Philosophy can be defined as an integration of one’s own beliefs that explains relationships about a phenomenon in order to understand and make predictions. Nursing philosophy incorporates the nature of nursing (ontology), nursing knowledge (epistemology) and nursing conduct (ethics) to provide a systematic viewpoint to describe, explain and predict in order to direct nursing theory, practice and research. In contrast, the definition of practical nursing philosophy is less distinct. Interpretations of practical nursing philosophy have evolved since the birth of nursing organizations such as the international philosophy of nursing society. I hope to discuss an interpretation of my thoughts of practical nursing philosophy.
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.
Its reform policies focus around the fact that healthcare needs to patient centred. Indeed it could be suggested that inter-professional-team working has been developed as it is the key way in which to focus on the patients needs **** Firstly a definition will be offered for Inter-professional team working. It is apparent that Inter-professional team working is where professionals from different disciplines converge in order to provide the best services possible and improve client/service user care. Zwarenstein et al (2002 in Higgs et al 2004). It is also necessary to draw the distinction between Inter-professional team working and multi professional team working and to note the ambiguity in the definitions.
These theories could be characterized by a functional view of nursing and health (McEwen & Wills, 2010). Nursing theories enhances students understanding of the principles, values and meaning of nursing profession. In addition, it helps the nurses to understand their roles in the health care setting. The theorists changed the worldview of nursing as a profession. Nursing theory provided the foundations of nursing practice and the direction nursing is developing.
Nurses need to be educated on these indicators to understand the care they provide directly affects patient outcomes. The American Nurses Association (ANA) recognized areas of patient care and developed nursing-sensitive indicators to improve care of patients. Nursing-sensitive indicators reflect three aspects of nursing care: structure, process and outcomes. (American Sentinel University, 2011, para. 2) They identify structures of care and care processes, which influence patient care outcomes.
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.
Critical incidents are snapshots of something that happens to a patient, their family or midwife. It may be something positive, or it could be a situation where someone has suffered in some way (Carelock, 2001). Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for midwives. The practice requires us to explore our actions and feelings and examine evidence-based literature, thus bridging the gap between theory and practice (Bailey 1995). It also affords us the opportunity of changing our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work.
In Peplau’s theory, the elements of the nursing metaparadigm (i.e. person, health, environment and nursing) are defined and broadened as follows (Current Nursing, 2012): * Client/Patient – Person, group, community deserving of humane care with dignity, privacy, ethics * Environment – Physiological, psychological & social fluidity that may be illness-maintaining or health promoting * Health – Forward movement of personality and other ongoing human processes in the direction of creative, constructive, personal, and community living. * Interpersonal – Phenomena occurring between people * Nurse – The medium of the art of nursing; a maturing force. * Nursing - A significant therapeutic interpersonal process. It functions cooperatively with other human processes
Research and Information used by professional nurses became part of nursing sciences. The new contemporary phase in nursing began and the use of theory in nursing practice became a core of a nursing profession. “Theories give nurses different ways of viewing reality, such as expanding awareness of concepts never before considered, organizing care activities, and providing opportunities for reflection and the formation of opinions”(Sitzman K, Eicheberger, 2011). Nursing theories are interrelating concepts that create a different way of looking at specific phenomena. “A nursing theory is a set of concepts, definitions,
Workflow analysis: Administering Medication Using Bar Code Medication Administration Workflow Analysis for Medication Administration Using Bar Code Medication Administration As health care organizations adopt information technology to improve quality and patient safety, reduce errors, increase efficiency, decrease time-consuming and redundant paperwork, and enhance communication, they are finding that information technology (IT) can significantly impact nursing workflow. To ensure the adoption is successful, organizations need to thoroughly assess the impact of the technology on nursing workflow and involve nurses in the selection and implementation process. Conducting a comprehensive workflow analysis is a critical step in health IT implementation. Workflow analysis allows health centers to critically look at how work is currently being done in the organization. This paper analyzed the effectiveness of one innovative information technology, the Bar Code Medication Administration (BCMA) system.