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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,…
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…
Al Maaitah, R. & AbuAlRub, R.F. (2017, January 30). Exploration of Priority Actions for Strengthening the Role of Nurses in Achieving Universal Health Coverage. Revista Latino-Americana de Enfermagem, 25. Doi: 10.1590/1518-8345.1696.2819
Carter, N., Dobbins, M., Ireland, S. & Hoxby, H. (2013, December). Knowledge Gaps Regarding APN Roles: What Hospital Decision-Makers Tell Us. Nursing Leadership, 26(4), 60-75.
Chesney, M.L. (2015, May/June). Increasing Families’ Health Care Access and Choice Through Full Practice Authority. Journal of Pediatric Health Care, 29, 219-221.
Hain, D. & Fleck, L.M. (2014, May). Barriers to NP Practice that Impact Healthcare Redesign. The Online Journal of Issues in Nursing, 19(2). Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html
Heale, R. & Buckley, C.R. (2015, June). An International Perspective of Advanced Practice Nursing Regulation: APN Regulation. International Nursing Review, 62(3), 421-429.
Lugo, N.R. (2016, May). Full Practice Authority for Advanced Practice Registered Nurses is a Gender Issue. The Online Journal of Issues in Nursing, 21(2). Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-21-2016/No2-May-2016/Articles-Previous-Topics/Full-Practice-Authority-for-APRN.html
Safriet, B.J. (2010). Federal Options for Maximizing the Value of Advanced Practice Nurse in Providing Quality, Cost-Effective Health Care. In The future of nursing: leading change, advancing health (H1-H29, Washington, DC: National Academy of Sciences).
Pepler, C., Edgar, L., Frisch, S. & Rennick, J.E., Swidzinski, M., White, C., Brown, T. & Gross, J. (2006, January). Strategies to Increase Research-based Practice. Clinical Nurse Specialist, 20(1), 23-31.
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…
Acton, G.J., Yauk, S., Hopkins, B.A. & Mayhew, P.A. (2007). Increasing social communication in persons with dementia. Research and Theory for Nursing Practice,
Beitz, J.M. & Kost, M. (2006). Nurse anesthesia education in the new millennium: Outcomes of a federally funded advanced nursing education grant. Nursing Education Perspectives,
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…
Buppert, Carolyn. (2011). Nurse Practitioner's Business Practice and Legal Guide. Jones & Bartlett Publishers.
Hamric, Ann B., Hanson, Charlene M., Tracy, Mary Fran, & O'Grady, Eileen T. (2013). Advanced Practice Nursing: An Integrative Approach. Elsevier Health Sciences.
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…
American Association of Critical-Care Nurses (AACN). (2006). The AACN Synergy Model for Patient Care. Retrieved May 29, 2011 from http://www.certcorp.org/certcorp/certcorp.nsf/vwdoc/SynModel ? opendocument
ANA (1995b) Nursing's Social Policy Statement. American Nurses Association, Washington, DC, USA.
Bryant-Lukosius, D., Dicenso, A. (2004) A framework for the introduction and evaluation of advanced practice nursing roles, Journal of Advanced Nursing, 48(5), 530 -- 540
Bryant-Lukosius, D., Dicenso, A., Browne, G., & Pinelli, J. (2004). Advanced practice nursing roles: development, implementation and Evaluation, Journal of Advanced Nursing, 48(5), 519 -- 529
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.…
(1) Board of Nurse Examiners, State of Texas - [ http://www.bne.state.tx.us/position.htm#15.18 ] Accessed on 28/08/2005
(2) Registered Nurses Association of British Columbia -- [http://www.rnabc.bc.ca/pdf/399.pdf] Accessed on 28/08/2005
(3) Journal of Cultural Diversity -- [ http://www.findarticles.com/p/articles/mi_m0MJU/is_3_11/ai_n8585220 ] Accessed on 28/08/2005
(4) [Charles I. Artz, Esq. - The expansion of APRN scope of practice (Physician's News Digest) -- [ http://www.physiciansnews.com/law/100artz.html ] Accessed on 28/08/2005
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…
American Association of Family Physicians. (n.d.). Education and training: Family physicians and nurse practitioners. Retrieved 27 May 2014 from http://www.aafp.org/dam/AAFP/documents/news/NP-Kit-FP-NP-UPDATED.pdf .
