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Shortage of staffing in the nursing profession is a crucial situation for the healthcare centers that is needed to be addressed in order to get the desired health related outcomes. The increasing trend of burnout among the nursing professionals is found to be the antecedent of poor compensation practices, poor management, workload, demotivating career paths and inappropriate workplace behavior. The concerned authorities should develop such compensatory and workplace policies that not only retain the existing nursing professionals but also attract the potential candidates for nursing in order to address the future demand and reduce the shortage of staffing.
Shortage of Staffing
Antecedents of Shortage in Staffing
Analysis of Nurses' Availability and equirement
Shortage of Staffing
Staffing is reflected as the process in which the potential workforce is attracted and after the selection of the best applicants; they are acquired and then retained by means of effective…
Duffield, C., & O'Brien-Pallas, L. (2003). The causes and consequences of nursing shortages: a helicopter view of the research. Australian Health Review, 26(1), 186-193.
Kimball, B., & O'Neal, E. (2002). Health care's human crisis: The American nursing shortage.
McHugh, M.D., Kutney-Lee, A., Cimiotti, J.P., Sloane, D.M., & Aiken, L.H. (2011). Nurses' widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care. Health Affairs, 30(2), 202-210.
Nevidjon, B., & Erickson, J.I. (2000). The nursing shortage: solutions for the short- and long-term. Online Journal of Issues in Nursing, 6(1), 4-4.
IOM Future of Nursing eport
The future of nursing is an issue that has attracted considerable attention in the recent past because of the current issues in the nursing profession and field. The various stakeholders in this field have not only expressed concerns regarding the existing challenges but have also adopted several measures to help address the current problems. Actually, in the past few years, much of the focus in nursing has been centered on addressing nursing shortage, meeting the ever-increasing patient demands, enhancing nursing education, and delivery of improved care services. The initiatives adopted by these stakeholders have yielded several results including the development of a manual on future of nursing, which addresses the various issues in this profession and field.
obert Wood Johnson Foundation Committee Initiative
One of the major initiatives that have been carried out in the field of nursing in relation to the future of profession…
"Campaign for Action." (2011, October 28). College of Nursing. Retrieved from The University of Iowa website: http://www.nursing.uiowa.edu/sites/default/files/documents/futureofnursing/CFA%20Frequently%20Asked%20Questions.pdf
Dickow, M. (2015, July). Nursing and the Future of Health Care: California Action Coalition Report. Retrieved October 30, 2015, http://www.caactioncoalition.org/sites/caactioncoalition.org/files/Coalition%20Overview%20Report_0.pdf
National Association of Clinical Nurse Specialists (2010, October). The Future of Nursing: Leading Change, Advancing Health. Retrieved October 30, 2015, from http://www.nacns.org/docs/toolkit/5-IOM-Report.pdf
Stress and Job Performance in the Nursing Profession
Sources and Consequences of Stress
Job Satisfaction and Feelings of Adequacy
Gender and Menopausal Status
Expected Results and Discussion
The relationship between work-related stress and job performance in the nursing profession
Work-related stress is best defined as the harmful emotional and physical reactions that often result from the interactions between the worker and his/her work environment where the demands of the job negatively affect the worker's capabilities and resources (European Agency for Safety and Health at Work, 2000).
When human beings are under stress, our bodies prepare for a "fight or flight response": adrenaline, cholesterol, and sugar are released into the bloodstream. This may result in anxiety or panic attacks, migraine headaches, stomach problems, back problems, racing heart beat, dizziness, sweaty hands, and other symptoms. While some stress is required to live a healthy and happy life, too…
Ananova, Ltd. (2004). Hormones protect women from stress. Retrieved from the Internet at http://www.ananova.com/news/story/sm_690393.html?menu= .
BLS (Bureau of Labor Statistics). (1994). Shifting Workforce Spawns New Set of Hazardous Occupations. Issues in Labor Statistics. Summary 94-8. Washington, D.C.: U.S. Department of Labor.
Dewe, P. (1987). New Zealand Ministers of Religion: Sources of Stress at Work. Work and Stress, 1, 351-363.
Duquette, A., Kerouac, S., Sandhu, B.K., and Beaudet, L. (1994). Factors Related to Nursing Burnout: A Review of Empirical Knowledge. Issues in Mental Health Nursing 15:337-358.
Ethical Leadership in the Nursing Profession
Nursing leadership is uniquely challenging because of the practical, physical and philosophical demands placed on nursing professionals. hen one considers the ethical implications that must also apply to this role, it becomes clear that the occupation requires a uniquely qualified individual. Indeed, as this discussion will show, in light of current challenges in the field, the achievement of ethical leadership in nursing is quite a demanding feat.
Leadership is a complex science. hile it is critical that an effective leader understands the importance of commanding respect, delegating effectively and comporting one's self in a manner befitting of an organization's internal culture, these practical demands may say little about one's ethical orientation. Ethicality in leadership is a feature equally as important as those practical demands that define day-to-day responsibilities. Indeed, there is a close connection between ethical performance and high standards of…
ANA. (2012). The Nurses Code of Ethics. The Center for Ethics and Human Rights.
Schreiber, C. (2004). Key Personnel: Identification and Assessment of Turnover Risk. Institute for Software Research, International.
WHO. (2013). Advanced Health Technologies and Medical Ethics. World Health Organization.
transformational leaders create a caring team?
Transformation leaders create a caring team by emphasizing empathy among team members. Empathy is a very important quality that nurses should cultivate and not everyone knows what it means or how to exercise it -- and yet it is the quality that is at the heart of caring teams (Wiseman, 1996). So what is empathy? Wiseman (1996) states that different people have different ideas about what it means: "listening, caring, understanding, valuing, feeling," for example, are some of the ways that nurses describe empathy (p. 1163). Yet there is an even better way to define empathy: the "projection of the self into the feelings of others," and "the power of entering into another's personality and imaginatively experiencing his experiences" (p. 1163). Others view it as "intellectual and emotional awareness," which also helps to deepen the concept and give it more dimension. These definitions effectively…
Giger, J., Davidhizar, R. (2002). The Giger and Davidhizar Transcultural Assessment
Model. Journal of Transcultural Nursing, 13(3): 185-188.
Karabudak, S., Arslan, F., Basbakkal, Z. (2013). Giger and Davidhizar's Transcultural
Assessment Model: A Case Study in Turkey. Health Science Journal, 7(3): 342-345.
Workplace Issues in Nursing
The authors of the article alongside observe that previous literature has explored the impacts of disaster management to distinct human resource development programs in an organization. It is identified that emergency management policies help in providing opportunities and broad structures involved in developing useful human resources' behavioral and technical skills in a firm. The approach allows for delivering the positive sense of the existing behavior driven by existing ethical values. Organizations can guide the conduct of nurses through embedding health and safety values in the culture. However, the organizational excellences are varied based on cultural traits such as providing viable sources of competitive advantage and casual ambiguity (Zhu, odgers & Melia, 2013). The globe continues to change rapidly while advancing the vast levels of organizations and changes in technological advancements. This also affects the human resource developments and programs. The authors hold that organizations are different…
Zhu, J., Rodgers, S., & Melia, K., (2014). The Impact of Safety and Quality of Health Care on Chinese Nursing Career Decision-Making. Journal of Nursing Management, Volume 22, Issue 4, pp. 423-432
Professional Identity and Stewardship
Having conducted an interview between me and a colleague who is a registered nurse working in the same hospital, there are several issues that stood out for me in terms of the professionalism and the ethics therein as well as the effect of the professional approach to nursing on the career or the daily work of the nurse. It also brought out the perspective that my colleagues have on the aspect of teamwork in nursing in general.
The nurse indicated that he was a member of several teams in the hospital but one that stood out for him was the quick response team that is more voluntary and f which he is the coordinator of communications and response. This team consists of energetic nurses who are willing to terminate even their holidays to attend to any emergency that may emerge and overwhelms the normal level of…
SEAP (2015). Providing a professional advocacy service for your clients. Retrieved September 25, 20145 from http://www.seap.org.uk/im-a-health-or-care-professional/
Nursing Professions Mexico
In ancient times, the sick and the unwell were generally cared for in temples or other houses of worship, and this tradition continued until the early Christian era, when certain women of the Church would take up the care of the sick and the diseased people, and their services would sometimes be extended to their homes as well. These women of the Church had no real training at all, but they were experienced, and that is what mattered in those times. These were women who were extremely skilled in the use of various herbs and drugs, and they started to gain fame as 'physicians' in their era. In late years, nursing duties were undertaken by relatively uneducated and ignorant women, until the seventeenth century, when St. Vincent de Paul started to stress on the fact that these women must undertake some form of training if they were…
"Allison Squires" Yale School of Nursing, Admissions. Retrieved From
http://nursing.yale.edu/Admissions/Students/squires.html Accessed 8 August, 2005
"Bringing Emergency Nursing to Mexico: The PACEMD Experience" PACEMD Nursing
activities, Trauma Nurse Core Curriculum. Retrieved From
Essentially, given the extent and complexity that modernity has brought societal problems to the forefront of our attention, there is a real potential for the medical professional to be actively involved in the process of alleviating oppression and injustice on any number of fronts. Within personal development, the medical professional has the opportunity to touch a number of people on a daily basis, and through their own ability to mitigate, engender trust, advocate alternative and more permissive opinions, and act as an example of social change. A medical professional can offer social change through pro-bono work, particularly those who come from less than pristine backgrounds who have the ability to also show and act as an example. However, one of the finest ways of enacting social change is to change one's own paradigm so that rather than speaking about a way to live and interact with humanity, the medical professional…
The following course objectives are being met by this project.
Analyze leadership & management roles in social systems; (performance)
This project specifically goes on to target the administration of the nursing homes as it works to improve the communication involving the administration and the nurses. I will meet this objective by showing how the management of the nursing homes is directly linked to the way the nurses perform in them. It implies that the more responsible nurses are about their duties and their responsibilities, the better management of the nursing home would be. This project shows that this problem has been present for a long time. Picking it out and coming up with a solution will achieve the desired results. Meeting this objective will not only affect a single-nursing home, but if this is successful, it can be applied throughout the community. Ultimately, this would lead to decrease…
A Graduate-level nurse Practitioner program is very demanding. How do you intend to address the demands?
The American healthcare system has been increasing in complexity, with future nursing professionals set to face an extremely challenging care delivery framework. Researchers hint at a continued rise in professional nursing staff shortage, with the nation’s aging population progressively increasing healthcare system demands (American Organization of Nurse Executives, 2008). Healthcare facilities will be hard-pressed to be more cost- and resource- efficient owing to financial pressures (National Advisory Council on Nurse Education and Practice, 2006). This paper will examine a few potential impacts of such demands that result in nursing staff burnout, followed by exploring potential triggers and coping plans.
Nursing Burnout Triggers and Coping Strategies
Nursing staff, indeed, demonstrates high burnout rate, resulting largely from emotional and physical exhaustion and a demanding work setting. An AMA (American Medical Association) journal-published research work revealed that…
American Organization of Nurse Executives. (2008, May). AONE’s guiding principles for future patient care delivery; Nursing care across provider settings. Presented at the 118th meeting of the National Advisory Council on Nurse Education and Practice, Rockville, MD.
National Advisory Council on Nurse Education and Practice. (2006). Meeting the challenges of the new millennium: Challenges facing the nurse workforce in a changing health care environment. Sixth Annual Report to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress. Rockville, MD: Health Resources and Services Administration, U.S. Department of Health and Human Services.
Autonomy in the nursing profession states the importance of the client's role in making decisions that reflect advocacy for the client (Wade, 1999, p.310). Ultimately, this includes taking care of the patient physically as well as mentally and emotionally, developing a relationship with the patient that is beneficial to his care and actively advocating for the patient's rights and care. This type of autonomy, it is important to note, is not the same as individual or work autonomy, yet it must be considered that empowerment in nursing autonomy will inevitably lead to better professional and personal autonomy and should also lead to increased job satisfaction (Wade, 1999, p.310).
Typical definitions of autonomy would include the idea of complete independence for the person making the decisions. However, in the case of the nursing profession, the client's needs and desires must be heavily weighed and, in fact, become central…
Wade, G.H. (1999). Professional nurse autonomy: Concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-8.
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics, 2(1),
White, L. (2004). Foundations of nursing: Second edition. Clifton Park, NY: Delmar Learning.
As such, a nurse is primarily to recognize herself as an individual in the world, with certain responses to this world. When a patient enters the hospital, such a patient is also to be seen as a unique individual who responds to the world and his or her environment in a certain way.
Humanistic nursing is then primarily experiential rather than experimental. This means that new knowledge is gained with every new patient that arrives for treatment. In giving treatment, responses are observed and noted for future reference in similar situations. It is not however assumed that a treatment will work because it did in the past and in similar conditions. Instead, hypotheses are based upon experiences of the past. The recognition that hypotheses may prove incorrect helps the nurse to be open to new experiences. Each human being is then seen as a "world," as it were, with the…
Cody, William K. & Kenney, Janet W. (2006). Philosophical and Theoretical Perspectives for Advanced Nursing Practice. Jones & Bartlett.
Collaboration for Academic Education in Nursing. (2009). Foundational Perspectives. http://www.caen.ca/content/view/46/133/
Current Nursing (2009, March 16). Nursing Theories. http://currentnursing.com/nursing_theory/development_of_nursing_theories.htm
Kleinman, Susan (2009). Humanistic Nursing Theory. http://www.humanistic-nursing.com/faq.htm
Nursing profession is a complex and important field of human care. In addition to the challenge of high workloads and long hours, nurses are also faced with the challenge of caring for persons who are often hostile or otherwise difficult to handle as a result of the conditions they suffer from. In such cases, nurses must provide care with professionalism and friendliness, regardless of their personal feelings. To be able to perform their work effectively over the long-term, it is vital for nurses to receive as much support as possible from their leaders and peers. In addition to leadership systems such as the transformational paradigm and the synergy model, there are also technical support systems that nurses can benefit most profoundly from.
The nurse's relationship to the information systems and technology department, for example, is of optimal importance. According to the Biohealthmatics.com Website (2010), this relationship is currently tragically underutilized…
Bigelow, B. And Arndt, M. (2005, Spring). Transformational Change in Health Care: Changing the Question. Hospital topics: Research and Perspectives on Healthcare. Vol. 83, no. 2.
Biohealthmatics.com (2010). Nursing Information System. Retrieved from: http://www.biohealthmatics.com/technologies/his/nis.aspx
Polifroni, E.C. (2007, Jan.). Guest Editorial: Ethical Knowing and Nursing Education.
Ryan, M.K. And David, B. (2003, Dec). Gender Differences in Ways of Knowing: The context Dependence of the Attitudes Toward Thinking and Learning Survey. Sex Roles, vol 49, Nos. 11/12.
The nursing profession has always attempted to put forward a positive, clean and healthful image. Throughout history the nursing industry has tried to portray nurses as angels of mercy, and as ethically upstanding, helpful healthcare professionals, just a few steps down from doctors in terms of medical needs. But lately the images of nurses has changed and not always for the best. This paper critiques the images of nurses through a review of the available literature.
The highly respected Gallop Poll ranks nurses at the top of the list of several important professions in terms of "honesty and ethical standards" (Gallup, 2010). In a 2010 polling project by Gallup eighty-one percent of respondents rated nurses "Very High" or "high"; number two below nurses was "military officers" (73% rated them "very high" or "high"; number three was "druggists or pharmacists" (71% rated them "very high" or "high"; and number four…
Cohen, Shelly. (2007). The Image of Nursing. American Nurse Today, 2(5), 1-2.
Darbyshire, Philip, and Gordon, Suzanne. (2008). Exploring Popular Images and Representations
Of Nurses and Nursing. Retrieved August 16, 2011, from http://www.springerpub.com/samples/25549_chapter.pdf .
De Araujo Sartorio, Natalia, and Zoboli, Elma Lourdes Campos Pavone. (2010). Images of a 'good nurse' presented by a teaching staff. Nursing Ethics, 17(6), 687-694.
People Employed in the Nursing Profession:
As compared to nursing practices in the previous years, the profession is much different today with the expectation of ongoing change for the better of both patients and nurses. The nursing characteristics and values are considered to have begun at home because of the similarity with the traditional responsibilities of daughters, sisters, wives, and mothers. The traditional nursing role has usually incorporated humanistic support, nurture, comfort and caring (Limon, 2007). This role of traditional nursing care was mainly associated and related to physical maintenance and comfort. While women were the majority in the early development of the nursing profession, they were not the only people providing nursing services. Though they were the minority, men were also providers of nursing services especially through caring for their injured and sick comrades.
