Nursing as a discipline recognizes the value of utilizing resources already developed rather than developing every idea independent of all other disciplines. Barrowed theories are used to describe situations that have been considered in other disciplinesm but are useful in a nursing scenario. In the coming pages an analysis of Kurt Lewin’s Change Management Model and Richard Lazarus’s Stress and Coping philosophy will be discussed.
Change is a great place to begin the discussion and of interest to me because it is a very real part of the life of every individual. As the health status changes, so too must the mindset and lifestyle of the patient. Nurses too, must adapt care based on the needs and desires of patients. There are also the environmental
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Kurt Lewin, the “founder of social psychology,” first presented his change model in 1947. This model identifies change as a three step process: Unfreezing, Change, and Refreezing. These are fairly self-explanatory. First, one must recognize the need and benefit of change. Next, alterations in thinking, lifestyle, or products must be made. And finally, the “new” way must be accepted as the norm. This meaning is not only simple, but logical and useful. When nurses work with other nurses to implement a new procedure, one introduces the reason why the change must be made to the team and tries to get the team to see that necessity. Next, the procedure goes into place. Finally, everyone on the team uses the procedure as the accepted methodology. The same process can be used anywhere in society with groups and individuals. Thus, it is widely generalizable. The theory is very easy to understand and clearly stated, thus parsimonious. It is testable. It works. As an infection preventionist and the sepsis champion at our facility, I have utilized this model to implement the use of new sepsis order sets that are founded on evidence based practice. I used scientific research …show more content…
It effects students and their teachers as well as children and their parents. It is everywhere. Therefore, where there is stress, there is some type of coping and adaptation whether effective or ineffective. Lazarus developed his ideas concerning stress and coping in the 1960s after researching stress and emotion at Johns Hopkins. His theory proposed that incidents in life influence the emotional state of the individual. These events are not only the big events like births, deaths, and taxes, but also the little things like being cut off in traffic and forgetting to thaw meat for supper. This seems reasonable enough. It is useful in that it helps nurses to not take a patient’s emotional state personally and gives pause as to the need to assist the patient in coping. That being said, it is very useful. It is useful in a variety of settings. It is not simply stated or briefly written and therefore, is not parsimonious. It can and has been widely tested. As an educator, the circumstances presented themselves today, so that student nurses were forced to provide care to patients they knew nothing about except for the information they learned during bedside report. This was a brand new situation. It was very unpleasant (stressful) for them. This was a great opportunity to help them learn about coping mechanisms including relaxation
Sepsis impacts the U.S. healthcare based on its high incidence, mortality rates, financial costs and long-term adverse effects on sepsis survivors. To reduce this impact, the rapid initiation of bundled care based on the SSC can reduce the severity of severe sepsis and septic shock thereby, reducing patient mortality and long term adverse effects. The objective of this paper is to discuss the benefits of implementing a sepsis bundle focusing on the SSC recommendations and the improved effects realized on patient outcomes and morality rates. The clinical question is as follows:
Sometimes when patients come into the hospital it can be difficult at times for them when they are feeling bad in knowing exactly what is going on. There are cases where it’s
Standardizing nursing practice started even from the Florence Nightingale era. Advancement of study, researches and trails provide more support for nursing practice. Care giving to an individual of couse depend upon the mentality of the nurse, but if a standard is set in the unit for the best interest of the client all professional have a model to follow. Evidence-based practice is equated with effective decision making, with avoidance of habitual practice and with enhanced clinical performance. Even with evidence practice decision making is crucial depend upon each situation.
As the nurse manager has been trying to implement this change for quite some time now it will likely be challenging to create a sense of urgency, the staff may be desensitized to hearing the message at this point. Furthermore, it appears from your description that the nurse manager has not been able to successfully empower the staff and fully implement change (S. Rothacker-Peyton, personal communication, July 22, 2017). Does she lack credibility with her staff? If so, a strong guiding team as described by Middaugh (2017) will be even more important.
Personal philosophy differs for everyone, but generally guides a person in their professional practice in addition to their private lives. In my personal philosophy, I largely base my nursing pathways and private life on ethical values. Although I understand that there empirical beliefs that guide many nurses, and I am still a fresher nurse without years upon years of experience, I still hold ethics at the core. Patricia Zander addressed that there are different ways of knowing for nurses (2000).
This allows both the nurse and family to experience a more rewarding and joyful resolution to the
DELEGATION Delegation in nursing helps the administrators to concentrate on on other managerial functions, and delegating the nursing job to the staff nurses. It increases the quality of nursing care because more hands are involved in rendering the services. It enables the staff nurses to improve and expand their skills and knowledge.
For my nursing experience, I have worked in research and specialist hospital in day medical unit. This unit receiving many of cancer patients to provide them routine chemotherapy doses. My focus was arranging their appointments and educating them how to adapt with routine chemotherapy and cancer disease environment. However, Roy, Callista adaptation theory is a grand theory that focuses on promoting adaptation for individuals and groups and responding positively to particular environment changes. Roy believed that "the goal of nursing is to improve adaptive for particular person" through using four adaptive mode (Physiologic needs, Self-concept, Role function, Interdependence) and specific information about the person.
Even if the occurrence of distress is emotional, moral, psychological, or spiritual in type, nurse or whole staff requires support and assertion. Debriefing could be benefit nurses and easier process they experience. The process of debriefing described an “information-sharing and event-processing session” operated as a conversation between peers by therapist, counselor or professional fellow that guides the recognized process that will help nurses get better from their distress or in individual cases provide victim assistance or make recommendations to follow up.
The Joint Commission in 2011 also described a clear and safe communication as timely, accurate, and usable (Arnold, et al., p.23). This positive quality of communication is evident in the interaction of Shona and the nurse, as the nurse asked Shona “Can you explain that further?” in regards to the situation that Shona is feeling — from this, the nurse is trying to understand Shona’s condition as she assesses the situation. In a nursing process, communication standards and skills are an integral component of knowledge (Arnold, et al., p.29) that allows nurses to understand a patient’s condition, thus, provide compassion and respect for their patients. This is evident in the nurse’s intervention to Shona’s struggles as she encouraged Shona to not to think about her conflicts and focus on happy things like her children— which shows empathy and
According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis.
I enjoyed reading about your experiences in the hospital setting while the enactment of change was taking place. I can tell you that where I work we also had some resistance towards the implementation of huddle. There was a back and forth in the beginning of the three stages of Kurt Lewin’s change theory that I witnessed. I happened to be in the lead of making huddle something we did prior to every shift. In the unfreezing stage I sent out an email and on day one I was happy and eager
This clinical experience has really helped me to sharpen my communication skills and realize just how important it is to understand mental health. We are told multiple times in class that mental health issues can be seen on any floor and that is the truth. I’ve seen patients in my older adult clinical on the pulmonary floor suffer from issues that range from anxiety to bipolar disorder and depression. Being able to understand how to approach people that suffer from these types of illnesses, allows us, the nurses, to give the patient the best care that we can. It helps to build a trusting relationship and get to know them on a personal level.
o Petty management: Continue the patient care, even when the nurse is not present (Nightingale, 1860/1969). • The theory is applicable anywhere, however, environment is not the only factor that influences the patient’s health. Other factors include genetics, and
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.