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The findings in this study suggest that understanding collective learning processes contributes to knowledge about technology adoption and organizational innovation, an area of research that has been conducted almost exclusively using an organization-level lens. Our study suggests an important role for a group-Level lens, with attention to how interdependent team members view a technology and the nature of the challenge it presents. How a technology is framed can make the challenge of learning compelling and exciting rather than threatening and painful. This study also calls attention to the role of team leaders rather than the role of senior management in leading change...they suggested that face-to-face leadership and teamwork can allow organizations to adapt successfully when confronted with new technology that threatens existing routines. These findings suggest the potential to impose an additional challenge on surgeons -- and other team and project leaders, who already carry the weight of many burdens.…… [Read More]
An overview of the profession and its future outlook
To become a certified nurse anesthetist (CNA) requires a registered nurse to obtain an advanced degree beyond that of the undergraduate level. "Nurse anesthetists (CNAs) are registered nurses with specialized graduate-level education in anesthesiology who provide anesthesia services ordered by a physician, dentist, or podiatrist, and are certified by the BN [Board of egistered Nursing] in this specialty" ("Advanced Practice Nurses," 2015). CNA duties encompass sedation; coordinating treatment care during the process of anesthesia administration, and also palliative care. "Anesthesia practice consists of all accepted anesthesia techniques including general, epidural, spinal, peripheral nerve block, sedation or local" ("Advanced Practice Nurses," 2015).
Although the educational demands are considerable upon nurse anesthetists, this field is one of the most lucrative within the health professions. These professionals can expect to devote 6 to 7 years to obtaining their degree but the average…… [Read More]
Anesthesiologists are charged with monitoring the vital life functions, such as heart rate, blood pressure, temperature, and breathing as well as pain control for surgery patients. Additionally, they assist patience with pain relief after surgery, during child birth, or in response to illness that present chronic pain. Nurse anesthetists, the longest standing nurse specialty group in the United States, have delivered anesthesia care for nearly 150 years. The development of nurse anesthesiology was a major factor in the advancement of the field of surgery in the United States. In the late 1800's the high rate of morbidity due to poor anesthetic practices increased the demand for clinicians who specialized in anesthesiology. Prior to the formal development of this field, little training was given to the person administering the anesthesia, who was more or less an extra pair of hands for the physician whose attention was thus divided between…… [Read More]
Nurse Anesthetist's Practice In Many Delivery Models Of Care
Nurse anesthetists across the nation have administered anesthesia to people for a century and a half -- long before it became a doctor specialty. Conventional training occurred in military or hospital-based programs ranging from some months to even years in length. Surgeons strongly supported Certified Registered Nurse Anesthetists (CRNA) practice rights and abilities, and continue to do so. Dr. George Crile, Cleveland Clinic Foundation's founder and general surgeon was targeted in 1912 by physicians in Ohio, via the state's Attorney General and Medical oard, owing to his advocacy of nurse anesthetists. Dr. Crile, together with the Lakeside Hospital he worked in, was threatened with physician payment and hospital appropriation finance withdrawal, for his support of nurse anesthetist training and employment. Following a lengthy struggle that lasted 5 years, the doctor and his hospital tasted victory in their nurse anesthetist advocacy. Crile's…… [Read More]
Certified Registered Nurse nesthetist
Educational and professional needs to do the job
You will find many compelling causes of minority nurses who opt for graduate education and niche nursing certifications. Obtaining these qualifications paves the way to some wide new range of rewarding and expert career guides and paths along with opportunities of leadership and management opportunities ranging from high-end nursing professor roles as well as nurse researcher to vocations such as nurse specialist, nurse anesthetist, nurse executive, and much more. In addition, the Institute of Medicine's (IOM's) in a recent study, known aslso as landmark for the year 2010, asserted that the way forward for Nursing: Leading Change, Evolving Health requires each and every nurse to "achieve greater amounts of education and training" and "attain competency in specific content areas" to be able to respond better in the current and quickly changing healthcare atmosphere (Chwedyk, 2012).
However the IOM…… [Read More]
Nurse anesthetists provide anesthesia to patients, relieving the pain of childbirth and of surgeries for over a century in America. It's a job which requires anesthesia to be given before, during and/or after surgery. Nurse anesthetists have to be ready and competent to handle a wide range of intense situations, making this particular career path more intensive than other fields in nursing. These professionals offer anesthesia in conjunction with surgeons, anesthesiologists and other healthcare professions.
The scope of their practice is heavily nuanced and includes the following: engaging in the preanesthetic assessment along with all consultation and diagnostic studies (aana.com, 2010). Being responsible for obtaining all preanesthetic medications, and getting all informed consent for anesthesia (aana.com, 2010). The nurse anesthetist is the one who needs to create the entire anesthetic plan, while initiate the anesthetic technique, while engaging in all noninvasive and invasive monitoring techniques for…… [Read More]
Drug Shortage on Anesthesia Providers
The rate of drug shortage has risen from 70 (2006) to 211 (2011). In the year 2012, the American Food and Drug Administration (FDA) reported over 225 drug shortages. These shortages affect anesthesiologists, in particular. According to the GAO (Government Accountability Office), central nervous system (CNS) drugs and anesthetics constitute 17% of total shortages; they also come under the categories of drugs regularly experiencing highest shortage frequency (Orlovich & Kelly, 2015). Eventually, drug shortage adversely impacts patients' safety. Numerous factors contribute to drug shortages, including disrupted supply of raw materials, lean inventory from producers to hospitals, and increasingly complicated international supply chain. FDA-implicated reasons for shortage include the novel Unapproved Drugs Initiative and failed inspections. A recent House Oversight Committee blamed FDA overregulation considerably. Critical supply producers are shut down due to insufficient documentation and technical breaches having marginal impact on safety. Clearly, the resultant…… [Read More]
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…… [Read More]
There are a number of significant differences between in the art of teaching nursing skills at the university level and the art of teaching nursing skills at the community level. The educational opportunities are similar at both types of institutions but the demands on faculty are different at each level.
