Theoretical Framework
The theoretical framework for this project is adapted from Lippitt's change theory which is built on the concept of introducing a change agent to enact a plan in which to effect transformation. When patients are faced with the life-altering process of receiving a transplant, they are often confronted with significant changes to their everyday lives. Transplant patients are often confronted with a substantial amount of information that they must learn to maintain a satisfactory lifestyle and continue to have their transplant remain viable. This report includes new knowledge about their disease as well as integrating new treatment-related behaviors into their daily lives (Aujoulat, d'Hoore, & Deccache, 2006). The issue with this is that the lifestyle changes are often difficult to maintain and adapt on a permanent basis as they frequently conflict with lifestyle routines that the patient
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Lippit’s theory begins with diagnosing the problem followed by determining the level of acceptance and the degree of motivation from the stakeholders. Next, the method evaluates the likelihood that the change agent will be able to do the job. A plan then must be developed to institute the change that will outline the process of how that difference is to be initiated including timelines, and goals. Once all of the steps of the model have been completed the final process, just as in Lewin's change theory Lippitt’s model ends with terminating any helping relationship, the external change agent is released, and the change is made permanent by creating rules and policies that have to be followed, and the change is frozen into place. This project is based on the premise that a change in practice on how nurses provide patient education will influence the outcome of their patients for the betterment through improved
Change is inevitable in healthcare. The purpose of this paper was to discuss and guide the facilitators of change through the process of implementing a future care delivery model. Leadership qualifications and role were identified in an effort to assist the leader in identifying and rectifying complications that can impede progress. Potential conflicts among the enablers of change were discussed as well as tools necessary to minimize these barriers. The Twelve Bed Hospital Model was reviewed in detail and suggestions for transitioning into this model were considered. Lewin’s Change theory was utilized for the change process.
It is important to evaluate which learning style your patients prefer in order for them to best understand what needs to be done for the maximum appropriate outcome. Licensed practical nurses are advocates and that’s someone who supports and supplies information to their patients. Advocacy often involves standing up in support of a patient and their rights. This is especially true when patients are not able to protect their own rights. When filling the role of counselor, Licensed Practical Nurses can help patients and families explore ideas and feelings towards healthcare and illness (8 Roles of the LPN). Some patients have a difficult time accepting a disease or its treatment options. As a practical nurse you consult with RN supervisors regarding patient care and assessments. In some settings LPN 's communicate directly to physicians. Communicating information to the proper people assists in increasing the effectiveness of care plans (Role). As practical nurses we are only one part of a patient care team. Other important members include RN 's, CNA 's, physicians, physical/occupational/speech therapists, dietitians, volunteers, and more (8 Roles of the LPN). With such a large team, every member has their own scope of
...This theory is useful because it focuses on the learners or patients’ perceptions, desires, and decision making. It works well with all patients since nurses take patients’ needs and feelings into consideration when giving information.
What I learned from the behavior change project is that it can be extremely hard to implement a behavioral change. Even if there is a real desire to make the change there are extenuating circumstances in everyone’s life that will test their resolve to change. That makes a high prioritization of the change a must. This also means that an physician must be understanding of a patient who is having a hard time changing. Being supportive instead of judgmental is paramount. The project also taught me how to develop and implement a change plan. The change plan is the ground floor to the entire change and failing to commit the time and energy to developing a realistic and goal oriented plan is a mistake. Finally having a good experience advising a peer will help future patients giving me experience and confidence to draw on.
When beginning my process for change in the ASF, I used Lippitt’s Change Theory as guide. Lippitt’s theory is comprised of four elements; assessment, planning, implementation, and evaluation. These are the essential elements of a planned change. Planned change is focused, deliberate, and collaborative in bringing about needed modifications. Lippitt’s theory focused on the role of the change agent. In this theory information is constantly exchanged through...
The relationship between the person seeking help and the nurse/counsellor should be appropriate for producing therapeutic change, to ensure that the patient maximizes from the therapeutic relationship. The health care provider should ensure that they communicate effectively to the patient/client. The skills explained in the above essay are the relevant skills that nurses in the contemporary hospital environment should adhere to and respect.
..., Watson, and Westley Planned Change Model consists of seven phases which the change is planned, implemented, and the evaluated (Yoder-Wise, 2011). The outcome of this issue is an ongoing process; the need has been submitted to the nurse practice council which has submitted the issue to the hospital policy board for implementation into policy (T. personal communication, April 2, 2014).
