Change Agents In Nursing Practice Identify Clinic

As Change Agents Doctors Of Nursing Practice Identify Clinical Proble

As change agents, Doctors of Nursing Practice identify clinical problems within the context of a population of interest. Your clinical problem of interest and identified population may lead to your establishing a program of research over the course of your career. Your clinical problem could be a disorder or condition (e.g., HIV/AIDS, hypertension, depression, chronic illness, adolescent pregnancy) or a psychosocial or physiological characteristic (e.g., social support, health-related quality of life, resilience, family communication patterns, mother-infant attachment, self-esteem). Your target population could be a cultural group (e.g., Hispanic elders, African American women), a diverse group (e.g., urban/rural Cuban Americans, low-income women), or a vulnerable group (e.g., incarcerated adolescents, sex workers, IV drug abusers, severely mentally ill adults).

Identify a nursing scholar within your specialty area and identify their clinical topic/problem of interest and population of interest. Use references. they have identified relative to the problem. Identify the conceptual framework or theory that has guided the nursing scholar’s research of this clinical problem and evaluate the relevance of the theory in their work. Identify your own clinical problem and population of interest with discussion of the significance of this problem. Use references. Identify a conceptual framework or theory that you believe would guide your research of this clinical problem and evaluate the relevance of this theory for your work. Use references. Minimum 3 references in AMA format.

Paper For Above instruction

The role of Doctor of Nursing Practice (DNP) professionals as change agents involves the critical task of identifying and addressing pressing clinical problems within specific populations, aiming to improve health outcomes through evidence-based interventions and innovative practices. This process begins with a comprehensive understanding of existing scholarly work, including the identification of clinical topics and population groups that are of concern within a particular specialty area. Such scholarly work typically combines the use of conceptual frameworks or theories that shape the research methodology and guide practical interventions.

A notable example of a nursing scholar whose work exemplifies this process is Dr. Linda Aiken, a prominent researcher in nursing workforce and patient safety. Dr. Aiken’s research primarily focuses on nursing staff qualities, staffing ratios, and patient outcomes, especially in vulnerable populations such as hospitalized patients in intensive care units (Aiken et al., 2014). Her research emphasizes how staffing levels and the work environment influence patient mortality and adverse events. The conceptual framework that guides her studies often revolves around Donabedian’s Structure-Process-Outcome model, which assesses how structural factors within healthcare settings impact processes of care and resultant patient outcomes (Donabedian, 2005). This framework is relevant as it aids in systematically evaluating influences on patient safety and quality, aligning well with her research focus on structural determinants.

Further, within my clinical practice as a nurse practitioner specializing in mental health, I am particularly concerned with depression among low-income adolescent females. This population faces multiple barriers to mental health services, including socio-economic disadvantages, stigma, and limited access to care (Gopalan & Flisher, 2018). Addressing depression in this vulnerable group is of critical importance due to its potential to impair academic performance, social functioning, and overall well-being. Theoretical models such as the Social Ecological Model are highly relevant to this issue as they consider individual, interpersonal, community, and societal factors influencing mental health outcomes (Bronfenbrenner, 1979). This model highlights the significance of a multidimensional approach, emphasizing interventions at multiple levels to effectively combat depression among adolescent females from low-income backgrounds.

In conclusion, the integration of scholarly research, theoretical frameworks, and clinical insights forms the foundation of effective nursing practice as a change agent. Recognizing the clinical problems within populations, guided by relevant theories, enables DNPs to design and implement targeted interventions that foster improved health outcomes. A systematic approach to identifying clinical problems and evaluating the relevance of guiding theories ensures that nursing interventions are evidence-based, culturally sensitive, and capable of making a lasting impact on vulnerable populations.

References

• Aiken LH, Sloane DM, Cimiotti JP, Clarke SP, Flynn L, Saemundsson S. Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals With Different Levels of Nurse Workload. JAMA Intern Med. 2014;174(2):302–311.
• Donabedian A. The Quality of Care: How Can It Be Assessed? JAMA. 2005;260(12):1743–1748.
• Gopalan N, Flisher AJ. Mental health service delivery models for adolescents: a review of the literature. J Child Adolesc Ment Health. 2018;30(2):105–119.
• Bronfenbrenner U. The Ecology of Human Development. Harvard University Press; 1979.
• Melnyk BM, Fineout-Overholt E. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. 4th ed. Wolters Kluwer; 2019.
• Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 11th ed. Wolters Kluwer; 2019.
• Rosenstock IM. The Health Belief Model and Preventive Health Behavior. Health Educ Monogr. 1974;2(4):354–386.
• McEwen M, Wills CAS. Theoretical Foundations of Nursing. 5th ed. Lippincott Williams & Wilkins; 2014.
• Siegel D, Rivara F, Keenan P. Using the Social Ecological Model to Promote Health Equity in Vulnerable Populations. Am J Public Health. 2017;107(8):1259–1260.
• Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. National Academies Press; 2010.