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Advanced Nursing oles
Sister Calista oy - Adaptation theory
Adaptation theory is one of the nursing theories that have had a significant impact in the general practice of nursing in the world. Nursing is one of the technical activities and undertakings that need immediate and tedious professionalism. In most cases, nurses are supposed to undergo equitable training and impartation programs that seek to add into their contemporary activities in the society. In order to be able to meet the daily challenges and difficulties posed by the profession, many nurses have engaged in education programs and training. Nursing requires nurse and all the participants to be at the forefront in the management of the available activities. For instance, nursing challenges are everywhere in the society. This means that in order to have a larger scale of performance and maintenance of the nursing standards in the nursing field, nurses, and many other…
Basavanthappa, B.T. (2011). Nursing theories journal. Vol. 6, Issue 08, Pages 189. New
Delhi: Jaypee Brothers.
Daniels, R. (2010). Nursing fundamentals: Caring & clinical decision making journal. Vol.
7, Issue4, Pages 87-89. Australia: Delmar Learning.
Internationally, for example, most countries do not have protected titles and there is no agreement about the use of titles to distinguish APN roles. ole confusion arises when the same title, such a nurse specialist is applied to different roles with varied purposes, educational preparation, and scopes of practice. As this role becomes more integrated into the framework of different societies and is better defined, it is expected that barriers among different providers will drop and healthcare better work together.
Adams, B.L. (2005) Assessment of Child Abuse isk Factors by Advanced Practice Nurses. Pediatric Nursing.31(6):498-502
American Association of Colleges of Nursing (2004). AACN position statement on the practice doctorate in nursing. Washington, DC: etrieved January 28, 2008. http://www.aacn.nche.edu/DNP/DNPPositionStatement.htm
Benner, P. (2001). From novice to expert: Excellence and power in clinical nursing practice. Upper Saddle iver, NJ: Prentice Hall Health.
Fletcher, K. (2006). Beyond dualism: Leading out of oppression. Nursing…
Adams, B.L. (2005) Assessment of Child Abuse Risk Factors by Advanced Practice Nurses. Pediatric Nursing.31(6):498-502
American Association of Colleges of Nursing (2004). AACN position statement on the practice doctorate in nursing. Washington, DC: Retrieved January 28, 2008. http://www.aacn.nche.edu/DNP/DNPPositionStatement.htm
Benner, P. (2001). From novice to expert: Excellence and power in clinical nursing practice. Upper Saddle River, NJ: Prentice Hall Health.
Fletcher, K. (2006). Beyond dualism: Leading out of oppression. Nursing Forum, 41(2), 50-59.
Advanced Nursing Ethics
Nursing ethics refer to the code of conduct among nurses. Ethics is connotations of performance that reflect on the nature of behavior and activity among the concerned societies in the world. The human behaviors and activities are managed by rules and regulations. These rules and regulations appear to address on how justice and equitable human cohesion can be established in the minds of the people. The facet of ethical concerns helps to bring out the code of behavior that is expected of nurses and any other person within the limelight of the public demand. In most cases, it is essential to have directional ways and means of meeting the available interests of the people.
In the hospitals, nurses and many other health professionals are subject to intense activities and decision-making processes that call for their unified performance within the ethos outlined. In order to deliver a credible…
Bartter, K. (2001). Ethical issues in advanced nursing practice. Vol. 8, Issue 4, pgs 23-34.
Butts, J.B., & Rich, K. (2011). Philosophies and theories for advanced nursing practice.
Sudbury, Vol. 5, Issue 6, pgs 34. Mass: Jones and Bartlett Publishers.
Advanced Nursing Theory
Any scientific discipline necessarily operates under the guidance of theory. Indeed, without theory, science cannot operate. On the other hand, it is also true of all theoretical disciplines that theory cannot exist without practical experimentation to support it. In fact, without the practice and experiments to further provide solid proof for theory, no theory can further develop. In this way, practical experimentation and theory go hand in order to further the entire discipline for the benefit of humanity and science. It words, or should work, the same for nursing. In nursing practice, however, there is often a divide between the theory and practice. One of the reasons for this is that, because nursing is such a practical profession, the theory is often left to gather dust. In other words, the interaction between theory and practice is somewhat diminished because of the nature of the profession.
Butts, J.B. And Rich, K.L. (2010) Philosophies and Theories for Advanced Practice Nursing.
Hulkower, R. (2010). The History of the Hippocratic Oath: Outdated, Inauthentic, and Yet Still Relevant. The Einstein Journal of Biology and Medicine. Retrieved from: http://www.einstein.yu.edu/uploadedFiles/EJBM/page41_page44.pdf
More theoretical input from advanced practice nurses aims to help improve overall care strategies, providing for a better quality of life for patients around the country and beyond.
Not only do advanced practice nurses have a huge impact on patients while they are under hospital care, they often have a huge impact in the care strategies after the patient is sent home for recovery. According to McCauley, Bixby, and Naylor (2006), advanced practice nurses coordinate "care collaboratively with the patient's healthcare team while the patient is hospitalized and during the immediate period post-discharge to home, will prevent complications and errors, and improve outcomes while reducing the cost of care" (302). As such, it is clear that the role of the advanced nurse practitioner is incredibly vast and complicated, with the many roles the individuals who embody it must play. Advanced practice nurses are supposed to help facilitate the best strategy…
McCauley, Kathleen M., Bixby, Brian, & Naylor, Mary D. (2006). Advanced practice nurse strategies to improve outcomes and reduce cost in elders with heart failure. Disease Management, 9(5), 302-312.
McCormick, S.A. (1999). Advanced practice nursing for congestive heart failure. Critical Care Nursing Quarterly, 21(4), 1-8.
Advanced Nursing Ethics and Values
It is required that nurses understand their ethical responsibilities when it comes to providing care as well as when they are functioning within a diverse healthcare setting. The paper is based on a case study that will touch on various areas when it comes to nurses and their profession. First the importance of ethical theory in nursing profession will be highlighted. The link between rules of confidentiality and the idea of reasonable limits will be highlighted. This will entail looking at some of the aspects of rules of confidentiality and aspects of the tenets of reasonable limits. The rationale of breaking the confidentiality will also be highlighted. How conflicts can be resolved between various ethical principles will also be looked into. Also highlighted is the effect of cultural considerations and values. Finally, the paper will point out the models used in making ethical decision and…
D. Broken confidentiality
Principles such as that of autonomy give patients the right to make a choice of the right treatment for them. This principle puts emphasis on the significance of informed consent and confidentiality. Informed consent advocates for patients to have control over their treatment and make decisions deemed right for their lives. Confidentiality gives individuals the power to control information of their lives. Autonomy can be affected when confidentiality is breached. This is due to the fact that healthcare professionals affect a person's autonomy and play a role in making informed consent and confidentiality in their lives (Gunderman, & Beckman, 2012).
There are various principles that that can be used to give an explanation of keeping or breaking confidentiality, an example is consequential theories like utilitarian theory can be used to explain confidentiality. Those who advocate for Unitarian theory hold the argument that actions are right morally if they are beneficial to people or bring good to many. Keeping the information might not be beneficial to all people as it might be affecting the treatment of a patient. This advocates for breaking confidentiality by doctors in order to help patients get right
In almost every career, one uses only a portion of the academic skills from college. In the nursing career, with one or two possible exceptions (certain maths or chemistry classes), almost all of the knowledge is needed in some way on a daily basis. This requires that the advanced levels of nursing (APN and PA) become substantive parts of the discipline of nursing. To do this, attendance at seminars, demonstrations, as well as refresher courses in managerial and clinical practice are not only necessary, but typically required for most certifications. This advanced education not only keeps the nurse fresh and up-to-date, but also allows for branching out into different sub-fields. For example, the ER nurse can focus on mental health or oncology, and pick up certifications that make them even more valuable to their organization (Arslanian-Engoren, Hicks, hall, and Algase, 2005).
Describe the advanced practice nurse's leadership role within the…
Arslanian-Engoren, Hicks, Whall, and Algase. (2005). An Ontological View of Advanced Practice Nursing. Research and Theory for Nursing Practice, 19(4), 315+.
Association, a.N. (2010). Advanced Practice Nursing. Retrieved from Nursingworld.org: http://nursingworld.org/readroom/fsadvprc.htm
Bryabt-Lukosius, DiCenso, Browne, and Pinelli. (2004). Advanced Nursing Practice Roles:
Development, Implementation, and Ealuation. Journal of Advanced Nursing, 48(5), 519-29.
Advanced Nursing Practice Field Experience
Please refer to separate submission in Taskstream
CHSI is committed to providing the best quality medical care possible for its population of underserved patients. This summary addresses my proposal for the Advanced Nursing
Practice Field experience. One new policy recommended by the iverside County Health
Department is to include HIV screening and testing with all routine physical exams. The organizational change I am investigating is increasing provider compliance by including HIV
screening and testing with routine physical exams. The population affected by this change will be the underserved population in iverside County. My change leader is Evelyn Pearson-
ay MSN, NP, and Nurse Educator for the organization. My plan for conducting this investigation is to create a team of stakeholders, measure provider compliance of including HIV
screening and testing with routine physical exams, evaluate staff knowledge, provide necessary training, re-evaluate staff's…
Maillard, J. (2012, November 29). The impact of HIV-related restrictionson entry, stay and residence:. Joint United Nations Programme on HIV / AIDS.
