Discussion 2

Discussion 2

[Name]

[Institute]

Author Note

Discussion 2

Nurses are vital to any evidence-based healthcare practice. According to ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"Sh4PG2HA","properties":{"formattedCitation":"(Huber, 2013)","plainCitation":"(Huber, 2013)","noteIndex":0},"citationItems":[{"id":1159,"uris":["http://zotero.org/users/local/0omESN17/items/LKN68TT7"],"uri":["http://zotero.org/users/local/0omESN17/items/LKN68TT7"],"itemData":{"id":1159,"type":"book","title":"Leadership and nursing care management","publisher":"Elsevier Health Sciences","ISBN":"1-4557-4073-X","author":[{"family":"Huber","given":"Diane"}],"issued":{"date-parts":[["2013"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Huber, 2013), the job of a nurse leader is to set the vision of the unit and establish priorities for the entire care unit. They play a key role as educators by showing the nurses various ways to take care of the patient. Here, engaging in bedside report during the process of shift change, aiding with intravenous lines, applying swab cans to where necessary in an effort to keep infections at bay are all means to each other how to carry out these tasks on their own ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"Fnb5qkxi","properties":{"formattedCitation":"(Myers et al., 2013)","plainCitation":"(Myers et al., 2013)","noteIndex":0},"citationItems":[{"id":1166,"uris":["http://zotero.org/users/local/0omESN17/items/SWV5M9I7"],"uri":["http://zotero.org/users/local/0omESN17/items/SWV5M9I7"],"itemData":{"id":1166,"type":"article-journal","title":"Using a shared governance structure to evaluate the implementation of a new model of care: the shared experience of a performance improvement committee","container-title":"The Journal of nursing administration","page":"509","volume":"43","issue":"10","author":[{"family":"Myers","given":"Mary"},{"family":"Parchen","given":"Debra"},{"family":"Geraci","given":"Marilla"},{"family":"Brenholtz","given":"Roger"},{"family":"Knisely-Carrigan","given":"Denise"},{"family":"Hastings","given":"Clare"}],"issued":{"date-parts":[["2013"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Myers et al., 2013).

Another trend that has been changing healthcare is patients wanting the family involved in all aspects of care. Most healthcare facilities are encouraging, or embracing, patient and family-centered care into their practices. In these instances, the patient’s values and norms are respected and implemented into their care. Without this change, patients may not be able to thrive on their own at home without a loved one knowing what is going on and being able to help them ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"JtLPNUni","properties":{"formattedCitation":"(Kueny, Shever, Lehan Mackin, & Titler, 2015)","plainCitation":"(Kueny, Shever, Lehan Mackin, & Titler, 2015)","noteIndex":0},"citationItems":[{"id":1167,"uris":["http://zotero.org/users/local/0omESN17/items/MZW7SKLD"],"uri":["http://zotero.org/users/local/0omESN17/items/MZW7SKLD"],"itemData":{"id":1167,"type":"article-journal","title":"Facilitating the implementation of evidence- based practice through contextual support and nursing leadership","container-title":"Journal of healthcare leadership","page":"29-39","volume":"7","archive":"PubMed","archive_location":"29355177","abstract":"BACKGROUND/PURPOSE: Nurse managers (NMs) play an important role promoting evidence-based practice (EBP) on clinical units within hospitals. However, there is a dearth of research focused on NM perspectives about institutional contextual factors to support the goal of EBP on the clinical unit. The purpose of this article is to identify contextual factors described by NMs to drive change and facilitate EBP at the unit level, comparing and contrasting these perspectives across nursing units. METHODS: This study employed a qualitative descriptive design using interviews with nine NMs who were participating in a large effectiveness study. To stratify the sample, NMs were selected from nursing units designated as high or low performing based on implementation of EBP interventions, scores on the Meyer and Goes research use scale, and fall rates. Descriptive content analysis was used to identify themes that reflect the complex nature of infrastructure described by NMs and contextual influences that supported or hindered their promotion of EBP on the clinical unit. RESULTS: NMs perceived workplace culture, structure, and resources as facilitators or barriers to empowering nurses under their supervision to use EBP and drive change. A workplace culture that provides clear communication of EBP goals or regulatory changes, direct contact with CEOs, and clear expectations supported NMs in their promotion of EBP on their units. High-performing unit NMs described a structure that included nursing-specific committees, allowing nurses to drive change and EBP from within the unit. NMs from high-performing units were more likely to articulate internal resources, such as quality-monitoring departments, as critical to the implementation of EBP on their units. This study contributes to a deeper understanding of institutional contextual factors that can be used to support NMs in their efforts to drive EBP changes at the unit level.","DOI":"10.2147/JHL.S45077","ISSN":"1179-3201","journalAbbreviation":"J Healthc Leadersh","language":"eng","author":[{"family":"Kueny","given":"Angela"},{"family":"Shever","given":"Leah L"},{"family":"Lehan Mackin","given":"Melissa"},{"family":"Titler","given":"Marita G"}],"issued":{"date-parts":[["2015",6,24]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Kueny, Shever, Lehan Mackin, & Titler, 2015).

