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Nursing Practice Act
California Nursing Practice Act (NPA)
The Nursing Practice Act (NPA) stands out as the framework of California legislation that requires the Board to lay out the capacity of practice as well as duties for egistered Nurses. The Practice Act is found in the Business and Professions Act of California beginning with Section 2700. ules which stipulate the execution of the legislation come in the Code of egulations in California (BN, 2013).
The Nursing Practice Act is actually kept up-to-date yearly and readily available for purchase. LexisNexis has released the NPA in association with the Nursing Board (BN, 2013).
Utilization of egistered Nurse
It is actually illegal for anyone not certified or licensed as presented within this legislation to make use of the title "registered nurse," the characters ".N.," or even the words and phrases "trained nurse," "graduate nurse," or even "nurse anesthetist." (BN, 2013)
It's illegal for…
Board of Registered Nursing (BRN) (2013). Nursing Practice Act, accessed from: http://www.rn.ca.gov/regulations/npa.shtml
Board of Registered Nursing (BRN) (2013). Business and Professions Code -- Use of RN, accessed from: http://www.rn.ca.gov/regulations/bpc.shtml
Department of Consumer Affairs (DCA) (2011). An Explanation Of The Scope Of RN Practice Including Standardized Procedures. Board of Registered Nursing, accessed from: http://www.rn.ca.gov/pdfs/regulations/npr-b-03.pdf
Nursing Practice Philosophy vs. Educational Philosophy
Point Loma Nazarene University and UCSD Medical Health Center show similarities and differences in their missions and philosophies. Where Point Loma Nazarene University specializes in education to students, UCSD Medical Health Center specializes in providing professional nursing care to the community. Their missions and visions are geared around their individual specialties. At the same time they are similar in respects of teaching, commitment to the community, impacting their communities in positive ways, and professional development.
oth institutions emphasize teaching of students and nurses. Where Point Loma Nazarene University emphasizes excellence in teaching (Mission and Vision, 2012) as in the way it gets delivered to students, USCD Medical Health Center emphasizes teaching as an inspiration (Mission, 2013) where nurses get inspired to teach what they know to others and creates an ongoing teaching inspired environment. Whether it is excellence or inspiration, both aspects create challenges…
Mission and Vision. (2012). Retrieved from PLNU: http://www.pointloma.edu/discover/about-plnu/mission-vision
Mission. (2013). Retrieved from USCD.
Nursing Practice Act
California Nursing Practice Act (NPA)
The Nursing Practice Act (NPA) stands out as the framework of California legislation that requires the Board to put down the scope involving practice as well as obligations for egistered nurses. The Practice Act has been positioned within the California Business and Professions Code beginning as of Section 2700. ules which stipulate the execution of the legislation show up within the Code of egulations in California (BN, 2013).
N's should possess a functioning understanding of the California Nursing Practice Act (NPA), along with a deep comprehension of the Scope of conduct, Section 2725 and the way it directly corresponds to customer safety and patient security. Considering the crucial problem solving function of the N concerning the inter-disciplinary team, virtually all Ns should be in a position to communicate the premise for his or her authority, duty as well as responsibility, and also…
Board of Registered Nursing (BRN) (2013). Nursing Practice Act, accessed from: http://www.rn.ca.gov/regulations/npa.shtml
O'Rourke, M.W. (2009). RNs' Professional Role is Established by Law Reprinted from The BRN Report -- Fall/Winter 2009. Board of Registered Nurses (BRN). Accessed from: http://www.rn.ca.gov/pdfs/regulations/npr-i-00.pdf
sodium chloride being careful to allow the solution to drain from the top of the wound to the bottom and into an appropriate receptacle and/or absorbent material placed on the bed immediately before irrigation. Care must be taken to change sterile gloves after removing old bandages prior to handling the new bandage. A Penrose drain may be inserted where drainage is necessary ((Taylor, Lillis, & LeMone, 2005; 1071).
Infected Wound Care:
Open, infected wounds, particularly those involving deep tissue layers require more attention to sterile procedure. A gown and mask should be worn and care taken not to breathe into the wound. Additional care must be taken not to contaminate healthy tissue with infected or necrotic tissue (Taylor, Lillis, & LeMone, 2005; 1076). Great care should be taken to change sterile gloves in-between removal of the old bandage and cleaning the wound. ed tissue is healthy must be protected…
Taylor, C., Lillis, C., LeMone, P. (2005). Fundamentals of Nursing: The Art and Science
of Nursing Care. Philadelphia: Lippincott, Williams, and Wilkins.
nursing practice as well as the legalities and ethics that surround disclosure of medication errors.
You are a nurse undertaking advanced practice at a local medical clinic. You give a wrong prescription to your patient (Instructions Given by Customer). You think your patient will not find out about the mistake, and this was a genuine mistake.
Ethical and Legal Implications of Disclosure/Nondisclosure and Kentucky Laws
If a mistake or error is committed, the most frequent confusion by nurses and doctors is whether or not they should conceal or disclose the issue to their patients. Studies have shown that patients make sure they find out about any mistake that may have harmed them. The patient's rights require that such information is fully disclosed. Many studies show that patients say that being informed of such errors may build trust between them and their medical practitioners, and they would be sure of getting…
Ghazal, Saleem, & Amlani. (2014). A Medical Error: To Disclose or Not to Disclose. Clinical Research and Bioethics,5(2). Retrieved, from http://www.omicsonline.org/open-access/a-medical-error-to-disclose-or-not-to-disclose-2155-9627-5-174.pdf
Kentucky Legislature. Unlawful acts relating to nursing. Retrieved September 6, 2016, from http://www.lrc.ky.gov/Statutes/statute.aspx?id=30887
Velo, & Minuz. (2009). Medication errors: prescribing faults and prescription errors. British Pharmacological Society, 67(6), 624-628. Retrieved, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2723200/
The modern practice of nursing is a profession that requires a great deal of academic and clinical training. In that sense, nursing has become a much more complex profession than it ever was before, especially prior to the modern age of scientific medicine. Today, professional nurses must be educated in many advanced areas of science including the use of empirical data in evidence-based nursing practice. However, no matter how complex the profession becomes, the fundamental essence of nursing will always continue to be the concept of caring. That idea is the basis of two of the most important and influential nursing theories: Watson's Caring Theory of Nursing and Leininger's Culture Care or Trans-cultural Care Theory. Together, Watson's and Leininger's approaches to nursing ensure that nursing professionals never forget the importance of caring for the health, safety, and welfare of their patients and that we always provide equality of…
Delaune, S.C. and. Ladner, P.K. (2002), Fundamental of Nursing, Standard and Practice. New York: Thomson.
Luna, L.J. And Miller, J. "The state of transcultural nursing global leadership."
Contemporary Nurse, Vol. 28 (2008).
Mixer, S.J. "Use of the culture care theory and ethnonursing method to discover how nursing faculty teach culture care." Contemporary Nurse, Vol. 28 (2008).
Nursing Research Benefits Our Nursing Practice
One of the most critical strategic challenges currently facing hospitals now and for the foreseeable future is the national nursing shortage. (Corning, 2002). The current nursing shortage is causing great concern and is expected to peak between the years 2010, and 2015 (Woods, & Cardin, 2002). According to Woods and Cardin 2002, "Unlike prior shortages, this one is not cyclical in nature and the solutions will require different and innovative approaches to avert a national public health crisis" (p.326). A great deal of attention has been paid to the root causes of the current and future nursing shortage; aging baby boomers, alternative professional opportunities for women (Woods, & Cardin, 2002), intense assignments, extra shifts, burn out, and little job satisfaction (Inglis, 2004). In order to fully appreciate this situation one must understand that the nursing shortage is, in part, also related to the trend…
Emphasis for the last thirty years has been on shifting nursing curricula out of hospitals to universities. The education of nurses is now increasingly leaning towards theory. This has led to an obvious gap between what is experienced in the practical healthcare settings by nurses and what is taught in lecture halls (Saifan, AbuRuz, & Masa'deh, 2015).
