scholarly journals Using The Baccalaureate Essentials To Create Context: Evaluation Of An Innovative Approach

2013 ◽  
Vol 6 (3) ◽  
pp. 305
Author(s):  
Brooke A. Flinders
Keyword(s):  
Service Learning ◽  
Learning Outcomes ◽  
Nursing Practice ◽  
Learning Experience ◽  
Theory And Practice ◽  
Evidence Based ◽  
Patient Centered ◽  
Professional Nursing Practice ◽  
Baccalaureate Education ◽  
Centered Care

The Essentials of Baccalaureate Education for Professional Nursing Practice (AmericanAssociation of Colleges of Nursing, 2008) seek to communicate standards that will prepare graduates to function within a complex healthcare system. The document highlights concepts from patient-centered care to evidence-based practice (Commission on CollegiateNursing Education). A service-learning experience was facilitated for junior-levelnursing students and they were asked to reflect on their learning outcomes using the nine essentials as a guiding framework. Themes were identified within the nine sub-categories and through overall analysis. By using standardized disciplinary outcomes to develop a sense of the bigger picture for students, it is possible to help them make connections between theory and practice.

scholarly journals Emancipatory reflection on a nursing practice-based ethical issue about nurses’ paternalistic decision-making for patients

2019 ◽  
Vol 6 (1) ◽  
pp. 19-26
Author(s):  
Lian-Lian Tang
Keyword(s):  
Decision Making ◽  
Ethical Issue ◽  
Nursing Practice ◽  
Professional Socialization ◽  
Nursing Administration ◽  
Patient Centered ◽  
Socialization Theory ◽  
Decision Making Capacity ◽  
Centered Care ◽  
Policy Work

Abstract Objective This study aimed to demonstrate and promote the skill of critical emancipatory reflection through reflecting on a nursing practice-based ethical issue about nurses’ paternalistic decision-making for patients. Meanwhile, critical awareness will be developed and the underlying issues of paternalism in nursing decision-making will be analyzed. Then, by applying the procedure, improvement in nursing decision-making practice will be expected. Methods Taylor’s model of emancipatory reflection with four steps, including construction, deconstruction, confrontation, and reconstruction, is utilized to guide the author’s reflection. Results Guided by the socialization theory, the author’s personal and professional socialization is seen to be associated with the formation of the value of paternalism. The theory of reflexivity is applied to unearth the related issues, including deeper personal value, work environment, as well as historical and cultural contexts. Moreover, the power derived from policy, work relationship, and nursing administration, which could induce paternalism in the author’s nursing decision-making practice, was critically debated using the hegemony theory. Finally, new insights into paternalism will be achieved, which enable change in terms of how to facilitate patients’ autonomous decision-making. Conclusions The process of refection makes it clear that respecting patients’ right and performing patient-centered caring are the bases to change the paternalism existing in the nursing decision-making practice currently. The reconstruction step assists the author in terms of how to value the patients’ autonomy and balance patients’ safety and choice, rather than being overprotective; carry out risk assessment, and search for strong evidence to counterbalance the positive and negative aspects of risk-taking; communicate with patients appropriately in a manner that they can comprehend; spend more time to explore patients’ preference and choice; make every effort to elevate the patients’ decision-making capacity; implement patient-centered care and shared decision-making in nursing practice; consult with other colleagues and obtain the required support when limitations or challenges exist; try to justify and avoid hidden paternalism behind policy or guidelines; deal with the power in hand well and fairly; and also positively face the powers that constrain the author.

Patient-Centered Care: Nursing Knowledge and Policy

2018 ◽  
Vol 31 (3) ◽  
pp. 291-295 ◽  
Author(s):  
Mario R. Ortiz
Keyword(s):  
Knowledge Base ◽  
Nursing Practice ◽  
Patient Centered Care ◽  
Nursing Theory ◽  
Patient Centered ◽  
Nursing Knowledge ◽  
Central Focus ◽  
Centered Care ◽  
Care Nursing

There has been much written about the importance of care that is centered on persons and their loved ones. Patient-centered care has been central to nursing practice and unique nursing knowledge. This central focus provides an opportunity for nurses to develop policies that may affect practice so that practice is consistent with a distinctive knowledge base. The purpose of this paper is to discuss patient-centered care and nursing theory.