Current literature shows that "approximately 42% of students enter community colleges with reading, writing, or math skills below the college level' (Cohen, Brawer, 2003) and therefore many of these students "need basic skills preparation in remedial-developmental courses" (National Center for Educational Statistics, 2003). The need for basic skills preparation is evident of many students entering college, but especially so for those who are entering at the community college level. Many of these students have not gained acceptance into the larger universities, or have the desire to hone their educational skills before tackling the demanding requirements of four-year colleges and…… [Read More]
Nursing Doctoral Business Proposal
The benefits of staffing Advanced Nurse Practitioners (ANP) as ANP Case Managers
A Nurse Practitioner (NP) is a registered nurse educated and certified to operate autonomously and collaboratively in an advanced and comprehensive medical responsibility. The practitioner has several additional roles under which they are to conduct diagnostic investigations, prescribe medications and undertake referrals to specialist clinical medications. esearch suggests that when nurses undertake prescription roles, it can result to increased efficiency, maximization of resources, and improve patient access to medicines and enable nurses to provide timely and extensive care packages (Cashin, Buckley, Newman & Dunn, 2009). In the advanced practitioner context, the roles that exist include the Clinical Nurse Specialist, the Certified Nurse Midwife, the Nurse Anesthetist and the Nurse Practitioner.
On the other hand, an Advanced egistered Nurse Practitioner (ANP) is also a registered nurse who possesses professional knowledge base, intricate decision-making skills and…… [Read More]
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…… [Read More]
Drug dosing is often based overall on the "volume of distribution for the loading dose and on the clearance for maintenance, with volume of distribution being increased if drug is distributed among lean and fat tissues (Casati & Putzu, 2005).
Coe, Saleh, Samuel & Edwards (2004) report that multiple problems related to anesthesia and obesity exist. The level of obesity defined by MBI has a significant impact on the type of anesthesia most patients choose (Coe, et. al, 2004). ecent studies have focused on encouraging patients to lose a certain amount of weight prior to surgical intervention to make anesthesia delivery a more viable and safe option (Coe, et. al, 2004). Unfortunately most patients undergoing bariatric surgery have utilized all other resources thus must risk any potential contraindications associated with anesthetic delivery in order to lose weight.
Obesity is a complicated and rapidly advancing disease affecting millions of people…… [Read More]
Nurse Practice Specialties
The objective of this study is to locate four evidence-based research articles in nursing peer-reviewed journal. Specialty nursing includes various areas of nursing practice, which are examined in this study. Articles reviewed in this study include those related to emerging specialties and opportunities for nurses, Advanced Practice Registered Nursing, Nurse Practitioner Primary Care in Competencies in Specialty Areas, and the Specialty Practice of Nursing Informatics.
The first article examined in this study is the work of Cruz (2012) who reports that Advanced Practice Registered Nurses (APRN) "arose out of the trailblazing efforts of nurses from four separate nursing specialties whose individual histories were shaped by a common threat: the answer the call to deliver a high level of healthcare to individuals and groups in an area of clinical practice where a need for such level of healthcare existed." (p.1) Cruz (2012) additionally reports four areas of concern…… [Read More]
"(History of Nurse Anesthesia Practice)
Among the earlier formal programs for nurse anesthesia were those established at Johns Hopkins Hospital in Baltimore, the University Hospital of the University of Michigan in Ann Arbor, Charity Hospital in New Orleans, Barnes Hospital in St. Louis, and Presbyterian Hospital in Chicago. (History of Nurse Anesthesia Practice) Another important historical event which shows the acceptance and advancement of nurse anesthetists was the invitation of Alice Hunt, a nurse anesthetist, to join the Yale Medical School faculty as an instructor of anesthesia in 1922.
The American Association of Nurse Anesthetists was founded in 1931 and today is a professional organization which represents more than 35,000 Certified egistered Nurse Anesthetists (CNAs) and student nurse anesthetists. (AANA Overview)
Furthermore the AANA, promulgates education, and practice standards and guidelines, and affords consultation to both private and governmental entities regarding nurse anesthetists and their practice. The AANA Foundation supports…… [Read More]
(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…… [Read More]
FIVE-Year PROFESSIONAL PROJECTION
The objective of this study is to located evidence-based research articles in nursing peer-reviewed journals that relate specifically to five-year professional projection and to summarize the articles. Included will be suggestions and applications of each five-year professional projection plan.
Courtney and McCutcheon (2010) report that evidence-based medicine is defined as "The conscientious, explicit and judicious use of current best evidence in making decision about the healthcare of patients." (p. 4) It is reported additionally in the work of Courtney and McCutcheon (2010) that Sackett et al. (2000) that evidence-based practice is the practice that "integrates clinical expertise and patient values with the best available research." (p. 4) The use of evidence-based research in this study will include the use of articles in nursing peer-reviewed journals that provides supporting evidence on the five-year professional projection of the nursing professional.
