DNP 815A Case Report: DPI Project Application of Theory to Organizational Mission and Vision, and Christian Worldviews Essay
DNP 815A Case Report: DPI Project Application of Theory to Organizational Mission and Vision, and Christian Worldviews Essay
DNP 815A Case Report: DPI Project Application of Theory to Organizational Mission and Vision, and Christian Worldviews Essay
Case Report: Application of Theory to Organizational Mission, Vision, and the Christian Worldviews
Case Report: Application of Theory to Organizational Mission, Vision, and the Christian Worldviews
The Doctor of Nursing Practice project at St. Anthony Health and Rehabilitation Center in St. Anthony, Minnesota, aims to enhance the quality of care provided to patients by addressing the high occurrence of pressure ulcers. Pressure ulcers, also known as bedsores, are prevalent among patients receiving long-term care, and their development can lead to severe complications, including infections, sepsis, and even death (Smith & Leggat, 2018). To steer this project, I will utilize the Roy Adaptation Model (RAM), a nursing theory that emphasizes how individuals respond to stressors and adapt to their surroundings. Since pressure ulcers are a stressor that patients must contend with to maintain their health and well-being, the RAM is particularly applicable to this undertaking. By using the RAM, I expect to gain insight into the variables that contribute to pressure ulcers and create interventions that foster patient adaptation, preventing the onset of pressure ulcers (Soares et al.,2019).
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The approach to this problem is noteworthy because it places emphasis on the patient’s experience and recognizes the patient’s agency in adapting to their environment. The RAM offers a framework for understanding this process and illuminating the factors that influence a patient’s adaptation. By utilizing this model, the team hopes to make meaningful improvements in the care provided to patients, reducing the incidence of pressure ulcers and ensuring that patients receive high-quality care.
Problem Description
St. Anthony Health and Rehabilitation Center is a long-term care facility that offers medical supervision and daily living assistance to its patients. Despite the efforts of the facility’s staff to prevent pressure ulcers, the rate of pressure ulcers among its patients has been high. This issue has significant negative impacts on patients, their families, and the staff members working at the facility. Patients who develop pressure ulcers may experience discomfort, pain, and limited mobility, which can adversely affect their quality of life. Additionally, treating pressure ulcers can be challenging and costly, and patients may need to extend their stay at the facility (Black et al., 2018). Families of patients with pressure ulcers may experience emotional distress and may question the quality of care their loved ones are receiving, leading to further complications. Staff members may also feel overwhelmed and frustrated due to the high rate of pressure ulcers among patients.
Pressure ulcers are preventable, and reducing their occurrence can enhance patient outcomes, improve the facility’s reputation, and increase staff morale. It is essential to identify factors contributing to pressure ulcer development, such as prolonged pressure on specific body parts, friction, and moisture (Kennedy-Evans & Gailbraith,2020). Addressing these factors through appropriate interventions, such as repositioning patients regularly, using specialized cushions, and maintaining skin hygiene, can reduce the incidence of pressure ulcers and improve patient outcomes at St. Anthony Health and Rehabilitation Center.
Overview: This paper will outline a DNP project that aims to improve patient outcomes at St. Anthony Health and Rehabilitation Center in St. Anthony, Minnesota. The project will utilize the Roy Adaptation Model (RAM) as a framework for patient care and program development.
Purpose: The purpose of this project is to implement interventions guided by the RAM to improve patient adaptation and outcomes at St. Anthony Health and Rehabilitation Center. The project aims to assess the adaptive modes of patients, identify factors that contribute to or hinder adaptation, and develop interventions to promote adaptation and achieve a state of well-being.
Readers will learn about the RAM, its application in nursing practice, and its role in promoting patient adaptation and well-being (Smith, 2020). The paper will also discuss the methodology of the project, including the data collection process and the implementation of interventions. The results of the project and their implications for nursing practice and patient care will also be presented.
Transition: The next section of the paper will provide a brief overview of the RAM and its application in nursing practice.
Purpose
The DNP project seeks to enhance patient outcomes at St. Anthony Health and Rehabilitation Center in St. Anthony, Minnesota, by implementing interventions guided by the Roy Adaptation Model (RAM). The project involves a comprehensive assessment of patients’ adaptive modes, the identification of factors that impede or facilitate adaptation, and the development of interventions to promote adaptation and improve patients’ well-being. Through the use of the RAM as a framework for patient care and program development, the project aims to improve the quality of care at the facility and enhance patient outcomes (Callister & Bond, 2018).
