Week 2 Discussion

Tasks:

1. The “theory-practice gap,” as some have called it, has prevented our profession from full utilization of its knowledge base in practice, and has impeded the view of nursing as a theoretically based discipline, to its detriment. There are distinctly different viewpoints to this argument, based on the different perspectives of academics and theoreticians on the one hand and that of practitioners on the other. Being honest about your reaction, and applying critical thinking skills to the question, where do you stand on the issue, and why?

2. The development of the discipline of nursing has gone through many stages of philosophical debates. Justify the relevance and utility of the knowledge of theory development to your practice.

Directions:

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; it is factually correct with relevant scholarly citations, references, and examples that demonstrate a clear connection to the readings.

 

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As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines.

This assignment uses a rubric. 

You are required to submit this assignment to LopesWrite. 

 

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The nursing care delivery model used at my current employer is the case management model. According to Marquis and Huston (2017) and Cudney (2018), case managers provide care coordination, cost-effective care recommendations, education, and collaboration through the identification of available resources internally and externally (community) between patients, families, and providers. There are many facets of case management, all advocating for a patient’s optimal health, across the continuum of care (Kelly, Doucet, & Luke, 2019).  That said, working in an integrated care delivery system comprised of several Magnet Level facilities, shared governance is present and successful within the overall organization. In the insurance division where I currently work, we have not implemented a full shared governance structural model to date. We have a strong healthy work culture where our boots on the ground staff highly influence decisions regarding practice, safety, quality improvement, and research. The use of a shared governance model has been related to increased staff empowerment, high job satisfaction, increased retention rates, and improved patient outcomes (Allen-Gilliam et al., 2016). I would utilize the case management model and the shared governance model at St. Louis Medical Center (SLMC) because combined, these models have proven improved patient outcomes while delivering cost-effective care to populations (Allen-Gilliam et al., 2016; Kelly et al., 2019).  

The main function of a nurse case manager (NCM) within a case management model is interprofessional collaboration to improve care coordination, patient and provider satisfaction, and patient outcomes. To foster interprofessional collaboration across care teams I would facilitate relationships among various stakeholders through purposeful strategy meetings to communicate common goals of delivering high quality care to patients while leveraging the unique skillsets of various team members. Through these interactions, relationship form and knowledge are shared to come to a place of agreement to carry out impactful outcomes. Permitting and promoting a constant flow of communication for both internal and external stakeholders will increase trust and collaboration among the organization.

This model supports the person-centred nursing (PCN) framework by McCormack and McCance because the PCN Framework is based on relationships. Forming and fostering healthful relationships between patients, their loved ones, and providers and showing respect promotes holistic nursing care and improved quality outcomes (McCormack & McCance, 2017).  Implementing this model promotes holistic nursing, provides individualized patient care, empowers shared decision making, and ultimately impacts quality patient care outcomes (Fessele, Yendro, & Mallory, 2014).  Most often this model is referred to direct patient care however, the concepts in this model are relatable to nurse leadership roles as person-centered nursing results in positive outcomes for nurses, staff, teams, and organizations (McCormack & McCance, 2017).

Thanks,

Ashley

Allen-Gilliam, J., Kring, D., Graham, R., Freeman, K., Swain, S., Faircloth, G., & Jenkinson, B. (2016). The impact of shared governance over time in a small community hospital. The Journal of Nursing Administration, 46(5), 257-264. doi:10.1097/NNA.0000000000000340

Cudney, A. E. (2018). Letter to the Editor. Consider Case Management Models in Nursing…Fishman, G. Attending registered nurses: Evolving role perceptions in clinical care teams. Nursing Economic$. 2018:36(1);12-17,22. Nursing Economic$, 36(5), 206–251

Fessele, K., Yendro, S., & Mallory, G. (2014). Setting the bar: Developing quality measures and education programs to define evidence-based, patient-centered, high-quality care. Clinical Journal of Oncology Nursing, 18, 7-11. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1097

Kelly, K. J., Doucet, S., & Luke, A. (2019). Exploring the roles, functions, and background of patient navigators and case managers: A scoping review. International Journal of Nursing Studies, 98, 27–47. doi:10.1016/j.ijnurstu.2019.05.016

McCormack, B., & McCance, T. (2017). Person-centered practice in nursing and health care. Theory and practice (2nd ed.). Oxford: Wiley Blackwell.

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The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. Compare the differences and similarities between two of the three types of qualitative studies and give an example of each.

 

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Complete attached drug card using alternatives medications.

Example: Melatonin for insomnia.

Provide references.

 

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