Feb 23, 2024 NURS 8002 Blog The DNP-Prepared Nurse and Their Community
A Sample Answer For the Assignment: NURS 8002 Blog The DNP-Prepared Nurse and Their Community
Lengthy hospital stays can have several negative effects on a person’s health. This contributes to muscle weakness and loss, increased risk for infection, functional decline, nutritional issues, emotional and psychological impact, and sleep disturbances. The presence of co-morbidities and risk factors of cardiovascular diseases, a longer LOS during an initial HF hospitalization has been linked to poor clinical outcomes (Tigabe et al., 2022). Heart Failure (HF) is the leading public health problem associated with frequent hospital admissions, prolonged length of hospital stays, increased healthcare costs, and mortality rates (Tigabe et al., 2022).
To mitigate these poor health outcomes, hospitals and healthcare providers implement various strategies such as early mobilization, infection control measures, nutrition support, psychological support, and enhanced patient education. Healthcare teams need to prioritize patient well-being and implement measures that promote a safe and timely discharge from the hospital whenever possible.
Nurses are the main professional component of the ‘front-line staff in most health systems, and their contribution is recognized as essential to meeting development goals and delivering safe and effective care (Buchan, 2008). However, many organizations are faced with insufficient nursing staff to provide dedicated patient care. Staffing shortages in healthcare settings can have a range of negative effects on patients. This can contribute to delays in patient care, increased workload of staff, poor patient monitoring, ineffective communication, and patient engagement.
Also, other issues are a risk of medication error contributing to a negative impact on patient care. Addressing staffing shortages is crucial to ensure quality patient care. Healthcare organizations can work towards improving staffing levels by recruiting and retaining healthcare professionals, implementing appropriate staffing ratios, and providing support and resources to staff members. Adequate staffing not only benefits patients but also supports the well-being and job satisfaction of healthcare providers.
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References:
Buchan, J., & Aiken, L. (2008). Solving nursing shortages: a common priority. Journal of clinical nursing, 17(24), 3262-3268.
Tigabe Tekle, M., Bekalu, A. F., & Tefera, Y. G. (2022). Length of hospital stay and associated factors among heart failure patients admitted to the University Hospital in Northwest Ethiopia. Plos one, 17(7), e0270809.
One of the issues in my organization is the long length of hospital stay with patients. This was an important issue as it does not only affect the increase in cost, it also affects the patient’s health. Unnecessary days in the hospital may lead to increase hospital-acquired patient complications (e.g., healthcare-associated infections, falls) and increased costs for patients and healthcare systems (Tipton, 2021).
One of the practice changes that we adopted was the throughput method to help with this issue. According to CenTrak (2023), the throughput method is described as the movement of patients from arrival to discharge. This method involves the care, resources and the decision that is being made to move patients through the hospital. When this method is implemented well, it improves the quality-of-care patients receive as well as their level of satisfaction with their experience.
Another practice change that was helpful was the adoption of interdisciplinary rounds. This helped with communicating the plan for the patient’s care which in turn improves patient’s outcome. According to Reduced Hospital Days and Dollars With Interdisciplinary Rounds (2018b), according to a study, when compared, the outcome for patients receiving interdisciplinary rounds as opposed to traditional rounds found that length of stay was reduced from 6.1 to 5.5 total days, for an overall cost reduction of 17%.
Communication is important with both the throughput method and interdisciplinary rounds. The use of technology is very important in other to get a faster and more reliable result from both. DNP graduates are distinguished by their ability to use information systems/technology to support and improve patient care and healthcare systems and provide leadership within healthcare systems and/or academic settings (AACN, 2006).
NURS 8002 Blog The DNP-Prepared Nurse and Their Community
Another issue that the organization is facing is staffing shortages. With these shortages, we are witnessing healthcare workers at the bedside with less knowledge and experiences. Prognosis based on knowledge and experience and multidisciplinary treatment and care may not only save lives of ICU patients with severe and complex conditions but may also influence their subsequent activities of daily living and quality of life (Fukuda et al., 2020).
