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Nursing Profession: Nursing Education
Quality initiatives, magnet status, and patient safety require that nurses practice on the basis of professionalism at all times. Owing to the rapid changes in practice and knowledge facing the profession, the specialty of school nursing has embarked on efforts to articulate its value in the educational arena. The specialty and the profession are maturing, and nurses are beginning to make their scopes of practice, and roles more clear. Changes in demand and expectations have, however, spurred a shortage of qualified nurse educators, which is threatening to destabilize the quality of care. The nurse educator role requires that an individual undergoes preparation (specialized), and be actively involved in the implementation of strategies "that will serve to retain a qualified nurse educator workforce" (NLN, 2002). However, the looming crisis is impacting on this course of action; the gap between work hours and resources is widening, impacting negatively…
Masters, K. (2014). Role Development: In Professional Nursing Practice (3rd ed.). Sudbury, MA: Jones and Bartlett Learning.
McAllister, M.M. (2012). Challenges Facing Nursing education in Australia. Journal of Nursing Education and Practice, 2(1), 20-27.
NLN. (2002). The Voice for Nursing Education. The National League for Nursing. Retrieved 18 June 2014 from http://www.nln.org/aboutnln/PositionSTatements/prepofnursed02.htm
Redman, R.W. & Lenburg, C.B. & Walker, P.H. (1999). Competency Assessment: Methods for Development and Implementation in Nursing Education. The Online Journal of Issues in Nursing, 4(2), Manuscript 3. Retrieved 18 June 2014 from http://www.nursingworld.org/nursingcompetencies
The study found that increasing the proportion of nurses who were more highly educated by ten percent lowered the thirty-day mortality rate of patients by five percent. Conversely, if the workload on these nurses was then increased by one patient the thirty-day risk of mortality rose by five percent. This is indicative of the fact that education and staffing are linked and are both significant when it comes to keeping mortality rates low. ospitals that have more nurses with higher degrees are larger and they are more often willing to undertake surgical and other techniques which are more advanced. They were also more commonly teaching hospitals and they had lower mean workloads on average. The length of time a nurse had been involved in that profession, and therefore the length of nursing experience, was not found to be related to the mortality of the patients. The conclusion of this study…
How many nurses are around should be just as significant if not more significant than the level of education that they have attained, but that does not always seem to be the case for patients.
Whall, a.L. (2005). Lest we forget: An issue concerning the doctorate in nursing practice (DNP). Nursing Outlook 53(1), 1.
There are strong issues surrounding the DNP, and looking the other way will not clear them up. With that in mind, these issues must be addressed to help both nurses and their patients.
Once the students had completed that portion of the assignment the second part of the asssignment was to administer the questionnaire to at least five nurse educators or students of nursing and then evaluate the results. I found this assignment especially intriguing and enlightening
(probably because I am very analytical and desire very much to know and understand how people think and feel). Without this teacher's concern with how students perceived ethics and their importance in the nursing field, I likely would not have enjoyed this educational foray as much as I have.
On the flip side of effective teaching was the instructor who believed that the students should only be lectured to, and that they should sit quietly and take notes. The information that this instructor imparted was important, and I did learn to rapidly write notes as the instructor was lecturing, however, this method of teaching (for me)…
Fyffe, T.; (2009) Nursing shaping and influencing health and social care policy, Journal of Nursing Management, Vol. 17, Issue 6, pp. 698 -- 706
National League for Nursing, Core competencies of nurse educators with task statements, accessed on November 1, 2011 at http://www.nln.org/profdev/corecompetencies.pdf
Numminen, O.; Leino-Kilpi, H.; van der Arend, A.; Katajisto, J.; (2011) Comparison of nurse educators' and nursing students' descriptions of teaching codes of ethics, Nursing Ethics, Vol. 18, Issue 5, pp. 710-724
The RN verifies comprehension with the nursing assistive personnel and that the assistant accepts the delegation and the responsibility that accompanies it;
7) Communication must be a two-way process. Nursing assistive personnel should have the opportunity to ask questions and/or for clarification of expectations.
8) the RN uses critical thinking and professional judgment when following the Five Rights of Delegation, to be sure that the delegation or assignment is: (a) the right task; (b) Under the right circumstances; - to the right person; (d) With the right directions and communication; and (e) Under the right supervision and evaluation.
9) Chief of Nursing Officers are accountable for establishing systems to assess, monitor, verify and communicate ongoing competence requirements in areas related to delegation;
10) There is both individual accountability and organizational accountability for delegation. Organizational accountability for delegation relates to providing sufficient resources, including: (a) Sufficient staffing with an appropriate staff…
Discussion Paper: Doctor of Nursing Practice (2005) American Academy of Nurse Practitioners. Online available at http://www.aanp.org/NR/rdonlyres/9DC9390F-145D-4768-995C-1C1FD12AC77C/0/DiscussionPaperDoctor_of_NursingPrac.pdf
Faculty Shortages in Baccalaureate and Graduate Nursing Programs: Scope of the Problem and Strategies for Expanding the Supply (2005) White Paper July 2006. American Association of Colleges of Nursing. Online available at http://www.aacn.nche.edu/publications/whitepapers/facultyshortages.htm
Hallmarks of the Professional Nursing Practice Environment (2002) AACN White Paper January 2002. American Association of Colleges of Nursing. Online available at http://www.aacn.nche.edu/publications/positions/hallmarks.htm
Holmes, Denise E. (2008) From Education to Regulation: Dynamic Challenges for the Health Workforce. Association of Academic Health Centers. Online available at http://www.aahcdc.org/policy/reports/From_Education_to_Regulation.pdf
This study will look for a hospital which has a wide variation in terms of educational attainment of its nurses. The nursing population of this chosen hospital will then become the participants of this study. Only the currently-employed; full-time nurses are eligible for the survey.
IV. Data Collection and Analysis
This study will use secondary information. The researcher will request the educational attainment data of their employed nurses to the Human esources Department. The data for patient-nurse ratio and patient outcome on the other hand, will be requested to the administrative authorities of the hospital.
After completing the data-gathering phase, the researcher will encode the answers and will analyze data using statistical software that will generate: (a) Pearson's r, which will determine the strength of association of these three variables; (b) linear regression, which will specify the nature of relationship among variables (Nachmias & Nachmias, 1996, p.421).
Aiken, L.H. et al. (2003). Educational Levels of Hospital Nurses and Surgical Patient Mortality. JAMA, 290(12), 1617-1623.
Callahan, M.A. (2004). Surgical Patients are at Lower Risk of Death in Hospitals with More Degree-Educated Nurses. Evidence-Based Health Care and Public Health, 8(2), 67-68.
Kutney-Lee, A. & Aiken, L.H. (2008). Effect of Nurse Staffing and Education on Outcomes of Surgical Patients with Comorbid Serious Illness. Psychiatric Services, 59, 1466-1469.
Nachmias, C.F. & Nachmias, D. (1996). Research Methods in the Social Sciences Fifth Edition. St. Martin's Press: London.
You are beginning to develop a fundamental course for the beginning nursing student. As nurses and educators, we know that learning skills require practice, drill, and observation. These essential skills form the beginning foundation of proficiencies that the student nurse needs in order to successfully move forward. As you review the course content, you have decided that you want to utilize an adult learning theory that provides the learner with an opportunity to not only master the beginning skills through practice but also actively construct knowledge while collaborating with others.
This class has opened my eyes to many aspects to education that I previously was unaware of. I truly support the Social Cognitive Theory which incorporates learning through observation, personal, and environmental factors proposed by Albert Bandura. There are five areas which connect students to learning which includes: observational learning and modeling, outcome expectations, perceived self-efficacy, goal setting,…
Denler, H., Wolters, C., & Benzon, M. (2013). Social cognitive theory. Retrieved from http://www.education.com
Jackson, L.D. (2009). Revisiting adult learning theory through the lens of an adult learner. Adult Learning 20 (3/4), p 20-22.
Juhary, J. (2012). An assigned seating arrangement based on students' performance: A critical review. Journal of Education and Practice, 3(14), p 10-16. Retrieved from http://www.iiste.org
The Adult Learning Theory - Andragogy of Malcolm Knowles. (2013). eLearning Industry. Retrieved from http://slideshare.com
Further analysis of Aiken et. al.'s study illustrates a breakdown of the study's components, enumerated and discussed below:
There is a significant relationship between nurses' education and patient outcomes.
The research is a cross-sectional study that sought to confirm the researchers' hypothesis (stated above) among 232,342 general, orthopedic, and vascular surgery patients from 168 general hospitals in Pennsylvania.
Variables under study were nurses' educational levels and patient outcomes; additional variables included were nurses' workload and work experience. Patient outcomes were measured through patient mortality and failure-to-rescue rates.
