THREE: Ethics: This portion of the learning experience for the RN wanting to be an APRN is important because: a) ethical dilemmas and how they impact patient care must be part of the curriculum; b) decision-making with ethics as a driver for decisions must be learned; c) in what instances do personal conflict of interest arise? FOUR: Professional Role Development: the knowledge and skills to be effective are taught: a) learn collaboration with other healthcare professionals; b) an APRN must be an advocate, a teacher, a researcher, a consultant, a clinician, and a manager; c) changes must be monitored so learning to monitor changes is important; d) graduates must have learned how to recruit potential new students into the field. FIVE: Human Diversity and Social Issues: An APRN must not only be open-minded and comfortable with patients and nurses from other cultures, the APRN must: a) assess his or her…… [Read More]
American Healthcare System: Implications for Advanced Practice Nursing
Advanced Practice Registered Nurses (APRNs) is the group of health care professionals on whom stakeholders and lawmakers depend to deliver most of America's health care. APRNs refer to registered nurses who've attained advanced clinical and educational practice requirements. They include clinical nurse specialists, nurse anesthetists, certified nurse-midwives and nurse practitioners. Experts project that the demand for APRNs is bound to increase as hospitals pay more attention to the most unstable and sickest patients and move most of health services to homes, nurse-managed clinics, birthing centers, schools, community health centers, and other centers and venues (American Nurses Association, 2011). This stand on health policy as nurses view it, calls for action for APRNs to equip themselves with the knowledge of how current health policy works and how various initiatives will affect the policies. The knowledge will be instrumental in helping them have a…… [Read More]
Two relatively brief and recent articles by the Institute of Medicine (IOM; 2011a, b) offer some intriguing solutions regarding the future of the nursing profession, particularly advanced practice registered nurses (APNs). The gist of both of these brief reviews is basically that in order to keep up with the demanding healthcare needs and changes in the healthcare system the nursing profession should: (A) stress higher levels of education across the board for its practitioners and (B) should be given more leniency as to the scope of its practice (in other words the scope of nursing practice should be broadened).
It is interesting that the nursing profession should be held to a higher standard of education in the context of a diminishing number of new nurses coming into the field each year (Buerhaus, Staiger, & Auerbach, 2009). From an ethical standpoint no healthcare professional should be allowed to practice…… [Read More]
ole of Advanced Practice Nurse
Framework for Clinical Practice
Nursing/APN (Factors Effecting APN's Practice and Implementation of the APN
Interrelationships of Client System, Environment, Health, and Nursing/APN
ole of Advanced Practice Nurse
esearch shows that an advanced practice nurse (APN) is first of all a nurse that has been recognized as a person that has advanced education. This person is also known t knowledge and skills prepared at the masters or doctorate level. It advanced practice nurse have a broader scope of practice than egistered Nurses (N) often performing the same duties as those that are doctors. Their primary care duties involve things such as diagnosing and managing the treatment of chronic and acute illnesses. Advanced practice nurses are the ones that keep the emphasis on advanced practice nurse and health promotion, with a stress on wellness. Advanced practice nurses may choose to work…… [Read More]
In other words, physicians authorize the nurse practitioner to prescribe certain medications -- perhaps not all but those medications that are most often required by patients -- without getting approval from a physician. It saves time and is primarily designed to make the patient more comfortable, not just to hand additional authority to the nurse practitioner.
Is prescriptive authority appropriate? This question, according to Patricia Berry, a faculty member at the University of Utah, is raised often because there is in the healthcare industry a "…misapprehension about pain and addiction" (Lebo, p. 1). There are "myths about pain and pain management," Berry is quoted saying. Healthcare professionals get "…addiction, physical dependence and tolerance all mixed up," Berry continues. There are "erroneous beliefs about opioids and addiction, side effects, respiratory depression, those kinds of things," Berry explains (Lebo, p. 1).
In twenty-nine states physician collaboration is a "requirement," Lebo explains on…… [Read More]
Advanced Practice ole 5901
The Different Advanced Practice oles
The Different Advanced Practice oles
Advanced practice roles
The role of nurses has grown quite complex over years. It is no more simply about cleaning the wounds. The advanced practicing nurses have high education- often post-graduation and acquire skills and knowledge to work in complex healthcare situations. Different nurses have different role since advance nursing is organized into levels. Each nurse has knowledge of assessment, diagnostics, planning, and case evaluation. The advance nursing roles are supported by stand level of skill, knowledge, and experience that is applied within the nurse-patient/client relationship to achieve optimal outcomes through critical analysis, problem solving and evidence-based decision making (Advanced Practice Nurses, 2013). The advance practice nurses are categorized into levels of nurse practitioners, nurse anesthetists, clinical nurse specialists, or nurse midwives. All of them offer primary care to the patients and offer services of…… [Read More]
Applying Evidence-Based esearch in Nursing Practice
What is the difference between research and evidence-based practice projects? Provide an example of EACH ONE and the reasons for the difference. Why should nurses be interested in learning about EBP? (evidence-based practice).
esearch and evidence-based practice are not synonymous, and the distinctions are not necessarily intuitive. esearch is a generic term that holds many different meanings depending on the context in which the term is used. The purpose of research is to generate new knowledge for theory building. That is to say that a body of existing knowledge or an observed phenomenon can be validated when new data emerges from a study. By tradition, research is conducted in such a way that sources of bias are liminated or avoided as much as possible.
