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One of the invaluable experiences I had working with underserved communities was between the years 2007 and 2008, when I was fortunate enough to be involved as a volunteer conducting missionary work in Atotonilco, Mexico. As a community nurse for the mission, I was responsible for taking the glucose level, vital signs and educated the general public about diabetes and heart disease. I have found my work in Mexico very rewarding that I decided to volunteer again in 2009, this time locally in St. Kitts and Nevis, but the volunteer work covered the same responsibilities assigned to me as a volunteer in Mexico. Perhaps what made my second volunteer stint more challenging is that we conducted home visits to patients afflicted with diabetes, and had to be visited because they cannot walk as a result of having their leg amputated because of diabetes. Indeed, the feeling of fulfillment and happiness…
I have a burning desire to work with homebound geriatrics and pediatric oncology. The compassion to help people, especially elderly and children, the belief in the ability to achieve these goals, and the unfortunate experience of my daughter losing a classmate/friend after battling cancer for eight long years has led to a deeply, burning desire to obtain nursing licensure and work with these types of people. My goals after obtaining nursing licensure is to work part time with homebound geriatrics and fulfill a commitment made to the mother of my daughter's friend in helping children with cancer in the memory of her daughter.
For the past few years, I have worked as an EMT in an overnight summer camp with 1500 children and 65 staff families. The work I do there involves working close with the Pediatrician that visits the camp four times a week, and treating children…
Mission of the Nursing Scholarship Program in Providing Care to Underserved Communities
The shortage in primary care physicians in the world escalates every day. This is prevalent in underserved populations. The cause of this is that fewer medical students are taking primary medical care fields as required, regardless of the growing need for these services. The decrease in primary care nurses is multifactor and financial incapability of students is one of the factors. Having the opportunity of a scholarship into nursing, I would spend adequate time in making sure that the areas I am to serve receive the best. I understand that the objective of the scholarship provision for nursing is to provide adequate healthcare intervention in underserved community through the practical empowerment of nursing students. For this reason, I would take the interest of the community seriously, fulfilling the health needs, which they would ever come with needing my…
mission of the Nursing Scholarship Program in providing care to underserved communities?
I believe that health is the greatest gift that can be bestowed upon any human being. child who is not treated for a common illness cannot focus in school; someone with a chronic disease like diabetes cannot think of looking for a new job until his or her blood sugar is under control. s a nurse, I wish to help the least fortunate members of the population, in the U.S. nd abroad, to better the quality of their health, and by extension, better the quality of their lives. When I first embark upon my practice, I can see myself serving as an OR nurse or a military nurse who working to improve the health of members of the armed forces. I view the career of nursing as a calling, as a vocation, not merely a job.
A member of an underserved community lacks access to the type of healthcare needed to maintain a reasonable standard of functionality, given the needs of the underserved patient's age group and health conditions. Populations that lack access to basic sanitation, healthy foods, and places to exercise are also underserved. In 2008, I volunteered as a missionary healthcare worker in Atotonilco, Mexico. I helped nurses take patients' glucose levels, vital signs, and educated the patients about how to manage their diabetes. I also acted as a patient educator on the subject of the links of obesity, lack of exercise, and poor diet to an increased risk for diabetes and heart disease. In 2009 I volunteered in a similar capacity in St. Kitts and Nevis. I made visits to patients' homes to take their glucose levels and vital signs. These patients were not mobile because their legs had been amputated, due to diabetes-related problems.
Essay question 3: Please discuss your commitment to pursue a career in nursing
At some point in the future, I see myself becoming a surgical nurse or working in a community-focused practice, ideally at a general hospital in Santa Clara County. I will continue to do missionary healthcare work in Africa after obtaining my nursing degree and strive to aid disadvantaged populations in the U.S. Primary care and early education initiatives are vitally important: it continues to sadden me to see how many lives could be saved or improved through better access to healthcare and knowledge that could empower patients to take control over their lives.
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: 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…
As to catheter straps, if fastened too tightly they can act as tourniquets, cutting off the needed flow of blood and presenting. And at least theoretically, use of straps brings about a risk of increasing the complications such as "…deep vein thrombosis and pulmonary embolism" in those patients with "impaired lower extremity circulation" (Billington 504). Research presented in this article shows that the problem of infection due to poorly attached catheters can be reduced significantly through the use of a product called "Bard StatLock" -- which, the authors insist, is an effective stabilization device because it allows movement (through a swivel clip), because it is a "sterile latex-free, tug-resistant product" (Billington 504). An article in the journal RN, incidentally, states that treating "hemodialysis catheter-related bacteremia" can cost a hospital up to $45,000.
ashing "Bloody Hands": An article in the Australian Nursing Journal asserts, "…hand hygiene is the single most effective…
Aziz, a.M., Ashton, H., Pagett, a., Mathieson, K., Jones, S., & Mullin, B. (2009).
Sharps management in hospital: an audit of equipment, practice and awareness.
British Journal of Nursing, 18(2), 92-98.
Billington, a., Crane, C., Jownally, S., Kirkwood, L., & Roodhouse, a. (2008).
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
The data gathered is subjected to statistical analysis using statistical methods of linear regression and chi square testing.
The main purpose of the study was to confirm the hypothesis that consultation with CNS or RN in a drug-monitoring clinic has a significant positive impact on the well being of patients with rheumatoid arthritis. The study involved a single blinded randomized controlled trial over a period of three years. Subjects were chosen from the rheumatology out patient setting in a district general hospital with a drug monitoring service. A total of 71 subjects who were starting out on anti-rheumatic therapy were randomly assigned to either the interventional or the control group. While the interventional group was supervised by the CNS to assess patient needs (using Pendelton's framework) alongside drug safety evaluation, the control group was seen by an outpatient staff nurse purely for drug safety concerns. oth the groups were assessed…
Teri Britt Pipe; Kay E. Wellik; Vicki L. Buchda; Carol M. Hansen; Dana R. Martyn, 2005, "Implementing Evidence-Based Nursing Practice," Urol Nurs. 25(5): 365-370, Available at, http://www.medscape.com/viewarticle/514532
Ryan, S, Hassell, a.B, Lewis, M, & Farrell, a. (2006). Impact of a Rheumatology Expert Nurse on the well-being of patients attending a drug monitoring clinic. Journal of Advanced Nursing, 53(3), 277 -286.
Considine, J. & Botti, M. (2004) Who, when and where? Identification of patients at risk of an in-hospital adverse event: Implications for nursing practice. International Journal of Nursing Practice. 10: pp. 21-31
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).
Comparison of the Effect of isk and Protective Factors on Suicide Attempts in a Group of Triethnic Adolescents Divided According to ace, Gender and Age.
This is an critique on a research paper about self-reported suicide attempts in a triethnic group of adolescents. 2 references are given.
