Evaluation Plan for Educating CHF Patients
In an evidence based research, evaluation plan is very important. Evaluation is a systematic approach to assess the information, data or statistics collected through a research on a specific problem. Nurses should always practice evidence based approach and collect data so these can be compared with other studies done on this specific topic.
Developing an Evaluation Plan for Educating CHF Patients
Simple actions plans usually yield positive outcomes as they are comprehensible easily by the clients and the caretakers. So do the simple evaluation plans, which will show the more direct and accurate results because of their direct approach. In suggested implementation plan, target is to improve self reliance in patients by increasing their confidence and building their positive thinking habit with psycho-analytical approach.
This approach is based on four principles which are; to teach patients to assume their responsibility, to be well informed about their prevailing health issues, make them realize that their cooperation and willingness in treatment and prevention plan is in their own benefit and, let them take their own decisions. As narrated by Taylor (2006), Dorothea E. Orem's Self-care deficit theory of nursing emphasize that "People should be self-reliant and responsible for their
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own care and others in their family needing care”. The evaluation process should cover at least considerable days of discharge from the hospital which is necessary to build a habit. Suggested Evaluation Methods The first step is to prepare patient for the new change.
A team led by RN, should mentally prepare their patients to understand their responsibility towards good health. This can be done by showing them special documentaries during their stay in the hospital, in a common room where other patients can also join them in a group of six to twelve. After the session, patients should be given a short comments form with multiple choice answers (Appendix A). The purpose is to check their positivity towards the message conveyed through the documentary. At this time patient's vitals should be checked and recorded for the future
reference. Second step is, at the time of discharge, patients should be given some informative materials such as Daily Log Sheets (Appendix B), info-graphics (Appendix C & D) and all important contacts of the forums and places where people suffering from the same ailment can meet and share their experiences. The purpose is continuation of patient's education with positive approach. Nurse educator should encourage its patients to join the online forums or to meet people suffering from same ailment at common meeting places. This will help them to learn that they are not the only sufferers. Third and last step is telephone follow-ups as suggested by Clark J. G. (2015, April). Patients should be encouraged to submit their daily logs on weekly basis through internet or messaging services (whichever is applicable). On the basis of which follow-up calls should be made. Patients should be encouraged to follow the instructions given at the time of discharge and should be praised for their efforts towards a healthy lifestyle change. After thirty days of continuous evaluation, patient should be called in outpatient clinic for physical examination and follow ups. Their vital statics should be compared with the readings obtained during hospital stay, from their daily log and the thirty days follow up report to check their progress. In thirty days, the patient will be used of the new lifestyle changes. If initial outcomes are positive then the same implementation plan can be evaluated for three, six and twelve with positive modifications. Conclusion It has been proved through various studies that if a message is conveyed in various forms, people start to notice it. Same applies to those CHF patients who are resistant in the beginning but due to continuous direct and indirect teachings and of course from their own experience, start to follow instructions along with prescribed medicines.
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
This paper will explore and analyze assessment and interventions pertaining to self-concept and patient behavior. It will also define and compare methodology and nursing process. This paper will be responding to the case studies and questions provided on Canvas.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
I chose to do a concept analysis on ‘Self-Care.’ The nursing theory that uses this concept is Orem’s theory of nursing. This theory is a grand theory and consists of three minor interrelated theories; self-care, self-care deficit, and nursing systems. (Parker & Smith 2010). Orem defines self-care as when an individual initiates activities and performs to maintain life, health and well-being on their own and self-care deficit as not meeting adequate self-care requisites which include “limitations for knowing, deciding and producing care to self or dependent. (Parker & Smith, 2010)
Her theory explains how an individual can achieve or maintain a healthy state using self-care, directly or through the help of a nurse. When an individual becomes unable to provide care for themselves, the nurse would be responsible for providing the assistance needed. However, if the person is fully capable of providing their own basic self-care, the nurse’s role would then be come supporter/education of that self-care. Stated on the Nursing Theory Webpage Self Care Deficit Theory, “Orem 's theory is comprised of three related parts: (1) theory of self-care, (2) theory of self-care deficit, and (3) theory of nursing system” (Self care deficit theory,
The transition from student to a qualified nurse can be a stressful and overwhelming ex-perience for many newly qualified nurses. This opinion is widely upheld throughout the literature with Higgins et al (2010) maintaining that many of the problems experienced are due to lack of support during this initial transition and a period of preceptorship would be invaluable.
