Use our essay title generator to get ideas and recommendations instantly
Critique of Research Studies: Quantitative
Title: The Effect of Bullying on Burnout in Nurses: The Moderating Role of Psychological Detachment
Horizontal violence, or workplace bullying of nurses, remains a serious problem for the nursing profession. But while bullying remains a serious issue for all nurses in all workplaces, all nurses are individuals and experience the phenomenon in psychologically complex and distinct ways. This study attempted to discern the extent to which psychological detachment from the situation could act as a buffer for the nurse in protecting her against the stressors of negative judgements and pressures.
Bullying is a serious issue within all professions, but the nursing profession in particular has been notorious for the phenomenon of nurses “eating their young,” or subjecting new and younger members of the profession to psychological stress and bullying. In this study by Allen, Holland, & Reynolds (2015), the researchers attempted to discern…
Allen, B. C., Holland, P., & Reynolds, R. (2015). The Effect of bullying on burnout in nurses: The moderating role of psychological detachment. Journal of Advanced Nursing, 71(2), 381-390. Retrieved from: https://pdfs.semanticscholar.org/bfa0/a66f81e5930599df9391ccdf504c3cf1aac2.pdf
Van Oostveen, C. J., Mathijssen, E., & Vermeulen, H. (2015). Nurse staffing issues are just the tip of the iceberg: A qualitative study about nurses’ perceptions of nurse staffing. International Journal of Nursing Studies, 52(8), 1300-1309. Retrieved from: http://daneshyari.com/article/preview/1076172.pdf
Proposal for mandatory staffing ratios
Public Policy Issue
This policy will mandate that mandatory staffing ratios be met by hospitals throughout the nation. This is an important public policy issue because it would oblige hospitals that are part of the Medicare program to create a committee that is partly made of nurses who can discuss the issue of staffing. As Fowler and Comeaux (2017) point out, staffing is still a major challenge for nurses. If there are too few nurses on staff it can lead to nurse burnout. The right ratio of nurses to patients is required to prevent nurses from being overburdened (Martin, 2015). The reason I selected this policy is because it is clearly important to nurses’ own health and ability to do their jobs. It can also play a part in preventing turnover rates from going too high (Laschinger & Fida, 2015). Therefore, this is…
How the nurses can become involved to influence health policy related to Diabetes
The ability of nurses to influence the policy espoused in healthcare is fundamental for the protection of care quality through access to necessary opportunities and recourses (Arabi et al., 2014). The ability of a nurse to influence health policy relating to diabetes is a new concept although there has not been enough research on policy influence by nurses. According to Arabi et al. (2014) there is no conceptual comprehension of what policy influence by nurses entails. Through research Arabi et al. (2014) attempts to clarify the policy influence by nurses concept and proposes a definition for the concept. From the research Arabi et al. (2014) finds that nurses’ policy influence is the nurses’ ability to influence affairs and decisions on matter health through effective communication, collaboration with other health team members, and knowledge. On matters related to…
Arabi, A., Rafii, F., Cheraghi, M. A., & Ghiyasvandian, S. (2014). Nurses’ policy influence: A concept analysis. Iran J Nurs Midwifery Res, 19(1735–9066 (Print)), 315–322.
PHE. (2016). Public health is every nurse’s responsibility. Nursing Times, 109(24), 12–3. https://doi.org/JST.JSTAGE/bpb/31.1086
The article by Swickard et al considers the role of the American Association of Critical-Care Nurses Synergy Model for Patient Care in relation to transporting patients between hospital settings for increased levels of care. It reveals the fact that the aforementioned synergy model is a patient-centric one in which providers attempt to match a patient’s characteristics with a particular nurse’s competency to achieve patient goals (Swickard et al, 2014, p. 16). The article was insightful because it demonstrated the need for such an approach in situations in which the care provider may or may not be aware of each of the factors influencing how successful transporting the patient is.
The article by Montgomery et al focuses on the applicability of the synergy model of care in rural settings. It deconstructs the theory behind this care model, rural theory, and rural nursing practices. Analysis of “the four major concepts…
Driscoll, A., Grant, M.J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., Astin, F. (2018). European Journal of Cardiovascular Nursing. 17(1), 6-22.
Montgomery, S.R., Sutton, A.L., Pare, J. (2017). Online Journal of Rural Nursing and Health Care. 17(1), 87-99.
Stimpfel, A.W., Sloane, D.M., Aiken, L.H. (2012). The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Affairs (Millwood). 31(11), 2501-2509.
Shearer, T. (2013). Getting the mix right: assistants in nursing and skill mix. Australian Nursing & Midwifery Journal. 21(5), 24-27.
Swickard, S., Swickard, W., Remier, A., Lindell, D., Winkelman, C. (2014). Adaptation of the AACN synergy model for patient care to critical care transport. Critical Care Nurse. 34(1), 16-28.
The Institute of Medicine (IOM) in its Future of Nursing report stated that there is a need for nurses to be able to practice to the full extent and scope of their education and training (IOM, 2010). In doing so, the belief was that this would increase access to care and provide nurses with the opportunity to practice as they were trained. O’Brien (2003) notes, after all, that the whole reason APRNs began being trained in the latter half of the 20th century was to fill the gap being left behind by primary care physicians as they left their primary care practice to go work for specialized medicine. Today, however, nurses are still bound by regulations that require them in many states to work under the supervision of physicians even though the nurses have the training to treat patients independently of doctors.
Still, the recommendations of the IOM are…
Introduction: Synopsis and Theme
In “A Patient’s Story,” Kenneth Schwartz provides a personal biopsychosocial narrative about his experiences undergoing treatment for cancer. Himself a physician, Schwartz finds himself adopting a new role as patient, seeing for the first time in his career the medical system from the patient’s point of view. The healthcare system that he had for so long contributed to as a doctor seemed suddenly limited, painfully bereft of the human factors that Schwartz claims would have enhanced his healing process.
Factors Schwartz never considered relevant or meaningful within the realm of healthcare service delivery—from eye contact and touch to the use of prayer—suddenly became central to his ability to build psychological and spiritual resilience during the toughest times of his life. Some nurses were “cool and brusque,” which promoted the already intense feelings of agitation, apprehension, anger, and fear burgeoning within Schwartz and his family members (p.…
Booth, L., & Kaylor, S. (2018). Teaching Spiritual Care Within Nursing Education. Holistic Nursing Practice, 32(4), 177–181. doi:10.1097/hnp.0000000000000271
Gallison, B. & Kester, T. (2018). Connecting holistic nursing practice with relation-based care. Nurse Leader 16(3): 181-185. doi:10.1016/j.mnl.2018.03.007
Schwartz, K.B. (1995). A patient’s story. The Boston Globe Magazine. 15 July, 1995. http://www.theschwartzcenter.org/media/patient_story.pdf
Timmins, F., Murphy, M., Neill, F., et al. (2015). An exploration of the extent of inclusion of spirituality and spiritual care concepts in core nursing textbooks. Nurse Education Today 35(1): 277-282. doi:10.1016/j.nedt.2014.05.008
DNP Assessment: A Self-Reflective Overview
Q1: Integration and Application
In terms of the direct application of what I have learned over the course of my DNP studies, I feel I have grown in my ability to systematically apply nursing theory to my everyday practice. A good example of this is the concept of self-care. Like many nurses, encouraging patient self-care has been a priority, given there is a limited extent to which patients, even patients with chronic illnesses, can be maintained within a hospital setting. Orem’s self-care deficit theory suggests that nurses should intervene to rectify self-care deficits of patients when and if needed. This may be as minor as reinforcing wellness patterns for the young and healthy, as well as providing direct assistance to individuals who need medical care. Evidence-based research suggests that using Orem’s theory enhances clinical performance due to its clarity and wide applicability and also enhances…
Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O\\\\'Connor, D. B. (2016). Healthcare staff wellbeing, burnout, and patient safety: A systematic review. PloS One, 11(7), e0159015. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4938539/pdf/pone.0159015.pdf
Inpatient quality indicators overview. (2018). Agency for Healthcare Research and Quality. Retrieved from: https://www.qualityindicators.ahrq.gov/modules/iqi_overview.aspx
Joseph, M. L., & Huber, D. L. (2015). Clinical leadership development and education for nurses: Prospects and opportunities. Journal of Healthcare Leadership, 7, 55-64. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5740995/
Malekzadeh, J., Amouzeshi, Z., & Mazlom, S. R. (2018). A quasi-experimental study of the effect of teaching Orem\\\\'s self-care model on nursing students\\\\' clinical performance and patient satisfaction. Nursing Open, 5(3), 370-375. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6056447/
Article: Van Oostveen, C. J., Mathijssen, E., & Vermeulen, H. (2015). Nurse Staffing Issues are Just the tip of the Iceberg: A Qualitative Study About Nurses’ Perceptions of Nurse Staffing. International Journal of Nursing Studies, 52(8), 1300-1309. http://daneshyari.com/article/preview/1076172.pdf
According to Polit & Beck (2017), the primary parameters of evaluating a qualitative research article include the research methods, the research design and its tradition, the setting and sampling methods, data collection and measurement, procedures, and ethics and protections of human rights. The Van Oostveen, Mathijssen & Vermeulen (2015) study uses qualitative methodology to examine the Dutch nurses’ perceptions of staff-to-patient ratio, staffing levels, and also the patient classification system. The research was motivated by preliminary studies showing that staffing levels have become low enough to potentially endanger patient safety. Ultimately, the researchers found that nurses perceive their role in the hospital as being subordinate, which is exacerbating existing tensions and staffing…
Allen, B. C., Holland, P., & Reynolds, R. (2015). The Effect of Bullying on Burnout in Nurses: The Moderating Role of Psychological Detachment. Journal of Advanced Nursing, 71(2), 381-390. https://pdfs.semanticscholar.org/bfa0/a66f81e5930599df9391ccdf504c3cf1aac2.pdf
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Van Oostveen, C. J., Mathijssen, E., & Vermeulen, H. (2015). Nurse Staffing Issues are Just the tip of the Iceberg: A Qualitative Study About Nurses’ Perceptions of Nurse Staffing. International Journal of Nursing Studies, 52(8), 1300-1309. http://daneshyari.com/article/preview/1076172.pdf
Nurses are professionals and experts with the capability and responsibility to have an influence not only in the prevailing but also future healthcare delivery systems. Imperatively, the nursing line of work is founded on the skill of human health and caring. It functions from a structure that values all persons in a holistic manner and endeavours to cultivate and progress persons’ health all the way through their life expectancy and across all societal levels. Through policy work, nurses have the ability and ought to influence practice standards as well as procedures to guarantee quality of care. More than ever, nurses ought to be incorporated in every healthcare environment and also are set in a unique role in the formulation of policy (Burke, 2016).
