Nursing Process Paper

My research paper is dealing with structure and planning in the medical field. Planning is the conscious, systematic process of making decisions about goals and activities that an individual, group, work unit or organization will pursue in the future, Management(p120). Lisa Taglione, RN nursing manager for the Cardiac Floor at Wilmington, NC mission vision for the unit is to care for patient with the care that you will want. The standard of planning she has for the unit and also for the organization, facilitates the development and continuous improvement of organizational systems in which plans related to the delivery of nursing services can be developed, modified, documented and evaluated. Fosters interdisciplinary planning and collaboration
that focuses on the individuals and populations served. Mrs. Taglione has structure and planning on the cardiac floor to make work unit flow easy, and everyone is able to communicate and work together. Assists and support staff in developing and maintaining competency in planning and change process. The structure that she has for the unit is preparing each co-worker with the plans to be able to work and be able to go with the policy and plan of the unit or organization.
Sally Phillips, PhD, RN author of “Nursing Process,” did a review on research on nursing process stated that in the past 15 years has focused less on merits, processes, and structure of the nursing process and more on the study of the implementation of the nursing process. As reading the article it was stating that structure was fading out, but implement in nursing care was important. Dorothy A. Jones EdD, RN wrote an article on “Nursing Practice Model,” can be described as a guide, road map, or a framework that provides a structure for the health care organization and the delivery of care. Nursing Practice Model Plan focuses on decreasing cost improving quality outcomes, increasing nurse satisfaction, autonomy, financial compensation, and impact on patient satisfaction with care. My research paper is dealing with structure and planning in the medical field. Without having a plan in place there would be no organization or vision, without a structure in place the medical field would be in a disorganize position. Reading on the article on Practice
Model,

it stated that a committee structure is developed to involve staff from across disciplines to participate in the leadership of patient care services.
With Practice Model Plan, emphasis is placed on communication among caregivers and the organization on which the unit work for. Through teamwork, cooperative planning and increased participation in decision making, system members can move the organization toward a shared vision and new direction in care delivery. Putting Structure and Planning into the organization policy help workers and unit managers to work together. In Management Text (p 137) SWOT is part of structure and planning in an organization. With some planning in areas you will have strengths and weakness, with nursing managers or nurse administrators they have to developed a plan for unit or organization in which they are working with. They have to implements the plan in a safe and timely manner. The strength of the plan can be developing expected outcomes that provide direction for continuity of care, includes a time estimate for attainment of expected outcomes. Incorporates new knowledge and strategies to initiate change and achieve desired outcomes. Also in my reading with the strength of planning, it has to consider the economic impact of the plan. Now with weakness of the plan that has been put in place. It has to go through the board of the organization and if one or two do not agree with the plan, it will have to go through a revised plan. Organizational
requirements for plans and structure BA contracts, certain requirements that health plans must meet. Covered entities are required to have appropriate contracts with all Bas. The structure of the BA is to protect the confidentiality, integrity, and availability of the electronic form of PHI that they create, receive, maintain or transmit. That is part of the structure or plan for keeping patients identify from being used. Structure and Plans in the medical field has policies, procedures, and documentation. When dealing with Plans and Structure in the medical field you have to be a critical thinker, you have to have the ability to process information and be able to arrive at a reasonable conclusion. The process of critical thinking goes along with structure, it involves sorting out conflicting
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information, and weighing the knowledge you possess about the information. Communication is a big part of Structure and Planning, to be able to work with patient and their care we must be able to talk with providers, family, and other sources that will help put a plan together to make sure patients are getting the best care. The Plan for that is SOAP which stands for Subjective impression, Objective clinical evidence, Assessment or Diagnosis, Plans for further studies, treatment, or management. In my reading Nursing Administration, (p 28) different nurses wrote a standard plan; Develop an individualized plan considering characteristics of the situation. Develops the plan and establishes the plan priorities in partnership with the appropriate stakeholders. Includes strategies within the plan that address each of the identified issues, problems or trends. Incorporates an implementation pathway or timeline within the plan. Utilizes the plan to provide direction to members of the healthcare team and other stakeholders. Defines the plan to reflect current statutes, rules, and regulations, and standards. Integrates currents trends and research affecting care in the planning process. Considers the economic impact of the plan. Uses standardized language or recognized terminology to document the plan. Participates in the design and development of multidisciplinary and interdisciplinary processes to address the situation or issue. Contributes to the development and continuous improvement of organizational systems that support the planning process. Supports the integration of clinical, human, and financial resources to enhance and complete the decision-making processes. That plan was organizing by the nurse administrator for the organization of the medical field. Implements the identified plan. Implements the plan in a safe and timely manner. Utilizes evidence-based interventions and treatments specific to the problem, issue, or diagnosis. Fosters organizational systems that support implementations of the plan. Incorporates new knowledge and strategies to initiate change and achieve desired outcomes. Collaborates with nursing colleagues and others to implement the plan.