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Advanced Practice Nursing Admission
Summarize your nursing-related educational and professional activities. Explain your rationale for seeking a graduate nursing degree. Articulate the personal challenges and approaches to managing graduate school, work, and outside commitments
As a nurse, I have worked in many capacities over the course of my career. I currently occupy the challenging role of case manager at a hospice. It is a daily privilege to help individuals and families face chronic illnesses and cope with end-of-life care. The dignity and grace that I see is inspiring, and constantly rewards me with the knowledge that I am making a difference through the career of nursing. I have also worked in a leadership capacity as a director and team leader at a home health agency. My team encompassed RNs, LPNs, PTs, OTs, MSWs, and aides. In this role, I was required to coordinate patient care, create a sense of community,…… [Read More]
Advanced practice nursing (APN) is one of the nursing fields that plays a critical role in the promotion of the health and wellbeing of patient populations. APN is regarded as the usage of a wider scope of logical, constructive, and research-based competence relating to patients’ health and wellbeing. This field incorporates knowledge and expertise from a variety of disciplines that are critical in the healthcare sector. Given the acute nursing shortage that characterize the modern healthcare environment, advanced practice nursing has emerged as an important components of the health sector. This is attributable to the key roles that advanced practice nurses play in enhancing health outcomes of diverse patient populations. This paper examines various issues relating to the field of advanced practice nursing in relation to the critical role it plays in the modern healthcare sector.
Regulatory Provisions to Full Deployment of Advanced Practice Nurses
According to Hain & Fleck…… [Read More]
Advanced Practice Nursing Framework
Following its introduction during the 1960s, the role of the advanced practice nurse (hereinafter alternatively "APN") has expanded greatly into a number of specialty areas (Nwosuocha, 1999). Consequently, the definition of the advanced practice nurse has also experienced significant changes. According to Nwosuocha, "With the expanded roles of advanced practice nursing there are many definitions of what constitute faculty practice. Teaching, service, joint appointments and other forms of practice are included in this definition" (1999, p. 62). Although specific definitions vary, Lachman (2006) reports that, "Nurses with advanced training are licensed, registered nurses with a master's degree who have received specialty credentialing as an advanced practice nurse" (pp. 78-79).
The titles assigned to the advanced practice nursing role also vary from jurisdiction to jurisdiction, but include general terms such as clinical nurse specialist and nurse practitioner, with specialty fields of practice including adult psychiatric clinical nurse…… [Read More]
Advanced Nurse Practitioner
There are a number of differences explored by Hamric et al. (2013) throughout the chapter which helps differentiate the Advanced Nurse Practitioner from other nursing roles in healthcare. One that is important is the contrasts shown between the Advanced Practitioner and a nurse working in a certain field of specialization. Hamric et al. (2013) describes specialization as "the development of expanded knowledge and skills in a selected area within the discipline of nursing" (68). As such, nurses working in a specialized genre of the field have experience often specifically within that field, and lack the more generalized knowledge that comes from working within an Advanced Practice situation. Education within specialization does not always require a graduate program and can often be done by working specifically in the field of specialization. On the other hand, Advanced Practitioners must follow a broader, yet more intense level of study. APNs…… [Read More]
advanced practice nursing that provides framework for job description of primary adult nurse practitioner.
Introduction-- definition of advanced practice nursing
Advanced practice nursing itself is popularly known as a concept that embraces three dynamics: 1. The specialization or provision of care for a specific population of patients with complex and usually unpredictable health needs; 2. The possession of knowledge, skills, and research that exceeds the traditional scope of nursing practice and particularly nursing practice in this specific field; and 3, advancement, which includes specialization and expansion in the field (ANA, 1995). The three conditions are interrelated and focus on the four primary conditions of nursing: health, environment, patient, and nursing.
In short, advanced practice nursing may best be defined in the words of ANA (1995) as an innovative, continuous development of skills, synthesis of experience, knowledge, and skills, and a holistic, patient-centered focus to the craft all constituent in what…… [Read More]
They should accept accountability and responsibility for the decisions they make in their field and should protect the interests of patients by helping in the development of better healthcare policies at a local as well as national level.