I. Career Pathways in Nursing (Raines and Taglaireni, 2008)…… [Read More]
They represent nurses in New Jersey and are a federation member of the American Nurses Association, and are organized for individual professional nurse members through its regions to participate in activities for the advancement of nurses and nursing and to promote the profession as an essential, independent and distinct social service. Their stakeholders are all the member nurses in New Jersey.
The American Association of Nurse Anesthetists (AANA) is an organization made up of certified egistered Nurse Anesthetists, who are advanced practice nurses who specialize in anesthesia care. AANA is the professional association representing more than 30,000 Certified egistered Nurse Anesthetists (CNAs) nationwide and was founded in 1931. Their Mission Statement is as follows: Advancing patient safety and excellence in anesthesia. (March 2004) Their goals and objectives are integrity, professionalism, advocacy and quality. Their motto is "Supporting our members ~ Protecting our patients, with the goal of becoming recognized leaders…… [Read More]
The objective of this study is to examine graduate level nursing. Towards this end, this study will review the literature relating to graduate level nursing.
According to the American Association of Colleges of Nursing the present health-care system is presently undergoing a transformation. The report states that when a child is brought into the clinic to receive treatment for such as an earache, rather than being seen by a physician, the nurse practitioner makes provision of care for the child. As well, when patients are being prepared for surgery there are various specialists moving about in the surgery room however, it is not a physician that has been trained for administration of the anesthesia but instead it is a certified nurse anesthetist. (paraphrased)
Expansion of the Nursing Practitioner Role
The role of the nurse practitioner has undergone great expansion in recent years enabled by the master's degree in nursing.…… [Read More]
Texas is one of the strictest states in the country for nurse practitioners who want to open their own clinics, requiring them to find a physician with the willingness and time to follow a complex set of rules. Those rules include requiring the physician to delegate prescriptive authority, review patient charts, make on-site visits or practice within a certain geographical distance of the nurse practitioner. It's a system many nurse practitioners say is unnecessary and burdensome, especially in light of the state's considerable health access problem and the success of nurse practitioners in other states who practice without such direct physician supervision (Krisburg, 2011, p. 1).
In a state where under-service and major disparities as well as a staggering set of predictions about nursing and doctor shortages in the future exists it is difficult to believe that more steps have not been taken to align Texas laws with national examples.…… [Read More]
Experience and good performance can result in promotion to better positions. In management, nurses have the opportunity to become assistant head nurses or head nurses and, from there, to assistant directors, directors, and vice presidents. Many of today's management-level nursing positions require a degree in nursing or health services administration.
As floor supervisors, a BSN graduate oversees care for an entire unit of patients while mentoring and training new nurses. Other RN to BSN degree holders put their liberal arts skills to work as entrepreneurs, running temporary nursing staffing agencies, home care services, and other health care-related small businesses.
In conclusion, by learning more about the nursing field, nurses discover new options for solving day-to-day problems in a way that can improve the practice environment (Barry, 2000). The BSN provides a solid foundation for specialized study to prepare for teaching new nurses, or being a resource nurse specialist.
Nurses…… [Read More]
Advance Practice oles in Nursing
The Main oles Within Advanced Practice Nursing
They are charged with the responsibility to provide primary health care for clinics, hospitals and similar settings. They diagnose and treat common illnesses and immunize, examine the patients and deal with high blood pressure cases among others (Macdonald, Schreiber & Davis, 2005).
Certified Nurse-Midwives: They are the ones that give gynecological care and prenatal attention to the normal women with little or no health complications. They assist the women deliver in a range of places including hospitals, homes, clinics and health centers. They also give postpartum care (Macdonald et al., 2005).
Clinical Nurse Specialists: They are the ones involved in specialty areas such as neonatal, oncology, cardiac, pediatric, gynecological nursing or obstetric service (Macdonald et al., 2005).
Certified egistered Nurse Anesthetists: They provide and administer over 65% of all anesthesia administered to patients every year. They…… [Read More]
Masters-prepared Nurse's Role: Questions
Describe the masters-prepared nurse's role as advocate for the nursing profession.
Historically, nursing has seldom garnered the respect it deserves as a profession. A masters-prepared nurse is capable of performing many of the functions of a physician. The technical preparation and level of specialty confounds stereotypes of the nursing profession as merely a 'helper' to doctors.
Describe the masters-prepared nurse's role and responsibility in professional activities.
As well as technical duties, APNs are often called upon to act in managerial capacities. The nurse must balance the needs of the organization with the demands of patients and the role of the nurse-practitioner. The masters-prepared nurse has a responsibility to stay on the cutting edge of professional literature, including updating his or her credentials; reading publications; and becoming a member of professional organizations.
713.1.2-03: Describe the masters-prepared nurse's role in maintaining continued competence.
Healthcare is a constantly-changing field.…… [Read More]
Nursing Handoff Communication
This research work will be carried out on medical, rehabilitation and surgical wards in a couple of fairly large Australian hospitals with mostly six beds in each room and some double and single rooms as well. In one of the hospitals, bedside handover is being employed since a year or so, and nursing teams are also utilized, while in the second hospital, bedside handover is a new introduction and various models of nursing are utilized; the former (i.e., bedside handover) has superseded staff room-centered verbal handover. Aside from nursing personnel, team leaders (individuals in charge of managing a nursing unit and patient subgroup), nurse educators, nurse managers, and shift coordinators (responsible for overall ward functioning, typically together with the responsibility of team leadership), will be this research's focus (Smith & Mishra, 2010; Carroll, Williams & Gallivan, 2012). The condition for inclusion for nurses as well as patients…… [Read More]
Nursing Quality Improvement Activities
Providing quality nursing care is the foundation of professional ethics for nurses. Nurses have a moral obligation to not only provide quality care, but to also to constantly strive for excellence in the quality of the care they furnish.
