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As a family nurse practitioner, I would expect work in a type of organization such as a doctor's office. There are several factors that have led me to consider this highly distinct possibility, not the least of which is the increasing trend for family nurse practitioners to provide primary care to patients. The provisioning of such care, of course, is usually conducted under the auspices of a formally trained physician. However, there are several recent developments that may contribute to nurse practitioners working with patients in a primary care role even without direct supervision of physicians. egardless, it is highly likely that I will find work as a family nurse practitioner in a formal doctor's office, either small or big.
There has been a projected shortage for qualified health care professionals for quite some time now. The factors that have contributed to this shortage include the fact that there…
Britt, D. (2012). Family nurse practitioner's role in primary care. www.southuniversity.edu. Retrieved from http://source.southuniversity.edu/family-nurse-practitioners-role-in-primary-care-110820.aspx
CMR Board of Registration in Nursing (1994). Registered nurse and licensed practical nurse. www.massnurses.org. Retrieved from http://www.massnurses.org/files/file/Legislation-and-Politics/np_act.pdf
Hamric, A.B., Spross, J.A., & Hanson, C.M. (2009). Advanced Practice Nursing: an Integrative Approach (4 ed.). Philadelphia: Saunders Publishing.
adult life, I have been immersed in the healthcare professions. Working in several different sectors of healthcare has afforded me the opportunity to understand different models of patient care, different administrative systems and organizational cultures, and also different philosophies and theories of nursing. After many years of working in the emergency care sector including work as an emergency room paramedic and ambulance worker for ten years, I transitioned to working in a position of leadership in my organization. As Director of Nursing, I have grown tremendously both professionally and personally. I have also witnessed transformations in care delivery as evidence-based practice and new medical information systems have been increasingly normative in healthcare. Although I love my work, my career has never once stagnated and I aim to continue to develop myself through ongoing professional advancement. The natural next step for me is to become a family nursing practitioner, which is…
Advance Practice egistered Nurse (APN) role of Family Nurse Practitioner
The US is witnessing a growing demand for the services of primary care providers, owing to an increase in the nation's elderly population. With Obamacare's enactment in the year 2010, the above trend is predicted to persist in the course of the next many years. FNPs or Family Nurse Practitioners can help mitigate the forecasted dearth of primary care providers. Available literature on the subjects indicates that FNPs might be capable of delivering a subsection of services categorized under primary care better than, or at least, just as proficiently as, doctors. Increased NP employment can improve healthcare access, especially in generally underserved localities and communities. For furthering this, APN stakeholder bodies and state nursing boards have endeavored to revolutionize and standardize FNP practice (National Governors Association, 2012).
APN represents a broad term utilized for defining nursing practice which exhibits competencies…
Sangster-Gormley, E., Martin-Misener, R., & Burge, F. (2013). A case study of nurse practitioner role implementation in primary care: what happens when new roles are introduced? BMC nursing, 12(1), 1.
National Governors Association. (2012). The role of nurse practitioners in meeting increasing demand for primary care. Washington: National Governors Association.
Wessel, L. A. (2012). Nurse practitioners in community health settings today. Journal of health care for the poor and underserved, 16(1), 1-6.
Britt, D. (2012). Family nurse practitioner's role in primary care. Retrieved February 3, 2017, from http://source.southuniversity.edu/family-nurse-practitioners-role-in-primary-care-110820.aspx
Nurse Practitioner has evolved throughout the decades. It is one that continues to change as health care further develops into a continuum of patient care and continuous educational access. The Family Nurse Practitioner (FNP) has become synonymous with that of a primary care physician. In all 50 states, including the District of Columbia, and around the globe, FNPs are being used to fill the growing gap that medical doctors are leaving behind. FNPs are able to assess, diagnose, and treat acute and chronic illnesses, conduct routine patient check-ups and annual physical examinations, provide counseling, prescribe and order medications and labs, and manage a patient's overall care (AANP, 2015). Numerous states allow FNPs to practice autonomously, while others require supervision or collaboration with a medical physician in order to legally practice for a specific amount of time.
There are clinical and non-clinical ways in which the Family Nurse Practitioner role comes…
Golden, A., & Blackwelder, R. (2013). Should Nurse Practitioners Be Able to Treat Patients Without Physician Oversight? The Wall Street Journal
Naylor, M., & Kurtzman, E. (2010). The Role Of Nurse Practitioners In Reinventing Primary Care. Health Affairs, 29(5), 893-899.
Savrin, C. (2009). Growth And Development Of The Nurse Practitioner Role Around The Globe. Journal of Pediatric Health Care, 23(5), 310-314.
Family Nursing Practitioner Application Justification
The quest to become a nurse, that was finally realized when I became a registered nurse, was prompted by the need to work among the very underprivileged of the community in the poorest areas and vulnerable conditions. Having been a N, there are vast experiences that I have undergone, not only in the technical aspect of learning the prognosis and prescription but also further experiencing first hand the social needs of nursing and the existing gaps at the homestead levels. Combining the expertise and the human face to nosing will enable me to positively contribute in to improvement of the health status of both the American citizens who are extremely poor and the foreign missions that will be the next quest, particularly to Africa or Asia. This way the training I have undergone will not be confined to the codified nursing tenets and bedside care…
Nevidjon, B., (2012). The Online Journal of Issues in Nursing. The Nursing Shortage: Solutions for the Short- and Long-Term. Retrieved September 10, 2013 from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/workforce/NursingShortage/Resources/NursingShortageSolutions.html
NP "role" definition
A nurse practitioner is any independent certified nursing care provider who offers primary, specialty, or both primary and specialty, nursing services in long-term, ambulatory and acute care settings. NPs are engaged in the chronic or acute episodic ailment assessment, diagnosis, treatment, and management. They are specialists in the areas of illness prevention and health promotion, and perform the tasks of ordering, performing, overseeing and interpreting lab and diagnostic tests, prescribing non-pharmacologic treatment and pharmacological mediators, and educating and advising their patients (American Association of Nurse Practitioners, 2015).
History of the Nurse Practitioner Role, in General
The demand for individuals providing primary care in the nation grew with the launch of the Medicaid and Medicare initiatives, developed after the enactment of the 1965 Social Security Amendments. The two initiatives ensured low-income kids, women, aged persons, and disabled individuals could now access healthcare. Thus, with the enhanced need for…
Family Nurse Practitioner
The expansion of healthcare coverage through the Affordable Care Act (ACA) is expected to create an enormous increase in the number of people seeking medical treatment and healthcare. A number of demographic issues exacerbate the situation: An aging population requiring more extensive treatment and care, a rising national population, and a shortage of primary care physicians (Iglehart, 2013). The shortage of primary care physicians is one of the most crucial for national medical care because of two substantive dynamics: 1) The number of graduates from medical school who plan to enter careers as primary career physicians is currently estimated at 25%; and 2) the care that advanced practice registered nurses (APN) can provide is constrained by the current scope-of-practice laws on the books in any states (Iglehart, 2013).