S, B. (2009). Private acts, social consequences: AIDS and the politics of public health. New Brunswick: Rutgers University Press.
Uhrig, J. & . (2015, November). Health Communication to Support HIV / AIDS Prevention, Testing, and Treatment. RTI International.
Woods, W. (2012). Building Stakeholder Partnerships for an On-Site HIV Testing Programme. NCBI, 20(12), 249-262.
Advanced Practice Roles in Nursing
The starting point of all current-day nursing practices is a registered nurse. The current standards and policies with respect to education and legal regulations for attaining a basic first-level nursing standard weren't always fixed. For that matter, there weren't always professional nurses, either.
Specialist nurses can be considered as the primary product of nursing's professional evolution. The basis of the advanced nurses of today was established in the advent of specialist nurses in America. They were recognized in practice from the latter part of the 19th century; in the 1930s-1940s, the number of specialist nurses in USA grew. Clinical nurse specialists (CNSs) have become strongly recognized in the field of nursing since the 1960s. The Clinical activities of these nurse specialists were usually considered to be within conventional nursing practice domains, though their expertise was normally extended. Thus, CNSs were not considered to pose any…
AANAC. (2014). Nursing Leadership Management and Leadership styles. AANAC.
Dahlke, S., Baumbusch, J., Affleck, F., & Kwon, J.-Y. (2012). The Clinical Instructor Role in Nursing Education: A Structured Literature Review. Journal of Nursing Education, 3.
Daniel, G., & Oyetunde, M. (2013). Nursing informatics: A key to improving nursing practice in Nigeria. International Journal of Midwifery, 91.
Development of Advanced Nursing Roles. (2012). Nursing Times, 18-20.
Advanced Nursing Ethics and Values
(b) Justify the importance of ethical theory -- provide one example: The use of virtue ethics, according to the peer-reviewed Business Ethics Quarterly, is a way of providing resources for "moral thinking"; and for nurses that understand and apply virtue to their work have the background and knowledge as to what to do (that is moral) in any situation (Audi, 2012, p. 273). The virtuous nurse must have beliefs that can be shared and learned by those around the nurse, and there are six dimensions to Audi's approach: a) in the field of work, virtue ethics emphasizes "how one reaches it"; b) the target for virtue ethics in nursing is the "well-being" of others; c) the beneficiaries of virtue ethics are those benefiting from nurses' professionalism; d) a good nurse is a leader with high levels of intellect; e) virtue ethics calls for a nurse's…
Andre, C., and Velsaquez, M. (2008). Calculating Consequences: The Utilitarian Approach to Ethics. Santa Clara University. Retrieved November 1, 2013, from http://www.scu.edu .
Audi, R. (2012). Virtue Ethics as a Resource in Business. Business Ethics Quarterly, 22(2).
Cohen, J.S., and Erickson, J.M. (2006). Ethical dilemmas and moral distress in oncology nursing practice. PubMed. Retrieved November 1, 2013, from http://www.ncbi.nim.nih.gov.
Advance ractice Nurses, hysicians Assistants, Registered Nurses and hysicians
hysicians naturally have the most authority over patient care and in the traditional relationship between physicians and RNs, physicians directly control and must specifically authorize the clinical responsibilities of nurses. Advanced ractice Nurses enjoy a greater degree of autonomy and make certain independent decisions within a broader range of authority granted by physicians. Individual state laws define more particularly the exact functions that ARNs are authorized to perform (NCBON, 2011). hysician assistants and Nurse ractitioners perform specific clinical medical functions traditionally reserved exclusively to physicians such as prescribing medications and performing minor medical procedures (Hamric, Spross, & Hanson, 2009).
romoting Advanced ractice Nursing to the ublic
In many cases, patients are completely unaware of the distinctions between Nurses, Advanced ractice Nurses, Nurse ractitioners, and hysician Assistants. Advanced practice nursing professionals can help publicize and promote a better public understanding…
Physicians naturally have the most authority over patient care and in the traditional relationship between physicians and RNs, physicians directly control and must specifically authorize the clinical responsibilities of nurses. Advanced Practice Nurses enjoy a greater degree of autonomy and make certain independent decisions within a broader range of authority granted by physicians. Individual state laws define more particularly the exact functions that APRNs are authorized to perform (NCBON, 2011). Physician assistants and Nurse Practitioners perform specific clinical medical functions traditionally reserved exclusively to physicians such as prescribing medications and performing minor medical procedures (Hamric, Spross, & Hanson, 2009).
Promoting Advanced Practice Nursing to the Public
In many cases, patients are completely unaware of the distinctions between Nurses, Advanced Practice Nurses, Nurse Practitioners, and Physician Assistants. Advanced practice nursing professionals can help publicize and promote a better public understanding by communicating directly with patients in their clinical capacities and by introducing themselves by their proper titles. They may also make the effort to explain to patients receiving advanced clinical nursing care exactly why their nurse is treating them in connection with providing details about the extent of their training and qualifications. Since APRNs are also typically involved in public health promotions, they should also take advantage of those opportunities to educate patients and other members of the public about their roles, qualifications, and responsibilities.
Advanced Nursing Practice oles
Analyze the essential roles of the APN including educator, researcher, expert, consultant, leader, and change agent. Explain the functions of each role. Which role do you see as the most important and why?
APNs play the role of educators. Being educators in the nursing practice, they are held to high standards professionally and ought to satisfy these qualifications. As educators, they show their competencies in education, research and clinical skills. In addition, they promote quality and provide leadership within their field of expertise (Jansen and Zwygart-Stauffacher, 2010). Advanced Practice Nurses should model fervor for enduring learning, in addition to being tactically involved in professional nursing establishments to influence public policy and institute positive change in the nursing practice. It is imperative that devoid of the nurses taking up the role as educators, there would be no existence of advanced specialties. APNs educate the aspiring nurses…
Carter, N., Martin-Misener, R., Kilpatrick, K., Kaasalainen, S., Donald, F., Bryant-Lukosius, D., Harbman, P., Bourgeault, I., DiCenso, A. (2010). The Role of Nursing Leadership in Integrating Clinical Nurse Specialists and Nurse Practitioners in Healthcare Delivery in Canada. Nursing Leadership, 23(Special Issue) December 2010: 167-185.
Elser, A., McClanahan, M., & Green, T. J. (1996). Advanced practice nurses: change agents for clinical practice. The Journal of perinatal & neonatal nursing, 10(1), 72-78.
Fitzgerald, C., Kantrowitz-Gordon, I., Katz, J., & Hirsch, A. (2011). Advanced practice nursing education: challenges and strategies. Nursing research and practice, 2012.
Jansen, M., Zwygart-Stauffacher, M. (2010). Advanced Practice Nursing: Core Concepts for Professional Role Development. New York: Springer Publishing Company.
Malpractice in Advanced Nursing Practice
A CLOSER LOOK
When nurses pursued independent practice outside hospitals, the law supported their bid to breach traditional roles (Kjervik & rous, 2013). This phenomenon was described as a form of "growing militancy" that refused to stay under the dominion of medicine (aer, 1993 as qtd in Kjervik and rous). Ethics supported the accompanying empowerment of the militant act as in expressing autonomy in practice, beneficence and care-based ethic in doing what they see as best for patients, and justice or fair treatment for patients and all providers involved. The earliest practitioner program was designed in 1965 by Loretta Ford and Henry Silver in their response to the lack of primary care physician at the time. The program emphasized primary care in health promotion and disease prevention. The idea caught and more primary care providers increased. This is why many of the first…
Abramson, M.A. And Dugan, K.F.(2013). The law of nursing malpractice.Medical
Malpractice Law Firm: Abraham, Brown & Dugan Attorneys. Retrieved on March
25, 2013 from http://www.arbd.com/the-law-of-nursing-malpractice
Hudspeth, R. (2009). Understanding discipline of nurse practitioners. Vol. 5 # 5 Journal
Personal practice framework: The family nurse practitioner.
As viewed in this paradigm, the nurse practitioner is a teacher and a student of health: a nurse must teach patients about health-promoting practices, but also must learn from the patient, so as to incorporate patient needs and perspectives into the treatment prescription and plan.
The relationship between the practice framework and the nursing process
The initial interview with the client is critical. All too often, nurses simply ask the patient about immediate symptoms or lifestyle practices. Cultural negotiation requires acting 'why' -- for example, WHY is a client not taking his or her medication, exercising, or eating certain foods. Client's presumptions of health and client health literacy are part of the patient's culture and must affect the treatment process.
The applicability or adaptability to clients of various ages in various health states
The multigenerational nature of nursing care makes cultural negotiation all…
Bridge, Jean, Sally Cabell, & Brenda Herring. (n.d.). Dorothea Orem's self-care deficit theory.
