Author: admin

Critical Appraisal Tools Worksheet Template

NURS_6052_wk_6-7_assign_CriticalAppraisalTools_template

Evaluation Table

ORDER A PLAGIARISM-FREE PAPER HERE

Use this document to complete the
evaluation table
requirement of the Module 4 Assessment,

Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

 

Full
citation
of selected article

Article #1

Article #2

Article #3

Article #4

 

 

 

 

Conceptual Framework

Describe the theoretical basis for the study

 

 

 

 

 

Design/Method
Describe the design

and how the study

was carried out

 

 

 

 

 

Sample/Setting

The number and

characteristics of

patients,

attrition rate, etc.

 

 

 

 

 

 

 

 

Major Variables Studied

List and define dependent and independent variables

 

 

Measurement

Identify primary statistics used to answer clinical questions

Data Analysis

Statistical or

qualitative

findings

Findings and Recommendations

General findings and recommendations of the research

Appraisal

Describe the general worth of this research to practice. What are the strengths and limitations of study? What are the risks associated with implementation of the suggested practices or processes detailed in the research? What is the feasibility of

use in your practice?

ORDER A PLAGIARISM-FREE PAPER HERE

General Notes/Comments

 

 

 

 

 

 

 

Levels of Evidence Table

 

Use this document to complete the
levels of evidence table
requirement of the Module 4 Assessment,

Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

 

Author
and
year
of selected article

Article #1

Article #2

Article #3

Article #4

 

 

 

 

Study Design

Theoretical basis for the study

 

 

 

 

 

Sample/Setting

The number and

characteristics of

patients

Evidence Level *

(I, II, or III)

 

 

 

Outcomes

 

 

 

General Notes/Comments

 

 

 

 

 

 

 

* Evidence Levels:

 

Level I

Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis

 

Level II

Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis

 

Level III

Nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis

Level IV

Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence

Level V

Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence

 

Outcomes Synthesis Table

 

Use this document to complete the
outcomes synthesis table
requirement of the Module 4 Assessment,

Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

 

Author
and
year
of selected article

Article #1

Article #2

Article #3

Article #4

 

 

 

 

Sample/Setting

The number and

characteristics of

patients

Outcomes

 

 

 

 

Key Findings

 

Appraisal and Study Quality

 

General Notes/Comments

 

 

 

 

 

 

 

NURS_6052_wk_6-7_assign_CriticalAppraisalTools_template (1)

Critical Appraisal Tools Worksheet Template

Introduction

           
This paper systematically and carefully examines four studies to determine their relevance, value and trustworthiness in addressing the issue of HAIs to influence good health outcomes in clinical settings. It includes a literature evaluation table, a level of evidence table and an outcomes synthesis table. For nurses to  safeguard  public health  and provide high quality services, valid and reliable information is needed on what is likely or not likely to harm  patients and the approaches to care  that represent good value.

Evaluation Table

 

Use this document to complete the
evaluation table
requirement of the Module 4 Assessment,

Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

Full
citation
of selected article

Article #1

Article #2

Article #3

Article #4

Ford, C., & Park, L. J. (2018). Hand hygiene and handwashing: key to preventing the transfer of pathogens. 
British Journal of Nursing, 27
(20), 1164–1166.

 

 

 

Hovi, T., Ollgren, J., & Savolainen-Kopra, C. (2017). Intensified hand-hygiene campaign including soap-and-water wash may prevent acute infections in office workers, as shown by a recognized-exposure -adjusted analysis of a randomized trial. 
BMC Infectious Diseases, 17
, 1–9

Kingston, L. M., O, C. N. H., & Dunne, C. P. (2018). A comparative study of hand hygiene and alcohol-based hand rub use among Irish nursing and medical students. 
Nurse Education Today, 63
, 112–118.

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs Vs Handwashing. 
American Journal of Critical Care, 27
(4), 334–337.

Conceptual Framework

Describe the theoretical basis for the study

 

Not provided

Not provided

Not provided

Not provided

Design/Method
Describe the design

and how the study

was carried out

Design-
Clinical practice guidelines

Method-
clinical guidelines based on the review of literature of hand hygiene and handwashing by NICE, WHO and other studies.

Design-
Randomized control trial

Method-
1270 people from designated clusters were randomized to two different interventions (either the use of alcohol hand-rubs or water and soap).On a weekly basis self-reported data of GTI and RTI symptoms were collected through emails. The multilevel binary regression model was used to analyze data.

Design-
Observational cross-sectional design

Method-
a questionnaire was administered electronically to 872 medical and nursing students in a university and outcome data analysed using relevant software.

Design-
Systematic review

Method-
a comprehensive search was conducted in the electronic databases of MEDLINE and CINAHL using the keywords: contact dermatitis, handwashing, dermatitis and hand hygiene.

Sample/Setting

The number and

characteristics of

patients,

attrition rate, etc.

Step by step clinical guidelines on how to maintain hand hygiene and to conduct handwashing in the clinical setting.

 

1270 people from designated clusters were randomized to two different interventions (either the use of alcohol hand-rubs or water and soap).

323 medical and nursing students responded to online questionnaires on the barriers to adherence to hand hygiene guidelines.

3 studies which assessed the impact of handwashing vs. alcohol-based handrubs on the skin were reviewed.

Major Variables Studied

List and define dependent and independent variables

Dependent variable
-none

Independent variable
-none

 

Dependent variable
-RTI and GTI symptoms

Independent variable
-alcohol hand rubs, water and soap

 

Dependent variable
s-body fluid exposure, patient surrounding

Independent variable
– alcohol hand rubs, use of soap and water NURS_6052_wk_6-7_assign_CriticalAppraisalTools_template

 

Dependent variable
-dermatitis

Independent variable
-alcohol-based handrubs and handwashing

 

Measurement

Identify primary statistics used to answer clinical questions

Guidelines provided by NICE and the WHO on hand hygiene and handwashing.

Weekly prevalence of RTI and GTI symptoms

Compliance with WHO hand hygiene model, compliance with hand hygiene practices after contact with the surrounding of a patient or exposure to body fluids.

Incidence and prevalence of dermatitis/contact dermatitis

Data Analysis

Statistical or

qualitative

findings

Decontamination of the hands through handwashing using soap and water is the most effective and easy way to prevent the spread of infections in the clinical setting.

 

Within 16 months of the trial, 238 people who used alcohol-based handrubs, 297 who used soap and water and 230 who used nothing provided their reports. An increase in RTI and GTI exposure was reported in both the intervention and control groups. Among those who used soap and water, the prevalence of GTI reduced to 24% as compared to the control group. Alcohol rubs did not affect the prevalence of the symptoms.

 

 

 

NURS_6052_wk_6-7_assign_CriticalAppraisalTools_template

Of the 872 participants, 323 responded. Nursing students complied more with the WHO “my five moments for hand hygiene” model as compared to medical students. Compliance with hand hygiene was high after being exposed to body fluids (MS 91%. NS 99.5%) and low after contact with a patient’s environment (MS-57.5%, NS-61.5%). Both disciplines had a positive attitude towards hand rubbing. 45% of MS and 16% of NS were not aware of the clinical contraindications to using ABHR. 36% of MS and 9% of NS did not know when to use ABHR and when to use soap and water. 22% NS and 46% MS routinely used ABHR for decontamination.
 

3 relevant studies were retrieved. ABHRs were not linked to reduced skin hydration, allergic reactions and disruption of the skin barrier. Skin tolerance of ABHRs was high with reports from healthcare providers on less irritation of the skin and less dryness in comparison to the use of lotions, creams or handwashing.

 

 

 

Findings and Recommendations

General findings and recommendations of the research

Washing hands with soap and water is the best decontamination method in preventing HAIs.

Handwashing with soap and water safeguarded the participants from GTI and RTI. In clinical settings, it should be adopted as an infection control measure to prevent/reduce the incidence and prevalence of HAIs.

 

 

 

 

Gaps in knowledge on hand hygiene and handwashing are a potential barrier to deficits in hand hygiene practice and use of ABHRs. In clinical settings, leadership should identify potential knowledge gaps, frequently review hand hygiene policies and address them as required.

Evidence on how ABHRs influence contact dermatitis and the effectiveness of antiseptic hand hygiene protocols in preventing dermatitis was level II and III. Lipid-emulsifying alcohols or agents disrupt the skin barrier and cause a lot of skin irritation thus should be avoided.

Appraisal

Describe the general worth of this research to practice. What are the strengths and limitations of study? What are the risks associated with implementation of the suggested practices or processes detailed in the research? What is the feasibility of

use in your practice?

Adds to clinical knowledge on how to prevent the transfer of pathogens in healthcare settings through handwashing and hand hygiene. It has no risks associated with implementation in clinical practice and is highly feasible in my practice.

The study adds to the nursing knowledge on how to prevent RTI and GTI infections in the clinical setting.

A major strength is that since a wide study sample was used, the results can be applied to wide population settings. However, since the data collected on RTI and GTI symptoms were based on electronic self-reporting; varied reports might include biased data which affects the validity and reliability of the results. The research is however feasible in my practice.

The research adds to nursing knowledge on the potential barriers in observing hand hygiene practices in clinical settings. Its major limitation is that since it had a self-reporting design, the likelihood of potential biases is high. However, the huge random study sample increases the validity, reliability and applicability of the results. The study is highly feasible in my practice.

The study adds to the nursing knowledge on health worker perceptions that influence compliance with hand hygiene practices and its influence on the rates of HAIs. Since it is a systematic review that included only 3 articles, the reliability and applicability of its findings is not entirely guaranteed. A major strength of the study is that it recommends the use of ABHRs to reduce bacterial count since it causes less irritation to the skin.

NURS_6052_wk_6-7_assign_CriticalAppraisalTools_template

General Notes/Comments

Will be included in the EBP project since it matches the scope and proposed EBP-intervention.

 

 

 

Will be included in the EBP project since it matches the scope and proposed EBP-intervention.

 

Will be included in the EBP project since it matches the scope and proposed EBP-intervention.

 

Will be included in the EBP project since it matches the scope and proposed EBP-intervention.

 

 

Levels of Evidence Table

 

Use this document to complete the
levels of evidence table
requirement of the Module 4 Assessment,

Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

 

Author
and
year
of selected article

Article #1

Article #2

Article #3

Article #4

 

Ford, C., & Park, L. J. (2018). Hand hygiene and Handwashing: key to preventing the transfer of pathogens. 
British Journal of Nursing, 27
(20), 1164–1166.

 

 

 

 

Hovi, T., Ollgren, J., & Savolainen-Kopra, C. (2017). Intensified hand-hygiene campaign including soap-and-water wash may prevent acute infections in office workers, as shown by a recognized-exposure -adjusted analysis of a randomized trial. 
BMC Infectious Diseases, 17
, 1–9

Kingston, L. M., O, C. N. H., & Dunne, C. P. (2018). A comparative study of hand hygiene and alcohol-based hand rub use among Irish nursing and medical students. 
Nurse Education Today, 63
, 112–118.