An enduring tension exists between the American Medical Association and nursing advocates regarding the scope of practice that should…
Iglehart, J.K. (2013, May). Expanding the role of advanced nurse practitioners: Risks and rewards: Health policy report. New England Journal of Medicine, 368(20), 1935-1941.
National Organization of Nurse Practitioner Faculties (NONPF) (2002). Family nurse practitioner primary care competencies in specialty areas: Adult, family, gerontological, pediatric, and women's health. Pp. 21-24. U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/primarycarecomps02.pdf
Naylor, M.D. And Kurtzman, E.T. (2010, May). The role of nurse practitioners in reinventing primary care. Health Affairs, 29(5), 893-899. DOI: 10.1377/hithaff.2010.0440.
Savrin, C. (2008). Growth and development of the nurse practitioner role around the globe. Journal of Pediatric Health Care, 23(5), 310-314. DOI: 10.10.1016/j.pedhc.2008.10.005.
Nursing Case Study
Family nursing diagnosis is a holistic process that involves a thorough and complete family assessment to establish both curative and preventive concerns in a given family. The assessment from the participating family established a number of diagnostic issues. One of the family members suffers from obesity. D.K. who is ten years old and in second grade took two years to complete first grade. Obesity is a condition whereby the Body Mass Index (BM1) is over 30kg/m2. This is because of excess fat accumulation in a person's body. The Body Mass Index BM1, is the measure for obesity, and it is calculated by dividing a person's weight in kilograms by his/her height in square meters.
Obesity may be associated with the several of medical conditions like heart attack, type 2 diabetes, osteoarthritis and some types of cancer (Domino, 2007). Major causes of obesity are lack of physical exercises…
Domino, Frank J, (2007). 5-Minute Clinical Consult. Lippincott Williams & Wilkins
Karch. A.M. (2007). Lippincott's Nursing Drug Guide. Philadelphia: New York: Lippincott Williams & Wilkins
Katz, David L.; Friedman, Rachel S.C. (2008). Nutrition in Clinical Practice: A Comprehensive, Evidence-Based Manual for the Practitioner. 2nd ed. Lippincott Williams & Wilkins
Letter of Intent
hat is your motivation for earning a doctoral degree?
First, I have always been motivated to succeed in every aspect of education and professional training that I have pursued. I have never settled for anything less than excellence in all endeavors I have undertaken -- in particular, education and training. I conduct research with thoroughness and I have fine-tuned my study strategies so I can make the most of my pursuit of pivotal knowledge. To wit, by learning more and through advanced training strategies, I will definitely be of greater assistance to those whose care will be my responsibility -- and my ability to mentor young people that entering the nursing field will also be greatly enhanced.
Hence, a doctorate program will certainly help me fulfill my strong desire to obtain the knowledge I need to pursue my goals in nursing education. I am aware that the…
Nursing Research.(2013). Evidence-Based Nursing. Retrieved March 22, 2016, from http://www.nursingplanet.com .
Stevens, K.R. (2013). The Impact of Evidence-Based Practice in Nursing and the Next Big
Ideas. The Online Journal of Issues in Nursing. 18(2), 1-13.
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
When new laws are passed, this body has the duty to attempt to inform the state's nurses and ensure that there is compliance where that is required. As an example, Assembly Bill No. 456 requires that all health care professionals wear a name tag indicating his or her certification, so this is something that applies to all family nurse practitioners (NNB, 2014). When such changes to law are made, this body will inform me and it is my job to keep contact with this body in order to ensure my own compliance with the applicable legal framework.
The Nurse Practice Act is especially important because it defines nursing services, outlines the duties of the state board of nursing, and the different license types for nurses operating in the state. The NPA also sets out the terms for disciplinary action, which would be to suspend or remove one's license. For nurse…
Lague, G. (2008). Do nurse practitioners pose a threat to family physicians? Canadian Family Physician. Vol. 54 (12) 1668-1670.
NNB. (2014). Nevada State Board of Nursing. Nevada Nursing Board. Retrieved May 11, 2014 from http://nevadanursingboard.org/
Van Pelt, L. (2012). Family nursing practitioner. UNBC. Retrieved May 11, 2014 from http://www.unbc.ca/nursing/family-nurse-practitioner-program
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…
Personal Statement Application for the Nurse Practitioner Program at UCSF
I first experienced the duties of a nurse practitioner in WHATEVER, a small mountain village in Nepal.
From 1996-1998, I worked as a Community Health Volunteer with the American Peace Corps. During those two years, I worked with Nepalese women and children, teaching classes on first aid, family planning and nutrition. I also organized immunization clinics, ran a health library, and conducted community needs assessments.
I have always found great fulfillment in healthcare and in being part of people's recoveries. For this reason, I majored in Kinesiology and Biology at the University of Minnesota, even working towards an application to the Physician Assistant program during my last two years. After graduation, I worked as a nursing assistant.
Since then, I have also gained greater familiarity with pharmaceuticals and the managed healthcare system in my present work with the Daiichi Corporation.…
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.
Nurse Practitioners and Strategies the Students Can Adopt to Succeed in School
Nursing students worldwide face quite a number of challenges in the course of undertaking their highly engaging and mind-intensive nursing practitioner programs. Non-completion of the practitioner program means that the student is not adequately prepared to practice as a nurse. This paper looks into the various challenges nursing practitioners undergo, and the ways or strategies to overcome them (Curtis, 2013).
Nursing Practitioner Challenges
One of the main challenges identified by nursing students is lack of sufficient money; many of the students reveal that they have to work part time to make ends meet, apart from studying. For some of them, the work means that they cannot attend class, and thus have to extend their programs (Loftin, Newman, Dumas, Gilden, & Bond, 2012).
Lack of Moral and Emotional Support
Lack of moral and emotional support has also…
Curtis, K. (2013). 21st Century challenges faced by nursing faculty in educating for compassionate practice: Embodied interpretation of phenomenological data, Nurse Education Today, Volume 33, Issue 7, Pages 746-750, ISSN 0260-6917, http://dx.doi.org/10.1016/j.nedt.2013.05.007 .
Aiken, L. H., Cheung, R. B., & Olds, D. M. (2009). Education policy initiatives to address the nurse shortage in the United States. Health Affairs, 28(4), w646-w656.
Bellfield, S. (2010). Factors influencing the Advancement of Professional Education of Nurses at a Magnet Hospital (Doctoral dissertation, Georgetown University).
Clarin, O. A. (2007). Strategies to overcome barriers to effective nurse practitioner and physician collaboration. The Journal for Nurse Practitioners, 3(8), 538-548.
attain qualitative infomation fom Advanced Nuse Pactitiones (APNs) to ascetain best pactices fo teating women who have expeienced Intimate Patne Violence (IPN)?
Take Home Message: Yes, it is possible to attain best pactices in such a way; these pactices include the fact that APNs can ceate a significantly positive impact on victims of IPN and thei families by poviding a safe envionment in which patients can addess these issues, and by continually asking questions egading thei safety in these mattes.