With this issue, continuous education was implemented to help with the constant change in healthcare. According to Green (2022), continuous education is important because it helps ensure that medical professionals are up to date on the latest treatment and procedures. It also helps healthcare providers maintain their licenses and sharpen their skills. Another change that was implemented was incentives for healthcare employees.
Some incentives might require employers to dig a bit deeper into their annual budgets to help attract and retain valuable staff (Walid & Walid, 2023). This helps staff feel as they valuable and paid for their worth. It also helps retain experienced nurses with greater knowledge. Knowledge of the disease process and how patient’s respond to the treatment is very important when it comes to healthcare providers. DNP graduates possess a wide array of knowledge gleaned from the science and have the ability to translate that knowledge quickly and effectively to benefit patients in the daily demands of practice environment (AACN, 2006).
Reference
Tipton, K. (2021, September 1). Introduction. Interventions to Decrease Hospital Length of Stay – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK574438/#:~:text=Unnecessary%20days%20in%20hospital%20may,for%20patients%20and%20healthcare%20systemsLinks to an external site..
CenTrak. (2023, January 19). How Busy Hospitals Can Increase Patient Flow: 6 Tips. CenTrak. https://centrak.com/resources/blog/increase-patient-flowLinks to an external site.
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice.https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
Fukuda, T., Sakurai, H., & Kashiwagi, M. (2020). Efforts to reduce the length of stay in a low-intensity ICU: Changes in the ICU brought about by collaboration between Certified Nurse Specialists as head nurses and intensivists.Links to an external site.Links to an external site. PLOS ONE, 15(6), e0234879. https://doi.org/10.1371/journal.pone.0234879Links to an external site.
Green, E. (2022). The Importance of Continuous Education in Healthcare. Caregiver Support Services. https://www.caregiversupportservices.com/the-importance-of-continuous-education-in-healthcare/
Walid, & Walid. (2023). Incentives For Healthcare Employees: Retention Strategies (Healthcare Reward). Conference Source. https://conference-source.com/nursing-incentive-programs/
A DNP-prepared nurse engages in various aspects of care to improve patient outcomes. One of such is advocacy. A DNP-prepared nurse can be an advocate for the patients, the profession, and communities. Therefore, it is vital to enact personal and professional commitment for advocacy that can bring positive impacts (Chism, 2021).
As an individual and a professional, I envision using the knowledge and skills I have acquired to influence policy decisions affecting my patients, the community, and the profession. With the knowledge obtained, I will use an expert’s voice to influence legislators to pass favorable regulations and laws.
Besides, I plan to assume leadership roles at influential leadership roles that can positively influence care decisions to support positive health outcomes among patients and communities and promote the nursing profession. For example, taking up leadership roles that would enable me to sit at the State Board of Nurses to be in a position to influence decisions.
A DNP-prepared nurse also contributes to advocacy for positive social change in several ways. One way to contribute to advocacy for positive social change is through conducting innovative research (Mathieson et al., 2019). With the research skills obtained as a DNP-prepared nurse, I will be able to conduct and understand specific care aspects of various communities, especially the marginalized and vulnerable communities, identify opportunities for positive social change and help trigger the necessary strategies for the change (De Chesnay & Anderson, 2019).
I will also seek to partner and collaborate with various community interest groups and offer expert service for fuelling positive social change. In such an environment, one of the roles I can undertake is helping the groups to formulate advocacy plans and help them implement the plans. Therefore, DNP-prepared nurses play a critical role in advocacy for patients, communities, and the profession in addition to a positive social change.
NURS 8002 Blog The DNP-Prepared Nurse and Their Community
NURS 8002 Blog The DNP-Prepared Nurse and Their Community
Vaccine and immunization legislation.
Nutritional assistance programs for school youths.
Diabetes education for elderly outpatients in a community health clinic.
Reducing the number of re-admits of patients who have had outpatient procedures.
Reducing the number of patient falls on a medical/surgical hospital floor.
Photo Credit: Getty Images/iStockphoto
I agree something needs to be done for both those issues. Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking allows the DNP graduate nurse to review and help amend policy within the system (American Association of Colleges of Nursing, 2006). For those eloping patients, there has to be a whole in the system of the organization that is allowing them to leave.
