8b-unit6-discussion2-reply1 | Nursing homework help

 

Chaos Theory Example

When I was a bedside nurse on a pediatric CICU unit, several safety measures were in place to ensure a smooth transition during shift change. Forgetting or not having time to do these safety checks was not an option, as numerous issues could compromise the patient’s health. A small choice to forgo the handoff safety measures at shift change was a shortcut some nurses chose if they felt confident in doing so. In one instance, a nurse forgot or chose not to calculate the drip rates of her continuous infusions at the start of her shift, which was part of the safety measures needed during shift change. This exclusion of ensuring the proper dose of life-sustaining medications are reaching the patient proved to be a monumental mistake. An insufficient amount of medication was delivered, and the mistake was not caught until several hours later. The seemingly small mistake of forgetting to calculate drip rates negatively impacted the patient’s care and endangered their wellbeing. Knowledge of the Chaos Theory would have benefited those involved by understanding that a very small decision or change can have an enormous impact. 

Using Theory to Improve Practice

In research from McGrath (2020), the author’s goal was to improve the very problem stated above: improving handoff communication for patient safety. McGrath identifies ineffective handoff communication in a hemodialysis unit as a risk for errors and jeopardizes patient safety, and a major contributing cause for adverse events. To implement a change in their unit, the researcher utilized Lewin’s Planned Change Theory. This particular theory has three stages: unfreezing, introducing change, and refreezing. Unfreezing involves recognizing the need for change and the driving forces that encourage or resist the improvements. The second step is introducing the change to enhance the process or problem. Refreezing is essentially sustaining the new guidelines placed in stage two. Just as the author in this study, I could use Lewin’s model to “unfreeze” the status quo of leniency towards handoff communication and help others on the unit realize the need for consistency regarding drip rate calculations at shift change. The change itself would be a prompt that each nurse must cosign in the documentation. “Refreezing” would be ensuring the change is maintained by audits and coaching if needed. 

Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency