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Nurse's Role as Researcher the Nurse Plays
Words: 1671 Length: 6 Pages Document Type: Essay Paper #: 77211857
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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.

Nursing There Are a Number of Significant
Words: 974 Length: 3 Pages Document Type: Essay Paper #: 72074649
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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…


Cohen, A.M. & Brawer, F.B. ( 2003) The American community college, 4th ed., San

Francisco: Jossey-Bass

Facts about nursing (2008) Community College Week, October 20, 2008, pg. 7

McKinney, M.; (2010) More advanced degrees, Modern Healthcare, Vol. 40, Issue 39, p. 10

Benefits of Staffing Advanced Nurse Practitioners Arnp as Arnp Case Managers
Words: 1498 Length: 5 Pages Document Type: Business Proposal Paper #: 98974770
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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…


Cashin, J.A., Buckley, T., Newman, C., & Dunn, V.S. (2009). Nurse practitioner provision of patient education related to medicine. Australian journal of advanced nursing, 27(2), 12-


Carter, N. et al. (2010). The role of nursing leadership in integrating clinical nurse specialists and nurse practitioners in healthcare delivery in Canada. Nursing leadership, 167-185, doi:


Comparison of Nursing Degrees
Words: 992 Length: 3 Pages Document Type: Research Paper Paper #: 30617040
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Nursing Degrees


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:

Nursing Obesity an Overview of
Words: 1568 Length: 6 Pages Document Type: Term Paper Paper #: 88354725
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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…


Bostwick, G.J. & Melcher, J. (1998). "The obese client: Myths, fats, assessment and intervention." Health and Social Work, 23(3): 195.

Cabay, C., Dreyer, M.G. & Pellegrinelli, N. (2001 - May). "Leptin directly induces the secretion of interleukin-1 receptor antagonist in human monocytes." Journal Clinical Endocrinology Metabolism 86: 783-91.

Casati, A. & Putzu, M. (2005 - mar). "Anesthesia in the obese patient: Pharmacokinetic considerations." J. Clin Anesth. 17(2): 134-45.

Coe, A.J., Saleh, T., Samuel, T., Edwards, R. (2004 - Jun). "The management of patients with morbid obesity in the anaesthetic assessment clinic." Anaesthesia, 59(6): 570-3.

Different Nurse Practice Specialties
Words: 1049 Length: 3 Pages Document Type: Research Paper Paper #: 66976609
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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…


Beattle, L. (2010) Emerging Specialties, and Opportunities for Nurses. NurseZone. 11 Jun 2010. Retrieved from: 

Bickford, CJ and Lewis, D (2007) ANI Connection: The Specialty of Nursing Informatics. CIN Computers, Informatics, Nursing, Vol. 25, No. 6, Dec 2007. Retrieved from: 

Cruz, J. (2012) Whose Consensus Is It Anyway? All Nurses. 1 Sept 2012. Retrieved from: 

Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women's Health (2002) U.S. Department of Health and Human Services, Health Resources and Service Administration, Bureau of Health Professions, Division of Nursing, April 2002. Retrieved from:

Role Analysis of Certified Nurse
Words: 3001 Length: 9 Pages Document Type: Term Paper Paper #: 62864056
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"(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…



AANA Overview. Retrieved Jan 13, 2007, at 

America's Nurse Anesthetists Commend Bush Administration for Tripling Nurse Anesthetist Traineeship Funding Today. Retrieved Jan 13, 2006, at

Donahue, M.P. (1996). Nursing, the Finest Art: An Illustrated History. St. Louis, MO: Mosby.

LR Explor The Nurse Leader Role
Words: 8934 Length: 30 Pages Document Type: Research Proposal Paper #: 96826619
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(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.

