Exploring Research and Regulation in Nursing Change Projects Research Paper

Exploring Research and Regulation in Nursing Change Projects Research Paper

Exploring Research and Regulation in Nursing Change Projects

You have identified an organization and a change project, so now what do you do?Exploring Research and Regulation in Nursing Change Projects Research Paper This assignment helps you to further identify and explore the need for change using theoretical, evidential, accreditation, and/or regulatory standards.

Review your chosen organization and the associated change project.

Research related quality improvement initiatives; applicable accreditation standards; and overarching federal, state, and local regulations.

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Analyze how these initiatives, standards, and regulations relate to your project.Exploring Research and Regulation in Nursing Change Projects Research Paper  

Create a 10- to 12-slide presentation that details your research, including

  • a brief overview of your project,
  • the quality improvement initiatives, accreditation standards, and government regulations that relate to your topic, and
  • an analysis of how each affects your topic.

Include detailed speaker notes, and a slide with APA-formatted references.

Click the Assignment Files tab to submit your Exploring Research and Regulation in Nursing Change Projects assignment, practicum hours log, and applicable practicum activity deliverable.Exploring Research and Regulation in Nursing Change Projects Research Paper

HSN 525 WEEK 5 Internal and External Forces of Change

It is important to be able to identify internal and external forces that might impact the planned implementation of an organization change project. This assignment allows you to explore communicating your proposed change through media. By making a podcast, you must be able to briefly outline your proposed change, account for internal and external forces, and provide strategies for overcoming any obstacles.Exploring Research and Regulation in Nursing Change Projects Research Paper

Explore your topic through the lens of an organization that faced similar challenges.

  • What were some of their driving and resisting forces to change?
  • How did they address the internal and external challenges?
  • Is there any way they responded that would be applicable to your topic?

Research various podcast sources like How to Podcast tutorial.

Create a 3- to 5-minute podcast summarizing what you learned and why it is significant to your project.

Include a transcript of your podcast, and an APA-formatted reference page.

Click the Assignment Files tab to submit your assignment, practicum hours log, and applicable practicum activity deliverable.

HSN 525 WEEK 4 Aligning Theory with the Organizational Change Project

Now that you understand how similar initiatives, and related accreditation and standards affect your change project, how do you implement them?Exploring Research and Regulation in Nursing Change Projects Research Paper

Choose a separate nursing philosophy, model, and theory and complete the matrix in the Nursing Philosophies, Models, and Theories worksheet provided, or create a matrix of your own (with instructor approval) for each of the following:

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  • Formal name of the philosophy, model or theory
  • Explanation of the main concept of the philosophy, model, and theory
  • An example how you would apply the philosophy, model, and theory in your project setting Exploring Research and Regulation in Nursing Change Projects Research Paper

Include a minimum of three peer-reviewed journal references (may include one electronic peer-reviewed source, such as Sigma Theta Tau International, and one reference book, such as a theory textbook).

Complete the grids provided using the information from the textbook and your research.

Define and apply each of the following terms in relation to your topic:

  • Philosophy –
  • Model –
  • Theory –
  • Nursing meta-paradigm –

Format the entire assignment according to APA guidelines, including cover page, in-text citations, and reference list.

Click the Assignment Files tab to submit your assignment, practicum hours log, and applicable practicum activity deliverable.Exploring Research and Regulation in Nursing Change Projects Research Paper

How nurses develop decision-making skills

In nursing school, nurses acquire knowledge and skills for performing nursing assessments and applying a sequence of steps when carrying out procedures. In the practice setting, patients are most likely to have good outcomes when this knowledge and sequencing are applied as nursing interventions are performed. Less than optimal outcomes, such as infection and skin breakdown, can occur when nurses skip steps in procedures or haven’t yet mastered skill sets.Exploring Research and Regulation in Nursing Change Projects Research Paper Nurses often draw upon past educational instruction as they make decisions about performance in their individual practices.

Another source of information for decision making involves the use of knowledge handed down from generation to generation as novice nurses join the profession of nursing. This handoff of knowledge is demonstrated when newly hired nurses in a hospital setting go through an orientation period where they work under the guidance of a preceptor to learn about providing care to a specific patient population, or when graduate nurses are enrolled in a residency program where they’re mentored by seasoned practitioners before they practice independently. The information provided in these learning experiences from other nurses often serves as a source of knowledge for clinical decision making as nurses encounter similar situations when caring for patients. Exploring Research and Regulation in Nursing Change Projects Research Paper

Information for decision making also comes from self-assessment, when nurses begin to reflect on their practice as they gain proficiency and can draw upon knowledge gained from past experiences of applying interventions that resulted in good outcomes. Successful strategies begin to be incorporated in an individual nurse’s personal approach to providing patient care.Exploring Research and Regulation in Nursing Change Projects Research Paper Each of these mechanisms-healthcare instruction, ritual and tradition, and personal choice-provides information that nurses use to decide how to practice in various patient encounters during their workday.1

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In the early 2000s, a call for greater clinical effectiveness (outcomes) required healthcare providers to enhance their knowledge and skills in relation to evidence. Information about EBP became more readily available and healthcare providers faced the challenge of learning how to better integrate four sources of evidence advocated for clinical decision making: clinical expertise, clinical context, patient outcomes and values, and best research evidence.3 Although clinical expertise using knowledge acquired from education, tradition, and personal choice was readily assimilated by most nurses in practice, routinely including research evidence as a natural component of decision making was, and remains today, a challenge for practicing nurses. Many experienced practicing nurses may be novice with use of the steps of EBP as a component of their practice unless they’ve pursued advanced education or attended classes or seminars to learn about the EBP process.2 Exploring Research and Regulation in Nursing Change Projects Research Paper

Healthcare organizations and leaders are under pressure to improve outcomes by creating a structure/culture/environment in which exploration of critical inquiry and the available body of evidence is an integral part of daily nursing practice. To achieve Magnet(R) accreditation, for example, an organization must demonstrate that nurses are innovators and contribute to quality patient outcomes through EBP. Exploring Research and Regulation in Nursing Change Projects Research Paper  The evolution of pay-for-performance and heightened focus on quality outcomes for regulatory bodies and payers continues to sustain the drive for EBP.

Overcoming barriers to EBP

Major barriers for nurses in adopting the EBP process as part of their daily practice are the high demands of providing patient care and limits on available time, resources, and structures. In addition, nurses within an organization may not yet have successfully demonstrated how having time and resources for EBP can support them in contributing in a meaningful way through improved patient outcomes and cost savings. Learning how to better link dollars to outcomes to portray a return on investment that demonstrates how EBP contributes to an organization’s profit margin could possibly justify additional investment in time and resources. Exploring Research and Regulation in Nursing Change Projects Research Paper

Administrators and educators continue to strive to encourage all nurses to perceive EBP as a consistent approach to providing patient care rather than an “extra” duty or project. However, the step of naturally including research evidence in decision making, instead of relying only on what nurses already know or have seen others doing, remains a complex issue in current nursing practice.

One strategy to reframe nurses’ understanding of the types of information used for clinical decision making is to categorize information garnered from empirical, ethical, personal, and aesthetic sources of professional nursing practice.4

Exploring Research and Regulation in Nursing Change Projects Research Paper