Category: Nursing

NU416M6 Using Evidence to Maximize Wellness Essay

Assemble Evidence based nursing interventions that maximize wellness for complex patients with chronic comorbid conditions and is consistent with chronic care delivery model.

Introduction

This paper explores chronic comorbid conditions through the case study of Mr. Bale, an 85-year-old patient with Chronic Obstructive Pulmonary Disorder (COPD), hearing loss and Congestive Heart Failure (CHF). He is currently on Western healthcare and also uses the cultural remedies for his condition. He is secretly smoking even after being advised to stop since he was oxygen dependent. NU416M6 Using Evidence to Maximize Wellness Essay He and his wife live at the home of their eldest son independently with their daughter-in-law, two grandchildren and their other two children live nearby. He is a Mexican immigrant in the US with 15-year old citizenship. His understanding of English is limited but the family translates for him.

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Impacts of the three comorbid conditions

Mr. Bale has hearing, respiratory and heart problems. He also has an addiction to smoking which further complicates his situation. The health safety problems include the lack of adherence to treatment. For instance, the patient is on oxygen therapy and continues to smoke even after signing that he would stop. Exposure to tobacco smoke is a significant risk factor associated with COPD.  The age of the patient is also a risk factor to hearing, COPD and CHF disorders (Rutten et al., 2006).

Risk factors increase the chances of occurrence of other diseases and also death. Cigarette smoking can cause lung cancer, trigger heart diseases and as well worsen the comorbidity of these diseases resulting in death. It can also cause respiratory infections to the family NU416M6 Using Evidence to Maximize Wellness Essay. The age of the patient is also a risk that influences the development of these diseases. As the age increases, so does the likelihood of acquiring more comorbidities and succumbing to them.  The risk factors worsen the effects of comorbid conditions and could result to heart attacks and death due to breathing problems of the client.

The chronic care model can assist in Mr. Bale’s care since it promotes the delivery of care through evidence-based frameworks that support disease management that is customized to particular patients.  For instance, it promotes cultural sensitivity in health systems to promote safety and quality. In this case, this will help the practitioner in understanding the cultural remedies used by Mr. Bale to supplement the medical treatment provided. On the other hand, it supports informed decision making and thus will help the nurse in engaging the patient and the family in making appropriate courses of action for the chronic disorders treatment. NU416M6 Using Evidence to Maximize Wellness Essay.

If I were the home health nurse, I would engage the patient and the family in decision making after advising them concerning the medical conditions. I would then employ the evidence-based interventions to address the issues. One of the interventions I would utilize is medications. I would provide drugs that manage COPD and CHF as well as hearing aids to improve Mr. Bale’s hearing capabilities. Another intervention would be the use of cognitive behavioral therapy to modify the harmful smoking behavior of the patient that puts him at an increased risk of worsening the symptoms NU416M6 Using Evidence to Maximize Wellness Essay.

Notably, communication is significant particularly with the cultural diversity depicted in this case. As such, I would create a rapport with the patient and the family through interactive conversations that will help in building trust and encourage openness. Another strategy will be listening and being empathetic to the patient. This will be supported by the development of a personalized approach depending on his prevailing circumstances. I will also use simple and easily understandable terms considering that the patient does not understand much of the English language. In order to make the communication more effective I will use non-verbal cues such as gestures and body language and also be on the lookout for the patients reactions.

Ethical situations

Mr. Bale’s case presents an ethical dilemma involving his adherence to treatment terms.  Despite agreeing to stop smoking, he still continues to smoke in the house which affects the oxygen therapy. The ethical principle of beneficence demands that the patient is given treatment that benefits his health (Rainer, Schneider & Lorenz, 2018). In this case, prohibition of smoking is important in ensuring the effective management of the patient. NU416M6 Using Evidence to Maximize Wellness Essay. However, lack of adherence undermines the ethics of treatment and the practitioner restriction could undermine the patient’s autonomy.

The possible solution for this ethical dilemma could be the involvement of the family in counselling in order to advice on the right approaches towards effective management of the patients comorbidity. This will engage social support in the treatment and help refrain Mr. Bale from accessing cigarettes. Another solution would be to enforce compliance to medication through evidence based cognitive behavioral therapy for drug addiction.  This is the most appropriate course of action because; it will seek to modify the client’s behavior in a manner that will help stop smoking. This approach has been employed in addiction programs successfully due to its flexibility as an adaptable treatment tool (Hillas, Perlikos, Tsiligianni & Tzanakis, 2015). Individual counselling therapies will help address the underlying issues causing tobacco abuse and group therapies will help him engage in activities with fellow addicted patients NU416M6 Using Evidence to Maximize Wellness Essay.

References

Hillas, G., Perlikos, F., Tsiligianni, I., & Tzanakis, N. (2015). Managing comorbidities in COPD. 
International journal of chronic obstructive pulmonary disease
, 
10
, 95.

Rainer, J., Schneider, J. K., & Lorenz, R. A. (2018). Ethical dilemmas in nursing: An integrative review. Journal of clinical nursing, 27(19-20), 3446-3461.

Rutten, F. H., Cramer, M. J. M., Lammers, J. W. J., Grobbee, D. E., & Hoes, A. W. (2006). Heart failure and chronic obstructive pulmonary disease: an ignored combination?. 
European journal of heart failure
, 
8
(7), 706-711. NU416M6 Using Evidence to Maximize Wellness Essay.

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

Critical Appraisal of Research

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

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The study by Ford & Park (2018) was a clinical guideline based on the review of literature on hand hygiene and handwashing by NICE, WHO and other studies. It outlined the step-by-step guide on how to wash hands using liquid soap and water as the most effective decontamination method to prevent the spread of pathogens in the clinical setting. In the randomized controlled trial by Hovi, Ollgren & Savolainen-Kopra (2017), participants were randomized to two interventions (using alcohol hand-rubs or using water and soap) alongside a control group. All participants later provided weekly self-reported data on RTI and GTI symptoms. Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research. Handwashing with soap and water (intervention group) was considered the most effective approach that safeguarded the participants from GTI and RTI. However, the self-reported design of the study negatively impacts the reliability, validity and applicability of the findings.

In the observational cross-sectional study by Kingston & Dunne (2018), questionnaires were electronically administered to medical and nursing students whose responses revealed that gaps in knowledge on hand hygiene and handwashing are a potential barrier to deficits in hand hygiene practices and use of ABHRs which has a direct impact on the rates of HAIs. Halm & Sandau (2018) conducted a systematic review which revealed that the perceptions of health workers have an influence on hand hygiene practices.  The study recommended that ABHRs reduce bacterial count and causes less irritation to the skin. Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research.

