4. Effective workforce planning and policy making require better data collection and information infrastructure. Impact of IOM Report on Nursing Education The report recommends that nurses should attain higher education levels to meet the needs of today’s changing healthcare system; therefore nurses should achieve the necessary competencies to ensure the delivery of safe patient-centered care. The nursing education must be improved to accommodate these competencies which include leadership, system improvement, collaboration, emphasis practice based on evidence, research, community and public health, geriatrics, computer skills and information management. These are essential to emulate the technological advancement in healthcare today as opposed to the current fragmented system that is both antiquated and ineffective.
The theorist’s background and perspectives will be explained and lastly the theory will be discussed as to how it can serve as an underpinning and improve nursing practice. Concepts for the Grand Theory When comparing a grand theory to a middle range theory, a grand theory is much more abstract that uses a wide scope to explain and define broad issues. A middle range theory is more specific, focused and concrete (Eldridge, 2014). Watsons’s theory of human caring is a good example of a grand theory. Watson’s theory takes on a holistic approach to providing care for the patients all around wellbeing.
These actions; theory, research, and evidence-based care will shape nursing’s values and goals to improve the quality of care and health of individuals, families, and society. This makes theory the foundation of nursing as a caring profession. Dossey in 2008, through her grand theory of integral nursing, concludes that at this point and time in nursing there is a demand for a new language. A language that takes the best theoretical evidence known in science and the art of nursing, to have positive impacts on holistic and human caring theories and modalities. It is through these theoretical approaches and world views that nursing will be better prepared to share the depth of their knowledge, expertise, and critical-thinking skills for complementary assistance to others in creating health and healing.
It is important to educate public about nursing profession and move away from the stereotypes that nurse’s job is to follow doctor’s orders. Patients need to know that nurses are patient’s advocates, care coordinators, critical thinkers, problem solvers etc. I believe that nurses and primary care providers play enormous role in patient care. New York Presbyterian Hospital focuses on the continuous quality improvement efforts. Recently management implemented share governance and primary nursing.
Personal and Professional Health Care Communication Annie Trinh HCS 350 December 11, 2013 Litanya Simien-Robnett Personal and Professional Health Care Communication Communication is an essential component of professional nursing. The knowledge and utilization of effective communication among professional health care providers directly effects their patient health outcomes. It allows health care professionals to obtain and share crucial data, teach and express their thoughts and concerns. It is a mode of transportation to utilize knowledge and convey a plan of action for progress and improvement. It is a way for professionals to embody and project change, to make a difference.
According to Janine Spencer, the BSN incorporated theory based practice which “encourages a broader view of alternatives and an expanded understanding of patient and client behaviors.” (Spencer p 308) She continues explaining how part of the BSN curriculum involves community health nursing, which provides a window into patients lives outside the confines of a hospital. Taking nursing outside, where resources are limited, requires deeper level of critical thinking that is not achieved at the novice RN level. With that said flexibility with obtaining one’s RN, whether via diploma or ADN helped to alleviate the nursing shortage, provided a faster path to completion, as well as being more cost effective. “This inconsistent academic preparation creates dissension within the profession and prevents
The Institute of Medicine: The Future of Nursing Report discusses so many positive key messages to improve nursing care; but three seem to have the greatest impact in my mind, in regards to the future of nursing, the transformation of the: nursing practice, nursing education and nurse’s role. Nursing Practice According to the IOM’s report, nurses should practice to the full extent of their education and training; however due to state regulations and licensing, scope-of-practice is faced with many limitations. Gennaro (2012) states, “A number of different initiatives are underway to en-sure that nurses are able to practice to their full ability... The goal of these endeavors is to ensure that advanced practice nurses are able to practice to the full scope of their education.” I constantly ask myself, is the juice worth the squeeze? Meaning is the end result worth the hardship I’m about to
Communication in Nursing Practice Communication is a process that occurs within physical and social contexts regularly. Whitehead et al (2008. pg. 63) .The aim of this essay is to discuss Communication as a concept of Professional Nursing Practice. Presently, communication is an area of benchmark the government is focusing on to improve the quality of nursing care. The Department of Health [DH] [2001] explained that communication comprises of a number of skills used to promote professional practice.
Research is the systematic investigation into and study of materials and sources in order to establish facts and reach new conclusions (Oxford Dictionary 2011). The ultimate goal of research is to develop, refine and expand upon a body of knowledge providing evidence to either support or reject clinical practice (Polit and Beck 2004). Evidence based practice is broadly defined as the use of the best clinical evidence in making client care decisions (Polit and Beck 2004), and is agreed to ensure safe practice (Sackett 1996). By giving care based on evidence, a nurse acts as an advocate, working to their Code (NMC 2008a), helping clients to access relevant health and social care. In this essay the author looks at the role of the nurse in managing the safe withdrawal of clients detoxifying from alcohol on an inpatient unit.
Because the values and responsibilities of nurses is shaped by history the report was based on this idea, and was developed as a historical evidence grounded modern data. History shows evidence of what nurses can achieve, like how nurses were the founders of community health practices. History also helps in arguing about major policy issues. For example if nurses are allowed to participate as leaders and valued clinicians only will better, quality and easy health access can be achieved. Nursing historians are important to give advice on policy matters, so that all the interested parties can achieve the same goal and better patient care.