Leadership Roles And Management Functions In Nursing

Setting of project

The project was conducted in an inpatient clinical care setting. In this case, the project sought to apply strategies to encourage nursing personnel to applying purposeful hourly rounding in a systematic manner. For that matter, the project setting entailed adjusting the purposeful hourly rounding process within an inpatient setting.

Problem addressed

The problem has been identified that although purposeful hourly rounding is intended to ensure that nursing personnel have contact with inpatients at least every hour while asking them questions about their position in terms of comfort, possessions in terms of having what is needed, personal needs in terms of using the bathroom or personal hygiene needs, and pain in terms of whether the patient is feeling any pain (Jensen, 2014; Wessel & Manthey, 2015). While the whole process is intended to improve care quality, nursing personnel felt uncomfortable with asking the required questions at every hour. In fact, five problems were identified (Marquis & Huston, 2017): Leadership Roles And Management Functions In Nursing

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Firstly, there was a lack of communication from nursing personnel, particularly when they had other commitments (in the form of competing priorities to include emergencies and lunch break) and could not complete the process. The nurses would leave the process incomplete and not communicate their inability to complete the process to the nurse managers, charge nurses or peers.
Secondly, there were contradictory policies particularly conflicts between the hourly rounding and sleep policies. Rounding policies require that nursing personnel interrupt the patients’ sleep on an hourly basis while sleep policies require that patients enjoy uninterrupted night sleep.
Thirdly, unit emergencies limited the nurses’ capacity to follow the required process. Instead of rounding, the nurses had to address rapid codes and emergencies that would take up most of their time.
Fourthly, there was an absence of acuity systems so that care was prioritized on the basis of rooms and not need thus leaving them with less time to conduct rounds.
Finally, rounds could be incomplete if the patients were asleep since nurses found it difficult to interrupt their sleep.

Objectives of project

The project was conducted with the intention of presenting strategies to effectively address the five identified barriers to hourly rounding. As such, three objectives were identified:

Firstly, to determine if the identified interventions can promote hourly nurse rounding?
Secondly, to determine how best to apply the interventions to ensure that nursing personnel followed through on the hourly rounding process in a systematic manner? Leadership Roles And Management Functions In Nursing

Intervention or change implemented, if any

The project sought to implement interventions to address the five previously identified barriers to hourly rounding. This was applied in seven strategies (Ellis & Bach, 2015; Porche, 2017).

Firstly, using ‘observation’ rather than ‘ask’ guidelines so as not to violate sleep guidelines or interrupt the patients’ sleep.
Secondly, using a visual management to guide hourly rounding based on eh patients’ rest/sleep patterns, and risks faced.
Thirdly, creating a nurse dashboard that shows the patients hourly data as part of the electronic medical records.
Fourthly, creating unit workflows that described roles during emergencies.
Fifthly, increasing accountability and communication.
Sixthly, placing emphasis on accurate documentation.
Finally, reviewing conflicting policies and aligning them with purposeful hourly rounding policy.

Actions and methods used to solve the problem and meet the objectives

The project actions entailed recruiting nursing personnel in inpatient units before applying the seven solutions as identified.

Evaluation Strategies used to determine whether the objectives were met

At the conclusion of the project, an evaluation was conducted to determine if the project objectives were met. The evaluation entailed collecting the opinions of nursing personnel engaged in the project to evaluate the project effectiveness, if the previously identified barriers were eliminated, and if any new barriers emerged (Marquis & Huston, 2017).

Outcomes

The expected outcome was the promotion of purposeful hourly rounding with better documentation of improved compliance through updates in medical records.

Lessons learned (conclusions and recommendations for practice)

The project determined that purposeful hourly rounding could be improved through deliberate strategies.

References

Ellis, P. & Bach, S. (2015). Leadership, management and team working in nursing (2^nd ed.). Thousand Oaks, CA: SAGE Publications.

Jensen, S. (2014). Nursing health assessment: a best practice approach (2^nd ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: theory and application (9^th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Porche, D. (2017). Health policy: application for nurses and other health professionals (2^nd ed.). Burlington, MA: Jones & Bartlett Learning.