Non-medical prescribing is increasingly being seen as a cost-effective option, quality improvement option by both the U.S. government and professional nursing societies. The employment of potentially dangerous preparations in an array of clinical settings is not without risks, however.
There are other considerations for quality improvement in nursing -- including:
Nursing considerations for prescribed drugs.
Review of practice and practice outcomes.
New nursing standards, and guidelines.
Quality improvement is a formal approach to the analysis of performance and systematic efforts to improve it. There are numerous models used.
Providing quality nursing care is the foundation of professional ethics for nurses. Nurses have a…… [Read More]
The American Association of Colleges of Nursing (AACN) and the Council on Graduate Education for Administration in Nursing (AACN, 1996; Dienemann & Aroian, 1995) operationally define the professional nurse as one who has been prepared with a minimum of a baccalaureate or higher degree in nursing. (Feldman & Greenberg, 2005, p. 219)
These were necessary requirement in the 90's. Now in an ever increasing age of need for more highly educated professional, the Clinical Nurse Leader armed with a Master's degree or better, is more adapted to handle a wide range of situations and create a fulcrum from which to balance all the staff in a given unit.
Clinical Nurse Leader
Kennedy, M.S.. (2004) Introducing the Clinical Nurse Leader. American Journal of Nursing, 104 (10), 22.
This article is a report regarding the decisions calling for a new role for nurses. The American Association of Colleges of Nursing…… [Read More]
Another problem is that of "infections, such as nosocomial and post-surgical wound infections' (Medical errors, 2009, AHRQ). Careful hand-washing to prevent infections is a required part of most hospital procedures. Nurses should take additional precautions during times when the flu is likely to be spread or epidemic outbreaks. Nurses must strive to spot epidemics or a spike in communicable diseases or infection in their daily work. Once this is spotted, patients can also be educated about minimizing their exposure to harmful infections, by being encouraged to wash their hands, shield their mouth and nose when they cough or sneeze, and engaging in appropriate aftercare.
Nurses are often overtired and overstressed on hospital wards. A lack of sleep can result in a higher propensity to commit errors. The shortage of nurses in America results in the current ranks of nurses required to work longer hours, often back-to-back, and a greater likelihood…… [Read More]
This help in solving conflicts between patients in a hospital.
In nursing practice, there are quite different in between clinical nursing specialist and nurse practitioner in the scope of operation. Therefore, a clinic nurse specialist works under the legislated scope of practice for a registered nurse but has advanced education. While nurse practitioner works under a separate scope of practice and can perform certain functions and tasks that are outside of the scope of practice of registered nurse, including clinical nurse specialist. However, nurse practitioner generally provide primary care, and clinical nurse specialists act more a s consultants in their roles as expert clinicians, clinical leader, educators, collaborators and researchers.
Many researches have written that emotions sometimes can influence ethical decision making in a health care system. Therefore, nurses are equipped with knowledge to make decision without any kind of influence. The model demonstrates that certain emotional states influence the…… [Read More]
However, even in these moments she makes time for me, and she always has a smile for me when she sees me.
Despite all of the responsibilities of her job she still takes the time to worry about me. When she has a rare day off from work she spends that time with me. We go out to eat, we have fun and just relax, and she is always asking me about my grades and about every other aspect of my life. It seems as if even when she is at work she always has a tab on me, whether it is a short phone call when I get home, or a voice message telling me to do my homework. I have never felt that she is away because she is always in contact somehow. When I don't turn in homework on time or otherwise shirk my responsibilities my mom…… [Read More]
The changes in the age demographic of the U.S. As well as the need to reduce overall spending in health care are significant reasons why advanced practice and specialty provision practitioner's skill sets and demands have changed. It is for this reason as well as for patient efficacy that such a subspecialty should be offered at a postgraduate level to AAs. These advanced practice alternative providers can be successfully and efficiently trained to provide services at a significantly lower rate, creating a potential opportunity for more people to receive advanced pain management care in a broader setting. This could only improve outcomes for chronic pain sufferers and broaden the scope of opportunity for AAs and possibly other advanced practice alternative providers. As need continues to rise alternatives must be sought within the system to provide care to patients who will likely need pain management service in growing numbers in…… [Read More]
competition increasing in every field including nursing, it is not desirable for any professional nurse to just be content with a bachelor's degree in Nursing. It should be noted here that as the subspecialties and subfields are evolving with betterment and improvement in the field of nursing and healthcare, the responsibility of the nurses is being further increased with respect to their professional competence. After my attaining my bachelor's degree in nursing, I would now like to go on to become a Certified egistered Nurse Anesthetics, for which I would like to explore the universities that are offering this program. As a part of this paper, I would include some of the top universities where I plan to apply and get in to complete my degree as a certified nurse anesthetic. However, there are some aspects that I need to consider before applying to these universities, pertaining to the cost…… [Read More]
Antiemetic Efficacy of Ipa Inhalation
Post-Operative Nausea and Vomiting
Antiemetic Efficacy of IPA Inhalation in High-isk PONV Patients
Antiemetic Efficacy of IPA Inhalation in High-isk PONV Patients
Post-operative nausea and vomiting (PONV) is considered a significant enough threat to patient health that surgical patients are often treated prophylactically to prevent its occurrence (reviewed by Murphy, Hooper, Sullivan, Clifford, and Apfel, 2006). PONV has been defined as an episode of nausea, vomiting, or retching (non-productive vomiting) that occurs within 24 hours following surgery, which can cause patient distress, post-operative complications, prolonged recovery times, and increase the cost of post-surgical care. The prevalence of PONV for the average surgical patient is estimated to be between 20 and 30%, but high-risk patients may have up to an 80% or higher chance of experiencing this condition. The high variability in PONV risk precludes standard prophylactic treatment, due to the cost and the increased risk…… [Read More]
