Change Proposal Implementation Plan

 

 

Technology is always advancing and in the nursing field it can bring about many benefits. Today’s technology can be used for charting, to record nursing trends, collect patient data, schedule, monitor patients, scanning medications, and storing medical health records. All these advances in technology can improve the quality of care provided. A new advance in technology is telehealth or virtual visits. The COVID-19 pandemic has forced rapid innovations in ambulatory care delivery, this includes group visit programs that previously relied on in-clinic appointments (Mirsky & Thorndike, 2021).

Telehealth appointments can improve adherence to breastfeeding in those mothers that find attending a face-to-face appointment hard to keep due to babysitting, distance, or time. Telehealth appointments are a cost-effective, real-time tool that can be done anywhere at any time to educate and support mothers facing breastfeeding challenges. This can definitely be used to increase breastfeeding support, educate and increase the already low breastfeeding rates. Most mothers are young and know how to operate a smartphone so this type of technology would be appropriate if used with my evidence base practice project. Although most mothers may have a smart phone and can operate it well there are still barriers to telehealth visits being effective. One disadvantage is that there are limitations to performing a comprehensive physical assessment that might be needed on both mother and baby to properly assess breastfeeding. Additionally, providers should have awareness of and maintain compliance with state and federal legal requirements while using best practice guidelines to provide patient safety (Gajarawala & Pelkowski, 2021).

During the pandemic, Healthy Beginnings started to do virtual classes and virtual visits by using telehealth appointments. These classes included prenatal classes, childbirth preparation, breastfeeding, newborn care, cesarean preparation, infant safety, and CPR. These virtual classes were great because the mothers could still receive the education and support, they needed. For this reason, breastfeeding support appointments are still available to those mothers who have a difficult time attending an in-person appointment but want to continue breastfeeding.

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

 

Sample Solution

err Friedemann tells of the tragic, yet pitiful suicide of an impotent man, who suffers with a disability that has prevented his personal romantic desires. On the surface, Herr Friedemann, as the name suggests, is ‘at peace’ with himself, however this is merely a form of Ibsen’s ‘Lebenslüge’; he is constantly at odds with his reproachful nature, as a man who has forbid himself from loving, yet feels so emotionally drawn to Frau von Rinnlingen. There is an argument that Herr Friedemann’s death is foreshadowed after just four chapters; after the scene where he encounters his “plötzliche Neigung” kissing another man, he decides that he will never love again as this only causes him “Gram und Leid”. Herr Friedemann has been described as having ‘precarious epicureanism’ , which suggests, and somewhat validates, that his desires were subdued in order to obtain greatest ‘pleasure’, although his suppressed sexual passion does not lead to satisfaction, rather tragedy.

There appears to be something significantly ‘Apollonian and Dionysian’ about Herr Friedemann’s suicide. Moments before his death, his expresses his ultimate Dionysiac wish “sich zu vernichten [und] sich in Stücke zu zerreisen”, yet he is only able to “sich [schieben] noch weiter vorwärts [und] ins Wasser fallen”. This makes the suicide seem antithetical, to such an extent that Mann’s grave, dramatic free indirect style is pitifully undone by Herr Friedemann’s pathetic death. He can barely muster the strength to make it to the water; there is certainly no ‘dagger through the heart’ moment, not least an act of pathos that may lead the reader to sympathise with the fallen protagonist. Perhaps Herr Friedemann’s self-pitiful death is in keeping with the inner morality of his personality. His Apolline view of the arts, that appeals to the purity and melodrama of music, more specifically Wagner, is all part of a his ‘life sustaining lie’, as Frau von Rinnlingen discovers in the final chapter, such that his life as an ‘artist’ is in fact futile; shown fully by his self-destruction in the final Dionysiac moment of annihilation and self-disgust. I suppose this is the psychological paradox that causes Herr Friedemann such distress; T.J. Reed tells us that an artist’s “bacchantic howling only proves imcompetence”, who “merely vents [their feelings] in helplessly inarticulate sounds” . This seems to perfectly epitomise the character of Herr Friedemann, who drowns himself in water that is only deep enough to cover his face, leaving the rest of his body on the ground.

Mann’s narration of the final scene encompasses the Apollonian and Dionysian psychology of the pro

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