Bykczynsnki, K.A., Cane, P., Medina, C.K., Pedaza, D. (2009). Intimate stoes of patne violence: Advanced pactice nuses clinical stoies of success and challenge. Jounal of the Ameican Academy of Nuse Pactitiones. 23, 143-152.
Seach Stategy: The subsequent tems wee input into MEDLINE database: domestic violence advanced nuse pactitiones, health pomotion, intepeting esults. The aticles wee naowed down accoding to thei abstacts and titles. This aticle best suited the seach tems…
references to other studies. It is likely that when this research question is applied to IPV, the author's research was original. But it appears that it had already been established that input from experienced nurses can influence best practices.
This is one of the many reasons I look forward to being able to work within my own community. Nurses are at the forefront of community outreach and community betterment. As I get to know the local physicians, administrators, and program leaders, I can become a more effective member of the health care community.
In the future I intend to serve my community in a position of leadership, as a coordinator for healthcare services. I want to apply family systems theory to my nursing practice, because I see a growing demand for more collaborative methods of intervention that support rather than deny the role of family systems. With a great sensitivity to diversity in terms of religion and culture, I will be of great service to the local patient population.
While with the Post Masters Nurse Practitioner Program, I will improve my communications and networking skills because I believe in…
Specific recommendations for family therapists who employ parent training techniques are offered.
Summary and Conclusion
While Rogers does not completely define precisely the 'human' it is easily understood to be that of all aspects of the individual therefore, the environmental/ecological interaction theory, while not perfect is a good basis for the provision of healthcare to families by the nursing professional. Every aspect of the lives of a family illustrated through the interactions between the individuals and the community, neighborhood, place of employment, daycare institutions or school, laws, safety precautions, travel, mode of travel, mode of living, housing environment and indeed all elements expressed by the Macro, Micro, Meso, and Exo Levels effect the individuals. The individuals affect the environment and the elements contained therein as well through either actions or even inactions. These two facts clearly demonstrate the validity of the theory and the theoretical framework base described in this…
Sandelowski M. Troubling distinctions: a semiotics of the nursing; as cited by Joan Engebretson in Document entitled Hands-on: The Persistent Metaphor in Nursing, Holistic Nursing Practice Vol.16 No.4 07-01-2002 ISSN 09979311.
The Ecological Theory (nd) Online available at www.unt.edu/cpe/module1/blk1.htm
The Theoretical Matrix for a Rogerian Nursing Practice" by E.A.M.Barrett 2000, Theoria: Journal of Nursing Theory, 9 (4) p.3-7. Copyright 2000 by the Swedish Society for Nursing Theories in Practice, Research, and Education. Reprinted with permission. http://medweb.uwcm.ac.uk/martha/theory.htm
Meyers, S.A. An Ecological Approach to Enhancing Parenting Skills in Family Therapy "http: Kluwer Academic Publishers. http://www.ingentaconnect.com/content/klu/coft/1998/
Nurse's ole As esearcher
The nurse plays a unique role as a researcher. This involves them focusing on the latest treatment options, how they affect patients and the best times specific techniques should be utilized. Moreover, they must understand the numerous side effects of different therapies and how this will affect the patients they are working with. These areas help them to serve as confidant in comprehending how and when to apply certain procedures. (Allan, 2005)
At the same time, the nurse will understand the psychology, customs, behavior and biological factors which are contributing to a host of conditions. This enables them to comprehend the challenges patients are going through and the lasting impact this is having on them. When this happens, they can reduce suffering and improve their ability to cope with the issues they are facing. These insights will help patients to make a full recovery with reduced…
Allan, J. (2004). Clinical prevention and population health. American Journal of Preventive Medicine, 27(5), 470-481.
Allan, J. (2005). Clinical prevention and population health curriculum framework: The nursing perspective.
Allen, D. (2002). The Changing Shape of Nursing Practice. New York, NY: Routledge.
American Academy of Nurses. (2009). Nurses transforming health care using genetics and Genomics. Washington, DC: Author.
As such, a nurse is primarily to recognize herself as an individual in the world, with certain responses to this world. When a patient enters the hospital, such a patient is also to be seen as a unique individual who responds to the world and his or her environment in a certain way.
Humanistic nursing is then primarily experiential rather than experimental. This means that new knowledge is gained with every new patient that arrives for treatment. In giving treatment, responses are observed and noted for future reference in similar situations. It is not however assumed that a treatment will work because it did in the past and in similar conditions. Instead, hypotheses are based upon experiences of the past. The recognition that hypotheses may prove incorrect helps the nurse to be open to new experiences. Each human being is then seen as a "world," as it were, with the…
Cody, William K. & Kenney, Janet W. (2006). Philosophical and Theoretical Perspectives for Advanced Nursing Practice. Jones & Bartlett.
Collaboration for Academic Education in Nursing. (2009). Foundational Perspectives. http://www.caen.ca/content/view/46/133/
Current Nursing (2009, March 16). Nursing Theories. http://currentnursing.com/nursing_theory/development_of_nursing_theories.htm
Kleinman, Susan (2009). Humanistic Nursing Theory. http://www.humanistic-nursing.com/faq.htm
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.
A nurse must weigh these variables, physical, mental, and spiritual, when advising a course of treatment and deciding how to approach a patient or patient's family. An adolescent who is an injured athlete envisioning a lucrative college scholarship might demand and be able to physically and mentally withstand a more aggressive form of treatment, due to psychological and developmental and goal-related visions (spiritual) factors than might a less motivated elderly patient.
A nurse who is training other nurses can instill consideration for all such variables in her various trainees -- and encourage nurses to engage in self-care as well as patient care on spiritual, preventative physical health care, and mental levels. Additionally, in a work environment with many diverse cultures, remind other nurses that Neuman's model has also been modified slightly to take into consideration culture as well as mind, body, and spirit -- although culture and spiritual values are…
Neuman, B.M. (1990). The Neuman systems model: A theory for practice. In M.E. Parker (Ed.), Nursing theories in practice (pp. 241-261). New York: National League for Nursing.
Neuman, B.M. (Ed.). (1995). The Neuman systems model (3rd ed.). Norwalk, CT: Appleton & Lange.
Pierce, J.D., & Hutton, E. (1992). Applying the new concepts of the Neuman systems model. Nursing Forum, 27(1), 15-18.
Nursing Case Study: Mrs. C
Which model or models of health are most applicable to Mrs. C. And Why?
Since Mrs. C. appears to be in relatively good health and very independent, the best models of health to apply to her appears to be self-care combined with a holistic perspective. The integration of community and family connections is important, especially in the light of Mrs. C's tendency to fall and her pride in taking care of her daily necessities herself.
Which Healthy People 2020 objectives are of greatest importance to the Mrs. C.