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs Vs. Handwashing. 
American Journal of Critical Care, 27
(4), 334–337.

Study Design

Theoretical basis for the study

 

Clinical practice guideline that is based on the review of literature on hand hygiene and handwashing by NICE, WHO and other studies.

 

 

Randomized control trial where 1270 people from designated clusters were randomized to two different interventions (either the use of alcohol hand-rubs or water and soap).On a weekly basis self-reported data of GTI and RTI symptoms were collected through emails. The multilevel binary regression model was used to analyze data.

Observational cross-sectional design where a questionnaire was administered electronically to 872 medical and nursing students in a university and outcome data analysed using relevant software.

Systematic review that involved a comprehensive search of literature in the electronic databases of MEDLINE and CINAHL using the keywords: contact dermatitis, handwashing, dermatitis and hand hygiene.

Sample/Setting

The number and

characteristics of

patients

Step by step clinical guidelines on how to maintain hand hygiene and to conduct handwashing in the clinical setting.

 

1270 people from designated clusters were randomized to two different interventions (either the use of alcohol hand-rubs or water and soap).

323 medical and nursing students responded to online questionnaires on the barriers to adherence to hand hygiene guidelines.

3 studies which assessed the impact of handwashing vs. alcohol-based handrubs on the skin were reviewed.

Evidence Level *

(I, II, or III)

 

Level VII

Level II

Level IV

Level I

Outcomes

 

 

 

Decontamination of the hands through handwashing using soap and water is the most effective and easy way to prevent the spread of infections in the clinical setting. NURS_6052_wk_6-7_assign_CriticalAppraisalTools_template

 

Within 16 months of the trial, 238 people who used alcohol-based handrubs, 297 who used soap and water and 230 who used nothing provided their reports. An increase in RTI and GTI exposure was reported in both the intervention and control groups. Among those who used soap and water, the prevalence of GTI reduced to 24% as compared to the control group. Alcohol rubs did not affect the prevalence of the symptoms.

 

 

Of the 872 participants, 323 responded. Nursing students complied more with the WHO “my five moments for hand hygiene” model as compared to medical students. Compliance with hand hygiene was high after being exposed to body fluids (MS 91%. NS 99.5%) and low after contact with a patient’s environment (MS-57.5%, NS-61.5%). Both disciplines had a positive attitude towards hand rubbing. 45% of MS and 16% of NS were not aware of the clinical contraindications to using ABHR. 36% of MS and 9% of NS did not know when to use ABHR and when to use soap and water. 22% NS and 46% MS routinely used ABHR for decontamination.
 

3 relevant studies were retrieved. ABHRs were not linked to reduced skin hydration, allergic reactions and disruption of the skin barrier. Skin tolerance of ABHRs was high with reports from healthcare providers on less irritation of the skin and less dryness in comparison to the use of lotions, creams or handwashing.

 

 

 

General Notes/Comments

Low evidence

 

 

 

 

High evidence

 

 

Medium evidence

 

 

 

High evidence

 

 

* Evidence Levels:

 

Level I

Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis

 

Level II

Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis

 

Level III

Nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis

Level IV

Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence

Level V

Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence NURS_6052_wk_6-7_assign_CriticalAppraisalTools_template

 

Outcomes Synthesis Table

 

Use this document to complete the
outcomes synthesis table
requirement of the Module 4 Assessment,

Evidence-Based Project, Part 4A: Critical Appraisal of Research

 

 

Author
and
year
of selected article

Article #1

Article #2

Article #3

Article #4

Ford, C., & Park, L. J. (2018). Hand hygiene and handwashing: key to preventing the transfer of pathogens. 
British Journal of Nursing, 27
(20), 1164–1166.

 

 

 

 

 

Hovi, T., Ollgren, J., & Savolainen-Kopra, C. (2017). Intensified hand-hygiene campaign including soap-and-water wash may prevent acute infections in office workers, as shown by a recognized-exposure -adjusted analysis of a randomized trial. 
BMC Infectious Diseases, 17
, 1–9

Kingston, L. M., O, C. N. H., & Dunne, C. P. (2018). A comparative study of hand hygiene and alcohol-based hand rub use among Irish nursing and medical students. 
Nurse Education Today, 63
, 112–118.

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs Vs Handwashing. 
American Journal of Critical Care, 27
(4), 334–337.

Sample/Setting

The number and

characteristics of

patients

Step by step clinical guidelines on how to maintain hand hygiene and to conduct handwashing in the clinical setting.

 

1270 people from designated clusters were randomized to two different interventions (either the use of alcohol hand-rubs or water and soap).

323 medical and nursing students responded to online questionnaires on the barriers to adherence to hand hygiene guidelines.

3 studies which assessed the impact of handwashing vs. alcohol-based handrubs on the skin were reviewed.

Outcomes

 

 

NURS_6052_wk_6-7_assign_CriticalAppraisalTools_template

Key Findings

 

Washing hands with soap and water is the best decontamination method in preventing HAIs.

 

Handwashing with soap and water safeguarded the participants from GTI and RTI. In clinical settings, it should be adopted as an infection control measure to prevent/reduce the incidence and prevalence of HAIs.

 

Gaps in knowledge on hand hygiene and handwashing are a potential barrier to deficits in hand hygiene practice and use of ABHRs. In clinical settings, leadership should identify potential knowledge gaps, frequently review hand hygiene policies and address them as required.

Evidence on how ABHRs influence contact dermatitis and the effectiveness of antiseptic hand hygiene protocols in preventing dermatitis was level II and III. Lipid-emulsifying alcohols or agents disrupt the skin barrier and cause a lot of skin irritation thus should be avoided.

Appraisal and Study Quality

 

Adds to clinical knowledge on how to prevent the transfer of pathogens in healthcare settings through handwashing and hand hygiene. It has no risks associated with implementation in clinical practice.

Medium  quality

The study adds to the nursing knowledge on how to prevent RTI and GTI infections in the clinical setting.

A major strength is that since a wide study sample was used, the results can be applied to wide population settings. However, since the data collected on RTI and GTI symptoms were based on electronic self-reporting; varied reports might include biased data which affects the validity and reliability of the results.

High quality

The research adds to nursing knowledge on the potential barriers in observing hand hygiene practices in clinical settings. Its major limitation is that since it had a self-reporting design, the likelihood of potential biases is high. However, the huge random study sample increases the validity, reliability and applicability of the results.

Medium quality

The study adds to the nursing knowledge on health worker perceptions that influence compliance with hand hygiene practices and its influence on the rates of HAIs. Since it is a systematic review that included only 3 articles, the reliability and applicability of its findings is not entirely guaranteed. A major strength of the study is that it recommends the use of ABHRs to reduce bacterial count since it causes less irritation to the skin.

High quality

General Notes/Comments

Highly feasible in practice

Feasible in practice

Feasible in my practice

Feasible in my practice

 

Conclusion

 

Based on this critical appraisal, the studies recommend routine hand hygiene with soap and water as the effective decontamination method to reduce the spread of pathogens and rates of HAIs in the clinical setting.

 

References

Ford, C., & Park, L. J. (2018). Hand hygiene and handwashing: key to preventing the transfer of pathogens. 
British Journal of Nursing, 27
(20), 1164–1166. NURS_6052_wk_6-7_assign_CriticalAppraisalTools_template

Hovi, T., Ollgren, J., & Savolainen-Kopra, C. (2017). Intensified hand-hygiene campaign including soap-and-water wash may prevent acute infections in office workers, as shown by a recognized-exposure -adjusted analysis of a randomized trial. 
BMC Infectious Diseases, 17
, 1–9.

Kingston, L. M., O, C. N. H., & Dunne, C. P. (2018). A comparative study of hand hygiene and alcohol-based hand rub use among Irish nursing and medical students. 
Nurse Education Today, 63
, 112–118.

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs Vs Handwashing. 
American Journal of Critical Care, 27
(4), 334–337. NURS_6052_wk_6-7_assign_CriticalAppraisalTools_template

NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change

Evidence-Based Decision Making-Handwashing To Reduce HAIs

Name

Institution

ORDER A PLAGIARISM-FREE PAPER HERE

Course Name

Date

Description Of Healthcare Organization

A regional-based hospital of a 400 bed capacity

The hospital serves an estimated population of 200,000 people

The healthcare workforce majorly comprises of nurses

NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change

Healthcare staffs are dedicated and passionate

The organization has embraced a culture of multidisciplinary collaboration

For the purpose of this EBP project, the healthcare organization of choice is regional-based hospital of a 400 bed capacity which serves an estimated population of 200,000 people (children, elderly and adults). The hospital’s healthcare workforce primarily comprises of nurses although there are other healthcare providers such as physicians, dieticians, cardiologists, nurse practitioners and specialists. The nurses are passionate and dedicated and guided by professional values and ethics which increase their likelihood to be engaged in EBP research. The hospital has a library with a wide-range of resources to research from.

 

Problem Description

üHAIs comprise 30% of the hospitals diagnoses among hospitalized patients

üHigh incidences of HAIs are as a result of poor hand hygiene practices

üPatients experience prolonged admissions and poor health outcomes

üHigh incidences of HAIs  impact negatively on the hospitals financial performance

üIt also has a negative impact on rates of patient satisfaction, staff satisfaction and patient health outcomes

Hospital Acquired Infections were noted to contribute to 30% of diagnoses among patients who were hospitalized. The high incidences were attributed to poor hand hygiene practices and lack of hygiene protocols. As a result, most patients faced prolonged admissions with additional medical costs and poor health outcomes. These effects proved to impact negatively on the hospital’s financial performance and reputation. It also lowered the …

 

Assignment: Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

Reflect on the four peer-reviewed articles you critically appraised in Module 4.

Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.