Five Year Professional Projection in Nursing Field
Words: 1082 Length: 4 Pages Document Type: Research Paper Paper #: 86588226
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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)…


Accelerated Nursing Programs (2014) American Association of Colleges of Nursing. Retrieved from: 

Advanced Practice (2014) NSNA. Retrieved from: 

Courtney, M. And McCutecheon, H. (2010) Using Evidence to Guide Nursing Practice. Churchill Livingston. Retrieved from:

Hendren, R. (2011) Why Advanced Degrees for Nurse Leaders Matter. Healthleaders Media Counsel. Retrieved from:

Professional Nursing Organizations Serve Both
Words: 633 Length: 2 Pages Document Type: Term Paper Paper #: 6018031
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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…


American Association of Nurse Anesthetics. Retrieved October 3, 2006 at 

American Nurses Association. Retrieved October 3, 2006 at 

New Jersey State Nurses Association. Retrieved October 3, 2006 at .

Advanced Degree in Nursing
Words: 1350 Length: 4 Pages Document Type: Essay Paper #: 51998702
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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: 

Allabaugh, D. (2014) Growth Expected in Graduate Level Nurses. The Times Tribune. Retrieved from:

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:

Nursing to Become Graduate-Level Job (2009) The Guardian. Retrieved from:

Future of Nursing in Texas
Words: 2033 Length: 8 Pages Document Type: Term Paper Paper #: 59858365
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Texas is one of the strictest states in the country for nurse practitioners who want to open their own clinics, requiring them to find a physician with the willingness and time to follow a complex set of rules. Those rules include requiring the physician to delegate prescriptive authority, review patient charts, make on-site visits or practice within a certain geographical distance of the nurse practitioner. It's a system many nurse practitioners say is unnecessary and burdensome, especially in light of the state's considerable health access problem and the success of nurse practitioners in other states who practice without such direct physician supervision (Krisburg, 2011, p. 1).

In a state where under-service and major disparities as well as a staggering set of predictions about nursing and doctor shortages in the future exists it is difficult to believe that more steps have not been taken to align Texas laws with national examples.…


Brush, B.L. (2008) Global nurse migration today. Journal of Nursing Scholarship 40 (1) 20-25. Retrieved June 28, 2011 from: 

Institute of Medicine (IOM) (2010) The future of nursing leading change, advancing health: Report recommendations. Retrieved June 28, 2011 from:

Krisburg, K. (2011) Nurse practitioners call for greater independence: Relaxed rules could help medically underserved. AARP Bulletin. Retrieved June 28, 2011 from: 

Robert Wood Johnson Foundation (RWJF) (2009) Colleagues in caring: Regional collaboratives for nursing workforce development. Retrieved June 28, 2011 from:

BSN Growing as a Nurse
Words: 1738 Length: 5 Pages Document Type: Term Paper Paper #: 51998758
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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.


Works Cited

Barry, Mark. (2000). More Letters: Entry Into Practice. AJN, American Journal of Nursing, Volume 103 Number 3, 69-70.

Leonard, Teresa. (March, 2003). RN to BSN -- advice on returning to school - registered nurses pursing baccalaureate degree. AORN Journal.

Mattera, M. (May, 2005). BSN on your terms. Registered Nurse, 63, 7.

Rosseter, R. (1997). As Demand for RNs Climbs, Bachelor's-Degree Enrollments

Advance Practice Roles in Nursing
Words: 2233 Length: 5 Pages Document Type: Term Paper Paper #: 43789011
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Advance Practice oles in Nursing

The Main oles Within Advanced Practice Nursing

Nurse Practitioners

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  on August 30, 2016, (n.d.). Family Nurse Practitioner (FNP). Retrieved from  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.).