The purpose of the following paper is to evaluate and critique a study performed on a group of students pertaining to adolescent suicide. This study attempts to examine the multiple factors affecting recent suicide attempts in adolescents from three different ethnic backgrounds. The resilience model is used to describe and analyze the relationships between these variables categorized according to sex, age and race. A group of 10,059 school children from the 7th, 9th, and 11th grade in Connecticut were surveyed in 1996 and data from the African-American, Hispanic Latino and American Caucasian respondents was analyzed using bi -- and multivariate methods.…
1. Rew et al., 2001, Correlates of Recent Suicide Attempts in a Triethnic Group of Adolescents, Journal of Nursing Scholarship.
2.Oquendo MA, Ellis SP, Greenwald S, Malone KM, Weissman MM, Mann JJ, 2001.: Ethnic and sex differences in suicide rates relative to major depression in the United States, Am J. Psychiatry 158(10): 1652-1658
Nursing Knowledge: A Controversy
The scope of the nursing profession has increased dramatically over the last thirty years. The demarcation between medical and nursing tasks is quickly dissolving as the nursing profession is becoming increasingly multidisciplinary and complex. In 1996, nurse practitioners were mandated to obtain master's degrees to address their changing role in medical care (Nicoteri & Andrews, 2003). In this multidisciplinary and evolving healthcare environment, adaptation is paramount to providing effective patient care. Currently, there is a controversy in nursing regarding the direction that the development of nursing knowledge should take. There are many critics who believe that developing new nursing theories is an effective way to promote this development. However, theories are often abstract and not adaptable to specific healthcare settings. The belief that the knowledge base for nursing should evolve entirely from theory has important implications for nursing as an academic discipline and by extension the…
Attree, M. (2001). Patients' and relatives' experiences and perspectives of 'good' and 'not so good' quality care. Journal of Advanced Nursing, 33, 456 -- 466.
Burman, M.E., Hart, A.M., Conley, V., Brown, J., Sherard, P., Clarke, P.N. (2009). Reconceptualizing the core of nurse practitioner education and practice. Journal of the American Academy of Nurse Practitioners, 21, 11-17.
Hart, A.M., Macnee, C. (2007). How well are NPs prepared for practice: Results from a 2004 survey. Journal of the American Academy of Nurse Practitioners, 19, 35 -- 42.
Mantzoukas, S., Jasper, M. (2008). Types of nursing knowledge used to guide care of hospitalized patients. Journal of Advanced Nursing, 62, 3, 318-326.
Importance of the Issue
Nurse need to keep the records and specific information about their patients. The services in the hospitals require that every detail of the patients be kept in the records. For patients whose conditions recur, record helps the medical practitioners understand the health history of the patient. Proper records in the hospital are helpful in patient transfers (Voyer et al. 2014). Often, patient referrals are common in hospitals and thus records help the doctors in the new hospital to attend to the needs of the patient. The family members of the patients require the health records of their patients to arrange for better treatments. The law requires the nurses to keep records of the nature of services they offer to the patients. Often, the records of each patient are permanents in the hospital where they are kept physically or electronically. Records are essential because they…
Nursing and Genetics
As noted by Lea (et al.) "Obtaining a family history is an established and familiar screening activity used by nurses and other healthcare providers across many healthcare settings" (Lea 2010:4). However, the increased commonality of doing a genetic profile on patients has made gathering such a family history far more revelatory than ever before. Nurses must gain a better understanding of how genetics affects patient health in a very specific fashion to be effective healthcare providers in the future. Nurses are "ideally situated" to inform patients about what genetic information means, given the patient-centered focus of the profession (Lea 2011: 3). Nurses must understand the implications of genetic testing to comprehend the extent to which a disease is likely to manifest itself in a patient. Patients must be able to realistically evaluate the threats they face.
At present, "genetic tests are offered to those suspected of having…
Conley, Y. & Tinkle, M. (2006). The future of genomic nursing research. Journal of Nursing
Scholarship, 38: 213-218
Lea, DH (et al. 2011). Implications for educating the next generation of nurses on genetics and genomics in the 21st century. Journal of Nursing Scholarship, 43:1, 3 -- 12.
Lea, DH (2006). U.S. genetics nurses in advanced practice. Journal of Nursing Scholarship,
What is the most valuable lesson you've learned as a nurse that you've tried to impart to your students?
Get to know your patients. You can make a valuable human connection with any of your patients, if you just put in the attempt. Their care will be so much more effective and your time at work will be all the more richer.
How do you build awareness of the personal attributes of your students (Clark, 2008)?
I try and see my students outside the classroom to get to know them. I need to be aware of their personal attributes and how those can benefit them as nurses to be. Thus, I try to arrange picnics, pizza parties and other outings with my students so that we can all relax and get to know each other better.
How do you make some of the more intricate educational theories more attainable for…
Bastable, S.B. (2008). Nurse as educator: Principles of teaching and learning for nursing practice. Sudbury: Jones and Bartlett Publishers.
Clark, C.C. (2008). Classroom skills for nurse educators. Sudbury: Jones and Bartlett
Utley, R.A. (2011). Theory and research for academic nurse educators: Application to practice.
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…
About ENA. (2010, January). Retrieved October 2010, from Emergency Nurses Association: http://www.ena.org/about/Pages/Default.aspx
About the ACNM. (2010, February). Retrieved from American College of Nurse-Midwives: http://www.midwife.org/members.cfm
CNS - Who We Are and What We Do. (2010, January). Retrieved October 2010, from National Association of Clinical Nurse Specialists: http://www.nacns.org/AboutNACNS/MissionStatement/tabid/57/Default.aspx
Kozier, B., Erb, G. & Blais, K. (1997), Professional nursing practice (3rd edition),
The 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
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 Nurse as Learner and Teacher
Nursing is truly a lifelong study. While in school, a future nurse learns the tactics and the theory of the profession, and while in practice, he or she learns the social part of the profession, including interaction with patients, and difficulties relating to the workplace, and how to solve the latter. Due to these reasons, nursing is not a "one track" career, and involves constant adaptation and learning. Yet nurses are also teachers, and they fulfill that role every day, from the very first time that they step into the workplace. This paper will aim to present the nurse as both a learner and a teacher, and relate this to personal learning abilities.
From a new graduate to chief nurse, an individual embarking upon this career may very well see it in stages, but what is certain is that a nurse is often…
Greer, A.G. (2010). Learner-centered characteristics of nurse educators. International journal of nursing education scholarship. 7(1).
Kelly, C. (2006). Student's perceptions of effective clinical teaching revisited. Thompson Rivers University. Retrieved from < http://ezproxy.library.nyu.edu:2111/science/article/pii/S0260691707000135>.
Advance Perspectives: Nurses The Role of the Nurse as Learner & Teacher. (2011). Advance Web. Retrieved October 1, from .
I feel I would especially like to work with children in a hospital setting in my chosen profession, and help them cope with their diseases and illnesses in a positive way. I feel I can connect with ill children and their families in a positive and empathetic way.
