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As nursing constantly migrate toward professionalism and development of the profession, the notion of erudition becomes increasingly important. Erudition in nursing is defined as those actions that steadily advance nursing practice and nursing research through rigorous inquiry that is important to the profession, is creative, documentable and can be elaborated. Practical nursing program therefore is a foundational factor in nursing that analytically and methodically strengthen the basic principle of nursing. Notably, developing the science of nursing education is an expedition that entails many people and activities. In fact, a constant task integrates the continual questions asking and the ongoing search for understanding (Billings & Halstead, 2009). Particularly, practical nursing program supports participation in continuing educational activities. In this regard, this paper highlights the outcomes of practical nursing program, its objectives, outcome measurements, its relationship to the target population and objectives besides identifying learning theories that acts as its…
Billings, D.M. And Halstead, J.A. (2009). Teaching in Nursing: A guide for Faculty. (3rd edition). New York: Elsevier Health Sciences.
Bunker, C., & Kowalski, M.(2007). Textbook of basic nursing: London: Lippincott Williams & Wilkins.
Geverson, K., & Oermann, M.(2010). Clinical teaching strategies in nursing: New York: Springer Publishing Company.
Harrion, L. (2001). Professional practical/vocational nursing. London: Cengage Learning.
Previously, the author has presented the vision and the mission statement for the Balsdon School of Nursing. The vision of the Balsdon School of Nursing is that it will transpire as a leadler in educating professional registered nurses to meet the health care needs of Central Wisconsin by striving to encourage student success through quality in teaching, scholarship, practice, and service. The faculty strives to encourage student success through quality in teaching, scholarship, practice, and service. This vision statement identifies the outcomes desired by the institution in its BSN nursing program.
In this assignment, the author will identify and develop nine student-oriented program outcomes for the Balsdon School of Nursing. These program outcomes expand upon the school's vision and help describe what type of graduates the school hopes to help achieve. These program outcomes will be developed by examining both the vision and the mission statement for the…
American Nurses Association. (2001). Code of ethics for nurses with interpretive statements.
Retrieved March 28, 2014 from Nursing World website: http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics.pdf
Billings, D., & Halstead, J. (2012). Teaching in nursing: A guide for faculty (4th ed.). St. Louis,
Nursing Program Philosophy
The values and ideals that go into a nursing program philosophy should be universal in nature, for the reason that nurses are of the community and serve the community. This may seem to complicate the issue of developing such a philosophy but ultimately it should simplify it. The issue of the truth is a non-issue, however. There is only one truth -- facts are facts. The idea that different people can experience different truths is false -- they can experience different opinions, their interpretation of the truth colored by various biases, but there is no reason why credence should be given to people's bias-laden versions of reality. Objective truth is supported by fact, period, and is not changeable by any individual.
But values and ideals are quite different between people. Values and ideals arise from individual experiences, cultural influences and a variety of other factors. Values and…
Leininger, M. & McFarland, M. (2008) Culture care diversity and universality: A worldwide nursing theory. Jones and Bartlett Publishers: Sudbury, MA
Lutz, B. & Bowers, B. (2000) Patient-centered care: Understanding its interpretation and implementation in health care. Scholarly Inquiry for Nursing Practice. Vol. 14 (2) 183-187.
Learning Self-Analysis for Nursing Program
During my time in the nursing degree school program (INSERT NAME OF YOUR PROGRAM HERE), I have undergone a continual process of experiential learning, direct instruction, and observation in the clinical setting. As part of this Learning Self-Analysis, I have attempted to track my own progress from a nursing student with aspirations of working in a major hospital, to my current status as (INSERT YOUR CURRENT POSITION HERE, INTERN, ETC.). This continual process of self-reflection has allowed me to identify both strengths and weaknesses within my own studies, as well as to gain a greater appreciation for the physicians, nurses, doctors, and other hospital personnel who work in collaboration to provide nursing students with assistance in the clinical setting. One of the most important lessons I've learned during my time in the program is that I am capable of performing tasks at a high level…
" (Nursing Job Cafe, 2013, p.1) the average salary for a practicing nurse with an advanced degree is $80,000, but a nursing faculty member makes about $50,000." (Maryland Statewide Commission on the Crisis in Nursing, 2005, p.2) the starting salary for a full-time faculty member at a school of nursing is reported to be "…approximately equal to that of a new graduate from an associate-degree or baccalaureate nursing program beginning as a full-time staff nurse. Given the additional education (master's degree in nursing at minimum) and the experience required for a faculty position, this disparity in salary seems inequitable." (Maryland Statewide Commission on the Crisis in Nursing, 2005, p.2) According to Edwards (2011) the estimated cost to replace a registered nurse "…is 1.2 to 1.3 times a nurses annual salary ($40,000 to $65,000)" Edwards reports that the average cost to replace a specialty nurse "is significantly more." (2011) in addition,…
Causes, Effects, and Suggestions for Resolution (2005) Maryland Statewide Commission on the Crisis in Nursing. Retrieved from: http://www.mbon.org/commission/nsg_faculty_shortage.pdf
Clinical Nurse Job Description (2013) Saint Louis University. Retrieved from: http://www.slu.edu/jobs/job_description.php?d=1050jd
Edwards, C. 2011) Work Environmental Factors Affecting Staff Nurse Retention. Retrieved from: http://cardinalscholar.bsu.edu/bitstream/123456789/195014/1/EdwardsJ_2011-3_BODY.pdf
National League for Nursing Healthful Work Environment Tool Kit (nd) National League for Nursing. Retrieved from: http://www.nln.org/profdev/HealthfulWorkEnvironment/toolkit.pdf
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…
During this era, however, nurses continued to gain a foothold within the field of care as important elements to patient recovery and success.
This was further echoed in the era directly following such a tumultuous times as the 1960s. During the 1970s, the idea of a much more solid and accredited education began to pick up further speed (Burns 2004:19). Schools were now responsible to the State and national standards, such as the ones put forth by the National League for Nursing. Another major improvement seen in nursing education was the creation of specified nursing programs which offered advanced degrees within specialized fields of nursing. It opened up the opportunity for many nursing students to gain an unprecedented expertise on various specialties not seen before in earlier generations. In the professional field, the implementation of "participatory nursing" which allowed for nurses to embody greater roles within the context of care…
Burns, Nancy. (2004). The practice of nursing research. Elsevier Health Sciences.
Carter, Laura Stephenson. (2009). Beyond nightingale. Dartmouth Medicine. Retrieved April 9, 2009 at http://dartmed.dartmouth.edu/fall05/html/beyond_nightingale.php .