The Assignment:
 (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

Add a lessons learned section that includes the following:

A summary of the critical appraisal of the peer-reviewed articles you previously submitted

An explanation about what you learned from completing the evaluation table (1 slide)

An explanation about what you learned from completing the levels of evidence table (1 slide)

An explanation about what you learned from completing the outcomes synthesis table (1 slide)

ORDER A PLAGIARISM-FREE PAPER HERE

Topic: Preventing Healthcare-Associated Infection ( HAIs) in my workplace

Below are 4 journals to support a change in practice in my workplace

 

Article 1- Ford, C., & Park, L. J. (2018) –Level 7

Article 2- Hovi, T., Ollgren, J., & Savolainen-Kopra, C. (2017)-Level 2

Article 3 – Kingston, L. M., O, C. N. H., & Dunne, C. P. (2018)-Level  4

Article 4- Halm, M., & Sandau, K. (2018)-Level 1

 

 

Ford, C., & Park, L. J. (2018). Hand hygiene and handwashing: key to preventing the transfer of pathogens. 
British Journal of Nursing
, 
27
(20), 1164–1166.
https://doi-org.ezp.waldenulibrary.org/10.12968/bjon.2018.27.20.1164

 

Hovi, T., Ollgren, J., & Savolainen-Kopra, C. (2017). Intensified hand-hygiene campaign including soap-and-water wash may prevent acute infections in office workers, as shown by a recognized-exposure -adjusted analysis of a randomized trial. 
BMC Infectious Diseases
, 
17
, 1–9.
https://doi-org.ezp.waldenulibrary.org/10.1186/s12879-016-2157-z

 

 

Kingston, L. M., O, C. N. H., & Dunne, C. P. (2018). A comparative study of hand hygiene and alcohol-based hand rub use among Irish nursing and medical students. 
Nurse Education Today
, 
63
, 112–118.
https://doi-org.ezp.waldenulibrary.org/10.1016/j.nedt.2018.01.022

https://www-sciencedirect-com.ezp.waldenulibrary.org/science/article/pii/S0260691718300492?via%3Dihub

 

 

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs Vs Handwashing. 
American Journal of Critical Care
, 
27
(4), 334–337. https://doi-org.ezp.waldenulibrary.org/10.4037/ajcc2018727

 

 

Below are the research databases I used to conduct my research

 

Walden University Library. (n.d.-b). Evidence -based practice research: CINAHL Search help.

Retrieved September 6, 2019, from

https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

 

Library of Congress. (n.d.). Search /browse help-Boolean Operators and nesting

Retrieved September 19, 2018, from,

https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchKeyword.html

 

Walden Library. (n.d.) PubMed: Getting Started. Retrieved September  19, 2019 from,
https://www-ncbi-nlm-nih-gov.ezp.waldenulibrary.org/pubmed/?otool=mnwullib

 

Evidence-Based Decision Making-Handwashing To Reduce HAIs

Name

Institution

Course Name

Date

Description Of Healthcare Organization

A regional-based hospital of a 400 bed capacity

The hospital serves an estimated population of 200,000 people

The healthcare workforce majorly comprises of nurses

Healthcare staffs are dedicated and passionate

The organization has embraced a culture of multidisciplinary collaboration

For the purpose of this EBP project, the healthcare organization of choice is regional-based hospital of a 400 bed capacity which serves an estimated population of 200,000 people (children, elderly and adults). The hospital’s healthcare workforce primarily comprises of nurses although there are other healthcare providers such as physicians, dieticians, cardiologists, nurse practitioners and specialists. The nurses are passionate and dedicated and guided by professional values and ethics which increase their likelihood to be engaged in EBP research. The hospital has a library with a wide-range of resources to research from.

 

Problem Description

üHAIs comprise 30% of the hospitals diagnoses among hospitalized patients

üHigh incidences of HAIs are as a result of poor hand hygiene practices

üPatients experience prolonged admissions and poor health outcomes

üHigh incidences of HAIs  impact negatively on the hospitals financial performance NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change

üIt also has a negative impact on rates of patient satisfaction, staff satisfaction and patient health outcomes

Hospital Acquired Infections were noted to contribute to 30% of diagnoses among patients who were hospitalized. The high incidences were attributed to poor hand hygiene practices and lack of hygiene protocols. As a result, most patients faced prolonged admissions with additional medical costs and poor health outcomes. These effects proved to impact negatively on the hospital’s financial performance and reputation. It also lowered the staff and patient satisfaction rates.

 

Proposed Evidence-based Idea

üThe hospital has selected handwashing with soap and water to reduce HAIs

üA proposed alternative is the use of alcohol-based handrubs

üHandwashing promotes hand hygiene

üIt also reduces  the acquisition rates of pathogens on the hands

üHandwashing will help  to prevent and reduce the incidences of HAIs

The organization has decided on handwashing using soap and water to reduce the rates and incidences of HAIs. An alternative that has also demonstrated efficacy is the use of alcohol-based handrubs. Handwashing has proven to promote hand hygiene by reducing the rates of acquiring pathogens on hands thus reducing and preventing the rates and incidences of HAIs in the organization. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change

 

Plan For Knowledge Transfer

üStakeholders’ knowledge on hand hygiene using a survey will be assessed

üThe survey results will be reviewed to identify information gaps

üTraining plans will be planned based on the identified knowledge and information gaps

üTraining will be  modified to  address organizational and patient needs

üAn actual training  will be conducted and feedback obtained

üAn infection control committee will be implemented to oversee the implementation process

The first step when planning for knowledge transfer will be to assess for the needs in training by assessing stakeholders’ knowledge on hand hygiene and hand washing and how it prevents HAIs through a short survey. The findings will help to identify potential information and knowledge gaps and help to facilitate plans for training. The training will be modified to address patients and organizational needs to achieve specific goals. The implementation of the knowledge shared and adoption of a hygiene protocol will be overseen by an infection control committee that will thereafter be established. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change

 

Measurable Outcomes

üIncident reports from the inpatient setting of patients diagnosed with HAIs

üPatient’s length of stay in hospital

üThe hospital’s financial performance

üMortality and morbidity rates

üPatient experience of care

After implementing the proposed intervention, expected outcomes should be able to be measured by the infection control committee. As a result, it will be able to establish whether the organization has achieved its goals or not.  The most relevant measurable outcomes are: incident reports of inpatients diagnosed with HAIs, patients’ experience of care, morbidity and mortality rates, financial performance and length of patient’s stay in hospital. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change

 

Lessons Learned: Critical Appraisal Summary Of Peer-reviewed Articles

üFour peer-reviewed articles were appraised

üThe articles were published between the years 2017-2018

üAll articles supported handwashing with soap and water to prevent HAIs

üThe articles had different study designs

üThe articles evidence levels ranged from Level I–Level VII

All the articles that were appraised supported the hand hygiene practice of washing hands using soap and water to prevent HAIs. These articles were published between the years 2017-2018 and had totally different study designs with  evidence levels ranging from  level I-level VII. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change

 

Lessons Learned: Evaluation Table

üThe conceptual framework used was not explained in all articles

üBased on every researcher’s objectives and aims, various study designs were used

üData collection methods involved the use of semi-structured surveys and interviews

üStudy populations in each article were different and included nurses, general practitioners

üThe study setting was determined by  the objective, design and data collection method of a study

üData analysis was done using framework analysis, statistical analysis and thematic analysis.

The conceptual framework used was not explained in all articles. Based on every researcher’s objectives and aims, various study designs were used. Data collection methods involved the use of semi-structured surveys and interviews. Study populations in each article were different and included nurses, general practitioners. The study setting was determined by the objective, design and data collection method of a study. Lastly, data analysis was done using framework analysis, statistical analysis and thematic analysis. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change

 

Lessons Learned: Outcome Synthesis Table

üThe participants in each of the studies varied in terms of professional background

üThe characteristics of study participants was determined by a study’s objective and purpose

üThe outcomes included participants directly and indirectly involved and expected change

üHealthcare providers should embrace hand hygiene practices to reduce/prevent HAIs

üNurses should be educated on hand hygiene practices to promote patient safety

The participants in each of the studies varied in terms of professional background. The characteristics of study participants were determined by a study’s objective and purpose. The outcomes included participants directly and indirectly involved and expected change. Healthcare providers should embrace hand hygiene practices to reduce/prevent HAIs. Nurses should be educated on hand hygiene practices to promote patient safety. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change

 

Lessons Learned: Levels Of Evidence Table

üThe methodological quality determined the level of evidence assigned to each study

üThe evidence level given to each study informed the recommended grade and strength

üThe highest evidence level was Level I

üThe lowest evidence level was level VII

ü All the studies were  reliable, valid and the results were generally applicable  to large population settings

The methodological quality determined the level of evidence assigned to each study. The evidence level given to each study informed the recommended grade and strength .The highest evidence level was Level I and the lowest evidence level was level VII.  All the studies were reliable, valid and the results were generally applicable to large population settings.

 

References

üFord, C., & Park, L. J. (2018). Hand hygiene and handwashing: key to preventing the transfer of pathogens. 
British Journal of Nursing, 27
(20), 1164–1166.

üHovi, T., Ollgren, J., & Savolainen-Kopra, C. (2017). Intensified hand-hygiene campaign including soap-and-water wash may prevent acute infections in office workers, as shown by a recognized-exposure -adjusted analysis of a randomized trial. 
BMC Infectious Diseases, 17
, 1–9.

üHalm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs Vs Handwashing. 
American Journal of Critical Care, 27
(4), 334–337.

üKingston, L. M., O, C. N. H., & Dunne, C. P. (2018). A comparative study of hand hygiene and alcohol-based hand rub use among Irish nursing and medical students. 
Nurse Education Today, 63
, 112–118. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change

Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment

Name:

Institution:

CONCEPT OF KNOWLEDGE WORKER

‘Knowledge worker’ introduced by Peter Drucker in 1959.

Are highly skilled and knowledgeable professions.

ORDER A PLAGIARISM-FREE PAPER HERE

Right complement of knowledge, experience and skills.

‘Knowledge worker’ is a term that was first coined by Peter Drucker in 1959 to refer to highly skilled persons who require specialized knowledge to fulfil their professional responsibilities. This was in response to the increasing specialization and awareness that certain professional roles required specific skills. This implies that knowledge workers must have the right complement of knowledge, experience and skills that differentiates them from other professions and makes them the best persons to complete the tasks unique to them (Drucker, 1959). Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment. For instance, nurses are knowledge workers since they are high level professionals who acquire theoretical and analytical knowledge from formal training, and apply that knowledge to offer nursing services and develop medical products, with other professions incapable of competing with nurses in…

Assignment: The Nurse Leader as Knowledge Worker

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, 
The Landmarks of Tomorrow
 (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

Review the concepts of informatics as presented in the Resources.

Reflect on the role of a nurse leader as a knowledge worker.

Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

Explain the concept of a knowledge worker.

Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Develop a simple infographic to help explain these concepts. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignmentNOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.

Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment

 

How to make infographics PowerPoint website

https://24slides.com/presentbetter/how-make-infographic-powerpoint/

Our inpatient psychiatric unit has identified the existence of a high rate of medication administration errors. The errors include the giving of wrong dosages to several patients leading to complications. The error has led to an increase in patient mortality rate and a reduction in the quality of patient experiences. Nursing informatics can be applied to determine the main source of this problem. Recently, my institution has measures put in place to ensure the safety of our patient. We recently transition from paper documentation to Electronic medical records (EMR) documentation. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment.

