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In the field of Nursing there are a number of challenges that will have an impact on the ability to attract and retain qualified candidates. To fully understand how this is taking place requires comparing recruitment strategies and determining selection criteria. Together, these factors will highlight the best practices for locating competent personnel.
Compare recruitment strategies.
Two strategies that are used most commonly inside the industry include: traditional / online strategies and loan forgiveness. In general, traditional and online strategies are most popular among employers. This is because they believe that using these mediums will attract the right candidates. A few of the most notable include: help wanted advertisements in local newspapers, job fairs and posting on different online job boards. The effect of these activities is that most facilities are unable to address critical needs in a number of areas (i.e. pharmacists, radiologists, nurses, doctors and technicians).…
Health Care Recruiting Strategies. (2012). Med Zilla. Retrieved from: http://www.medzilla.com/press51402.html
Marquis, B. (2009). Leadership Roles and Management Functions. Philadelphia, PA: Lippincott & Williams.
Nursing Informatics / Annotated Bibliography & Brief Critique
Harris, R., Bennett, J., and Ross. F. (2013). Leadership and innovation in nursing seen through a historical lens. Journal of Advanced Nursing, 70(7. 1629-1638.
Aim of the Article and Main Findings
There was a time when technology was a distant vision in the minds of healthcare professionals, but the values that emerged from nurses nearly a hundred years ago are values that should be alive and well today notwithstanding all the wonderful tools that the healthcare field has today. This peer-reviewed article looks into the past to see how (qualitatively) nurses in the UK responded to the leadership style of Dame / Matron Muriel Powell between the years 1920-1980, well before today's nurses are empowered with the advanced technologies and communication standards of today. The point of the research is to review interviews that were conducted with nurses that worked and trained…
Professional Development in the Nursing Field
Describe the nurse leader's role as advocate for the nursing profession
As the nursing profession advocate, the nurse leader will ensure that there is unity amongst the nurses within the health care facility. This unity will allow the nurses to work together and share responsibilities. With unity, the nurses can be able to coordinate and advice one another, and this would improve the quality of health care provided Dall'Alba & Sandberg, 2006.
The nurse leader will also advocate for better working hours for the nurses. Nurses work long hours and fatigue can affect the quality of service they provide. The nurse leader will come up with duty rosters that are considerate of the nurses working hours. The nurse leader can also advocate for the nurses specialization. With each nurse having specialized in a specific field, the nurse leader can push for the…
Dall'Alba, G., & Sandberg, J. (2006). Unveiling Professional Development: A Critical Review of Stage Models. Review of Educational Research, 76(3), 383-412.
Webster-Wright, A. (2009). Reframing Professional Development through Understanding Authentic Professional Learning. Review of Educational Research, 79(2), 702-739.
My attitude has changed resulting from the information I learned about business communications quite dramatically. Business communication in my opinion was always something that was important to people working as managers or administrators, but I never fully understood how critical business communication is to all people regardless of the field they work in. The components of business communication most important to my field include learning how to translate one's thoughts into oral and written communication in multiple forms.
Nurses have to document all interactions, whether with patients or with other healthcare professional (Riley, 2000). hile many are provided with charts they can use to fill in information, it is also important for nurses to know how to create strong narratives and oral presentations when providing information to others. Multicultural communication is essential in nursing today because of the diversity present among the patients treated and the doctors, administrators and other…
Fitzgerald, J. (2001) Better-Paid Caregivers, Better Care, the American Prospect, 12.9, p.30.
Johnstone, M.J. (1999) Bioethics: A Nursing Perspective. Sydney: Harcourt Saunders.
Locker, K.O. (2006) Business and Administrative Communication, New York: McGraw-
Nursing Future in 2021
Nursing has not changed greatly for decades. Nurses now have more freedom than they did two decades ago, but nurses still provide the same care they have for the past century. This has been changing with the advent of nursing master's programs that are allowing registered nurses the opportunity to become more specialized in fields of their choice. A nurse can choose from many different nurse practitioner specialties to become more engaged in their field. Nurse practitioner programs allow nurses to be more involved in decisions that are made regarding patient care, so that the nurse becomes more responsible. The position of neonatal nurse practitioner is explained more fully in the following essay.
Neonatal care refers to the hospital department that takes care of an infant at the earliest stages of life. A neonatal nurse practitioner "frequently reports directly to a neonatologist or other specialists who…
Ellis-Christensen, T. (2011). What is a neonatal nurse practitioner? Retrieved from http://www.wisegeek.com/what-is-a-neonatal-nurse-practitioner.htm
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…
Types of Reasoning
One of the main types of reasoning discussed in the readings is logical reasoning. This type of reasoning features the use of inferences in order to come into knowledge about a certain experience or phenomenon. Essentially, inferences are the way that conclusions are drawn after systematically examining observations and external phenomenon. It is close to the style of scientific inquiry which is also a very logic-oriented methodology. The primary idea behind inferences is that an individual sees or witnesses some stimuli or phenomena. From this event, that individual can then make their own conclusions as to why or how that particular stimuli or phenomena occurred, making an assumption based on external observations combined with prior knowledge of similar events and circumstances.
A second type of reasoning discussed in the reading is the use of deduction. Logical reasoning uses deduction, or the process of concluding an assumption…
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…
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.
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
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.
