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a. Using Lewin's Change Theory apply to the article you selected:
The first step of a change is to identify the need for a change. Using Lewin’s change theory, unfreezing would be he MICU nurse identified a lack of standardized treatment for patients with alcohol withdrawal. An agitated hypertensive patient from alcohol withdrawal transformed to unconscious hypotensive patient in the hospital due to lack of education was the main concern. After talking to her colleagues, the nurse realized that health care providers can be educated more about alcohol withdrawal as well as its sequalae.
The second step also known as moving is rearranging and setting realistic goals to solve the identified problem. The MICU nurse took her concerns to collaborative
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She talked to other nurses and realized that there wasn’t valuable education or training for alcohol withdrawal treatment. Therefore, she took this issue to the meeting and everyone discovered everyone has similar understanding. This was an initial step to promote change in this hospital. Group of health care providers like doctors, pharmacists, psychiatrists and nurses made the collaborative team to solve the problem. Super-users educated themselves on the alcohol withdrawal solution and helped other nurses, units and volunteered in the treatment. From one member to the whole members in the plan of care worked as a team and made this change possible.
d. What have you learned about the role of Change Agent?
In our daily nursing practice, we see many problems. We hardly say anything to the upper management about the problem. Sometimes we are scared, sometimes we don’t want to stir any drama in the workplace and sometimes we are just too busy. After reading Lewin’s change theory, maybe we can do something good. Speak up about short staff problems and how it affects nurses’ health, or ICU delirium or drug withdrawal in the unit patient. No matter what the problem is, it is not going to be easy to make a change, but the end result will be very
Cronenwett et al emphasises the key competencies for nursing are not only providing patient centred care, ensuring safety, team work but also quality improvement, suggesting all nurses must embrace change. However embracing change can be difficult due to many barriers. Brown et al and Gerrish identify some of these barriers such as time constraints, communication issues and differences professional issues.
Coming into the substance abuse meeting the student nurse was scared and nervous. She was scared of the reaction of the consumers and feared all the stereotypes she heard about typical alcoholics. Innervison gave the student nurse a new outlook on these types of consumers. She no longer looked at them as people who were just drunks and wanted to use AA as an excuse to make it seem like they are getting help. She never really looked at alcoholism as a true addiction; it seemed like more of an excuse to escape life’s problems. Sitting in and listening to these consumers gave the student nurse a dose of reality. The student nurse now understands alcoholism better and AA helped her realize recovery is truly a process that takes one day and one step at a time.
Overcoming an addiction to alcohol can be a long and bumpy road. Many people feel that it is impossible to overcome an alcohol addiction. Many people feel that is it easier to be an addict than to be a recovering addict. However, recovering from alcoholism is possible if one is ready to seek the help and support they need on their road to recovery. Recovery is taking the time to regain one’s normal mind, health and strength. Recovery is process. It takes time to stop the alcohol cravings and pressure to drink. For most, rehab and professional help is needed, while others can stop drinking on their own. Recovery never ends. After rehab, professional help or quitting on your own, many people still need help staying sober. A lot of time, recovering
A person that realizes his problem with alcohol has made an important step towards recovery. Next, they must choose the way in which he rehabilitates himself. One option is one-on-one counseling with a psychologist, alcohol counselor, etc. From the point, alternatives like group meetings or medication may be suggested. Also, a serious alcohol-dependency problem may need special attention in a recovery center. Another option is completely being independent in the sobering process. Often times these alternatives are used in a combination or in a series for more effectiveness.
These articles have many similarities when discussing the issue of staffing shortages. For patients, their loved ones and the general population, they don’t understand the ramifications and strain that staffing shortages have on nurses. People expect and deserve complete, competent and safe care when they are patients. These articles bring to light all the struggles that nurses have to deal with. Nurses are fearful that they will make mistakes, will harm patients, and will harm themselves. (Bae, 2012; Erlen, 2001; Martin, 2015) Overtime can be overwhelming and exhausting, which can lead to errors being made. (Bae, 2012; Erlen, 2001) These articles perceive that it may be beneficial for nurses, patients, and healthcare facilities to decrease the nurse-to-patient ratio, however, this option is not always
Over the years, substance abuse in the United States has become a persistent issue affecting many individuals. In 2008, it was estimated that 17.8 million Americans over the age of 18 where substance dependent (Epstein, Burns, & Conlon, 2010). Many of these individuals being affected are nurses. Ponech (2000) stated that "approximately 10% of the nursing population has alcohol or drug abuse problems, and 6% has problems serious enough to interfere with their ability to practice" (as cited in Talbert, 2009, p.17). Studies show that nurses have a 50% higher rate of substance abuse compared to the rest of the public (Epstein et al., 2010). Among the many factors that contribute to the nurse’s issue of substance abuse, accessibility to drugs in the work environment has played a significant role. Substance abuse among nurses is an arising issue in need of attention, it is alarming to know that patient safety and care is in danger when a chemically impaired nurse is in the workplace.