Opportunities for APRN Participation in Policy Making
There are numerous prospects for APRNs in policy making. The nurse practitioners have the ability to influence numerous individuals…
Implementation of Evidence-Based Practice Project
The use and promotion of evidence-based healthcare is faced with resistance. Nurses across the globe have continually faced obstacles to their effort to universally embrace the approach. The key players in the implementation of evidence-based practice include staff in hospitals. There are two major barriers that continue to impede the effort to change to the new healthcare practice. Cultural barriers alone, or accompanied with red tape in institutions, and the poor knowledge were picked out as the main stumbling blocks (Tacia, Biskupski, Pheley & Lehto, 2015). The willingness of the staff to embrace care tasks and roles that are meant for intervention determines the level and magnitude of the barriers. If the staffs are reluctant to accept such roles and duties, it would undermine the implementation of the intervention measures (Hanson et al., 2017).
Institutional and/or cultural barriers: Cultural issues in institutions and…
Hanson, H., Warkentin, L., Wilson, R., Sandhu, N., Slaughter, S., &Khadaroo, R. (2017).Facilitators and barriers of change toward an elder-friendly surgical environment: perspectives of clinician stakeholder groups. BMC Health Serv Res, 17, 596.doi: 10.1186/s12913-017-2481-z
Jackson, G., Roumie, C., Rakley, S., Kravetz, J., Krishner, M., Monte, P.,… Bosworth, H. (2016). Linkage between theory?based measurement of organizational readiness for change and lessons learned conducting quality improvement–focused research. Learning Health Systems, 1(2). Retrieved from https://onlinelibrary.wiley.com/doi/full/10.1002/lrh2.10013
Tacia, L., Biskupski, K., Pheley, A., &Lehto, R. (2015).Identifying barriers to evidence-based practice adoption: A focus group study.Clinical Nursing Studies, 3(2).doi: 10.5430/cns.v3n2p90
In a hospital setting, nurses are likely to come across many diverse patients of various backgrounds and populations. In order to treat them effectively and provide high quality care, it is important for the nurse to understand them and to be able to communicate with them. Leininger’s (2008) theory of transcultural nursing is a very helpful theory that nurses can apply to ensure that the proper cultural approach to care is provided to all patients. The basic idea behind Leininger’s theory is that the culture, values, beliefs and expectations of the patient should be considered from the cultural perspective—which means that nurses have to develop a high level of cultural competence.
This nursing theory can have the greatest impact on nurses in a hospital setting primarily because it allows the nurse to recognize the different cultural approaches to care that can make patients feel most comfortable during their…
Leininger, M. (2008). Transcultural nursing: Its importance in nursing practice. Journal of Cultural Diversity, 15(1), 37.
Ageism, its Impact, and Proposed Interventions
Issue or concern common to my future practice setting: clarifying the proven myths amongst nurses and nursing students regarding geriatric patients
In this case, I would be seeking to further expand the knowledge of nursing care, with specific reference to geriatric residents (the vulnerable population), so as to decrease the myths amongst nurses and nursing students about geriatric patients. My specialty track is nursing education. It is important to note that the concern highlighted above impacts the system at not only the micro, but also the meso and macro levels.
At the micro level (i.e. individual level), myths amongst nurses and nursing students regarding geriatric patients impact patient general health and wellbeing. This is more so the case when it comes to their physical and mental health. As Lagana, Gavrilova, Carter, and Ainsworth (2017) point out, ageism could have extremely negative impact for seniors.…
Ben-Harush, A., Shiovitz-Ezra, S., Doron, I., Alon, S., Leibovitz, A., Golander, H., Haron, Y. & Ayalon, L. (2017). Ageism among Physicians, Nurses, and Social Workers: Findings from A Qualitative Study. Eur J Ageing, 14(1), 39-48.
Lagana, L., Gavrilova, L., Carter, D.B., & Ainsworth, A.T. (2017). A Randomized Controlled Study on the Effects of a Documentary on Students’ Empathy and Attitudes towards Older Adults. Psychol Cogn Sci, 3(3), 79-88.
The qualitative design of the study conducted by Van Oostveen, Mathijssen and Vermeulen (2015) entitled “Nurse Staffing Issues are Just the tip of the Iceberg: A Qualitative Study About Nurses’ Perceptions of Nurse Staffing” published in the International Journal of Nursing Studies is based on the descriptive phenomenological design in which data was obtained from four focus groups consisting of 44 nurses and 27 in-depth interviews of head nurses, nurse directors and advisors. As Van Oostveen et al. (2015) indicate, “the focus groups and interviews were audiotaped, transcribed and subjected to thematic analysis,” which is consistent with the phenomenological method (Lewis, 2015). The design aimed to obtain insight from nurses and nurse managers on how staff levels impact the nursing experience and nurses’ overall ability to provide quality care.
The strengths of this design are that deeper understanding of the factors at play in a particular phenomenon can…
Lewis, S. (2015). Qualitative inquiry and research design: Choosing among five approaches. Health Promotion Practice, 16(4), 473-475.
Lin, C. (2013). Revealing the “Essence” of Things: Using Phenomenology in LIS Research. Qualitative and Quantitative Methods in Libraries (QQML), 4, 469-478.
Van Oostveen, C. J., Mathijssen, E., & Vermeulen, H. (2015). Nurse Staffing Issues are Just the tip of the Iceberg: A Qualitative Study About Nurses’ Perceptions of Nurse Staffing. International Journal of Nursing Studies, 52(8), 1300-1309. http://daneshyari.com/article/preview/1076172.pdf
Management of Patients with Multiple Sensory Deficits
Identify three initial nursing diagnoses for Mrs. Henson and list the defining characteristics that would support each of your identified nursing diagnoses.
The three initial diagnoses for Mrs. Henson would be to observe her responses when initiating conversation or talking to her, determine if the patient has cerumen impaction, and performing a whisper test. These diagnoses are aimed at determining the patient’s ability to hear and respond to the nurse and others. Observing the patient when having a conversation will allow the nurse to gauge the patient’s facial expression and attention. The patient could be getting distracted due to her other ailments and conditions and this might be the reason she is not able to hear instructions being given. Nurses are trained to be more patient with patients with hearing aids because they might lose attention. Observing the patient when talking to her…
The Angel Learning information reflects the fact that nurses were very young (as young as 16 years) in WWI, and that many women volunteered to join the Voluntary Aid Detachment (VAD) and served with all military units.