According to the research, it "is defined as a practice-based ethic that is patient centered, It is an individualistic ethic that unites the reason why a decision is made with the action itself and the foreseeable consequences of that action," (Brown, 2010). In this the theory also shares with Parse's theory the importance of individual decision making and choices. One of the main differences is the notion of how we relate to one another. We have a freedom from aggression, known as negative right, based on this relationship, where we are not scared of others acting out irrationally against us. As such, the health care professionals do not act to harm the patients, but the patients also have the strict role of being the patients, thus "to fulfill his responsibilities in the treatment plan and not to place any unreasonable demands on the healthcare professional" (Brown, 2010). This is different…
Brown, Barbara. (2010), A bioethical decision making guide: A synopsis of Symphonology. Health and Human Development. Penn State University. Web. http://www.personal.psu.edu/dxm12/n458/symphonology.htm
Parse, Rosemary Rizzo. (2011). Human becoming theory. Nursing Theories. Web. http://currentnursing.com/nursing_theory/Rosemary_Pars_Human_Becoming_Theory.html
Nurse Patient atios and Quality of Care
This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there remains an issue about hiring more nurses -- where will these nurses come from if the nursing schools do not increase their recruitment efforts and broaden their curriculum. In addition, we note that the large majority of patients and stakeholders primarily want two things when admitted to a healthcare facility: better paid nurses and more highly-trained professionals who are satisfied with their vocation.
Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures…
More Nurses Make the Difference. (February 2012). The Lamp. 69 (1): Retrieved from: http://search.informit.com/au/documentSummary;dn=045435426132502;res=IELHEA
Safe Nurse Staffing: Looking Beyond the Numbers. (2009). Vantage Point, CNA. Retrieved from: https://www.nso.com/pdfs/db/newsletters/Safe_Nurse_Staffing_-_Looking_Beyond_the_Raw_Numbers_20094.pdf?fileName=Safe_Nurse_Staffing_ -_Looking_Beyond_the_Raw_Numbers_2009-pdf&folder=pdfs/db/newsletters
Aiken, L. (2001). The Hospital Nurse Workforce: Problems and Prospects."Draft
For the Council on the Economic Impact of Health System Change. Retrieved from: http://council.brandeis.edu/pubs/hospstruct / Council-Dec-14-2001-Aiken-paper.pdf
Nurse Case Manager:
Case management in the nursing field is basically described as the functions and activities carried out by the nurse case manager within a specific care setting. In some cases, these functions and activities are usually performed by a self-governing practitioner, especially in private case management practices and community nursing facilities (Cohen & Cesta, 2005, p.278). Generally case management responsibilities are provided by the nurse case manager in acute care, primary care, home care, and managed care organizations. Nonetheless, these activities may be offered to particular patient populations and communities like the elderly. Some of the most case management activities include patient identification and intake, problem identification and assessment, patient outreach, development and implementation of plan of care, and coordination of care.
oles and Functions of Nurse Case Manager:
In acute care organizations, the roles and functions of the nurse case manager includes coordinating the care provided to…
Blancett, S.S. & Flarey, D.L. (2006). Case studies in nursing case management: health care delivery in a world of managed care. Gaithersburg, MD: Aspen Publishers, Inc.
Cohen, E.L. & Cesta, T.G. (2005). Nursing case management: from essentials to advanced practice applications (4th ed.). St. Louis, MO: Elsevier Health Sciences.
Meadows, P. (2009, January). Community Health Nursing. American Journal of Nursing,
109(19). Retrieved from http://journals.lww.com/ajnonline/fulltext/2009/01001/community_health_nursing.5.aspx
There are a number of significant differences between in the art of teaching nursing skills at the university level and the art of teaching nursing skills at the community level. The educational opportunities are similar at both types of institutions but the demands on faculty are different at each level.
Current literature shows that "approximately 42% of students enter community colleges with reading, writing, or math skills below the college level' (Cohen, Brawer, 2003) and therefore many of these students "need basic skills preparation in remedial-developmental courses" (National Center for Educational Statistics, 2003). The need for basic skills preparation is evident of many students entering college, but especially so for those who are entering at the community college level. Many of these students have not gained acceptance into the larger universities, or have the desire to hone their educational skills before tackling the demanding requirements of four-year colleges and…
Cohen, A.M. & Brawer, F.B. ( 2003) The American community college, 4th ed., San
Facts about nursing (2008) Community College Week, October 20, 2008, pg. 7
McKinney, M.; (2010) More advanced degrees, Modern Healthcare, Vol. 40, Issue 39, p. 10
The trust from volunteers on the research is set to bring about an understanding of the relevance of the study to the nursing environment. The participants will have a certificate of confidentiality, so they can have their identities and input towards the research concealed throughout the study period and after (Schelbred & Nord, 2007).
Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008). In Kozier & Erb's Fundamentals of Nursing (8th ed.). Upper Saddle iver, NJ: Prentice Hall (Publishing Co.)
Black, N., (2009). N, Obstetrics Department, Mat Su egional Medical Center, Personal
interview conducted and recorded via telephone on September 12, 2009. Free dictionary.
(n.d.). MerriamWebster online dictionary. etrieved from Merriam Webster website:
Law, M., Stewart, D., Letts, L., Pollack, N., Bosch, J., & Westmorland, M. (1998) Guidelines for Critical Form -- Qualitative Studies, etrieved September 23, 2009 from the World Wide
Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008). In Kozier & Erb's Fundamentals of Nursing (8th ed.). Upper Saddle River, NJ: Prentice Hall (Publishing Co.)
Black, N., (2009). RN, Obstetrics Department, Mat Su Regional Medical Center, Personal
interview conducted and recorded via telephone on September 12, 2009. Free dictionary.