The Roy Adaptation Model is a nursing theory that focuses on the patient’s ability to adapt to changes in their environment and maintain a state of equilibrium. This model emphasizes the importance of assessing the patient’s coping mechanisms and developing interventions that promote adaptation and well-being (Roy, 2018). By utilizing this framework, the DNP project can provide a holistic approach to patient care that addresses their physical, emotional, and social needs. Ultimately, the implementation of interventions guided by the RAM can lead to better patient outcomes, improved quality of care, and increased patient satisfaction at St. Anthony Health and Rehabilitation Center.
Christian Worldviews
The Doctrinal Statements of Grand Canyon University address a wide variety of subjects that are associated with the Christian religion. Some of these topics include the Bible, God, Jesus Christ, the Holy Spirit, humanity, salvation, the church, and the end times. When all nine assertions are taken together, it is clear that GCU adheres to a conservative evangelical interpretation of Christianity (GCU, 2018). The school believes in the authority and inspiration of the Bible as the Word of God, the presence of one God who is sovereign over all, the deity and humanity of Jesus Christ, and the work of the Holy Spirit in calling people to faith and enabling them for service. All of these beliefs are affirmed in the school’s statement of faith (Bryant, 2020).
Additionally, GCU places an emphasis on the significance of receiving salvation through personal trust in Jesus Christ alone, the function of the church as the body of Christ and a community of believers, as well as the expectation of the return of Christ and the consummation of all things (GCU, 2018). Overall, the Doctrinal Statements of GCU demonstrate a commitment to biblical teaching and a desire to educate students to serve God and others in their chosen disciplines. This goal is expressed in the form of a desire to equip students.
Organization’s Mission and Vision to Theory and Model
The Mission and Vision statement of a hospital communicates its aims, goals, and values in providing healthcare services to the community it serves. The St. Anthony Health and Rehabilitation Center in St. Anthony, Minnesota, has made its Mission and Vision statement accessible to clients through its website. The Mission statement outlines the hospital’s objectives and approach toward serving its community, while the Vision statement articulates the hospital’s intended direction. This section provides an overview of the Mission and Vision statement of the St. Anthony Health and Rehabilitation Center located in St. Anthony, Minnesota.
Mission and Vision
The mission of the St. Anthony Health and Rehabilitation Center in St. Anthony, Minnesota, is to provide high-quality healthcare services to individuals in need. The organization’s vision is to be a leading provider of healthcare services in the region, with a focus on compassionate care, clinical excellence, and community engagement (St. Anthony Health and Rehabilitation Center, 2018). The St. Anthony Health and Rehabilitation Center’s mission and vision align well with the Roy Adaptation Model (RAM), which is a nursing theory that focuses on the individual’s adaptation to change and the role of nursing in promoting this adaptation.
The RAM provides a framework for understanding how individuals adapt to changes in their environment and the ways in which nursing interventions can facilitate this adaptation. In the context of the St. Anthony Health and Rehabilitation Center, the RAM can guide nursing practice, research, and education, as well as the development of individualized care plans that take into account the patient’s unique needs and resources (St. Anthony Health and Rehabilitation Center, 2018). The RAM emphasizes the importance of understanding the patient’s physiological, psychological, and social factors and the ways in which they adapt to changes in their environment. This aligns well with the St. Anthony Health and Rehabilitation Center’s focus on compassionate care, clinical excellence, and community engagement. By using the RAM, nursing staff at the St. Anthony Health and Rehabilitation Center can assess each patient’s adaptive abilities and develop individualized care plans that promote their adaptation and well-being (Sieloff & Frey, 2020). This may include implementing interventions that support the patient’s coping mechanisms and enhance their adaptation to change.
Additionally, the RAM can guide research at the St. Anthony Health and Rehabilitation Center as it provides a framework for developing research questions and study design that focus on the individual’s adaptation to change (Sieloff & Frey, 2020). By using the RAM, researchers at the St. Anthony Health and Rehabilitation Center can ensure that their findings have practical implications for nursing practice and patient care. Overall, the Roy Adaptation Model (RAM) is a useful framework for guiding nursing practice, research, and education at the St. Anthony Health and Rehabilitation Center. By focusing on the individual’s adaptation to change and the role of nursing in promoting this adaptation, the RAM can help enhance patient outcomes and improve nursing practice.
Pulling it Together
In my Doctor of Nursing Practice (DNP) project, which focuses on implementing evidence-based interventions to improve patient outcomes at St. Anthony Health and Rehabilitation Center in St. Anthony, Minnesota, there is alignment between the purpose of the project, the Christian Worldview (CWV), the organization’s mission and vision, and the selected nursing theory and evidence-based change model. This alignment was achieved by ensuring that the CWV, the organization’s mission and vision, and the chosen nursing theory were consistent with one another.
