Without superb time management, a nurse’s job will never get done. When implementing a new electronic health record (EHR), this disrupts the routine that nurses have worked hard to develop. According to the American Recovery and Reinvestment Act (ARRA), U.S. hospitals are to become meaningful users of EHR (Kelley, Brandon, & Docherty, 2011). How can the disruption be minimized while implementing a new EHR as directed by the ARRA? Relative Advantage Relative advantage is when “the individual adopting the new innovation must see how it will be an improvement over the old way of doing things (Rogers, 2003).
In light of current policy developments, this essay examines how a community specialist practitioner can contribute in the evolving National Health Service (NHS). Due to its relevance to my practice, the essay will focus on district nursing and how distict nurses can contribute to adult services within primary care. District Nurses are at the heart of community care and play a leading role in the drive for quality, process of change and innovation. Using effective leadership and team approaches, district nurses have embraced the opportunities to flag up their role and the impact they have in providing health care for the population (Lawton, et al, 2006). District nursing teams provide services to patients who are housebound and unable to visit their GP or local health centre.
In 1998 the NHS Executive claimed that pre-registration nursing programs are not equipping nurses with the knowledge and skills to deliver high quality care. However Fitness for Practice (UKCC 1998) states that the sequencing and balance between theory and practice should promote an integration of knowledge, attitudes and skills. This could suggest that nurses have the experience and so during my time as a student I should learn the skills of a handover like a trained nurse has. Reiley and Stengrevics (1989) believe that a written handover cannot only reduce report time but can also serve as a valuable catch up tool for part time staff and agency staff. Writing the report beforehand has also been proposed by Donaghue and Reiley (1981).
The person as defined in Henderson’s model is all encompassing; it applies to the sick, the well and the dying. Caring would include a genuine interaction with the patient, being a source of comfort and strength, and when the patient is well, the nurses must make sure to empower the patients to take care of themselves. Moreover, during that time, nurses functions were not identified programs for skills training and even education varied from school to school, to countries and even in hospitals .There were also legal barriers to how nurses should carry out their duties, which made the profession’s position in healthcare ambiguous and misunderstood. Nursing is primarily helping people in performing basic bodily functions that they are able to do if they are well and to provide this care and help in a limited time only (Henderson, 1991). It stressed more on what the nurses should do and who should they take care of and thus belongs to the reciprocal interaction world view category.
“Knowledge of legal issues are essential because nurses are required to practice in accordance with legislation affecting nursing practice and health care failure to respect the legal rights of clients may result in legal or disciplinary actions.” (Makely, Austin, & Kester, 2013, p.64). Failure to respect the legal rights of clients may result in legal or disciplinary actions. According to the Department of Consumer & Industry services, regulation R338.10104 Delegation; Rule 104. (1) Only a registered nurse may delegate nursing acts, functions, or tasks. A registered nurse who delegates nursing acts, functions, or tasks shall do all of the following: (a) Determine whether the act, function, or task delegated is within the registered nurses scope of practice.
Delegation Examples in a Healthcare Care Setting Presentation Delegation Examples in a Healthcare Care Setting Presentation Slide 2 What is Delegation? According to the American Nurses Association and National Council of State Boards of Nursing, Delegation is the act of directing and overseeing another a competent person who is executing a nursing task or activity. Speaker Note: Delegation is important in nursing to be able to free up time for tasks are complex and cannot be delegated. It is way to work effectively as a team to provide safe and better care for the clients. Slide 3 The delegation process Familiarize yourself with the practice and organization Identify you own barriers Identify your team's strength and weakness
Problem solving is another area of informal leadership a professional nurse possesses. Upon encountering a problem, whether noted objectively or overheard through another’s complaint, the nurse employing leadership will not vent and complain to others, but take a different approach such as discuss with others with questions such as ‘have you noticed a problem when; entering this information in the computer, working with the IV pump, difficulty replacing universal precaution equipment, working with a Dr. Smith during procedures?’ etc. After garnering this information and determining if this is a static problem or ongoing, the nurse exemplifying the problem solving leadership will determine the next step whether further investigation is required, increasing an order of supplies, or approaching management and communicating with them. These actions will define and determine if the nurse is an effective leader. The assigned titles “manager”, “director”, “administrator” do not determine the leader, but the actions, attitude, and professionalism of the person determines the level of leadership.
Critical Thinking in Nursing Practice Critical thinking plays a major part in our everyday decision making whether it is at work as a nurse or in our personal lives. In nursing, critical thinking is a vital skill needed to bring about excellent outcome, stand effective quality care, enhance patient’s safety and satisfaction. It helps nurses know when and how to intervene to situations in a timely and fruitful way “to become a professional nurse requires you learn to think like a nurse” (Critical Thinking and Nursing, 2013). As nurses, we make decisions daily while delivering care to our patients. To do this effectively, nurses should be able to acquire and utilize a higher and advanced level of thinking.
Reflection Paper #1 – Understanding Diversity Amanda Cort N523 Diversity is the heart of life. No two people are born the same, and certainly no two develop in the same way. The nurse’s failure to celebrate this diversity, or at least understand it in a value-neutral way, disrupts the nurse-client relationship and endangers the client’s physical, psychosocial, and spiritual well-being. Rather than viewing these differences as liabilities, nurses should consider them as different aspects of wellness, as well as opportunities for expanding and improving practice. The first step towards understanding diversity is identifying the ways in which individuals can differ.
As a nurse I will have to interact with people from all of the world and make them feel comfortable with their lives in my hands. I cannot make them feel safe if I know nothing about their culture. This experience will acculturate to the Indian customs that many nurses aren’t sensitive to. A lack of cultural sensitivity or cultural competency can lead making incorrect assumptions that can have a negative impact on patient care. Being culturally aware is important because the provider-patient relationship is built on trust.