SNPG959 Practice Development and Use of Praxis Tool Proposal Assessment 3 Answer

Practice Development tools 

INTRODUCTION 

Practice development is defined as the process of providing care to the patient which can help to determine how the actions can constitute the direct measurable improvement (Thompson, 2020).  The main use of the Practice development tool is to facilitate the process and aim to provide person-centered along with evidence-based healthcare. Practice development helps to engage individuals that belong to all the levels of the organization that can create positive change (Ost, et al, 2020). It is an approach to include and collaborate the inclusive, participatory, and collaborative, but the barriers can be low involvement of the multidisciplinary involvement and within the practice application. As per the practice development, it is the form of mechanism for reflection related to daily practice, and how to effectively deliver with care and make effective changes with better clinical outcomes. It is the step to create ways to improve the quality along with care safety. The main purpose is to provide care for person-centered cultures and work-based learning which has been an integral part of the practice development. It has been used on the basis of person-centeredness and can be defined with the argument to approach and also practice established formation along with fostering of healthful relationships that can build with better providers, service users and constitute significant lives (Pontin, et al, 2020). 

I. Which tool has been chosen and why?

PRAXIS evaluation is known as the mnemonic tool which can help to aid the practitioners to measure patient satisfaction and to investigate the impact and consequences concerning the practice and sensitivity. The tool is developed as a robust evaluation framework. The tool works in accordance with the complex environment that is part of the healthcare setting. While using the PRAXIS evaluation the important goal is to make a non-hierarchical, relational, and also include an inclusive dynamic part in nature (Ignacio, 2020). It is the flexibility that can help to benefit and understand some of the disadvantages on the basis of the working examples presented. The use of the PRAXIS evaluation can be used during the working with clinical teams includes the individual practitioners which can be part of the healthcare education and show how the participants can transit into the transformational change. The purpose is to focus on the concentration on intentional healthcare outcomes that can capture the evaluation of transformational practice change (Holme, et al, 2020). The use of the PRAXIS evaluation can be one of the vital initial practical tools that can be used in accordance with the date and practice of experience. It can help to derive the evaluation framework and collaborative approach and can further take the ‘praxis’, as critically informed action. The use of the PRAXIS evaluation framework is described as the tool for all seasons (Kelly, 2020). 

Motivate team members

The PRAXIS evaluation framework can also help to encourage team members, by making them actively involved as the active stakeholders and to note reactions as a part of the evaluation plan. Subsequently, through the help of team members, it can help to evaluate ways to identify what data can be used and how the data can be found. Through the paying attention as to what is happening, can help to draw relevant techniques of collating the data (Mixer, 2020). By recognizing and capturing the nuances, it is necessary to understand the implications of the espoused values in healthcare professionals’ approach that can further integrate the care delivery. It is vital to step to collate the values to draw a narrower comparison with the principles of care delivery, it is essential to note, how the stakeholders can experience as the stakeholders who live, work and experience and further can belong to the multi-diverse workplace (Brunges, 2020).  The PRAXIS tool would use the below sequential (Cilar, 2020).

Purpose

• Why and what can be the purpose of the project to exist?

– To form a clear purpose (i.e. aim/s)

– To aim and develop the purpose after the evaluation 

– To have a clear purpose in accordance with the identifying potential or anticipated outcomes. 

Reflexivity

• To note and question as to how and why there can be critical questions related to the project that needs to be asked?

– To access one own critical reflection review.

– To understand as to how one can collaborative, inclusive & participatory ways?

– Assessment of knowing it?

Approaches

• The methodologies and the approaches or methods that can be most appropriate?

– To identify the kind of approaches being undertaken

– To note the approached in accordance to fit with the purpose

– Egg. To have the sense of participants willing to work together

Context

• To understand the contextual factors that need to be considered?

– To know as to how and what needs to know & understand the in relation to the project (change) and any ‘boundaries’ addressed per the project and evaluation.

– To form the specific context of information is important and identify the evidence to be needed for that particular environment. 

Intent

• The main international underlying part of the project?

– To note how to override the projects

Stakeholders

• To understand the projects that have implications for? 

– Stakeholders to have the defined views and the assessment in the stakes or evaluations

– Identification of stakeholders can be a lengthy and important part of the process.

Case Study

To increase the number of times the handwashing needs to be done while touching the patients. Effective handwashing is one of the effective ways to spread the contagious disease and the infection spread.

II. How will the tool be implemented?

In the case study, when applying the PRAXIS tool ( a mnemonic tool), it can help to shape up the ideas to formulate strategy and the evaluation as per the project outcomes (Ignacio, 2020). Through the process, the main goal is to analyses the reflexive cycle of critical questioning, which can help to form an effective decision, based on the inclusive approach to patients and how it would be represented by the key Stakeholders. Further, it can be helpful to note in the final evaluation process. As identified from the example, that when the teams reach the Stakeholder involvement element, the consequent approach would be to return, and re-identify the Intent, Purpose, Reflexivity, and choice of Approaches (Kelly, 2020) 

Principles

Principle 1 Endeavors and include the facilitate evidence-based along with the person-centered healthcare delivery which can result in the human-flourishing and form an effective part of the workplace culture across settings

Principle 2 To have a sense of focus based on the microsystem that can identify how the care can be delivered as the change agent that can further support from mezzo and macro levels

Principle 3 To include the work-based learning approaches and how to form active learning that can be part of the workplace

Principle 4 Integrates and includes both evidence in and out from practice

Principle 5 To include the creativity with cognition and to further promote on the basis of new thinking that can helpful for human flourishing

Principle 6 to develop concrete methodology as a complex form that can be applied across boundaries and as per the stakeholders

Principle 7 To understand and relate with the set of methods along with forming the processes contextualized as per the work environment

Principle 8 To use the process as per the skilled facilitation that can be implemented in accordance with the care provided

Principle 9  To employ inclusive, participatory along with collaborative approaches for an evaluation (Knight 2018).