Troy University. Retrieved April 26, 2010 at http://prism.troy.edu/~scabell/Orem.pdf
Leininger, M. (1991). Excerpted in "The basic concepts of transcultural nursing."
Culture Diversity. 2008. Retrieved April 26, 2010 at http://www.culturediversity.org/basic.htm
oles for Advanced Nursing
Nurses who graduate with a master's degree are prepared for various roles and areas within their practice. Some graduates may pursue innovative and new roles which result from health changes and reforms in a global health system that is evolving. A master's prepared nurse is therefore an individual that has so many roles within the healthcare system. The paper will look at some of the roles of masters prepared nurses.
Master's prepared nurse's role as collaborator
Masters prepared nurses perform the role of being collaborators. Collaboration is the responsibility of a prepared nurse. The masters prepared nurses have the responsibility of ensuring that they work in teams in order to achieve better results. They have to ensure that they work together with other people within the healthcare industry. As a collaborator, a masters prepared nurse exchanges information and takes part in client care problems or other…
Peeks, P.(2009).The role of masters prepared nurse in contemporary health care. Retrieved October 15, 2013 from http://nursing.msu.edu/Images_Docs/Syllabi/Web%202003-2004/Fall%202003/MSN/Fall%202003%20NUR%20801%20Syllabus.pdf
American Association of Colleges of Nursing.(2013). Master's Education in Nursing and Areas of Practice. Retrieved October 15, 2013 from http://www.aacn.nche.edu/faculty/faculty-tool-kits/masters-essentials/areas-of-practice
A significant example of this extends from the nurse's new role as a qualified medical professional capable of delivering diagnosis and treatment without the presence of a physician. For the nurse practitioner -- the agent of advanced nursing practice -- this means a more direct and personal responsibility to both the patient and the healthcare system.
It is thus that Buppert (2010) indicates that "when a nurse practitioner performs a physician service, it may be billed to Medicare under the nurse practitioner's name and provider number or, if "incident-to" or "shared billing" rules are followed, under the employer physician's name and number. A failure to follow the rules could lead to a charge of fraudulent billing." (p. 1)
This is a common mistake that can arise from a failure to adapt to new conditions and parameters in one's role as an advanced nursing professional. This denotes that in addition to…
Buppert, L. (2010). Leading nurse practitioners through the reimbursement maze/legal haze. Buppert.com.
McGee, P. & Castledine, G. (2003). Advanced Nursing Practice. Wiley-Blackwell.
Role Development for Advanced Nursing
AS HIGH-QUALITY CARE PROVIDERS
Researcher -- an ANA-Masters-prepared nurse or Advanced Practice Nurse continues to increase and expand knowledge for her own practice and to contribute to the body of knowledge of her field (CNHS, 2011; Cooke et al., 2008). She applies appropriate communication technologies in transferring her continuous learning to others in the field and related ones. She also initiates the exploration of new knowledge by creating researchable issues or problems. She likewise collaborates with other health professionals in the development and implementation of practice. She determines the rights of research participants. She evaluates the findings of her own research for use in practice. Then she transmits to, and shares these research findings with others (CNHS, Cooke et al.). The Advanced Practice Nurse is distinctively a researcher because she needs and uses research evidence in addressing specific patient conditions. The research-theory-practice link is precisely…
CNHS (2011). Advanced practice nurse competencies. College of Nursing and Health Sciences: Florida International University. Retrieved on October 22, 2012
Cooke, L., et al. (2008). APN core competencies. Vol 22 # 5 Clinical Nurse Specialist
Journal: PubMed. Retrieved on October 22, 2012 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3097039
Quality Improvement Activity (QIA) Form Instructions
When to Use the QIA Form
This document is a guide for completing NCQA's Quality Improvement Activity (QIA) form. This form can be used for the QIA required NCQA accreditation and certification programs, as applicable. It must be used to meet the Quality Improvement Projects required for Medicare Advantage Deeming.
You are not required to use the QIA form; however, you must provide the data it requests in order for NCQA to review your QIAs completely and accurately. Submit a QIA for each activity you present by attaching it to the applicable element in the Survey Tool using the Attach Document feature in the Survey Tool.
Detailed instructions on attaching documents to the Survey Tool are found in the Survey Tool Instructions under Help on the Main Menu bar.
The purpose of the QIA form is to summarize the clinical and service quality activities…
This help in solving conflicts between patients in a hospital.
In nursing practice, there are quite different in between clinical nursing specialist and nurse practitioner in the scope of operation. Therefore, a clinic nurse specialist works under the legislated scope of practice for a registered nurse but has advanced education. While nurse practitioner works under a separate scope of practice and can perform certain functions and tasks that are outside of the scope of practice of registered nurse, including clinical nurse specialist. However, nurse practitioner generally provide primary care, and clinical nurse specialists act more a s consultants in their roles as expert clinicians, clinical leader, educators, collaborators and researchers.
Many researches have written that emotions sometimes can influence ethical decision making in a health care system. Therefore, nurses are equipped with knowledge to make decision without any kind of influence. The model demonstrates that certain emotional states influence the…
Royal of nursing college (2010). Advanced nurse practitioners, an RCN guide to the advanced
Nurse, Practitioner role, competences and program accreditation
Marie-Laure Delamaire, Gaetan Lafortune (2010). Nurses in Advanced Roles
A description and evaluation of experiences in 12 developed countries
So, they have the best chance of isolating the underlying cause from the non-underlying causes. They are well-versed in the structure and classification of the ICD-9 codes as well and this helps them to better report the mortality.
Another reason is ANPs have the independence to handle their case load and they are able to better understand the patient's health problems. This gives them a close interaction with the patient and a better understanding of the case history helps them to diagnose ICD-9 codes better. They also get an opportunity to interact with the family members of the patients and this can sometimes help to identify the right causes. These are some of the reasons why ANPs are better-suited to diagnose ICD-9 codes so that it can help the family to claim any reimbursements.
How do ANPs decide the best diagnosis?
ANPs work closely with the patients to diagnose and…
DeLaune, Sue C.; Ladner, Patricia K. (2002). Fundamentals of Nursing: Standards & Practice.
Publication: Albany, NY Thomson Delmar Learning.
Groenwald, Susan L. (1997). Cancer Nursing: Principles and Practice
Publication: Boston Jones & Bartlett Publishers, Inc.
Nursing Doctoral Business Proposal
The benefits of staffing Advanced Nurse Practitioners (ANP) as ANP Case Managers
A Nurse Practitioner (NP) is a registered nurse educated and certified to operate autonomously and collaboratively in an advanced and comprehensive medical responsibility. The practitioner has several additional roles under which they are to conduct diagnostic investigations, prescribe medications and undertake referrals to specialist clinical medications. esearch suggests that when nurses undertake prescription roles, it can result to increased efficiency, maximization of resources, and improve patient access to medicines and enable nurses to provide timely and extensive care packages (Cashin, Buckley, Newman & Dunn, 2009). In the advanced practitioner context, the roles that exist include the Clinical Nurse Specialist, the Certified Nurse Midwife, the Nurse Anesthetist and the Nurse Practitioner.
On the other hand, an Advanced egistered Nurse Practitioner (ANP) is also a registered nurse who possesses professional knowledge base, intricate decision-making skills and…
Cashin, J.A., Buckley, T., Newman, C., & Dunn, V.S. (2009). Nurse practitioner provision of patient education related to medicine. Australian journal of advanced nursing, 27(2), 12-
Carter, N. et al. (2010). The role of nursing leadership in integrating clinical nurse specialists and nurse practitioners in healthcare delivery in Canada. Nursing leadership, 167-185, doi:
Advance Practical Nurse Professional Development Plan
Nursing is a very lucrative career. However, it takes a lot of work and determination to be a nurse. The job requires specific skills and education as well as licensing. Find below my personal Advanced Professional Development Plan (APN). I will also discuss such aspects as background, marketing strategies and curricula.
I appreciate that to get the education and practice I need as a nurse I have to follow the APN professional development plan. I have discussed in this paper how I will achieve this. The outline is as follows:
Identify My Learning Needs
I can do this in a variety of ways. First, I will reflect on my practice. I will determine which of my practicing areas I feel uncomfortable or unsure. I will evaluate if any of the areas I feel uncomfortable have something associated with…
1) Writer Thoughts
2) Professional Development For Nurses. (n.d.). Retrieved December 2, 2014, from http://www.learningnurse.org/index.php/library/pro-development
3) Scope of Practice. (n.d.). Retrieved December 2, 2014, from http://www.nursingworld.org /EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2
4) Howell, N. (n.d.). How to Write a CV for a Nurse. Retrieved December 2, 2014, from http://www.ehow.com/how_4799318_write-cv-nurse.html
attain qualitative infomation fom Advanced Nuse Pactitiones (APNs) to ascetain best pactices fo teating women who have expeienced Intimate Patne Violence (IPN)?