Kalisch, Philip a. (1995). The advance of American nursing. 3rd ed. Lippincott Williams & Wilkins.
Kirkpatrick, S.M. (1990). Participatory nursing research: a promise in third world countries. Western Journal of Nursing Research. Jun; 12(3):282-92.
Nursing 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 Nurses Organization of Veterans Affairs (NOVA)
Purpose, Mission and Vision
NOVA exists to fulfill a very important function in the United States: Providing healthcare services to the nation's war veterans. To be able to do this, the organization's mission is to "shape and influence healthcare in the Department of Verterans Affairs (NOVA Foundation, 2012).
NOVA's vision has six components:
To provide high quality nursing care.
To provide nurses with an optimal work environment.
To keep nurses informed on relevant issues regarding VA health care and nursing.
To create opportunities for VA nurses to function at the leadership level.
To recruit all VA nurses for NOVA membership.
Advantages of Membership
The most obvious benefit of membership is the ability to connect with other members, who can offer support for specific challenges related to the professions. This opportunity to work with others also strengthens the ability of the VA…
Meyers, S. (2003, Oct. 2). Nurse Shortage: Recruitment and Retention. Statement of The Nurses Organization of Veterans Affairs (NOVA) Before the House Committee on Veterans Affairs, Subcommittee on Oversight and Investigations. Retrieved from: http://democrats.veterans.house.gov/hearings/schedule108/oct03/10-2-03/smyers.pdf
Nova Foundation (2012). Nurses Organization of Veterans Affairs. Retrieved from: http://www.vanurse.org/
United States Department of Veterans Affairs. (2012, Jun. 4). NOVA Foundation Scholarship. Retrieved from: http://www.va.gov/NURSING/nova.asp
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 Workforce Issues and Concerns
The article, "Nursing Workforce Issues and Trends Affecting Emergency Departments" by obinson and colleagues (2004) looks at the range of contemporary issues which directly impact the quality of care which is received in America's emergency rooms (E).The authors argue that looking at the most pertinent issues which impact the nation's Es is a sound way of taking the temperature of the general healthcare climate as a whole. Examining things like workforce issues, staffing issues and the ratios of patients to nurses can help all individuals involved get a better sense of the challenges that this professional arena faces when it comes to delivering a high quality of care. One of the strengths of this research article is that a host of strategies are engaged in to better improve the quality of care for patients while bolstering the number of qualified nurses and other staff team…
Robinson K.S.; Jagim, M.M.; Ray, C.E. (2004). "Nursing Workforce Issues and Trends
Affecting Emergency Departments" Retrieved from nursingcenter.com:
Nurse Patient atios and Quality of Care
This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there remains an issue about hiring more nurses -- where will these nurses come from if the nursing schools do not increase their recruitment efforts and broaden their curriculum. In addition, we note that the large majority of patients and stakeholders primarily want two things when admitted to a healthcare facility: better paid nurses and more highly-trained professionals who are satisfied with their vocation.
Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures…
More Nurses Make the Difference. (February 2012). The Lamp. 69 (1): Retrieved from: http://search.informit.com/au/documentSummary;dn=045435426132502;res=IELHEA
Safe Nurse Staffing: Looking Beyond the Numbers. (2009). Vantage Point, CNA. Retrieved from: https://www.nso.com/pdfs/db/newsletters/Safe_Nurse_Staffing_-_Looking_Beyond_the_Raw_Numbers_20094.pdf?fileName=Safe_Nurse_Staffing_ -_Looking_Beyond_the_Raw_Numbers_2009-pdf&folder=pdfs/db/newsletters
Aiken, L. (2001). The Hospital Nurse Workforce: Problems and Prospects."Draft
For the Council on the Economic Impact of Health System Change. Retrieved from: http://council.brandeis.edu/pubs/hospstruct / Council-Dec-14-2001-Aiken-paper.pdf
Nursing Problem: Shortage of Nurses in Healthcare
The researcher works at Phoebe Memorial Hospital, where there is an extreme nursing shortage. Without an adequate amount of nurses, patient care and safety may turn out to be compromised, while nurses themselves may be stunned, upset, and dissatisfied. At the researcher's workplace, high patient-to-nurse ratios has been displaying that there is a lot of frustration and job burnout, which is linked to higher yield. At Phoebe, there is an inadequately staffed nursing force which has been discovered to play a negative part in patient results. In difference, studies have confirmed that hospitals like Phoebe Memorial Hospital with low nurse turnover are the ones that have the lowest rates of risk-adjusted death and severity-adjusted span of stay.
There is no very exact way of describing the concept of nursing shortage at the Phoebe Memorial Hospital Phoebe, but a report of this…
NURSING PROBLEM: SHORTAGE OF NURSES
Besides facing stress, and having easy access to medications, critical care and emergency nurses may use recreational drugs more often because they are more likely to have a sensation-seeking personality trait (www.nurseweek.com/news/98-5/25e.html)."
Getting treatment for chemical dependency will help the nurse get back to his or her daily life, however the nurse will have to address concerns and/or consequences related to the addiction. He or she faces a "multitude of traumatic experiences both potential and real, such as arrest, license suspension/revocation; negative publicity; reactions of family, friends and co-workers; fines; board and legal hearings; inability to secure work other than nursing; physical illness; and possible lack of health insurance. In the treatment setting, issues such as these add complexity to the nurse's recovery (Anderson)."
There are other complications which must be addressed during treatment of the impaired nurses. These issues include being considered a role model by everyone,…
Anderson, Jenny Lynn. "Treatment considerations for the addicted nurse." Behavioral Health
Management. (1994): 01 September.
(Substance abuse in nurses varies by specialty. (accessed 15 November, 2004).
There are a number of significant differences between in the art of teaching nursing skills at the university level and the art of teaching nursing skills at the community level. The educational opportunities are similar at both types of institutions but the demands on faculty are different at each level.
Current literature shows that "approximately 42% of students enter community colleges with reading, writing, or math skills below the college level' (Cohen, Brawer, 2003) and therefore many of these students "need basic skills preparation in remedial-developmental courses" (National Center for Educational Statistics, 2003). The need for basic skills preparation is evident of many students entering college, but especially so for those who are entering at the community college level. Many of these students have not gained acceptance into the larger universities, or have the desire to hone their educational skills before tackling the demanding requirements of four-year colleges and…
Cohen, A.M. & Brawer, F.B. ( 2003) The American community college, 4th ed., San
Facts about nursing (2008) Community College Week, October 20, 2008, pg. 7
McKinney, M.; (2010) More advanced degrees, Modern Healthcare, Vol. 40, Issue 39, p. 10
The caregiver role includes those activities that assist the client physically, mentally, and emotionally, while still preserving the client's dignity. In order for one to be an effective caregiver, the patient must be treated in a holistic manner. Proper communication and advocacy is another role that the modern caregiver assumes when providing quality care (Carroll).
