150 words 1 nursing reference within 5 yrs.

 

The intended purpose of theory is to describe and support the schema of a discipline.  In nursing the prevailing perspective involves a more holistic and humanistic approach, rather than interventions based primarily on cause and effect.  Nursing theory also emphasizes the use of caring throughout the nursing situation, and seeks to understand the person’s unique context of health.  Using theory nursing interventions are driven by the achievement of idealistic goals for the purpose of positive health care outcomes (Alligood, 2011).  However, the level of a theories adaptability in practice is determined by its characteristics, testability, and source of development.

 

The functional components of Dorothea Orem’s Self-Care Deficit Nursing Theory (SCDNT) relates to nursing’s practical elements of person, environment, and health, through the interrelated theories of self-care, self-care deficit, and theory of nursing systems.  Orem believed the three interlocking theories expressed the clear specifications for nurse and patient roles, which make up the whole that is Orem’s grand theory (Parker & Smith, 2010, p. 125).  The central idea of this theory is in which it identifies the complex relationships between the recipient of nursing care and its providers.  

 

A key concept of this is that the patient is the principal performer of self-care behaviors, not the nurse.  This allows the patient to become an active agent in his or her own care and develop a sense of self-care empowerment.  According to the theory, goal setting should also be mutual and must consider the patient’s point of view.  Furthermore, SCDNT can be utilized as a theoretical framework to guide research in within the discipline of psychiatric nursing.  This is because Orem’s theory links nursing interventions that promote self-care to positive patient recovery outcomes.  More specifically, Seed and Torkelson (2012) believe utilizing SCDNT to guide practice can provide psychiatric nurses with a language that creates a recovery model culture.  In addition, Orem’s theory brings to light nursing instrumental impact on those afflicted with mental health disparities and a means of recovery.  Therefore, this call to transform mental health systems is not only an opportunity for nursing to return to its roots, but also deliver care that is patient-centered and conducive to healing the patient as a whole (Seed & Torkelson, 2012). 

 

 I NEED  A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 120-150 WORDS

 

The one challenge I would address in the health care industry, is that of unsafe nurse to patient ratios. Even though organizations are attempting to cut labor cost, the increase in costs due to patient poor outcomes from nursing shortages or improper ratios is becoming costlier. “CA is the only state that stipulates in law and regulations a required minimum nurse to patient ratios to be maintained at all times by unit” (ANA, 2015). In the ICU I am employed in, we have a patient free charge nurse, which provides our breaks and lunches for the seven nurses during our 12-hour shift. The problem is that the same patient free charge nurse also must respond to code strokes, code blues and is part of our rapid response team. The 3 pagers are alternated between our 3 critical care units, but there is one pager in each unit at all times. The problem is, when she leaves the unit and responds to a call. The staff nurses are left to cover themselves for breaks and lunches, as there is no one else to cover us and at times the charge nurse can be gone for an extended period, even an hour or so depending on the situation. If I ask another ICU nurse to care for my patient’s while I go to lunch, I have automatically changed her ratio to caring for 4 ICU patients, which can be a dangerous situation if something happens. We have asked for a nurse specifically designated to provide lunches for us, but we have been denied this many times. “ANA and its Constituent & State Nurses Associations (C/SNAs) in the states are promoting legislation to hold hospitals accountable for the development and implementation of valid, reliable, unit-by-unit nurse staffing plans. These staffing plans, based upon ANA’s Principles for Nurse Staffing, are not mandated ratios. They are created in coordination with direct care registered nurses (RNs) themselves, and based on each unit’s unique circumstances and changing needs” (ANA, 2015).

“More than a decade of research has shown that RN care is insufficient, patient safety is compromised and risk of death is increased” (Wyoming Nurses’ Association, 2003).

 I would attempt to talk to the CNO, and explain the dangers of not providing proper nursing staff, and how it is not safe for one nurse to care for four ICU patients, even if it’s for a short period of time.