Evidence-based research is a particular type of inquiry that is designed to identify proof or evidence of the theories in…… [Read More]
Jehovah's Witness And The Advanced Practice Nursing
All over the world advance nurse practitioners are often faced with ethical and legal dilemmas in the course of their practice. Dilemmas occur when a practicing nurse is in a situation where they are not sure whether the decision they are taking is the right one or not. The paper will look at a situation where a nurse in the course of her practice was faced with such a dilemma. The aim of this critical analysis of the case and the ethical legal dilemma that nurses face during their practice is ensuring that both nurses and patients benefit.
Advanced practice ethical-legal dilemma
A Hispanic male aged 30 years is presented in the emergency department after sustaining serious injuries from an accident. After a few tests were conducted on him there were some signs of internal bleeding. The doctor in the emergency room and…… [Read More]
The human body is capable of developing adaptive responses in order to deal with foreign invaders. The body has the capability of shaping itself in certain ways in order for it to respond to various attacks, body exhaustion, or body injury. This paper will analyze the adaptive responses that are seen as symptoms for various scenarios, In the first scenario, the two-year-old is experiencing a running temperature and a sore throat, which is diagnosed as a throat infection or tonsillitis. The second scenario is diagnosed as allergic contact dermatitis, and the third is diagnosed as depression.
The disorder that is depicted in the scenario is throat infection of tonsillitis. According to Bathala and Eccles (2013) this infection could have been caused by bacteria known as streptococcus, which causes the inflammation of the tonsils and also affects the surrounding areas. The body\'s adaptive responses to the throat infection are…… [Read More]
New York Times by Fred Brock, dated June 2, 2002 details a national medical problem that is having a concrete impact upon the practice of advanced nursing and health care, particularly in emergency rooms across the country. Due to the recent downturn of the American economy, many individuals before the age of 65 who do not yet qualify for Medicare and have no retiree health care benefits from their previous employers are retiring in greater and greater numbers. According to the Employee Benefit Research Institute, only 56.8% of these early retirees have coverage through their former employers.
From a nurse's perspective on a practical level, this means that more and more elderly individuals without coverage are utilizing the health care system. With the 'graying' of the population, the health care system is already dealing with an unprecedented influx of geriatric problems, from arthritis to Alzheimer's disease. The downturn of the…… [Read More]
Advanced Practice Nursing
Compare and Contrast the APN and MDs scope of practice.
The scope of practices for APNs is to focus on specific areas of medicine which can be transferred from the hospital to a clinic, skilled nursing facility or outpatient care center. The basic idea is that an N with several years of experience and advanced training can offer effective health care solutions for families / children. Some of the different areas they are practicing in include: adult / family / pediatric, / gerontological care, psychiatry and mental health. This means that they have a number of duties they will perform to provide primary care to patients. The most notable include: taking / evaluating health histories, conducting physical exams, diagnosing / treating common acute illnesses, giving immunizations, managing high blood pressure / diabetes, ordering / interpreting X-rays / other laboratory tests, counseling on disease prevention / healthy lifestyles…… [Read More]
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…… [Read More]
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…… [Read More]
Advanced Nursing Development
A "master's education is achieving notable goals, including the development of refined analytical skills, broad-based perspectives, enhanced abilities to articulate viewpoints and positions, clearer ability to connect theory to practice, and enhanced skills in a specific profession" (American Association of Colleges of Nursing, 2012, p 2). An advanced practice nurse embodies a wide number of various roles. They must inspire, protect, advocate, and perform, all within one shift. It is clear that a nurse leader must serve a wide number of roles all which are necessary for providing for the best quality of care for the patients in need.
One of the nurse leader's roles is to be an advocate for the nursing profession. This is their primary societal role. As such, nursing leaders need to be active within the social sphere as a way to increase overall knowledge regarding healthcare practices, but also the trends and…… [Read More]
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…… [Read More]
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…… [Read More]
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…… [Read More]
New York Times describes how R.J. Reynolds Tobacco was found guilty of breaking its agreement to market cigarette products only to adults. The judge found that the company had pursued an advertising strategy aimed at promoting youth smoking. Important to the ruling, is the judges decision that 'actions speak louder than words' with it being reported that "the judge ruled that 'it does not matter' whether Reynolds intended to single out children and get them to smoke. The fact that it did not adopt 'reasonable measures' to shield young people from its advertisements represented a breach of the company's responsibility to help reduce youth smoking" (Winter).
It is also reported that Reynolds is not the only company accused of specifically targeting young people, a snuff making company is also accused of the same thing.
These issues have several significant implications on nursing practitioners, health practices and on health care.