Additionally an advanced practice nurse should have enhanced cultural competency. It is essential for any healthcare provider to look past the cultural barrier and be able to treat any patient regardless of their cultural background. They should blend amongst them and their families and provide them with appropriate healthcare services. "Campinha-Bacote, (1996) defined cultural competence as 'a process, not an end point, in which the nurse continuously strives to achieve the ability to effectively work within the cultural context of an individual, family or community from a diverse cultural/ethnic background'" [Journal of Cultural Diversity]
SCOPE OF PACTICE
An advanced practice nurse is supposed to diagnose a patient and recognize the underlying problem.…… [Read More]
ADVANCED PACTICE NUSING OLES: NP vs. CNS
Advanced Practice egistered Nurse oles
The United States is home to nearly a quarter of a million advanced practice registered nurses (APNs). Of these, the vast majority chose to pursue a Master of Science in Nursing (MSN) leading to licensure as a nurse practitioner (NP). The second most common choice is an MSN program leading to certification or recognition as a clinical nurse specialist (CNS). Both pathways provide the preparation necessary for greater responsibility and autonomy as a medical professional. NPs make the transition from care provider to care prescriber, while CNSs become the best-practice experts for their healthcare organization. The care settings are distinct, as well, with many NPs practicing in underserved rural communities and inner-city neighborhoods and CNSs practicing in hospitals and extended-care facilities. To better understand the similarities and differences in NP and CNS roles this essay will examine in…… [Read More]
Personal Advanced Practice Nursing Philosophy
Contemporary nursing comprises multiple dimensions of health, person, environment, and the concept of nursing at every level, especially in advanced practice. In general, health refers to the evidenced-based understanding of human health and welfare in terms of potential threats to human wellness and empirically demonstrated approaches to minimizing their toll on the individual as well as on the entire human community. Person refers to the recognition that patients are individuals with unique combinations of needs, perceptions, perspectives, beliefs, values, and expectations. Environment pertains to the world external to the individual patient's physiology and, in particular, to the causal interconnectedness between aspects of the external world and the internal state of patients. Finally, nursing refers to the entire range of processes and methodologies of modern healthcare and medical science that allow advanced practice nurses to provide optimal benefit to their patients by incorporating all elements of…… [Read More]
The scope of practice for nurse practitioners varies depending on range of skills, processes, and procedures for which the professional has been trained, educated, and licensed to perform. Acute Care Nurse Practitioner Certification -- Adult Gerontology (ACNPC-AG) is entry-level advanced practice for acute care nurse practitioners who are trained and credentialed to offer advanced nursing care that meet the specialized needs of adult-gerontology patient population. To understand the scope of practice, supervision, and credentialing of nurse practitioners, I interviewed a member of a nursing administration in an inpatient setting and found the following:
How does the interviewee perceive the role of the advanced practice nurse?
The interviewee considers the role of the advanced practice nurse as a change agent who's crucial to the development of the nursing profession because he/she extends the conventional scope of knowledge. Therefore, advanced practice nurse works collaboratively with physicians and other healthcare professionals…… [Read More]
Health Delivery System Competencies
Program Outcome #4: Evaluate the design, implementation, and outcomes of strategies developed to meet healthcare needs (MSN Essentials).
Nursing leaders are in a good position to facilitate the evaluation and implementation of healthcare system designs by drawing on evidence-based practice instead of intuitive perceptions, but the use of this approach is fairly recent (Harris, 2009). The curricular offerings provided by the MSN program served to emphasize this need and demonstrated how integrating evidence-based practice into system design can help improve patient care outcomes.
MSN Essential IV: Translating and Integrating Scholarship into Practice ecognize that the master's-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.