It is up to the healthcare professionals to assess and evaluate the patient's learning needs and readiness to learn because everyone learns differently. Healthcare is very sensitive industry because human life is attached to it. Barriers during teaching patients or learning for patients might cost life and law suite. For example, if the patient is sick, the probability for the client to have the interest to learn is unlikely. Therefore, I have to ask the patient what he needs and what interest him from other healthcare professional around. By doing so, I can increase the interest of the client/patient to learn the information I am looking to provide him/her/them. Therefore, by gathering important information from the patients how best they prefer to receive the information and involving other health care team on finding out the effective way of the information can be productive are the best way to overcome the barriers of learning in healthcare
My philosophy of nursing is based on Erickson’s Theory of Modeling and Role-Modeling, which allows me to incorporate the patients’ needs into my plan of care. In order to have an effective and thorough plan of care, I must take the time to get to know the patient. Once I have built a rapport and trusting relationship, I can help meet the patients’ needs by implementing a plan of care with reachable goals. These reachable goals will be set and agreed upon by the nurse and patient. Not only is it important for the nurse and patient to establish individualized reachable goals, but it is important for the nurse to also have goals. The nurse may have personal and professional goals. My goals are to continually find, propose, and implement ways to make the
Nursing theory can best be defined as a set of logically interrelated concepts, statements, propositions, and definitions, which have been derived from philosophical beliefs of scientific data and from which questions or hypotheses will be deduced, tested, and verified (McEwen & Wills, 2014, p. 26). A theory purports to account for or characterize some phenomenon (McEwen & Wills, 2014, p. 26). The Roy Adaptation Model (RAM) is a grand theory that promotes holistic patient care. Holistic patient care treats the patient as a whole. Sections prepared for this paper include important key concepts such as nursing theory, summary of the Roy Adaptation Model, views of the Roy Adaptation Model and conclusion.
The APRN listens and engages with the patient as care and compassion take place. As the nurse discerns what the patient’s needs are and considers obstacles to achieving optimal care the application of theory is necessary as the process is not always quantifiable. The APRN who does not learn nursing theory may focus primarily on EBP and miss this engagement opportunity with the patient. One may prescribe medication; however, if the patient does not take the medication, then the nurse assumes the patient is noncompliant. The application of Watson’s themes where appropriate helps the APRN discern how to help the patient become compliant. It is necessary to care for the patient outside of the idea of only providing care to understand the obstacle in that patients circumstances and reach improved patient outcomes to any disease
learned how important it is that we must help our patients make a commitment to continue to
...mplications that allow for opportunities of change. One of the presumptions is for training and staffing (Shi & Singh, 2012). With the utilization of health care improvements, the staff will need additional instructions on the performance of equipment and how to efficiently achieve the desired results. Managers or supervisors recognize the need for supplemental staffing and training to optimize patient satisfaction and quality of care. The health care administrator must also focus on changes in insurance policies and rules governing the provision of medical assistance (Shi & Singh, 2012).
The focus of Peplau’s theory is to achieve goals through the practice of an interpersonal relationship with the patient. This midrange, goal oriented theory states that this relationship is established once a nurse is able to interiorize and understand self-behaviors in order to help others
She developed the theory through empirical study of the nursing practice (Sampoornam, 2015). It was published in her book The Dynamic Nurse-Patient Relationship and was revised in 1972. The key concepts of the nursing process theory are function of professional nursing, presenting behavior, immediate reaction, nursing process discipline, and improvement (Sampoornam, 2015). The key concept professional nursing is the nurses thought. Nurses need to evaluate if the patient needs help and how they can meet the patient’s needs. Presenting behavior is realization of the nurse that the patient has a problem. This can be done through complaints, questions, demands or statements. It can also be through emotions like crying, shouting or laughing. Immediate reaction is how the nurse perceives the needs and reacts to them. Nursing process discipline is how the nurse is going to use her knowledge to meet the needs of the patient. Improvement is to become better and increase knowledge to effectively treat patients and improve patient outcomes. The nursing process theory addresses each concept of the metaparadigm: Person, health, environment, and nursing. Person- each person has their own perceptions and feelings of their needs. Health- is the mental and physical discomfort of the person. Environment- is the way the nurse and patient view the surroundings, how they feel, and how they think. Nursing- nurse provides the care that their patient needs without judgement of the patient (Bender & Feldman,