Evidence-based practice specifically focuses on a holistic approach that encompasses clinical expertise, patient values, and the best researched evidence to improve patient care outcomes. As healthcare trends change to comply with the adoption of enhanced technology, compliance of government healthcare reimbursements, and higher quality care, strong leadership and continued research is needed (Huber, 2014). Nurse leaders have the vital, but sometimes challenging duty of promoting evidence-based practices in a usually complex healthcare setting. Not only should the nurse leader gather clinical data that may help improve patient outcomes and nurse practices, nurse leaders should also encourage a work environment that is open to the change that results from evidence-based practice discoveries. Through the development of a building-block approach, nurse leaders can promote evidence-based practices by incorporating the process in every aspect of the healthcare structure they supervise.
Why? Because we cannot help other people until we are a bit clearer about ourselves' (Burnard 1992). This quotation highlights the importance of self-awareness in therapeutic communication and how it allows nurses to perform better overall patient care. Self-awareness is one of the most imperative components in nurse-client rapport and involves the process of objective scrutiny of oneself (Rasheed, 2015, p. 211). It reflects the exploration of one's thoughts, beliefs, behaviours, approaches and values (Bibi, 2016).
Both terms are powerful terms and these terms explain the mental processes nurses use to make certain that they are doing their most excellent thinking and decision making for their patient’s better outcomes. Nursing practice requires both critical thinking and clinical reasoning. Critical thinking is the process of deliberate higher level thinking to define a patient’s problem, examine the evidence-based practice in caring for the patient’s, and make options in the delivery of optimal care. Critical thinking involves the demarcation of statements of fact, judgment, and opinion. The progression of critical thinking requires the nurse to think imaginatively, use reflection, and engage in logical thinking (Alfaro-LeFevre, 2013).
Using SWOT analysis, the “Strength” would be to motivate and engage registered nurses who are supportive of the management and leadership of the nurse managers. Using eIMR has the potential of reducing healthcare cost and medication error; which can enhance patient safety (Spratt and Dickson, 2088). It can also promote positive attitude of nurses towards computerisation (Kipturgo et al., 2014). “Weakness” in SWOT analysis would be the time and resources required to train the nursing staff in using the eIMR system. Extra budget is needed for training the nursing staff and a new IT support teams is needed for the new system.
Good communication between nurses and patients is essential for the successful outcome of individualized nursing care of each patient. To achieve this, however, nurses must understand and help their patients, demonstrating courtesy, kindness and sincerity. The qualitative analysis led to the emergence of the four themes from the focus group data. From the students ' point of view, ' initial clinical anxiety ', 'theory- practice gap ', clinical supervision ', ' professional role ', was considered as important factors in clinical experience. There are several issues, especially
The nurse needs to learn different knowledge and clinical skills. You should keep the heart of being a nurse. Moreover, judgment and honesty are important in nursing. We need to have critical thinking to think which is correct or wrong. For example, if you see the dose of medicine is not normal, you should think that is it any wrong in the unit.
There is much overlap when discussing quality and safety in nursing, but it is important to realize that both have their own skills and knowledge essential to the competency. Quality is measuring the rendering of a specific process or action and comparing the data to benchmarks. If the standards are not met then quality improvements are implemented in the hopes of meeting those standards. Were safety is the proactive action of preventing mistakes from occurring, such as knowing a patient is at risk for following and taking precautions such as assisting the patient during ambulation’s. Safety is looking at the environment around you for potential areas of hazard and using critical thinking to make changes for the better of you, co-workers, and patients (Sherwood,
Administration is when a nurse gives a ready to use form of medication where calculations, labelling, mixing and preparing may be involved (Healthline, 2015). Errors in administration usually come down to the nurse, as they have the responsibility to ensure that the “5 R’s” are looked at, and that documentation on the drug kardex is filled out accurately. As well as these procedures to be carried out, a nurse also has a role in observing the patient to see if the medication came into effect, and reporting any complications, when appropriate. Ways in which monitoring could go wrong include: lack of side-effect
Clinical judgement is of complex because nurses are needed to have prior training in that he/she can have a better understanding of the subject. This relies on the ability of the nurse to make observation, identify information which is relevant and good reasoning. The process entails a cycle of sensory activities which are starting with perception
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge In group deliberation, knowledge was seen to be a vital quality within nursing.