In this essay, we will explore the nursing practice setting of a decision to change a procedure or practice. We will discuss what steps were used in the decision-making process, as well as the evidence considered for that decision. We will also look at whether or not the change was effective, and if so, provide rationale for our view.
The change in question was made after a review of patients’ charts revealed that they were receiving inadequate care based on their records. The patients themselves were not aware of this lack of follow-up, but the nursing staff members on duty at the time knew that it was happening. In order to correct this problem and ensure that all patients received proper care, a new policy was created for how to follow up with these patients.
The first step taken was to create an objective function statement (OFS) for why it was important for all patients to receive adequate treatment. The OFS stated that “all patients should receive appropriate follow-up care.” This statement set up an expectation from both providers and consumers that all patients should have adequate care provided by their providers. It also established expectations from providers on how they should treat those.
The nursing practice setting of how a decision was made to change a procedure or practice is the decision-making process that was used in the case of Kate.
In order to make a decision on whether or not to change the procedure or practice, I reviewed several different factors. First, there was evidence presented by Kate and her family members that showed that they had been suffering from pain for years, but were unable to get any relief through traditional medical treatments. Second, I reviewed the literature on burn care and how to treat burns in children. Third, I looked at the patient’s own experience with burns over the past three years and how they had treated their own burns at home.
After making my decision, one of my main goals was to ensure that this change would be effective for Kate. To do this, I interviewed her about her level of comfort with having an artificial limb instead of an amputated one. This interview revealed that she felt very safe with having an artificial limb as opposed to having an amputated leg because it felt like he could still feel everything that would normally go through his body when walking on.
The decision to change a procedure or practice was a difficult one. Nurses are always looking for ways to improve hospital environments and make them more patient-friendly, but sometimes it’s necessary to make changes that will impact services and patients (Houser 2011). In this case, the nursing practice setting was concerned about the use of latex gloves in a surgery room. They felt that there were many times when nurses aren’t adequately protected while performing procedures, such as when they are washing their hands. The nurses believed that if they changed their practice to not use latex gloves in surgery rooms anymore, it would help reduce infections and improve patient care.
The decision-making process began with an assessment of the benefits and drawbacks of changing their practice before making any recommendations to management. They conducted a literature review on this topic and found that many studies had been done on how latex gloves can cause infection rates for patients during procedures. They also found that there were no studies showing how changing practices would affect infection rates for staff members handling patients during procedures or for those who were working directly with patients’ wounds—such as nurses preparing them for dressing changes or applying bandages after an operation.
After conducting these research searches, the nursing practice setting decided they should keep using latex
The decision to change a procedure or practice was based on a review of the evidence.
The nurse in question felt that the amount of time it took to perform the procedure was too long. The nurse did not feel that they were able to effectively provide care during those times, and they wanted to improve the experience for their patient.
References
Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine & ebrary Inc. (2011). The future of nursing leading change advancing health. National Academies Press. Retrieved September 26 2022 from http://site.ebrary.com/lib/siouxfalls/Doc?id=10454964.
Houser J. & Oman K. S. (2011). Evidence based practice an implementation guide for healthcare organizations. Jones & Bartlett.