Choose a clinical situation in your specialty and create a theory from your observations. Report the theory to the class. Use a form that clearly identifies your concepts and proposition such as; “psychosocial development (Concept A) progresses through (Proposition) stages (Concept B)”. Identify and define the concepts involved and the proposition between them. For example, a surgical unit nurse may have observed that elevating the head of the bed for an abdominal surgery patient (Concept A) reduces (Proposition) complaints of pain (Concept B). The concepts are the head of the bed and pain. The proposition is that changing one will decrease the other. Raising the head of the bed decreases pain. Use current literature to define your concepts. Each concept should have at least two supporting references.
Expert Answer and Explanation
The clinical situation selected involves the use of the electronic health records (EHRs) to improve the wellbeing of patients. The observation made concerning this situation is that using EHR to make decisions when managing the health of a diabetic patient (Concept A), improves (Proposition) clinical outcomes (Concept B). The concepts, based on this observation, are the use of the EHR to make decisions, and clinical outcomes. The proposition for the two is that removing EHR from patient care can have negative impact in terms of the clinical outcomes (Foley & Davis, 2017). This kind of a situation can be described from a theoretical perspective. There are mixed outcomes from studies which investigate the effectiveness of the EHRs in terms of optimizing of the results of clinical interventions. However, most studies link the use of this particular technology to better patient care outcomes. The observation made resonates with the results of the research which investigate the relationship between patient care and EHR use.
Taking the observed results in account, the theory that can arise from this scenario is the EHR-Clinical Outcome theory. According to this theory, using the EHR system to document data, and to guide decision-making can help increase the recovery for the diabetic patients. A key concept for the theory is that EHR system can enhance decision-making in clinical settings. This concept, in addition to the outcomes of the research should inform providers’ decisions when they are working with patients with diabetes (Shull, 2019). If the provider were to make decisions without being guided by the EHR, the risk of error would be high, and this would jeopardize the safety and the health of the patient.
Foley, A. S., & Davis, A. H. (2017) A Guide to Concept Analysis. Clinical Nurse Specialist: J for Advanced Nursing Practice 31(2):70-73.
Shull, J. G. (2019). Digital Health and the State of Interoperable Electronic Health Records. JMIR medical informatics, 7(4), e12712.Doi: https://doi.org/10.2196/12712.
Other Answered Questions:
[ANSWERED] Create your own script for building a health history and use the Health History Template for guidance (consider the type of language you would use to help your patient be more comfortable).