After viewing the Barker (n.d.) YouTube video I believe those in the nursing field are both using the term “paradigm” correctly and incorrectly. I think health care professionals can accurately identify a paradigm, but they may not know what to do about the issue. The way I believe individuals mistakenly use the subject of paradigms is by not allowing new ideas to occur. Barker (n.d.) states that the best thing a leader can do is create a sanctuary for wild ideas and allow people to explore their boundaries. If these two actions were being implemented, new paradigms could be easily implemented and begin to flourish within a health care facility.
I honestly couldn’t think of a change process occurring within my current clinical site at this time, so I thought about an improvement that could be made instead. One change I thought could be made
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Nursing handoffs should involve the departing nurse informing the oncoming nurse about his or her patients. After all pertinent information has been exchanged an in-room report should be done with both nurses and the patient. This initiates a time where the incoming nurse and patient can get acquainted and any questions can be addressed.
The four main elements of diffusion described by Rogers (2003) are listed below. Along with the four elements I have described how each would be present in my chosen change process.
• Innovation: This type of nursing handoff would be new to nurses and would need to be taught to make sure it was being properly completed. With any new item being implemented it of course takes time and some trial and error.
• Communication Channels: Applying this new type of nursing handoff allows for better communication between both nurses and their patient. Also, it helps the patient to stay informed on their hospitalization and gives them a time to ask any questions he or she may
7. Explain how incubation plant tissues in a series of dilutions of sucrose can give an
Handoffs during shift change between nurses is one of the most important ways to communicate essential information related to the patients’ care and their safety. This is an evidence-based practice that improves communication among nurses and patients since the handoffs are conducted at the patients’ bedside, face-to-face, with the computer using SBAR. The patients are involved in the update of their care with the incoming nurse, enabling them to share concerns and to add valuable information, which increases patients’ satisfaction. Additionally, during the handoffs, the nurses with the patients are able to review and update the patients’ white board with the goals, activities, procedures, labs, consults, and symptom management for the incoming
Bradley, S., & Mott, S. (September 2012). Handover: Faster and safer? Australian Journal of Advanced Nursing, 30(1), 23-32.
The standard practice during nursing hand-off is the use of the SBAR communication tool. Built into the SBAR is the fall assessment status of the patients. Also, every nursing unit has the patient fall prevention brochure that is discussed with patients and families.
Assure standards for shift-to-shift handoff’s (RN-to-RN) to include pertinent and necessary patient information, e.g., from
In every profession there are changes that propel how tasks are done; nursing is no stranger to this. One of the biggest changes that have come into nursing’s daily events is how report hand-offs are being done. Gone are the days of taped report that each off going nurse must tape about each patient and the oncoming nurse must listen to. Nurses are now being encouraged to move their report to the bedside, in front of the patient (Trossman, 2007). It is very important to know how this can affect the patient and even the nurse’s schedule. With every change, there are positives and negatives that can finalize the decision to keep or forego
The analysis of Peplau’s theoretical model through the criteria of Fawcett (2005) allowed the verification that the theory fits precisely in the significance, internal consistency, and parsimony criteria because of the concepts, metaparadigms, and assumptions used in the theory. Despite the limitations, the theoretical assumptions of Peplau’s theory are operational and can be used in various areas of nursing where there is the possibility of communication between the nurse and the patient. The following research question may be able to provide insight on this topic: “Nursing handoff at the bedside: Does it improve communication between nurses?”
The qualitative methodology helped connect the issue of bedside handover. The method included six focus groups of 30 registered lasting 60 minutes each, and enrolled nurses to focus on bedside handover and interview the nurses to understand if the bedside handover developed their communication skills. The numbers of hospitals and nurses involved were record, and the results for the study determining the bedside handover satisfaction were included, as well. Also, the references included in the article ranged within the five-year limit, and all of which range within the early 2000’s. An Australian study that had been done stated that the weakness of their study included of the following: missing information and lack of patent involvement (Johnson
The nursing handover was defined in 1969 by Clair and Thrussel as the oral communication of pertinent information about patients. This was supported by Thurgood in 1995 who adopted the view that patient centred care is central to any definition of handover and that it is its primary function.
The current process is that if a patient is going to a medical-surgical unit and not the intensive care unit, a transport person transfers the patient and the receiving nurse either gets a call or a fax sheet from the sending department. However, most of the times, the sheet is not adequately filled out and the receiving nurse is not given enough time to ask questions. Thus, these inconsistencies lead to mistakes and delays in care. To improve hand-off communication and resolve this issue, I suggest that staff nurses and transport persons should be retrained and reeducated on the proper use of the SBAR forms. Also, the nurse manager should reinforce the teaching in the clinical setting by putting up signs in the unit. Furthermore, the receiving nurse or department should be urged to ask questions and report any mishandled hand-off
It showed that if the pore of a membrane is not large enough, diffusion will not occur. However, if the pore was large enough and diffusion subsequently occurred, the rate of diffusion was the same even if the molecular weight cut off (pore size) was bigger. The following solutes and their simple diffusion data will be explained in order from smallest to largest, smallest being one that was able to fit through smaller a pore size.
There are four primary ways for the cell to transport material across its membrane. They are diffusion, osmosis, facilitated diffusion, and active transport. Diffusion moves molecules from high to low concentration and is called passive transport because it moves with the concentration gradient. In osmosis water diffuses molecules across the plasma membrane. The movement of the molecules goes from lower concentration of solution to higher concentration. In facilitated diffusion transport proteins bind and carry substances through a one way channel. Diffusion, osmosis, and facilitated diffusion are all types of passive transport that requires no energy. Active transport, however, requires energy because molecules
Implementing a change project is a challenging step of the Capstone Change Project. This paper focuses on steps that must be taken to implement a change, strategies to ensure the success, involved stakeholders and their roles, educational requirements, safety issues, ethical considerations, and external or internal regulations’ effects on the process. It also include the change theory, nursing theory, and evidence based practice influences on the implementation process.
Usefulness of Shared Theory in Nursing Nursing is a practice discipline that incorporates the ideas from many other disciplines. Therefore, the use of shared, or borrowed theory in nursing is very common. The diffusion of innovations theory is particularly relevant to healthcare because of the constant changing nature of the field itself and the importance of implementing new technologies or best practices in the most efficient way.
Telenursing has allowed for nurse to continue cares of their patient even after they are discharged from hospital. “The ICN defines telenursing as follows. Telenursing refers to the use of telecommunications technology in nursing to enhance patient care”. (Kamei, 2013). There are many ways to communicate and gather information about the patient via landline phones, cell phones, videophones, personal computers, patient-specific information input terminals, tablet computers, and smart phone. These devices are essential for providing health care professional and nursing consult and mentor patients. (Kamei, 2013). Telenurses monitor patient continuously paying attention to their non-verbal cues, and tone of voice, breathing rate to determine if there are any issues of concern. “The key to effectively forming and maintaining the nurse-patient relationship lies in the nurse’s ability to interact and communicate with the patient.” (Jones, Hendricks, & Cope, 2012). According to Kamei, there are five principles to follow with telenursing. The first principle is of “building a therapeutic nurse-client relationships”. The second principle is of “providing and documenting care”. The third principle is of “roles and responsibilities”. The fourth principle is “consent, privacy and confidentiality”. And last, the fifth principle is “ethical and legal considerations”. The nurse should be able to establish rapport with patient; be knowledgeable to provide proper education in