It is in the role of patient advocacy and cost-cutting that most nursing leaders are directly involved with hospital policy. Technology has increased the ease and ability for adequate communication -- there are more translators, access to databases, etc. within the field, and certainly there is more information about healthcare available for the layperson. However, the manner in which modern medicine works -- the reality that it is the nurse as opposed to the doctor who tends to follow the patient throughout their care, lends greater credibility to the use of the modern nurse as…
Carroll, T. (2005). Leadership Skills and Attributes of Women and Nurse Executives -Challenges for the 21st Century. Nursing Administration Quarterly, 29(2), 146-54.
Gershenson, Moravick, Sellman and Somerville. (n.d.). Expert to Novice: A Nuse Leader's Evolution. Nursing Management, 49-52.
Kouzes and Posner. (1994). An extension of the leadership practices inventory management systema dn individual contributors. Educational and Psychological Measurement, 54(4), 959-66.
Vesterinen, Isola and Paasivvra. (2009). Leadship Styles of Finnish Nurse Managers and Factors Influencing it. Journal of Nursing Management, 17(2), 503-9.
Nurse, Legislation and egulation
Identify a legislative issue/policy change related to a workforce/patient care issue that you believe to be a priority. Describe legislative efforts surrounding your interest.
The developments and strides in distance education has proved to be a worthwhile evolution in educating as well as practice of modern nursing construct that now requires some really fast and accurate means of knowledge dissemination (Benner et al., 2010; IOM, 2010; Jones & Wolf, 2010). The advanced technology helps in extending the reach of multifaceted nursing faculty, where the students might be placed in remote areas and lack access to quality education in pursuing their nursing dreams as a career option (Jones & Wolf, 2010). The predicaments faced in these newly evolved settings, as envisaged by Board of Nursing (BON), are noted as under:
BON needs that the local educational regulations match with their own while approving distance education programs.
Anderson, K. M., & Avery, M. D. (2008). Faculty teaching time: A comparison of Web-based and face-to-face graduate nursing courses. International Journal of Nursing Education Scholarship, 5, 1-12.
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. Retrieved from www.carnegiefoundation.org/newsroom/press-releases/educating-nurses-call-radical-transformation
Billings, D. (2000). A framework for assessing outcomes and practices in web-based courses in nursing. Journal of Nursing Education, 39(2), 60-67.
Chappy, S. L., Stewart, S. M., & Hansen, T. S. (2010). Eliminate border wars. Nursing Education Perspectives, 31(6), 392-394.
In this second phase of my 'career training in life, for over a year after I pursued a career in the medical field, I have developed administrative skills such as medical records/data management and preparation and processing of relevant medical forms and documents. Currently, I have been exposed to other responsibilities such as patient education and quality control and documentation.
More importantly, as a medical assistant, I have acquired important skills and knowledge about tasks that will equip me in my plans to become a nurse. I have been trained to know general medical tasks such as vital signs, setting-up and preparing clinic/hospital facilities, equipments, and materials (such as injections, prescription refills, instrumentation, bandaging, sterilization procedures, and chemical disinfectants). I have also become adept at accomplishing skill- and knowledge-specific medical tasks, which includes diagnosis determination and testing and utilization of medical tools and equipments (phlebotomy, vision testing, prenatal and GYN…
According to the Commission on Collegiate Nursing Education (CCNE), "accreditation is a nongovernmental process conducted by representatives of postsecondary institutions and professional groups. As conducted in the United States, accreditation focuses on the quality of institutions of higher and professional education and on the quality of educational programs within institutions" (Standards of accreditation for post-baccalaureate nurse residency programs, 2008, CCNE). Accreditation is a source of objective evidence from an outside entity that a program meets certain quality and content standards. This is essential for both students and patients. Students make a considerable financial and time investment in their education and need to expect that they can emerge with real skills as well as a diploma upon graduation. They do not have to tools to vet a program before they are accepted. Patients have a right to expect that the nurses who oversee them graduated from high-quality programs. Accreditation serves…
Maslow's hierarchy of needs. (2014). R.N. Retrieved from:
Q4. "The strongest predictor of nurse job dissatisfaction and intent to leave a job is stress in the practice environment" (Paris & Tehaar 2011). Not only is Maslow's hierarchy of needs extremely useful for nurses to better understand their patients: it is also useful for nurses to better understand themselves. Burnout is very common in the nursing profession because nurses do not attend to their own, personal needs. The nurse must recognize that she has physiological and safety needs that must be addressed before accessing the higher needs of social and personal fulfillment on the hierarchy. It is vital that nurses engage in appropriate self-care, ensuring that they get adequate enough healthy food and sleep to be able to treat their patients in a compassionate manner. It is also important that healthcare organizations address the human needs of nurses and do not ignore the need for nurses to take care of their mental and physical health.
Nursing Mission and Philosophy Statements
Finding the mission and philosophy statements of nursing programs is not complicated. They are generally listed on their websites so that students who are considering them can find what they are looking for. It is important to have a nursing school that matches well with a student's personal philosophy of nursing, so learning about several schools is a good idea. That helps the student make the right choice. Where LSU nursing school and UAB nursing schools are concerned, there are many differences in how the information is presented. Addressing these differences - as well as the similarities - is vital to form a clear understanding of the missions and philosophies of both schools.
One of the largest differences between the two schools is the length of their mission statements. The mission statement of LSU is much longer than the statement provided by UAB. The main…
Csokasy, J. (2009). Philosophical foundation of the curriculum. In D.M. Billings & J.J. Halstead (Eds.), Teaching in Nursing: A guide for faculty. (3rd ed.). (pp. 105-18). St. Louis, MO: Saunders-Elsevier.
Louisiana State University Nursing School (2011). Retrieved from http://nursing.lsuhsc.edu/
University of Alabama. (2011). Retrieved from http://www.uab.edu/nursing/
The methodology of this research is one that is qualitative in nature. The research is one that will use the qualitative method in testing with cases and open problems as to the effectiveness of the training provided to the practical nurse group through case and open problems through direct observations of that which has been taught in which observation is through the structured method specifically work-based assessment. Work-based research is highly effective when clear learning outcomes are in place.
