Nursing Essays (Examples)

Nursing What Effect Does Simulation

Learning in adults is most effectual when the environment is both participative and interactive. Another important characteristic is that learners obtain instantaneous feedback. Teaching methods that necessitate a learner to think though data or information and come to a conclusion or forecast an outcome are more valuable than is reading or lecture. "The minute-to-minute care and monitoring of critically ill patients requires nurses to collect, analyze, and react to data and information. Simulation is an excellent way to both teach and practice these skills" (Rauen, 2012).

Conventional teaching methods stress linear thinking as a single concept is taught at a time. In physiology and critical care courses, the body is divided into organ systems and studied. Even though this method is suitable to help learners dissect intricate information, organ systems do not function in separation from one another. "For instance, in a critical care course, new cardiac surgery nurses learn about ventilator mechanics, hemodynamics, and renal pathophysiology in separate lectures. Thus, novice nurses may have difficulty understanding why chest wall bleeding in a postoperative patient who is receiving mechanical ventilation is treated by increasing positive end-expiratory pressure, resulting in decreases in the patient's cardiac and renal outputs as well as…… [Read More]

Nursing Across Theories Nursing Is a Core

Nursing Across Theories

Nursing is a core concept that is common across contemporary nursing theories. Even though the definitions, applications, and philosophies are different with each theory, the concept of nursing plays a vital role in each one. Contemporary theories came about when the teaching of nursing students was not sufficient to the performances of what the nurses were being taught in schools and ultimately affecting patient care in the long run of nursing practice. The role of nursing theories was to enable schools to better equip nursing students for nursing practice that would provide adequate care and teaching to patients in the long run that would better equip the patient in knowledge of health and well-being.

"Nursing systems are a series of actions taken by a nurse to aid in meeting a person's self-care needs" (Baulita, 2010). Nursing describes the nurse's responsibilities, roles of nurse and patient, and the rationales for nurse-patient relationship that focuses on the person. Support modalities are concerned with the patient's ability of self-care involvement and the person's fluctuation between modalities at any given time.

Jean Watson developed the Science of Caring based on the philosophy that nursing is concerned with promotion of health, preventing…… [Read More]

Nursing Shortage Issues Surrounding the Nursing Shortage

Nursing Shortage

Issues Surrounding the Nursing Shortage

In the early 2000s, national strategies to improve the nursing workforce profile were largely focused on increasing the number of nurses at the bedside through the use of sign-on bonuses and travel nurses. While these strategies tended to provide local short-term solutions, they did little to address long-term issues affecting the nursing shortage. With nursing education programs challenged to increase student enrollment, many colleges were confronted with a limited financial infrastructure, a shortage of qualified faculty, and difficulty establishing the clinical sites needed to support additional students. Thus, they found themselves turning qualified applicants away (Clark & Allison-Jones, 2011).

According to the American Association of Colleges of Nursing (AACN, 2010) there are three routes to becoming a registered nurse (RN), a 3-year diploma program typically administered in hospitals, a 3-year associate degree usually offered at community colleges, and the 4-year baccalaureate degree offered at senior colleges and universities.

This paper will examine the past and current issues revolving around the nursing shortage, compare the competences of associate degree level of nursing (ADN) with graduates of Bachelor of Science Nursing (BSN) programs, and explore the concept of differentiating competencies.

Discussion

A quick review of…… [Read More]

Nursing Science the Historical Development of Nursing

Nursing Science

The historical development of nursing science can largely be dated back to the era of Florence Nightingale. It is however imperative to note that nursing as a largely independent profession has over the past century converged into a well founded theoretical perspectives culture. In this text, I will develop a nursing science historical development timeline with a mention of specific theorists, theories, years as well as events in nursing history. Further, I will discuss the relationship existing between the profession and nursing science. This paper will also make a mention of how nursing is influenced by a select class of other disciplines including but not limited to psychology, anthropology, education and religion.

Nursing Science: Historical Development

1850 -- Considered by many to be the pioneer of nursing as we know it today, Florence Nightingale joins The Institute of St. Vincent de Paul to start off her training as a nurse.

1860 -- The publishing of the text, Notes on Nursing: What it is and What it is Not by Florence Nightingale takes place. This is also the same year in which Nightingale gains recognition as the very first theorist in nursing. In her submission on the environmental theory,…… [Read More]

Nursing the Greatest Challenges Facing Nursing Leadership

Nursing

The greatest challenges facing nursing leadership and the profession as a whole include, but are not limited to, "highly political environments, budget reductions, changing reimbursement patterns, staffing shortages, and rapidly evolving technological advances," (Schmidt, 2006, p. 34). In addition to these environmental and organizational challenges, nurses and nurse leaders contend with issues related to communications, public relations, and personal psychological barriers to greatness. Nurses are endowed with more formal and informal types of power than in the past, expanding the locus of the profession from bedside care towards policy making and administration.

Nurses and nurse leaders can influence the regulatory mandates that govern and guide nursing practice. In fact, nurses and nurses alone are entrusted with the responsibility of developing and changing regulatory mandates that impact the nursing profession in particular. Regulatory mandates that do not impinge directly upon nursing, or which have a broader application in health care, may be presided over by more than just nurses. State laws and administrative regulations impact nurses, but nurses often do not have direct influence on the development of those mandates. Healthcare is a diverse and complex profession, and nurses are only one -- albeit core -- component of any institution.…… [Read More]

Nursing Case Study Case Discussion This Case

Nursing Case Study

Case Discussion

This case scenario is a classic case of professional misconduct carried out by Nurse X. The nurse did not have enough medical or chemical knowledge and therefore she made this mistake. It is common sense for any health care professional to realize that nasogastric or endoscopic route is very different to an IV route. All nurses and health care providers must be extra careful when administering to the patient's body through the IV route. It is noteworthy here that something as minor as an air bubble can result in the death of the patient. Through the nasogastric and endoscopic route, the medicines are introduced in the gastrointestinal tract from where they are absorbed in the blood. Therefore it should be noted that there is a huge difference between drug solution made for gastric route and drug solutions made for the IV route. Drugs that are administered through the IV line are made such that they do not need to be absorbed to act according to their mechanism of action.