I am applying for this scholarship because it will enable me to further my education at a crucial time in my life. Education is a major concern to me, since I view education as the key to success in the future. Education is the tool for learning, growing, broadening the mind, and becoming more productive in society. ithout this education, I feel as though my life is stagnant - at a standstill. That is why it is my goal to further my education by obtaining the Associate degree in nursing. Eventually, I hope to work in a hospital setting where I can…
Why I Chose Nursing as a Career have chosen nursing as my second career for a number of reasons. First, my goal has always been to help people in some form. I have a B.S. degree in biology, and I feel nursing will complement these skills, while allowing me to be a caregiver rather than a scientist. I feel the timing is now right for me to pursue this career as my life's profession. Furthermore, it would be a great privilege to earn my nursing degree in your institution. I know the education I receive there will fulfill my goal of becoming a nurse, and well prepare me for my future career.
A also feel I have a deep inner commitment to bring to my profession. I am a member of the Sinai Seventh Day Adventist Church, and have offered my services there for many years. I have taught Sabbath School and am an active member of the adult choir, as well. As an involved member of the church, I feel a genuine concern and responsibility for our youth. During 1998, I served on the Administrative Board and was the Chairperson for the Council of Children's Ministries, coordinating all children's programs for the year. I feel I would especially like to work with children in a hospital setting in my chosen profession, and help them cope with their diseases and illnesses in a positive way. I feel I can connect with ill children and their families in a positive and empathetic way.
I am applying for this scholarship because it will enable me to further my education at a crucial time in my life. Education is a major concern to me, since I view education as the key to success in the future. Education is the tool for learning, growing, broadening the mind, and becoming more productive in society. Without this education, I feel as though my life is stagnant - at a standstill. That is why it is my goal to further my education by obtaining the Associate degree in nursing. Eventually, I hope to work in a hospital setting where I can provide aid to patients and their families.
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.
The nurse is often expected to act and react only with empirical information, however personal knowledge is considered equally as important by many nurse educators and researchers (Chinn & Kramer 2004). This also helps to explain why "health" and "environment" are considered distinct major components in the metastudy of nursing; both can be understood on highly subjective terms, with the concept of "good health" changing from patient to patient, or "person" to "person." Environment, too, has a major effect on the practice of nursing and the growth of the nursing body of knowledge.
My personal philosophy of nursing centers on the belief that each individual person under my care deserves full attention and the unique application of my knowledge in addressing their immediate and long-term needs and concerns. That is, each person should benefit as much as possible from the full extent of my nursing knowledge, while still being…
Chinn, P. & Kramer, M. (2004). Integrated knowledge development in nursing. St. Louis: Mosby.
Fawcett, J. (2006). "Commentary: Finding patterns of knowing in the work of Florence Nightingale." Nursing outlook 54(5), pp. 275-7.
A nurse must weigh these variables, physical, mental, and spiritual, when advising a course of treatment and deciding how to approach a patient or patient's family. An adolescent who is an injured athlete envisioning a lucrative college scholarship might demand and be able to physically and mentally withstand a more aggressive form of treatment, due to psychological and developmental and goal-related visions (spiritual) factors than might a less motivated elderly patient.
A nurse who is training other nurses can instill consideration for all such variables in her various trainees -- and encourage nurses to engage in self-care as well as patient care on spiritual, preventative physical health care, and mental levels. Additionally, in a work environment with many diverse cultures, remind other nurses that Neuman's model has also been modified slightly to take into consideration culture as well as mind, body, and spirit -- although culture and spiritual values are…
Neuman, B.M. (1990). The Neuman systems model: A theory for practice. In M.E. Parker (Ed.), Nursing theories in practice (pp. 241-261). New York: National League for Nursing.
Neuman, B.M. (Ed.). (1995). The Neuman systems model (3rd ed.). Norwalk, CT: Appleton & Lange.
Pierce, J.D., & Hutton, E. (1992). Applying the new concepts of the Neuman systems model. Nursing Forum, 27(1), 15-18.
Nursing Schedules, Patient Outcomes
The title of this article suffices, although it could stand some improvement to make it even better. It certainly identifies the pivotal variables elucidated within this study, which include nursing scheduling, staffing, and patient morality. It is succinct enough. However, it does not allude to the study population at all. There is also a slight degree of redundancy in the title, as the focus of the research is more on the schedule concerns for nurses than for staffing in general.
The abstract is probably one of the better features of this research study and its ensuing write-up. It certainly is concise in its summary of the primary features of the report. It is also detailed in that it provides the problem, methods used, results, and conclusions -- although it does not not necessarily deploy those particular terms in doing so. It provides a high level synthesis…
Trinkoff, A.M., Johantgen, M., Storr, C.L., Gurses, A.P., Liang, Y., Han, K. (2011). Nurses work schedule characteristics, nurse staffing, and patient morality. Nursing Research. 60(1), 1-8.
Thank you in advance for your consideration of my request for a scholarship. My career change means I will be entering nurse training this year, enrolled at St. John's.
I am worthy of a scholarship because I understand commitment, obligations, responsibilities -- and the importance of rolling up one's sleeves to get important tasks completed competently and professionally.
Indeed, I have been engaged in the hard work of farming -- I farm 420 acres of corn and soybeans -- and I have planned on going into the healthcare field for years.
I am motivated by the passion I have to be trained to help others. That passion drives me to achieve academic excellence. In fact, since my return to the educational field, I have maintained a 4.0. -- a reflection of the work ethic I have always embraced.
Also, I am greatly motivated by my desire to see my…
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.
Identification and Control of Extraneous Variables
What are the extraneous variables in this study? (1)
In what way(s) were appropriate measures used to control for the influence of the extraneous variables? (1)
Identify the type of each measurement strategy (i.e. Likert scale, visual analog scale, physiological Measure, questionnaire, observation, or interview). (1)
Identify the level of measurement (nominal, ordinal, interval/ratio) achieved by each measurement strategy. (1)
Discuss how the instrument was developed or purpose of use. (1)
Report the reliability of each instrument from previous studies and the current study. (1)
Report the validity of each instrument from previous studies and the current study. (1)
Data Collection Methods
If appropriate, identify the intervention protocol. (2)
Detail how the data were collected. (2)
In what way(s) is the data collection procedures appropriate for this study? (2)
In what way were appropriate steps taken to protect…
Theoretical Foundations of Nursing:
Nursing can be described as a science and practice that enlarges adaptive capabilities and improves the transformation of an individual and the environment. This profession focuses on promoting health, improving the quality of life, and facilitating dying with dignity. The nursing profession has certain theoretical foundations that govern the nurses in promoting adaptation for individuals and groups. These theoretical foundations include theories, theory integration, reflection, research and practice, and assimilation.
Grand Nursing Theory:
There are several grand nursing theories that were developed by various theorists including the Science of Unitary Human Beings by Martha ogers, Sister Callista oy's Adaptation Model, and Systems Model by Betty Neuman. Sister Callista oy's Adaptation Model is based on the consideration of the human being as an open system. She argues that the system reacts to environmental stimuli via cognator and regulator coping techniques for individuals. On the other hand, the…
American Sentinel (2012). 5 Steps for Nurses to Stay Updated with Health Care Changes.