Take Home Message: Yes, it is possible to attain best pactices in such a way; these pactices include the fact that APNs can ceate a significantly positive impact on victims of IPN and thei families by poviding a safe envionment in which patients can addess these issues, and by continually asking questions egading thei safety in these mattes.
Bykczynsnki, K.A., Cane, P., Medina, C.K., Pedaza, D. (2009). Intimate stoes of patne violence: Advanced pactice nuses clinical stoies of success and challenge. Jounal of the Ameican Academy of Nuse Pactitiones. 23, 143-152.
Seach Stategy: The subsequent tems wee input into MEDLINE database: domestic violence advanced nuse pactitiones, health pomotion, intepeting esults. The aticles wee naowed down accoding to thei abstacts and titles. This aticle best suited the seach tems…
references to other studies. It is likely that when this research question is applied to IPV, the author's research was original. But it appears that it had already been established that input from experienced nurses can influence best practices.
Upon reviewing the study, "ole stress and job satisfaction for nurse specialists" conducted by Chen, Chen, Tsai, and Lo in 2007, several different problems with the study come to light. Some of these problems or issues may be insignificant while others may be so significant as to render the study meaningless. Certainly in view of these issues, this study should not be used as a basis for recommending any administrative or legislative changes with regard to nurse specialists.
One of the first issues to arise when reviewing this study is the fact that such a small sample was chosen. The number of respondents was limited to one hundred and twenty nine nurse specialists (Chen, et al., 2007). This does not seem to be an adequate sampling to ensure valid results. To correct for this, a larger sample should be administered a questionnaire. Obviously, the larger the sample, the more…
Chen, Y.M., Chen, S.H., Tsai, C.Y., & Lo, L.Y. (2007). Role stress and job satisfaction for nurse specialists. The Journal of Advanced Nursing 59(5), 497-509.
It is thus possible for the institution to retain nurses by strengthening the interpersonal leadership and management skills that lead to empowerment within the healthcare environment. This is especially supported by studies that found that despite the fact that a nurses' pay is important, it is not as critical in enhancing retention as a positive work place or an empowered environment that promotes teamwork and encourages ongoing learning, trust, and respect. (Chan, 2001).
It must always be remembered that nursing retention is the result of a combination of factors. There is no easy solution, and managers and leaders need to choose the combination of approaches that will be effective in their specific organization, since there is no one range or combination of strategies that will fit all.
Buerhaus, P., Staiger, D.O. & Auerbach, D.I. (2003) Is the Current Shortage of Hospital Nurses Ending? Health Affairs 22: 191-198.
Buerhaus, P., Staiger, D.O. & Auerbach, D.I. (2003) Is the Current Shortage of Hospital Nurses Ending? Health Affairs 22: 191-198.
Chan, C.C.A. (2001). Implications of organizational learning for nursing managers from the cultural, interpersonal and systems thinking perspectives. Nursing Inquiry, 8(3), 196-199.
Faulkner, J., & Laschinger, H. (2008). The effects of structural and psychological empowerment on perceived respect in acute care nurses. Journal of Nursing Management. 16(2): 214-221.
Kanter, R.M. (1979). Power failure in management circuits. Harvard Business Review, 65-75.
As such, a nurse is primarily to recognize herself as an individual in the world, with certain responses to this world. When a patient enters the hospital, such a patient is also to be seen as a unique individual who responds to the world and his or her environment in a certain way.
Humanistic nursing is then primarily experiential rather than experimental. This means that new knowledge is gained with every new patient that arrives for treatment. In giving treatment, responses are observed and noted for future reference in similar situations. It is not however assumed that a treatment will work because it did in the past and in similar conditions. Instead, hypotheses are based upon experiences of the past. The recognition that hypotheses may prove incorrect helps the nurse to be open to new experiences. Each human being is then seen as a "world," as it were, with the…
Cody, William K. & Kenney, Janet W. (2006). Philosophical and Theoretical Perspectives for Advanced Nursing Practice. Jones & Bartlett.
Collaboration for Academic Education in Nursing. (2009). Foundational Perspectives. http://www.caen.ca/content/view/46/133/
Current Nursing (2009, March 16). Nursing Theories. http://currentnursing.com/nursing_theory/development_of_nursing_theories.htm
Kleinman, Susan (2009). Humanistic Nursing Theory. http://www.humanistic-nursing.com/faq.htm
Technology-based teaching strategies can greatly accelerate the how both teaching and learning occur and therefore often reduce traditional issues and concerns faced by students and instructors. This approach changes the conventional way of thinking about how quality nursing programs are assessed and changes the levels of requirements to better suit student learning with better access to libraries, counseling and tutoring services, computing equipment, tuition, and financial aid to name a few.
But where this Associates Degree approach will benefit the profession most is in the healthcare system where it is needed most. New nurses will be better acclimated to the needs of sophisticated logging processes, medical billing and inventory as well as scheduling and other tasks now all handled via digital processing and computer. A modern day nurses are more technologically sophisticated, the overall patient care process also gets better as more available free time is offered back to the…
Autonomy in the nursing profession states the importance of the client's role in making decisions that reflect advocacy for the client (Wade, 1999, p.310). Ultimately, this includes taking care of the patient physically as well as mentally and emotionally, developing a relationship with the patient that is beneficial to his care and actively advocating for the patient's rights and care. This type of autonomy, it is important to note, is not the same as individual or work autonomy, yet it must be considered that empowerment in nursing autonomy will inevitably lead to better professional and personal autonomy and should also lead to increased job satisfaction (Wade, 1999, p.310).
Typical definitions of autonomy would include the idea of complete independence for the person making the decisions. However, in the case of the nursing profession, the client's needs and desires must be heavily weighed and, in fact, become central…
Wade, G.H. (1999). Professional nurse autonomy: Concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-8.
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics, 2(1),
White, L. (2004). Foundations of nursing: Second edition. Clifton Park, NY: Delmar Learning.
Nurse etention Capacity
Standards & Analysis on Nurse etention
The demand for nursing staff in the United States has significantly increased and according to the Center for American Nurses, employment in these positions have increased to an amazing 83% which is now at the highest it has been since 1980, and considering that this role is the biggest job in healthcare offering over 2.6 million jobs, the problem in hospitals, healthcare facilities, and in home care is the lack of nurses (Bureau of Labor Statistics, 2011). Furthermore, there are many reasons as to why experts and the healthcare facilities are unable to hire enough people to fulfill the positions within their establishments, and most research has determined that the main reasons there is such a shortage in nursing jobs is because of the poor management and leadership within the nursing work environment, the increased amount of responsibility and work load…
Bureau of Labor Statistics. U.S. Department of Labor, Office of Occupational Statistics and Employment Projections. (2011). Occupational outlook handbook 2010-2011 edition, registered nurses on the internet Washington, DC: Retrieved from http://www.bls.gov/oco/ocos083.htm
Chart Your Course International (2011). Nursing shortage. Retrieved from http://www.highretention.com/nursing_research.html
Monaghan, H.M. (2009). Effective leadership + nurse retention. Retrieved from http://www.visioninghealthcare.com/pdf/Article-Effective-Leadership-Nurse-Retention.pdf
Runy, A. (2006, January). Nurse retention. H&HN Magazine, Retrieved from http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/PubsNewsArticle/data/0601HHN_FEA_Gatefold&domain=HHNMAG
Nurse Lit eview
TYPE OF ESEACH STUDY - Quantitative or qualitative
Descriptive, correlational, experimental, quasi-experimental, phenomenological, grounded theory ethnographic, historical
SAMPLE METHOD & SAMPLE SIZE
Knoll, Lautenschlager & Lipp (2009). British Journal of Nursing.
Impact of workload on hygiene practices.
trials of nursing staff.
Enforcing hygiene practices has practical healing benefits for nurses.
Souweine, B. et al. (2009). Intensive Care Medical Journal.
Compared hygiene practices. Hand rubbing vs. hand washing.
person nursing staff.
Workers completed self report questionnaires.
Hand rubbing with alcohol is preferred to handwashing in some instances.
Creedon, S. (2006). International Journal of Nursing Technologies and Classifications.
Observe health worker compliance in handwashing guidelines.
73 doctors and nurses in an Irish ICU.
Knowledge of handwashing guidelines can lead to positive outcomes.
Allen, L. et al. (2014). Nevada Nformation.
Compared hand washing with hand sanitizer.
Allen, L., & et al. . (2014). Professionalism in Nursing. Nevada RNFormation, 18(1).
Creedon, S.A. (2005). Healthcare workers' hand decontamination practices: compliance with recommended guidelines. Journal of advanced nursing, 51(3), 208-216.
Evans, M.W., Breshears, J., Campbell, A., Husbands, C., & Rupert, R. (2007). Assessment and risk reduction of infectious pathogens on chiropractic treatment tables. Chiropractic & osteopathy, 15(1), 8.
Knoll, M., Lautenschlaeger, C., & Borneff-Lipp, M. (2010). The impact of workload on hygiene compliance in nursing. British Journal of Nursing, 19(16), S18-S22.