Classification of variables
Nursing education level was the independent variable of the study, while patient outcome was the dependent variable. The former was identified as an ordinal type of variable, while the latter is an interval/ratio variable type.
Since most information were generated from extant data from hospitals, checks were conducted by researchers to ensure that hospital…
Aiken, L., S. Clarke, R. Cheung, D. Sloane, and J. Silber. (2003). "Educational levels of hospital nurses and surgical patient mortality." The Journal of the American Medical Association. Vol. 290, No. 12.
Measuring the Efficacy of Nursing Education in Preoperative Care: A Literature Review
In the nursing journal, The Critical Care Nurse, nurse Ruth M. Klienpell wrote in 2003 that the contemporary healthcare environment places an emphasis on measuring nursing performance in a process-based and quantificable fashion. The stress is upon "high-quality service at an affordable price,' and with "good outcomes." (Klienpell, 2003, p.1) But little guidance is given to nursing educators how to achieve these lofty but often separate focuses of saving money and providing quality care. Klienpell's article attempts to suggest that evaluating patient outcomes as a way of assessing the quality of care is superior, while Linda M. Sigsby and Hosseni Yanardi suggest that evaluating nursing knowledge is superior in their article in the AORN Journal geared to assessing preoperative nursing education specifically.
Given the strapped budgets of many facilities, Klienpell stresses that in nursing education there is a…
Sigsby, Linda and Hosseni Yanardi. (Oct 2004) "A knowledge comparison of nursing students in perioperative vs. other rotations." AORN Journal. Retrived from Find Articles at 16 Sept. 2005 at http://www.findarticles.com/p/articles/mi_m0FSL/is_4_80/ai_n6274044/pg_2
Klienpell, Ruth M. (Feb 2003) "Measuring advanced practice nursing outcomes: strategies and resources." Critical Care Nurse. Retrived from Find Articles at 16 Sept. 2005 at http://www.findarticles.com/p/articles/mi_m0NUC/is_1_23/ai_98045468
Cross-Sectional Study to Determine Factors in the Educational Advancement of the Licensed Practical Nurse to the egistered Nurse in the State of North Carolina
According to the Harvard Nursing esearch Institute, United States nursing school enrollments dropped by 20.9% from 1995 to 1998 (Healthcare eview, 2000). Behind headlines such as this one are the overwhelming issues which threaten the nursing workforce: 1) staffing cuts, 2) mandatory overtime, and 3) the use of unauthorized personnel to perform care, all at the cost of the patient's safety. The state of nursing in this country is very disturbing. There are hospitals grossly understaffed by registered nurses and with practical nurses who are being told to perform tasks beyond their skill and training levels (Mee & obinson, 2003).
The pervasive nature of the problems which are present within the nursing profession are being acknowledged by the nurse-researchers, themselves, "Every article, speech, and interview about…
Evidence-Based Practice in Nursing Education Track
Rubin (2009) defines evidence based practice (EBP) as “a process in which practitioners use the most rigorous scientific research evidence available as an important part of the basis for making practice decisions” (12). The process of EBP, as Rubin (2009) further points out, comprises of 5 steps. The first step comprises of formulating a question. On this front, a question that must be answered by evidence is formulated. The question in this case could relate to a practice decision to be made. The next step involves searching for evidence. As Rubin observes, this could involve the utilization of literature databases or search engines to unearth the relevant information relating to the search term in question. Third, we have the critical appraisal of evidence. On this front, one ought to determine not only the applicability, but also the validity and reliability of the sources of…
Deschodt, M., Casterle, B.D. & Milisen, K. (2010). Gerontological Care in Nursing Education Programs. J Adv Nurs., 66(1), 139-148.
Rubin, A. (2009). Statistics for Evidence-Based Practice and Evaluation (2nd ed.). Belmont, CA: Cengage Learning.
Social Media Impacts on Nursing
As technology advances in the medical profession have proven to have great benefit, this trend has also been seen in society in general. The interwoven aspects of human's ability to function and his or her ability incorporate technology largely dictates success of failure. Social media is a manifestation of technological advancement that, as a trend in the general public, has also affected the nursing profession and nursing education.
The purpose of this essay is to relate the trend of social media to the current status of nursing and patient education. This essay will suggest, as with any tool or piece of technology, the application of social media can be of great benefit if properly applied. This essay will explain how to best exploit social media for its worth, while minimizing the negative impacts of its potential abuse or misuse by suggesting strategies that may apply…
Lopez, V. (2014). Fostering New Pedagogies for the New Age: The Use of Social Media in Nursing Education. Nursing Practice Today, 1(3), 117-119.
Pearsall, C., Hodson-Carlton, K., & Flowers, J.C. (2012). Barriers and strategies toward the implementation of a full-time faculty-at-a-distance nurse educator role. Nursing education perspectives, 33(6), 399-405.
Skiba, D.J. (2011). Nursing Education 2.0: the need for social media policies for schools of nursing. Nursing education perspectives, 32(2), 126-127.
Schmitt, T., Sims-Giddens, S.S., & Booth, R.G. (2012). Social media use in nursing education. OJIN: The Online Journal of Issues in Nursing, 17(3).
What are the goals of higher education: to prepare a person for success in a specific career path, or to cultivate virtues like critical thinking, good citizenship, and moral reasoning? Bok (2006) suggests that colleges and universities consider combining these two purposes to create an ideal educational environment. It is possible to create a program that promotes higher order thinking while also promoting vocational development.
Ultimately, Bok (2006) presents the following eight aims of higher education:
· Critical Thinking
· Moral Reasoning
· Preparing Citizens
· Living With Diversity
· Living in a More Global Society
· Breadth of Interests
· Preparation for Work
Nursing majors seem to be concerned with some, but not all, of Bok’s (2006) eight aims. The features most frequently mentions as being important in a nursing program include:
· Preparation for Work
· Living With Diversity
· Moral Reasoning
· Critical Thinking
Bok, D.C. (2006). Purposes. In Our Underachieving Colleges. Princeton University Press.
Conrad, C. F., & Johnson, J. (eds.). (2012). College & university curriculum: Placing learning at the epicenter of courses, programs and institutions. 2nd ed. Boston, MA: Pearson Custom publishing.
University of Hawai\\'i at Manoa - School of Nursing and Dental Hygiene (https://www.nursing.hawaii.edu)
Nursing Education Development Policy (NEDP) for Nevada State Board of Nursing (NSBN)
Assessment & Nursing diagnosis:
Policy: It is mandatory for every NSBN nursing education provider to follow, sequentially, the four-hour process described by the NEDP (Nursing Education Development Policy), for approval to deliver. Failure to stick to the policy will lead to the education failing to acquire delivery approval under the NSBN.
Purpose: This policy aims at supporting quality nurse education delivery via a standardized nurse education developmental process.
Scope/Audience: The policy applies to every internal NSBN education provider engaging in nursing education planning and delivery.
This document aims at communicating the minimal prerequisites for council approval of nursing education courses to the masses, pupils, healthcare sector personnel and nurse education program operators. Further, the standards constitute a way of ensuring the students graduating in nursing education from Nevada have acquired practical skills and knowledge to work effectively within…
AlHaqwi, A. I., & Taha, W. S. (2015). Promoting excellence in teaching and learning in clinical education. Journal of Taibah University Medical Sciences, 10(1), 97-101.
Cantebury District Health Board (2014). Nursing Education Development Policy. Retrieved April 11, 2018 from https://www.cdhb.health.nz/Hospitals-Services/Health-Professionals/CDHB-Policies/Nursing-Policies-Procedures/Documents/Nursing-Education-Development-Policy.pdf
College of registered nurses of Manitoba (2018). Standards for Nursing Education Programs (2018). Retrieved April 11, 2018 from https://www.crnm.mb.ca/uploads/document/document_file_82.pdf?t=1438187354
Jeffries, P. R. (2015). The evolving health care system: The need for nursing education reform. Journal of professional nursing, 31(6), 441-443.
Smedley, A., & Morey, P. (2010). Improving learning in the clinical nursing environment: perceptions of senior Australian bachelor of nursing students. Journal of Research in Nursing, 15(1), 75-88.