Advanced practice roles that include blended roles of the CNS and NP, the CNM and the CNA
Nursing began as a generalized discipline but has become increasingly specialized as the profession has grown more technical in nature. "From these early beginnings -- the nurse midwife (CNM), the nurse anesthetist (CNA), the clinical nurse specialist (CNS), and the nurse practitioner (NP)" evolved (Hanson & Harnric 2003: 203). This process of evolution was a relatively gradual one, as the specialty developed in specific practice settings; gradually made organized training for specialties available in routine clinical practice; then, finally, with the growth of the specialized knowledge base the pressures mounted "for standardization and graduate educational programs" (Hanson & Harnric 2003: 204). This can be seen in the more recent evolution of the specialty of the nurse pediatrician. For example, at Vanderbilt University's School of Nursing, its "Pediatric Primary Care Nurse Practitioner (PNP) track…… [Read More]
In 1976 Lamb received the AANA's Agatha Hodgins Award for Outstanding Accomplishment
Lamb experienced sickness, particularly pneumonia, during the last few years of her life. Her husband assumed that this was caused by her job of administering anesthesia where she was always exposed to nitrous and oxygen gases. Lamb died on September 3, 1979.
Helen Lamb had been a dedicated nurse anesthetist. From the time she finished her nursing degree, she already dedicated public service to health care as well as to teaching its practice. Her friend, Joyce Kelly, another nurse anesthetist, summed her life as "one whose life was giving anesthesia and teaching"(Schwartz, 2003). Hence, she was honored by many of her health care colleagues, as well as her students, for the contributions that she brought in the study and practice of anesthesiology.
After Lamb's death, the American Association of Nurse Anesthetist established the Helen Lamb Outstanding Educator Award…… [Read More]
This analysis illustrates Lamb's historical impact in the profession of anesthesia, embodied and projected through the AANA's vision and mission as a medical organization. Lamb and AANA made a significant contribution to the medical community and society in general by not only revolutionizing and professionalizing anesthesia care, but also on re-centering the medical community's attention to patient welfare and safety.
This discussion and analysis paper collates literature available on Helen Lamb, who helped found and develop the profession of anesthesia. From the analysis of the available literature, it is found that Lamb's historical impact to anesthesia care is best reflected through the works of the American Association of Nurse Anesthetists or AANA. AANA's vision, mission, and goals as a medical organization showed that it lives up to the value that Lamb put, not only on quality training and development of anesthesia care, but also (and more importantly), on the…… [Read More]
This Masters degree holder also has the advantage of seeking their career paths in different other branches of this field such as being a health policy expert, a nurse administrator or clinical nurse leader, nurse anesthetists and so on. They also have the clinical as well as theoretical knowledge which helps in giving a more positive financial health care system. Also, this is the level where much greater roles such as nurse midwife duties and nurse anesthetist duties start on.
The Doctor degree is the terminal professional degree which mainly focuses at clinical aspects in the field of nursing rather than the academic research process. The main role of this level of nurse is to prepare the registered nurses in becoming more advanced practiced registered nurses. Some of the advanced practice roles here in nursing include nurse practitioner, certified nurse midwife, certified and registered nurse anesthetist and clinical nurse specialist.…… [Read More]
Evidence, Evaluating Evidence, Making ecommendations
Life is a precious aspect of the human nature; the person has only one life to live. Therefore, it is essential for people to protect and guard the life of the individuals jealously. The nurses and other medical personnel do this work. The duty of the nurses is to care for all types of patients. However, the is a group of patients that require extra form of attention; this is the people that suffer from Terminal illnesses (Katz & Johnson 2006). Such people live with the reality of death in their faces. Dealing with such patients is quite difficult, and poses challenge to the nurses and the family of the individual who strive to facilitate the life of that patient. The nurses have difficulties in addressing the stressful nature of such people, as most of such patients lose interest in life. Additionally, the stress is…… [Read More]
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…… [Read More]
Rights and Responsibilities for a Member of the Nursing Union in Minnesota recent MSNBC Health article on the state of the nation's health noted that despite the nation's joblessness crisis, nursing remains woefully understaffed as a profession across the nation. The current shortage of a few hundred thousand RNs could reach a staggering 750,000 by 2020, given the aging population and rate of retirement in the 'Baby Boom' generation. The danger of this scenario, of a rapidly aging population and a rapidly retiring nursing profession, is highlighted by a recent lawsuit waged against the esley Hospital in Kansas in July of 2000. There, a jury awarded a $2.7 million malpractice settlement to the family of a woman who almost died due to chronic nursing understaffing at the hospital. Thus, the nursing shortage has costs for both hospitals as well as patients that could prove disastrous. (Johnson, 2004) shortage of nurses…… [Read More]
Personal and Professional Accountability
Personal Growth and Development
The concept of professional nurse accountability has been defined by professional nursing bodies and nurse education credentialing bodies as an essential factor underpinning professional practice. As a nurse, I realize this fact and take accountability and responsibility for whatever behavior and actions exhibited, on my part, at the workplace. Moreover, I have understood the need to appraise myself, strive to improve my practice, and continuously fulfill learning outcomes I determine. Lastly, I attempt to sustain my physical, emotional and psychological wellbeing for being able to practice effectively (CRNC, 2017).