Professional Misconduct

Subsequent to discussing the case scenario at hand, it only deems necessary to shed some light on the entire aspect of professional misconduct. The…… [Read More]

Nursing Is a Science and an Art

Nursing is a science and an art, combining evidence-based practice with a practice based on caring, compassion, kindness, and respect. Evidence-based practice legitimizes nursing as a profession, as it eliminates guesswork during the delivery of care and ensuring a scientific foundation for clinical decisions. Nursing involves following and often developing the standards and procedures that promote both individual health and public health. As an art, however, nursing involves caring for patients, families, and communities. The ontological root of nursing is the act and process of promoting health and well-being. Nursing is a relational profession, highlighting the nurse's role within the health care system.

Nursing is frequently defined as both "art" and "science," (Potter, Perry, Stockert & Hall, 2013; Mississippi Delta Community College, n.d.). The art component of nursing is best expressed in the subtle nuances of the delivery of care, including attitudes and behaviors toward patients. As an art, nursing entails a broad vision of health, health care, and healing. As a science, nursing includes a compendium of knowledge including scholarly literature that informs judicious practice. Nursing is also a multidisciplinary science, which draws from a number of different realms of study both within and outside of the medical professions.…… [Read More]

Nursing Professional Boundaries There Are Boundary Issues

Nursing Professional Boundaries

There are boundary issues in every aspect of nursing practice. Some of the issues range from stopping to purchase some groceries for a home-bound client, accepting gifts from clients, having friendship with clients and engaging in sexual relationships with clients. While there is substantial gray area compared to black and white in the study of professional boundaries, nurses can make appropriate decisions if they have the relevant information concerning fundamentals of professional boundaries (Kagle and Giebelhausen, 1994). Therefore, it is advisable for the nurses to read additional information and take part in discussions with their colleagues to widen their comprehension of the topic.

Professional boundaries refer to the limits that shield the liberty between the professional's authority and their client's susceptibility. This means that upholding proper boundaries will help in controlling the authority allowing for safe links between the nurse and client based on the client's wants. In addition, owing to the various researches on the topic, there are different definitions of boundaries and professional boundaries. According to Avis et al. (1983), the term boundary refers to the concept of limits, lines or margins. In addition, according to the outline of nursing practice, nurses meet the professional…… [Read More]

Nursing Theory as Nolan and Grant 1992

Nursing theory, as Nolan and Grant (1992, p. 217) correctly state, cannot be separated from the practice of the profession. On the other hand, theories that have become known collectively as "grand theory" have become so fraught with terminology discrepancies and idealistic representation that it has become impossible for practitioners to use. This has created what Nolan and Grant (1992, p. 217) refer to as the "theory-practice gap," where there is a lack of basic communication and collaboration among nursing theorists and practitioners in the field. To remedy this, a new approach to nursing theory and its relationship to practice arose, known as "mid-range theory." This approach was first suggested by Hildegard Peplau at the end of the 1960s (Peden, 1998). Recently, there has been a revisitation of the merits of mid-range theories as a more effective approach not only to the practice of nursing, but also to research in the field, as well as education of both nurses and families making use of nursing care.

Indeed, mid-range theory has opened the field to better communication between nursing practitioners and their patients in terms of inclusive education as well. In the field of mental health nursing, for example, the current…… [Read More]

Nursing Philosophy and Metaparadigm the

As such, "nursing is caring for people and their environment in ordered to maintain well-being in individual, family, and/or community using therapeutic techniques" (Long, 2012). Caring is at the very center of the nursing paradigm, and helps set a foundation for the other elements. Next comes the concept of health. This "concerns nurses as medical professionals (rather than mere adjuncts to doctors)" (Johnson, 2013). Nurses care because they want to promote health and ease suffering. Yet, "health is not an absolute concept, but exists in the context of the health problems of the individual" (Johnson, 2013). Once again, it must be fluid and flexible enough to be able to adapt to a wide plethora of different types of situations. Both of these first two elements must maintain a certain level of flexibility in order to cater to the third element, the unique individual person that is in need of medical care. Overall, "every person is unique and autonomous" (Long, 2012). Therefore, the strategy of care must be unique to their own individual needs. One individual might need one strategy, while another would react negatively to that same pattern. In such, it is clear that the person is the center of…… [Read More]

Nursing Work at the ER Nursing Work

Nursing work at the ER

Nursing work at the Emergency Room (ER)

The interviewee is Eric Johnson, a Registered Nurse (RN) in the Emergency Room (ER) of Toledo Hospital. He has been an ER RN for seven (7) years now. Scheduling the interview with him was challenging, as nurses work many hours, and Eric managed to allot a small amount of time for the interview because the interviewer is his friend.

What kind of education/certification/experience does the nurse have?

Nursing work in the ER is a specialization by itself. Thus, ER nurses are given continuous education, certification to different areas of nursing expertise specific to ER work, and the experience itself in the ER is worthy enough for a nurse to be experienced in different aspects of technical/medical hospital work. Formally, the interviewee has been trained in basic life support, advanced cardiac life support, neonatal advanced life support, pediatric advanced life support, intravenous therapy, training for emergency room. Hospital work itself is a continuing education for ER RNs: they have a monthly lecture and two (2) weeks of hands-on duty.

What kind of orientation or mentorship did the nurse receive in transition to his role as an RN?