The above studies efficiently address the clinical practice issue of this EBP project and suggest that routine hand hygiene with soap and water is the most 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.

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

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.

 

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

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action. Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research

In this Assignment, you will use appraisal tools to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

• Review the Resources and consider the importance of critically appraising research evidence.

• Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

• Review and download the Critical Appraisal Tools document provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include:

• An evaluation table

• A levels of evidence table

• An outcomes synthesis table

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

By Day 7 of Week 7 Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research

Submit Part 4A and 4B of your Evidence-Based Project.

Below are four peer reviewed journal to support for the critical appraisal research paper and the template

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

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

Note

Please don’t change the
template
the professor wants the original template. Also, the paper should include an introduction the critical appraisal as the body and a conclusion Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research

Nursing Interest and Experience – physical restraints Essay

My personal research interest is to determine the most effective interventions that can prevent the use of physical restraints on children in the inpatient psychiatric unit. Physical restraints are used in psychiatric facilities to prevent patients from harming themselves or others. However, I feel that the use of physical restraints on children can be prevented most of the time if there is a protocol in place that is based on the patient’s age and level of psychological development. The patient population that is of specific interest to me are children between the ages of 6-12 that have been admitted to an inpatient psychiatric facility.

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I feel that determining these interventions is important because utilizing physical restraints during inpatient treatment can cause injuries, cause embarrassment and humiliation, and can cause severe psychological distress for the patient, (Eblin, 2019). Nursing Interest and Experience – physical restraints Essay. I also feel that it can cause the child to have a negative view of inpatient treatment which will discourage them from seeking help in the future. Based on my experience, it can delay treatment and prolong the length of stay because the patient may no longer be cooperative. These are all factors that can prevent us from having the best outcome for the patient.

I feel that this clinical problem is of importance because all patients have the right to compassion, respect, and effective treatment. Based on my experience and as stated in the text, some clinical practices are based on tradition or unit culture. These practices are in place because that is the way they have always been done and there is no evidence to support it, (Polit & Beck, 2017). Nursing Interest and Experience – physical restraints Essay. When a practice can possibly do more harm than good to a patient it should be evaluated. I feel that because children are still in the early developmental stage, they should have a treatment plan specifically designed to help them thrive in the environment.

This target population should be studied because children with mental illnesses will eventually become adults with mental illnesses and as health care providers, we can assist them with becoming productive members of society. These patients will require long-term care and I feel that it is our responsibility to develop a positive culture around mental health treatment while they are young. Putting patients in a position that will cause them more psychological distress is exactly the opposite of what we should do. We need to focus on developing interventions that are clinically significant and be sensitive to each patient’s needs, (Polit & Beck, 2017) Nursing Interest and Experience – physical restraints Essay.

The specific interventions that I am interested in addressing for this population include, having the staff with the best rapport with the patient intervene before situations escalate. Also, to include the child’s parent(s) as a resource in the treatment plan. Based on my clinical experience, I have seen patients escalate to uncontrollable behaviors when certain staff are present as opposed to others. The staff members that have developed a good rapport with the patient can deescalate these situations without any additional interventions. It is also my experience that the parents are not very involved during treatment. Nursing Interest and Experience – physical restraints Essay I feel that if the parent is a positive influence on the child they should be used as a resource to possibly calm, orient, and help their child cope and express their feelings throughout treatment.

In conclusion, I feel that any treatment or intervention that can cause additional psychological distress, trauma, or humiliate a patient should be avoided. As health care providers we should desire to maintain our patient’s dignity at all times regardless of age. Children with mental illnesses are still developing and we should strive to provide care that promotes their desire for wellness as they grow Nursing Interest and Experience – physical restraints Essay. This will help them see treatment as a positive enforcement in their lives.

References

Eblin, A. (2019). Reducing seclusion and restraints on the inpatient child and adolescent behavioral health unit: A quality improvement study.
Journal of Child & Adolescent Psychiatric Nursing
,
32
(3),
122–128
. https://doi-org.ezproxy.fiu.edu/10.1111/jcap.12248

 

Polit, D. F., Beck, C. T., & Polit, D. F. (2017).
Resource manual for Nursing research, generating and assessing evidence for nursing practice, tenth edition
(pp.7-8). Philadelphia, PA: Wolters Kluwer. Nursing Interest and Experience – physical restraints Essay.

 

Responses

Response 1: Physical restraints

The post is informative in its introduction of the rationalizations for reducing the use of physical restraints among children between 6 and 12 year of age in inpatient psychiatric units as the nursing research topic of interest. In fact, the proposed research focus shows a depth of knowledge and understanding of a problem that plagues psychiatric care of children. It proposes that developing and applying a protocol to guide the use of physical restraints based on the patient’s age and psychological development will ensure that they are only used when necessary and the negative impacts are minimized. This is a novel approach since it is noted that although physical restraints are an important tool within the inpatient psychiatric care environment to prevent harm to the patients and others, their use is not necessary in some cases Nursing Interest and Experience – physical restraints Essay. This is of particular concern since the use of physical restraints is associated with injuries, embarrassment, humiliation and psychological distress to the patients as negative consequences, all issues of concern in as far as ensuring favorable health care outcomes is concerned. In addition, the selection of the study population has been justified through noting that children have a large potential to be productive as adults and the proposed strategy creates a positive culture that supports them towards this objective. This is an understandable point since children are impressionable and it is only right to plan their care with a view to reducing their psychiatric concerns rather than increasing them. This is an indication that the researcher intended to realize meaningful change. Nursing Interest and Experience – physical restraints Essay. The research outcome is anticipated to present a roadmap that concludes the debate on how to safely use physical restraints in psychiatric care of children. Overall, addressing the research topic is of value to nursing care since it acknowledges that physical restraints are necessary in the psychiatric care of children, but notes that they have negative consequences that can be minimized through the use of practice protocols (Babbie, 2016).

