This article main purpose is to provide evidence of the importance and application of standardized terminologies in the Nursing practice. A patient care scenario will be used to identify how NANDA, NOC, and NIC elements are applicable. Data, information, knowledge, and wisdom (DIKW) framework will be used to create the patient care scenario. Standardized Nursing terminologies are used by most of healthcare settings as part of Electronic Health Records, and represent nursing data, information, and knowledge that can be stored in the electronic systems to be used as a reference by health care professionals. Scenario A female is referred to home health services for skilled nursing evaluation, and observation.
Patients must be asked questions that allow them to provide as much information about their health related issue. A complete medical history along with the subjective and objective data assists the nurse in reaching a nursing diagnosis (Ackley & Ladwig, 2011). There are five labels associated with nursing
These core concepts lead nurses to actions that guide their practice. Nurses incorporate these concepts as they review, formulate, and deliver nursing care (Brilowski & Wendler, 2005). Nursing is a common core concept of nursing theories. Comparing and analyzing the definition of the concept of nursing among theories helps to distinguish the differences between them. It is also important to know where and how theories can best apply to current nursing practice.
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.
The purpose of this paper is to select and analyze one of the many nursing theories that exist. The focus of the theory and its history will be explored. In addition, the motivational factor behind the development of the theory and the creator’s philosophical beliefs and values will also be discussed. Then, concepts of the selected theory will be compared to the nursing metaparadigm. The nursing theory that will be discussed in this paper is the Interpersonal Relations theory, created by Hildegard E. Peplau.
The structure indicators are related to nursing staff characteristics such as the skill mix, experience, certification and education of the nurses. The process indicators are those that measure the interactions of health care personnel and the patient such as nursing assessments and interventions. Moreover, RN job satisfaction falls under the process. Nursing Sensitive patient outcomes are the desired or undesired changes that are impacted the most by nursing care such as patient falls and pressure ulcers. Nursing-sensitive indicators are important to use to achieve optimal nursing care.
Theoretical Basis: Watson's Theory of Human Caring An advanced practice nurse (APN) to help guide professional practice and provide a working framework can use many different theories and models. Theories provide a foundation in which an APN can seek to understand patients and their problems and effectively plan interventions. Basing our practice on a particular theory can help improve the care we provide by not only providing structure but also providing boundaries and goals for our nursing actions and it defines a framework to evaluate the effectiveness of the actions we provide (Eldridge, 2014). This paper is going to review Watson’s theory of human caring and provide a description of the interrelated concepts for the grand nursing theory. 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.
Change theory will be utilized to implement the plan. A failure mode and effects analysis (FMEA) will project the likelihood that the process improvement plan suggested will not fail. Additionally the role of the professional nurse in functioning as a leader in promoting quality care and influencing quality improvement activities will be discussed. A.Root Cause Analysis A 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 people involved in the RCA should be the people involved in the scenario: the RN (Nurse J), the LPN, the physician (Dr. T.), the emergency room manager, and a figure from administration (Chief Nursing Officer?).
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 methodology used will be described and the rationale for this choice. The recommended sampling, data collection and analysis will be discussed and an explanation of the approaches adopted. Trustworthiness and rigour of the study and ethical issues and considerations will be referred to within context of the proposal. Finally it will be concluded as to how the proposed piece of research would add to the knowledge of nurses and the benefit it would have on their practice as well as discussing the impact it could have on patient safety and the quality improvement of care. Literature review A literature review is undertaking to summarise all current literature on a selected topic.