The main important Objectives for Mrs. C. include quality of life, injury prevention, and, in the long-term, caregivers. Mrs. C. is currently enjoying a high quality of life, especially in terms of being able to handle the necessities of daily life herself. Injury prevention is currently of the highest concern, since she has reported falling. In the…
Nursing theory, research, and practice
Scenario in which theory, research, and practice interact to create good patient outcomes
Imogene King’s theory
Using the Imogene King’s theory to enhance Nurse-Patient Relationship
Enhanced Patient care
narrative explanation of your visual representation following the diagram.
Nursing theories have been developed as a way of trying to explain the fundamental importance of clinical practice (INSCOL, 2014). Even though these theories are used to guide practice, it is true to claim that most of them have not been put to the test as a way of determining whether the proposed nursing actions produce the claimed effects. If nursing asserts itself as the professional practice it is a professional practice environment must be supported and practiced. In order to enhance the outcome of patients and nursing staff then the professional nursing practice must be supported (INSCOL, 2014). There exist several nursing theories…
The researcher then draws conclusions based upon the answers provided by research participants.
This section of the study is qualitative in order to determine the positive and negative experiences of nursing professionals with collaboration. Such data can then be used in order to create strategies for improving current practices and collaboration schemes. In this way, subjective, experiential data play an important role in the improvement of human healthcare by improving the experiences of professionals.
3. The underlying purpose of the study includes exploration and prediction. In terms of the former, the current collaborative paradigm within healthcare, as involving nursing practitioners and family physicians, is explored for its effectiveness, efficiency, and the positive and negative experiences it creates for professionals and patients. Prediction occurs in terms of current practice and the possible implementation of new strategies.
Treatment, diagnosis, prognosis and prevention of harm are also facilitated by optimizing the efficiency of…
My solution has the potential benefits including the following. First, our hospital would be hailed as a progressive institution that serves all members of its community. Second, our hospital would benefit from improved quality of care. As a family nurse practitioner, I value the holistic approach to nursing. All aspects of the patient's life are taken into consideration. Other benefits more directly impact the patient's outcomes, and also workplace morale. As Oberle & Hughes (2008) point out, "administrators should provide opportunities for discourse to help staff reduce moral distress and generate creative strategies for dealing with this," (p. 707). Finally, benefits include ascription to the most fundamental of tenets of nursing. The American Nurses Association (2010) states that humanist, feminist, and social ethics should at all times be adhered to in the advanced nursing practice. The only costs associated with my solution would be the time and energy spent convincing…
American Nurses Association (2010). Code of Ethics for Nurses. Silver Spring: ANA.
Kaplan, C. (n.d.). Ethical dilemmas. Advance Healthcare Network. Retrieved online: http://nurse-practitioners-and-physician-assistants.advanceweb.com/article/ethical-dilemmas-2.aspx
Oberle, K. & Hughes, D. (2008). Doctors' and nurses' perceptions of ethical problems in end-of-life decisions. JAN 33(6): 707-715.
Decision to Pursue a Nursing Degree and Future Career Goals
This is an admission letter for acceptance into a Master Degree Program.
Like an increasing number of people, I have chosen to pursue a career in a new profession after years in another. I enjoy working with others and for the past seven years have been employed as both a special education teacher and a school counselor in various grade levels throughout middle and high school. My current goal is to pursue an advanced nursing by gaining admittance to the Second Degree BSN/MSN Program at Duquesne University, which may eventually lead to a career as a Family Nurse Practitioner.
Reasons for This Career
There are three main reasons I am pursuing a nursing career:
have always desired to work in a profession which is based on working with and serving people. This type of career gives me the…
According to the AACN's report, "Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women's Health" (2002), "Competencies are the domain or body of knowledge and skills that essentially define a profession or discipline. This domain of competencies guides training programs, provides expectations for employers, and drives the nature of assessment instruments and performance standards for credentialing institutions, certifying agencies, and accrediting organizations" (p. 14).
The core competencies for nurse practitioner graduates are intended to help candidates used what they have already learned and require a graduate-level education in order to attain certification as an APN and the AACN has developed this graduate curriculum as the basis for advanced practice nursing. As described by AACN, advanced practice nursing preparation includes ". . . graduate nursing core content (e.g., research, health policy, ethics, and more) and advanced nursing practice content (e.g., advanced health assessment, advanced physiology and…
(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.
The objective of this study is to examine graduate level nursing. Towards this end, this study will review the literature relating to graduate level nursing.
According to the American Association of Colleges of Nursing the present health-care system is presently undergoing a transformation. The report states that when a child is brought into the clinic to receive treatment for such as an earache, rather than being seen by a physician, the nurse practitioner makes provision of care for the child. As well, when patients are being prepared for surgery there are various specialists moving about in the surgery room however, it is not a physician that has been trained for administration of the anesthesia but instead it is a certified nurse anesthetist. (paraphrased)
Expansion of the Nursing Practitioner Role
The role of the nurse practitioner has undergone great expansion in recent years enabled by the master's degree in nursing.…
Accelerated Nursing Programs (2014) American Association of Colleges of Nursing. Retrieved from: http://www.aacn.nche.edu/students/accelerated-nursing-programs
Allabaugh, D. (2014) Growth Expected in Graduate Level Nurses. The Times Tribune. Retrieved from: http://thetimes-tribune.com/news/business/growth-expected-in-graduate-level-nurses-1.1663223
Kutney-Lee, A. And Aiken, LH (2013) The Case of Baccalaureate-Prepared Nurses. LDI Issue Brief. Vol. 18, Issue 6. May/June 2013. Retrieved from: http://ldihealtheconomist.com/media/the_case_for_baccalaureate-prepared_nurses.pdf
Nursing to Become Graduate-Level Job (2009) The Guardian. Retrieved from: http://www.theguardian.com/education/2009/nov/12/nursing-to-become-graduate-profession
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.).
Entrepreneurship: Nurse-Owned Clinics and Beyond Mobile FNP (Family Nurse Practitioners)
There are over 125,000 NPs (nurse practitioners) in the U.S., as per estimates of the AANP (American Academy of NPs). Compared to physician assistants, NPs enjoy greater autonomy and responsibility, and have been increasingly assuming roles in administrative leadership, aside from their conventional patient-care duties at clinics and hospitals. However, owing to the thorough knowledge required to succeed within private practice settings, NPs often establish independent practices after many years of experience at healthcare centers such as hospitals, in the role of salaried NPs (Furlow, 2011).
