The Theory Of Community Empowerment

The purpose of this paper is to create a concept analysis and identify a nursing concept that is within a nursing theory. A concept analysis is a process where concepts and their characteristics are researched and clarified. The eight steps on conducting a concept analysis include selection of a concept used in a nursing theory, identification of the aims or purposes of the analysis, identification of possible use of the selected concept, determination of defining attributes, identification of model cases, identification of antecedents and consequences, and lastly definition of empirical referents (Walker & Avant, 2011). The nursing concept selected for this paper is “empowerment” within the nursing profession. The nursing theory from which the empowerment concept was obtained is Kanter’s Theory on Structural Empowerment. In order to empower someone, an individual needs the tools and resources to feel powered. According to Laschinger, Gilbert, Smith, & Leslie (2010), Kanter defines power as the ability to mobilize information, resources and support to get things done in an organization. The role of management is to provide employees with power tools that empower them to maximize their ability to accomplish their work in a meaningful way. Kanter goes on to describe two primary empowerment structures in organizations, first being the structure of opportunity and second the structure of power. The structure of opportunity relates to job conditions that provide

“Nursing is informed caring for the well-being of others” (Swanson, 1993, p. 352). Kristen Swanson’s relationship-based caring theory encompasses maintaining belief, knowing, being with, doing for, and enabling. Nursing is a profession with vast opportunities for growth and development. Each nurse has his or her individual passions; mine reside within obstetrics, women’s health, and nursing leadership. Nurse leaders play an integral role in the success of healthcare organizations. Nurse leaders shape the roles of nurses within their organizations. Nurse leaders seek methods to improve patient care. They also use innovation to gain efficiencies in care delivery and decrease healthcare cost. Many nurse leaders have an ultimate goal to aspire to be a chief nursing officer in a healthcare

Empowerment is a concept we all have heard at one time or another it is utilized in numerous professions and specialties. Analysis of this concept will further understanding of empowerment for nursing professionals in areas from research, theory development or practice. Exploring the attributes, consequences, implications and model cases of empowerment can assist the nursing professional in utilizing empowerment to its fullest potential. Within the scope of nursing, empowerment can be seen not purely as how it relates to the client, or the nurse but also how it relates to both the client and the nurse (Rodwell 1996). The Walker-Avant method was used to analyze this concept, as it was the most commonly seen in nursing literature (McEwen &

The Health Care System 's purpose is to meet the physical and mental health needs of the communities in which they serve, these systems operate using people working within heal care facilities as well as other health delivery resources. One group of individual that help with facility operations are nursing administrators. Nursing Administrators contribute in managing along with directing the nursing care delivery system. Their leadership style, characteristics, communication strategies, including the way that they negotiate as well as manage conflicts can determine the quality of the healthcare services treat the facility provide as well as help to develop a set of guidelines to standardize the type and quality of the nursing services. (Cipriano, 2011) Together the Nurse Mangers work toward the same goals along with guiding nurses in their practice and contribute to the facilities successes. (Frankel, 2011) The nursing leaders are advocates who directly affect the quality of the nursing care along with also having a positive impact on healthcare through leadership.

Implementing a change in practice within these environments can produce anxiety or fear of failure in nurses, leading to a resistance to change. Several studies (Bozak, 2003; Lehman, 2008; Spetz, Burgess & Phibbs, 2012) expounded the need for a concise plan and clear communication between nurses and management when implementing a change of this nature. The use of Lewin’s Change Management theory can support nurses through the transitions and identify areas of strengths and resistances prior to implementing change. Without a framework for guidance, it can be difficult to keep on track.

Change is a hard concept for most, but change in the hospital setting can be beneficial for both staff and patients. According to Mclean (2011), “Every change begins with an ending” (p.79). How people respond to change can make the process easy or hard depending on how the change is presented.