But although through their bravery and competencies during WWI had a major impact on nursing, the war that shaped the nursing profession more than any other was WWII. The great needs for medical services in both theaters (Europe and the Pacific) of WWII gave impetus to the U.S. Army granting full officers' commissions to nurses -- in effect, legitimizing this profession in what had been hitherto a strictly male-dominated undertaking. Nurses were for the most part volunteers in WWI, but they were paid in WWII, and were provided free educations on their return home. Respect for nurses after and during WWII grew enormously, and their professionalism saved thousands of…
Nurses and Interdisciplinary Teams:
Interdisciplinary or multidisciplinary teams in the nursing team refer to the various groups that are involved in providing healthcare services. The interdisciplinary team consists of members from several practices who collect information to attain a consensus. These teams focus on outcomes while recognizing that the participants have shared responsibility to accomplish them. In most cases, the leadership of interdisciplinary teams alternates among its associates based on the skills that are required at a specific time or be totally shared at certain times. Nonetheless, the role of the leader of an interdisciplinary team is to facilitate instead of direct the collective work of the group.
Notably, an interdisciplinary team requires its participants to take responsibility for all operations like supplies, schedules, and budgets as a collective entity. In other fields like business, interdisciplinary teams are known self-directed groups since they have helped in lessening costs. These teams…
"Interdisciplinary Collaboration, Patient Education." (n.d.). Euromed Info -- Patient Teaching
Into Practice. Retrieved April 20, 2012, http://www.euromedinfo.eu/interdisciplinary-collaboration-patient-education.html/
Wenckus, E. (n.d.). Working with An Interdisciplinary Team. Retrieved April 20, 2012, from http://nsweb.nursingspectrum.com/Articles/InterdisciplinaryTeamCF.htm
Making available recovery program treatment besides collaborating with partnership to leverage resources and knowledge is a role that I perform in efforts of helping clients access care. I am also involved in continual community-based quality improvement programs that are designed to support care access and quality.
B. Veteran Centered Care
With respect to centered care, I normally assist with provision of alternatives to inpatient care for mental health linked problems. Additionally, I make CVT available for weekend and evening hours. As a MHICM practitioner, I perform various administrative and clinical functions for clients and my team. Clinical tasks entail stress and crisis management, group therapy, advocacy and treatment planning. I also ensure that patient preferences with respect to appointments and mental health care providers are maintained.
C. Performance Measures
I offer administrative and clinical supervision for my team besides facilitating cohesiveness communication, education programs and systems concerning community-based services. Given…
Committee on the Robert Wood Johnson Foundation initiative on the future of nursing.(2011). The future of nursing: Leading change, advancing health. New York: National Academies Press
Daniels, R., & Nicoll, L.(2011). Contemporary medical-surgical nursing, Volume 1. New York: Cengage Learning.
Sullivan-Marx, E.(2010). Nurse practitioners: The evolution and future of advanced practice. New York: Springer Publishing Company.
Thonicroft, G. (2011). Oxford textbook of community mental health. London: Oxford University Press.
Nurses Perspectives on Smoking
According to researchers, about 18% of all registered nurses in America smoke. In order to help these people quit the habit, and thus improve their health and the health of those around them, the authors stated purpose is to "develop a national program to assist nurses in smoking cessation." (Bialous, 2004, p. 387) To accomplish this goal, the researchers conducted a total of eight focus groups, in four states, consisting of current and former smokers in order to determine attitudes toward smoking, quitting, and to examine preferences towards types of programs.
Eight focus groups were conducted in four states, California, Kentucky, New Jersey, and Ohio. These states were chosen because California and New Jersey had low smoking prevalences, while the prevalence of smoking in Kentucky and Ohio were high. By using both low and high prevalence of smoking, the researcher can obtain a national average for…
Bialous, S.A., Sarna, L., Wewers, M.E., Froelicher, E.S., Danao, L. (2004
November/December). "Nurses' Perspectives of Smoking Initiation, Addiction,
and Cessation." Nursing Research, 53(6), 387-395.
Nurses' Practice Environments, Error Interception Practices and Inpatient Medication Errors (2012)
Null hypothesis: There is no significant relationship between nurses' error interception practices and their practice environment.
Alternative hypothesis: There is a significant relationship between nurses' error interception practices and their practice environment.
Two frameworks were used in developing the theoretical foundation of the study: Error Theory and Nursing Organization and Outcomes Model.
Error Theory is a framework developed to explain errors that occur in different organizational settings. In the hospital/medical setting, errors are identified as medical errors, defined as "any preventable event that may lead to inappropriate medication use or patient harm" (Flynn et al., 2012, p. 181). In essence, error theory posits that in preventing errors from occurring within an organization, there must be a system established and implemented that could detect, determine, and deter any preventable errors/events. Further, the theory's proponent, J. eason, posited that within the…
Flynn, L., Y. Liang, G. Dickson, M. Xie, and D. Suh. (2012). "Nurses' Practice Environments, Error Interception Practices and Inpatient Medication Errors." Journal of Nursing Scholarship, Vol. 44, No. 2.
Des Jardins argues that in fact nurses have a moral and ethical obligation to participate in their government in every way available to them, starting with registering to vote, so they can support candidates and issues they believe will support good health for the society in which they live.
In addition, Helms, et. al. (1996) argue that attempting to influence policy at the hospital level as well as for local, state and national politics is important for nurses who work in a time of change. They encourage nurses to work together and try to help find solutions for the serious issues facing health care today. They particularly encourage nurses to be active regarding health issues, such as the changing laws for Medicare. These authors urge nurses to consider what actions could be implemented as a mode for positive change within the health community.
Nurses may feel that for whatever reason…
Des Jardin, Karen. 2001. "Political involvement in nursing -- politics, ethics, and strategic action." AORN Journal, November.
Helms, Lelia B.; Anderson, Mary Ann; and Hanson, Kathy. 1996. "Doin' politics:' linking policy and politics in nursing." Nursing Administration Quarterly, March 22.
" (Bernall, 1992, p. 19)
Though historically this role could have strained the nurses professional relationships with other health care professionals, and especially doctors the modern medical industry has afforded a new way of understanding the role, including an emphasis of such a nursing role in medical school. (Bernall 1992, p. 22)
As this belief has proven to be a long-standing one, it is therefore important to explore a greater understanding of the application of its use in patient care. The particular example of the mentally handicapped / epileptic patient is important as the complicated nature of these possibly debilitating diseases often leaves patients feeling helpless to contribute to their own general health and wellness. In one study the application of a nurse, for the specific role of advocacy was used to study it effects of the patients health and wellness outcomes.
A nurse functioning as patient advocate for 21…
Baribeault J.J. "Clinical advocacy for persons with epilepsy and mental retardation living in community-based programs." Journal of Neuroscience Nursing, Dec 1996 28/6 pp. 359-67.
Bernal E.W. "The nurse as patient advocate." The Hastings Center Report, July-August
1992. 22/4, pp. 18-23.
The Hastings Center Report, July-August 1992 v22 n4 p18(6)
The authors point out that nurses have the ability to influence patient expectations of care if they are educated properly. However the article also suggests that more attention needs to be paid to educating nurses regarding the psychological impact a diagnosis with breast cancer may have. These findings apply to any situation where a nurse is caring for patients with potentially life threatening illness. The article also suggests that further research should be conducted to determine the extent to which nurse's perceptions of patient outcome may impact a patient's psychological state and ability to remain optimistic throughout therapy.
The article can be used as the impetus necessary to incorporate more psychosocial coursework in nursing education.
Powe, B.D., Underwood, S., Canales, M. & Finnie, . (2005, Jun). "Perceptions about breast cancer among college students: implications for nursing education." Journal Nursing Education, 44(6):…
Powe, B.D., Underwood, S., Canales, M. & Finnie, R. (2005, Jun). "Perceptions about breast cancer among college students: implications for nursing education." Journal Nursing Education, 44(6): 257-65
Nurses during Emergency
During the tackling of disasters, teams from varied fields, experiences expertise and education come together; these group present broad spectrums of capabilities and qualification; essential for assistance in situations of public health emergency. This article looks at the regulations, ethical practice, limitations and guidelines for regulating of nursing practices in cases of public health emergencies (Couig, Johnson & ick, 2011). The regulations in the legal authority of action by nurses are done through education, licensure, and discipline which define the scope of practice for nurses practicing during health emergencies. Limitations to preparedness in the nursing practice brought about by burnout, depression, self-esteem, personal accomplishment, and emotional exhaustion and depersonalization problems. The environment in, which nurses practice, determines their preparedness in tackling of emergencies. Promoting the emotional well-being of nurses then becomes a beneficial aspect for the carrying out of nursing practice. It is important to provide nurses…
Couig, M., Johnson, K.A., & Rick, S. (2011). Nursing Scope of Practice Issues in Public Health
Emergencies. Journal Of Nursing Regulation, 2(3), 13.
