Nursing as a discipline recognizes the value to utilizing resources already developed rather than developing every idea independent of all other disciplines. Barrowed theories are used to describe situations that have been considered in other disciplines but are useful in a nursing scenario. In the coming pages an analysis of Kurt Lewin’s Change Management Model and Richard Lazarus’s Stress and Coping philosophy will be discussed.
Change is a great place to begin the discussion and of interest to me because it is a very real part of the life of every individual. As the health status changes, so too must the mindset and lifestyle of the patient. Nurses too, must adapt care based on the needs and desires of patients. There are also the environmental
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Kurt Lewin, the “founder of social psychology,” first presented his change model in 1947. This model identifies change as a three step process: Unfreezing, Change, and Refreezing. These are fairly self-explanatory. First, one must recognizes the need and benefit of change. Next, alterations in thinking, lifestyle, or products must be made. And finally, the “new” way must be accepted as the norm. This meaning is not only simple, but logical and useful. When nurses work with other nurses to implement a new procedure, one introduces the reason why the change must be made to the team and tries to get the team to see that necessity. Next, the procedure goes into place. Finally, everyone on the team uses the procedure as the accepted methodology. The same process can be used anywhere in society with groups and individuals. Thus, it is widely generalizable. The theory is very easy to understand and clearly stated, thus parsimonious. It is testable. It works. As an infection preventionist and the sepsis champion at our facility, I have utilized this model to implement the use of new sepsis order sets that are founded on evidence based practice. I used scientific research …show more content…
It affects students and their teachers as well as children and their parents. It is everywhere. Therefore, where there is stress, there is some type of coping and adaptation whether effective or ineffective. Lazarus developed his ideas concerning stress and coping in the 1960s after researching stress and emotion at Johns Hopkins. His theory proposed that incidents in life effect the emotional state of the individual. These events are not only the big events like births, deaths, and taxes but also the little things like being cut off in traffic and forgetting to thaw meat for supper. This seems reasonable enough. It is useful in that it helps nurses to not take a patient’s emotional state personally and gives pause as to the need to assist the patient in coping. That being said, it is very useful. It is useful in a variety of settings. It is not simply stated or briefly written and therefore, is not parsimonious. It can and has been widely tested. As an educator, circumstances presented themselves today so that student nurses were forced to provide care to patients they knew nothing about except for the information they learned during bedside report. This was a brand new situation. It was very unpleasant (stressful) for them. This was a great opportunity to help them learn about coping mechanisms including relaxation techniques
Sometimes when patients come into the hospital it can be difficult at times for them when they are feeling bad in knowing exactly what is going on. There are cases where it’s
As an infection preventionist and the sepsis champion at our facility, I have utilized this model to implement the use of new sepsis order sets that are founded on evidence based practice. I used scientific research
Communication plays a critical role in the healthcare industry. It is a critical part of a nurse, as you will be providing viable information to the different peoples. As a nurse one reason that communication is critical is during handoff. A handoff is “A standardized handoff communication tool is recognized as a Joint Commission patient safety goal to reduce communication errors and improve patient safety” (Taylor, 2015). In recent years, healthcare facility has changed the handoff from a report outside the room to a bedside shift report.
Health care workers in the Emergency Department (ED) have the opportunity to improve patient care outcomes related to sepsis through earlier detection and goal directed therapy. The international sepsis campaign further defined key elements or “bundles” that need to be completed within 3 hours of the ED admission for a patient with sepsis. Nurses compose the majority of these front line workers and have the opportunity to make an impact on improving their patients’ outcomes. Unfortunately, many EDs have not adopted clinical practice guidelines to reflect these expert recommendations, and continue to struggle with a multitude of
Analysis of Lewin’s Model for Change Kurt Lewin is known as one of the modern pioneers in social organizational and applied psychology. A German-American psychologist and physicist. Lewin believed that change could not occur before generating a reason for the change. He created his change model in the 1940’s, also known as the Force Field Analysis for Change, which evaluated the energy it requires to overcome opposing forces. Lewin’s change model is planned, it has the three definite steps with the process being very defined, and appears relatively easy to remember and use.
This allows both the nurse and family to experience a more rewarding and joyful resolution to the
This can be very challenging to deal with for both the nurse and family members (Copstead & Banasik, 2010). These behavioral changes should be addressed by providing a significant amount of relaxing and therapeutic activities to help cope with anxiety and tension. The nurse should make the patients environments as quiet and relaxing as possible while constantly orienting the patience back to reality with continued references to the present time, date, season and personal memorabilia. Personal photo should be label in order to refresh the patient’s memory. When interacting with the patient the nurse should always introduce themselves and make eye contact.
Nurses also must aware about environment and keep an eye on patients’
For my nursing experience, I have worked in research and specialist hospital in day medical unit. This unit receiving many of cancer patients to provide them routine chemotherapy doses. My focus was arranging their appointments and educating them how to adapt with routine chemotherapy and cancer disease environment. However, Roy, Callista adaptation theory is a grand theory that focuses on promoting adaptation for individuals and groups and responding positively to particular environment changes. Roy believed that "the goal of nursing is to improve adaptive for particular person" through using four adaptive mode (Physiologic needs, Self-concept, Role function, Interdependence) and specific information about the person.
There is a lot of technical and clinical information that the one will need as a nurse: critical thinking and communication skills, patient assessment skills, understanding disease management protocols and development of care plans (just to name a few), most of which is only obtainable through college or technical school and on the job experience. Respect for the patient, the patient’s support system, as well as, respect for yourself is another essential trait necessary to be a successful registered nurse. If patients are sick or worrying about what might be wrong with them, they are going to understandably be anxious or upset (and probably both). Part of practicing compassion as a nurse is recognizing situations like this – and so many more – and striving to help patients maintain their dignity through it all. This requires honest and straightforward communication.
A recent study by Griffiths (2008) showed the fundamentals of patient care may have been lost and patient focus was diminished. He explained that nursing had become too technical due to the healthcare environmental crisis and the focus was taken away from the fundamentals of patient care. Although the ward on clinical placement was evidently over stretched, the fundamentals of patient care was still upheld due to the regiment implementation of the RLT model of nursing. Initial assessment allowed nurses to plan and implement measures from early admission which inevitably made all aspects nursing care
• Assessment: Nurses often feel uninformed when changes are made. Not being made aware of important changes can affect patient care. • Nursing Diagnosis: Communication breakdown due to ineffective delivery of new changes related to patient care. • Goal setting: Implement an education book that is placed near the nurse 's station and nurses are responsible to read the changes and sign off when they have read it. • Evaluation: Nurses are better informed and are up to date with new
According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis.
It is also vital for the nurse to promote an open dialogue so each member of
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.