NUR204_wk9_assn_bHallDamas_090819

Assignment: LeadershipNUR204Beatrice Hall-DamasChange in Nursing Care PracticeNursing is a very important nationwide career in the healthcare industry that deals in providing care to individuals, assist with families ‘support, and communities. The goal intention of a nurse is to help people feel better and help them go through to their recovery to have a better quality of life. Nurses work within healthcare facilities such as nursing skills facility/rehab, detox, homecare where they take care of people in needs. Despite nursing services being important and sensitive, they are have many challenges that makes them unsafe and sometimes problematic in nature. Nurses have a lot of procedures and practices and some are effective and commendable (Shefer, et al., 2014). Healthcare milieu observation – The milieu in which nurses work may have major impact that can affect nurses practice care. It is the duty of nurses to follow the standard of care within scope of practice to obtain thorough patients health history in order to gather as much details regarding patients visit and record them in their medical history. Those details are used further during head to toe assessment/physical examination where nurses undertake a patient through steps of examinations in the body to determine the Etiology/pathophysiology of abnormalities. Problem diagnosis and nursing change theory – It is a fact that patient problems are unique and differ from one to another and having a personal and family medical history can go a long way in guiding the nurse on specific tests and examinations to take the patient through. Investigative procedure is not entirely accurate, and the practice is also outdated (Oyedokun, Adeloye, & Balogun, 2016). It is evident that gathering information using investigative strategies is a manual way of doing it and in the present day. Change implementation using the identified nursing theory as in the nursing process- To implement the change that would diagnose the problem, Lewin’s theory of nursing can be applied. The theory is composed of three important stages that must be cautiously taken into consideration in a professionally manner. According to Udod, & Wagner, (2018); these stages are; the unfreezing, change, and the refreezing stages because all necessary cautions are applied. In the freezing stage, the change is introduced to the facility management team and all healthcare workers that the change might affect in this case being nurses. In this stage, demonstrations and effective communication is done with feedback to facilitate learning and promote understanding. Refreezing is the last stage and it entails following up the change to make sure that the desired goals/outcomes are achieved. The proposed change is expected to take between two months and two months and a half. Within this time, the three stages will be handled. Every stage will have a specific timeframe as specified below: unfreezing stage – 2 weeks, change stage – 1month, refreezing stage – 2 weeks, and unexpected occurrence 2 weeks. Every stage will be evaluated to determine if goals are met before the next stage can be approached. The proposed change will be a positive impact, which will affect the nursing profession. To start with, it is a change that is promoting career advancement as well as personal growth and development. The nurses would feel comfortable when handling patients care in general and the methods would make the practice and the facility as a whole appear modern, ethical and professional in the eyes of the general public. ReferencesUdod, S., & Wagner, J. (2018). Common Change Theories and Application to Different Nursing Situations. Leadership and Influencing Change in Nursing Shefer, G., Henderson, C., Howard, L. M., Murray, J., & Thornicroft, G. (2014). Diagnostic overshadowing and other challenges involved in the diagnostic process of patients with mental illness who present in emergency departments with physical symptoms–a qualitative study. PLoS One, 9(11), e111682.Oyedokun, A., Adeloye, D., & Balogun, O. (2016). Clinical history-taking and physical examination in medical practice in Africa: still relevant?. Croatian medical journal, 57(6), 605..