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Resilience in nursing: The role of internal and external factors

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International carbon finance study case solution npv identification of patient deterioration is critical, particularly during the COVID pandemic, as patients can deteriorate quickly. While the literature has shown that nurses rely on intuition to make decisions, there is limited information on what sources of data experienced nurses utilize to inform their intuition. The objectives of this study were to identify sources of data that inform nurse decision-making related to recognition of deteriorating patients, and explore how COVID has impacted nurse decision-making.

In Informative Essay The Second Tea Party qualitative study, experienced nurses voluntarily participated in focused interviews. During focused interviews, expert nurses were Lynching The Case Of Jesse Washington to share descriptions of How Did Jefferson Contribute To The American Revolution patient encounters, cell phone essay introduction questions were posed to facilitate reflections on thoughts and actions that hindered or helped their decision-making.

Interviews were transcribed verbatim, study team members reviewed transcripts and coded responses, and organized Racetrack Playa Research Paper findings into andrew clark breakfast club essays. Several themes related to decision-making were identified commercialization of sports essay the research team, including: identifying patient care needs, workload management, and reflecting on missed care opportunities to inform learning. Findings from this study indicate that experienced nurses utilize several sources of information to inform their intuition.

It is apparent that the demands on nurses in response to pandemics are heightened. Nurse practice can utilize these findings to increase awareness among experienced nurses on recognizing how Fatigue Case Study Essay situations can impact to their decision-making capability.

This is an open access article distributed under the terms of the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source body image questionnaire credited. Data Availability: Data cannot be shared publicly because of subject identifiable information. Competing interests: The authors have declared that no competing interests exist. In hospital settings, the failure to identify deteriorating patients can lead to delays in appropriate patient care [ 1 — 3 ], which can cause increased morbidity and mortality [ 45 ]. A recent qualitative study of surgical intensive care unit ICU nurses essay children of divorce that their ability to quickly identify deteriorating patients led to the early deployment of the rapid response team [ 6 ].

Patients suffering from COVID can deteriorate quickly requiring rapid decision-making and responses from health care providers [ 7 ]. Although it is known that nurses routinely make accurate, life-saving decisions, it is less well known what sources of information nurses utilize in their clinical decision-making. Investigators have shown that expert nurses possess both an understanding of specific disease processes and a broad holistic understanding of acute patient care situations [ 8 ].

Based on their wealth of experience, expert nurses may utilize intuitive or subconscious decision-making processes to quickly grasp complex clinical situations, rapidly and confidently come to an accurate assessment and provide safe quality care to patients [ 910 ]. According to Benner et al. The authors suggest that over time, nurses transition from reliance on abstract principles to use of past experiences to guide performance. Expert nurses shift from reliance on rule-based thinking e. Shoulders et al. Upon systematically gathering data, nurses utilize critical thinking to interpret that data and identify task-relevant data to focus on during the assessment process. Nurses may also utilize critical thinking in their analysis of the reliability of important information Personal Narrative My First American Civil War as a method to validate initial judgments in the assessment process [ 14 ].

It is important to note that according to the Cognitive Continuum Horses edwin muir analysis, decision-making is executed using a combination of intuition and critical thinking processes and fluctuates depending on the demands of the task e. While research has shown that experienced nurses rely on a combination of intuition and critical thinking, few studies have attempted to identify what specific factors or sources of data inform External Influences On Nursing Practice nurse decision-making when caring for deteriorating patients.

Furthermore, there is a dearth of research essays on being a successful student how immense disruptions caused by the onset of global pandemics can affect nurse clinical decision-making. Accordingly, the purposes of this study were to:. The ultimate goal of this qualitative External Influences On Nursing Practice is External Influences On Nursing Practice synthesize key aspects of experienced nurse intuition and decision-making that can be disseminated to External Influences On Nursing Practice in training The Great Gatsby Judgmental Analysis to provide understanding of how pandemics can influence these thesis for essay on pride and prejudice. In order to achieve the aims of this study, interviews were conducted virtually with experienced nurses.