Our IT department has recently installed desktop computers in each medication room, each computer has a scanner used to scan patient wristbands before administering medication. We currently use the MEDITECH EMR in our psychiatric hospital. During admission each patient is given a wristband with a barcode on it. In addition to using the barcode scanner, our staff are trained to use the five rights of medication administration. These measures put in place has significantly reduced medication errors in our facility. Barcode medication administration (BCMA) is recommended for the prevention of MAEs because it allows nurses to verify the five rights of medication administration (i.e., patient, drug, time, route, and dose). Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment. Observational studies on BCMA technology reported a decrease in the incidence of MAEs, the implementation of a BCMA system for patients with serious psychiatric issues was associated with an 90% relative reduction of MAEs. Aside administering medication, our facility uses MEDTECH software to collect other data such as patient lab work, vital signs and, documentation of patient assessment during and at the end of each shift.

Below is a scenario in my week 1  discussion post showing the application of nursing informatics to improve clinical reasoning and judgment in nursing

Paper documentation has posed serious health consequences on the life of patient in most psychiatric facilities. A patient was once given the wrong medication meant for another patient during the paper documentation process, but luckily for that patient just about the time of discharge, the nurse decided to take a look at the medication when providing medication teaching to the patient. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment. If the nurse had not taken a look at the medication it could have pose a serious health problem for the patient. Additionally, the error could have led to legal proceedings for the facility. Since the implementation of the MEDITECH software, these errors have greatly reduced.

The implementation of EMR have promoted patient safety in the healthcare industry. The ANA and other healthcare organizations are encouraging hospitals and other healthcare facilities to implement EHR. Reimbursement agencies like Center for Medicaid and Medicare are giving incentives to healthcare facilities that use EHR for documentation and clinical procedures. The use of nursing informatics has enabled healthcare institutions to collect patient data and input it in software making it possible for the healthcare team to view these data electronically, these helps the team to collectively make informed decision regarding the patients, thus promoting patient involvement in their care. With EMR patient are able to view their electronic health records and make informed decisions about their care. These promote compliance and autonomy. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment. Additionally, the use of EHR records in healthcare institutions have proven to reduce medication error, thus promoting patient safety, provide quality care and safety outcomes. (McGonigle & Mastrian, 2017).

 

References

Laureate Education (Producer). (2018).
Health Informatics and Population Health: Trends in Population Health
[Video file]. Baltimore, MD: Author. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment.

 

Lin J, Lin K, Jiang W, & Lee T. (2007). An exploration of nursing informatics competency and satisfaction related to network education. 
Journal of Nursing Research (Taiwan Nurses Association)
, 
15
(1), 54–66. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=rzh&AN=106105042&site=ehost-live&scope=site

 

Sweeney, J. (2017). Healthcare informatics.
Online Journal of Nursing Informatics, 21
(1).

Note:
You will access this article from the Walden Library databases.

 

McGonigle, D., & Mastrian, K. G. (2017). 
Nursing informatics and the foundation of knowledge
. (4
th
ed.) Burlington, MA: Jones & Bartlett Learning.

 

Kelly, S. (2016). The patient misidentification crisis. Health Management Technology, 12-13.

Hoffmeister, L., & Schebella, G. (2014). Use of identification wristbands among patients receiving inpatients treatment in a teaching hospital. Rev Lat Emfermagen, 23 (1), 36-43. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment

Laureate Education (Producer). (2018).
Health Informatics and Population Health: Trends in Population Health
(Video file). Baltimore, MD: Author.

 

NURSE LEADER AS KNOWLEDGE WORKER

Name:

ORDER A PLAGIARISM-FREE PAPER HERE

Institution:

CONCEPT OF KNOWLEDGE WORKER

‘Knowledge worker’ introduced by Peter Drucker in 1959.

Are highly skilled and knowledgeable professions.

Right complement of knowledge, experience and skills.

‘Knowledge worker’ is a term that was first coined by Peter Drucker in 1959 to refer to highly skilled persons who require specialized knowledge to fulfil their professional responsibilities. This was in response to the increasing specialization and awareness that certain professional roles required specific skills. This implies that knowledge workers must have the right complement of knowledge, experience and skills that differentiates them from other professions and makes them the best persons to complete the tasks unique to them (Drucker, 1959). For instance, nurses are knowledge workers since they are high level professionals who acquire theoretical and analytical knowledge from formal training, and apply that knowledge to offer nursing services and develop medical products, with other professions incapable of competing with nurses in completing the full complement of nursing tasks.

CONCEPT OF KNOWLEDGE
WORKER cont’d

Knowledge workers are all professions requiring formal training.

Are policed through routine checks by professional bodies.

Knowledge and skills authenticated through certification.

Practice errors can have catastrophic consequences.

Rely on thoughts and intellectual abilities.

Perform complex tasks.

Receive higher compensations.

The term knowledge worker is applicable to all professions that require formal training to transmit a specialized complement of knowledge and skills that are authenticated through certification. In fact, it is not uncommon for knowledge workers to be policed by professional bodies that routinely authenticate their competence to practice and issue finitely timed practice licenses since any errors in work performance could have catastrophic implications. The policing is particularly targeted at incompetent professionals who are weeded out (Yoder-Wise, 2013). For instance, state nursing boards routinely verify the certification and capacity to practice of all nurses before allowing them to practice since any errors in the performance of professional nursing tasks could be fatal for patients and even the nurses or other stakeholders. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment.  Through the routine checks, the nursing boards can identify incompetent nurses who would then be denied practice licenses and stopped from endangering their lives and the lives of others. Another unique feature of knowledge workers is the reliance on thoughts and intellectual abilities that allow them to address complex tasks within their practice areas. Also, knowledge workers typically receive higher compensations that reflect the complex nature of their work and their relative independence within the work process (Drucker, 1959). Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment.

 

NURSE LEADER AS KNOWLEDGE WORKER

Nurses are knowledge workers.

It is a specialized profession

Applies high level skills and knowledge acquired through formal training

Perform complex professional tasks

Adhere to professional practice standards

Enjoy a high level of independence and autonomy with minimal supervision

Policed by nursing boards

Receive high salaries

The term knowledge worker appropriately identifies nurse personnel. That is because this is a specialized profession that applies high level skills and knowledge acquired through formal training. The professional tasks that nurses complete involve the application of the knowledge and skills they acquired to address the health care needs of their patients. Also, they are required to adhere to professional practice standards, enjoy a high level of independence and autonomy with minimal supervision, are policed by nursing boards, and receive high salaries that reflect the complexity of their professional tasks (Drucker, 1959; Yoder-Wise, 2013). Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment

 

NURSE LEADER AS KNOWLEDGE WORKER CONT’D.

Nursing is reinforced by emerging technologies

Acquire technical skills

uTechnology improved information management capacity and clinical knowledge

uIntegrated knowledge management

uInnovative thought processes

uExtend traditional boundaries of professional nursing practice

uEmbrace transformative possibilities and redesign nursing processes

Nurses identity as knowledge workers is reinforced by the emergence of technologies requiring them to acquire technical skills to improve health care outcomes. These emerging technologies have improved the information management capacity and clinical knowledge of nurses, allowing them to generate new understandings about the nursing profession (Nagle, Sermeus & Junger, 2017). This is especially seen in information technologies that are leveraged with other tools and technologies to present electronic health records that has transformed nursing practice, especially medical information management to conform with HIPAA requirements. It is also seen in integrated knowledge management where innovative thought processes are encouraged to expand nursing and solve existing and anticipated practice problem. As knowledge workers, nurses are boldly extending the traditional boundaries of their professional practice even as they embrace transformative possibilities and redesign nursing processes (McGonigle & Mastrian, 2017). Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment

 

u
NURSE LEADER AS KNOWLEDGE WORKER CONT’D.

uNurses rely on thoughts and intellectual abilities to address complex tasks

uUse informatics to manage information and large data

uApply technical computer skills

Nurses reliance on thoughts and intellectual abilities to address complex tasks within their practice areas is seen in their increasing focus on improving health care through reducing costs, increasing quality and improving access (Lin et al., 2007). This highlights the position that informatics plays as an increasingly important branch of nursing. In this case, informatics requires that nurses acquire and apply technical skills that focus on the use of computers to help in making sense of large data. Also, it allows nurses to match technologies to nursing care units and service lines to allow for efficient and effective health care. For that matter, informatics allows nurses to act as knowledge workers through conceptualizing and managing data to guide the delivery of nursing care that improves the odds for a positive outcome. The implication is that nurses are supported by information technologies that collect and make sense of large data, requiring them to apply specialized skills to identify reliable methods for analyzing the data and presenting logical conclusions that inform practice. Informatics is a reasonable progression that highlights the identity of nurses as knowledge workers (McGonigle & Mastrian, 2017).

 

u
NURSE LEADER AS KNOWLEDGE WORKER CONT’D.

Four informatics skills highlight the identity of nurses as knowledge workers. The four skills are data gathering, information use, knowledge use, and knowledge building. The first skill is data gathering that involves collecting and summarizing information that is relevant to nursing care, such as outcomes reported for different nursing interventions. The second skill is information use that interprets the collected data to gain insight into their implications for nursing practice and relevance to other health care stakeholders. The third skill is knowledge use that correlates the information to other information (literature) to aggregate information and identify trends that inform professional nursing practice. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment. The final skill is knowledge building that turns the collected information into meaningful practice that could include changes in practice standards and policies (Bowerman & van Wart, 2015).

 

u
NURSE LEADER AS KNOWLEDGE WORKER CONT’D.

The position of nurses as knowledge workers requires that they display combination of four characteristics. Firstly, they should display the theoretical and practical knowledge and skills that acquired from formal nursing education. The formal training is conducted in an environment that allows them to acquire information even as their skill and knowledge levels are tested to ensure that only competent learners graduate and are able to practice. Secondly, they should display information management capacity that includes accessing and applying information from large databases with a focus in pointing out key information. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment. This characteristic requires nurses to apply relevant judgement and analytical reasoning to condense important information. Thirdly, they should display communication skills that allows them to transmit and receive information from other health care stakeholders. This includes speaking, writing, reading and discussing. Fourthly, they should be motivated to remain relevant through continuously improving their professional skills and knowledge, accepting challenges, being innovative, and preserving the spirit of enquiry (Finkelman, 2016).

u
SCENARIO: MEDICATION ADMINISTRATION ERROR

uMedication administration errors occurs among 56% of nurses.

uPresented as:

uDocumentation errors

ORDER A PLAGIARISM-FREE PAPER HERE

uTechnique errors

uTime errors

uCaused by

uNurse proficiency

uInterruptions at time of administration

uPatients’ age

uAddressed through

uImproving medication administration proficiency

uLeveraging technology in informatics

The scenario discusses medication administration errors are a concern among nurse personnel. In fact, approximately 56% of nurses reported such errors in patient encounters. The errors are presented as documentation, technique and time errors. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment. The variables associated with the errors are nurse proficiency (working experience, skill levels and education level), interruptions at time of administration, and the patients’ age (Feleke, Mulatu & Yesmaw, 2015). The position of nurses as knowledge workers offers them an opportunity to address the errors, through improving proficiency in medication administration and leveraging technology through informatics. Improving proficiency ensures that nurses are competent enough to administer medication without making errors (Lin et al., 2007). Informatics allows nurses to identify the sources of errors and implement deliberate strategies to address this errors without the practice standards and protocols (Nagle, Sermeus & Junger, 2017). Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment.