The development of the nursing profession to include the employment of various people has mainly…
Durham Region Local Training Board (2005), Nursing -- Many Faces, Many Places, Durham
Region Local Training Board, viewed 31 July 2011,
Limon, C (2007), The Nursing Profession: A Historical Perspective, SelfGrowth.com: The
Online Self-Improvement Community, viewed 31 July 2011,
Recruiting more males into the nursing profession: A Positive, Proactive Position Statement
The aging population has caused a crisis in the healthcare profession. The population needs more nurses, that fact is clear even to individuals outside of the field of health. One way to increase recruitment numbers of any profession is to expand the targeted populations that are traditionally attracted to the profession. Traditionally, men have been underrepresented in 20th century nursing, although monks used to perform such functions before the evolution of modern medicine. (hittock & Leonard, 2003, p. 243) Thus one way to increase the population of nurses is to increase the number of men in the profession.
Nursing is a vocation as well as a profession, and it would be tragic if men who felt the 'calling' eschewed entering nursing as a profession because it was perceived as a female-only employment. Also, as nurses often present the…
Chur-Hansen, Anna. "Preferences for female and male nurses: the role of age, gender and previous experience-year 2000 compared with 1984." Journal of Advanced Nursing. Jan 2000. Vol. 37. Issue 2.
Milligan, Frank. "The concept of care in male nurse work: an ontological study in acute hospitals." Journal of Advanced Nursing. Jul 2001. Vol. 35. Issue 1.
Whittock, Margaret & Leonard, Laurence. "Stepping outside the stereotype. A pilot study of the motivations and experiences of males in the nursing profession." Journal of Nursing Management. Jul 2003. Vol.1. Issue 4.
Antecedents and Importance of the IOM eport, "Future of Nursing: Leading Change, Advancing Health"
In an era of widespread nursing shortages, identifying opportunities to improve nurse practice, nursing education and nursing workforce development has assumed new importance and relevance. To this end, this paper provides a discussion concerning the work of the obert Wood Johnson Foundation (WJF) Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the Institute of Medicine (IOM) report, "Future of Nursing: Leading Change, Advancing Health." A discussion concerning the importance of the IOM "Future of Nursing" report related to nursing practice, nursing education and nursing workforce development is followed by an evaluation of the role of state-based action coalitions and how they advance goals of the Future of Nursing: Campaign for Action. In addition, a summary of two initiatives that have been spearheaded by the Oklahoma Action Coalition and…
Action coalitions. (2015). Future of Nursing. Campaign for Action. Retrieved from http:/ / campaignforaction.org/states.
California action coalition. (2015). Future of Nursing. Campaign for Action. Retrieved from http://campaignforaction.org/state/california .
Dickow, M. (2015). California action coalition shares secrets of success. Campaign for Action. Retrieved from http://campaignforaction.org/california-AC-secrets-success
McNeal, G.J. (2012, Winter). The IOM report on the future of nursing: One year later. ABNF Journal, 23(1), 3.
Nurse, Must I always tell the truth
Truth in nursing fraternity
"I think it's difficult for many physicians and nurses to be completely truthful about their patients' medical condition. I believe we prefer giving positive news because of the desire for nonmaleficence and to avoid the stress of delivering bad news to patients and their families" (Crystal Hird, 2005).
Despite the grave sadness that truth saying within the nursing practice may bring to the nurse or the patient and at times the family members, there is need to have the truth told at all times by the nurse and truth that is handled with absolute care and professional communication system must be followed.
This paper is purely based on the value of truth in nursing and the virtue of nurse telling the truth despite the situation. It will also look at how the truth needs to be told in the…
Crystal Hird, (2005). Letters to the Editor: A Call for Education. Nursing Ethics. Edward Arnold Publishers Ltd.
Kate Hodkinson, (2008). How should a nurse approach truth-telling? A virtue ethics perspective.
Nursing Philosophy. Blackwell publishers. Pp 249
Neelam S. (2013). Truth Telling to Terminally Ill Patients: To Tell or not to Tell. Journal of Clinical Research and Bioethics. Vol4. Issue 4. Retrieved March 7, 2014 from http://www.google.co.ke/url?sa=t&rct=j&q=&esrc=s&source=web&cd=7&cad=rja&uact=8&ved=0CGIQFjAG&url=http%3A%2F%2Fwww.omicsonline.org%2Ftruth-telling-to-terminally-ill-patients-to-tell-or-not-to-tell-2155-9627-4-159.pdf&ei=CNoZU8rHJdSy7Aai8YCQCg&usg=AFQjCNGZBSh9Kojp9XIPVHuKZIIQ0tPKyQ&sig2=BN5Na2a9YVp5t7gV6oonOQ&bvm=bv.62578216,d.bGE
107) could also apply here. The confidentiality clause in such a case then only applies insofar as it is estimated that there is no need to disclose confidential information to others. In the case of Mrs. Z, her family deserves to know about her situation, because it affects their lives pertinently.
Because of the increasing cultural diversity throughout the world, cultural values also play an important part in making ethical decisions in the nursing profession. In the case of Mrs. Z, for example, she appears to have no powers of decision making either in her home or in society in general. Inside the home, her mother-in-law runs the household, while her husband is in charge of important decisions. This could have a significant influence upon her decision not to disclose her condition to her family.
According to Karahanne, Evaristo and Srite (2006, p. 34), for example, also note that cultures…
Alligood, M.R., Marriner-Tomey, a. (2006). Nursing Theory: Utilization and Application. Elsevier Health Sciences.
DeWolf Bosek, M.S. And Savage, T.A. (2007) the Ethical Component of Nursing Education: Integrating Ethics into Clinical Practice. Lippincott Williams & Wilkins.
Goodman, K.W. (2008, Jan) Privacy, Confidentiality, Law and Ethics. Norhteast Florida Medicine Supplement. Retrieved from: http://www.dcmsonline.org/jax-medicine/2008journals/ethics/privacy.pdf
Karahanna, E., Evaristo, J.R., and Srite, M. (2006). Levels of Culture and Individual Behavior: An Integtrative Perspective. Advanced Topics in Global Information Management, Vol. 5. Idea Group, Inc.