EDDINS, E.E., JIE, H., & HUAPING, L. (2011). Baccalaureate Nursing Education in CHINA:
Issues and Challenges. Nursing Education Perspectives, 32(1), 30-33.
For one it is possible that the success rate may be limited by the number of participants willing to participate in a case study in the setting selected for purposes of this study. The results should suggest that multiple interventions including direct patient communication, early intervention to identify patients at risk for abuse and patient education to provide "community resources for abused victims" (Litwin & Zoabi, 2004: p. 133). The researcher predicts that sociodemographic as well as "dependency factors" may play a significant role in elder abuse (Litwin & Zoabi, 2004: p. 133). By using a case study approach the researcher hopes to limit non-participation and maximize response rate by as much as 90%. Observational analysis will also help facilitate better data collection and interpretation.
Adler, P. & P. (1987). Membership oles in Field esearch. Beverly Hills: Sage
Berg, B. (1989). Qualitative esearch Methods for the Social Sciences. Boston:…
Adler, P. & P. (1987). Membership Roles in Field Research. Beverly Hills: Sage
Berg, B. (1989). Qualitative Research Methods for the Social Sciences. Boston: Allyn & Bacon.
Britton, A. (1996). "Advice about empirical research." ABC Study Guide, Available:
The nursing profession has always attempted to put forward a positive, clean and healthful image. Throughout history the nursing industry has tried to portray nurses as angels of mercy, and as ethically upstanding, helpful healthcare professionals, just a few steps down from doctors in terms of medical needs. But lately the images of nurses has changed and not always for the best. This paper critiques the images of nurses through a review of the available literature.
The highly respected Gallop Poll ranks nurses at the top of the list of several important professions in terms of "honesty and ethical standards" (Gallup, 2010). In a 2010 polling project by Gallup eighty-one percent of respondents rated nurses "Very High" or "high"; number two below nurses was "military officers" (73% rated them "very high" or "high"; number three was "druggists or pharmacists" (71% rated them "very high" or "high"; and number four…
Cohen, Shelly. (2007). The Image of Nursing. American Nurse Today, 2(5), 1-2.
Darbyshire, Philip, and Gordon, Suzanne. (2008). Exploring Popular Images and Representations
Of Nurses and Nursing. Retrieved August 16, 2011, from http://www.springerpub.com/samples/25549_chapter.pdf .
De Araujo Sartorio, Natalia, and Zoboli, Elma Lourdes Campos Pavone. (2010). Images of a 'good nurse' presented by a teaching staff. Nursing Ethics, 17(6), 687-694.
This study seeks to show the direct relationship between the two, rather than the indirect relationship.
This study took a somewhat unique approach to determining what affects a lower number of nurses on staff has on a deviation for expected length of stay (LOS) in a hospital.
Other research has focused primarily on the length of stay, not on the expected length of stay. The difference between the two approaches includes the fact that previous studies have shown that there is a difference in the quality of care and the length of stay in the hospital, but this is one of the first studies to take into account the expected length of stay and the deviation based upon the quality of care and the number of nurses on duty. Other studies and the literature that is derived from those studies presents findings that include; "increased nurse staffing levels…
448). However, due to the recent introduction of the CPOE system (Computerized Physician Order Entry), the authors surmise that this system will help to eliminate up to 80% of all medication errors (Tang, Sheu, Yu, Wei and Chen, 2007, p. 448).
Third, the authors make it abundantly clear that nurses themselves must accept the bulk of the responsibility when it comes to transcribing, dispensing and administering medications to patients. Of course, if the prescription itself, almost always filled out by a physician, is inaccurate, then the responsibility falls upon the prescribing physician, a situation which then leads to nurses dispensing and administering the wrong medication. In addition, the authors provide an analysis related to nurses failing to report their medication mistakes to the proper hospital/clinic authorities, due perhaps to "shame, guilt and the fear of punishment" from their superiors when informed of medication errors on the part of nurses (Tang,…
Tang, Fu-in, Sheu, Shuh-Jen, Yu, Shu, Wei, Ien-Lan, and Ching-Huey Chen. (2007).
Nurses relate the contributing factors involved in medication errors. Journal of Clinical Nursing, 16, 447-457.
nurses: how to use the technical attributes of nursing while still conveying compassionate care.
Even though nursing is an empirical, scientific discipline, knowledge derived from the humanities and behavioral sciences should also form the foundation of client-centered nursing practice. A nurse must deal with the patient's subjective, psychological perceptions of what 'good health' means when setting health-related goals. The nurse must also understand the patient's particular cultural context. However, given these factors, the nurse cannot ignore certain biological imperatives imposed by the patient's condition (such as if the patient is a diabetic and needs to lose weight).
Q2. Mary Mahoney was a pioneer of nursing during an era where African-American women were prohibited from securing employment or education in healthcare. "She was also very instrumental during her career in bringing together minority nurses...and in helping other people [of color] to get involved in nursing" (Eyes on the Prize, 2011, Minority…
Eyes on the Prize. (2011). Minority Nurse. Retrieved December 6, 2011 at http://www.minoritynurse.com/print/113
Myra Levine: Conservation theory. (2009). Nursing Theories. Retrieved December 6, 2011 at http://nursingtheories.blogspot.com/2009/07/myra-levines-conservation-theory.html
Theory of interpersonal relations. (2009). Nursing Theories. Retrieved December 6, 2011 at http://www.currentnursing.com/nursing_theory/interpersonal_theory.html
nurses can use to obtain and capture a patient's medical history. The importance of these processes is to ensure that there will not be inadequate patient assessments, as these may result in adverse outcomes during the patient care. Preparation of the environment, good communication skills and ordering of the questions are very important in the process of acquiring patient history. There is no specific population stated in the article, but it leans towards adult patient history. The outlines steps are mostly generic and can be applied for anyone, though that would require alteration, and addition of special skills when handling pediatric patients. The article also explains the rationale that can be used to ensure a nurse takes a comprehensive patient history.
Summary of the article
In all patient assessments, the most important thing is taking a patient's history. This is part of the whole process and has its imperative to…
Buck, S. (2008). NURSE PRACTITIONER: CLINICAL SKILLS AND PROFESSIONAL ISSUES (2ND EDN). [Book Review]. Practice Nurse, 35(2), 25-25.
Kaufman, G. (2008). Patient assessment: effective consultation and history taking. [Article]. Nursing Standard, 23(4), 50-56.
Lloyd, H., & Stephen, C. (2007). A guide to taking a patient's history. [Article]. Nursing Standard, 22(13), 42-48.
McGough, G. (2006). Nurse Practitioners -- Clinical Skills and Professional Issues: Second edition. [Book Review]. Nursing Standard, 20(30), 37-37.
nurses will continue to wrestle with is patient safety. This is because of the increasing demands and larger roles for these health care professionals are continually shifting. To deal with these challenges, a number of facilities have been utilizing a team based approach to increase staffing levels. The basic idea is that this can reduce mistakes by having more staff available to monitor patients. A good example of this can be seen with a study that was conducted by the American Association of Nursing. They found that when nursing staff levels are higher is when the overall quality of care will improve with shorter hospital stays and lower secondary medical issues. This is important, in showing how nursing staff levels will have a dramatic effect on patient safety. (McGillis. 2005, pg. 17) (Kalisch, 2011, pp. 82 -- 88)
To fully understand what is occurring requires carefully examining the study that…
Kalisch, B. (2011). Nurse staffing levels and teamwork: A cross-sectional study of patient care units in acute care hospitals. Journal of Nursing Scholarship, 43(1), 82-88.
Klenke, K. (2008). Qualitative Research. Bingley: Emerald Group Publishing.
Lucas, P. (1980). The Definition of Test Items. American Educational Research Journal, 17 (2), 133 -- 140.
McGillis, L. (2005). Quality Work Environmentalists. Sudbury, MA: Jones and Bartlett.