The interviewee…… [Read More]

Nursing Interview One of the Remarkable Things

Nursing Interview

One of the remarkable things about the nursing profession is the wide variety of work opportunities available to nurses. This paper highlights information about a unique nursing career. Jenny J. is a nurse who works for NASA at the Johnson Space Center in Houston, Texas. In her career as a nurse working for NASA, Jenny's work experience may seem to be outside of the realm that one traditionally associates with a nurse. In the time that I have known her, Jenny has participated in flight training programs, been able to experience zero-gravity exposure, and has routine contact with astronauts who continue to go into space, despite the limitations in the current U.S. space program. However, Jenny's work experience makes it clear that the skills that are most critical in the performance of her job are her nursing skills. She provides ground support and technical training for astronauts, in order to prepare them for any illnesses or injuries that they might encounter while in-space and unable to access routine healthcare facilities. She also participates in their healthcare management while they are on the ground, so as to best prepare them for their trips into space. I chose to interview…… [Read More]

Nursing Metaparadigm

Nursing metaparadigm is a declaration or series of declarations that identifies occurrences that include a range of philosophical beliefs and directs the approach to the identified assumptions. A metaparadigm is defined as the most comprehensive perspective of a field that serves as a summarizing unit or outline with which more limited structures or concepts develop. In this case, each field or discipline identifies an interesting or relevant phenomenon that it addresses in a unique way (Masters, n.d.). Unlike the concepts and propositions in the conceptual models, those that indentify and connect these phenomena are more intangible. The nursing profession is based on conceptual theories and models that reflect several paradigms originating from metaparadigm in the nursing field. The conceptual models in this profession are based on four central concepts i.e. person, health, environment, and nursing. This implies that nursing practice is based on the person receiving care, environment within which the patient exists, the health-illness continuum, and the nursing action themselves.

Person:

The first concept under nursing metaparadigm is the person receiving the care services from the health care system. This concept also represents the physical, psychological, spiritual, and socio-cultural components of the individual. The consideration of these components of…… [Read More]

Nursing Administration Staffing

Nursing Administration-Staffing

A strategy for recruiting nurses for the acute care units

The effect of the nursing shortage crisis combined with higher patient acuity has become a crucial concern for the nursing management team. This relates largely to the balancing patient needs with staffing needs. Nurse executives at hospitals contribute to the shortage of women having numerous opportunities outside the health care industry and to inadequate compensation for work done. However, diverse recruitment strategies can be employed to help in reversing this pattern. Local initiatives may include collaborating with nursing schools as primary sites for clinical rotations, offering referral bonuses, and establishing residency programs. It also includes hiring new graduate nurses, encouraging the nurses to visit high schools to boost students' interest in the field, and encouraging more males to join the field. Internal strategies include paying acute care nurse premium dollars for working additional hours, giving annual bonuses associated with employment longevity, providing scholarship programs for nurses and tuition reimbursement (Hamlin, Davie, & Richardson-Tench, 2009).

Job description for a staff nurses in the acute care units

Area of Focus: Clinical Care

Competencies Responsibilities in an Acute Care:

-Critical thinking skills

-Clinical competence in caring for patients, knowledgeable about disease…… [Read More]

Nursing Leadership and Conflict Management the Complexities

Nursing Leadership and Conflict Management

The complexities of communication in healthcare are accentuated by the urgency of providing expert-level care and continually fueling a high level of professional competence with one's peers and the broader professional communities. The more time-sensitive a given field of nursing or medical practice, the more critical it is to have highly accurate, relevant and timely patient data to make decisions on (White, Thornbory, 2007). Across the entire medical industry and specifically in nursing the greater the competency a professional has, the greater the credibility they earn over time (McElhaney, 1996). This is what makes leadership so difficult in the nursing industry, as excellent leaders will over time coach and create highly effective nursing professionals who are honest about their strengths, in addition to their weaknesses (Fuimano, 2005). Authenticity and transparency are critically important for creating a solid foundation of trust in communication, and the more intense the time pressures and the greater the demand for expertise in a given situation, the more a nurses' credibility gets tested. When a nurse portrays themselves as more competent than they are and becomes defensive when they make errors in interpreting cardiac history and laboratory data, two areas of…… [Read More]

Nursing Organization Plan Nursing Org Plan the

Nursing Organization Plan

Nursing Org Plan

The author of this report is asked to lay out a master plan for a nursing/medical organization spoken and enumerated from the standpoint of a new nursing executive. The plan given in this report will have six major sections. In the same order in which they will be covered in this report, these facets include contextual information, nursing strategic planning, culture and image, physical setting and technology, nursing's role in inter-disciplinary care and quality/success metrics. While crafting and expressing such a plan is a complex and daunting task, there are a few core principles that should guide anything and everything pertaining to the plan.

The Plan

The mission statement, vision statement and organizational assessments of the organization will all center on three basic ideals, those being integrity, quality of care and the utilization/realization of human capital. In short, the nursing wing of the organization in question will be run with the utmost ethics and integrity, will be run as efficiently and neatly as possible with compromising quality of care and the people working for and developing within the organization will be allowed to blossom and grow in their careers, in their culture/society and in…… [Read More]

Nursing Original Understanding of What it Meant

Nursing

Original understanding of what it meant to be an RN

Being a Registered Nurse meant applying evidence-based practice to patient care. It meant doing whatever it took to make patients as comfortable as possible, listening closely to their needs, and to the concerns they and their family presented to the healthcare team and me. Being a Registered Nurse meant collaborating with my colleagues and other members of the healthcare team to provide the best quality of care for each and every patient, under the circumstances. My original understanding of what it meant to be an RN included having the necessary training, background, and experience to be a primary care provider.

