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The role of education is changing everyday as new technology, models and methods are introduced on a daily basis. As these transformations occur it essential for those within the nursing education fields are aware of the possible implications of these changes. Distance education, online learning and e-academics provide great advantages for individuals and organizations who can implement a program or model that is aligned with the overall organizational strategy that provides students and faculty alike with a learning environment that performs well and promotes the fundamental truths about that subject, area of emphasis or route of information.
The purpose of this essay is to explore the role of distance education and how it can negatively impact students who are not prepared to take on the role of online education. This essay will demonstrate that using this educational model requires a certain type of student that can excel in…
Kenny, A., Kidd, T., Nankervis, K., & Connell, S. (2011). Mature age students access, entry and success in nurse education: An action research study.Contemporary nurse, 38(1-2), 106- 118.
Button, D., Harrington, A., & Belan, I. (2014). E-learning & information communication technology (ICT) in nursing education: A review of the literature.Nurse education today, 34(10), 1311-1323.
Perry, B., & Edwards, M. (2014). Exemplary online educators: Creating a community of inquiry.
Evidence-based nursing practice allows nursing students into developing an understanding of evaluation methods for healthcare research and integrating their findings into practice for he improvement of their practice, education and management of nursing practice. It is a learning method, which introduces nursing students into the process of using evidence in their practice. The nursing practice and handling of patients demand the best practices from nurses (Williams, & Wilkins, 2008). These are achievable through research and the research findings must be availed to nurses for use in their daily practices. However, the challenge of such results is that nurses and nursing students do not easily understand the terminologies used in researches, on most occasions (American Psychological Association, 2009). Therefore, it is important making sure that nurses and students gain adequate knowledge for understanding and critically appraising research for the identification of the best practices found within researches.
For the success of…
American Psychological Association. (2009). Publication manual of the American Psychological Association (6th Ed.). Washington, D.C
Cronin, P., Coughlan, M., & Ryan, F. (2007). Step-by step guide to critiquing research. Part 1: quantitative research. Mark Allen Publishing Ltd. British Journal of Nursing, Vol. 16, No 11
Griffin, R.A., Polit, D. R, & Byrne, M.W. (2007). Nurse characteristics and inferences about children's pain. Manuscript submitted for publication.
Williams, L. & Wilkins. (2008). Wolters Kluwer Health.
Accommodations for Disabled Nursing Student
There are roughly 54 million Americans with some form of disabilities, and one-fifth of those 54 million people have run up against barriers to employment, access to healthcare and education (Pischke-inn, et al., 2004). The nursing field has traditionally tried to welcome students with disabilities into nursing schools, and following the passage of federal laws regarding disabled people and employment there are legal requirements for employers and schools vis-a-vis accommodating those with disabilities. According to the Rush University Proceedings Manual, nursing students with disabilities should be accommodated (when practical and possible) in order that they may proceed into a career of helping others. In fact the Americans with Disabilities Act (ADA) (as amended in 2008) requires that "reasonable accommodations for students with disabilities" should -- under certain circumstances -- be provided by the nursing school (Dupler, et al., 2012). The ADA requires students with "…sensory…
Dupler, A.E., Allen, C., Maheady, D.D., Fleming, S.E., and Allen, M. (2012). Leveling the Playing field for nursing students with disabilities: implications of the amendments to the Americans with Disabilities Act. Journal of Nursing Education, 51(3), 140-144.
Job Accommodation Network. (2010). Occupation and Industry Series: Accommodating Nurses
with Disabilities. Retrieved April 17, 2014, from http://askjan.org .
Pischke-Winn, K.A., Andreoli, K.G., and Halstead, L.K. (2004). Students with Disabilities:
Foundations of Nursing Education
Table of Contents
Changing from an Associate Degree Nursing Program to a BSN Program 3
Two Factors That Influence the Need for a BSN Program 3
How the IOM Has Informed the Decision for a BSN Program 4
IOM’s Recommendations for Guiding the Integration of Quality and Safety Initiatives in the New BSN Program 5
Rationale for the Recommendation 5
One Possible Barrier 5
Learning Theory to Support the Development of Critical Thinking Skills in the New BSN Program 6
Two Advantages of the Theory 7
Two Disadvantages of the Theory 7
Key Components of Authentic Learning That Can Inform the Development of the New BSN Curriculum 7
One Advantage of Authentic Learning in the New BSN Program 8
One Disadvantage of Authentic Learning in the New BSN Program 8
Two Current Modalities for Delivery: Traditional Classroom Learning and Online Education 8
Justification for Traditional Classroom…
ANA. (2015). Code of ethics for nurses. Retrieved from http://nursing.rutgers.edu/civility/ANA-Code-of-Ethics-for-Nurses.pdf
Appana, S. (2008). A review of benefits and limitations of online learning in the context of the student, the instructor, and the tenured faculty. International Journal on E-Learning, 7(1), 5-22.