u
References

uBowerman, K. & van Wart, M. (2015).
The business of leadership: an introduction
. New York, NY: Routledge.

uDrucker, P. (1959).
The landmarks of tomorrow
. New York, NY: HarperCollins Publishers.

uFinkelman, A. (2016).
Leadership and management for nurses: core competencies for quality care
(3rd ed.). London: Pearson Education.

uLin, J., Lin, K., Jiang, W. & Lee, T. (2007). An exploration of nursing informatics competency and satisfaction related to network education.
Journal of Nursing Research
, 15(1), 54-65.

uMcGonugle, D. & Mastrian, K. (2017).
Nursing informatics and the foundation of knowledge
(4th ed.). Burlington, MA: Jones & Bartlett Learning. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment

uNagle, L., Sermeus, W. & Junger, A. (2017). Evolving role of the nursing informatics specialist.
Forecasting Informatics Competencies for Nurses in the Future of Connected Health,
212-221. doi:10.3233/978-1-61499-738-2-212

uYoder-Wise, P. (2013).
Leading and managing in nursing
(5th ed.). Amsterdam: Elsevier Health Sciences. Nurse Leader as Knowledge Worker – NURS 6051 informatics week 2 assignment

u

Neuman’s Systems Theory in Home Health Essay

This module has given you an overview of multiple theorists both nursing and non-nursing. Choose a theorist of your choice(The Neuman Systems Theory) and explain how it relates to nursing practice. Give an example of how this theory was applied in your own practice.

1. The Neuman Systems Theory

2. Practice- Home Health

 

Applying Neuman’s Systems Theory in Home Health

Student’s Name

BUY A PLAGIARISM-FREE PAPER HERE

Institution

Course

 

The significance of nursing theories and conceptual models in clinical nursing practice for the growth of the nursing profession is broadly acknowledged. The theory of choice for this discussion is the systems model theory which was developed by Betty Neuman. Betty Neuman   was a counselor, a community health nurse, and professor. The theory emphasizes on the need for nurses to view a patient as an integrated and is based on the relationship of an individual to stress, how one reacts to it and the dynamic reconstitution factors (Jukes & Spencer, 2016). Hence, for an individual’s well-being and balance, the theory affirms that a person is interdependent and inter-relational due to stressful situations that result to associated socio-cultural, psychological, environmental and physiological effects (de Almeida et al., 2018).  In this case, a nurse’s role is to retain the stability of this system.

Betty Neuman’s system model can be reformulated and applied in home-health practice to ensure that clients can meet the activities of daily life by providing daily assistance while at home as opposed to long-term or residential care centers. These services can be provided through three prevention levels: primary, secondary and tertiary levels.  Primary prevention should focus on safeguarding and strengthening the flexible line of defense especially for seniors, adults and pediatric patients in recovery after staying in hospital to prevent unnecessary admissions (Landers et al., 2016). This can be achieved through disease education and vaccination. Secondary prevention ought to strengthen resistance lines, reduce reaction and increase factors of resistance. Secondary prevention can be attained through wound care, disease management, and pain management. Lastly, tertiary prevention should aim at readapting and stabilizing the return to wellness after treatment. It may include activities in occupational therapy, physical therapy, and speech therapy. Neuman’s Systems Theory in Home Health Essay.

References

de Almeida, N. G., de Oliveira, M. R., Guedes, M. V. C., da Silva, L. D. F., de Freitas, M. C., Torres, R. A. M., & de Melo Fialho, A. V. (2018). Betty Neuman Systems Model: Analysis according to Meleis.

Jukes, M., & Spencer, P. (2016). Neuman’s Systems Model. 
Nursing times
, 
112
(27), 20-23. Neuman’s Systems Theory in Home Health Essay

Landers, S., Madigan, E., Leff, B., Rosati, R. J., McCann, B. A., Hornbake, R., & Lee, T. (2016). The future of home health care: a strategic framework for optimizing value. 
Home health care management & practice
, 
28
(4), 262-278.

›Applying

›

›Applying Current Literature to Clinical Practice

›
Overview of the article

Title:

›The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta‐analysis

›Authors: Cao, P. Y., Zhao, Q. H., Xiao, M. Z., Kong, L. N., and Xiao.

›Year of publication: 2018 Applying Current Literature to Clinical Practice

›It contains a systematic review research on the effectiveness of exercise on fall prevention in nursing home residents

BUY A PLAGIARISM-FREE PAPER HERE

Nursing home residents have a high risk of falling. No conclusive evidence exists on the effectiveness of exercise on fall prevention in nursing home residents

The aim of this study was to determine the effectiveness of exercise on fall prevention in nursing home residents.

Presents an abstract, background, design section, data resources, review methods, results and…

 

In a 5- to 10-slide PowerPoint presentation, address the following:

Provide an overview of the article you selected.

What population is under consideration?

What was the specific intervention that was used? Is this a new intervention or one that was already used?

What were the author’s claims?

Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

 

Applying Current Literature to Clinical Practice

 

Abstract

The presentation describes and reviews a study on the effectiveness of group psychotherapy among women who have a history of sexual harassment. The analyzed study was published in the
Journal of Clinical Nursing.
The presentation examines various factors in the study, such as the reason for selection of these women and the setting of the group therapy among others. In addition, the presentation researches features that include curative factors that can be helpful to the group under consideration. Aspects such as catharsis and instillation of hope among others in the study have been discussed in the presentation. Exclusion criteria involved in the study, which include age, history of alcohol abuse, etc. have been addressed in addition to the findings of the research. Finally, the limitations of the study are reviewed in the presentation as well as their effects on the application of the results obtained in the study.

 

Applying Current Literature to Clinical Practice

Overview

The presentation focuses on various aspect of the study in order to evaluate its findings. Information such as the type of group involved in the study and its participants is helpful to determine the validity and reliability of the study. The presentation also discusses the reasons for the group members’ selection, setting of the group, frequency of the group meetings, and their duration. Other key issues considered include the findings, curative factors that might be helpful to group members, and exclusion criteria. Finally, the limitations of the study are examined as well as their impact on the application of the findings of the research.

Introduction

Group psychotherapy is one of the most effective therapies for patients suffering from depression, anxiety, and even post traumatic disorders. Group psychotherapy involves helping people with the same problems and background. During the sessions, the selected members are treated as a group in order to enhance skills such as socializing and group cohesiveness. This presentation focuses on answering the question derived from the study, which is whether group psychotherapy among women with a history of sexual harassment proves effective and gives durable results.

 

›Applying Current Literature to Clinical Practice

›
Overview of the article

Title:

›The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta‐analysis

›Authors: Cao, P. Y., Zhao, Q. H., Xiao, M. Z., Kong, L. N., and Xiao.

›Year of publication: 2018

›It contains a systematic review research on the effectiveness of exercise on fall prevention in nursing home residents

Nursing home residents have a high risk of falling. No conclusive evidence exists on the effectiveness of exercise on fall prevention in nursing home residents Applying Current Literature to Clinical Practice

The aim of this study was to determine the effectiveness of exercise on fall prevention in nursing home residents.

Presents an abstract, background, design section, data resources, review methods, results and conclusion

 

›Population

Target audience

›Nursing homes

residents

The aim of this study was to determine the effectiveness of exercise on fall prevention in nursing home residents. Applying Current Literature to Clinical Practice

 

›Specific intervention

›Exercise

 

›The intervention was already in use

Exercise is a cognitive behavior therapy for nursing home residents (Schoenfelder, 2000).

It has been in use in many areas of healthcare as a form of psychotherapeutic approach

 

›
Author’s claims

›No conclusive evidence exists on exercise effectiveness on preventing of falls in home nursing

›Nursing home residents have a high risk of falling (Cao et al., 2018; KAYA et al. 2012)

The authors claims that there is limited information regarding the effectiveness of exercise in nursing homes for prevention of falls Applying Current Literature to Clinical Practice

 

›
Findings/outcomes

›Exercise did not play a role in preventing falls

›This might not translate into practice with my own clients

Translation to practice is limited by little evidence-based research regarding physical exercise in nursing homes fall prevention

Home nursing facilities employ physical exercise as a therapy to good health and improving quality of life and body strength with the aim of preventing falls and thus is expected to reduce falls among my clients (Carter, Kannus & Khan, 2001).

Physical exercise is one of the most effective interventions for fall prevention

The research employed small samples which presented low quality evidence

 

›
Limitation’s impacts

›The render the findings not generalizable

›They increases the need for further research in my practice area.

›They increase cost and time of  further research before drawing conclusions

Limitation: lack of sufficient data on exercise effectiveness on fall prevention in nursing homes

There was low heterogeneity

Use of small and low quality samples

Limited research cannot be generalized since it does not cover the entire target population

It demands further research which is costly and time consuming Applying Current Literature to Clinical Practice

 

›
References

›Cao, P. Y., Zhao, Q. H., Xiao, M. Z., Kong, L. N., & Xiao, L. (2018). The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta‐analysis.
Journal of advanced nursing
, 74(11), 2511-2522.

›KAYA, Ç. A., Kirimli, E., KALAÇA, Ç., Cifcili, S., ÜNALAN, P. C., & Kalaca, S. (2012). The incidence of falls and related factors in the elderly living in residential homes. 
Turkish Journal of Geriatrics
, 
15
(1).

›Schoenfelder, D. P. (2000). A fall prevention program for elderly individuals: exercise in long-term care settings. Journal of gerontological nursing, 26(3), 43-51.

›Carter, N. D., Kannus, P., & Khan, K. (2001). Exercise in the prevention of falls in older people. 
Sports medicine
, 
31
(6), 427-438. Applying Current Literature to Clinical Practice

›

NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Fundamental Nursing Lessons Learnt from a Difficult Situation in Practice: Carper’s Pattern’s of Knowing in Nursing

The Practical Situation Experienced

Nursing is about promoting health, preventing illness, and restoring hope. However, there are situations in which a nurse can find themselves almost helpless with regard to all the three above. A case in point is the prospect of having to reassure a patient with terminal illness by giving them hope yet you know very well that they may not have long to live. Even more daunting is the task requiring you as the nurse to convince the patient and her relatives that they will benefit from hospice care. This is the situation I once found myself in. I was faced with this situation of a 37 year-old who had advanced ovarian cancer with a very poor prognosis. It was obvious that what she needed most in her…

Week 2 Assignment: Reflective Essay

Guidelines with Scoring Rubric

BUY A PLAGIARISM-FREE PAPER HERE

Purpose

Nursing knowledge is classified in a variety of ways, one of which is Carper’s Patterns of Knowing (Carper, 1978).  Carper’s framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978).  Through intentional reflection using Carper’s Patterns of Knowing, nurses can process experiential learning and knowledge acquired through practice.  The purpose of this assignment is to reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience. NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Course Outcomes

Through this assessment, the student will meet the following Course Outcomes:

Demonstrate logical and creative thinking in the analysis and application of theory to nursing practice. (CO #1)

Examine broad theoretical concepts as foundational to advanced nursing practice roles. (CO #3)

 

Total Points Possible

This assignment is worth 100 points.