scholarly journals Varieties of Uncertainty in Health Care

2011 ◽  
Vol 31 (6) ◽  
pp. 828-838 ◽  
Author(s):  
Paul K. J. Han ◽  
William M. P. Klein ◽  
Neeraj K. Arora
Keyword(s):  
Health Care ◽  
Empirical Literature ◽  
Evidence Based ◽  
Shared Decision ◽  
Services Research ◽  
Patient Centered ◽  
3 Dimensional ◽  
Centered Care ◽  
Multiple Meanings ◽  
Based Medicine

Uncertainty is a pervasive and important problem that has attracted increasing attention in health care, given the growing emphasis on evidence-based medicine, shared decision making, and patient-centered care. However, our understanding of this problem is limited, in part because of the absence of a unified, coherent concept of uncertainty. There are multiple meanings and varieties of uncertainty in health care that are not often distinguished or acknowledged although each may have unique effects or warrant different courses of action. The literature on uncertainty in health care is thus fragmented, and existing insights have been incompletely translated to clinical practice. This article addresses this problem by synthesizing diverse theoretical and empirical literature from the fields of communication, decision science, engineering, health services research, and psychology and developing a new integrative conceptual taxonomy of uncertainty. A 3-dimensional taxonomy is proposed that characterizes uncertainty in health care according to its fundamental sources, issues, and locus. It is shown how this new taxonomy facilitates an organized approach to the problem of uncertainty in health care by clarifying its nature and prognosis and suggesting appropriate strategies for its analysis and management.

scholarly journals Beyond Antibiotics: A Practical Guide for the Infectious Disease Physician to Treat Opioid Use Disorder in the Setting of Associated Infectious Diseases

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Nikhil Seval ◽  
Ellen Eaton ◽  
Sandra A Springer
Keyword(s):  
Infectious Disease ◽  
Extended Release ◽  
Hospital Admissions ◽  
Opioid Use Disorder ◽  
Evidence Based ◽  
Opioid Use ◽  
Patient Centered ◽  
Infectious Disease Physician ◽  
Centered Care ◽  
Acute Injection

Abstract Infections are a common cause of hospitalization for patients with opioid use disorder (OUD), and hospital admissions are rising in the context of the worsening US opioid crisis. Infectious disease (ID) physicians are frequently the first point of medical contact for these patients. In this article, we discuss the integration of evidence-based management of OUD and patient-centered care of hospitalized persons with acute injection-related infections. We describe the following components of a comprehensive approach for OUD with inpatient ID consultations: (1) how to screen for OUD; (2) how to initiate the 3 US Food and Drug Administration-approved medications for OUD (buprenorphine, methadone, and extended-release naltrexone); (3) how to manage acute pain and opioid-related conditions; and (4) how to link and integrate ID and OUD treatment after hospital discharge. These strategies reduce unplanned discharges and increase completion of recommended antimicrobial regimens.

scholarly journals Construction Management Service Learning: A “How To” Process for Success

2014 ◽  
Vol 9 (2) ◽  
pp. 85-92
Author(s):  
R. Casey Cline ◽  
Ken Robson ◽  
Michael Kroth
Keyword(s):  
Service Learning ◽  
Construction Management ◽  
Learning Experience ◽  
Teaching Strategy ◽  
Practical Experience ◽  
Theory And Practice ◽  
Management Service ◽  
Community Partner ◽  
Daunting Task ◽  
Practical Standpoint

To ensure that students are prepared for positions in the construction industry, construction management education programs expose students to industry relevant construction management (CM) theory and practice. Traditional transmission teaching methodologies, while arguably effective for teaching management theory and practice, are not as effective for the transfer of practical leadership skills and knowledge of construction specific processes. As an alternative teaching strategy, many CM programs incorporate service-learning (S-L) into curricula; providing students practical experience, focusing on the acquisition of knowledge through goal setting, thinking, planning, experimentation, observation, and reflection.        However, from a practical standpoint, the development of a service-learning project can be a daunting task for the educator. Beyond determining a suitable project, a great deal of work must be undertaken to ensure a successful learning experience for the learner, as well as a successful project for the project owner or community partner. Processes must be put in place to ensure that the project is well developed, the student is practicing relevant CM skills, the project is completed in a timely manner to the satisfaction of the owner, and that the student learns through active reflection.        Thus, this paper is presented not as a project specific case study, but an attempt to simplify for CM educators the development of CM S-L projects and to provide a step-by-step process to facilitate a successful learning experience. 

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