Retrieved September 4, 2013, from http://www.nursetogether.com/5-steps-for-nurses-to-stay-updated-with-health-care-changes
Andershed, B. & Olsson, K. (2009). Review of Research Related to Kristen Swanson's Middle-range Theory of Caring. Scandinavian Journal of Caring Sciences, 23, 598-610.
"Application of Theory in Nursing Process." (2012, January 28). Nursing Theories: A
Role as a Nurse/Life Helper in a Long-Term Care Facility
Nursing in a long-term care facility would be the prescription for burnout and depression for many people. And yet, it is an essential activity in the current society. There are ways to approach the profession, however, that help explain its purpose and also allow the nurse to place his or her activities into a context at once useful and conceptual. There are traditions from almost every philosophy and religion that point to the same things; the value of service, humility, compassion, and transcendence all arising out of the desire to do good works (nursing) and the will to create the skills necessary to do those works.
A knowledge of some of these is essential to place the activities of nursing into a scheme that will give the best result possible for all concerned, the nurse, the patient, the patient's family…
Bajunid, Ibrahim Ahmad. 2004. "The meaning of active citizenship." New Straits Times, 14 March 2004.
Barber, Benjamin. 1994. "Theory and practice: democracy and the philosophers. (2,500 Years of Democracy)" History Today, 1 August 1994.
Hegevary, Sue Thomas. 2002. "How nursing matters."
Journal of Nursing Scholarship, 22 December 2002. Database online accessed 19 March 2004.
Future of Nursing Education in the Kingdom of Saudi Arabia
The primary objective of this book is to provide the reader with evidence-based nursing education and practice principles. The goal of this work is to help nursing educators and nurse practitioners develop evidence-based nursing education standards and curriculum while providing nurses with effective examples of patient-centered care that is both high quality and cost effective. Patients and family members in Saudi Arabia have needs and expectations that nurses should seek to meet and fulfill. To that end, this book aims to support nurses and nurse educators.
The cultural values of the Kingdom of Saudi Arabia are also an important component of this work, as it is the culture of this country that supports and advances the aims of the nursing profession. This is seen in every aspect of the nursing profession -- from the earliest days of the first nursing…
Aldossary, A., While, A., Barriball, L. (2008). Health care and nursing in Saudi Arabia.
International Nursing Review, 55(1): 125-128.
Al-Hashem, A. (2016). Health education in Saudi Arabia. Sultan Qaboos University
Medical Journal, 16(3): e286-e292.
Texas is one of the strictest states in the country for nurse practitioners who want to open their own clinics, requiring them to find a physician with the willingness and time to follow a complex set of rules. Those rules include requiring the physician to delegate prescriptive authority, review patient charts, make on-site visits or practice within a certain geographical distance of the nurse practitioner. It's a system many nurse practitioners say is unnecessary and burdensome, especially in light of the state's considerable health access problem and the success of nurse practitioners in other states who practice without such direct physician supervision (Krisburg, 2011, p. 1).
In a state where under-service and major disparities as well as a staggering set of predictions about nursing and doctor shortages in the future exists it is difficult to believe that more steps have not been taken to align Texas laws with national examples.…
Brush, B.L. (2008) Global nurse migration today. Journal of Nursing Scholarship 40 (1) 20-25. Retrieved June 28, 2011 from: http://deepblue.lib.umich.edu/bitstream/2027.42/74033/1/j.1547-5069.2007.00201.x.pdf
Institute of Medicine (IOM) (2010) The future of nursing leading change, advancing health: Report recommendations. Retrieved June 28, 2011 from:http://www.iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf
Krisburg, K. (2011) Nurse practitioners call for greater independence: Relaxed rules could help medically underserved. AARP Bulletin. Retrieved June 28, 2011 from: http://www.aarp.org/health/doctors-hospitals/info-01-2011/nurse_practitioners_in_texas_call_for_greater_independence.html
Robert Wood Johnson Foundation (RWJF) (2009) Colleagues in caring: Regional collaboratives for nursing workforce development. Retrieved June 28, 2011 from: http://www.rwjf.org/pr/product.jsp?id=17352
Caring in Nursing
Over time, nursing and caring have largely been regarded synonymous. With that in mind, it is important to note that quite a number of caring theories have been developed based on caring as a central concept. Some of these theories include the Cultural Care theory by Leininger as well as the Human Caring theory by Jean Watson whose development took place in 1970's. In this text, I will concern myself with caring as a concept in nursing. In so doing, I shall come up with a detailed evaluation of the nature of the practice theory gap most particularly in Bahrain as far as nursing is concerned.
Caring in Nursing: A Definition
To begin with, it is important to note that caring behaviors in the context of nursing can be taken to be those approaches as well as practices that are evidenced by nurses as they seek to…
Barker, A.M. (2009). Advanced Practice Nursing: Essential Knowledge for the Profession. Jones and Bartlett Learning
Callara, L.E. (2008). Nursing Education Challenges in the 21st Century. Nova Publishers
Chitty, K.K. (2005). Professional Nursing: Concepts and Challenges. Elsevier Health Sciences
Cody, W.K. (2006). Philosophical and Theoretical Perspectives for Advanced Nursing Practice. Jones & Bartlett Learning
BSN Degree: Pathway to Professional Nursing
BSN Pros and Cons
Nursing education goals must adapt to changes in healthcare policy in order to better serve the needs of patients. Beginning in 1965, the American Nurses Association took a position that promoted academic degree programs as a way to foster the development of an autonomous nursing profession. This position necessarily rejected the value of the hospital-based diploma programs in existence at the time. This policy was based on the perceived need to improve the quality of patient care by creating professional nurses trained to take on a variety of roles, including healthcare management, nursing education, and nursing research. Although there is real value in earning an associate degree in nursing, the BSN degree is the requisite entry point for anyone interested in professional nursing and the many roles that entails. The BSN degree is also a prerequisite for further career development…
Ashford, Ellie. (2011, Mar. 28). Data show value of associate degree RN programs. CommunityCollegeTimes.com. Retrieved 12 Sep. 2013 from http://www.communitycollegetimes.com/Pages/Workforce-Development/Federal-data-demonstrate-value-of-associate-degree-RN-programs.aspx .
Blegen, Mary A., Vaughn, Thomas E., and Goode, Colleen J. (2001). Nurse experience and education: Effects on quality of care. Journal of Nursing Administration, 31(1), 33-39.
Chang, Yun-Kyung and Mark, Barbara A. (2009). Antecedents of severe and nonsevere medication errors. Journal of Nursing Scholarship, 41(1), 70-78.