Current expanded view of what it means to be an RN

Since taking this course, I have acknowledged the "substantial expansion" in the RN workforce over the past several years (Staiger, Auerbach, & Buerhaus, 2012, p. 1). Understanding the nursing market better than I did prior to the course, I also better understand my role as a Registered Nurse within a large healthcare organization. Now, I can see that nurses do much more than interact with patients, provide bedside care through hand holding and bedpan cleaning, and monitoring vital…… [Read More]

Nursing Leadership and Management

Nursing, Leadership and Management Case Analysis

Source of motivation

The nursing career is a challenging one and needs a lot of motivation and determination in order for one to continue in the quest to offer the service to those who need it and stay motivated and even motivate others. There are varied sources of my motivation in the nursing field. The most important is the intrinsic motivation source. It is described as the willingness of a person to make some decision or take an action depending not on the material rewards but the possible satisfaction that they may derive from the experience or the action (Jeremy Wight, 2011). The decision to engage in the nursing management activity is motivated by the pleasure or the learning experience that is derived from engaging in the activity. It is indicated that intrinsically motivated people derive pleasure from completing a task, the job itself or recognition. They are the category of people who do not look for any kind of tangible rewards or incentives in order to motivate them but are motivated from within.

According to Maslow theory, which indicates that people are motivated in life to achieve the basic needs first after that…… [Read More]

Nursing Role

Nursing Role

Roles and responsibilities

"A nursing job demands great dedication and commitment from the learner." (Johnstone, 1999). The practitioner of this field is required to have the ability to work under great pressure as well as being able to remain calm under extreme circumstances. There are many responsibilities for any nurse and here we will look at some of them. Firstly, nurse is supposed to be the one who provides care to those who need it the most. Their main task is to provide comfort to the patient not only through physical treatment but at an emotional level as well.

In cases where the doctors are not available the nurses should take the lead in assisting the patients in whatever their requirements are, therefore a nurse should have extensive knowledge and experience regarding dealing with sensitive matters which affects the patients. "The nurse should also try to give clients more concern as compared with the doctor." (Whitehead, 2003).

Secondly, nurses should act as a teacher towards their clients. It should focus on providing information which can help the client in its overall recovery or learning and making sure the client learns technical skills if possible. The nurse should always…… [Read More]

Nursing Research and Evp Nursing Research &

Nursing Research and EVP

Nursing Research & Evidenced-Based Practice

The objective of this study is to examine how evidence-based practice and nursing research are supported and implemented throughout the organization. Secondly, this study will examine the nurses' role in research and evidence-based practice, the steps sued for research and evidence-based practice and the model for evidence-based practice.

Role of Nurse in Research and Evidence-Based Practice

Evidence-based practice is a term that is used to define the "conscientious use of current best evidence in making decisions about patient care." (Bauer, 2010, p.1) Evidence-based practice is an approach for problem solving that incorporates the following:

(1) A systematic search for and critical appraisal of the most relevant evidence to answer a burning clinical question;

(2) One's own clinical expertise; and (3) Patient preferences and values (Bauer, 2010, p.1)

There are several steps involved in the evidence-based practice including: (1) examination of the research evidence; (2) obtaining information from research and combining it with clinical experiences, resources that are available and then considering the patient's preference in determining the best possible care for the patient. (Bauer, 2010, p1.) The goal of evidence-based practice is bringing about an increase in the speed in obtaining…… [Read More]

Nursing Theory Caring as an Integral Nursing

Nursing Theory

Caring as an integral nursing concept can be viewed from diverse perspectives. It can be an attribute, a complex set of behaviors, or an attitude. This has made some people believe that it is impossible to improve and measure it although there is evidence that both improvement and measurement are possible. People recognize that caring models of professional practice affect the service users, health outcomes, healthcare staff, and ultimately health care costs. The ability of healthcare staff to deliver caring-based models is driven by characteristics of healthcare service users and organizational behaviors. While nursing has generated a lot of research about caring, this concept remains relevant to all healthcare professionals encountering users of health care services. The caring concept has many similarities with relationship-based care and person-centered care.

B. Literature review

Nurse at risk of threatened well-being

In many countries, an increasing tendency to abandon the nursing field has been observed. Studies indicate that care providers experience a feeling of incapacity when they are unable to offer the care that preserves the dignity of the patient. In addition, the situations that frustrate the good intentions of nurses generate a feeling of disempowerment leading to suffering and exhaustion. This…… [Read More]

Nursing Concepts and Theory Conceptual-Theoretical Structure Paper

Nursing Concepts and Theory

Conceptual-Theoretical Structure paper

Personal belief about nursing theory and knowledge development process for nursing practice

All nursing theories play an important role in defining nursing and giving the roles that nurses need to play. Originally, the role of nurses was simply to carry out activities as instructed by doctors, however, over the years, this role has been changed to include more responsibilities as the nursing world has evolved. Nursing theories describe, predict and explain the various phenomena in nursing practice and thus create foundations for nursing practice. They also help to generate knowledge in the field of nursing and to point the direction which the field should develop in future. This view is supported by Carper (1978)

who states that nursing theories elaborate nursing practice and create professional boundaries for the profession. Nursing knowledge comes from research that has been conducted on nursing which forms scientific knowledge and experience gained from the practice itself which forms individual knowledge. Other sources of knowledge include tradition, intuition and tacit knowledge. Meta-theories and philosophical perspectives also help to develop knowledge in nursing practice by setting discussions that over time help to answer questions regarding nursing practice and the nature…… [Read More]

Nurse-Patient Relations the Main Focus of This

Nurse-Patient Relations

The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and how this connection can utilized in the clinical practice setting. T The nurse patient connection, according to a study done by Press Gamey Associates Inc., creates the quality of the care experience and generates an influential influence on patient gratification. Nurses will a lot of their time with patients. Patients see nurses' relations with people among the care team and make their own conclusions about the hospital founded on what they are observing. Furthermore, nurses' approaches toward their vocation, those they work with, and the association are always affecting patient and family decisions of all the circumstances that they may not see behind the scenes.