Nursing practice is just one of the areas of healthcare that is experiencing increased pressure from the dynamic healthcare environment. Each year, as changes in the medical environment become increasingly dynamic, prospects become harder to forecast, and in order to experience success, partnering with other stakeholders becomes essential. The speed of changes in practical nursing is inevitable and will continually increase, as the level of dynamism and interdependence in the practice continues to grow (Jooste, 2011).
Nursing Practice Which Needs Change; Nursing Ethics
Nursing is practiced by people who have been…
Armstrong, A. E. (2006). Towards a strong virtue ethics for nursing practice. Nursing Philosophy, 7, 110-124.
AWHONN. (2009). Ethical Decision Making in the Clinical Setting: Nurses' Rights and Responsibilties. JOGNN, 741.
Baykara, Z., Demir, A., & Yaman, S. (2015). The effect pf ethics training on students recognizing ethical violations and developing moral sensitivity. Nursing Ethics, 22(6), 661-675.
Bedrosian, J. (2015). Nursing is hard. Unaddressed ethical issues make it even harder. Retrieved from Johns Hopkins Magazine: http://hub.jhu.edu/magazine/2015/summer/nursing-ethics-and-burnout
nursing practice, the author demonstrated how outcomes research is becoming an efficient method of determining intervention effectiveness and success in the healthcare practice and setting. esnick's article focused on describing the procedure of outcomes research and its implications to healthcare practice and applications to nursing research. Outcomes research is anchored on the discipline and systematic method of determining intervention success by identifying "improvement in health behavior practices" prior and after the given intervention to the patient (507).
A critical and very important aspect of outcomes research is that the process itself is not clinical or experimental in nature. Instead, to remain true to the practice of healthcare provision in a hospital or clinical setting, data is collected as the intervention happens. That is, the whole research process is integrated as the healthcare service or intervention is provided to the patient / subject / participant for the study. This for me…
Resnick, B. (2006). "Outcomes research: you do have the time!" Journal of the American Academy of Nurse Practitioners (Vol. 18).
Nursing According to the Systems and Diffusion of Innovations Theories
The internet and the distribution of electronic health records have changed the way the we receive and use health information but as health professionals and as patients. Particularly, public access to electronic healthcare information denotes that healthcare professionals have an added responsibility where patient education is concerned. Helping to educate patients regarding both their specific conditions as well as how best to evaluate information located online is an important dimension of preventative healthcare. This, in turn, imposes a serious responsibility upon healthcare professionals to effectively acquaint themselves with the technologies and information delivery systems that are currently reshaping the field and profession. The discussion here, drawn from a collection of articles located both via Google Search and the CINAHL database, employs the Systems Theory and the Diffusion of Innovation Theory to assess the way that the nursing profession is changing.…
Brookes, K; Davidson, P.M.; Daly, J. & Halcomb, E.J. (2007). Role Theory: A Framework to Investigate the Community Nurse Role in Contemporary Healthcare Systems. Contemporary Nurse, 25(1-2), 146-155.
Clancy, T.R.; Effken, J.A. & Pesut, D. (2008). Applications of Complex Systems Theory in Nursing Education, Research, and Practice. Nursing Outlook, 56(5), 248-256.
Kaminski, J. (2011). Diffusion of Innovation Theory. Canadian Journal of Nursing Informatics, 6(2).
Romano, C.A. (1990). Diffusion of Technology Innovation. Advances in Nursing Science, 13(2), 11-21.
Leadership for Advanced Practice Nursing
Staffing is not the main issue in elevating or containing costs: the main issue is retention. High turnover rates in nursing can drive costs up, but proper staffing with an appropriate ratio of nurses to patients can actually reduce costs over the long-term so long as turnover is not an issue. The reason is that appropriate staffing leads to improvements in quality care delivery (Martin, 2015). And as Rothberg, Abraham, Lindenauer and Rose (2005) point out, improving nurse-to-patient staffing ratios is a cost-effective intervention that—far from being detrimental to cost control—reduces costs because it enables patients to receive better care and reduces the risk of nursing errors being committed as a result of burnout.
Everhart, Neff, Al-Amin, Nogle and Weech-Maldonado (2013) show that in highly competitive markets, the better the nurse-to-patient ratios, the better the reputation of the hospital. The only markets in which…
Everhart, D., Neff, D., Al-Amin, M., Nogle, J., & Weech-Maldonado, R. (2013). The effects of nurse staffing on hospital financial performance: Competitive versus less competitive markets. Health Care Management Review, 38(2), 146.
Gliddon, D. G. (2006). Forecasting a competency model for innovation leaders using a modified Delphi technique. Doctoral Dissertation, Pennsylvania State University. Retrieved from https://etda.libraries.psu.edu/files/final_submissions/1385
Lathrop, B., & Hodnicki, D. (2014). The Affordable Care Act: Primary care and the doctor of nursing practice nurse. Online journal of issues in nursing, 19(2).
Maier-Lorentz, M. & Leininger, M. (2008). Transcultural nursing: Its importance in nursing practice. Journal of Cultural Diversity, 15(1), 37.
Martin, C. J. (2015). The effects of nurse staffing on quality of care. MedSurg Nursing, 24(2), S4-S4.
O’Brien, J. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. American Journal of Health-System Pharmacy, 60(22), 2301-2307.
Rothberg, M. B., Abraham, I., Lindenauer, P. K., & Rose, D. N. (2005). Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Medical Care, 43(8), 785-791.
Tomajan, K. (2012). Advocating for nurses and nursing. OJIN: The Online Journal of Issues in Nursing, 17(1), 4.
Nursing: Today and Throughout History
The occupation of nursing has been around for almost all of history in some form or another. In the ancient Roman Empire are found records of the nursing practice, where nurses provided care to in-patients at local Roman hospitals. In Constantinople—the Rome of the East—nurses were “known as hypourgoi” (Kourkouta, 1998). These nurses (both male and female) were tasked with jobs much like today’s nurses: they provided a wide variety of services to patients. Kourkouta (1998) states that the main tasks of the hypourgoi (male nurses) and hypourgisses (female nurses) were to give “psychological support of patients, everyday care of patients’ bodily needs and elementary comfort, cleaning of patients and providing them with proper food, the administration of medicines according to a doctor’s instructions, supervising wards when the physicians were not present, the performance of enemas, cuppings and bloodletting, the main therapeutic means used at…
Finally, if the nurse and others concede that her ideas regarding policy change are successful and needed in the medical profession and that other medical professions would benefit from the implementation of these changes to their activities and systems, the nurse can then proceed to implementation of her plan. This she can do by communication with legislators by e-mail, phone, or letter (or in person, if she wishes); by attending forums or other official meetings with political candidates; by working in political campaigns; and by involving herself in similar activities. This would provide the nurse with networking opportunities and enable her to find a platform for and to share her ideas.
An example of just such a successful attempt was that achieved by nurses in 31 organizations (such as the Academy of Medical-urgical Nurses, the American Nurses Association, and the American Organization of Nurse Executives) who, in 2008, pushed for…
Anderson, L. (Tuesday, February 22, 2011). The Role of Nurses in Politics and Health Policy, Nurse Together.com. Retrieved on February 22, 2011 from:
The following is the assessment of AB case, a first time visitor to the writer. The assessment will include checking the pharmacologic treatment, reactions to the drugs in the medicines consumed, advisory healthcare practices and exercises, and non-pharmacologic treatment. More information to be provided if need be.