Nursing in the Contemporary World
Nurses as the Most Highly Trusted Health Professional
ecent studies indicate that nurses are the most highly trusted health professional group.
ecent studies indicate that nurses are the most highly trusted health professional group.
Discuss the components of nursing's contemporary image that places nurses in this position of trust
Nursing profession has undergone tremendous development to attain the respect and valuation within the society. The current trend states that nursing ranks as the highly trusted health professional group. One of the components for this development is the tremendous efforts put by women to wrestle the profession from men in the historic periods. This struggle towards development of the profession reflects on different perspectives: environmental, political, cultural, and social. Extensive nursing education in the contemporary world supplements the efforts of nurses in their service provision (Im & Ju, 2012). This helps to put nursing professional group…
Cherry, B., & Jacob, S.R. (2011). Contemporary nursing: Issues, trends, & management. St.
Louis, Mo: Elsevier/Mosby.
Im, E., & Ju Chang,, . (2012). Current Trends in Nursing Theories. Journal of Nursing
Scholarship, 44(2), 156-164. doi:10.1111/j.1547-5069.2012.01440.x
eview On Nurses Shortage
The supply of professional nurses relative to the increase in demand for their services has been on a general decline over the years. As a career choice, nursing has been facing perennial shortage of professionals. Most healthcare organizations will affirm that their daunting tasks were recruiting fresh nurses and retaining the ones already in practice. The 2008 projections from the Bureau of Labor Statistics showed that the demand for professional nurses would increase from the then two million to three million, which represents sixty percent increment. In ideal situations, the number of those who have enrolled in nursing will be sufficient to supply the rise in their number. Nevertheless, this would not be the case if nothing were done to salvage the worrying trend of most students not graduating or resorting to other careers. According to Benjamin Isgur of PWHC Health and esearch Institute,…
American Association of Colleges of Nursing. (2009, September, 28). Nursing Shortage Fact Sheet. USA: AACN.
Buerhaus, P.I., Staiger, D., & Auerbach, D.I. (2009). The future of the nursing workforce in the United States: Data, trends, and implications. Boston: Jones and Bartlett Publishers.
Blakeley, J., & Ribeiro, V. (2008). Early Retirement among Registered Nurses: Contributing Factors. Journal of Nursing Management, 16(1), 29 -- 37
Cummings, G., et al. (2008). The Relationship between Nursing Leadership and Nurses' Job Satisfaction in Canadian Oncology Work Environments. Journal of Nursing Management, 16(5), 508 -- 518.
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,…
Nursing profession is among the oldest in history. Currently, there is much debate that surrounds the profession because of the need for more trained nurses. In recent years the nursing shortage has become a major problem for the medical profession and has resulted in poor patient care and slower patient recover. The purpose of this discussion is to provide an in depth examination of the nursing profession. We will discuss the current state of the nursing profession, including the causes for the shortage and the solution. We will also explore the status of the nursing profession in Australia. Let us begin our discussion by providing a comprehensive definition of what is means to be a nurse.
Definition of a nurse
According to the American Heritage Dictionary, a nurse is defined as " a person trained to care for the sick or disabled under the supervision of a physician." (American Heritage…
American Heritage Dictionary. (1982) Second Edition.
Bashford, A. (1997). Starch on the collar and sweat on the brow: self sacrifice and the status of work for nurses. Journal of Australian Studies, (52), 67+. Retrieved August 24, 2003, from Questia database, http://www.questia.com .
The Politics of Nurse Jackie
Kathleen McHugh's 2012 article entitled "Nurse Jackie and the Politics of Care" offers an analytical discussion on the portrayal of nurses and the nursing profession in popular culture. The discursive assessment of nursing as seen in mass media centers less on the content of the media itself than on the sociological implications of common portrayals in relation to such critical issues as prescribed gender roles and the dynamics of care. The discussion here provides a deconstruction of the McHugh article, identifying its perspective, its primary arguments and the approach taken to delivering said argument. Specifically, the discussion will focus on the ways that the complex portrayal of the title character in the television series Nurse Jackie casts distinction in a way that the author considers positive to the public image of the profession.
McHugh composes this article for members of the nursing profession…
McHugh, K. (2012). Nurse Jackie and the Politics of Care. Nursing Outlook, 60, 12-18.
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
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.
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…
One of the primary role of the nurse, notes the authors, is to help educate the patient about the parameters of his or her disease. Part of the education process is teaching patients about the drugs recommended to them by their doctors or the pharmaceuticals they are already taking to alleviate symptoms. urses can use their knowledge to make patients feel more comfortable about their treatments, more well-informed, and therefore more in control of their course of treatment. Patients who are cognizant of the possible side-effects and benefits of the drugs they take to manage their disease are more likely to comply with guidelines for treatment because they understand the motives behind them. The authors also claim that patient education is an integral part of healing. The article's impact on the nursing profession is broad and extends beyond the limited subject matter they address in "Bisphosphonate therapy for metastatic bone…
In "Bisphosphonate therapy for metastatic bone disease: the pivotal role of nurses in patient education," authors Fitch & Maxwell (2008) focus on the importance of nurse awareness of oncology treatments. Nurse awareness of existing and cutting-edge oncology treatments fosters deeper patient trust and understanding. The more comfortable nurses are with their knowledge of bisphosphonates, the better their patients can understand the drugs as a part of their treatment. Fitch & Maxwell (2008) outline the different types of bisphosphonates, various methods of administration, and also detail their role in treating metastatic bone diseases and cancer with the ultimate objective of creating a more well-informed nursing and patient community.
