¶ … Confidence is a golden trait that can provide useful if not in all, than at least most situations any single person may experience. Confidence essentially includes having the ability to successfully negotiate any given task with grace, precision and tact. This acquired skill is therefore obviously extremely useful in the health care industry.
Nurses are integral in the healing process and maybe more important than the physician in many instances of medical treatment. Nurses need not only technical skills but also social skills that will serve both their own career aspirations but also simultaneously assist in the practical application of their profession. The purpose of this proposal is to convince the reader that the problem of lack of confidence in nursing, and specifically their communication methods with patients, is significant and the ensuing plan will benefit the stakeholders involved.
This plan will first explain how raising confidence levels can contribute to the general efficacy of health care and provides of an outpost for future nurses to help guide them. This plan will use the Rosswurm and Larrabee model of empirical-based nursing practice (EBNP) as a framework to install this program. After synthesizing this model with the aforementioned problem, an evaluation plan will be presented and a guide to help maintain the positive changes that take place once the system has been in operation for enough time to mark the progress and build upon the foundation.
Contribution to the Future of Healthcare
Any application of a successful permutation of this model that increases the amount of confidence within the general pool of nurses will have an incredibly positive and dramatic effect on the healthcare industry as a whole. The profession of nursing is often overlooked within the entire healing practices of the mainstream and this change in attitude can help promote the profession to a new level of importance, prestige, and responsibility.
The healthcare industry can always be operated under more fiscally restrictive terms in order to maximize resources and get the most out of what is actually available. As a result of addressing this dearth of confidence in the nursing population's ability to communicate, the health care industry stands to benefit economically, politically and literally as new healing discoveries can be discussed and put into practice due to this new environmental shift of processes and understanding.
Change Model Overview
Rosswurm and Larrabee (1999) proposed a model for guiding nurses through a systematic process for the change to evidence-based practice. This model recognized that translation of research into practice requires a solid grounding in change theory, principles of research utilization, and use of standardized nomenclature. The model provides a pragmatic, theory-driven framework for empowering clinicians in the process of evidence-based practice.
The Rosswurm and Larrabee conceptual framework was used to adapt the existing medical evidence-based practice conferences to an approach that incorporated a focus on nursing phenomena with the goal of teaching nurses the EBNP model, while also evaluating the possibility of changing clinical practice.
Step1: Asses the Need for Change
Chapman (2009) suggested that "The current challenge in health care is to create an environment in which open and transparent communication is the norm, rather than the exception. One way to do this is by adopting strategies that have been successful in other industries, " (p.21). The rate at which miscommunication is happening throughout the health care industry suggests that more voices are needed that address the issues that have been ignored in the past. It is necessary for additional training for nurses to learn new communication skills.
Step 2: Link the problem, interventions and outcomes
This intervention training may cause some issues among nurses. A feeling of inferiority may soon take hold or the nurses themselves will resist any type of intervention. The balance of power may shift in unpredictable ways in the testing grounds for this new idea, but it appears the risk is worth taking. The desired outcome is that the nurses involved incorporate and master the communication skills being presented to them in an effort to influence their workplace within the health care industry.
Step 3: Synthesize the Best Evidence
Much evidence supports this approach and the best way to synthesize is to follow the lead of other research studies that have examined this problem. These studies include: Barrere (2007), Sheldon (2011), Robinson & Turner (2005), Bedorick and Bruce (2005). Heaven, Clegg & Maguire (2005) most closely represents this particular intervention and can be used heavily throughout to reference. This study ultimately concluded that "that whilst training enhances skills, without intervention, it may have little effect...
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