...describe nursing as an exciting and always changing profession. Further, they view nursing at a crossroads with education and practice being challenged to meet the “complex needs of contemporary patients, foster healthy communities, execute prevention strategies to effectively reduce chronic disease, improve patient safety, reduce medical error, and more rapidly translate and implement the emergent scientific break throughs to patients and health care systems” (Cary & George, p. 10). In 2004, the American Association of Colleges of Nursing (AACN) endorsed the creation of the Doctor of Nursing Practice (DNP) degree as the minimum entry level for advanced nursing practice (APN). The DNP as an academic degree...
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...Examining experiences of WA nurses workload under the NHPPD staffing model. One of onus for practising nurses as highlighted by the ANMC code of ethics (2008) is that “Nurses value quality nursing care for all people”. This becomes significantly harder as several complexity or factors within the health system impedes on nurses ability to efficiently fulfil this role. One of such issues is safe and effective workload or the optimal nurse to patient ratio for providing quality nursing care. As Twigg et al. (2011) noted the implementation of nursing hours per patient day (NHPPD) staffing model in 2002, a landmark event for western Australian public hospitals was a result of nurses taking a stand to combat the unreasonable workload that was being undertaken. With evidence showing, mandated nursing staff levels having a significant impact on health outcomes, implementation of various staffing models to foster quality nursing care and improved patient outcomes in the health care setting has been widely utilised globally (Twigg et al. 2011). With prominent research done by Aiken and colleagues in the US, and with several other studies carried out internationally the gains achieved for patient outcomes through appropriate nursing staffing levels has been thoroughly highlighted. Aiken et al (2002) demonstrates the significant impact low staffing levels has on patient’s mortality rate. The study noted that wards that had the worst staffing ratios saw a 31% increase in death rates. Increases...
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...FLORENCE NIGHTINGALE'S CONCEPTUAL MODEL OF NURSING Wendy Davis GRAND CANYON UNIVERSITY NRS 430V Melissa Britt May 4, 2016 FLORENCE NIGHTINGALE'S CONCEPTUAL MODEL OF NURSING Florence Nightingale conceptualized disease as a reparative process and described the nurse’s role as manipulating the environment to facilitate and encourage this process. Her directions regarding ventilation, warmth, light, diet cleanliness, variety and noise are discussed in her classic textbook (Notes on Nursing), first published in London in 1859 and in America in 1860. Brief Overview The environment is critical to health and the nurse’s role in caring for the sick is to provide a clean, quiet, peaceful environment to promote healing. Nightingale’s intent was to describe nursing and provide guidelines for nursing education. Person Nightingale focused on the person as “the recipient of nursing care” (Selanders,2010). However, the person connection also includes family members and other groups important to the individual. The care structure considers the patient’s spiritual and social needs as well as healthcare needs. The resulting health outcome is attributed to how the person interacts with these physical and social connections. The premise is that the person is empowered to manage his health and well-being with dignity and self-preservation with positive personal connections. Today in nursing we have incorporated the concept of patient and family centered care. Thereby including, if the...
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...Learnscape 2 outlines the steps needed for processing a policy into a law. This module improved my understanding of the legislative process and how imperative it is to select 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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...Philosophical and Theoretical Model for Nursing Administration Practice Philosophical and Theoretical Model for Nursing Administration Practice In an era of chaotic and unpredictable health care, I believe it is vital for nursing to employ a nursing leadership theory or philosophy that is specifically applicable to nurses and will holistically address and support both the science and art of this honored profession. According to Parker (2006) “A philosophy comprises statements of enduring values and beliefs held by the members of the discipline”(p.6). As nurses we use philosophical statements to explore compatibility among personal, professional, organizational and societal beliefs and values. I have learned that values are deeply held beliefs about what is good, right, and appropriate. Values are deep seated and remain constant over time. We accumulate our values from childhood based on teaching and observation of our parents, teachers, religious leaders, and other influential and powerful people. Our values and beliefs guide our actions and control our behavior. Values and beliefs are a key component to an individual as one's value system guides one through life personally and professionally. As a nurse leader, I consider it is extremely important to have a nursing philosophy that guides the thinking about, being, and doing of nursing (Parker, 2006). As a leader I believe it is important to have a foundation that addresses the phenomena of interest to nursing. It is vital to have...