Ethical Conduct and Practice
In this profession, I have acquired skills to operate within the boundaries of my personal competence levels, the legally accepted practice scope, and every applicable law. Acting to support safe, ethical and proper patient care comes under my personal and professional nursing accountability as well (CRNC, 2017).
Involvement in…… [Read More]
In year 1799 anesthetic properties of Nitric Oxide were discovered by Humphery Davy (1778-1829) he advised that the by using nitric oxide, pain and shock of the surgical procedure can be negated. Third person who continue with Morton and ells philosophy was Charles T. Jackson. The Fourth man who contributed to anesthetics was Thomas Mortan (Blatner, 2009). In the year 1848 James Simpson used chloroform in obstetric surgery, he used diethyl ether to anesthetize a women with a pelvic deformity for delivery (kodali, 2009) and in year 1853 John Snow did a successful induction of chloroform to her Majesty Queen Victoria at the time of Prince Leopold's Birth and also on Fenny Longfellow who wrote to her poet brother that this use of ether is certainly the greatest blessing of this era (Longfellow, 1956). In the year 1885-illiam Halsted introduced the nerve block. In 1891 Heinrich Quincke demonstrated the process…… [Read More]
cultural diversity issues and its impact on nursing professionals' practice. It assesses a client hailing from a different culture, and employs information derived from the assessment determining and reflecting on health practices and beliefs of the client's culture. Lastly, nurses' role in the care of patients hailing from diverse backgrounds care is analyzed, and a conclusion is drawn.
Client Interview Data
Client's health beliefs in relation to cultural diversity
The client comes from a family-focused background, in which she plays the role of chief household organizer and attends to her family and their needs. She believes one ought to lead a life of a good and virtuous individual, and support one's family, particularly in times of need. In her opinion, sickness must be tended to, for preserving life. She believes in healthcare professionals and services they offer, for leading a healthy life. She is comfortable having healthcare professionals take care…… [Read More]
Benjamin Franklin once said that, "An investment in knowledge pays the best interest." Nowhere is this statement truer than in the field of nursing where I feel that the lessons learned from this course will help sustain and enrich me in whatever field I am employed going forward. From learning about health promotion to trans-cultural nursing to nursing-focused medical ethics, these issues will influence how I practice clinically whatever type of nurse I become from a Certified Nurse Anesthetist to a Home Health Nurse to everything in-between.
As a nurse, family and friends as well as patients will inevitably look to me with their questions about health promotion. This concept focuses on maximizing wellness for one's entire life through specific strategies to promote health through nutrition, physical fitness, weight control and avoiding substance abuse. Furthermore, health promotion must also take into account cultural and environmental factors related to…… [Read More]
The question of why the Consensus Model was developed in the first place is a worthy first point to make in this paper. The number of advanced practice registered nurses (APRNs) has greatly grown in numbers over the past twenty to thirty years in the United States. The healthcare system in America needed the skills and experiences of these nurses, not just because the APRNs had more education and had obtained a position higher on the ladder of respect than other registered nurses. But rather, the diversity of expertise of APRNs was welcomed and vital to the care of patients, and the need for patient safety. This paper delves into the need for a uniform model -- a consensus model -- that all states can embrace that will bring consistency to the field.
The Need for a Consensus Model
In the 2008 report ("Consensus Model for APRN Regulation:…… [Read More]
H..1247 -- Improving Veterans Access to Quality Care Act of 2015
The Improving Veterans Access to Care Act (H..1247) sponsored by epresentatives Sam Graves (-MO) and Jan Schakowsky (D-IL) (hereinafter alternatively "the Act"), is intended to reduce existing delays in healthcare delivery being experienced by the Veterans Health Administration (VHA) (Smith, 2015). The provisions of the Act would extend full practice authority to certain advanced practice registered nurses (APNs), including nurse midwives, clinical nurse specialists, nurse practitioners, and certified registered nurse anesthetists in Department of Veterans Affairs (VA) health care facilities regardless of the state in which they are located. To date, the American Association of Nurse Anesthetists (AANA), the Association of Veterans Affairs Nurse Anesthetists (AVANA), more than 50 nursing organizations, as well as veterans service organizations, the Military Officers Association of America, the Air Force Sergeants Association, the American Association of etired Persons (AAP) together with more than…… [Read More]
2201 Sweeney Drive
Clinton, Pennsylvania 15026
Dear Sir or Madam:
This letter is in response to an article that appeared in your newspaper on July 13, 2016 by the president of the Pennsylvania Association of Nurse Anesthetists, Ann Culp, entitled "CNAs battle tested." The U.S. Department of Veterans Affairs (VA) has announced its intentions to provide full practice authority for its advanced practice registered nurses (APNs) to improve the accessibility and quality of care provided our nation's heroic veterans. In response to this announcement, a number of national organizations, including the American Nurses Association, the Federal Trade Commission, the American Hospital Association, the American Association for etired Persons and the obert Wood Johnson Foundation have all joined in supporting…… [Read More]
Force 12: Image of Nursing. The VA recognizes the importance of individual care to the perception of quality healthcare in its facilities. Even if the entire organization operates in an effective and compassionate manner, if the nurse that cares for a patient fails to deliver on this level of care, the individual perception of nursing care will be diminished. To this end, the organization's nursing fact sheet proclaims, "VA Nursing Service is dedicated to promoting optimal health, patient safety, quality health care, and the highest professional standards, in order to ensure that our veterans receive the best possible care and that our staff work in the best possible health care system" (VA Nursing Service, 2005).
