Documentos de Académico
Documentos de Profesional
Documentos de Cultura
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Heetebry (2004) uses system theory to give insight into technological factors and barriers in
health care delivery.
These researchers utilized systems theory to draw attention to best practices in healthcare
delivery. Case in point, technology is vital to health care delivery. Based on system theory,
technology should be studied as an organized whole to achieve greater efficiency. A narrow
approach will limit the potential impact of technology and, unintentionally, create additional
gaps and errors. Flaws will be inevitable and compromise the full extent of technology as a
whole system. Hence, the theory guided a holistic examination of technology. As shown in
Hatcher & Heetebry (2004), there are technological possibilities in health care delivery that
comprise patient management, simulation, imagery, remote medical diagnosis, mobile health
care, telemedicine, internet & intranet programming, security, distance learning, data mining and
security.
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power of Rogers’s theory as a change process has boosted innovation in the face of resistance.
According to Walker & Whetton, 2002, “innovation is more likely to be adopted if: perceived as
having a relative advantage over the method it supersedes and as being compatible with existing
values and needs” (p. S3:74).
D. Systems Theory and Nursing Practice
The benefits of systems theory in nursing practice are unmistakable. Concepts of
wholeness and openness are consistent with nursing principles. The basic idea of system theory
is an Aristotelian view that states, “The whole is more the sum of its parts” (Bertalanffy, 1972
p.407). Nurses employ the concept of wholeness in problem solving. For instance, system theory
evaluated the influence of family anxiety on patient recovery (Mitchell et al, 2003). The analysis
revealed the weight of family anxiety and uncertainty on patient clinical outcomes in the
intensive care unit (Mitchell et al, 2003). Hence, system theory illustrated the family as a key
component influence patient recovery.
The results evidenced best practices in achieving patient outcomes. Here, the relationship
between systems theory and EBP is suggested. As stated in Schoenfeolder (2007), “EBP is
defined as the integration of best research evidence with clinical expertise and patient values” (p.
7). Moreover, systems theory is invaluable for critical thinking and decision making. The theory
channels higher thinking to consider and balance the complexity of a problem. This is implied in
the literature review of Nelson (2011), who examines the circular and balancing affect of theory.
Likewise, Bertalanffy (1972) draws attention to a multiplicity of factors in system theory and not
the vacuity of insular thinking.
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Too often, nurses predict and plan innovation that fail or the actual results are less
favorable. The articles provided insight on processes to strengthen approaches for improving
nursing education and practice. Without a doubt, the application of theory will lead to more
effective nurse leadership and change management to advance the quality of patient care. I
suspect that greater inclusion of Rogers’s five distinct elements for effective change will open
new opportunities for advanced nurse practice (Sanson-Fisher, 2004).
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Bibliography
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http://journals.lww.com/qmhcjournal/Abstract/1997/05030/Building_Knowledge_of_Hea
operation of health care delivery by presenting a 10 step process that builds knowledge of
organizational elements.
Bertalanffy, L. v. (1972, December). The history and status of general systems theory. Retrieved
sici=0001-427328197212%2915%3A4%3C407%3ATHASOG%3E2.0CO%3B2-4. A
leading general system theorist presents historical views and clarifies philosophical
Blakeney, B., Carleton, P., & Coakley, E. (2009, May 31). Unlocking the power of innovation.
theory are presented to illustrate the capability of nurses to innovate health care delivery.
Drack, M., Apfalter, W., & Pouvreau, D. (2007). On the making of a system theory of life: Paul
A Weiss and Ludwig Von Bertanlanffy's Conceptual. Q Rev Biol , 82 (4), 349-373. An
analysis of general system theory by comparing the influence of two major theorists who
Hatcher, M., & Heetebry, I. (2004). Information technology in the future of health care. Journal
of Medical Systems , 28 (6), 673-687. The authors employ system theory to present a
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comprehensive analysis of obtainable technological sources that should be considered to
Kitson, A. L. (2008). The need for systems change: reflections on knowledge translation.
Journal
of Advanced Nursing , 65 (1), 217-228. The article explores the proposition of knowledge
theory to effectively transfer new information into clinical practice by the integration of
systems theory and other models for the promotion of innovation in health care delivery.
Leeman, J., Jackson, B., & Sandelowski, M. (2006). An evaluation of how well research reports
facilitate the use of findings in practice. Journal of Clinical Scholarship , 38 (2), 171-177.
The author relies on Roger’s diffusion theory to examine the manner new clinical
interventions are adopted and purport the timeliness of implementation when research
Mitchell, M. L., Courtney, M., & Coyer, F. (2003). Understanding uncertainty and minimizing
families anxiety at the time of transfer from intensive care. Nursing and Health Sciences,
207-217. The authors employ general system theory as a framework to analyze data that
illustrates the significance of family coping conditions on the rate of patient recovery.
Nelson, N. W. (2011, January ). Questions about certainty and uncertainty in clinical practice.
American Speech-Language-Hearing Association , 42, pp. 81-87. The author analyzes the
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Reavy, K., & Tavernier, S. (2008). Nurses reclaiming ownership of their practice:
Continuing Education in Nursing , 39 (4), 166-172. The article supports the necessity of
evidence based focus in clinical nursing practice and describes implementation models
Robertson, T. S. (1967). The Process of Innovation and the Diffusion of Innovation. Journal of
processes to influence the ultimate user in the midst of risks, opposition and competing
pressures.
Sanson-Fisher, R. W. (2004, March 15). Diffusion of innovation theory for clinical change.
summarizes the five primary components of Roger’s theory to explain the process of
Schoenfeolder, D. P. (2007, August). Simply the best: teach gerontological nursing students to
illustrates the instructional method used to introduce nursing students to evidence based
practice and, at the same time, functions to disseminate knowledge at the clinical setting.
Sitzman, K. L., & Eichelberger, L. W. (2011). Undertanding the work of nurse theorists.
Masschusetts: Jones and Barlett. The textbook is a comprehensive study of the leading
nurse theorists and the conceptual models that has shaped the future of nursing.
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Walker, J., & Whetton, S. (2002). The diffusion of innovation: factors influencing the uptake of
telehealth. Journal of Telemedicine and Telecare , 3, 73-75. The article discusses the
advantages of telehealth in health care delivery and applies Roger’s diffusion theory to
Wang, B. B., Wan, T. T., Burke, D. E., Bazzoli, G. J., & Blossom, Y. J. (2005, January/March).
framework employed Roger’s diffusion theory is utilized to analyze the decision making
patterns and openness of different hospital systems to adopt innovation in health care
technology.