Healthcare knows multiple levels. As shown above these levels are humane care, personal care, available care and medical care.
Humane care means that we are treating human beings and we need to be aware of that. We need to find qualitative appropriate treatments. This aspect or level of healthcare needs nurses whom act provident (considerate and foreseeing) in their consultations. By fulfilling this task and supporting humane care, this enhances autonomy and encourages revitalization.
Personal care means that we are treating a specific human being, a person with an identity, etc. We need to supply personal care, the interventions need to be adequate for this particular person. The art is to find qualitative affordable care for this person. The person or patient has an active role and responsibility in his or her own revitalization.
The challenge of a hospital and the managing staff is to arrange the care that they can supply. It's a big organization and it has to run smoothly. Their role is to arrange and regulate available care. For example, when a patient needs immediate surgery, there needs to be a physician, nurses, bed, room, etc. Whatever they do, they are moving between health insurance policy and quantitative policy, between matching affordable care and hospitalization short stay care. In other words: we have this many beds, this many patients, these are the costs and these are the gains. How can we arrange and manage the proceedings so healthcare will be efficient.
Medical care focuses on quantitative appropriate treatment. The physician performs technical operations to enhance autonomy and short stay care. The patient has to get back on its feet as fast as possible.
To be able to arrange patient empowering healthcare and find the appropriate treatment, physicians and nurses need to work together. There is still an unnecessary gap between these two disciplines and it is essential to make this gap as small as possible. When the two disciplines complement (complete) each other, the treatments and interventions become succesful.
In the following text we describe an ideal typical situation. Both, physician and nurse, need to develop their emperical and phenomenological competentions to realize this.
The physician looks at the patient from an emperical based research and a medical and general perspective to find the real disease by excluding other possible diseases. A physician has (un)conscious knowledge of the (un)known disease, views the data of the patient and puts treatments in a required order. He or she focuses on the medical aspect and finding the right treatment to solve the disease.
The treatments and interventions to solve the disease are based on technics from an emperical approach and falsified by quantitative research.
The nurse looks at the patient from a phenomenological evidence based therapeutical and particular perspective to find out what is really happening with the sufferer by including all relevant symptoms. A nurse has (un)consious knowledge of the (un)known sufferer, views the competence of the person and tunes the interventions. He or she focuses on the therapeutical aspect, applying the right interventions to dissolve the sufferer.
Despite the general disease the sufferer shows particular symptoms probably based on pneumatic disfunctions. To dissolve these disfunctions, the nurse operates from a phenomenological approach and verified by qualitative evidence based research.
The physician has to include the therapeutical personal aspects based on particular information to complete his or her role in this process of finding the treatment and solving the disease. The physician has to search actively for this information or he can ask the nurse. By doing this, the physician supports the role of the nurse and the therapeutical outcome.
The nurse has to exclude, based on possible medical general problems if the sufferer in this specific moment needs the intervention by the physician or the nurse can handle it by her- or himself. If the physician has to handle it, the nurse needs to inform the physician with quantitative data. Besides, if necessary, the nurse translates qualitative data into quantitative data. By doing this, the nurse supports the role of the physician and the treatment plan.