According to the Chief Executive of the NNCC (National Nursing Centers Consortium), Tine Hansen-Turton, a substantial growth has been observed in nurse-run health clinics, before as well as subsequent to the implementation of the ACA (Affordable Care Act). She claims the number of nurse-run clinics across the nation has now grown to five-hundred; this…
Aiken, L.H. & Sage, W.M. (1992). Staffing national health care reform: a role for advanced practice nurses. Akron Law Review, 26. Retrieved from https://www.uakron.edu/dotAsset/3ed241d2-f4fa-4afe-aca6-deacf419abcb.pdf
Fraino, J.A. (2015). Mobile nurse practitioner: A pilot program to address service gaps experienced by homeless individuals. Journal of Psychosocial Nursing, 53. Retrieved from http://repository.usfca.edu/cgi/viewcontent.cgi?article=1000&context=health_stu
Furlow, B. (2011, May 30). Business advice for nurse practitioners considering private practice. Clinical Advisor. Retrieved from http://www.clinicaladvisor.com/your-career/business - advice-for-nurse-practitioners-considering-private-practice/article/203953/
Helseth, C. (2010, May 7). Advanced practice nurses fill health care gaps in rural areas. Rural Health Information Hub. Retrieved from https://www.ruralhealthinfo.org/rural- monitor/advanced-practice-nurses-fill-gaps/
Master of Science in Nursing (MSN) - RN to MSN - Family Nurse Practitioner
I wish to pursue a Master of Science in Nursing (MSN). The program is specifically designed for RNs such as myself to obtain an MSN in this field. I consider this the next step in my journey to my ultimate goal of nursing a doctor of nursing practice.
I have been working as an RN since 2007. I will receive my BS in nursing from Holy Names University in August of 2015. I am proud to say that I have a straight A average and have received the distinction of being placed on the president's list because I have maintained a 3.8-4.0 G.P.A every semester.
For all of my classes, I completed numerous research papers on a variety of nursing topics, spanning from technical subjects regarding nursing care to nursing…
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]
North Mountain Medical is a super sniff facility as they specialized in high acuity level patient. The patient structure is respiratory, with staff trained in tracheostomy care and ventilator management. In house hemodialysis, in house physical therapy. This facility has been in operation since 2004. Patients in this facility do not self-diagnose. Patient diagnoses are from Medical doctors and Nurse Practitioners that work on site. Patient in the facility are cared for by interdisciplinary team. Certified nursing assistants that care for patient will normally report a Change in patient’s condition to the nurse. Nurse completes an assessment and report changes immediately to the doctor. In the event of an emergency patients are send to emergency room for further evaluation and treatment. Health is a right in this facility. Yes, most of the patient’s life style has impacted the health of the patient. Noncompliance with medication regimen and diet changes. Patients…
Personal Nursing Philosophy
My Nursing Autobiography
I have dreamt of being a nurse all my life. My mother and older cousins tell me stories of how I loved to line up my dolls and animals, place bandages over them to nurse their 'injuries' and stick branches in their armpits to have a feel of their temperature. Well, I believe these stories because to this day, these are the very things that keep my life going; I derive so much satisfaction from just being able to help people when they are in no position to help themselves. I took an elective nursing course in high school, where I was supposed to report at the local facility at least once every week to assist in the administration of basic care to patients. This marked the beginning of my career in nursing, and since then, I have logged almost 15 years of experience…
Reed, P. (2012). A Treatise on Nursing Knowledge Development for the 21st Century: Beyond Postmodernism. In P. Reed & N. Shearer (Eds.), Perspectives of Nursing Theory (6th ed.) (pp. 37-46). Burlington, MA: Jones & Bartlett.
Reed, P. & Lawrence, L. (2008). A Paradigm for the Production of Practice-Based Knowledge. Journal of Nursing Management, 16(4), 422-432
Volker, D.L. & Limerick, M. (2007). What Constitutes a Dignified Death? The Voice of Oncology Advanced Practice Nurses. Clin Nurse Spec., 21(5), 241-247
Pillars of Nurse Treatment
In my humble esteem, I believe there is a fair amount of truth in the statements that pertain to these two questions in this assignment. On an extremely fundamental level, working as a nurse certainly involves increasing the level of comfort for patients. The notion of making patients more comfortable is the crux of these couple of statements, which reference hand holding and back rubbing as examples of how nurses can make others feel better. Again, the need to do so is certainly something that most patients appreciate, and which benefits them in both the short-term and the long-term. However, there is more to nursing than simply comforting someone during their time of distress. In fact, there is a significant amount of aspects pertaining to nursing that actually have very little to do with comforting patients. Nurses need to understand many different technical principles, many of…
Buresh, B., & Gordon, S. (2013). From silence to voice: What nurses know and must communicate to the public (3rd ed.). Ithaca, NY: ILR Press. ISBN: 9780801478734.
Naylor, M.D., Kurtzman, E.T. (2010). The role of nurse practitioners in reinventing primary care. http://content.healthaffairs.org / Retrieved from
The patient's chief complaint is a rash and scathes that appear as tunnels. There are small, grey-white linear lesions with a minute black speck at the closed end. The rash is persistently itchy.
Precipitating/Alleviating Factors/Past Medical History
There are no obvious precipitating factors. The patient is young and otherwise healthy. The patient has a normal diet, and reports no surgeries, history of illness, medications (except OTC Tylenol) or allergies. The patient works in an oil field, however, and in the course of that work may have been exposed to hazardous chemicals, which are common in that industry. The patient's family does not have any medical history that appears related to the rash. The patient is sexually active with one partner. The patient's financial and living situation is stable. It is not known if the partner has a similar rash, but this would be important information because scabies…
Monsel, G. & Chosidow, O. (2012). Management of scabies. Skin Therapy Letter. Retrieved July 15, 2016 from http://www.skintherapyletter.com/2012/17.3/1.html
Papa, C. (2016) Clinical methods: The history, physical and laboratory examinations: Skin. Butterworth Publishers. Retrieved July 15, 2016 from http://www.ncbi.nlm.nih.gov/books/NBK208/
PCDS (2016). Skin lesion. Primary Care Dermatology Society. Retrieved July 15, 2016 from http://www.pcds.org.uk/p/skin-lesion-appearance-brown-black-blue
Difficult Situations as a Nurse Practitioner
The scenario for the nurse practitioner centers on Angela Smith and her family. Angela is a 55-year-old who suffered a stroke and admitted after neighbors noticed some really odd behaviors. The situation was further complicated when Angela suffered a respiratory arrest and required mechanical ventilation and after a second CT scan the team found that she bleed into the ventricles and brainstem which may have caused irreversible brain damage. Her condition is quite serious and there must be a decision made about how to proceed with the care for Angela. It is likely that she will need long-term ventilation and PEG and the neurological team suspects that the brain damage is irreversible.
The most difficult aspect to this scenario is that there is no advanced directive and the family is being indefensibly optimistic regarding the potential for recovery. In fact, the patient's…
Burchum, J. (2002). Cultural Competence: An Evolutionary Perspective. Nursing Forum, 5-15.
Campinha-Bacote, J. (2002). The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care. Journal of Transactional Nursing, 181-184.
Tervalon, M., & Murray-Garcia, J. (1998). Cultural Humility vs. Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education. Journal for Health Care for the Poor and Underserved, 117-125.
Nurse managed care has many potential benefits in a largely taxed healthcare system such as found in the United States. One specific area of improvement could come from the reliance on the crowded emergency department. Many homeless and low-income individuals often rely on the emergency department (ED) as their primary health care source because they are not able to access alternative healthcare sources. One proposed solution to such overcrowding in the ED, is to promote nurse managed lower cost clinics that can assist a majority of this populations non-emergency needs as well as help them to access additional community resources that they may need to treat their specific conditions (Savage, Lindsell, Gillespie, Lee, & Corbin, 2008).