Data will be collected through the trainers in a work-based assessment of the skills acquired during training and education of the practical nurse group. All trainers will meet the requirements of the Department of Defense insofar as credentials and other necessary qualifications.
DATA ANALYSIS and SYNTHESIS
The data, qualitative in nature will be analyzed through review of the information collected as to the skills of the…
Eisenhower Army Medical Center () Hospital Education and Training
Army Practical Nurse Assessment Online available at http://www.dns.amedd.army.mil/deploy.htm
Nursing Education and Training: Alternative Federal Approaches (1978) the Congress of the United States Congressional Budget Office May 1978. Online available at http://www.cbo.gov/ftpdocs/67xx/doc6711/78-CBO-003.pdf .
Define the Problem
Today, there is a serious problem within the nursing field. There is a huge shortage of nurses in general, but an even greater shortage of nurses with higher levels of education. This ultimately means there are less capable nursing staff that can take on specialty and leadership roles. Unfortunately, "without a more educated nursing workforce, the nation's health will be further at risk" (Tri-Council of Nursing, 2010). Without greater numbers of RNs with advanced degrees, there is only so much the available nursing population can contribute within the field of healthcare. It is clear that "nurses with advanced education are needed in large numbers to serve as teachers, scientists, primary care givers, specialists, and leaders throughout the healthcare delivery system" (Tri-Council of Nursing, 2010). Currently, there is a huge shortage of more advanced nursing specialists and practitioners. s the nation's healthcare demands continue to grow and…
A survey of the existing research that provides statistics to show how alarming the problem is becoming, but also to provide foundation for the most potentially successful solutions. The projected numbers of needed advanced nursing specialists, as well as the goals for future benchmarks, all need to be documented within the context of this research in order to show how dire the problem is and create a foundation for potential solutions. The research was carefully surveyed and thus, data was collected through comprehensive means. The ideal target / benchmark uncovered in this search was that 80% of nursing staff should hold baccalaureate degrees (Pecci, 2013). This research also helps focus in on the most lucrative proposed solutions as a way to promote them within actual practice. It needs to uncover solid alternatives that can help increase the number of advanced practice nurses in this country in a practical and feasible manner. Essentially, the data collection is a survey of prior research, and can be done independently. This means I will personally scour the published resources from academic and scholarly sources, as well as from professional nursing organizations.
A number of alarming statistics were uncovered in this comprehensive search of the research. If the situation continues as it is today, by 2025, there will be a shortage of 260,000 nurses in this country (American Nurses Association, 2010). Only about 50% of RNs working today have a baccalaureate degree, with only 13.2% holding a master degree or higher (American Nurses Association, 2010). Even more alarming, the enrollment growth of entry-level baccalaureate nursing programs from 2008 to 2009 was only 3.5%
Future of Nursing
The future of nursing: Leading change, advancing health
According to the Institute of Medicine (IOM) report The future of nursing: Leading change, advancing health, the future of medicine as a whole is inexorably tied to the future of nursing. Nurses are increasingly called upon to perform complex tasks as more of the healthcare burden gets shifted to nurses in the name of managed care and cost-cutting. The expanded population base of patients due to changes in legislation such as the Affordable Care Act (ACA) and the aging of the population further underlines the need for appropriate education of tomorrow's nurses and the reeducation of the nurses of today. This will require major policy changes and overhauls.
First and foremost, nurses must be better prepared to cope with a population that is very different from the population nurses treated in the past. Not only is it…
The future of nursing: Focus on education. (2010). IOM. Retrieved from:
The future of nursing: Focus on scope of practice. (2010). IOM. Retrieved from:
Education is an aspect of my life that is taken very seriously, therefore, it seems imperative to attend a school that will provide the necessary tools to excel further, and know that I have received one of the best educations possible. It is important that I be able to give back to my community and make a positive impact on the world no matter how big or small. It has always been important for me to do work that allows me to help others, and nursing will provide that opportunity that would not be possible without furthering my education. Therefore, nursing school is the next step in an important venture into reaching the steps laid out in my education and career goals. I intend to give nursing school the same dedication and effort that I give all aspects…
nursing, despite some early events in my life that might have derailed my career. I was studying for my R.N. degree when my husband became ill and I had to return to full-time work. However, I was able to earn my LPN through the Army Reserve. Recently, it has been my privilege to offer support and assistance to the families of troops deployed in Iraq with the Army Reserve 801st Combat Support. The sometimes-sad nature of this work is balanced by my work within the Aurora Health System in Pediatrics. Although the children have health challenges, working with young people is a truly joyful aspect of a nursing career. I also teach Heartsaver classes for new parents with special needs before their discharge from the hospital.
In my spare time, I work with battered mothers and children in Lake County, and help at the village food pantry. I teach CPR…
Now that domestic economic factors have reshaped much of the post-graduate employment landscape, the nursing field is only that much better a choice for me.
According to a recent study published in 2008 in the United Kingdom, researchers determined that empathy and caring among Nursing program students (as measured by questionnaires) declined throughout the educational training process, with program entrants and first-year students consistently exhibiting greater levels of empathy and caring than upper-class students. Therefore, part of my commitment to my future profession is to defy that phenomenon to the best of my ability through conscious awareness and effort throughout my undergraduate studies at xxxxxx University and my professional training afterwards. Ultimately, I hope that effort will also enable me to contribute positively and consistently to the xxxxxxxxxx University community during my undergraduate education should I be fortunate enough to be awarded admission to…
Effective Approaches in Leadership and Management
Nursing turnover is one of the most important issues facing the health care industry today. Turnover rates increase costs for health care facilities and decrease the quality of care for patients, as new nurses constantly need to be trained and a lack of experience throughout the department can mean that patients suffer ultimately from a continuous rotation of novices (Twibell, 2012). Han, Trinkoff and Geiger-Brown (2014) have shown that various factors can impact turnover rates: nurses can be burned out by working too many shifts or consecutive hours; they can feel overburdened and unsupported; they can feel that they are not empowered to actually care for the patients they way they were taught they should. All of this can contribute to high turnover rates in nursing. This paper will discuss the ways leaders/managers can address the problem, the approach that I would personally prefer,…
The shortage of nursing staff remains a major challenge in the U.S. According to the American Association of Colleges of Nursing (AACN) (2014), the shortage is expected to be even greater in the next one decade or so. The shortage has been fuelled by factors such as reduced enrolment into nursing schools, increased retirement of the nursing workforce, as well as higher demand for healthcare due to population ageing and greater incidence of lifestyle diseases (AACN, 2014).