Response 2: Depression

The post focuses on strategies for improving treatment of depression among adolescents (between 15 and 19 years of age) within primary care settings as the research topic of interest. It brings attention to depression as a condition of concern, especially in the face of increasing prevalence among adolescent and young adults. Adolescents are identified as the patients of interest since they are at heightened vulnerability and susceptibility for being underdiagnosed and left untreated thereby confounding the depression as a psychiatric issue even as the individual grows older. It proposes that the issue of depression among adolescents should be addressed through promotion, prevention, detection and treatment programs. Nursing Interest and Experience – physical restraints Essay. Such programs would acknowledge the occurrence of depression among adolescents and proactively apply the appropriate interventions. Although the proposed solution addresses the issue of concern, an indication that the researcher intendeds to bring about meaningful change to psychiatric care, it does not highlight the position that nurses can play in the solution. It talks of using training to improve nurses’ proficiency in managing the programs, but does not discuss how this is related to increasing screening rates. Having skills does not automatically imply that they will be applied Nursing Interest and Experience – physical restraints Essay. As a nursing research interest, there is a need to explore the value of nurses in the solution. For instance, proposing protocols in which the trained nurses play significant roles, or highlighting the nurse-patient relationship and how nurses can initiate the relationship through trust and applying communication skills in ongoing care. The research outcome is anticipated to present a roadmap that advances psychiatric care in general, and care for depression among children (Babbie, 2016).

Reference

Babbie, E. (2016).
The basics of social research
(7
th
ed.). Boston, MA: Cengage Learning. Nursing Interest and Experience – physical restraints Essay

NURS 6052 wk 5 Assignment: EBP, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Assignment: Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

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To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

• Develop a PICO(T) question to address the clinical issue of interest for the Assignment.

• Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available. NURS 6052 wk 5 Assignment: EBP, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

• Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.

• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

• Provide APA citations of the four peer-reviewed articles you selected.

• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

To begin my research, I located the Walden library database and selected nursing in the subject resource. Under the nursing databases the one that caught my attention the most is CINAHL plus with full text, this database has a large collection of journals on many nursing topics. Under the CINAHL plus full text search engine, I typed in keywords hand hygiene and infection control. It took me almost two hours to complete the search because I had to try searching with different new keywords that describe my topic. I was able to get some literature after breaking the topic into keywords. I had the challenge of finding literature below five years, but with the help of the data slider, I was able to narrow my result to just a few journals. I noticed that finding scholarly articles may not be as easy as I had thought. Searching the Walden Library data base has increased my searching techniques. I am now confidence in conducting a literature research using the library resources. NURS 6052 wk 5 Assignment: EBP, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

My initial search resulted in 220 articles. With such a large result, I found it difficult to select articles that support my PICO question. To narrow my search further, I typed in the search engine handwashing, this narrowed my search to 20 articles. I was then able to choose 5 articles that support my PICO question which is “How does handwashing among nursing staff reduce hospital acquired infections (HAIs) in healthcare setting?”

Below is a breakdown of my PICO question:

P- stands for the target population which in this case is either the patient or the problem HAIs.

I-is the intervention used to solved the clinical issues that needs change, in my PICO question, the intervention is handwashing.

C-represent comparison. In my case I compare handwashing to other hand hygiene methods such as Alcohol hand rub.

O-is simply the outcome which is ultimately the reduction of HAIs NURS 6052 wk 5 Assignment: EBP, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

CINAHL plus full text has features that allows you to select full text, find article by publication dates and peer reviewed journals.

Another database that I found helpful in this research is the PubMed database, this database has more that 30 million citation from biomedical literature some of which are from MEDLINE and others are from life science journals. Under the PubMed database I selected journals that most address my PICO question.

The Boolean Operator and Nest search engine enabled me to combine words and phrases which resulted in more specific research result.

Below are four peer reviewed journal to support my PICO question

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 NURS 6052 wk 5 Assignment: EBP, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

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 NURS 6052 wk 5 Assignment: EBP, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

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 NURS 6052 wk 5 Assignment: EBP, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Difference between “common practice” and “best practice” EBP assignment project

Part 2-Analysis

Student’s Name

Institution of Affiliation

Course Name

Date

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M.,  & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. The Lancet Infectious Diseases, 18(11), 1269-1277.

Relation To The Clinical Issue

This article similarly highlights how Healthcare-Associated infections hinder patient safety, increases mortality and morbidity rates prolong hospital stays and increases medical costs. The researchers further acknowledge compliance of hand hygiene among healthcare providers as a significant strategy to maintain patient safety especially with regards to methicillin-resistant staphylococcus Aureus. However, very few national programs have been sustained and integrated successfully into the national-health structure. Based on the results of the NHHI (National Hand Hygiene Initiative), hand hygiene reduces the risks of healthcare-associated infections which continue to be a major public health concern. Difference between “common practice” and “best practice” EBP assignment project

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Aim of the Study

The study aimed at evaluating the outcomes of the NHHI including its effect on the incidences of healthcare-associated Staphylococcus Aureus and hand hygiene compliance. This study aim was influenced by the background knowledge that a healthcare provider’s compliance with hand hygiene is a significant national strategy for patient safety.

Research Methodology

This was a quantitative longitudinal study where the outcomes of the NHHI eight years after implementation were assessed. The assessment included the extent of hand hygiene guidelines compliance and the hospital’s participation, costs, and association with healthcare-associated Staphylococcus Aureus and educational engagement. Difference between “common practice” and “best practice” EBP assignment project

Strengths of Research Methodologies

Wide population data were used to evaluate the clinical impact of NHHI, specific, statistical analysis was done comparisons of proportions (χ² or t-test), with a p-value of 0·05 or less (two-tailed) which was considered to be statistically significant and increased the accuracy of results. Besides, hand hygiene and compliance data were assessed for errors and consistency using a standard process for review and validation. To maximize the validity and accuracy of data, two systems were established including representative hospital samples and the poorly performing sites.

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitizing in infection control. British Journal of Nursing, 27(7), 382-388.

Relation To The Clinical Issue

The article addresses a similar clinical issue by acknowledging Healthcare-Associated Infections as a public health concern for the health sector across the globe according to NICE. Some of the commonly identified infections include surgical, respiratory and urinary tract infections. This calls for the implementation of better strategies to control infections including education, reinforcing knowledge to the public, healthcare providers and individuals at high risk of infections in all areas of nursing practice.

Aim of the Study

The study aimed at evaluating the effectiveness of alcohol-based gel for hand rubs in controlling infections in the clinical setting. The article was specific to renal nursing following a growth in the focus of evidence-based practice.

Research Methodology

The EBP process for clinical decision making was reviewed for effective literature on the effectiveness of alcohol-based gel and the results published recently concerning the findings of the best model.

Strengths of Research Methodologies

The review utilizes the steps of EBP and numerous articles relevant to the review purpose are used to justify the information shared.