Halstead, J. (2007). Nurse Educator Competencies: Creating an Evidence-Based Practice for Nurse Educators. New York, NY: National League for Nursing.
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf
Khawaja, M. (2015). Economic and social factors behind the choice of medical profession by Saudi female students: An applied study at Qassim University. Journal of Administrative and Economics Science, 9(1), 1-20.
Kirschling, J. (2017). Well educated RNs are critical to country’s future. Retrieved from http://www.baltimoresun.com/news/opinion/oped/bs-ed-nursing-force-20170108-story.html
LaVelle, M., LaVelle, B., Port, K., Sherlock, J. (2015). Copyright law basics for the nursing professional. Journal for Nurses in Professional Development, 31(5), 252-257.
Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370.
In addition to the above the authors are very cognizant of the fact that surgical patient wellness is also directly attributable to patient-nurse ratios. According to the authors this ever-important factor impacts the patient mortality and failure to rescue rate possibly as much as N higher education. Unfortunately, however, the authors fell short in statistically analyzing the influence of these two variables in conjunction with patient mortality and failure to rescue. Lastly, and maybe not originally intended by the authors, there should exist a presentation of how the nursing professional can implement a strategy to improve the educational qualifications of nurses. One thing is to mention a need; yet another to recommend a sustainable solution.
Aiken, Linda H., et al. (2003). Educational levels of hospital nurses and surgical patient…
Aiken, Linda H., et al. (2003). Educational levels of hospital nurses and surgical patient mortality. JAMA, 290:1617-1623.
Quantitative Study Review
This paper provides a review of a quantitative study and determines the purpose, sample, method, findings and credibility of the study. It also examines the interventions and whether there was any clinical significance to the findings. By examining the significance and credibility of the study it shows its value in nursing research.
The purpose of the study by Gonzales et al. (2017) was to describe graduate entry nursing students' learning styles. The research question was: “What are the predominant learning styles of graduate entry nursing students?” (Gonzales et al., 2017, p. 56). The study did not make any hypothesis prior to conducting the Index of Learning Styles (ILS) survey.
The sample for the study was obtained by recruiting 202 graduate entry nursing student volunteers at a southwestern university. This was essentially a convenience sample. No inclusion or exclusion criteria were discussed in the study, but in…
AbuAssi, N. E., & Alkorashy, H. A. E. (2016). Relationship between learning style and readiness for self-directed learning among nursing students at king Saud university, Saudi Arabia. International journal of advanced nursing studies, 5(2), 109-116.
Brannan, J. D., White, A., & Long, J. (2016). Learning styles: Impact on knowledge and confidence in nursing students in simulation and classroom. International journal of nursing education scholarship, 13(1), 63-73.
Gonzales, L. K., Glaser, D., Howland, L., Clark, M. J., Hutchins, S., Macauley, K., ... & Ward, J. (2017). Assessing learning styles of graduate entry nursing students as a classroom research activity: a quantitative research study. Nurse education today, 48, 55-61.
McKenna, L., Copnell, B., Butler, A. E., & Lau, R. (2018). Learning style preferences of Australian accelerated postgraduate pre-registration nursing students: A cross-sectional survey. Nurse education in practice, 28, 280-284.
Vizeshfar, F., & Torabizadeh, C. (2018). The effect of teaching based on dominant learning style on nursing students' academic achievement. Nurse education in practice, 28, 103-108.
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.