(n.d.). MerriamWebster online dictionary. Retrieved from Merriam Webster website:
Define the Problem
Today, there is a serious problem within the nursing field. There is a huge shortage of nurses in general, but an even greater shortage of nurses with higher levels of education. This ultimately means there are less capable nursing staff that can take on specialty and leadership roles. Unfortunately, "without a more educated nursing workforce, the nation's health will be further at risk" (Tri-Council of Nursing, 2010). Without greater numbers of RNs with advanced degrees, there is only so much the available nursing population can contribute within the field of healthcare. It is clear that "nurses with advanced education are needed in large numbers to serve as teachers, scientists, primary care givers, specialists, and leaders throughout the healthcare delivery system" (Tri-Council of Nursing, 2010). Currently, there is a huge shortage of more advanced nursing specialists and practitioners. s the nation's healthcare demands continue to grow and…
A survey of the existing research that provides statistics to show how alarming the problem is becoming, but also to provide foundation for the most potentially successful solutions. The projected numbers of needed advanced nursing specialists, as well as the goals for future benchmarks, all need to be documented within the context of this research in order to show how dire the problem is and create a foundation for potential solutions. The research was carefully surveyed and thus, data was collected through comprehensive means. The ideal target / benchmark uncovered in this search was that 80% of nursing staff should hold baccalaureate degrees (Pecci, 2013). This research also helps focus in on the most lucrative proposed solutions as a way to promote them within actual practice. It needs to uncover solid alternatives that can help increase the number of advanced practice nurses in this country in a practical and feasible manner. Essentially, the data collection is a survey of prior research, and can be done independently. This means I will personally scour the published resources from academic and scholarly sources, as well as from professional nursing organizations.
A number of alarming statistics were uncovered in this comprehensive search of the research. If the situation continues as it is today, by 2025, there will be a shortage of 260,000 nurses in this country (American Nurses Association, 2010). Only about 50% of RNs working today have a baccalaureate degree, with only 13.2% holding a master degree or higher (American Nurses Association, 2010). Even more alarming, the enrollment growth of entry-level baccalaureate nursing programs from 2008 to 2009 was only 3.5%
This process does not just help to gain complete understanding of the tasks in hand but also to regularly serve as a reminder of all the legal processes which guide appropriate nursing documentation.
The documentation characteristics which are spread all over the nursing field properly addresses the need to efficiently communicate through written methods. One of the main property of proper documentation is that the ability of a nurse to document legibly. This might look like an easy process to carry on but the fact is that many nurses, medical doctors or any other personnel associated with the nursing field do not follow a single standard of legibility.
Documentation in nursing field should also achieve the factor of being accurate and based on facts, by giving actual data, the process of care and appropriate channel of communication is maintained as this documentation can be used by the nurses in the…
Finally, let's have an example of a current nursing research (childhood obesity) in general practice and analyze the findings, this research was conducted in 2007, Obesity in children has come to huge proportions especially in the developed world, in the U.S. It is almost tripled in 35 years from 1970 to 2005, this rate is found higher in male as compared to females, this study suggests that some twenty five million American children are obese. This study also suggests that the main causes of obesity are many such as metabolic syndrome, hypertension, sleep disorders or liver related diseases. It is also because of some psychological effects like trauma, any sort of discrimination or depression which may force the child to eat more.
Those adults which were overweight in their childhood poses a bigger risk of heart disease, developing hypertension, diabetes and other diseases as compared to those individuals who were not overweight. This factor also puts a huge cost on the health care services a nation provides, in U.S. It costs some seventy five billion dollars to the government annually.
There have been many theoretical models which are used to prevent this problem from escalation such as the Transtheoretical model, the social cognitive model and others. These models give the bases for assessment which intervene on selected variables. The environmental factor also has a huge influence in a child's life (places such as home, school, and community), study suggests children's eating activity is cross-sectional to the environment which it lives in.
Now that domestic economic factors have reshaped much of the post-graduate employment landscape, the nursing field is only that much better a choice for me.
According to a recent study published in 2008 in the United Kingdom, researchers determined that empathy and caring among Nursing program students (as measured by questionnaires) declined throughout the educational training process, with program entrants and first-year students consistently exhibiting greater levels of empathy and caring than upper-class students. Therefore, part of my commitment to my future profession is to defy that phenomenon to the best of my ability through conscious awareness and effort throughout my undergraduate studies at xxxxxx University and my professional training afterwards. Ultimately, I hope that effort will also enable me to contribute positively and consistently to the xxxxxxxxxx University community during my undergraduate education should I be fortunate enough to be awarded admission to…
Horizontal Violence in Nursing
Nursing and the Prevalence of Horizontal Violence in the Workplace
The core of the nursing profession is undermined by Horizontal violence. Horizontal violence affects the quality of health care that is delivered in institutions where this repugnant behavior occurs. Many reports suggest that horizontal violence is rampant, particularly in relation to new nurses and recent graduates. It is typically covert and incorporates nonphysical and emotional damage. Examples include sabotage, destructive criticism, back-biting, undermining, scapegoating and verbal confrontation.
The targets usually express feeling ridiculed, demeaned and humiliated. Potential targets range from new hires to long-time or tenured nurses. Similarly, nurses engaged in horizontal violence cross all demographic lines and all areas of specializations. They are usually experienced nurses and are over-burdened by the stress of the job and the long hours associated with their work. At the current time, it is recognized that this problem exists and…
Erdreich, B., Slavet, B., & Amador, A. (1994). "Sexual Harassment in the Federal Workplace." U.S. Merit Systems Protection Board. Washington, D.C.
McKenna, B., Smith, N., & Poole, S. et. al. (2003). "Horizontal violence: experiences of Registered Nurses in their first year of practice." J. Adv Nurs.Apr;42(1):90-6.
Thompson, S. & Burk, R. (2009). "Junior nursing students' experience a vertical violence during clinical rotations." Nursing Outlook. 57 (4), 226-231.
As a student who had only just completed the first semester of the course, I had no experience with pediatric patients prior to the shadowing task. Thus, the nurse shadowing task was a rather exciting experience for me, exposing me to several new aspects of pediatric care (Burkitt et.al 2001). However, its most heart- rending element was congenital patient care – seeing babies being born with an illness was a rather touching experience.
