NURS 700 Advanced Nursing Theory
Question:
Develop a model of care for clinical the practice that allows for a continuous improvement in nursing care at the Fundación Santa Fe University Hospital in de Bogotá (FSFB). Materials and methodology: This is a descriptive methodological study developed in sequential phases that included:
1) identification of the need to have a model of care for nursing practice;
2) a characterization of the context and the desired scenario;
3) a literature review;
4) a description of the model; and
5) validation of the theoretical proposal. The study was conducted in 2016.
The global trend in the use of nursing models in clinical practice recognizes common aspects and emphasizes relevance, methodologies and different roles in their implementation.
The context and projection of excellence for nursing at the FSFB necessitated the evident orientation of a model for the practice that guides care and responds to the vocation of service centered on the experience of human health.
The model known as “Nursing Care with a Human Approach” helps to understand and communicate the essential components of nursing at the institutional level. It also develops parameters to measure and qualify nursing practice at the FSFB on a permanent basis.
Answer:
The article titled “Nursing Care with a Human Approach”: A Model for Practice with Service Excellence” states that service reaching teams react to the call of global patterns or trends which are geared toward nursing practice qualification. The aim of the study was to establish a care model for clinical practice which permits a consistent improvement and enhancement in nursing practice or care. The method used encompassed descriptive methodology which was created in sequential stages which comprised identifying the need of having a care model in nursing care, characterizing the desired scenario and context, literature reviews, describing the model, and validating the theoretical proposal. Some of the key words used to obtain information included patient-focused care, nursing methodological research, nursing care, nursing theory, and nursing model. Carvajal Hermida and Sánchez-Herrera (2018), advocates that current advances in nursing field show that nursing models can be appropriate measures to respond to the demand of worldwide agenda as well as nursing leadership development. The descriptive methodology search for documentations and systematized the nursing data to allow better understanding and comprehension of nursing practice in relation to particular organizational context and human health experience.
The research considered both environmental and ethical facets in every stage of the study. The article found that the type of care-based model used be identified considering that it ought to respond to organizational framework of high quality or value service and should mirror out nursing care commitment when executed. The research also found that care models ought to countenance indicators on the basis of follow-ups to ensure improvements in critical fields such as technology management, knowledge management, risk management, and humanization in care (Clavelle and Goodwin, 2016). The article concluded that nursing theoretical models aid in visualizing, qualifying clinical practice, and care transformation. The study concluded that implementation of nursing models can favor establishment of public policy, research in care, nursing training, and quality of services.
On the other hand, the article titled “Physician and nursing perceptions concerning inter-professional communication and collaboration” states that collaboration among the care providers is critical in the healthcare environment because a single profession cannot meet or satisfy patients’ needs (Lewin & Reeves, 2011). The aim of the study involved investigating the nursing and physician perceptions in regards to collaboration and communication and the factors which can influence the aforementioned activities. The study used self-administered questionnaires survey to collect data from a random sample of 197 nurses and 93 physicians. It utilized SPSS to perform chi square, t-test, and descriptive statistics. The descriptive study was particularly designed or tailored to examine physicians’ and nurses’ perceptions in regards to their collaboration and factors which influence the collaboration (Matziou et al., 2014).
The study found that physicians and nurses do not share similar opinions in regards to effectiveness of nurses’ roles in decision making and their communication. Additionally, the study found that the most critical impediment for creation of good relationships between the two professions includes the failure of the physicians to recognize the professional role of the nurses. The study also found that unresolved tension influences nurses and physician collaboration and teamwork dynamics because of historical interpersonal interaction and power relationship (Matziou et al., 2014). The article concluded that the physicians and nurses ought to acknowledge the significance of effective collaboration and communication and the two professions ought to develop and execute inter-professional teamwork intervention to enhance collaboration. Similarly, factors which improve a physician’s attitude towards effective communication and collaboration need further exploration.
Lastly, the article titled “Nursing Care in Alcohol and Drug User Treatment Facilities” outlines the increasing demand for the provision of integrated health care to substance using populace and psychiatric. It deliberates on factors that stakeholders can use to alter flawed limited access to substance users and employment patterns. Some of the keywords used to obtain information included comprehensive care, best practices, job description, regulatory system, substance users, integrated care, and nursing (Naegle, 2015). The article states that associated with addiction nursing practices are mostly underutilized due to narrow job description. According to the article, alcohol and drug treatment facilities such as opioid treatment program should be controlled by registered nurses. Medical roles such as patient management and medical diagnosis are not well described by the job description.
According to Naegle (2015), job description for medical roles are not standardized across all the health care facilities and deficiency of clarity in regards to skills and knowledge related to the differences in certification and licensing of nurses has become common. The standards of American Nurses Association indicate that there is no medical discipline apart from nursing which have better education to engage the patients in regards to self-care and teaching from acute care to relapse preventions American Nurses (Association (ANA) & International Nurses Society on Addictions (INTNSA) (2013). The article concludes that the anticipated rise in the need for services and state agencies funding ought to catalyze evaluation of nursing labor force to enhance the provision of care.
References
American Nurses Association (ANA), & International Nurses Society on Addictions (INTNSA). (2013). Addictions nursing: Scope and standards of practice. Silver Springs,MD: American Nurses Association.
Carvajal Hermida, E. Y., & Sánchez-Herrera, B. (2018). ” Nursing Care with a Human Approach”: A Model for Practice with Service Excellence. Aquichan, 18(2).
Clavelle JT, Goodwin M. (2016) The center for nursing excellence: A health system model for intentional improvement and innovation. J Nurs Adm. 46(11):613–8.
Lewin, S., & Reeves, S. (2011). Enacting ‘team’ and ‘teamwork’: using Goffman’s theory of impression management to illuminate interprofessional practice on hospital wards. Social Science & Medicine, 72, 1595–1602.
Matziou, V., Vlahioti, E., Perdikaris, P., Matziou, T., Megapanou, E., & Petsios, K. (2014). Physician and nursing perceptions concerning interprofessional communication and collaboration. Journal of interprofessional care, 28(6), 526-533.
Naegle, M. A. (2015). Nursing care in alcohol and drug user treatment facilities. Substance use & misuse, 50(8-9), 1153-1158.
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