Nursing Theory
The Human Becoming Theory assumes that the human is coexistent and is open, freely choosing meaning in a situation, as well as bearing responsibility for decisions made. The theory, written by Parse, is significant to nursing practice, especially in the field of quality improvement. As a nurse on the medical floor, I often think to myself on how much quality improvement measures would and actually does impact the care delivery of my patients, and all patients for that matter. One nursing care issue within my current nursing workplace that could be impacted by improved quality and this theory, would be aiding in the prevention of pressure ulcers. Together, the nurses and patient care assistance, or certified nurse assistance, must work together to prevent injury or negative outcomes for patients.
I find myself all too often busy running around the unit and unfortunately, I do not always have the time to turn and position my patients every two hours like I wished I could. In report, we often pass on each shift information regarding the patient's skin integrity: do they have pressure ulcers, is the skin intact, do they have cellulitis, and often, I hear "blanchable redness to sacrum." When I hear this, it is a red flag. Quality improvement must be made in order to decrease the number of pressure ulcers on our unit and maintain skin integrity. We want to prevent this negative nursing issue and negative care outcome for our patients. Recent studies over the past ten years have shown that these nursing issues are far too often seen, and also lead to poor patient outcomes and high healthcare costs across the nation. Together, working within our interdisciplinary team, we can help prevent the breakdown of skin integrity with quality improvement care measures, thereby improving quality care for our patients. Strategies, while working together, may even include increasing patient engagement in his or her care, if the patient is able to (Weston & Roberts, 2013). Often, we have patients who are nonverbal and borderline comatose. Patients who are alert and oriented, but still at risk for skin breakdown, can actively engage in their treatments and help prevent skin breakdown through encouragement and patient education.
References
Weston, M. & Roberts, D. (2013, September). The Influence of Quality Improvement Efforts on Patient Outcomes And Nursing Work: A Perspective from Chief Nursing Officers at Three Large Health Systems. Retrieved June 9, 2019, from http://www.nursingworld.org/Quality-Improvement-on-Patient-Outcomes.html.
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