...organizations are moving from the authoritative leadership to a leadership style that allows open communication and staff involvement in decisions making. The United States Institute of Medicine and the Robert Wood Johnson Foundation (2011) indicate that in addition to knowledge and experiences, all nurses must develop leadership skills in order to fully collaborate with physicians and other health professionals to achieve positive outcomes. To improve patient outcome teamwork is the key word. A nurse manager can help create a positive culture by engaging all staff nurses to have a voice in...
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...the splitting of staff, decreased communication and collaboration, lack of teamwork, low morale, and increased staff absenteeism and turnover (Yoder-Wise, 2015, p. 465). These disruptive factors lead to decreased efficiency, meaning more energy has to be expended to achieve the same productivity; subsequently, increasing the probability of mistakes/errors and putting the patient population at risk. Remarkably, Yoder-Wise...
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...INTERPROFESSIONAL RELATIONSHIP INTERPROFESSIONAL RELATIONSHIP AND COLLABORATIVE WORKING According to the reviews, professionalism is growing in every field of works, as new changes and development are emerging in the health and social care. A nurse basic professional responsibility is to provide care and support to people who need helps to improve their health issues. Its professional responsibility is to provide nursing care and support to the people who have been suffering from deterioration of health. A traditional way of nursing is to just provide primary care and follow the order of the professional practitioner, but now new concept of therapeutic relationship and implementation of therapeutic process is evaluated (Fournier, 2000). Nursing practices includes variety of settings and these settings will affect the processes which are out of control over nurse’s influence. These processes may be government laws, policies, management decisions and orders of other professional practitioners. The code of ethics outlines the intention of professional nurse to accept the individual rights and respect these rights in medical practices. Such code of ethic for nurses may affect to fulfil their moral obligation and other ethical problems they may face during their professionalism. Nurses are encouraged to take part in discussion and take decision for their moral obligation which they are facing in taking care and supporting their patient. (Gelman, White, Carlson & Norman,...
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...is more than treating an illness; rather it is focused on delivering quality patient care that is individualized to the needs of each patient. My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. I believe nursing care should be holistic while honoring patient values. A crucial aspect of nursing is interprofessional relationships, and collaborative efforts among healthcare professionals promote quality patient care. My philosophy of nursing extends to my community in which health promotion is something I will continually strive for. Personal Philosophy of Nursing For as long as I can remember I have been overwhelmed with a longing desire to care for those in need, and I feel this ultimately led me to the career choice of nursing. I feel most fulfilled when I am serving and caring for others, and my personal nursing attitude is one that is centered on compassion and service. According to Merriam-Webster’s online dictionary (2012), a philosophy is “an analysis of the grounds of and concepts expressing fundamental beliefs,” and before entering to the profession of nursing, it is important to explore my personal values and principles that will guide my nursing practice. My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. My philosophy is one that focuses on...
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...for factor analysis (Guadagnoli & Velicer, 1988, Hoelter, 1983; Aday & Cornellius, 2006; Polit & Beck, 2008) other authors appear to not support their use (Gaskin & Happell, 2014). In 2014, Gaskin and Happell published a study to explore the way nursing researchers utilize factor analysis. The focus was on five areas of decisions that are commonly made when doing factor analysis: Sample size; choice between factor analysis and principal component analysis; numbers of factors to be retained; data extraction and method of factor rotation. In order to provide guidance and information to researchers, the authors reviewed the literature regarding the above areas of interest, assessed current and best practice for researchers and, provided recommendations...
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...Enhanced interprofessional collaboration (IPC) is identified as an approach in which health care systems are transformed and addressing issues related to a shortage of health-care workers. As a result, Regan, Laschinger & Wong (2015) found that through the provision of effective organizational support, it is possible for IPC to be effectively promoted. The purpose of conducting this study was for the evaluation of the impact of professional nursing practice environments, authentic leadership, and structural empowerment on experienced nurses’ perceptions of interprofessional collaboration. A predictive non-experimental approach was employed to evaluate the impacts of authentic leadership, structural empowerment, and professional nursing practice settings on nurses perceived interprofessional...
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...goals. These disciplines include: skilled nurse, physical therapy, occupational therapy, speech therapy, medical social worker, and home health aide. The lack of consistent communication between health care providers can lead to poor outcomes, such a falls, decreased patient satisfaction, and unplanned hospitalizations. For example if a patient has a medication change causing weakness or unsteady gate that is not communicated to the therapist, the therapist may send patient to hospital concluding it is a functional change instead of a medication side effect. This is just one of many things that can occur when poor communication occurs within a multi-disciplinary team. As previously mentioned home health care has seen a significant growth of increasingly complex patients requiring multiple disciplines in the home. Each member of the healthcare team has patient centered goals. It is necessary for each discipline to be aware of the goals that each discipline is working on to form a seamless plan of care. Due to the increased complexity of the plan of care it is necessary for the team to meet via conference call or in person to collaborate. The importance of team collaboration was investigated by searching the web site for evidence on the value of team collaboration. Research indicates that improved communication reduces the risk of errors in patient care and leads to improved patient outcomes (Vanderwielen, 2014). Next, the writer sent a survey to each member of the multidisciplinary...
