Problem Solving Nursing

Problem Solving Nursing-68
Earlier studies have suggested that team leaders could stimulate second-order problem-solving behaviour by nurses.5 Team leaders are crucial in creating and sustaining the benefits of lean adoption on hospital wards since they can help to create a culture of continuous improvement, empower frontline employees and foster participation.7–9 Although the literature often emphasises the importance of lean leadership, there are few empirical studies of lean leadership in healthcare.9 10 Moreover, previous studies have not connected lean leadership with other leadership theories.9 Consequently, an in-depth empirical study of lean leadership on nursing wards is needed, whereby the identified leadership practices can be positioned within existing leadership approaches in order to enhance our understanding of this concept.In this paper, we study the relationship between lean maturity and second-order problem-solving behaviour.Second, since lean leaders are seen as essential in enhancing the problem-solving abilities of healthcare staff,8 we expect effective lean leadership to strengthen the relationship between lean maturity and second-order problem-solving.

Earlier studies have suggested that team leaders could stimulate second-order problem-solving behaviour by nurses.5 Team leaders are crucial in creating and sustaining the benefits of lean adoption on hospital wards since they can help to create a culture of continuous improvement, empower frontline employees and foster participation.7–9 Although the literature often emphasises the importance of lean leadership, there are few empirical studies of lean leadership in healthcare.9 10 Moreover, previous studies have not connected lean leadership with other leadership theories.9 Consequently, an in-depth empirical study of lean leadership on nursing wards is needed, whereby the identified leadership practices can be positioned within existing leadership approaches in order to enhance our understanding of this concept.In this paper, we study the relationship between lean maturity and second-order problem-solving behaviour.Second, since lean leaders are seen as essential in enhancing the problem-solving abilities of healthcare staff,8 we expect effective lean leadership to strengthen the relationship between lean maturity and second-order problem-solving.

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Critical thinkingcan seem like such an abstract term that you don’t practically use. The truth is, that as nurses we can’t escape critical thinking .

Let me give you a few examples from my career in which critical thinking helped me take better care of my patient.

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(Mazur and Chen, p63)6 Tucker and Edmondson (p61)5 distinguish five broad actions linked to second-order problem-solving: (1) communicating to the person or department responsible for the problem; (2) bringing the problem to the manager’s attention; (3) sharing ideas about the cause of the situation and how to prevent recurrence; (4) implementing changes; and (5) verifying that changes have the desired effect.

Nurses apply both first- and second-order problem-solving approaches.

Participants Three members of each nursing team were interviewed: the team leader, one nurse from the ward’s core team for the lean-based quality improvement programme and one nurse outside the core team.

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. The earliest applications of lean thinking in the healthcare sector were more than a decade ago.

Critical thinking in nursing is just that, but in a clinical setting.

I thought about how he’s got extra fluid in general, and because of his CHF he can’t really pump out the fluid he already has, let alone this additional fluid. He added some oral opioids as well and wrote an order that it was okay for me to give both the oral and PCA dosings, with a goal of weaning off PCA. It’s basically stopping, looking at a situation, identifying a solution and trying it out.

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