Firstly,…… [Read More]
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.…… [Read More]
Nurse Practitioner Employment Contract
EMPLOYMENT CONTRACT AGREEMENT BETWEEN THE FOLLOWING PARTIES:
The following party shall here in be referred to as "Corporation"
GROUP HEALTH CORPORATE,
The following party shall here in be referred to as "EMPLOYEE" or "NP"
MINNIE DAVIS ARNP,
TERMS OF EMPLOYMENT
The contract duration is for two years with an option for renewal for five (5) years thereafter.
The contracted position will be paid at a salary rate of $95,000 per year with a cost of living of 5% every 2 years. The pay is not based on performance.
The contract will be renewed the sixth month after review of the employee's performance.
Paychecks will be issued monthly.
The termination of this contract may be made under the following conditions.
Violation of State or Federal Law
Breach of the Contract by either Party
Performance of the NP
Desire to Leave the…… [Read More]
Advances in Digital Medical Imaging
In the past few decades advances in healthcare have emerged, as new forms of technological integration are implemented as part of the overall healthcare management system. Healthcare providers, doctors and patients require more technological integration into the system providing real time data analysis and the possibility of enhancing medical knowledge. Sharing that knowledge can lead to what many describe as "digital medicine" where stored clinical data can generate medical knowledge which can be widely distributed, incorporated into decision support systems, and lead to more effective medical practices (ouler & Morgenstern, 2005). Digital medical image processing within the healthcare area has its origins in the 1970's when computed tomography was introduced as the first digital modality. In the decades that followed, advances in digital medical imaging technology have dramatically affected the planning and design of diagnostic interventional radiology facilities. Soon after the advent of computerized…… [Read More]
Nurse Practice Specialties
The objective of this study is to locate four evidence-based research articles in nursing peer-reviewed journal. Specialty nursing includes various areas of nursing practice, which are examined in this study. Articles reviewed in this study include those related to emerging specialties and opportunities for nurses, Advanced Practice Registered Nursing, Nurse Practitioner Primary Care in Competencies in Specialty Areas, and the Specialty Practice of Nursing Informatics.
The first article examined in this study is the work of Cruz (2012) who reports that Advanced Practice Registered Nurses (APRN) "arose out of the trailblazing efforts of nurses from four separate nursing specialties whose individual histories were shaped by a common threat: the answer the call to deliver a high level of healthcare to individuals and groups in an area of clinical practice where a need for such level of healthcare existed." (p.1) Cruz (2012) additionally reports four areas of concern…… [Read More]
The most practical nursing education facilities began in the 1800s, but minimal education standards were not put into place until 1923, when the Goldmark eport highlighted the need for certain educational certifications for nursing practice (Scheckel, 2011). An educational philosophy began to develop shortly after, with education becoming a primary role for many advanced nursing practitioners. By the late 1940s, education for nursing was pushed out of vocational training in the field and began to require nurses going to colleges and higher education facilities in order to receive a more appropriate and in-depth education (Scheckel, 2011). Since then, there have been more developments which have specialized the roles and practice of the advanced nursing practitioner as a primary educator for nursing students and new nurses in the field. Today, there are a decreasing number of advanced nursing practitioners working as educators to teach future nursing staff. Yet this is occurring…… [Read More]
The Nevada Nurse Practice Act is similar to the Indiana State Board of Nursing in that the two documents cover definitions of terms (such as Board of nurses, advanced practitioner, and accredited school). In addition to defining terms clearly to remove ambiguity in their application, the two documents also outline provisions for nurse practitioners and registered nurses.
The Indiana State Board of Nursing oversees nurse licensing, including issues related to education. Moreover, the State Board of Nursing in Indiana outlines the role of continuing education in the nursing profession. The Indiana State Board of Nursing's Licensure and Administrative ules include an administrative code for both registered and licensed practical nurses. Ancillary practices and areas of specialization are also included, such as nurse-midwives.
Number of members in the Indiana State Board of Nursing is something that is covered in the document related to licensure and administration. In IC 25-23-1-2, the…… [Read More]
Nursing Practice Act of Virginia:
The scope of practice in medicine, nursing, law, dentistry, and various other disciplines are usually established and regulated at the state level. This implies that the legislative body in every state establishes practice law and allocates authority for the implementation of the law to suitable regulatory agencies and boards. In relation to the nursing field, the established laws are usually in the form of professional practice acts that act as the basis for licensing standards. Licensing is in turn geared towards the protection of public health and well-being, safety, and welfare. Generally, the statute that defines and manages the nursing profession and practice is known as a nurse practice act. There are four major objectives of the nurse practice act in each state including defining the nursing professional practice, establishing the minimum academic qualifications and requirements for licensing, defining the legal titles and abbreviations that…… [Read More]
Evidence-Based Practice citation that was of interest to the author of this document is called "Closing the quality gap: A critical analysis of quality improvement strategies: volume 5 -- asthma care." It focuses on the phenomenon in which "there remains a significant gap between accepted best practices for asthma care and actual care delivered to asthma patients" (Stanford University, 2007). Specifically, the authors of this document sought to analyze a host of articles related to best practices for treating asthma for juveniles and adults to see which quality improvement strategies had the most efficacy. It analyzed a variety of articles that utilized various frameworks for research including interrupted time series trials and randomized controlled trials. The various strategies considered pertained to patient education, practitioner education, auditing and others.