Doctor of Nursing Practice DNP Essentials
Words: 1506 Length: 5 Pages Document Type: Other Paper #: 31809013
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DNP EssentialsDoctor of Nursing Practice (DNP) essentials represent the curricular features that should be followed in DNP programs. The essentials form part of the nursing practice\\\'s foundational competencies and are recognized in the egistered Nursing practices. For example, they are applicable among nurse practitioners, midwives, nurse anesthetists, and clinical nurse specialists. The American Association of Colleges of Nursing (AACN), in 2006, published the eight DNP essentials to address the complex requirements in the modern healthcare system. The essentials apply regardless of the specialty of the practitioners. They offer introductory points on different specialties present in various organizations. They include the following:1. Scientific Underpinnings for PracticeNursing science has led to a revolution and expansion of the nursing sphere. Thus, the integration of terminal academic platforms that allow the adoption of appropriate knowledge is essential. In particular, the nursing theories related to middle-range practices were significantly affected. When the nursing theories are…

ReferenceAACN. (2006, October). The Essentials of Doctoral Education for Advanced Nursing Practice. Retrieved from

Nursing Role Development
Words: 870 Length: 3 Pages Document Type: Essay Paper #: 58025931
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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.…

Analyzing Nursing Handoff Communication
Words: 870 Length: 2 Pages Document Type: Research Paper Paper #: 73752661
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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…


Carroll, J. S., Williams, M. & Gallivan, T. M. (2012). The ins and outs of change of shift handoffs between nurses: A communication challenge [Electronic version]. British Medical Journal: Quality & Safety, 21(7): 586-593.

Donabedian, A. (1992). The role of outcomes in quality assessment and assurance. Quality Review Bulletin, 18: 356-360.

Halm, M.A. (2013). Nursing Handoffs: Ensuring Safe Passage for Patients. Am J Crit Care, 22: 158-162 doi: 10.4037/ajcc2013454

Manser, T. & Foster, S. (2011). Effective handover communication: An overview of research and improvement efforts. Best practice & research. Clinical anaesthesiology, 25(2):181-91. DOI: 10.1016/j.bpa.2011.02.006

Clinical Nurse Leader Role Implementing
Words: 4307 Length: 16 Pages Document Type: Research Paper Paper #: 71454882
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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.

Literature eview

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…


Dalton, B., & Wright, L. (1999). Using Community Input for the Curriculum Review Process. Journal of Social Work Education, 35(2), 275.

Feldman, H.R. & Greenberg, M.J. (Eds.). (2005). Educating Nurses for Leadership. New York: Springer.

Kennedy, M.S.. (2004) Introducing the Clinical Nurse Leader. American Journal of Nursing, 104 (10), 22.

Knorr, R.S., Condon, S.K., Dwyer, F.M., & Hoffman, D.F. (2004). Tracking Pediatric Asthma: The Massachusetts Experience Using School Health Records. Environmental Health Perspectives, 112(14), 1424-1439.

AHRQ Accountability of Nursing Professionals
Words: 1007 Length: 3 Pages Document Type: Thesis Paper #: 99193645
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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…

Works Cited

Medical errors: The scope of the problem: An epidemic of error. Fact sheet, Publication No.

AHRQ 00-P037. Agency for Healthcare Research and Quality (AHRQ). Retrieved July

22, 2009 at

Advance Nursing Practices in the
Words: 2098 Length: 7 Pages Document Type: Essay Paper #: 73429250
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This help in solving conflicts between patients in a hospital.

In nursing practice, there are quite different in between clinical nursing specialist and nurse practitioner in the scope of operation. Therefore, a clinic nurse specialist works under the legislated scope of practice for a registered nurse but has advanced education. While nurse practitioner works under a separate scope of practice and can perform certain functions and tasks that are outside of the scope of practice of registered nurse, including clinical nurse specialist. However, nurse practitioner generally provide primary care, and clinical nurse specialists act more a s consultants in their roles as expert clinicians, clinical leader, educators, collaborators and researchers.