References:

American Nurses Association. (2015). Nurse Staffing. Retrieved from http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/State/Legislative-Agenda-Reports/State-StaffingPlansRatios

Wyoming Nurses’ Association. (2003). ANA applauds federal legislation to mandate safe nurse-to-patient ratios: Sen. Inouye introduces bill to protect patients, hold hospitals accountable for RN staffing.  16(2), 17 Retrieved from http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=1&sid=2fbdb1c1-eec7-4816-87b9-73c711d70e5d%40sessionmgr4010

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

 

Idalmis Espinosa 

 

2 posts

 

Re:Topic 3 DQ 1

 

It is essential that information is transferred in the process of influencing, convincing and persuading individuals on given agenda. Within the field of nursing, communication plays a vital role in ensuring that every person surrounding the nurses is reached with the correct information. As such, different communication tools can be used to avail information to the patients, the co-workers, and the administration as stated by Huber, (2014).

 

            In the process of presenting an idea that would improve the patient care for the patients to the upper management, the best communication tool to use would be the Humanizing Nursing Communication Approach. According to Finkelman, (2015), the Humanizing Nursing Communication Theory provides that all the individuals within the team of managements is a person and has feelings. As such, through the communication plan, it would be important to target the individual’s empathetic side in the process of explaining the vision of the idea presented. According to Huber, (2014), through appealing to the empathetic aspect of the management, it is possible to make human connections and target the emotional side of the same and thus persuade the same into supporting and funding the idea.

 

Also I would apply PowerPoint presentation for communicating an idea of how to improve patient care to upper management. PowerPoint allows for summarizing of the main point in text box and an explanation in the notes area (Altman, 2012). The 6 by 6 rule ensures that there are at most six points per slide each containing six words to ensuring that main ideas are captured. Six words per sentence can allow passing of complete idea. ‘Attend to patients within six minutes’ is a six worded sentence that is communicative in nature. PowerPoint puts emphasis on the ideas through a recorded narration that runs concurrently with the words being shown. A presentation will run for less than five minutes than preparing a report that may take a half an hour to go through after the employing of brief contented and complimented by a narration. PowerPoint is good way of putting an idea in a near practical way.

 

            However, other communication models can be employed to ensure the plan is presented correctly to the management. The other communication tools that would be used include non-verbal communication such as smiling, maintaining eye contact with the management teams and the use of positive body language in the process of presenting the idea to the team. Moreover, having all the information well prepared beforehand will ease the process of introducing the concept to the management and hence allow for the management to seek clarification at any time and receive immediate feedback on the same. Through the utilization of the named communication models, it is possible that the upper management may fund and support the patient care idea.

 

 

 

References

 

Finkelman, A. (2015). Leadership and Management in Nursing: Core Competencies for Quality Care. Pearson.

 

Huber, D. (2014). Leadership and nursing care management. Elsevier Health Sciences

 

 Altman, R. (2012). Why most PowerPoint presentations suck: And how you can make them better. Pleasanton, Calif: Harvest Books.

 

 

 

 

 

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 120-150 WORDS

 

A new director decides to reorganize the department you work in. This reorganization comes about without input from the employees and many of the nurses that you oversee are feeling resentful of the change. As a nurse leader, identify factors that may lead to conflict and ways you can manage them.

In reorganizing a department without any input from the people who work in it is bound to cause resentment and animosity. As the manager overseeing these nurses and having to work with and manage that the department still runs smoothly and that the work gets done is a surmountable task and requires a leader that can identify and work through issues that arise with poise, assurance, and empathy.  Conflict that goes unresolved can affect clinical outcomes, staff retention, and the financials of an institution. Unresolved conflict within a work environment results in damage to the “culture of safety” and lessens the nursing profession and its ability to make change happen within the organization and the health care system itself (Huber, 2014, p.169).

Properly conducted conflict management can lead to or is the goal to stimulating growth and coping behavior among the nurses experiencing this conflict. Conflict is an intrinsic part of change (Huber, 2014, p. 174). Change most often times is associated with stress and struggles, being able to manage this conflict and turn it around into a positive experience where growth and coping behaviors occur can make adjusting to the situation much better.

Some of the factors that may lead to conflict in the above scenario and ways to manage them include:

1.     Poor attitude, low morale-the nurses may feel resentment toward the new director coming in and reorganizing the department without including them in the planning. This could lead to poor attitudes and resistances to the changes happening. This conflict in turn can affect patient care. As their nurse leader, I would manage this by meeting with them as a group, I would be open to their feelings, attitudes, and ideas that they express, allow for their issues to be defined and come up with strategies for managing them (Huber, 2014).