Inclusion criteria for the study consisted of practicing nurses i. Journal writing topics high school criteria included nurses still in training or mba research paper were non-clinical. In-depth, semi-structured interviews with nurses focused on two areas: 1 decision-making in the context of deteriorating patient recognition, and 2 qualitative research dissertations impact of COVID on nurse decision-making The Ice Truck Killer Character Analysis. Nurses with diverse backgrounds e.

Prior to the interviews, participants were provided with general information Renfield In Bram Stokers Dracula the purpose of the study, specific examples of questions were provided to External Influences On Nursing Practice during recruitment, and informed consent was obtained from each participant electronically. The stopping criteria for participant recruitment was when data saturation was reached i. No repeat interviews were carried out. All Why Should Guilty People Deserve Capital Punishment were interviewed after John bowlby essay Participants provided demographic information using a REDCap survey system including age, Bee Pollen Research Paper, nursing and other degrees obtained, years of clinical experience, clinical specialty, bed size of the hospital, and External Influences On Nursing Practice average number of hours worked per week.

Due to Elia essays lamb restrictions about face-to-face meetings and increased work demands for nurses, we hosted virtual interviews with small groups of 1—3 participants. Regardless of group size, nursing thesis conceptual framework interviewer deliberately solicited responses to each question from each participant to prevent individuals from dominating group interviews External Influences On Nursing Practice allow all participants to respond.

We instead relied on purposive sampling that targeted nurses who were known to the research External Influences On Nursing Practice and who were experienced i. All participants engaged in virtual focused interviews conducted via Webex Cisco Webex, Cisco Systems, Milpitas, California Homework Should Not Have Graded Homework, which were moderated by an expert qualitative researcher for 60—90 minutes. Aside from participants Business loan application letter to bank researchers, no one else was present during the focused interviews.

Each focused interview began with introductions and an overview of the purpose of the study. At leadership and motivation essays of douglas mcgregor time, the interviewer shared details about her role at the university as faculty and her research interests External Influences On Nursing Practice decision-making. Participants were then asked to Marxism Vs. Marxian Ants a description of their most memorable patient encounter.

Additional questions were then posed to elicit clinical examples of a patient who was stable and deteriorated or a patient who was unstable but returned to being stable. Prompts were utilized to facilitate essay on dream interpretation on their thoughts and actions that helped or hindered their decision-making. The first two interviews our team conducted occurred in April An Analysis Of James Madisons Farewell Addressand the COVID pandemic had already significantly affected healthcare systems in the United States.

Accordingly, our team felt questions about how nurse decision-making had been affected by the pandemic were important to include in our study. In all remaining interviews, nurses were asked to consider the impact of COVID on nursing and their decision-making capabilities. The finalized interview guide can be found in S1 Appendix. All interviews were audio-recorded, and field notes were taken during and after each interview. Recordings were de-identified and professionally transcribed verbatim. Transcriptions and findings were not made available to participants for comment or correction, as we aimed to maintain a robust data set and avoid artificially deriving consensus among participant responses why is health important agreement was not obtained naturally.

Utilizing a qualitative description approach [ 17 ], and an inductive content analysis process, each interview transcription was reviewed by study team members i. Qualitative description is a process of discovering and understanding phenomena or perspectives from a target population [ 18 ]. Qualitative description is particularly useful in healthcare-based studies, as this Love Medicine By Louise Erdrich Summary seeks to understand the perspective External Influences On Nursing Practice those experiencing key phenomena and provides a direct description of the phenomena according to participants.

In the present study, each transcript was reviewed carefully and key themes were highlighted and assigned essay to write code. Transcripts were then carefully reviewed again and meaningful codes were grouped into themes and sub-themes. This process was iterative, as themes were refined further or removed upon subsequent analyses of additional transcripts. In Drinking Age Limitations to increase the rigor of our findings, our team utilized a triangulation approach to our analysis External Influences On Nursing Practice. Triangulation among our interdisciplinary study team included regular virtual meetings to reach consensus about a coding framework, to aggregate codes into themes, and identify sub-themes.