AB, an overweight, 52--?year -- ?old, Hispanic, male comes for the first visit to your office for assessment of complaints about tiredness, nocturia x 2 -- ?3, and finding it difficult to do the required paperwork in the office (Masters, 2014). He informs that he is reportedly having diabetes type 2 for about six years when he first experienced same feelings of fatigue and nocturia x 2 -- ?3. The patient informs he has attended infrequent classes on diabetes that emphasized on importance of physical activity and weight loss (Masters, 2014). His was accompanied by his wife to these…
http://www.webmd.com/sleep-disorders/sleep-apnea/sleep-apnea-treatmentsBeckerman , J., MD, FACC. (2014). Sleep Apnea Treatments. from Food and Drug Administration. (2013). Drug Interactions: What You Should Know. from http://www.fda.gov/Drugs/ResourcesForYou/ucm163354
James Beckerman, M., FACC. (2013). An Overview of High Blood Pressure Treatment. from http://www.webmd.com/hypertension-high-blood-pressure/guide/hypertension-treatment-overview
Joel C. Marrs. (2010). Pharmacy Perspectives in Dyslipidemia Management. from http://www.uspharmacist.com/USPExams/107084/PHS1005.pdf
Lozanda, C., J, MD. (2014). Osteoarthritis Treatment & Management. from http://emedicine.medscape.com/article/330487-treatment#aw2aab6b6b2
The Nevada Nurse Practice Act is similar to the Indiana State Board of Nursing in that the two documents cover definitions of terms (such as Board of nurses, advanced practitioner, and accredited school). In addition to defining terms clearly to remove ambiguity in their application, the two documents also outline provisions for nurse practitioners and registered nurses.
The Indiana State Board of Nursing oversees nurse licensing, including issues related to education. Moreover, the State Board of Nursing in Indiana outlines the role of continuing education in the nursing profession. The Indiana State Board of Nursing's Licensure and Administrative ules include an administrative code for both registered and licensed practical nurses. Ancillary practices and areas of specialization are also included, such as nurse-midwives.
Number of members in the Indiana State Board of Nursing is something that is covered in the document related to licensure and administration. In IC 25-23-1-2, the…
Indiana State Board of Nursing (2005). Licensure Statutes and Administrative Rules
Nevada Nurse Practice Act.
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
Nursing education has come a long way since my aunt was a practitioner. A Registered Nurse, my aunt worked in geriatric care for twenty years, and in psychiatric care for five years before that. I took my cue from her, developing my skills in a systematic way during my undergraduate education before embarking on a serious investigation of my career options as a nurse. The Doctor of Nursing Practice was not an option until relatively recently; and it is only within the past year that I determined it to be the best degree program for my skills, needs, philosophies, and my personal vision. My skills as a practitioner are both clinical in nature and caring in tone, as I combine evidence-based approaches to health care with the artful mastery of caring for the whole person. This means that I have a family systems approach to health and healing. I view…
Nursing is a tough profession to perform well. There are constant innovations and changes in healthcare that make research and education a top priority among nurses to achieve the goal of providing high quality care. Evidence-based practice offers nurses a way to use the research continuously developed to create strategies and techniques that better suit the needs of patients. However, it is a daunting task that many nurses have not successfully accomplished. From problems with nursing leaders to an inability to apply knowledge learned, evidence-based practice has not caught on in nursing practice as desired.
To create strategies to better foster evidence-based nursing practice, it is important first to understand competencies and identify which competencies can lead to successful implementation of evidence-based practice. A 2014 article defined competencies and provided core competencies that may foster evidence-based nursing practice. "Competencies are a mechanism that supports health professionals in providing high-quality, safe…
Nursing research is one of the most important components in answering a clinical question through an investigation process. The research or investigation process involves a series of steps that are geared towards identifying suitable evidence that can be utilized in answering the research question. This process requires narrowing down the research topic, which helps in obtaining information that is applied to develop knowledge, which generates wisdom if applied in meaningful ways. In this case, the research process entails the use of a data, information, knowledge and wisdom continuum. This paper examines how nursing informatics through this continuum can be utilized to gain wisdom on a clinical issue in the field of psychiatric nursing.
Clinical Issue and Question
Psychiatric nursing practice entails the provision of comprehensive, patient-centered psychiatric care to patients with psychiatric or mental health problems. This nursing practice is considered as an integral component of the continuum of nursing…
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: Theory and Nursing Practice Issues
Theory and Nursing Practice Issues: Nursing
The modern-day staff nurse faces a variety of challenges in the work environment. These include inadequate staffing, the authority gradient, and issues related to changing models of care. The nurse leader has a duty to aid staff nurses working under him in addressing the challenges posed by these, and other issues facing the nursing profession. Leadership theories provide effective guidelines by which nurse leaders can address issues inherent in the nursing profession. In so doing, they accord staff nurses adequate opportunities to make meaning out of their lives. Leadership theories such as the situational leadership theory, the transformational leadership theory, role theory, and path-goal theory provides crucial insights from which nurse leaders could draw reference when seeking solutions for problems facing subordinate staff nurses. This text explores how leadership theory can be applied to nursing practice issues, and…
Barker, A. (1992). Transformational Nursing Leadership: A Vision for the Future. New York NY: Jones & Bartlett Company.
Department of Health and Human Services. (2010). Addressing New Challenges Facing Nursing Education. The Department of Health and Human Services. Retrieved from http://www.hrsa.gov/advisorycommittees/bhpradvisory/nacnep/reports/eighthreport.pdf
Early, G. (2005). Leadership Expectations: How Executive Expectations are Created and Used in a Non-Profit Setting. London, UK: OCMS Publishers.
Edmonson, C. (2010). Moral Courage and the Nurse Leader. The Online Journal of Issues in Nursing, 15(3), Manuscript 5.
Laura Polk's theory of resilience holds that an individual has the ability to rise above adversity. There are a number of factors that contribute to how this occurs -- dispositional, relational, situational and philosophical factors all play into this ability to be resilient (Jackson, 2015). This theory has significant implications for nursing practice, and can be evaluated through the lens of evidence-based practice.
Polk's Theory of esilience
Individuals rise above adversity
Dispositional, relational, situational, philosophical
Can be evaluated through evidence-based practice
Nurses can influence the different factors that contribute to resilience. The theory was developed on the basis of Polk's own real-life experience. She recognized that nurses can put themselves in the position of the patient, at least to some extent, and by doing this can empathize with the patient. This empathy allows the nurse to see the treatment through the eyes of the patient. Nurses can then…
Jackson, J. (2015). Nursing paradigms and theories: A primer. Athabasca University. Retrieved July 23, 2015 from https://www.nursinglibrary.org/vhl/bitstream/10755/338888/1/Nursing%20Paradigms%20and%20Theories,%20A%20Primer.pdf
Polk, L. (1997). Toward a middle-range theory of resilience. Advances in Nursing Science. Vol. 19 (3) 1-13.
Discussion #1 Diabetes (either type 1 or type 2) can cause many problems for the patient when the disease is uncontrolled. Please choose one of the problems associated with diabetes and describe what happens to the body to cause the problem. Examine what causes the problem in the patient with diabetes and create a teaching strategy for a patient who is at risk for the problem. Include the types of Insulin in your post, Lantis, Lispro, egular and Intermediate acting and illustrate how evidence-based practice can improve outcomes. Justify your answers and cite your references.
Type 1 diabetes is an autoimmune disease that destroys the insulin-producing beta cells in the pancreas such that it produces only a little or no insulin. Accounting for 5 to 10% of diabetes in the U.S., the disease occurs primarily in children and young adults. Prior to the discovery of insulin in 1921, everyone…
Drugs & Medications - Singulair Oral. WebMed. Retrieved http://www.webmd.com/drugs/mono-8277-MONTELUKAST+-+ORAL.aspx?drugid=6485&drugname=Singulair+Oral
Why Is This Medicine Prescribed? Med Line Plus. Retrieved http://www.nlm.nih.gov/medlineplus/druginfo/meds/a600014.html#side-effects [Type text]
Nurse Practice Specialties
The objective of this study is to locate four evidence-based research articles in nursing peer-reviewed journal. Specialty nursing includes various areas of nursing practice, which are examined in this study. Articles reviewed in this study include those related to emerging specialties and opportunities for nurses, Advanced Practice Registered Nursing, Nurse Practitioner Primary Care in Competencies in Specialty Areas, and the Specialty Practice of Nursing Informatics.
