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Major words in a proper name or theory should begin with capital letters - like Orem's Self-care Deficit Theory. For noun/pronoun agreement, both should be singular or both plural as in the nurse, she (not they). '.....and encourages the patient to take an active role in their(her) individual care.' Use commas to separate words and word groups in a simple series of three or more items, including a comma before the 'and'. 'Active engagement, open lines of communication(,) and a respect for the individual's individual values and preferences......' Avoid extra words that add no meaning to a sentence - fully, in order, to be able to, and own. '.....is consistent with this approach to emphasizes(emphasize) active engagement,.....' Use an apostrophe only to show possession. '.....one of my favorite nursing theory's(theories) and is one,.....' Add 'a', 'an', 'and' or 'the' as needed. '.....when it comes to addressing (a) self-care deficit in the patients we serve,.....'
Below work
How the selected nursing theory or model is relevant to your specialty track
I chose to pursue a masters in nursing informatics in hopes of reducing time spent on the computer and streamlining the nurses work so that the patient can feel as though they are being heard. The nursing theory that is most relevant to my goal in the nursing informatics world is, Jean Watsons Theory on Human Caring Science. Watson believed that a nurse's ability to care, can affect human development and she also believed that humans are adaptive and holistic beings (McEwen & Wills, 2019). As many of us know, we spend more time asking the patients a list of questions so that we can check off a"task" or "to do" list. We all want basic "yes" "no" answers, we stop patients when they are going on and on, and we are constantly rushing to get the documentation done to move on to the next patient. I am guilty of a saying something to me and just nodding my head "yes" when in reality I have no idea what they actually said because I was too busy documenting. I became tired of hitting metrics for the hospital at my patient's emotional expense as well as my physical, mental and emotional well-being.
A Brief description of the issue concern
The future of our nursing world seems to be heavily reliant on advances in technology. With advances in technology comes other challenges. To list a few; constantly learning new systems, getting used to new lay outs of systems after updates and inputting sufficient documentation into the electronic medical record. I have found as a floor nurse that these "rollouts"of new systems or new documentation protocols are very last minute for the nurses working in the trenches and results in the nurse spending more time with their computer than with their patient. Explanations are not given as to why these changes are being made, we are not told of the benefits of the
changes and we are not involved in what would benefit us or our patients in these changes. As a nurse pursuing informatics my goal is to be out on the floor with the nurses helping to determining what can be done to allow more face-to-face time with patient as opposed to face-to-computer time. Strudwick et al. (2022) discusses their study on electronic health records and
the burden causing nurse burnout While previous initiatives have focused on expanding the design and functionalities of EHRs for research purposes to support clinical decision-making and assist with patient risk assessments, the growing burden caused by documentation requirements has overshadowed these efforts and led to inefficiencies in the EHR, taking time away from patient care activities and reducing joy in the profession.
There are already a variety reasons in nursing that cause burnout. It is
important to limit the amount of "administrative" work a nurse is doing in
order to focus on critically thinking for their patients benefit. I find that we
are almost too robotic-like in our field because of metrics and this can result
in important findings being missed at the bedside
How the selected nursing theory or model can be used to guide the
resolution of the issue/concern?
Jean Watson's theory can be used to guide the resolution of this issue
because bedside nurses want to feel as though they are doing a good job in
taking care of their patients. Nurses care about their patients and feel guilty
when they don't feel as though they cared well for a patient that day. If I am
able to help the bedside nurses by listening, caring and findings solutions to
cut down documentation or to remove unnecessary information from a
nurse's workflow then I think this will help to give some time back to the
nurse to spend at the bedside. There are many different areas of nursing and
each area should have a very specific workflow, some workflows are too
broad and chaotic.
How does your philosophy of nursing connect to the application of theory to manage this situation?
I chose Jean Watsons theory on Human Caring Science because this theory
best guides my nursing practice/philosophy of nursing of being morally and
ethically good. I have found throughout my career that one of the biggest the
complaints among nurses seems to be that no one asks the nurse working in
the trenches for their opinions. So many things are implemented with no
notice and the nurse is just supposed to deal with it. I have found that you
have patience, caring and compassion and give nurses adequate training for
changes that are being implemented, then those nurses feel appreciated and
heard. I find that many things go on behind the scenes (especially in nursing
informatics with ever-changing electronic medical records) and not every
nurse can keep up with the constant change. Nurses feel the burden of
technology and would like to spend more time with their patients so that the
nurse feels fulfilled in his/her career and so that the patient feels cared for
and heard as well.
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