Wessel, S. & Manthey, M. (2015). Primary nursing: person-centered care delivery system design. Minneapolis, MN: Creative Health Care Management Leadership Roles And Management Functions In Nursing

Practicum Project Poster Abstract Based on your Practicum Project, you will develop an abstract for a poster session that could be accepted and presented at a Walden Graduation. Review and complete the Scholarship of Practice Poster Session application located in this week’s Learning Resources. Your completed Abstract is due by Day 7 of this week. Practicum projects are especially encouraged. My practicum project is PURPOSEFUL HOURLY ROUNDING. This is a great opportunity to showcase your practicum work in a mentored environment. Please describe your project by answering items 7–14 below. Do not exceed 500 words total in your responses. 7. Setting of project: 8. Problem addressed: 9. Objectives of project: 10. Intervention or change implemented, if any: 11. Actions and methods used to solve the problem and meet the objectives: 12. Evaluation Strategies used to determine whether the objectives were met: 13. Outcomes: 14. Lessons learned (conclusions and recommendations for practice): Required Readings Note: To access this week\'s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Alspach, G. (2010). Converting presentations into journal articles: A guide for nurses. Critical Care Nurse, 30(2), 8–15. Note: Retrieved from the Walden Library databases. The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters. Forsyth, D. E., Wright, T. L., Scherb, C. A., & Gaspar, P. M. (2010). Disseminating evidence-based practice projects: Poster design and evaluation. Clinical Scholars Review, 3(1), 14–21. The authors recognize the value of disseminating evidence-based practice in promoting quality care. They address how this can be done using posters. Jeffress, L., & Lyle, S. D. (2012). Maximizing accessibility of academic publications: Applications of electronic publishing technology. Contemporary Issues in Education Research, 5(4), 257–264. Note: Retrieved from the Walden Library databases. This article addresses the use of electronic publishing technology for broader dissemination of research. Price, B. (2010). Disseminating best practice at conferences. Nursing Standard, 24(25), 35–41. Note: Retrieved from the Walden Library databases. In this article, the author provides suggestions for creating and delivering engaging conference presentations. Roberts, D. (2011). \'Pay it forward\' through publication. MEDSURG Nursing, 20(3), 112, 122. Note: Retrieved from the Walden Library databases. The author proposes creating a chain of lifelong learning through the publication of scholarly works. Among other matters, the article suggests the value of identifying a publication mentor. Russell, C. L., & Ponferrada, L. (2012). How to develop an outstanding conference research abstract. Nephrology Nursing Journal, 39(4), 307–342. Note: Retrieved from the Walden Library databases. The authors propose recommendations for writing and submitting an abstract for a presentation at a conference. Sawatzky, J. V. (2011). My abstract was accepted—now what? A guide to effective conference presentations. Canadian Journal of Cardiovascular Nursing, 21(2), 37–41. Note: Retrieved from the Walden Library databases. The article addresses fear of public speaking and provides recommendations for delivering successful presentations at conferences. Walden University. (n.d.). Research Dissemination. Retrieved October 18, 2017, from http://academicguides.waldenu.edu/researchcenter/orsp/dissemination This Walden University resource examines how research is disseminated through presentations and publications. Review the types of articles the following journals produce as well as submission requirements for publication: BMJ Publishing Group. (2013). Evidence-Based Nursing. Retrieved from http://ebn.bmj.com/ Elsevier. (2013). Nurse Leader. Retrieved from http://www.nurseleader.com/ John Wiley & Sons. (2013). Journal of Nursing Scholarship. Retrieved from http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291547-5069/homepage/ForAuthors.html Lippincott Williams & Wilkins. (2013). CIN: Computers, Informatics, Nursing. Retrieved from http://journals.lww.com/cinjournal/pages/default.aspx Lippincott Williams & Wilkins. (2013). The Journal of Nursing Administration. Retrieved from http://journals.lww.com/jonajournal/pages/default.aspx National League for Nursing. (2011). Publications. Retrieved from http://www.nln.org/nlnjournal/writingjournal.htm

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Practicum Project Poster Abstract

Based on your Practicum Project, you will develop an abstract for a poster session that could be accepted and presented at a Walden Graduation. Review and complete the Scholarship of Practice Poster Session application located in this week’s Learning Resources. Your completed Abstract is due by Day 7 of this week.

Practicum projects are especially encouraged. My practicum project is PURPOSEFUL HOURLY ROUNDING. This is a great opportunity to showcase your practicum work in a mentored environment.

Please describe your project by answering items 7–14 below.

Do not exceed 500 words total in your responses Leadership Roles And Management Functions In Nursing

Setting of project:
Problem addressed:
Objectives of project:
Intervention or change implemented, if any:
Actions and methods used to solve the problem and meet the objectives:
Evaluation Strategies used to determine whether the objectives were met:
Outcomes:
Lessons learned (conclusions and recommendations for practice):

Required Readings

Note: To access this week's required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Alspach, G. (2010). Converting presentations into journal articles: A guide for nurses. Critical Care Nurse, 30(2), 8–15.