To begin, the goal of my project is to implement evidence-based treatments that connect with the mission and vision of St. Anthony Health and Rehabilitation Center, which is to provide compassionate care, clinical excellence, and community engagement. The Christian worldview, which emphasizes the significance of compassion and service to others, is consistent with the tenets of these ideals.
Second, the Roy Adaptation Model (RAM), which is the nursing theory that will direct my Doctor of Nursing Practice research, is congruent with both the Christian worldview and the core principles upheld by St. Anthony Health and Rehabilitation Center (Roy, 2018). It is consistent with the Christian principle of caring for the complete person that the RAM places an emphasis on understanding the specific circumstances of each patient as well as the ways in which they adjust to changes in their surrounding environment.
Third, the evidence-based change methodology that will guide my research is linked not only with the Christian worldview but also with the values that are upheld at St. Anthony Health and Rehabilitation Center. This strategy is known as the Plan-Do-Study-Act (PDSA) model. The Christian principle of growing and maturing can be seen reflected in the PDSA model’s emphasis on the significance of ongoing education and development and improvement.
For the purpose of incorporating GCU’s CWVs into my DNP project, I need to make sure that the interventions I conduct and the research I conduct are consistent with the Christian ideals of caring for others and fostering human flourishing. For instance, I will make it a point to ensure that all of my interventions are founded on the idea of compassion and that they place the patient’s well-being ahead of everything else.
Conclusion
The Christian worldview, the goal and vision of St. Anthony Health and Rehabilitation Center, the chosen nursing theory, and the evidence-based change model are all congruent with one another, as are my DNP project, the Christian Worldview and the chosen nursing theory. I am able to construct interventions that not only increase patient well-being but are also consistent with Christian beliefs of caring for others because I will ensure alignment across these various parts of the project (Bryant, 2020). The purpose of this assignment was to investigate the degree to which an organization’s mission and vision, a selected nursing theory, a Christian Worldview (CWV), and an evidence-based change model are aligned with one another within the context of a DNP project aimed at enhancing patient outcomes at St. Anthony Health and Rehabilitation Center in St. Anthony, Minnesota. This project was carried out at St. Anthony Health and Rehabilitation Center in St. Anthony, Minnesota.
We have seen that there is a strong alignment between these many parts, with the organization’s mission and vision, the chosen nursing theory, and the evidence-based change model all reflecting Christian characteristics of compassion, service, and growth. This strong alignment can be seen throughout the company. We are able to devise interventions that are both beneficial to the well-being of patients and are in line with Christian beliefs if we ensure that these factors are aligned with one another. This assignment has shown how important it is to evaluate how different aspects of a DNP project are aligned with one another and how these aspects can work together to promote excellent patient outcomes and respect Christian ideals. Overall, this assignment has proven the necessity of examining how different aspects of a DNP project are linked with one another.
References
Black, J. M., Cuddigan, J. E., & Walko, M. A. (2018). Medical device-related pressure ulcers. Chronic Wound Care Management and Research, 5, 59-67. https://doi.org/10.2147/CWCMR.S157794
, A. (2020). The Christian University: An Overview of Its Distinctive Characteristics. Christian Higher Education, 19(3), 164-177. https://doi.org/10.1080/15363759.2020.1755518
Callister, L. C., & Bond, A. E. (2018). Comprehensive nursing care using Roy’s adaptation model: The case of a patient with acute psychosis. Archives of Psychiatric Nursing, 32(3), 433-439. https://doi.org/10.1016/j.apnu.2017.11.002
Grand Canyon University. (2018). Doctrinal Statements. https://www.gcu.edu/academics/college-of-theology/doctrinal-statements
Kennedy-Evans, K. L., & Gailbraith, P. (2020). Preventing pressure ulcers in long-term care: A scoping review of risk assessment tools and strategies used in nursing homes. Journal of Wound Ostomy and Continence Nursing, 47(4), 337-343. https://doi.org/10.1097/WON.0000000000000675
Roy, C. (2018). The Roy Adaptation Model 3rd Edition. Apple Academic Press.