The first article examined in this study is the work of Cruz (2012) who reports that Advanced Practice Registered Nurses (APRN) "arose out of the trailblazing efforts of nurses from four separate nursing specialties whose individual histories were shaped by a common threat: the answer the call to deliver a high level of healthcare to individuals and groups in an area of clinical practice where a need for such level of healthcare existed." (p.1) Cruz (2012) additionally reports four areas of concern…
Beattle, L. (2010) Emerging Specialties, and Opportunities for Nurses. NurseZone. 11 Jun 2010. Retrieved from: http://www.nursezone.com/nursing-news-events/more-features.aspx?articleid=34360
Bickford, CJ and Lewis, D (2007) ANI Connection: The Specialty of Nursing Informatics. CIN Computers, Informatics, Nursing, Vol. 25, No. 6, Dec 2007. Retrieved from: http://www.nursingcenter.com/lnc/journalarticle?article_id=753408
Cruz, J. (2012) Whose Consensus Is It Anyway? All Nurses. 1 Sept 2012. Retrieved from: http://allnurses.com/nurse-practitioners-np/whose-consensus-anyway-779977.html
Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women's Health (2002) U.S. Department of Health and Human Services, Health Resources and Service Administration, Bureau of Health Professions, Division of Nursing, April 2002. Retrieved from: http://www.aacn.nche.edu/education-resources/npcompetencies.pdf
Standards of Nursing Practice
Nursing Scope and Standards of Practice
Scope and Standards of Nursing Practice in Ohio
Scope and Standards of Nursing Practice in Ohio
As a pediatric hematology registered nurse (N) practicing in the state of Ohio I am licensed through the Ohio Board of Nursing (2013). The Ohio Board of Nursing determines licensure criteria by relying those established by national certifying organizations and in Ohio this is the National Council of State Boards of Nursing. The scope of practice for Ns in Ohio is determined by Chapter 4723 of the Ohio evised Code (OC), in addition to the administrative rules developed under this Chapter (Ohio Board of Nursing, 2011).
Scope of Practice Considerations
Under Chapter 4723 OC an N is authorized to evaluate a patient's health, develop a nursing regimen to restore health, prevent disease, and promote health, provide health counseling and teaching, and under the authorization…
ANA (American Nurses Association). (2011). Code of Ethics. American Nurses Association. Retrieved 11 Oct. 2013 from http://www.nursingworld.org/Mobile/Code-of-Ethics .
Fowler, Martha D.M. (ed.) (2008). Guide to the Code of Ethics for Nurses: Interpretation and Application [2010 Reissue]. Silver Spring, MD: American Nurses Association.
Hennessy, Jane. (2009). Pediatric Hematology Nursing: Scope and Standards of Practice. Association of Pediatric Hematology/Oncology Nurses (APHON). Retrieved 11 Oct. 2013 from www.aphon.org/members/documents/Hematology%20scope%20and%20Standards.pdf.
Kurtz, Pat and Burr, Ronald L. (2009). Chapter 11: Ethics and Health. In K.S. Lundy and S. Janes Community Health Nursing, 2nd Edition. Sudbury, MA: Jones and Bartlett Publishers.
During the monitoring phase, it was found that the fatigue levels of cancer patients after treatment were significantly improved. The article suggests that therapies other than exercise, as well as alternative exercise therapies can benefit from further research and refinement. Reaching the stage of Evidence-based practice in the Grove model will therefore be a process of increasingly refined and focused research.
The Virginia Henderson theory of nursing focuses upon the patient and working together with him or her in order to achieve optimal health, or at least to die peacefully. The article is informed by this theory, as it focuses upon helping the patient accomplish a goal, rather than simply providing medications towards the goal.
In providing an exercise regime, the patient is empowered to control his or her energy levels by means of a personal and individual choice. As such, nursing is to help the patient to achieve 14…
Mitchell, Sandra A., Beck, Susan L., Hood, Linda Edwards, Moore, Katen & Tanner, Ellen R. (2006). Putting Evidence Into Practice: Evidence-Based Interventions for Fatigue During and Following Cancer and Its Treatment. Clinical Journal of Oncology Nursing, Vol. 11, No 1.
"Nursing Theory Page." USD Hahn School of Nursing 2003. http://www.sandiego.edu/nursing/theory / (November 10, 2005).
The evidence base suggests that approaches such as exercise, screening for treatable risk factors, energy conservation and activity management, progressive muscle relaxation, and education and anticipatory guidance are likely to be effective in reducing fatigue. Anticipating which interventions are likely to be effective can assist clinicians in the design of a multi-component fatigue treatment approaches. Clinicians also can use these results to examine their own practices, identifying intervention strategies such as complementary therapies that may be recommended only infrequently for fatigue but still hold the potential to be effective (Mitchell, Beck, Edwards Hood, Moore, and Tanner, 2006).
Evidence-based practice was adopted in a similar format to the Grove's model in the fact that it was developed by studying what works and what doesn't. In order to produce the best outcome for patients it is important to not waste time trying several treatment options unless these options have been studied and…
Evidence-Based Nursing. (2008). Retrieved July 7, 2009, from The Joanna Briggs Institute Web
Mitchell, Sandra A., Beck, Susan L., Edwards Hood, Linda, Moore, Katen and Tanner, Ellen R.
(2006). Putting Evidence Into Practice: Fatigue During and Following Cancer and Its
Instrument Measures Nurse Practice
In a hospital or any medical care setting, nurses make up the majority of the environment, and are the backbone of facilitating patient care between physicians. However, between meeting the demands of the patients and following through doctors' orders, the roles nurses play are a high-stressed one, which influences on his or her overall well-being. The purpose of this paper is to display the findings from a study led by Pisanti (2008) regarding the relationship between nurses and their abilities to cope with environmental demands with the use of the Occupational Coping Self-Efficacy for Nurses (OCSE-N) Scale.
In order to gain a better understanding about the investigation, it is significant to comprehend about the foundation on which the study was based on, which is the Lazarus cognitive-medication theory of stress and Bandura's social cognitive theory. The former is about certain cognitive appraisals regarding one's work provokes…
Integration Evidence-Based Practice Professional Nursing Practice
The concept of evidence-based practice -- EBP is becoming growingly significant in the sphere of nursing. (Stiffler; Cullen, 2010) Evidence-based practice is not entirely a novel concept; it is the manner in which nurses cater to the norms of care and practice efficiently. (Nysna, 2006) According to Linda Burnes Bolton, DrPH, N, FAAN, vice president and chief nursing officer in the Cedars-Sinai Medical Center in Los Angeles, evidence-based practice -- EBP in reality it is only an alternative mode of viewing the conventional theme of the nurses maintaining their sanctified reliability with society. (Wessling, 2008) David Sackett, MD, a Canadian physician, is regarded the father of evidence-based practice. According to Sackett, "evidence-based practice is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. . .[by] integrating individual clinical expertise with the best available external…
Adams, Susan; McCarthy, Ann Marie. (2005) "Evidence-Based Practice and School
Nursing" The Journal of School Nursing, vol. 21 no. 5, pp: 258-265.
Ciliska, Donna. (2006) "8. Evidence-based nursing: how far have we come? What's next?"
Evid-Based Nurs, vol. 9, no. 2, pp: 38-40.
