Being the nurses the forefront in the goal of deliver quality of care, and patient-centered care, it is imperative to provide insights and action-planing interventions that can direct the nurses to achieve the highest levels of nursing performance. The nursing sensitive indicators are screening tools that help nurses to structure the level of care, establishing the process of how this care is performed, the appropriate interventions, and expected outcomes of the nursing care provided. The competent and professional use of these screening tools provide a save environment for patient care, and the appropriate interventions needed in each particular case knowing that every patient is unique and require patient-centered care. These nursing
Lydia E. Hall’s “Care Core Cure” nursing theory (also commonly called the “Three C’s of Nursing” theory) is one that incorporates (and further develops) Emancipatory Knowing in nursing. This Emancipatory Knowing relies upon the caregiver to recognize that there are social or behavioral problems within the healthcare system, and within the patient. The nurse must ask the critical questions to determine what is wrong with the situation, and who should be the one to benefit (Bickford, 2014). The caregiver must realize that something is incorrect, or unjust, and must work towards the goal of remedying this issue – all with the overall goal of improving the life of the patient (Chinn and Kramer, 2011). To do this, Hall created a new method/standard of care, and referred to this standard of care as the “Care Core Cure” nursing theory.
In addition, accountability regulates behaviour, acts as a deterrent to prevent misconduct, and educates by learning from the mistakes of others. As autonomous health care professionals that are accountable for their practice, nurses must make informed decisions to make sure that they respect and protect the confidentiality of patients at all times. It is therefore vital that nurses continually evaluate their practice, and ensure that their knowledge and skills are up to date, so that their care is evidence based, and in the patients best interests. This is important as it ensures that care is delivered that is of the highest
Roper Logan and Tierney (RLT) model of activities of daily living (ADLS) will be used to determine what is important and necessary in providing individualised care (Roper et al, 2001). The nursing process involve assessment, planning, implementation and evaluation and help to identify likely problems, develop solutions and monitor results of a patient care. This systematic method will focus on Mary as an individual ensuring her holistic needs are taken care of, which include psychological, social, physical cultural and environmental factors (Holland et al, 2008). A nursing process in collaboration with the nursing model should provide a care plan that reflect patient centred and holistic care rather than focusing on medical diagnosis only and is a problem-solving outline for planning and delivering care for Mary and her family (Barrett et al, 2012). However, if the process does not improve Marys state then it should be re-evaluated and the good adjustment made to correct the
This incorporates the use of information technology in the direct provision of care, in creating effective administration systems, in managing and delivering education and supporting ongoing learning, and in promoting nursing research. The future is likely to bring more technological power that will yield a vast quantity of information and stored data. The healthcare sector is likely to benefit from modeling systems, decision support systems, expert systems and artificial intelligence. However, the greatest benefits shall not come from the individual tools but from the information made available by these technologies. As such, to advance the specialty, the nursing and midwifery councils in all states must be committed to ongoing education and professional development.
Concept analysis is vital when it comes to nursing theory. I think that it helps to shape the foundation, and supports to provide an understanding for a need for a certain theory that may not currently exist, or one that needs to be better understood. Katharine Kolcaba developed The Comfort Theory while conducting a concept analysis on comfort. Kolcaba Comfort Theory can be applied to practice today focusing on the concept of comfort and how it affects the care provided to the patients. There are many ways to measure comfort, but one must remember that these measures are based on patients and their perspectives.
Patient’s care depends on nurses’ ability to detect change and prevent patient deterioration. This ability comes by maintaining professional development, supporting and evaluating practice through research activities, and applying evidence based knowledge to practice (Nursing Council of New Zealand, 2007). Barker’s (2013) critique framework will be used to identify strengths and limitation of both research articles, followed by evaluation for relevance and potential implementation for nursing practice within the New Zealand context, as well as looking at the perceptive of Kaupapa Maori practice. A quantitative research article titled: “The primacy of vital signs- Acute care nurses’ and midwives’ use of physical assessment skills: A cross-sectional
Tanner (2006) defined clinical judgment is “an interpretation or conclusion about a patient’s needs, concerns or health problem and the decision to take action or not, use or modify standard approaches, or improvise new ones as deemed appropriate by the patient’s response”. And he also suggested that there are various factors that impact on this process such as nurses’ experience and perspective, knowledge of the patients, their preferences and culture of the care environment. This model, clinical judgment viewed as a problem-solving activity and consists of four phases noticing, interpreting, responding and reflection. It begins with assessment of the patient followed by the planning and implementation of nursing interventions and finish with evaluation or reflection of the effectiveness of those nursing actions. Noticing refers to observing, which is very similar to the assessment, gathering information and data.
Bioterrorism readiness and public health education for medical professionals together must to be the main concern. By combining the two both can be given the time and attention they need for our health care professionals to be properly trained and adequately prepared for a variety of health threats (Egan, 2005). The bioterrorism response education program (BR program) was developed through the collaborative efforts of public health nursing administration and faculty at a university school of nursing. The program was designed to meet the unique needs of public health registered nurses and other personnel for timely training in bioterrorism recognition and response (Baldwin, LaMantia, & Proziack, 2005). The educational program was developed during the summer of 2002 at a time when bioterrorism response was a relatively new concept to health care personnel.
The quality of care is determined by not only the structure of the health system, but also the role of the nurse manager through the quality of education, training and competency. According to an article written by Draper, D.A. et al. (2008), nurses are on the front line of patient care and therefore can significantly influence the improvement of quality of care and ultimately enhance patient treatment and outcome. Draper, D.A.