Sieloff, C. L., & Frey, M. A. (2020). The Roy Adaptation Model: A Framework for Nursing Practice, Education, and Research in Rehabilitation. Rehabilitation Nursing, 45(6), 319-328. https://doi.org/10.1097/rnj.0000000000000229
Smith, C. C. (2020). Pressure injury prevention and management in an Australian residential aged care facility. British Journal of Community Nursing, 25(9), 444-449. https://doi.org/10.12968/bjcn.2020.25.9.444
Smith, D. R., & Leggat, S. G. (2018). Pressure ulcer prevention in hospitals and nursing homes: Advancing technology and improving quality. Healthcare, 6(2), 44. https://doi.org/10.3390/healthcare6020044
Soares, M. R. P., Atallah, Á. N., da Silva, E. M. K., & da Silva, L. C. N. (2019). The effects of repositioning and pressure ulcer prevention bundles on hospital-acquired pressure ulcers: A systematic review and meta-analysis. Journal of Tissue Viability, 28(3), 117-124. https://doi.org/10.1016/j.jtv.2019.06.002
St. Anthony Health and Rehabilitation Center. (2018). About Us. https://stanthonyhc.com/about-us/
Wilson, A., Williams, A. L., & Lumley, L. (2021). Nursing students’ perceptions of the Roy Adaptation Model: A qualitative study. Journal of Nursing Education, 60(5), 283-289. https://doi.org/10.3928/01484834-20210421-05
Appendix A
Grand Canyon University Doctrinal Statement
WE BELIEVE the Bible, in the Old and New Testament Scriptures to be inspired, the only infallible, true and authoritative Word of God.
WE BELIEVE that there is one God, eternally existent in three persons: Father, Son and Holy Spirit. We believe in God the Father, the Almighty, maker of heaven and earth, of all that is, seen and unseen.
WE BELIEVE in the deity of our Lord Jesus Christ, the only Son of God. For us and for our salvation, He came down from heaven, was incarnate of the Holy Spirit and the Virgin Mary and became truly human. Being fully God and perfect man He performed miracles and lived a sinless life.
WE BELIEVE Jesus Christ suffered a vicarious and atoning death through the shedding of His blood. He was buried and, on the third day was resurrected in His body; after which He ascended to be seated at the right hand of the Father. He will come again in glory to judge the living and the dead, and his kingdom will have no end.
WE BELIEVE that mankind was originally created in the image and likeness of God, and free from sin. Through the temptation of Satan, they transgressed the command of God and fell from their original righteousness, whereby all people have inherited a sinful nature that is opposed to God, and are thus under condemnation. As soon as they are capable of moral action, they become actual transgressors.
WE BELIEVE that for salvation of lost and sinful people, the regeneration by the Holy Spirit is absolutely essential. We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life. We believe that the Holy Spirit is fully God and is worshipped and glorified with the Father and Son. He divinely inspired the scriptures, convicts the world of sin, righteousness and judgment, leads Christ’s Church in truth and is the Teacher and Comforter sent by Jesus Christ.
WE BELIEVE that salvation comes through Jesus Christ alone; that salvation involves the redemption of the whole person and is offered freely to all who exercise faith in Jesus Christ. We believe in the resurrection of both the saved and the lost; those who are saved unto the resurrection of the living and those who are lost unto the resurrection of damnation.
WE BELIEVE in the spiritual unity of believers in our Lord Jesus Christ as one holy catholic and apostolic Church, Christ’s Body and Bride ministering reconciliation to a lost world. As ambassadors for the Kingdom of God and the Church, we affirm that evangelism and engagement in societal issues are both part of our Christian duty; both are necessary expressions of our doctrines of God and humanity, our love for our neighbor and our obedience to Jesus Christ.
WE BELIEVE the message of salvation proclaimed by Christ’s Church is an indictment upon every form of alienation, oppression and discrimination, denouncing evil and injustice wherever it exists by lovingly ushering in the good news that Christ reconciled the world to Himself.
Appendix B
Appendix C
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Case Report: Application of Theory to Organizational Mission, Vision, and the Christian Worldviews
This paper outlines the writer’s knowledge and skills acquired from the Doctor of Nursing Practice (DNP) curriculum and how they assisted the writer in the Direct Practice Improvement Project (DPI). The course connected patient performance improvement projects to the organization’s mission and vision and Christian worldviews to help improve patient outcomes.
The project aims to help provide organizational staff with knowledge and resources to improve patient care for patients who may have a challenging time due to risk factors. The DPI project provides the nurses with knowledge and tools to improve the care of Difficult Venous Access (DVA) patients who may require multiple peripheral intravenous catheters (PIVC) attempts to establish a PIVC to provide pain and comfort care measures. This DPI project connects this intervention to the Christian worldviews of the University and the organizational mission and vision.