Evidence-Based Guidelines in Nursing Practice:
In the nursing practice, evidence-based guidelines are developed and maintained to improve the reputation of the health facility in its delivery of nursing services. These guidelines are also developed and implemented as measures for promoting evidence-based nursing practice. Generally, evidence-based nursing practice usually involves the identification of solid research findings that are commonly used in the nursing field. This in turn helps in enhancing the quality of patient care and providing the most cost-effective nursing care possible. As opposed to doing things in a specific way, evidence-based nursing practice focuses on the use of research and knowledge. As a result, this concept represents a dramatic shift for older nurses and those who are used to the traditional way of delivering their services.
Currently, these are several opportunities in the day-to-day activities in the nursing practice that continue to develop concerns regarding the validity of the…
"Evidence-Based Nursing Practice: What's in It for You?" Nurse Together. Retrieved July 10,
2012, from http://www.nursetogether.com/Education/Education-Article/itemId/2902/Evidence-Based-Nursing-Practice-What%E2%80%99s-in-It-for-.aspx
Retsas, A. (2000, March). Barriers to Using Research Evidence in Nursing Practice. Journal of Advanced Nursing, 31(3), 599-606. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10718879
psychiatric nursing practice in Australian prisons," Doyle (1999) attempts to discern what factors influence psychiatric nursing care. In particular, the researcher attempted to decide what factors may influence a nurse's ability to work effectively under straining circumstances, in this case working with challenging patients in a prison.
The problem as the researcher states it is that more than 100,000 patients require treatment while living in prison and correctional institutions. The unique client group presents many challenges to nursing staff including mental illness and developmental disabilities. In addition many patients are emotionally unstable. The author clearly identifies problems associated with providing optimal health care to incarcerated offenders. Also noted are the increased mortality rate and disease rate among this population.
Nurses must often face challenging situations. They are often tasked with working with difficult patients. In addition they may face technological obstacles or conflicting values when working in certain settings, or…
Doyle, J. (1999). "A qualitative study of factors influencing psychiatric nursing practice in Australian prisons." Perspectives in Psychiatric Care, 35(1):29
Lather, P. (1991). Getting smart. New York: Routledge.
Massarik, F. (1981). The intervening process re-examined. In P. Reason & J. Rowan
(Eds.), Human enquiry: A source book of new paradigm research (pp. 201-207). New York: Wiley.
Growth in the Practice of Nursing and Patient Care Delivery Models
The practice of nursing is expected to continue growing and changing given the reform initiatives that are taking place in the healthcare system. Some of the factors that are contributing to these changes and growth in nursing practice include the restructuring of healthcare delivery system, increased healthcare costs, increase in demand for nurses, nursing shortage, and increase in the patient population. Given these factors, nurses are expected to continue assuming a wide range of healthcare responsibilities because of the complexities in patient care delivery or caring for the sick (Tiffin, 2012). It is expected that as nursing practice continues to change and grow, new models of patient care delivery will emerge. As nurses, we need to understand these changes/growth and the emerging patient delivery models in order to enhance our practice.
One of the patient care delivery models that…
Gulliford, M., Naithani, S. & Morgan, M. (2006, October). What is "Continuity of Care"? Journal of Health Services Research & Policy, 11(4), 248-250.
Haney, C. (2010, June 9). New Care Delivery Models in Health System Reform: Opportunities for Nurses & their Patients. Retrieved December 3, 2016, from http://nursingworld.org/Mainmenucategories/Policy-Advocacy/Positions-and-Resolutions/Issue-Briefs/Care-Delivery-Models.pdf
Nurse Oncourse Learning (2013, December 9). Nursing: A New Paradigm. Retrieved December 3, 2016, from https://news.nurse.com/2013/12/09/nursing-%C2%97-a-new-paradigm/
Tiffin, C. (2012, March 28). Beyond the Bedside: The Changing Role of Today's Nurses. The Huffington Post. Retrieved December 3, 2016, from http://www.huffingtonpost.com/charles-tiffin-phd/nursing-school_b_1384285.html
The CINAHL database provides an easy access for thousands of journals and articles in the field of nursing and allied health. Moreover, the CINAHL contains references to nursing journal articles from the United States, UK, and other countries. A search for articles and journals are carried out using the keywords and the process can bring out hundreds journal articles. Objective of the paper is to investigate the search strategy for the journal articles in the CINAHL database using the relevant keywords. (Mckibbon. & Marks, 1998).
In the search, the paper uses ProQuest Interface for the Nursing and Allied Health sources. The keywords used to carry out the search are as follows:
Hourly Nursing Rounds
Pressure Ulcers, and Call Light Use, and Patient Satisfaction
When each of these keywords is typed in the CINAHL box, the CINAHL database delivers tremendous results. When the Hourly Nursing Rounds key…
Jacobs, J.A. Jones, E. Gabella, B.A. et al.(2012). Tools for Implementing an Evidence-Based Approach in Public Health Practice. Prev Chronic Dis. 9.
Royal College of Nursing (2013). Introduction to using the CINAHL database: step-by-step guide. EBSCO Information Services.
Tucker, S.J. Bieber, P.L. Attlesey-Pries, J.M. et al. (2012). Outcomes and Challenges in Implementing Hourly Rounds to Reduce Falls in Orthopedic Units. Worldviews on Evidence-Based Nursing.pp:18-27.
The proficient nurses perceive situations as wholes rather than in terms of distinct aspects, and performance is determined by maxims. Perceive or perception is the main word: The perspective is not thought out but presents itself based on experience and earlier events. Proficient nurses understand a situation because they perceive its meaning in regard to long-term goals. Because of their experience, proficient nurses can recognize when the expected normal picture does not materialize, which can considerably improve decision making (Benner, 1984, p. 27-29.)
Lastly, the expert performers do not have to count on an analytic principle, such as a rule, guideline or maxim, to connect their understanding of a situation to an appropriate action. Because of their strong background with an intuitive grasp of situations, they can zero in on the accurate region of the problem without trying unfruitful alternative solutions.
Benner's model of skill acquisition is based on…
Communicability: It is almost impossible for intuitive models to communicate something that is intangible and which the practitioner is unable to express. Given that Benner's model relies on experimental knowledge as the basis of "knowing" as opposed to the science of communicable research, it is difficult to think of a situation where nursing's knowledge base becomes a shared resource open equally to all practitioners.
Similarly, systematic-rational models may promote communicability, but the process itself may not be that relevant if it does not fit with reality of clinical practice (Thompson, 1999, p.1225).
Simplification: If the information processing model does not capture all variables in decision making and clinical diagnosis, and also communicating this incomplete picture to other practitioners in the form of scientific evidence, then nursing's knowledge base will continue to develop in an ad hoc manner with major holes in the complete picture. The intuitive model at least permits the complexity of decisions akin to healthcare provision and sees that health is more than the sum of its parts. Also,
Future of Nursing
Efficient nursing practice is anchored on education and training of nurses. Nurses must therefore achieve higher levels of education and training through an improved education system that allows for academic progression. This is integral in transforming the healthcare landscape in the United States (Alberta Association of egistered Nurses, 2003). The Institute of Medicine's ecommendation 4, advocates for increasing the proportion of nurses with baccalaureate degree to 80% by the year 2020. ecommendation five still touches on matters education and advocates for doubling the number of nurses with doctorate degree by 2020. ecommendation six finally calls for ensuring that nurses engage in life long learning.
By increasing my level of education, the decision I will be making will be supported with evidence-based rationale. I will use appropriate information and resources that enhance patient care and achievement of desired patient outcomes. My education will enable me to demonstrate critical…
Alberta Association of Registered Nurses (2003). Nursing Practice Standards. Retrieved from http://www.nurses.ab.ca/pdf/Nursing%20Practice%20Standards.pdf
Waters, W.F. (2001). Globalization, socioeconomic restructuring and community health.
Journal of Community Health, 26(2), 79-92.
White, G. (2001). The code of ethics for nurses: Responding to new challenges in a new century. American Journal of Nursing, 101(10), 73, 75.
