Clinical narratives are used for the articulation and sharing of knowledge and experience which has been acquired over time and through experiential learning and is a way of enabling nurses to "tap into the thought processes and best practices of expert clinicians" through sharing of stories based on experience. Professional conferences involve the attending of conferences, which expose nurses to ideas that are new and best practices of other institutions than the one in which they work. Finally, formal education addressed "technical excellence and an over-arching understanding of the art and science of professional practice..." (Massachusetts General Hospital Patient Care Services, 2002) a very important aspect of the program is "collaborative decision-making" which involves: (1) Quality committees; (2) Ethics in Clinical Practice Committee; (3) Nursing Research Committees; (4) staff nurse advisory committees; and (5) professional development committees. Quality Committees. It is related that the 'Ethics in Clinical Practice Committee' has the responsibilities of: (1) Design and implement programs to support the education of all staff in the area of healthcare ethics; (2) Identify strategies to improve quality; (3) provide increased communication and awareness of systems-improvements; (4) provide an arena to evaluate and promote quality initiatives not specifically initiated by this committee; and (5) review findings and recommend departmental actions. (Massachusetts General Hospital Patient Care Services, 2002)
The work entitled: "Common Denominators in Shared Governance and Workplace Advocacy" published in the Online Journal of Issues in Nursing (2004) relates that the work of Porter-O'Grady (IOM, 2004) relates that "Principles embedded in conflict resolution (collaborative) strategies can enhance nursing empowerment, however, conflict resolution is an area in which nurses typically have limited skills. In the ideal world, health care organizations would embrace conflict resolution strategies as the standard way of doing business. In reality, nursing may have to take the lead by adopting the principles of conflict resolution." (Journal of Issues in Nursing, 2004) WPA groups are reported to responsible in the healthcare industry for the development and modification of the effective use of conflict resolution strategies. Specifically stated is that 'use of these strategies moves health care from a hierarchical model of communication or a model where conflict is resolved at the lowest level, the level at which conflict occurs. For nurses this is often at the bedside level. The effective use of conflict resolution reduces costs, provides more empowered and satisfied workers, and results in higher quality outcomes. This strategies can also reduce the use of costly litigation can serve nurses, other professionals, patients and the organization." (Journal of Issues in Nursing, 2004) This work states that it is essential for the organization to effectively utilize conflict resolution strategies as: "...nurses need to develop skills in conflict analysis, collaboration, and mediation." (Journal of Issues in Nursing, 2004) the use of outside coaching to assist the conflict resolution process is stated to be encouraged which involves calling a hotline or certified nurse ombudsman.
The work of Lassen, et al. (1997) entitled: "Nurse/Physician Collaborative Practice: Improving Health Care Quality While Decreasing Cost" published in the Journal of Nursing Economics relates a study using a collaborative approach that served to enhance "nurse-physician relationships, resulting in cost savings as well as diminished anxiety and confusion among the patients of neonates diagnosed with R/O sepsis." (Lassen et al., 1997) Additionally relate is the fact that medical journals have failed to focus only but very little attention to: "...possible benefits resulting from nurse/physician collaboration. One possible explanation is found in the historical nature of that relationship." (Lassen et al., 1997) Lassen et al. relates that collaboration may be defined as: "...a flexible process of ongoing interaction, assertiveness, and creativity between individuals from two or more disciplines which influences the direction of patient care." (1997) Required in this process is communication and "interdependent decision making regarding patient care." (Lassen et al., 2007) Outcomes measurements are stated to include: (1) patient mortality/morbidity rates; (2) hospital costs; and (3) hospital readmissions in the work of Baggs, et al. (1992), Knaus et al., (1986) and Mitchell et al. (1989) who reported "significant reductions in patient mortality and readmissions in adult ICU units with implementation of collaborative practice. (Lassen, et al., 1997; p.1)
The work entitled; "Healthy Work Environments: Best Practices" published by the Registered Nurses Association of Ontario (RNAO) relates specific recommendations that "Nursing teams recognize how their goals contribute to impact and/or complement the goals of other teams and the organization in achieving quality patient/client care." This is stated to require that nursing teams "...establish processes which promote open, honest and transparent channels of communication by: (1) Establishing processes to ensure that full-time, part-time and casual staff seek out and receive effective communication on all shifts; (2) Establishing verbal, written and/or electronic processes in order to effectively document the communication; and Developing skills in active listening. (nd) Recommendations for implementation of specific strategies that provide encouragement to teamwork as well as enable teamwork are stated to include: (1) Physical space or technology that enables people to...
Nursing Research and EVP Nursing Research & Evidenced-Based Practice The objective of this study is to examine how evidence-based practice and nursing research are supported and implemented throughout the organization. Secondly, this study will examine the nurses' role in research and evidence-based practice, the steps sued for research and evidence-based practice and the model for evidence-based practice. Role of Nurse in Research and Evidence-Based Practice Evidence-based practice is a term that is used to
Nursing Research The study is divided in three parts. The first part identifies the palliative care as an area of nursing research that has improved the patient's outcome. The second part discusses the difference and similarities between nursing process and research process. The final part reviews three articles that focus on the palliative care, nursing and research process, and the paper reviews the abstract of each article. Identification of area of Nursing
For example, although many nurses were taught to place infants in the prone sleeping position to prevent aspiration, there is now persuasive evidence that supine (back) sleeping position decreases the risk for sudden infant death syndrome." (p. 28) This also implicates the practice dimensions of nursing. According to the primary text, evidence-based practice is particularly important as a way to dissuade against poorly informed or assumption-driven decision-making. Where non-evidence-based practice
Nursing Research Develop a nursing research question Does participation in an online community enhance compliance for type II diabetics? Describe how the nursing research question addresses evidence-based practice. Evidence-based practice requires treatment to be based upon rigorous, scientifically-validated tests. It also requires nursing treatment to be administered in a clinically appropriate, cost-effective manner (Pollit & Beck 2008: 4). This study would divide a study sample of recently-diagnosed type II diabetes into two groups, one
The specific tile of the article is as follows: Zahr, Lina Kurdali (1998). Therapeutic play for hospitalized preschoolers in Lebanon. Pediatric Nursing. 24(5), 449. Research Question. One of the most important tenets of quantitative research is to present a well developed research question followed by a testable null hypothesis. Unfortunately the author of this particular article did not present the reader with a research question. Had the research investigator presented
Nursing Research Utilization Project Proposal: Hospital Noise The level of noise in a hospital is a serious issue for the nurses and the patients. Surveys have been created in an effort to determine if the noise is bothersome, what kinds of problems it causes, and whether there is anything that can be done about the noise levels. It is important not only to identify the problem, but to determine what can
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