NURS 8002 Blog: Positive Social Change and the DNP-Prepared Nurse

NURS 8002 Blog: Positive Social Change and the DNP-Prepared Nurse

NURS 8002 Blog: Positive Social Change and the DNP-Prepared Nurse

The social change model (SCM) promotes equity, social justice, self-knowledge, service, and collaboration. SCM is a framework for additional leadership development programs that target students who may not have experience in leadership. “Students lack the experience required to feel comfortable with change, but they come into nursing with a sense of commitment that can be encouraged toward leadership for social change and health equity through best practices derived from the SCM” (Read et al., 2016).

I experienced advocating for appropriate patient-centered care as a float nurse in the emergency department (ER) with an elderly dementia patient. This situation is very upsetting, and there need to be more caring nurses adhering to patient advocacy. I was still in the orientation phase, and I partnered up with another nurse on the night shift in the ER department caring for an elderly patient. My nursing co-worker was very rude and unprofessional to the elderly patient. She yelled at the patient, telling the patient to lay down and give her arm to begin IV treatment. The elderly patient was screaming “NO”. The nurse ignored the patient’s screams and continued to access the IV site. I then intervened and told the patient to try and claim down, and she could hold my hands if she needed to. After administering IV treatment to the patient, my co-worker told the elderly patient that she needed to calm down and lay in bed before she administered arm restraint. I was in shock at how unprofessional my co-worker was towards the elderly patient. When we left the patient’s room, my co-worker stated that the old lady was insane and she was not going back in the patient’s room for the remainder of our shift. I was distraught. I reported my co-worker to the charge nurse and the attending physician on duty.

I also advocated for the patient to the attending physician to receive a relaxing medication to ease the patient’s anxiety and discomfort level. The MD evaluated the patient and took my advice to administer a relaxing medication. I also periodically checked in with the elderly patient to make sure she was okay and needed anything. Elderly patients stated to me, “Thank you for taking good care of me, and there should be more caring nurses like you in the world”. I almost cried because I could not believe how mistreated she was with “abuse, neglect”. I felt proud to advocate for this patient’s healthcare needs, even if it might throw my co-worker under the bus. Sometimes nurses forget what their duties are as far as caring for patients and making patients feel safe under their care.

Patient advocacy represents safeguarding of tracking medical errors and protecting patients from incompetency or

NURS 8002 Blog Positive Social Change and the DNP-Prepared Nurse
NURS 8002 Blog Positive Social Change and the DNP-Prepared Nurse

misconduct of co-workers and other healthcare team members. Rapid changes in the medical sciences and technologies resulted in advance of new methods of care delivery and changes in healthcare policies. Therefore, nurses sometimes have difficulties obtaining health-related information and decision-making from patients, leading to someone advocating for them. Nurses can build a relationship with a patient with effective patient advocacy by preserving patients’ values, benefits, and autonomy. Doing so increases patients’ safety, self-control, and quality of life (Abbasinia et al., 2020).

The DNP-prepared nurse is essential to advocate for positive social change through many different ways like health care policy. They have the clinical proficiency and the educational background to present the case for passing legislation on health care issues (Chilton, 2015). As a DNP-prepared nurse, I will use my educational background and experience to conduct quality improvement projects in my working environments and use these evidence-based findings to help advocate and implement new policies changes within my organization.

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Overall, positive social change is a great way to advocate for appropriate patient’s care and healthcare policy. Healthcare professionals are at the front line to treat multiple patients with unique needs and relate personal experiences regarding how lawmaking can impact these patients (Chilton, 2015). With the evolving development of advocating for social change, healthcare providers can improve healthcare outcomes for individuals in the forthcoming future.

