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Key Topics
Requirement
Participants are to develop a case study based on the following criteria:
I. Students will demonstrate the use of a practice development evaluation process or tool. The process or tool will be chosen to evaluate either a current project or issue or a project or issue they have previously experienced. Students will need to clearly demonstrate the method that has been applied. The student must demonstrate the use of a process or tool and an understanding of the reason why this process or tool has been chosen.
II. Students will develop an action plan as an outcome of the evaluation process or tool. The action plan will take the form of a proposal if this is a new project or it may be a plan of action, which outlines how the tool would be implemented and identifies relevant goals.
The process or tool must be consistent with Practice Development and CIP (Collaborative,Inclusive,and Participatory) principles.
Solution
Introduction
Recently, the idea of a health care benefit, which is constantly enhancing and adapting to address the issues of the clients, is gaining the ground. The emphasis is on defining practice standards, empowering development in associations and clinical groups and implementing practices that are based on evidence. Studies related to the clinical evaluation of nursing students have always been emphasized on the need for legitimate, dependable and purposeful equipment. The purpose of this study was to assess and develop the reliability and validity of the tolls that are used for the evaluation of the clinical pharmacology unit.As the practice is based, in connection with information and care systems required by medical caretakers or nurses, training and education in nursing are currently being understood like never. Enhancing the nature of the student’s execution in the field of training is a standout amongst the most vital targets for the instructors. The greater part of nursing training is committed to clinical instruction. Within this period, to prepare students for work in clinical environments, learn and improve on clinical training in real situations.(Garbett & McCormack, 2002)
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Practice Development
A wide range of activities is included in this term “practice development”, including support and development of businessman changes in practice, improvement in standard standards and quality. It is often used in conjunction with other evidence and with each other, such as the implementation of research evidence. This practice is highlighted in the accounts of incompatible and confused details of the roles of development nurses.Rather than the practitioner or department, the patient used to focus on the activity. Different advantages, for example, increase in professional, personal or organizational reputation or cost-saving, can be a sub-product of practice development, not its principal goals. Practice development attracts and incorporates hypothesis and action from numerous regions, for example, evidence-based practice, advancement in practice and quality change. The final product, though, is more than the entirety of its parts. Practices recognize the significance of setting and the potential commitment of doctors in the development of activity. The expanded understanding of the complex dynamics of the practice condition will help in accomplishing more meaningful change and innovation.
This ruins their capacity to practice and apply the fundamental training standards in the education of clinical, which implies that they cannot incorporate the hypothetically learned in a clinical environment. Such applications are outlined in the assessment criteria. In nursing,training evaluation is one of the essential components. Inspection of evaluation principles, lack of nursing education programs and problems can be determined. Consequently, the clinical skill assessment for students, which depends on their scholarly objectives and measures, appears to be very important.(Manley & McCormack, 2003)
The nurses, as part of their responsibilities, have to carry out a number of tasks. Promoting health awareness among patients is one of the tasks that the nurses have to do to deliver better health services to the patients. Promoting heath awareness among the patients becomes even more important for the individuals who are suffering from type 1 and type 2 diabetes; as such patients often need to bring lots of changes in their lifestyle to stay healthy, but due to lack of awareness cannot adapt the changes. The nurses play a critical role here to make the diabetic patients aware of the importance of required changes, although making the patients aware of healthy habits often becomes difficult. Here, the current assessment deals with discussion on how Wadula model can help the nurses to promote health education among diabetic patients more effectively.