Nurse Eduactor Strategic Plan
Nurse educator strategic plan
A strategic plan for a nurse educator
At present, I would say that my greatest strength as a nurse educator is my willingness to challenge myself in the pursuit of excellence. Within the next year, I will obtain my MSN with a specific concentration in education. Previously, I obtained certification as a Basic Life Support instructor (BLS). Also within the next year I intend to seek out certification in Advance Cardiac Live Support (ACLS) and Pediatric Life Support Instructor (PAL) with the intention of becoming both an ACLS and PALS instructor. These will enhance my capabilities as a nurse educator and provide greater specificity in the range and types of teaching I will be able to convey.
My second great strength as a nurse educator is the compassion I have for my patients and my genuine love of teaching. A nurse is…
Covey, S. (2012). 7 habits of highly effective people. Franklin Covey.
Gardner, H. (2007). Frames of mind: The theory of multiple intelligences. New York: Basic
Professional Nurse Educator's Group. (2013). Official Website. Retrieved from:
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…
Other sources will include data from educational institutions and healthcare facilities identifying the percentage of students that benefited from other educational models compared with the results of students participating in the Elsevier Reach standardized case studies
Primary sources that may be available for contemplation will include actual test results, graduation rates and successful placement of nursing candidates at healthcare facilities. These resources may be available through testing and educational centers and from employers including health facilities that hired a percentage of nursing graduates in any given year in the years proceeding use of the Elsevier Reach standardized cases. Primary sources may also come from personal testimonials from nurses in contemporary society as well as nurses that worked previous to the inception of the standardized case studies. These interviews can be conducted using questionnaires or during focus groups where nurses are provided the opportunity to share their experiences and successes or…
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 Mentor Scenario
Introduction- Just as the theoretical and practical backgrounds of nursing have changed over the past several decades, so has the nursing education environment itself. . Students now entering the field are diverse in culture, educational background, and most especially age and experience. Traditional undergraduates coming directly from High School or Junior College often interact with more mature and experienced students. In addition, nursing instructors remain challenged to recognize different learning needs and styles, and respect that adaptive scenarios might be necessary to further the learning opportunities for many students. e thus see that the most effective way of teaching in the modern nursing classroom is to adjust one's pedagogical paradigm outward and to actively find new and innovative ways of reaching each student, rather than expecting each student to completely bend to the tried and true curriculum of previous generations (Young, L., Petson, B., eds., 2006). Too,…
Bradshaw, M., & Lowenstein, A. (Eds.). (2011). Innovative Teaching Strategies in Nursing and Related Health Professions. Sudbury, MA: Jones and Bartlett.
Bulman, C. And Schutz, S. (1998). Reflective Practices in nursing. Sudbury, MA: Jones
And Barlett Publishers.Epp, A., & Price, L. (2011). Designing Solutions Around Customer Network Identity Goals. Journal of Marketing, 75(1), 36-54.
Cramer, C., Davidhizar, R. (2008). Helping At-Risk Nursing Students Succeed on the National Council Licensure Examination-Registered Nurse. The Health Care Manager.27 (3): 269-76.
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 .
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
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…
It is saddening to note that as hospital stays grow more expensive, patients are getting less care and families must resort to the private sector and pay still more money to feel as though their loved ones are being treated competently. The problems are rife, legally in terms of liability and medically in terms of nursing conflicts over patient treatment. There is also the ethical issue that the poor are getting less decent care than the rich, because poor families cannot provide private nurses. Clearly, hiring private nurses or assistants is not the solution to an overburdened medical system, but families will continue to do so to protect their loved ones until a better solution is achieved by policy makers.
Deutsch, Anne, Rodger C. Fielder & Kenneth J. Ottenbacher. Stroke. 37 (Jun
Rehabilitation after a stroke is a critical part of the healing process. The article attempts…
Rehabilitation after a stroke is a critical part of the healing process. The article attempts to assess differences in outcomes between patients treated at inpatient rehabilitative facilities (IRF) versus skilled nursing facilities (SNF). Overall, it was discovered that most patients, except for those patients who had suffered the most minor motor disabilities, had better quality of care and improved general outcomes when they went to the more expensive IRFs. Yet, although IRF payments for Medicare patients were higher, the stays were shorter than the SNF stays and this ultimately might result in lower costs overall to the health care system, when patient treatment is viewed in a long-term fashion.