DNP degree was recognized by the American Association of Colleges of Nursing as representing the highest level of preparation for clinical nursing practice in 2004 and the first doctor of nursing practice (DNP) program was offered in 2001 by the University of Kentucky (Moore, 2014). In contrast to doctoral of philosophy (Phd) nursing program which is research-oriented, DNP programs are regarded as terminal degrees for teaching (Moore, 2014). Nevertheless, DNPs are also required to perform basic research for a wide range of applications with a view towards improving clinical practice (Moore, 2014).
esearching a topic of interest has become far easier than it was in 1957 when the famous German scientist Wernher von Braun explained that, "Basic research is what I am doing when I don't know what I am doing." Today, doctors of nurse practice (DNP) enjoy a veritable cornucopia of academic, professional and scholarly research resources, but the…
Davis, M. (2015, March). Issues up close: Keeping pace: ANA's revised code of ethics for nursing. American Nurse Today, 10(3), 16-19.
Fayer, L. & Zalud, G. (2011, November-December). Student perceptions of the use of inquiry practices in a biology survey laboratory course. Journal of College Science Teaching, 41(2), 82.
Laabs, C. A. (2012, January/February). Confidence and knowledge: Regarding ethics among advanced practice nurses. Nursing Education Perspectives, 33(1), 10-13.
Moore, K. (2014, January). How DNP and Phd nurses can collaborate to maximize patient care. American Nurse Today, 9(1), 48-50.
Orem's Self-Care Model: A Professional Nursing Practice Model
Nursing theory is an organized and systematic articulation of a set of statements related to questions in the discipline of nursing. (Caley, p. 302, 1980) The model presented by Dorothea Orem is based on the idea that as human beings, we are engaged in self-care activities that allow us to maintain a state of good health. Orem defines health as "a state of a person that is characterized by soundness or wholeness of developed human structures and of bodily and mental functioning" (Coleman, p. 325, 1980) Utilization of Orem's concepts allows the nurse freedom to develop their own style practice to best meet the self-care needs of any patient.
Nurses have always recognized the rights of clients of all ages to be both informed and active participants in care, but the idea of self-care has not always been apparent concerning the idea…
1. Caley, J.M., Dirksen, M., Engalla, M., & Hennrich, M.L. (1980). The Orem self-care nursing model. In J.P. Riehl & C. Roy (Eds.), Conceptual models of nursing practice (2nd ed., pp. 302-214). Norwalk, CT: Appleton-Century-Crofts.
2. Coleman, L.J. (1980). Orem's self-care concept of nursing. In J.P. Riehl & C. Roy (Eds.), Conceptual models of nursing practice (2nd ed., pp. 315-328).
3. Fawcett, J. (1989). Orem's self-care framework. In J. Fawcett (Ed.), Analysis and evaluation of conceptual models of nursing (2nd ed., pp. 205-261). New York F.A. Davis.
4. Johnston, R.L. (1982). Orem self-care model. In J.J. Fitzpatrick, A.L. Whall, R.L. Johnston, & J.A. Floyd (Eds.), Nursing models and their psychiatric mental health applications (pp. 56-60). Bowie, MD: Brady/Prentice-Hall.
esearch is based on evidence and I agree that implementation of a program requires a lot of data collection and evidence-based research. A researcher also has to take decisions along with the research he is doing and base his decisions on the evidence he finds. For example, nurses make clinical decisions based on information and practice and there are certain knowledge and evidences that are superior as compared to the others; so the sources of information vary accordingly (Polit & Beck, 2008).
More practice and study creates opportunities for the researcher to capture information and that requires follow-ups. A follow-up of a certain study would open new directions as well as let the researcher know if the study is still successful a decade later. Qualitative research is mostly based on the naturalist evidence of the topic and quantitative research is linked with a positivist ritual (Polit & Beck, 2008).…
Polit, D., & Beck, C. T. (2008). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Lippincott Williams & Wilkins: Philadelphia
Action Research Project -- Cardiac Rhythm Interpretation
he purpose of this paper is to discuss the possible outcomes of the proposed solution to the project. In particular, the discussion will focus on outcomes that might occur if the solution is not effective in the manner intended. he preparation for the project has focused on pre- and post-tests of the use of ECG flashcards. he literature has shaped the conceptualization of desirable outcomes for the project and enabled the project to assume the structure of an action research project (Lewin, 1951). he project has been guided and defined by the dynamics inherent in change processes, which are supported by change theory and the literature on transfer of training (Bridges, 2003).
he action research problem, which was identified during the practicum experience, is the need for ongoing education of CLC nurses on cardiac rhythm interpretation (Finkelman & Kenner, 2010). he significance of…
The situation that CLC nurses are experiencing is not unique. The research confirms that nurses often do not receive adequate training and experience in reading cardiac rhythms (Weatherburn, et al., 2009). Indeed, the hospital at which the practicum experience took place has not established competencies for staff to complete in order to show that they are competent on interpreting cardiac rhythms. The primary outcome of the action research project is to develop a competency exercise on rhythm interpretation for staff to complete one to two times each year (Kearney-Nunnery, 2008). Establishment of fully developed competency exercises will offer a path to skill improvement and expertise within the nursing staff at the hospital, and will support the ongoing efforts to provide evidence-based, high quality and safe patient care (Collins, et al., 2007; Melnyk & Fineout-Overholt, 2005).
Articulation of the project has pivoted on the successful integration of change theory, nurse training literature, and action research processes. The steps of a nursing practice change process and the phases of an action research project are nearly a point-to-point match. Both are designed to support nursing staff to adopt a new practice or refine an existing practice in a manner that contributes to substantial outcomes. The steps generally outlined in change theories include the following: 1) Identifying the problem or concern along with factors that influence the need for change; 2) collecting information to better understand the need and possible solutions; 3) identifying barriers to change and the facilitators for change; 4) identifying solutions for the problem or concern; 5) deciding the solution to implement; preparing staff for change; 6) preparing staff for the change; 7) implanting the change; 8) evaluating the results; and 9) determining if there are any re-adjustments necessary (Lippitt, 1973; Rosswurm & Larrrabee, 1999).
Training that prepares nurses to learn a new practice or develop a skill can fairly be considered an innovation. Everett Rogers developed a theory about the diffusion of innovations, suggesting that four primary elements influence the spread of an innovation, for instance, a new idea or a new practice. These dynamic elements are: The innovation, communication channels, a social system, and time. Individuals engage with an innovation in different ways and at different speeds. The labels applied to individuals relating to the innovation are one of the more enduring aspects of Rogers' theory. Adopters of
This help in solving conflicts between patients in a hospital.
In nursing practice, there are quite different in between clinical nursing specialist and nurse practitioner in the scope of operation. Therefore, a clinic nurse specialist works under the legislated scope of practice for a registered nurse but has advanced education. While nurse practitioner works under a separate scope of practice and can perform certain functions and tasks that are outside of the scope of practice of registered nurse, including clinical nurse specialist. However, nurse practitioner generally provide primary care, and clinical nurse specialists act more a s consultants in their roles as expert clinicians, clinical leader, educators, collaborators and researchers.
Many researches have written that emotions sometimes can influence ethical decision making in a health care system. Therefore, nurses are equipped with knowledge to make decision without any kind of influence. The model demonstrates that certain emotional states influence the…
Royal of nursing college (2010). Advanced nurse practitioners, an RCN guide to the advanced
Nurse, Practitioner role, competences and program accreditation
Marie-Laure Delamaire, Gaetan Lafortune (2010). Nurses in Advanced Roles
A description and evaluation of experiences in 12 developed countries
Ethics, Values and Decision-Making in Nursing Practice
RIGHT FROM WRONG
A nurse's primary tasks are monitoring the patient's vital signs, administering medications, and helping doctors treat and perform procedures (Williams, 2012). Oftentimes and in many cases, these technical skills must be guided by certain and pertinent moral and ethical principles. This ethical and moral component of her overall responsibility is so important and critical that a code of ethics was created by the American Nurses Association to guide her in inevitable ethical dilemmas (Williams). These ethical dilemmas can include the clash between the principle of confidentiality and the concept of reasonable limits, between two or more ethical principles involving confidentiality, and the influence of culture on values.