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
Nursing excellence is defined in various ways. I believe that nursing excellence is demonstrated when nurses are involved in promoting holistic patient centered care, quality and innovation, education, evidence-based practice, and nursing research. Nursing organizations plays a pivotal role in promoting nursing excellence. For this discussion post, I will be discussing the role of two organizations; the National League of Nursing (NLN) and the Quality and Safety Education for Nurses (QSEN), in promoting nursing excellence and nursing practice.
Evaluation is the decision making process that involves determining effectiveness of nursing interventions in meeting expected outcomes. Evaluation can be used to decide if the patient or family member understands the drug regimen. Evaluation is also used to evaluate the patients response to therapy. Nurses should check the patient’s or family’s understanding of the drug regimen noting if one or both seem to understand the presented material.
One of the theories of nursing is Dorothea Orem’s self-care theory, also called the self-care deficit theory. Nursing theories are important for several reasons. The profession is strengthened when knowledge is built on sound theory (Black, 2014). Theory is important for reasoning, thinking, decision-making, and supporting excellence in practice (Black, 2014). Dorothea Orem’s theory is a conceptual model that provides a structure for critical thinking in the nursing process (Black, 2014). A conceptual model provides a comprehensive and holistic perspective of nursing (Black, 2014). Orem published her theory in 1959 and continued to develop her model, eventually formalizing three interrelated theories: theory of self-care, theory of self-care deficit, and theory of nursing system (Black, 2014). The focus of Orem’s model is the patient’s self-care capacity. The process helps to design a nursing process specific to each patient that will provide for the self-care deficit of the patient (Black, 2014). Self-care deficits exist when the patient has limitations and the self-care requirement is greater than he patient’s capacity (Manzini & Simonetti, 2009).
If we look into the details of the plan from stakeholders perspective, we find that this plan has more positive effects on patients' outcomes. It increases patients' understanding of the disease. This also helps them to take part in the treatment process whole heartedly and change their lifestyle pattern on healthy side. It is proved through various researches that patient's cooperation and willingness is very important in obtaining positive results in any treatment pathways (Ågren et al 2012, Benbow 2009 and Ditewig et al,
A leader is described as a person who guides others and has authority and influence over others. They work to influence others into meeting certain goals. There is no right or wrong definition of a leader and there is no recipe that ensures effective leadership. Successful leaders have a good balance of vision, influence, and power. Leaders gain their authority from their ability to influence others to get the work done; because of this, anyone has the potential to be a leader. (Finkelman. 2012, p15)
The process of success in self-care strategies is driven by the client(s) being knowledgeable and conscious of their concerns. Utilization of this skill can recognize through verbally acknowledging something that is concerning to them. Succeeding in self-care requires an ongoing dialogue in being mindful of and awareness to overall well-being. A third theme that emerged in self-care was resiliency.
11). Lorig further emphasized that self-management is not an alternative to medical care. Rather, self-management is “aimed at helping the participant become an active, not adversarial, partner with health care providers”. The Expert Patient Approach (National Health Service, UK, 2001) uses the term self-management to refer to “any formalized patient education program aimed at providing the patient with the information and skills necessary to manage their condition within the parameters of the medical regime” (p. 22). Further, these programs are based on developing the confidence and motivation of the patient to use their own skills, information and professional services to take effective control over life with a chronic
Critically Appraise the Evidence: this involves the results of the study being close to the truth as possible, it should be done with the best research method. Also the reliability of the effect of study and giving the same result by another researcher. Finally the relevance in applying the result in patient care.