The primary recommendations have a direct correlation to educating the patients and their families. The evidence demonstrates that for juveniles, consulting and…… [Read More]
Status of Advanced Practice Nursing in Your State or Country
The status of advanced practice nurses (APNs) in the United States has changed significant in recent years, and the scope of their practice now extends into areas that were previously not available to them. Indeed, the American Association of Colleges of Nurses (AACN) reports that APNs can now prescribe medications in at least 45 states, and another 16 states (including Alaska, Arizona, Colorado, Hawaii, Idaho, Iowa, Maine, Montana, Oregon, New Hampshire, New Mexico, North Dakota, hode Island, Vermont, Washington, Wyoming and the District of Columbia) have authorized APNs to practice independently completely without physician collaboration or supervision (Expanded role for advanced practice nurses, 2016).
Who are the stakeholders?
From a broad perspective, the stakeholders involved in the debate over the precise role of APNs extend to all Americans. The extent to which APNs are authorized to provide healthcare services comparable…… [Read More]
Insomuch, I have worked closely with customers on a myriad of issues to ensure their needs were met. Such concern for my constituents has transcended to an elevated level of service for individuals in the healthcare field.
Additional Information for Consideration
Although I may not be a traditional candidate, I have always worked hard to attain my goals. egardless if goals seemed to be unreachable, I have always persevered in the most trying of conditions. Pierce (2003) defines nursing quite well, "Nursing is the protection, promotion, and optimization of health and abilities, the prevention of illness and injury, and the alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of individuals families, communities, and populations. Moreover, nursing addresses the organizational, social, economic, legal, and political factors within the healthcare system and society. These and other factors affect the cost, access, and quality of…… [Read More]
Nursing: Today and Throughout History
The occupation of nursing has been around for almost all of history in some form or another. In the ancient Roman Empire are found records of the nursing practice, where nurses provided care to in-patients at local Roman hospitals. In Constantinople—the Rome of the East—nurses were “known as hypourgoi” (Kourkouta, 1998). These nurses (both male and female) were tasked with jobs much like today’s nurses: they provided a wide variety of services to patients. Kourkouta (1998) states that the main tasks of the hypourgoi (male nurses) and hypourgisses (female nurses) were to give “psychological support of patients, everyday care of patients’ bodily needs and elementary comfort, cleaning of patients and providing them with proper food, the administration of medicines according to a doctor’s instructions, supervising wards when the physicians were not present, the performance of enemas, cuppings and bloodletting, the main therapeutic means used at…… [Read More]
These studies demonstrate that there are several factors associated with patient noncompliance, regardless of the disease being treated. Medication side effects represent only one of these issues. Nurse practitioners could help to resolve many of these issues by being proactive and asking questions about side effects in patients at risk for becoming noncompliant. They may also be able to predict noncompliance in patients that are prescribed medications with known side effects. By informing the patient of the side effects and giving them practical ways to cope with them, the nurse practitioner can play an active role in helping to eliminate patient noncompliance.
Education was found to play an important role in patient noncompliance. The overall educational level of the patient was found to be important. The nurse practitioner can take positive action by being aware of the patient's overall educational background. Extra care must be taken with those of low…… [Read More]
Mitigating isks from Dementia
Providing adequate care for an individual suffering from dementia presents many difficulties for nurses. Patients with dementia often have debilitating conditions such as Alzheimer's or similar neurologic diseases which are progressive, thereby making it challenging for them to remember, think lucidly, communicate effectively or complete activities of daily living. Furthermore, dementia can cause rapid variations in mood or even modify personality and behavior. With the tremendous number of elderly in society more and more nurses are required to care for patients with progressive dementias. It is imperative that a diagnosis be reached early in the course of the cognitive impairment and that the patient is closely monitored for coexisting morbidities. Nurses have a central role in assessment and management of individuals with progressive dementia. This essay provides some evidence-based practical strategies for managing the behavioral problems and communication difficulties often encountered in this population.…… [Read More]
Integration Evidence-Based Practice Professional Nursing Practice
The concept of evidence-based practice -- EBP is becoming growingly significant in the sphere of nursing. (Stiffler; Cullen, 2010) Evidence-based practice is not entirely a novel concept; it is the manner in which nurses cater to the norms of care and practice efficiently. (Nysna, 2006) According to Linda Burnes Bolton, DrPH, N, FAAN, vice president and chief nursing officer in the Cedars-Sinai Medical Center in Los Angeles, evidence-based practice -- EBP in reality it is only an alternative mode of viewing the conventional theme of the nurses maintaining their sanctified reliability with society. (Wessling, 2008) David Sackett, MD, a Canadian physician, is regarded the father of evidence-based practice. According to Sackett, "evidence-based practice is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. . .[by] integrating individual clinical expertise with the best available external…… [Read More]
Nursing is a tough profession to perform well. There are constant innovations and changes in healthcare that make research and education a top priority among nurses to achieve the goal of providing high quality care. Evidence-based practice offers nurses a way to use the research continuously developed to create strategies and techniques that better suit the needs of patients. However, it is a daunting task that many nurses have not successfully accomplished. From problems with nursing leaders to an inability to apply knowledge learned, evidence-based practice has not caught on in nursing practice as desired.
