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.
Nursing theory applies conceptual frameworks to guide practice through predicting and describing specific behavior. There are many types of nursing theories out there, but the theory I chose was Dr. Katharine Kolcaba’s, The Comfort Theory. In an effort to address why the profession of nursing needs theory, it is important to identify the purpose and importance of theory in general. Not only does nursing theory need to demonstrate the progress of the profession itself, but nursing theory needs to be meaningful and applicable to our current practice. Many authors have somewhat different opinions of what nursing theory actually means, but the general consensus seems to support the fact that it is a set of clearly defined concepts and values.
(IOM, 2010, p.xi) Although the nursing process brought a bounty of offering to the healthcare table, the IOM recognized that major improvements would have to be made. Specifically, to prepare the enlarging workforce of nursing, changes in scopes of practice, advances in education, improvements in the nursing continuum of care, and transformation in nursing leadership would have to be implemented. The IOM’s proactive nursing blueprint would extend to national, state, and local levels to transform necessary healthcare policies. (IOM, 2010, p. xii) This paper will focus on the impact of IOM’s report concerning nursing education, nursing practice in primary care, and the nurse’s role in leadership. Emphasis will also be made concerning how I would change my practice to reflect the goals of the IOM report.
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.
Critical Thinking in Nursing Practice Critical thinking plays a major part in our everyday decision making whether it is at work as a nurse or in our personal lives. In nursing, critical thinking is a vital skill needed to bring about excellent outcome, stand effective quality care, enhance patient’s safety and satisfaction. It helps nurses know when and how to intervene to situations in a timely and fruitful way “to become a professional nurse requires you learn to think like a nurse” (Critical Thinking and Nursing, 2013). As nurses, we make decisions daily while delivering care to our patients. To do this effectively, nurses should be able to acquire and utilize a higher and advanced level of thinking.
These three points are essential to the role of nursing in our Changing healthcare system. Transforming practice: According to the IOM report, nurses should be able to practice to the full extent of their education and training. Nursing care should be given to patients based on their individual needs not what is convenient for the provider. For patients to receive care required our healthcare system will need transformation and nurses have the opportunity to play a major role; to create a more accessible, high quality we need to visit our scope of practice especially for APN and discuss barriers and restriction on practice. Transforming education: The IOM report indicates that nursing education should serve as a platform for continued lifelong learning and include opportunity for seamless transition into higher education (IOM 2011).
Running Head: FRAMEWORK FOR Framework for Praxis Malinda D. Whitney University of South Alabama Framework for Praxis Healthcare is field that is ever changing and today’s healthcare reform is a testament to that. This challenge will become a major factor for future advance practice nurses (APN) when clinical practice begins. Further, it will be important for the APN to build a solid personal nursing framework to guide practice. This framework should include the APN having a knowledge base of ideological, philosophical and theoretical influences. In this paper I will discuss the importance of a framework of praxis, it’s application to the APN, what influences the framework and employing the framework into context.
Nurses should get effective workforce planning to get more data and information. 4. Nurses should practice and get higher level of education and training. The nursing education primary goal is patient safety. “Two consensus reports from the Institute of Medicine (IOM) which calls for greater interprofessional education of physicians, nurses, and other health professionals, as well as new methods of improving and demonstrating competency throughout one’s career (IOM, 2003b, 2009)” The Robert Wood Johnson Foundation of nursing research network is estimate costs of nursing education for different degree levels.
Strategic Plan Part I- Organizational Structure Jennifer Janke HCS/589 Health Care Strategic Planning Sheryl Mc Gee, PhD April 13, 2015 Strategic Plan Part I - Organizational Structure Strategic planning is necessary in health care organizations since change is a continuous aspect and implementation is necessary. For this project, Health South Sunrise Rehabilitation Hospital is the chosen organization that is moving forward by improving itself to provide better services to their patients. Mission and vision statements as well as values are important to be communicated with employees, stakeholders, and everyone else. Strategic planning will have successes and failures, but leaders need to think positive at all times. This paper will
There needs to be focus on achieving a baccalaureate degree and further, just to maintain the ability to educate and continue to produce nurses. This too will also influence lifelong learning which the nursing profession prides itself on. (Lane & Kohlenberg,