General Comment

When compared to approaches that use detergents and disinfectants that can result in pathogen dissemination, alcohol when adequately used is even more effective. Therefore, hand rubs should be at every patient’s bedside, ward entrance and hospital for use after, before and when performing all activities related to care

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

Relation To The Clinical Issue

The researchers refer to the guidelines by the CDC and WHO which have been driven hand hygiene practices for more than ten years. According to these guidelines, when hands are deeply soiled with body fluids or blood or after visiting the toilet with suspected Clostridium difficile pathogens, the most preferred way to manage and control infections is through Handwashing with soap and water. However, for all other clinical scenarios, the researchers recommend that routine hand hygiene should be maintained with alcohol-based hand rubs. This discussion on infection prevention perfectly resonates with my clinical issue to be addressed.

Aim of the Study

According to the researchers, frequent Handwashing is a major cause of contact dermatitis thus rarely preferred by healthcare providers in clinical settings as a way of managing and controlling infections.  On the other hand, alcohol-based hand rubs are notably effective in bacterial reduction and causes less skin irritation. These perceptions greatly influence the degree of staff compliance to hand hygiene guidelines which ultimately impacts the rates of HAIs. Therefore, the study aimed to determine the impact of ABHRs supplemented by the use of creams and lotions on health outcomes.

Research Methodology

The study was a systematic review of literature that used qualitative methods approach.  The researchers searched the databases of MEDLINE and CINAHL using the keywords ABHR, contact dermatitis, dermatitis, and Handwashing. This search was limited to articles that had been published within the last 10 years. Only original articles were considered. The findings were presented in the form of tables to show outcomes and comparisons.

Strengths of Research Methodologies

The comprehensive literature search that was conducted was within the limit of 10 years. This aimed at ensuring that the findings could still be applied to current clinical practice and were in line with the recommended practice guidelines. Besides, the researchers used the following keywords to conduct the literature search: hand hygiene, ABHR, hand washing, dermatitis, and contact dermatitis. This ensured that only studies that were relevant to the clinical issue were addressed.

General Comments

To promote the use of ABHRs and lessen the occurrence of contact dermatitis, nurses should be taught that Handwashing after and before using ABHRs removes emollients and sebum layers thus increasing the risk of contact dermatitis

Loftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. American journal of infection control, 46(10), 1134-1141.

Relation To The Clinical Issue

The article discusses how an increase in the awareness and epidemiology of pathogen transmission can help to expand compliance with intraoperative infection control measures. This was specific to the risk of transmitting Staphylococcus Aureus during operations which are associated with high transmission rates, antibiotic resistance, and virulence. It was also attributed to a significant growth pathogen spread within acute care settings to healthy community dwellers in community settings. The researchers further discuss evidence-based solutions that can be used to address this issue to improve patient safety.

Aim of the Study

The researchers acknowledged Healthcare-Associated Infections to be an overwhelming issue related to antibiotics resistance. It is for this reason that healthcare providers have been urged to ensure compliance with some of the most basic prevention measures to prevent the unnecessary use of antibiotics and prevent infections. The study was specific to reducing the incidence of surgical site infections through the preoperative decolonization of staph Aureus through improvement measures in novel hand hygiene. Therefore, the study aimed to characterize the epidemiology of sequence types  of  Staphylococcus Aureus in the operating environment.

Research Methodology

The study used quantitative research methods where Staphylococcus
Aureus
species that were isolated and collected from three medical centers underwent biofilm absorbance, genome analysis, and API (analytical profile indexing). 274 case pairs were randomly selected using a computer-generated list from a total of three medical centers in the US.  178 species of Staphylococcus Aureus were isolated. Of these, 173 were associated with the possibility of transmissions. The researchers also conducted an assessment on the virulent, antibiotic-resistant and hyper transmissible and strains of staphylococcus Aureus.  Statistical analyses using X
2
tests and Poisson regression with variances were used for statistical analyses.

Strengths of Research Methodologies

The researchers used randomization of study participants and a large study sample which increased chances of applicability of the results to wide-population settings. Besides, randomization helped to establish a cause and effect relationship between the variables that were being studied. The researchers also used conceptual frameworks to list the possible courses of action regarding the concept that was an understudy. When conducting the statistical analyses, χ2 tests were used in examining the possible associations of covariates previously mentioned variates about transmission.

General Comments

Intraoperative strains of Staphylococcus Aureus are pathogenic and hyper-transmissible. To control their spread, compliance with hand hygiene and patient decolonization are essential.

References

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. 
The Lancet Infectious Diseases, 18
(11), 1269-1277.

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

Loftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. 
American journal of infection control, 46
(10), 1134-1141.

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitizing in infection control.
British Journal of Nursing, 27
(7), 382-388.

Assignment: Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to
Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you used keywords to search on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

The full citation of each peer-reviewed article in APA format. Difference between “common practice” and “best practice” EBP assignment project

A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

References

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

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. 
British Journal of Nursing
, 
27
(7), 382–388.
https://doi-org.ezp.waldenulibrary.org/10.12968/bjon.2018.27.7.382

Lim, K., Kilpatrick, C., Storr, J., & Seale, H. (2018). Exploring the use of entertainment-education YouTube videos focused on infection prevention and control. 
American Journal of Infection Control
, 
46
(11), 1218–1223.
https://doi-org.ezp.waldenulibrary.org/10.1016/j.ajic.2018.05.002

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … Cruickshank, M. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. 
Lancet Infectious Diseases
, 
18
(11), 1269–1277.
https://doi-org.ezp.waldenulibrary.org/10.1016/S1473-3099(18)30491-2

Loftus, R. W., Dexter, F., & Robinson, A. D. M. (2018). High-risk Staphylococcus aureus transmission in the operating room: A call for widespread improvements in perioperative hand hygiene and patient decolonization practices. 
American Journal of Infection Control
, 
46
(10), 1134–1141. https://doi-org.ezp.waldenulibrary.org/10.1016/j.ajic.2018.04.211 Difference between “common practice” and “best practice” EBP assignment project

Matrix Worksheet Template

 

Citation

Article #1

Article #2

Article #3

Article #4

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. 
British Journal of Nursing, 27
(7), 382-388.

 

 

 

 

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. 
The Lancet Infectious Diseases, 18
(11), 1269-1277.

 

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

Difference between “common practice” and “best practice” EBP assignment project

 

Loftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus Aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. 
American journal of infection control, 46
(10), 1134-1141.

 

Relations with Clinical Issue and the ethics of research in Relation to the Clinical Issue

The article addresses a similar clinical issue by acknowledging Healthcare-Associated Infections as a public health concern for the health sector across the globe according to NICE. Some of the commonly identified infections include surgical, respiratory and urinary tract infections. This calls for the implementation of better strategies to control infections including education, reinforcing knowledge to the public, healthcare providers and individuals at high risk of infections in all areas of nursing practice.