Needs AssessmentIntroductionThe educational needs for a practicing nurse are ever-changing proportionate to external factors such as the evolving technologies, geopolitical area of practice, economic issues, etc. Therefore, nurses must always keep up with the latest and trending issues to perform their duties efficiently. However, given the symbiotic relationship between healthcare systems and providers of essential services such as the technologies used, medicine. Therefore, there is a need for a professional management team tasked with coordinating the procurement processes; therefore, this essay introspects into the needs assessment for an experienced "contracts manager."Discrepancy AnalysisNotably, the daily tasks of a nurse revolve around using external entities, technologies, drugs, and even knowledge. However, it becomes challenging when one wants to adopt new strategies conscious of the operating ones. This creates a dilemma and ethical breach of contracts with the providers, thus limiting one's true potential. Therefore, Strang's (2017) affirmation of the importance of partaking…
Change Management Institute. (2017). CMBoK - Change Management Institute. https://www.change-management-institute.com/cmbok
Kinston, W., & Rosser, R. (1974). Disaster: Effects on mental and physical state. Journal of psychosomatic research, 18(6), 437-456.
McDonald, F., & Then, S. (2021, September 17). Ethics, law and health care: a guide for nurses and midwives | QUT ePrints. QUT EPrints. https://eprints.qut.edu.au/65428/
Rischer, K. (2020, April 18). Why Every Student Needs to Develop a Personal Mission Statement Before They Graduate. KeithRN. https://www.keithrn.com/2018/05/mission-statement-2/#:%7E:text=%E2%80%9CTo%20be%20a%20knowledgeable%20and,a%20Christ%2Dlike%20manner.%E2%80%9D
For Licensed Practical Nurses (LPN), many nursing schools offer 'fast track' flexible programs that these allow working nurses to balance school and job demands to become Registered Nurses (RN)s. Often these programs offer degree credit for the student's previous experiences in the field. Approximately 30% of BSN graduates every year come from such programs. Even prospective nurses without undergraduate nursing degrees can enter the profession through Accelerated RN Baccalaureate Programs. These programs offer a path to becoming an RN with only one or two years of intensive education training. "According to the 2004 National Sample Survey of Registered Nurses, over 20% of the RN population had completed additional academic nursing or nursing related preparation after graduating" (Upgrading, 2009, All Nurses)
Anderson, Sue. (2007). The perks of nursing as a second career. Reality RN.
Retrieved June 26, 2009 at http://www.realityrn.com/more-articles/managing-your-career/the-perks-of-nursing-as-a-second-career/266/
Upgrading your nursing degree. (2009). All Nursing Schools. Retrieved…
Anderson, Sue. (2007). The perks of nursing as a second career. Reality RN.
Retrieved June 26, 2009 at http://www.realityrn.com/more-articles/managing-your-career/the-perks-of-nursing-as-a-second-career/266/
Upgrading your nursing degree. (2009). All Nursing Schools. Retrieved June 25, 2009.
Healthcare is changing so rapidly, there will be a need to profoundly alter the nature of nursing education to address the needs of providers and patients. "Nurse researchers are calling for curricular changes that emphasize how, along with what, students learn. Educators are bringing classroom and clinical teaching together by integrating knowledge acquisition and situated knowledge use in the classroom and clinical practice. The health care system and the patient population have undergone dramatic changes in the last half-century, but many nurse educators teach their students in the same way that they were taught decades ago" (A new dawn in nursing education, 2012, WJF). A number of innovations have been instituted, both technological and pedagogical in nature. For example, simulation technology allows nursing students to have an experience more accurate to the 'real world' of the nursing environment very early in their education, even before their residency. Also,…
The future of nursing: focus on education. (2011). IOM. Retrieved from:
Dynamic curriculum offers diversity, growth, caring, self-care, development, adaptation, the nursing process, evidence-based practice, and a way in which relevance for future practice can be identified. By including all the important concepts, the curriculum is better able to provide exactly what is needed for nurses who want to provide the best care to their patients. The competencies that are studied and the knowledge that is required are both centered around how nurses get their education and what they do with their knowledge once they have acquired it. There are several current trends in health care that affect the development of curriculum and the outcomes of the programs nurses must take. These include understanding the increasing severity of patient illnesses in both community-based and acute care settings, along with the rising demand for affordable prices and good care. Quality assurance and safety for the patients is another area where emphasis is…
Billings, D., & Halstead, J. (2009). Teaching in nursing: A guide for faculty (3th ed.). St. Louis, MO: Saunders.
Billings, D., & Halstead, J. (2012). Teaching in nursing: A guide for faculty (4th ed.). St. Louis, MO: Elsevier Saunders.
Faison, K., & Montague, F. (2013). Paradigm shift: Curriculum shift. ABNF Journal, 24(1), 21-22.
Morris, T.L., & Hancock, D.R. (2013). Institute of medicine core competencies as a foundation for nursing program evaluation. Nursing Education Perspectives, 34(1), 29-33. Retrieved from http://web.a.ebscohost.com.proxy.devry.edu/ehost
IOM report on nursing education
The IOM report will likely increase the tendency to incorporate evidence-based practice in nursing, particularly since it insists that treatment decisions should be based on evaluating most recent scientific evidence and on evaluating the quality of that evidence, as well as the medical personnel should know both the advantages and disadvantages of referring individuals to a certain type of treatment.
It recommends that clinical guidelines should be extracted from thorough literature and scientific reviews that identify, investigate review, and select the most authoritative and reliable studies that are pertinent to the field and help nurses decide which type of treatment to adopt and which type of treatment to refrain from adopting in connection with certain diseases / conditions as well as the types, quantities and categories of drugs, devices, and other healthcare instruments and services.
Putting forth proposed standards regarding adoption of scientific evidence, the…
NHS Institute Worldwide. The Productive Mental Health Ward Initiative
Salehi, S., Bahrami, M., Hosseini, S.K., & Akhondzadeh, K. (2007). Critical Thinking and Clinical Decision Making in Nurse, Iranian Journal of Nursing and Midwifery Research, 12, 13-16.
Graduate Certificate Nursing Education
Learning of Anorexia Nervosa & Handling Its Patients
Final Learning Report
DESCRIPTIN F BJECTIVES & THEIR STATUS
Drafting a learning contract and adhering to it along with constant support from my supervisor, was an effective activity which constituted of four weeks. every objective had a milestone plan and necessary measures which were required to be taken for achieving them. Self-expectation after reaching these goals was also documented in order to have a clear picture of my proficiency level in the developing knowledge of Anorexia Nervosa after this activity. The primary objective was to have clear understanding of Anorexia Nervosa, its causes, symptoms and possible treatments. Furthermore, second main objective was to deal with patients having this disorder and their families. These two major goals encompassed the rest. Through reading of the concerned topic were performed and were brought into practical application. Furthermore, efforts were made to…
Owen, T. (2002). Self-Directed Learning in Adulthood: A Literature Review.
William, J. (2009), Anorexia Nervosa: Self Sabotage in Adolescence
Final Report-Anorexia Nervosa Page 4
The work of Fink, Krugman, Casey and Goode (2008) entitled: "The Graduate Nurse Experience: Qualitative Residency Program Outcomes" reports a study which evaluated responses to the Casey-Fink Graduate Nurse Experience Survey which was administered to graduate nursing students at the University HelathSystem Consortium/American Association of Colleges of Nursing and states findings that graduate nurses "...experience role conflict and stress as they begin practice in work environments of high complexity, nurse shortages, and expectations to become competent rapidly." (Fink, Krugman, Casey, and Goode, 2008) the work of Spencer (2008) entitled: "Increasing RN-NS Enrollments: Facilitating Articulation through Curriculum Reform' states that increasing enrollments in nursing programs is one method to deal with the shortage of nurses. However, the majority of these new graduates will be educated at the associate degree in nursing level. The need to increase the number of nurses educated at the baccalaureate level is significant. Research has shown that…
Bibliography (Fink R, Krugman M, Casey K, Goode C. 2008)the graduate nurse experience: qualitative residency program outcomes. J Nurs Adm. 2008 Jul-Aug;38(7-8):341-8.
Int J. Nurs Educ Scholarsh. 2008;5:Article32. Epub 2008 Aug 22.
Lee JM.(2008) Articulation of undergraduate and graduate education in public health. Public Health Rep. 2008;123 Suppl 2:12-7.
Public Health Rep. 2008;123 Suppl 2:12-7.
Schuldt HAArd U, Ohlen J, Gustavsson PJ. (2008) Generic and professional outcomes of a general nursing education program -- a national study of higher education. Int J. Nurs Educ Scholarsh. 2008;5:Article32. Epub 2008 Aug 22.
Nurses are required to make many immediate decisions in their assigned duties. Unfortunately, in recent years, patient care has often been compromised as a nursing shortage crisis has escalated to epic proportions. Increased patient loads have resulted in often hasty nursing decisions as responsibilities and hours worked have increased. Although precious time must be spread thin to accommodate higher numbers of patients, nurses must exercise their morals through consistency in ethical behaviors. According to Peggy Chinn (1), "Many ethical issues, such as end-of-life decision making, have increased in complexity. Other issues, such as advocacy and choice, have changed in certain respects but are more clearly centrally situated within nursing's ethical domain."
