Showing posts with label Nursing. Show all posts
Showing posts with label Nursing. Show all posts

Sunday, 16 February 2014

NURSING THEORY: BENNER'S THEORY (NOVICE TO EXPERT) // NURSING LEADERSHIP

Purpose: MY CHOICE OF NURSING THEORY IS BENNER'S THEORY (NOVICE TO EXPERT) // NURSING LEADERSHIP

The purpose of this assignment is to synthesize one strategy for the application of a specific nursing theory to resolving a problem issue of nursing practice in nursing leadership.

CONTENT OF PAPER:

1) Introduction to the paper includes a few general statements on the idea of nursing theory being applied to solve problems/issues in nursing practice, regardless of the specialty area of practice. For example, why would one pick a nursing theory to solve a practice problem? Would a grand, middle-range, or practice theory be best? Does the writer have any experience in using nursing theory in this way? In addition, a brief one paragraph summary of a specific nursing theory and information on sections of the paper are provided. The selected nursing theory can be a grand theory, a middle-range theory, or a practice theory.

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2) Description of the problem/issue for which strategies will be developed. The problem to be resolved must be in nursing leadership. Scholarly evidence (in the form of a literature review) supporting the issue s included. The problem/issue could be a local to one's specific practice setting. For example, the setting might be a nursing unit. The problem/issues needs to be something that a nursing theory can impact, whether it solves the actual problem/issue to deal with it. It is best if the problem/issue is from real-life something the writer of the paper has dealt with or is currently engaged in.

*****A good problem/issue would be nurse-to-patient ratio in an acute-care nursing setting and it's impact on nursing leadership.

3) Concluding statements include new knowledge about applying nursing theory gained by writing the paper.

FORMAT AND SPECIAL INSTRUCTIONS

1) Paper length: 6 PAGES MINIMUM, 8 PAGES MAXIMUM, excluding title page and reference page. Points will be deducted for not meeting these requirements.

2) A minimum of 4-6 SCHOLARY REFERENCES are used. References must be current---NO OLDER THAN 5 YEARS.

3) Title page, body of paper, and reference pages must be in the APA format as presented in the 6th edition of the manual.

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4) Grammar, spelling, punctuation, and citations are consistent with formal academic writings as presented in the 6th edition of APA manual.

GRADING RUBRIC

1) INTRODUCTION to the paper includes all of the following:

a) General statements on the idea of nursing theory being applied to solve problems/issues in nursing practice,
regardless of the specialty area of practice.
b) A brief one-paragraph summary of a specific nursing theory.
c) Information on the sections of the paper.

2) PROBLEM/ISSUE:

a) The problem/issue is substantively discussed.
b) The problem is clearly in nursing leadership.

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3) STRATEGY:

All of the following are present
a) One strategy for resolving the identified issue is discussed substantively
b) Concepts and principles from the selected nursing theory are clearly applied.
c) Rationales for the strategy are evident.
d) Evidence from the scholarly literature supports the discussion.
e) At-least one ethical and/or legal aspect of the strategy is discussed.

4) CONCLUSION:

a) Concluding paragraph(s) clearly show new knowledge about applying nursing theory gained from writing this
paper.

Wednesday, 12 February 2014

Concepts Analysis Paper

Concepts Analysis Paper

Description
This paper will demonstrate scholarly, graduate school level writing and critical analysis of
existing nursing knowledge. The final paper will be 7–10 pages (excluding title page and
references), using APA format with at least 8–10 sources of information.
Directions:

For your final submission you will take the concept of interest to you, which you used in Unit 3
and develop it into a final concept analysis paper. You may use some of the same resources
from your past literature reviews and add to it, finding evidenced-based articles (based on
research studies in nursing) using the concept or discussing the concept. You can use the
concept as a primary search term or through search vocabulary provided in the database. You
may also want to look at another discipline’s search engine (business, education, etc.). For
example, if you are interested in the concept of uncertainty in illness or grief in sudden death,
you would conduct a literature search examining the concept of uncertainty or grief. The online
library is one resource (http://libsys.uah.edu/kaplan/) and other known reliable websites. You
may also select a concept that you have wondered about or discovered in your reading that is
different from the concept you selected for the first two assignments. Please confer with faculty
if you are not sure about your concepts or sources.

For this paper, you will:
 Identify the concept and purpose for studying the concept
 Describe reasons for this concept being of interest to nursing and its body of knowledge
 Define the attributes of the concept and its relevant uses
 Conduct a literature search and present it as a summary of the concept as described in
each article with examples of how the author defined the term.
 Provide the theoretical and operational definition of the concept based on the review of
literature. (Theoretical is pure definition and operational is how it is used in practice.)
 Apply the concept as it relates to your practice and how you will use this concept in the future.
Describe the value of these concept analyses to your understanding of nursing knowledge.