Purpose of the Project
Before discussing how the DPI project connects to Christian worldviews and the organizational mission and vision statement, a discussion of the background and purpose of the project will occur. The purpose of this quantitative quasi-experimental project was to determine if or to what degree the implementation of Emergency Nurses Association (ENA) Difficult Intravenous Access (DVA) Clinical Practice Guidelines (CPG) utilizing ultrasound-guided peripheral intravenous (USGPIV) would impact the number of Peripheral Intravenous Catheter (PIVC) attempts when compared to current practice among Non-critical Adult Difficult Venous Access (DVA) patients in an urban level 1 trauma Emergency Department in California over eight-weeks.
Research shows that the failure rate for traditional visualization and palpation methods for PIVC in a DVA patient is 10-40% (Emergency Nurses Association, 2019). This high failure
rate increases patients’ pain and discomfort because multiple PIVC attempts are needed to cannulate the vein and delay comfort measures such as medication administration, diagnostic testing, and Emergency Department (ED) Length of Stay (LOS). Several risk factors are involved in DVA patients, which increase the failure rate of the traditional PIVC method (Emergency Nurses Association, 2019). When a patient has been identified as DVA, the Emergency Nurse Association recommends using advanced PIVC techniques such as Ultrasound-Guided Peripheral Intravenous Catheter (USGPIV) to manage patients with DVA. However, currently, there is no nurse-driven structured process at LAC+USC Medical Center to use advanced techniques to manage DVA patients. This leads use to how the DPI project connects to Christian worldviews.
Christian Worldviews
Grand Canyon University’s (GCU) Doctrinal Statements summarize vital biblical doctrines that use the values of the Christian faith. GCU’s Doctrinal Statement (see Appendix A) establishes the University’s position, principles, and beliefs in providing education. The following are GCU’s beliefs; the bible is the true word of God, and there is only one God, and Lord Jesus Christ is his son and came down from heaven for our salvation. Jesus Christ was crucified for our sins and was buried. On the third day, he resurrected and took his seat as the right hand of God. GCU believes that Jesus Christ will come to earth once again to judge the living and the dead. The doctrine states that humans were created in the likeness of God and free from sin however were tempted by Satan and fell from righteousness and became sinful.
Furthermore, humans are sinful, but there is salvation through the holy spirit of Jesus Christ. To redeem oneself is to exercise your faith in God and Jesus Christ. Those who redeem themselves will ascend to heaven, and those who do not will be sent to eternal damnation. Also, as
Christians, we must engage in societal issues to expand the doctrine of God and humanity. The doctrine states we must love one another, love God, and obey him. As you can see, the University’s Doctrinal Statement is Christian-based and sets the foundation for its views; similarly, an Organization has a Mission and Vision statement that provides its views and how it conducts its business.
Organization’s Mission and Vision to Theory and Model
The Mission and Vision statement provides the client with the hospital’s purposes, goals, and values as it provides care to the community. At LAC+USC Medical Center, one can attain its Mission and Vision statement on its website. The Mission statement defines the hospital’s objectives and approach to serving its community, while the Vision statement describes the direction the hospital wants to go. This section will describe the mission and vision statement of LAC+USC Medical Center.
Mission and Vision
According to the LAC+USC Medical Centers website, the hospital’s mission statement is “To provide world-class care and education for all in our community” (LAC+USC Medical Center, 2022) (see Appendix B). The Vision statement for the hospital is “To lead the nation in building healthy communities” (LAC+USC Medical Center, 2022) (see Appendix C).
Connection of Mission and Vision to Nursing Theory. LAC+USC Medical Center’s mission and vision statement connect with Ida Jean Orlando’s Nursing Process theory on many levels. The Nurse Processing theory is based on the nurse-patient relationship, developing the role of the professional nurse, developing nursing knowledge, and immediately reacting (Butts& Rich, 2021). The concepts of the nurse processing theory can be expanded to the grander scale of the hospital-community setting. Research shows that hospitals can partner with the community to improve community health (Franz et al., 2021). Therefore, building a hospital-community relationship is equivalent to the nurse-patient relationship. The hospital must first find out the needs and priorities of the community to be able to offer the appropriate services.
Like the nurse-patient relationship, where a nurse should communicate with the patient, the hospital should have outreach to the community to understand their needs. The hospital can focus the resources on resolving the community’s needs rather than the hospital’s perceptions. Another example of Ida Jean Orlando’s Nursing Process theory that connects with the hospital’s mission and vision statement is that the nursing process theory’s foundation is to improve the health of the patient through a structured process. The hospital’s vision statement also declares it wants to lead the nation in building healthy communities. Ida Jean Orlando introduced nursing to the nurse process theory, a way for nurses to problem-solve and identify, prevent, and intervene to promote wellness (Semachew, 2018). Although the theory is promoted for the nurse-patient relationship, the same theory can be used in the hospital-community relationship. The nurse process theory can be used to problem-solve to improve community wellness and health. The hospital can assess the community’s needs, identify gaps in health, and intervene to
promote wellness. Not only does the mission and vision statement correlate with Ida Jean Orlando’s nursing theory but also with the Evidence-base (EBP) Change Model.