To create strategies to better foster evidence-based nursing practice, it is important first to understand competencies and identify which competencies can lead to successful implementation of evidence-based practice. A 2014 article defined competencies and provided core competencies that may foster evidence-based nursing practice. "Competencies are a mechanism that supports health professionals in providing high-quality, safe…… [Read More]
Two practice concepts specific to nursing:
Culturally-informed care for the 'person' and 'environment'
Two practice concepts specific to nursing:
Culturally-informed care for the 'person' and 'environment'
As a clinical nurse specialist (CNS), an advanced practice nurse "whose care focuses on a specific patient population," the concept of multicultural care is integral to my daily practice (CNS, 2011, career overview). "A CNS can specialize in certain types of diseases (such as diabetes or cardiovascular disease), can work in many different medical environments (such as operating room, emergency room or critical care), and can focus on a variety of procedures (such as surgical or clinical)" (CNS, 2011, career overview). egardless of the specialty of the CNS the care he or she dispenses must be culturally appropriate and take into consideration the patient's daily environment. A CNS must often be even more conscious of the social implications of nursing care than nurses…… [Read More]
The nursing practice is a profession that is based on conceptual and theoretical models that help in guiding patient safety and quality initiatives. The use of conceptual and theoretical models is an important part in nursing practice that is applied across the various disciplines in this profession. As a clinical nurse specialist, nursing conceptual and theoretical models play a crucial role in achieving the specific goal of identifying, recognizing, treating, and monitoring illnesses or diseases. The process of using nursing conceptual and theoretical models involves developing practice-specific concepts relating to the specific professional practice and creating a personal philosophy and practice guideline. The practice-specific concepts should incorporate the four basic metaparadigms of nursing theory and be supported by research and concepts.
Overview of My Professional Practice and Four Metaparadigms
A clinical nurse specialist is a nurse professional or practitioner who provides a crucial link with regards to detecting,…… [Read More]
The Implementation of Evidence-Based Practice
Evidence-based practice is a cornerstone of effective patient care (Mateo & Kirchhoff, 2009). The robustness of any existing body of evidence is only as useful as the ability of advance practice nurses to access, retrieve, and implement that knowledge in the practice environment. Therefore, nurses need systematic and comprehensive strategies for making information available to colleagues. Nurses also need their administrators to invest in the latest tools and technologies that promote evidence-based practice including networks and information systems. Policies and procedures should not only uphold the tenets of evidence-based practice but also make it easier for nurses to find and share knowledge specific to developing practice behaviors in their care environments. Methods of finding knowledge specific to developing practice behaviors include utilizing proprietary databases, interviewing experts in the field, and utilizing online digital resources. Combining these three methods of knowledge acquisition can make research more…… [Read More]
DNP degree was recognized by the American Association of Colleges of Nursing as representing the highest level of preparation for clinical nursing practice in 2004 and the first doctor of nursing practice (DNP) program was offered in 2001 by the University of Kentucky (Moore, 2014). In contrast to doctoral of philosophy (Phd) nursing program which is research-oriented, DNP programs are regarded as terminal degrees for teaching (Moore, 2014). Nevertheless, DNPs are also required to perform basic research for a wide range of applications with a view towards improving clinical practice (Moore, 2014).
esearching a topic of interest has become far easier than it was in 1957 when the famous German scientist Wernher von Braun explained that, "Basic research is what I am doing when I don't know what I am doing." Today, doctors of nurse practice (DNP) enjoy a veritable cornucopia of academic, professional and scholarly research resources, but the…… [Read More]
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…… [Read More]
2201 Sweeney Drive
Clinton, Pennsylvania 15026
Dear Sir or Madam:
This letter is in response to an article that appeared in your newspaper on July 13, 2016 by the president of the Pennsylvania Association of Nurse Anesthetists, Ann Culp, entitled "CNAs battle tested." The U.S. Department of Veterans Affairs (VA) has announced its intentions to provide full practice authority for its advanced practice registered nurses (APNs) to improve the accessibility and quality of care provided our nation's heroic veterans. In response to this announcement, a number of national organizations, including the American Nurses Association, the Federal Trade Commission, the American Hospital Association, the American Association for etired Persons and the obert Wood Johnson Foundation have all joined in supporting…… [Read More]
Translation of esearch in Evidence-Based Practice
Nursing involves men and women who are willing to help the patients with their skills like health maintenance, recovery of ill or injured people and the treatment. They develop a care plan for the patient sometimes in collaboration with the physicists or therapists. This paper discusses the current nursing practice in which I am involved and needs to be changed.
