Connecting Nursing Theory and Evidence-Based Change Models
Assessment Description
Evidence-based practice (EBP) results from the integration of available research, clinical expertise, and patient preferences to individualize care and promote effective care decision-making. The Direct Practice Improvement (DPI) Project focuses on a measurable patient outcome from the perspective of a departmental, local health service, organizational, or community-level need. It is not an individual practice change. All projects will require the use of both a nursing theory and an EBP change model.
For the DPI Project, the theoretical framework is based on nursing theory. The primary purpose of nursing theory is to improve practice by allowing nurses to articulate and translate evidence that justifies methodology for practice change, which in turn may positively impact patient outcomes. The relationship between theory and practice is reciprocal. The practice is the basis for the development of nursing theory, whereas nursing theory must be validated in practice.
An EBP change model guides nurses in translating existing research into practice by using a systematic approach to implement the best evidence into clinical practice. Change models also aid in the sustainability of an EBP change. Evidence-based practice change models come from a variety of sources. Examples of models for EBP are the Johns-Hopkins nursing evidence-based practice model, the Stetler model, and the Iowa model of evidence-based practice to promote quality care. Other models are based on business management, examples include Kotter's 8-step change model, Kurt Lewin's change model, and Plan-Do-Study-Act (PDSA). Although there are many models to choose from, the DPI Project requires an appropriate linkage of the nursing theory to the appropriate change model for your DPI Project.
General Guidelines:
Use the following information to ensure successful completion of the assignment:
• Use the "Connecting Nursing Theory and Evidence-Based Change Models" template, located in the DC Network under the "DNP-815 or DNP-815A" folders, to complete this assignment.
• This assignment requires that at least four peer-reviewed scholarly articles published in the past 5 years related to this topic, and at least one in-text citation from each seminal (original/empirical) nursing theory and evidence-based change model
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• You are required to submit this assignment to LopesWrite. A link to the LopesWrite
• 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 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.
January 29th, 2022
The adoption of computerized provider order entry (CPOE) facilitates the prescription of patient services by physicians through electronic means instead of paper-based entries. People with dementia need full-time care, especially during the later stages of their conditions. Besides, the caregivers require access to reliable information about their treatment, which impacts the quality of care and outcomes (Soong et al., 2020). Medication errors often occur among multimorbid older patients with complex daily medications. Conditions such as dementia, delirium, or acute stroke are common among geriatric patients and significantly impact the quality of communication and care. However, the well-being of persons with dementia may be enhanced using appropriate nursing interventions supported by evidence-based practice (EBP). Using Swanson’s mid-range theory of caring and Lewin’s Theory of Change, this paper will outline how effective implementation of CPOE can reduce medication errors among patients with dementia in a long-term care setting in nursing homes.
Theoretical Foundations
Believing, knowing, being with, doing for, and enabling patients through EBP is the foundation of providing better nursing care to geriatric patients with dementia in long-term care. These elements are outlined in Swanson’s mid-range theory of caring, which involves five processes. The use of CPOE in caring for this vulnerable population embraces Swanson’s theory of nursing that not only focuses on understanding the needs of dementia patients but also further calls for supporting them in their conditions.
Nursing Theory
Kristen Swanson’s (1991) middle-range theory of caring defines care of patients and their family members through five processes of caring, including maintaining belief, knowing, being with, doing for, and supporting or enabling them (Michele, 2018). Understanding the five steps or processes in Swanson’s theory is critical to the application of CPOE intervention in reducing cases of medication errors while caring for dementia patients.
Swanson’s (1991) Theory of Caring. In her mid-range theory of caring, Swanson (1991) describes five processes: knowing, believing, being with, doing for, and enabling patients during their illnesses (Michele, 2018). Knowing involves striving to understand the events or the patients’ conditions and how they impact their lives. In this process, care providers avoid assumptions by focusing on the patient, assessing, seeking cues, and engaging them during the care process. In maintaining belief, Swanson outlines that care providers should sustain faith in the patients’ capacity to achieve better outcomes. In achieving these goals, nurses should maintain a hope-filled attitude and offer realistic and optimistic settings that will enable patients to realize the care objectives. The theorist defines being with as getting emotionally connected with the patient during care and striving to understand the patients’ conditions and what they mean in terms of the quality of their lives. Besides mere understanding of the patients’ plight, Swanson directs that nurses should be ...
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