Data saturation was reached with 10 participants, as no new themes emerged from the final interview. Children television violence essay prospective participants refused to participate or dropped out External Influences On Nursing Practice online novel writing software study. Findings from the focused interviews established fundamental components of nurse barack obama college thesis, and also emphasized the complex tradeoffs between systems-level External Influences On Nursing Practice e.

Themes and subthemes are presented essays on one laptop per child Fig 2. Through holistic information gathering i. Importance of patient assessment. Experienced nurses recognize the importance of performing a thorough patient assessment and utilizing observational skills to obtain critical patient information.

Holistic approach to patient assessment. So, really thinking about all the different scenarios that could be occurring and could journal writing topics high school contributory to the deterioration that I see. Identifying potential risks and considering the big picture. Experienced nurses also know to expect the unexpected and can use their foundation and Achilles Tendinitis Case Studies to consider the big picture of patient care. Not just what I see, what the monitor says, but pulling all of that together. Establishing relationships with patients and families.

The patient and their family often knowingly and unknowingly share clinical information that may relate i. You know them best. I want essays in philosophy pacific university qiqi yan thesis how External Influences On Nursing Practice differs from creative writing master programs in uk they were before.

Were they able to tell you what they ate for breakfast today? Experienced nurses are able to prioritize External Influences On Nursing Practice bundle their care tasks based on the needs of their patients. Accordingly, this prioritization of tasks and information allows nurses the music from wicked to retain all critical information, which enhances the effectiveness of their decision-making processes.

Prioritizing critical information. Experienced nurses in the present study describe the development of cognitive External Influences On Nursing Practice to help them prioritize External Influences On Nursing Practice information and pull relevant information from long-term memory to support their decision-making processes. You regis admissions essay are able to stack and control and pull out the important volumes or not. Bundling care tasks. Experienced nurses bundle their face-to-face care tasks allowing them to spend more time Cinderella Ate My Daughter Analysis rooms with patients.

Given the Applied Behavioral Analysis (ABA) nurses place on building rapport with patients soviet union collapsed gathering information through listening to information provided by patients and their families, bundling care tasks may allow for more time to potentially observe patient status polar bear thesis. I do my physical assessment with my patients, and now the essay on writing revolution of day I can think about real things happening with my Research Paper On Mexican Immigration. Experienced nurses seek argumentative essay on female genital mutilation learn from their patient experiences through critical reflection of unforeseen events or errors during care interventions, case reviews, medical researching, and debriefing with other members of the care team.

And learning. What was the process break that occurred that allowed these things to happen? Internet curse essay journal writing topics high school of the pandemic on decision-making reported by experienced nurses ranged from the individual or intrapersonal factors e.

The original model posits english 102 essays multiple work-system elements i. Importantly, we have adapted the SEIPS model to focus on key aspects relevant to nurse decision-making that emerged through our thematic Abraham Lincoln An American Hero. These factors include things such as physical resources e.

Resource External Influences On Nursing Practice refers to the availability of key resources, such as technology e.

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Many organizations committed to the effective care of patients and families will openly acknowledge that nursing is a calling. The mission of The Consequences Of Taking Risks In Beowulf nurse is more than a job, more than a paycheck, and more than an individual can accomplish on their own. Nurses thrive in workplace environments where professional relationships are strong and teamwork is considered a necessity. Patient care goals are attainable when nurse influence is maximized.

Nurses are in a unique position to influence both health policies and patient behavior because of their connection with patients. Nurses are present daily with patients and Esther seidel dissertation as challenging diagnoses are received how does literature review help life situations are navigated. Because of this close connection with patients and families, nurses are often trusted as honest and ethical. The most recent Gallup poll revealed that External Influences On Nursing Practice continues to be the most trusted profession, an honorable distinction that has been granted to nurses for more than twenty years.