As a result, nurses are held accountable for a variety of decisions in nursing practice and in many instances, a patient's life depends on such decisions to survive. Gastmans (496) states that "Generally, the goal of nursing…
Chinn, P. (2001). Nursing and ethics: the maturing of a discipline. Advances in Nursing Science
Erlen, J. (2001). Moral distress: a persuasive problem. Orthopaedic Nursing 20(2): 76-80.
Erlen, J. (2001). The nursing shortage, patient care, and ethics. Orthopaedic Nursing 20(6):
Gastmans, C. (2002). A fundamental ethical approach to nursing: some proposals for ethics education. Nursing Ethics 9(5): 494-507.
nursing profession is undergoing fundamental change as it relates to both internal and external regulation. Externally, new legislation such as the Affordable care act has created nearly 30 million newly insured Americas. This new demand for services, although lowering overall health care costs, presents challenges as it relates to the nursing profession. Nurses will now need expertise beyond prior requirements in order to serve this newly insured population. As such, it is my contention that new requirements eliminating the two-year nursing program will be a welcomed addition. In 2011, 60% of all N candidates in the U.S. were non-bachelor prepared. Over the next 10 to 15 years, 33% of these individuals will be retirement eligible (The U.S. nursing workforce, 2013). The future now presents an interesting opportunity to uplift the standard of care for society, while also helping improve the overall health care system. A baccalaureate degree requirement will be…
1) The U.S. nursing workforce: trends in supply and education. U.S. Department of Health and Human Services Web site http://bhpr.hrsa.gov/healthworkforce/reports/nursingworkforce/index.html. Published April 2013.
2) American Association of Colleges of Nursing. (1998).The Essentials of Baccalaureate Education for Professional Nursing Practice, pp. 4-5. Washington, DC: Author.
3) American Association of Colleges of Nursing. (1995). A Model for Differentiated Nursing Practice, pp. 26-29. Washington, DC: Author.
4) Raines. C.F., Taglaireni, M.E., (Sept. 30, 2008) "Career Pathways in Nursing: Entry Points and Academic Progression" OJIN: The Online Journal of Issues in Nursing; Vol 13 No 3
nursing program to a BSN program
Over the years, promotion of nurses' higher education has been a focus of national reports. One of several reasons for this is growing evidence tying improved performance with continued education. Another factor is that nurses taking Master's programs often focus on education; this ensures a good supply of nurse educators as well as clinical nurse specialists and midwives (Scott & Brinson, 2011).
Factors influencing the need for a BSN program.
esearchers and policymakers continue to point out that education is a key determinant of nurses' performance in our medical facilities. Bachelor's degree programs provide more content than diploma programs do. They also tend to be more thorough. It has been noted that those institutions that have more baccalaureate degree registered nurses reported less fatalities. This inverse relationship shows that education level is a key determinant of performance and competency (Johnston, 2009).
Aliakbari, F., Parvin, N., Heidari, M., & Haghani, F. (2015, Febuary 23). Learning theories application in nursing education. Retrieved from www.ncbi.nih.gov: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4355834/
Amerson, R. (2006). Energizing the Nursing Lecture: Application of the Theory of Multiple Intelligence Learning. Nursing Education Perspectives, 194-196.
ANA. (n.d.). Code of Ethics for Nurses with Interpretive Statements. American Nurses Association.
Armstrong, T. (2009). Multiple Intelligences in the Classroom, 3rd Edition. ASCD.
Certainly, pedagogy may be an issue. Whatever the case, human anxiety is a critical issue in the employment of Web 2.0 technology in nursing education. In an article in Nursing Education Perspectives, the issue is raised as to whether social media such as Twitter could bridge the gap. It appears that Twitter may provide a social media that ties classes together and builds classroom comradery and community in the online classroom. Faculty interviewed in the article have reported success in this area. They report that the ability to send an unshared message to the instructor was helpful and may help reduce student anxiety (Skiba, 2008, 110-111).
It appears to this author that Twitter has tremendous potential, not just in the area of class community building and reduction of student anxiety, but also in developing and adapting the tool because of the handy diagnostic tools available to analyze bands of tweets…
Skiba, D.J. (2008). Nursing education 2.0: Twitter & tweets. Nursing Education Perspectives, 29(2),
Sun, P.C., Tsai, R.J., Finger, G., Deschenes, Y.Y., & Yeh, D. (2008). What drives a successful e-
learning? An empirical investigation of the critical factors influencing learner satisfaction.
Nursing in the Contemporary World
Nurses as the Most Highly Trusted Health Professional
ecent studies indicate that nurses are the most highly trusted health professional group.
ecent studies indicate that nurses are the most highly trusted health professional group.
Discuss the components of nursing's contemporary image that places nurses in this position of trust
Nursing profession has undergone tremendous development to attain the respect and valuation within the society. The current trend states that nursing ranks as the highly trusted health professional group. One of the components for this development is the tremendous efforts put by women to wrestle the profession from men in the historic periods. This struggle towards development of the profession reflects on different perspectives: environmental, political, cultural, and social. Extensive nursing education in the contemporary world supplements the efforts of nurses in their service provision (Im & Ju, 2012). This helps to put nursing professional group…
Cherry, B., & Jacob, S.R. (2011). Contemporary nursing: Issues, trends, & management. St.
Louis, Mo: Elsevier/Mosby.
Im, E., & Ju Chang,, . (2012). Current Trends in Nursing Theories. Journal of Nursing
Scholarship, 44(2), 156-164. doi:10.1111/j.1547-5069.2012.01440.x
During this era, however, nurses continued to gain a foothold within the field of care as important elements to patient recovery and success.
This was further echoed in the era directly following such a tumultuous times as the 1960s. During the 1970s, the idea of a much more solid and accredited education began to pick up further speed (Burns 2004:19). Schools were now responsible to the State and national standards, such as the ones put forth by the National League for Nursing. Another major improvement seen in nursing education was the creation of specified nursing programs which offered advanced degrees within specialized fields of nursing. It opened up the opportunity for many nursing students to gain an unprecedented expertise on various specialties not seen before in earlier generations. In the professional field, the implementation of "participatory nursing" which allowed for nurses to embody greater roles within the context of care…
Burns, Nancy. (2004). The practice of nursing research. Elsevier Health Sciences.
Carter, Laura Stephenson. (2009). Beyond nightingale. Dartmouth Medicine. Retrieved April 9, 2009 at http://dartmed.dartmouth.edu/fall05/html/beyond_nightingale.php .
Kalisch, Philip a. (1995). The advance of American nursing. 3rd ed. Lippincott Williams & Wilkins.
Kirkpatrick, S.M. (1990). Participatory nursing research: a promise in third world countries. Western Journal of Nursing Research. Jun; 12(3):282-92.
Nursing in the Rural Area
A WELL-DESERVED SECOND LOOK
Rural nurses are particularly endangered by the current and worsening shortage in nurses. As it is, rural nursing is already beset with issues that range from a lack of professional practice system, the need for larger incentives for nurses to work in the rural areas, a general unwillingness to live in these areas among the nurses and the foreseen depletion of the supply of rural nurses. Possible solutions and approaches have been proposed.
Approximately 20% or 54 million U.S. residents live in locations categorized as rural (ushy, 2006). These residents are distributed across 80% of the nation's total land area. About 99 or fewer residents occupy every square mile in these areas and experience the shortage of nurses more acutely than in urban areas. Moreover, they have generally lower annual income, less education and poorer health status than urban residents. Local…
Arnaert, A. et al. (2009). Homecare nurses' attitudes towards palliative care in a rural community in western Quebec. 11 (4) Journal of Hospice and Palliative Nursing:
Medscape. Retrieved on October 17, 2011 from http://www.medscape.com/viewarticle/715133
Blaauw, D. et al. (2010). Policy interventions. World Health Organization. Retrieved on October 18, 2011 from http://www.who.int/bulletin/volumes/88/5/09-072918/en
Bushy, A (2006). Nursing in rural and frontier areas: issues, challenges and opportunities. Vol 7 # 1 Harvard Health Policy Review: University of Harvard.
Nurse Eduactor Strategic Plan
Nurse educator strategic plan
A strategic plan for a nurse educator
At present, I would say that my greatest strength as a nurse educator is my willingness to challenge myself in the pursuit of excellence. Within the next year, I will obtain my MSN with a specific concentration in education. Previously, I obtained certification as a Basic Life Support instructor (BLS). Also within the next year I intend to seek out certification in Advance Cardiac Live Support (ACLS) and Pediatric Life Support Instructor (PAL) with the intention of becoming both an ACLS and PALS instructor. These will enhance my capabilities as a nurse educator and provide greater specificity in the range and types of teaching I will be able to convey.