The Imbalance of Power

By its same character, it is clear that the nurse-patient relationship at times is demonstrating a disparity of power. The…… [Read More]

Nursing Education

Nursing Education

Does nursing have a unique body of knowledge or is it the application of various other fields of knowledge in a practice setting?

Nursing does have a unique body of knowledge as Moyer and Whittmann-Price (2008) state "it is nursing's unique knowledge base that warrants a unique service or practice called professional nursing" (6). This means that like the other help-specific sciences nursing was founded on the basis of research that is unique to the methods needed for the practice of that occupation and no other. This definition of this practice is bounded within that research

What are the expectations and patient considerations of evidence-based practice in nursing?

First of all, evidence-based practice assumes that the exercise of the field is predicated on what research has determined will best aid patients. Expectation, viewed from an ethical perspective, is that nurses will provide care that is not anecdotal but has been observed to contain the best available means of easing that particular ailment. The consideration in the gathering research is only for the patient. Again, according to Moyer and Whittmann-Price (2008) research is used for "diagnosing, treating and organizing" the care that is given to each patient for a…… [Read More]

Nursing Theory Discuss Several Aspects of Professional

Nursing Theory

"Discuss several aspects of professional communication as it relates to the use of language in terms of form (e.g., clarity, accuracy) and content (culture and/or ethics)." (Question, 2014, p1).

Communication is the reciprocal process where messages are received and sent between two or more individuals. Communication involves exchange of ideas, or opinion, which could be in form oral or written form. On the other hand, communication involves a series of information or message that people send out or receive using senses such as touching, seeing and hearing. However, professional communication is a basic tool in the professional practice, and a professional communication is a formal relationship that must follow certain rules and norms in order to make it more impressive and readable by another person. Typically, quality of communication is very critical in enhancing clarity and accuracy of communication system. While the professional communication system is generally based on the organization culture and ethics, however, the content of professional communication must be simple, clear and written in formal language to enhance clarity and quality of the communication.

Professional communication is very critical in a healthcare profession because it enhances safe and effective healthcare delivery. While communication is a…… [Read More]

Nursing Ethics Ethical Dilemma Ethics Identify the

Nursing Ethics

Ethical Dilemma

Ethics

Identify the potential ethical dilemma

A nurse accused of stealing. She is a good nurse but cannot be allowed to continue stealing and breaking the law while she is performing her duties.

Collect, analyze, and interpret data

Nurses must protect clients' well-being, even while they strive to support other nurses. The case study is presented in such a manner which suggests that the nurse manager is fairly certain, given the evidence she has observed, that this individual is the party responsible for the series of thefts.

State the dilemma

A nurse-manager has an unequivocal ethical responsibility to report any suspected crimes. However, this could destroy the goodwill on the ward and impede the community of nurses from working together and getting things done. Also, the crime may be difficult to prove and cause divisiveness on the ward.

Can the dilemma be resolved by the nurse?

The answer to this particular conundrum is 'yes and no.' No, in the sense that some outside investigation is required to prove the suspected nurse committed a crime. If the nurse loses her job without cause she could bring a suit against the hospital. However, the nurse-manager will have responsibilities…… [Read More]

Nursing There Are Several Pros and Cons

Nursing

There are several pros and cons to requiring a nurse to have a BSN to enter nursing practice. The most obvious advantage is that it would standardize practice and ensure excellence. Today, healthcare has been under the spotlight for potential pitfalls and difficulties in areas of care and excellence. If nurses have the same or similar qualifications before entering practice, there is less potential for error (Santina, 2012).

Furthermore, the course requires three years of not only theory, but also of hands-on practice, both in the classroom and in real-time environments such as clinics and hospitals. There are few teaching methods that offer as much in terms of personal and educational development as practical experience. This is particularly true of nursing and other healthcare practice arenas. Hence, more years of hands-on experience is a major advantage of requiring this kind of qualification before allowing nurses to enter practice (Santina, 2012). Indeed, a good idea is to allow them to enter practice for the first time only under the condition that this would be under supervision for a required time of practice.

The most obvious disadvantage of only allowing nurses with a BSN to enter nursing practice is the fact…… [Read More]

Nursing Phil Throughout My Life I Have

Nursing Phil

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 of Nursing Baccalaureate program. The vision of holistic nursing that is commonly used is insufficient to me because it often excludes God from that vision. I firmly feel that God is in the vision of healing and nursing on a grand scale. Nurses heal communities and individuals alike. A Christian…… [Read More]

Nursing in the Rural Area a Well-Deserved

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 (Bushy, 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 health care providers cannot compete with the offerings of wages, start-up bonuses and benefits by urban counterparts. The situation is even more difficult in frontier areas where residents are fewer, particularly in the matter of wages. Financial shortage also limits educational opportunities in small hospitals. And the inadequate number of…… [Read More]

Nursing Leadership Regardless of the Field Most

Nursing Leadership

Regardless of the field, most research studies show that collaboration and teamwork are among the top examples of job satisfaction and performance. In the modern healthcare situation, this tends to move far beyond just the physician/nurse relationship, and into the manner in which interdisciplinary teams work together for more positive patient outcomes. Leadership in nursing has become an expected part of the job description, and over the past few decades, not only do nurses engender more and more clinical responsibility, patient advocacy, and patient and family communication, they are asked to be informal leaders within a group situation that may range from informal patient assessments, new product testing, or procedural and hiring committees (Chang, W., et al., 2009).

