Please answer these questions 1. Synthesize knowledge from across nursing progr

Please answer these questions
1. Synthesize knowledge from across nursing progr

Please answer these questions
1. Synthesize knowledge from across nursing program course work.

2. Collaborate with an interdisciplinary health care team and community partners for health program planning to improve health outcomes.

3. Apply national health objectives within the context of a population-focused health care practice.

4. Consider the impact of cultural, environmental, and regulatory systems as related to the developed population-focused project.

5. Display professional nursing values of altruism, autonomy, human dignity, integrity, and social justice in examining issues related to population-focused nursing.

6. Demonstrate personal accountability and responsibility for professional behaviors.

1. Throughout the BSN program I have gained invaluable knowledge in communication, accountability, clinical reasoning, interprofessional collaboration, and leadership. Learning how to research and communicate effectively in the beginning of the program set the foundation for my success. I found evidenced-based practice in many classes and applied it to my current position to aid in clinical reasoning to provide better care for my tiny patients. In capstone I tied it all together to take on a leadership role to initiate change. This was done working collaboratively with my preceptor, the head nurse practitioner, staff nurses, and members of the many committees that I presented to. I am walking out of this program as a completely different nurse, and this a change that I am very proud of.

2. Collaborate with an interdisciplinary health care team and community partners for health program planning to improve health outcomes.
In capstone I collaborated with my preceptor, who is an advanced practice nurse, the head nurse practitioner of the NICU, staff nurses, and members of the unit-based committee, perinatal practice club, and journal club. I researched swaddled bathing and together with my preceptor and nurse practitioner I created a poster board to show the developmental benefits it provides our critically ill newborns in the NICU. I developed pre and posttests questions with the guidance from my preceptor and nurse practitioner to be sure that I was structuring my questions to not only provide the information accurately, but I was focusing on the areas that our staff need to understand to initiate this important change in care. I then went on to having huddles and doing demonstrations with the staff nurses. This was an opportunity to teach and answer their questions. I encouraged the nurses to spread the word to others to help me cover as much ground as possible. I will be continuing my work with this project after this class is complete. I am currently working with my preceptor and nurse practitioner to create a tip sheet for the orientation packet for new hires, and I will be updating our bathing policy. The initiation of my project and the collaboration of other team members looks promising for the future of swaddled bathing and has proven benefits for the developmental care of our babies.

3. Apply national health objectives within the context of a population-focused health care practice.While researching bathing of preterm infants in the NICU I discovered a common theme, swaddle bathing. It is an evidenced-based practice that is approved by AWHONN. The benefits of this type of bath are less crying, decreased stress level, less temperature variation, minimize cold stress, conserve energy, increased energy for feeding, increased social interaction, and provides developmental care for the infant. It should be completed in a calm and quiet environment and use of proper positioning and handling to protect the skin, which minimizes stress and pain. The baths are recommended for infants >32 weeks’ gestation and are stable to be off a cardiorespiratory monitor for the length of the bath. Qualifying infants cannot have any lines present. Although, it is safe to perform a swaddle bath on infants with oxygen, feeding tubes, and an umbilical cord present. The total bath time should be approximately ten minutes. The bath should be performed every 2-3 days. These are the guidelines that I taught to our NICU, and we are updating our police to follow these guidelines.

4. Consider the impact of cultural, environmental, and regulatory systems as related to the developed population-focused project.
In my institution I care for infants of many different cultures daily. I always respect their cultural beliefs and provide care to honor it when applicable. In the initiation of my project, I had experienced families that only want their infants bathed after a certain number of days, and no one that has refused the swaddled bath in general. These circumstances are doable and will always be taken into consideration as the project continues. The environment is something that we will continue to work on. The research states that the temperature of the room should be warm and without drafts and it should be quiet. Our unit averages too warm, so no drafts, but the noise level is always too high. This is a work in progress with only a portion of it in our control. The regulatory systems of the newborns are an important consideration for the implementation of the bath to be performed. This was crucial in my teachings on the poster board, pre and posttest, huddles, and demonstrations to be sure that the bath is an actual benefit to the infant. Our infants are fragile; we must be diligent to only provide this bath if the infant is stable.