American Association of Nurse Practitioners. (n.d.). Nurse practitioners in primary care. Retrieved 27 May 2014 from http://www.aanp.org/images/documents/publications/primarycare.pdf .
Barnes, H. (2014). Nurse practitioner role transition: A concept analysis. Nursing Forum, published online ahead of print 9 Jan. 2014. Retrieved 29 May 2014 from http://onlinelibrary.wiley.com/doi/10.1111/nuf.12078/pdf .
Goudreau, K.A., Baldwin, K., Clark, A., Fulton, J., Lyon, B., Murray, T. et al. (2007). A vision of the future for clinical nurse specialists. Prepared by the National Association of Clinical Nurse Specialists. Retrieved 27 May 2014 from http://www.nacns.org/docs/AVisionCNS.pdf.
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…
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…
Jansen, M.P. & Zwygart-Stauffacher, M. (2010). Advanced practice nursing: core concepts for professional role development (4th ed.). New York, NY: Springer Publishing Company, LLC.
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)…
Bernstein, S. J. (2008, Winter). A new model for chronic-care delivery. Frontiers of Health Services Management, 25(2), 31-34.
Cornett, B. S. (2003, March). Health care compliance programs: An infrastructure for clinical practice. Journal of Medical Speech - Language Pathology, 11(1), 9-11.
Forest, M. & Kleiner, B. (2011, December). Effects of current nursing management styles on the retention and recruitment of nurses: A review of the literature. International Journal of Management, 28(4), 254-263.
Harris, D. D. (2009, July 1). Evidence-based healthcare design. Health Environments Research & Design Journal, 2(4), 132-135.
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,…
APRN Joint Dialogue Group Report. (2008). Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education. National Council of State Boards of Nursing APRN Advisory Committee. Web. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf
The National Organization of Nurse Practitioner Faculties. (2012). Nurse Practitioner Core Competencies. Web. http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pdf
Louisiana State Board of Nursing. (2010). Law Governing the Practice of Nursing. Web. http://www.lsbn.state.la.us/Portals/1/Documents/rules/npafull.pdf
University of California San Francisco. (2013). MS Specialty Area: Family Nurse Practitioner (FNP). School of Nursing. Web. http://nursing.ucsf.edu/programs/specialties/family-nurse-practitioner-fnp
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…
Ekman, B.B, Granger & I. (2007). Standard medication information is not enough: poor 40 concordances of patient and nurse perceptions', Journal of Advanced Nursing 60 (2), 181-186
Mullinex, C., & Bucholtz, D. (2009). Role and quality of nurse practitioner practice: A policy issue. Nursing Outlook, 57
Needleman, J., & Minnick, A.F. (2009). Anesthesia provider model, hospital resources, and maternal outcomes.
Pearson, L. (2009). The Pearson report. American Journal for Nurse Practitioners, 13 (2), 8 -- 82.
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…
American Nursing Association. (2010). Nursing World. Retrieved from:
Louisiana State Board of Nursing Guidelines. (2011). LSBN. Retrieved from:
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…
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…
American Association of Colleges of Nursing. (2012). The Essentials of Master's Education for Advanced Practice Nursing. Educational Resources. Web. Retrieved October 22. 2012 from http://www.aacn.nche.edu/education-resources/MasEssentials96.pdf
Advance Practice oles in Nursing
The Main oles Within Advanced Practice Nursing
They are charged with the responsibility to provide primary health care for clinics, hospitals and similar settings. They diagnose and treat common illnesses and immunize, examine the patients and deal with high blood pressure cases among others (Macdonald, Schreiber & Davis, 2005).
Certified Nurse-Midwives: They are the ones that give gynecological care and prenatal attention to the normal women with little or no health complications. They assist the women deliver in a range of places including hospitals, homes, clinics and health centers. They also give postpartum care (Macdonald et al., 2005).
Clinical Nurse Specialists: They are the ones involved in specialty areas such as neonatal, oncology, cardiac, pediatric, gynecological nursing or obstetric service (Macdonald et al., 2005).