This plan will take 10 weeks to accomplish. Week 1, flyers will be made and distributed, so that all staff is aware of the changes being implemented and can plan to make this change. It will also give staff an opportunity to voice any concerns related to the changes and fill out the initial survey which is in Appendix B. This week will also be used to gather any resource materials needed to help with implementation of skills. Week 2 will be used for coordinating instruction and teaching with unit managers. Weeks 3 & 4 will be used to review the process of shift change report and how communication occurs between nurses, from nurse to patient and from nurse to physician. Staff interdisciplinary interactions will also be reviewed to find weaknesses in communication and teamwork. Week 5 will be used to review incident reports, to determine the gaps and what the staff needs to know to make incident reporting more effective and efficient. Week 6 will be used to arrange teaching times. This week will also be used to find teaching facilitators to teach the rest of the

Empowerment is when individuals are given greater control over decisions and actions that will affect their health. Empowerment is important when working in partnership within health and social care settings, as it can allow honest relationships to develop between service users and

The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”

This article analyzes the problems that nurses’ face when they have to leave their typical work environment to float to another unit. While float nurses are a great help, the change that they have to deal with can be very stressful, especially when the nurse does not have much experience. The author explained that nurses that float to another units experience fretfulness, their productivity decreased considerably, and they have poor time management since they spend a considerable amount of their time trying to familiarize themselves with the new environment. This article is unique because it provides information that can help float nurses be more productive when floating to another unit. The author encouraged float nurses to be up to date with their skills, to know their limits, and to speak up when they do not feel safe accepting an assignment. Although this article went into depth in explaining how challenging floating to another unit can be, the author did not mention what nurses can do when they do not feel competent enough to be floated to another floor.

The financial cost of losing a single nurse has been calculated as equal to double the annual salary of a single nurse. Various studies reveal that each hospital in America is losing almost $300, 000 per year because of nurse turn-over. Nurse turn-over can negatively impact the health care system in many ways such as poor quality of patient care, increased medication error, hospital acquired infection, prolonged patient stay at hospital, and increased staffing cost. Many factors contribute to nurse turn-over such as workload, absence of career opportunities, poor work recognition, and lack of communication with management about issues (Hunt, 2009).

The case loads from these RNs had to be covered by the remaining staff. Staff started working even longer hours (twelve to sixteen hours) on several days weekly. Staff felt like they did not have the opportunity to provide care that was quality and meaningful. They were not able to use the knowledge and skills they acquired to make an impact on another’s health status as they thought would be. The job became more of completing assigned tasks rather than using nursing knowledge and judgment. According to Chan (2009) “When nurses perceive a lack of autonomy in their job, this is a leading cause of job dissatisfaction for nurses and a major factor when deciding to leave the job” (p. 21).

Theory has so far remained a strategic tool in advanced nursing practice. Firstly, nursing utilizes every feature of management science. Fortunately, the knowledge base of each and every management science takes theory into account. Theory includes methods, principles, and concepts. The principles are usually related, and can be observed and validated or verified when translated into the practice of management. Likewise, concepts are general notions, thoughts, and ideas that tend to form a basis of discussion or action. Therefore, theoretical principles guide clinical nurses to various

According to the comments, visitors and family had issues with the space, furniture, and comfort of the room. In addition, the visitors made loud noises making the roommate unable to rest comfortably. Although changing the size or spaces in the rooms is a long term process, it is possible to limit the amount of noises which visitors make. Moreover, patients are not satisfied with the discharge process as they are often not provided with enough information and ended up waiting longer.

The process of implementing a change within the obstetrics and pediatrics units in this case study can impose a positive or negative feeling for the nursing staff in both units. With that being said, the nurses from the obstetrics units may have the feeling of being unwanted or not as important. This could be based on the fact that the facility has not made it their priority to improve the accomendation and equipment needed for obstetric patients. However, the pediatrics unit is continuously recognized by the facility and provided the necessary equipment to provide pediatric trauma services (Shaw & Carter, 2016, Chapter 19). However, with the implementation of uniting the two units together could cause negative results. While the nurses