Due Date

Submit your file by 11:59 p.m. MT Sunday at the end of Week 2.

Requirements

Criteria for Content

Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.

Select an important nursing issue/topic that was inherent to the identified situation.

As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In a
two- to three-page paper
address the following:

Briefly
explain the situation

Identify the nursing issue inherent in the identified situation

NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

What do you think was the underlying reason for the situation? (Esthetics)

What were your thoughts and feeling in the situation? (Personal)

What was one personal belief that impacted your actions? (Ethics)

What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

What new insights did you gain through this reflective practice opportunity?

Preparing the paper

Submission Requirements

Application: Use Microsoft Word 2013™ to create the written component of this assessment.

Length:

The paper (excluding the title page and reference page) should be
at least two but no more than three pages.

A minimum of
two (2)
scholarly literature sources must be used.

Submission: Submit your file to the Canvas course site by the due date/time indicated.

Best Practices in Preparing the Reflective Essay

The following are best practices in preparing this reflective essay.

Review directions thoroughly.

Follow assignment requirements.

Make sure all elements on the grading rubric are included.

Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scholarly writing.

Because the paper is a reflective essay, first person is acceptable for this assignment.

Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

Ideas and information that come from scholarly literature must be cited and referenced correctly.

A minimum of
two (2)
scholarly literature sources must be used.

Abide by CCN academic integrity policy.

 

Grading Criteria

Category

Points

%

Description

Explanation of the Situation

10

10%

Provide a succinct description of a practice situation in which you felt underprepared or uncomfortable.

Nursing Issue or Concern Inherent to the Situation

15

15%

Explain the specific nursing issue or concern that was inherent to the situation and include your rationale.

 

Reflection upon the Situation using Carper’s Patterns of Knowing

 

45

50%

Analyze the situation and apply Carper’s Patterns of Knowing to discuss the following:

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

Summary of Reflection

20

20%

Provide a summary of your reflection. Include a minimum of two new insights gained through the situation you experienced. Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role.

APA Format

5

5%

Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section or topic of the paper (one deduction for each type of APA style error). Ideas and information that come from scholarly sources must be cited and referenced correctly.
Two (2) scholarly
literature references are used.

Writing Mechanics

5

5%

Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual. For this assignment first person may be used.

Total

100

100%

A quality assignment will meet or exceed all the above requirements.

 

Grading Rubric

Assessment Criteria

Exceptional

(100%)

Outstanding or highest level of performance

Exceeds

(88%)

Very good or high level of performance

Meets

(80%)

Competent or satisfactory level of performance

Needs Improvement

(38%)

Poor or failing level of performance

Developing

(0)

Unsatisfactory level of performance

 

Content Possible Points
= 90 Points

Explanation of the Situation

 

10 Points

9 Points

8 Points

6 Points

0 Points

Presentation of information is
comprehensive and concise
and includes all of the following elements:

·         Synopsis of the practice situation

·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable

 

Presentation of information is
superficial
and includes all of the following elements:

 

·         Synopsis of the practice situation

·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable

 

Presentation of information is
minimally
demonstrated and includes all of the following elements:

·         Synopsis of the practice situation

·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable

 

Presentation of information in
one
of the following elements fails to meet expectations or is missing the following:

 

·         Synopsis of the practice situation

·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable

 

Presentation of information in
two or more
of the following elements fail to meet expectations or are missing the following:

·         Synopsis of the practice situation

·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable

 

Nursing Issue or Concern Inherent to the Situation

 

15 Points

13 Points

12 Points

9 Points

0 Points

Presentation of information is
comprehensive and concise
and includes
all
the following elements:

 

·         Identification of the specific nursing issue or concern which was present in this situation

·         Discussion of why the specific issue or concern is noteworthy

·         Support from the literature to validate the specific issue or concern

Presentation of information is
superficial
in places and includes
all
the following elements:

 

·         Identification of the specific nursing issue or concern which was present in this situation

·         Discussion of why the specific issue or concern is noteworthy

·         Support from the literature to validate the specific issue or concern

Presentation of information is
minimally
demonstrated and includes
all
the following elements:

·         Identification of the specific nursing issue or concern which was present in this situation

·         Discussion of why the specific issue or concern is noteworthy

·         Support from the literature to validate the specific issue or concern

Presentation of information in
one
of the following elements fails to meet expectations or is missing:

 

·         Identification of the specific nursing issue or concern which was present in this situation

·         Discussion of why the specific issue or concern is noteworthy

·         Support from the literature to validate the specific issue or concern

Presentation of information in
two or more
following elements fail to meet expectations or are missing:

·         Identification of the specific nursing issue or concern which was present in this situation

·         Discussion of why the specific issue or concern is noteworthy

·         Support from the literature to validate the specific issue or concern

Reflection upon the Situation using Carper’s Patterns of Knowing

 

45 Points

 40 Points

 36 Points

17 Points

0 Points

Presentation of information is
comprehensive and concise
and includes
all
of the following elements:

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

·         Support from the literature to validate the empirical pattern of knowing

Presentation of information is
superficial
in places and includes
all
of the following elements:

NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

 

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

·         Support from the literature to validate the empirical pattern of knowing

Presentation of information is
minimally
demonstrated and includes
all
of the following elements:

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

·         Support from the literature to validate the empirical pattern of knowing

Presentation of information in
one
of the following elements fails to meet expectations or is missing the following:

 

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

·         Support from the literature to validate the empirical pattern of knowing

Presentation of information in two or more of the following elements fail to meet expectations or are missing the following:

·         What do you think was the underlying reason for the situation? (Esthetics)

·         What were your thoughts and feeling in the situation? (Personal)

·         What was one personal belief that impacted your actions? (Ethics)

·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)

·         Support from the literature to validate the empirical pattern of knowing

Summary of Reflection

20 Points

 18 Points

16 Points

8 Points

0 Points

Presentation of information is
comprehensive and concise
and includes
all
of the following elements:

·         Include a minimum of two new insights gained through the situation you experienced

·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role

Presentation of information is
superficial
in places and includes
all
of the following elements:

 

·         Include a minimum of two new insights gained through the situation you experienced

·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role

Presentation of information is
minimally
demonstrated in
all
of the following elements:

 

·         Include a minimum of two new insights gained through the situation you experienced

·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role

Presentation of information in
one
of the following elements fails to meet expectations or is missing the following:

 

·         Include a minimum of two new insights gained through the situation you experienced

·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role

Presentation of information in
two or more
of the following elements fail to meet expectations or are missing the following:

·         Include a minimum of two new insights gained through the situation you experienced

·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role

Content Subtotal ___ /90 points

Format Possible Points = 10 Points NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

APA Format

5 Points

4 Points

3 Points

2 Points

0 Points

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

0 to 1
APA error is present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

2–3
APA errors are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

4–5
APA errors are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

6–7
APA errors are present

APA guidelines, as per the 6th edition of the manual, are demonstrated for the

·         title page;

·         running head;

·         body of paper (including citations and headings); and

·         reference page.

 

One deduction for each type of APA format error.

 

8 or greater
APA errors are present

References and Page Length

 

Note: Students are to use at least
two (2) scholarly re
ferences.

The paper (excluding the title page and reference page) should be at least
two but no more than three pages.

3 Point deduction

NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Does not use at least two (2) scholarly references
and/or
falls short of or exceeds required page length.

Writing Mechanics

5 Points

4 Points

3 Points

2 Points

0 Points

1–2
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

3–4
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

5–6
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

7–8
errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

 

9 or greater
errors
or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.

Format Subtotal ____/10 points

 

Total Points ____/100 points

Comments: NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

 

Fundamental Nursing Lessons Learnt from a Difficult Situation in Practice: Carper’s Pattern’s of Knowing in Nursing

The Practical Situation Experienced

Nursing is about promoting health, preventing illness, and restoring hope. However, there are situations in which a nurse can find themselves almost helpless with regard to all the three above. A case in point is the prospect of having to reassure a patient with terminal illness by giving them hope yet you know very well that they may not have long to live. Even more daunting is the task requiring you as the nurse to convince the patient and her relatives that they will benefit from hospice care. This is the situation I once found myself in. I was faced with this situation of a 37 year-old who had advanced ovarian cancer with a very poor prognosis. It was obvious that what she needed most in her last days would be round-the-clock hospice care for especially pain relief. The task, therefore, of convincing her together with her relatives to follow this route fell on me. Needless to say, I felt not only unprepared, but also uncomfortable because I knew there was no hope of her surviving for long. Yet I had to give her a reason to look forward to the next day.

The nursing issue inherent in this situation was the need for apt, caring and tactful guidance and counselling as an important role of me as the nurse in this end-of-life situation. I had to not only help the patient and her relatives make the right decision of checking into a hospice, but also give them convincing reasons why they needed to do so. This was not an easy mission to accomplish.

Reflection on the Situation Based on Carper’s Patterns of Knowing

           
Four facets of nursing knowledge have been identified as empirics or the scientific basis of nursing, esthetics or the consideration of nursing as an art, ethics or the morality in nursing, and the personal knowledge component of nursing (Carper, 1978; Schmidt et al., 2003). On empirics, therefore, I needed to be armed with evidence that hospice care indeed is beneficial for this patient and her family. This is the evidence that I needed to base my argument on in trying to convince them to accept hospice care. Quaglietti, et al. (2004) have stated that the palliative care offered in the hospice takes care of the patient’s and her family’s expectations in terms of care. They continue that nurse practitioners (NPs) are well placed to meet these expectations. On esthetics, empathy is the single most important factor in mastering the art of offering nursing care to patients (Carper, 1978). This was the underlying reason for the situation – need for empathy. Experience had taught me that to gain the patient’s trust and confidence; I as the nurse must feel genuine empathy for them. This way they will make less effort to accept any proposal such as going into hospice care. On personal knowledge, Carper (1978) identifies interpersonal interaction as the barometer with which this knowledge is measured and gained. In this scenario, my personal feeling was that I had to relate with both the patient and her relatives at a personal level by establishing a personal bond with them. In doing this, I had to first know myself and confront my own personal fears and shortcomings. Last but not least on ethics, I had to be aware that I had a moral obligation to only offer suggestions that would bring the greatest good to the patient and by extension her family (beneficence). Also, whatever suggestion or intervention that I suggested had to be devoid of the possibility of causing harm to the patient (nonmaleficence). But, most importantly, it dawned on me that I had to respect the decision of the patient and her relatives at the end (respect for autonomy) (Haswell, 2019). NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Summary     

           
This experience was indeed rich in knowledge for me. I learnt that the four factors of nursing knowledge are present in all practical nursing situations. Thus the double insight I got was the importance of evidence-based practice decisions and the power of empathy. Intentional reflective nursing practice is therefore imperative for improved future care.