. Importance of Ethical Theory to Nursing
In 1991, the Joint Commission on Accreditation of Healthcare Organizations or JCAHO expressed the mandate that institutions shall address ethical issues in patient care and requires…
Badzek, L.A. et al. (1998). Administrative ethics and confidentiality/privacy issues. The Online Journal of Issues in Nursing: American Nurses Association. Retrieved on June 14, 2012 from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/tableofContents/Vol131998/NO3Dec1998/PrivacyIssues.aspx
Kotak, D and Lawson, a. (2008). Patient confidentiality and the intensivist. Vol 9 # 2
Journal of the Intensive Care Society: the Intensive Case Society. Retrieved on June
15, 2012 from http://www.journal.ICS.ac.uk/pdf/0902178.pdf
SNOMED-CT is a clinical term that was originally introduced by the College of American Pathologists and is currently managed by an international organization that deals with health terminology standards. Generally, SNOMED-CT is a terminology that adds understandable meaning to electronic medical record and plays a major role in delivery of affordable, high-quality care through meaningful, effective depiction of medical information ("SNOMED CT -- Adding Value," 2014). Given its significance in the enhancing the delivery of affordable, high-quality health care services, it is increasingly important to develop a suitable strategic action plan for implementing SNOMED CT in nursing practice. The strategic action plan entails identifying the major stakeholders, suitable strategic actions or initiatives for each stakeholder, and developing an effective communication plan for implementing this clinical terminology. For this strategic action plan, the major stakeholders in the implementation process include healthcare professionals providing patient care, support staff interacting with patients, and…
"Engaging Stakeholders in the Effective Health Care Program" (n.d.). Agency for Healthcare Research and Quality. Retrieved from U.S. Department of Health & Human Services website: http://effectivehealthcare.ahrq.gov/index.cfm/tools-and-resources/how-to-get-involved-in-the-effective-health-care-program/engaging-stakeholders-in-the-effective-health-care-program-module-iv/
"SNOMED CT -- Adding Value to Electronic Health Records." (2014, February). The International Health Terminology Standards Development Organization. Retrieved October 9, 2015, from http://www.ihtsdo.org/resource/resource/16
Leadership Qualities and Nursing Practice
Effective leaders often leave a mark in the lives of those they lead, even many years after the encounter, even if the encounter was a brief one. One of the greatest leaders that have had significant influence over my life is my current Director of nurses with whom I have enjoyed working and gotten inspired over the brief encounter we have had. When I found myself under her leadership, at first I was apprehensive and unsure of what to expect from her. However, over time she has proven to not only be instrumental in development of my leadership skills, but also highly inspiring to our team and an asset to us all. She comes out as a fair leader who will treat all the nurses under her equally without favoring people close to her than the rest of the students. She fairly distributes the tasks…
The student in a Doctorate of Nursing (DNP) program has an obligation to get permission when launching a scholarly research project; and the student also has a responsibility to disseminate that research once it is completed. This paper delves into those aspects of research -- and others -- for the DNP student.
DNP Competencies for Clinical Scholarship - Background
In the Journal of the American Association of Nurse Practitioners (Buchholz, et al., 2013), the authors explain that a nursing student getting an advanced degree must have a "fundamental and strong understanding of research design and interpretation." However, though evidence-based research translation is "essential" to the DNP student, there is no consensus as to the skill levels required to conduct the required research (Buchholz, 473). Given that the Doctor of Nursing is a "new nursing role," and there are still requirements to be worked out, the importance of the DNP…
American Association of Colleges of Nursing. (2015). The Doctor of Nursing Practice:
Current Issues and Clarifying Recommendations / Report from the Task Force on the Implementation of the DNP. Retrieved March 8, 2016, from http://www.aacn.niche.edu.
Buchholz, S.W., Budd, G.M., Courtney, M.R., Neiheisel, M.B., Hammersla, M., and Carlson,
E.D. (2013). Preparing practice scholars: Teaching knowledge application in the Doctor
Blueprint for Teaching Ethics in Nursing Practice
The development of a test blueprint is an important component in teaching practice just like architecture is to the building and construction industry. One of the major reasons for the development and use of a test blueprint in the teaching profession is the differences in understanding and perspectives of the term "test" by students and teachers alike. Moreover, teachers and students are increasingly likely to have differing opinions and expectations regarding the contents of a test. Therefore, teachers are increasingly faced with the task of preventing these misunderstandings about the nature of a test. A test blueprint is an important tool through which teachers make valid and reliable judgments regarding test scores before the test itself (Oermann & Gaberson, 2013, p.59). For this lesson plan on teaching ethics in nursing practice, tests administered to students will be based on the development of a…
Arreola, R.A. (1998). Writing Learning Objectives. Retrieved May 26, 2015, from http://www.uwo.ca/tsc/graduate_student_programs/pdf/LearningObjectivesArreola.pdf
Daly, W.M. (2001, October). The Development of an Alternative Method in the Assessment of Critical Thinking as an Outcome of Nursing Education. Journal of Advanced Nursing, 36(1), 120-130.
Huitt, W. (2011). Bloom et. al.'s Taxonomy of the Cognitive Domain. Educational Psychology Interactive. Valdosta, GA: Valdosta State University. Retrieved May 26, 2015, from http://www.edpsycinteractive.org/topics/cognition/bloom.html
Oermann, M.H. & Gaberson, K.B. (2013). Evaluation and testing in nursing education (4th ed.). New York, NY: Springer Publishing Company, LLC.
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.
A nurse must weigh these variables, physical, mental, and spiritual, when advising a course of treatment and deciding how to approach a patient or patient's family. An adolescent who is an injured athlete envisioning a lucrative college scholarship might demand and be able to physically and mentally withstand a more aggressive form of treatment, due to psychological and developmental and goal-related visions (spiritual) factors than might a less motivated elderly patient.
A nurse who is training other nurses can instill consideration for all such variables in her various trainees -- and encourage nurses to engage in self-care as well as patient care on spiritual, preventative physical health care, and mental levels. Additionally, in a work environment with many diverse cultures, remind other nurses that Neuman's model has also been modified slightly to take into consideration culture as well as mind, body, and spirit -- although culture and spiritual values are…
Neuman, B.M. (1990). The Neuman systems model: A theory for practice. In M.E. Parker (Ed.), Nursing theories in practice (pp. 241-261). New York: National League for Nursing.
Neuman, B.M. (Ed.). (1995). The Neuman systems model (3rd ed.). Norwalk, CT: Appleton & Lange.
Pierce, J.D., & Hutton, E. (1992). Applying the new concepts of the Neuman systems model. Nursing Forum, 27(1), 15-18.
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
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.).
According to the South Carolina Nurse Practice Act, the practice of nursing includes "the provision of services for compensation," and the use of "nursing judgment." Nursing judgment is clearly defined as "the logical and systematic cognitive process of identifying pertinent information and evaluating data in the clinical context in order to produce informed decisions." The South Carolina Nurse Practice Act is lengthier than either of the other two definitions provided here. It deals directly with practical and mundane matters related to the profession such as monetary reward for the practice of nursing; the different classes of nurses, "commensurate with the educational preparation," and other official areas of interest: "Nursing practice occurs in the state in which the recipient of nursing services is located." While this definition lacks the inclusion of terms like "compassion," nurses must be firmly grounded in the practical matters of the profession as outlined by the Nurse…
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
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.
