Write a 6–8-page paper identifying, comparing and contrasting at least 3 different decision-making approaches of care from a multidisciplinary perspective using a pertinent and significant topic in nursing (examples might include nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation or another current and relevant nursing issue) the topic MUST BE APPROVED by your nursing instructor before writing the paper. . Reflect on your own decision-making practices and the implications this will have regarding differing approaches taken of nursing leaders and staff nurses/clinical practitioners in decision making within to issues in practice. To complete this assignment, do the following:
1. Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature. Additionally, this should include a thorough literature review that provides a good understanding of what the cause of this problem is; what is suggested to address this problem. Essentially, this review must support your choices of the decision-making models and this needs to include how all levels of nursing practice (the bedside nurse to the APN are impacted by the problem).
2. Identify how you would expect a nurse leader/manager, a bedside/staff nurse and an Advanced practice nurse (CNO or NP) to address your selected issue using at least 3different decision-making approaches which are clearly supported by the literature review. This must first include aa detailed analysis/overview of the selected decision making models and how they are used in practice. Then a detailed analysis of how these decision-making approaches/models would address the problem/along with a detailed analysis of how each of the three selected models would be applied to address the selected issue/problem making sure to incorporate this at all levels of practice. One of the decision-making models may be more applicable to the bedside nurse; whereas the other more applicable to the APN; however, all levels of nursing practice need to be addressed with at least one of the chosen 3 decision-making models. However, this does not mean that each decision-making model will apply to all levels of practice only that in this discussion needs to include how each level of nursing practice would utilize the decision-making model to address the problem. For instance,one decision making model may apply to the bedside nurse; the second decision making model may be more applicable at the level of APN (CNO, NP, etc) and the other decision-making model may be best applied to the nurse manager. This section should be detailed; meaning specific, well thought out, realistic solutions of how the nurse (at the level identified; this may include more than one level for the same decision-making model or not) would address the problem using the decision-making model is provided and well supported by the literature. of the benefits and limitations of various decision-making approaches that are applied appropriately to the level of nursing practice to address the selected issue/problem. This is informed from course readings,literature, clinical scenarios and other evidence-based and scholarly sources.
3. Prioritize the best decision-making approach/model to address the selected problem that is grounded in best practice. This should provide a well-supported rationale for this choice that includes a good comparison and contrasting of the 3 chosen decision-making models that clearly illustrates why the choice was made, that is consistent with the decision making model and how it would address the chosen topic or problem.
4. Identify a possible funding source that would addresses your approach to solving the problem. For instance, if the best approach to solving the nurse-to-patient ratio problem is through the use of SDM and shared governance, perhaps you may seek a local funding source to provide you with funding to implement a small EBP or research project that would be funded by a local nursing organization such as Sigma Theta Tau or perhaps if it was geared more towards assessing the value of this model towards NP in practice than seeking a local organization that supports funding for projects being implemented by practicing NP? If seeking money for research this would need to be overseen by a nurse with a DNP or a PhD or someone with the credentials to do so that are part of their scope of practice. Consider looking at federal, state,or local organizations. For example: There are many grants available through the CDC,HRSA, etc. Again, this need to be specifically applied with sufficient details
Sample Solution
This assignment requires a deep dive into a significant nursing issue and how different levels of nursing personnel (bedside nurse, nurse manager, and advanced practice nurse) might apply various decision-making models to address it. The paper should also prioritize a preferred model, justify the choice, and explore potential funding sources.
Potential Nursing Issue
Nurse Burnout and Turnover is a pressing issue that impacts all levels of nursing. It's a complex problem with far-reaching consequences for patient care, organizational efficiency, and the overall nursing workforce.
Full Answer Section
Outline
Introduction
Brief overview of nurse burnout and turnover
Significance of the issue for different levels of nursing
Thesis statement: This paper will examine how different decision-making models can be applied by various nursing roles to address nurse burnout and turnover.
Literature Review
In-depth exploration of nurse burnout and turnover
Causes, consequences, and contributing factors
Impact on patient care, organizational outcomes, and the nursing profession
Current interventions and their effectiveness
III. Decision-Making Models
Rational Decision-Making Model:
Overview of the model
Application to nurse burnout and turnover
How it might be used by nurse managers and advanced practice nurses
Intuitive Decision-Making Model:
Overview of the model
Application to nurse burnout and turnover
How it might be used by bedside nurses and nurse managers
Evidence-Based Decision-Making Model:
Overview of the model
Application to nurse burnout and turnover
How it might be used by all levels of nursing
Comparison and Contrast
Strengths and weaknesses of each model
How the models complement each other
Best practices for combining models
Prioritization and Rationale
Selection of the most effective model for addressing nurse burnout and turnover
Detailed justification for the choice
Implications for implementation
Funding Sources
Exploration of potential funding opportunities
Alignment of funding sources with the chosen decision-making model
Strategies for securing funding
VII. Conclusion
Recapitulation of key findings
Recommendations for future research and practice
Implications for nursing leadership and education
Potential Decision-Making Models
Rational Decision-Making Model: This model emphasizes logical analysis and objective data. It could be effective for nurse managers to develop strategies for reducing workload and improving work-life balance.
Intuitive Decision-Making Model: This model relies on gut feelings and experience. It might be useful for bedside nurses to quickly assess and respond to patient needs and identify potential burnout factors.
Evidence-Based Decision-Making Model: This model incorporates research evidence into decision-making. It can be used by all levels of nursing to implement interventions based on best practices.
Potential Funding Sources
National Institute of Nursing Research (NINR)
Robert Wood Johnson Foundation
Agency for Healthcare Research and Quality (AHRQ)
State-level nursing organizations
Healthcare organizations
Note: This is a general outline, and the specific content will depend on the depth of research and the chosen nursing issue. It's essential to conduct a thorough literature review to inform the paper's focus and arguments.
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