There are many different perspectives that have been applied to such a proposal. One is that it can help train and provide experience for young nurses. Another is that it could help to…
Savage, C., Lindsell, C., Gillespie, G., Lee, R., & Corbin, A. (2008). Blackwell Publishing Ltd. Improving health status of homeless patients at a nurse-managed clinic in the Midwest USA. Health and Social Care in the Community, 469-475.
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.
Patient’s chief complaint, reason for visit
Ms. Richards arrived complaining that she was experiencing severe anal pain, so much so that using a tissue was also proving impossible. She claimed the pain began a couple of days earlier and has aggravated considerably since.
History of Present Illness
Ms. Richards arrived complaining of anal pain which commenced a couple of days earlier and has aggravated since. With regard to her intimate relationships, Ms. Richards states that though she has a boyfriend, their relationship isn’t serious as the two are also seeing other people. According to internal assessment reports, patient has normal hair distribution, an intact perineum, and intact urethral meatus without any discharge or inflammation. However, patient experiences unbearable pain on vaginal opening palpation, redness, and edema. Further, a mass has been identified on the right, with spontaneous, dark-yellow, smelly secretion with palpation over the Bartholin's glands.
Nursing Theories Practices
Sister Callista oy initiated the Adaptation Model of Nursing in 1976. The theory has since then evolved to be one of the prominent nursing theories. The nursing theory defines and explains the nursing care provisions. The model by oy sees an individual as a composite of systems with an interrelationship (including biological, social, and psychological). According to Haaf (2008), a person strives towards retaining a balance across the systems and the outside world, although absolute balance levels do not exist. Individuals work towards living in unique bands that they can adequately cope. The model has four major concepts of environment, person, nursing, and health and its application has six steps.
According to Kraszeski & McEwen (2010), a person is a representation of societal standards, principles, or focus. oy's model positions the individual as the bio-psychosocial being throughout a continually changing environment. The person allows for…
Butts, J.B., & Rich, K., (2012). Nursing Ethics: Across the Curriculum and Into Practice. New York: Jones & Bartlett Publishers
Clark, C., (2008). Creative Nursing Leadership and Management. New York: Jones & Bartlett Learning
Clarke, V., & Walsh, A., (eds) (2009). Fundamentals of mental health nursing. Maidenhead: Open University Press.
Cowen, M. Maier, P. Price, G. (2009). Study skills for nursing and healthcare students. Harlow: Pearson Longman.
Nursing education has come a long way since my aunt was a practitioner. A Registered Nurse, my aunt worked in geriatric care for twenty years, and in psychiatric care for five years before that. I took my cue from her, developing my skills in a systematic way during my undergraduate education before embarking on a serious investigation of my career options as a nurse. The Doctor of Nursing Practice was not an option until relatively recently; and it is only within the past year that I determined it to be the best degree program for my skills, needs, philosophies, and my personal vision. My skills as a practitioner are both clinical in nature and caring in tone, as I combine evidence-based approaches to health care with the artful mastery of caring for the whole person. This means that I have a family systems approach to health and healing. I view…
The main factor of the pathophysiology for Jennifer is a marked pain in her throat. Her throat has become sore, specifically her cervical nodes (which is a sign clearly indicative of disease). Thus it is difficult to eat, which explains why she neglected to eat her breakfast. Another capital aspect of Jennifer’s pathophysiology which is particularly revealing is her fever, which is common in children (de Pont, 2015, p. 2). Initially her fever was low grade. However, in just a matter of days it exceeded 103 degrees. Her body is attempting to counteract the effects of the malady afflicting it via the fever. One of the foremost associated alterations of her adaptive responses is the current state of her skin. Her skin is desiccated and warm, which is indicative of the fever the child has experienced over the past couple of days. Her skin will likely continue to…
Nursing History, Theories and Conceptual Model
The three trends in nursing practice that become evident to me from viewing the Nuring Timeline of Historical Events are: first, the rise of formal education and training for nurses—especially in the latter half of the 20th century when more and more doctors were leaving primary care for special practice and APRNs were being trained to fill the gap in primary care (O’Brien, 2003). Second, there is the rise of advocacy in terms of improving the quality of care provided to patients. This resulted in a push for the application of more evidence-based practice (EBP). In my own perspective on Nursing Practice, I view this focus on EBP as one of the most important developments in the history of nursing, as it ensures that patients are receiving care that is based on scientific and empirical proof rather than just on whatever one feels might…
Nursing and Genetics
As noted by Lea (et al.) "Obtaining a family history is an established and familiar screening activity used by nurses and other healthcare providers across many healthcare settings" (Lea 2010:4). However, the increased commonality of doing a genetic profile on patients has made gathering such a family history far more revelatory than ever before. Nurses must gain a better understanding of how genetics affects patient health in a very specific fashion to be effective healthcare providers in the future. Nurses are "ideally situated" to inform patients about what genetic information means, given the patient-centered focus of the profession (Lea 2011: 3). Nurses must understand the implications of genetic testing to comprehend the extent to which a disease is likely to manifest itself in a patient. Patients must be able to realistically evaluate the threats they face.
At present, "genetic tests are offered to those suspected of having…
Conley, Y. & Tinkle, M. (2006). The future of genomic nursing research. Journal of Nursing
Scholarship, 38: 213-218
Lea, DH (et al. 2011). Implications for educating the next generation of nurses on genetics and genomics in the 21st century. Journal of Nursing Scholarship, 43:1, 3 -- 12.
Lea, DH (2006). U.S. genetics nurses in advanced practice. Journal of Nursing Scholarship,
ADN vs. BSN
The ADN vs. The BSN:
A comparison of both nursing degrees
Students wishing to enter the profession of nursing are often faced with two clear choices: that of an ADN (associate degree in nursing) and a BSN (Bachelor of Science nursing degree). An ADN generally takes two years and is often offered by a community college or state school. As a result, it is substantially cheaper than a four-year BSN. Obtaining an ADN still allows a nurse to sit for the NCLEX-N. "The coursework of an associate's degree in nursing covers the following general subjects: fundamentals of nursing, infection control, nutrition and dietetics, basic microbiology, basic medical nursing, pediatric nursing, and more" ("What you need to know," 2014). It should be noted that an ADN does not have to be a terminal degree and there are ADN 'bridge' programs that allow practicing nurses currently possessing…
ADN vs. BSN: Which should you choose? (2014). Monster. Retrieved from:
The future of the associate degree in nursing program. (2014). Nursing Licensure.
Retrieved from: http://www.nursinglicensure.org/articles/adn-program-future.html
Nursing theories are used for describing; developing, disseminating and they use present day knowledge in nursing. There are various nursing theories that are used by nurses as a guide to their day-to-day practice in nursing. This paper will look give views on theory-driven and evidence based of tow nursing theories.