Modern healthcare and nursing are more complex than ever before. The nurse's role is far more than simply an assistant is, and requires the understanding and application of a large toolbox to deal with many different situations within the course of any given time period. There are two ways of approaching an interdisciplinary issue within modern nursing: 1) preparation and expertise, and 2) using other human resources. In the first, preparation might include classes in psychology, communication, ethics (philosophy), anthropology…… [Read More]

Nursing Study Proposed Qualitative Research The National

Nursing Study

Proposed Qualitative Research: The National Nursing Shortage

The healthcare industry has a significant challenge ahead of it and most evidence suggests that the severity of this challenge will only get worse if resolutions aren't soon implemented. Here, we refer to the national nursing shortage that deprives hospital patients of quality care, that overburdens nurses on duty and that generally detracts from the performance of a healthcare facility on the whole. Worse yet, evidence suggests that the continuing retirement of the baby boomer generation is increasing the patient population on a scale with which current nursing employment simply can't keep up. Indeed, according to the American Association of Colleges of Nursing (AACN) (2012), "the United States Registered Nurse Workforce Report Card and Shortage Forecast" published in the January 2012 issue of the American Journal of Medical Quality, a shortage of registered nurses is projected to spread across the country between 2009 and 2030."

This is why we propose a research endeavor here aimed at better understanding the reasons that many hospitals are facing nursing shortages. Only by better understanding some of the perceived reasons for staffing shortages can we hope to address them with meaningful solutions. The qualitative study…… [Read More]

Nursing Research

Nursing Research and Evidence-Based Practice

I requesting username BOLAVENS work. If, . These questions related NURSING RESEARCH AND EVIDENCE-BASED PRACTICE. refer book titled Nursing Research: Generating assessing evidence nursing, IBM# 9781605477084 answers.

Discuss the differences between research, research utilization, and evidence-based practice. you may want to link this to the historical evolution of research in nursing.

Research refers to the systematic process of searching and generating knowledge about a particular topic in order to reach conclusions. Research utilization, on the other hand, is the process by which findings from research are used to guide practice. Research utilization should, however, not be confused with evidence-based practice. Evidence-based practice is an extension of research utilization. It involves finding evidence of practice, considering patient and practitioner preferences, differences and values, and then making informed practice decisions. Research utilization only involves applying findings of research to clinical practice. Evidence-based practice is built on research utilization whereby clinical decision-making is based on the best available evidence judged in reference to the particular context the decision is aimed at. In history, evidence-based practice was done only through research utilization only until Archie Cochrane, Prof. Guyatt and Sackett conducted further research and explained that evidence-based practice needs…… [Read More]

Nursing Leadership as Nursing Has Moved Toward

Nursing Leadership

As nursing has moved toward professionalization, roles for nurses in leadership positions have been created. Historically, the roles of charge nurse, nurse manager, nurse educator, and nurse leader, have existed to coordinate and improve care delivery. In recent times, advanced practice nursing education has been introduced in order to formalize and improve performance of this role, in order to ensure evidence-based practice and improve patient care outcomes. While the presence of CNS's and other graduate-prepared nurses has been shown to improve patient outcomes, the existence of problems with medical errors and cost escalation still extant in hospitals has prompted health care leaders to develop a new role addressing these problems. This nascent, credentialed role, created by the American Association of Colleges of Nursing (AACN) in consultation with nursing faculty, clinical experts and other stakeholders, is called a Clinical Nurse Leader (CNL).

Nursing administrative position

The outcome variable of nurse job satisfaction measures the degree to which nursing care delivery systems acknowledge, nurture, and protect the practice of the professional nurse. Common indicators of nurse job satisfaction are the degree of job autonomy, the accountability of the professional nurse, and the presence of meaningful work (Aiken, Clarke, Sloane, Sochalski,…… [Read More]

Nursing Ethics in the Late 20th and

Nursing Ethics

In the late 20th and early 21st centuries, medical technology has advanced enough to provide certain measures to keep the body "alive," but not necessarily the brain or the cognitive functions that make up quality of life (O'Keefe-McCarthy, 2009). Despite the fact that death is a cyclical part of life, humans still have a very difficult time dealing with issues surrounding terminal illness: hospice, do not resuscitate, costs for survival, euthanasia, and conversations about end of life planning. For the modern Nurse leader, the core of the philosophical and psychological debate seems to focus on two viewpoints. One believes that the individual has control over their body and the decisions surrounding their quality of life. The other view takes on a more moral and religious stance, believing that life is divinely created and that nurses and doctors, in particular, have society's trust and the responsibility to preserve life at all costs. The conundrum for the modern nurse centers on the issue of doing no harm, when clearly a patient is in pain or distress; but legally being unable to allow the basic principle of autonomy for the individual (American Nurses Association, 1994; International Medical Informatics Association, 2012, p.…… [Read More]

Nursing Practicum Summary of Evidence Based on

Nursing Practicum

Summary of evidence based on nursing seizure disorder assessment skills

Murray, J. (1996). The Benevolent Overreaction. Journal of Neuroscience Nursing 28 (4), 252 -- 258.

The article from Murray (1996), discusses how many family members of epileptics will often engage in overreactions to patients suffering from the disease (the benevolent overreaction). This is when the family will try to show increased amounts of sympathy for the patient (which could affect their ability to function). Where, they are no longer responsible for many different daily activities because of the illness. In this case, the nurse must be able to intervene and encourage family members to push epileptics to try to live normal lives. This is information is important, because it shows how the trained nurse must be able to identify the symptoms and reactions that family members could have towards the patients. As they want to ensure, that they are allowing this individual to help themselves, in a constructive manner. For the Los Angeles Sheriff's Department Medical Services Bureau (LASDMSB), this information provides a better understanding as to how the patient and their family could be affected by the condition.

