Practicum Experience
The work of advanced practice nurses (APNs) is influenced by many factors that extend beyond their direct reach. At the same time, the influence of APNs is often felt beyond the immediate context within which the serve as the changes they propose influence multiple systems and impact multiple groups of stakeholders. For this reason, APNs are encouraged to promote evidence-based change at all times. This text discusses effective shift-scheduling as the proposed evidence-based change for my practicum setting. It identifies internal and external issues that could affect implementation, and identifies ways in which the proposed change could lead to shifts at levels beyond the practicum.
The Proposed Evidence-Based Change: Shift Scheduling
Hospitals require round-the-clock service, and as such, nurses work has to be organized in shifts that are then organized into schedules (Kluger et al., 2020). This is geared at ensuring continuity of care and patient safety (Kluger et al., 2020). Scheduling is the process of providing productive resources to ensure continuity in the production process and help the organization carry out its required function (Kluger et al., 2020). It is a process of assigning the right people to the right jobs (Kluger et al., 2020). In a healthcare setting, scheduling is a process of planning, organizing, staffing, actuating, and controlling of nurse working hours (Rizany et al., 2019, p. 2). It involves managing and allocating time to planned tasks by considering nurses competencies equality, flexibility, and skill mix to maximize patient safety without compromising nurses job satisfaction (Rizany et al., 2019). The objective of scheduling is to assign an appropriate number of nurses...
For this reason, I selected nurse scheduling as the proposed evidence-based change for my practicum. The organization may already have a nurse schedule in place. However, my idea is to change the scheduling process to include higher levels of staff participation.Issues that could affect the Implementation of Effective Nurse Scheduling
Several internal and external factors to the practicum may affect the implementation of effective nurse scheduling. One of the primary internal factors is the organizations staffing levels (Abd-Al-Aziz & Wahab, 2019). An effective nurse scheduling plan will require the organization to have a certain optimal number of nurses to minimize burnout and work strain during ones shift. However, staffing decisions are subject to resource availability, which implies that if the organization lacks the capacity to hire additional nurses to meet the optimum number, then scheduling may not be effective. Personnel budgets and staffing plans that cannot flex up and down may limit the APNs ability to implement and sustain an effective nurse scheduling program.
Lack of financial resources may also hinder effective implementation of a scheduling program, as it would limit the organizations ability to hire additional staff as well as to enhance the skills set of the current staff. Further, development of a nurse schedule would require the APN to carry out surveys with both patients…
References
Abd-Al-Aziz, N. A., & Wahab, E. A. (2019). The Relationship between Staff Nurses’ Satisfaction with their Schedule and Patients’ Satisfaction with Quality of Care. Egyptian Nursing Journal, 16(1), 147-54.
Hagbaghery, M., Salsali, M., & Ahmadi, F. (2004). The Factors Facilitating and Inhibiting Effecive Clinical Decision-Making in Nursing: A Qualitative Study. BMC Nursing, 3(2), Doi: 10.1186/1472-6955-3-2
Kluger, D., Aizenbud, Y., Jaffe, A., Parisi, F., Aizenbud,L., Minsky-Fenick, E., Kluger, J. M., Farhadian, S., Kluger, H. M., & Kluger, Y. (2020). Impact of Healthcare Worker Shift Scheduling on Workforce Preservation during the Covid19 Pandemic. Infection Control and Hospitality Epidemiology, Doi: 10.1017/ice.2020.337
Rizany, I., Hariyati T., Afifah, E., & Rusdiyansah, R. (2019). The Impact of Nurse Scheduling Management on Nurses Job Satisfaction in Army Hospital: A Cross-Sectional Research. Sage Open, 1(1), 1-9.
Evidence Base Practiced Reseach Evidence Base Practiced Research Evidence-based practice is considered to be a combination of the best practice gotten from patient care data, research study, and expert opinion so as to identify dissimilar approaches of improvement in providing high quality care that reflects things such as needs, values, interest and selections of the patient. Skills and Knowledge gained in the procedure of evidence-based practice assist health care workers to bring
Janvnbakht, Hejazi, & Ghasemi (2009) have clearly identified the purpose of their study. They have also stated the importance and relevance of the research topic to the current evidence-based practice. An already diagnosed illness of anxiety and depression is included in the study and evaluation of the history of other psychiatric illness confirmed before the study. The use of participants with an already diagnosed illness facilitates the study of
Evidence-based practice is an approach that has been applied to clinical practice and nursing. Evidence-based practice started initially in medicine and went to fields like education, psychology, nursing and dentistry. It should be noted that the research is based on studies that were carried out and these studies go on to fit the scenario that is currently being dealt with. Treatments that are supported empirically are the ones that are proven
However, the screening of patients for these conditions necessitates the inclusion of brief screening questions into a health systems review at the medical visit because patients may be embarrassed or unwilling to show concerns or talk about their mental distress or health. The inclusion of the questions into the health systems review can help to facilitate early discovery and intervention and communicating to patients about concerns on their overall
Evidence-Based Group Work How can I increase attendance of a support group for at-risk teenage Latino students in a school setting? Search for Evidence In order to search for evidence in increasing attendance of a support group for Latino students in a school setting, I went to PubMed as my initial search engine. I chose PubMed because I have found it to be a great starting place for health-care research. Not only does
Evidence-Based Counseling: Implications Counseling Practice, Preparation, Professionalism. ERIC Digest. Hauenstein, E.J. (2008). Building rural mental health system: From de facto system quality care.ID Review the Sexton article and make a case for the utilization of EBTs in counseling. According to Thomas L. Sexton's article "Evidence-based counseling: Implications for counseling practice, preparation, and professionalism," the theoretical basis of the counseling profession emerged from the academic disciplines of psychoanalysis and social work, both of
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now