Lewin’s Theory consists of three stages – Unfreezing, change, and refreeze. The initial stage of unfreezing involves finding a process which is no longer productive and needs to be changed. The second stage in Lewin’s Theory is the change. This is the step most people would find difficult. It actually involves a change which is not always easy. The last step in the process is the refreeze. This stage is when the new process becomes a standard of practice (Currentnursing.com, 2011).
The Adaptation Model of Nursing, developed by Sister Callista Roy in 1976, involves asking three questions: Who is the focus of nursing care? What is the target of nursing care? When is nursing care indicated (Nursing-theory.org, n.d.)? By asking these three question Sister Roy is taking on the patient in a holistic manner. She recognizes the basic needs of the human while also taking into consideration their social integrity. She also understands that the roles change often throughout one’s lifetime and that the nursing care provided needs to adapt or change along with it. She recognizes that nursing should not be rigid but instead we are nurses should remain fluid, continually changing and adapting to our patient’s needs holistically.
For my evidence-based practice (EBP) I would choose to use Lewin’s Theory. This change recognizes that something is needing change which would be the lack of education regarding lead prevention, changing how the parents and families are being educated, and then refreezing this change to make it standard practice. But I also would like to combine these two practices and recognize the fact that nursing is fluid. While the changed practice may work initially, it is always important to take a step back and revisit the practice in question later. Healthcare practices and interventions change daily and because of this, we need to be open to change.
When I was talking with my mentor, she said she did not use a specific nursing practice. She said she was a “go with the flow” kind of person and just adapted to things as they needed it (V. Mouser, personal communication, 2019). She said when she realized a patient was not understanding her or needed to be told things in a different way, she would change her tactic and try to figure out what worked best for her and her patients. If I were to analyze this statement, it would seem to me she was using the Adaptation Model of Nursing but just did not know it.
Currentnursing.com. (2011, Sept.). Change theory. Retrieved from http://currentnursing.com/nursing_theory/change_theory.html
Nursing-theory.org. (n.d.). Sister Callista Roy – nursing theorist. Retrieved from http://nursing- theory.org/nursing-theorists/Sister-Callista-Roy.php
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Dq 19304587
/in Uncategorized /by developer1) What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.
2) What is the role of health care reform in shifting the focus from a disease-oriented health care system toward one of wellness and prevention, and how does nursing fit into this shift?
Both questions with reference
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Dq 19310473
/in Uncategorized /by developerThe Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the topic material “Nursing and Health Reform.” Discuss how these two provisions have impacted, or will impact, your current practice of nursing.
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Dq 19310477
/in Uncategorized /by developerDescribe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. How is this advantageous to patient outcomes?
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Dq 19316495
/in Uncategorized /by developerQuestion 1. Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on some real-life experiences, do you agree or disagree with this research? With reference
Question 2. What is the difference between a DNP and a PhD in nursing? Which of these would you choose to pursue if you decide to continue your education to the doctoral level? With reference
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Dq 19321349
/in Uncategorized /by developer1) Choose one legislator on the state or federal level who is also a nurse, and discuss the importance of their role as advocate for improving health care delivery. What specific bill(s) have they sponsored or supported that has/have influenced health care? With reference.
2) Discuss how the CMS reimbursement rules for never events required a shift in the patient care delivery model in inpatient facilities. With reference.
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Dq 19321351
/in Uncategorized /by developer1) Choose one legislator on the state or federal level who is also a nurse, and discuss the importance of their role as advocate for improving health care delivery. What specific bill(s) have they sponsored or supported that has/have influenced health care? With reference.
2) Discuss how the CMS reimbursement rules for never events required a shift in the patient care delivery model in inpatient facilities. With reference.
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Dq 19325851
/in Uncategorized /by developerEvidence-based practice is essential to providing safe, quality care to a diverse population in the acute care setting as well as in the community. Understanding the health care system at the local level is essential to consider when planning the implementation of evidence-based practice (EBP) because it helps those implementing changes understand and execute the move in an area of greatest need. Franklin and Hopson (2007) write that implementing evidence-based practice change in the community setting is challenging. Interventions that work in research or acute care setting are often very challenging to implement locally in the community setting due to the struggle with “building partnerships between clinical practitioners and researchers” (Franklin & Hopson, 2007, p. 379). Maintaining the effectiveness and reliability of interventions once moved to the community setting is difficult thus careful attention to the specific needs of the local community health care system is imperative (Franklin & Hopson, 2007).
Information from my course mentor that I will consider for my project is to ensure that I am following the hospital’s shared governance model to allow other nurses on the unit to have a voice in the project change (T. Brock, personal communication, August 20, 2019). The hospital where I am implementing my project change is a Magnet culture and uses a shared governance model when considering implementation of evidence-based practice change. My practice change does not only affect me, so it is imperative to share accountability and partnership with my unit manager, peers, and unit-based council members when implementing a project change on the unit for effective outcomes (T. Brock, personal communication, August 20, 2019).
Reference
Franklin, C., & Hopson, L. M. (2007). Facilitating the use of evidence-based practice in
community organizations. Journal of Social Work Education, (3), 377-404. Retrieved
from https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?
direct=true&db=edsgao&AN=edsgcl.170506618&site=eds-live&scope=site
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Dq 19325853
/in Uncategorized /by developerLewin’s Theory consists of three stages – Unfreezing, change, and refreeze. The initial stage of unfreezing involves finding a process which is no longer productive and needs to be changed. The second stage in Lewin’s Theory is the change. This is the step most people would find difficult. It actually involves a change which is not always easy. The last step in the process is the refreeze. This stage is when the new process becomes a standard of practice (Currentnursing.com, 2011).
The Adaptation Model of Nursing, developed by Sister Callista Roy in 1976, involves asking three questions: Who is the focus of nursing care? What is the target of nursing care? When is nursing care indicated (Nursing-theory.org, n.d.)? By asking these three question Sister Roy is taking on the patient in a holistic manner. She recognizes the basic needs of the human while also taking into consideration their social integrity. She also understands that the roles change often throughout one’s lifetime and that the nursing care provided needs to adapt or change along with it. She recognizes that nursing should not be rigid but instead we are nurses should remain fluid, continually changing and adapting to our patient’s needs holistically.
For my evidence-based practice (EBP) I would choose to use Lewin’s Theory. This change recognizes that something is needing change which would be the lack of education regarding lead prevention, changing how the parents and families are being educated, and then refreezing this change to make it standard practice. But I also would like to combine these two practices and recognize the fact that nursing is fluid. While the changed practice may work initially, it is always important to take a step back and revisit the practice in question later. Healthcare practices and interventions change daily and because of this, we need to be open to change.
When I was talking with my mentor, she said she did not use a specific nursing practice. She said she was a “go with the flow” kind of person and just adapted to things as they needed it (V. Mouser, personal communication, 2019). She said when she realized a patient was not understanding her or needed to be told things in a different way, she would change her tactic and try to figure out what worked best for her and her patients. If I were to analyze this statement, it would seem to me she was using the Adaptation Model of Nursing but just did not know it.
Currentnursing.com. (2011, Sept.). Change theory. Retrieved from http://currentnursing.com/nursing_theory/change_theory.html
Nursing-theory.org. (n.d.). Sister Callista Roy – nursing theorist. Retrieved from http://nursing- theory.org/nursing-theorists/Sister-Callista-Roy.php
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Dq 19351431
/in Uncategorized /by developer1. What are social determinants of health? Explain how social determinants of health contribute to the development of disease. Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain.
2. Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues.
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Dq 19385029
/in Uncategorized /by developer1) During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing. With citation and reference.
2) What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue. With citation and reference.
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