5. Display professional nursing values of altruism, autonomy, human dignity, integrity, and social justice in examining issues related to population-focused nursing.
Altruism: I sought out the concern that infants in the NICU were not being bathed and the bathing policy only discusses the bath after birth. I researched evidenced-based practice in the NICU’s and what benefits the bath can provide. I initiated my project to change the practice for the developmental benefits of the babies. This displays my advocacy to my patients.

Autonomy: In my project I have respected what the parents decide for their infant’s bath and their overall care; this will continue in all aspects of care and my project in the future.

Human dignity: I value each patient’s family that I care for and the nurses and doctors that I work alongside. The 22 years that I have worked in Detroit combined with my global health class has educated me far outside of the life and belief system that I practice. This information is invaluable and has taught me to provide care that is acceptable, and this builds trust with families.

Integrity: I am always honest and put my patient’s best interest first. I take accountability and responsibility for my actions. I will advocate for my patient with a collaborative team and evidenced-based practice. I will maintain the safety of my patients care and privacy. I feel honored to care for my patients and their families, and I will be sure that they can see this in the care I provide.

Social justice: I have committed my entire nursing career to work in an intercity area that has clear disadvantages. I have, and always will do my part to provide resources outside of my care to help in any way possible. I have worked with families of many cultures, citizenship, ages, disabilities, and sexual orientation and it has no bearing on the care I provide. I am here to help patients regardless of outside factors.

6. Demonstrate personal accountability and responsibility for professional behaviors.
I committed to weekly zoom meetings with my professor, attended each clinical hour that was scheduled with my preceptor, created a poster board with the research I completed, initiated huddles multiple times a week, and performed demonstrations at UBC, perinatal practice club, and journal club. My responsibility included completing and submitting all assignments on time, teaching all staff that care for our infants, arriving to each meeting on time, dressing appropriately, and speaking with respect. The greatest professional behavior accomplished was initiating evidenced-based practice into our organization.

Here is my paper that the some of answer for the question should be based from
Nursing Perception and Attitude Toward Pain Management