Donley, Rosemary and Flaherty, Mary Jean. (2002). Revisiting the American Nurses Association's first position on education for nurses. Online Journal of Issues in Nursing, 7(2). Retrieved 11 Sep. 2013 from http://www.nursingworld.org/MainMenuCategories /' target='_blank' REL='NOFOLLOW'>
Dorothea Orem Nursing Theory
A theory is related concepts, and propositions used to guide a professional practice. Moreover, nursing theory serves as the interrelated concepts, predictive in nature, statement explanatory that assists in understanding the nursing phenomenon, which helps to explain and predict the nursing outcomes. Nursing theory is an organized body of knowledge used to explain the phenomena and supporting the nursing practice. Moreover, the nursing theory is defined as a set of definitions, concepts, assumptions, and relationships or propositions that are derived from the nursing model. However, the nursing theories consist of grand and middle-ranged theory. The middle ranged theory is the testable theory, limited in scope, limited in a variable, and used for the clinical research. More importantly, nursing theory serves as the body of knowledge that assists in carrying out the nursing research.
The objective of this study is to use the Dorothea Orem theory to…
Aliakbari, F., Parvin, N., Heidari, M., & Haghani, F. (2015). Learning theories application in nursing education. Retrieved May 10, 2017, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4355834/
Maria, O. (2015). Application of Dorothea Orem's Theory of Self-Care to the Elderly Patient on Peritoneal Dialysis. Nephrology Nursing Journal 41(5): 495-498.
Roussel, L. (2013). Management and Leadership for Nurse Administrators, Sixth Edition. Jones & Bartlett Learning.
Wong, C. L., Ip, W. Y., Choi, K. C., & Lam, L. W. (2015). Examining Self-Care Behaviors and Their Associated Factors Among Adolescent Girls With Dysmenorrhea: An Application of Orem's Self-Care Deficit Nursing Theory. Journal of Nursing Scholarship, 47(3), 219-227. doi:10.1111/jnu.12134
This makes retention essential, as new nurses must stay with the hospital and become nurse specialists for CMC to continue to maintain its reputation. Nursing education is also essential.
Unfortunately, a stressed and pressured environment that is understaffed can create tension rather than foster cooperation between nurses, particularly old and young nurses. Older nurses may believe that their younger colleagues must 'pay their dues' before they are fully accepted as part of the staff. Younger nurses may find themselves given more onerous tasks and denied learning opportunities, as they assume the 'grunt work' of the nursing staff.
Sadly, no one benefits from such an adversarial culture. Younger nurses leave in greater numbers, out of frustration, further compounding the nursing shortage at CMC. Little hands-on instruction and education means that new graduates lack confidence and autonomy in their decision-making and are more prone to error and relying upon more skilled…
AACN Fact sheet. (2009, September). AACN website. Retrieved April 10, 2010 at http://www.aacn.nche.edu/Media/FactSheets/NursingShortage.htm
Addressing the nursing shortage: Background brief. (2010). Kaiser Permanente. Retrieved April
10, 2010 at http://www.kaiseredu.org/topics_im.asp?imID=1&parentID=61&id=138
Buerhaus, Peter I. (2010). Trends in the experiences of hospital-employed registered nurses:
Quality of Work Life of Health Care Providers in Saudi Arabia
In iyadh, the quality of work life of health care providers is not as high as it should or could be, according to researchers (Alhousaini, 2006; Almalki, FitzGerald, Clark, 2012). Almalki et al. (2012) have shown that "30.3% of nurses in iyadh were not offered any training courses or continuing education programs and 65.9% were offered very short courses (1 to 5 days per year)" (p. 30). Overall, health care providers have expressed dissatisfaction with their work life (Almalki et al., 2012). Likewise, Abu-Zinadah (2006) has indicated that work life in conditions in iyadh are sub-par for health care providers and could be improved considerably through attention to work hours and other variables. In iyadh as well as in other regions throughout the Kingdom, a lack of clinical experience can negatively impact a health care providers' quality of work…
Abu-Zinadah, S. (2006). Nursing situation in Saudi Arabia. Riyadh: Saudi Nursing
Board, Saudi Commission for Health Specialties.
Al-Ahmadi, H., Roland, M. (2005). Quality of primary health care in Saudi Arabia: a comprehensive review.
Alhusaini, H. A. (2006). Obstacles to the efficiency and performance of Saudi nurses at the Ministry of Health, Riyadh Region: analytical field study. Riyadh, Saudi Arabia, Ministry of Health.
But the real world was a whole and perfect entity." (Philosophy Is a Way of Life)
The theory of dualism and its implications in term ethics and politics can be derived from the following concise but insightful analysis.
A dualistic view of reality understands there to be two (thus dualism) levels of existence. The top level... is ultimate reality, and consists of ideas, such as truth, beauty, goodness, justice, perfection. In other words, the ultimate reality is non-corporeal, or non-physical. It is the level of spirit and deity. The lower level is the physical world which in which we live. It is the opposite of ultimate reality, thus it is not real in the sense that it is not ultimate. It contains the imperfect physical manifestations of the ideas that exist in the perfect plane, so by definition it is characterized by falsehood, ugliness, evil, injustice, imperfection.
Allen DG. (2006) Whiteness and difference in nursing. Nurs Philos. 7(2):65-78. Bratcher D. Body and Soul. Greek and Hebraic Tensions in Scripture: Thoughts on the Di-/Trichotomous Debate. Retrieved July 19, 2008, at http://www.cresourcei.org/bodysoul.html
Chadwick, Henry. (1984) Early Christian Thought and the Classical Tradition:
Studies in Justin, Clement, and Origen. Oxford: Oxford University Press.
Engebretson, Joan.(2002) Hands-on: The persistent metaphor in nursing.
According to the American Association of Colleges of Nursing an Advanced Practice Nurse (APN) is a professional nurse with "specialized knowledge and skills that are applied within a broad range of patient populations in a variety of practice settings" (American Association, 2005).
According to Jennifer Keller an APN who works in the OB/Gyn department, specialized skills include a number of options such as; managing a wide range of health problems using diagnosis after a physical examination. Jennifer sees patients that are normally pregnant, or who are attempting to become pregnant who wish to know or learn the safeguards and practices needed for a successful pregnancy. Keller's expertise has been developed over a number of years and with a constant emphasis on education. She has completed a Masters as required of an Advanced Practice Nurse and continues to attend additional courses and clinics in order to acquire gain further knowledge…
AABH (2011) AABH code of ethics, accessed at website: http://www.aabh.org/node/1 , on February 5, 2011
American Association of Colleges of Nursing (2005) Certification and Regulation of Advanced Practice Nurse, accessed at website: http://www.aacn.nche.edu/publications/positions/cerreg.htm on February 5, 2011
Brooten, D.; Youngblut, J.M.; Deatrick, J.; Naylor, M.; York, R.; (2003) Patient problems, Advanced Practice Nurse (APN) interventions, time and contacts among five patient groups, Journal of Nursing Scholarship, Vol. 35, Issue 1, pp. 73-79
Dickinson, G.; Clark, D.; Sque, M.; (2008) Palliative care and end of life issues in UK preregistration, undergraduate nursing programs, Nursing Education Today, Vol. 28, pp. 63-170
The respondents who step out to be part of the research process should be protected from any unwanted intrusion or any other form of personal or group harassment (Smith & Liehr, 2008).