While a few of my peers were fairly well- informed on the subject of pediatric care, I wasn’t. Most of the information I gleaned and things I saw in the course of my nurse shadowing assignment were new to me. The nurse practitioner I was tasked to shadow provided me with detailed information about appendicitis, which is apparently a widely- occurring pediatric issue and, at times, may take long to diagnose (Gaydos et.al 2005). Further, I gained…
What causes staffing shortages in the field of nursing? Staffing shortages can be the result of many variables—turnover, unmet demand for services due to a lack of RNs, overwork (nurses calling in sick), and so on. Buchan (2002) identified the problem of staffing shortages in nursing as having an underlying cause in the nature of the health system itself as well as a social one: “Nursing in many countries continues to be undervalued as women’s work, and nurses are given only limited access to resources to make them effective in their jobs and careers” (p. 751). This is especially true in countries like Saudi Arabia, where nursing is viewed as woman’s work but is not valued highly by society—though it is recognized as being highly needed (Alyami & Watson, 2014). To address the issue of staffing shortages, the Institute of Medicine (IOM, 2012) has called for more nurses to…
Nursing Leadership Priorities and Challenges
The priorities for nursing and nursing leadership are, on some levels, fundamentally simple. Nurses are simply tasked with providing the most effective care for their patient populations. This goal becomes much more nuanced when one begins thinking about how to properly achieve this goal. There is a considerable amount of research emerging in recent years surrounding this field which supports the notion that evidence-based practice is one of the efficient ways (Stevens, 2013) to improve patient outcomes. Therefore, in alignment with the chief priority of providing the best care to patients as possible, nurses must also prioritize how to do so utilizing evidence-based measures with a demonstrated efficacy in both clinical and outpatient settings.
However, justifying these two priorities creates an inherent challenge for nursing on a multiplicity of levels including those pertaining to organizations, roles, and individuals. Specifically, the difficulty lies in introducing new…
ange Theory in Nursing
The credibility of a profession is mainly based on the professional's ability to create and apply the appropriate theory. Theories are notions or concepts used for inferring observations, elucidating experiences, and unfolding relationships of project results. Theories are derived from conceptual models. The main function of a theory is to narrow and fully specify the phenomena that is contained in the conceptual model. The theory should also provide a relatively concrete and specific structure for interpreting the initially puzzling situations, behavior, and events. A nursing theory is defined as a set of concepts, relationships, definitions, and assumptions that are derived from nursing models and project a systematic view of phenomena by designing particular inter-relationships among concepts with the purpose of explaining, describing, predicting, and prescribing. Theories are derived using either deductive reasoning or inductive reasoning (Smith & Liehr, 2013). Nurses make use of various theories in…
Davydov, M. (2014). Middle-Range Theory for Nursing. Journal for Nurses in Professional Development, 30(6), 316.
Fawcett, J. (2005). Middle range nursing theories are necessary for the advancement of the discipline. Aquichan, 5(1), 32-43.
Imenda, S. (2014). Is there a conceptual difference between theoretical and conceptual frameworks. Journal of Social Sciences, 38(2), 185-195.
Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms: an update. Advances in Nursing Science, 19(3), 14-27.
autobiography of the author of this report. The remainder of the report will mostly focus on the four meta-paradigms of nursing. Of course, those meta-paradigms are patient, nurse, health and environment. The author will also offer two practice-specific concepts from the scholarly literature that can be applied to the career and environment of the author of this report. Next up will be a list of propositions that will number five in total. As suggested and required by the assignment, the paper will integrate these discrete elements and in a way that connects to the concepts described. While analysis of the nursing professional can get a little silly and/or delve too much into a bit of navel-gazing, the profession is indeed noble and deep and is thus worthy of the proper full analysis.
The author of this report started as an electrocardiogram (EKG) technician and nursing assistant while the author…
Lee, R.C., & Fawcett, J. (2013). The Influence of the Metaparadigm of Nursing on Professional Identity Development Among RN-BSN Students. Nursing Science
Quarterly, 26(1), 96-98. doi:10.1177/0894318412466734
Schim, S.M., Benkert, R., Bell, S.E., Walker, D.S., & Danford, C.A. (2007). Social
Justice: Added Metaparadigm Concept for Urban Health Nursing. Public Health
1997, the average pass rate for first time test takers on the NCLEX-RN was 93%. Since 1997, the national average pass rate on the NCLEX-RN has declined to 83.8% (National Organization for Associate Degree Nursing, 2002). The pass rate for the state of North Carolina and many other states has also declined in recent years.
Community colleges are the prime educators of new registered nurses in the United States. In 1997, 701 community colleges awarded 41,258 associate degrees in nursing (National Center for Education Statistics 1997). The combined ADN graduate pool constituted 60% of the U.S. graduates who took the NCLEX-RN exam in 2000,and these graduates represent the largest group of nurses entering the profession (National Council of State oards of Nursing 2001). On the other hand, baccalaureate programs graduated 37% of the total; and diploma or hospital-based educational programs, graduated 3%.(Teich, et al.)
In addition to educating the majority…
Adams, Carolyn, Valiaga, Theresa, Murdock, Jane. McGinnis, Susan & Wolfertz, Joanne (2002). Trends in Registered Nurse Education Programs: A Comparison Across Three Points in Time. In National League for Nursing (Ed.), pp. 1-10).:.
American Association of Colleges of Nursing (1999). Temporary Nurses Called A Serious Risk Threat At Hospitals. In (Ed.), p.).: American Association of Colleges of Nursing.
American Health Care Association.(1999).Facts and Trends, The Nursing Facility Sourcebook.Washington, D.C.:American Health Care Association.
American Hospital Association.1999.Trendwatch:RN Shortages in Hospitals. Washington, D.C.: American Hospital Association.
Martin, P.D. And Hutchinson, S.A (1999) "Nurse Practitioners and the problem of discounting." Journal of Advanced Nursing. 29(1), pp. 9-17.
Critical evaluation of the research of the article
This article presents a critique of the current state of the health care industry, from the point-of-view of a nurse practitioner. It notes that, because of the limits of managed care, more primary care practitioners and primary care institutions are turning to nurse practitioners to provide primary care giving for patients. Although this shift has been beneficial to many patients, given that nurse practitioners are, if not equally competent, at times even more efficient than physicians in diagnosing, treating, providing patients with satisfactory treatment, and follow-up, there is the potential for the abuse of this system, from the point-of-view of the nursing practitioner. (Brown and Grimes, 1993, cited in Martin & Hutchinson, 1999, 10).
