Evidence-based Task 3 Toni Annette Roberts Western Governors University Evidence-Based Task 3 This paper will describe an appropriate perioperative process or procedure and why it needs change. This paper will explain who determined the basis for the practice in the nursing area. This paper will explain the rationale for making the decision for the procedure. This paper will explain why the procedure is performed this way. This paper will provide an APA-formatted reference list documenting more than five sources used in the review.
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.
Address any advantages or limitations with using content analysis. Findings. Discussion, and Critical Analysis (110 points) The ideal paper will: Present the main findings/themes from your data Discuss the main stereotypes for each group you are analyzing. Analyzes the findings, clearly relating each one to the overall point of the paper (the analysis is focused in relation to the thesis, explaining the significance to the reader). Address the additional questions listed in the research paper handout.
Lastly, key roles nurses would play in improving the quality of care in the Mr. B scenario will be discussed.A. Root Cause AnalysisA root cause analysis (RCA) is “a process for identifying the basic or causal factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event” (Cherry & Jacob, 2011, p. 442). The participants during the root cause analysis would be the emergency room physician (Dr. T.), the Mr. B’s LPN and RN (Nurse J) during the time of the sentinel event, the emergency room nurse manager, and the chief nursing officer (CNO) of the hospital. These members would meet in a root cause analysis meeting to discuss the causative factors that created Mr. B’s sentinel event. The first step in a root cause analysis on the sentinel event that caused Mr. B’s death is to gather the data surrounding the situation.
In this paper I will discuss the importance of a framework of praxis, it’s application to the APN, what influences the framework and employing the framework into context. Praxis Overview Praxis has been defined in a number of ways for different disciplines. For the discipline of nursing it has been described as the art of the coming together of science and practice and linking practice and theory (Kilpatrick, 2008). Praxis can arise at an individual or a group level. At the individual level it is recognizing and reflecting on an issue that restricts one’s abilities and experiences, then taking action to change the issue for themselves and others affected (Chinn & Kramer, 2011).
The structure indicators are related to nursing staff characteristics such as the skill mix, experience, certification and education of the nurses. The process indicators are those that measure the interactions of health care personnel and the patient such as nursing assessments and interventions. Moreover, RN job satisfaction falls under the process. Nursing Sensitive patient outcomes are the desired or undesired changes that are impacted the most by nursing care such as patient falls and pressure ulcers. Nursing-sensitive indicators are important to use to achieve optimal nursing care.
To help get a grip on the situation, the author suggests that the critical thinker would Choose one answer. | a. have others, who are involved, help determine the breadth of the problem. | | | b. find an expert in the problem in order to ask their input. | | | c. view the problem from different perspectives. | | | d. do more research to determine the accuracy of your information.
By performing a self-assessment of my own critical thinking skills, I have revealed both strengths, as well as, weaknesses which have provided a basis for this paper. Flexibility has been defined by Rubenfeld and Sheffer (2010) as the capacity to adapt, accommodate, modify or change thoughts, ideas and behaviors. A strategy to diminish my predominant weakness of flexibility in my thinking will be introduced to assist in my journey to become a highly skilled and competent critical thinker in my clinical practice. Another strategy will be to improve my ability to use self reflection, which has been defined as “contemplation upon a subject, especially one’s assumptions and thinking for the purposes of deeper understanding and self evaluation” (p. 32). These strategies will be accomplished by keeping a written diary of items that I will evaluate based on the evidence and through the use of peer appraisals of my expanding ability to consider new ideas in order to enhance my critical thinking abilities and overcome my weaknesses.
The methodology used will be described and the rationale for this choice. The recommended sampling, data collection and analysis will be discussed and an explanation of the approaches adopted. Trustworthiness and rigour of the study and ethical issues and considerations will be referred to within context of the proposal. Finally it will be concluded as to how the proposed piece of research would add to the knowledge of nurses and the benefit it would have on their practice as well as discussing the impact it could have on patient safety and the quality improvement of care. Literature review A literature review is undertaking to summarise all current literature on a selected topic.
); action; (what needs to be done next, how? ); seeking alternatives; keeping an open mind; viewing from different perspectives; thinking about consequences; testing ideas; seeking, identifying and resolving questions. Own values, beliefs systems and experiences may also affect working practice, reasons why could include; experiences that affect approach to working practices, for example, motivation, conformity, cooperation, consistency, respect, fairness, creativity, previous experiences of learning; self-awareness of values and beliefs; ways own