Precepting involves a commitment on both the preceptor and the new nurse. The precepting period ends at the completion of orientation period, although the preceptor is usually the support nurse who the new nurse turns to with questions after orientation period ("Precepting," 2010). A2. Guidelines Using a competency-based approach is important in assessing a new nurse’s readiness to work solo on the nursing unit. Even though the new nurse has the potential ability to function, it is NNT2 TASK 5 3 important for the preceptor to evaluate the competency of their skills.
Nursing Theory: Kolcaba’s Comfort Theory and Patient Care Casey Ziegler Chamberlain College of Nursing NR-501: Theoretical Basis of Advanced Nursing March 2015 Nursing Theory: Kolcaba’s Comfort Theory and Patient Care Nursing theory is the backbone of the nursing profession. Nursing theory can be described as the organization of concepts and propositions that are designed for the guidance of nursing practice (Kolcaba's Theory of Comfort, 2013). The concept of nursing theory was first introduced early in nursing school. The basic theories/theorists were introduced to help provide a foundation for nursing students. Once schooling is over, many nurses tend to forget that nursing theory should be incorporated into daily nursing life.
The path that my career has followed has been different from the one I envisioned as a young, fresh out of school nurse. I have progressed from a bedside nurse to being the manager of the unit that I have worked on since 1978. As I have stepped beyond the bedside nurse role, I have realized that the foundation my nursing education gave me was a basis to build on instead of being the only education I would need. The focus of the bedside nurse is on the patient and his or her immediate needs. There may be little attention paid to what is going on in the healthcare environment or how it affects nursing and the place of employment.
1. A series of in-services on team development are being held for nurse managers at a teaching hospital by the staff development department. The educator has just reviewed the concept of group process roles and identified several of them by name. One of the managers asks, “ Could you please explain what exactly is meant by the gatekeeper role?” Which of the following responses by the educator is best? The Gatekeeper ensures that everyone has an opportunity to speak.
Florida views the advanced practice nurse the same as Nebraska. Nursing practice for the RN is the physical interaction between the nurse and patient. It begins with an assessment of the patient’s needs by methods of interviewing the patient and the family on health status, physical examination and by reviewing records. Nurses all get together and develop a plan of care specifically for that patient to improve overall health. If all in the plan fails, it is revised and tried again until something works for that person.
University of Phoenix Material Appendix A: Matrix of Theoretical Models Theoretical Model | Description of Theoretical Model | Type of health care change situation where model best applies | Kurt Lewin’s change theory | Kurt Lewin’s change theory model describes three stages of change that involves the freezing stage, the moving stage, and the refreezing stage (Ngozi, 2010). During the unfreezing stage, the nurse recognizes the need for change, creating awareness and beginning the process of accepting the imminent change. This step involves making nurses gain understanding on their daily activities, unlearn their bad habits, and expose themselves to new methods of attaining the objectives. This stage involves searching a method to make it possible for people abandon an old pattern that was inefficient. In the second stage, moving, the nurse accepts the need for change and implements the change.
To determine whether a new procedure falls within the RN scope of practice you would first clearly define the procedure at hand and ask if it was learned in your basic nursing program. If it was not part of a basic nursing program, determine if you learned the procedure as part of a comprehensive training program which included clinical experience, for example skills specialized to a specific floor or area of the hospital. Then determine if the procedure has become so commonplace in nursing literature and practice that it can reasonably be assumed within the scope, such as wound care and dressing. Find out if the procedure falls within your State Board of Nursing's scope of practice and then if it is in the hospital's policy and procedure manual, which the employer would believe to be within your scope of practice. Finally, determine if the procedure would pass the "reasonable and prudent" standard of nursing, meaning would a nurse with the same education and training perform the task.
Hersey and Blanchard believed that a person’s readiness was the situational characteristic that determined the combination of task and a person’s behavior. The person’s readiness was a combination of both ability and willingness to perform a task. As willingness and ability increase so does the readiness to complete the task and the combination of task and people behaviours required to most effectively guide them change. Hersey and Blanchard identified 4 development levels D1-D4 and suggest that leaders should match these with 4 corresponding leadership styles S1-S4. D1 For people with low competence but high commitment | S1 Directing/TellingTell what, how and when.
The relationship between leadership style and effectiveness suggested that, under condition a, style x would be appropriate, whereas style y was more suitable for condition b, and style z for condition c (Robbins et al 2011). Over the last several decades many researchers have studied into the different contingency theories. At the present time the four main theories are: Fiedler’s contingency mode, House’s Path-goal theory, Hersey and Blanchards situational theory and the leader-member exchange theory. First of all Fiedler’s contingency model proposes that effective group performance depends on the proper match between the leader’s style and the degree to which the situation gives the leader control (Robbins et al 2011). He believed that the success of the leader is dependent on their individual leadership style and orientation,
| Introduction This assignment will try to attempt and review the patient centred services within an emergency department at a local hospital, keeping in line with the NMC (Nursing Midwifery Council (2008)) code of conduct no names shall be mentioned and the hospital shall remain anonymous. Using references from literature, experience, knowledge and a brief patient model case, the student will explain the experiences of the patient. The student will also explain and define the concept of Holistic care, along with explanations and the importance of teamwork, collaboration, communication and the importance of understanding how the MDT (multidisciplinary team) works. At the end the student will reflect on what has been said and review good and bad practises. Definition Holism derives from the Greek word ‘holos’, meaning all, entire or whole, is the idea that natural systems (physical, biological, chemical, social, economic, mental, linguistic etc.)