The Fitch & Maxwell (2008) article is not an experiment related to bisphosphonates or bone disease. Rather, the article is a meta-analysis, a summary of existing and prior research on how bisphosphonates can help patients with metastatic bone diseases. The authors explain the use of bisphosphonates and their role in aiding recovery. Most importantly, Fitch & Maxwell (2008) urge nursing professionals to learn about and understand bisphosphonates. One of the primary role of the nurse, notes the authors, is to help educate the patient about the parameters of his or her disease. Part of the education process is teaching patients about the drugs recommended to them by their doctors or the pharmaceuticals they are already taking to alleviate symptoms. Nurses can use their knowledge to make patients feel more comfortable about their treatments, more well-informed, and therefore more in control of their course of treatment. Patients who are cognizant of the possible side-effects and benefits of the drugs they take to manage their disease are more likely to comply with guidelines for treatment because they understand the motives behind them. The authors also claim that patient education is an integral part of healing. The article's impact on the nursing profession is broad and extends beyond the limited subject matter they address in "Bisphosphonate therapy for metastatic bone disease: the pivotal role of nurses in patient education."
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
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.
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…
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…
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.
Elizabeth Kerr Porter
Elizabeth Kerr Porter "was a leader in nursing education and an advocate for nurses' rights," (ANA 2011). Porter advocated for nurses' labor rights in terms of the right to collective bargaining and professional organization. Her work helped improve working conditions for nurses and also lobbied against racial discrimination in the nursing professions. Porter served for many years as the president of the American Nurses Association and also as the Dean of the nursing graduate degree program at Case Western eserve University. Therefore, Elizabeth Kerr Porter promoted the interests of nursing education, enhanced the image of the profession, and also championed the labor rights interests of professional nurses.
Dorothea Dix worked as both an educator and a nurse, but never actually combined her two careers. Dix devoted most of her career to raising awareness about mental illness. Dix advocated for the humane treatment of both…
American Nurses Association (ANA 2011). Elizabeth Kerr Porter. Retrieved online: http://www.nursingworld.org/ElizabethKerrPorter
Buckwalter, K.C. & Church, O.M. (2009). Euphemia Jane Taylor: An Uncommon Psychiatric Nurse. Perspectives in Psychiatric Care 17(3):125-131
Bumb, J. (n.d.). Dorothea Dix. Retrieved online: http://www.webster.edu/~woolflm/dorotheadix.html
Lewis, J.J. (n.d.). Clara Barton biography. About.com. Retrieved online: http://womenshistory.about.com/od/bartonclara/a/clara_barton.htm
("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
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.
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
(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
Nursing is one of the most important professions in the world today. It involves not only physical healing, but also healing on a deeper level, where the care giving extends to the patient's environment and relationships to speed the healing process. The nursing environment then often also concerns politics and political involvement. As caregivers who operate in an inclusive environment and relationships, it is often necessary for nurses to be aware of political processes and policies. In this way, nurses can ensure an optimal environment for their patients and the healing process in general.
Des Jardin (2001) defines politics as "a means to an end." Nurses who are concerned with policy formation outcomes must involve themselves in politics. There are a number of ways in which this can be accomplished. Mainly, the author notes that nurses can affect the development of institutional policies by becoming involved in politics…
Des Jardin, K.E. (2001, Oct.). Political involvement in nursing education and empowerment. AORN Journal. Retrieved from: http://findarticles.com/p/articles/mi_m0FSL/is_4_74/ai_80159541/
The overall health care profession is undergoing fundamental change due in part to new laws and regulations. These laws and regulations, although well intended may result in unintended consequences for the nursing profession overall. Turnover, in particular is a critical aspect of the health care profession. Turnover creates added costs to the firm, while also sacrificing both care and service. In the future, the role of a nurse will be fundamentally altered. For one, regulation such as the Affordable Care Act will result in an entire population of insured patients needing care. As such, the role of a nurse will ultimately be predicated on a more individualized basis with specialization in certain aspects. Reducing turnover therefore will now become paramount to overall viability of the healthcare firm. The population at risk, due in part to regulation, is now society as a whole. Nurses due in part to this…
Ethical Compassion in Nursing
hat personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
The role played by the nurse professional is highly consequential to the health outcomes experiences by patients. This means that the nursing profession must be highly regulated by clearly defined and positively reinforced ethical provisions. These provisions are given by the ANA Nursing Code of Ethics and, in my personal experiences, are imperative as a way of dictating how we, as professionals, are expected to engage patients, required to relate to colleagues and trained to respect human dignity. This connection between ethicality and treatment quality contributes both to my personal worldview and to the broader field of nursing. ith specific reference to my experiences in the NICU and maternity wards, this connection takes on particular importance. Here, quality outcomes mean sound,…
Allen, D.E., & Vitale-Nolen, R.A. (2005). Patient care delivery model improves nurse job satisfaction. Journal of Continuing Education in Nursing, 36(6), 277-282.
ANA. (2004). The Nurses Code of Ethics. The Center for Ethics and Human Rights.
In interacting, factors may also modify each other:
nurse who might return to work for a higher salary might decide to do so only later when her children are older. The incentive of salary is therefore modified by the factor of young children.
The table is significantly complicated by the inclusion of more than two factors:
Any combination of the factors could result in the majority of nurses returning to work. Individually, each nurse has his or her own motivations for doing so.
The iterative proportional fitting procedure can be used to calculate expected frequencies.
Note: pecifically, the indication of this study is that nurses would return to work were certain factors in the work situation to change. pecifically, the highest frequencies are assigned to work load and hours. These are also the two most common factors in causing burnout and stress in the profession. Concomitantly, if inactive nurses were…
StatSoft, Inc. (2008). Log-Linear Analysis of Frequency Tables. http://www.statsoft.com/textbook/stloglin.html
Williams, Kimberly a., Stotts, R., Jacob, Susan R., Stebauer, Cheryl C.; Roussel, Linda, & Carter, Donna (2006, April). Inactive Nurses: A source for alleviating the nursing shortage? In Journal of Nursing Administration, Vol. 36(4).