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 Theorist: Sr. oy Adaptation Model
The oy Adaptation model for Nursing had its beginning when Sister Callista oy happened to get admitted in the Masters Program of pediatric nursing in the University of California, Los Angeles, in the year 1964. At that time, Sr. Callista was familiar with the idea of 'adaptation' in nursing, and it must be mentioned that Sr. Callista's adviser at that time was Dorothy E. Johnson, who believed firmly in the need to define nursing as a means of focusing the development of knowledge, for the practice of nursing. When Sr. Callista oy started working with children in the pediatric ward of the hospital, she was quite impressed with the basic resiliency of the small children who had been admitted into the wards for treatment. This was why when the first seminar in pediatric nursing was called for; Sr. Callista oy proposed that the basic…
"Callista Roy's Adaptation Model" Retrieved From
http://www.geocities.com/ninquiry2002/callistaroy Accessed 28 October, 2005
'Case Study" Retrieved From
http://www.geocities.com/ninquiry2002/casestudy.html Accessed 28 October, 2005
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.
Bar code medication administration (BCMA) is one of the keys to minimizing medical errors in a manner consistent with evidence-based practice (Poon et al., 2010). However, universal embrace and utilization of BCMA remains stagnant. easons for resisting the transition to BCMA include nurse perceptions. Holden, Brown, Scanlon, & Tzion-Karsh (2012), for instance, found nurses reporting low perceived usefulness of BCMA in spite of the wealth of evidence supporting the technology. Perceived ease of use of BCMA was moderate, suggesting that it is mainly attitude factors preventing nurses from implementing BCMA in their institutions. When perceptions of the usefulness of BCMA increase, then compliance with BCMA standards can become more widespread. Any program that attempts to increase the utilization of BCMA must focus first on human factors including attitudes. This requires that all nurse leaders, as well as nurse educators, prepare advance practice nurses for using BCMA as a matter…
Duffield, C.M., Roche, M.A., Blay, N., & Stasa, H. (2011). Nursing unit managers, staff retention and the work environment. Journal of Clinical Nursing, 20(1-2), 23-33.
Roberts, B.R. (2013). Doctor of nursing practice: Integrating theory, research, and evidence-based practice. Clinical Scholars Review, 6(1), 4-8. doi: http://dx.doi.org/10.1891/1939-2095.6.1.4
"From an historical standpoint, her concept of nursing enhanced nursing science this has been particularly important in the area of nursing education." ("Virginia Henderson's Need...," 2008) Principles of Henderson's theory, published in numerous primary nursing textbooks utilized from the 1930s through the 1960s, along with principles embodied by the 14 activities continue to prove vital in evaluating nursing care in thee21st century, not only in cases such as Keri's, but in a myriad of others benefiting from nursing.
Kearney, Kathleen M., the Nurse's Duty to eport Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. etrieved September 25, 2007, at http://ssrn.com/abstract=1256366.
esuggan, ay N;PN;MN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. etrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within…
Kearney, Kathleen M., the Nurse's Duty to Report Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. Retrieved September 25, 2007, at http://ssrn.com/abstract=1256366 .
Resuggan, Ray RN;RPN;MRN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. Retrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within a long-term care facility," Rehabilitation Nursing, January 1, 2000. Retrieved September 25, 2007, from: http://www.highbeam.com/doc/1P348282208.html .
Trail Ross, Mary Ellen. (1993). "Linking Ethical Principles With Community Practice." Journal of Community Health Nursing, Vol. 10. Retrieved September 25, 2007, at http://www.questia.com/read/95780716?title=Linking%20Ethical%20Principles%20W%20Community%20Practice .
Nursing in the Rural Area
A WELL-DESERVED SECOND LOOK
Rural nurses are particularly endangered by the current and worsening shortage in nurses. As it is, rural nursing is already beset with issues that range from a lack of professional practice system, the need for larger incentives for nurses to work in the rural areas, a general unwillingness to live in these areas among the nurses and the foreseen depletion of the supply of rural nurses. Possible solutions and approaches have been proposed.
Approximately 20% or 54 million U.S. residents live in locations categorized as rural (ushy, 2006). These residents are distributed across 80% of the nation's total land area. About 99 or fewer residents occupy every square mile in these areas and experience the shortage of nurses more acutely than in urban areas. Moreover, they have generally lower annual income, less education and poorer health status than urban residents. Local…
Arnaert, A. et al. (2009). Homecare nurses' attitudes towards palliative care in a rural community in western Quebec. 11 (4) Journal of Hospice and Palliative Nursing:
Medscape. Retrieved on October 17, 2011 from http://www.medscape.com/viewarticle/715133
Blaauw, D. et al. (2010). Policy interventions. World Health Organization. Retrieved on October 18, 2011 from http://www.who.int/bulletin/volumes/88/5/09-072918/en
Bushy, A (2006). Nursing in rural and frontier areas: issues, challenges and opportunities. Vol 7 # 1 Harvard Health Policy Review: University of Harvard.
("Summary of the LPN Declaratory Ruling, 2003)
The selected tasks and shared responsibilities of the licensed practical nurse define such nurses as responsible for being adequately prepared for the nursing responsibilities they assume because they have obtained the validation of completion of an approved preparatory program and have evidence of the successful completion of a nursing licensing examination. A registered nurse, however, as the title conveys, must be registered as a specific health care professional, within a professional organization, rather than merely possess evidence of having a license, and has passed the necessary coursework to obtain his or her master's in the nursing profession. The LPN's validation documents state that he or she has reached the achievement of mastering all theoretical and nursing skill competencies required of an entry level practical nurse in caring for individuals in any age group. It states that the licensed practical nurse has the sufficient…
Carter, Melodie R. (Jun 2004) "ABCs of Staffing Decisions." Journal of Nursing Management. Retrived 2 Sept 2005 at http://www.findarticles.com/p/articles/mi_qa3619/is_200406/ai_n9425719
Nurse Practice Act. (2004) Retrived 2 Sept 2005 at http://www.arsbn.org/pdfs/practice_act/2004/nursepracticeact_2004.pdf
Summary of the LPN Declaratory Ruling." (Feb 2003) Connecticut Nursing Journal. Retrived 2 Sept 2005 at http://www.findarticles.com/p/articles/mi_qa3902/is_200212/ai_n9305171
(2008). The study measures public opinion concerning two scenarios: one in which the kidney donor is given a fixed financial compensation; and one in which the donor is provided with health insurance coverage for life. According to the findings of the study, "although almost half of the respondents (46%) were reluctant towards introducing a system with fixed compensation to increase the number of living kidney donors, still 25% of the general public reacted positively." (Kranenburg, 1039) This study would conduct a similar comparative discussion, but would expand the number of available options discussed and would use a different sample population, as discussed in the subsequent section.
Subjects and Sampling Technique:
The subjects will be drawn from amongst nursing professionals working in randomly selected renal specialty facilities and wards. Initial contact will be made by phone with a Director of Nursing at selected facilities requesting participation. Those that agree will receive…
Conesa, C.; Rios, a.; Ramirez, P.; Sanchez, J.; Sanchez, E.; Rodriguez, M.; Martinez, L.; Ramos, F. & Parrilla, P. (2009). Attitude of Primary Care Nurses Toward Living Kidney Donation. Transplantation Proceedings, 37(9), 3626-3630.
Kranenburg, L.; Schram, a.; Zuidema, W.; Weimar, W.; Hilhorst, M.; Hessing, J. & Busschbach, J. (2008). Public Survey of Financial Incentives for Kidney Donation. Nephrology Dialysis Transplantation, 23(3), 1039-1042.
Neyhart, C. & Colaneri, J. (2004). Living Anonymous kidney donation: A solution to the organ donor shortage? Nephrology Nursing Journal. Online at http://findarticles.com/p/articles/mi_m0ICF/is_3_31/ai_n17207253/
Watson, J. (2007). Theory of Human Caring: Theory Evolution. University of Colorado at Denver. Online at http://www.nursing.ucdenver.edu/faculty/jw_evolution.htm