As nursing has progressed, theory has played a large role in defining the professional practice and identifying the standards to providing consistent, measurable practice among the profession. A basic definition of the term theory is given by Streubert & Carpenter (2011) as “a systematic explanation of an event in which constructs and concepts are identified and relationships are proposed and predictions made”. Nursing theories are the basic concepts that define nursing practice. It is why nurses do what we do. During any given shift, nurses are using several theories in ensuring that patients’ needs are being met and proper care is given to ensure the best possible outcomes.
I spoke with the nurse and anesthesia care provider, provided the facts and evidence, and maintained a professional attitude, and we were able to come to a professional understanding. I further discussed this with my nurse manager and nurse educator, and the policy is being changed to reflect our scope of practice. I was able to guide this new nurse in the correct direction, speak up for my profession, and lead an important change within my institution. My years of nursing provided me with the knowledge needed to enact this change, but I know that experience alone is not sufficient in today’s
How does knowledge of the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the "Nursing Timeline of Historical Events" media piece. How have these trends influenced your perspective of nursing practice? **** **** **** **** In order to fully understand our heritage, nurses must learn our professional genealogy – from how the profession evolved from ‘traditional’ ministering of the sick to the professionals we are today. Our history gives us a perspective in the traditions we have as nurses and a legacy to pass on to new nurses as they enter the profession.
The ultimate goal of nursing delegation is to provide the most efficient, effective, quality care in the time frame the nurse is given. Delegation in Nursing A Registered Nurse (RN) must know and understand the differences in delegation, authority, responsibility, and accountability before being able to delegate tasks appropriately. According to Kelly-Heidenthal and Marthaler (2005), “Delegation is the transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome” (p. 6). Authority is the right to act or to command the action of others. Responsibility as defined by Kelly-Heidenthal and Marthaler (2005) “Is the obligation involved when one accepts an assignment” (p. 9).
Individuals cannot be thought of exclusively without the consideration of their families and communities that surround them. The person comes to define him/herself by the way one views oneself in interaction with their social group. A nurse’s care must extend beyond the patient and must involve the patients entire support network. The nurse must be mindful of the person’s subjective experiences about wellness, beliefs, values and personal preferences and should involve the person in decisions affecting his/her treatment and recovery. Therefore the person has a more proactive role and is in control of their own wellbeing and their choices are considered and respected by the nurse.
For example, I can delegate the task of emptying a catheter to a nursing assistant instead of having the nurse do it. Identifying the ability and skill is important as well. I will not be able to delegate a task of inserting an intravenous line if the nurse does not have training on it. To choose the right person we also need to consider the personality, reliability, and commitment because it can make the tasks of delegation easier. If a person is committed and reliable, then we know that the task will be done.
According to Employment Equity and Diversity (2004), the mentor needs to be a person who is aware of their responsibilities in supporting staff and require training and resources to support them in their role. I assigned be a mentor to a new qualified midwifery nurse. I called her Nurse A (Appendix A). Even thought she has experience working in the surgical and medical unit before, she still need an experience and knowledgeable staff to guide and mentor her in a new clinical area .She is a very proactive person and willing to learn. Identifying learning needs, planning and managing the .student experience Plans of action formulated in order to achieve the learner's objectives.
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
Promoting Interdisciplinary Care As the nursing supervisor I would promote using a team approach to improve quality and continuity of care for patients. An interdisciplinary team would involve layering of medically trained professionals from various levels of education and talent. This diversity would allow every aspect of a clients’ needs to be adequately met. In this situation there is a potential group of similar patients (although we focus on one). The first step I would take would be to introduce each team member and educate each member on other their role and the role of others.
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.