Identification of a Current Nursing Practice equiring Change
Description of the Current Nursing Practice
Children of all age groups are facing a grave problem these days: obesity. It is considered as a chronic disease when the weight-gain reaches dangerously increased level, which becomes risky for the health. The raised body mass becomes dangerous for children and some schools are now looking into this matter with concern. They are sending notices to the parents to take care of their child's diet, and within…… [Read More]
Growth in the Practice of Nursing and Patient Care Delivery Models
The practice of nursing is expected to continue growing and changing given the reform initiatives that are taking place in the healthcare system. Some of the factors that are contributing to these changes and growth in nursing practice include the restructuring of healthcare delivery system, increased healthcare costs, increase in demand for nurses, nursing shortage, and increase in the patient population. Given these factors, nurses are expected to continue assuming a wide range of healthcare responsibilities because of the complexities in patient care delivery or caring for the sick (Tiffin, 2012). It is expected that as nursing practice continues to change and grow, new models of patient care delivery will emerge. As nurses, we need to understand these changes/growth and the emerging patient delivery models in order to enhance our practice.
One of the patient care delivery models that…… [Read More]
In principle, the EBP concept relies on fundamental areas of focus within a total-process approach to delivering the highest quality healthcare services (Hardcastle, Usher, & Holmes, 2006; Williamson, 2009). In clinical medicine, that begins with the formulation of the most relevant clinical questions, and continues with the use of the skill to identify the best current evidence, appraise it systematically, and optimally applied to specific situations. Meanwhile, throughout that process, clinical healthcare practitioners simultaneously incorporate their entire knowledge base and clinical experience with their understanding of the needs, values, and expectations of patients and other stakeholders. Finally, the EBP approach to nursing and healthcare includes the ongoing empirical evaluation of clinical procedures within a continuing process whose most important purpose is to improve the future of healthcare delivery by applying the data describing previous experience (Hamric, Spross, & Hanson, 2009).
Hamric, A.B., Spross, J.A., and Hanson, C.M. (2009). Advanced…… [Read More]
Polit and Beck (2008) Evidence-Based Practice is "broadly defined as the use of the best clinical evidence in making patient care decisions, and such evidence typically comes from research conducted by nurses and other health care professionals" (3). There are several facts we must note about Evidence-Based Practice here. The first fact is that it is intended to improve patient care. The evidence is supposed to improve the decisions that are made about patient care. But his evidence has to be collected and analyzed first. Because this evidence comes from research conducted by nurses, we can understand better what the role of the nurse must be in collecting evidence. I myself work as a charge nurse in an acute care setting; I hold a BSN degree and I am currently studying for my Masters degree in Nursing Practice. Would it be appropriate for me to gather evidence in order to…… [Read More]
Healthcare is one of those industries and fields of work where the promotion of innovation and change management is key. It is also one of those fields where managing that change through tried-and-true practices such as evidence-based practice and so forth is a must. One change that is changing nursing a lot, especially when it comes to the advanced levels of nurses, is the flattening of the hierarchy that typically exists when it comes to what nurses are allowed to do, what they are expected to do and what they must do. Whether it be the aging of the population, the shortage of some types of doctors (or doctors in general) or general access to quality care for patients in general, there is often a distinct reason for the need and thus the prior mentioned need for innovation and proper change management in the nursing field is necessary…… [Read More]
The practice of nursing has continued to evolve over the years given rapid societal changes, emergence of new diseases, and constant technological developments. Since the 1900s when nursing practice was characterized by simple registry laws and mere listing of trained practitioners, the field has experienced significant evolution in attempts to meet the ever-changing needs of patients and enhance their outcomes. Currently, nursing practice is a formal practice that is governed by specific standards and requires professional licensure (Kjervik & Brous, 2010). The evolution has also been characterized by changing and expanding roles of nurses as well as classification of nurses into different categories based on their education and licensure. The development of the nursing profession has also contributed to the emergence of legal and ethical requirements to ensure that all nursing activities focus on enhancing patient outcomes and meeting public health needs.