It is formal to have and conduct nursing research according to the set ethical frameworks where the entire review of the proposal will be undertaken. Whether to be undertaken by the staff or students, this research should be subjected to ethical approvals, which will make sure that the research, proposal is directed at serving the nursing school dream and intentions. Using the Middle range theory, the nursing problems and challenges will be solved in various ways as follows (Smith & Liehr, 2003).
All the nursing researchers and educators, being the staff members, must have respect upon the dignity, interests, and rights of the nursing students and other staff members related and participating in practical and theoretical learning.
Basford, L., & Slevin, O. (2003). Theory and practice of nursing: An integrated approach to patient care. Cheltenham, U.K: Nelson Thornes.
Fitzpatrick, J.J., & Kazer, M.W. (2012). Encyclopedia of nursing research. New York:
Meleis, a.I. (2011). Theoretical nursing: Development and progress. Philadelphia: Wolters
There are a number of common criticisms of educational standards. The first is the concern that predetermined set standards for education creates a 'teach to the test' mentality vs. truly educating students to be creative problem solvers. Another concern is that of equity in education: namely students with different learning styles, learning challenges, or socio-economic obstacles are unfairly penalized by the format of standardized tests (What do critics of standards have to say, 2004, Educational Broadcasting Corporation).
But most educators would agree that there must be standards in some form -- in other words, that every unit taught must have an objective for student learning and that students must have goals throughout the educational process. The concern is having standards imposed upon a classroom in a manner that is not truly appropriate for the students' needs and is not conducive to process-based learning. Ultimately, learning is a process,…
Mentoring: A boon to nurses, the nursing profession and patients. (2013). RWJF. Retrieved
from: http://www.rwjf.org/en/about-rwjf/newsroom/newsroom-content/2013/01/mentoring--a-boon-to-nurses--the-nursing-profession -- and-patient.html
Future Goals & Scholarship
My journey in the RN-BSN program has provided me with the knowledge I needed to advance my career in nursing. Also, the RN-BSN has prepared me intellectually as well as in a foundational way to offer a higher quality of service to my patients. A nurse that truly engages with her profession never stops learning about the newest advances in healthcare strategies and policies, and I have been an enthusiastic learner when it comes to advancing my skills and my experiences for the benefit of my patients.
hat I learned and how that Knowledge Helps Me
The advanced skills I have learned allow me to better care for my patients. But moreover, the RN-BSN program brought into my focus the importance of better English comprehension skills, including the ability to critically evaluate ideas, scholarly articles, speeches given by healthcare professionals, and other materials that nurses need…
Bush-Bacells, J. (1998). Innovative Pedagogy: Academic Service-Learning for Business
Communication. Business Communication Quarterly, 61(3), 20-34.
Stevens, K.R. (2013). The Impact of Evidence-Based Practice in Nursing and the Next Big
Ideas. Online Journal of Issues in Nursing, 18(2), 1-15.
Functions of Agencies for Nursing Practice
Functions of Nursing Agencies
Sigma Theta Tau International (STTI) celebrates nursing excellence and advances world health through service, scholarship, and leadership (Pesut, 2004). There are 135,000 active members of STTI, making it the second-largest nursing organization in the world (Pesut, 2004). By providing more knowledge to the community and through educational institutions, STTI is able to support nurses in their professional development. As these nurses develop, they are then able to help others with their development and their health, making the world a better place overall and advancing the desire of people who are considering going into the field of nursing in the future (Pesut, 2004).
The Agency for Healthcare esearch & Quality (AHQ) is part of the United States Department of Health and Human Services (HHS) (Avorn, 2008). It is focused on the production of guidelines to ensure that healthcare was handled correctly.…
Avorn J. (2008). Powerful medicines: The benefits, risks, and costs of prescription drugs. NY: Random House.
Pesut, D. (2004). "On Sigma Theta Tau International." Nurseweek.
DNP has been a relatively new one for the nursing profession. Today, "there are many enthusiasts toward the DNP. Seen by some as a symbol of social progressivism, the endorsement of doctoral education for advanced practice nursing has many potentially positive outcomes. Among them, better parity with other practice disciplines" (Bellini 2012: 6). However, there have also been many naysayers about the degree. They "strongly argue for the retention of MS-level preparation for APNs based on economic and workforce issues… [they argue that the DNP is] detrimental to society, as the projected number of APNs needed is expected to rise in the years to come, The authors argue that this is unlikely to occur if the DNP-mandate deters potential APN students from pursuing graduate study" (Bellini 2012: 6). This reflects the idea that nursing, however much theory might inform the teaching of nursing, is ultimately always a practical discipline.
Bellini, S. (2014). The doctor of nursing for entry into advanced practice. Medscape.
American Association of Crital Care Nurses
Enter Contact Information Here | 1127 Lombard Blvd. San Francisco, CA 59802 | phone [HIDDEN] | fax [HIDDEN]
For more information:
Visit us on the web at:
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As the largest specialty nursing organization in the world, AACN joins together more than 100,000 nurses who care for high acuity and critically ill patients and their families. AACN drives excellence by creating standard-setting resources for and with our members. Our community empowers its members to do the best they can for patients, their families and the profession. Below are just a few benefits of membership
Scholarships to further your knowledge and expertise
Connect with other nurses with the community
Timely and relevant clinical information
Continuing Education Opportunities
Unlimited FEE CE CEDITS!
AACN is the largest specialty nursing organization in the world, representing the interests of more than 500,000 nurses…
Resources information and upcoming events
Please contact -- | 555 Nurse Street, Jacksonville, Fl
55555 | phone [HIDDEN] | fax [HIDDEN]
A COMMUNITY OF EXCEPTIONAL NURSES
Finally, if the nurse and others concede that her ideas regarding policy change are successful and needed in the medical profession and that other medical professions would benefit from the implementation of these changes to their activities and systems, the nurse can then proceed to implementation of her plan. This she can do by communication with legislators by e-mail, phone, or letter (or in person, if she wishes); by attending forums or other official meetings with political candidates; by working in political campaigns; and by involving herself in similar activities. This would provide the nurse with networking opportunities and enable her to find a platform for and to share her ideas.
An example of just such a successful attempt was that achieved by nurses in 31 organizations (such as the Academy of Medical-urgical Nurses, the American Nurses Association, and the American Organization of Nurse Executives) who, in 2008, pushed for…
Anderson, L. (Tuesday, February 22, 2011). The Role of Nurses in Politics and Health Policy, Nurse Together.com. Retrieved on February 22, 2011 from:
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).
There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies…
Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87
Advisory Board Web site. (2004). Available at: http://www.advisory.com .
Ales, B.J. (1995). Mastering the art of delegation. Nurs Manage. August; 26: 32A, 32E.
American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.