Nurses expressed empathy when I complained of pain or discomfort and promptly advocated for me when the need arose.
While hospitalized in an acute care setting, I feel that because I am a nurse, I did not receive the same degree of scrutiny a non-clinician patients or physician may have been given.
While hospitalized in an acute care setting, I feel that because I am a nurse, I received more consideration than a non-clinician patient may have been given.
While hospitalized in an acute care setting, I feel that because I am a nurse, I received less consideration than a physician may have been given.
I feel that the type, quality, and consistency of care I received while acutely hospitalized did not differ from treatment any other person would have been given.
My experience as a patient contributed to shaping my perception as nurse of the health care environment.
Bennett, Leeann RN. (2007). "When a Nurse Becomes a Patient." American Nurses Credentialing Center. Retrieved October 23, 2008, at http://www.medscape.com/viewarticle/564685
Bowers, Len RMN PhD., McFarlane, Linda BSc, Kiyimba, Frank RMN, Clark, Nicola MA MSc, Alexander, Jane. "Factors underlying and maintaining nurses' attitudes to patients with severe personality disorder." Department of Mental Health Nursing, City University' August 2000, p. 6. Retrieved October 23, 2008, at http://www.city.ac.uk/sonm/dps/research/research_reports/bowers_l/sdp.pdf
Growing question in hospitals: Como esta?," Post and Courier (Charleston, SC). July 24, 2006. Retrieved October 23, 2008, at http://www.highbeam.com/doc/1G1=148588515.html
Hample, Henry. "When Doctors and Nurses Become Patients. Inside MS, June 22, 2000. Retrieved October 23, 2008, at http://www.highbeam.com/doc/1G163690617.html
Even in areas where there is little to no technology, there are always health care initiatives that can be implemented in order to engender proper health.
The lack of familiarity with the landscape can be addressed through cultural immersion. Nurses need to integrate within the culture that they treat, familiarizing themselves with the common maladies and understanding the environmental factors that cause them. Nurses need to become part of the community, and if they show that they are committed to the local landscape, they will be more likely to engender commitment from the native population as well.
One strategy for advocating health care at the global level is for nurses to immerse themselves in communities in the developing world. After living amongst the native people, nurses would acquire a first-hand perspective of the health issues facing the people, and by having to respond to the environmental pressures themselves, they would…
Chen, P.W. (2012, July 26). What we can learn from third-world health care. The New York Times. Retrieved from http://well.blogs.nytimes.com/2012/07/26/what-we-can-learn-from-third-world-health-care/
Peters, DH, et al. (2008). Poverty and access to health care in developing countries. Annals of the New York Academy of Sciences, 1136, 161-171
Basically collective bargaining is when an employer and employees (or their representatives) sit down and negotiate about something pertaining to the workplace. It may be a negotiation over workplace conditions, salaries, time off, or other matters important to employees. Typically when there is a union present in a workplace the union leaders will negotiate with management to improve conditions or to settle other issues that come up, according to Cornell University Law School.
hat are the legal components of collective bargaining?
Collective bargaining is governed by laws in states and at the federal level; the states have statutory laws, and there are federal and state administrative agency regulations and court decisions that govern how collective bargaining takes place. If there are overlapping regulations between states and the federal government, the U.S. Constitution (Article VI) points out that federal law "preempts" state law (www.law.cornell).
As to the legal components,…
Johnson, J.E., Billingsley, M. (2014). Convergence: How Nursing Unions and Magnet
are Advancing Nursing. Nursing Forum, 49(4), 225-235.
Law. Cornell. (2010). Collective bargaining and labor arbitration: an overview. Retrieved October 9, 2015, from http://www.law.cornell.edu .
Payscale.com. (2014). Average Hourly Rate for Union Hospital Employees. Retrieved October 9, 2015, from http://www.payscale.com .
Sundborg et al. (2012) conducted a quantitative study, which examined the preparedness of nurses to provide care for women who are exposed to intimate partner violence (p.1). The study was carried out on the premise that intimate partner violence (IPV) has significant effect on women's health. Therefore, nurses need adequate preparations to identify such victims and provide suitable interventions. While the study provides significant insights relating to nurses' preparedness in handling such patients, there are some drawbacks associated with it as demonstrated in this critique.
The sample for this study was randomly selected from the 174 primary health care centers that employ approximately 1,200 active nurses in Stockholm County (Sundborg et al., 2012, p.3). Since the sample was selected randomly, a probability sampling method was utilized by the researchers. Every individual in the sampling population had equal chance of being included in the study. The results from this sampling method…
Sundborg, E.M., Saleh-Stattin, N., Wandell, P. & Tornkvist, L. (2012, January 10). Nurses' Preparedness to Care for Women Exposed to Intimate Partner Violence: A Quantitative Study in Primary Health Care. BMC Nursing, 11(1), 1-11.
Evolving U.S. Health Care System
The Role Nurses ill Play in the Changing Healthcare Landscape
Nurses have a key role in the perpetually changing U.S. healthcare system and will be responsible for implementing many of the changes on both a strategic and a tactical level. For nurses to be the most effective in the wave of changes that will ensue, nurses first need to understand the opportunities that are present and how they can create solutions to achieve better patient outcomes at more reasonable costs. However, with the changes that are expected to occur, nurses will have a greater ability to prevent diseases in the community, provide chronic care management to aging patients, treat a more diverse population, offer end-of-life care that emphasizes comfort and compassion, and many more roles that are beneficial to the community.
Nurses will now have the ability to provide expanding access to care which will…
Marquis, B., & Huston, C. (2011). Leadership Roles and Management Functions in Nursing: Theory and Application. Lippincott Williams & Wilkins.
Savage, C., Lindsell, C., Gillespie, G., Lee, R., & Corbin, A. (2008). Blackwell Publishing Ltd. Improving health status of homeless patients at a nurse-managed clinic in the Midwest USA. Health and Social Care in the Community, 469-475.
Age Groups and the Nursing Profession
Job satisfaction in nursing related to generational age differences
Attrition among nurses has been a worrying topic to not only the society but the government and the related agencies in specific. This is due to the evident lack of interest in the nursing related field in the recent years, as more students opt for courses that are IT related rather than the nursing related courses. With the generation Y increasingly ignoring the nursing related courses and the baby boomers retiring each day, there is bound to be a gap in the nurses' numbers within the health care facilities, a trend that medics foresee just getting worse each passing year. Apparently, there is a generational influence or trend noticed in the perception of the nursing profession as will be further portrayed in the research data herein. This trend has led to a dire need for…
KaiserEDU.org. (2012).Nursing Workforce. Retrieved August 30, 2014 from http://www.kaiseredu.org/Issue-Modules/Nursing-Workforce/Background-Brief.aspx
Spetz J., et.al, (2002). Minimum Nurse-to-Patient Ratios in Acute Care Hospitals in California.
Orton Sophie (2011). Re-thinking attrition in student nurses. Retrieved August 30, 2014 from https://wlv.ac.uk/PDF/Rethinking%20Attrition%20in%20student%20nurses%20Sophie%20Orton.pdf
Attitudes Towards Medical Marijuana
The main purpose of the study will be to assess nurses' feelings and perceptions of patients who use medical marijuana for pain management. This will predominantly give light to the way the professionals who prescribe and supervise the use of marijuana think of the people they attend to on a regular basis. The research will be seeking to establish the perception created in the minds of the nurses and how this affects their reaction and handling of the patients who use marijuana for pain management. With the attitudes established, it will be fundamental in forecasting whether the use of medical marijuana will in the future have a positive reception and acceptance within the society or not.
The research question that will guide the formulation of this study will therefore be 'What are nurses perception/attitude towards patients using medical marijuana for pain management?'
Ballou and Janice, (2011). Encyclopedia of Survey Research Methods. Retrieved June 28, 2015 from http://www.uk.sagepub.com/chambliss4e/study/chapter/encyc_pdfs/4.1_Open-Ended%20Questions.pdf
The Stanford Encyclopedia of Philosophy, (2014 ). Phenomenology. Retrieved June 28, 2015 from http://plato.stanford.edu/entries/phenomenology/
Ethical Issues in Healthcare
Healthcare Access and Healthcare ationing
Universal Healthcare Coverage
Issues with Unequal Access
Forms of ationing
Alternative Solutions to Providing Access
Nursing, and healthcare in general, often gets negative publicity when the idea of rationing healthcare is presented. However, healthcare is a finite resource that must be distributed by some means and a different levels. Decisions about health care are made at multiple levels within the system: (a) the macro level where policy is established by governments, health authorities, insurance plans, etc.; (b) the meso level where organizational budgets are established by organizational administrators; and (c) the micro level where care is delivered by clinician providers (Jones, 2015). On a national level, the politics and the economy of a nation often dictate the healthcare system. While nearly all developed countries offer some form of universal coverage, the United States is only slowly progressing towards a more inclusive…
Beauchamp, T., & Childress, J. (2001). Principles of Biomedical Ethics. NY: Oxford University Press.