The shortage of nursing staff has severe implications for the nursing workforce. A high number of patients relative to nursing staff often translate to increased workload for nurses. Indeed, nurses continue to grapple with unhealthily lengthy work shifts, often stretching up to 12-13 hours. It is an issue that has sparked a great deal of debate given the connection between excessive workload and nurse outcomes. Literature extensively demonstrates that excessive workload as a…
1997, the average pass rate for first time test takers on the NCLEX-RN was 93%. Since 1997, the national average pass rate on the NCLEX-RN has declined to 83.8% (National Organization for Associate Degree Nursing, 2002). The pass rate for the state of North Carolina and many other states has also declined in recent years.
Community colleges are the prime educators of new registered nurses in the United States. In 1997, 701 community colleges awarded 41,258 associate degrees in nursing (National Center for Education Statistics 1997). The combined ADN graduate pool constituted 60% of the U.S. graduates who took the NCLEX-RN exam in 2000,and these graduates represent the largest group of nurses entering the profession (National Council of State oards of Nursing 2001). On the other hand, baccalaureate programs graduated 37% of the total; and diploma or hospital-based educational programs, graduated 3%.(Teich, et al.)
In addition to educating the majority…
Adams, Carolyn, Valiaga, Theresa, Murdock, Jane. McGinnis, Susan & Wolfertz, Joanne (2002). Trends in Registered Nurse Education Programs: A Comparison Across Three Points in Time. In National League for Nursing (Ed.), pp. 1-10).:.
American Association of Colleges of Nursing (1999). Temporary Nurses Called A Serious Risk Threat At Hospitals. In (Ed.), p.).: American Association of Colleges of Nursing.
American Health Care Association.(1999).Facts and Trends, The Nursing Facility Sourcebook.Washington, D.C.:American Health Care Association.
American Hospital Association.1999.Trendwatch:RN Shortages in Hospitals. Washington, D.C.: American Hospital Association.
autobiography of the author of this report. The remainder of the report will mostly focus on the four meta-paradigms of nursing. Of course, those meta-paradigms are patient, nurse, health and environment. The author will also offer two practice-specific concepts from the scholarly literature that can be applied to the career and environment of the author of this report. Next up will be a list of propositions that will number five in total. As suggested and required by the assignment, the paper will integrate these discrete elements and in a way that connects to the concepts described. While analysis of the nursing professional can get a little silly and/or delve too much into a bit of navel-gazing, the profession is indeed noble and deep and is thus worthy of the proper full analysis.
The author of this report started as an electrocardiogram (EKG) technician and nursing assistant while the author…
Lee, R.C., & Fawcett, J. (2013). The Influence of the Metaparadigm of Nursing on Professional Identity Development Among RN-BSN Students. Nursing Science
Quarterly, 26(1), 96-98. doi:10.1177/0894318412466734
Schim, S.M., Benkert, R., Bell, S.E., Walker, D.S., & Danford, C.A. (2007). Social
Justice: Added Metaparadigm Concept for Urban Health Nursing. Public Health
Personal Nursing Philosophy
My Nursing Autobiography
I have dreamt of being a nurse all my life. My mother and older cousins tell me stories of how I loved to line up my dolls and animals, place bandages over them to nurse their 'injuries' and stick branches in their armpits to have a feel of their temperature. Well, I believe these stories because to this day, these are the very things that keep my life going; I derive so much satisfaction from just being able to help people when they are in no position to help themselves. I took an elective nursing course in high school, where I was supposed to report at the local facility at least once every week to assist in the administration of basic care to patients. This marked the beginning of my career in nursing, and since then, I have logged almost 15 years of experience…
Reed, P. (2012). A Treatise on Nursing Knowledge Development for the 21st Century: Beyond Postmodernism. In P. Reed & N. Shearer (Eds.), Perspectives of Nursing Theory (6th ed.) (pp. 37-46). Burlington, MA: Jones & Bartlett.
Reed, P. & Lawrence, L. (2008). A Paradigm for the Production of Practice-Based Knowledge. Journal of Nursing Management, 16(4), 422-432
Volker, D.L. & Limerick, M. (2007). What Constitutes a Dignified Death? The Voice of Oncology Advanced Practice Nurses. Clin Nurse Spec., 21(5), 241-247
MAKETING VS. CS
Henderson Nursing Philosophy
classification of theories Grid
She graduated from her first nursing program in 1921 and her career was at its apex in the 1970's as she was one of the more prominent authors of nursing textbooks through the 1970's (and before that dating back to the late 1950's). She was a research associated at Yale until she died in 1996. She died that same year at the age of 1998. Basically, her career was active in some form for nearly seven decades but it was highest in the middle part from the 1950's to 1970's.
Virginia Henderson started her medicine career after she graduated from the United States Army School of Nursing in about 1921. She later received her bachelor's degree in 1931 and her master's degree. Her Bachelor of Science as well as her master's from…
AAHN. (2015, January 21). Home. Retrieved January 21, 2015, from http://www.aahn.org/gravesites/henderson.html
McBride, Angela Barron (1996). "Remembering the first lady of nursing." Reflections in Nursing Leadership (Sigma Theta Tau).
Meleis, A. (2011). Theoretical nursing: Development and progress (Fifth ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
"Virginia Avenel Henderson." Virginia Nursing Hall of Fame, Virginia Nursing Archives. Special Collections and Archives, Tompkins-McCaw Library, Virginia Commonwealth University.
Nadelson and Nadelson's (2014) "Evidence-based practice article reviews using CASP tools: A method for teaching EBP." This work of literature is based on the notion that evidence-based practice is critical to the practice of nursing. It denotes exactly just what evidence-based practice involves, utilizing information gained from clinical trials and other forms of evidence as the means of effecting better nursing treatment. The most interesting facet of this article is the notion that evidence-based practice is best learned, or perhaps gleaned, via reading articles. Specifically, this approach is contrasted with that of simply taking a course in EBP. By incorporating the learning of evidence-based practice in reading scholarly articles, nursing programs are able to facilitate this didactic value continually instead of doing so in a fleeting fashion.
The crux of the article is in delineating the efficacy of utilizing CASP (Critical Appraisal Skills Programme) (Nadelson and Nadelson, 2014, p. 344)…
Student success a - endeavor. The student give 100% instructor provide students a 100%. The student responsibility prepared learn material assigned, turn assignments time, pay attention taught discussed, questions needed.