Last, The Magic of Chaos, that’s every as nurse. Around five am my phone rings, Good morning Ms. Bushnell, “I can’t work today”. That’s usually how my day begins eighty percent of the time. Those phone calls would not have been so bad, if I was working with a full deck of cards. My organization is not the only one with this dilemma of being short staffed, this has become the normal for healthcare. For nurses, this can have profound impact on day-to-day work causing burn out. As a leader, I had to accept the reality that being short staffed was not going to change and adapt accordingly. When leaders are innovative, empower others and promote shared decision, individuals are more likely to embrace the change. Keeping a positive attitude, recognizing others for their hard work and letting them know their valued can increase staff performance. The first thing that came to mind for me in this situation was how we can work smarter and not harder. With staff involvement, we re-evaluated our work flow and redefined some of the roles of nurses in our department for better utilization of time and nursing skills. The change was embraced and staff engagement in the new work flows have been
It is unfortunate that many people within our society and worldwide suffers from the affects of alcohol addiction. There are many issues associated with this addiction and many times it’s not only the victim that deals with the addiction but also the people in close association with the individual. Alcohol addiction can afflict anyone and knows no limits of its damage that it can do to a person’s life or the people in their lives. Most importantly are the ones whom seek help for their addiction as it becomes a lifelong healing period for them. It has become clear that constant consumption of alcohol leads to addiction. It has also become clearer with the laws and policies that have been drawn up to combat drunk drivers that it is not a normal thing to do anymore as was thought to be normal in the late 60’s and early 70’s. This is not normal behaviour and it becomes clearer as the laws for drinking and driving is enforced by law enforcement officers. It is a duty for addiction workers to help in the aid of these problems and its laws and policies that help in putting a stop to some of the problems that arise from this addiction.
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
Problem solving is when there is a problem or issue that needs to be resolved. When there is a problem with a patient the nursing staff needs to try and resolve it to make all parties satisfied. When trying to solve a problem, keep in mind about the core attribute safeguarding patients autonomy. In this core attribute, it involves the patient wanting to be involved in their health care plan, as well as make their own decisions as long as they are competent. (Bu & Jezewski, 2006) Once the problem is identified the nursing staff along with the patient, need to form a plan or possible goals that will help solve the problem. There will be many problems that can’t be complete...
Nursing units today, need to be ran like a well-oiled machine. In order to do this, everyone that makes up the nursing unit needs to understand their co-workers and what drives them professionally. There are four generations that make-up todays nursing units. I believe, if everyone had a clear understanding of what generations encompass their nursing unit there will be less conflict in the nursing unit and a better understanding of what drives each individual professionally. Which in turn, leads to nurses spending more time at the patient’s bedside, better patient care given and thus improved patient outcomes.
Some aspects of the nurse’s job have been made easy and facilitated with the aid of other well trained professionals within their working environments. According to the American Nurses Association (ANA) (2012), registered nurse’s performance has greatly improved over the years as a result of their coordination and partnership with the health care system with other health care providers. As a result, registered nurses are today seen to occupy important leadership positions in the healthcare system and they participate when they are making decisions for patients as well as for other
Alcoholism treatment: Context, process, and outcome. Moos, Rudolf H.; Finney, John W.; Cronkite, Ruth C. New York, NY, US: Oxford University Press. (1990). xi 291 pp
A myriad of challenges are faced in healthcare today. From over-crowding and long waiting lists to staff shortages which have knock on effects resulting in inadequate skills mix and unacceptable nurse-patient ratios. An aging population, high birth rates and an increase in chronic diseases also puts pressure on the healthcare system. The nursing role has had to evolve in response to changing societal needs and the challenges in the healthcare system today. (McCurry et al. 2009). This can bring additional challenges to nurses’ professional identity. ??
The nursing field continually develops new skills to help nurses create positive changes within health care organizations, e.g., becoming future-oriented, seeing the “big picture,” communicating persuasively, viewing change as an opportunity, and being proactive rather than reactive. Understanding what these skills mean, as well as, how to apply them at our jobs can create positive outcomes within our working environment; even more, they can lead to improved quality of care to our patients. As you know, my back issues have prevented me from working for the last 16 months, therefore, my views on these skills may be different than a RN that is currently