My second great strength as a nurse educator is the compassion I have for my patients and my genuine love of teaching. A nurse is…
Covey, S. (2012). 7 habits of highly effective people. Franklin Covey.
Gardner, H. (2007). Frames of mind: The theory of multiple intelligences. New York: Basic
Professional Nurse Educator's Group. (2013). Official Website. Retrieved from:
Throughout my life, I have exemplified core Christian values like faith and temperance. Christian role models have helped me to shape a character and identity that is conducive to a life of selfless service, which I view the nursing profession to be. I want nothing more than to participate in a Christian nursing community, with the goals of making the world a better place one patient, and one community, at a time. Effective nurse education will allow me to develop my skills in all areas of nursing: from leadership to bedside practice. The Mark and Huldah Buntain School of Nursing is unique in that it offers a perfect fusion of Christian values with cross-cultural awareness, and correspondingly, cultural sensitivity.
I have always valued my spiritual health every bit as much as my physical and psychological health. This is why I gravitated towards the Mark and Huldah Buntain School…
Student success a - endeavor. The student give 100% instructor provide students a 100%. The student responsibility prepared learn material assigned, turn assignments time, pay attention taught discussed, questions needed.
I agree that the process of education is a dialogue, not a monologue. Although an educator may have a plan about what he or she wishes to teach, the teacher must respond to student input. The students may not understand the material in the manner in which it is initially presented; they may be bored or ill-prepared; they may have probing and unexpected questions; or they may have different learning styles.
Using different approaches is particularly essential in healthcare education, given that new scientific knowledge builds upon old knowledge. emediation is successful because it ensures students have knowledge of the foundational concepts early on, before the student becomes completely left behind. Given the nursing shortage the nation is facing, finding…
Smith, A. (2010). Learning styles of registered nurses enrolled in an online nursing program.
Journal of Professional Nursing, 26(1):49-53. doi: 10.1016/j.profnurs.2009.04.006.
Technology-based teaching strategies can greatly accelerate the how both teaching and learning occur and therefore often reduce traditional issues and concerns faced by students and instructors. This approach changes the conventional way of thinking about how quality nursing programs are assessed and changes the levels of requirements to better suit student learning with better access to libraries, counseling and tutoring services, computing equipment, tuition, and financial aid to name a few.
But where this Associates Degree approach will benefit the profession most is in the healthcare system where it is needed most. New nurses will be better acclimated to the needs of sophisticated logging processes, medical billing and inventory as well as scheduling and other tasks now all handled via digital processing and computer. A modern day nurses are more technologically sophisticated, the overall patient care process also gets better as more available free time is offered back to the…
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…
About ENA. (2010, January). Retrieved October 2010, from Emergency Nurses Association: http://www.ena.org/about/Pages/Default.aspx
About the ACNM. (2010, February). Retrieved from American College of Nurse-Midwives: http://www.midwife.org/members.cfm
CNS - Who We Are and What We Do. (2010, January). Retrieved October 2010, from National Association of Clinical Nurse Specialists: http://www.nacns.org/AboutNACNS/MissionStatement/tabid/57/Default.aspx
Kozier, B., Erb, G. & Blais, K. (1997), Professional nursing practice (3rd edition),
It is critical that NHAs are first qualified nurses, as their ability to relate to other nurses is essential to the organizational success of the nursing home ("Nursing home administrator jobs," 2011). Career paths for an NHA are rooted with education background and nursing experience. Although experience is necessary for being a successful NHA, a career path at minimum requires clinical licensing (Decker, & Castle, 2009).
The NHA is the management body over the facility, and their positions are in high demand. In the U.S. In 2008, approximately 17,000 nursing home administrators were responsible for the oversight of care for 1 million elderly adults and 1.3 million employees (Leister, 2009). Overseeing a large nursing staff, as well as vulnerable residents, are the daily demands of the NHA. The future of NHA field is concerning to researchers and professionals, as the number of licensed NHAs is on the decline. In Maryland,…
Decker, F, and Castle, N. (2009). The relationship of education level to the job tenure of nursing home administrators and directors of nursing. Health Care Management, 34(2), 152-160.
Leister, D. (2009). The vanishing nursing home administrator: stress and intent to leave.
Informally published manuscript, Capella University, Minneapolis, MI. Retrieved from http://gradworks.umi.com/3359575.pdf
Nursing home administrator jobs. (2011). Retrieved from http://www.nursinghomesjobs.org/nursing-home-administrator-jobs/
Nursing BA vs. Associates
Nursing Competencies -- Associates vs. Baccalaureates
The difference competencies between nurses prepared at the associate-degree level nursing vs. The baccalaureate-degree level are significantly different on many levels. Today's nurses work in a healthcare environment that is undergoing a constant evolution at a speed never before imagined (NLN Board of Governers, 2011). Patient needs have become more complicated; nurses must implement requisite competencies in leadership, health policy, system improvement, research, evidence-based practice, and teamwork and collaboration in order to deliver high-quality care. Furthermore, nurses are also required to master different technologies that are also evolving extremely rapidly.
There are basically three different alternative paths to becoming a registered nurse. Some hospitals offer a three-year program that is administered in the hospital setting. Another option is a two to three-year program in which graduates receive an associate's degree and can be administered at a community college or any…
Mahaffey, E. (2002, May 2). The Online Journal of Issues in Nursing. Retrieved from The Relevance of Associate Degree Nursing Education: Past, Present, Future: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume72002/No2May2002/RelevanceofAssociateDegree.aspx
Moltz, D. (2010, January 7). Nursing Tug of War. Retrieved from Inside Higher Ed: http://www.insidehighered.com/news/2010/01/07/nursing
NLN Board of Governers. (2011, January). Transforming Nursing Education: Leading the Call to Reform. Retrieved from NLN Vision: http://www.nln.org/aboutnln/livingdocuments/pdf/nlnvision_1.pdf
Rosseter, R. (2012, April 2). The Impact of Education on Nursing Practice. Retrieved from American Association of Colleges of Nursing: http://www.aacn.nche.edu/media-relations/fact-sheets/impact-of-education
Nursing: Today and Throughout History
The occupation of nursing has been around for almost all of history in some form or another. In the ancient Roman Empire are found records of the nursing practice, where nurses provided care to in-patients at local Roman hospitals. In Constantinople—the Rome of the East—nurses were “known as hypourgoi” (Kourkouta, 1998). These nurses (both male and female) were tasked with jobs much like today’s nurses: they provided a wide variety of services to patients. Kourkouta (1998) states that the main tasks of the hypourgoi (male nurses) and hypourgisses (female nurses) were to give “psychological support of patients, everyday care of patients’ bodily needs and elementary comfort, cleaning of patients and providing them with proper food, the administration of medicines according to a doctor’s instructions, supervising wards when the physicians were not present, the performance of enemas, cuppings and bloodletting, the main therapeutic means used at…
(2008). The study measures public opinion concerning two scenarios: one in which the kidney donor is given a fixed financial compensation; and one in which the donor is provided with health insurance coverage for life. According to the findings of the study, "although almost half of the respondents (46%) were reluctant towards introducing a system with fixed compensation to increase the number of living kidney donors, still 25% of the general public reacted positively." (Kranenburg, 1039) This study would conduct a similar comparative discussion, but would expand the number of available options discussed and would use a different sample population, as discussed in the subsequent section.
Subjects and Sampling Technique:
The subjects will be drawn from amongst nursing professionals working in randomly selected renal specialty facilities and wards. Initial contact will be made by phone with a Director of Nursing at selected facilities requesting participation. Those that agree will receive…
Conesa, C.; Rios, a.; Ramirez, P.; Sanchez, J.; Sanchez, E.; Rodriguez, M.; Martinez, L.; Ramos, F. & Parrilla, P. (2009). Attitude of Primary Care Nurses Toward Living Kidney Donation. Transplantation Proceedings, 37(9), 3626-3630.
Kranenburg, L.; Schram, a.; Zuidema, W.; Weimar, W.; Hilhorst, M.; Hessing, J. & Busschbach, J. (2008). Public Survey of Financial Incentives for Kidney Donation. Nephrology Dialysis Transplantation, 23(3), 1039-1042.