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Friday, 31 January 2014

NURSING ADMINISTRATION USING FOCUS AND PDCA CYCLES

NURSING ADMINISTRATION USING FOCUS AND PDCA CYCLES IN A SCENARIO PROVIDED

Introduction: Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention.
The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.
 Mr. X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke.
The patient is ambulatory, 5’10’’, and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs or symptoms within the last 24 hours. Mr. X was moved to an acute care unit where he sits in bed wearing only a pair of ill-fitting boxer shorts and no shirt. He is able to communicate without any signs of aphasia. The medical staff is still not sure what is wrong with Mr. X. As the nurse administrator of the day, you hear a Rapid Response called overhead for this patient. As you enter the room, you see Mr. X screaming and on all fours in his bed. He is saying “Help, help” and “I don’t know” repeatedly. Respiratory staff, physicians, physician’s assistants, an ICU nurse, and unit staff are all standing there watching Mr. X scream for help.
They all seem paralyzed. Finally, one of the staff nurses asks Mr. X to turn over so that respiratory staff can administer oxygen via a facial mask.
He complies and at that time the ICU nurse hooks him up to the cardiac monitor as per protocol in a Rapid Response.


Mr. X remains quiet and still for about 60 seconds and then proceeds to rip off the oxygen mask and the EKG leads attached to his chest.
He climbs over the side rails and stands there in a daze, saying “I don’t know, I don’t know.”
The staff reacts negatively to Mr. X’s behavior in front of him. The respiratory therapist says, “If you think I’m going in to get an ABG from him, you’re crazy.” Speaking to Mr. X, the ICU nurse repeats over and over in a stern impatient voice, “What don’t you know?” Mr. X seems overwhelmed and can’t answer. The physician looks through the chart and asks the nurses questions about the patient. The other nurses stand there staring at Mr. X. The ICU nurse leaves a few minutes later stating that the patient’s EKG is normal. All at once, Mr. X bolts from the room towards the elevator, which has just opened, and gets on. One of the nurses calls a security code, but it is too late; Mr. X has disappeared. The county police are called and hours later they find Mr. X at his nearby home. They try to encourage him to return to the hospital, but since he has not been deemed a danger to himself or others, they have no choice but to leave him alone. The next morning Mr. X returns to the Emergency Department with “severe chest discomfort and a headache” and is admitted back to the same unit. When the staff see him, they are apprehensive and somewhat angry that he is back. After about three hours on the unit, Mr. X starts yelling that his stomach is hurting. His nurse calls the physician about his symptoms but she and the rest of the staff avoid extended contact with him because of what happened the day before. Task: Write an essay (suggested length of 5–10 pages) in which you develop a plan to help this staff become proficient in handling behavioral emergencies on a non-psychiatric unit by doing the following: A. Analyze the situation using the FOCUS and PDCA models by doing the following: 1. Use the FOCUS model to identify possible causes of the staff’s problem.
a. Find a Process to Improve (What needs to be improved based on the incident in the scenario?)
b. Organize a Team That Knows the Process (Who is the leader, the facilitator, the recorder, the time keeper, team member? Do you need all these people? Do you need others?)
c. Clarify Current Knowledge of the Process (What is being done now that might have added to or allowed the incident?)


d. Understand Causes of Process Variation (Use cause-effect diagrams, concept maps or other diagrams to show how you would understand the cause)
e. Select the Process Improvement (What would you do to improve the situation so that you decrease the risk of it occurring again?)
2. Develop an improvement plan that will ensure appropriate response times and appropriate clinical interventions in this situation, using a modified version of the PDCA model (PDC).
a. Plan (develop a plan to address the situation and possible risk in the future)
b. Do (You are not expected to actually do the plan but tell how it would be done)
c. Check (How would you check if the plan worked?)
d. Act (Note: Act has been omitted in the modified version since you are not expected to carry out this plan so you cannot periodically review the change to ensure that it is successful.
B. Write a unit protocol containing at least five directives for staff to follow in case of a behavioral emergency in a non-psychiatric setting.

C. When you use sources, include all in-text citations and references in APA format. Note: For definitions of terms commonly used in the rubric, see the attached Rubric Terms. Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project. Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the General Instructions section. The school does use turnitin to check for plagarism across the US in term papers so must be original and cited appropriately.