Certified egistered Nurse Anesthetists: They provide and administer over 65% of all anesthesia administered to patients every year. They…
Federal Register, (n.d.). The Constitutional Amendment Process, National Archives. Retrieved from https://www.archives.gov/federal-register/constitution/ on August 30, 2016
Graduatenursingedu.org, (n.d.). Family Nurse Practitioner (FNP). Retrieved from http://www.graduatenursingedu.org/family-nurse-practitioner/ on August 30, 2016
Huston C. (2008) Preparing nurse leaders for 2020. Journal of Nursing Management 16, 905 -- 911
Jennings, B.M. (2008). "Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions." In: Hughes, R.G. (editor). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (U.S.).
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.
Winter, Greg. "Tobacco Company Reneged on Youth Ads, Judge Rules." New York Times, 7 June 2002.
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,…
Miller, C.D. (2007). A Comparison of Skill Perofrmance of the and BSN Prepared Nurse at Three and Four-Year Post-Graduate Level. Retrieved from: http://gradworks.umi.com/1446281.pdf
MomMD (2012). How to become an advanced practice nurse. Retrieved from: http://www.mommd.com/advanced-practice-nursing.shtml
Orsolini-Hain, L. (2008). What's all the Fuss? Working Towards a Baccalaureate or Graduate Degree in Nursing. NSNA. Retrieved from: http://www.nsna.org/careercenter/fuss.aspx
Santina, J. (2012). The BSN: A Higher Degree of Nursing Care. Health Care Career. Retrieved from: http://www.worldwidelearn.com/healthcare/healthcare/the-bsn-a-higher-degree-of-nursing-care.php
Advance Practical Nurse Professional Development Plan
Nursing is a very lucrative career. However, it takes a lot of work and determination to be a nurse. The job requires specific skills and education as well as licensing. Find below my personal Advanced Professional Development Plan (APN). I will also discuss such aspects as background, marketing strategies and curricula.
I appreciate that to get the education and practice I need as a nurse I have to follow the APN professional development plan. I have discussed in this paper how I will achieve this. The outline is as follows:
Identify My Learning Needs
I can do this in a variety of ways. First, I will reflect on my practice. I will determine which of my practicing areas I feel uncomfortable or unsure. I will evaluate if any of the areas I feel uncomfortable have something associated with…
1) Writer Thoughts
2) Professional Development For Nurses. (n.d.). Retrieved December 2, 2014, from http://www.learningnurse.org/index.php/library/pro-development
3) Scope of Practice. (n.d.). Retrieved December 2, 2014, from http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2
4) Howell, N. (n.d.). How to Write a CV for a Nurse. Retrieved December 2, 2014, from http://www.ehow.com/how_4799318_write-cv-nurse.html
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…
American Nurse's Association (ANA). (2004). The Nurses Code of Ethics. The Center for Ethics and Human Rights. Online at .
The American Organization of Nurse Executives (AONE). (2009). AONE Resource Center. www.aone.org.
Dimaria, R.A. & Ostrow, L. (2004). West Virginia University School of Nursing Makes the Move to Web-Based Learning. Technological Horizons in Education Journal, 31.
Emergency Nurses Association (ENA). (2008). Vision/Mission Statements and Code of Ethics. www.ena.org.
This help in solving conflicts between patients in a hospital.
In nursing practice, there are quite different in between clinical nursing specialist and nurse practitioner in the scope of operation. Therefore, a clinic nurse specialist works under the legislated scope of practice for a registered nurse but has advanced education. While nurse practitioner works under a separate scope of practice and can perform certain functions and tasks that are outside of the scope of practice of registered nurse, including clinical nurse specialist. However, nurse practitioner generally provide primary care, and clinical nurse specialists act more a s consultants in their roles as expert clinicians, clinical leader, educators, collaborators and researchers.
Many researches have written that emotions sometimes can influence ethical decision making in a health care system. Therefore, nurses are equipped with knowledge to make decision without any kind of influence. The model demonstrates that certain emotional states influence the…
Royal of nursing college (2010). Advanced nurse practitioners, an RCN guide to the advanced
Nurse, Practitioner role, competences and program accreditation
Marie-Laure Delamaire, Gaetan Lafortune (2010). Nurses in Advanced Roles
A description and evaluation of experiences in 12 developed countries
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…
So, they have the best chance of isolating the underlying cause from the non-underlying causes. They are well-versed in the structure and classification of the ICD-9 codes as well and this helps them to better report the mortality.