Lewin model of change can be useful as a way of encouraging people to get motivated about changing an ingrained policy that is no longer serving the organization. The first, foundational step of the model is the need to 'unfreeze' current standard operating procedures and to convince workers of the need for change. In the scenario you described, it seems as though there was a base level of understanding of the workers about the need for more effective use of bar code medication administration (BCMA) at the end of twelve months, given the organization had already had this program in existence for one year with a compliance rate of 90%. However, there was clearly a failure in terms of the implementation of the actual change component in terms of the design of the training program. The 'refreezing' should not take place until the standard operating procedures have taken hold in…
nursing organizational chart obtained was from this website, http://Hospitals.unm.edu/nursing/.
UNM has a Nursing Division meant to solve and identify the most significant questions concerning human health within the community, through care, service, scholarship, and education. The hospital itself has various sections dedicated to services like Nursing Education, Children's Psychiatry, Progressive Care Units, and Surgical Services. It is a hospital part of a university and serves to teach students as well as serve the community. The organizational chart from the hospital reveals various departments dedicated to research and nursing education. It also has departments for patient care.
Organizations set up structure within their facilities in specific ways to achieve various objectives, and the structure of an organization assist in or delay its progress toward achieving these objectives. Organizations big and small can accomplish higher sales as well as other kinds of profit by correctly matching their requirements with the structure they…
Patient- and Family-Centered Care and the Pediatrician's Role. (2012). PEDIATRICS, 129(2), 394-404. doi:10.1542/peds.2011-3084
Paynton, S. (2015). The Informal Power of Nurses for Promoting Patient Care. Nursingworld.org. Retrieved 25 February 2015, from http://www.nursingworld.org/MainMenuCategories /' target='_blank' REL='NOFOLLOW'>
real encounter with nursing. The encounter occurred when I first accompanied my mother to the hospital to get her treatment. That day, I felt an urgent need to become a nurse. This is because I saw that most of the nurses and other health professionals in the hospital were always pressed for time and patients, including my mother, had to wait for long periods of time before getting attended to. That experience revealed to me a gap that I was confident I could help fill in however little way I could. Realizing that the only way I could get to pursue my dream of becoming a nurse was through education, I started putting a lot of effort in school and my academic performance is proof of that. However, being brought up by a single mother compounded what was already a difficult situation. My mother had to go through a lot…
achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #4, the MSN Essential IV, and the Nurse Practitioner Core Competencies # 7.
The achievement of course outcomes has prepared me to meet the fourth MSN program outcome: which is to evaluate the design, implementation, and outcomes of strategies developed to meet healthcare needs. Completing the course has also promoted the MSN Essential IV, and the Nurse Practitioner Core Competencies # 7. MSN Essential IV is "translating and integrating scholarship into practice," which is a core component of professional nursing. Through the course, we recognize the value of evidence-based practice as we integrate research outcomes within the practice setting. We also resolve practice problems, work as a change agent, and disseminate results.
Program Outcome #4: Evaluate the design, implementation, and outcomes of strategies developed to meet healthcare needs (MSN Essentials)
Evaluating the design,…
Campinha-Bacote, J. (2011). Delivering patient-centered care in the midst of a cultural conflict. Online Journal of Issues in Nursing 16(2).
Drenkard, K. (2012). Strategy as solution. Journal of Nursing Administration 42(5): 242-243.
Litaker, D., et al., (2006). Using complexity theory to build interventions that improve health care delivery in primary care. Journal of General Internal Medicine 21(2): S30-34.
"Population-Focused Nurse Practitioner Competencies," (2013). Retrieved online: http://www.aacn.nche.edu/education-resources/PopulationFocusNPComps2013.pdf
leadership is a theory, developed by Paul Hersey and Ken Blanchard, that argues "successful leaders should change their leadership styles based on the maturity of the people they're leading and the details of the task" (MindTools, 2014). This contrasts with most views prevailing in leadership scholarship, which tend to argue that leaders will have one leadership style. The underlying argument that Hersey and Blanchard are making is that in this world, there are so many different situations that arise that a single leader with just one leadership style will never be as effective as a leader who can adapt his/her style to suit the situation.
According to the Hersey-Blanchard situational leadership theory, there are four main leadership styles -- telling, selling, participating and delegating. These are then applied to four different maturity levels. The authors argue that at the lowest maturity level, the leader needs to focus on telling/directing, and…
Cummings, G., Lee, H., MacGregor, T., Davey, M., Wong, C., Paul, L. & Stafford, E. (2008). Factors contributing to nursing leadership: A systematic review. Journal of Health Services Research & Policy. Vol. 13 (4) 240-248.
MindTools. (2014). The Hersey-Blanchard situational leadership theory. MindTools.com. Retrieved November 14, 2014 from http://www.mindtools.com/pages/article/newLDR_44.htm
Schermerhorn, J. (1997). Situational leadership: Conversations with Paul Hersey.
Nursing Practicum: Learning Objectives and Timeline
As a future primary care provider seeking NP board certification, one of my primary areas of focus will be how to enhance my patients' understanding of preventative medicine. This directly relates to DNP Essential VII: of "Clinical Prevention and Population Health for Improving the Nation's Health" (The Essentials, 20016, p.15). The United States has seen a dramatic rise in chronic illnesses rooted in poor lifestyle choices such as diabetes and heart disease. Through my practicum experience, my first learning objective is the ability to more effectively engage with patients and express the need to achieve health-related goals in layperson's terms. I also seek to work with patients to create a plan for healthy living that they view as reasonable and achievable, given that patients are often intimidated by the need for lifestyle changes.
This also related to my Evidence-Based Practice (EBP) Project which specifically…
The essentials of doctoral education for advanced nursing practice. (2006). AACN. Retrieved
High blood pressure educational materials for patients. (2015). CDC. Retrieved from:
Nursing Higher Education and Leadership
Clinical leadership is very important because of the problems that characterize the health care sector, including workforce shortage, high rates of change, staff chaos, quality issues, and safety concerns, among others. From history, the preparation of nurses for key roles in the health care delivery system is quite important and should not be overlooked. (Joseph & Huber, 2015). I am trained both as a clinical nursing educator and perioperative nurse. Clinical nurse educators attain that title after much experience in nursing. They mainly coach nursing students and the newly graduated ones. Perioperative nurses on the other hand are registered nurses who help in the surgical department in hospitals, day surgery units, physician’s offices and clinics. Their main work is to assist in planning, implementation and evaluation of treatment for surgical patients. (Turunen et al., 2017).