Research problem -- its purpose and question or…
Martin, P.D. And Hutchinson, S.A (1999) "Nurse Practitioners and the problem of discounting." Journal of Advanced Nursing. 29(1), pp. 9-17.
health care centers (PHCC) in Stockholm County, 40 of them were randomly selected using an old-fashioned, non-probability method of basically drawing names from a hat. The author notes, "every PHCC was given a unique number that was written on a paper card and placed in a pot. For transparency, two colleagues independently drew 20 paper cards each, a total of 40." Of these 40, one declined to participate. Therefore, 39 PHCCs were selected, and one nurse from each PHCC served as contact person. The sample size is adequate and actually fairly large for the study. Although unconventional, bias was not introduced by using this method of sample selection, and the sample can be considered representative of the population given the randomness of the PHCC selection procedure. Eligibility criteria are also clearly identified, as the contact person nurse needed to comply with the study design, namely to distribute anonymous questionnaires to…
Sundborg, E.M., Saleh-Stattin, N., Wandell, P. & Tornkvist, L. (2012). Nurses' preparedness to care for women exposed to Intimate Partner Violence: a quantitative study in primary health care. BMC Nursing 11(1). Retrieved online: http://bmcnurs.biomedcentral.com/articles/10.1186/1472-6955-11-1
Nursing is not only a profession, it is a ministry. Nurses not only provide care for their patients, they oftentimes minister to them in order to provide comfort and in some cases, peace of mind. Nursing is a profession that the healthcare system cannot do without. We know that the profession of a physician goes back to even Biblical times, but even though nursing has been around for many years, it does not date back as far as the profession of a physician does. This is not to say that nursing is less important than any other profession. The field has grown so much over the past few decades and nursing is a profession that is in high demand. Nurses now have to decide if they want to do a traditional educational path or get the four-year degree; they must stay ahead of nursing trends in order to gauge the…
Delaney, C., & Piscopo, B. (2007). There really is a difference: Nurses' experiences with transitioning from RNs to BSNs. Journal of Professional Nursing, 23(3), 167-173. Retrieved May 3, 2012, from the ScienceDirect database.
Franklin, P.D., Archbold, P.D., Fagin, C.M., Galik, E., Siegal, E., Sofaer, S., et al. (2011). Building academic geriatric nursing capacity: Results after the first 10 years and implications for the future. Nursing Outlook, 59(4), 198-206. Retrieved May 3, 2012, from the ScienceDirect database.
Ozbolt, J.G., & Saba, V.K. (2008). A brief history of nursing informatics in the United States of America. Nursing Outlook, 56(5), 199-205. Retrieved May 3, 2012, from the ScienceDirect database.
Wildman, S., & Hewiston, A. (2009). Rediscovering a history of nursing management: From Nightingale to the modern matron. International Journal of Nursing Studies, 46(12), 1650-1661. Retrieved May 3, 2012, from the Science Direct database.
FIVE-Year PROFESSIONAL PROJECTION
The objective of this study is to located evidence-based research articles in nursing peer-reviewed journals that relate specifically to five-year professional projection and to summarize the articles. Included will be suggestions and applications of each five-year professional projection plan.
Courtney and McCutcheon (2010) report that evidence-based medicine is defined as "The conscientious, explicit and judicious use of current best evidence in making decision about the healthcare of patients." (p. 4) It is reported additionally in the work of Courtney and McCutcheon (2010) that Sackett et al. (2000) that evidence-based practice is the practice that "integrates clinical expertise and patient values with the best available research." (p. 4) The use of evidence-based research in this study will include the use of articles in nursing peer-reviewed journals that provides supporting evidence on the five-year professional projection of the nursing professional.
I. Career Pathways in Nursing (Raines and Taglaireni, 2008)…
Accelerated Nursing Programs (2014) American Association of Colleges of Nursing. Retrieved from: http://www.aacn.nche.edu/students/accelerated-nursing-programs
Advanced Practice (2014) NSNA. Retrieved from: http://www.nsna.org/Portals/0/Skins/NSNA/pdf/Imprint_Jan07_AdvancedPractice.pdf
Courtney, M. And McCutecheon, H. (2010) Using Evidence to Guide Nursing Practice. Churchill Livingston. Retrieved from: https://www.us.elsevierhealth.com/media/us/samplechapters/9780729539500/Courtney_Sample_Chapter.pdf
Hendren, R. (2011) Why Advanced Degrees for Nurse Leaders Matter. Healthleaders Media Counsel. Retrieved from: http://www.healthleadersmedia.com/page-3/NRS-267942/Why-Advanced-Degrees-for-Nurse-Leaders-Matter
Nursing Practice Act of Virginia:
The scope of practice in medicine, nursing, law, dentistry, and various other disciplines are usually established and regulated at the state level. This implies that the legislative body in every state establishes practice law and allocates authority for the implementation of the law to suitable regulatory agencies and boards. In relation to the nursing field, the established laws are usually in the form of professional practice acts that act as the basis for licensing standards. Licensing is in turn geared towards the protection of public health and well-being, safety, and welfare. Generally, the statute that defines and manages the nursing profession and practice is known as a nurse practice act. There are four major objectives of the nurse practice act in each state including defining the nursing professional practice, establishing the minimum academic qualifications and requirements for licensing, defining the legal titles and abbreviations that…
Black, B.P. (2013). Professional nursing: concepts & challenges (7th ed.). St. Louis, MO:
"Complaints Against Licensees." (2012, October). A Public Information Brochure. Retrieved from West Virginia State Board of Examiners for Licensed Practical Nurses website: http://www.lpnboard.state.wv.us/Disbro3pub1.PDF
"Regulations Governing the Practice of Nursing." (2014, February 27). Virginia Board of Nursing. Retrieved from Virginia Department of Health Professions website: http://www.dhp.virginia.gov/nursing/leg/Nursing_02272014.doc
Goals for Pursuing a Career in Nursing
Identify and assess personal goals and feelings for selecting a career in nursing.