Ethical equirements of the Practice of…… [Read More]
The main factor of the pathophysiology for Jennifer is a marked pain in her throat. Her throat has become sore, specifically her cervical nodes (which is a sign clearly indicative of disease). Thus it is difficult to eat, which explains why she neglected to eat her breakfast. Another capital aspect of Jennifer’s pathophysiology which is particularly revealing is her fever, which is common in children (de Pont, 2015, p. 2). Initially her fever was low grade. However, in just a matter of days it exceeded 103 degrees. Her body is attempting to counteract the effects of the malady afflicting it via the fever. One of the foremost associated alterations of her adaptive responses is the current state of her skin. Her skin is desiccated and warm, which is indicative of the fever the child has experienced over the past couple of days. Her skin will likely continue to…… [Read More]
advances in technology have transformed the way that firms are addressing security related issues. This is because most devices have become much smaller and they are often focused on providing users with remote access. As a result, these kinds of platforms are a potential danger to all organizations. ("Guidelines for Securing Mobile Devices," 2012)
Evidence of this can be seen with observations in a report prepared by Stanford University which said, "Mobile computing devices can store large amounts of data, are highly portable and are frequently unprotected: they are easy to steal or lose, and unless precautions are taken, an unauthorized person can gain access to the information stored on them or accessed through them. Even if not stolen or lost, intruders can sometimes gain all the access they need if the device is left alone and unprotected, if data is 'sniffed out of the air' during wireless communications, or…… [Read More]
Practice Issue Evidence-Based Practice (EBP) Project in courses DNP program, asked
The practice issue I have chosen to explore is whether or not q2 hourly turning and positioning actually decreases the incidence of pressure ulcers in the elderly bed bound population in nursing homes. The conception that turning does help to relieve the pressure associated with these types of ulcers has been longstanding. Specifically, there is clinical evidence to indicate the fact that "Unrelieved pressure is a well-known clinical risk factor for ulcer development" (Salcido, 2004, p. 156). As such, the turning of patients at least every two hours has been carried on for quite some time in the nursing population, although there are some salient points of concern that need to be addressed with this issue.
One of the major things that individuals need to be aware of who take on such a practice is the fact that the…… [Read More]
advances in technology. The Internet has brought the idea of instantaneous global communication to a reality; smaller and smarter chips are now included in inexpensive Smart Phones, and our ability to understand and manipulate data has vastly increased. New technologies can certainly offer law enforcement a number of new tools that aid in their job. Essentially, these can be divided into different segments, all of which are useful during different situations:
Aviation Technology -- Helicopters and light planes have both improved and become more cost effective, although they are still more appropriate for larger urban areas. They are able to help with traffic issues, and with the addition of cameras and nigh vision, help track suspects or increase surveillance on large events or potential gang related activities. They are also able to be equipment with special weapons (SWAT), firefighting, and emergency medical equipment (Langton, 2009).
Biometrics -- Biometrics is a…… [Read More]
A Utilitarianism Analysis of the Practice of Dumping
Coined by Mother Jones magazine, the term “dumping” is used to describe the practice of selling products in other countries, typically developing nations, after they have been banned for sale in the United States. Although still widely practiced, dumping has been criticized as an immoral business practices that inevitably causes harm to others, usually for profit or to avoid the financial losses that would be caused by being forced to withdraw products from the marketplace. To determine the validity of these criticisms, this paper provides a review of Case 1.1, “Made in the U.S.A. – Dumped in Brazil, Africa, Iraq” from a utilitarianism perspective, followed by a summary of the research and important findings concerning these issues in the conclusion.
Review and Analysis
The history of dumping unsafe or otherwise banned products in other countries by U.S. companies is lengthy and…… [Read More]
In my case, that time is in the mid-afternoon because I have learned that this is the time when I tend to be able to concentrate the best ([email protected], 2011). Another aspect of time management I have learned is that it is extremely important to control my environment to prevent distractions from wasting my time. That means that if it is difficult to concentrate on my work in my dorm room because other people are socializing, I have the responsibility to change my environment to one that is more conducive to studying ([email protected], 2011). I have combined those two elements in the following way: regardless of what else is going on, I go to the library at 4:00 PM on Monday, Wednesdays, and Fridays and I plan out in advance exactly what my goals are for that time period on each a particular day.
I have also learned that catching…… [Read More]
For nurses to be truly effective in the 21st century, nurses must support expanded access to wellness promotion strategies, like having affordable and nutritious food in low-income community, more movement-friendly urban design, and expanded access to healthcare and health insurance for individuals in all locations, and in all demographic segments of America.
As nurses face increasingly cost-conscious environments, the ethical issues related to providing care for all will become even more manifest, and in promoting improved healthcare knowledge nurses must acknowledge the economic and political impact of decisions that are made outside of their immediate nursing environment.
The concept of ways of knowing, particularly aesthetic ways of knowing, is an important component of understanding why more experienced nurses seem to have additional advantages that new nurses, regardless of their technical qualifications, do not posses. I believe this is for two reasons: one, an older nurse has more hands-on…… [Read More]
NASW's ethical principles flow from its six stated values: service, social justice, dignity and worth of the person, importance of human relationships, integrity, and competence. All four perspectives can be regarded as ways of operationalizing the service value. Social justice is explicitly recognized in both the multiple perspectives approach and in the NASW values. Shared power seems to encompass several values: importance of human relationships, dignity and worth of the client, integrity and competence.