Best, M. (2006). Ethics in Health Services Management. Quality Management in Healthcare, 311.
Evans, D., Hsu, J., & Boerma, T. (2013). Universal health coverage and universal access. Retrieved from WHO: http://www.who.int/bulletin/volumes/91/8/13-125450/en/
Jones, T. (2015). A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nursing Economics, 144-154.
Nursing Management and Leadership
An Analysis of Healthcare ationing
While nursing, and healthcare in general, often gets negative publicity for the idea of rationing care, in many cases it is a necessity. Hospitals and nurses only have so much time and so many resources available to them and have to decide where these resources are best invested in an ethical manner. Deciding where to ration care due to limited resources is a perplexing moral and ethical challenge in many situations, and one that is more common than most people think. Nurses must make judgements, sometimes on the spot, about where best to allocate their time consistent with their professional values. This analysis will consider the role of rationing in healthcare and nursing as well as how this challenge can be approached from an ethical perspective.
ecent studies into nursing care rationing indicate that nurses always ration their time and…
Jones, T. (2015). A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nursing Economics, 144-154.
Papastavrou, E. (2013). The ethical complexities of nursing care rationing. Health Science Journal, 346-348.
Papastavrou, E., Andreou, P., & Vryonides, S. (2014). The hidden ethical element of nursing care rationing. Nursing Ethics, 583-593.
Papastavrou, E., Panayiota, A., Hartini, T., & Anastasios, M. (2014). Linking patient satisfaction with nursing care: the case of care rationing - a correlational study. BCM Nursing, 13-26.
Lois Gerber emphasizes the duties and responsibilities of community health nurses in homes. And Gerber also explains the flexibility and freedom that community health nurses have within the context of their service. hen a professional healthcare professional is providing services away from the authoritarian environment of a hospital or clinic, that nurse who serves in a home setting needs to be strong on self-motivation, "self-reliance," and must be "adaptable" and a strong self-starter (Gerber, 2012). This paper reviews the details of what skills and experiences a community nurse must have in order to be effective.
hat a Community Nurse Must Know and Offer in terms of Services
A community nurse's obligations and resources are unique in that the nurse has far more autonomy, and far more "control over" the situation in a home healthcare environment, Gerber explains on page 19. The training that a community nurse has gone through it…
Gerber, L. (2012). Community health nursing: A partnership of care. Lippincott's 2012
Nursing Career Directory. Retrieved May 13, 2015, from http://www.nursingcenter.com .
Over the last 25 years, the delivery of healthcare services is consistently changing. This is from consumers demanding better avenues for receiving them. That is focused decreasing costs and enhancing quality. These problems are directly linked with issues inside a practicum environment. In these situations, nurses are forced to perform a variety of administrative tasks during their shift and are overwhelmed. This means that they do not have the resources or support to improve quality and enhance treatment options. The result is that errors are increasing and more patients are having complications from these issues. Unless some type of drastic action is taken, there is a chance the facility will become involved in medical malpractice litigation and can lose cliental. (Odell, 2009)
Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.
Nursing sensitive indicators…
Jones, R. (2007). Nursing Leadership and Management. Philadelphia, PA: FA Davis
Kelly, P. (2013). Essentials of Nursing Leadership. New York, NY: Cengage.
Odell, M. (2009). Nurse's Role in Detecting Deterioration in Ward Patients. Journal of Advanced Nursing, 65 (10), 1992 -- 2006.
Watson, J. (2011). Human Caring Science. Sudbury, MA: Jones and Bartlett.
Doris examined the claim that hand hygiene education and individual feedback on hand hygiene frequency and method enhances hand hygiene frequency and improves nurses’ methodology scores of hand hygiene as stated by Chun et al. (2014). The evaluation entailed using the criteria for examining statistical research to determine whether statistical evidence support the claim. Through the critical appraisal process for statistical analysis by Cohn et al. (2009), Doris demonstrated that the research by Chun et al. (2014) has statistical evidence to support the claim. During the critical appraisal process, Doris examined whether the study met each of the various components in the…[…… parts of this paper are missing, click here to view or download the entire document ]…of the statistical analysis to show how evidence support the claim. In addition, Doris examined evidence relating to hand hygiene frequency when nurses came into contact with MRSA isolated patients. As a result,…
EXPEIENCE OF NUSES WITH MEDICATIONS
The Lived Experiences of Nurses with Medication
Nurses are tasked with the proper distribution of medications. Unfortunately, they sometimes are unable to perform that task properly due to various factors. This paper presents five separate studies, two qualitative and three quantitative or mixed, which researched how nurses commit medication error, what the antecedents are, and how they can be avoided. The studies are examined according to research design, sample size and whether the study could be extrapolated to the broader population.
The Lived Experiences of Nurses with Medication
This is a literature review which focuses on nurses who make medication errors and what importance is placed on those errors in relation to patient safety. Five studies were examined with the express purpose of determining what types of studies are being conducted to alleviate this issue, what research designs they are using, and whether…
Hofmann, D.A., & Mark, B. (2006). An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Personnel Psychology, 59(4). 238-249.
Kim, J., An, K., Kim, M.K., & Yoon, S.H. (2007). Nurses' perception of error reporting and patient safety culture in Korea. Western Journal of Nursing Research, 29(7). 827-844.
Jones, J.H., & Treiber, L. (2010). When the 5 rights go wrong: Medication errors from the nursing perspective. Journal of Nursing Care Quality, 25(3). 240-247.
Schelbred, A.-B., & Nord, R. (2007). Nurses experiences of drug administration errors. Journal of Advanced Nursing, 60(3). 317-324.
eview On Nurses Shortage
The supply of professional nurses relative to the increase in demand for their services has been on a general decline over the years. As a career choice, nursing has been facing perennial shortage of professionals. Most healthcare organizations will affirm that their daunting tasks were recruiting fresh nurses and retaining the ones already in practice. The 2008 projections from the Bureau of Labor Statistics showed that the demand for professional nurses would increase from the then two million to three million, which represents sixty percent increment. In ideal situations, the number of those who have enrolled in nursing will be sufficient to supply the rise in their number. Nevertheless, this would not be the case if nothing were done to salvage the worrying trend of most students not graduating or resorting to other careers. According to Benjamin Isgur of PWHC Health and esearch Institute,…
American Association of Colleges of Nursing. (2009, September, 28). Nursing Shortage Fact Sheet. USA: AACN.
Buerhaus, P.I., Staiger, D., & Auerbach, D.I. (2009). The future of the nursing workforce in the United States: Data, trends, and implications. Boston: Jones and Bartlett Publishers.
Blakeley, J., & Ribeiro, V. (2008). Early Retirement among Registered Nurses: Contributing Factors. Journal of Nursing Management, 16(1), 29 -- 37
Cummings, G., et al. (2008). The Relationship between Nursing Leadership and Nurses' Job Satisfaction in Canadian Oncology Work Environments. Journal of Nursing Management, 16(5), 508 -- 518.
New Nurses and Managers: Organizational Analysis
As the nursing profession evolves and rises to meet modern demands, we are faced with growing complexities in our profession and in our workplaces. From the orientation and socialization of new nurses and managers, to the selection processes for preceptors and mentors, to continuing education, to legal and ethical issues, the modern nurse is faced with complicated situations and elaborate organizations that require his/her continuing dedication.