In their capacity as healthcare leaders, advanced practice nurses have a fundamental responsibility to identify constraints to effective patient care and develop appropriate solutions in response. As Forest and Kleiner (2011)…… [Read More]
Practice egistered Nurse is a role that goes far beyond the limited roles of regular Ns. In fact, it is based on individuals completing a graduate degree program, where their skills within the nursing field are expanded dramatically. With the greater breadth of knowledge at their disposal, APNs are expected to work with patients, physicians, and other nursing staff and utilize problem solving evidence-based decision making skills to take control of situations like no other nursing staff can do (APN Joint Dialogue Group eport, 2008). Three major criteria to be an APN is the achievement of a graduate degree, utilize an evidence-based nursing approach to decision making, and provide support for others working in the field. There are a number of different types of APNs. First, there is the NP, or Nurse Practitioner, who is largely independent in his or her skills and capabilities. Their role does depend by state,…… [Read More]
Ethical-Legal Dillema in Advanced Nursing Practice
Ethical-Legal Dilemma involving a Patient in Emergency Department (ED)
The case study discussed in this paper presents ethical-legal principles in nursing which protects patient's privacy, confidentiality and security. Nurses have a professional obligation to protect the privacy of patients. Nursing Law and confidentiality define privacy as the right of patients to have their personal, identifiable medical information kept discrete and only accessible to the physician of record and other health care and insurance staffs as necessary. The governments have laws that maintain the confidentiality and privacy of patient's medical data, particularly to information about transmittable diseases and mental health issues. According to Mullinex & Bucholtz (2009), nursing information is transforming the nursing field rapidly and the major issues causing the changes are the nursing ethics relating to patients privacy. According to Pearson (2009), there are penalties, both civil and criminal crimes that are enforceable…… [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]
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]
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]
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]
There are several pros and cons to requiring a nurse to have a BSN to enter nursing practice. The most obvious advantage is that it would standardize practice and ensure excellence. Today, healthcare has been under the spotlight for potential pitfalls and difficulties in areas of care and excellence. If nurses have the same or similar qualifications before entering practice, there is less potential for error (Santina, 2012).
Furthermore, the course requires three years of not only theory, but also of hands-on practice, both in the classroom and in real-time environments such as clinics and hospitals. There are few teaching methods that offer as much in terms of personal and educational development as practical experience. This is particularly true of nursing and other healthcare practice arenas. Hence, more years of hands-on experience is a major advantage of requiring this kind of qualification before allowing nurses to enter practice (Santina,…… [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]
In the emergency room, this distinction can have a determinant impact on the ability of the staff to preserve life and diminish pain and suffering.
The introduction of a bioethical perspective into this dialogue invokes a question as to the primacy of an interest in pursuing to the utmost the well-being of the patient. This speaks to one of the core values associating the principles of the ANA with the treatment outcomes desired in patiences. An examination of the ANA's Code of Ethics reveals that a theoretical basis exists to contend a direct correlation between the nurse's self-interest and that which is best for any given patient. There exists an essential obligation for such healthcare practitioners to "examine the conflicts arising between their own personal and professional values, the values and interests of others who are responsible for patient care and health care decisions, as well as those of the…… [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]
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]
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]
Communication in a Collaborative Healthcare Context
Providing leadership in a healthcare context requires one skilled both as a manager and as a collaborator. The modern healthcare context is a highly collaborative environment in which medical professionals must work hand in hand with specialists, nurses, physicians, family members, physical therapists, mental health professional, administrators and the patients themselves in order to derive treatment of the highest quality. The discussion hereafter considers the implications of this collaborative environment to those serving in roles of leadership within the healthcare field with a particular focus on communication.
Communicating in the Collaborative Healthcare Context:
My consideration of communication in the healthcare context is taken from recent clinical experiences within which I interviewed an Advanced Practice Nurse, a doctorally prepared nurse and an ICU nurse manager. My time at the Pacific Institute of Nursing
Conference would yield a great many insights concerning the value…… [Read More]
