DNP-815A Connecting Nursing Theory and Evidence-Based Change Models

DNP-815A Connecting Nursing Theory and Evidence-Based Change Models

Directions:

This section identifies and describes the nursing theory and evidence-based change model to be used as the theoretical foundations for the DPI Project.

Following the “Connecting Nursing Theory and Evidence-Based Change Models” template, the following sections are required to be completed substantively:

Write a paper (1,500-2000 words) discussing the nursing theory and evidence-based change model to be used as the theoretical foundations for the DPI Project. Refer to the “Connecting Nursing Theory and Evidence-Based Change Models” template to complete this section.

The proposed project focuses on the reduction of patient falls, focusing specifically on post-operative patients in a post-operative rehabilitation center. Traditionally, health professionals rely solely on clinical fall prevention strategies; thinking of ways of optimizing patient outcomes in this respect, it has been determined that more than traditional strategies is needed. The intention is therefore to determine whether or not combining specific patient-centered interventins with clinical fall prevention strategies succeeds in achieving significant reductions in patient falls over a two-month period. In this regard, the project will be based on the patient-centered nursing strategy, and also on the application of Lewin’s change model, specifying how each of this model’s stages will entail.

Theoretical Foundations

This section will expand on the theoretical underpinnings of this project. This will require deling into the specific nursing theory to be applied (i.e. the patient-centered nursing theory). It will also require delving into the proposed evidence-based change model for implementing the proposed intervention (i.e. Lewin’s change model).

Nursing Theory

Patient-centered nursing theory proposes moving away from the actual disease or condition, and instead moving towards the patient as an individual or human being. This is valuable to the extent that it leads health professionals towards seeing patients, not as statsitics or cases to be solved, but rather as human beings in need of comprehensive, personalized care. This humanizes the profession of nursing, and it also facilitates the establishment of rapport, trust and collaboration between nurses and patients.

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            Patient-centered nursing theory. This particular theory is based on human needs theory; it hinges on the nursing professional’s ability to identify the patient’s problem(s) and subsequently develop a specific typology of treatment for that patient. The process to be followed in the application of this nursing theory integrates a sequence of steps. It all starts with the nurse knowing the patient, and then sorting out the relevant, significant information (Ortiz, 2018). The process also calls for the patient and their family needs to be included in treatment and the nurse needs to engage in introspection to determine their own feelings relative to the patient prior to discussing a comprehensive care plan (Eklund et al., 2019).

Clinical Question. To what degree does the implementation of the patient-centered approach to nursing impacts the reduction of patient falls when compared to solely relying on clinical fall prevention strategies among post-operative patients in a post-operative rehabilitation center in (state)?

Synthesis of Theory. Patient-centered nursing has been applied in different cases or domains, including the area of interest of the proposed project, i.e. patient fall prevention. Other than this, it has been applied, and successfully so, in elderly patient care, e.g. in cases of dementia (Burton et al., 2018). In the domain of nurses, research has found application of this theory to promote interprofessional collaboration, improve patient-nurse relationships, and greater patient empowerment (and advocacy) in decision-making processes (Eklund et al., 2019).

Summary

This section focused on outlining patient-centered nursing theory, highlighting some of its applications. The following section will delve into the actual evidence-based change model to be applied.