Another reason is ANPs have the independence to handle their case load and they are able to better understand the patient's health problems. This gives them a close interaction with the patient and a better understanding of the case history helps them to diagnose ICD-9 codes better. They also get an opportunity to interact with the family members of the patients and this can sometimes help to identify the right causes. These are some of the reasons why ANPs are better-suited to diagnose ICD-9 codes so that it can help the family to claim any reimbursements.
How do ANPs decide the best diagnosis?
ANPs work closely with the patients to diagnose and…
DeLaune, Sue C.; Ladner, Patricia K. (2002). Fundamentals of Nursing: Standards & Practice.
Publication: Albany, NY Thomson Delmar Learning.
Groenwald, Susan L. (1997). Cancer Nursing: Principles and Practice
Publication: Boston Jones & Bartlett Publishers, Inc.
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…
Anderson, L. (2010). Communication in Nursing. Nurse Together.
Godbole, M. (2009). Communication Techniques in Nursing. Buzzle.com.
Schroyen, B. (2003). Developing Workplace Writing Skills for Nurses: Writing For Different Audience in the Heath Care System Requires Different Skills. Kai Tiaki: Nursing in New Zealand.
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…
Hamric, a.B., Spross, J.A., and Hanson, C.M. (2009). Advanced Practice Nursing: An
Integrative Approach. St. Louis, MO: Saunders.
Reid, T. (2009). The Healing of America: A Global Quest for Better, Cheaper, and Fairer
Healthcare. New York, NY: Penguin.
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…
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…
"About ACNM." American College of Nurse Midwives. [23 May 2012]
"About us." National Association of Pediatric Nurse Practitioners. [23 May 2012]
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…
Clinical nurse specialist (CNS). (2011). Career overview. Retrieved March 5, 2011 at http://www.allnursingschools.com/nursing-careers/clinical-nurse-specialist/cns
Diabetes and women's health. (2011). Centers for Disease control (CDC).
Retrieved March 5, 2011 at http://www.cdc.gov/diabetes/pubs/women/index.htm
Nursing theories: An overview. (2011, March 1). Current Nursing. Retrieved March 5, 2011 at http://www.currentnursing.com/nursing_theory/nursing_theories_overview.html
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…
Aiken, L.H., & Patrician, P. (2000). Measuring organizational traits of hospitals: The Revised Nursing Work Index. Nursing Research, 49, 146-153.
Aiken, L.H., & Sloane, D.M. (1997). Effects of organization innovation in AIDS care on burnout among urban hospital nurses. Work Occupation, 42, 453-477.
Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J., & Silber, J.H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [Electronic version]. JAMA, 288, 1987-1993.
Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J.A., Busse, R.A., Clarke, H., Giovanetti, P., Hunt, J., Rafferty, a.M., & Shamian, J. (2001). Nurses' reports on hospital care in five countries [Electronic version]. Health Affairs, 20, 43-53.
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…
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.
Bellini, S. (2014). The doctor of nursing for entry into advanced practice. Medscape.
Evolving Practice of Nursing and Patient Care Delivery Models
How the Practice of Nursing is Expected to Grow and Change: The Future of Nursing has a few healthcare delivery challenges unique to it, but there are several such issues that commonly occur in other nations, as well. Population aging is one issue that generates demand for increased healthcare services. A growing number of individuals, from all age groups, suffer from chronic illnesses; about 50% of U.S. citizens have been diagnosed with arthritis, diabetes, cardiovascular diseases, mental disorders, and hypertension (Reinhard & Hassmiller, n.d.).