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...the care of individual patients”. The best available and current research is utilized in making a judgment about the article in question (Drisko and Grady2012). The research article, Healthcare Providers’ Intentions to Engage in an Interprofessional Approach to Shared Decision-Making in Home Care Programs: A Mixed Methods Study by Legare et al., presents views of the healthcare providers in the implementation of the interprofessional approach to shared decision-making (IP-SDM). In addition, it evaluates their intention for engaging in the program. The IP-SDM program has been gaining popularity in Canada but it is yet to be incorporated into the healthcare system (Reeves et al., 2008) Interprofessional approach entails the engagement of different professionals within the healthcare system, where all contribute towards the achievement of a common method of patient care. In addition, the aspect of shared decision-making entails the development of a system that involves the patients in determining the type of treatment that is given to them. The research concludes that the health professionals are not in any way opposed to the program (Legare et al. 2013, pg 221). The research objective is clearly defined by establishing the two main items under analysis, the intentions, and the factors behind the intentions of the health workers. The methodology was also defined and this article attempts to analyze it further by...
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...This reflective account demonstrates an ability to critically reflect on experiences within my nurse training, particularly within my third and final year. The reflective model selected is Gibbs (1998) (appendix 1) which incorporates description, feelings, evaluation, analysis, conclusion and an action plan which is divided into sections for ease of reading. All names have been changed in accordance with the NMC (2008a) guidelines regarding confidentiality. This piece includes reflections on my own learning using the NMC proficiency, managing care. As this covers a vast array my focus is primarily on medicine management, managing risk and delegation. Description of events During placement within the Accident & Emergency (A&E) department I saw my paediatric mentor on three occasions, the remainder of the time I worked with adult trained staff. As a consequence of this when a child was admitted, I was given the responsibility of caring for them. For the duration of a particular shift I worked with Sue, an adult nurse. Sue recognised that I was competent in my practice as I had worked with her on previous occasions with adults and consequently praised me. Sue, qualified for over twenty years, indicated that she only knew the basics of children’s nursing and suggested that I probably had more knowledge of children than her. This comment left me unsure of her depth of knowledge of paediatric nursing and somewhat concerned me. During my shift, Jay, a two year old was admitted...
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...This assignment will evaluate and explore the experience of mentoring a student in practice, critically analysing topics that will reflect on the role of the mentor, within the context of the nursing profession. The placement area concerned is a 14 bedded acute elderly assessment ward, which caters for both male and female patients. Several students have been placed on our ward over the years, it is the mentors responsibility to provide students with appropriate support, guidance and supervision within the clinical environment, Myall 2008. One of the key issues that need to be considered in preparation for an effective learning environment would be making sure the student is aware of the situations that could arise on the ward, discussing typical events that could happen on a daily basis. clinical experience can be a stressful part of the nursing program, working in a unfamiliar area, working with difficult patients and the fear of making mistakes. Hutchinson (2003) believes that a teacher should aim to provide an environment in which learners feel safe to experiment, voice their concerns, identify their lack of knowledge and stretch their limits. One of the major factors affecting learning is the environment in which it takes place. It is the responsibility of professional staff to create and develop an environment conductive to learning (Price, 2004). This implies that the environment should be continually monitored...
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...the appropriate committee members to help build support for a policy. The importance of communication with the stakeholders is also reinforced. It is crucial to build momentum for the changes you are striving for make. As a nurse, I agree that most nurses are not interested in politics; however, we are a major component of implementing health care policies. I appreciated the fact that the importance of nursing was acknowledged. This module identified three ways to achieve policy support which are persuasion, manipulation, and intimidation. I am most familiar with persuasion,...
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...Running Head: ORGANIZATIONAL SYSTEMSTASK 2 1 Organizational SystemsTask2 Western Governor’s University Elizabeth Shaw July 3, 2016 ORGANIZATIONAL SYSTEMSTASK 2 2 A. Root cause analysis(RCA) is a type of incident analysis that is used after an adverse event or near miss. It takes a systematic approach to determine the causes in order to identify areas of improvement in the system to prevent future adverse events(IHI, 2016). An interprofessional team should be formed that should include all levels of the organization who are knowledgeable about the process that was involved in the incident. For this RCA team members should include the LPN, RN, emergency department physician, emergency department manager. A member of the risk management and or the quality improvement team should be on the team. In many RCA it is also valuable to have a patient on the team. Once this team is formed, members should agree to fill roles on the team. These roles include team leader, advisor, recorder and team members. Once these roles are established the team should identify what happened. Team members should collect information about the event. In collecting the information, it is important to conduct interviews and review medical records. The team should describe the facts of the sentinel event. The team should consider all causative factors, hazards and errors. In this scenario...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...2010 Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing ...
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...applications and letters of support. The team decided to use the existing practices of community service providers. To facilitate referrals of participating patients, the team first identified the existing service pathways. The hospital medical director distributed an overview document to inform emergency department physicians of the project, and the clinical nurse specialist reviewed the referral process, protocols and documentation with nursing staff. ore than ever, health-care providers need to communicate with each other to stay informed about the services clients receive. Working in collaboration is essential to the delivery of effective, efficient and timely care (D'Amour, Ferrada-Videla, San Martin Rodriguez, & Beaulieu, 2005; Interprofessional Care Steering Committee, 2007). We all had roles on the Geriatric Emergency ManagementFalls Intervention Team (GEM-FIT) project, which was aimed at evaluating an alternative service-delivery pathway to reduce the number and consequences of falls in adults aged 65 and older who presented to an inner-city hospital emergency department. The project was based on the Falls Intervention Team (FIT) study, which had evaluated a best practice, multifactorial fall-prevention program for community-dwelling older adults (Baycrest Centre for...
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