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nursing care model essay
nursing care model essay
nursing care model essay
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The publication from the institute of medicine has garnered much interest since its publication in 2010 focusing on the future of nursing and the implementation of this with in the nursing community. The nursing profession has over 3 million members and is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 IOM (Institute of Medicine). One of the recommendations is that of a nurse residency program for new nurses or nurses transitioning into new clinical practice areas. The area I work in is home health and this is a growth area the need for a residency program cannot be over stated home health is not the …show more content…
Also referred to as Lewin’s Force Field Analysis, the theory incorporates three separate stages known as unfreezing, moving and, freezing or refreezing (Bozak, 2003). The intention of the model is to identify factors that can impede change from occurring; influences that resist change sometimes called restraining or ‘static forces’ and forces that promote or drive change, referred to as ‘driving forces’. When health care organizations fully understand what behaviors drive or oppose change, then work to strengthen the positive driving forces, change can occur successfully (Bozak, …show more content…
Implementing a nurse residency program will require sustained effort from various teams, some of which include; information technology (IT), pharmacy, clinical information services (CIS), nursing, program managers, clinical nurse educators and administrators. A project of this magnitude will affect all of these departments in different ways, so planning an effective roll out with the assistance and inclusion of all participants is imperative. Bozak (2003) recommended actively involving the field nurse that will be the preceptors, to create a feeling of ownership of the success of the project. Some areas to consider at this facility are implementation timelines, reliability of the equipment, educational training needs, effects on workflow, organizational culture and leadership (Spetz, Burgess & Phibbs, 2012). It is also important to have a project leader to oversee and monitor a project with a direct line to senior management to address any issues quickly.
Refreezing Stage
In this final stage of Lewin’s theory, the process of freezing or refreezing the changed practice occurs and leads to a time of “stability and evaluation” (Bozak, 2003, p. 84). Ongoing support of the nurses on the frontline and technology support to all stakeholders should continue until the change is deemed complete and the residence program becomes one of the corner stones of the nursing
The health care system and nursing practices are undergoing rapid changes, which are as well becoming complex. Preparing nurses balance these changes is a significant challenge. The Institute of Medicine (IOM) report explored how nursing profession has to change to bring out a more solid health care system. As a result of these changes, the Institute of Medicine (IOM) decided to examine “Future of Nursing, Leading change and Advancing Health” (Creasia & Fribery, 2011). This paper will discuss the impact of the 2010 IOM report on nursing Education, nursing Practice with emphasis on primary care, its effects on present nursing practice, and the nurse’s role as a leader.
The IOM report had four key messages needed for advancing the future of nursing. “Nurses should practice to the full extent of their education and training; achieve higher levels of education and training through an improved education system that promotes seamless academic progression; be full partners, with physicians and other health care professionals, …and; effective workforce planning and policy making require better data collection and an improved information infrastructure” (Institute of Medicine, 2011). The report also included eight recommendations needed to facilitate the necessary changes to in the nursing profession so meet to demands of the healthcare reform.
The nurses would perform as per their training, access the direct reimbursement for services offered thus more would be able to access care. The change would see more nurses take up leadership roles and participate in decision making. Being at the center of practice, the nurse would be the best placed to identify and effectively implement innovations on patient-centered care. Once implemented, the nurse residency programs would access funding harness the transition from training to practice.
Twibell and Pierre both state “new nurses start to feel at home and committed to stay in an organization when they are empowered in practice, have a sense of belonging in a work group, and perceive that resources balance job stress. Before long, NGNs who commit to stay become the peer group for the next wave of new nurses, smoothing out wrinkles in the welcome mat and opening wide the door to a successful professional transition” (2012). Residency programs can set the framework for a great team of care providers and can continue to set the bar high for patient care standards when they are trained the right way.
The 2010 Institute of Medicine (IOM) Report- The Future of Nursing described the role that nurses have in the current and future US health care environment (IOM, 2011). This report was completed at a time when the Affordable Care Act had been passed and a new emphasis was being put on interdisciplinary healthcare teams, care coordination, value-based payment systems, and preventative care (IOM, 2011). Nursing is the largest profession in health care and with an aging baby boomer populace, the expanded role of nurses will be critical in meeting the growing healthcare burdens (Sisko et al., 2014).
Grossman, S. C., & Valiga, T. M. (2009e). Shaping a preferred future for nursing (P. J. Maroney, Ed.) (pp. 137-151). Philadelphia, Pa: F.A. Davis Company.
Implementing care plans within legal, ethical, and regulatory parameters is a competency that all registered nurses but abide by. As stated before as a baccalaureate nurse you must include not only patients and their families but also the community and population (The Texas Board of Nursing, 2011). Following the nursing process the next competency include evaluate the results of the implementations that have occurred. Once again the biggest difference between the two degree plans is baccalaureate nurses will also include the community and population as well as the patient and their family (The Texas Board of Nursing, 2011). Education is a vital piece of nursing and must be completed at every possible opportunity. Educated patients and their families on promoting health and marinating health is a very important concept. Expanding this education to the community and population is a vital step in helping reduce risk for our patients (The Texas Board of Nursing, 2011). The last competency is the nurse’s role in coordinating human information and material management resources for patients and their families as well as the expansion to include communities and populations as ones transition to a baccalaureate nurse (The Texas Board of Nursing, 2011).
Zerwekh, J., Claborn, J. (2006). Nursing today: Transitions and trends (pp. 343-346). St. Louis, Missouri:
A model is a simplified representation of the structure and content of a phenomenon or system that describes or explains the complex relationships between concepts within the system and integrates elements of theory and practice (Creek et al 1993).
Implications for Nursing Practice, Education, and Research. Home Health Care Management Practice, 6, 534-537. doi: 10.1177/1084822304266500
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
...fety related issues. This includes protecting the patients from nosocomial infections and using proper technique in all skills. I will make patient safety a top priority so that I can continue to care for them and help them on their road to recovery. As a nurse I will practice safe, competent care. I will make informed decisions and participate in proper management of patient records. I will also use integrity, collaboration, innovation and giving with my patients and as I continue to build my foundation of pediatric nursing in this residency. I will continue to work on the values of Cook Children’s daily. This residency will mark the beginning of a nursing profession in a field of study that I am incredibly passionate about. My passion for nursing and for pediatrics will show through my actions and interactions with my fellow coworkers, patients, and their families.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
With my academic, professional and volunteer experience, I have reached a point in my career where I am fully equipped to enter the advanced curriculum of the Doctor of Nursing practice, Family Nurse Practitioner program. Working in the nursing profession for the past three years has shown me that there is an increasing need for research to improve health care delivery and access to vulnerable populations. It is rewarding to be a nurse; however there are limitations in my current scope of practice that prevents me to go beyond my job requirements. Through advanced education, my aim is to provide quality patient-family
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.