At my current facility, there are different levels of sitters. For those that are at an elopement risk, they would require a higher level sitter, trained to handle these types of psych patients. Security is also notified for those who are not assigned to the psych unit. The security would round on those who have been placed on a regular Med-Surg floor because those floors are not locked down. We also have a behavior health code.
Our employees have a button on our badge that when pressed sends out an alert. It knows our location based on the position of our badge and will echo the call to that area. The facility that I work at now has a great number of patients going through withdrawal. The changes to their system were necessary for this population of patients. Your facility will have to change its system thinking to prepare for this new population of patients.
Reference
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
These represent a few community and organizational needs, challenges, and issues that may require and merit the advocacy, skill set, and knowledge of the DNP-prepared nurse. In your role as a DNP-prepared nurse, you may find yourself the champion and advocate for improved health outcomes both at a local and individual patient level to one of a national or global and population-based level. The DNP-prepared nurse is well poised to address and advocate changes not only in a healthcare setting but in a community context to promote positive social change and positive health-based outcomes.
NURS 8002 Blog The DNP-Prepared Nurse and Their Community
Consider the needs, concerns, and topics that are most essential to your community or organization for this Discussion. Why should a DNP-prepared nurse be concerned about these needs, challenges, and issues?
To get ready:
Examine the Learning Resources for this week and think about which local issues/topics are most relevant to your community. or an organization Find articles about your community or organization that illustrate the need for doctorally prepared nursing intervention.
Consider why these local issues/topics are important to you as a DNP-prepared nurse.Consider your role as a DNP-prepared nurse in addressing these local issues/topics, as well as the kind of practice modifications or interventions you might offer to effect needed change in your community or organization.
By the third day of Week 7,
Post a comment on your blog describing at least two of the most pressing needs/challenges/issues in your community or organization. What is the significance of these needs/challenges/issues? Make your point. Then, identify at least two practices or interventions to address these needs/challenges/issues in your community or organization. Make certain that your job as a DNP-prepared nurse is aligned with the AACN Essentials.
NURS 8002 Blog The DNP-Prepared Nurse and Their Community
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Many health issues affect residents in Gwinnett County, Georgia. Many lives in Gwinnett County have been lost due to cancer, heart disease, tobacco use, and long-term health issues. Many local health departments are currently focused on covid-19, but overall health promotion to prevent many of those health issues is usually the priority. It is critical to implement measures to aid in health promotion.
Wilkins (2021) makes an excellent point in stating that telling people how to stay healthy is not the only way to prevent these deaths; it is also critical to provide community features that allow residents to live a healthier lifestyle. In general, health promotion entails assisting in the prevention of obesity, encouraging healthy eating, receiving appropriate vaccinations, and, of course, encouraging the need for exercise and more healthy habits.
These issues are significant in any community, but because Gwinnett County is growing, it is becoming more difficult to care for issues that have spread from those with unhealthy habits. Carden (2021) notes that Gwinnett County is Georgia’s second most populous county, which presents a challenge when addressing public health issues.
A DNP-prepared nurse is in high demand. On the ground, nurses in the health department are already seeing these health issues. The level of care would be higher as a DNP prepared nurse, because “practice includes not only direct care, but also a focus on the needs of a panel of patients, a target population, a set of populations, or a broad community” (American Association of Colleges of Nursing, 2006). The emphasis on a community or population of patients sets the stage for additional action to improve overall care for many patients.
As a suggestion, forming “improvement teams” (Kislov et al., 2012) could aid in the reduction of tobacco use among Gwinnett County residents. Kislov’s (2012) concept of collaborating members within improvement teams driving change in their settings is a key concept. These groups can be helpful in developing a plan for patients. These would be individual work-ups for patients receiving care from the health department.
They would also rely on an intra-organizational effort to assess, plan, and implement individualized smoking cessation care for patients. Aside from those in need of assistance, it would entail disseminating appropriate knowledge about the effects of smoking throughout the community and ensuring that the community has the resources necessary to sustain the more healthy options.