A 2009 report by the AARP (American Association of Retired Persons) pertaining to chronic problems notes that patients and caregivers have firsthand experience of the absence of patient care-related coordination amongst healthcare workers, typically leading to needless repeat hospitalizations, repeat procedures and examinations, and arduous hospital-to-home moves. An acute dearth of professionals (such as nurses) is being…
ANA. (2011). ADVANCED PRACTICE NURSING: A NEW AGE IN HEALTH CARE. American Nurses Association, 1-7. Retrieved from: http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/MediaBackgrounders/APRN-A -New-Age-in-Health-Care.pdf
Reinhard, S., & Hassmiller, S. (n.d.). The Future of Nursing: Transforming Health Care. AARP Internation: The Journal. Retrieved from: http://journal.aarpinternational.org/a/b/2012/02/The-Future-of-Nursing-Transforming-Health-Care
Ridge, R. (2011). Future of Nursing special: Practicing to potential. Nursing Management, 32- 37. Retrieved from: http://www.nursingcenter.com/journalarticle?Article_ID=1176058
Wilson, A., Whitaker, N., & Whitford, D. (2012). Rising to the Challenge of Health Care Reform with Entrepreneurial and Intrapreneurial Nursing Initiatives. The Online Journal of Issues in Nursing. Retrieved from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Rising-to-the-Challenge-of-Reform.html
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…
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…
references for interactions with others. Specifically, I was able to reference some of the research I had conducted with my peers and other staff members, as well as with patients. To that end the research I conducted for this course in the form of the various articles I perused helped to convince me of the value of life-long learning. They were able to do so in two different ways. The first of these pertained to the fact that they helped to reinforce various facets of the scholarly method that I learned while taking this course, as well as while fulfilling other course requirements for this degree. In this regard these articles served to function as real-life applications of the methodology that I had been taught, which helped me to absorb these concepts even more. More importantly, perhaps, these articles helped me to understand the merit of continual scholarship and a focus on nursing education (Hancock, 2008, p. 263). It is not enough for one to simply obtain a degree or an advanced degree and consider one finished with the pursuit of scholasticism. Instead, these articles convinced me that such scholarship is a life-long pursuit.
Hancock, P.K. (2008). Nurse migration: the effects on nursing education. International Nursing Review. 55(3), 258-264.
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…
Indiana State Board of Nursing (2005). Licensure Statutes and Administrative Rules
Nevada Nurse Practice Act.
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…
Carlson, S., Kotze, W.J., & van Rooyen, D. (2005). Experiences of final year nursing students in their preparedness to become registered nurses. Curationis, 28(4), 65-73.
Cowen, L.S., Craven, R.G., Johnson, M., & Marsh, H.W. (2006). A longitudinal study of student and experienced nurses' self-concept. Collegian, 13(3), 25-31.
Clark, M.C., Owen, S.V. And Tholcken, M.A. (2004). Measuring student perceptions of clinical competence. J Nurse Education, 42(12), 548-554.
Del Bueno, D. (2005). A Crisis in Critical Thinking. Nursing Education Perspectives, 26 (5), pp.278-282.
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…
American Lung Association (2014). COPD: Symptoms, diagnosis and treatment. Retrieved from http://www.lung.org/lung-disease/copd/about-copd/symptoms-diagnosis-treatment.html
Buttaro, T.M., Trybulski, J., Baily, P.P., & Sandburg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Elsevier/Mosby.
Cenzon, M. (2014). Emphysema and chronic bronchitis. Retrieved from http://www.symptomfind.com/health/emphysema-chronic-bronchitis/
Mayo Clinic Staff. (2014). Oral thrush. Retrieved from http://www.mayoclinic.org/diseases-conditions/oral-thrush/basics/basics/definition/con-20022381?_ga=1.193450093.1798610931.1412555487
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…
Anderson, A.M. (2005). Nursing Leadership, Management, and Professional Practice for the LPN/LVN (3rd ed.). Philadelphia: F.A. Davis Company.
Carper, B. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13-23.
Clark, M.J. (2003). Community health nursing: Caring for populations (Fourth ed.). Upper Saddle River, NJ: Prentice Hall.
Dayer-Berenson, L. (2010). Cultural Competencies for Nurses: Impact on Health and Illness. Burlington, Massachusetts: Jones & Bartlett Learning.
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 -…
About ENA. (2010, January). Retrieved October 2010, from Emergency Nurses Association: http://www.ena.org/about/Pages/Default.aspx
About the ACNM. (2010, February). Retrieved from American College of Nurse-Midwives: http://www.midwife.org/members.cfm
CNS - Who We Are and What We Do. (2010, January). Retrieved October 2010, from National Association of Clinical Nurse Specialists: http://www.nacns.org/AboutNACNS/MissionStatement/tabid/57/Default.aspx
Kozier, B., Erb, G. & Blais, K. (1997), Professional nursing practice (3rd edition),
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…
Polit, D.F., & Beck, C.T. (2008). Nursing Research: Generating and Assessing Evidence for Nursing Practice, (8th ed.).