Healthcare policies have vastly improved from the sort that they once used to be. Patients have access to better healthcare, and at much-reduced cost than earlier. Open communication and collaboration, especially among the younger crop of employees are one of the biggest reasons why healthcare has improved the way it has. Furthermore, the integration of technology is making it a whole lot easier for healthcare services to help the patients out and frequently check on one that needs regular care. However, the fact that the number of nurses and healthcare professionals working in healthcare facilities across the country is far less than that is required. This sets back the system and keeps it from providing the sort of care that is expected of healthcare facilities across the country ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"wMI0zyPa","properties":{"formattedCitation":"(Kueny et al., 2015)","plainCitation":"(Kueny et al., 2015)","noteIndex":0},"citationItems":[{"id":1167,"uris":["http://zotero.org/users/local/0omESN17/items/MZW7SKLD"],"uri":["http://zotero.org/users/local/0omESN17/items/MZW7SKLD"],"itemData":{"id":1167,"type":"article-journal","title":"Facilitating the implementation of evidence- based practice through contextual support and nursing leadership","container-title":"Journal of healthcare leadership","page":"29-39","volume":"7","archive":"PubMed","archive_location":"29355177","abstract":"BACKGROUND/PURPOSE: Nurse managers (NMs) play an important role promoting evidence-based practice (EBP) on clinical units within hospitals. However, there is a dearth of research focused on NM perspectives about institutional contextual factors to support the goal of EBP on the clinical unit. The purpose of this article is to identify contextual factors described by NMs to drive change and facilitate EBP at the unit level, comparing and contrasting these perspectives across nursing units. METHODS: This study employed a qualitative descriptive design using interviews with nine NMs who were participating in a large effectiveness study. To stratify the sample, NMs were selected from nursing units designated as high or low performing based on implementation of EBP interventions, scores on the Meyer and Goes research use scale, and fall rates. Descriptive content analysis was used to identify themes that reflect the complex nature of infrastructure described by NMs and contextual influences that supported or hindered their promotion of EBP on the clinical unit. RESULTS: NMs perceived workplace culture, structure, and resources as facilitators or barriers to empowering nurses under their supervision to use EBP and drive change. A workplace culture that provides clear communication of EBP goals or regulatory changes, direct contact with CEOs, and clear expectations supported NMs in their promotion of EBP on their units. High-performing unit NMs described a structure that included nursing-specific committees, allowing nurses to drive change and EBP from within the unit. NMs from high-performing units were more likely to articulate internal resources, such as quality-monitoring departments, as critical to the implementation of EBP on their units. This study contributes to a deeper understanding of institutional contextual factors that can be used to support NMs in their efforts to drive EBP changes at the unit level.","DOI":"10.2147/JHL.S45077","ISSN":"1179-3201","journalAbbreviation":"J Healthc Leadersh","language":"eng","author":[{"family":"Kueny","given":"Angela"},{"family":"Shever","given":"Leah L"},{"family":"Lehan Mackin","given":"Melissa"},{"family":"Titler","given":"Marita G"}],"issued":{"date-parts":[["2015",6,24]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Kueny et al., 2015).

Thus, hospitals should foster a culture where healthcare staff does not feel as if they are toiling their time away by doing more than their fair share of work and without even being compensated for the efforts they are making. Burnout among the nursing staff can be deleterious for the patients and should be looked into immediately.

References

ADDIN ZOTERO_BIBL {"uncited":[],"omitted":[],"custom":[]} CSL_BIBLIOGRAPHY Huber, D. (2013). Leadership and nursing care management. Elsevier Health Sciences.

Kueny, A., Shever, L. L., Lehan Mackin, M., & Titler, M. G. (2015). Facilitating the implementation of evidence- based practice through contextual support and nursing leadership. Journal of Healthcare Leadership, 7, 29–39. https://doi.org/10.2147/JHL.S45077

Myers, M., Parchen, D., Geraci, M., Brenholtz, R., Knisely-Carrigan, D., & Hastings, C. (2013). Using a shared governance structure to evaluate the implementation of a new model of care: The shared experience of a performance improvement committee. The Journal of Nursing Administration, 43(10), 509.