This article highlights the problems of patients who have similar conditions, yet have vastly different insurance policies. Policymakers and health insurance assessors must ask, what incurs more long-term costs, and how should the value of rehabilitation be calculated? The article provides a compelling case for the superiority of IRFs as well as the difficulties of putting a price on rehabilitation, when more intensive rehabilitation can result in better outcomes for the patient later on.
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.
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.
Student Taining in Aged Cae
What Factos in Students Taining Enhance Retention
Post Placement in the Aged Cae Secto?
What Factos in Students Taining Enhance Retention
Post Placement in the Aged Cae Secto?
Thanks to medical eseach, bette povision of medical assistance and inceased lifestyle options, individuals ae living longe and in bette health than pevious geneations; howeve, the Austalian population continues to age, lagely due to deceasing bith ates and inceased life expectancy. Not supisingly, this will have an impact on the health cae system. Specifically, the aged cae secto of healthcae equies committed and competent wokes to meet wokplace needs. Unfotunately, Fagebeg & Ekman's (1997) study (as cited in Abbey et al., 2006) shows that the numbe of nusing gaduates willing to assume employment in the aged cae secto is alamingly low. Fo one o moe easons, it appeas that many students ae eithe unwilling to ente this…
references after a gerontology curriculum. Educational Gerontology. 21(3), 247-260.
Australian Department of Health and Ageing. (2002). Recruitment and Retention of Nurses in Residential Aged Care. Final Report. Canberra: Commonwealth Department of Health and Ageing.
Babbie, E. (2007). The practice of social research (12th ed.). Belmont, CA: Wadsworth Cengage Learning.
De la Rue, M. (2003). Preventing ageism in nursing students: An action theory approach. Australian Journal of Advanced Nursing, 20(4), 8-14.
Fagerberg, I. & Ekman, S. (1997). First-year Swedish nursing students' experiences with elderly patients. Western Journal of Nursing Research, 19(2), 177-189.
The stengths of this design ae elated to the ease of application and usage. The design of the suvey was easy to administe and self explanatoy. While the weakness was elated to the willingness of the paticipant to Chapte Thee 5
paticipate complete the suvey and povide tuthful esponses. An additional weakness is elative to the age goup that was pesent fo the suvey and thei elationship to the use of computes.
Afte appoval of the study fom the Institutional Review Boad at Indiana
Wesleyan Univesity and Methodist Hospitals, Inc. Nusing staff wee ecuited to paticipate in fo the study. Paticipants wee eligible fo the study if they wee cuently an employee of the employed by Methodist Hospitals, Inc., It was also necessay that they hold a cuent nusing license, paticipated in online leaning, and wee able to ead and wite English. A egisteed nuse who has paticipated in…
Student characteristics for online learning success
The Internet and Higher Education, Volume 9, Issue 2, 2nd Quarter 2006, Pages 91-
105 Marcel S. Kerr, Kimberly Rynearson, Marcus C. Kerr
Chapter Three 13
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…
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
There are, of course, many individuals besides nurses that are essential parts of medical teams when it comes to providing effective and efficient care to patients. General practitioners (GPs) are primarily tasked with determining diagnoses and developing treatment plans for their patients, and with coordinating the efforts of the rest of the medical team (Thomas & Corney 1993). Specialists such as dieticians, diabetes educators, and physicians that practice in highly specialized fields all have their own niches that most patients require service in at some point in their lives. Nurses can support all of these roles without assuming them themselves.
From a nursing perspective, teamwork in the provision of medical services and overall patient care is heavily predicated upon mutual respect amongst the team members and acknowledgement of the competencies and skills brought to the group by each team member (Thomas & Corney 1993). Teams function most effectively when the…
ANMC. (2006). "National competency standards for the registered nurse."
Goliath. (2007). "Don't neglect the nurse's duty of care: Nurses serve as advocates for their patients." Accessed 21 October 2010. http://goliath.ecnext.com/coms2/gi_0199-7218514/Don-t-neglect-the-nurse.html
Thomas, R. & Corney, R. (1993). "Teamwork in primary care: The practice nurse perspective." Journal of interprofesssional care 7(1), pp. 47-55. Accessed 21 October 2010. http://informahealthcare.com/doi/abs/10.3109/13561829309014958?journalCode=jic
Studies suggest that more computerized order entry of medications helps reduce errors by limiting interpretation errors due to handwriting (Meadows, 2003). Thus more order entry is involving computers to protect patients. A culture that supports safety and safe practices has also been adopted to provide nursing staff and patients information about drug therapy and medication to ensure that everyone is aware of the need for safe practices when utilizing and dispensing medications.