I agree that the process of education is a dialogue, not a monologue. Although an educator may have a plan about what he or she wishes to teach, the teacher must respond to student input. The students may not understand the material in the manner in which it is initially presented; they may be bored or ill-prepared; they may have probing and unexpected questions; or they may have different learning styles.
Using different approaches is particularly essential in healthcare education, given that new scientific knowledge builds upon old knowledge. emediation is successful because it ensures students have knowledge of the foundational concepts early on, before the student becomes completely left behind. Given the nursing shortage the nation is facing, finding…
Smith, A. (2010). Learning styles of registered nurses enrolled in an online nursing program.
Journal of Professional Nursing, 26(1):49-53. doi: 10.1016/j.profnurs.2009.04.006.
qualify as a nurse practitioner in the state of Florida, one must have completed the required education and training for expert knowledge and skills. The process entails acquiring a bachelor's degree or a diploma and associate degree from accredited institution offering the nursing program. There is no licensing exam for one to become an NP as one has already done it after completing a diploma or undergraduate training. The state administers examinations to test the competencies of the NPs. However, they must acquire a license for prescribing drugs or medication. Individuals are eligible to enroll for a national certification exam in their area of specialization to be certified as an NP. The American Academy of Nurse Practitioners and American Credentialing Center certify the NPs (Buppert, 2008).
The Nurse Practitioners of Florida have the freedom to prescribe drugs that include habit forming drugs, harmful to the patient or toxic, and have…
Atlas, S.W. (2010). Reforming America's health care system: The flawed vision of Obamacare.
Stanford, Calif: Hoover Inst. Press Bonewit-West, K., Hunt, S.A., & Applegate, E.J. (2013). Today's medical assistant: Clinical & administrative procedures. St. Louis, Mo: Elsevier/Saunders.
Buppert, C. (2008). Nurse practitioner's business practice and legal guide. Sudbury, Mass: Jones
The Grade Experience of Online Nurse Practitioner Students Who Took More Than One Clinical Course Per Quarter
The shortage in primary care physicians has increased the demand for nurse practitioners (NPs). Online NP programs are of interest to working students with other personal and professional life demands. This study examines grade experience differences for students of an online NP program who took more than one clinical course per quarter (OCCPQ) as compared to those who did not take more than OCCPQ. This retrospective study consisted of 3,760 NP students who graduated between fall 2013 through spring 2016. Those who took more than OCCPQ had a greater percentage of clinical course failures at first attempt as compared to those who did not take more than OCCPQ (2.1% versus 0.8%, p=0.001). Multivariate logistic regression adjusting for relevant covariates maintained these results with increased odds for clinical course failures for those…
Globally, a nursing shortage is impeding the advancement of healthcare systems around the world. The nursing shortage refers to any situation in which the labor market cannot keep up with patient demands. Causes of the nursing shortage include poor working conditions leading to high turnover rates, insufficient nursing education programs, and lack of incentives for nurses to work in areas of critical concern. Effects of the nursing shortage include further staff shortages due to high stress environments and poor patient care—including higher rates of mortality and morbidity. Nursing shortages have affected almost every region of the world, and may become worse unless concerted efforts are made to remedy the problem.
Even the most advanced healthcare systems in the world are short on nursing staff. As a result, existing nurses are working longer hours under high duress, and are more prone to making errors or experiencing workplace violence and…
My life has centered upon answering a central question. This question has been a in my mind since I was 10 years old. At that age, my first image of medicine was largely influenced by the doctors and nurses who were always helping my grandfather battle a rare form of brain cancer. His illness was a life changing experience for me, as, at that age, I watched his condition gradually deteriorate over a period of three months, and I detested I could do nothing to help. This thought, however painful then, has motivated my entire life, and has led to my choosing of nursing as a profession,
Though some did not approve of this particular career path, I never gave up my dreams. For this reason, I began studying and volunteering so as to combine education in theory with education in practice. Giving back to…
Nursing is not only a profession, it is a ministry. Nurses not only provide care for their patients, they oftentimes minister to them in order to provide comfort and in some cases, peace of mind. Nursing is a profession that the healthcare system cannot do without. We know that the profession of a physician goes back to even Biblical times, but even though nursing has been around for many years, it does not date back as far as the profession of a physician does. This is not to say that nursing is less important than any other profession. The field has grown so much over the past few decades and nursing is a profession that is in high demand. Nurses now have to decide if they want to do a traditional educational path or get the four-year degree; they must stay ahead of nursing trends in order to gauge the…
Delaney, C., & Piscopo, B. (2007). There really is a difference: Nurses' experiences with transitioning from RNs to BSNs. Journal of Professional Nursing, 23(3), 167-173. Retrieved May 3, 2012, from the ScienceDirect database.
Franklin, P.D., Archbold, P.D., Fagin, C.M., Galik, E., Siegal, E., Sofaer, S., et al. (2011). Building academic geriatric nursing capacity: Results after the first 10 years and implications for the future. Nursing Outlook, 59(4), 198-206. Retrieved May 3, 2012, from the ScienceDirect database.
Ozbolt, J.G., & Saba, V.K. (2008). A brief history of nursing informatics in the United States of America. Nursing Outlook, 56(5), 199-205. Retrieved May 3, 2012, from the ScienceDirect database.
Wildman, S., & Hewiston, A. (2009). Rediscovering a history of nursing management: From Nightingale to the modern matron. International Journal of Nursing Studies, 46(12), 1650-1661. Retrieved May 3, 2012, from the Science Direct database.
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.
The Beginning: Nightingale
Although nursing care has been around since the first cave man got a cut, the formal, organized discipline of nursing can be traced to the work of Florence Nightingale. Around the time Nightingale began her research and studies in earnest, a number of medical breakthroughs were being made that impacted the history of nursing. One was the advancement of anesthetics, which greatly enhanced the ability of nurses and doctors to care for their patients and perform surgeries. Anesthesia became especially critical on the battlefield.
