Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Nursing process in practice
Impact of modern technology in nursing pdf
Reflection on nursing practice
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Nursing process in practice
Theories are used to create an awareness and progression about the situation of the nursing practice and to manage the condition effectively (Meleis, 2007). However, the demands of healthcare required nurses to work in constantly changing environments; this includes adapting to different demands of organisation policies and other innovations (Bowers, 2010). This is important to discover the fundamentals of the change process and manage a meaningful change to the current pervasive element in the healthcare practice (Nagelkerk, 2006). Change may be initiated in different theories, which provide a framework to explain and guide the change process (Katz, 2007). There are two basic types of change theory, namely personal or organisational, which
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.
The article I chose discusses the continual change in the roles of nurses. The article also poses a concept that nursing now is not based on caring, but medicine. “By accepting continual changes to the role of the nurse, the core function of nursing has become obscured and, despite assuming medical tasks, the occupation continues to be seen in terms of a role that is subordinate to and dependent on medicine.” (Iley 2004) Nurses are taking a more professional role, and more tasks are being delegated to assertive personnel. Therefore, with all these changes occurring, the role of the enrolled nurse is unclear. “Previously, having two levels of qualified nurse in the United Kingdom had been seen as problematic for health service managers and nurses themselves, and the ending of enrolled nurse programs in 1992 helped to solve this problem.” (2004) The study in this article gathered the characteristics of enrolled nurses and differentiated the groups converting to registered nurses, groups in the process of conversion, and groups interested or not interested in conversion. This study reveals the situation of enrolled nurses in context of continuing towards the professionalization of nursing. “The data from this study support the possibility that the role of nurses as direct caregivers is seen as a positive dimension of the work they undertake.” (2004) The findings imply that nurses need to get back to being caregivers, instead of concentrating on obtaining professional status in medicine.
Lewin’s Change Theory includes 3 steps, unfreeze, change, and refreeze. The initial step of “unfreezing”, staff’s prior education or knowledge is to be rejected and replaced (Nursing Theory, 2015). An “out with the old” and “in with the new” thought process. The unfreezing helps the nurse to let go of an old thought process that is not productive or poses a safety risk to patient care. Nurse J., in the scenario, is an experienced critical care nurse, ACL certified, and previously trained in the sedation policy. The conscious sedation in this scenario probably had been performed hundreds of times, by the physician and Nurse J., with no difficulty, expecting this one to be no different. The fact that she was an experienced nurse she might
The image of nursing is dynamic, changing from the late 1800’s to present, the images are made from individual’s perceptions by what is seen in the media, how education is taught in nursing and historical figures (Daly, Speedy, & Jackson, 2014). Historical figures mainly include Florence Nightingale and her, self-sacrifice and the nurses who transformed education (Fee & Garofalo, 2010, p. 1591; Allen, 2010, p. 35). Education has moved forward by the enhancing strategies of teaching student nurses to improve the image of nursing and gaining a tertiary education (ten Hoeve, Jansen, & Roodbol, 2014, p. 304). Media and film play a key role in the image of nursing (ten Hoeve, Jansen, & Roodbol, 2014, p. 298). Individual perceptions are developed from this medium to gain an image of what is expected of a nurse. These expectations that are developed result in many different public images and perceptions of the nurse as time goes on (ten Hoeve, Jansen, & Roodbol, 2014, p. 296).
Graetz, F., & Smith, A. C. T. (June 2010). Managing organizational change: A philosophies of change approach. Journal of Change Management 10(2), 135–154.
The central discussion in this paper is the application of a nursing theory to resolve problems associated with nursing leadership. Problems arising from lack of strategic leadership in nursing results in stress, nurses’ burnout, lack of adequate training, nurses’ shortage, emotional distress, and lack of motivation. Emotional challenge extends to nursing leadership whose responsibility is to ensure that the necessary changes needed in the organization are put into place. Nursing leaders are the change agents within the hospitals for example, as such, they are the ones with the responsibility to devise strategies and develop plans that ensure the success of the organization. As noted by the Institute of Medicine (2011b), change is fluid
The healthcare system has seen significant change over the past decade. This is due to improved technology, healthcare reform, and the economic crisis (Hendren, 2010). With the changes that are occurring, both, the bedside nurse and nurse leader need to be aware and compliant in order to provide quality care to our patients. Nurse leaders will need to find ways to encourage staff members to take an active role in policy changes. In order to accomplish such task, nurse leader must be able to inspire their staff, and also be open to staff input (Finkelman, 2012). Nurse leader will have a greater responsibility to implement and deliver changes within the healthcare organizations (Finkelman, 2012). Therefore, nurse leaders must take an active role to be both an advocate and role model. Technology has improved the way in which we deliver patient care. It has improved patient safety by implementing safe medication administration, contributed to patient identification improvements, as well as improved surgical technologies. Healthcare reform and the economic crisis have caused the healthcare industry to make significant changes in order to become more cost effective. Nurse leader must be effective...