In what ways did the wave of the nursing shortage in the 1980's and in 2000 support or constrain theoretical thinking? Why? Are there ways to influence the cycle of shortage and theoretical thinking? Identify one nursing theorist that would support your discussion/views. Provide rationale for selection of theorist.
Nursing shortages have been a problem in this country for a long time. It has been found that because of these shortages there needed to be a better way to incorporate theoretical thinking into nursing education so that nurses are better prepared to be the best that they can be. The accomplishment of critical thinking abilities has been recognized as an essential product of undergraduate nursing teaching. It has been found that nursing scholars learn best by way of experiential education. Kolb's experiential learning theory is the basis for a practice incorporation technique intended to offer critical thinking skills in undergraduate…
Experiential Learning (Kolb). (2008). Retrieved September 30, 2010, from Web site:
Kim, Hesook Suzie. (2010). The Nature of Theoretical Thinking in Nursing. Retrieved September 29, 2010, from Web site:
Mendes, IA, Trevizan, MA, Noqueira, MS, Mayashida, M. (2000) Humanistic Approach to Nursing Communication: The Case of hospitalized Adolescent Female.
Rev ras Enferm (2000) Jan-Mar, 53(1):7-13.
Williams, Carol A. & Gossett, Monette T. (2001) Nursing Communication: Advocacy for the Patient or Physician" Clinical Nursing Research Vol. 10 No. 3 332-340 (2001) Online available at http://cnr.sagepub.com/cgi/content/abstract/10/3/332.
Colon-Emeric, Cathleen (2006) Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity Science. Qualitative Health Research Vol. 16 NO. 2, 1713-188 (2006)
Vaartio, H. et al. (2006)Nursing Advocacy: How is it Defined by Patients and Nurses, What does it Involve and How is it Experienced? Scand J. Caring Sci 2006 S. ept;20(3):282-92.
Tfouni, LV; de Carvalho, EC; Scochi, CG (1991) Discourse, institution, power: an analysis of the nurse patient interaction 0 Rev Gaucha Enferm 1991 Jan;12(1):20-5.
Jarrett, N. And Payne, S. (1995) A Selective Review of the Literature…
Mendes, IA, Trevizan, MA, Noqueira, MS, Mayashida, M. (2000) Humanistic Approach to Nursing Communication: The Case of hospitalized Adolescent Female.
Rev Bras Enferm (2000) Jan-Mar, 53(1):7-13.
Williams, Carol A. & Gossett, Monette T. (2001) Nursing Communication: Advocacy for the Patient or Physician" Clinical Nursing Research Vol. 10 No. 3 332-340 (2001) Online available at http://cnr.sagepub.com/cgi/content/abstract/10/3/332 .
Colon-Emeric, Cathleen (2006) Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity Science. Qualitative Health Research Vol. 16 NO. 2, 1713-188 (2006)
Concept Synthesis on Personal Nursing Philosophy
My interest in nursing peaked at an early age when I attended Clara Barton High School for health professions in Brooklyn NY and graduated in 1991. I first worked as a nurse's aide and home health aide for about two years and found this position to be quite rewarding. I subsequently moved to North Carolina where I took the CNA course in 1995 and began working as a CNA at various nursing homes and hospitals in the regional area. My experience as a CNA certainly helped me in my journey and provided the foundation for the later developments in my career.
Later I moved to Las Vegas in 1997 where I got married in 1998. After forming this union I went back to school for my BSN in 2002 while working as a CNA. I finished my BSN from Nevada…
Andrews, H., & Roy, C. (1991). The Adaptive Model. Norwalk: Appleton and Lange.
Denler, H., Wolters, C., & Benzon, M. (2013). Social Cognitive Theory. Retrieved from Education: http://www.education.com/reference/article/social-cognitive-theory/
Farlex. (2011). The Medical Dictionary. Retrieved from Farlex: http://medical-dictionary.thefreedictionary.com/adaptation+model
Nursing Theory. (2011). Sister Callista Roy. Retrieved from Nursing Theory: http://nursing-theory.org/nursing-theorists/Sister-Callista-Roy.php
Batcheller, J.A. (2011). On-boarding and enculturation of new chief nursing officers.
Journal of Nursing Administration, 41(5), 235-239.
This article examines the on-boarding process for new chief nursing officers by examining the onboarding process for 6 new chief nursing officers. The examination is aimed at determining what type of support leaders new to an executive role requires and how to on-board leaders who are experienced, but who are new to a particular organization. The possible implications of this research is that if the on-boarding process is insufficient, then it may contribute to high turnover rates and the short length of chief nursing officer positions.
Carlson, C.L. & Plonczynski, D. (2008). Has the BARRIER cale changed nursing practice? An integrative review. Journal of Advanced Nursing, 63(4), 322-333.
This article examines whether the BARRIER cale, which identifies nurses' barriers to using evidence-based practice, contributed to an increase in the use of…
Storch, J., Rodney, P., Pauly, B., & Fulton, T.R., Stevenson, L., Newton, L., & Makaroff,
K. (2009). Enhancing ethical climates in nursing work environments. Retrieved September 27, 2014 from Canadian Nurse website: http://www.canadian-nurse.com/en/articles/issues/2009/march-2009/enhancing-ethical-climates-in-nursing-work-environments
The article examines the outcomes of the Leadership for Ethical Policy and Practice, which was a three-year participatory action research survey aimed at nurses, managers, and other team members. The respondents found that nurse leader support was a critical component when enacting ethical leadership initiatives. They also found that an ethical leadership model resulted in higher levels of job-related satisfaction at all levels of the healthcare management team.
Advance Practice oles in Nursing
The Main oles Within Advanced Practice Nursing
They are charged with the responsibility to provide primary health care for clinics, hospitals and similar settings. They diagnose and treat common illnesses and immunize, examine the patients and deal with high blood pressure cases among others (Macdonald, Schreiber & Davis, 2005).
Certified Nurse-Midwives: They are the ones that give gynecological care and prenatal attention to the normal women with little or no health complications. They assist the women deliver in a range of places including hospitals, homes, clinics and health centers. They also give postpartum care (Macdonald et al., 2005).
Clinical Nurse Specialists: They are the ones involved in specialty areas such as neonatal, oncology, cardiac, pediatric, gynecological nursing or obstetric service (Macdonald et al., 2005).
Certified egistered Nurse Anesthetists: They provide and administer over 65% of all anesthesia administered to patients every year. They…
Federal Register, (n.d.). The Constitutional Amendment Process, National Archives. Retrieved from https://www.archives.gov/federal-register/constitution/ on August 30, 2016
Graduatenursingedu.org, (n.d.). Family Nurse Practitioner (FNP). Retrieved from http://www.graduatenursingedu.org/family-nurse-practitioner/ on August 30, 2016
Huston C. (2008) Preparing nurse leaders for 2020. Journal of Nursing Management 16, 905 -- 911
Jennings, B.M. (2008). "Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions." In: Hughes, R.G. (editor). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (U.S.).
Nursing and eligion Practice
ELIGION AND NUSING PACTICE
Nursing success depends on the ability to put the patient in a state of rest and comfort as much as it is about administering the prescriptions of the doctor. To secure the rest of the patient, nurses need to understand their needs and show respect to their beliefs and values. This requires courteous and open communication with the patient and adopting a patient-centric orientation. Along with other factors, the religious background of the patient makes a lot of difference to their values and expectations. eligious doctrines and practices may differ across religions and denominations such as Jehovah's Witnesses, Muslims, Seventh Day Adventists and Scientologists and may impose restrictions on certain kinds of interaction between nurse and patient or on certain forms of treatment. Moreover, people with a different religious background are not usually aware of such differences. Therefore, it is necessary for…
Banja, J.D. (2010). Overriding the Jehovah's Witness patient's refusal of blood: A reply to Cahana, Weibel, and Hurst. Pain Medicine, 10(5), 878-882. doi: 10.1111/j.1526-4637.2009.00648.x.
Charles, C.E., & Daroszewski, E.B. (2012). Culturally competent nursing care of the Muslim patient, Issues in Mental Health Nursing. 33(1), 61-63. doi: 10.3109/01612840.2011.596613.
Cort, M., & Cort, D. (2008). Willingness to participate in organ donation among Black Seventh-Day Adventist college students. Journal of American College Health, 56(6), p. 691-697. Retrieved from EBSCO Academic Search Primer.
Effa-Heap, G. (2009). Blood transfusion: Implications of treating a Jehovah's Witness patient. British journal of nursing, 18(3), 174-177.
One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of…
Basford, L. And O. Slevin. (2003). Theory and Practice of Nursing: An Integrated Approach to Caring Practice. New York: Nelson Thomas.
Beckstead, J. And Beckstead, L. (2004). A multidimensional analysis of the epistemic origins of nursing theories, models and frameworks. International Journal of Nursing Studies. 43
Cohen, J. (1991). Two portraits of caring: a comparison of the artists - Leininger
In any organization, leadership is a key element of success. The leader is the person who defines not only the organization's mission, but its tone and cultural, and determines how the organization's resources will be deployed to achieve these goals. This paper will examine the role of nursing leadership, in particular how leadership can change a nursing unit.