Neyhart, C. & Colaneri, J. (2004). Living Anonymous kidney donation: A solution to the organ donor shortage? Nephrology Nursing Journal. Online at http://findarticles.com/p/articles/mi_m0ICF/is_3_31/ai_n17207253/
Watson, J. (2007). Theory of Human Caring: Theory Evolution. University of Colorado at Denver. Online at http://www.nursing.ucdenver.edu/faculty/jw_evolution.htm
"From an historical standpoint, her concept of nursing enhanced nursing science this has been particularly important in the area of nursing education." ("Virginia Henderson's Need...," 2008) Principles of Henderson's theory, published in numerous primary nursing textbooks utilized from the 1930s through the 1960s, along with principles embodied by the 14 activities continue to prove vital in evaluating nursing care in thee21st century, not only in cases such as Keri's, but in a myriad of others benefiting from nursing.
Kearney, Kathleen M., the Nurse's Duty to eport Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. etrieved September 25, 2007, at http://ssrn.com/abstract=1256366.
esuggan, ay N;PN;MN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. etrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within…
Kearney, Kathleen M., the Nurse's Duty to Report Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. Retrieved September 25, 2007, at http://ssrn.com/abstract=1256366 .
Resuggan, Ray RN;RPN;MRN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. Retrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within a long-term care facility," Rehabilitation Nursing, January 1, 2000. Retrieved September 25, 2007, from: http://www.highbeam.com/doc/1P348282208.html .
Trail Ross, Mary Ellen. (1993). "Linking Ethical Principles With Community Practice." Journal of Community Health Nursing, Vol. 10. Retrieved September 25, 2007, at http://www.questia.com/read/95780716?title=Linking%20Ethical%20Principles%20W%20Community%20Practice .
Charity, selflessness, altruism and entrepreneurship are, therefore, not contradictory. It is well-known that the well-paid traditional nurse is likely to be a better worker better able to devote more attention to her patient (Hardin & . Kaplow, 2001). Deductively, therefore, the independent nurse who is motivated to work well in order to be successfully self-employed would likely (although not necessarily) be a better nurse in terms of the intrinsic nursing characteristics than those employed by institutions.
Ironically, entrepreneur nursing can potentially make one into a better nurse, for aside from being motivated to perform excellently, the entrepreneur nurse can adopt her own style and afford to conduct thorough research into nursing theories and models that culminate in enhanced nursing.
The institutional nurse is classically overworked and, therefore, has little time for arbitrary activities; the entrepreneur nurse, on the other hand, can adequately fulfill the expectations of evidence-based nursing where she…
Hanink, E. (n.d.). Nurse Entrepreneurs. Working Nurse.
Hardin, D. & R. Kaplow (Eds.) (2001), Synergy for clinical excellence: The AACN Synergy Model for Patient Care. Sudbury, MA: Jones and Bartlett Publishers.
Johnson, P. (1977). Enemies of society. NY. Etheneum
Patterns of Knowing in Nursing
There is a great abundance of information available to us in the universe. Every second, we are bombarded with thousands if not millions of tiny facts arriving through the unbidden working of our sensory organs, each of which is quietly and usually subconsciously processed by the brain; active study engages other parts of our grey matter, and quickly creates a store of facts and associations; and ultimately all information is judged against the framework that is continuously being constructed from previous information. In addition to these different processes for analyzing, categorizing, and associating information, there are also different types of knowledge, several if not all of them working on subconscious and unconscious levels, that help to inform the way in which the world is perceived and responded to. These are both different subject areas and different ways of viewing the world and receiving…
Chinn, P. & Kramer, M. (2008). Integrated knowledge development in nursing. St. Louis: Mosby.
Lafferty, P. (1997). "Balancing the curriculum: promoting aesthetic knowledge in nursing.." Nurse education today 17(4), pp. 281-6.
Milligan, F. (1999). "Beyond the rhetoric of problem-based learning: emancipatory limits and links with andragogy." Nurse education today 19(7), pp. 548-55.
Nursing Mentor Scenario
Introduction- Just as the theoretical and practical backgrounds of nursing have changed over the past several decades, so has the nursing education environment itself. . Students now entering the field are diverse in culture, educational background, and most especially age and experience. Traditional undergraduates coming directly from High School or Junior College often interact with more mature and experienced students. In addition, nursing instructors remain challenged to recognize different learning needs and styles, and respect that adaptive scenarios might be necessary to further the learning opportunities for many students. e thus see that the most effective way of teaching in the modern nursing classroom is to adjust one's pedagogical paradigm outward and to actively find new and innovative ways of reaching each student, rather than expecting each student to completely bend to the tried and true curriculum of previous generations (Young, L., Petson, B., eds., 2006). Too,…
Bradshaw, M., & Lowenstein, A. (Eds.). (2011). Innovative Teaching Strategies in Nursing and Related Health Professions. Sudbury, MA: Jones and Bartlett.
Bulman, C. And Schutz, S. (1998). Reflective Practices in nursing. Sudbury, MA: Jones
And Barlett Publishers.Epp, A., & Price, L. (2011). Designing Solutions Around Customer Network Identity Goals. Journal of Marketing, 75(1), 36-54.
Cramer, C., Davidhizar, R. (2008). Helping At-Risk Nursing Students Succeed on the National Council Licensure Examination-Registered Nurse. The Health Care Manager.27 (3): 269-76.
The nursing coursework I have taken so far focuses in particular on the second and fifth competencies, regarding information and technology. Courses like anatomy and physiology are fundamental information-gathering classes that provide a firm foundation for aspiring nurses. Thorough knowledge of the human body, its functions, and its diseases, plus knowledge of medicine are imparted through nursing classes. Furthermore, nursing instructors also demonstrate how technology plays a role in the profession. We use computers to access medical databases, for example. Therefore, the second and fifth competencies are related to one another. In addition to their use as information technology, computers also provide the backbone of almost all electronic medical equipment. Nursing courses also show how sophisticated machines such as CAT scans are implemented in hospitals.
I am particularly weak in particularly those competency areas that the nursing courses cover: information and technology. Regarding resource allocation, interpersonal skills, and systems understanding,…
For example, although many nurses were taught to place infants in the prone sleeping position to prevent aspiration, there is now persuasive evidence that supine (back) sleeping position decreases the risk for sudden infant death syndrome." (p. 28)
This also implicates the practice dimensions of nursing. According to the primary text, evidence-based practice is particularly important as a way to dissuade against poorly informed or assumption-driven decision-making. here non-evidence-based practice is in place, the risk is higher that error or unwanted health consequences may result from treatment approaches. By contrast, the use of evidence-base practice provides the nurse with a set of empirically formed guidelines on how to approach each patient. Instinct such as that often relied upon so heavily in non-evidence-based practice, should be integrated with the understanding afforded by comprehensive research. Only then can the practicing nurse apply practical treatment decisions without falling into otherwise discredited customs or…
Polit, D.F., & Beck, C.T. (2008). Nursing Research: Generating and Assessing Evidence for Nursing Practice, (8th ed.).
As a future nurse educator, using technology to gather and disseminate healthcare information will become even more critical for me in the future. Students and patients alike will expect that their teachers will have a broad, in-depth range of knowledge about new technology in the field of heath informatics.
The organization offers information about 'best practices' in healthcare technology, such as how to protect patient privacy in the online age. Medical ethics and best practices will no doubt be a topic of debate in many of the classes I will teach in the future, whether I am educating future nurses or patients.
The organization offers continuing education resources in the field of health technology. Keeping one's education current is essential, as healthcare computer systems are constantly changing and improving.
Members can attend conferences, and interact with nurses from a wide variety of backgrounds, thus broadening my framework of knowledge…
It is saddening to note that as hospital stays grow more expensive, patients are getting less care and families must resort to the private sector and pay still more money to feel as though their loved ones are being treated competently. The problems are rife, legally in terms of liability and medically in terms of nursing conflicts over patient treatment. There is also the ethical issue that the poor are getting less decent care than the rich, because poor families cannot provide private nurses. Clearly, hiring private nurses or assistants is not the solution to an overburdened medical system, but families will continue to do so to protect their loved ones until a better solution is achieved by policy makers.
Deutsch, Anne, Rodger C. Fielder & Kenneth J. Ottenbacher. Stroke. 37 (Jun
Rehabilitation after a stroke is a critical part of the healing process. The article attempts…
Rehabilitation after a stroke is a critical part of the healing process. The article attempts to assess differences in outcomes between patients treated at inpatient rehabilitative facilities (IRF) versus skilled nursing facilities (SNF). Overall, it was discovered that most patients, except for those patients who had suffered the most minor motor disabilities, had better quality of care and improved general outcomes when they went to the more expensive IRFs. Yet, although IRF payments for Medicare patients were higher, the stays were shorter than the SNF stays and this ultimately might result in lower costs overall to the health care system, when patient treatment is viewed in a long-term fashion.