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...Proposed Change Theory The change model that will be used in this project is the Iowa Model. This model was choose because it encompassed my proposed change of patient education options by focusing on the aspect of improving the quality of care as well as increasing the knowledge of our patients. According to (Doody & Doody, 2011) the first step of the Iowa Model is to identify a trigger. My trigger is the process we are currently using for giving our prenatal patients education at the first visit in a large packet along with a 200-page book. The second step is to form a team. This team will consist of the clinic manager, staff, providers, leadership, finance, patients, and IT department. The third step is to review the evidence. This step...
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...Current and Future Nursing Models That Guides My Nursing Practice Leila Pinter Concordia University Nursing Theory MSN 834 Dr. Tracy Shannon February 15, 2015 Current and Future Nursing Models That Guides My Nursing Practice Nursing theories are what we base our practice on. It is not only the basis for our practice but also patient care, nursing research, education, and personal and professional development. It allows us to understand and analyze our practice, draw inspiration from them, and guide us with those tools to improve patient outcomes. I align myself most closely with Patricia Benner’s Model From Novice to Expert. The concept of Benner’s theory states that you acquire knowledge and skills over time with practice and experience. Current Model Current Practice I recently left my position as an emergency room nurse and now practice as a case manager for a health insurance company. My roles as a nurse have changed over the years, and prior to leaving the emergency department I was a charge nurse and the trauma coordinator. It was my job in both of those positions to be a leader, mentor and resource person. I was usually the most experienced person in the department, therefore the person to assist when questions would come up or critical situations would arise. As the trauma coordinator, it was my job to know the ins and outs of the program and ensure we are following the recommended guidelines, and prepare for our certifications. I worked closely...
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...Nightingale’s concepts sound familiar in vanMaanen’s (1990) description of nursing as helping clients adjust to health and illness consequences. How nursing affects and changes clients’ health status is nursing’s unique contribution (Donaldson & Crowley 1978) and refers to nursing’s effective management of changing situations (Fitzpatrick 1988) The ANA definition is an example of the discipline describing the domain of nursing, which is to protect, promote, optimize, and alleviate suffering . Bishop and Scudder (1997) state, '... the definition of nursing ... is being contested between those who believe that the meaning and direction of nursing should come from applied science and those who believe that nursing is a caring practice that can be best articulated and developed with enlightenment from the human sciences' (p. 83). My nursing definition includes the aspects of art, science, and practice To understand the factors needed to be considereded when determining whether or not identified actions are within the domain of nursing practice we need to understand the Domains of Nusing Practice. The domains of a knowledge system for nursing -- by viewing the question based on Meleis’ (1991) major components of concern for nursing. These components include: 1. nursing client (as a central focus), 2. transitions, 3. interaction, 4. nursing process, 5. environment, 6. nursing therapeutics, and 7. health. The main factors which need to be taken into...
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...Simply because nursing school and on-the-job training and orientation does not adequately prepare the nurse for delivering traumatic diagnostic and prognostic information that requires life-changing, delicate, and emotional discussions, I was honestly unaware that evidenced-based, best practices even existed. Nevertheless, I was cognizant of diverse models of communication, however, the ones I encountered appeared unrealistic and I have been unable to grasp how to incorporate them into my nursing practice. Regarding an enormous barrier on a high acuity, Medical Oncology Unit that stifles this delivery are, ASCOM phones and pagers. It is a rare occurrence that one or the other does not interrupt an opportunity of full disclosure concerning a patient’s new prognosis or diagnosis. With the tension of the unknown, this is distracting, embarrassing, and gives a sense as if that very patient, in that exact moment, isn’t the most important patient on the nurses or physicians assignment. Another barrier is the...
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...NURSING REFLECTIVE PRACTICE USING JOHN’S REFLECTIVE MODEL: On a particular occasion during my placement in a surgical and medical ward at a local hospital, I had been buddied with a nurse for an evening shift. We had just had handover from the nurse on the previous shift and among the information handed-over, the patient, in addition to her current diagnosis, also had a history of other co-morbid diseases including heart and blood pressure abnormalities. As such, she was on a number of heart regulating medications which included some beta blockers. As part of time management, we went through the patient's care plan and medication charts to determine what needed to be done and at what time regarding this patient. This guided how we were to execute care during the shift and in a timely manner. Her care plan had indicated that the patient's observations were to be done TDS (three times a day) It was during this process that we decided that it was not necessary, at this point, to take the patient's vital signs as these had been done just a few hours before we had started. When the time for the medication round came, we went to the patient's bed side drawer to collect and give her her medications following the seven rights to medication administration. As a result of our earlier time plan, we did not take her observations. Somehow, the patient asked us curiously why we were not taking her reading as, previously and always before, other nurses seemed to take her readings...