Connection of Mission and Vision to Evidence-based Change Model.
LAC+USC Medical Center’s mission and vision statement is connected to Kurt Lewin’s Change Theory. Kurt Lewin’s change theory and psychology theory of human behavior are used in organizational and community-based changes (Meringolo et al., 2019). The mission and vision of LAC+USC Medical center involve education and promoting healthy communities. To accomplish this mission and vision, change from current practices needs to occur. Research has shown that a change theory such as Kurt Lewin’s change theory should be implemented to accomplish effective change. The theories unfreeze, change, and refreeze concepts can apply to the mission and vision statement by educating the community on modern, up-to-date, evidence-based practices. New medical practices are consistently evolving, and further research improves health. The initial step to bringing about these new practices in the community is to unfreeze the community’s behavior. The community will be educated on the latest medical practices and informed of the benefits. Also, during this stage, all questions and concerns will be addressed.
During the change phase, the new medical practices will be implemented in the community and monitored for effectiveness. Lastly, during the refreeze stage, the changes will be cemented into community practices, thus ensuring the community’s health is based on current evidence-based practices that strive to maintain healthy communities. As we can see, these theories all connect with a holistic view of the individual and community. Discuss how a mission and vision statement, Christian worldviews, nursing theory, and change theory connect will be reviewed.
Pulling it Together
The DPI project proposed aligns with a Christian worldview, LAC+USC Medical Center’s mission and vision statement, Ida Jean Orlando’s Nursing Process Theory, and Kurt Lewin’s change theory through the principle of providing care holistically. According to the principles of a Christian worldview, God’s mission was the salvation of humanity through Jesus Christ, who provided care to the ill and loved and provided hope to humanity. As nurses, we also have the same responsibility to ensure patients are comforted and cared for by the person in mind, body, and spirit. It s not intrinsic for people to care for others, especially someone they do not know. The higher belief in Christ allows someone to care for others. Christian nurses render the ability to provide care to a whole person with compassionate care (Reig et al., 2018). Since nurses are Christ-like in delivering care to patients, nursing theories and other supportive theories should align with the care provided to patients by nurses. Both Ida Jean Orlando’s Nursing Process Theory and Kurt Lewin’s Change Theory align with the Christian worldview because they establish care and change holistically and consider a whole person. This is important in Christian theory because the whole person experiences and encounters the world, not simply the physical body. Being able to assess a patient’s physical, psychosocial, psychological, and spiritual needs is the essence of the Nursing Process theory. Also, in change theory, these same aspects need to be addressed because if there is no psychological by in from the individual, then change can not occur. If the whole person is not addressed, they will not change, nor will they be comforted because a component of the whole person’s mind, body, and spirit will not be addressed.
Ida Jean Orlando’s Nursing Process Theory, Kurt Lewin’s Change Theory, and the Christian worldview all align and address the person as a whole. These theories align with
LAC+USC Medical Center’s mission and vision statement. The organization’s mission and vision statement want to provide world-class care and education to the community and build healthier communities. The organization accomplishes this through care that addresses the body and the mind through extensive community outreach with psychology and social work to address poverty, homelessness, and social determinants of health. Lastly, they have a robust spiritual care department with various religious denominations to address the community’s spiritual needs. The organization addresses the community as a “whole” to address the community’s mind, body, and spirit. As you can see, LAC+USC Medical Center’s mission and vision statement, Christian worldviews, Ida Jean Orlando’s Nursing Process Theory, and Kurt Lewins’ Change Theory all align together to treat people and communities as a whole, treating the mind, body, and spirit, and not just a single component of the being.
The DPI project for the DNP course aligns with LAC+USC Medical Center’s mission and Vision statement, Christian worldviews, Ida Jean Orlando’s Nursing Process Theory, and Kurt Lewin’s Change theory as it assists with addressing the patient’s comfort sooner than the current process. It provides the nurse with knowledge and resources to identify a patient with DVA and use a tool that does not inflict more pain or discomfort. By decreasing the number of PIVC attempts, patients will be more comfortable and receive treatment for their discomfort sooner.
