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. Concepts for the Grand Theory When comparing a grand theory to a middle range theory, a grand theory is much more abstract that uses a wide scope to explain and define broad issues. A middle range theory is more specific, focused and concrete (Eldridge, 2014). Watsons’s theory of human caring is a good example of a grand theory. Watson’s theory takes on a holistic approach to providing care for the patients all around wellbeing.
Evidence Based Practice Nursing Implications The professional practice of nursing has transformed over several years. Gone are the days of providing patient care based on habits or tradition. The patient desires for the nurse to provide evidence related the medical condition to support them in their decision making process. Evidence based practice (EBP) is a recipe for clinical expertise. The purpose of this paper is to explore the impact of evidence based research on nursing practice, define EBP, explain the importance of EBP research to improve nursing practice, and barriers to overcome in research utilization.
Integration of Evidence-Based Practice into Professional Nursing Practice Chamberlain College of Nursing 351: Transitions to Professional Nursing Spring and 2010 Integration of Evidence-Based Practice into Professional Nursing Practice “It is not enough to do your best, you must know what to do, and THEN do your best.” –W. Edwards Deming. Introduction As medical treatment and technology advances, health care is constantly changing, ultimately affecting the treatment and prevention of diseases. Health care has turned to the use of evidence-based practice to provide the care that research has shown to provide the best outcomes (Troseth, 2009). Evidence-based practice (EBP) provides the research and information of how to deliver the best patient care, and can be integrated into the delivery of nursing care.
Treatment Outcome Models Introduction The available forensic treatment professional literature discusses three models of outcomes. These models influence how the desired treatment outcome is defined, the planning of the research, and the desired goals of the treatment. The models are relapse, recidivism, and harm-reduction. Clinicians need to understand these models as they help in planning for treatment in forensic settings. Relapse model Relapse refers to a situation where the victim returns to a previous state of behavior or mental condition (Percy, 2008).
Today the healthcare system has extremely changed and people are receiving more care for their sickness. Currently the goal of healthcare is to add continuum of care for patient, one who meet needs at every stage of life, health are even death. Continuum of care includes many services such as managed home
Mitigating Lateral Violence: Design for Change in Practice Stacy Lacaillade Chamberlain College of Nursing NR451 Capstone Course 28 November, 2010 Design for Change in Practice Evidenced based practice (EBP) is an empowering process for improvement in the health care professions. Rosswurm and Larrabee (1999) credit the research studies which used meta - analysis, randomized clinical trials and systematic studies of patient outcomes over the last few decades as having started this shift from the “tradition of intuition – driven practice…to the new paradigm of evidenced based practice” (p.318). However, evidence has encountered a certain amount of difficulty being implemented into practice, thereby necessitating the use of a model when implementing a change based on evidence into practice. This paper will discuss the six steps in the Rosswurm and Larrabee (1999) model for implementing change as they apply to the necessary change of mitigating lateral violence in the nursing work place. Step 1: Assess This step of the change process begins with the identification of a problem.
Health Disparities and Cultural Competence Margarone Momplaisir University of Texas at Pan American Professional Issues in Nursing Practice NURS 6209 Dr. Debra Otto Dr. Pam Sullivan April 26, 2011 Introduction Cultural competence has become a relevant issue in providing quality care within the health care system. Since the United States’ population is comprised of diverse racial and cultural backgrounds, cultural competence has become even more significant. Beliefs and approaches to health differ greatly from culture to culture because culture tends to shape the way we think, act, interact with others, but most importantly the way we respond to illnesses. These differences can serve as an immense resource for those who want to learn or explore how cultural differences can help to influence healthcare outcome. At the same time, this can pose enormous challenges to the healthcare provider who is called upon to deliver culturally competent care.
Current and Future State of Advanced Practice Changing Roles of Advanced Practice Nurses Advanced practice nurses face a challenging situation within the present health care system. For many years, such traditional health care roles as physician and nurse have been regarded as unopposed professionals. With the rapid expansion of knowledge and the raising of standard of care based on evidence-based clinical practice, the health care system in recent years has expanded its ranks to support and expand the physician and nurse roles. Specialist and subspecialist training are fast making the role of the jack-of-all-trades health professional less and less valuable due to the sheer volume of knowledge required to match the standard of care demanded
MEDICARE Medicare and health care are two intertwined words that mean professional treatment on an illness or injury. The delivery and consumptions of this care is a series of the complicated process that needs a lot of monitoring. It includes diagnosis, treatment, prevention, rehabilitation and general palliative care. Qualified individuals deliver this care within organizations, ranging from hospitals to commercial organizations such as pharmaceutical companies, government bodies and non-governmental organizations. During the delivery of these healthcare services, resources available are scarce while their demand gradually increases.
As the US primary care system confronts provider shortfalls due to demographic trends, the growing prevalence of chronic disease, and low proportions of physicians choosing primary care practice, a possible solution is expanded use of physician assistants (PAs) and nurse practitioners (NPs). This solution is supported by a large body of research demonstrating high quality of NP and PA care and by recent research suggesting that higher proportions of NPs in primary care clinics are associated with improved outcomes among patients with diabetes (Morgan, Abott, McNeil and Fisher, 2012). In my opinion the most important role of human resources in healthcare is ensuring the delivery of services that provide quality, efficiency and equity to its consumers. There are numerous studies that demonstrate how the use of nurse practitioners as primary care providers can significantly assist with meeting current healthcare deficits. I feel as though the utilization of nurse practitioners as primary care providers can greatly assist with the delivery of healthcare to the millions of Americans that will be covered by the