Nursing is a profession where people have the opportunity to give back and hopefully, make a difference.
Goals and Aspirations Essay
One of the main reasons that selected nursing as my career is because nursing is a profession that is associated with respect and esteem. My goal is to complete my course of study and obtain my RN license and then to practice in a surgical hospital. I hope to continue my education and demonstrate my competencies and skills by eventually specializing in cardiovascular care.
Throughout my career, one of my goals is to remain up-to-date on the nursing and medical profession by continuing my education to stay current. I also hope to join a few key professional organizations that will be centered on my area of specialty. This will…
Nursing Handoff Communication esearch
Nursing handoffs are important components in the modern health care setting given their role in transfer of the responsibility and authority of care from one practitioner to another during shifts. Generally, nurses work in different shifts when providing patient care in order to reduce their work burdens and potential stressful moments. Therefore, nursing handoffs help ensure continuity of care during a patient's stay in the health care facility. Despite the significance of nursing handoff in continuity of care, this process has been characterized by numerous communication problems. In most cases, nursing handoffs are substandard and contribute to several challenges in enhancing patient outcomes and satisfaction. This study seeks to examine communication problems in nursing handoffs with a view of identifying effective strategies towards enhancing this process. This issue is important in current nursing practice with regards to enhancing patient outcomes and satisfaction. Effective nursing handoffs are…
Abraham et al. (2011, October 22). Falling through the Cracks: Information Breakdowns in Critical Care Handoff Communication. AMIA Annual Symposium Proceedings, 28-37. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3243259/
Blouin, A.S. (2011, April - June). Improving Hand-Off Communications: New Solutions for Nurses. Journal of Nursing Care Quality, 26(2), 97-100.
Delrue, K.S. (2013, April). An Evidence-Based Evaluation of the Nursing Handover Process for Emergency Department Admissions. Retrieved from Grand Valley State University website: http://scholarworks.gvsu.edu/cgi/viewcontent.cgi?article=1009&context=dissertations
Farhan, M., Brown, R., Woloshynowych, M. & Vincent, C. (2012). The ABC of Handover: A Qualitative Study to Develop a New Tool for Handover in the Emergency Department. Emergency Medicine Journal, 1-6.
Nursing Higher Education and Leadership
Clinical leadership is very important because of the problems that characterize the health care sector, including workforce shortage, high rates of change, staff chaos, quality issues, and safety concerns, among others. From history, the preparation of nurses for key roles in the health care delivery system is quite important and should not be overlooked. (Joseph & Huber, 2015). I am trained both as a clinical nursing educator and perioperative nurse. Clinical nurse educators attain that title after much experience in nursing. They mainly coach nursing students and the newly graduated ones. Perioperative nurses on the other hand are registered nurses who help in the surgical department in hospitals, day surgery units, physician’s offices and clinics. Their main work is to assist in planning, implementation and evaluation of treatment for surgical patients. (Turunen et al., 2017).
As such, the perioperative nurse starts her work immediately the…
The author of this report is offering a brief treatise on the broader subject of magnetism when it comes to nursing, learning, leadership and evidence-based practice. The five components of magnetism, as described by Debisette, will be named and described one-by-one. In the appendix of this report there is a concept mind map of the broader subject of magnetism as covered and broken down in this report. Finally, there will be the showing of a strong relationship between the qualities specified for magnet designation and the associated benchmarking strategies and evidence-based practice models. While the magnet designation is not an entirely simple thing to describe, the facets that make up nurse magnetism are fairly easy to fathom when identified and described.
As noted in the introduction, there will be a description of the five elements of nursing magnetism as described by Debisette. Those five components are transformational…
ANCC. (2015). Announcing a New Model for ANCC's Magnet Recognition Program. Nursecredentialing.org. Retrieved 20 October 2015, from http://www.nursecredentialing.org/MagnetModel
Debisette, A., & Vessey, J. (2011). Annual review of nursing research. New York: Springer.
Lowell General. (2015). What it means to be a Magnet® hospital / / Lowell General Hospital. Lowellgeneral.org. Retrieved 20 October 2015, from http://www.lowellgeneral.org/about-lgh/a-magnet-hospital/what-it-means-to-be-a-magnet-hospital
UC Davis. (2015). What is Magnet Designation?. Ucdmc.ucdavis.edu. Retrieved 20 October 2015, from http://www.ucdmc.ucdavis.edu/nurse/magnet/designation.html
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,…
Miller, C.D. (2007). A Comparison of Skill Perofrmance of the and BSN Prepared Nurse at Three and Four-Year Post-Graduate Level. Retrieved from: http://gradworks.umi.com/1446281.pdf
MomMD (2012). How to become an advanced practice nurse. Retrieved from: http://www.mommd.com/advanced-practice-nursing.shtml
Orsolini-Hain, L. (2008). What's all the Fuss? Working Towards a Baccalaureate or Graduate Degree in Nursing. NSNA. Retrieved from: http://www.nsna.org/careercenter/fuss.aspx
Santina, J. (2012). The BSN: A Higher Degree of Nursing Care. Health Care Career. Retrieved from: http://www.worldwidelearn.com/healthcare/healthcare/the-bsn-a-higher-degree-of-nursing-care.php
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…
Anderson, A.M. (2005). Nursing Leadership, Management, and Professional Practice for the LPN/LVN (3rd ed.). Philadelphia: F.A. Davis Company.
Carper, B. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13-23.
Clark, M.J. (2003). Community health nursing: Caring for populations (Fourth ed.). Upper Saddle River, NJ: Prentice Hall.