This article highlights the problems of patients who have similar conditions, yet have vastly different insurance policies. Policymakers and health insurance assessors must ask, what incurs more long-term costs, and how should the value of rehabilitation be calculated? The article provides a compelling case for the superiority of IRFs as well as the difficulties of putting a price on rehabilitation, when more intensive rehabilitation can result in better outcomes for the patient later on.
Elizabeth Kerr Porter
Elizabeth Kerr Porter "was a leader in nursing education and an advocate for nurses' rights," (ANA 2011). Porter advocated for nurses' labor rights in terms of the right to collective bargaining and professional organization. Her work helped improve working conditions for nurses and also lobbied against racial discrimination in the nursing professions. Porter served for many years as the president of the American Nurses Association and also as the Dean of the nursing graduate degree program at Case Western eserve University. Therefore, Elizabeth Kerr Porter promoted the interests of nursing education, enhanced the image of the profession, and also championed the labor rights interests of professional nurses.
Dorothea Dix worked as both an educator and a nurse, but never actually combined her two careers. Dix devoted most of her career to raising awareness about mental illness. Dix advocated for the humane treatment of both…
American Nurses Association (ANA 2011). Elizabeth Kerr Porter. Retrieved online: http://www.nursingworld.org/ElizabethKerrPorter
Buckwalter, K.C. & Church, O.M. (2009). Euphemia Jane Taylor: An Uncommon Psychiatric Nurse. Perspectives in Psychiatric Care 17(3):125-131
Bumb, J. (n.d.). Dorothea Dix. Retrieved online: http://www.webster.edu/~woolflm/dorotheadix.html
Lewis, J.J. (n.d.). Clara Barton biography. About.com. Retrieved online: http://womenshistory.about.com/od/bartonclara/a/clara_barton.htm
The Nurse as Learner and Teacher
Nursing is truly a lifelong study. While in school, a future nurse learns the tactics and the theory of the profession, and while in practice, he or she learns the social part of the profession, including interaction with patients, and difficulties relating to the workplace, and how to solve the latter. Due to these reasons, nursing is not a "one track" career, and involves constant adaptation and learning. Yet nurses are also teachers, and they fulfill that role every day, from the very first time that they step into the workplace. This paper will aim to present the nurse as both a learner and a teacher, and relate this to personal learning abilities.
From a new graduate to chief nurse, an individual embarking upon this career may very well see it in stages, but what is certain is that a nurse is often…
Greer, A.G. (2010). Learner-centered characteristics of nurse educators. International journal of nursing education scholarship. 7(1).
Kelly, C. (2006). Student's perceptions of effective clinical teaching revisited. Thompson Rivers University. Retrieved from < http://ezproxy.library.nyu.edu:2111/science/article/pii/S0260691707000135>.
Advance Perspectives: Nurses The Role of the Nurse as Learner & Teacher. (2011). Advance Web. Retrieved October 1, from .
Nursing: Personal Statement
For my entire life, acting as a caregiver has been an integral part of my identity. I come from Cuba, and caring for the old and sick is considered to be a very important obligation. I was the child who took care of the needs of my grandmother and grandfather as they aged, as well as my father who died all too young of cancer. As emotionally difficult as these experiences were, I felt privileged to be able to do something for the people who had given so much to me. I also learned how gratifying it was to nurse someone and to provide them with a sense of self-worth and empowerment, even when they were facing their own mortality. To make this my career would be my dream come true.
I wanted to become a nurse while still living in Cuba but unfortunately Cuban nursing schools…
Nursing is one of the most important professions in the world today. It involves not only physical healing, but also healing on a deeper level, where the care giving extends to the patient's environment and relationships to speed the healing process. The nursing environment then often also concerns politics and political involvement. As caregivers who operate in an inclusive environment and relationships, it is often necessary for nurses to be aware of political processes and policies. In this way, nurses can ensure an optimal environment for their patients and the healing process in general.
Des Jardin (2001) defines politics as "a means to an end." Nurses who are concerned with policy formation outcomes must involve themselves in politics. There are a number of ways in which this can be accomplished. Mainly, the author notes that nurses can affect the development of institutional policies by becoming involved in politics…
Des Jardin, K.E. (2001, Oct.). Political involvement in nursing education and empowerment. AORN Journal. Retrieved from: http://findarticles.com/p/articles/mi_m0FSL/is_4_74/ai_80159541/
Autonomy in the nursing profession states the importance of the client's role in making decisions that reflect advocacy for the client (Wade, 1999, p.310). Ultimately, this includes taking care of the patient physically as well as mentally and emotionally, developing a relationship with the patient that is beneficial to his care and actively advocating for the patient's rights and care. This type of autonomy, it is important to note, is not the same as individual or work autonomy, yet it must be considered that empowerment in nursing autonomy will inevitably lead to better professional and personal autonomy and should also lead to increased job satisfaction (Wade, 1999, p.310).
Typical definitions of autonomy would include the idea of complete independence for the person making the decisions. However, in the case of the nursing profession, the client's needs and desires must be heavily weighed and, in fact, become central…
Wade, G.H. (1999). Professional nurse autonomy: Concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-8.
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics, 2(1),
White, L. (2004). Foundations of nursing: Second edition. Clifton Park, NY: Delmar Learning.
Research and Nursing Questions
Research is a complex and nuanced concept which means that one approach might not, in and of itself, answer the full scope of one's research questions. This is why it can sometimes be useful to combine Quantitative and Qualitative research strategies. This can help to provide a multidimensional perspective on a given research problem. The text by Bennett & Braumoller (2006) refers to the combination of these approaches as a Mixed Methods research strategy.
The use of Mixed Method research strategies is based on the view that researcher can produce greater on a subject by varying the approaches which are used to collect data. The idea that both qualitative and quantitative data gathering processes can produce a more expansive data set is driven by the understanding that there are often distinct limitations in the conclusions we can make from narrowly framed research investigations. (Bennett…
Bennett, A. & Braumoller, B. (2006). Where the Model Frequently Meets the Road: Combining Statistic [al,] Formal and Case Study Methods. APSA manuscript.
Media Relations. (2004). Nursing Shortage Fact Sheet. American Association of Colleges of Nursing
In the emergency room, this distinction can have a determinant impact on the ability of the staff to preserve life and diminish pain and suffering.
The introduction of a bioethical perspective into this dialogue invokes a question as to the primacy of an interest in pursuing to the utmost the well-being of the patient. This speaks to one of the core values associating the principles of the ANA with the treatment outcomes desired in patiences. An examination of the ANA's Code of Ethics reveals that a theoretical basis exists to contend a direct correlation between the nurse's self-interest and that which is best for any given patient. There exists an essential obligation for such healthcare practitioners to "examine the conflicts arising between their own personal and professional values, the values and interests of others who are responsible for patient care and health care decisions, as well as those of the…
American Nurse's Association (ANA). (2004). The Nurses Code of Ethics. The Center for Ethics and Human Rights. Online at .
The American Organization of Nurse Executives (AONE). (2009). AONE Resource Center. www.aone.org.
Dimaria, R.A. & Ostrow, L. (2004). West Virginia University School of Nursing Makes the Move to Web-Based Learning. Technological Horizons in Education Journal, 31.
Emergency Nurses Association (ENA). (2008). Vision/Mission Statements and Code of Ethics. www.ena.org.
In what ways did the wave of the nursing shortage in the 1980's and in 2000 support or constrain theoretical thinking? Why? Are there ways to influence the cycle of shortage and theoretical thinking? Identify one nursing theorist that would support your discussion/views. Provide rationale for selection of theorist.
Nursing shortages have been a problem in this country for a long time. It has been found that because of these shortages there needed to be a better way to incorporate theoretical thinking into nursing education so that nurses are better prepared to be the best that they can be. The accomplishment of critical thinking abilities has been recognized as an essential product of undergraduate nursing teaching. It has been found that nursing scholars learn best by way of experiential education. Kolb's experiential learning theory is the basis for a practice incorporation technique intended to offer critical thinking skills in undergraduate…
Experiential Learning (Kolb). (2008). Retrieved September 30, 2010, from Web site:
Kim, Hesook Suzie. (2010). The Nature of Theoretical Thinking in Nursing. Retrieved September 29, 2010, from Web site:
In addition to lecture-based introduction to religious differences, video and/or live presentations from religious leaders and clergy from different faiths and role play exercises, the proposed implementation of training in this area should also include presentations from more experienced nurses who have already successfully negotiated the delicate issues involved.
Spiritual support undoubtedly provides measurable benefits in the hospital environment where it is well received by patients. In American society, religious pluralism requires the exercise of extreme sensitivity when it comes to offering patients spiritual support. While it is certainly possible to provide beneficial spiritual support such as prayer even where nurse and patient do not share the same religious beliefs, doing so dramatically increases the possibility of offending patients rather than benefiting them.