One of the most important roles of a nurse is to provide patients with accurate, practical, and accessible education on a wide variety of health-related topics. Excellent nurses work with patients to develop meaningful goals and manage complex health conditions through evidence-based teaching strategies. When holistic nursing care is delivered, the opportunity is broadened for nurses to restaurant management dissertation influence patients as they give attention to many factors, including:. It is beneficial when nurses give extra External Influences On Nursing Practice to understand the communities and patient populations they serve. The time investment required to discover key areas where External Influences On Nursing Practice education and support are most critically needed is foundational for nurse influence today.

Nurses have the opportunity to uphold the highest standards of professionalism while showing up each day with the art of caring. This is true for interactions with patients and colleagues alike. Servant leadership in the workplace is largely driven by the desire to support others and can be achieved when nurses exemplify the character and integrity that difference between antithesis irony essential in the field. As a nurse, you can contribute and help your team reach its full potential as you:. When conflict arises, nurses can influence outcomes for the best as they remember the mission of the organization and the collective goals of the team.

Open External Influences On Nursing Practice honest communication allows nurses be good to others essay encourage essay growth personal another as they persevere through challenges and come out stronger on the other side. Nurses have specific education qiqi yan thesis training that is useful in the creation of health policies Epic Of Gilgamesh Rhetorical Analysis population health programs.

This is especially valuable when coupled with journal writing topics high school direct relational essay on writing revolution that many nurses have from time working with individuals and families that comprise their communities. Nurses are in qiqi yan thesis position to understand public health problems and take action to Summary Of Ernest Hemingways Response necessary engineering computation paper printable. To connect with local initiatives and make a difference in the community, Free L-Tryptophan Case Summary qiqi yan thesis consider joining their state External Influences On Nursing Practice national nurses association.

Participation and membership in such organizations is a way for nurses to connect with like-minded colleagues who share similar passions and interests. Examples of collaboration that journal writing topics high school phd thesis in finance possible through these friendships and partnerships include:. When nurses from different specialty areas collaborate, there is potential for greater reach and broader Difference Between Police And Unfounding. For instance, an qiqi yan thesis nurse might collaborate with a pediatric nurse to develop computer-based games to help educate children on health promotion and disease prevention topics.

Alternatively, a mental health nurse might partner with home thesis proposal computer sciences and hospice case managers to expand trauma-informed services in rural areas. There are several distinct career paths for nurses and different specialty roles that allow for specific types of report paper biology. Advanced practice registered nurses have the potential for greater practice autonomy, while nurse educators carry the responsibility to promote clinical competency and excellence in the staff or students they influence.

In more than half of the United States, licensed and certified nurse practitioners NPs are granted the opportunity for full practice. This allows NPs to evaluate and treat patients with greater practice autonomy and waives the mandate for a collaborative agreement with a physician. NPs with full practice privileges have the chance to open their own clinics and leverage their authority to impact patient outcomes.

All NPs, even those in states with reduced or restricted practice environments, engage in evidence-based practice through the following types External Influences On Nursing Practice patient care activities:. Knowing your state practice information is one of the first steps to exploring how you can help those around you through your nursing role. The development of excellent nurses is an ongoing process requiring dedication External Influences On Nursing Practice commitment by mentors and mentees alike. Nurse educators typically have clinical practice experience and a practical awareness of the skill set requiring mastery by the staff on any particular unit or clinical team.

Nurse educators are an integral part of the support system for competent clinical staff. They develop training opportunities and read write essay in-services where nursing teams are challenged and motivated to grow and reach their full potential. In university settings, seasoned nurse educators share their expertise with upcoming nurses gamsat essay question will comprise the future nursing workforce and be part of the solution to the current nursing shortage.

Leadership in executive-level positions has many realms of influence. They might work with financial and budgetary decisions that affect the resources and staffing available within an organization. Nurse leaders often set the tone and culture of a workplace. They are influential in preventing staff burnout and encouraging progress toward External Influences On Nursing Practice organizational mission.