Leadership study has developed over the course of the 20th and 21st centuries to move from the basic principles of scientific management to modern conceptions of the transformative leader who emphasizes organizational culture and personal development. Where the leader as manager was intended to be replaceable, modern leaders are individualistic and as such they can have a significant influence over the organization.
One of the unique facets of contemporary nursing leadership is that it has both an internal and an external focus. Internally, the leader must guide the unit, but…
Antrobus, S. & Kitson, A. (1999). Nursing leadership: influencing and shaping health policy and nursing practice. Journal of Advanced Nursing. Vol. 29 (2) 746-753.
Laschinger, H. & Leitner, M. (2006). The impact of nursing work environments on patient safety outcomes. The Journal of Nursing Administration. Vol. 36 (5) 259-267.
Richardson, A. & Storr, J. (2010). Patient safety: A literative review on the impact of nursing empowerment, leadership and collaboration. International Nursing Review. Retrieved April 25, 2016 from http://u.osu.edu/electives/files/2014/05/Patient-Safety-Why-Teamwork-Matters-Week-3-124bq6a.pdf
There are a number of significant differences between in the art of teaching nursing skills at the university level and the art of teaching nursing skills at the community level. The educational opportunities are similar at both types of institutions but the demands on faculty are different at each level.
Current literature shows that "approximately 42% of students enter community colleges with reading, writing, or math skills below the college level' (Cohen, Brawer, 2003) and therefore many of these students "need basic skills preparation in remedial-developmental courses" (National Center for Educational Statistics, 2003). The need for basic skills preparation is evident of many students entering college, but especially so for those who are entering at the community college level. Many of these students have not gained acceptance into the larger universities, or have the desire to hone their educational skills before tackling the demanding requirements of four-year colleges and…
Cohen, A.M. & Brawer, F.B. ( 2003) The American community college, 4th ed., San
Facts about nursing (2008) Community College Week, October 20, 2008, pg. 7
McKinney, M.; (2010) More advanced degrees, Modern Healthcare, Vol. 40, Issue 39, p. 10
The data gathered is subjected to statistical analysis using statistical methods of linear regression and chi square testing.
The main purpose of the study was to confirm the hypothesis that consultation with CNS or RN in a drug-monitoring clinic has a significant positive impact on the well being of patients with rheumatoid arthritis. The study involved a single blinded randomized controlled trial over a period of three years. Subjects were chosen from the rheumatology out patient setting in a district general hospital with a drug monitoring service. A total of 71 subjects who were starting out on anti-rheumatic therapy were randomly assigned to either the interventional or the control group. While the interventional group was supervised by the CNS to assess patient needs (using Pendelton's framework) alongside drug safety evaluation, the control group was seen by an outpatient staff nurse purely for drug safety concerns. oth the groups were assessed…
Teri Britt Pipe; Kay E. Wellik; Vicki L. Buchda; Carol M. Hansen; Dana R. Martyn, 2005, "Implementing Evidence-Based Nursing Practice," Urol Nurs. 25(5): 365-370, Available at, http://www.medscape.com/viewarticle/514532
Ryan, S, Hassell, a.B, Lewis, M, & Farrell, a. (2006). Impact of a Rheumatology Expert Nurse on the well-being of patients attending a drug monitoring clinic. Journal of Advanced Nursing, 53(3), 277 -286.
Considine, J. & Botti, M. (2004) Who, when and where? Identification of patients at risk of an in-hospital adverse event: Implications for nursing practice. International Journal of Nursing Practice. 10: pp. 21-31
Nursing Fiscal Plan
The author of report is asked to assess a budget framework and compare what has happened to what is set to happen through the rest of the year and ascertain how best to close out the year. The author is asked to assess budget line item requests for the duration of the year as well as what expenses can and should be deferred until the new fiscal year. The budget projections that were accurate are to be labeled as well as what factors have caused the inaccuracies. As to the latter, it is asked if those inaccuracies were controllable or predictable.
The author is asked to do a bit of research on patient acuity symptoms and to ascertain the best approach for that process vis-a-vis quality patient care. The author is asked what strategies pertaining to motivation, communication, care delivery and so forth need to be implemented…
Brennan, CW, and BJ Daly. "Patient Acuity: A Concept Analysis." Journal of Advanced
Nursing 65.5 (2009): 1114-1126. CINAHL with Full Text. Web. 29 Apr. 2013.
Ekwall, A, M Gerdtz, and E. Manias. "The Influence of Patient Acuity on Satisfaction
With Emergency Care: Perspectives of Family, Friends and Careers." Journal Of
This is one of the most common forms of research and, for some research questions is clearly a strong design (Ethics in Critical Care Nursing Research, 2005).
The research that was done in this article would be considered a non-experimental type. There were two types of observation that were conducted. The first type was that of focus groups and the second being the file audit, both of which are observational in nature. In this case this was the most appropriate type of research design to use. Since they were simply trying to see what was actually going on in this area and how that was affecting patients the only real way to tot this was by observation. From this article a nursing care issue that can be raised is that of how palliative care nurses manage family involvement with end of life issues. Are there any standard procedures that are…
, 2010). It is perfectly conceivable that this nurse leader would welcome more collaborative or shared leadership responsibilities, particularly since the setting for empirical clinical research on this very issue was, in fact, an ICU (osengren, Bondas, Nordholm, et al., 2010).
Finally, it appears from this interview subject's input into this project that she is a competent and effective nursing leader, largely by virtue of her description of her supervisory and administrative style and inclination. However, her input lacked any substantial data on the basis of which a reviewer could evaluate her effectiveness as a clinical leader more specifically. Those particular skill sets may occur in combination but they undoubtedly also occur individually within different leaders (Stanley & Sherratt, 2010). A review of historical literature (such as in connection with Florence Nightingale) clearly demonstrates that good nursing leaders may or may not necessarily also be equally good clinical leaders (Stanley…
Armstrong, P.W. "A time for transformative leadership in academic health sciences."
Clinical & Investigative Medicine, 30(3); 2007: E127-132.
Davidson, S.J. "Complex responsive processes: a new lens for leadership in twenty-first-
century health care." Nursing Forum, 45(2); 2010: 108-117.
Third, lack of attention to evidence-based practice can lead to inconsistent delivery of care services.
Evidence-based practice relates to almost every aspect of health care at every stage of a client's relationship with the institution. For example, evidence-based practice informs the types of questions asked during the diagnostic procedures and might even impact the diagnosis itself (Bennett & Bennett, 2000). Evidence-based practice impacts the methods by which infections are prevented (Cantrell, 2009). Evidence-based practices impact the extent to which nurses are empowered to make sound, safe, and effective decisions (Scott & Pollock 2008). Evidence-based practice has the potential to transform the structure of a health care organization like MMH. This is because evidence-based practice changes the hierarchical structure in the organization due to the increased responsibility of nurses for conducting their own research. Alternatively, evidence-based practice can be an extension of organizational change. Health care organizations reducing the hierarchical nature…
Artinian, B.M., West, K.S., & Conger, M.M. (2011). The Artinian Intersystem Model. New York: Springer.
Bennett, S. & Bennett, J. (2000). The process of evidence-based practice in occupational therapy: Informing clinical decisions. Australian Occupational Therapy Journal (2000), 47, 171-180.
Burns, N. & Grove, S.K. (2009). The Practice of Nursing Research. St. Louis, MO: Saunders.
Cantrell, S. (2009). Performing under pressure: Caring for decubitus ulcers. Healthcare Purchasing News. Aug 2009.
When nurses put their patient(s) ahead of themselves, it assures that they address and solve any patient problems or concerns about post-hospitalization care (Han, 2009). Patients' health has a more significant chance of improving or remaining stable if they understand their condition which is why it is valued for nurses to communicate effectively (Han, 2009). Proper communication by a nurse can give caregivers and/or patients the powers of freedom and independence concerning their health once they are discharged from the hospital (Bauer, 2009).
Identify Nurses oles in Discharge Planning
In most discharge planning, nurses have a central role. As a generalization discharge planing, nurses ensure that their patient receives their medication, instructions, and have discussions with patients and their family regarding concerns dealing with discharge (Han, 2009). Nurses must identify those who require discharge planning and begin the transfer from one facility to another (or to home) (Han, 2009). Also,…
Bauer M, Fitzgerald L, Haesler E, & Manfrin M (2009). Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence. Journal of Clinical Nursing Vol. 18 (18), 2539 -- 2546.
Han C.Y., Barnard A., & Chapman H. (2009). Emergency department nurses'
understanding and experiences of implementing discharge planning. Journal of Advanced Nursing Vol. 65 (6), 1283-1292.
Lamiani G., Furey A. (2009). Teaching nurses how to teach: An evaluation of a workshop on patient education. Patient Education and Counseling Vol. 75 (2), 270-273.
nursing -- caring, empathy and ethics. The author (Lachman, 2012) uses numerous examples, each of which show the positive impacts of caring. Along with examples of ethical decisions that must be made, and with theories on caring and empathy put forward by scholars, the paper examines morality, competence, and the "reciprocal" relationships between nurses and their patients. That is, caring for a patient is reciprocal because if the needs of the patient are met, there is reciprocity -- the giving of care and the receiving and acknowledgement of that care giving.
