NR451 – Capstone Project Milestone #2: Draft Design for Change Assignment Guide/Rubric PURPOSE Creation of a draft “Design for Change” proposal inclusive of your PICOT and Literature review information from your Course Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program. COURSE OUTCOMES This assignment enables the student to meet the following course outcomes: CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1) CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities.
Working towards a common goal requires being able to articulate thoughts and ideas with clarity and conciseness. Members of the interdisciplinary team must be able to explain the plan of care to client in a manner that is understandable; only then can the client make an informed decision regarding what treatment will be in their best option. Patients and health care providers must have a trusting relationship and open communication to enhance the possibility of better outcomes. Members of the healthcare team must have good communication skills to collaborate effectively as they are constantly sharing ideas and providing feedback. In
Transition into the advanced professional nursing role includes the ability to deal with role ambiguity and to collaborate effectively, recognizing the similarities and uniqueness among the various stakeholders. Graduates of the program will be able to: • Identify and analyze common ethical dilemmas and the ways that these dilemmas impact professional practice. • Integrate resources to resolve ethical dilemmas. • Incorporate professional and regulatory standards in practice. • Actively participate in the ongoing development of self and the nursing
Once I‘ve identified these I look at the type of training opportunity which is appropriate and relevant to my role, and formulate a plan to how this will be achieved. In my case I want to become a registered manager, so in preparation I have taken part in formal training including: • Advanced medication • Professional supervision Also doing this, Health and social care diploma level 5, whilst working through this it is helping to identify areas I need more training in which I plan to arrange training for myself i.e. Mental Capacity Act. Alongside formal training I also ensure I get informal training, for example: • Sitting in on resident Reviews with my manager, then moved on to doing them on my own with prior advice from my manager. • Getting help and advice for manager on computer skills as this is something I need to improve on.
Question 5: How do you facilitate patient-centered care in your practice? I will incorporate the information attained by utilizing the mission statement of the facility I work in to give me direction as to how I will treat my patients. I as a staff nurse can provide patient-centered care in my practice by participating in activities such as bedside reporting and utilizing the knowledge I have been taught by SBAR training and utilizing medication reconciliation to deliver concise, accurate communication between other interdisciplinary team members. These are several of the the tools I have at my disposal to focus on and deliver patient- centered care. Question 6: How is cost containment addressed
Theoretical Basis: Watson's Theory of Human Caring An advanced practice nurse (APN) to help guide professional practice and provide a working framework can use many different theories and models. Theories provide a foundation in which an APN can seek to understand patients and their problems and effectively plan interventions. Basing our practice on a particular theory can help improve the care we provide by not only providing structure but also providing boundaries and goals for our nursing actions and it defines a framework to evaluate the effectiveness of the actions we provide (Eldridge, 2014). This paper is going to review Watson’s theory of human caring and provide a description of the interrelated concepts for the grand nursing theory. 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.
I ensure that I follow procedures and guidelines to ensure that I meet standards. I ask managers if I can go on courses to improve my knowledge and keep up to date with any changes in the field. My understanding of the role develops daily as I get to know clients better and learn the best ways to support them by reading their care plans. 3. I reflect on work activities by considering what I’ve done at work and how this can be improved to provide better, more effective care for clients.
The 2010 IOM report also puts a light on the importance of nurse as a leader . Nurses should take part and act as full partners in redesigning the future of health care with physicians and others in the health care team. Be accountable for the care delivered and efforts to improve at all levels to avoid and prevent errors from happening. Today we need more nurses as leaders in fields of policy making advisory boards to local and federal levels and in legislative levels ,to bring forward ideas to improve health care system and there by ensuring the safety and health of our patient and community
Continually improving and adapting approaches benefits both service users and practitioners, ensuring that each individual needs are catered for. This will also enable you to establish what training or mentoring you need. How can standards be used to help a social care worker reflect on their practice? You need to know the standards to understand what is expected of you as a health and social care worker. Once you know these you will be able to reflect and ensure you are
I believe I have a quite good knowledge and understanding of meeting standards with the care I deliver to our service users and meeting the standards expected within my role as a carer. I also believe I could learn more to enhance my knowledge. If I should need support for my own learning and development within my role as a carer I can ask my nurse in charge or my manager at any point. Having regular supervisions and appraisals help in this effect. I can also refer to service users care plans or ask my manager for training on things I may find difficult.