Many researches have written that emotions sometimes can influence ethical decision making in a health care system. Therefore, nurses are equipped with knowledge to make decision without any kind of influence. The model demonstrates that certain emotional states influence the…


Royal of nursing college (2010). Advanced nurse practitioners, an RCN guide to the advanced

Nurse, Practitioner role, competences and program accreditation

Marie-Laure Delamaire, Gaetan Lafortune (2010). Nurses in Advanced Roles

A description and evaluation of experiences in 12 developed countries

Heard a Bump on the
Words: 958 Length: 3 Pages Document Type: Term Paper Paper #: 31106122
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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…

Subspecialty Postgrad Pain as Most
Words: 1837 Length: 6 Pages Document Type: Term Paper Paper #: 47490390
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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…


American Board of Pain Medicine Website. Retrieved February, 21, 2008 at 

Bandlow, D. (1995). M.D. Monopoly: How Nurses Can Help Relieve Spiraling Health-Care Costs. Policy Review, (74), 89.

Block, a.R., Kremer, E.F., & Fernandez, E. (Eds.). (1999). Handbook of Pain Syndromes: Biopsychosocial Perspectives. Mahwah, NJ: Lawrence Erlbaum Associates.

Block, a.R. (1996). Presurgical Psychological Screening in Chronic Pain Syndromes: A Guide for the Behavioral Health Practitioner. Mahwah, NJ: Lawrence Erlbaum Associates.

Antiemetic Efficacy of Ipa Inhalation Post-Operative Nausea
Words: 1916 Length: 6 Pages Document Type: Essay Paper #: 69178269
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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…


Apfel, Christian C. (2005). PONV: A problem of inhalational anaesthesia? Best Practice & Research Clinical Anaesthesiology, 19(3), 485-500.

Cullen, Karen A., Hall, Margaret J., and Golosinskiy, Aleksandr. (2009). Ambulatory surgery in the United States, 2006. National Health Statistics Reports, 11, 1-28. Retrieved 9 Oct. 2012 from .

Hines, S., Steels, E., Chang, A., and Gibbons, K. (2012). Aromatherapy for treatment of postoperative nausea and vomiting (review). Cochrane Database of Systematic Reviews, April 18(4), 1-52. Retrieved 11 Oct. 2012 from .

Lummis, Sarah C.R. (2012). 5HT3 receptors. Journal of Biological Chemistry, in press, October 4. Retrieved 8 Oct. 2012 from .

Anesthesia in Rural American
Words: 1467 Length: 5 Pages Document Type: Essay Paper #: 11490345
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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…

References,. (2014). Become a CRNA. Retrieved 9 August 2014, from 

Bankert, M. (1989) Watchful Care; A History of America's Nurse Anesthetists. New York: The Continuum Publishing Company, p. 107-123, 137-139.

Garde, J.F. (1996). The Nurse Anesthesia Profession, A Past, Present, and Future Perscpective. Nursing Clinics of North America, Vol 31, Number 3, p. 570-571.

Blended Role APN
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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…


Hamric, A.B., Spross, J.A., & Hanson, C.M. (2009). Advanced practice nursing: an integrative

approach (4 ed.).

Kenward, K. (2007). Report of findings from the role delineation study of nurse practitioners and clinical nurse specialists. Special report: National Council of State Boards of Nursing, Inc. (NCSBN), 30. Retrieved from:

Helen Lamb the American Association
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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…


Helen Lamb. 

Albany Med's Martin-Sheridan Recognized for Contributions to Education of Nurse Anesthetists 

Fosburgh, L.C. 1995. Imagining in Time.

Helen Lamb on the Profession
Words: 1531 Length: 6 Pages Document Type: Term Paper Paper #: 74649686
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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…


American Association of Nurse Anesthetists. Available at:

Hornsby, L. (2002). "Anesthesia's new frontier: ensuring patient safety in the office setting." Plastic Surgical Nursing, Vol. 72, Issue 2.

McKibban, T. (2004). "Mission, vision, and core values: the foundation of our strategic plan." AANA Journal, Vol. 72, Issue 2.

Schwartz, A. (2003). "Imagining in time." AANA Journal, Vol. 71, Issue 3.

Role of Nurses Role of
Words: 611 Length: 2 Pages Document Type: Essay Paper #: 60572428
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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.…


Feldman, H. (2005). Educating Nurses for Leadership. New York: Springer.

Fabre, J. (2005). Smart Nursing. New York: Springer.