Describe the strategies used to ensure nursing practice is performed within legal requirements and ethical frameworks
Nurses now "live and work in a world where there is no single reality but many coexisting realities among which they must choose" (Johnston, 1999:1). Given that through more and more nurses are forced to make legal and ethical decisions and take steps that will determine the best processes to adopt to ensure that moral and legal processes are adopted and followed.…
Campbell, D.W. & Sigsby, L.M. (1995). "Nursing interventions classification: A content analysis of nursing activities in public schools." Journal of Community Health Nursing, 12(4): 229.
Caretto, V.A. & McCormick, C.S. (1991). "Community as Client: A Hand's on experience for baccalaureate nursing students." Journal of Community Health Nursing, 8(3): 179.
Johnston, M.J. (1999). Bioethics: A nursing perspective. Sydney: Harcourt Saunders.
Lumby, J. & Picone, D. (2000). Clinical challenges: Focus on nursing. St. Leanords:
" (Allen 2008) This means that nursing educators are also a key stakeholder.
Other stakeholders include healthcare facility administrators, corporate trustees and public office holders, who will often have entangled or competing interests relating to the profitability of operations and the political expediency of policy orientation. This will also be true of the various professional advocacy groups, nursing associations and lobby groups that will vie for influence in the discussion on any legislation relating to the nursing shortage.
A primary policy objective is to endorse any legislation that would aggressively enforce better recruitment of nursing students, better training of existing nurses, improvements in working conditions for nurses and mandated nurse-to-patient ratios. These objectives are underscored by evidence of the opportunities to save lives facilitated by mandated ratios. According to the text by Health Services Research (HSR) (2010), "key findings of the study reportedly include that 10-13% 'fewer surgical…
Allan, L. (2008). The nursing shortage continues as faculty shortage grows. Nursing Economics, 26(1), 35-40.
Berkowitz, B. (2012). The Policy Process. .
Cullen, E.; Ranji, U. & Salganicoff, A. (2010). Addressing the Nursing Shortage. Kaiseredu.org.
GovTrack. (2010). S. 1031: National Nursing Shortage Reform and Patient Advocacy Act. govTrack.us.
Nursing Culture: Overcoming Barriers to Change
Introduction and Theoretical Framework
This program of study continues personal research and professional practice in the field of nursing within the area of public and private health systems. In an era characterized by increasing calls for more efficient approaches to healthcare delivery and accountability on the part of healthcare providers, there is a growing need for identifying opportunities to overcome organizational barriers to change that facilitate the implementation and sustainment of evidence-based practices over time. In order to accomplish this challenging enterprise, the nature of existing organizational barriers must be better understood, an issue that directly relates to the problem to be considered by the study proposed herein and which is discussed further below.
Statement of the Problem
According to Mannion, Davies and Marshall et al. (2005), the results of much of the research to date have identified a relationship between nursing culture and…
Banyard, V.L., & Miller, K.E. (1998). The powerful potential of qualitative research for community psychology. American Journal of Community Psychology, 26(4), 485.
Burton, S., & Steane, P. (2004). Surviving your thesis. New York: Routledge.
Dennis, C., & Harris, L. (2002). Marketing the e-business. London: Routledge.
Department of Health. (2000). The NHS plan: A plan for investment, a plan for reform. London:
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
In essence, the authors are forcing all nursing students and those who practice nursing today to understand that because of overblown "materialistic values, environmental sustainability, technology, clashes between societies" and global conflicts, the role of nurses has changed drastically, thus requiring some type of instruction on these and other topics (2005, pg. 153).
In addition, the authors maintain that nursing students of today and in the near future must extend their empathy "from a relatively passive, cognitive level to one of active, affective engagement" which in the end will result in engendered caring and move "the consideration of global conflict and war into a personal, relational context" (2005, pg. 154). One important way to accomplish this goal in relation to a classroom setting would be to compose a personal narrative on the events of September 11, 2001, when the World Trade Center was destroyed by an alleged terrorist organization, being…
Johnston, Nancy, Rogers, Martha, Cross, Nadine & Anne Sochan. (May/June 2005). "Global and Planetary Health: Teaching as if the Future Matters." Nursing Education
Perspectives. Vol. 26 no. 3. 152-56.