This article similarly highlights how Healthcare Associated infections hinder patient safety, increases mortality and morbidity rates prolong hospital stays and increases medical costs. The researchers further acknowledge compliance of hand hygiene among healthcare providers as a significant strategy to maintain patient safety especially with regards to methicillin-resistant staphylococcus Aureus. However, very few national programmes have been sustained and integrated successfully into the national-health structure. Based on the results of the National Hand hygiene Initiative, hand hygiene reduces the risks of healthcare associated infections which continue to be a major public health concern.

The article highlights how Handwashing with soap and water is the most preferred way to manage and control infections.

The article discusses how an increase in the awareness and epidemiology of pathogen transmission can help to improve compliance with intraoperative measures for infection control. This was specific to the risk of transmitting Staphylococcus Aureus during operations.

 

Difference between “common practice” and “best practice” EBP assignment project

Aim of Study

To evaluate the effectiveness of alcohol-based gel for handrubs in the control of infections in clinical settings. The article was specific to renal nursing following a growth in the focus of evidence-based practice.

The study aimed at evaluating the outcomes of the National Hand Hygiene Initiative including its effect on the incidences of healthcare associated staphylococcus Aureus and hand hygiene compliance. This study aim was influenced by the background knowledge that healthcare provider’s compliance with hand hygiene is a significant national strategy for patient safety.

To examine the impact of  alcohol based handrubs supplemented with the use of lotions influences health outcomes among healthcare providers

 

 

 

To characterize the epidemiology of Staphylococcus Aureus sequence types in the operating environment.

Research methodology

The EBP process for clinical decision making was reviewed for effective literature on the effectiveness of alcohol based gel and the results published recently with respect to the findings of the best model.

 

However, in a systematic review conducted by

 

 

 

 

 

 

 A longitudinal study where the outcomes of the NHHI eight years after implementation were assessed. The assesment included compliance with hand hygiene and the hospital’s participation, costs and association with heathcare-associated staphylococcus Aureus and educational engagement.

 

 

The researchers searched the databases of MEDLINE and CINAHL using the keywords ABHR, contact dermatitis, dermatitis and Handwashing. This search was limited to the past 10 years.

 

 

 

Staphylococcus
Aureus
species that that were isolated and collected from three academic medical centers underwent biofilm absorbance, genome analysis and analytical profile indexing. An assessment on the virulent, antibiotic-resistant and hyper transmissible and strains of staphylococcus Aureus was done.

 

 

 

Strengths of the Study, reliability and Validity

The review utilizes the steps of EBP and numerous articles relevant to the review purpose are used to justify the information shared.

Wide population data was used to evaluate the clinical impact of NHHI, specific, statistical analysis was done comparisons of proportions (χ² or t test), with a p value of 0·05 or less (two-tailed) considered statistically significant.

A comprehensive literature search that was conducted was within the limit of 10 years. The following key words were used in the literature search: hand hygiene, ABHR, hand washing, dermatitis, and contact dermatitis.

Randomization of study participants, a large study sample which increased chances of applicability to wide-population settings, χ2 tests were used to in examining the possible associations of c covariates previously mentioned variates in relation to transmission.

General Comments

When compared to approaches that use detergents and disinfectants that can result to pathogen dissemination, alcohol when adequately used is even more effective. Therefore, handrubs should be provided at the bedside, ward entrances and hospital for use when the hands are not visibly dirty, after, before and when performing all activities related to care.

 

 

 

 

 

The NHHI has been linked to significant improvement in hand hygiene compliance and a reduction in the incidence of HA-SAB. For a sustained central coordination and standardized approach for integration in hospital accreditation standards, several features should be observed.

Difference between “common practice” and “best practice” EBP assignment project

In order to promote the use of  ABHRs and reduce the prevalence of contact dermatitis, nurses should be taught that Handwashing after and before  using ABHRs removes emollients and sebum layers thus increasing the risk of contact dermatitis

 

 

Intraoperative strains of staphylococcus Aureus are pathogenic and hyper-transmissible. In order to control their spread, compliance with hand hygiene and patient decolonization are essential.

 

 

 

 

References

Grayson, M. L., Stewardson, A. J., Russo, P. L., Ryan, K. E., Olsen, K. L., Havers, S. M., … & National Hand Hygiene Initiative. (2018). Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes: a longitudinal study. 
The Lancet Infectious Diseases
, 
18
(11), 1269-1277.

Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs vs Handwashing. 
American Journal of Critical Care
, 
27
(4), 334-337. Difference between “common practice” and “best practice” EBP assignment project

Loftus, R. W., Dexter, F., & Robinson, A. D. (2018). High-risk Staphylococcus aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices. 
American journal of infection control
, 
46
(10), 1134-1141.

Lim, K., Kilpatrick, C., Storr, J., & Seale, H. (2018). Exploring the use of entertainment-education YouTube videos focused on infection prevention and control. 
American journal of infection control
, 
46
(11), 1218-1223.

Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. 
British Journal of Nursing
, 
27
(7), 382-388. Difference between “common practice” and “best practice” EBP assignment project

Nurse leader interview paper Example

Identify three nursing leaders you would like to interview for this paper.

Write a paper (1,000-1,250 words) that describes the results of the interviews and addresses the following:

A. Ask the leaders what they believe is their preferred leadership style and (1b) ask them to describe how that style has helped them achieve success.

B. Explain why you chose each individual leader.

C. Identify, compare, and contrast their styles and note any examples of servant or transformational leadership.

D. Identify missed opportunities or questions you wish you had asked during the interviews.

 

Nurse Leader Interview Paper

Introduction

Nursing leadership refers to the ability of the leader to influence others to directly participate in clinical care and improve the quality of care. Nursing leadership entails a setting with a clear vision, where followers are empowered as well as motivated (Bahadori et al, 2016). This assignment will present the results of interviews conducted with three nurse leaders. Nurse leader interview paper Example

Leaders’ Preferred Leadership Style

The first leader said that the preferred leadership style is a transformational leadership style. The leader attributed her leadership style choice to being inspirational and motivative. According to Afzal et al (2016) transformational leaders act as role models, motivate followers, are concerned with followers’ needs, and encourage creativity and innovation. Nurse leaders use transformational leadership style to motivate nurses to attain organizational goals.

The second nurse leader combines authoritative, situational, transformational and servant leadership styles. This is because she applies each leadership style according to the situation. In the authoritative leadership style, the leader makes all decisions and does not consider the staff’s input. Servant leadership involves leaders influencing and motivating followers by developing relationships and improving skills of followers or team members. A servant leader ensures that the needs of each team member are addressed and all team members are involved in decision making. Characteristics of servant leadership include persuasion, listening, awareness, building others, acceptance and foresight (Bahadori et al, 2016). The leader also uses a situational leadership style whereby she chooses the leadership style that is most suitable to the situation and goals.