Force 13: Interdisciplinary elationships. The VA's Web page, "VA & Experienced Professionals" (2008) states, "Our doctors, physician assistants, nurses, therapists, pharmacists, and other professionals work together in an interdisciplinary care team structure" (p. 3).
Force…… [Read More]
Advanced Practice oles in Nursing
What is Advanced Practice Nursing? Advanced Practice Nursing offer new ways of practicing and delivering cost-effective health care as well as augmenting access to qualified practitioners for numerous patients and their families. Advanced Practice Nurses frequently offer their services to under-served populations. They must be ground in research and theory as the guides of their clinical practice.
They work in reciprocal capacities with physicians. They also prepare to diagnose, treat and assist patients with chronic and acute diseases as well as prescribe medications. These job duties require smart and perceptive, caring and compassionate nursing professionals. NPs often develop differential diagnoses and prescribe medication. Nis participate in research studies. NEs or Nursing Educators provide the basis for family/patient counseling and education. NAs or Nursing Administrators maintain patient records and arrange patient referrals/consultations.
Nurse practitioner or NPs supply much of an individual's health care needs. They are…… [Read More]
legislators on health care issues and nursing, specifically?
To make healthcare inexpensive through tackling the fast increasing cost of healthcare
Patients ought to have a better access to information about the cost and quality of services offered so that they can make cost-effective and informed decisions about their healthcare. Healthcare providers should make available costs publicly available, particularly for the most sought after procedures. Medicaid, Medicare and other kinds of data should be provided to other independent entities that have the expertise to give superior quality assessments than the Centers for Medicaid and Medicare Services.
Several reforms are needed in healthcare to help bring down the costs. These include: enabling more pooling schemes and the sale of insurance across state borders; both of these measures will help bring down the cost of premiums. Moreover, making the tax field level for both individual and employer markets would assist people to buy…… [Read More]
Health Care Cost and Quality
The objective of this study is to examine the relationship between health care cost and quality. This study will select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care and analyze current and projected initiatives to improve quality while simultaneously controlling costs. This study will additionally conduct a synthesis of indications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.
There are many initiatives presently underway to meet the growing need of health care for a population that is greatly under-insured and many that are uninsured.
U.S. Department of Health and Human Services eport
According to the U.S. Department of Health and Human Services (2014) "Medicare is improving the way it pays for physician services. The Center for Medicare and Medicaid Innovation (Innovation Center) is exploring…… [Read More]
PPSPA bills would have enabled federal regulation to perform this more efficiently than present regulation efforts exerted by the States and the Accreditation Council for Graduate Medical Education or ACGME. Restrictions to the ACGME self-regulation will be a problem only it they already exist. The problem is really that Congress is reluctant to pass laws to federally mandate these restrictions. Opponents to these restrictions teem the political milieu at Washington DC. Federal regulation of resident work hours should nonetheless remain in the major agenda for Congress, especially if and when ACGME regulatory efforts turn futile and ineffective (Lee).
Into Medical Debt
Adverse consequences have followed the lack of definite government regulation of federal hospitals. A new report from The Commonwealth Fund said that some patients incur unimaginable medical bills and go into long-term debts as a result of unclear federal laws and regulations (Mahon & Pryor, 2003). Whatever rules are…… [Read More]
More times than not, a patient will argue that he did not understand what the physician stated to him; even amidst documented proof the medical professional and the patient did engage in an informed conversation. "The fact that a meeting took place does not necessarily mean that there was a meeting of the minds" (Informed consent…, 2010, ¶ 5). This issue leads some health care providers to assert that informed consent forms possess little value, particularly when a legal battle ensues and the professional cannot prove the patient did, in fact, understand the informed consent process.
Currently, lawyers routinely challenge informed consent forms in courtrooms throughout the United States (U.S.). "The model consent forms incorporate substantial details of anesthesia techniques, risks and other elements of 'informed consent', so that a strong presumption is established on its face" (Informed consent…, 2010, ¶ 7). During the informed consent process, to help inoculate…… [Read More]
For instance a summary graph of question one resulted in a split response overall.
As one of the main components of micromanagement is the over communication of details when assigning tasks, as if basic instruction were not enough, often leaving the individual with the feeling that they are not trusted or viewed as capable, the above graph shows that almost half of the employees responding felt that their supervisor communicated in this way. This is telling of the fact that there may really be a problem and that supervisors need to take note. On a last note, the final graph demonstrates that there are many individuals in this survey who feel strongly that their ideas will not be listened to, and again these answers correspond with those who have high stress and further characterize their supervisor as having micro tendencies.
The responses to this survey clearly indicate that at least…… [Read More]
Interviews Contribute to My Professional Development
From the two interviews, it is clear that the relevance of embracing teamwork cannot be overstated regardless of the specialty area one operates in. This is more so the case given the nature of our practice. We largely operate in an environment that calls for collaboration among various health professionals. The two interviews also underscore the relevance of nursing research. Both interviews clearly indicate that the influence nursing research has on the promotion of optimal nursing care is immense. For this reason, I am convinced that the future of professional nursing practice is in one way or another hinged on nursing research. It is important to note that ultimately, we as nurses are responsible for the provision of high-quality care to patients. However, there is no way we can evaluate how effective nursing treatment modalities are without nursing research. Based on the responses given…… [Read More]
Theatre Nurses Equipped With the Skills equired to Perform Pre-Operative Visits
To Perform Pre-Operative Visits?