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…
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…
Is there a limit to one's professional obligation to the patient? Is that the same as advocacy?
Advocacy can be construed as a professional obligation to the patient, especially when advocacy is framed as an ethical obligation. There are therefore few limits to a nurse's ethical responsibilities to the patients, even though some situations may seem morally ambiguous. Many nursing researchers promote the concept of patient advocacy as "an ethic of practice," one that is an immutable part of the professional responsibilities of the nurse. (Gaylord & Grace, 1995, p. 11).
Are the characteristics of caring relevant to 2010?
The characteristics of caring are more relevant in 2011 than they were in 2010 or have ever been before, in part because of increasing patient diversity. Knowledge of the different concepts of health, healing, illness, and the role of the doctor helps make nurses more accountable to patient needs. Viewing…
Beyea, S.C. (2005). Patient advocacy: nurses keeping patients safe. AORN Journal. On FindArticles. Retrieved online: http://findarticles.com/p/articles/mi_m0FSL/is_5_81/ai_n13793213/
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics 2(1): 11-18.
Hanks, R.G. (2008). The lived experience of nursing advocacy. Nursing Ethics 15(4): 468-477
Vaartio, H., Leino-Kilpi, H., Salantera, S. And Suominen, T. (2006), Nursing advocacy: how is it defined by patients and nurses, what does it involve and how is it experienced?. Scandinavian Journal of Caring Sciences, 20: 282 -- 292. doi: 10.1111/j.1471-6712.2006.00406.x
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.
Characteristics of Nursing Employment Settings Without Collective Bargaining
Collective bargaining, which is what is done by unions, is generally thought by most people to be beneficial, but there are some health care settings where the nurses choose not to be part of collective bargaining agreements or unions. These employment settings are generally characterized by nurses who have an affinity for their job, and who would do that job as a volunteer if they did not get paid. In other words, these nurses believe that they are doing what is right for their patients, and that is what matters to them. Sure, many of them have bills to pay and mouths to feed at home, and they understand the value of their paycheck. However, they want to be paid on the merits of what they are doing, not because a big group of people got together and said that they were…
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.
Nurses are rarely alone and assistance is usually right outside but if someone falls, has a seizure, or requires me to move them immediately, I should be able to handle it. Nurses also do a lot of walking on shift so I should be able to walk around all day without any trouble.
While these are the top skills I will need to focus on to be a nurse, I will also need to be able to manage those around people around me, complete paperwork efficiently, and possibly work with finances. The best skill a nurse can have, however, is patience. For me, being a nurse in the future means not only doing my routine duties, but being a good listener when patients need to talk. I must have a sharp eye for details that may help patients avoid complications and needs to be intelligent who can multi-task and prioritize…
The survey population included hospital administrators and physicians as well as registered and practicing nurses, and as such it provides a comprehensive view of this issue. The research was also able to not certain key differences in perception amongst these groups as to thee likely effects of an ongoing nursing shortage, including some major differences in perception between nurses and hospital administrators, and it is suggested that this will serve as a barrier to implementing necessary changes; working to bring expectations of all stakeholders more in line would be ideal, and this research can accomplish this and ground perceptions in empirical evidence.
Buerhaus, P. (2011). Nurses Assess the Impact of the Shortage of RNs on Hospitals,
Nurses, and Quality of Patient Care. Sigma Theta Tau Biennial Convention
In this research, also a survey study that aimed to obtain qualitative results regarding nurse stress and reactions to the nursing…
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
Why should nurses recognize nursing expertise varies with education, experience and context of practice?
Nurses should recognize nursing expertise differs from person to person because of varying experience levels, forms of education, and context of practice. This is substantial knowledge for nurses to remember for several reasons. For one, it will help nurses better understand their colleagues (Husted, 2008). For example, a nurse who attended a better school than their colleague, will be more understanding if their colleague under performs or is hesitant in comparison because he or she had a higher quality education (Husted, 2008). Conflicts between colleagues are less likely to arrive when there is an understanding that performance among each other may differ due to varying circumstances. (Benner, 2009).
In addition, nurses should retain that their coworkers expertise will most likely not be the same due to the varying routes everyone takes to the medical field and…
Apker J., Propp K.M., Ford W.S.Z., Wallac N., Serbenski M., & Hofmeister N. (2006).
Collaboration, Credibility, Compassion, and Coordination: Professional Nurse
Communication Skill Sets in Health Care Team Interactions. Journal of Professional Nursing 22 (3), 180-189.
Benner P.E., Tanner C.A., Chelsa C.A. (2009). Expertise in Nursing Practice: Caring,
In what ways did the wave of the nursing shortage in the 1980's and in 2000 support or constrain theoretical thinking? Why? Are there ways to influence the cycle of shortage and theoretical thinking? Identify one nursing theorist that would support your discussion/views. Provide rationale for selection of theorist.