This aligns with all the theories and statements mentioned earlier.
Conclusion
In conclusion, the DPI project proposed for the DNP aligns with LAC+USC Medical Center’s mission and vision statement, nursing theories, change theories, and Christian worldviews. These components aim to align and provide the best care to the population served. These concepts must align with one to avoid conflict and misaligned goals. If there is conflict
amongst these components, the proposed care will be delayed, or the care will not be optimal. The patients we serve as healthcare providers deserve the very best from us, and aligning all parties involved with common goals, visions, and thought processes is the way to provide exceptional care and education to patients and enhance the community’s health.
References
Butts, J. B., & Rich, K. L. (2021). Philosophies and theories for advanced nursing practice. Jones & Bartlett Learning
Franz, B., Skinner, D., Kerr, A. M., Penfold, R., & Kelleher, K. (2018). Hospital–community partnerships: Facilitating communication for population health on Columbus’ south side. Health Communication, 33(12), 1462-1474. https://doi.org/10.1080/10410236.2017.1359033
Emergency Nurses Association. (2019). Clinical Practice Guideline: Difficult Intravenous Access. https://www.ena.org/docs/default-source/resource-library/practice-resources/cpg/ difficultivaccesscpg.pdf
Grand Canyon University. (2022). Doctrinal Statement. https://www.gcu.edu/sites/default/files/media/documents/about/christian-identity-
heritage/doctrinal-statement.pdf
LAC+USC Medical Center. (2022). Who we are. Los Angeles County Department of Health Services. https://dhs.lacounty.gov/lacusc/who-we-are
Semachew, A. (2018). Implementation of the nursing process in clinical settings: the case of three governmental hospitals in Ethiopia, 2017. BMC research notes, 11(1), 173. https://doi.org/10.1186/s13104-018-3275-z
Meringolo, P., Volpi, C., & Chiodini, M. (2019). Community impact evaluation. Telling a stronger story. Community Psychology in Global Perspective, 5(1), 85-106. DOI: 10.1285/i24212113v5i1p85
Mudd, A., Feo, R., Conroy, T., & Kitson, A. (2020). Where and how does fundamental care fit within seminal nursing theories: A narrative review and synthesis of key nursing concepts.
Journal of clinical nursing, 29(19-20), 3652-3666. https://doi.org/10.1111/jocn.15420
Rieg, L.S., Newbanks, R.S., & Sprunger, R. (2018) Caring from a Christian Worldview: Exploring Nurses’ Source of Caring, Faith Practices, and View of Nursing. Journal of Christian Nursing. 35(3), 168-173. DOI: 10.1097/CNJ.0000000000000474.
I, Alirio Olmedo, verify that I have completed and logged 10 clock hours in association with the goals and objectives for this assignment. I also have tracked said practice immersion hours in the Lopes Activity Tracker for verification purposes and will ensure that all approvals are in place from my faculty and practice immersion preceptor/mentor before the end of the course.
Appendix A
Grand Canyon University Doctrinal Statement
(Grand Canyon University, 2022)
Appendix B
Organizational Mission
(LAC+USC Medical Center, 2022)
Appendix C
Organizational Vision
(LAC+USC Medical Center, 2022)
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Case Report: Application of Theory to Organizational Mission, Vision, and the Christian Worldview – Rubric
Collapse All
Case Report Background 12 points
Criteria Description Problem and Population
- Target 12 points
The criteria for the case report are thoroughly and accurately presented. The narrative is well-supported.
- Acceptable 11.04 points
The criteria for the case report are adequately presented. Some detail is needed for accuracy or clarity.
- Approaching 10.56 points
The criteria for the case report are generally presented. More information is needed. There are inaccuracies.
- Insufficient 9.6 points
The case report is incomplete or incorrect.
- Unsatisfactory 0 points
Christian Worldviews 18 points
Criteria Description
Doctrinal statements (9), Synthesis, and Application
- Target 18 points
The doctrinal statements are clearly presented, synthesized, and applied. The narrative is insightful and well written.
- Acceptable 16.56 points
The doctrinal statements are presented and adequately applied and synthesized.
- Approaching 15.84 points
The doctrinal statements are presented and generally applied and synthesized. More information is needed. There are inaccuracies.
- Insufficient 14.4 points
One doctrinal statement is missing; or, the doctrinal statements are incomplete overall.
1 Unsatisfactory 0 points
Mission and Vision of Organization to Theory and Model 18 points
Criteria Description
Cite Mission and Vision, Connection to Nursing Theory, Connection to Change Model
- Target 18 points
Connection of mission and vision of the organization to theory and model is thoroughly described. A clear and well-supported connection to nursing theory and change model is established.