Are Theatre Nurses Equipped With the Skills equired
To Perform Pre-Operative Visits?
Are Theatre Nurses Equipped With the Skills equired
To Perform Pre-Operative Visits?
Pre-operative assessment is part of the E process that many medical professionals believe can be accomplished on the part of nurses in the unit.. The objective listed for pre-operative assessment is that special requirements for the surgery as well as the peri-operative stay should include identification and coordination of all essential resources, should inform the patients and prepare them to proceed and to ensure the patient's fitness for the procedure(s) scheduled. . The nursing team clinically examines as well as assessing all emergency patients before surgery to ensure the fitness of patients to the greatest possible extent. Strategies include, "redistributing cases from emergency to elective theatre schedules, day case emergency…… [Read More]
Improving Surgical Outcomes Using the Perioperative Dialogue Model
The estimated $8.5 to $17 billion lost to surgical errors in 1999 was not primarily due to individual incompetence, but to the failure of perioperative systems to operate seamlessly (reviewed by Plasters, Seagull, and Xiao, 2003). The successful management of an operating-room depends heavily on effective communications, but in the absence of a foolproof system for keeping abreast of changes in patient status or surgery schedules, miscommunication is not as rare as it should be.
An important component of the perioperative surgical team is the duties performed by the perioperative nurse (PN), who typically functions as a patient advocate before and during surgery (reviewed by Lee, Kerridge, Chui, Chiu, and Gin, 2011). In Sweden, surgical nursing care has begun to emphasize the importance of a perioperative dialogue between the patient and the PN (eviewed by Lindwall and von Post, 2008). Under the…… [Read More]
Spinal vs. General Anesthesia
The outcome of patients after undergoing transurethral resection of the prostate is examined under varying clinical situations to assess whether spinal anesthesia is associated with greater likelihood of positive outcome. Also examined in great detail are the potential for increased morbidity and mortality based on whether patients underwent general or spinal anesthesia during surgery. A large body of evidence indicates that there is no statistically significant difference between patient outcomes regardless of choice of anesthetic technique. This paper concludes that patients should be well educated and informed so they may make the choice most appropriate to their personal situation and comfort level preferences. An equal number of adverse side effects are associated with each anesthetic technique; as such patients should choose the technique that will result in the greatest post-operative satisfaction. The implications for practice suggest that physicians and anesthetists have an obligation to educate and…… [Read More]
As with any other type of surgery, whether considered minimally invasive or major surgery complications can arise. Under the supervision of the physician, the nurse will be responsible for most of the perioperative care of the patient. As a result, the nurse must be aware of any and all complications that may arise and must also know how to assist the patient with treatment and management of these medical issues. Some of the common complications that transapical aortic valve implantation patients experience and how they should be treated are as follows:
Allergic reaction to contrast material -- Patients should always be screened for allergies beforehand, but if an allergic reaction should occur, the nurse should administer steroids, antihistamines and other airway protection measures.
Infection -- Prescreening should always take place before the procedure. A complete history of the patient's health should be documented along with a dental infections or conditions.…… [Read More]
Cardiac Stress Response: The Use of Anesthetic Technique to Promote Positive Outcome; Analyzing the Pros and Cons of Technique
Cardiac surgery by nature elicits a powerful stress response resulting from activation of stress hormones including epinephrine, norpinephine and cortisol hormones among others. Surgical trauma and blood loss may contribute to this stress response. Some surgeons have suggested that cardio pulmonary bypass surgery in and of itself activates an inflammatory response that results in a stress reaction.
The role of the anesthesiologist in cardiac surgery is to as much extent as possible, to reduce the stress response that results form cardiac surgery. Stress response can be mitigated by a variety of anesthetic technique, including use of opioids and epidural anesthesia. These ideas are explored in greater detail below.
Cardiac Stress Response: The Use of Anesthetic Technique to Promote Positive Outcome; Analyzing the Pros and Cons of Technique
INTRODUCTION stress response may…… [Read More]
clinical cases and examine malpractice perspectives.
Concerns over mounting healthcare expenses have resulted in increased inquiry into medical practices. With the rise of malpractice risk and medical liability to unprecedented levels, the field of medical law has influenced defensive medical practice as healthcare providers endeavor towards liability risk mitigation (Nahed, et.al, 2012).
Elements Needed to Prove Malpractice
Medical malpractice is associated with four fundamental elements, all of which have to be present for forming the base for any claim. For any case of medical malpractice to succeed, an attorney is required to prove all four aspects, which are: duty, causation, damages, and breach (What are the Elements of a Medical Malpractice Claim? n.d.). The first element -- Duty -- implies that health care professionals owe their patients the duty to take reasonable and appropriate action; i.e., the practitioner is accountable for delivering some form of treatment or care…… [Read More]
This is a question of medical ethics and doctor's clinic cannot be held responsible for not taking the case.
Apart from the physicians and specialists working in the doctor's clinic, there is always a registered nurse present who supervises outpatient service. This registered nurse is usually one person who is granted numerous powers because of her ample experience in the field. It is desirable that such a person has had his/her training at various well-known hospitals and is capable of managing outpatient service smoothly. The doctor's clinic might also employ the services of a trained anesthetist. It is important to know that not all doctor's clinics have full-time anesthetists working for them. In most cases, they are called as and when their services are required.
While most people working at the doctor's clinic have had medical training, there are still some positions that do not require medical know-how. These include…… [Read More]