Change is a fundamental element of individuals, groups and all sorts of organizations. As it is the case for individuals, groups and societies, where change is a continuous process, composed of an indefinite amount of smaller sub-changes that vary in effect and length, and is affected by all sorts of aspects and events, many of which cyclic are anticipated ones. It is also the case for organizations, where change occurs repeatedly during the life cycle of organizations. Yet change in organizations is not as anticipated nor as predictable, with unexpected internal and external variables and political forces that can further complicate the management of change (Andriopoulos, C. and P. Dawson, 2009), which is by itself, the focus of many scholars in their pursuit to shed light on and facilitate the change process (Kotter 1996; Levin 1947; et al).
Manage change is challenging to medical facilities, new technology is already in confrontation nurses cannot find sufficient time to complete the alteration of patient-related tasks. There are the common obstacles to implement this by the change of the degree of process include the fear using the new technique, the lack of cooperation would expect just disappear.
I found your post very interesting. In your post, you brought to mention the concept of change fatigue and thought is very fitting, given the some of the attitudes in the nursing profession today. I also found it interesting, but not surprising that the more seasoned nurses embraced the changes better than other nurses. I wonder if this was just a matter of learned adaptation from years of change. Those years of change enabled a pattern to develop that helped the nurses see that change was for the better, in most cases. Maybe, the more seasoned nurses were just too tired to care. Just a thought. I know I have been so tired at times that one more thing is just seen as one more thing.
The change process within any organization can prove to be difficult and very stressful, not only for the employees but also for the management team. Hayes (2014), highlights seven core activities that must take place in order for change to be effective: recognizing the need for change, diagnosing the change and formulating a future state, planning the desired change, implementing the strategies, sustaining the implemented change, managing all those involved and learning from the change. Individually, these steps are comprised of key actions and decisions that must be properly addressed in order to move on to the next step. This paper is going to examine how change managers manage the implementation of change and strategies used
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.
The world is constantly changing in many different ways. Whether it is technological or cultural change is present and inevitable. Organizations are not exempt from change. As a matter of fact, organizations have to change with the world and society in order to be successful. Organizations have to constantly incorporate change in order to have a competitive advantage and satisfy their customers. Organizations use change in order to learn and grow. However, change is not something that can happen in an organization overnight. It has to be thought through and planned. The General Model of Planned Change focuses on what processes are used by the organization to implement change. In the General Model of Planned Change, four steps are used in order to complete the process of change. Entering and Contracting, Diagnosing, Planning and Implementing, and Evaluating and Institutionalizing are the four steps used in order to complete the process of change in an organization. The diagnostic process is one of the most important activities in OD(Cummings, 2009, p. 30).
Most people have witnessed a scene such as this: a child sees something they do not understand. Confused, they ask their parent the inevitable question: “Why?” The adult tiredly replies, “That’s just the way things are.” If the majority of the people in the world had this defeated attitude, movements for social change would be nonexistent. The qualities essential to making an enduring difference to society are time, dedication, and sacrifice.
All professions have a certain set of rules and guidelines. This is especially true in those professions where lives are on the line. In the nursing profession, these guidelines are referred to as nursing theory. Nursing theory was originally defined as identifying “the person receiving nursing care, the goal or purpose of nursing and nursing intervention, and nurses’ roles” (Im & Chang, 2012). There are many different forms of nursing theory, but Callista Roy’s theory of Adaptation will be focused on in this paper. I will discuss the importance of theory in general, then the adaptation theory in detail. I will also discuss how to apply this theory in healthcare policy.