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(Re) evaluating Critical Care Nurse Support Program(s) in a Tertiary Care Hospital: Intersecting the Art and Science of Nursing
Get PDFThere is a growing critical care nurse staffing shortage with increases in nurse vacancy rates. Moral distress has been exacerbated by the SARS-CoV-2 (COVID-19) pandemic and, in particular, impacting critical care nurses. COVID-19 is a significant contributor to staffing shortages and continued nursing crisis. Thus, the impetus for the Problem of Practice (PoP): the lack of support to address the psychological, emotional, and spiritual distress suffered by critical care registered nurses in a tertiary care hospital in Central Ontario. To comprehend the realities of working in the intensive care units, leaders must first understand nurses’ lived experiences, narratives, and what it means to work on the frontline in an intensive care unit. The Organizational Improvement Plan (OIP) is underpinned by interpretive phenomenology and authentic and transformational leadership approaches. Lewin’s three-stage force field model of change theory is utilized for leading change and Burke and Litwin’s performance change model for the organizational analysis. The overall goal of the OIP is to implement a change plan that brings leaders and critical care registered nurses together to co-create support program(s) to address critical care nurses’ psychological, emotional, and spiritual distress, decrease nurse attrition, and enhance critical care nurses’ well-being
Enhancing Cultural Awareness Policy and Pedagogy at a Bilingual Nursery School
Get PDFGlobalization and migration have impacted the cultural demographics at educational settings worldwide. Families with young children relocating to new countries experience distress and a sense of cultural loss, in terms of language, beliefs, and values. Grounded in the social constructivist worldview, this organizational improvement plan proposes how to support cross-cultural kids and their families during the periods of transition and adaptation, at an international nursery school located in the Middle East. Influenced by the cross-cultural adaptation theory and a multidimensional ethical framework, the problem of practice addresses the need to develop a relevant policy and to enhance culturally responsive practices. The appreciative inquiry approach and the change path model are the chosen models to guide the change. A hybrid solution to the problem focuses on improving the organization from a macro- and meso- standpoint. Aligned with the relational and culturally responsive leadership approaches, the involvement of parents, teachers, and other stakeholders in the policy creation is recommended (macro-level). Additionally, by engaging in collaborative inquiry sessions, teachers can improve their responsive practices to cater to the needs of the children (meso-level). The Plan-Do-Study-Act framework for monitoring and evaluation, along with a three-stage communication plan are discussed to support the organization in minimizing the gap between the current and future desired state at the nursery school
St. Hilda\u27s St. Luke\u27s Anglican Church Choir 1.0
No full texthttps://ir.lib.uwo.ca/anglican_choirs/1069/thumbnail.jp
