NURS FPX 6085 Assessment 3 Intervention Plan Design

Nursing Models

In this project, the nursing theory that has proven to be relevant is the Self-Care Deficit Theory proposed by Dorothea Orem and the American Association of Critical-Care Nurses (AACN) Synergy Model that are applicable in improving clinical preparation and safe nursing practices for new graduate nurses. This theory supports the design of nursing assistance in cases where patients are unable to take care of themselves completely, a direct link to the design nursing in cases of protection of maternal and neonatal patients in extreme cases.  The AACN Synergy Model emphasizes the connection between nurse competency to patient complexity and the need to focus on competency development of nurses through simulation education in women’s services units). Of all these, the Self-Care Deficit Theory of Orem is the most applicable to the design of the intervention and derives the nursing roles, accountability and evidence-based practice that will enhance the safety of patients during the transition to practice.

Strengths and Weaknesses

Yet, certain drawbacks of the theory in this context are its limitation of interprofessional co-operation which is essential in this area of service provision, where collaboration between the professions of nursing, doctors and service staff is essential. Moreover, the theory offers little guidance regarding how to negotiate and deal with the complexities of organizational design and rapidly changing clinical environments as are common in caring for women and neonates with complex needs and in transition-to-practice education interventions.

Other Disciplines

There are a number of approaches that can be adapted and integrated into this project that are of an interdisciplinary nature, such as Lean Management, Human Factors, and Evidence-based practices from the Aircraft industry used in patient safety and infection prevention in the context of Epidemiology. There are psychological approaches to encouraging behavioural change, models for implementing and evaluating quality improvement and there are systematic approaches that encourage interaction and compliance in novice nurses. For high acuity maternal and neonatal situations, interprofessional collaborative work within the healthcare team through effective communication is required to care for the mother and infant, and to ensure consistency. Lean management has the most noticeable impact on the intervention as it involves standardising practices, reducing variability of skills and it encourages constant improvement and continuously raises the level of competence, confidence and patient safety.

Strengths and Weaknesses

The benefits of applying the principles of Lean Management to the current project are that working strategies are organised and efficient, the number of steps that are not required for an orientation/training process could be reduced, and a picture is provided to verify the compliance with simulation/competencies in a training process. It also fosters a mindset of continuous improvement to sustain improved preparedness, confidence and patient safety of nurses. Restrictions, however, include the fact that complex decisions about patients’ care can be simplified, that staff may feel the care of patients is not the same in a process oriented environment, and that it may be challenging to use Lean in busy-paced, high stress units of women’s services. Furthermore, the demand for efficiency could potentially overlook individual, patient-centred aspects of care, essential in maternal and neonatal care.

Technologies

These technologies related to healthcare and relevant to this project include the use of electronic documentation when attending simulation, and clinical competence. It also offers high fidelity mannequins and simulation equipment to practice realistically, and automated feedback technologies which provides information for skill development and progress (Reza et al., 2020) Using digital reminders and mobile applications for compliance with orientation procedures, and real time monitoring of the performance to provide information on competence and confidence over time (Sreekumar et al., 2024). EHR systems greatly affect the design of interventions by facilitating intervention documentation, reminding healthcare providers to validate skills, offering the same assessment tools, and supporting excellent communication for efficient and high-quality training.

Strengths and Weaknesses

Electronic health records benefits of the adoption in this project are, first, it will be an automated data recording, second, will enable real-time orientation and simulation adherence monitoring and third, will create a standardised workflow, providing uniform training and high quality results in the skill development. Another advantage electronic health record (EHR) systems provide is a greater degree of accountability and communication among nurse educators, preceptors, and new graduate nurses. However, there are limitations such as alert fatigue, reliance on technology that may, in its failure, negatively impact training, cost of implementation and training, and may disrupt workflow when implementing. In addition, documentation and compliance may be put before improved clinical competency, confidence, and patient safety.

Justification

The theory, which has been clearly formulated by Orem is called Self-Care Deficit Theory, and this theory provides orientation and simulation-based guidelines by organizing the nursing activities in a manner, which enables the provision of safe care to the vulnerable and limited ability patients. The AACN synergy model associates the knowledge, abilities, and skills of professional nurses with the demands of encountering complex patient situations at the mother and neonate care levels, hoping to motivate the new graduate nurses in high-demand situations. Lean management can be applied to ensure a process has a high degree of consistency, a reduced amount of inefficiencies and a robust process that can be deployed to eliminate errors and promote safe patient care. Moreover, EHRs offer the capability to facilitate ongoing assessment and quality improvement of orientation activities, as well as to automatically document, monitor compliance, and gather real-time information. All of these nursing theories, interdisciplinary approaches, and healthcare technologies are all integrated into one, providing a robust foundation of training, patient safety, and accountability across all healthcare shifts and providers, in relation to design of evidence-based interventions.

Conflicting Evidence

However, there are some indications that the rigorous adherence to the standardized procedures may affect the individualized care, such as skills acquired by new graduate nurses to think critically and adjust to a complex situation of mother and newborn. Similarly, technologies like electronic health records can have both good and bad effects, and releases and disruptions to workflow can be frustrating, distracting and affect safe practice. While lean approaches are useful to streamline, they may not be completely suitable in the context of high acuity, changing environments, and flexibility – which is important in women’s services – where professional judgment has a role to play. The results produced evidence of a need for a balance between the need for standardisation and flexibility to facilitiate the development of trainings and clinical intervention programmes supporting patient safety and personal care.