Addressing the Four Dimensions of Nursing Practice

Running head: ADDRESSING THE FOUR DIMENSIONS OF NURSING PRACTICE
Addressing the Four Dimensions (Nine Criteria) Of Nursing Practice
Name of the student:
Name of the university:
Author note:

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ADDRESSING THE FOUR DIMENSIONS OF NURSING PRACTICE
Practice—
Example 1:
Issue/Problem:
The challenge encountered for this criteria is the lack of compliance among the
subordinate nurses to hand hygiene protocol.
Action:
Providing one to one education session for a month for each of the nurses so that the
individual nurses of the team understand and recognize the need for following the hand
hygiene protocol and its positive outcome for the nurses.
Population:
Bedside nurses of post-surgical recovery ward.
Outcome(s):
Within the first week of intervention, the nurses exhibited enhanced rate of
compliance to the hand hygiene protocol, and the rate of health care associated infections in
the facility reduced substantially. By the end of the month, the workshop and education
session cumulatively enhanced the compliance rate by 13%.
Sustainability:
The activity was conducted in January, 2018 and the program was continued for a few
months which provided consistent results. The program was later discontinued due to budget
constraints.

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ADDRESSING THE FOUR DIMENSIONS OF NURSING PRACTICE

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ADDRESSING THE FOUR DIMENSIONS OF NURSING PRACTICE
Example 2:
Issue/Problem:
The challenge encountered for this criteria is the lack of compliance among the
subordinate nurses to evidence based practice.
Action:
Designing and providing workshop sessions to the nurses for three months so that
they can develop hands on knowledge on evidence based practice protocol and policies while
in practice.
Population:
Newly appointed bedside nurses of post-surgical recovery ward.
Outcome:
The workshop helped in improving the practical knowledge of the newly appointed
bedside nurses regarding the evidence based practice and improved the compliance rate
among the nurses effectively.
Sustainability:
The activity was conducted in February, 2018 and the program was continued for a
few months which provided consistent results.
Ethics:
Example 1:
Issue/Problem:

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ADDRESSING THE FOUR DIMENSIONS OF NURSING PRACTICE
The challenge encountered is the patients in palliative care ward refusing to take pain
medication due to exhaustion and hopelessness even when suffering from extreme pain.
Action:
Arranging an educational sessions for the nurses to help them understand and
recognize the ethical dilemmas and how to influence such patients ethically and
compassionately so that the patients can realize the benefits of using analgesia and their right
to medicine even ijn the last few days or months of life.
Population:
Newly appointed palliative care ward nurses.
Outcome(s):
The educational sessions helped the nurses to handle the ethical dilemmas better and
reduced the rate of disrupted care due to such ethical dilemmas
Sustainability:
The educational session carried out for 4 months and the improvement in the practice
continued significantly for even post 4 months stage.
Example 2:
Issue/Problem:
The lack of knowledge, understanding and practice skills with respect to the ethical
dilemma of truth telling to patients and their family members that have had a terminal disease
diagnosis.
Action:

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ADDRESSING THE FOUR DIMENSIONS OF NURSING PRACTICE
Training the nurses with demonstrative workshops and seminars to help them
understand the ethical requirement of truth telling and the legal rights of the patients and their
families regarding timely and apt information sharing. The demonstration workshops also
trained the nurses on different hands on skills on information sharing and truth telling with
respect to the situations.
Population:
The nurses of the acute ward.
Outcome(s):
The patient satisfaction rate increased with respect to the criteria of patient-service
provider transparency.
Sustainability:
The program carried out for two months and the training sessions helped the
individuals in understanding the different factors associated with truth telling and the positive
outcomes ceased a month after the program stopped.