The one perspective that is not as obviously tied to the NASW values is that concerned with evidence-based practice. However, evidence-based practice could be considered an over-arching perspective if the social worker insists that there be empirical evidence, obtained before the intervention or practice occurs, that it will effectively serve the client. That is, it shows promise of meeting the client's needs in a manner that attends to his network of relationships and recognizes his dignity…… [Read More]
Nusing Concens in Pactice
Synthesize knowledge fom the libeal ats and sciences and nusing science to undestand global pespectives, stimulate citical thinking, and use cuent technologies
Thee ae multiple ways that I was able to fulfill this paticula couse objective. Some of the moe cutting edge developments in infomation technology ae outside of the ealm of nusing science, and ae geneally applied to libeal ats and sciences. Howeve, while netwoking with colleagues at the clinic I was able to tain and pactice at, I was able to implement some of those IT developments to help futhe my education and infom my pactice. In ode to help lean about diffeent social, cultual, and economic factos that can infom the teatment of patients, I was able to ead about cetain factos that impacted my patients fom lowe socio-economic sphees of life. Specifically, I was able to undestand how thei limited budgets impacted…… [Read More]
EMS and Advanced Quality Management Metrics
It would be difficult to deny that EMS systems place a great deal of emphasis on responses time and this often serves as one of the primary metrics for performance. Such a metric is entirely reasonable given the importance of reaching someone in critical condition sooner, as opposed to later, can potentially save their lives or at least improve their outcomes. This is an intuitive concept that people have believed for several generations. Previous generations of heuristics in regards to response time and survival rates represented concepts such as the "golden hour" in which is the most important for mitigating mortality and improving health outcomes in critically injured patients (Lerner, 2001). Furthermore, in the modern EMS system, there be more factors that are also important to consider. For example, if advanced life support (ALS) is really need in a situation, and only basic life…… [Read More]
Corporate Social and Environmental eporting: Greenwashing or Legitimate Accounting Practice?
Corporations have increasingly been viewed as owing a social and environmental responsibility to a wide range of stakeholders, including their employees, shareholders, the communities in which they compete as well as the larger populations they serve. In some jurisdictions, social and environmental reporting is required by law while corporate social and environmental reporting is a voluntary practice. Therefore, when corporations engage in corporate social and environmental reporting, it is clearly intended to further their best interests and image among their stakeholders. For instance, according to one economist, "The main motivation for corporate [social and environmental] reporting ... is to enhance corporate image and credibility with stakeholders" (Adams, 2002: 244-245). This paper reviews the relevant literature to provide the basis for an agreement with Adams' assertion, followed by a summary of the research and important findings concerning corporate social and environment…… [Read More]
Health Care Disparities in Infant Mortality
Numerous empirical studies have demonstrated a significant discrepancy in survival rates of newborns of different race. It has been shown that black infants are two times more likely to die within the first month of life than their white counterparts. Identification of these disparaged findings has prompted analysis of health care offered from a demographic perspective, considering racial treatment and socioeconomic conditions. The Center for Disease Control (CDC) has examined race-specific mortality information on newborns, and reported a series of noted and persistent trends coinciding with the data differences. It is necessary to address this inconsistency in survival rates between the black and white races to identify potential changes in health care delivery systems and eliminate racial factors in infant mortality.
The U.S. government has identified six classes of racial and ethnic minority discrepancies in health care access, experience, and outcomes. In…… [Read More]
Pollan, M. (2006). The Omnivore's Dilemma: A Natural History of Four Meals. Penguin Press,
New York, NY.2006.
This book is written by bestselling author on sustainability issues, Michael Pollan. This published work focuses on asking what is appropriate for eating dinner. Pollan gives a detailed history of the food we consume in Western society and focuses on the processing of meat and other products as a necessary component of this type of living.
This source is useful for my research paper because of an entire section of this work being dedicated to pastorilism and the benefits and problems associated with raising animals for food. Pollan makes a distinction between large scale organic production techniques and small organic techniques that demonstrate the unique subtleties of each method providing unique problems associated with the topic. This source can be used throughout the research paper, but it can be specifically used to…… [Read More]
The way humans eat affects the globe in many ways. The balanced ecosystem requires a homeostatic process that achieves cooperation and will allow the environment to thrive. It is possible that humanity may very well eat its way into extinction if certain practices are not curtailed. Smil (2013) wrote " this increased demand was met by a combination of expanded traditional meat production in mixed farming operations (above all in the EU and China), extensive conversion of tropical forests to new pastures (Brazil being the leader) and the rise of concentrated animal feeding facilities (for beef mostly in North America, for pork and chicken in all densely populated countries)."
The purpose of this essay is to address the finer aspects of pastorilism as a reasonable means to address the eating problems that appear dire. This paper will suggest that new approaches are necessary that address the elitist attitudes that…… [Read More]
Put Your Title Here In All Caps
The research topic is pastorilism.
Is pastorilism a viable alternative to sustainable living?
Working thesis statement: This paper will suggest that although Pollan's ideas are sound in regards to the environment and health, activists who support his vision must address the 'elitism' that has tarred his vision of the future.
Research plan: I plan on conducting much of my research online due to the access of the academic journal databases available on that platform. Physical trips to a library will not be necessary. I plan on using Google Scholar and all of the journal databases provide by this institution's online platform.
Timetable for Research Project Assignments
Assignment related to the research paper
Description of and points for the assignment:
Due date as indicated in course syllabus:
Exact Date and time in MST:
Research Proposal and Outline
Four part proposal…… [Read More]