Action Plan

Short term

 To check the patient hygiene level and to prevent infection spread by the handwashing before and after touching patient, equipment’s and the tools (Mixer, 2020)

Long Term

The awareness of staff can equally be supportive use the handwashing, sanitizing and prevent any infection spread, while touching the patient, any equipment or any related surroundings (Matinolli, 2020)

Example: Preoperative food & fluid awareness

Purpose

To increase the handwashing routines before and after the preoperative patient's numbers and to prevent any infection spread. Effective hand washing for the 20 seconds and using the sanitizer, has been an effective tool, to spread any infection before and after touching the patient.

Reflexivity

The important role of the medical staff especially, Medical Doctors to be aware of hand hygiene and nurse role is to alert them.

To make carers, peers and the staff check the hygiene levels and how to prevent infection spread.

To note the patient's hygiene level and to increase infection spread.

Approach

• While touching the patient, before and after during the routinely monitor any types of equipment, tools or the patient surroundings  (Matinolli, 2020)

• To increase the awareness during May 20, 2020

– To educate peers and to have the campaigning related to hand washing and how it combats the infection spread. Train all wards & departments. 

– In services to the role of nursing staff, JMOs

– To have an Agenda item: meeting with the educator along with the patient safety & having quality meetings (Kelly, 2020)

• While touching patient wounds, the important step is to avoid it, else one can use sanitize on the hands and the wound or scar while touching.

To give the patient sanitized room and to focus on the hand hygiene especially during the end of shifts (As per the American Psychological Association, the clinicians are least likely to wash their hands)

To use the "gross-out" images as a method of motivation, as observed, the healthcare workers are more likely to use the hands washing after seeing the video's/audios of bacteria.

To check the videos on hand-washing to patients, nurses staffs that are part of the waiting rooms and hallways. Set positive examples as a way to control.

Context

Hand hygiene is the most important step to avoid the infection spread, especially during the end of the shifts and while visiting the patients, it is important to understand the hygiene levels. For example, if the nurse is coughing and places her hand on the mouth, her infected contagious diease would be on the hand surface (Kelly, 2020). Through the rigorous washing and applying sanitizer, the infection spread can minimize. Research indicates, if the handwashing is not maintained, it can lead to an outbreak spread of contagious disease, for example, Flu in the vicinity (Pontin, et al, 2020).  

Intent

• To focus on creating the awareness of staff who can equally be supportive and understand ways to control the infection spread and outbreak in the vicinity (Matinolli, 2020).

Stakeholders

• To include the Patients, Carers, Medical Doctors, Nurses, medical staff, Clinic staff, Emergency Department people, and the  Day Unit people (Ost, 2020).

Involvement in the PD project?

The involvement of the Patients, Carers Medical Doctors, Nurses, would be an integral part of the PD project assessment (Ignacio, 2020). Apart from these Medical staff, Clinic duty staff, and the Emergency Department would play a vital role.

Roles might different people have?

Patients-: They would be researched over and how they are checked, monitored, evaluated either by not touching and if the touching is taking place, to wash hand and sanitize any equipment, surroundings or the tools (Thompson, 2020)

Emergency department-: To follow the same routine procedure

Nurses  & Carers-: To ensure hand hygiene protocols are followed.

Medical Doctors-: To check any infection symptoms and any potential signs of spread.

Communicate about ongoing issues or progress?

The process has to be documented and communicated regularly, such as the nurses who would go inside the room, can record the effects on patients, conditions, and any related findings (Peart, 2018).

Similarly, the patient, carers, nurses, medical doctors, views, and opinions can be recorded and documented, to note the success rate of using the hand hygiene and preventing infection spread (Matinolli, 2020).

Evaluate the PD project?

The evaluation of the PD project would be purely on how much is the repercussion effect and the likeliness of the consequences on the patients (Thompson, 2020). For example, if any patient shows the contagious infection spread, either to isolate them till they get a cure or sanitize properly room and the surroundings. Similarly, using the hand hygiene method, to eliminate the possibility of infection spread in the first instance. The evaluation would be as per the success rate of the patient experiences (Mixer, 2020).

Conclusion

To conclude, the use of the Praxis tool within the practice development has been one of the structured methodologies, that has helped to approach the healthcare improvement and can focus on the emancipatory change that belongs to all those, which cares to lead to person-centered along with the evidence-based healthcare. It is defined as the origins of the development of nursing practice and linking it with the practice development tool. The practice development tool is accessed through the PRAXIS to conclude how the patient's hygiene is maintained, with the help of the handwashing and avoiding any possible infection spread or any contagious diease outbreak.