Lassonde, M. (2000). Neuropsychology of Childhood Epilepsy. Epileptic Disorders…… [Read More]

Nursing Theory Imogene King

Nursing Theory Analysis

Theory-based nursing is the phenomenon that has been researched much during the past two decades. Nursing theory has become the foundation for nursing practice with its own knowledge base. The current paper is an analysis of King's theory of goal attainment. King acquired her goal attainment theory model from an interpersonal system and a behavioral science. The nurse and patient communicate to achieve a common goal of patient satisfaction and better health outcomes. To achieve this goal, there is a need for nurses to explore patients' perceptions and expectations. It has been found in research that patients' satisfaction with healthcare is strongly linked to their satisfaction with nursing care. King attained that if the nurse is aware of patients' expectations of care that they can achieve the goal of patients' satisfaction. This theory is also applicable in the nursing education program for those nursing students having poor academic performance and for those at-risk students. Students and mentors can communicate to achieve the shared goal of student's academic improvement.

I. Examination of the origins of nursing theory

Modern nursing practice officially started from Nightingale and she also described that nursing knowledge and medical knowledge are different disciplines. Nursing…… [Read More]

Nursing Leadership and Management a

Nursing management is a vital part of an effective healthcare system. It is a partner in professional satisfaction for nurses and a partner in achieving good health for individuals and societies alike (Oulton, 2006).

Being a nurse manager is a very tough job that requires a strong commitment and drive for success. It is important for some one who is thinking about embarking on a nurse manager career to get a good education as well as learn all that they can from those around them. It is also important for them to understand the demands that this type of job requires so that they can best plan for taking care of their selves as well as their job duties.

Nursing is a very well respected profession that offers a person a very rewarding career. It is also a very demanding career as well and should only be undertaken by a person who is aware of the difficulties that it has ahead of time. A career as a nurse demands that a person give their all and then some, which is why it takes a certain kind of person to be a successful nurse.… [Read More]

Nursing Science the Nursing Profession

As such, a nurse is primarily to recognize herself as an individual in the world, with certain responses to this world. When a patient enters the hospital, such a patient is also to be seen as a unique individual who responds to the world and his or her environment in a certain way.

Humanistic nursing is then primarily experiential rather than experimental. This means that new knowledge is gained with every new patient that arrives for treatment. In giving treatment, responses are observed and noted for future reference in similar situations. It is not however assumed that a treatment will work because it did in the past and in similar conditions. Instead, hypotheses are based upon experiences of the past. The recognition that hypotheses may prove incorrect helps the nurse to be open to new experiences. Each human being is then seen as a "world," as it were, with the opportunity to investigate this world and use it for the future improvement of nursing.

In this context, the authors (2008, p. 3) propose what they refer to as dialogical nursing. This means that the world of nursing is lived by means of interaction. The "dialogue" involves not only the nurse…… [Read More]

Nursing Shortage This Work in

1%." (AACN, 2008)

VII. Negative Affects of Nursing Shortage on Patient Care

Study findings indicate that a connection exists between adequate nursing staffing and patient care and specifically state in the findings of the latest studies published in the journals of Health Services Research (August 2008) and the Journal of Nursing Administration (May 2008) are findings that confirm previous study findings linking education level and patient outcomes. This indicates that "…efforts to address the nursing shortage must focus on preparing more baccalaureate-prepared nurses in order to ensure access to high quality, safe patient care." Additionally reported in March 2007 in a report of the Agency for Healthcare Research and Quality in what was a meta-analysis is that the shortage of registered nurses "…in combination with an increased workload, poses a potential threat to the quality of care. Increases in registered nurse staffing was associated with reductions in hospital-related mortality and failure to rescue as well as reduced length of stays. In settings with inadequate staffing, patient safety was compromised." (AACN, 2008)

VIII. Strategies to Address the Shortage of RNs and Nurse Educators

A report released July 2007 by PricewaterhouseCoopers entitled: "What Works; Healing the Healthcare Staffing Shortage" states specific strategies…… [Read More]

Nursing Education in the United

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 mix; (b) Documenting competencies for all staff providing direct patient care and for ensuring that the RN has access to competence information for the staff to whom the RN is delegating care - Organizational policies on delegation are developed with the active participation of all nurses, and acknowledge that delegation…… [Read More]

Nursing Law and Ethics Name

The death of a child is significant and in this case avoidable and a plaintiff has the right to seek compensatory damages as is allowed by law.

Case Study 1 Part B

At the end of the night shift, Nurse Brown took a verbal handover and then noticed the observation chart had not been filled in. To assist her friend, Nurse Harvey, whom she knew had a busy night, filled in the observation chart and fluid balance chart for the hours from 0200-0600 hrs.

Overcome by the events of the last 24 hrs, Nurse Harvey and Nurse Brown go to the local tavern for a few drinks before Nurse Harvey goes on duty. They discussed Mr. Spencer and his son. John, a friend of Mr. Spencer, overheard the conversation and joined them. He was also upset by the events of the day and was most keen to discuss the accident and subsequent care.

Assume that Mr. Spencer's son did not die. In contemplation of possible legal action, Mr. Spencer wishes to see his notes and those of his son.

A g) What are the possible implications of Nurse Brown's actions?

Drinking alcohol prior to a shift, discussing a patient outside…… [Read More]

Nursing Most Scholars Are in

" (1) What does the phrase "concept inventing" mean to you?

2) Does the process of concept inventing add clarity to a unique lived experience that aides in individualizing patient care? - or - Does the process of concept inventing add unnecessary jargon to the profession of nursing which creates barriers in collaboration with other disciplines? (3) State your stance on this issue and create a logical argument to defend your thoughts.

