To conduct the appropriate research, it is of great importance to identify focal stakeholders. First, a paramount goal in education and advocacy of patients would be played by a nurse practitioner. Being specialists in disease management, they would increase the level of disease literacy and self-management in patients with kidney disease. A specialization of Advanced Practice Nurses (APNs) in the organization focuses on both advanced clinical and theoretical knowledge to enhance the quality of health care (Gallagher-Ford, 2011). It is especially necessary for kidney disease patients as they are at risk of developing complications. Meanwhile, the role of APNs would deepen and structure the research for the project. Skills and experience of APNs’ are rather important in problem solving and evidence-based decision making. Therefore, they are also to conduct studies to remain aware of the current situation in the corresponding area.
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A Registered Nurse (RN) is the second essential stakeholder in the organization. RNs are expected to provide continuous control of patients reporting to the corresponding specialists (Smolowitz et al., 2015). Therefore, their role would considerably influence the project. Speaking of stakeholders, it is necessary, however, to specify the role of a “champion”. According to recent research, effective championing provided by organizational change champions could significantly contribute to the successful implementation of the project (Shaw et al., 2012). In particular, a nurse director might be regarded as a champion due to a rather responsible job position. Precisely speaking, all the work of nurses depends on correctly managed daily nurse activities.
As far as professional director nurse works with the senior medical staff, the work of middle and junior staff depends on them as well. The key responsibilities of the nurse director involve the rational organization of personnel operation and the provision of timely implementation of treatment (Milton et al., 2009). Also, they provide training for middle and junior medical staff at the hospital. In turn, adequate monitoring and coordination guaranteed by the nurse director lead to efficient health care delivery. Seeing the above characteristics, it becomes evident that the nurse director’s role would impact the project. The change theory of 7-S developed by McKinsey would be utilized to implement the research due to its comprehensive nature.
The costly treatment presents the first potential barrier to achieving better outcomes in patients. Hogg et al. (2016) pinpoint that kidney treatment outcome including CVD, a progression to kidney failure, or ESRD might have a high cost. At that, the above complications lead to deteriorating effects. To prevent these complications, it is crucial to ensure continuous monitoring and timely response to any changes in patients. Furthermore, it might be beneficial to plan the costs leaving some capital for potential expenses.
Another potential barrier stakeholders might represent is insufficient training of staff. It might be reflected in the lack of experience and knowledge of core values and theories related to work performance. To overcome this impending barrier, it might be recommended to conduct adequate and timely training promoting enhanced levels of nurses’ preparation (Tshiamo, Kgositau, Ntsayagae, & Sabone, 2015). It is also essential to note the fact that improper evaluation of outcomes might occur. In particular, blood indicators or the patients’ conditions might be treated erroneously. In this regard, any medication errors should be excluded using accurate and thorough analysis that would take into account all the details.
Gallagher-Ford, L. (2011). Advanced practice nurses use role modelling, teaching, clinical problem solving and change facilitation to promote evidence-based practice among clinical staff nurses. Evidence Based Nursing, 15(2), 55-56.
Hogg, R. J., Furth, S., Lemley, K. V., Portman, R., Schwartz, G., Coresh, J.,… Levey, A. S. (2016). National Kidney Foundation’s Kidney Disease Outcomes Quality Initiative Clinical Practice Guidelines for Chronic Kidney Disease in Children and Adolescents: Evaluation, Classification, and Stratification. Pediatrics, 111(6), 1416-1421.
Milton, D., Pipe, T. B., Hatler, C., Brewer, B. B., Lamar,…Estrada, N. (2009). Clarifying the Role of Director of Nursing Research in Clinical Settings: Expectations and Challenges. Nurse Leader, 6(4), 29-33.
Shaw, E. K., Howard, J., West, D. R., Crabtree, B. F., Nease, D. E., Tutt, B., & Nutting, P. A. (2012). The Role of the Champion in Primary Care Change Efforts. The Journal of the American Board of Family Medicine, 25(5), 676-685.
Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E., Ulrich, S., Hayes, C., & Wood, L. (2015). Role of the registered nurse in primary health care: Meeting health care needs in the 21st century. Nursing Outlook, 63(2), 130-136.
Tshiamo, W. B., Kgositau, M., Ntsayagae, E., & Sabone, M. B. (2015). The role of nursing education in preventing medication errors in Botswana. International Journal of Africa Nursing Sciences, 3(1), 18-23.