Autonomy in the nursing profession states the importance of the client's role in making decisions that reflect advocacy for the client (Wade, 1999, p.310). Ultimately, this includes taking care of the patient physically as well as mentally and emotionally, developing a relationship with the patient that is beneficial to his care and actively advocating for the patient's rights and care. This type of autonomy, it is important to note, is not the same as individual or work autonomy, yet it must be considered that empowerment in nursing autonomy will inevitably lead to better professional and personal autonomy and should also lead to increased job satisfaction (Wade, 1999, p.310).
Typical definitions of autonomy would include the idea of complete independence for the person making the decisions. However, in the case of the nursing profession, the client's needs and desires must be heavily weighed and, in fact, become central…
Wade, G.H. (1999). Professional nurse autonomy: Concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-8.
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics, 2(1),
White, L. (2004). Foundations of nursing: Second edition. Clifton Park, NY: Delmar Learning.
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…
Duffield, C.M., Roche, M.A., Blay, N., & Stasa, H. (2011). Nursing unit managers, staff retention and the work environment. Journal of Clinical Nursing, 20(1-2), 23-33.
Roberts, B.R. (2013). Doctor of nursing practice: Integrating theory, research, and evidence-based practice. Clinical Scholars Review, 6(1), 4-8. doi: http://dx.doi.org/10.1891/1939-2095.6.1.4
One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of…
Basford, L. And O. Slevin. (2003). Theory and Practice of Nursing: An Integrated Approach to Caring Practice. New York: Nelson Thomas.
Beckstead, J. And Beckstead, L. (2004). A multidimensional analysis of the epistemic origins of nursing theories, models and frameworks. International Journal of Nursing Studies. 43
Cohen, J. (1991). Two portraits of caring: a comparison of the artists - Leininger
Nursing and eligion Practice
ELIGION AND NUSING PACTICE
Nursing success depends on the ability to put the patient in a state of rest and comfort as much as it is about administering the prescriptions of the doctor. To secure the rest of the patient, nurses need to understand their needs and show respect to their beliefs and values. This requires courteous and open communication with the patient and adopting a patient-centric orientation. Along with other factors, the religious background of the patient makes a lot of difference to their values and expectations. eligious doctrines and practices may differ across religions and denominations such as Jehovah's Witnesses, Muslims, Seventh Day Adventists and Scientologists and may impose restrictions on certain kinds of interaction between nurse and patient or on certain forms of treatment. Moreover, people with a different religious background are not usually aware of such differences. Therefore, it is necessary for…
Banja, J.D. (2010). Overriding the Jehovah's Witness patient's refusal of blood: A reply to Cahana, Weibel, and Hurst. Pain Medicine, 10(5), 878-882. doi: 10.1111/j.1526-4637.2009.00648.x.
Charles, C.E., & Daroszewski, E.B. (2012). Culturally competent nursing care of the Muslim patient, Issues in Mental Health Nursing. 33(1), 61-63. doi: 10.3109/01612840.2011.596613.
Cort, M., & Cort, D. (2008). Willingness to participate in organ donation among Black Seventh-Day Adventist college students. Journal of American College Health, 56(6), p. 691-697. Retrieved from EBSCO Academic Search Primer.
Effa-Heap, G. (2009). Blood transfusion: Implications of treating a Jehovah's Witness patient. British journal of nursing, 18(3), 174-177.
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…
David Gorski. (2014, January 6). Expanding the scope of practice of advanced practice nurses will not endanger patients. Science-Based Medicine.
(2013). Nursing Licensure Portability. American Nurses Association.
Sarah Robinson, & Peter Griffiths. (2007). Nursing education and regulation: international profiles and perspectives. National Nursing Research Unit - King's College London.
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…
Levich, B. R. (2011). Diabetes management: optimizing roles for nurses in insulin initiation. J MultidiscipHealthc, 4, 15-24.
Arabi, A., Rafii, F., Cheraghi, M. A., & Ghiyasvandian, S. (2014). Nurses' policy influence: A concept analysis. Iranian journal of nursing and midwifery research, 19(3), 315-22.
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.