Simply put, it is impossible to regulate motivation and concern on the part of caregivers. On the other hand, there are various ways that at least some of the external manifestations of lack of concern for patient welfare can be better identified and addressed than they seem to be at many facilities. Failure to adhere to fundamental protocols, such as those pertaining to antisepsis have been proven time and again to contribute directly to the unacceptably high rate of nosocomial infections in clinical environments (eid, 2009). Generally, those types of protocols, such as compliance with hand-washing requirements and glove changing are some of the first signs that a health care worker is not highly motivated to provide the best possible care to patients (Hamric, Spross, & Hanson, 2009). That problem is one that government regulators have sought to resolve, at least indirectly, by shifting the financial burden of several types…… [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]
The purpose, mission, activities, benefits, and target audience of two professional nursing organizations: The National Association of Pediatric Nurse Practitioners and the American College of Nurse Midwives
A nurse beginning her medical career will likely want to join an organization that can support her throughout her tenure in the profession. On a personal level, professional organizations provide a source of continuing education and networking. On a professional level, organizations such as the National Association of Pediatric Nurse Practitioners (NAPNAP) and the American College of Nurse Midwives (ACNM) act as advocates for the interests of professionals. They demand that nurses' unique areas of expertise are honored and treated with respect, and that the interests of children and their parents are honored. hen selecting which organization to join, however, a nurse must ask herself this critical, soul-searching question: what area is her primary field of practice? Does the nurse seek…… [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]
ecause this is true, it is critically clear that the nursing leadership manager's role is one of a vital nature and that support for nurses in their role is the primary component that must necessarily be integral to leadership in nursing in dialysis units if the turnover of nurses is reduced to the lowest possible level. The nursing leadership manager's role is one that must proactively deal with burnout of these dialysis unit nurses instead of attempting to address these as they occur. Prevention is 'key' toward this end. As the demands grow for quality and competent nursing staff so does the need grow for competency in leadership nursing manager roles. ecause the dialysis unit nurse is very closely involved in their patient's care and because these patients are required to report for treatment several days a week for several hours a day the nurse's mental, physical and emotional state…… [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 has been a relatively new one for the nursing profession. Today, "there are many enthusiasts toward the DNP. Seen by some as a symbol of social progressivism, the endorsement of doctoral education for advanced practice nursing has many potentially positive outcomes. Among them, better parity with other practice disciplines" (Bellini 2012: 6). However, there have also been many naysayers about the degree. They "strongly argue for the retention of MS-level preparation for APNs based on economic and workforce issues… [they argue that the DNP is] detrimental to society, as the projected number of APNs needed is expected to rise in the years to come, The authors argue that this is unlikely to occur if the DNP-mandate deters potential APN students from pursuing graduate study" (Bellini 2012: 6). This reflects the idea that nursing, however much theory might inform the teaching of nursing, is ultimately always a practical discipline.
The…… [Read More]
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…… [Read More]
The Grade Experience of Online Nurse Practitioner Students Who Took More Than One Clinical Course Per Quarter
The shortage in primary care physicians has increased the demand for nurse practitioners (NPs). Online NP programs are of interest to working students with other personal and professional life demands. This study examines grade experience differences for students of an online NP program who took more than one clinical course per quarter (OCCPQ) as compared to those who did not take more than OCCPQ. This retrospective study consisted of 3,760 NP students who graduated between fall 2013 through spring 2016. Those who took more than OCCPQ had a greater percentage of clinical course failures at first attempt as compared to those who did not take more than OCCPQ (2.1% versus 0.8%, p=0.001). Multivariate logistic regression adjusting for relevant covariates maintained these results with increased odds for clinical course failures for those…… [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]
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]
Therefore, these skills eventually become the deciding factor between the nurses either staying a nurse or leaving their career. Thus, many things are dependent on how well the nurses know their skills.
Coming back to the major reason why this problem is so important. The way the nurses perform controls and actually decides how well a person recovers. The skills learnt during nursing school and how they are applied will be embedded for the nurse's entire career. Lofmark, Smide and Wikblad (2006) stated that final year nursing students believe their strongest areas are being aware of the ethics, communicating with patients, self knowledge, cooperation and being focused. Sadly, it is not the knowledge that is going to save the patients and heal them. Lofmark et al. (2006) has stated that the students say they have the lowest confidence in how much practical experience they have. Clearly, these students lack critical…… [Read More]
Nursing Leadership Portfolio
Education And Experience
My nursing education includes attaining my Associate Degree in Nursing (AND) at Florida State College at Jacksonville and my Bachelors of Science in Nursing (BSN) at the University of North Florida.