US Civil War to WWII
Wartime became a primary arena for nurses to carry out their practice, as the numbers of wounded required attention. Florence Nightingale was a nurse during the Crimean War. Like Nightingale, Dorethea Lynde Dix was one of the profession's first nurse leaders and managers. Dix led teams of nurses during the Civil War in the United States. Along…
Penn Nursing Science (2012). History of nursing timeline. Retrieved online: http://www.nursing.upenn.edu/nhhc/Pages/timeline_1700-1869.aspx?slider1=1#chrome
ADN vs. BSN
The ADN vs. The BSN:
A comparison of both nursing degrees
Students wishing to enter the profession of nursing are often faced with two clear choices: that of an ADN (associate degree in nursing) and a BSN (Bachelor of Science nursing degree). An ADN generally takes two years and is often offered by a community college or state school. As a result, it is substantially cheaper than a four-year BSN. Obtaining an ADN still allows a nurse to sit for the NCLEX-N. "The coursework of an associate's degree in nursing covers the following general subjects: fundamentals of nursing, infection control, nutrition and dietetics, basic microbiology, basic medical nursing, pediatric nursing, and more" ("What you need to know," 2014). It should be noted that an ADN does not have to be a terminal degree and there are ADN 'bridge' programs that allow practicing nurses currently possessing…
ADN vs. BSN: Which should you choose? (2014). Monster. Retrieved from:
The future of the associate degree in nursing program. (2014). Nursing Licensure.
Retrieved from: http://www.nursinglicensure.org/articles/adn-program-future.html
Psychiatric Nursing Education: Challenges and olutions
There is a growing demand for nursing professionals, with rapid proliferation of educational programs for nurses. Nursing education requires opportunities for 'hands-on' clinical practice, yet locating sites for practice is non-trivial, requiring considerable creativity from nursing educators and clinical support staff. These challenges can be particularly difficult for mental health practice. For example, the dynamic is altered when the instructor is present for a student/client one-on-one interaction, yet the instructor's presence may be required (Kidd et al., 2012). Past mental healthcare courses for nurses used psychosocial assessment tools and/or work with processed client recordings. Another approach is 'standardized patients' (Robinson-mith et al., 2009); Kameg et al., (2009) mentions instructor-manipulated patient simulations. Instructional plans always have factors such as clinical/laboratory space, instructor/scheduling time, and equipment costs (Brown, 2008).
Personal and Global Perspectives
Presently, many professional registered nurses are not always enabled to fully utilize their…
Salaries for qualified APRNs vary considerably between teaching and clinical positions (Fitzgerald et al.,2012). Educational salaries are considerably lower as are benefit packages. Thus there is an on-going tug-of-war, with increased demand for APRNs in clinical/practice settings, requiring more APRNs in education, and a simultaneous dearth of APRN-educators, making it more difficult to produce the needed clinical workers. Monetary and societal remuneration, in terms of social appreciation, are lacking for the very educator-professionals who are most needed.
Another change in the clinical field is the nurse's role in treatment of psychological illnesses. Nurses are involved in education concerning psychotropic pharmaceuticals. The role of communicator with the family is a part of routine practice for APNs. Patient and family education, administration of medications, medication monitoring (efficacy and safety), and prescription are new directions requiring considerable training and responsibility. As discussed by Drill & Prendergast (2011), a patient is not a 'solitary island', but includes family/loved ones who must be considered to achieve full support from the family. Without familial support, medication adherence is far less likely, as also occurs for nutritional and other prescribed regimes. Thus, the APN needs to have studied 'family system theory' and be aware of particular customs to bring about desired outcomes (Drill & Prendergast, 2011). The role of the Advanced Practice Nurses (APNs) in prescribing pharmaceuticals has been growing, and with it the necessity for advanced pharmaceutical education including interactions with other medications and diet. Drill & Prendergast (2011) expressed concern that use of pharmaceuticals has led to neglect of other therapeutic options.
While modern psychotropic pharmaceuticals have altered treatment protocols for psychiatric patients, this assisting factor does not remove nurses from patient care. A patient's life is
The author of this report is offering a brief treatise on the broader subject of magnetism when it comes to nursing, learning, leadership and evidence-based practice. The five components of magnetism, as described by Debisette, will be named and described one-by-one. In the appendix of this report there is a concept mind map of the broader subject of magnetism as covered and broken down in this report. Finally, there will be the showing of a strong relationship between the qualities specified for magnet designation and the associated benchmarking strategies and evidence-based practice models. While the magnet designation is not an entirely simple thing to describe, the facets that make up nurse magnetism are fairly easy to fathom when identified and described.
As noted in the introduction, there will be a description of the five elements of nursing magnetism as described by Debisette. Those five components are transformational…
ANCC. (2015). Announcing a New Model for ANCC's Magnet Recognition Program. Nursecredentialing.org. Retrieved 20 October 2015, from http://www.nursecredentialing.org/MagnetModel
Debisette, A., & Vessey, J. (2011). Annual review of nursing research. New York: Springer.
Lowell General. (2015). What it means to be a Magnet® hospital / / Lowell General Hospital. Lowellgeneral.org. Retrieved 20 October 2015, from http://www.lowellgeneral.org/about-lgh/a-magnet-hospital/what-it-means-to-be-a-magnet-hospital
UC Davis. (2015). What is Magnet Designation?. Ucdmc.ucdavis.edu. Retrieved 20 October 2015, from http://www.ucdmc.ucdavis.edu/nurse/magnet/designation.html
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…
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.
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
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.
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.
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.
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…
eport on Conditions at Brighton and Sussex University Hospitals NHS Trust
The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The conditions were especially distressing given that in general they could be fixed or at least ameliorated relatively easily. Not all of the ills of old age or disability can be remedied, of course. Pain and fear will be present even with the best possible care. Given that this is true, all possible efforts must be made to reduce fear, anxiety, and pain to the greatest degree possible.
The facts that this report is based on were documented by…
Grant, P. (2010). Ethical lessons from the 'undercover nurse': implications for practice and leadership. Medical Ethics 36: 469-472.
Margaret Haywood's diary. Retrieved from http://news.bbc.co.uk/2/hi/programmes/panorama/4701651.stm .
Online bulletin. Retrieved from http://www.southerneditorial.co.uk/bulletin/july05/breaknews.htm.
Reasons for the substantive hearing of the Conduct and Competence. Retrieved from http://www.nursingtimes.net/Journals/1/Files/2009/4/17/haywood_NMCruling.pdf
Nursing BA vs. Associates
Nursing Competencies -- Associates vs. Baccalaureates
The difference competencies between nurses prepared at the associate-degree level nursing vs. The baccalaureate-degree level are significantly different on many levels. Today's nurses work in a healthcare environment that is undergoing a constant evolution at a speed never before imagined (NLN Board of Governers, 2011). Patient needs have become more complicated; nurses must implement requisite competencies in leadership, health policy, system improvement, research, evidence-based practice, and teamwork and collaboration in order to deliver high-quality care. Furthermore, nurses are also required to master different technologies that are also evolving extremely rapidly.
