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An Area In Your Specialty That You Believe Needs Improvement NUR 513

An Area In Your Specialty That You Believe Needs Improvement NUR 513


Re: Topic 5 DQ 1

I work in a pediatric CVICU, and a persistent difficulty has been with increasing technologies, changing practices, and changing charting interfaces or formats; and nursing staff readiness and acceptance to fully utilize technology to its intended degree. There are people who have worked on this unit for a long period of time and are opposed to change, others who just miss changes, and there is inconsistency in staff education. A fantastic illustration of this can be found in the field of etiometry monitoring. My unit just invested a significant amount of money in the installation of Etiometry monitors in each and every patient room. When we first received it, we were advised that these monitors can collect and analyze crucial patient data, assisting in risk assessment, making informed treatment decisions, and reducing expenses. Etiometry monitoring was intended to collect data from patients that are frequently neglected and aid in the prediction of significant occurrences. However, once these monitors are acquired, they are frequently considered as unnecessary pieces of technology. None of the nursing personnel had received adequate training in interpreting and comprehending the etiometry data. The majority of nursing personnel was recently trained on how to activate monitors and report particular statistics to clinicians. This has resulted in a lack of respect for etiometry monitoring. Frequently, monitors are pulled out of the way and turned off. This is just one example of how a valuable piece of technology is being underutilized; I’m sure the majority of us can think of dozens of comparable instances involving equipment, charting, and software.

Kurt Lewin’s Change Theory could be used to this and numerous other topics relating to nursing practice modifications and increased technology use. Lewin’s theory of change can be described as follows: unfreezing, movement, and refreezing (Current Nursing, 2020). The unfreezing step entails overcoming opposition and establishing a catalyst for behavioral change. The movement phase entails enacting the change or altering one’s beliefs or behaviors. And refreezing is the process of establishing the new behavior or change as a habit. I am unable to say whether this is the best theory. There are numerous nursing theories that can be applied effectively to a variety of settings. Aspect of Your Specialty That You Believe Could Be Improved 513 NUR


Current Nursing. (2020). Nursing theories: Open access articles on nursing theories and models. https://currentnursing.com/nursing_theory/change_theory.html


Gina integrated any form of change is a process that attracts mixed reactions. Technological change may be complicated for some nurses. However, some nurses may be flexible to incorporate change hoping that the adjustment will improve the healthcare services.

Educating the staff is the right protocol towards incorporating nurses as change agents (Peukert, 2019). Technological transformation is an expensive engagement due to the gadgets’ costs. Installing Etiometry monitors in patient’s room enable the collection and analysis of vital information.  The monitor fastens the patient health information collection (Lammi & Pantzar, 2019). Therefore, the monitors increase the healthcare quality and accuracy. The technological change value in healthcare services cannot be understood by nurses who have been educated about the change.  Sadly, uninformed nurses may bar installing Etiometry monitors. Educating the staff allows the facility leadership to educate nurses on how to use and interfere with the data collected by the monitors. The monitors store crucial information in bulk.  The patient information may be required at any time so the nurses should be flexible to retrieve the information.


Lammi, M., & Pantzar, M. (2019). The data economy: How technological change has altered the role of the citizen-consumer. Technology in Society59, 101157.

Peukert, C. (2019). The next wave of digital technological change and the cultural industries. Journal of Cultural Economics43(2), 189-210.


Re: Topic 5 DQ 1

Preventing workplace violence (WPV) is an issue my organization is very actively involved in and is working to create a healthy work environment. The World Health Organization (WHO) defines WPV, “Incidents where staff is abused, threatened, or assaulted in circumstances related to their work, including commuting to and from work, involving an explicit or implicit challenge to their safety, well-being, or health” (Stephens, 2019). Both physical and psychological harm, including verbal abuse, attacks, bullying, and racial or sexual harassment is considered WPV.

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According to a study in the New England Journal of Medicine, four types of violence occur in the workplace, with the second type of violence, that in which the assailant is a customer, patient, or employee of the workplace, is the most prevalent against h

An Area In Your Specialty That You Believe Needs Improvement NUR 513

An Area In Your Specialty That You Believe Needs Improvement NUR 513

ealthcare workers (Stephens, 2019). A hospital can be a stressful environment and violence is not always criminal. Sick patients may become emotionally volatile. Family members can be stressed and lash out. Psychiatric and behavioral issues are prevalent in our settings, especially the emergency departments. Unfortunately, I have seen confused dementia patients become more aggressive towards staff with interventions that have successfully deescalated other situations. An Area In Your Specialty That You Believe Needs Improvement NUR 513

Neuman Systems Model (NSM) focuses on interactions between patients and their environments and the prevention of negative stressors. Prevention counteracts negative stressors, which reduces a defensive response from the stressor (Casavant, 2020). Betty Neuman’s model can be adapted to many different situations and was based on the patient relationship to stress and reaction to it, making it the best theory to use. Each patient is unique, and a holistic approach and stress prevention is the primary intervention.

The nurse will need to assess for actual or potential patient stressors, lines of defense, and resistance, along with coping factors. Establishing a good interpersonal relationship between the nurse and patient will allow for discussion and goal setting, aligning prevention interventions surrounding patient-perceived stressors.  Caregiver self-care is essential and must be accepted and promoted by the healthcare organization. Caregivers that can recognize and identify their stressors are best aligned at prevention for their patients. We should all feel safe at work but more work is needed.

Also Read: NUR 513 DQ 1 Review The Evidence-Based Practice Project Ideas You Described In Topic 5 


Casavant, S. G. (2020, June 12). At the intersection of science and theory: How the Nurse Role Integration Model reconciles the conflict. International Journal of Nursing Sciences. https://www.sciencedirect.com/science/article/pii/S2352013220300867.

Stephens, W. (2019, May 12). Violence Against Healthcare Workers: A Rising Epidemic. AJMC. https://www.ajmc.com/view/violence-against-healthcare-workers-a-rising-epidemic.


I concur with you Barbara that WPV is incidents that threaten, abuse, and assault people at their workplace. The violence may be physical, verbal, and psychological. However, any form of harm at the workplace interferes with individual performance (Mento et al., 2020). Sexual or racial harassment is a common incident in most workplaces. Therefore, preventing WPV protect vulnerable workers from any form of harm. Hospitals attend to different patients with multiple health complications.  Unfortunately, some patients due to their conditions become abusive and assaultive. Nurses are supposed to handle these chaotic patients a task that may be frustrating. The WHO does not consider abusive patients as orchestrators of WPV since they are mentally unstable (Xu et al., 2019). Healthcare facilities observe patients’ situations to avoid putting nurses at risk. Thus, chaotic patients are restrained when receiving medical attention. Despite handling abusive patients, some nurses interact with rude nurse-leaders who exert pressure on workers. As a result, employees become unproductive due to working under duress.


Mento, C., Silvestri, M. C., Bruno, A., Muscatello, M. R. A., Cedro, C., Pandolfo, G., & Zoccali, R. A. (2020). Workplace violence against healthcare professionals: a systematic review. Aggression and violent behavior51, 101381.

Xu, T., Magnusson Hanson, L. L., Lange, T., Starkopf, L., Westerlund, H., Madsen, I. E., … & Rod, N. H. (2019). Workplace bullying and workplace violence as risk factors for cardiovascular disease: a multi-cohort study. European heart journal40(14), 1124-1134. An Area In Your Specialty That You Believe Needs Improvement NUR 513

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