My Professional Nursing oles include UF Health Jacksonville as a egistered Nurse in Trauma/Surgery Progressive Care, egistered Nurse at Brooks ehabilitation Hospital in the Cardiac/Stroke Unit and egistered Nurse at St. Vincent's Medical Center in the Medical/Surgical GI Department. My duties at UF Health included caring for post-intensive medical/surgical patients in a progressive care environment and performing duties including medication administration utilizing EPIC EMA server, PICC line care, IV insertion, PEG tube feedings, TPN/Lipid Management, chest tube care, tracheotomy care, PCA assessment/management, catheter insertion, wound vac care, pulmonary, cardiac, neurological and GI assessment and management. At Brooks ehabilitation Hospital as a egistered Nurse in the Cardiac Stroke Unit I conducted care for post-surgical…… [Read More]
Advance Nursing Practice
In order to sustain life, the human body has to have oxygen. When a person cannot breathe, or there is not enough oxygen coming into the body through the act of breathing, it is not possible for life to continue. The respiratory system is what provides the person with the opportunity to breathe and take in oxygen. Carbon dioxide is also expelled that same way. If oxygen is not received, the brain cells will start dying, followed by other cells, organs, and tissues. Addressed here is a case study dealing with the respiratory system, conditions it may face, and how those issues can be treated.
Patient Initials: Unknown Age: 65 yo Sex: Female
Client Complaints: The patient complains of a dry cough that is rarely productive. She has had the cough for two weeks, and for the last two days has also been running a…… [Read More]
Nursing Concepts and Theory
Conceptual-Theoretical Structure paper
Personal belief about nursing theory and knowledge development process for nursing practice
All nursing theories play an important role in defining nursing and giving the roles that nurses need to play. Originally, the role of nurses was simply to carry out activities as instructed by doctors, however, over the years, this role has been changed to include more responsibilities as the nursing world has evolved. Nursing theories describe, predict and explain the various phenomena in nursing practice and thus create foundations for nursing practice. They also help to generate knowledge in the field of nursing and to point the direction which the field should develop in future. This view is supported by Carper (1978)
who states that nursing theories elaborate nursing practice and create professional boundaries for the profession. Nursing knowledge comes from research that has been conducted on nursing which forms scientific…… [Read More]
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…… [Read More]
For example, although many nurses were taught to place infants in the prone sleeping position to prevent aspiration, there is now persuasive evidence that supine (back) sleeping position decreases the risk for sudden infant death syndrome." (p. 28)
This also implicates the practice dimensions of nursing. According to the primary text, evidence-based practice is particularly important as a way to dissuade against poorly informed or assumption-driven decision-making. here non-evidence-based practice is in place, the risk is higher that error or unwanted health consequences may result from treatment approaches. By contrast, the use of evidence-base practice provides the nurse with a set of empirically formed guidelines on how to approach each patient. Instinct such as that often relied upon so heavily in non-evidence-based practice, should be integrated with the understanding afforded by comprehensive research. Only then can the practicing nurse apply practical treatment decisions without falling into otherwise discredited customs or…… [Read More]
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…… [Read More]
Bar code medication administration (BCMA) is one of the keys to minimizing medical errors in a manner consistent with evidence-based practice (Poon et al., 2010). However, universal embrace and utilization of BCMA remains stagnant. easons for resisting the transition to BCMA include nurse perceptions. Holden, Brown, Scanlon, & Tzion-Karsh (2012), for instance, found nurses reporting low perceived usefulness of BCMA in spite of the wealth of evidence supporting the technology. Perceived ease of use of BCMA was moderate, suggesting that it is mainly attitude factors preventing nurses from implementing BCMA in their institutions. When perceptions of the usefulness of BCMA increase, then compliance with BCMA standards can become more widespread. Any program that attempts to increase the utilization of BCMA must focus first on human factors including attitudes. This requires that all nurse leaders, as well as nurse educators, prepare advance practice nurses for using BCMA as a matter…… [Read More]
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…… [Read More]
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…… [Read More]
Do you believe that nurse licensure (and scope of practice) should be controlled at the state or federal level?