 

The third nurse leader described her leadership style as transformational. The leader attributed her leadership style to her desire to improve others. As aforementioned, transformational leadership involves inspiring and motivating followers through a shared vision.

How the Style has helped to Achieve Success

According to the first nurse leader using transformational leadership style, the leadership style has helped her to be influential in changing her unit for the better. In addition, the people under her, are happier than before and willing to do more for the unit. The leader reported that she listens to her staff and with that, any new change has been successful. The leader also seeks followers’ input before making the final decision which has benefited both my staff and the hospital. The nurse leader concluded the interview by affirming that a transformational leadership style has helped her to empower her team and accomplish many organizational goals in the process. Nurse leader interview paper Example. According to Afzal et al (2016), transformational leaders form empowering work environment and this gives nurses chances to be creative and innovation during care delivery; this improves staff job performance and also the quality of patient care.

For the second nurse leader combining authoritative, situational, transformational and servant leadership styles, the leader reported that combining the leadership styles has enabled her to be fair to all staff members and to be more affirmative in her leadership. The leader reported that she uses authoritative leadership style when she needs to enforce the rule of the job for example when reminding staffs in the unit that they cannot just leave the unit to buy their lunch just because the cafeteria closes at a certain time. Since the charge nurse position is rotated, the leader said that she uses laissez-fair when she is aware of her staff’s capability while at times, she uses servant leadership in prioritizing the needs of her staff members.

The third nurse leader reported that transformational leadership has helped her achieve success in various ways. First, as a transformational leader, she has the vision to follow this hospital’s mission to improve patients’ quality of care and patient satisfaction. Secondly, she has used the style to ensure shared governance in order to encourage the staff to make decisions; this has improved the quality indicators and employee satisfaction. Third, as a transformational leader, she has been encouraging the staff under her unit to seek professional growth and higher education. This, therefore, has helped to improve nurse retention and have improved staff competency. These assertions are supported by Sfantou et al (2017) who explain that transformational leaders mentor and nurture innovativeness and also motivate staff members; improves job performance. As a result, this leads to improved care delivery and better health outcomes.

Reason for Selecting Each Individual Leader

The rationale for selecting the first leader is because she has been a bedside nurse for more than ten yours and now as a nurse manager in an acute cardiac step-down unit over five years and counting; she has experienced firsthand experience regarding both ends. The reason for choosing the second nurse manager is because she is in a different setting which is an outpatient setting; the priority in this setting is to make sure all supplies are sterile and staffing is done only during weekdays. Unlike the acute care setting, staffing in the same day procedure unit is done only during weekdays. The third nurse manager was a bedside nurse for about three years but has also successfully managed her unit for the past six years and still counting and this is the reason she was selected. Basically, the rationale for selecting the various settings was to enable me to analyze diverse settings as a future inpatient (hospital) or outpatient (clinic) nurse manager. Nurse leader interview paper Example

 

Compare and Contrast Their Leadership Styles

The first and the third nurse leaders use transformational leadership style. As indicated, transformational leadership style goes beyond the call of duty; this is because such leaders inspire, motivate, nurture and work collaboratively with followers to achieve the set goals and vision (Duwayr, 2019). Transformational leadership style is recommended in nursing because evidence shows it improves patient care in regard to patient safety, quality of care, and better health outcomes (Wong et al, 2015). The is because the transformational leadership style focuses on collaborative effort towards achieving goals. However, the second nurse leader combines different leadership styles such as authoritative, situational, transformational and servant leadership styles. Apart from using a transformational leadership style, the leader also uses a servant leadership style which is very effective in nursing practice. Just like in transformational leadership style, servant leadership style also involves leaders influencing and motivating followers by developing relationships and improving skills of followers or the team members (Duwayr, 2019). Basically, all the nurse leaders who were interviewed use transformational leadership style but the second nurse goes ahead to combine different leadership styles with transformational and servant leadership style.

Missed Opportunities or Questions

Some of the questions I would have asked during the interview include:

Looking back what each one of the nurse leaders would have changed about their leadership styles?

What they would have done differently knowing what they know today? Nurse leader interview paper Example

Conclusion

From the interview, the first and the second nurse reported that they use a transformational leadership style. Transformational leadership style involves inspiring and motivating followers to achieve the set goals. On the other hand, the second nurse leader combines different leadership styles such as authoritative, situational, transformational and servant leadership styles. Each nurse leader attributed their choice of leadership style to the ability to influence followers and have better quality of care.

 

 

References

Afzal M, Ali W, Farooq A & Hussain M. (2016). The Impact of Transformational Leadership Style on Nurse’s Self-Esteem of Public Hospitals of Lahore Pakistan.
Int. J. Soc. Sc. Manage
. 3(4), 287-293.

Bahadori A, Peyrovi H, Ashghali-Farahani M, Hajibabaee F & Haghani H. (2016). The relationship between nursing leadership and patient satisfaction.
International Journal of Medical Research & Health Sciences
. 5(1), 10:134-141.

Duwayr T. (2019). Leadership Styles of Nurse Managers/Leaders and Staff Nurses Job Satisfaction and Outcome Pattern in the Workforce: A Systematic Review.
Journal of Nursing and Health Science (IOSR-JNHS
. 8(2).

Sfantou D, Latiotis A, Athina P, Michail M & Patelarou E. (2017). Importance of Leadership Style towards Quality of Care Measures in Healthcare Settings: A Systematic Review.
Healthcare (Basel
). 5(4), 73.

Wong C. (2015). Connecting nursing leadership and patient outcomes: State of the science.
J. Nurs. Manag.
23(1), 275–278. Nurse leader interview paper Example

Personal model of leadership Nursing essay

As a nurse leader, it is important to understand a variety of leadership models and styles. This will help you adapt to different settings and apply strategies to support and inspire others. It may also be necessary to apply models in different professional settings to satisfy certification requirements. Write a 1,000‐1,250 word paper about your personal model of leadership, including the following:

1. How might your personal model of leadership be applied in your professional setting? Personal model of leadership Nursing essay.

2. How does your personal model of leadership compare to the models you researched for the Leadership Styles Graphic Organizer?

