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¶ … Lewin model of change can be useful as a way of encouraging people to get motivated about changing an ingrained policy that is no longer serving the organization. The first, foundational step of the model is the need to 'unfreeze' current standard operating procedures and to convince workers of the need for change. In the scenario you described, it seems as though there was a base level of understanding of the workers about the need for more effective use of bar code medication administration (BCMA) at the end of twelve months, given the organization had already had this program in existence for one year with a compliance rate of 90%. However, there was clearly a failure in terms of the implementation of the actual change component in terms of the design of the training program. The 'refreezing' should not take place until the standard operating procedures have taken hold in a manner that shows a clear improvement over the previously-existing ones.
Management strategies to deal with the change needed to be deeper and more intensive. Using one-on-one teaching, although resource-intensive, could rectify gaps in knowledge, pairing mentors with employees demonstrating a knowledge deficit. If that was impossible for all supplemental staff, reducing class sizes and allowing for more questioning might be helpful, as would a comprehensive testing policy afterward to ensure the training took hold. Even if the proactive change is undertaken in a positive and thorough manner, there will always be a need for change in the future. Yes, backsliding is a risk but there is also danger that the new change will become just as calcified, unnecessary, and outdated as what is replaced. Change must be constant in every organization.
Reference
Lewin model of change. (2014). Mind Tools. Retrieved from:
http://www.mindtools.com/pages/article/newPPM_94.htm
Capstone comments: Discussion 2
Although many educational methods can be used to transmit nursing education, inevitably the question arises as to which one is the best. That is why I think your project is so useful. Furthermore, even if a variety of methods may effectively transmit information, it is in the organization's best interest to expend its resources in the most efficient way possible. Every teaching plan regarding nursing education results in some opportunity cost to other methods: choices must be made because resources are finite. Simulations can presumably be resource-intensive because of the time and the technology needed to engineer them. However, if they yield superior results, they are well worth the investment. Lecturing may be cheaper, but as you note, if it is quickly…
Nursing Informatics NEW COMPETENCIES Nursing informatics or NI is a field specialty that blends and integrates the nursing, computer and information sciences in managing and transferring information and insights in nursing (Anderson, 2008; Coleman et al., 2010). It is aimed at assisting in the decision-making function of patients, nurses and other participants in patient care through information structures, processes and technology. Nurses who integrate this specialty into their regular practice are called
Learning in adults is most effectual when the environment is both participative and interactive. Another important characteristic is that learners obtain instantaneous feedback. Teaching methods that necessitate a learner to think though data or information and come to a conclusion or forecast an outcome are more valuable than is reading or lecture. "The minute-to-minute care and monitoring of critically ill patients requires nurses to collect, analyze, and react to
Nursing Education Does nursing have a unique body of knowledge or is it the application of various other fields of knowledge in a practice setting? Nursing does have a unique body of knowledge as Moyer and Whittmann-Price (2008) state "it is nursing's unique knowledge base that warrants a unique service or practice called professional nursing" (6). This means that like the other help-specific sciences nursing was founded on the basis of research
(2007)103.6; 18-23 http://proquest.umi.com.libdb.fairfield.edu/pqdweb?index=0&did=1299472971&SrchMode=1&sid=6&Fmt=3&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1185408789&clientId=48293 Michigan Center for Nursing. Survey of Nursing Education Programs: 2005-2006 School Year. 24, July 2007. http://www.mhc.org/mhc_images/edprogramsurvey06.pdf Mancuso-Murphy, Josephine.Distance Education in Nursing: An Integrated Review of Online Nursing Students' Experiences with Technology-Delivered Instruction Journal of Nursing Education. (2007) 46.6); 252-261 http://proquest.umi.com.libdb.fairfield.edu/pqdweb?index=0&did=1276790001&SrchMode=1&sid=2&Fmt=3&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1185407596&clientId=48293 Northwest Michigan College. 8/15/06. Online Nursing Frequently Asked Questions. 24, July 2007. http://www.nmc.edu/healthoccupations/nursing/online-nursing-faq.html Segal-Isaacson, Adam Ezra. Distance learning: Technology puts continuing education within reach.. Nursing. (2002) 32.1 14-17 http://proquest.umi.com.libdb.fairfield.edu/pqdweb?index=0&did=98202634&SrchMode=1&sid=1&Fmt=4&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1185406422&clientId=48293 Washington State Department of Health. Nursing Care Quality Assurance
Nursing: Today and Throughout History The occupation of nursing has been around for almost all of history in some form or another. In the ancient Roman Empire are found records of the nursing practice, where nurses provided care to in-patients at local Roman hospitals. In Constantinople—the Rome of the East—nurses were “known as hypourgoi” (Kourkouta, 1998). These nurses (both male and female) were tasked with jobs much like today’s nurses: they
Nursing (a) provides an account of your observations on the management of peripheral intravascular devices from your clinical practicum in NMIH202; Clinical practicum NM1H202 introduces nurses to the management of peripheral devices via scholarly inquiry and clinical practice. The practicum includes a thorough training in handling, inserting, replacing, and dressing peripheral intravascular devices including peripheral venous catheters. Because the primary risk associated with peripheral intravascular devices is infection, proper management of the