Dayer-Berenson, L. (2010). Cultural Competencies for Nurses: Impact on Health and Illness. Burlington, Massachusetts: Jones & Bartlett Learning.
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…
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,…
Berdes, C. & . (2001). Race relations and caregiving relationships: A qualitative examination of perspectives from residents and nurses aides in three nursing homes. Research on Aging, 23(1), 109-126.
Biering, P. (2002). Caring for the involuntarily hospitalized adolescent: The issue of power in the nurse-patient relationship. Journal of Child and Adolescent Psychiatric Nursing, 16(2), 65-74.
Heijkenskjold, K.B. (2010). The patients dignity from the nurses perspective. Nursing Ethics, 6(3), 313-24.
LaSala, C.A.-B. (2007). The role of the clinical nurse specialist in promoting evidence-based practice and effecting positive patient outcomes. The Journal of Continuing Education in Nursing, 38(6), 262-70.
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:
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.
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 means working one on one with individuals who may be bogged down will all manner of physical or mental pain and suffering or who may even be on the brink of death. Because nurses work so closely with the most delicate matters of human existence: pain, suffering, and death, ours is a difficult job.
Nursing is but one of many healthcare professions and involves unique and specific work. For instance, nurses work directly with the patient by touch and voice. Nurses listen to people's complaints and address them immediately; we massage, we empty bed pans, we bandage bruises and poke people with needles and stick tubes down their throats. Not everyone wants to deal so intimately with patients but would rather remain in the lab. Nurses usually have more direct contact with patients than doctors do, for instance. Nurses must possess a full understanding of the profession and what…
Bolton, Zoe. "Is nursing a profession in crisis?" Daily Mail. 12 May 2004. Online at http://www.dailymail.co.uk/pages/live/articles/health/healthmain.html?in_article_id=302561&in_page_id=1774 .
Virginia Avernal Henderson." Nurses.info. http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Nurse Satisfaction in Magnet Hospitals
Which three databases will you use?
Nursing & Allied Health Collection
Search each database, using key words, for relevant research on this subject. What key words did you use in the Search Strategy fields? Include all attempts and limitations used to refine your search.
Nurse + contentment
Nurses + satisfaction
Report the number of citations identified from each database in the number of articles found field.
,200; 15,01; 15,991
,000; 29,000; 29,000
562,000; 526,000; 499,000
Select one article from a peer-reviewed nursing journal published within the last three years -- or a germinal article which may contain an earlier publication date -- and provide the citation in APA format.
Lavoie-Tremblay, M., Paquet, M., Marchionni, C., & Drevniok, U. (2011). Turnover Intention among New Nurses, Journal for Nurses in Staff Development, 27, 39-45
Answer the following questions using your selected research…
Grayce Sills and Nursing Leadership
Grayce Sills dedicated her life's work to improving conditions for psychiatric health patients, both through reforms in the area of psychiatric nursing and through education of future generations of nurses. During the era succeeding orld ar II, the psychiatric nursing profession was making its first forays into mainstream treatment orientation. Grayce Sills would emerge into the profession during this time and, in the late 1950s and 1960s, would observe that the conditions to which psychiatric patients were often treated at this juncture were abhorrent, inhumane and inconsistent with the standards otherwise sought in general patient treatment. As a student of Hildegard Peplau, whom she refers to as the mother of psychiatric nursing, Sills would come to appreciate the need for greater demonstration of caring and compassion in this subsection of the nursing profession. (Barker, p. 79) Earning a Bachelor's Degree from…
Barker, P.J. (1999). The Philosophy and Practice of Psychiatric Nursing. Elsevier Health Sciences.
Fitzpatrick, J.J.; Shultz, C.M. & Aiken, T.D. (2010). Giving Through Teaching: How Nurse Educators Are Changing the World. Springer Publishing Company.
Houser, B. & Player, K. (2007). Pivotal Moments in Nursing: Leaders Who Changed the Path of a Profession. Sigma Theta Tau International; 1st edition.
Murray, A. (1995). OHIO STATE HONORS NURSING PROFESSOR AT WINTER COMMENCEMENT. Ohiostate.edu.
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),
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…
Hall, J. (1960). General Principles of Criminal Law (2nd ed.). Indianapolis: Bobbs-Merrill.
Markesinis, B.S., & Deakin, S.F. (1999). Tort Law (4th ed.). Oxford: Clarendon Press.
ANCI Competency Standards for the Enrolled Nurse at http://www.anmc.org.au/docs/Publications/Competency%20standards%20EN.pdf
Scope of Nursing Practice Decision Making Framework, 2006 at http://www.nursingboardtas.org.au/nbtonline.nsf/attachment/SoPDMFFinal/$File/Scope%20of%20Nursing%20Practice%20Decision%20Making%20Framework.pdf
" (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…
Chen, K.M. (2000, January.) The focus of the discipline of nursing: Caring in the holistic human health experience. Nursing (Graduate Research), 2(1). Retrieved Dec 3, 2006 from Graduate Research. Website: http://www.graduateresearch.com/kueimin2.htm.
Nagai-Jacobson, M.G., & Burkhardt, M.A. (1996). Viewing persons as stories: A perspective for holistic care. Alternative Therapies, 2(4), 54-58.
Rogers, M.E. (1990). Nursing: Science of unitary, irreducible, human beings: In E.A.M. Barrett (Ed.), Rogers' Science-Based Nursing. New York, NY: National League for Nursing.
Wainwright, P. (1999). The art of nursing. International Journal of Nursing Studies, 36, 379-385.
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.).