Holland, S. (1998). Skills of Clinical Supervision for Nurse. Philadelphia: Open University Press.

Evidence Evaluating Evidence Making Recommendations Life Is
Words: 2783 Length: 8 Pages Document Type: Essay Paper #: 10764460
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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…


Galbraithn .D. & Brownk .E. (2011) Assessing intervention effectiveness for reducing stress in student nurses: quantitative systematic review. Journal of Advanced Nursing 67(4), 709 -- 721. doi: 10.1111/j.1365-2648.2010.05549.x

Katz, R.S., & Johnson, T.A. (2006). When professionals weep: Emotional and countertransference responses in end-of-life care. New York: Routledge.

Herdman, T.H., & North American Nursing Diagnosis Association. (2008). NANDA-I nursing diagnoses: Definitions & classification, 2009-2011. Oxford: Wiley-Blackwell

Campbell, L.A., & ProQuest Information and Learning Company. (2009). Effectiveness of interventions in changing ICU nurses' attitudes and beliefs towards open/flexible visitation.

Clinical Residency for a Family
Words: 1740 Length: 6 Pages Document Type: Research Proposal Paper #: 80369850
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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…

Rights and Responsibilities for a Member of
Words: 995 Length: 2 Pages Document Type: Term Paper Paper #: 39581787
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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…

Works Cited

Johnson, Linda. (March 29, 2004) "Shortage of nurses putting patients at risk: Unions push for limits on patient loads in hospitals." Associated Press. 

Minnesota Board Of Nursing. (May 17, 2004) "Twin Cities Registered Nurses Ratify Contracts." Retrieved on June 6, 2004 at SIC&SEC={E7A71FCF-7F9B-4BE9 88C4-85784F18A4A9}

Minnesota Board Of Nursing. (June 2004) "Who needs a Minnesota Nursing License?" Retrieved on June 6, 2004 at  6898714&sc3=null&sc2=null&id=-536882404&agency=NursingBoard

Minnesota Statutes. (2003) 148.171

Personal and Professional Accountability
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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…


Bell, L. (2015). Reflection In Personal And Professional Development. 30.

Campbell, C. C. (2011). Advance Practice Nursing Roles. Retrieved from 

CRNBC. (2017). Standard 1: Professional Responsibility and Accountability. Retrieved from College of Registered Nurses of British Columbia: 

Savrin, C. (2009). Growth and development of the nurse practitioner role around the globe. J Pediatr Health Care., 310-14.

Anesthesia Means Temporary Loss of
Words: 3728 Length: 12 Pages Document Type: Research Paper Paper #: 12779152
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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…


Bergman, Norman. History of Anesthesia.  .Retrieved from 14th Jan 2013.

Conquering surgical pain: Four men stake their claims. (2012). Massachusetts General

Blatner, Adam. The discovery and invention of Anesthesia. . Retrieved on 14th Jan 2013.

Fadden, John. Cultural, Environmental and Genetical influences on drug therapy. . Retrieved on 14th Jan 2013.

Analyzing Healthcare Cultural Assessment
Words: 5773 Length: 18 Pages Document Type: Capstone Project Paper #: 24073629
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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…


American Nurses Association. (1998). Discrimination and Racism in Health Care. Silver Spring, MD: American Nurses Association.

Anderson, L. (2012, October 10). Cultural Competence in the Nursing Practice. Retrieved from Nurse Together: 

Coe, S. (2013, January 15). Cultural Competency in the Nursing Profession. Retrieved from Nurse Together: 

Graue, M., Dunning, T., Hausken, M. F., & Rokne, B. (2013). Challenges in managing elderly people with diabetes in primary care settings in Norway. Scand J Prim Health Care, 31(4), 241-247.

Lessons Learned Benjamin Franklin Once Said That
Words: 666 Length: 2 Pages Document Type: Term Paper Paper #: 88972842
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Lessons Learned

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…


Benjamin M. And Curtis J. (1992). Ethics in Nursing. Oxford University Press, USA (3rd edition): New York, NY.

