Practice Change In Nursing

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Running Head: ADMISSION ESSAY Admission Essay Keuka College Maryann B Cogdill Practice Change Five years ago I decided to address a practice change that I felt desperately needed to be done to provide the best care for our patients on the obstetric unit in our small community hospital. We were safely delivering 500 babies on an annual base but had great hopes of expanding our practice. At the time, we did not provide couplet care but had one nurse for the mother and another nurse for the baby. My staff had become comfortable tending to the needs of either the postpartum mother or the newborn. Some of these nurses had worked for our organization for over 30 years and simply found their expertise in…show more content…
Change, though a part of our daily routine in nursing was difficult. My history with this organization was that often nurses found that practices that were adequate during their own experience as a patient and therefore should not be changed or improved on. More well seasoned nurses had told me during my initial fact finding phase that they prefer specializing in either mothers or newborns, but not both. All my nurses had certification in neonatal resuscitation and basic life support which was the basic structure of being competency in couplet care. After assuring the support of my clinical coordinator and my senior leader, I spoke at a staff meeting about the benefits of couplet care. I spoke about the more efficient nursing practice we could provide and the benefits to patients as well to nursing. Many of the staff were surprisingly supportive of the approach. I brought another nurse from a local hospital to the meeting to speak about their change, barriers, and positive rewards brought about from couplet care. This speaker answered many of their questions and solved many of the obstacles the staff…show more content…
Often small hospitals get use to the way their work flows and since there were no huge problems, none of the staff felt it needed to be addressed. Once staff saw the positive outcomes and heard from our community patients that they loved the new progress, the staff embraced the change. Our breastfeeding rate went from 60% to 71% in 6 months. Even the most argumentative staff members stated it was hard to dispute all the positives. Ultimately it was patients we served that dictated the change but it was the nurses that allowed and help facilitate the growth of our

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