Methods
The WADULA Puzzling Cube:
Wadula Puzzling cube is a problem solving and decision making tool for the nurses. Using WADUL puzzling cube, the nurses can identify the issues , find out the best possible alternatives, evaluate those and implement the selected alternative to solve the issue in a systematic manner (Walsh et al.2005). In case of Wadula puzzling cube, the problem is not considered as an issue, instead it is considered as puzzle which gives the nurses with more flexibility to use their creative ideas to solve the problem. The second stage of the tool deals with clarifying purpose of the puzzle using which the nurses can align their activities with rest of the tasks. Adopting a team-based approach and involving different stakeholders with the healthcare service delivery process helps the healthcare professionals to deliver better services (Kitson et al.1998). In case of Wadula model also, the nursing professionals get scope to identify and engage the stakeholders whose participation is necessary for better service delivery (Walsh et al.2004). Assessing readiness for change and measuring the change is crucial for evaluating effectiveness of the healthcare service delivery strategies (Rycroft-Malone et al.2004). Using the Wadula tool, the nurses get chance to assess and evaluate the change occurred due to implementation of the strategies. In this assessment, use of Wadula tool can be effective to promote health awareness among the diabetic patients.
Here, an action plan for promoting health awareness among the diabetic patients is developed using the Wadula model. The nursing professionals can follow the steps in future to solve the issues related to creation of health awareness.
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Patients ( Consultation)
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Families of patients ( Establishing communication and keeping informed)
Identification of the attitude of parties Both the patients , their families and other healthcare professionals focus on delivering and obtaining the best services. As the attempt is being undertaken to improve quality of the care, they are expected to show positive attitude.Requirement for extra resources The main purpose is knowledge sharing and counseling the patients. So, no extra resource will be required.
Assessing own attitude Development of the therapeutic relation can be effective for counseling and knowledge sharing purpose. However, working with other professionals is beneficial for finding out alternative resources.
Emotional and cultural capacity of the people involved The healthcare professionals aim for improving quality of the care (Kitson et al.2004) . So, in this case also, they have the emotional and cultural capacity.
Applicability of the process in current context
Feasible: The process does not need extra resources or time. So, it is feasible.
Acceptable: It aligns with the larger goal of healthcare professionals. So, it is acceptable.
Meaningful: The process will help the nurses to carry out their tasks more effectively. So, it is meaningful.
Effective: It will help the patients to deserve better results from the healthcare services. So, it is effective.
Asking for feedbacks facilitates the individuals to share their own views on a process. In this case also, the peer professionals, patients and the families will be encouraged to share the views on the promotion of health awareness project.
Conclusion:
The current discussion indicates that use of WADULA tool can be effective to promote health awareness among the type1 and type 2 diabetic patients. The nurses have to involve the peer professionals, the patients and their families also to facilitate change in the patients’ lifestyle. The health status of patients will need to be measured regularly to evaluate effectiveness of the program.
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Garbett, R., & McCormack, B. (2002). A concept analysis of practice development. Journal of Research in Nursing, 7(2), 87-100. Retrieved 4 21, 2018, from http://journals.sagepub.com/doi/abs/10.1177/136140960200700203
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Kitson A, Harvey G and McCormack B. (1998), Enabling the implementation of evidence based practice: A conceptual framework. Quality in Health Care, 7(3): 149-158.
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Manley, K., & McCormack, B. (2003). Practice Development Purpose, Methodology, Facilitation and Evaluation. Nursing in Critical Care, 8(1), 22-29. Retrieved 4 21, 2018, from http://onlinelibrary.wiley.com/doi/10.1046/j.1478-5153.2003.00003.x/full
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Moazezi, Z., Hosseini, S.R., Kaboudi, P.S., Esbakian, B., Rahmani, S. and Ebrahimpour, S., 2018. A Comparison Between the Effect of Three Types of Low-Calorie Diets on Controlling Blood Glucose and Lipids in People with Type 2 Diabetes. Journal of Molecular Biology Research, 8(1), p.18.
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Rycroft-Malone J, Harvey G, Seers K, Kitson A, McCormack B and Titchen A. (2004) An exploration of the factors that influence the implementation of evidence into practice. Journal of Clinical Nursing. 13(8):913-924
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Walsh K, Lawless J, Moss C, and Allbon C. (2005) The development of an engagement tool for practice development. Practice Development in Health Care, 4(3): 124-130.
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Walsh K, McAllister M, Norgan A, and Thornhill J, (2004), Motivating Change: Using motivational interviewing in practice development. Practice Development in Health Care, 3(2): 92-100.
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