As such, the perioperative nurse starts her work immediately the…
Nusing Concens in Pactice
Synthesize knowledge fom the libeal ats and sciences and nusing science to undestand global pespectives, stimulate citical thinking, and use cuent technologies
Thee ae multiple ways that I was able to fulfill this paticula couse objective. Some of the moe cutting edge developments in infomation technology ae outside of the ealm of nusing science, and ae geneally applied to libeal ats and sciences. Howeve, while netwoking with colleagues at the clinic I was able to tain and pactice at, I was able to implement some of those IT developments to help futhe my education and infom my pactice. In ode to help lean about diffeent social, cultual, and economic factos that can infom the teatment of patients, I was able to ead about cetain factos that impacted my patients fom lowe socio-economic sphees of life. Specifically, I was able to undestand how thei limited budgets impacted…
references for interactions with others. Specifically, I was able to reference some of the research I had conducted with my peers and other staff members, as well as with patients. To that end the research I conducted for this course in the form of the various articles I perused helped to convince me of the value of life-long learning. They were able to do so in two different ways. The first of these pertained to the fact that they helped to reinforce various facets of the scholarly method that I learned while taking this course, as well as while fulfilling other course requirements for this degree. In this regard these articles served to function as real-life applications of the methodology that I had been taught, which helped me to absorb these concepts even more. More importantly, perhaps, these articles helped me to understand the merit of continual scholarship and a focus on nursing education (Hancock, 2008, p. 263). It is not enough for one to simply obtain a degree or an advanced degree and consider one finished with the pursuit of scholasticism. Instead, these articles convinced me that such scholarship is a life-long pursuit.
Hancock, P.K. (2008). Nurse migration: the effects on nursing education. International Nursing Review. 55(3), 258-264.
Sand-Jecklin, K., & Herman, J. (2014). A Quantitative Assessment of Patient and Nurse Outcomes of Bedside Nursing eport Implementation. Journal of Clinical Nursing, 23(19-20), 2854-2863.
This particular research piece is quantitative in nature. The basic analysis element in a study of this kind as Keele (2011) points out is statistical analyses and numbers. This is more so the case given that it generates data that could be transmuted into operational statistics, as it seeks to quantify the problem i.e. "quantify quantitative outcomes of a practice change to a blended form of bedside nursing report." It is clear that the authors in this case seek to quantify behaviors and opinions in an attempt to come up with results from a sample population that is significant. I selected this topic due to its relevance to clinical practice. This is particularly the case given that there are very few published studies that have…
Elsevier (2017). Guide for Authors: Author Information Pack. Retrieved from https://www.elsevier.com/journals/collegian/1322-7696/guide-for-authors
Keele, R. (2011). Nursing Research and Evidence-Based Practice. Sudbury, MA: John & Bartlett Learning
Polit, D.F., & Beck, C.T. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Shamoo, A.E. & Resnic, D.B. (2009). Responsible Conduct of Research (2nd ed.). New York, NY: Oxford University Press.
Patricia Benner Theory
21st century nursing is an evolving, rewarding, but challenging occupation. Unlike nurses in the past, the modern nurse's role is not limited to the physician's assistant, but rather takes on a critical partnership role with both doctor and patient. This role is multicimensional: advocate, caregiver, teacher, researcher, counselor, translator, and case manager. Of course, care is of the upmost importance and includes those activities that assist the client physically mentally and emotionally. This requires a holistic approach to the patient as a person, not a disease, number or statistic (Mariano, 2005). Using nursing theory and scholarship can help aid a nurse's toolbox as well as keep the nurse current with practice and philosophical ideas. Case histories, for instance, provide a way to examine different aspects of nursing theory with tangible, tactical solutions, as well as points for strategic discussion (Alligood, 2009, intro).
From Novice to Expert. (September 16, 2011). Nursing Theories. Retrieved from: http://currentnursing.com/nursing_theory/Patricia_Benner_From_Novice_to_Expert.html
Alligood, M. And A. Tomey. (2005). Nursing Theory: Utilization & Application. Denver, CO:
Altman, T. (2007). An Evaluation of the Seminal Work of Patricia Benner. Content Management Group -- Contemporary Nursing. 25 (2): 114-23. Retrieved from: http://nnppositionpaper.wikispaces.com/file/view/An+Evaluation+of+the+Seminal+Work+of+Patricia+Benner+Theory+or+Philosophy.pdf
National Institute of Nursing esearch (NIN)
History of the organization
The National Institute of Nursing esearch is a body mandated with the principal responsibility of carrying out research that relates to the nursing and medical field in general. The institution dedicates its effort to improving the health and health care of Americans through funding of nursing research and research training. The involvement of the federal government led to the formation of the research institute as early as 1946. The federal government established a division of nursing within the office of the Surgeon General, Public Health Service. The NIN commenced its activities in 1955 when the institute established a Nursing esearch Study section, which was within the Division of esearch Grants. The purpose of this Study Section was to conduct a scientific review of the growing volume of applications in the nursing sector.
In 1960, a consolidation of the public health…
Fitzpatrick, J.J & Kazer, M. (2011). Encyclopedia of Nursing Research. 3rd edition. New York:
Springer Publishing Company.
Miller, A.C. (2009). Nursing for Wellness in Older Adults. Printed in China: Lippincott Williams
Advance Practical Nurse Professional Development Plan
Nursing is a very lucrative career. However, it takes a lot of work and determination to be a nurse. The job requires specific skills and education as well as licensing. Find below my personal Advanced Professional Development Plan (APN). I will also discuss such aspects as background, marketing strategies and curricula.
I appreciate that to get the education and practice I need as a nurse I have to follow the APN professional development plan. I have discussed in this paper how I will achieve this. The outline is as follows:
Identify My Learning Needs
I can do this in a variety of ways. First, I will reflect on my practice. I will determine which of my practicing areas I feel uncomfortable or unsure. I will evaluate if any of the areas I feel uncomfortable have something associated with…
1) Writer Thoughts
2) Professional Development For Nurses. (n.d.). Retrieved December 2, 2014, from http://www.learningnurse.org/index.php/library/pro-development
3) Scope of Practice. (n.d.). Retrieved December 2, 2014, from http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses/Scope-of-Practice-2
4) Howell, N. (n.d.). How to Write a CV for a Nurse. Retrieved December 2, 2014, from http://www.ehow.com/how_4799318_write-cv-nurse.html
esearch opportunities are afforded for projects on and off the NIH campus.
Funds for training and research are provided by NIN. Fellowships enable scientists to be trained to conduct independent nursing research and to collaborate in interdisciplinary research through individual and institutional pre-doctoral, post-doctoral, and senior awards. Grants enable schools of nursing with research programs to provide full-time pre-doctoral and post-doctoral research training. NIN also provides Career Development Awards, Mentor esearch Scientist Development Awards (to promote diversity), and Career Training Awards as well as numerous other training and research opportunities both on and off the NIH campus.
The office of Extramural Activities is made up of the Office of Extramural Programs (OEP), the Office of Grants Management (OCGM), and the Office of eview (O). The OEP manages the funding activities of NIN that occur outside of NIH. The NIN OEP is organized into four sections: Neuroscience, Genetics, & Symptom Management;…
The NIH Almanic. (2011, October12). National institute of nursing research. U.S. department of health & human services. Retrieved October 18, 2011, from http://www.nih.gov/about/almanac/organization/NINR.htm
National institute of nursing research. (2011). National institute of health. Department of Health and Human Services. Retrieved October 18, 2011, from http://www.ninr.nih.gov/ResearchAndFunding/