- Acceptable 16.56 points
Connection of mission and vision of the organization to theory and model is described. Some detail is needed for clarity or support. An adequate connection to nursing theory and change model is established.
- Approaching 15.84 points
Connection of mission and vision of the organization to theory and model is outlined. More information is needed. There are inaccuracies. A general connection to nursing theory and change model is established.
- Insufficient 14.4 points
Connection of mission and vision of the organization to theory and model is incomplete.
Pulling It Together 18 points
Criteria Description
Connect and align purpose to Christian worldview, the mission and vision, and nursing theory and change model; provide examples; incorporate and align with DPI Project.
- Target 18 points
A connection and alignment of purpose to Christian worldview, mission and vision, nursing theory, and change model are thoroughly established. Clear examples are provided. The purpose incorporates and aligns with the DPI Project.
- Acceptable 16.56 points
A connection and alignment of purpose to Christian worldview, mission and vision, nursing theory, and change model are established. Examples are provided. Some detail is needed for clarity or support. The purpose adequately incorporates and aligns with the DPI Project.
- Approaching 15.84 points
A connection and alignment of purpose to Christian worldview, mission and vision, nursing theory, and change model are generally established. Some examples are provided. More information is needed. There are inaccuracies. The purpose generally incorporates and aligns with the DPI Project
- Insufficient 14.4 points
A connection and alignment of purpose to Christian worldview, mission and vision, nursing theory, and change model are incomplete.
- Unsatisfactory 0 points
Nursing Theory and Evidence-Based Change Model 12 points
Criteria Description
Nursing Theory and Evidence-Based Change Model
- Target 12 points
The selected nursing theory and evidence-based change model are applied throughout and provide clear and strong support for the DPI Project.
- Acceptable 11.04 points
The selected nursing theory and evidence-based change model are adequately applied. These provide support for the overall project. Some minor aspects of the project would benefit with further application of the selected theory or model.
- Approaching 10.56 points
The selected nursing theory and evidence-based change model are generally applied. Some parts of the project are unsupported.
- Insufficient 9.6 points
The selected nursing theory and evidence-based change model are applied intermittently or incorrectly. These fail to provide support for the DPI Project.
- Unsatisfactory 0 points
Research 6 points
Criteria Description Research
- Target 6 points
Research is supportive of the rationale presented. Sources are distinctive and address all of the issues stated in the assignment criteria.
- Acceptable 5.52 points
Research is timely and relevant, and addresses all of the issues stated in the assignment criteria.
- Approaching 5.28 points
Research is adequate. Sources are standard in relevance, quality of outside sources, or timeliness.
- Insufficient 4.8 points
Few outside sources were used to support the assignment. Limited research is apparent.
- Unsatisfactory 0 points
Thesis, Position, or Purpose 6 points
Criteria Description
Communicates reason for writing and demonstrates awareness of audience
- Target 6 points
The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience.
- Acceptable 5.52 points
The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.
- Approaching 5.28 points
The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated.
- Insufficient 4.8 points
The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.
Development, Structure, and Conclusion 6 points
Criteria Description
Advances position or purpose throughout writing; conclusion aligns to and evolves from development.
- Target 6 points
The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose.
- Acceptable 5.52 points
The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose
- Approaching 5.28 points
The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.
- Insufficient 4.8 points
Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.
- Unsatisfactory 0 points
Evidence 6 points
Criteria Description
Selects and integrates evidence to support and advance position/purpose; considers other perspectives.
- Target 6 points
Comprehensive and compelling evidence is included. Multiple other perspectives are integrated effectively.
- Acceptable 5.52 points
Specific and appropriate evidence is included. Other perspectives are integrated.
- Approaching 5.28 points
Relevant evidence that includes other perspectives is used.
- Insufficient 4.8 points
Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.
- Unsatisfactory 0 points
Mechanics of Writing 9.6 points
Criteria Description
Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.
- Target 9.6 points
No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.
- Acceptable 8.83 points
Few mechanical errors are present. Suitable language choice and sentence structure are used.
- Approaching 8.45 points
Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.
- Insufficient 7.68 points
Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.
Format/Documentation 8.4 points
Criteria Description
Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.
- Target 8.4 points
No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated.
- Acceptable 7.73 points
Appropriate format and documentation are used with only minor errors.
- Approaching 7.39 points
Appropriate format and documentation are used, although there are some obvious errors.
- Insufficient 6.72 points
Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.
- Unsatisfactory 0 points
Total 120 points