3. Does your personal leadership model follow the lines of servant leadership or transformational leadership?

 

Personal Model of Leadership

Name

BUY A PLAGIARISM-FREE PAPER HERE

Institution

The graphic organizer explored five leadership styles essential in the management of organizations. In general, leadership styles describe the manner and approaches through which leaders provide direction and motivation to people as well as implement plans particularly in an organizational setting. Each leadership style is unique based on the reason for implementation and the vision of the organization as well as the intendent outcomes of the operations. The five leadership styles examined included the servant leadership, transformational, autocratic, democratic and laisse-faire. Considering my professional setting, I need to adapt to different settings and apply strategies that inspire and support others during practice. In this case, a personal model characterized by a mixture of servant, democratic and situational leadership styles of leadership will facilitate the achievement of my leadership goals Personal model of leadership Nursing essay.

The personal model of leadership seeks to provide optimum leadership results. Being a mixture of three styles, it guarantees superiority and delivery of optimum results. For instance, servant leadership is essential in providing strong ethical overtones and altruistic that compels the leaders to pay attention to the followers’ needs (Kashyap & Rangnekar, 2016). In general, it seeks to serve in a manner that enriches individual lives, builds a caring and just environment as well as creates better organizations. On the other hand, the democratic leadership style engages the followers in decision-making. They are able to raise their healthcare concerns and suggest possible solutions for the problems they encounter in the healthcare setting. Therefore, it helps identify the areas of concern in the healthcare setting through the all participatory approach.

Consequently, the situational leadership style entails making of adjustments to fit the followers’ levels of development. As such, it allows flexibility in decision-making depending on the current situation.it also promotes the adaptation of the leaders and the followers to the current environment through the assessment of the levels of maturity among the followers, the culture and structure of the organization as well as the visions that is sought to be achieved.  It is thus able to set a beneficial balance between the followers and the organization through adaptation to the needs of the team. Directive, coaching, directing and supportive behaviors are involved in the situational leadership style. Considering the benefits of these leadership styles, it is evident that a mixture of the three will provide a superior personal model of leadership that will facilitate the achievement of individual, teams and organizational goals.

The personal leadership model will have multiple applications in healthcare practice. For instance, it will be employed in the improvement of productivity within the organization through the creation of a supportive and motivating environment. Good relations are also created within the healthcare organization to facilitate flow of ideas, easy decision making and enhance collective and collaborative efforts. The model is applied in nursing care to facilitate the meeting of the patients and the employee’s needs. More applications include strengthening the society and the institutions of healthcare through advocating of decision-making that is group-oriented. It is also implemented in creation of job satisfaction through fostered participation from employee’s autonomy. The personal model is therefore applicable in all aspects of the nursing care setting. Personal model of leadership Nursing essay.

The personal model borrows from three leadership models which make it superior to all other styles. It shares the servant leadership characteristics and principles and also focuses on serving the people. Similar to servant leadership, it involves the practices that enrich individual lives, create a caring, just and better healthcare environment. In comparison to the democratic style of leadership, the mixed style gives the followers the freedom to make decisions. However, it does not limit the final decision-making to the leader but rather accommodates the group’s decisions. It also boosts morality and creativity like the democratic model. The leader also values the team inputs and collective decision making is done with the aim of serving the followers.

On the other hand, laissez-faire allows the followers the freedom of decision-making and operation without the supervision and feedback from the leader. This is different from the mixed model which involves both the teams and the leaders in decision-making. The managers are also engaged in supervising, serving and provision of feedback and thus ensure there is motivation, learning, increases productivity and collaboration. Personal model of leadership Nursing essay. The laissez-faire model is bound to result to low productivity, lack of organization and control, and as well increase the cost of production unlike the mixed model which produces positive outcomes on these factors (Yang, 2015). It is also not applicable to employees who are not experienced in the healthcare practice unlike the mixed leadership style.

The transformational leadership style share several similarities with the mixed model. They are both dependent on high levels of communication between the followers and the leaders and they both seek to impose positive changes in the healthcare organization. The both motivate and engage the followers interactively thus focusing on the achievement of the organizational goals as a team rather than as individuals. However, it is often characterized with delegation of duties unlike in the personal model which involves everyone in decision making and service delivery (Avolio et al., 2016). Notably, the autocratic model was explored. Unlike the personal model, autocratic style of leadership relies on the leader as the sole decision maker of the organization. It also limits creativity, innovation and collaboration within the organization contrary to the mixed model Personal model of leadership Nursing essay. Even though, both models are characterized by close supervision of operations. They also support urgent decision-making situations.

The personal model of leadership follows the servant leadership line and not the transformational one. This is because; the nursing practice is dominated by provision of services, caring, empathy, care, persuasion, healing, foresight, conceptualization and commitment to development of the community and the people (Chiniara & Bentein, 2016). This entails the provision of quality life for the patients and the nurses which is supported by informed decision making from all the nursing stakeholders. The situational model promotes serving by ensuring flexibility and determination of the needs affecting the followers. Furthermore, it makes adjustments to suit the development levels of the employees to enhance quality service provision.

Eventually, the democratic characteristics promote service for the people. This is achieved through the involvement of people in airing their problems and suggesting decisions that resolve their health concerns. As such, the personal mixed model of leadership is a superior version of the servant style of leadership. Even though it ears some transformational leadership characteristics such as the communication effectiveness, motivation of followers and initiation of organization and individual changes, the model is more inclined to serving the people more than transforming the society (Hoch et al., 2018). Therefore, the personal model of leadership presents the most reliable approach to nursing leadership in the contemporary healthcare setting. Personal model of leadership Nursing essay.

References

Avolio, B. J., Keng-Highberger, F. T., Schaubroeck, J., Trevino, L. K., & Kozlowski, S. W. (2016). How follower attributes affect ratings of ethical and transformational leadership. In 
Academy of Management Proceedings
 (Vol. 2016, No. 1, p. 16854). Briarcliff Manor, NY 10510: Academy of Management.

Chiniara, M., & Bentein, K. (2016). Linking servant leadership to individual performance: Differentiating the mediating role of autonomy, competence and relatedness need satisfaction. 
The Leadership Quarterly
, 
27
(1), 124-141. Personal model of leadership Nursing essay

Hoch, J. E., Bommer, W. H., Dulebohn, J. H., & Wu, D. (2018). Do ethical, authentic, and servant leadership explain variance above and beyond transformational leadership? A meta-analysis. 
Journal of Management
, 
44
(2), 501-529.

Kashyap, V., & Rangnekar, S. (2016). Servant leadership, employer brand perception, trust in leaders and turnover intentions: a sequential mediation model. 
Review of Managerial Science
, 
10
(3), 437-461.