Taylor C., Lillis C., LeMone P. & Lynn P. (2010). Fundamentals of Nursing: The Art and Science of Nursing Care. Lippincott Williams & Wilkins (7th edition): New York, NY.

The Importance of Uniformity of Licensing of Aprns
Words: 1108 Length: 3 Pages Document Type: Essay Paper #: 43481075
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Consensus Model

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:…

Works Cited

APRN Joint Dialogue Group. (2008). Consensus Model for APRN Regulation: Licensure,

Accreditation, Certification & Education.

APRN Consensus Work Group. (2008). Consensus Model for APRN Regulation.

Finkler, S.A., Jones, C., and Kovner, C. T. Financial Management for Nurse Managers and Executives. Amsterdam, Holland: Elsevier Health Sciences.

Policy Brief Regarded VA Health Care
Words: 1979 Length: 8 Pages Document Type: Research Paper Paper #: 69688679
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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…


APRN roles recognized. (2016). National Council of State Boards of Nursing. Retrieved from .

ANA urges support for bill to increase veterans' access to APRNs' services. (2015, March/April). American Nurse, 47(2), 16.

From the trenches. (2015, July 25). Medical Economics, 92(14), 11-13.

GovTrack H.R. 1247. (2016). Govtrack. Retrieved from  bills/114/hr1247.

Arguments in Support of Full Practice Authority for APNs
Words: 288 Length: 2 Pages Document Type: Creative Writing Paper #: 83452825
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Pittsburgh Post-Gazette

Pittsburgh, Pennsylvania

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…


Advocacy updates. (2016). American Nurses Association. Retrieved from .

Culp, A. (2016, July 13). CRNAs battle-tested. Pittsburgh Post-Gazette (Pittsburgh, PA), A-10.

Summers, L. (2016, May 1). Update: Transition to full practice authority for APRNs. American Nurse, 48(3), 11.

Fourteen Forces of Magnetism and
Words: 2138 Length: 7 Pages Document Type: Thesis Paper #: 75534689
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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).



About Office of Nursing Services. (2008). Department of Veterans Affairs. [Online]. Available:

About VA. (2008). Department of Veterans Affairs. [Online]. Available: .

Bliss-Holtz, J., Winter, N., Scherer, Elaine M. (2004, September). An invitation to magnet accreditation. Nursing Management, 35(9), 36-42.

Facts about the Department of Veterans Affairs. (2008). Department of Veterans Affairs. [Online]. Available:

APN Educator
Words: 2988 Length: 9 Pages Document Type: Essay Paper #: 83351257
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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…


Bauer, U., Briss, P., Goodman, R., & Bowman, B. (2014). Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the U.S.A. The Lancet, 384(9937), 45-52. doi:10.1016/s0140-6736(14)60648-6

Cranford, J., & Bates, T. (2015). Infusing Interprofessional Education Into the Nursing Curriculum.Nurse Educator, 40(1), 16-20. doi:10.1097/nne.

De Milt, D., Fitzpatrick, J., & McNulty, S. (2011). Nurse practitioners' job satisfaction and intent to leave current positions, the nursing profession, and the nurse practitioner role as a direct care provider. Journal Of The American Academy Of Nurse Practitioners, 23(1), 42-50. doi:10.1111/j.1745-7599.2010.00570.x

Hamric, A., Hanson, C., Tracy, M., & O'Grady, E. (2013). Advanced Practice Nursing: An Integrative Approach, (5th ed.). St. Louis: Elsevier.

Lobbyists of Nurses in the Federal and State Capital
Words: 1603 Length: 4 Pages Document Type: Creative Writing Paper #: 36296070
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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…


Email provided by Catherine White: -- .

(n.d.). Texas Nurses Association. Advocacy: Top Issues - Texas Nurses Association. Retrieved May 20, 2015, from

Willmann, J.H. (2013). Nursing Legislative Agenda for Texas 83rd Legislative Session. Nursing Voice.