One need only read the newspaper "Classified" ads to realize that employers are trying many clever marketing tactics to attract prospective nurses into their organizations. Many are offering sign-on bonuses, extra benefits and other amenities to attract a limited supply of nurses. As both the general population and the elderly population grow, the number of nurses needed to care for them increases proportionally as well. The number of people choosing to pursue nursing as a career has been on the decline, mainly due to long working hours, low pay, high job stress and other factors. These factors will not resolve themselves if the nursing deficit continues to increase. In addition, graduate nurses find it difficult to enter the workforce due to their lack of experience and a shortage of mentors to teach them. The solution is simple, more nurses are needed, and soon. Novice nurses are fresh graduates who…
Durkin, Barbara.(2002) Reliving Hospital Mistake: Mom recalls overdose case February
24, 2002. Newsday, Inc.
Lang, Susan. (1996) Lack of nursing assistants is an impending crisis, says Cornell gerontologist. Cornell University. Cornell University. http://www.news.cornell.edu/releases/May96/nursingassistants.ssl.html . Accessed June, 2002.
National League for Nursing (NLN). (2000). Unpublished Data. New York, NY. http://nursing.about.com/gi/dynamic/offsite.htm?site=http%3A%2F%2Fwww.nln.org%2Faboutnln%2Fnews_tricouncil2.htm. Accessed June, 2002.
Nursing is one of those professions that provides the opportunity not only to further oneself on a professional level, but also on a personal level. It provides the individual with the opportunity to connect with others by providing a platform of health care, while also providing a helping hand that promotes not only short-term healing, but also long-term well-being. This makes nursing one of the most caring professions, as it provides the nurse with the opportunity to use his or her skills, and also to lend a hand above the duties of simple physical health care. In this way, nursing extends to caring for the whole person rather than the physical being alone. This is one of the major factors that has attracted me to the profession throughout my life.
According to Limon (2001), there are four central concepts that are central to the metaparadigm of nursing, including the person…
Kocisko, D. (2010, Jan 23). Counselor, patient advocate, researcher, teacher -- and nurse: A Nurse's Journal. Retrieved from: http://www.cleveland.com/healthfit/index.ssf/2010/01/counselor_patient_advocate_res.html
Limon, C. (2007). The Components of the Metaparadigm for Nursing. Nutrition and Health Hub. Retrieved from: http://smalldogs2.com/NutritionHealthHub/The_Components_of_the_Metaparadigm_for_Nursing.html
This is one of the many reasons I look forward to being able to work within my own community. Nurses are at the forefront of community outreach and community betterment. As I get to know the local physicians, administrators, and program leaders, I can become a more effective member of the health care community.
In the future I intend to serve my community in a position of leadership, as a coordinator for healthcare services. I want to apply family systems theory to my nursing practice, because I see a growing demand for more collaborative methods of intervention that support rather than deny the role of family systems. With a great sensitivity to diversity in terms of religion and culture, I will be of great service to the local patient population.
While with the Post Masters Nurse Practitioner Program, I will improve my communications and networking skills because I believe in…
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…
Increase the proportion of nurses with baccalaureate degrees to 80% by 2020
By increasing the proportion of nurses with advanced degrees, health care firms can hire skilled workers at a lower cost. In has been proven that workers are, in many instances, the highest cost insured by businesses. By increasing the level of baccalaureate degrees for nurses to 80%, competition is enhanced significantly. This competition ultimately will lower labor costs for businesses. Through this competition, potential employees will work for less money as the supply of labor outweighs the demand for labor. Therefore, it is my belief that to compete in this market, potential candidates must possess skills that differentiate themselves relative to peers in the industry. Aspects such as interpersonal skills, which are highly desirable within the health care profession, would become highly sought after. In addition, transferrable skills such as leadership and communication skills would be…
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…
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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.
The fact that the nurse only has a monetary motivation will mean that the nurse will lack the necessary patience and ability to give care to those who need it on a daily basis, as the nurse will not feel rewarded by the act of giving care.
For those who enter and stay in the nursing profession, a surprisingly small number cite salary as their prime motivation: In one study of nurses' motivations: "Money or salary was fourth, which was surprising to those administering the survey" (Nursing 2010, 2009, RLC). But perhaps it should not be so surprising: nursing has many rewards, but if the nurse is not interested in his or her patients, the long hours, night shifts, backbreaking work, and heartache are hardly worth salaries that are relatively high, but far from astronomical.
Nursing 2010: More men. (2009, Jul 2). Rend Lake College. Press release.
Nursing 2010: More men. (2009, Jul 2). Rend Lake College. Press release.
Retrieved July 14, 2009 at http://www.rlc.edu/pressroom/newsstory.php?id=3766
Some hard questions about entering nursing (2008, July 26). Men in Nursing. All Nurses.
Message posted to http://allnurses.com/men-nursing-forum/some-hard-questions-320792.html
The author quotes Gary Zukav as emphasizing that if a nurse perceives herself as powerless and her image as negative, the idea can sink to the subconscious level and realize itself. She will be drawn to those who will reinforce the idea. Practitioner Pauline Robitaille's stresses impact each nurse has on others. Her influence on people she comes in contact at the peri-operative setting cannot be overstated. She found the published feedbacks of registered nurses in nursing journals as very positive while others were very negative. Those who gave positive feedbacks described the efforts of preceptors to teach and support them. Thus the intended learning flowed smoothly. However, other nurses reported the negative, punitive and critical behavior of their preceptors. The nurses described the difficulty of working with these preceptors. Hence, the nurses did not benefit from their experience with the preceptors.
Ulmer emphasizes that those in the profession must…
Gonzales, L. (2005). A mission for the center for nursing advocacy. 3 pages. Nevada RN Foundation: Nevada Nurses Association
Nursing BC (2002). How to create community media coverage for nursing. 2 pages. Registered Nurses Association of British Columbia: ProQuest Information and Learning Company
Ulmer, B.C. (2000). The image of nursing. 4 pages. AORN Journal: Association of Operating Room Nurses, Inc.
Willging, P (2005). it's time to take the politics out of nursing home quality. 5 pages. Nursing Homes: Medquest Communications, LLC
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.
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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,…