Summary of Key Points
On page 113 Lachman references several leading theorists and scholars that have provided important research and results on nursing ethics and the caring concepts alluded to in the Introduction. Dr. Jean atson has a caring theory (112) that has three main components: a) carative factors; b) the "transpersonal caring relationship"; and c) the "caring occasion/caring…
French, Peter. (1999). The development of evidence-based nursing. Journal of Advanced
Nursing, 29(1), 72-78.
Lachman, Vicki D. (2012). Applying the Ethics of Care to Your Nursing Practice. Ethics, Law,
and Policy, 21(2), 112-115.
Define the Problem
Today, there is a serious problem within the nursing field. There is a huge shortage of nurses in general, but an even greater shortage of nurses with higher levels of education. This ultimately means there are less capable nursing staff that can take on specialty and leadership roles. Unfortunately, "without a more educated nursing workforce, the nation's health will be further at risk" (Tri-Council of Nursing, 2010). Without greater numbers of RNs with advanced degrees, there is only so much the available nursing population can contribute within the field of healthcare. It is clear that "nurses with advanced education are needed in large numbers to serve as teachers, scientists, primary care givers, specialists, and leaders throughout the healthcare delivery system" (Tri-Council of Nursing, 2010). Currently, there is a huge shortage of more advanced nursing specialists and practitioners. s the nation's healthcare demands continue to grow and…
A survey of the existing research that provides statistics to show how alarming the problem is becoming, but also to provide foundation for the most potentially successful solutions. The projected numbers of needed advanced nursing specialists, as well as the goals for future benchmarks, all need to be documented within the context of this research in order to show how dire the problem is and create a foundation for potential solutions. The research was carefully surveyed and thus, data was collected through comprehensive means. The ideal target / benchmark uncovered in this search was that 80% of nursing staff should hold baccalaureate degrees (Pecci, 2013). This research also helps focus in on the most lucrative proposed solutions as a way to promote them within actual practice. It needs to uncover solid alternatives that can help increase the number of advanced practice nurses in this country in a practical and feasible manner. Essentially, the data collection is a survey of prior research, and can be done independently. This means I will personally scour the published resources from academic and scholarly sources, as well as from professional nursing organizations.
A number of alarming statistics were uncovered in this comprehensive search of the research. If the situation continues as it is today, by 2025, there will be a shortage of 260,000 nurses in this country (American Nurses Association, 2010). Only about 50% of RNs working today have a baccalaureate degree, with only 13.2% holding a master degree or higher (American Nurses Association, 2010). Even more alarming, the enrollment growth of entry-level baccalaureate nursing programs from 2008 to 2009 was only 3.5%
Nursing Knowledge: A Controversy
The scope of the nursing profession has increased dramatically over the last thirty years. The demarcation between medical and nursing tasks is quickly dissolving as the nursing profession is becoming increasingly multidisciplinary and complex. In 1996, nurse practitioners were mandated to obtain master's degrees to address their changing role in medical care (Nicoteri & Andrews, 2003). In this multidisciplinary and evolving healthcare environment, adaptation is paramount to providing effective patient care. Currently, there is a controversy in nursing regarding the direction that the development of nursing knowledge should take. There are many critics who believe that developing new nursing theories is an effective way to promote this development. However, theories are often abstract and not adaptable to specific healthcare settings. The belief that the knowledge base for nursing should evolve entirely from theory has important implications for nursing as an academic discipline and by extension the…
Attree, M. (2001). Patients' and relatives' experiences and perspectives of 'good' and 'not so good' quality care. Journal of Advanced Nursing, 33, 456 -- 466.
Burman, M.E., Hart, A.M., Conley, V., Brown, J., Sherard, P., Clarke, P.N. (2009). Reconceptualizing the core of nurse practitioner education and practice. Journal of the American Academy of Nurse Practitioners, 21, 11-17.
Hart, A.M., Macnee, C. (2007). How well are NPs prepared for practice: Results from a 2004 survey. Journal of the American Academy of Nurse Practitioners, 19, 35 -- 42.
Mantzoukas, S., Jasper, M. (2008). Types of nursing knowledge used to guide care of hospitalized patients. Journal of Advanced Nursing, 62, 3, 318-326.
The trust from volunteers on the research is set to bring about an understanding of the relevance of the study to the nursing environment. The participants will have a certificate of confidentiality, so they can have their identities and input towards the research concealed throughout the study period and after (Schelbred & Nord, 2007).
Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008). In Kozier & Erb's Fundamentals of Nursing (8th ed.). Upper Saddle iver, NJ: Prentice Hall (Publishing Co.)
Black, N., (2009). N, Obstetrics Department, Mat Su egional Medical Center, Personal
interview conducted and recorded via telephone on September 12, 2009. Free dictionary.
(n.d.). MerriamWebster online dictionary. etrieved from Merriam Webster website:
Law, M., Stewart, D., Letts, L., Pollack, N., Bosch, J., & Westmorland, M. (1998) Guidelines for Critical Form -- Qualitative Studies, etrieved September 23, 2009 from the World Wide
Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008). In Kozier & Erb's Fundamentals of Nursing (8th ed.). Upper Saddle River, NJ: Prentice Hall (Publishing Co.)
Black, N., (2009). RN, Obstetrics Department, Mat Su Regional Medical Center, Personal
interview conducted and recorded via telephone on September 12, 2009. Free dictionary.
(n.d.). MerriamWebster online dictionary. Retrieved from Merriam Webster website:
227), and as such, the values of nursing practices were degrading. Nowadays we can pride on a much appreciative recognition of nursing theory with "models" being implemented regularly and indeed I can think of the Magis model of care carried out in Chicago in the first decade of the 2000's. This initiative was possible because of "several nursing theories along with information from the Institute of Family Centered Care" (Jasovsky et al., 2010, "Abstract") and led to such results as the change of nursing practice habits that, although proved sometimes uncomfortable for nurses, it meant proficient practicality (Jasovsky et al., 2010, p. 32); the results were deemed even more satisfactory when related to patients feedback, 90% of these having willed to further recommend the services of the hospital (Jasovsky et al., 2010, p. 35-36).
Moreover, Cody believed that nurses found it difficult to adopt or even try to understand nursing…
Cody, William K. (2003). Nursing Theory as a Guide to Practice. Nursing Science Quaterly, 16(3), 225-231. Retrieved from http://nsq.sagepub.com
Jasovsky, D.A., Morrow, M.R., Clementi, P.S., & Hindle P.A. (2010). Theories in Action and How Nursing Practice Changed. Nursing Science Quaterly, 23(I), 29-38. Retrieved from
nursing client relationships and how the study is a valid research for practitioners. It has 26 sources in Harvard Style.
esearch titles must be limited to fifteen words. In this case the author has exceeded the limitation by one count which is negligible. The importance of relevance of the title to the body of the research is that it must collaborate with the core study area. In the first line the author has already specified the relationship of the nurse-client at the beginning and categorizes it as a "partnership" whereas the title of the study must not reveal the results or even the anticipated results.
Authors and Abstracts
The authors T. Hostick and F. McClelland both the authors indicate in their abstract that the article aim in establishing nursing behavior when they are engaged in a nurse-client relationship. The abstract though is limited in expressing the content of the study…
Hostick, T. & McClelland, F. 2002, Partnership: a co-operative inquiry between Community Mental Health Nurses and their clients. 2. The nurse-client relationship. Journal of Psychiatry and Mental Health Nursing 9, 111-117.
Beyea, S.C. 1997, Research utilization begins with learning to read research reports, Research Corner, AORN, February. Accessed on 29-9-2003 at http://www.aorn.org/journal/research/rc297.htm
Author not available, 2003, Reading Nursing Research to Critique a Study and to Summarize Findings for Use in Practice, Available at http://classes.kumc.edu/son/NURS460smith/460critiquingreseach.html
Forchuk, C. 1989, Establishing a Nurse-Client Relationship. Journal of Psychosocial Nursing vol.27,no.2. Available at http://willmar.ridgewater.mnscu.edu/library/338271.htm
The objective of this study is to examine graduate level nursing. Towards this end, this study will review the literature relating to graduate level nursing.