Maximizing the potential benefit of spiritual support while minimizing negative consequences requires vocational training designed to increase awareness of the full variety of religious belief systems…
Campbell CL, Reed-Ash C. (2007). "Keeping Faith." Journal of Hospice and Palliative Nursing. Vol. 9, No. 1.
Cavendish R, Konecny L, Krayuyak-Luis B, Lanza M. (2004). "Nurses Enhance Performance Through Prayer." Holistic Nursing Practice. Vol. 18, No. 1.
Galek K, Flannelly KJ, Vane a, Galek RM. (2005). "Assessing a Patient's Spiritual Needs: A Comprehensive Instrument." Holistic Nursing Practice. Vol. 19, No. 2. Grant D. (2004). "Spiritual Interventions: How, When, and Why Nurses Use Them."
Holistic Nursing Practice. Vol. 18, No. 1. Johnston-Taylor E. (2003). "Prayer's Clinical Issues and Implications." Holistic Nursing Practice. Vol. 17, No. 4. Nuss-Kotecki C. (2002). "Developing a Health Promotion Program for Faith-Based Communities." Holistic Nursing Practice. Vol. 16, No. 3.
Perhaps a nurse must also be given a say in the way in which the entire healthcare system is being run today, especially since it is a nurse who is the closest to the patient, and who is completely responsible for the daily care of the patient, and it is a nurse who would put the patient on the road to recovery. A nurse would then be allowed and be given a chance to make use of her education, her leadership training, her skills in mass communication and her management skills in order to further the interest of the patient. The International Council of Nurses in Geneva, Switzerland has summarized the various duties of nurses today, as they increasingly take part in important decision making processes, as follows: 'strategic planning, budgeting, efficient resource planning and utilization, and the planning, management and evaluation of programs and services'. (Akinci, 2007) it can…
Akinci, Ugur. (2007, Jun) "More nurses in decision making roles, prospects and challenges" Retrieved 16 November, 2007 at http://www.nurse-recruiter.com/articles/misc/more_nurses_in_decision_making_roles.html
Allen, Davina. (2001) "The changing shape of nursing practice"
Beaulieu, Elise M. (2002) "A guide for nursing home social workers." Springer
A person's health is an ever-changing state of being resulting from the interaction with the environment. Optimum health is the actualization of both innate and obtained human potential gained through rewarding relationships with others, obtaining goals and maintaining expert personal care. Adaptations can be made as required to maintain stability and structural integrity. A person's state of health can vary from wellness to illness, disease, or dysfunction. Professional nursing is founded on the need to promote wellness practices, the attentive treatment of persons who are acutely or chronically ill or dying, and restorative care of patients during convalescence and rehabilitation. It also includes the education and measurement of those who perform or are learning to perform nursing responsibilities, the support and communication of research to enhance knowledge and practice, and the management of nursing in healthcare delivery systems. Nursing practice centers on the application of a body of knowledge in…
Johnston, N., Rogers, M., Cross, N. And Sochan, a.(2007) Global and planetary health:
teaching as if the future matters. Nursing Education Perspectives 26(3), 152
Nyatanga, L. (2005) Nursing and the philosophy of science. Nurse Education Today 25(8), 670-675
Many recommend use of minimally invasive techniques including SEPS to treat and address problems related to chronic venous insufficiency (Kalra & Glovisczki, 2002). Multiple studies confirm the safety and efficacy of SEPS when used early, especially resulting from its low complication rates compared with other procedures including the formerly popular Linton procedures (Kalra & Gloiscki, 2002; Lee, et al. 2003; Tenbrook, et al., 2004; Bianchi, et al. 2003).
More randomized clinical trials are necessary however to answer additional questions related to the efficacy of new procedures including SEPS, though this procedures remains important for patients with advanced CVI secondary to PVI or with patients who do not demonstrate other complications including DVT (Kalra & Gloiscki, 2002; Bianchi, et al. 2003).
Wagner-Cox (2005) also notes that it is important for nurses to be considerate, knowledgeable and compassionate toward patients with acute and chronic illnesses, especially when caring for…
Baranoski, S. & Thimsen, K. (2003, Aug). "Oasis Skin and Wound Integumentary
Assessment Items: Applying the WOCN Guidance Document." Home Healthcare Nurse, 21(8): Supplement 3-13.
Baron, H.C., Wayne, M.G., Santiago, C.A. & Grossi, R. (2004, Sep-Oct). Vasc
Endovascular Surg. 38(5): 439-42.
What is the most valuable lesson you've learned as a nurse that you've tried to impart to your students?
Get to know your patients. You can make a valuable human connection with any of your patients, if you just put in the attempt. Their care will be so much more effective and your time at work will be all the more richer.
How do you build awareness of the personal attributes of your students (Clark, 2008)?
I try and see my students outside the classroom to get to know them. I need to be aware of their personal attributes and how those can benefit them as nurses to be. Thus, I try to arrange picnics, pizza parties and other outings with my students so that we can all relax and get to know each other better.
How do you make some of the more intricate educational theories more attainable for…
Bastable, S.B. (2008). Nurse as educator: Principles of teaching and learning for nursing practice. Sudbury: Jones and Bartlett Publishers.
Clark, C.C. (2008). Classroom skills for nurse educators. Sudbury: Jones and Bartlett
Utley, R.A. (2011). Theory and research for academic nurse educators: Application to practice.
The stengths of this design ae elated to the ease of application and usage. The design of the suvey was easy to administe and self explanatoy. While the weakness was elated to the willingness of the paticipant to Chapte Thee 5
paticipate complete the suvey and povide tuthful esponses. An additional weakness is elative to the age goup that was pesent fo the suvey and thei elationship to the use of computes.
Afte appoval of the study fom the Institutional Review Boad at Indiana
Wesleyan Univesity and Methodist Hospitals, Inc. Nusing staff wee ecuited to paticipate in fo the study. Paticipants wee eligible fo the study if they wee cuently an employee of the employed by Methodist Hospitals, Inc., It was also necessay that they hold a cuent nusing license, paticipated in online leaning, and wee able to ead and wite English. A egisteed nuse who has paticipated in…
Student characteristics for online learning success
The Internet and Higher Education, Volume 9, Issue 2, 2nd Quarter 2006, Pages 91-
105 Marcel S. Kerr, Kimberly Rynearson, Marcus C. Kerr
Chapter Three 13
Do you believe that nurse licensure (and scope of practice) should be controlled at the state or federal level?
The NLC (Nurse Licensure Compact) is a mutual acknowledgement licensure model. Many states have thought of authorizing it. Nonetheless, there were various factors that either terminated the bill while it was being processed or had it cancelled after adjournment. National licensure involves setting of criteria for universal licensing nationally, and administering it per state. It relinquishes, to some level, state authority over criteria for licensing and would expect states to bargain and agree on a complicated chain of regulatory factors including discipline and investigations. National licensure would bring about one license for every registered nurse, which would be administered and granted by the national government. The fact that this model completely takes away state authority makes it special. Most of the issues raised on national licensure are also applicable…
David Gorski. (2014, January 6). Expanding the scope of practice of advanced practice nurses will not endanger patients. Science-Based Medicine.
(2013). Nursing Licensure Portability. American Nurses Association.
Sarah Robinson, & Peter Griffiths. (2007). Nursing education and regulation: international profiles and perspectives. National Nursing Research Unit - King's College London.
That is, though overall job satisfaction is rated significantly higher than the itemized individual aspects, most items were rated a point or two above the median level of satisfaction, not exactly demonstrating strong support for the environment as it currently stands but demonstrating a great enough degree of satisfaction to make effective work possible. Further analysis based on the more meaningful findings in this study, such as the impact of administrative stressors on overall job stress and job satisfaction and a determination of how self-perceptions of performance impact perceptions of environment, would help to inform and clarify the findings in relation to these other items.
Series 1: Mean
Series 2: Variance
1. Overall job satisfaction
2. The quality of patient care I perform
3. The help I receive from my co-workers
4. The help I receive from Administration (above charge nurse)
5. My time management skills
Babbie, E. (2011). The Basics of Social Research. Mason, OH: Cengage.
Doughty, J., May, B., Butell, S., & Tong, V. (2002). A Profile of the Social Climate of Nursing Faculty. Nursing Education Perspectives, 23(4), 191-196.
Hunter, J. & Schmidt, F. (2004). Methods of Meta-Analysis. Thousand Oaks, CA: Sage.
Teo, S., Newton, C.J., Chang, E., Pick, D., & Yeung, M. (2011). Do Australian public and nonprofit nurses cope with administrative stressors?.