There are basically three different alternative paths to becoming a registered nurse. Some hospitals offer a three-year program that is administered in the hospital setting. Another option is a two to three-year program in which graduates receive an associate's degree and can be administered at a community college or any…
Mahaffey, E. (2002, May 2). The Online Journal of Issues in Nursing. Retrieved from The Relevance of Associate Degree Nursing Education: Past, Present, Future: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume72002/No2May2002/RelevanceofAssociateDegree.aspx
Moltz, D. (2010, January 7). Nursing Tug of War. Retrieved from Inside Higher Ed: http://www.insidehighered.com/news/2010/01/07/nursing
NLN Board of Governers. (2011, January). Transforming Nursing Education: Leading the Call to Reform. Retrieved from NLN Vision: http://www.nln.org/aboutnln/livingdocuments/pdf/nlnvision_1.pdf
Rosseter, R. (2012, April 2). The Impact of Education on Nursing Practice. Retrieved from American Association of Colleges of Nursing: http://www.aacn.nche.edu/media-relations/fact-sheets/impact-of-education
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…
Nursing Future in 2021
Nursing has not changed greatly for decades. Nurses now have more freedom than they did two decades ago, but nurses still provide the same care they have for the past century. This has been changing with the advent of nursing master's programs that are allowing registered nurses the opportunity to become more specialized in fields of their choice. A nurse can choose from many different nurse practitioner specialties to become more engaged in their field. Nurse practitioner programs allow nurses to be more involved in decisions that are made regarding patient care, so that the nurse becomes more responsible. The position of neonatal nurse practitioner is explained more fully in the following essay.
Neonatal care refers to the hospital department that takes care of an infant at the earliest stages of life. A neonatal nurse practitioner "frequently reports directly to a neonatologist or other specialists who…
Ellis-Christensen, T. (2011). What is a neonatal nurse practitioner? Retrieved from http://www.wisegeek.com/what-is-a-neonatal-nurse-practitioner.htm
It is thus possible for the institution to retain nurses by strengthening the interpersonal leadership and management skills that lead to empowerment within the healthcare environment. This is especially supported by studies that found that despite the fact that a nurses' pay is important, it is not as critical in enhancing retention as a positive work place or an empowered environment that promotes teamwork and encourages ongoing learning, trust, and respect. (Chan, 2001).
It must always be remembered that nursing retention is the result of a combination of factors. There is no easy solution, and managers and leaders need to choose the combination of approaches that will be effective in their specific organization, since there is no one range or combination of strategies that will fit all.
Buerhaus, P., Staiger, D.O. & Auerbach, D.I. (2003) Is the Current Shortage of Hospital Nurses Ending? Health Affairs 22: 191-198.
Buerhaus, P., Staiger, D.O. & Auerbach, D.I. (2003) Is the Current Shortage of Hospital Nurses Ending? Health Affairs 22: 191-198.
Chan, C.C.A. (2001). Implications of organizational learning for nursing managers from the cultural, interpersonal and systems thinking perspectives. Nursing Inquiry, 8(3), 196-199.
Faulkner, J., & Laschinger, H. (2008). The effects of structural and psychological empowerment on perceived respect in acute care nurses. Journal of Nursing Management. 16(2): 214-221.
Kanter, R.M. (1979). Power failure in management circuits. Harvard Business Review, 65-75.
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…
About ENA. (2010, January). Retrieved October 2010, from Emergency Nurses Association: http://www.ena.org/about/Pages/Default.aspx
About the ACNM. (2010, February). Retrieved from American College of Nurse-Midwives: http://www.midwife.org/members.cfm
CNS - Who We Are and What We Do. (2010, January). Retrieved October 2010, from National Association of Clinical Nurse Specialists: http://www.nacns.org/AboutNACNS/MissionStatement/tabid/57/Default.aspx
Kozier, B., Erb, G. & Blais, K. (1997), Professional nursing practice (3rd edition),
Charity, selflessness, altruism and entrepreneurship are, therefore, not contradictory. It is well-known that the well-paid traditional nurse is likely to be a better worker better able to devote more attention to her patient (Hardin & . Kaplow, 2001). Deductively, therefore, the independent nurse who is motivated to work well in order to be successfully self-employed would likely (although not necessarily) be a better nurse in terms of the intrinsic nursing characteristics than those employed by institutions.
Ironically, entrepreneur nursing can potentially make one into a better nurse, for aside from being motivated to perform excellently, the entrepreneur nurse can adopt her own style and afford to conduct thorough research into nursing theories and models that culminate in enhanced nursing.
The institutional nurse is classically overworked and, therefore, has little time for arbitrary activities; the entrepreneur nurse, on the other hand, can adequately fulfill the expectations of evidence-based nursing where she…
Hanink, E. (n.d.). Nurse Entrepreneurs. Working Nurse.
Hardin, D. & R. Kaplow (Eds.) (2001), Synergy for clinical excellence: The AACN Synergy Model for Patient Care. Sudbury, MA: Jones and Bartlett Publishers.
Johnson, P. (1977). Enemies of society. NY. Etheneum
Nurse etention Capacity
Standards & Analysis on Nurse etention
The demand for nursing staff in the United States has significantly increased and according to the Center for American Nurses, employment in these positions have increased to an amazing 83% which is now at the highest it has been since 1980, and considering that this role is the biggest job in healthcare offering over 2.6 million jobs, the problem in hospitals, healthcare facilities, and in home care is the lack of nurses (Bureau of Labor Statistics, 2011). Furthermore, there are many reasons as to why experts and the healthcare facilities are unable to hire enough people to fulfill the positions within their establishments, and most research has determined that the main reasons there is such a shortage in nursing jobs is because of the poor management and leadership within the nursing work environment, the increased amount of responsibility and work load…
Bureau of Labor Statistics. U.S. Department of Labor, Office of Occupational Statistics and Employment Projections. (2011). Occupational outlook handbook 2010-2011 edition, registered nurses on the internet Washington, DC: Retrieved from http://www.bls.gov/oco/ocos083.htm
Chart Your Course International (2011). Nursing shortage. Retrieved from http://www.highretention.com/nursing_research.html
Monaghan, H.M. (2009). Effective leadership + nurse retention. Retrieved from http://www.visioninghealthcare.com/pdf/Article-Effective-Leadership-Nurse-Retention.pdf
Runy, A. (2006, January). Nurse retention. H&HN Magazine, Retrieved from http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/PubsNewsArticle/data/0601HHN_FEA_Gatefold&domain=HHNMAG
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