Hinson, K. (2015, April 28). Texas Nurses Association. TNA Opposes Legislation Lessening Whistleblower Protections - Texas Nurses Association. Retrieved May 21, 2015, from

Costs of Health Care and Quality
Words: 826 Length: 3 Pages Document Type: Essay Paper #: 58556062
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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…


Advanced Practice Nursing: A New Age in Health Care (nd) American Nurses Association. Retrieved from: 

Health Care Costs (2014) Agency for Healthcare Research and Quality. Retrieved from: 

A 21st Century Health Care Workforce for the Nation (2014) U.S. Department of Health and Human Services. Retrieved from:

Federal Hospitals Supervision the Need
Words: 1122 Length: 3 Pages Document Type: Research Paper Paper #: 57165028
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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…


Brown, S. (2011). Federal hospitals. American Hospital Association. Retrieved on May

29, 2011 from 

Lee, C.J. (2006). Federal regulation of hospital resident work hours: enforcement with real teeth. Journal of Health Care Review Policy: University of Maryland. Retrieved on May 29, 2011 from "federal+hospitals+regulations"

Mahon, M. And Pryor C. (2003). Government regulations contribute to medical debt of uninsured and underinsured. The Commonwealth Fund. Retrieved on May 29, 2011

Postoperative Vision Loss Elements of
Words: 8700 Length: 30 Pages Document Type: Research Proposal Paper #: 21606334
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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…


Anaesth, B.J. (2009). Perioperative visual loss: What do we know, what can we do? Department

of Anesthesia and Critical Care. University of Chicago. Retrieved January 25, 2010 from 

Booth, B. (2008). Informed consent at the heart of New York lawsuit. Retrieved January 26,

2010 from

Micromanagement Causes Employee Stress Micromanagement
Words: 1655 Length: 5 Pages Document Type: Term Paper Paper #: 5856632
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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…


Brown, M.R. (1998, February). Management by Delegation: Don't Be a Micro Manager Share the Responsibility. Black Enterprise, 28, 76. "Micromanagement," 2008, Retrieved January, 10 2008 at 

Eadie, D. (2005, February). Board Committees as the Governing Engines. School Administrator, 62, 8.

Frase, L.E., English, F.W., & Poston, W.K. (2001, November). Enter Micro-Managers. Goodbye Macro-Management. School Administrator, 58, 44.

Interviews Contribute to My Professional Development From
Words: 322 Length: 1 Pages Document Type: Research Proposal Paper #: 28886312
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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…

Are Theatre Nurses Equipped With the Skills Required to Perform Pre-Operative Visits
Words: 7009 Length: 25 Pages Document Type: Term Paper Paper #: 79311704
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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…


Walsgrove H, Fulbrook P.(2005) Advancing the clinical perspective: a practice development project to develop the nurse practitioner role in an acute hospital trust. J Clin Nurs. 2005 Apr;14(4):444-55. PMID: 15807751

Walsgrove H. (2004) Piloting a nurse-led gynaecology preoperative-assessment clinic. Nursing Times. 2004 Jan 20-26; 100(3):38-41. PMID: 14963959

Byrne JP (2000) The South Australian Nurse Practitioner Project: a midwife's perspective on a new initiative.Collegian. 2000 Jul;7(3):37-9. PMID: 11858406

Le-Mon B. (2000) The role of the nurse practitioner. Nurs Stand. 2000 Feb 9-15;14(21):49-51. No abstract available. PMID: 11971310

Evidence-Based Practice
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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…


Kehlet, Henrik and Wilmore, Douglas W. (2002). Multimodal strategies to improve surgical outcome. American Journal of Surgery, 183, 630-641.

Lee, Anna, Kerridge, Ross K., Chui, Po Tong, Chiu, Chun Hung, and Gin, Tony. (2011). Perioperative systems as a quality model of perioperative medicine and surgical care. Health Policy, 102, 214-222.

