This assignment will critique the strengths and limitations of the research process of a qualitative paper. Nurses have a responsibility to provide holistic quality care to their patients; which must be based on the most up-to-date health information available (Mitchell et al. 2015). Critically analysing evidence is one of the most important steps towards promoting this evidence-based practice (Burns & Grove, 2011). Conversely, the Francis report (2012) declared that nurses need access to precise, comparable and timely information to improve practice.
Professional socialization, a potential buffer to the effects of reality shock, includes the acquisition of knowledge, skills, identity, occupational traits, values, norms, and self-concept (Mamchur & Myrick, 2003). The process of professional socialization, from career choice to transition to enculturation to the practice setting is influenced by others, especially other nurses (Beck, 2000; Hinds & Harley, 2001). It is this initial professional socialization of nurses that will determine the success or failure of retaining new nurses in the healthcare workplace. The increasing complexity of health services and the acuity of patient care create an expectation by the healthcare organization that the new nurse will “hit the ground running” (Cowin & Hengstberger-Sims, 2006, p. 61). Furthermore, Cowin and Hengstberger-Sims believe the workplace expects newly licensed nurses to quickly fulfill their potential as knowledgeable workers, but the health organization remunerates newly licensed nurses at the lowest possible pay scale.
Alyssa DeMarco NYIT: Department of Nursing Short-Staffed, Workplace Violence and Mandatory Overtime: An IOM Nursing Issues Paper I view nursing as a process of continuous growth and pursuit of knowledge to provide competent compassionate care. Registered Nursing Professionals try to deliver the highest level of patient care to ensure satisfaction; however, they face many challenges and issues that hinder their ability to properly deliver client care. There are various issues in nursing that needs to be addressed and this paper will focus on three: nursing workforce shortage, nursing violence and mandatory overtime hours. These issues have a direct effect on patient care and this paper aims to discuss the impact they have on the nursing field.
As previously discussed, the common good and human dignity hold an important role in the nursing profession and in the role of nurses as well as their influence on patients and their outcomes (Donley et al., 2006). These two CST’s are therefore necessary to be included in the possible solutions to fix the issue as a result of being majorly affected by the issue. Therefore, it is ideal that the possible solutions theorized for this issue include all four CST’s as it will allow for nurses to broaden and regain the importance of their role and influence on others such as their patients, patient’s family and the nursing community (Donley et al., 2006). Through using these CST’s in the solutions, it will reduce the issue of understaffing by increasing the common good and human dignity through the promotion of the positive effect it has on patient’s outcomes and the role of
Innovation and change have become critical components of nursing care, because healthcare is rapidly transforming. Nurse practitioners are expected to play leading roles in innovating, as well as participate effectively improving practice and patient outcomes for various populations. Thus, they need to be well trained, knowledgeable and prepared as change agents in order to meet the expectations and challenges of healthcare now and in future (Hain & Fleck, 2014). Particularly, advanced practice registered nurses (APRNs) need to be well trained on how to become change and innovation agents, not feasible without deep knowledge of how to use decision support tools grounded on evidence based research. At no time in history other than current times,
Collaborative nursing is on a rise and nurses are providing patient care in a more team-based environment. Collaboration is defined as “a complex process that builds on communication” (pg. 190). Poor communication and lack of respect between physicians and nurses lead to harmful outcomes for patients. Interprofessional collaboration is the key to achieving success across education, leadership, practice, and better patient outcomes.
Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011). Purpose of Self-Care Deficit Nursing Theory Dorothea Orem (as cited in Taylor & Renpenning, 2011) described her purpose in formalizing the Self-Care Deficit Nursing Theory as a way of defining the structure of nursing and explaining knowledge, rules and roles of nursing. Orem was attempting to answer the question of why, when and how a nurse is needed in the care of a patient (Smith & Parker, 2015). According to Younas (2017), self-care deficit nursing theory is also a practical effort to delineate the patient role along with that of the nurse. The purpose of this theory, being to define both nurse and patient roles and nursing as a profession, is seen as a strength of the self-care deficit nursing theory.
Clinical research is from acute to chronic care experience throughout life span. It involves health promotion and preventive care for individual, families and communities in different settings. It is important for nursing research to widen the scope in order to have a greater impact in future. The aspect of health promotion and preventive care are very important because some diseases are better prevented than treated and while some changes are irreversible such as aging are part of human experience. Health systems and outcomes research focuses on how health care delivery influences quality, cost and experience of patient.
supportive work environment exists in order to empower clients and advocate for change where barriers exist. Conclusion Empowerment is a novel nursing concept than can be used to support a client to greater health, a community to greater change, and a nurse to attain their goals. Importantly, profound and effective communication skills of the nurse is a key cornerstone of empowerment and person centred care (Burkhardt & Nathaniel, 2014; RNAO, 2015). Of equal importance, in empowerment, is the delicate balance of power and Walker (as cited in Burkhardt & Nathaniel, 2014) substantiates “the most common way for people to give up power is by thinking that they don’t have any” (Facilitating Patient Empowerment section, para. 1).
In order for nurses to help change a patient’s perspective of their lifestyle, they must incorporate the use of motivational interviewing into their practice. According to Miller & Rollnick (2013), motivational interviewing incorporates a patient centred approach as a way of tackling patient’s ambivalence about change. Motivational interviewing includes four processes; engaging, focusing, evoking and planning. However, for this assignment the author of this text will address the key areas of engaging and focusing. These areas will be critically
The nurse needs to be aware of the cost and potential harm of liability coverage. In order for nurses to be successful, we need to be involved when critical decisions and policies are made so we can use new technology such as telemedicine for improving the care of all people, not just those who can afford
In order for the future of health care to change, changes must begin at the top with stakeholders, the hierarchy and nursing management, nurses as leaders within their organizations. According to Disch J. (2008), nurses as leaders within their organizations need to also step forward, CNEs have the background, perspective, and platform to help their organizations seriously tackle safety issues that jeopardize patient care and that face nurses and their colleagues daily, and are the essential building blocks of all health systems--and
Practice Policy Appropriate health care continues to be one of the major challenges throughout the nation. Financial and educational hindrances can produce negative health effects on individuals and communities. Advanced practice nurses can implement their evidence based knowledge and skills within any environment to increase the knowledge and health of the surrounding populations. However, nurse practitioners must comply with the protocols and laws mandated by the board of nursing. This paper will discuss the setting in which nurse practitioners practice in, along with the laws and limitations that they must adhere to at all times.