(IOM, 2010, p.xi) Although the nursing process brought a bounty of offering to the healthcare table, the IOM recognized that major improvements would have to be made. Specifically, to prepare the enlarging workforce of nursing, changes in scopes of practice, advances in education, improvements in the nursing continuum of care, and transformation in nursing leadership would have to be implemented. The IOM’s proactive nursing blueprint would extend to national, state, and local levels to transform necessary healthcare policies. (IOM, 2010, p. xii) This paper will focus on the impact of IOM’s report concerning nursing education, nursing practice in primary care, and the nurse’s role in leadership. Emphasis will also be made concerning how I would change my practice to reflect the goals of the IOM report.
Nursing theory applies conceptual frameworks to guide practice through predicting and describing specific behavior. There are many types of nursing theories out there, but the theory I chose was Dr. Katharine Kolcaba’s, The Comfort Theory. In an effort to address why the profession of nursing needs theory, it is important to identify the purpose and importance of theory in general. Not only does nursing theory need to demonstrate the progress of the profession itself, but nursing theory needs to be meaningful and applicable to our current practice. Many authors have somewhat different opinions of what nursing theory actually means, but the general consensus seems to support the fact that it is a set of clearly defined concepts and values.
Abstract Comfort is an important concept in nursing practice that must be used as a guide in providing holistic care to improve patient’s health status. In the history of nursing practice, the concept of comfort is vague and is often times linked to end of life situations only. Dr. Katharine Kolcaba, a teacher and a nurse researcher, developed the theory of comfort with the goal of improving the patient’s experience and overall satisfaction as well as to promote higher hospital integrity and better institutional outcomes. This paper informed the reader of the concept of Comfort Theory, its strengths and weaknesses including the barriers and challenges met when using the theory, its application and implication to critical care setting, and its relevance to healthcare professionals and to the health care system. Further on, the plan to implement the theory in critical care nursing was presented.
Will A personalised induction will always be more effective? Personalised inductions v generic inductions Why are personalised screeds used? As a hypnotherapist it is important to try and find the most effective way to communicate with your client so they can get the most effective results, so when meeting a client for the first time it is critical to build up a good rapport and gain trust. Everybody has individual characters and personalities with different likes and dislikes. We may come from different cultural backgrounds or have been brought up with different values or perspectives and that is why I feel it would be very useful to find out about their backgrounds, hobbies etc in order to personalise an induction specifically for them.
Second of all, leaders are required to induce followers to seek first the organization’s goal and then their own interests. Third of all, leaders have to activate followers’ higher order needs—employees should be taught how to set priorities and carry them out as soon as possible (“Bass’s Transformational Leadership Theory”). Furthermore, Bass believes that transformational leaders do more than just set up changes and agreements, but that they also adopt determined behaviors in order to increase subordinates’ commitment to organizational goals and purpose. He argues that even though charisma is a very important factor for leaders, it is not the only one and must be complemented with other factors such as idealized influence, inspirational motivation, intellectual stimulation, and individualized considerations (“Bass’s Transformational Leadership Theory”). These factors are needed since the influence exercised by transformational leaders is carried out not only by arousing strong emotions and identification with the leader, but also by transforming
Leaders also use powers to meet their desired commands or goals. Politics and conflict are important aspects of a unit. Utilizing leadership/management skills in practice is essential to nurse managers/leaders. Introduction According to Huber, “Leadership is an activity of human engagement and a relationship experience founded in trust, communication, inspiration, action, and “servant-hood.”” (Huber, 2010). There are many types of leadership styles utilized in organizations.
“Two consensus reports from the Institute of Medicine (IOM) which calls for greater interprofessional education of physicians, nurses, and other health professionals, as well as new methods of improving and demonstrating competency throughout one’s career (IOM, 2003b, 2009)” The Robert Wood Johnson Foundation of nursing research network is estimate costs of nursing education for different degree levels. Although nurses are rapidly adapting to new technology and their ability to give exceptional care to their patients. “Nurses have great potential to lead innovative strategies to improve the health care system. However, a variety of historical, regulatory, and policy barriers have limited nurses’ ability to contribute to widespread transformation (Kimball and O’Neil, 2002).” There are numbers of health care institution have put limitation and regulation on their nurses, some of this regulation are imposed by state law. Here are few of the examples of limitations.
(2009) also highlights the importance of linking the philosophical perspective of nursing, the disciplinary goals, theory and practice when expanding knowledge for the discipline. Nursing's philosophical basis for disciplinary knowledge is a synthesis of the individual and the common good (McCurry et al., 2009). Knowledge for the discipline expands when philosophy, disciplinary goals, theory and practice are linked together. Further directions of the discipline are revealed when linkages between philosophy, disciplinary goals, theory and practice are strengthen (McCurry et al., 2009). My philosophy of nursing includes three important factors (1) the patient, which may include a family, a community or individuals.
The knowledge of foundations and history of nursing provide a way to show just how important change and evolving something for the better can be. Nursing has come a long way and change is important to better the career and the outcomes for patients. The dynamics of the workplace and nursing staff have since evolved from the foundation. The education involved in nursing has made major changes. The treatments, equipment, and technology used from the beginning to present day has also changed and improved.
According to the Nursing and Midwifery Council (2008) research is essential to nursing field to enhance evidence based practice. Melnyk and Fineout-Overholt (2005,p339) define evidence based practice as a problem solving approach that integrates a systematic search for and critical appraisal of the most relevant evidence to answer burning clinical questions while maximizing quality care and limiting cost. However, evidence based practice in nursing is more challenging than its use in the medical profession because of the multiple sources of nursing knowledge (Carrier andBrassey2006,p40). For this reason, it is important for researchers to understand how to figure out research techniques appropriate for them coming up with the best evidence on various issues being handled. Clearly-holdforth( 2008, p43) advocates the use of PICO question framing format while researching for it is a standardized criteria for determining a research question for all methodologies although different methodologies tackle the research