C. (1). "Concept inventing" can be thought of as a way to analyze situations in such a way as to contemplate their meaning to create understanding. Using both the aspects of science, including logic, rationality, and empirical analysis, and art, including intuition, emotion, integrity, honor, and compassion, nurses can process information in such a way as to create a complete conceptual picture of both the abstract aspects and concrete facts of a situation. In doing so, nurses can create a basic definition of concepts that capture both the diversity and the personality of each patient, while simultaneously incorporating the experiences of others to create a universal concept.

C. (2). The process of concept inventing adds clarity to unique experiences that assist in individualizing patient care.

(3). First, the…… [Read More]

Nursing Theory A Microscopic Perspective on the

Nursing Theory: A Microscopic Perspective on the Theory-Practice Gap

Jerniganm

A paradigm in nursing theory exists today that equates nursing theory to a mirror, a microscope or a telescope. Meleis talks about this equation of nursing theory to a mirror, microscope, or telescope (2007). According to Meleis nursing theory that is like a mirror will reflect reality, but give it different shapes. Nursing theory that is like a microscope will focus in on a part of reality or magnify it, which may or may not be within the context of reality. And, nursing theory that is like a telescope will bring faraway objects and events into closer view. When searching through the literature for articles about nursing theory one related phrase comes up frequently along with this search. That phrase is, "theory-practice gap." For example, "Tackling the theory-practice gap in mental health nursing training," (Evans, 2009); "Theoretical vs. pragmatic design in qualitative research," (Smith, 2011); Bridging the theory-practice gap in perioperative theatre placement in, "A critical analysis of theatre as a learning environment in relation to placement duration," (Barry, 2009); bridging the theory-practice gap in, "Iranian nurses; constraint for research utilization," (Salsali, 2009); and bridging the theory-practice gap by using…… [Read More]

Nursing Theory Applications in Nursing Theory and

Nursing Theory

Applications in Nursing

Nursing Theory and its Applications

In this paper, we will assess a grand nursing theory namely the Humanistic Model. First let's have a brief introduction regarding this theory. The nursing theories either grand or middle range give organization in expressing statements which are related to questions in the field of nursing. It also gives nurses the opportunity in describing, predicting, explaining and controlling different sorts of activities which are relative to their daily practice. Nursing theories regarding the humanistic model believe on the phenomena that patients hold the key potential in self-actualization which can be used in many healthy as well as creative ways. Here, the focus of the humanists lie in the belief that nursing care is basically two-way interaction which occurs between patients and the nurse, the outcomes of this relation are influenced by both of their actions.

Firstly, let's have a look on some of the important phases in the study of overall nursing. "A nurse should always have broad understanding of its own viewpoints, this helps in making more sense and adding more meanings to its overall experience." (Williams, 2000). Nurses should also be more open to new and many different…… [Read More]

Nursing Professions Mexico

Nursing Professions Mexico

In ancient times, the sick and the unwell were generally cared for in temples or other houses of worship, and this tradition continued until the early Christian era, when certain women of the Church would take up the care of the sick and the diseased people, and their services would sometimes be extended to their homes as well. These women of the Church had no real training at all, but they were experienced, and that is what mattered in those times. These were women who were extremely skilled in the use of various herbs and drugs, and they started to gain fame as 'physicians' in their era. In late years, nursing duties were undertaken by relatively uneducated and ignorant women, until the seventeenth century, when St. Vincent de Paul started to stress on the fact that these women must undertake some form of training if they were to nurse the sick and the ailing. (Nursing, Medicine)

It was in the year 1846 that a formal Training School for Nursing was established in Kaiserwerth, Germany. This is the Training School where Florence Nightingale underwent her training, and this in fact enabled her to establish her school for training…… [Read More]

Nursing Knowledge Annotated Bibliography Evidence Based Annotated

Nursing Knowledge

Annotated Bibliography Evidence Based

Annotated Bibliography on evidence-bases educational program that will advance nursing knowledge on stress management methods and techniques that meets their assessed learning needs

Annotated… [Read More]

Nursing Definitions Autonomy in the Nursing Profession

Nursing Definitions

Autonomy

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 to the idea of autonomy. No nursing professional can make such life and death decisions for someone without taking the patient's beliefs and concerns into account. It is this dependence on the patient that renders professional nursing autonomy different from almost any other kind of autonomy. Once this definition is…… [Read More]

Nursing Education Nursing Profession

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 on job satisfaction, and pushing nurse educators to reexamine their values in search of meaning and balance in the work setting. The only sure way for one to maintain professionalism, and ensure that their practice remains in harmony with their value system is to have a personal philosophy.

The Background…… [Read More]

Nursing Organizations One of 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 RN 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 RN, 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 - Who We Are and What We Do, 2010)

Conclusions- Modern nursing is a rewarding, but challenging, career choice. The modern nurse's role is not limited only to assist the doctor in procedures, however. Instead, the contemporary nursing professional takes on a partnership role with both the doctor and patient as…… [Read More]

Nursing Conceptual Model Develop Your

Nurses may feel as if they do not have anyone who understands them: even their non-nursing partners may not seem to truly comprehend what they deal with on a regular basis, day in and day out at the hospital. Nurses may be isolated from one another in the hospital, too busy to 'talk shop' in a positive way with like-minded colleagues, or deal with doctors who are not sympathetic to the unique demands of nursing. Nurses may also find it difficult to have an appropriate work and life balance, as increasingly they are pressured to do more and more at work, to make up for declining numbers of caregivers at the facilities where they work. They may be called upon to perform many additional duties traditionally performed by doctors and physician's assistants that strain at the traditional definitions of nursing.

Nurses may feel as if their unique insights as nurses are ignored. If they complain about patient care, despite their hard work, the hospital administrators and staff may not give credence to their words and experiences. Dealing with hospital bureaucracy is difficult: "dysfunctional, unhealthy hospital cultures are one of the primary reasons nurses leave their jobs, not burnout. Lack of…… [Read More]