Pain management is a cornerstone of quality healthcare, directly influencing a patient’s well-being and recovery process. However, Al-Sayaghi et al. (2022) note that challenges often arise in healthcare settings where nurses’ perceptions and attitudes toward pain management can impact the efficacy of care provided. In response to this critical issue, a targeted Pain Management Improvement Project was initiated to transform nurses’ perspectives and practices in assessing and alleviating pain. This evaluation seeks to comprehensively assess the project’s effectiveness, examining its achievements and areas that may benefit from refinement. Using a formative approach, we delve into the process attributes that contributed to the project’s success, focusing on communication, resource allocation, key facilitators, encountered barriers, and the lessons gleaned from this endeavor. This analysis will shed light on the strides in enhancing pain management practices and provide essential insights for future initiatives to improve patient care and outcomes.
Summative Evaluations: Objectives, Measurements and Achievements
Objective 1: Implementing Behavioral Pain Assessment Scale
Herr et al. (2019) suggested that the Behavioral Pain Assessment Scale was essential to changing nurses’ pain treatment. Its effectiveness was assessed in multiple ways. Direct observations of nurses’ encounters with pain patients revealed how successfully the scale was integrated into their workflow. Nurses and patients were also given surveys and feedback on the scale’s usefulness and efficacy. Excellent results were achieved for this goal. In one month, nurses’ behavioral pain assessment and management skills improved. Most nurses understood the scale, improving pain evaluation (Herr et al., 2019). Success with the scale paved the way for more accurate and individualized pain management.
Objective 2: Integrating Institutional Pain Management Procedures
Herr et al. (2019) imply that institutional pain management protocols were crucial to the project. Daily audits and in-depth interviews assessed nurses’ compliance. In real-time, audits assessed whether nurses followed patient engagement procedures. Also, interviews gave qualitative insights into their knowledge and use of the methods. The degree of achievement for this goal was average. While process adherence improved, some nurses needed more guidance and clarity. This shows repeated reinforcement and education may be needed to maintain protocol compliance. There was a favorable trend toward more standardized and effective pain management.
Objective 3: Developing a “staff in-service” module
According to Nicol et al. (2019), the “staff in-service” module improved nurses’ pain management skills. Pre- and post-assessments assessed nurses’ pain management knowledge and confidence. Additionally, feedback questionnaires were provided to collect qualitative data on module usefulness. This goal was very well accomplished. Nurses’ pain management knowledge and confidence increased significantly between pre- and post-assessments. A majority of nurses said the training was useful and improved their skills. This module demonstrated the value of personalized educational interventions in altering nurses’ pain management perceptions and competency.
Objective 4: Training Sessions
The project’s training sessions taught nurses how to treat pain. Nurses completed post-training questionnaires to assess its impact. These questions measured confidence, pain management knowledge, and training efficacy. This goal was effectively accomplished. After the training, most nurses felt more confident and competent in pain treatment. The program greatly improved their pain management attitude, according to feedback. The successful training sessions showed that tailored education and hands-on training empower nurses to give effective pain treatment to patients.
Contributions to Success
The successes achieved in this project can be attributed to several key factors. Firstly, formulating specific, measurable, achievable, relevant, and time-bound (SMART) objectives provided a clear roadmap for implementation. This ensured that all stakeholders aligned with the project’s goals and knew their respective roles. Additionally, the tailored educational interventions, including the “staff in-service” module and training sessions, enhanced nurses’ knowledge and skills in pain management. These interventions addressed specific areas identified through the behavioral pain assessment scale and institutional pain management procedures, leading to tangible improvements. Effective communication and resource allocation also played pivotal roles, facilitating a collaborative environment and providing the necessary tools and support for successful execution.
Several adjustments are suggested to improve the project’s results better. Clarifying and reinforcing pain management protocols through focused workshops or sessions helps improve institutional procedures and ensure uniform adherence. The expertise of nurses in pain management methods will be maintained throughout time with the aid of ongoing education and reinforcing initiatives, such as regular refresher workshops. Additionally, implementing a robust feedback system with focus groups and one-on-one interviews can give nurses and patients more in-depth perceptions. A sustainability strategy should also describe how the initiatives will be incorporated into common practice after the initial implementation phase. The new methods will be widely adopted if any potential resistance is addressed through change management techniques, additional assistance, and training. By making these changes, the project can build on existing achievements and enhance nurses’ attitudes and perceptions of pain treatment, ultimately improving patient care.
Project Sustainability and Future Outlook
Since this project is a one-time event, it is crucial to anticipate the issue’s future. While significant strides have been made in improving nurses’ perceptions and attitudes towards pain management, there are considerations regarding the sustainability of these gains. Without ongoing reinforcement and integration of the project’s interventions into standard practice, there is a risk that the original concerns may resurface. As time progresses and staff turnover occurs, the knowledge and practices instilled by the project may gradually fade. This could lead to a regression in pain management quality, reverting to prior methods. Establishing a comprehensive transition plan is imperative to mitigate this potential challenge. This plan should outline strategies for institutionalizing the successful elements of the project within the healthcare facility’s standard protocols. It should also emphasize the importance of ongoing education and training to maintain the skills and knowledge acquired during the project. Furthermore, clear documentation and dissemination of the project’s best practices can be a reference for current and future staff members. These proactive steps can preserve and build upon the project’s impact even after its conclusion.
Formative Evaluation
In the formative evaluation of this project, communication emerged as a cornerstone of its success. Regular meetings and open channels ensured stakeholders and participants were consistently informed about project progress and updates. This fostered a collaborative environment, allowing for timely adjustments and alignment of efforts. The required resources were also generally available, with sufficient funding and IT support for implementing the Behavioral Pain Assessment Scale. This ensured that nurses had the tools to utilize the scale in their practice effectively. However, vigilance in resource allocation remains crucial to meet evolving project needs.
Key Facilitators Roles
Key facilitators played a vital role in bringing this project together. The clearly defined SMART objectives and detailed implementation plan provided a structured framework for all stakeholders. The tailored educational interventions, including the “staff in-service” module and training sessions, proved instrumental in enhancing nurses’ skills and knowledge in pain management. Despite the overall success, the project faced some resistance from a small subset of nurses in adopting new approaches. Addressing this challenge required strategic change management strategies and additional support and training. Furthermore, regular audits and interviews identified areas where institutional pain management procedures needed further clarification and reinforcement, ultimately leading to more refined protocols and improved compliance. These invaluable lessons learned will serve as guiding principles for future initiatives to enhance pain management practices within healthcare settings.

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