005. Carpenito, L.J. 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