Yang, I. (2015). Positive effects of laissez-faire leadership: conceptual exploration. 
Journal of Management Development
, 
34
(10), 1246-1261. Personal model of leadership Nursing essay

Transformational leadership models and styles essay

The purpose of this assignment is to research different leadership models and styles, including transformational leadership.

Choose five leadership models and styles. One model must be transformational leadership. Design a graphic organizer to compare servant leadership with the other models. Consider how these models or styles bring about organizational, team, or individual change or growth. How do leaders implement each of the models and how do they fit with your personal beliefs? {Autocratic leadership, Laisser-faire leadership, democratic leadership & transformational leadership}

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Different Leadership Models and Styles to Include Transformational Leadership

Servant Leadership

The objective of servant leadership is to serve. It entails listening, empathy, stewardship, awareness, healing, persuasion and conceptualization, communication building, foresight, and committed to growth of others. It requires attention and empathy  towards the followers needs by the leaders. Servant leaders mentor followers to become healthier, more autonomous, freer and wiser. It is based on strong ethical overtones.

It is characterized by collaboration of employees and improves satisfaction.

Leadership focuses on personal growth and performance of the team. Encourages employee autonomy

Organizational growth: employee performance increases with increased motivation and commitment.

Decreases turnover through job satisfaction and motivation. Transformational leadership models and styles essay.

Team work involves collective operation

Individual development involves personal development, improvement of motivation and employee satisfaction. Followers observe and emulate the positive actions of the leader. Social exchange theory reveals reciprocal relationships developed between the employees and the servant leaders. It also improves responsibility at the family level (Chiniara & Bentein, 2016).

Leader’s implementation: Leaders lead by example and stay away from the spotlight. They involve employees in decision making and recognition for good performance.

Fitting into beliefs: I believe in collaborative efforts, team building and employee motivation for effective performance. These beliefs are supported by servant leadership.

Autocratic Leadership

Managers have absolute decision making authority. It is implemented in situation demanding close supervision. It limits creativity in the organization and discourages the participation and engagement of teams in collective performance. It ensures the organizations goals are met through Transformational leadership models and styles essay

Differences

No collaborative efforts

Does not lead by consensus but practice command and control.

Long-term effects include lower morale, lower productivity, higher turnover, and lower-quality decisions.

Discourages autonomy of employees

Encourages turnover and increases job dissatisfaction

Similarities

Both have potential for high levels of productivity

Efficient decision making

 

Transformational leadership

Involves implementation of change It engages teams in the creation of visions, identification of changes, inspiration towards achievement and implementation. It is characterized by individualized consideration of group members, intellectual creativity and stimulation, inspirational motivation and ability to inspire confidence as well as idealized influence of leaders.

Similarities

Inspires personal development of employees and leaders through emphasis on positive behavior and morals (Newmanet al., 2017).

Gives employees autonomy

Is collaborative

Improves the morality, motivation and productivity of the employees and the leader

Enhances organizational development through execution of positive changes

Both work to create leaders and decision making is collective

Differences

Has an ethical dimension unlike the servant leadership

Leaders motivate and influence followers unlike in servant where followers come first

Laisser-faire leadership

This leadership allows the group members to make decisions. The staff is challenged to take up tasks and responsibilities to determine their failures and achievements. Leaders are involved in the provision of tools and minimal guidance. Workers have complete freedom in the resolution of problems.

Similarities

Both give decision-making freedom to employs

Both give up their control and power to engage the teams (Van Dierendonck & Patterson, 2018).

Differences

Laisser-faire leaves the team to work on their own while servant leadership serves the team

Decision-making is left to the team members

Leaders do not take care of the needs of the followers

Servant leadership serves while Laisse-faire delegates

Increased potential of low productivity and motivation

Fail to provide regular feedback to the team members

Are not directly involved in supervision of followers

Lack managerial control

Transformational leadership models and styles essay

 

Democratic leadership

The decision-process is more participative. Involved parties are engaged in free participation, generation of ideas and discussions regarding decision making. It is characterized by group empowerment, responsibility distribution and aiding of the decision-making process. It facilitates the resolution of organizational problems and issues through informed decision-making. It encourages creativity and innovation as well as improves the job satisfaction among employees.

Similarities

Collective decision making

Improves productivity, motivation and job satisfaction (Hoch et al., 2018)

Collaboration between the leaders and workers

Employees and employers have equal say in the decision-making process

Leaders and team members commit to achieving positive results for the organization

Both are not very effective for urgent decision making considering the process and time used in collaborative decision-making efforts

Transformational leadership models and styles essay

They both encourage learning from previous employee mistakes

They are both employee-centered, consensual, consultative, considerate and concerned with creating and maintaining good relationships at the workplace.

Differences

Servant leaders stay out of the limelight and let the teams receive recognition unlike the democratic leaders who are recognized for their successful leadership roles in projects

My Thoughts

Different leadership styles and models exist in different organizational settings. The most common include servant leadership, transformational, autocratic, democratic and laisser-faire leadership (Set & Sarros, 2016).  The implementation of each depends on the organizations vision and anticipated results. They all have the potential to impose positive changes in the individual, teams and the organization as a whole. Servant leadership is the most effective type of leadership style considering its abilities to improve the workplace and inspire change in the followers and the organization through service provision.

However, the five styles fit in my personal beliefs since they all are effective in achieving both the long-term and short-term goals of the organization. Their uniqueness is influenced by the desired results and type of urgency in decision-making. Transformational leadership models and styles essay

 

References

Chiniara, M., & Bentein, K. (2016). Linking servant leadership to individual performance: Differentiating the mediating role of autonomy, competence and relatedness need satisfaction. 
The Leadership Quarterly
, 
27
(1), 124-141.

Hoch, J. E., Bommer, W. H., Dulebohn, J. H., & Wu, D. (2018). Do ethical, authentic, and servant leadership explain variance above and beyond transformational leadership? A meta-analysis. 
Journal of Management
, 
44
(2), 501-529.

Newman, A., Schwarz, G., Cooper, B., & Sendjaya, S. (2017). How servant leadership influences organizational citizenship behavior: The roles of LMX, empowerment, and proactive personality. 
Journal of Business Ethics
, 
145
(1), 49-62. Transformational leadership models and styles essay

Seto, S., & Sarros, J. C. (2016). Servant Leadership Influence on Trust and Quality Relationship in Organizational Settings. 
International Leadership Journal
, 
8
(3).

Van Dierendonck, D., & Patterson, K. (Eds.). (2018). 
Practicing Servant Leadership: Developments in Implementation
. Springer Transformational leadership models and styles essay

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

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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

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

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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.

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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