Assignment:Professional Nursing Practice

Assignment:Professional Nursing Practice

Integration of Evidence-Based Practice Into Professional Nursing Practice

This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO1 Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO 1)

CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO 2)

CO8 Discuss the role of evidence-based practice in the provision of professional nursing care. (PO 8)

As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (not medical care issue). Include all of the following in your answer to this discussion.

Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.

Explain how you would search CINAHL for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. Note: You do not need to perform the search or provide an article for this discussion, but you may do so if you like.

Our Professional Practice Model is a visual representation of the values, organizational structures, and processes that provide a unifying framework for the practice of nursing at University of Iowa Hospitals & Clinics. It ensures consistency in the delivery of nursing care, and defines for all registered nurses their authority, autonomy and accountability as they care for patients and families in our community, our state and world.

Authority: The recognition and use of our rights and responsibility to use our nursing knowledge, skills, and judgments, to provide high-quality outcomes for our patients.
Autonomy: The making of independent nursing decisions about the best nursing practices to implement in order to provide safe, high-quality outcomes for our patients.
Accountability: The acceptance of responsibility for our actions, judgments, and the resulting outcomes.

The Elements

Dome
Dome
Safe, High-Quality Patient and Family-Centered Care

– Safety: Based on our knowledge of patient needs and the health care environment, we plan and implement interventions to help patients get through the hospital stay without preventable complications and delay.

– Quality: We use our knowledge and skills to help the patient reach optimal outcomes.

– Patient and Family Centered Care: Our nurses provide safe, high-quality care — a model of care that is grounded in mutually beneficial partnerships among health care professionals, patients, and families.
Community

Efforts to deliver safe, high-quality patient and family-centered care to promote a healthier local, regional, and global community.

Within this model, we aspire to provide care with:

Dignity and Respect—We listen to and honor the perspectives and choices of our patients and families. We integrate patient and family knowledge, values, beliefs and culture into the assessment, planning, delivery, and evaluation of the care we provide.
Compassion—Caring for patients, families, visitors, co-workers, and colleagues with minds, hands, and hearts is the art of nursing.
Information Sharing—In a timely manner, we communicate with and share information in plain language so patients and families can make the best health care decisions that match their care goals. We contribute to the development and implementation of electronic tools and systems that provide patients with direct access to their medical records, their health care team, and to education and information that promotes health.
Participation—We encourage and support the active involvement and participation of patients and families in decision-making at whatever level they feel most comfortable.

Pillars
Pillars
Leadership

Our nurse leaders are highly visible and accessible. They are key to the success of this practice model. Through transformational leadership, staff nurses are empowered to be leaders ofpatient care at the bedside. The chief nursing executive (CNE) is a member of the Vice President for Medical Affairs Cabinet, the CEO SeniorManagement Team, and the University Hospital Advisory Committee (executive advisory board). The CNE advocates for nurses throughout the health care system. Leadership is dedicated to succession planning and mentoring to ensure the continuity of nursing administration, goal achievement, and fostering future nursing leaders.
Shared Governance

Our nurses share decision-making responsibilities at the unit, division, department, and organizational levels through a shared governance structure dating back to 1974. All levels of nursing staff participate in councils and committees through this structure. Nurses are members of all University Hospital Advisory committees; they participate in unit-based committees; they help design unit-based care-delivery models; and they participate in unit-based multidisciplinary care councils, sharing decision-making responsibilities.