2.     Decreased productivity-this also goes along with poor attitude and low morale, where the nurses feel resentful toward their new director who comes in and just changes everything without any input from then, this can lead to low productivity where nurses may feel why should we do any more than what we have to or they may be less cooperative with each other and with management. As their nurse leader, again at the group meeting, I would be an active listener, have positive communication, and be empathetic. I would continue to be present and helpful alongside them while working in order to show them if we work together we can come up with a successful and positive outcome.

I would hopefully be able to bring the issues and concerns of the nurses up to the new director in a manner that projects a positive view in working together to make chances that benefit everyone and that promotes a cohesive working environment. There has been research that has showed that the average employee loses 2.8 hours each week due to workplace conflict (5 Ways to Manage Conflict, 2017).

References:

5 Ways to Manage Conflict in the Nursing Workplace. (2017). Retrieved July 16, 2017, from http://elearning.loyno.edu/masters-nursing-degree-online/resource/5-ways-to-manage-work-conflict-in-nursing

Huber, D. (2014). Leadership & nursing care management (5th ed.). St. Louis: Elsevier.

 

 I NEED A POSITIVE COMMENT BESED IN THIS ARGUMENT. PLEASE USE YOUR OWN WORDS TO DO THE COMMENTS. BETWEEN 150-200 WORDS.

 

The     US health care system is defined to be faced by  different    mismatch  on how activities are carried outin the internal    perspective and    external  perspective. Though    efforts have being implemented so  that  effectiveness can    be obtained in the U.S.  Health Care System, satisfaction    has not been  obtained to both patients and physicians this is    as  stated by Clift, (2014). More so, industrial     efficiency  that are appropriate should be emulated     so that diversity can be  obtained in all context is  the    health care functionality. The health care has  not been    in a position to enhance and offer structure  that  define    the problems that revolve within the  industry hence causing    a    barrier in offering  efficiency. This is    reflected to the delivery  contest where poor quality of    care is offered to word the  big population of U.S.   

 The structure    and process of the existing U.S health care system    is that  it has not been a position to be financed    by the government this means that difficulties    are    faced in offering care. This aspect is     based on  the financial concept that analyses how    inefficiency is  obtained in the organization structure    through  the country. More so,  the management    contest is  not structured to offer efficiency due    to inadequate facility and funding in every facility that    offers care,  and the functional capabilities do not meet    the required standards. The identified contest can be made    effective by resolving the  structural  problems of the    health care system and    implementing better ways    that will make the health    care offer    diversity in to patients.In addition, a fundamental result will be    obtained that is full  of  efficiency on how care is    delivered, and this means U.S. Health Care System will be    in a better position.  

 Health care    reform is essential when it comes to issues that    pertain  health care practices; this is done so    that  improvements can be obtained indifferent    concept that makes up health care.  For instance,     inadequate coverage and inefficiency care of variable quality    are  the core reason as to why health care reform s    required this is  because health care is  required is to    offer an effective and  efficient  care that is full    of diversity so that patients can feel  more    recognized.  Requiring more transparence    and  accountability is another aspect  that    enhances need for health care  reform. This is based on    the aspect of eradicating discriminatory  health insurance    practices, which means that all patients should be treated    with the same  consideration.    

 Another  Issue   that prompted a need for health care reform is the  increased  number of patients and inadequate facilities in    the whole country . This means that  the health care opts to    strategies a better  functionality aspect that will    improve how services are delivered  to  patients. More so, the amount of time that is required to offer   care   is another issue that  prompted a need for    health care reform.  Lack  of fund result to    inadequate medication which means that  health  insurance   coverage should be offered to for   America’s  patients. More so, by  the provision of health insurance, their ought  to  be consideration of cost efficiency which  will reflect  improvements in health  care and lower health care cost. This means that better benefits  should be offered to patients so   that healthcare can keep patients healthy in a common  perspective without segregation. However improving the U.S.  economic outlook is another factor that  improves medicals sustainability to patients. In  addition, it is important to    initiate long terms aspect that emphasizes the health care  perspective in a better manner  (Cohen, 2013).      
      
 References     
Clift,C. (2014).The World Health Organization for ? : Final   report  from the  Centre on  Global  Health Security Working Group on Health    Governance.    London:   

Chatham  House,   the Royal Institute of International    Affairs. Cohen,  I.    (2013). Globalization of Health Care: Legal and Ethical  Issues.Cary: Oxford University Press, USA