I have enjoyed reading your post, Brooke. I found your comment on how evidence based practice is applied in your pediatric practice to be informative and educational. I like how you have briefly explained the importance of nursing structure, process, and outcomes to an ideal work environment and to an optimal health care delivery. Therefore, these three elements are very essential to delivering an optimal nursing care. These elements may also be linked to the nurses’ working environment. Organizational structure and organizational processes may positively or negatively affect the nurses’ working conditions as well as patient outcomes (Maenhout &Vanhoucke, 2013). According to Maenhout and Vanhoucke (2013), organizational structures and processes
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Her previous positions include nursing in the pediatric intensive care unit at both the Children’s Hospital of Philadelphia and in the emergency department of a hospital located in New Jersey. She also had a position as a school nurse previously and went to school following to earn her PhD. What Kate loves most about her job is the opportunity to work with students and interns as well as research on the whole. In fact, she has won several awards for her work in research including honors from the Villanova School of Nursing as well as the Eastern Nursing Research Society. If there were something that she could change about her job, she said that at times processes within research development can take too long, especially with human subjects, and at times she times she wishes the process was more streamlined. She reports to her department supervisor at the School of Nursing at the University of
It was a privilege to work with Laura on a team rehabilitating a severely impaired brainstem CVA patient. She uses evidence based practice to modify treatment approaches to promote positive outcomes for both her patients physical needs as well as cognitive-communicative needs. A perfect example of this was scheduling her PT session prior to an SLP comm/cog session with increasing cardiovascular effort to promote improved cognitive
Evidence based practice is the act of incorporating clinical expertise, best research evidence and patient values and preferences in delivering care. This system, as opposed to previous methods that used the same standard of care for each patient, evaluates treatment plans based on research and the practioners own experiences. The usual workup of this type of practice is to ask a series of “why” questions and meticulously observe patient patterns to paint a better picture of the environmental factors surrounding the patient’s condition. This method advanced treatment modalities as practioners were able to better incorporate external factors in the assessment. Previous styles of care such as defensive medicine, forced providers to aggressively
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
Before EBP was imbedded into healthcare, nurses relied in the advice of senior nurses and what they learned through education and trial and error. Floranc enightengal ……. However, it wasn’t until the mid-1800s that evidence-based medicine had its beginnings, but did not come into play until the year of 1972. Through many years different modifications, various groups of nurses have drafted their own versions of evidence-based practice guidelines into play.
The structure allows the nurse managers to form trusting relationships with staff and this allows open lines of communication between leaders and nurses. The nurses know they are valued deeply by each of the nurse leaders. The organizational structure does not hinder the nurse leaders in any way. They have a great balance of working with those above them and below them on the leadership chain. Their communication is effective and teamwork and collaboration are heavily emphasized.
Discuss the value of best evidence as a driving force in delivery of nursing care at your facility. Throughout the healthcare system, evidence based practice establishes a foundation where changes are made to improve practice. Leaders in practice are stationed at both the facility and system levels to guarantee the implementation of evidence based practice. ET’s facility’s EMR also contains third party evidence based content that provides care plan, flowsheet, and patient education content. To guarantee that ongoing evidence is imbedded within the EMR through regular upgrades, using a third party makes this possible.
“Organizational structure describes the way a company arranges its tasks, work, and people to create a product or service and achieve its goals” (Walston, 2017, p.322). “A similar term, organizational design, normally refers to the alignment of an organization’s structure—including roles and processes for formal reporting relationships—with its missions and goals” (Walston, 2017, p.322). It is typical of health care facilities to operate as a hierarchical structure with supervisors having a comparatively limited span of control (Walston, 2017). Some health care organizations have a relatively short hierarchy, whereas others have a taller hierarchy.
The Nursing profession currently consists of more than 3 million members. It is the nation’s largest segment of the health care labor force. The importance of their contribution to a medical system is concealed in the fact that they span many domains - from hospitals & health clinics to public health centers. Their varying educational attainments allow serving the miscellaneous needs of the communities ranging from direct patient care to scientific research. Many studies have shown that, coupled with the capable leadership, nurses can improve the efficiency of hospital care.
(2005) also mentioned that the successful implementation of a change is based on the evaluation of structure, process, and outcome indicators. The evaluation of structure and process outcomes is beneficial in determining the success of implementing evidence-based decision. On the other hand, the success of the change in nursing practice can be evaluated with the intermediary outcome indicators such as organizational, patient, or health system. The
Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up, while acknowledging the patient/clients best interest. In this professional outline it will be discussed why EBP is so important to start with student nurses career and continuing throughout the nursing career and the second main point will be on the impact it has on patient outcomes regardless of discipline. I believe if this mind set is instilled early in the nurses career the practice will evolve it a more proactive
Evidence-based practice refers to problem-solving and making the best decision to solve problems with evidence produce in healthcare settings. Numerous researched study on evidence-based practice shows that, it is very useful for healthcare providers to identify the needs in patients and providing the relevant interventions which helps to improve the care process towards patients during hospitalization. My team members and myself decided to focus in the topic in the most effective exercise programs which can reduce falls among the older adults in hospitals.
Our institution organizational function will be under review. The Joint Commission will survey our patient environment of care, emergency management, human resources, information management, leadership, life safety, medical staff, nursing, performance improvement, and record of care. Our management of the environment of care looks at how safe, functional environment within the hospital so that quality and safety are preserved. The environment of care is made up of the building or space, including how it is arrange and special features that protect patients, visitors and staff. It also encompasses the equipment used to support patients and the people, including employees, patients and visitors (The Joint Commission, 2013).
The purpose of this paper is to identify and explain the nursing mission of the organization I work for, Allegheny Health Network (AHN), compare this mission to the nursing unit’s mission I work on, explain the structural organization philosophy of AHN, and discuss the pros and cons associated with them. First, the organizations mission, vision, goals, and values are recognized and explained. A description of the professional practice model and care model are provided for support. An explanation of the nursing unit I work on within the hospital is given along with the mission associated with our every day practice. These two missions are then compared to one another to identify similarities, differences, and provide an understanding of how
This assignment has impacted my perspective on evidence-based practice by helping me build clinical reasoning skills and knowledge of difference diagnoses that will enables me to apply the most high-quality and appropriate intervention strategies that is proven effective in improve patient’s treatment outcome.