Lindwall, Lillemor and von Post, Irene. (2009). Continuity created by nurses in the perioperative dialogue -- a literature review. Scandinavian Journal of Caring Sciences, 23, 395-401.

Plasters, Cheryl L., Seagull, F. Jacob, and Xiao, Yan. (2003). Coordination challenges in operating-room management: An in-depth field study. AMIA Annual Symposium Proceedings, 524-528.

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…


Dobson, PM., Caldicott, LD., Gerrish, SP., Cole, JR., & Channer, KS. Changes in haemodynamic variables during transurethral resection of the prostate: comparison of general and spinal anaesthesia. British Journal of Anaesthesia. Mar; 72 (3): 267-71

Edwards, ND., Callaghan, LC., White T., & Reilly, CS. (1995). Perioperative myocardial ischaemia in patnets undergoing transurethral surgery: a pilot study comparing general with spinal anaesthesia. British Journal of Anaesthesia. Apr; 74 (4): 368-72

Gravenstein, D. (1997). Transurethral resection of the prostate syndrome: a review of the pathophysiology and management. Anesthesia Analg. Feb; 84 (2): 438-36

Hosking, MP., Lobdell, CM., Warner, MA., Offord, KP., & Melton LJ. 3rd. (1989).Anaesthesia for patients over 90 years of age. Outcomes after regional and general anaesthetic techniques for two common surgical procedures. Anaesthesia. Aug; 44 (8): 697-8

Transapical Aortic Valve Implantation Transapical
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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.…


McRae, Marion E., Rodger, Marnie, and Barbara A. Bailey. (2009). Transcatheter and transapical aortic valve replacement. Critical Care Nurse, 29(1), 22-37.

Walther, Thomas et. al, (2009). Transapical aortic valve implantation: Step-by-step. The Annals of Thoracic Surgery, 87, 276-283.

Stress Response Associated With Cardiac Bypass Surgery and Anesthesia Concerns
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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…


Cook, Richard I. "Adapting to New Technology in the Operating Room." Human Factors, Vol. 38, 1996.

Cook, R.I., Woods, D.D., Howie, M.B., Horrow, J.C. & Gaba, D.M. (1992). "Unintentional delivery of vasoactive drugs with an electromechanical infusion device." Journal of Cardiothoracic and Vascular Anesthesia, 6, 238-244.

Cuschieri, R.J., Morran, C.G., Howie, J.C., & McArdle, C.S. (1985). "Postoperative pain a dpulmonary complications: comparison of three analgesic regimens." British Journal of Surgery, 72, 495-499.

Glaser, J., Kiecolt-Glaser, MacCallum P., Marucha, P., & Page, G. "Psychological Influences on Surgical Recovery: Perspectives from Psychoneuroimmunology." American Psychologists, Vol. 53, 1998.

Analyzing Patient Injuries and Malpractice
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clinical cases and examine malpractice perspectives.

Background Info

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,, 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…


Florida Healthcare Law (n.d.). - A Florida Medical Malpractice Blog - Shoulder Dystocia Erbs Palsy. What are the Elements of a Medical Malpractice Claim? -- Florida Healthcare Law - A Florida Medical Malpractice Blog - Shoulder Dystocia Erbs Palsy. Retrieved March 8, 2016, from 

Kurreck, & Twersky. (2012). Home -- AHRQ Patient Safety Network. Residual Anesthesia: Tepid Burn -- AHRQ Patient Safety Network. Retrieved March 8, 2016, from 

Nahed, B., Babu, M., & Smith, T. (2012, June 22). Malpractice Liability and Defensive Medicine: A National Survey of Neurosurgeons. Retrieved March 7, 2016, from 

Saltzman, J. (2008, January 29). Medical Malpractice Attorneys Lubin & Meyer -- Boston, MA, NH, RI. Family Sues in Operating Room Fall - Wrongful Death Lawsuit. Retrieved March 8, 2016, from

Doctor's Clinic Description Doctor's Clinic
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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…