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.
This topic highlights the following objectives: Recognize the importance of understanding the history of the nursing profession. Recognize the influence of historical events and issues on contemporary nursing practice. Recognize the contributions and challenges of key nursing pioneers and leaders in the evolution of the nursing profession. Determine how contemporary and historical legislation has directly and indirectly influenced nursing practice and the education of nurses. Describe the evolution of various types of nursing education programs as a response to changes in healthcare delivery.
Self Evaluation of Critical Thinking Susan R. Bolte The Ohio State University College of Nursing Graduate School Self Evaluation of Critical Thinking “Critical thinking in nursing is an essential component of professional accountability and quality nursing care” (Rubenfeld & Sheffer, 2010, p. 31). Nurses that use effective critical thinking must use certain habits of the mind, as well as, specific cognitive skills. According to Rubenfeld and Sheffer (2010), critical thinking is not only important to clinicians and educators, but also, it is important to patients and their significant others as it has a direct impact on the quality of patient outcomes. Quality patient outcomes require multiple levels of thinking (p. 9). 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.
According to Rolfe (1993), nursing praxis is the “bringing together of theory and practice which involves a continual process of hypothesizing and testing out new ideas, and modifying practice according to the results” (p. 176). In contrast, according to Kilpatrick (2008), the main objective of praxis is to “integrate theory, practice and art, and facilitate the recognition and valuing of different types of knowledge through reflection” (p.116). This nursing scholar maintains that praxis is a combination of both theories. The integration of theory and practice lead to a continuous cycle of reflection that guides and modifies nursing practice. Nursing praxis can be utilized to develop nursing knowledge.
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.
Importance of Theory Nursing theory is significant in the line of work that nurses perform. They are used to give explanation to the care provided, guide practice, and deliver groundwork for clinical decision making. Theory also provides assistance in the ability to use critical thinking skills. Nursing theories also improve patient care, patient outcomes, and nurse-patient communication. When a nurse uses these philosophies in practice, new information is collected which can impact the future of nursing performance.
The ability to critically and accurately asses, plan, intervene and evaluate the health illness which the client experiences (Marie-Laure Delamaire, Gaetan Lafortune, 2010). Besides, advance nursing role represent innovation and continuously challenge the boundaries of nursing practice and existing modes of health care delivery to a community. More importantly advance practice nurses (APN) as innovator in the field help in shaping the quality and safety
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.
Chamberlain College of Nursing Nurs 501 Theoretical Basis for Advanced Nursing Practice Spring Semester 2015 Felisha Mack Walker & Avant 2005 states “the purpose of concept analysis is to develop critical thinking through analysis and synthesis, identify pertinent areas of research, refine ambiguous concepts in theory, clarify over used vague or abstract concepts, develop a rigorous process for operationalising variables, distinguish between the defining attributes of concept and its irrelevant attributes”. Concept analysis is essential in determining key elements in defining the concept chosen. This process is critical for the theorist and researcher to conduct in order to gain more insight and understanding of the concept chosen. According to Walker & Avant (2005), the steps of concept analysis are selecting a concept, determining the purpose of analysis, identify all uses of the concept, determine the defining attributes, identify a model case, identify borderline, related, contrary, invented and illegitimate cases, identify antecedents and consequences and define empirical referents. These steps of concept analysis by Walker and Avant, gives the researcher a foundation to process their concept in a formalized manner.
The purpose of health promotion in nursing practice is to enable people make healthy choices. According Smeltzer & Bare (2006), the purpose of health promotion is to focus on a person’s potential for wellness and to encourage him/her to change her personal habits, lifestyle and environment in a way that it will reduce risk and improve health and wellbeing. Nursing roles and responsibilities have gradually evolved due to changes in the society. Special importance is now attached to preventive, community-based care