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.
Application of Theory Paper Nursing theory is the framework that defines nursing practice, establishes standards of care and provides the information essential for functioning patient care. Theory presents logical and educated reasons for nursing actions, based on structured, written depictions of what nursing is and what nurses do (Rousell, 2010). When problems arise within the educational, research, administration and direct patient care settings; theory supplies a foundation for dialog. When using theory to facilitate resolution of a nursing issue it guides leaders in the direction of the common goal of affording superior patient care (Rousell, 2010). In this paper I will apply the Ida Jean Orlando’s Nursing Deliberate Nursing Process Theory to patient boarding in the Emergency Department (ED), a current issue at the facility I am employed.
According to Laureate Education (2010) nursing informatics is a major player in continuum of care and it consists of data, information, knowledge, and wisdom. The goal of this paper is to address Parkinson’s disease early onset symptoms, what is its relationship in the four-step continuum process, and how informatics plays a vital role in attaining wisdom on caring for this particular disease process. Disease Early Onset Symptoms In home health, I have seen a significant increase of patients diagnosed with early stages of Parkinson’s disease (PD). A five stage classification scale from Hoehn and Yahr is used to classify PD symptoms based on severity and disease progression. At stage I, the disease progression is usually slow in onset with mild tremors affecting one side of body.
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.
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.
The framework consists of six elements namely: data; information; knowledge; decision; action; and evaluation. This paper comprises a deeper analysis of these elements. NURSING INFORMATICS THEORY Introduction and Background Information Nursing informatics is a field in the nursing industry that deals with the processes of managing data and information. The main objectives of nursing informatics are to promote efficiency in how nursing practice is undertaken, minimize health costs and to ensure care of patients is of the best quality there can be (Murphy, 2010). Nursing informatics is a dynamic field and it comprises such disciplines such as computer science, information technology and nursing science (Baker, 2012).
Additionally, “The health belief model and social learning theory assist the nurse in formulating an action plan that meets the needs and capabilities of the individual making health behavior changes” (Edelman & Mandle, 2010, p. 248). This model states important points that serve as guidelines for nurses to help enable them to determine an individuals’’ willingness to change health behaviors and to understand the factors that contribute to their state of health (Edleman & Mandle, 2010). They are as follows: • Individual perceptions or readiness for change • The value of health to the individual compared with other aspects of living • Perceived susceptibility to a health problem, disease, or complications • Perceived seriousness of the disease level threatening the achievement of certain goals or aims • Risk factors to a disease attributed to heredity, race or culture, medical history, or other causes • Perceived benefits of health action • Perceived barriers to promotion action As nurses, we must always act on the opportunity to educate and recognize those opportunities as they arise. We must be able to evaluate the willingness of individuals to learn and to accept new ways that they can improve their health. We do have such a large amount of face-to-face contact with people that it is only in our benefit to take advantage of educational situations.
Running head: Alarm Fatigue Improving Patient Outcomes: What is the best practice to combat alarm fatigue? TCC NUR273 Abstract With the advent of new technologies, comes a time to take a look at and revamp our current practices. Are we doing these interventions and protocols because that is the way that it has always been done since the beginning of time? Are our practices backed up by legitimate evidence? By using nursing research, best practices can be implemented in order to improve patient outcomes.
My role as a student in higher education and my role as a future healthcare practitioner. Modern day nursing centres on research-based practice and evidence-based health care. According to Naidoo and Wills (2005) the competence of health care personnel is based on their education and knowledge and skills it provides. Contemporary clinical guidelines and practices provide a significant change from the apprenticeship styled learning system of the Florence Nightingale 18th century era. Nursing education has been radically reformed; both in theory and practice to meet up-to-date demands which comprises of rapid technological advancement, cutting edge research and knowledgeable patients who according to Mark, W., and Stanton, M.A.
Nursing Knowledge Through Nursing Process Jeremy, Gina, Krystal, Pearl, Renee NUR/403 January 25, 2015 University of Phoenix Belen Malayang The nursing process is a system of exploration, evaluation and planning aimed at delivering individualized patient care. The goal is to identify the existing or potential health needs of the patient and the best way of providing care to overcome problems and promote wellness. The nursing process has five steps, assessment, diagnosis, planning, implementation, and evaluation. Today we will discuss the nursing process and how it applies to John’s case study on page 379. We will further consider the nursing skills needed by the nurse (RN) and the scientific basis in each part of the nursing process.