WEAVING GOLD: TRANSITIONING NURSING PRACTICE FROM A MEDICAL MODEL TO A NURSING MODEL

2.50
Hdl Handle:
http://hdl.handle.net/10755/164888
Category:
Abstract
Type:
Presentation
Title:
WEAVING GOLD: TRANSITIONING NURSING PRACTICE FROM A MEDICAL MODEL TO A NURSING MODEL
Author(s):
Thompson, Nancy; Hammer, Marilyn
Author Details:
Nancy Thompson, RN MS AOCNS, Oncology Clinical Nurse Specialist, Swedish Cancer Institute, Seattle, Washington, USA, email: nancy.thompson@swedish.org; Marilyn Hammer, DC, RN; University of Washington School of Nursing, Seattle, Washington
Abstract:
As more health care institutions and oncology departments seek magnet status as a step in optimizing evidence based patient care, increasing numbers of nursing departments are transitioning their nursing practice from a medically driven model based primarily on physiologic data to a nursing driven model seeking a more holistic approach that better reflects actual nursing practice. For many nurses, this transition represents a major change in practice, leaving them with a feeling of disorientation, confusion and frustration. Using the transitions model by William Bridges and Associates (1998) helps nurses to adjust to the change, normalize their feelings and assure a positive outcome. The process of change can be viewed as a three-step progression which includes 1) ending a current structure, 2) transitioning to the new model, and 3) entering the new beginning of the remodeled system. It is within the transition phase, or neutral zone, in which problems can arise which may negatively affect productivity, morale, and outcomes. To overcome these barriers, this hospital based oncology clinic provided unit based education on Bridges transition theory including exercises to identify losses and learn four possible responses: replace, redefine, reinvent or relinquish. Staff nurses were encouraged to be part of the model change process to gain the benefit of the creativity associated with the neutral zone. Part of each staff meeting was devoted to talking through the feelings associated with the process. The full integration of the nursing model is not yet completed, but education of Bridges transition model has allowed nurses to normalize their feelings, to feel a part of the process, and to facilitate its application for a positive outcome and improved patient care. The Bridges Model of transitions could be applied to many different changes that occur in Oncology care such as changes in equipment, administrative structures, safe handling practices, and/or patient evaluation and follow-up. Although transitioning from a medical model to a nursing model can be disconcerting in an oncology setting, involving nursing personnel in the process can be a golden opportunity in weaving holistic based nursing practice into evidence-based patient care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleWEAVING GOLD: TRANSITIONING NURSING PRACTICE FROM A MEDICAL MODEL TO A NURSING MODELen_GB
dc.contributor.authorThompson, Nancyen_US
dc.contributor.authorHammer, Marilynen_US
dc.author.detailsNancy Thompson, RN MS AOCNS, Oncology Clinical Nurse Specialist, Swedish Cancer Institute, Seattle, Washington, USA, email: nancy.thompson@swedish.org; Marilyn Hammer, DC, RN; University of Washington School of Nursing, Seattle, Washingtonen_US
dc.identifier.urihttp://hdl.handle.net/10755/164888-
dc.description.abstractAs more health care institutions and oncology departments seek magnet status as a step in optimizing evidence based patient care, increasing numbers of nursing departments are transitioning their nursing practice from a medically driven model based primarily on physiologic data to a nursing driven model seeking a more holistic approach that better reflects actual nursing practice. For many nurses, this transition represents a major change in practice, leaving them with a feeling of disorientation, confusion and frustration. Using the transitions model by William Bridges and Associates (1998) helps nurses to adjust to the change, normalize their feelings and assure a positive outcome. The process of change can be viewed as a three-step progression which includes 1) ending a current structure, 2) transitioning to the new model, and 3) entering the new beginning of the remodeled system. It is within the transition phase, or neutral zone, in which problems can arise which may negatively affect productivity, morale, and outcomes. To overcome these barriers, this hospital based oncology clinic provided unit based education on Bridges transition theory including exercises to identify losses and learn four possible responses: replace, redefine, reinvent or relinquish. Staff nurses were encouraged to be part of the model change process to gain the benefit of the creativity associated with the neutral zone. Part of each staff meeting was devoted to talking through the feelings associated with the process. The full integration of the nursing model is not yet completed, but education of Bridges transition model has allowed nurses to normalize their feelings, to feel a part of the process, and to facilitate its application for a positive outcome and improved patient care. The Bridges Model of transitions could be applied to many different changes that occur in Oncology care such as changes in equipment, administrative structures, safe handling practices, and/or patient evaluation and follow-up. Although transitioning from a medical model to a nursing model can be disconcerting in an oncology setting, involving nursing personnel in the process can be a golden opportunity in weaving holistic based nursing practice into evidence-based patient care.en_GB
dc.date.available2011-10-27T12:08:46Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:08:46Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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