Magnet Designation (2006) Inside UVA Online Vol. 36, Issue 14 August 26, 2006. Available at http://www.virginia.edu/insideuva/nursing_excellence.html .
Bailey, F. Amos (2000) Balm of Gilead Center, Cooper Green Hospital Pioneer Programs in Palliative Care: Nine Case Studies - Robert Wood Johnson Foundation - Milbank Memorial Fund October 2000. Online available at http://www.milbank.org/pppc/0011pppc.html#foreword .
Forrow, Lachlan (2000) Palliative Care Program, Beth Israel Deaconess Medical Center/CareGroupPioneer Programs in Palliative Care: Nine Case Studies - Robert Wood Johnson Foundation - Milbank Memorial Fund October 2000. Online available at
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…
More Nurses Make the Difference. (February 2012). The Lamp. 69 (1): Retrieved from: http://search.informit.com/au/documentSummary;dn=045435426132502;res=IELHEA
Safe Nurse Staffing: Looking Beyond the Numbers. (2009). Vantage Point, CNA. Retrieved from: https://www.nso.com/pdfs/db/newsletters/Safe_Nurse_Staffing_-_Looking_Beyond_the_Raw_Numbers_20094.pdf?fileName=Safe_Nurse_Staffing_ -_Looking_Beyond_the_Raw_Numbers_2009-pdf&folder=pdfs/db/newsletters
Aiken, L. (2001). The Hospital Nurse Workforce: Problems and Prospects."Draft
For the Council on the Economic Impact of Health System Change. Retrieved from: http://council.brandeis.edu/pubs/hospstruct / Council-Dec-14-2001-Aiken-paper.pdf
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…
NURSING PROBLEM: SHORTAGE OF NURSES
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…
Braverman, M. (2010). "Effective wirting." Accessed 28 November 2010. http://effectivewriting.org/
FTC. (2009). "The Critical Thinking Community." Accessed 28 November 2010. http://www.criticalthinking.org/resources/HE/ctandnursing.cfm
Greenall, S. & Swan, M. (1986). Effective reading: reading skills for advanced students. New York: Cambridge University Press.
OfficePort. (2010). "Bloom's taxonomy." Accessed 28 November 2010. http://www.officeport.com/edu/blooms.htm
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…
Blancett, S.S. & Flarey, D.L. (2006). Case studies in nursing case management: health care delivery in a world of managed care. Gaithersburg, MD: Aspen Publishers, Inc.
Cohen, E.L. & Cesta, T.G. (2005). Nursing case management: from essentials to advanced practice applications (4th ed.). St. Louis, MO: Elsevier Health Sciences.
Meadows, P. (2009, January). Community Health Nursing. American Journal of Nursing,
109(19). Retrieved from http://journals.lww.com/ajnonline/fulltext/2009/01001/community_health_nursing.5.aspx
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…
Johnston, Nancy, Rogers, Martha, Cross, Nadine & Anne Sochan. (May/June 2005). "Global and Planetary Health: Teaching as if the Future Matters." Nursing Education
Perspectives. Vol. 26 no. 3. 152-56.
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…
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…
Birdi, K., Clegg, C.W., Patterson, M.A., Robinson, A., Stride, C.B., Wall, T.D., & Wood, S.J. (2008). The impact of human resource and operational management practices on company productivity: A longitudinal study. Personnel Psychology, 61, 467-501.
Bodenheimer, T., MacGregor, K., and Stothart, N. (2005). Nurses as leaders in chronic care. British Medical Journal, 330(7492), 612-613.
Carver, L. & Candela, L. (2008) Attaining organizational commitment across different generations of nurses. Journal of Nursing Management, 16 (8), 984-991.
Charette, R. (2006, June) EHRs: Electronic Health Records or Exceptional Hidden Risks? Communications of the ACM, 49(6),120.
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…
Blair, Kathryn. (2005). Does faculty practice validate the NP educator role? The 2005 Sourcebook for Advanced Practice Nurses. P. 9-12.