According to the American Association of Colleges of Nursing the present health-care system is presently undergoing a transformation. The report states that when a child is brought into the clinic to receive treatment for such as an earache, rather than being seen by a physician, the nurse practitioner makes provision of care for the child. As well, when patients are being prepared for surgery there are various specialists moving about in the surgery room however, it is not a physician that has been trained for administration of the anesthesia but instead it is a certified nurse anesthetist. (paraphrased)
Expansion of the Nursing Practitioner Role
The role of the nurse practitioner has undergone great expansion in recent years enabled by the master's degree in nursing.…
Accelerated Nursing Programs (2014) American Association of Colleges of Nursing. Retrieved from: http://www.aacn.nche.edu/students/accelerated-nursing-programs
Allabaugh, D. (2014) Growth Expected in Graduate Level Nurses. The Times Tribune. Retrieved from: http://thetimes-tribune.com/news/business/growth-expected-in-graduate-level-nurses-1.1663223
Kutney-Lee, A. And Aiken, LH (2013) The Case of Baccalaureate-Prepared Nurses. LDI Issue Brief. Vol. 18, Issue 6. May/June 2013. Retrieved from: http://ldihealtheconomist.com/media/the_case_for_baccalaureate-prepared_nurses.pdf
Nursing to Become Graduate-Level Job (2009) The Guardian. Retrieved from: http://www.theguardian.com/education/2009/nov/12/nursing-to-become-graduate-profession
Martin, P.D. And Hutchinson, S.A (1999) "Nurse Practitioners and the problem of discounting." Journal of Advanced Nursing. 29(1), pp. 9-17.
Critical evaluation of the research of the article
This article presents a critique of the current state of the health care industry, from the point-of-view of a nurse practitioner. It notes that, because of the limits of managed care, more primary care practitioners and primary care institutions are turning to nurse practitioners to provide primary care giving for patients. Although this shift has been beneficial to many patients, given that nurse practitioners are, if not equally competent, at times even more efficient than physicians in diagnosing, treating, providing patients with satisfactory treatment, and follow-up, there is the potential for the abuse of this system, from the point-of-view of the nursing practitioner. (Brown and Grimes, 1993, cited in Martin & Hutchinson, 1999, 10).
Research problem -- its purpose and question or…
Martin, P.D. And Hutchinson, S.A (1999) "Nurse Practitioners and the problem of discounting." Journal of Advanced Nursing. 29(1), pp. 9-17.
One of the major theoretical models for healthcare delivery is the Parse theory of human becoming, created by Rosemarie Rizzo Parse—originally titled the man-living-health theory (2011). This theory focuses on healthcare and the human through the lens of quality of life. This theoretical premise for delivering and receiving healthcare was able to gain steam as a result of its alternative to the more standard bio-medical method and the biological-psychological-social and spiritual method contained in the bulk of other theories of nursing. This theory has enjoyed much attention and use when delivering healthcare as a result of the fact that it views quality of life as all relative to a person’s viewpoint.
Main assumptions of Human Becoming Theory
Human becoming allows one to select specific meaning in situations within the realm of human experience. Reality is the culmination of lived experiences. A sometimes nebulous process of co-creation occurs via…
An estimated 1.5 million “preventable adverse drug events” occur each year in the United States alone; the number of medication errors that did not lead to adverse effects but remained undisclosed is unknown (Jenkins & Vaida, 2007, p. 41). The scenario is this: You are working as an advanced practice nurse at a community health clinic. You make an error when prescribing a drug to a patient. You do not think the patient would know that you made the error, and it certainly was not intentional.
Disclosure is an ethical and legal prerogative, showing respect for the patient and a willingness to accept professional responsibility. Consequentialist ethics do not apply to situations like these, because the broader issue is about changing advanced nursing practice and ensuring a culture of safety for all patients. Likewise, disclosure empowers the patient to make informed choices about reactions to the medical error while…
ange Theory in Nursing
The credibility of a profession is mainly based on the professional's ability to create and apply the appropriate theory. Theories are notions or concepts used for inferring observations, elucidating experiences, and unfolding relationships of project results. Theories are derived from conceptual models. The main function of a theory is to narrow and fully specify the phenomena that is contained in the conceptual model. The theory should also provide a relatively concrete and specific structure for interpreting the initially puzzling situations, behavior, and events. A nursing theory is defined as a set of concepts, relationships, definitions, and assumptions that are derived from nursing models and project a systematic view of phenomena by designing particular inter-relationships among concepts with the purpose of explaining, describing, predicting, and prescribing. Theories are derived using either deductive reasoning or inductive reasoning (Smith & Liehr, 2013). Nurses make use of various theories in…
Davydov, M. (2014). Middle-Range Theory for Nursing. Journal for Nurses in Professional Development, 30(6), 316.
Fawcett, J. (2005). Middle range nursing theories are necessary for the advancement of the discipline. Aquichan, 5(1), 32-43.
Imenda, S. (2014). Is there a conceptual difference between theoretical and conceptual frameworks. Journal of Social Sciences, 38(2), 185-195.
Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms: an update. Advances in Nursing Science, 19(3), 14-27.
Pillars of Nurse Treatment
In my humble esteem, I believe there is a fair amount of truth in the statements that pertain to these two questions in this assignment. On an extremely fundamental level, working as a nurse certainly involves increasing the level of comfort for patients. The notion of making patients more comfortable is the crux of these couple of statements, which reference hand holding and back rubbing as examples of how nurses can make others feel better. Again, the need to do so is certainly something that most patients appreciate, and which benefits them in both the short-term and the long-term. However, there is more to nursing than simply comforting someone during their time of distress. In fact, there is a significant amount of aspects pertaining to nursing that actually have very little to do with comforting patients. Nurses need to understand many different technical principles, many of…
Buresh, B., & Gordon, S. (2013). From silence to voice: What nurses know and must communicate to the public (3rd ed.). Ithaca, NY: ILR Press. ISBN: 9780801478734.
Naylor, M.D., Kurtzman, E.T. (2010). The role of nurse practitioners in reinventing primary care. http://content.healthaffairs.org / Retrieved from
autobiography of the author of this report. The remainder of the report will mostly focus on the four meta-paradigms of nursing. Of course, those meta-paradigms are patient, nurse, health and environment. The author will also offer two practice-specific concepts from the scholarly literature that can be applied to the career and environment of the author of this report. Next up will be a list of propositions that will number five in total. As suggested and required by the assignment, the paper will integrate these discrete elements and in a way that connects to the concepts described. While analysis of the nursing professional can get a little silly and/or delve too much into a bit of navel-gazing, the profession is indeed noble and deep and is thus worthy of the proper full analysis.
The author of this report started as an electrocardiogram (EKG) technician and nursing assistant while the author…
Lee, R.C., & Fawcett, J. (2013). The Influence of the Metaparadigm of Nursing on Professional Identity Development Among RN-BSN Students. Nursing Science
Quarterly, 26(1), 96-98. doi:10.1177/0894318412466734
Schim, S.M., Benkert, R., Bell, S.E., Walker, D.S., & Danford, C.A. (2007). Social
Justice: Added Metaparadigm Concept for Urban Health Nursing. Public Health
Reeves, S., Macmillan, K., & van Soeren, M. (2010). Leadership of interprofessional health and social care teams: a socio-historical analysis. Journal of Nursing Management, 18(3), 258-
This study looks at the work between nursing and other professional teams that involve healthcare partially or fully. In this case, the inter-professional work is between nurses and social care teams and the subject is looked at from a socio-historical perspective. Indeed, the report looks at leadership when it comes to such inter-professional teams. Over the last quarter of a century, there are many that have been calling for more collaboration between such people so as to improve the overall quality of health care. It is indeed regarded by many to be one of the key approaches that can be undertaken to accomplish a higher standard of care. Rather than each team or group being its own proverbial island, there needs to be…
Evolving Practice of Nursing and Patient Care Delivery Models
How the Practice of Nursing is Expected to Grow and Change: The Future of Nursing has a few healthcare delivery challenges unique to it, but there are several such issues that commonly occur in other nations, as well. Population aging is one issue that generates demand for increased healthcare services. A growing number of individuals, from all age groups, suffer from chronic illnesses; about 50% of U.S. citizens have been diagnosed with arthritis, diabetes, cardiovascular diseases, mental disorders, and hypertension (Reinhard & Hassmiller, n.d.).
A 2009 report by the AARP (American Association of Retired Persons) pertaining to chronic problems notes that patients and caregivers have firsthand experience of the absence of patient care-related coordination amongst healthcare workers, typically leading to needless repeat hospitalizations, repeat procedures and examinations, and arduous hospital-to-home moves. An acute dearth of professionals (such as nurses) is being…
ANA. (2011). ADVANCED PRACTICE NURSING: A NEW AGE IN HEALTH CARE. American Nurses Association, 1-7. Retrieved from: http://www.nursingworld.org /FunctionalMenuCategories/MediaResources/MediaBackgrounders/APRN-A-New-Age-in-Health-Care.pdf
Reinhard, S., & Hassmiller, S. (n.d.). The Future of Nursing: Transforming Health Care. AARP Internation: The Journal. Retrieved from: http://journal.aarpinternational.org/a/b/2012/02/The-Future-of-Nursing-Transforming-Health-Care
Ridge, R. (2011). Future of Nursing special: Practicing to potential. Nursing Management, 32- 37. Retrieved from: http://www.nursingcenter.com/journalarticle?Article_ID=1176058
Wilson, A., Whitaker, N., & Whitford, D. (2012). Rising to the Challenge of Health Care Reform with Entrepreneurial and Intrapreneurial Nursing Initiatives. The Online Journal of Issues in Nursing. Retrieved from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Rising-to-the-Challenge-of-Reform.html