One of these theories is the self-care theory by Dorothea Orem. The major concept in this theory is an art through which the nursing practitioner gives assistance that is specialized to individuals with disabilities that makes more than ordinary assistance necessary for meeting the needs for self-care. Self-care requirements are actions that are directed towards providing self-care presented in three categories; universal self-care requisites, development self-care requisites and health deviation self-care requisites.
There are various assumptions that were made in this theory such as people have to be self-reliant and responsible when it comes to their own care as well…
Gonzalo A., (2011). Theoretical Foundations of Nursing. Retrieved October 7, 2014 from http://nursingtheories.weebly.com/dorothea-e-orem.html
Currentnursing, (2012). Virginia Henderson's Need Theory. Retrieved October 7, 2014 from http://currentnursing.com/nursing_theory/Henderson.html
Ethical Scenario: Skills as a Nurse Practioner
Nurses and other health care suppliers are the ones that are continuously confronted to make ethical choices in regards to things like life and death matters in giving out care to individuals, communities and families. To be pertinent and ethical, these choices need to be measured in the larger context of personal, societal, cultural and professional values and ethical ideologies. As scientific and medical technology advance, persons and society look at dilemmas and hard ethical choices. Nurses, as part of society and as frontline health care specialists, day-to-day face ethical dilemmas connected to life and death and fairness in health care. With that said, this paper examines the scenario of patient and nurse utilizing ethical principles.
As a nurse, the first thing to do is to understand that an unintended pregnancy further confuses the already confusing physical and mental changes of teens. Adolescents…
Begley A.M., 2. (2008). Truth-telling, honesty and compassion: a virtue-based exploration of a dilemma in practice. International Journal of Nursing Practice, 8, 336-341.
Lawlor, A. (2015, July 29). Morning-after pill poses moral dilemma for some MDs. Retrieved from http://www.consciencelaws.org/background/procedures/birth008.aspx
Marsh, B. (2015, July 29). Nurses' fear for morning-after pill. Retrieved from Daily Mail: http://www.dailymail.co.uk/health/article-179092/Nurses-fear-morning-pill.html
RN, M.S. (2013). The Ethical Component of Nursing Education: Integrating Ethics into Clinical Experiences. LWW; 1 edition.
According to the Joint Statement on Delegation produced by the American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN) "the N assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient's condition, complexity of the task, predictability of the outcomes, abilities of the staff to who the task is delegated, and the context of other patient needs" (Joint Statement).
In this particular case, it is easy to determine the frustrating aspects affecting Ms. W. It can also be a relatively simple matter to correct the situation in order to ensure effective care for Ms. . The nursing supervisor in this case would sit down with Ms. W. And map out a strategy for the patient's care, remembering of course that the key to successful delegation "depends on the quality of N and NAP working…
Joint Statement on Delegation, American Nurses Association and the National Council of State Boards of Nursing (NCSBN).
Potter, P.; Deshields, T.; & Kuhrik, M.; (2010) Delegation practices between registered nurses and nursing assistive personnel, Journal of Nursing Management, Vol. 18, Issue 2, pp. 157-165
The death of a child is significant and in this case avoidable and a plaintiff has the right to seek compensatory damages as is allowed by law.
Case Study 1 Part B
At the end of the night shift, Nurse Brown took a verbal handover and then noticed the observation chart had not been filled in. To assist her friend, Nurse Harvey, whom she knew had a busy night, filled in the observation chart and fluid balance chart for the hours from 0200-0600 hrs.
Overcome by the events of the last 24 hrs, Nurse Harvey and Nurse Brown go to the local tavern for a few drinks before Nurse Harvey goes on duty. They discussed Mr. Spencer and his son. John, a friend of Mr. Spencer, overheard the conversation and joined them. He was also upset by the events of the day and was most keen to discuss the accident…
Hall, J. (1960). General Principles of Criminal Law (2nd ed.). Indianapolis: Bobbs-Merrill.
Markesinis, B.S., & Deakin, S.F. (1999). Tort Law (4th ed.). Oxford: Clarendon Press.
ANCI Competency Standards for the Enrolled Nurse at http://www.anmc.org.au/docs/Publications/Competency%20standards%20EN.pdf
Scope of Nursing Practice Decision Making Framework, 2006 at http://www.nursingboardtas.org.au/nbtonline.nsf/attachment/SoPDMFFinal/$File/Scope%20of%20Nursing%20Practice%20Decision%20Making%20Framework.pdf
Taking the history of a patient is a crucial aspect of patient assessment and treatment. A good history can mean the difference between a successful patient outcome and unsatisfactory outcomes. However, taking a complete and useful history is a skill that is developed by means of training and practice; it is not some talent that is innate (Bickley & Szilagyi, 2007; McKenna et al., 2011). According to Craig (2007) nurses are increasingly being asked to take patient histories. Given these growing responsibilities nurses need training and guidelines to taking an adequate patient history. The following is a summary and critique of Craig, L. H, (2007), A "Guide to Taking a Patient's History" in Nursing Standard, volume 22, issue 13, pages 42-48.
Craig (2007) takes a comprehensive approach to explaining the interview and history taking process. This approach is applicable for most any patient population; however, Craig does not…
Alarcon, R.D. (2009). Culture, cultural factors and psychiatric diagnosis: Review and projections. World Psychiatry, 8, 131 -- 139.
Bickley, L.S. & Szilagyi, P.G. (2007). Bates' Guide to Physical Examination and History
Taking. 9th ed. Hagerstown, MD: Lippincott, Williams & Wilkins.
Craig, L.H. (2007). A guide to taking a patient's history. Nursing Standard, 22 (13), 42-48.
In addition to lecture-based introduction to religious differences, video and/or live presentations from religious leaders and clergy from different faiths and role play exercises, the proposed implementation of training in this area should also include presentations from more experienced nurses who have already successfully negotiated the delicate issues involved.
Spiritual support undoubtedly provides measurable benefits in the hospital environment where it is well received by patients. In American society, religious pluralism requires the exercise of extreme sensitivity when it comes to offering patients spiritual support. While it is certainly possible to provide beneficial spiritual support such as prayer even where nurse and patient do not share the same religious beliefs, doing so dramatically increases the possibility of offending patients rather than benefiting them.
Maximizing the potential benefit of spiritual support while minimizing negative consequences requires vocational training designed to increase awareness of the full variety of religious belief systems…
Campbell CL, Reed-Ash C. (2007). "Keeping Faith." Journal of Hospice and Palliative Nursing. Vol. 9, No. 1.
Cavendish R, Konecny L, Krayuyak-Luis B, Lanza M. (2004). "Nurses Enhance Performance Through Prayer." Holistic Nursing Practice. Vol. 18, No. 1.
Galek K, Flannelly KJ, Vane a, Galek RM. (2005). "Assessing a Patient's Spiritual Needs: A Comprehensive Instrument." Holistic Nursing Practice. Vol. 19, No. 2. Grant D. (2004). "Spiritual Interventions: How, When, and Why Nurses Use Them."