Fitzgerald, Cynthia, Kantrowitz-Gordon, Ira, Katz, Janet, & Hirsch, Anne. (2012). Advanced practice nursing education: Challenges and strategies. Nursing Research and Practice, 2012(2012).Web. http://www.hindawi.com/journals/nrp/2012/854918/
Scheckel, Martha. (2011). Nursing education: Past, present, and future. Understanding Nursing Education Programs. Jones and Barllett Publishers. Web. http://www.jblearning.com/samples/0763752258/52258_CH02_Roux.pdf
Weber, Scott. (2006). Teaching nurse practitioners how to teach patients to take responsibility. Journal of the American Academy of Nurse Practitioners, 18(2006), 346-347. Doi: 10.1111/j.1745-7599.2006.00145.x
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…
Cafazzo, D. (n.d). Nurses will be charting own futures. The News Tribune, D.1.
Hensick, J. (1996). Guest editorial. Our contract with America: Nursing's social policy statement. Michigan Nurse, 69(5), 3.
Kagan, S.H. (2004). The advanced practice nurse in an aging society. Nurse Practitioner,
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…
American Sentinel (2012). 5 Steps for Nurses to Stay Updated with Health Care Changes.
Retrieved September 4, 2013, from http://www.nursetogether.com/5-steps-for-nurses-to-stay-updated-with-health-care-changes
Andershed, B. & Olsson, K. (2009). Review of Research Related to Kristen Swanson's Middle-range Theory of Caring. Scandinavian Journal of Caring Sciences, 23, 598-610.
"Application of Theory in Nursing Process." (2012, January 28). Nursing Theories: A
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.…
Brush, B.L. (2008) Global nurse migration today. Journal of Nursing Scholarship 40 (1) 20-25. Retrieved June 28, 2011 from: http://deepblue.lib.umich.edu/bitstream/2027.42/74033/1/j.1547-5069.2007.00201.x.pdf
Institute of Medicine (IOM) (2010) The future of nursing leading change, advancing health: Report recommendations. Retrieved June 28, 2011 from:http://www.iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf
Krisburg, K. (2011) Nurse practitioners call for greater independence: Relaxed rules could help medically underserved. AARP Bulletin. Retrieved June 28, 2011 from: http://www.aarp.org/health/doctors-hospitals/info-01-2011/nurse_practitioners_in_texas_call_for_greater_independence.html
Robert Wood Johnson Foundation (RWJF) (2009) Colleagues in caring: Regional collaboratives for nursing workforce development. Retrieved June 28, 2011 from: http://www.rwjf.org/pr/product.jsp?id=17352
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…
Delaune, S. And Ladner, P. (2002), Fundamental of Nursing, Standard and Practice. New York: Thomson.
Fawcett, J. (2005). Analysis and Evaluation of Conceptual Models of Nursing, St. Louis,
Finfgeld-Connett, D. "Meta-synthesis of caring in nursing." Journal of Clinical Nursing,
(Feldman & Geenbeg, 2005, p. 67) Staffing coodinatos, often nuse leades must seek to give pioity to educational needs as a eason fo adjusting and/o making schedules fo staff, including offeing incentives to staff not cuently seeking educational goals fo assisting in this pioity egadless of the implementation of a tuition eimbusement pogam. (Feldman & Geenbeg, 2005, p. 233)
Nuse Leades as Academic Theoists
The fact that many nuse leades seve as the fundamental souces fo new and emeging nusing paadigms and theoies cannot be ignoed in this eview. The theoies associated with nusing ae as divese as nuses themselves and seve seveal puposes. With egad to nuse ecuitment and the ole that nusing theoy and paadigm plays in it, nuse leades seve to espouse theoy though mentoship and taining that helps individuals see thei futue intinsic ole in nusing. To explain this ole a bief discussion of nusing theoy…
references and Affirmative Action in Making Admissions Decisions at a Predominantly White University. Journal of Instructional Psychology, 31(4), 269.
Burgener, S.C., & Moore S.J. (May-June, 2002) The role of advanced practice nurses in community settings. Nursing Economics 20 (3) 102-108.
Cimini, M.H., & Muhl, C.J. (1995). Twin Cities Nurses Reach Accord. Monthly Labor Review, 118(8), 74.
Cleary, B. & Rice, R. (Eds.). (2005). Nursing Workforce Development: Strategic State Initiatives. New York: Springer.
Daly, J., Speedy, S., Jackson, D., Lambert., V.A., & Lambert, C.E. (Eds.). (2005). Professional Nursing: Concepts, Issues, and Challenges. New York: Springer.