 

 References

Abbasinia, M., Ahmadi, F., & Kazemnejad, A. (2020). Patient advocacy in nursing: A concept analysis. Nursing Ethics27(1), 141–151. https://doi.org/10.1177/0969733019832950

Chilton, L. (2015). Nurse Practitioners Have an Essential Role in Health Policy. The Journals of Nurse Practitioners, 11(2), 19. https://doi.org/10.1016/j.nurpra.2014.10.009

Read, C. Y., Pino Betancourt, D.,M., & Morrison, C. (2016). Social change: A framework for inclusive leadership development in nursing education. Journal of Nursing Education, 55(3), 164-167. doi:http://dx.doi.org/10.3928/01484834-20160216-08

I do agree with you that nurses have a responsibility of promoting patient advocacy causes. Throughout the illness to health continuum, patients are in the care of nurses and depend on the nursing services (Skorpen Tarberg et al., 2020). If the nurses carry out their duties with patience and compassion, the faster the recovery process of the patient. Nurse advocacy stems from first, the nurse establishing a good and trustworthy relationship with the patient. This enhances proper communication that is effective, honest and timely. The nurse gets to understand the patient better and can help the physician in the decision-making points to help the patient recover fully. In some cases, the patients could be hostile like in the psychiatric department and this calls on PMHNP to be understanding and help improve the condition of the patients through the possible care services and experience at their disposal (Roets et al., 2018). Another key area that nurses are called upon to promote patient advocacy and social change is through strengthening the ethical and cultural considerations in their care services. Advanced nurse practitioners have to be guided by the principles of beneficence, non-maleficence and justice for all (Milliken, 2018). Nurses must understand the population dynamics and the prevailing cultural and religious underpinnings of the patients.

References

Milliken, A. (2018, January 31). Ethical Awareness: What It Is and Why It Matters. Ojin.nursingworld.org. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

Roets, M., Poggenpoel, M., & Myburgh, C. (2018). Psychiatric nurses’ experience of aggression amongst colleagues. Health SA Gesondheid, 23. https://doi.org/10.4102/hsag.v23i0.1086

Skorpen Tarberg, A., Landstad, B. J., Hole, T., Thronæs, M., & Kvangarsnes, M. (2020). Nurses’ experiences of compassionate care in the palliative pathway. Journal of Clinical Nursing, 29(23-24), 4818–4826. https://doi.org/10.1111/jocn.15528

Commitment for a Positive Impact

            As a DNP-prepared nurse, I plan on a commitment to advocacy that will positively impact my patients, communities, and the profession. I plan on achieving this in several ways. My main career goal as a DNP-prepared nurse is to become an educator for advanced practice nurses. I plan on using my knowledge gained during my DNP program to positively impact my future students. For example, I will use my knowledge of the importance of literature reviews and evidence-based practice to enact a practice change. I will encourage my advanced nursing students to research and find the best evidence available to answer clinical questions and create practice changes. I believe this will also positively impact the future of the profession. According to Read et al. (2016), there is a “need to educate nurses who can meet the present and future demands of health care.” If I can impact and influence future nurses, especially advanced practice nurses, they will be able to advance and impact the profession themselves.

I also believe as a DNP-prepared nurse, I will be able to positively impact my patients. Currently, I am working in a perioperative area of a hospital. I can use my knowledge to initiate practice changes, as I mentioned above. By implementing changes that can increase the quality of care, I will be impacting my current and future patients. The knowledge I will gain throughout this program will only help me in creating more positive change in my current workplace.

Social Change Advocacy

            The role of a DNP-prepared nurse contributes to advocacy for positive social change in many ways. Walden University’s (2021) definition of positive social change is “a deliberate process of creating and applying ideas, strategies, and actions to promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies.” As a DNP-prepared nurse, I will have many opportunities to accomplish this. For example, creating and applying a practice change that will improve the quality of care patients receive in the perioperative area is advocating for positive social change. This action will promote the development of the institution as it increases the quality of patient care. This change will also positively impact the patients that receive care at this institution. By implementing practice changes, the DNP-prepared nurse is promoting positive social change.

References

Read, C. Y., Pino Betancourt, D. M., & Morrison, C. (2016). Social change: A framework for inclusive leadership: Development in nursing education. Journal of Nursing Education, 55(3), 164-167. https://doi.org/10.3928/01484834-20160216-08.

Walden University (2021). Vision, Mission, and Goals. https://catalog.waldenu.edu/content.php?catoid=61&navoid=9236#:~:text=Vision%2C%20Mission%2C%20and%20Goals%201%20Vision.%20Walden%20University,Outcomes.%20…%206%20University%20Values%207%20Values.%20