Applying nursing theory to guide leadership

With continued rise of overhead costs on an upward spiral, the nurse finds herself or himself caught in the midst of administrative decisions that involve staffing and direct care delivery decisions all the while providing quality of care to the patient. Additionally, the demands of technological advancement will directly affect the future delivery of care and how that care is delivered to those in need. So, where does nursing theory fit in the future of nursing and what theory is most applicable to usage by the professional nurse in this changing health care market? It appears little attention has been given to grand theory in recent years.

Applying nursing theory to guide leadership

Implementing a change in practice within these environments can produce anxiety or fear of failure in nurses, leading to a resistance to change practice.

Medication errors in hospital settings lead to devastating consequences for both nurse and patient that can be reduced significantly through the use of technology that improves patient care and saves time for busy nurses. Bar-coded medication administration is one type of technology that uses a scanning device to compare bar codes on patient identification bands with bar codes on prescribed medications, electronically verifying the medications against the medication records, thereby reducing medication errors significantly.

Keywords Change management, Lewin change theory, Medication errors, Bar-coded Medication Administration Introduction Medication safety has been identified by the Institute for Safe Medication Practices Canada ISMPC as a priority among hospitals and long term care facilities since medication errors in hospitals are a serious threat to patient safety.

The ramifications of medication errors affect all healthcare organizations, resulting in consumer mistrust, increased healthcare costs, and patient injury or death Carroll, Bar coded medication administration is one such tool that has the potential to reduce medication errors significantly, when used correctly Carroll, ; Dennison, The current system of medication delivery and administration at our facility involves old medication carts in poor repair and relies on manual checks to ensure the right drug is given to the right patient at the right time, route, site and dosage by the nurse.

The psychiatric facility in question is now planning a complete overhaul of the pharmacy system and is incorporating automated dispensing machines, along with electronic medication records and bar coding of medications to modernize their care and improve patient safety.

This large project will have the greatest impact on front line nurses, many of whom are skeptical of change or lack confidence in their ability to adapt to new technologies, therefore careful implementation of this project is imperative.

Without a framework for guidance, new technologies can result in workarounds that threaten patient safety.

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Medication errors are a common occurrence in healthcare facilities around the globe, with serious consequences resulting in death or harm, increased inpatient days in hospital, erosion of trust between consumer and healthcare organizations, and a great deal of economic expense Carroll, ; Dennison, The economical impact of medication errors is estimated to be around five thousand dollars per error unless there is legal litigation, when the costs can skyrocket into the millions Dennison, No less important, but certainly less discussed, is the harm to nurse morale after being involved in a medication error, potentially leading to lost time from work Dennison, While medication errors can occur at any stage in the process, the nurse is often the last line of defense for catching mistakes due to the nature of the administration of meds at the bedside.

The ISMPC has worked closely with hospitals, pharmacies and drug companies to address many preventable occurrences ranging from medication reconciliation programs to the standardization of drug names and labeling.

The introduction of automated pharmacy dispensing machines, bar-coding and scanning of medications is a national project throughout Canada, aimed at reducing medication errors and ultimately improving patient safety.

The technology involved in bar-code scanning also integrates electronic medication records EMR and computerized physician order entry CPOE into practice, thereby reducing paper documents and the possibility of transcription errors, ineligible handwriting or missed signatures.

BCMA technology consists of bar coded medication packets and bar codes on patient identification bands as well as a scanner attached to a medication cart.

Paper Writing Help Valentine Abstract While a fall in the number of nursing leaders may be attributed to the current nursing shortage, studies have noted that there is also a significant deficiency in the number of nursing leaders. Innurses are in a distinct position to influence healthcare policy and legislation.
Application of Theory | Essay Example Nurse leaders are faced with issues or problems on a daily basis that are often expected and sometimes unexpected. If there were no issues to solve or hurdles to overcome the necessity of designating a leader would not seem quite as important.

With added distractions, complexities of care, and faced paced environments, nurses may inadvertently overlook inconspicuous errors or fail to catch packaging errors, leading to medication mishaps that could have serious consequences.

The introduction of BCMA technology at our psychiatric facility can improve patient safety and also decrease time spent on medication administration, thereby allowing more time for patient contact.

Currently nurses use old medication carts that have worn wheels, broken drawers and some are health and safety hazards. The nurses use paper medication records and must double check medications against the MAR sheets before administering. The facility has recently introduced new computerized swipe access carts that are bar code scanner friendly with the intent to introduce bar coding once the pharmacy department converts to electronic medication dispensing and electronic medication records.

While many nurses will welcome this time-saving change, others will feel overwhelmed by the magnitude of the change; therefore careful planning and support on the part of the organization will lessen the stress associated with the implementation. Managing change has always been challenging in health care facilities, and new technologies often incite resistance from nurses who already cannot find enough time in their shift to complete patient related tasks.

One barrier that could impact the implementation at our psychiatric hospital is the possibility of a patient refusing to wear identification bands, which are necessary for BCMA to work. Other barriers include short cuts that some nurses have adopted to save time, such as pre pouring medications, which contravenes Canadian nursing standards of practice.

Workarounds are common and are a unprofessional attempts to circumvent computer failures or save time. They come about through frustration on the part of the nurses when they are unable to find a solution to an immediate problem.

Nursing Theory and Research

For successful implementation of a project as large as bar-coding, careful planning and identification of all barriers are imperative.Applying Nursing Theory 3 Applying Nursing Theory to Guide Leadership Decision making may in this case be expressed as a route of selecting an alternative that is more likely to facilitate the achievement of organizational or individual goals (Bjork & Hamilton, )%(31).

A third nursing leadership theory that can be readily used by new nurses is modeled after Ida J.

Applying nursing theory to guide leadership

Orlando’s nursing model. Orlando’s middle-range theory concentrates on the process nurses’ use to identify a patient’s distress and immediate needs. Advocacy for the clinical enterprise and for nursing practice ve Ai mt c emberhisp in essioopf r nl gaaor nizaiont s FUTURE OF NURSING: FOUR KEY MESSAGES 1.

Nurses should practice to the full extent of their education and training. Applying Nursing Theory to Guide Leadership Nurse leaders are faced with issues or problems on a daily basis that are often expected and sometimes unexpected.

It “comes with the territory” so to speak. Applying Nursing Theory to Guide Leadership.

Applying nursing theory to guide leadership

Applying Nursing Theory to Guide Leadership Nurse leaders are faced with issues or problems on a daily basis that are often expected and sometimes unexpected. It “comes with the territory” so to speak. If there were no issues to solve or hurdles to overcome the necessity of designating a leader.

Applying Nursing Theory to Guide Leadership Nurse leaders are faced with issues or problems on a daily basis that are often expected and sometimes unexpected. It “comes with the territory’ so to speak.

Applying Nursing Theory to Guide Leadership Essay Example | Graduateway