Nursing: The Changes in the Model and Implementation (Essay Sample)

Nursing
Introduction
The leaders in nursing profession are facing the challenge of inculcating a culture of patient safety. Achieving the desired culture has been quite difficult due to the complexity and fast pace of the contemporary healthcare environment. The environment has contributed to the nurses compromising quality in providing patient safety. The factors that drive patient safety are leadership, teamwork, evidence based practice, learning, and communication, and a culture that is patient centered. More often, a lot of focus is usually labeled on leadership at the various unit levels. Leaders play an integral role in helping teams establish culture that not only provide quality care for the patients but also safe environment. However, the challenges named above in the nursing arena can be changed through the incorporation of Berwick model (Description to prescription) and the implementation of SBAR.
The changes in the model and implementation
Melnyk & Fineout-Overholt (2011) recommend an approach of instilling a culture of patient safety with the aim of providing patient quality care based on four fronts. The first front encompasses creation of leadership, tools, research, and protocols related to patient safety. The second approach entails the identification and creation of learning environment from errors that emanate while the third one consists of creation of system for safety at the delivery level. On the other hand, the forth approach involves raising the standards of performance to enhance improvement . The existence of oversight organization, professional groups, and healthcare purchase are crucial in raising the above mentioned standards.
The changes illuminated above involve the incorporation of the model's steps for change. The steps are finding innovation and the innovators, provision of support for those who adopt the changes at the initial stages, championing for early adoption, enhancing reinvention, creation for a slack change, and leading through being cognizant to the changes. Finding innovation is achieved through creation of a robust program for patient safety where individuals have the leverage can either test or share ideas. It is prudent to comprehend that this is only possible when a culture for safety is developed. The leaders should be at the forefront in promoting the culture. It is the responsibility of the nurses of ensuring that the patient safety measures and quality of care are adhered to. The innovators in the safety program consist of all the professional health providers in the healthcare (ANA, 2011). They champion new modalities of plummeting the challenges in the complexity of the fast changing healthcare environment. Masters (2014) asserts that there is the believe by the general public that technology is vital in improving the efficiency, safety, quality, and cost in the healthcare sector. Interestingly, the technologies at times introduce some level of adverse events and errors. Problems may emanate from the technological devices. Despite the fact that the use of advance technology is relatively beneficial, the realization of these benefits may create some pitfalls.
The poor design of the technology may not adhere to both the ergonomics and human factor principles. Moreover, the interface of the technology with the environment or the patient may not be desirable. Besides, the limitation of these technology may also emanate from inadequate planning for the implementation of the changes (technological practices). Admittedly, the delivery and conceptualization of nursing care has been transformation of the nursing care by the increasing complexity of the patient technology (Eileen, 2011). Before the incorporation of technology into healthcare delivery, nurses depended on the use of their senses such as touch, sight, hearing, and smell while monitoring the status of the patient, as well as, detecting changes. However, the these aspects were completely changed by the emergence of designed technology for detecting physical changes in the conditions of the patients. Technology in the context of being part of innovation is not only part of the problem but also offers significant solution to the healthcare safety. Lippincott, Williams & Wilkins (2007) warn of the possibilities of introduction of errors that are not yet known in the adaptation of changes in the safety programs. For an instant, the healthcare provider or practitioners and the nurses may emphasis on obtaining data from monitor (screens). Consequently, on some occasions, they usually fail while attempting to detect clinical changes in the clinical arena or status. The challenges often surface due to the volume of the changes in the safety practices and the complexity of the changes.
The other vital step as mentioned earlier is the reinvention of the practices in the healthcare sector by synchronizing the practices, as well as, the creation of the slack for change. This ensures that the changes incorporated into the system commensurate with those that are perceived to promote safety nursing practices. For example, the practices and systems that promote healthcare safety can be accommodated while those that do not can be discarded. Masters (2014) maintains that this can only be achieved through the creation of a well coordinated leadership structure at all the unit levels. It is through the leadership structures that the mandates labeled to the different sectors can be enacted effectively. Lippincott & Wilkins. (2007) support by asserting that the creation of the slack for change helps in bringing the nurses and other healthcare providers on board (Eileen, 2011).
The DNP-prepared nurses have been integral facet in transforming the system of healthcare. There has been an increasing concern in the increase in the gap between practice and research. The clinicians, on the other hand, are not adequately equipped and prepared to evaluate and apply the findings of the research, as well as the engagement of the practices that are evidence based. The changes in the healthcare requires the comprehension of the clinicians on the delivery of healthcare. For the translation of the research to be effective, the experts in the clinical practice and those in the research need collaborate. The qualified DNP-prepared nurses are help in plummeting of the gap mentioned above (Melnyk & Fineout-Overholt, 2011).. They have the ability to comprehend the research findings that if actively applied then they can elevate the safety standards of the practice.
In the implementation of the SBAR, communication is also perceived as a major concern in the healthcare esp...