The NLC (Nurse Licensure Compact) is a mutual acknowledgement licensure model. Many states have thought of authorizing it. Nonetheless, there were various factors that either terminated the bill while it was being processed or had it cancelled after adjournment. National licensure involves setting of criteria for universal licensing nationally, and administering it per state. It relinquishes, to some level, state authority over criteria for licensing and would expect states to bargain and agree on a complicated chain of regulatory factors including discipline and investigations. National licensure would bring about one license for every registered nurse, which would be administered and granted by the national government. The fact that this model completely takes away state authority makes it special. Most of the issues raised on national licensure are also applicable…… [Read More]
Nursing and Diabetics elationship
Assess the past and present impact nurses, including advanced professional/advanced practice nurses, have made in addressing this health issue. The growing number of diabetics as well as the condition's characteristic lasting effects and associated high cost of treatment have given many health personnel sleepless nights. Due to its frightening numbers, the importance of nurses in assisting patients so as to reduce illnesses and deaths among diabetics is on the rise. Some of the roles the concerned nurses can play include patient examination for signs of the disease, placing the patient on effective treatment patterns, assisting the patient to create and work towards health objectives and provide quality care for problems related to the disease when they occur. By carrying out these roles effectively, nurses can be on the frontlines of diabetics training about the complicated nature of the disease and how crucial early treatment could be…… [Read More]
The authors describe findings from a survey designed to gather baseline data about changes organizations experience after implementing the Clinical Practice Model framework, and report how the Clinical Practice Model Resource Center staff used the survey findings to build the capacity of individuals accountable for implementing this integrated, interdisciplinary professional practice framework into the organization's operations." (2002) The following model has been created for monitoring the progress of the nursing staff at the MD Anderson Cancer Center MEDVACM specifically checking progress in Years 1,3, and 5.
MD ANDERSON CANCER CENTER MEDVAMC
Job Performance Review Guide
PERFORMANCE GOALS AND OJECTIVES
ecome familiar with your department's business goals.
Work with your manager to define and document your goals. Include what you are expected to produce by your first review, activities needed to accomplish results, and success criteria.
Make certain…… [Read More]
Nurse Patient atios and Quality of Care
This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there remains an issue about hiring more nurses -- where will these nurses come from if the nursing schools do not increase their recruitment efforts and broaden their curriculum. In addition, we note that the large majority of patients and stakeholders primarily want two things when admitted to a healthcare facility: better paid nurses and more highly-trained professionals who are satisfied with their vocation.
Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures…… [Read More]
Nursing Problem: Shortage of Nurses in Healthcare
The researcher works at Phoebe Memorial Hospital, where there is an extreme nursing shortage. Without an adequate amount of nurses, patient care and safety may turn out to be compromised, while nurses themselves may be stunned, upset, and dissatisfied. At the researcher's workplace, high patient-to-nurse ratios has been displaying that there is a lot of frustration and job burnout, which is linked to higher yield. At Phoebe, there is an inadequately staffed nursing force which has been discovered to play a negative part in patient results. In difference, studies have confirmed that hospitals like Phoebe Memorial Hospital with low nurse turnover are the ones that have the lowest rates of risk-adjusted death and severity-adjusted span of stay.
There is no very exact way of describing the concept of nursing shortage at the Phoebe Memorial Hospital Phoebe, but a report of this…… [Read More]
Nurse Critical Thinking
Critical Thinking and Other Intellectual Skills: Documented Benefits and Skill Application in Nursing
There are many academic skills that are necessary for nursing students that also serve nurses well in professional practice. This paper will examine three such academic skills both in their general benefits to learners and professionals in all sectors and personally to my own advances in nursing knowledge and practice. Active reading, effective writing, and critical thinking skills are essential tools for helping one to properly take in, analyze, and communicate information in efficient and effective manners, and each of these individual thinking areas benefits the other two, as well. There are certain challenges that one might be face with in acquiring these skills, and I will detail my own personal challenges below following a general investigation of benefits and prior to a discussion of my application of these skills.
Psychologist Benjamin Bloom…… [Read More]
Nurse Case Manager:
Case management in the nursing field is basically described as the functions and activities carried out by the nurse case manager within a specific care setting. In some cases, these functions and activities are usually performed by a self-governing practitioner, especially in private case management practices and community nursing facilities (Cohen & Cesta, 2005, p.278). Generally case management responsibilities are provided by the nurse case manager in acute care, primary care, home care, and managed care organizations. Nonetheless, these activities may be offered to particular patient populations and communities like the elderly. Some of the most case management activities include patient identification and intake, problem identification and assessment, patient outreach, development and implementation of plan of care, and coordination of care.
oles and Functions of Nurse Case Manager:
In acute care organizations, the roles and functions of the nurse case manager includes coordinating the care provided to…… [Read More]
In essence, the authors are forcing all nursing students and those who practice nursing today to understand that because of overblown "materialistic values, environmental sustainability, technology, clashes between societies" and global conflicts, the role of nurses has changed drastically, thus requiring some type of instruction on these and other topics (2005, pg. 153).
