Introduction Nurses as a professional, we are obligated to deliver the best care to patients. Every interventions that we performed are expected to be based on evidences and underpinned by rationales. In recent years, the idea of evidence-based practice is prevalent (G). To promote the development of evidence-based practice, we have to address the barriers and facilitators (B). In the following, I am going to give a description on evidence-based practice.
Therefore, for the nurses to succeed in reassuring, motivating, empowering and understanding Mary’s concerns, they must be able to communicate effectively with her and her family (Randall
Thus, caregivers should take instructions and directions from clients seriously. In the nursing field, there are major concepts that help to cement the nursing value systems. The people concept mainly focuses on the patients themselves, their family members, friends, and any other groups related to them (Blackford, 2016). To make the people concept more effective, positive and personal connections should be maintained throughout the time the patient is seeking care, and the patients should be afforded the freedom to manage their health with dignity and self-awareness (Blackford, 2016).
service users, thereby improving healthcare outcome (Chaloner, 2007). Their main concern is to guide the activities of healthcare providers by utilization of the professional code of conduct so that professionalism in practice will be maintained, informed decision making and ensuring patient’s safety (DH, 2012; NMC, 2008). These also contributes to improvement in the quality of life by reducing morbidity and mortality rate, thus, promoting consistency of care (Hansson, 2009; Corey et al., 2014). According to Corey et al.
According to the Grand Canyon University College of Nursing Philosophy “the nursing education is built upon theories and research. Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching, and leading” ("Nursing Philosophy," 2011). In the event of a nursing care or patient situation, the ADN uses the procedures and steps learned to correctly evaluate the patient condition as exactly a BSN would do in the same situation. The difference starts with the BSN utilizing the critical thinking, management, leadership and decision making skill set to think beyond the clinical condition of the patient. This may not be limited to legal, management, social, human caring and the client relationship.
Self governance, voluntary certification, active participation in research and involvement in healthcare policies are prerequisite to the development of the field of nursing
First, when planning a client care plan, nurses must establish priorities and optimal outcomes of care that are measureable and can lead to a successful evaluation. The “SMART” mnemonic acronym is a guide process that is similar to the nursing process by using critical thinking to assess the problem and innervate a plan that can later be evaluated. (Claire, S.) The nurse should keep this process in mind that will help contribute to creating a successful care plan by making sure the goals are specific, measurable, achievable, relevant and Time-bound. Nurses work with clients to identify goals and successful outcomes.
Kong, Qin, Zhou, Mou and Gao (2014) support this suggestion and adds that effective communication is a vital component of nursing practice contributing to wise decision-making and effective patient management. A holistic assessment which is culturally sensitive, ensures that healthcare is concordant to a patient’s values and beliefs (Tucker, Roncoroni & Sanchez, 2015). Cultural competence in nursing, requires health professionals to have an understanding of the diversity of cultures among patient groups and in doing so, to provide care which is respectful and culturally-centred (Tucker et al., 2015). Using the reflective model of situation, task, action and response (STAR) below, I was able to recall a clinical experience and review my practice in nursing (Swinburne University,
Nursing assessment is a fundamental nursing capacity which gives establishment to quality nursing consideration and intercession. It distinguishes the qualities of the patient in advancing health. The appraisal likewise recognises patient's needs, clinical issues or nursing findings and to assess reactions of the individual to health issues and intercession. A precise and intensive health assessment reflects the information and aptitudes of an expert medical caretaker. In the current medical institution, nursing professionals are meant to be known for their services in regards of their patients.
Leadership can be defined as a combination of having both personality traits and learned leadership skills, and it is the ability to guide, inspire, motivate and influence other person’s behaviour to set out and achieve optimum goals (Cherry, B. and Jacob, S.R. 2015). Management skills and nurses managers however focus on the systems and structure of the healthcare system itself and have been given the responsibility to co-ordinate and accomplish these goals, such as; time, staffing , problem solving and decision making (Cherry, B. and Jacob, S.R. 2015). An article written by Parand A. et al. (2014) defined a manager as an employee who is accountable and responsible for staff members and involved in the recruitment, training and education. Managers tend to adopt an attitude aiming towards goals that are necessary rather than goals that are desired; therefore managers are greatly required within the culture of the healthcare system (Zaleznik, A. 2004).
Demonstrate effective use of technology to navigate the electronic health record, communicate with inter/intraprofessional teams, and be involved with decision making in the delivery of quality and safe patient care. (Ivy Tech Community College, 2016). Rationale In nursing, the use of technology is vital in providing high quality of care and complete understanding of the patient.
Organizational Culture and Readiness Having a positive attitude towards Evidence Based Practice (EBP) and valuing the importance of EBP practice for patients is the most important factor in the practice of EBP among nurses (Stokke, K., Olsen, N., Espehaug, B., & Nortvedt, M. (2014). An “Organizational Culture and Readiness Assessment” survey was conducted among nurses at a hospital following the Appendix K in (Melnyk & Fineout-Overholt, 2011, p 594). Most nurses agreed that the hospital is prepared for further implementation of Evidence Based Practice (EBP). Majority of them believe that the nursing staff, the physician team, and administrators actively practice EBP. The rationale behind this comes from the overall environment of the hospital.