Capstone Week 3 Discussion: Resilience and Change (Latest Update) Already Graded A+

Week 3 Discussion: Resilience and Change (graded) 2424 unread replies.2424 replies. Purpose This week's graded topic relates to the following Course Outcome (CO). CO4: Integrates clinical nursing judgment using effective communication strategies with patients, colleagues, and other healthcare providers. (PO#4) Due Date • Answer post due by Wednesday 11:59 PM MT in Week 3 • Two replies to classmates and/or instructor due by Sunday 11:59 PM MT at the end of Week 3 Directions • Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students: • Demonstrate understanding of concepts for the week • Integrate scholarly resources • Engage in meaningful dialogue with classmates • Express opinions clearly and logically, in a professional manner • Use the rubric on this page as you compose your answers. Discussion Questions Change is part of our daily healthcare environment. Clinical nursing judgments based on quality and safety, as well as protocols and standards, reflect our patient-centered care values. • What steps could you take to develop more resilience in your practice setting? • How might you communicate a change in practice to patients and nursing peers? Grading To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. • What steps could you take to develop more resilience in your practice setting? As a new nurse resilience something that is gained with practice. Garcia-Izquierdo et al. (2018) performed a study based in Madrid, Spain. This study was a randomized questionnaire about nurses sociodemographic and a variety of work variables. Along with the questionnaire the Connor-Davidson Resilience Scale (CD-RISC) was utilized to assess the nurses for their resilience to certain situations and their emotional outcome. The method that was used was a measurement on one's ability to resist change or deal with stressful situations. (p. 230). The outcome of the study showed great connection between the psychological health of a nurse and the emotional exhaustion and skepticism. Showing that if continuously met with negative outcomes the nurse will show a negative result in emotion. “Resilience refers to an individual’s healthy coping abilities when encountering adverse life events.” (Haven et al., p. 1, 2020). Your coping mechanisms are not something that is taught on the job or even in nursing school those. Coping mechanisms are learned from previous experiences from your personal life and you bring them into your nursing practice. If the nurses coping mechanisms are not ideal, they can always learn different methods to cope. As nurses we are always told be flexible and that is with learning for yourself as well. “A strong link exists between the professional work environment and the registered nurse’s ability to provide quality health care and achieve optimal outcomes.” (ANA, Scope of Practice, 2015). As a registered nurse you must have a strong character to present as a professional nurse. There are multiple pieces in being a resilience nurse but no everyone pieces are the same. This is what makes nursing so grand everyone is so different and with they all have a different point of view. • How might you communicate a change in practice to patients and nursing peers? Effective communication is necessary when you are changing practices with nurses and patients. Thomas et al. (2016) it is explained that oral and written communication play a large role in critical thinking skills. (Critical Thinking). Critical thinking and communication go hand in hand. That being said critical thinking is a foundation when it comes to communication. If we have worked somewhere for a while, we know how these patients/nurse take new information. Utilizing your critical thinking skills to come up with an effective communication method to get your point across with the new change. When it comes to changes nurse and patients always want to the why and when. Schub & Walsh (2017) has an explanatory EBP study about how to implement change. When implementing change, one must look the outcomes for the practice the patients and what it will change for nurses. Ideally, we are hoping for quality of patient care, consistency of patient care, the health cost containment. (p. 2). The why is typically in benefit for the patients and lessen the nurse's workload. The when can be any time frame just as long as you are continuing to communicate with your nurses and patients. American Nursing Association. (ANA, 2015). Nursing: Scope and standards of practice (3rd ed.). American Nurses Publishing. Garcia-Izquierdo, M., Meseguer de Pedro, M., Rio-Risqez, I., & Soler Sanchez, I. (2018). Resilience as a moderator of psychological health in situations of chronic stress (burnout) in a sample of hospital nurses. The Journal of Nursing Scholarship, 50(2), 228-236. Havnen, A., Anyan, F., Hjemdal, O., Solem, S., Gurigard Riksfjord, M., & Hagen, K. (2020). Resilience Moderates Negative Outcome from Stress during the COVID-19 Pandemic: A Moderated-Mediation Approach. International Journal of Environmental Research and Public Health, 17(18). Thomas, T. W., Seifert, P. C., & Joyner, J. C. (2016). Registered nurses leading innovative changes. The Online Journal of Issues in Nursing, 21(3). Schub, E. R. B., & Walsh, K. R. M. C. (2017). Evidence-Based Nursing Practice: Implementing. CINAHL Nursing Guide. Alicia Ziebell According to D resilience is “the ability of a person to adjust to or recover readily from illness, adversity, major life chances.” It also defines it as being able to return to its original form and also to recover from a crisis. All of these definitions can easily connected to the day to day stresses of nurses. Nurses are put through stressful situations on a daily basis and without resilience they often can feel burnt out. Burnout syndrome is common and according to Garcia-Izquierdo it’s a response to work stress that includes emotional exhaustion, cynicism and professional inefficacy. Some ways to develop more resilience in your work as well as in life can be to try and keep a positive attitude, develop active coping skills, find a person who copes well and learn from them, have a supportive network of friends, and last but not least self care. I might communicate a change in practice to patients and nursing peers by first establishing with them what is not working. Then together we can brainstorm the change. When we work together change isn’t as scary and you can support eachother through it. Garcia-Izquierdo, M., Meseguer de Pedro, M., Rio-Risqez, I., & Soler Sanchez, I. (2018). Resilience as a moderator of psychological health in situations of chronic stress (burnout) in a sample of hospital nurses. The Journal of Nursing Scholarship, 50(2), 228-236. Resilience. (n.d.). Retrieved November 15, 2020, from Alicia, Great post! From what I have learned this week on resilience it is a top quality for any nurse to have. In the healthcare field we are continuously given negative situation and must turn them into something positive. Right now, I work next door to a COVID unit, and I came into work and told me we were switching units. As charge I just dove in and begin to switch patients as the room became able. There is no point in complaining about the changes because they are going to happen no matter what. Schub & Walsh (2017) explain that when implementing change based on of EBP there is a lot of research. “The implementation of EBNP requires a successful integration of sound research findings and clinical practice guidelines with clinician expertise and patient values and preferences.” (p.1). All the EBP and research must be there prior to changing anything in one's practice. Like I’ve previously there is a lot that goes in to EBP and they work hard so we can work easier. Schub, E. R. B., & Walsh, K. R. M. C. (2017). Evidence-Based Nursing Practice: Implementing. CINAHL Nursing Guide.