One such change would be to recognize and reward staff for the work they do. Helping them see the impact they have on a resident’s quality of life will increase meaningful purpose (Manion, 2011). Another initiative is to identify the nurses that want to engage in professional development and provide them with the flexibility and resources necessary to increase competency in a chosen area (Atefi, Abdullah, Wong & Mazlom, 2014). Both of these changes will also have a positive impact in ensuring healthy relationships are maintained by all staff.…
The discussion needs to focus on creating a system that can further facilitate the success of the NP in this role and must include educating practitioners of the role each other performs within the system. As the profession-specific primary care delivery approach begins to change, the VHA has begun to seize upon this educational opportunity to create an inter-professional, team-based, patient-centered care delivery paradigm in its Centers of Excellence in Primary Care Education model (Rugen et al., 2013). In this way, new providers can gain a multidisciplinary insight into primary care and the system can begin to utilize its members more efficiently without compromising on safety or patient outcomes. If the system remains fractured by role confusion and an unwillingness to provide support for each other a significant opportunity opens up for more negative health outcomes and reduced patient…
Every day, nurses are keeping up with evidence-based practice and updating their nursing practice. Innovation does not have to be a large change- it takes one person to light the fire. As the nurse conducts the assessments and evaluations, they can determine whether their interventions were successful. If not, they change their practice by involving new medications, equipment, or assistance from others. On a bigger level, there is a wide variety of medical and pharmaceutical companies that create new machines and medications that provide improved care.…
The purpose of this post is to describe the role of nurse leaders in promoting evidence based practice. I will describe strategies used for implementation of change in evidence based practice; discuss the influences that are changing health care culture including current issues and trends, and compare the nursing work group culture with other organizational cultures. An important part of the nursing leader role is to influence the culture and climate in the department (Huber, 2014). Nurse leaders must have an accurate understanding of the culture and climate of their unit to be able to implement change effectively. A leader needs to create a vision that encourages and inspires nurses to take part in the evidence based change.…
They are prepared in many aspects such as management, research and scholastically. The APRN must advocate and become involved in improving the profession. They must educate entry level nurses, the public and policy makers to truly make a change in the way policy is driven. The MSN and DNP nurse can bring research and best evidence based practices to the table, which certainly affects the way care is provided. Hain and Feck (2014) state that the NP must take a “outcome driven approach to care” by presenting innovating NP models of care, and showing that those models lead to improved outcomes in patient populations (Hain and Feck, 2014).…
Interprofessional Collaboration for Improving Practice (graded) Interdisciplinary practice delineates the steps in which APN prepared nurses processed into the role with other health care providers. In this process, the team is able to pool their skills and knowledge together to increase the quality of care and productivity (Naylor & Kurtzman, 2015). Interprofessional Collaboration for Improving population health and patient and outcomes in today's complex health care environment depends on the contributions of knowledgeable and highly skilled individuals from multiple professions (Lathrop & Hodnicki, 2014). DNP-prepared nurses are members of the teams that had advanced preparation…
The foundations of BSN programs have been continuing to emphasize research and delivering optimal patient outcomes. There have been multiple initiatives to improve patient outcomes through the use of Magnet Recognition process; these include increasing the number of BSN nurses and patient focused initiatives. The components of Magnet include transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation and improvement, and empirical quality. Effective leadership will be pivotal in a facilities achievement and success when obtaining Magnet status. A Transformational leader is one who recognizes the need for change and implements a plan.…
Implementation of the IOM Future of Nursing Report As the majority of our population becomes older with more complex health conditions it will be vital for the congress to set a plan out for the nursing shortage that will take place. Addressing the issue is the way that nursing schools are attempting to extend ability to take care of the rising demand for nurses. According to the American Association of Colleges of Nursing 75% of RNs trust the nursing deficiency displays a noteworthy issue for the nature of their work life, the nature of patient care, and the measure of time healthcare providers can spend with patients (American Association of Colleges of Nursing, 2014).…
These essentials focus on clinical scholarship, informational technology utilization, interprofessional collaboration, and population health management (American Association of Colleges of Nursing (AACN), 2006). Through application of these essentials, teamwork, collaboration, integration of systems and technology applications can be combined with the organizational goals, patient outcomes, reduction of waste, and quality improvements that are fiscally responsible (Aroh, Colella, Douglas, & Eddings, 2015). By utilizing the educational essentials in every aspect of the healthcare setting, the DNP can recognize what while quality comes as a cost, the return can be beneficial over the course of time, which may lead to bigger returns in VBP (Waxman,…
The mission statement focuses on giving exceptional care to improve the health of the individual and the community. One of the visions of the hospital is to provide transformational heeling presence. The philosophy of the hospital also values excellence and the highest possible standards of clinical and service quality. My change proposal on nurse-physician collaborative care focuses on patient satisfaction and patient safety, which can accomplish exceptional quality care, generate transformational healing presence and provide the highest possible standards of care. This shows that the proposed change integrates and enhances the mission, vision and philosophy of the…
Changes in our American health care system and imminent health care reform legislation have created a dramatic impact on the restructuring of our nursing profession. To support these amendments, the expansion of the nurse practice roles and settings are met with the emergence of a practice focused doctorate degree known as the doctor of nursing practice or DNP (Fitzpatrick & Wallace, 2009). The evolution of the DNP degree continues on a momentous journey in order to meet the growing demands of societal needs for health care, complexities of nursing care, and as well as the diminishing number of primary care physicians (Denisco & Barker, 2016). According to Denisco & Barker (2016), nearly 75% of physicians chose specialty practice over primary…
I do believe that earning my BSN has already opened my mind integrating quality improvement into my clinical practice. Earning my ADN allowed me to gain the clinical competencies of nursing. However, the coursework of my BSN courses have allowed me to critically think, gain leadership and management competencies needed to improve patient outcomes. These competencies emphasis on patient-centered care, evidence based practice, safety, collaboration and system-thinking that make you well rounded to grasp the dynamics of quality improvement processes. “All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics”…
What is Nursing The metaparadigm of nursing makes nursing a unique field of practice when compared to any other profession. By understanding what each of the four concepts of the metaparadigm mean and how they relate to nursing, it can help promote better quality of care. In return, by providing quality care, a patient can have an increase quality of life. The four concepts of the nursing metaparadigm described by Kearney-Nunnery (2016) are nursing, human beings, environment, and health.…
Paradigm Shifts Discussion In this fast paced, ever changing culture we live in today, paradigm shifts are common in every aspect of life. There are paradigm shifts in how we conduct business, in education, in science, in biology, in history, in society, in religion, in everyday life, and in our government especially under the current administration. At the beginning of this class, my attention was quickly drawn to our student guide which used the word change in regards to my personal worldview. Immediately, I was not receptive to the word change because I was, and still is confident that my worldview is that of a Christian.…
Paradigm shift, term first been used by philosopher of science, Thomas S. Kuhn (1922–96) in his research, which means a fundamental change in approach or underlying assumptions. People believe paradigm shifts is a change from one way of thinking to another. It 's a revolution, a transformation, a sort of metamorphosis. It just does not happen, but rather it is driven by agents of change. It represents a phenomenon that when enough anomalies proved the current philosophy, paradigm or science are wrong, the professionals will bring a new state of crisis pushing the society change the current paradigm and a new idea to form a new paradigm.…