In addition, the authors maintain that nursing students of today and in the near future must extend their empathy "from a relatively passive, cognitive level to one of active, affective engagement" which in the end will result in engendered caring and move "the consideration of global conflict and war into a personal, relational context" (2005, pg. 154). One important way to accomplish this goal in relation to a classroom setting would be to compose a personal narrative on the events of September 11, 2001, when the World Trade Center was destroyed by an alleged terrorist organization, being…… [Read More]
The prescriptions include wisdom, honesty, and courage, as well as human dignity, integrity, respect, health, and independence.
Part 3: Formulate possible evidence-based practices and an action plan that could work towards achieving improvement outcomes.
Provide insight into the diagnostic processes (e.g., root cause analysis) used to determine the primary causes of the problem. Consider both qualitative (cause-effect diagram, barrier analysis), and quantitative (theory testing or drill down analysis) methods.
Analyze the cost-effectiveness of your initiative and how your initiative mitigates risk and improves health care outcomes.
Countless interventions have been used for fall prevention amongst the elderly population. These include risk-assessment and management programs, I.e. Designed to screen those who are most at risk and to design interventions that will reduce their risk of falling; exercise programs slanted dot enhancing flexibility, endurance, and strength; education programs (including one-to -one counseling on methods to prevent falls); environmental modification in homes or…… [Read More]
1). This is a problem that needs to be addressed by adding more training to the budget. The problem is, most hospitals' budgets are already spread too thin. Therefore, hospital administrators need to work harder to find sources to help fund their activities.
Nurses have more power and responsibility than ever before to ensure that they are making honest reports about their patients. They may be in a rush to get home and not feel like entering all of the proper data into the computer. Or, they may take shortcuts in the use of other technologies. It is a nurse's ethical responsibility, however, to ensure honesty in all that she does. This includes 'blowing the whistle' when she sees that other nurses are not being honest or are misusing technology.
This can be extremely difficult, however, considering that nurses often suffer negative repercussions for 'whistleblowing'. A study conducted…… [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]
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]
Theoretical Foundations of Nursing:
Nursing can be described as a science and practice that enlarges adaptive capabilities and improves the transformation of an individual and the environment. This profession focuses on promoting health, improving the quality of life, and facilitating dying with dignity. The nursing profession has certain theoretical foundations that govern the nurses in promoting adaptation for individuals and groups. These theoretical foundations include theories, theory integration, reflection, research and practice, and assimilation.
Grand Nursing Theory:
There are several grand nursing theories that were developed by various theorists including the Science of Unitary Human Beings by Martha ogers, Sister Callista oy's Adaptation Model, and Systems Model by Betty Neuman. Sister Callista oy's Adaptation Model is based on the consideration of the human being as an open system. She argues that the system reacts to environmental stimuli via cognator and regulator coping techniques for individuals. On the other hand, the…… [Read More]
Texas is one of the strictest states in the country for nurse practitioners who want to open their own clinics, requiring them to find a physician with the willingness and time to follow a complex set of rules. Those rules include requiring the physician to delegate prescriptive authority, review patient charts, make on-site visits or practice within a certain geographical distance of the nurse practitioner. It's a system many nurse practitioners say is unnecessary and burdensome, especially in light of the state's considerable health access problem and the success of nurse practitioners in other states who practice without such direct physician supervision (Krisburg, 2011, p. 1).
In a state where under-service and major disparities as well as a staggering set of predictions about nursing and doctor shortages in the future exists it is difficult to believe that more steps have not been taken to align Texas laws with national examples.…… [Read More]
His assistance and support was both scientifically sound and, more importantly, spiritually supportive and extremely respectful of and responsive to my philosophical beliefs and my personal psychological orientation and inclination.
Based substantially on his valuable input, I made the decision to transfer my father to hospice. The hospice doctor also demonstrated carative nursing in his sensitive response to my sister's concerns that placing our father in hospice and directing that medical intervention efforts be withheld was tantamount to just allowing him to die prematurely. He explained to her the clinical significant objective scientific basis upon which it was clear that even the most aggressive medical intervention would be unable to prolong his life for more than a few weeks and that the relative value of those extra three weeks from his perspective were just not worth the amount of discomfort and confusion just to slightly prolong the same inevitable end…… [Read More]