Implementation of Fatigue Management Training and Education for Nurses Essay Sample
Due Apr 12 by 1:59am Points 225
Purpose
The purpose of this assignment is:
To apply a change process using the ACE Star Model of Knowledge Transformation and a systematic review after identifying a clinical topic of concern and related nursing practice issue.
The information from the 'Illustration' part of our lessons in Weeks 1-6 will mentor you through this process. Your change process is to be set up as a pilot project.
Course Outcomes
This assignment enables the student to meet the following course outcomes:
CO 2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO 2)
CO 8: Selects evidence for best practices when planning professional nursing care involving systems, processes, and devices for individuals, families, aggregates and communities. (PO 8)
Points
The assignment is worth 225 points.
Due Date
Submit your completed assignment by Sunday end of Week 6 by 11:59 p.m. MT.
Directions
Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.
Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity
View a short tutorial with tips for completing this assignment: Evidence-Based Practice Change Process Assignment Tutorial or by reading the transcript.
Download the EBP Change Process form during Week 1. The use of this specific form is REQUIRED
Identify a clinical topic and related nursing practice issue you think needs to be changed.
Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.
Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the 'Illustration' part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
Work on a portion of the process each week, as the illustration unfolds.
Best Practices
Please reach out to your instructor for feedback or assistance with your PICOT question as needed.
Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews.
Please see the grading criteria and rubrics on this page.
Please use your browser's File setting to save or print this page.
Scholarly Sources and Citations
Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed.
Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!
Week 6 Assignment: EBP Change Process form
ACE Star Model of Knowledge Transformation
Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson. Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.
Name: _____________________
Star Point 1: Discovery (Identify topic and practice issue)
Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.)
Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.
Star Point 2: Summary (Evidence to support need for a change)
Describe the practice problem in your own words and formulate your PICOT question.
List the systematic review chosen from the CCN Library databases. Type the complete APA reference for the systematic review selected.
List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format.
Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence.
Outline one or two evidence-based solutions you will consider for the trial project.
Star Point 3: Translation (Action Plan)
Identify care standards, practice guidelines, or protocols that may be in place to support your intervention planning (These may come from your organization or from the other sources listed in your Summary section in Star Point 2).
List your stakeholders (by title and not names; include yourself) and describe their roles and responsibilities in the change process (no more than 5).
What specifically is your nursing role in the change process? Other nursing roles?
List your stakeholders by position titles (charge nurse, pharmacist, etc.). Why are the members chosen (stakeholders) important to your project?
What type of cost analysis will be needed prior to a trial? Who needs to be involved with this?
Star Point 4: (Implementation)
Describe the process for gaining permission to plan and begin a trial. Is there a specific group, committee, or nurse leader involved?
Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate.
Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline).
List the measurable outcomes based on the PICOT. How will these be measured?
What forms, if any, might be used for recording purposes during the pilot change process. Describe.
What resources are available to staff (include yourself) during the change pilot?
Will there be meetings of certain stakeholders throughout the trial? If so, who and when will they meet?
Star Point 5: (Evaluation)
How will you report the outcomes of the trial?
What would be the next steps for the use of the change process information?
9.2019 Update. DLP
1
Implementation of Fatigue Management Training and Education for Nurses
Student Name
Program Name or Degree Name (e.g., Master of Science in Nursing), Walden University
COURSE XXX: Title of Course
Instructor Name
Month XX, 202X
Implementation of Fatigue Management Training and Education for Nurses
In the current public health settings, poor sleep and fatigue are increasingly a concern for nurses, especially those caring for critically ill patients. Researchers have established that nurses working shift work (especially night shift) have an increased risk of sleepiness and fatigue (Barbara & Lori, 2018). While fatigue and sleep are not synonymous, they result from irregular sleep timing concerning working hours and short sleep durations. Among the proposals to mitigate sleepiness and fatigue in the nursing profession include reducing mandatory overtime and fatigue management training and education. The former is inherent due to the prevalence of nursing professionals' shortage, and stopping it requires fundamental public health system changes.
On the other hand, the latter can be easily achieved to help current nurses cope with the increasing pressure. To this end, the paper focuses on the evidence-based implementation of education and training to mitigate fatigue and sleepiness in nurses based on the ACE Star implementation Model. The model consists of five core stages: discovery, summary, translation, implementation, and evaluation.
Discovery
The core symptoms of sleepiness and fatigue include drowsiness and the desire to sleep. Sleepiness refers to the increased propensity to fall asleep and result from an imbalanced sleep-wake cycle (Barbara & Lori, 2018). In essence, sleep is necessary for the restoration of balance that allows maximum productivity. On the other hand, fatigue is positively correlated with sleep loss. Combine sleepiness and fatigue limits both physical and mental abilities necessary for the provision of quality care. Some of the fatigue and sleepiness outcomes include exhaustion, lack of motivation, lethargy, and a weariness feeling. Working while fatigued is unsafe and is correlated with poor patient outcomes and deterioration of the nursing practice (Smith-Miller, Harden, Seaman, Li, & Blouin, 2016).
Further, research suggests that fatigue and sleepiness have a negative impact on collaboration among nurses and other professionals within the care settings (Chenjuan & Stimpfel, 2018). While fatigue and sleepiness are associated with individual lifestyle choices, nursing administrators are responsible for preventing situations that may result in elevated situations of overwork and sleep deprivation. Fatigue education and training promise to be a key mitigation measure to curb the phenomena' prevalence (Barbara & Lori, 2018).
Data compiled by the Workforce Institute in 2017 revealed that 98% of nurses think that their work is both mentally and physically demanding. As a result, more than 85% of nurses report being fatigued and sleepy by the end of their normal shift hours (WI, 2017). Further, 56% of nurses reported having driven home from work drowsy, while 12% have pulled their vehicles off the road to take a nap. Lastly, 28% of respondents called in sick simply because they needed rest. The worrying nature of the statistics suggests that fatigue training and education are key to improving the quality of nursing care and the safety of the care environment because they reduce cases of fatigue and sleepiness. In their study on the impact of training and education on fatigue management, Barger et al. (2017) found that training and education resulted in improved patient safety, patient safety, nurses' safety, and reduced acute fatigue, stress, and burnout.
I chose this topic because of the importance of the nursing profession in the public health sectors. As of May 2014, there were 11.8 million healthcare workers, out of which 2.7 million are registered nurses (BLS, 2015). Given the nursing profession's importance to the healthcare sector, fatigue and sleepiness must not affect motivation, performance, and productivity. Therefore, the need to protect nurses from the phenomena should be a priority for nursing administrators, management, and leadership.
Summary
The nursing profession is marred with shortages in nursing staff that causes nurses to work long hours, resulting in fatigue and sleepiness. As mentioned earlier, the two significantly impact patient safety and nursing outcomes in terms of performance and motivation. The statistics mentioned in the previous section suggest a need for training and education that will empower nurses to have control over their work schedules in combination with work-life balance. Fatigue management training and education have been shown to have positive outcomes on sleepiness and fatigue among nurses in the hospital setting. As a result, the PICOT question for the paper is stated below:
Do nurses who have undergone fatigue management education and training while working in hospital settings experience reduced cases of fatigue and sleepiness compared to nurses who have not undertaken the training and education?
Several peer-reviewed articles (listed in the reference section) will help implement evidence-based fatigue and sleepiness management changes to assist nurses. Barbara & Lori (2018) discuss safety, health, and practice considerations to help nurses overcomes fatigue and sleepiness. They recommend education and training as a key mitigation measure. Barger et al. (2017) focus on the impact of training and education on levels of stress, fatigue, and sleepiness in nurses...
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