Evidence-based practice specifically focuses on a holistic approach that encompasses clinical expertise, patient values, and the best researched evidence to improve patient care outcomes. As healthcare trends change to comply with the adoption of enhanced technology, compliance of government healthcare reimbursements, and higher quality care, strong leadership and continued research is needed (Huber, 2014). Nurse leaders have the vital, but sometimes challenging duty of promoting evidence-based practices in a usually complex healthcare setting. Not only should the nurse leader gather clinical data that may help improve patient outcomes and nurse practices, nurse leaders should also encourage a work environment that is open to the change that results from evidence-based practice discoveries. Through the development of a building-block approach, nurse leaders can promote evidence-based practices by incorporating the process in every aspect of the healthcare structure they supervise.
Models of nursing care help support the delivery of high quality care. Models of care provide us with a theory about people, their environment, their health and the role of nurses in their care. Models of care provide guidance for planning and delivering care. These nursing care models aid the development of principles and philosophies at ward level or in a hospital setting. In the nursing profession there are numerous models of nursing care.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
She states the concepts of the theory of goal attainment: self, perception, communication, interaction, transaction, role, stress, growth and development, time, and space. Her journal goes into thorough details of her developed theory as well as how it is used in the nursing process, the influence and research that led her to this development as well as how critically important it is to establish a nurse-patient relationship. It is vital that the nurse recognizes the patient’s values in order to provide care for them in a way that will be most beneficial to
The most closely relatable theoretical framework to customer client is the Nursing Process Discipline Theory. Many studies have shown that the implementation of Orlando’s theory can lead to improvement of nurse-client relationships while decreasing distress. The Nursing Process Discipline Theory developed by Ida Jean Orlando seeks to understand the role of the nurse in addressing the patient’s needs for help. It is crucial for the nurse to utilize their perception, thoughts, and feelings to explore the meaning of the patient’s behavior. This process allows the nurse to identify the source of distress and to attempt to provide the help needed.
Orem affirms the theory of nursing systems defines exactly how the patient 's self-care essentials will be resolved or met by the patient or nurse (Self Care Deficit Theory, 2014). Orem classifies three classifications of nursing systems to encounter the self-care conditions of the patient. They are categorized as wholly compensatory system, partly compensatory system, and supportive-educative system (Self Care Deficit Theory, 2014). Nursing systems are a “sequence and structures of measured applied engagements of nurses to protect any disease processes, detect any abnormalities and to bring that patient back to equilibrium (Self Care Deficit Theory, 2014). A good example of this theory would be the nursing process.
The needs of learning from critical incidents is to help in analyzing why the incident occurred and to introduce the concept of risk system instead of gaining values of insight of critical thinking among nurses and their collaborative health care for the purpose of quality improvement and safer practice. Similarity of the models in evaluating incident can be compare by PDCA. (Plan- Do- Check- Act.) Deming’s cycle. Plan -Brain storming the problems.
Much of the work defining patient safety and practice that prevent harm have focused on negative outcome of care such as modality and morbidity. Nurses are critical to the surveillance and coordination that reduce such adverse outcome. Much work remains to be done in evaluating the impact of nursing care on positive quality indicators such as appropriate self care and other measures of improved health status. {Kathryn Rhodes Ade et al
Advance practice nurses also use nursing assessment, diagnosing, intervention and evaluation. Advance practice nurses are expected to use evidence-base theory. In comparison, the ideal and observed role of advance practice nurses used evidence-base theory by creating patient satisfaction survey to evaluate outcome. They use infection control and fall report to put in place interventions that they believe will improve patient care. Both roles believe that evidence base theory does work if applied
Role, duties and responsibilities as a registered Nurse or Staff Nurse Registered nurse duties different according to the areas of the expertise. They carry along a central role in promoting the wellness by performing a full range of services. A registered Nurse mainly focuses on caring for educating the patients and their family members about early recovery and ways of prevention of diseases. Hence, nurses assess patients’ health problems and needs, develop and execute nursing care plans and maintain medical records. The profession of a registered nurse comes along with the complexities and major responsibilities.