Examining the concepts included in "professionalism": a profession is a vocation, usually involving science or a unique education; the heart of professionalism per se is twofold: a professional has a distinct type of knowledge and a self-imposed responsibility to serve the community (Donelyn, 2004, Slide 16). Applying those concepts to the Nursing Profession, professionalism is the continual pursuit of knowledge, a self-imposed sense of responsibility for human concerns, development through our unique education, accountability to…
Allnurses.com. (2003). Tuition Reimbursement Programs. Retrieved from Allnurses.com Web site: http://allnurses.com/ny-nursing-programs/tuition-reimbursement-prgms-44721.html
American Nurses Association. (2011). Continuing Professional Development. Retrieved from American Nurses Association Web site: http://www.nursingworld.org/MainMenuCategories/CertificationandAccreditation/Continuing-Professional-Development
American Nurses Association. (2011). Staff and Working Environment. Retrieved from American Nurses Association Web site: http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Work-Environment
Briddon, M. (2008, May 12). Preceptor Place: Finding Your Way Thanks to Mentors and Preceptors. Retrieved from Stressedoutnurses.com: http://www.stressedoutnurses.com/2008/05/preceptor-place-finding-your-way-thanks-to-mentors-and-preceptors/
competencies between nurses prepared at the associate-Degree level vs. The baccalaureate-degree level in nursing
According to Moore ( 2009), Associate Degree Nurses (ADNs) are nurses with a two-year academic degree and licensed to practice nursing. Associate Nurses are prepared on the technical aspects of care giving that are necessary for their interaction with both the patients and their families in acute care settings. Their knowledge is limited to handling patients care in hospitals and community-based health organizations.
Baccalaureate Degree Nurses (BSNs) are nurses with a four-year academic degree. This program requires high educational qualifications and provides wide liberal arts perspectives as well as topics in clinical nursing including, critical thinking, case management, research, statistics, and health campaigns across various in and outpatient facilities with special emphasis on development of the essential skills in care for patients.
Differences in Competencies between Nurses
With the increasing complexity in health care, there is…
Hagland, M. (1998). Reflection: a reflex action? Intensive and Critical Care Nursing, 96-100.
Marshall, C., & Rossman, G.B. (1995). Designing qualitative research. Thousand Oaks: Sage.
Miller, C.D. (2007). A Comparison of Skill Performance of the ADN and BSN Prepared Nurse.
Moore, D.S. (2009). The Differences Between Associate Degree Nurses and the Baccalaureate
nurses deliver evidence-Based care?
Define main ideas within the title supported from the literature
Nurse instructors confront many hurdles in the present healthcare environment. Educational methods, philosophies, and the content of curricula is required to reviewed to cater to the requirements of the professional nurses who would practice in the coming millennium. (Kessenich; Guyatt; DiCenso, 25) Evidence-based practice or EBP has currently emerged to be a remarkable attribute in nursing literature along with a key impetus in restructuring nursing practice. (Elizabeth; Pyle, 64) Evidence-Based Nursing or EBN is the strategy by which the nurses formulate clinical conclusions applying the best available research evidence, their clinical skill and patient prioritization. (Evidence-Based Nursing: University of Minnesota) It could be narrated as the meticulous, unequivocal and judicious application of the current best evidences in formulating decisions about the care of individual patients. When clinicians formulate health care conclusions for a population or group…
Asking Clinical Questions: Introduction. Retrieved from http://www.poems.msu.edu/InfoMastery/Questions/Questions.htm Accessed on 18 June, 2005
Beyers, Marjorie. About Evidence-Based Nursing Practice. Nursing Management. October, 1999. Vol: 11; No: 1; pp: 103-105
Code of professional Conduct. Retrieved from http://www.nmc-uk.org/nmc/main/publications/reqForPre-regNursing.pdf Accessed on 17 June, 2005
Cronenwett, L. Research, Practice and Policy: Issues in Evidence-Based Care. Journal of Issues in Nursing. February 19, 2002. Vol: 7; No.2; pp: 57-61
Recruitment, Hiring, And Retention of Acute Care Nurses
The strategy needed for hiring recruiting nurses in acute care units
Personnel management constitutes of selection and recruitment. Recruitment is an arduous process of selecting and hiring the appropriate candidate. Recruitment is a part of human resource planning. The aim of the recruitment here is to hire the best qualitative acute care nurses to produce maximum productivity. The process of recruitment and selection is to hire the best available nurses from the available pool. The right candidate will be an amalgamation of creativity, attitude, work experience and education. There are three stages of recruitment:
Outlining the requirements: It consists of designing job descriptions, job requirements and kind of person wanted
Bring best candidates: This can be achieved in so many ways, explain later.
The proper and suitable candidate will be picked up from the applicants. Recruitment is an ongoing process:
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
The Shared Governance arrangement:
offers an apparatus for registered nurses to show guidance in the development of practice decisions authorizes all nursing staff to add to work redesign advances the quality of patient and family outcomes.
In the shared governance arrangement, the staff nurses are a big piece of the course, designated and chosen from their units to stand for an area of practice on one of many councils. it's all about shared choice making and authorizing staff nurses to affect their practice atmosphere and have a say in unit choices (Shared Governance at Henry Ford Hospital, 2011).
A new nursing deficiency is revitalizing shared governance. This pioneering organizational model gives staff nurses power over their practice and can expand their affect into administrative areas formerly controlled solely by managers. But nursing shared governance is tough to describe. Its configurations and procedures are dissimilar in every business. Shared governance, is…
Drenkard, Karen. (2010). Going for the gold: The value of attaining Magnet recognition.
Retrieved February 18, 2011, from Web site:
Estlund, Sarah. (2010). List of Nursing Labor Unions. Retrieved February 17, 2011, from Web
Any insult, harm or damage brought to their personality, profession and family is considered to be an offensive act, and in past many such actions have been quoted where the nurses were mainly regarded as sex symbol, such disgrace of feminism has been widely condemned, and is possible cause towards the de-motivation of the youth and public towards the profession (Gilbert, 2004).
The cultural, social, legal and feminist analysis is not to be considered responsible towards the reduction in the quantum of the enrolments in the nursing school and hospital. There is no particular beneficiary from the overall exercise; rather there are different groups which can be placed into the series of the intensity of harm experienced by them, within the domain of the activity. Primarily it is the nurse itself who have suffered massively due to the reported discriminatory and unethical approach adopted towards them, secondly, it is…
Barbara Sibbald. Nursing shortage more severe, urgent than expected. Canada Medical Association Journal. 2003
Harriet R. Feldman. The Nursing Shortage: Strategies for Recruitment and Retention in Clinical Practice and Education. Springer Publishing Company. 2003.
Gilbert G. Gonzalez. Labor vs. Empire: Race, Gender, and Migration. Rout ledge. 2004.
Bernice Buresh, Suzanne Gordon. From Silence to Voice: What Nurses Know and Must Communicate to the Public. Cornell University Press. 2006.
National Council of State Boards of Nursing, "NCLEX, http://www.ncsbn.org/research_stats/nclex.asp (17 September 2005);
National Sample Survey of egistered Nurses, 1992 and 2000.
M. Sison, "Exodus of Nurses Grows, Health System Feels Effect," CyberDyaryo, 8 May 2002, www.cyberdyaryo.com/features/f2002_0508_04.htm (17 September 2005);
C. Prystay, "U.S. Solution Is Philippine Dilemma -- As ecruiters Snap Up More Nurses, Hospitals in Manila Are Scrambling," Wall Street Journal, 18 July 2002.
J. Buchan, "International ecruitment of Nurses: United Kingdom Case Study," July 2002, http://www.rcn.org.uk/publications/pdf/irn-case-study-booklet.pdf (17 September 2005)
M.N. Fongwa, "International Health Care Perspectives: The Cameroon Example," Journal of Transcultural Nursing 13, no. 4 (2002): 325-330
U.S. Agency for International Development, "The Health Sector Human esource Crisis in Africa: An Issues Paper," February 2003, www.aed.org/publications/H_IssuesPaper.pdf (17 September 2005)
E. Spratley et al., the egistered Nurse Population, March 2000: Findings from the National Sample Survey of egistered Nurses (ockville, Md.: BHPr, September 2001); and Buchan et al., International Nurse…
National Center for Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration, "Projected Supply, Demand, and Shortage of Registered Nurses: 2000-2020," 2002, bhpr.hrsa.gov/healthworkforce (17 September 2005);
J. Buchan, T. Parkin, and J. Sochalski, International Nurse Mobility: Trends and Policy Implications (Geneva: World Health Organization, 2003);
Division of Nursing, BHPr, National Sample Survey of Registered Nurses, 1980-2000.
U.S. General Accounting Office, Information on Foreign Nurses Working in the United States under Temporary Work Visas (Washington: GPO, 1989).
Staff Nurses' Perceptions of the Advantages and Disadvantages of apid esponse Teams
apid esponse Teams (T) are critically important in hospital settings to reduce the failure to resuscitate patients however, there are questions as to the perceptions of nurses concerning Ts.
The significance of this study is the knowledge that will be added to the existing base of knowledge on the perceptions of nurses of Ts.