Nurse Critical Thinking
Critical Thinking and Other Intellectual Skills: Documented Benefits and Skill Application in Nursing
There are many academic skills that are necessary for nursing students that also serve nurses well in professional practice. This paper will examine three such academic skills both in their general benefits to learners and professionals in all sectors and personally to my own advances in nursing knowledge and practice. Active reading, effective writing, and critical thinking skills are essential tools for helping one to properly take in, analyze, and communicate information in efficient and effective manners, and each of these individual thinking areas benefits the other two, as well. There are certain challenges that one might be face with in acquiring these skills, and I will detail my own personal challenges below following a general investigation of benefits and prior to a discussion of my application of these skills.
Psychologist Benjamin Bloom…
Braverman, M. (2010). "Effective wirting." Accessed 28 November 2010. http://effectivewriting.org/
FTC. (2009). "The Critical Thinking Community." Accessed 28 November 2010. http://www.criticalthinking.org/resources/HE/ctandnursing.cfm
Greenall, S. & Swan, M. (1986). Effective reading: reading skills for advanced students. New York: Cambridge University Press.
OfficePort. (2010). "Bloom's taxonomy." Accessed 28 November 2010. http://www.officeport.com/edu/blooms.htm
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.
Though the lesson plan cannot project what distribution of critical thinking and reasoning abilities will define the classroom, it will be appropriate to shape the lesson plan with the capacity for flexibility in its presentation.
A note, upon entering into the content breakdown on this subject; the material covered here is of a diverse and nuanced range, with each subject singularly requisite of its own course of investigation. e would therein set a range of learning objectives for each aspect of the subject. However, given the limitation of the course time to just three hours, we have outlined six overarching learning objectives, with each of the above identified domains represented twice.
Cognitive Learning Objectives
Our first learning objective will be to help familiarize learning with H.I.M. application modules, placing a particular emphasis on the most current IT tools at our disposal. Here, learners will use their application skills…
American Health Information Management Association (AHIMA). (2007). Homepage. www.ahima.org.
Bastable, S.B. (2003). Nurse as Educator: Principles of Teaching and Learning for Nursing Practice. Sudbury, MA Jones and Bartlett Publishers.
Duphome, R & C.N. Gunawardena. (2005). The effect of three computer conferencing designs on critical thinking skills of nursing students. The American Journal of Distance Education, 9(1)
Johns, M. (2002). Health Information Management Technology: An Applied Approach. American Health Information Management Association.
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
If nursing students are being asked to absorb 30-40% more information during undergraduate years, it is logical to see that they do so early in their academic career -- almost as a prerequisite for more advanced practicum.
Then, of course, there is the matter of the learning curve in professional education. If one compares schooling for registered nurses with that of physician's assistants or physicians, one often sees a growing gap between the clinical abilities of nursing staff and actual patient care needs. This cause has been attributed to deficiencies in some skill sets of new graduates -- which has the effect of pushing nursing schools and curriculum toward more robust materials (Berkow, Virkstsis, Sewart, and Conway, 2008). However, is the solution simply adding more materials to memorize and read, or might it be more efficient to take a look at the time frame of the educational experience and ask…
Berkow, Virkstsis, Sewart, and Conway. (2008). Assessing New Graduate Nurse Performance. Journal of Nursing Administration, 38(11), 468-74.
Burritt and Steckel. (2009). Supporting the Learning Curve for Contemporary Nursing Practice. Journal of Nursing Administration, 39(11), 479-84.
Heller, Oros, and Durney-Crowley. (2009, July 30). The Future of Nursing Education: Ten Trends to Watch. Retrieved September 20, 2010, from http://www.nln.org/nlnjournal/infotrends.htm
Holzmer, W. (2006). Quality in Graduate Nursing Education. Nursing Education Perspectives, 26(4), 236-43.