References
American Association of Colleges of Nursing (2006). The essentials of doctoral education for
Advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNP
essentials.pdf
Kislov, R., Walshe, K., & Harvey, G. (2012). Managing boundaries in primary care service
Improvement: A developmental approach to communities of practice. Implementation
Science, 7(97), 97-110. https://doi.org/10.1186/1748-5908-797
Wilkins, T. (2021). Gwinnett’s health department shares data on health and community
Disparities. Data dashboard: Gwinnett, Newton & Rockdale Counties, community
Health. Retrieved October 10, 2021 from https://www.ajc.com/neighborhoods/gwinnett/
gwinnetts-health-…h-and-community-disparities/K5GSI6IZFREONGQIXPNQTDEHWI/
By Day 5 of Week 7
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by suggesting additional strategies your colleague could implement to bring about needed change in their community.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 7 Blog Rubric
Post by Day 3 of Week 7 and Respond by Day 5 of Week 7
To Participate in this Blog:
Week 7 Blog
NURS 8002 Blog The DNP-Prepared Nurse and Their Community
What’s Coming Up in Module 4?
Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
In the next module, you will explore and analyze approaches for summarizing peer-reviewed research. You will also contrast which approaches are most helpful in summarizing peer-reviewed research.
Next Module
To go to the next module:
Module 4
Week 7: The Doctorally Prepared Nurse: Community of Practice
What is meant by a community of practice?
A community of practice represents a group of individuals who share a common purpose and desire to positively impact their practice and share ideas, perspectives, and lessons learned to enhance the proficiency with which to engage in practice.
Not surprisingly, as a profession, nursing already represents a critical community of practice. Moreover, DNP-prepared nurses are uniquely poised to lead and install changes of a transformative capacity within a community of practice due to their skill set of understanding and engaging in evidence-based practice. As a future DNP-prepared nurse, how do you see yourself engaging with or leading a community of practice?
This week, you will examine community and organizational needs, challenges, and issues. You will analyze the role of the DNP-prepared nurse in addressing these needs, challenges, and issues in your Blog Assignment. You will also consider and recommend practice changes that will meet community and organizational needs, challenges, and issues.
Learning Objectives
Students will:
Evaluate community and organization needs, challenges, and issues
Analyze the role of the DNP-prepared nurse in addressing community and organization needs, challenges, and issues
Recommend practice changes and interventions that address community and organization needs, challenges, and issues
Learning Resources
Required Readings (click to expand/reduce)
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
Andrew, N., Tolson, D., & Ferguson, D. (2008). Building on Wenger: Communities of practice in nursing. Nurse Education Today, 28(2), 246–252. https://doi.org/10.1016/j.nedt.2007.05.002
Cook, D. A., Pencille, L. J., Dupras, D. M., Linderbaum, J. A., Pankratz, V. S., & Wilkinson, J. M. (2018). Practice variation and practice guidelines: Attitudes of generalist and specialist physicians, nurse practitioners, and physician assistants. PLOS ONE, 13(1), e0191943. https://doi.org/10.1371/journal.pone.0191943
Fukuda, T., Sakurai, H., & Kashiwagi, M. (2020). Efforts to reduce the length of stay in a low-intensity ICU: Changes in the ICU brought about by collaboration between Certified Nurse Specialists as head nurses and intensivists. PLOS ONE, 15(6), e0234879. https://doi.org/10.1371/journal.pone.0234879
Kislov, R., Walshe, K., & Harvey, G. (2012). Managing boundaries in primary care service improvement: A developmental approach to communities of practice. Implementation Science, 7(97), 97–110. https://doi.org/10.1186/1748-5908-7-97
Needs, Obstacles, and Problems within the Community
Throughout my employment in the Orlando, Florida area, I have observed numerous healthcare needs, challenges, and issues. I have regularly observed that patients do not stick to their dialysis schedules. We frequently see dialysis patients in the perioperative area who require surgery or other operations. During preoperative interviews with these patients, I have seen that a number of them do not stick to a dialysis regimen.
They commonly miss dialysis for a variety of reasons. The consequences of missing a dialysis appointment might be extensive. Due to missing sessions, patients may endure dyspnea, pu
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