References

Carper, B.A. (1978).
Fundamental patterns of knowing in nursing
. Retrieved 8 September 2019 from
https://www.google.co.ke/url?sa=t&source=web&rct=j&url=https://pdfs.semanticscholar.org/8871/eb88fb06168bb31e20e9c54e57920e575a47.pdf&ved=2ahUKEwje0JrqscHkAhVClFwKHYXzAgsQFjAQegQICRAB&usg=AOvVaw0CEuuz-eqnIwVMqcmUI55E

Haswell, N. (2019). The four ethical principles and their application in aesthetic practice.
Journal of Aesthetic Nursing
, 8(4), 177-179. Doi: 10.12968/joan.2019.8.4.177

Schmidt, L.A., Nelson, D. & Godfrey, L. (2003). A clinical ladder program based on Carper’s fundamental patterns of knowing in nursing.
JONA
, 33(3), 146-152. Doi: 10.1097/00005110-200303000-00005

Quaglietti, S., Blum, L. & Ellis, V. (2004). The role of the adult nurse practitioner in palliative care.
Journal of Hospice and Palliative Nursing
, 6(4), 209-214. Doi: 10.1097/00129191-200410000-00009 NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

NU420M2 Change Agent to Diverse Populations Sample Essay

Characteristics of a Change Agent

Effective leadership results to successful changes in an organization. Change leaders have the ability to enthuse and influence others through drive, vision, advocacy and access of resources to develop a platform for change (Sayers et al., 2015). As such, a good leader should be flexible enough to adapt to the unpredictable external and internal factors affecting the performance of the institution. Flexibility supports agility in change adaptation. Another characteristic of change agents is diversified knowledge. This means that they are knowledgeable and seeks to identify what is workable to increase productivity and quality of care in the healthcare settings. They identify new approaches to problem resolution and spot new growth opportunities. NU420M2 Change Agent to Diverse Populations Sample Essay

BUY A PLAGIARISM-FREE PAPER HERE

Moreover, they are responsible which makes them accountable and trustworthy as well as have effective communication and listening skills. This enables them to pass messages, listen to suggestions and allow informed decision making through collaboration with interdisciplinary and interprofessional teams (Sayers et al., 2015). A change agent is also visionary in that they see the potential for the existence of the organization and the world and set realistic goals to achieve the vision.

Develop a Strategy to Employ Change

As a new unit manager for the medical surgical unit, I intend to employ an effective change strategy to resolve the resolve the issue of high incidence of new onset diabetes in the Latino population. The strategy will entail recruitment for new roles and skills necessary for the successful implementation of the intended changes. This will be followed by the training of the staff on the effective skills to educate the patients on prevention considering that the department has a little documentation of education by staff. Furthermore, I will implement the new performance goals focused on the wellbeing of the Latino population and application of evidence-based prevention practices to better reduce the new diabetes incidences. NU420M2 Change Agent to Diverse Populations Sample Essay. Consequently, I will optimize the process across all entitles  including the reevaluation and standardization of the management process across the department for consistency followed by sustainability of the employee engagement in the times of change through recognition, communication, stress management, promotion of opportunities, quality care and executive actions as the core drivers of change (Lewallen, 2015). In order to ensure that the change is long-term and effective, I will train project leaders to ensure sustainability of the change in the future.

Outcome

The main anticipated outcome for the change is the reduction of new diabetic cases among the Latino population within six months. This is because, the increase in the new on-set cases has become a challenge to manage the medical cases associated with diabetes and also increased the cost of healthcare. Patient education by staff thus seeks to create awareness and promote healthy practices among the Latino population. Education on prevention will thus reduce the occurrence of diabetes through awareness of healthy lifestyles, exercise and feeding habits.  The evaluation of the success of this change will entail the outcome evaluation. This will obtain the descriptive data and document short-term findings. This will provide the immediate impacts of patient education on the change of the new diabetes on-set cases. In this case, I will obtain the percentage of the target audience demonstrating increased awareness on diabetes prevention and the number of public enquiries, behavioral changes, attitude and knowledge shifts, expressed target audience intentions and initiated policies (Oermann & Gaberson, 2016). NU420M2 Change Agent to Diverse Populations Sample Essay

References

Lewallen, L. P. (2015). Practical strategies for nursing education program evaluation. 
Journal of Professional Nursing
, 
31
(2), 133-140.

Oermann, M. H., & Gaberson, K. B. (2016). 
Evaluation and testing in nursing education
. Springer Publishing Company.

Sayers, J., Lopez, V., Howard, P. B., Escott, P., & Cleary, M. (2015). The leadership role of nurse educators in mental health nursing. 
Issues in mental health nursing
, 
36
(9), 718-724. NU420M2 Change Agent to Diverse Populations Sample Essay

NRS-434VN Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

BUY A PLAGIARISM-FREE PAPER HERE

The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and  an additional slide for references at the end.

Include the following in your presentation:

Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.

Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.

Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.

NRS-434VN Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.

Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Indoor Air pollution is my Environmental factor.

 

Course Code

Class Code

Assignment Title

Total Points

NRS-434VN

NRS-434VN-O502

Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

80.0

Criteria

Percentage

Unsatisfactory (0.00%)

Less than Satisfactory (76.00%)

Satisfactory (81.00%)

Good (89.00%)

Excellent (100.00%)

Content

100.0%

Environmental Factor and the Potential Effect on Infants

15.0%

An environmental factor is not presented.

The issue chosen is not environmental. An incomplete summary of how the environmental factor potentially affects infant health or safety is presented.

A general description of how the environmental factor potentially affects infant health or safety is presented. There are inaccuracies, or more evidence is needed for support or rationale.

A description of how the environmental factor potentially affects infant health or safety is presented. Some support or rationale is needed.

A detailed description of how the environmental factor potentially affects infant health or safety is presented.  Strong support and rationale are provided. The direct effect of the environmental factor on infant health and safety is well established.

Health Promotion Plan for Caregivers to Address Environmental Factor and Improve Infant Health and Well-Being

15.0%

A health promotion plan is not presented.

NRS-434VN Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

An incomplete health promotion plan is presented. The plan fails to address the environmental issue; or, the plan does not include steps to improve health or safety for infants. There are major inaccuracies.

A general health promotion plan is presented. The plan addresses the environmental issue and includes general steps to improve health or safety for infants. There are some inaccuracies. More information or evidence is needed for support. It is unclear if the plan is suitable for the chosen caregiver.

A health promotion plan is presented. The plan addresses the environmental issue and includes steps to improve health or safety for infants. Some information or evidence is needed for support. The plan is realistic for the chosen caregiver.

A well-developed health promotion plan is presented. The plan clearly addresses the environmental issue and includes specific steps to improve health or safety for infants. Sufficient information and evidence is provided for support. The plan is realistic for the chosen caregiver.

Recommendations for Accident Prevention and Safety Promotion

10.0%

Recommendations for safety promotion and accident prevention are not offered.

Some recommendations for safety promotion and accident prevention offered are summarized. The   recommendations offered are unrelated to the environmental factor; steps recommended do not support the health and safety of infants.

Recommendations for safety promotion and accident prevention offered are summarized. The recommendations offered are generally related to the environmental factor.  Most steps recommended support the health and safety of infants. There are some inaccuracies. More information or rationale is needed for support and clarity.

Recommendations for safety promotion and accident prevention offered are proposed. The recommendations offered relate to the environmental factor and the steps outlined support the health and safety of infants. Some rationale is needed for support or clarity. In general, the recommendations are realistic and suitable for the chosen situation and caregiver.

Well-developed recommendations for safety promotion and accident prevention offered are proposed. The recommendations offered clearly relate to the environmental factor. The steps outlined are well thought out and support the health and safety of infants. The recommendations are realistic and highly suitable for the chosen situation and caregiver.

BUY A PLAGIARISM-FREE PAPER HERE

Evidence-Based Examples, Interventions, and Suggestions

10.0%

Examples, interventions, and suggestions are not offered. None of the scholarly resources meet the assignment criteria.

Some examples, interventions, and suggestions are offered. Most of the research resources do not meet the criteria as outlined in the assignment.

General examples, interventions and suggestions are offered. Some of the research resources do not meet the criteria as outlined in the assignment.

Examples, interventions, and suggestions offered are evidence-based. At least three scholarly research resources are utilized, and at least two peer-reviewed and no older than 6 years old. Overall, the resources support the examples, interventions and suggestions.

Examples, interventions and suggestions are evidence-based and strongly supported. Three or more scholarly research resources are utilized; at least two are peer-reviewed and no older than 6 years old.

Community, National, and Web-Based Resources for Health Promotion

10.0%

Resources are not included for the health promotion.

Some resources are included, but overall do not meet the criteria as outlined in the assignment. The resources are not relevant to the health promotion. A description does not accompany the resources. The contact information for the resources is incomplete or inaccurate.

Resources are included as part of the health promotion. Some of the resources do not meet the criteria as outlined in the assignment. A general description accompanies the resources. Some contact information for the resources is incomplete or inaccurate.

Two community resources, a national resource, and a Web-based resource are included with the health promotion. Overall, the resources are relevant to the health promotion and accessible for the caregiver. A description accompanies the resources. The contact information provided for the resources is accurate.

Two community resources, a national resource, and a Web-based resource are included with the health promotion. The resources are highly relevant to the health promotion and are accessible for the caregiver. A detailed description accompanies the resources. The contact information provided for the resources is complete and accurate.

Appropriateness of Health Promotion for Caregiver and Situation

15.0%

No aspect of the health promotion presentation is relevant to the caregiver or associated demographic

The literacy level is not written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristic of the caregiver are not always consistent with representing the caregiver or associated demographic. Major changes need to be made for the presentation to be tailored to the caregiver or associated demographic.

The literacy level is generally written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristics of the caregiver are generally written representing the caregiver or associated demographic. Some changes need to be made for the presentation to be tailored for the caregiver or associated demographic.

The literacy level is written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristics of the caregiver are tailored for the caregiver or associated demographic. There are some areas that require revision or slight change

The literacy level is written for the level of the caregiver or target audience. The socioeconomic level, language, culture, and any other relevant characteristics of the caregiver are tailored for the caregiver or associated demographic. The presentation demonstrates insight into tailoring presentations to a specific target population.

PowerPoint and Voice Over Requirements

5.0%

Presentation fails to meet the criteria outlined. The presentation contains fewer than 10 slides, omits speaker notes, and does not have a reference slide. Loom is not utilized for the presentation.

Presentation meets some of the criteria outlined. A minimum of 10 slides is used for the presentation. The reference slide and speaker notes are omitted or are not complete. An attempt at a Loom presentation is made.