Nursing shortages have been a problem in this country for a long time. It has been found that because of these shortages there needed to be a better way to incorporate theoretical thinking into nursing education so that nurses are better prepared to be the best that they can be. The accomplishment of critical thinking abilities has been recognized as an essential product of undergraduate nursing teaching. It has been found that nursing scholars learn best by way of experiential education. Kolb's experiential learning theory is the basis for a practice incorporation technique intended to offer critical thinking skills in undergraduate…
Experiential Learning (Kolb). (2008). Retrieved September 30, 2010, from Web site:
Kim, Hesook Suzie. (2010). The Nature of Theoretical Thinking in Nursing. Retrieved September 29, 2010, from Web site:
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…
Nursing and eligion Practice
ELIGION AND NUSING PACTICE
Nursing success depends on the ability to put the patient in a state of rest and comfort as much as it is about administering the prescriptions of the doctor. To secure the rest of the patient, nurses need to understand their needs and show respect to their beliefs and values. This requires courteous and open communication with the patient and adopting a patient-centric orientation. Along with other factors, the religious background of the patient makes a lot of difference to their values and expectations. eligious doctrines and practices may differ across religions and denominations such as Jehovah's Witnesses, Muslims, Seventh Day Adventists and Scientologists and may impose restrictions on certain kinds of interaction between nurse and patient or on certain forms of treatment. Moreover, people with a different religious background are not usually aware of such differences. Therefore, it is necessary for…
Banja, J.D. (2010). Overriding the Jehovah's Witness patient's refusal of blood: A reply to Cahana, Weibel, and Hurst. Pain Medicine, 10(5), 878-882. doi: 10.1111/j.1526-4637.2009.00648.x.
Charles, C.E., & Daroszewski, E.B. (2012). Culturally competent nursing care of the Muslim patient, Issues in Mental Health Nursing. 33(1), 61-63. doi: 10.3109/01612840.2011.596613.
Cort, M., & Cort, D. (2008). Willingness to participate in organ donation among Black Seventh-Day Adventist college students. Journal of American College Health, 56(6), p. 691-697. Retrieved from EBSCO Academic Search Primer.
Effa-Heap, G. (2009). Blood transfusion: Implications of treating a Jehovah's Witness patient. British journal of nursing, 18(3), 174-177.
739, p=0.009, e?=0.727). This study clearly highlighted that sleep shortage and work fatigue poses a threat to patient safety and that nurse self-care is warranted.[Dorrian et.al, (2006)]
Nurse Support Services
An earlier Australian study by Moore KA (2001) which observed 201 nurses working in three different hospitals had concluded that organizational restructuring policies and the consequent work overload was a high stressor for nurses and this was made worse by the poor communication style (top -- down approach instead of consultative style) that only contributed more to nurse burnout. [Moore KA, (2001)]. Given the high levels of occupational stress and burnout among nurses, it is important that nurse self-care interventions are prioritized. A recent literature review on the subject of work stress and coping methods among Australian nurses revealed that 'work load ', 'role conflict' and 'expression of aggression' were the three main stressors. The literature study also revealed 'seeking…
1) Linda H. Aiken, 'Image of Nursing Global Trends', retrieved Sep 4th 2010, from, http://www.fpnl.co.za/downloads/Presentations/Presentations/Prof%20Linda%20Aiken%20-%20Image%20of%20Nursing%20-%20Global%20Trends.pdf
2) Jillian Dorrian, Nicole Lamond & Cameron Van del Heuvel et.al (Oct 2006), 'A Pilot study of the Safety Implications of Australian Nurses' Sleep and Working Hours', Chronobiology International, Vol 23, Issue 6, pg 1149-1163
3) Lim J, BOGOSSIAN F. & AHERN K. (2010), ' Stress and coping in Australian nurses: a systematic review. International Nursing Review 57, 22-31
4) Moore KA, (2001), 'Hospital restructuring: impact on nurses mediated by social
Some of the most pressing problems in the world today are global health care needs. There are so many different health issues facing the world, from HIV / AIDS to tuberculosis and malaria in many third-world countries. We can wipe out these diseases in modern times, but because of living conditions and limited resources, they continue to reappear and take lives. Education is one way to eliminate some of these issues, but nursing is another way to address and improve global health care needs. For example, many children die of malnutrition and dysentery every year, even in these modern times. Nurses in the field could not only assess these children and help them get the care they need, when they need it, they could educate families and other health care workers, as well. They could even help countries develop programs to address these issues, as well. They could help countries…
The authors describe findings from a survey designed to gather baseline data about changes organizations experience after implementing the Clinical Practice Model framework, and report how the Clinical Practice Model Resource Center staff used the survey findings to build the capacity of individuals accountable for implementing this integrated, interdisciplinary professional practice framework into the organization's operations." (2002) The following model has been created for monitoring the progress of the nursing staff at the MD Anderson Cancer Center MEDVACM specifically checking progress in Years 1,3, and 5.
MD ANDERSON CANCER CENTER MEDVAMC
Job Performance Review Guide
PERFORMANCE GOALS AND OJECTIVES
ecome familiar with your department's business goals.
Work with your manager to define and document your goals. Include what you are expected to produce by your first review, activities needed to accomplish results, and success criteria.
Magnet Designation (2006) Inside UVA Online Vol. 36, Issue 14 August 26, 2006. Available at http://www.virginia.edu/insideuva/nursing_excellence.html .
Bailey, F. Amos (2000) Balm of Gilead Center, Cooper Green Hospital Pioneer Programs in Palliative Care: Nine Case Studies - Robert Wood Johnson Foundation - Milbank Memorial Fund October 2000. Online available at http://www.milbank.org/pppc/0011pppc.html#foreword .
Forrow, Lachlan (2000) Palliative Care Program, Beth Israel Deaconess Medical Center/CareGroupPioneer Programs in Palliative Care: Nine Case Studies - Robert Wood Johnson Foundation - Milbank Memorial Fund October 2000. Online available at
One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of…
Basford, L. And O. Slevin. (2003). Theory and Practice of Nursing: An Integrated Approach to Caring Practice. New York: Nelson Thomas.
Beckstead, J. And Beckstead, L. (2004). A multidimensional analysis of the epistemic origins of nursing theories, models and frameworks. International Journal of Nursing Studies. 43
Cohen, J. (1991). Two portraits of caring: a comparison of the artists - Leininger