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...Three Specific Ways, In Which the Nursing Conceptual Model of, Martha Rogers can be used to Improve Nursing Practice. Lilian Iberosi Grand Canyon University Three Specific Ways, in which the Nursing Conceptual Model of, Martha Rogers can be used to Improve Nursing. Martha E. Rogers’ nursing theory of “Science of Unitary Human Being” consists of eight concepts namely: energy field, openness, pattern, pan-dimensionality, homeodynamic principles, resonance, helicy, and integrality. Understanding these concepts is the beginning for direct guidance into the practice of nursing. They provide a different explanation for the metaparadign concepts of person, health, environment, and nursing [4]. Thus according to the Rogers’ theory, a person is “defined as an indivisible, pan-dimensional energy field identified by pattern, and manifesting characteristics specific to the whole and that can't be predicted from knowledge of the parts”. A person is also “a unified whole, having its own distinct characteristics that can't be viewed by looking at, describing, or summarizing the parts”[2]. In the same vein, Rogers defines health as an expression of the life process. It is the manifestation of the “mutual, simultaneous interaction of the human and environmental fields”. Thus, health and illness are considered part of the same continuum. Therefore to prepare nurses to utilize Roger’s model would entail a “nursing curriculum that teaches and practices therapeutic touch, and conducting...
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...In her case, the model is a very good fit; all her needs are being assessed as an individual and evaluated as needed to continue ensuring that her needs are met (Selman et al., 2014). During the assessment, the nurse discovered the reasons for Mary’s anxiety: she was afraid of being connected to the syringe driver, as there appears to be a belief within society that if this happens, the individual will die soon after. The report implies Mary has a limited understanding of the effective options available for managing pain. The King's Fund (2017) draws attention to the complexity of health and health care, where many service users experience difficulties regarding the process, communication, and understanding basic health information, or having a correct understanding...
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...Introduction In this report I will explore the Gibbs 1998 Reflective Model and base it on a significant event in my life which I could have learned from as a result. The reason for why I have chosen to discuss my events on the Gibbs (1998) reflective model is because during the research of this model I had found that it related to me the most out of the other theorists’ models. In comparison, Driscoll (1998) is a reflective model which is more related to a clinical process which is one of my reasons for why I could not explore this in my report as my one significant life event is not established on a clinically based live event. Description The event I will examine took place this year in my final years of sixth form. I was taking Physical Education at the time and as part of my module I had to teach a class of young year nine students more specifically the basics in football. This was not easy for me as I had not done this before, in fact only one practice session in front of my class mates which there were only four of. However, to thirty students whilst being assessed by two teachers was a whole other situation for me and I struggled to cope with the nerves and became anxious. As I tried to gather myself I got to the front of the class and broke down which...
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...Provision of effective mental health care is usually hindered by fragmentation in care, inequitable treatment, and continued stigmatization for those with mental illness. The medical model approach in treating mental illness is not therapeutic, empowering, or conducive to healing (Chen, Krupa, Lysaght, McCay, & Piat, 2013). The medical model of care is a good fit with the goals of third party payers who are focused on reducing costs by shortening the length of stay on inpatient units (Seed & Torkelson, 2012). On the contrary, nursing model of care is known to assist the patient to achieve health by providing nursing care that promotes both the body’s healing process and the patients’ ability to care for their health related needs. Orem’s...
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...average woman’s weight has increased while the average fashion model’s weight has dropped. “This growing difference has had a well-documented and pronounced negative effect on the body image of the women and girls who read women’s magazines” (Qtd in Kramer). Throughout history women have been constantly pressured to have the “ideal” body image. As the years went by, the women in the magazine became less realistic and more idealistic. When we look into the magazines today we are bombarded with thin models. In 2004 a journal “Eating Disorders,” women were portrayed in the media as having ideal bodies weighed approximately 15 percent less than average women, making the ideal body difficult, if not impossible, for most women to attain” (Qtd in Kramer). Since women today are feeling so much pressure to look a certain way they will believe any Magazine ad that they see for weight loss. Some even think that they need to go through extremely dangerous procedures to look like “Americas Next Top Model.” With fashion being one of the biggest social class acceptors in today’s society, it too puts pressure on women to look “perfect”. Women frequently compare their bodies to those they see around them. Dissatisfaction with their bodies causes many women and girls to strive...
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