Holistic Nursing Practice. Vol. 18, No. 1. Johnston-Taylor E. (2003). "Prayer's Clinical Issues and Implications." Holistic Nursing Practice. Vol. 17, No. 4. Nuss-Kotecki C. (2002). "Developing a Health Promotion Program for Faith-Based Communities." Holistic Nursing Practice. Vol. 16, No. 3.
Ethical Compassion in Nursing
hat personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
The role played by the nurse professional is highly consequential to the health outcomes experiences by patients. This means that the nursing profession must be highly regulated by clearly defined and positively reinforced ethical provisions. These provisions are given by the ANA Nursing Code of Ethics and, in my personal experiences, are imperative as a way of dictating how we, as professionals, are expected to engage patients, required to relate to colleagues and trained to respect human dignity. This connection between ethicality and treatment quality contributes both to my personal worldview and to the broader field of nursing. ith specific reference to my experiences in the NICU and maternity wards, this connection takes on particular importance. Here, quality outcomes mean sound,…
Allen, D.E., & Vitale-Nolen, R.A. (2005). Patient care delivery model improves nurse job satisfaction. Journal of Continuing Education in Nursing, 36(6), 277-282.
ANA. (2004). The Nurses Code of Ethics. The Center for Ethics and Human Rights.
Communication between nurses is an important instrument for professionals to deliver safe, quality healthcare as a team. Therefore, provision of quality healthcare in hospitals, depends entirely on the capability of the health practitioners to communicate efficiently between each other. However, little healthcare education addresses inter-professional communication, and this may account for the major medical errors. In addition, communication is significant given the interdependence of professionals and the important role they play towards providing quality patient care. Various factors constitute effective and ineffective communication (Manjlovich, Antonakos and onis, 2010). espect is a factor that may facilitate effective communication while negligence is a factor that may facilitate ineffective communication.
The operating room is a crucial facility in the hospital setting. Many of the errors that arise in the operating room result from failed communication between the nurses, healthcare team and the patient. In addition, there are factors that may bring…
Manajlovich, M., Antonakos, L.C., & Ronis, L.D. (2009). Intensive Care Units,
Communication Between Nurses and Physicians, and Patient Outcomes. American Association of Critical-Care Nurses, 18(1), 21-30
Marshall, S., Harrison, J., & Flangan, B. (2009). The Teaching of Structured Tool
Improves the Clarity and Content of Inter-professional Clinical Communication. Quality and Safety in Health Care, 18(2), 137-140.
Studies suggest that more computerized order entry of medications helps reduce errors by limiting interpretation errors due to handwriting (Meadows, 2003). Thus more order entry is involving computers to protect patients. A culture that supports safety and safe practices has also been adopted to provide nursing staff and patients information about drug therapy and medication to ensure that everyone is aware of the need for safe practices when utilizing and dispensing medications.
Describe the strategies used to ensure nursing practice is performed within legal requirements and ethical frameworks
Nurses now "live and work in a world where there is no single reality but many coexisting realities among which they must choose" (Johnston, 1999:1). Given that through more and more nurses are forced to make legal and ethical decisions and take steps that will determine the best processes to adopt to ensure that moral and legal processes are adopted and followed.…
Campbell, D.W. & Sigsby, L.M. (1995). "Nursing interventions classification: A content analysis of nursing activities in public schools." Journal of Community Health Nursing, 12(4): 229.
Caretto, V.A. & McCormick, C.S. (1991). "Community as Client: A Hand's on experience for baccalaureate nursing students." Journal of Community Health Nursing, 8(3): 179.
Johnston, M.J. (1999). Bioethics: A nursing perspective. Sydney: Harcourt Saunders.
Lumby, J. & Picone, D. (2000). Clinical challenges: Focus on nursing. St. Leanords:
Expressive functioning is related to communication such as emotional, verbal, and nonverbal communication, problem solving and roles within the family. Beliefs within the family are also a part of expressive functioning.
For the purpose of the Calgary Family Assessment Model, a family is defined as who they say they are. It is very important that the clinician performing the assessment not assign their own beliefs upon what he or she believes a family is, and take into account what the patient feels about family as to the patient is may mean not only the people who actually live within the household but can also address past, present and future emotional attachments.
Calgary Family Intervention Model:
The immediate family is composed of Mr. Herbert Schelley (the patient), Mrs. Annette Schelley (his wife), and their son Thomas Schelley. The extended family consists of the Schelley's two married daughters, their husbands and their…
Brownwald H. ed. (2003) Harrison's Textbook of Internal Medicine, 15th edition,
McGraw-Hill, New York
Clement S. (2004) Guidelines for glycemic control. Clin Cornerstone. 6(2):31-9
Echeverry D.M., Dike M.R., Washington C., Davidson M.B.. (1995). The impact of using a low-literacy patient education tool on process measures of diabetes care in a minority population J. Natl Med Assoc. (11):1074-81
Many recommend use of minimally invasive techniques including SEPS to treat and address problems related to chronic venous insufficiency (Kalra & Glovisczki, 2002). Multiple studies confirm the safety and efficacy of SEPS when used early, especially resulting from its low complication rates compared with other procedures including the formerly popular Linton procedures (Kalra & Gloiscki, 2002; Lee, et al. 2003; Tenbrook, et al., 2004; Bianchi, et al. 2003).
More randomized clinical trials are necessary however to answer additional questions related to the efficacy of new procedures including SEPS, though this procedures remains important for patients with advanced CVI secondary to PVI or with patients who do not demonstrate other complications including DVT (Kalra & Gloiscki, 2002; Bianchi, et al. 2003).
Wagner-Cox (2005) also notes that it is important for nurses to be considerate, knowledgeable and compassionate toward patients with acute and chronic illnesses, especially when caring for…
Baranoski, S. & Thimsen, K. (2003, Aug). "Oasis Skin and Wound Integumentary
Assessment Items: Applying the WOCN Guidance Document." Home Healthcare Nurse, 21(8): Supplement 3-13.
Baron, H.C., Wayne, M.G., Santiago, C.A. & Grossi, R. (2004, Sep-Oct). Vasc
Endovascular Surg. 38(5): 439-42.
Clearly, since the focus of these articles are based on an institutional economics point-of-view of healthcare quality, a limitation of the study is that it does not take into consideration other variables that might influence the efficiency of nursing homes in providing quality healthcare. Among these unaccounted variables are the politics behind healthcare, specifically federal laws and policies related to the provision of healthcare. Apart from policies and laws, another variables unaccounted for in this study is a thorough look or analysis of the relational dynamics between patients and nurses, as well as other healthcare practitioners and professionals. This variable is vital in understanding the concept of quality healthcare because it provides an in-depth look at the 'experiential" dimension or perspective healthcare -- that is, healthcare quality as assessed by patients and healthcare professionals/practitioners.
In terms of socio-demographic characteristics, the literature collated regarding nursing home care does not…