Presentation meets most of the criteria outlined. Presentation uses 10 -12 slides, but the slide arrangement does not support the intended presentation. The reference slides and speaker notes are missing information or contain inaccuracies. A Loom presentation is submitted, but the presentation is inconsistent with the PowerPoint and speaker notes.

Presentation meets the criteria outlined. Presentation uses 10 -12 slides and the slide arrangement supports the intended presentation. The speaker notes are submitted and support the presentation. The reference slide is submitted. A Loom presentation is submitted and overall is consistent with the PowerPoint and speaker notes.

Presentation meets the criteria outlined. Presentation uses 10 -12 slides and the slide arrangement strongly supports the intended presentation. The speaker notes submitted are well-developed and support the presentation. The reference slide is submitted. A Loom presentation is submitted and is consistent with the PowerPoint and speaker notes.

Visual Appeal

NRS-434VN Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

5.0%

There are few or no graphic elements. No variation in layout or typography is evident.

Color is garish or typographic variations are overused and legibility suffers. Background interferes with readability. Understanding of concepts, ideas, and relationships is limited. In general, the visual presentation is not optimal for the audience

Minimal use of graphic elements is evident. Elements do not consistently contribute to the understanding of concepts, ideas, and relationships. There is some variation in type size, color, and layout. Some of the visual aspects are distracting for the intended audience.

Thematic graphic elements are used but not always in context. Visual connections mostly contribute to the understanding of concepts, ideas, and relationships. Differences in type size and color are used well and consistently. Overall, the presentation is visually appealing and suitable for the intended audience.

Appropriate and thematic graphic elements are used to make visual connections that contribute to the understanding of concepts, ideas, and relationships. Differences in type size and color are used well and consistently. The presentation has strong visual appeal and is developed with the intended audience in mind.

Aesthetic Quality

5.0%

Design is cluttered. Materials detract from the content or the purpose of presentation is low quality.

Design detracts from purpose. Text and visuals are too simplistic, cluttered, and busy. Little or no creativity or inventiveness is present.

Design is fairly clean, with a few exceptions. Materials add to, not detract from the presentation. Materials used were quality products and easy to see or hear.

Design is appropriate and integrates a variety of objects, charts, and graphs to amplify the message.

Design is clean. Skillful handling of text and visuals creates a distinctive and effective presentation. Overall, effective and functional audio, text, or visuals are evident.

Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

5.0%

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

The writer is clearly in command of standard, written, academic English.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5.0%

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Weightage

100%

NRS-434VN Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

Assignment: Practicum – Week 1 Journal Entry. Nursing and counseling theories to guide practice in psychotherapy

Practicum Journal Entry- Theory In Psychotherapy

Student’s Name

Institution of Affiliation

Course Name

BUY A PLAGIARISM-FREE PAPER HERE

Date

Introduction

I look forward to an exciting practicum experience with interesting learning opportunities using real patient case scenarios. I have acquired adequate knowledge in taking histories, conducting assessments, making diagnoses and managing a wide range of mental illnesses. Therefore, I expect that applying classroom knowledge to clinical practice will be an easy task. Besides, by integrating nursing and counseling theories into practice, I look forward to addressing different patients’ need to promote a healing environment and good health outcomes. Assignment: Practicum – Week 1 Journal Entry. Nursing and counseling theories to guide practice in psychotherapy.

Selected Nursing Theory

           
The nursing theory of choice for this practicum experience is the modeling and role-modeling theory which was developed the year 1983 by Evelyn Tomlin, Helen Erickson, and Mary Ann. The decision to use this theory was influenced by the fact…

 

Students will:

Analyze nursing and counseling theories to guide practice in psychotherapy*

Summarize goals and objectives for personal practicum experiences*

Produce timelines for practicum activities*

In preparation for this course’s practicum experience, address the following in your Practicum Journal:

Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.

Note: For guidance on nursing and counseling theories, refer to this week’s Learning Resources.

Explain why you selected these theories. Support your approach with evidence-based literature.

Develop at least three goals and at least three objectives for the practicum experience in this course.

Create a timeline of practicum activities based on your practicum requirements.

Required Readings

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

Standard 5A “Coordination of Care” (page 54)

Note: Throughout the program you will be reading excerpts from the ANA’s Scope & Standards of Practice for Psychiatric-Mental Health Nursing. It is essential to your success on the ANCC board certification exam for Psychiatric/Mental Health Nurse Practitioners that you know the scope of practice of the advanced practice psychiatric/mental health nurse. You should also be able to differentiate between the generalist RN role in psychiatric/mental health nursing and the advanced practice nurse role.

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

Chapter 11, “Group Therapy” (pp. 407–428)

Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.

Chapter 1, “The Foundations of Family Therapy” (pp. 1–6)

Chapter 2, “The Evolution of Family Therapy” (pp. 7–28)

Breeskin, J. (2011). Procedures and guidelines for group therapy. The Group Psychologist, 21(1). Retrieved from http://www.apadivisions.org/division-49/publications/newsletter/group-psychologist/2011/04/group-procedures.aspx

Khawaja, I. S., Pollock, K., & Westermeyer, J. J. (2011). The diminishing role of psychiatry in group psychotherapy: A commentary and recommendations for change. Innovations in Clinical Neuroscience, 8(11), 20–23. Retrieved from http://innovationscns.com/ Assignment: Practicum – Week 1 Journal Entry. Nursing and counseling theories to guide practice in psychotherapy

Note: You will access this article from the Walden Library databases.

Koukourikos, K., & Pasmatzi, E. (2014). Group therapy in psychotic inpatients. Health Science Journal, 8(3), 400–408. Retrieved from http://www.hsj.gr/medicine/group-therapy-in-psychotic-inpatients.php?aid=2644

Note: You will access this article from the Walden Library databases.

Lego, S. (1998). The application of Peplau’s theory to group psychotherapy. Journal of Psychiatric & Mental Health Nursing, 5(3), 193–196. doi:10.1046/j.1365-2850.1998.00129.x

Note: You will access this article from the Walden Library databases.

McClanahan, K. K. (2014). Can confidentiality be maintained in group therapy? Retrieved from http://nationalpsychologist.com/2014/07/can-confidentiality-be-maintained-in-group-therapy/102566.html

U.S. Department of Health & Human Services. (2014). HIPAA privacy rule and sharing information related to mental health. Retrieved from http://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/special/mhguidancepdf.pdf Assignment: Practicum – Week 1 Journal Entry. Nursing and counseling theories to guide practice in psychotherapy

 

Practicum Journal Entry- Theory In Psychotherapy

Student’s Name

Institution of Affiliation

Course Name

BUY A PLAGIARISM-FREE PAPER HERE

Date

Introduction

I look forward to an exciting practicum experience with interesting learning opportunities using real patient case scenarios. I have acquired adequate knowledge in taking histories, conducting assessments, making diagnoses and managing a wide range of mental illnesses. Therefore, I expect that applying classroom knowledge to clinical practice will be an easy task. Besides, by integrating nursing and counseling theories into practice, I look forward to addressing different patients’ need to promote a healing environment and good health outcomes.

Selected Nursing Theory

           
The nursing theory of choice for this practicum experience is the modeling and role-modeling theory which was developed the year 1983 by Evelyn Tomlin, Helen Erickson, and Mary Ann. The decision to use this theory was influenced by the fact that it promotes nurse’s ability to nurture and care for every patient based on their uniqueness. In this case, the therapeutic relationship developed between a nurse and a patient is characterized by respect, trust, awareness and shared goals (Erickson, 2010). The modeling and remodeling theory bases its key concepts on four major theories namely: Erikson’s psychosocial theory, the GAS (General Adaptation Syndrome), Abraham Maslow’s hierarchy of needs theory and lastly Piaget’s cognitive development theory. Assignment: Practicum – Week 1 Journal Entry. Nursing and counseling theories to guide practice in psychotherapy

Modeling is a step by step process that a nurse seeks information on a patient’s internal and external model and acknowledges its worth. Since this theoretical model recognizes that every patient has a unique personal model, the modeling process can be used to develop an image of every patient and to understand every patient’s experience based on their perspective (Erickson, 2013).  In role modeling, patients are nurtured to attain, maintain and promote health as facilitated by a nurse. The process facilitates the nurse’s ability to plan for necessary interventions that promote healing after implementation. During my practicum experience, the modeling and remodeling theory will be applied through promoting and affirming patient’s strengths, setting mutual healthcare-directed goals, building trust, and by promoting a patient’s orientation and control.

Selected Counseling Theory

For my practicum experience, the counseling theory of choice is cognitive-behavioral theory. This theory clearly explains the vital role that cognition plays to influence change in behavior. Since it uses both a cognitive and behavioral approach, the theory is preferred by most scientists, sociologists, and psychologists to assist patients in clinical and community settings to understand individual feelings and thoughts and how they influence behavior (Beck & Haigh, 2014). CBT theory is even more effective in cases where patients interpret circumstances negatively, develop distorted thinking and gradually adopt negative behaviors which negatively impact social, physical emotional and mental well-being.

Current scientific evidence reveals that cognitive-behavioral theory is a highly effective psychotherapeutic approach when integrating psychological events into behavior frameworks as a basis of healing in the clinical setting. The theory lays a lot of emphasis on distorted thinking, problem-solving and a patient’s present circumstances basing on the following three major assumptions: abnormalities can arise from faulty cognitions about other people, these cognitions can lead to inaccurate thoughts and distorted thinking and ultimately disorderly emotions and behavior (Frank & Badre, 2015). By applying this theory in my practicum experience, clients will be empowered to analyze situations differently and understand how the adoption of alternative thoughts and behaviors impact thoughts, feelings, and behaviors positively with good health outcomes. Assignment: Practicum – Week 1 Journal Entry. Nursing and counseling theories to guide practice in psychotherapy.

 

References

Beck, A. T., & Haigh, E. A. (2014). Advances in cognitive theory and therapy: The generic cognitive model.
Annual review of clinical psychology
,
10
, 1-24.

Erickson, H. L. (2010). Helen Erickson, Evelyn Tomlin, and Mary Ann Swain’s Theory of Modeling and Role Modeling.
Nursing theories and nursing practice
, 202-223. Assignment: Practicum – Week 1 Journal Entry. Nursing and counseling theories to guide practice in psychotherapy

Erickson, M. E. (2013). Modeling and role-modeling theory in nursing practice. 
Nursing Theory-E-Book: Utilization & Application
, 303.

Frank, M. J., & Badre, D. (2015). How cognitive theory guides neuroscience. 
Cognition
, 
135
, 14-20.

Im, E. O. (2018). Theory Development Strategies for Middle-Range Theories. 
Advances in Nursing Science
, 
41
(3), 275-292. Assignment: Practicum – Week 1 Journal Entry. Nursing and counseling theories to guide practice in psychotherapy