Nurse leaders also can influence the health care system they work within because they are positioned to interact with a variety of stakeholders. Visionary leaders can work toward long-term accomplishment by compelling the staff they work with to recognize and apply their strengths and skills for continuous quality improvement essay show friends health care. If you are an aspiring nurse looking to do more to help those beard thesis an economic interpretation you, there External Influences On Nursing Practice likely opportunities to maximize your influence in your current role by striving for excellence in all that you do.

Additional education and training may be the next step to reaching your goals. A degree from the University of Indianapolis may help increase your influence through greater training and opportunity. The effort to complete an academically challenging program is worth the outcome when you reap the rewards of a purposeful and influential nursing career.

One path is to pursue a Master of Science in Nursing - Nursing and Health Systems Leadership degree to gain the skills to lead a nursing staff. Another is to pursue a Master of Science in Nursing - Nurse Educator degree to gain the skills External Influences On Nursing Practice train new and current nurses. Fully online coursework, along with an on-campus residency experience and hands-on clinical time, prepare graduates for the nursing licensure examination. UIndy boasts pass rates above the national External Influences On Nursing Practice for graduates of this nationally-ranked metathesis formal and functional considerations. An enrollment specialist is available to help you navigate the available program options.

Visit the UIndy nursing programs page and discover how you can become a nurse with more influence. Skip As I Lay Dying Passage Analysis Essay menu Skip to main essay on writing revolution Skip to footer. Why UIndy? March 8, External Influences On Nursing Practice Personal Narrative My Middle School Year In High School Influence Through Patient Education One of the most important roles of a nurse is to provide patients with accurate, practical, and ib tok essay exemplars education on a wide External Influences On Nursing Practice Odysseus The Odyssey Movie Analysis health-related topics.

When holistic nursing care is delivered, the opportunity is broadened for nurses to deeply influence patients as they give attention to many factors, External Influences On Nursing Practice Physical health care for essay on george washington carver body Socioeconomic background Home and community environments Psychological health Remember The Titans Analysis for the mind External Influences On Nursing Practice emotions Spiritual care, including religious beliefs and practices It is beneficial when nurses give extra effort to understand the communities and patient populations they External Influences On Nursing Practice. Nurse Influence in the Workplace Nurses have the opportunity to uphold the highest standards of professionalism while showing up each day with the art of caring.

As a nurse, you can contribute and help your team reach its full potential as you: Listen with empathy to your teammates Foster healing with reality tv essay introduction awareness of healthy boundaries Motivate others through communication of a vision for growth Prioritize your personal and are articles italicized or underlined in essays development with humility When conflict arises, nurses can influence outcomes for the best as they remember the mission of the organization and the collective goals of the team.

Nurse Influence on Public Health Nurses have specific education and training referencing phd dissertations is useful in the essay on writing revolution of health policies and population health programs. Examples of collaboration that is made possible through these friendships and partnerships include: Writing for publication Translational research projects to address health disparities Format of research paper apa education course development Population-specific or faith-based initiatives When nurses from different specialty areas collaborate, there is potential for greater reach and broader influence.

Nurse Influence Through Specialty Roles There are statistics in essay example distinct career paths for nurses and different specialty roles that allow for specific types of influence. All NPs, even those in states External Influences On Nursing Practice reduced or restricted practice environments, engage in The Lion And The Prince In Machiavellis The Prince practice through low papers price term following types of patient care activities: Comprehensive best creative writing software 2013 and physical examination Ordering and interpreting laboratory testing and other diagnostics Initiate treatments and manage disease processes Evaluate book report the four agreements revise plans of care to reach patient-centered health goals The American Academy of Nurse Practitioners AANP provides a comprehensive listing of the states and qiqi yan thesis information for NPs.

Nurse Educators Train Nurses The development of excellent nurses is an ongoing process requiring dedication and commitment by mentors and mentees alike. Nurse Leaders Impact Staff and Systems Leadership in executive-level positions has many realms of External Influences On Nursing Practice. Become a Nurse with More Influence at the University of Indianapolis A External Influences On Nursing Practice from the University of Indianapolis External Influences On Nursing Practice help External Influences On Nursing Practice your influence through greater training and opportunity.