The work of Heintz and Schreiner (2007) entitled "Improving Patient Safety Through the Use of apid esponse Teams" states in relation to the perceptions of nurses to rapid response teams that staff nurses "… may be fearful that T members will criticize their clinical judgment." In a separate work entitled "apid esponse Teams: educing Codes and aising Morale" it is reported that many hospital nurses like the idea of a apid esponse Team and in fact "an addition to their significant value as a…
Johal, Jagdeep (2008) Staff Nurses' Perceptions of Rapid Response Teams in Acute Care Hospitals. Queens Research & Learning Repository. Retrieved from: http://qspace.library.queensu.ca/handle/1974/1503
Heintz, Anne and Schreiner, Mary Ann (2007) Improving Patient Safety Through the Use of Rapid Response Teams" Dateline. Vol. 6, No. 1. Online available at: http://www.mlmic.com/portal/Files/Dateline/DatelineSpring07_6.pdf
Tee, A., et al. (2008) Bench-to-Bedside Review: The MET Syndrome -- the Challenges of Researching and Adopting Medical Emergency Teams. Critical Care 23 Jan 2008.
Rapid Response Teams: Reducing Codes and Raising Morale. Institute for Healthcare Improvement. Online Retrieved from: http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/ImprovementStories/FSRapidResponseTeamsReducingCodesandRaisingMorale.htm
Besides facing stress, and having easy access to medications, critical care and emergency nurses may use recreational drugs more often because they are more likely to have a sensation-seeking personality trait (www.nurseweek.com/news/98-5/25e.html)."
Getting treatment for chemical dependency will help the nurse get back to his or her daily life, however the nurse will have to address concerns and/or consequences related to the addiction. He or she faces a "multitude of traumatic experiences both potential and real, such as arrest, license suspension/revocation; negative publicity; reactions of family, friends and co-workers; fines; board and legal hearings; inability to secure work other than nursing; physical illness; and possible lack of health insurance. In the treatment setting, issues such as these add complexity to the nurse's recovery (Anderson)."
There are other complications which must be addressed during treatment of the impaired nurses. These issues include being considered a role model by everyone,…
Anderson, Jenny Lynn. "Treatment considerations for the addicted nurse." Behavioral Health
Management. (1994): 01 September.
(Substance abuse in nurses varies by specialty. (accessed 15 November, 2004).
Educational Levels of Hospital Nurses and Surgical Patient Mortality
Whether there is sufficient nursing staff in a hospital has often been thought to have an effect on the well-being of the patients, the quality of care that they receive, and the rate at which they pass away. However, very little is actually known about whether the educational level of the nurses to work at these hospitals has anything to do with the mortality rate of these patients and quality of care that they receive. The basic purpose of this research was to indicate whether the educational level held by a hospital nurse had any reflection upon the mortality rates as surgical patients that they attended.
Specifically, the study examined whether baccalaureate degrees or higher had any reflection upon the ability of hospital offense to rescue and assist surgical patients who were facing serious complications. If these individuals died at the…
Political Analysis of Establishing the Baccalaureate Degree as Minimum equirement for Nursing
Establishing the baccalaureate degree as minimum requirement for nursing
Identifying and analyzing the problem
The challenges of the modern healthcare environment have grown increasingly complex and diversified. The skills required for a competent nurse have grown and expanded with changes in technology; also, cost-cutting by many major healthcare institutions have shifted duties once solely confined to physicians onto the shoulders of nurses. Given the additional roles and responsibilities assumed by nurses, there have been increasing demands that nurses have at least a baccalaureate degree as minimum requirement for entering the nursing profession. At present 39% of all nurses have degrees from four-year colleges (Perez-Pena 2012:2).
Outlining and analyzing proposed solutions
Despite the nursing shortage, many hospitals have begun to demand that nurses now have a B.A., causing many seasoned nurses to have to return to school. "That shift…
Ingeno, L. (2013). Who will teach nursing? Inside Higher Ed. Retrieved from:
Maitland, R. (2013). Schools adapt to nursing faculty shortage with creativity. Chronicle of Higher Education. Retrieved from: http://www.chron.com/jobs/article/Schools-adapt-to-nursing-faculty-shortage-with-3949965.php
Perez-Pena, R. (2012). More stringent requirements send nurses back to school. The New York
Competency in Entry-Level Nurses
Competency In Entry Level Nurses
Competency in entry-level nurses: Implications for practice
Given the responsibilities shouldered by nurses, it is essential that all new nurses are competent to practice their profession when they graduate. The increased emphasis upon evidence-based practice in healthcare means that integrating this component of modern medicine into the framework of nursing education is required to produce graduates ready to face the future. Evidence-based practice is the assumption that "to affect better patient outcomes, new knowledge must be transformed into clinically useful forms, effectively implemented across the entire care team within a systems context, and measured in terms of meaningful impact on performance and health outcomes" (Stevens 2013). Evidence-based practice means bridging the gap between academics and actual research. It is designed to "reduce illogical variation in care, which is known to produce unpredictable health outcomes" (Stevens 2013).
As well as being technically…
Given the recent 'credit crunch' and the difficulty in obtaining student loans at reasonable rates for many students, the effectiveness of this recruiting technique is likely to increase.
Another, corollary strategy is tuition support for nurses employed at an organization. Even if demand for nurses is high now, nurses may also be more interested in certification pay and tuition support for additional education, to give themselves added assurance of staying employed in the future and also to explore new subfields of nursing they find interesting. If an organization needs nurses in a specific subspecialty, providing tuition assistance for education to current staff rather than recruiting new staff is an option, and many increase organizational loyalty and retention.
Recruitment method 3: Provide financial incentives
ith the changing role of nurses, nurses are asked to perform more duties than ever before. This results in nurses working longer hours and taking on new…
Healthcare recruiting strategies that work - and others that don't! (14 May 2002). MedZilla. Retrieved 24 Sept 2008 at http://www.medzilla.com/press51402.html
Is Nursing Women's Work?
With all of this talk about diversity, the global economy, and focus on a nondiscriminatory policy in the mass media, in the new millennium we would like to convince ourselves that we have shed many of the stereotypes that once defined our culture (Chung, 2011). It is true that in many professions we have raised or nearly destroyed the glass ceiling that once existed for women. Everyone knows what the glass ceiling is and knows that it only applies to women, right? This may be true in many professions, but in the field of nursing, one can argue that the glass ceiling exists for men and that male nurses struggle to break free of the stereotypes that limit the types and levels of work that they can do. It comes as no surprise to the casual observer that the nursing profession is dominated by…
American Assembly for Male Nursing (AAMN). (2011).Welcome to AAMN. Retrieved from http://aamn.org / .
Bynum, W., Hardy, A., & Jacyna, S. et al., (1995) The Western Medical Tradition. Vol 2.
Chung, V. (2011). Men in Nursing. Minority Nurse. Retrieved from http://www.minoritynurse.com/men-nursing/men-nursing
Ehrenreich, B. & English, D. (n.d.). Witches, Midwives, and Nurses. Originally published in the Feminist Press, CUNY. Retrieved from http://tmh.floonet.net/articles/witches.html
Moreover, recent legislation such as the Affordable Care Act is expected to create an even greater need for nurses who can take on more advanced responsibilities. As one nurse stated on National Public adio: "…with the passage of the Affordable Care Act, which was passed in March, we're going to see 32 million new patients accessing the health care delivery system which previously weren't accessing this system. And currently, we don't have the capacity to provide high-quality, patient-centered care for this new expanded population" (NP, 2010)
Careers in nursing have become vast and varied, particularly for the highly educated, and pay for many of these careers is above $60,000 annually. While a nurse with a BSN who becomes an N can still advance in her career, enter management, or become a nursing professor, an MSN is necessary for nurses to enter one of the more prestigious and specialized subfields (Sacks,…
AACN. (2010, 10). The Impact of Education on Nursing Practice. Retrieved 02-14, 2011, from AACN: http://www.aacn.nche.edu/media/factsheets/impactednp.htm
Allen, J. (1988). Health Care Workers and the Risk of HIV Transmission. The Hastings Center Report, 18 (2), 2+.
NPR. (2010). Talk of the Nation: Role of Nurses in Primary Care May Expand. Retrieved 02-14, 2011, from NPR: http://www.npr.org/2010/11/16/131361359/role-of-nurses-in-primary-care-may-expand
OSHA. (2011). Bloodborne Pathogens and Needlestick Prevention. Retrieved 02-14, 2011, from OSHA.gov: http://www.osha.gov/SLTC/bloodbornepathogens/index.html