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
curriculum development must be a dialogue between its designers and the affected stakeholders: if a curriculum is imposed upon students and faculty members, they will inevitably resist it. Common agreement amongst faculty members also fosters greater agreement in regards to shared standards between teachers when grading. I also agree that it is important that students feel they are being evaluated fairly and that certain standard classes used to meet requirements are not substantially easier or harder than the same classes taught by different teachers. In particular with a nursing education, uniformity is desirable since nurses are taking classes to attain professional qualifications and pass licensure exams.
However, although getting people 'on board' with the curriculum is important, it is also vital that the curriculum is flexible enough and able to change with today's needs. The nursing curriculum cannot be static and mired in outdated standard operating procedures. "Today's educators are…
Sprang, S. (2010). Making the case using case studies for staff development. Journal for Nurses
in Staff Development, 26 (20): E6-E10. Retrieved from: http://www.nursingcenter.com/lnc/static?pageid=1071277
Q4. Technology has proven to be a great asset in improving healthcare delivery. It has also proven to be an asset in the education of new nurses, expanding the range of ways in which nurses can be exposed to the profession. As well as hands-on simulations with computers, large portions of nursing education have been shifted online. Nurses can engage in continuing education, bolstering their credentials as the market demands by going to school online at night while still working during the day.
Online learning allows nurses to experience simulated stressful environments without endangering real patients. Given the risks posed by lawsuits to institutions, the need for a safe space for students to make mistakes is critical. Of course, "a major limitation of simulation is the fidelity; no matter how high the fidelity is, it is not real .It is often impossible to imitate actual physiological signs or symptoms" (Hicks et al. 2009: 4). Particularly in the later years of nursing education, no high-fidelity simulation can replicate clinical experiences. However, high-fidelity simulation can act as an important preparation for a residency's rigors, as well as the first year of the nurse in actual practice. Although the technology may be costly, the costs of an unprepared nurse are even greater.
nursing client relationships and how the study is a valid research for practitioners. It has 26 sources in Harvard Style.
esearch titles must be limited to fifteen words. In this case the author has exceeded the limitation by one count which is negligible. The importance of relevance of the title to the body of the research is that it must collaborate with the core study area. In the first line the author has already specified the relationship of the nurse-client at the beginning and categorizes it as a "partnership" whereas the title of the study must not reveal the results or even the anticipated results.
Authors and Abstracts
The authors T. Hostick and F. McClelland both the authors indicate in their abstract that the article aim in establishing nursing behavior when they are engaged in a nurse-client relationship. The abstract though is limited in expressing the content of the study…
Hostick, T. & McClelland, F. 2002, Partnership: a co-operative inquiry between Community Mental Health Nurses and their clients. 2. The nurse-client relationship. Journal of Psychiatry and Mental Health Nursing 9, 111-117.
Beyea, S.C. 1997, Research utilization begins with learning to read research reports, Research Corner, AORN, February. Accessed on 29-9-2003 at http://www.aorn.org/journal/research/rc297.htm
Author not available, 2003, Reading Nursing Research to Critique a Study and to Summarize Findings for Use in Practice, Available at http://classes.kumc.edu/son/NURS460smith/460critiquingreseach.html
Forchuk, C. 1989, Establishing a Nurse-Client Relationship. Journal of Psychosocial Nursing vol.27,no.2. Available at http://willmar.ridgewater.mnscu.edu/library/338271.htm
Teaching in Nursing: The Faculty ole
Prior to the opening chapter of their comprehensive academic textbook Teaching in Nursing: A Guide for Faculty, experienced nursing educators Diane M. Billings and Judith A. Halstead set forth a clearly stated purpose for the chapter, stating that it "provides a brief historical perspective of the faculty role, identifies faculty rights and responsibilities, and describes the process of faculty appointment, promotion, and tenure within the current context" (2005). The information contained within Chapter 1 -- titled "The Faculty ole" and authored by Linda M. Finke, Ph.D, N, covers a wide range of pertinent topics, including the historical role of faculty in higher education and the contentious issues of faculty appointment, promotion and tenure.
Chapter 3 -- Teaching Strategies for Nurse Educators: Motivation and Behavior Change
The third chapter of Teaching Strategies for Nurse Educators was written by Joanna Hayden, Ph.D, and covers…
Billings, D.M., & Halstead, J.A. (2009). Teaching in nursing: A guide for faculty. Saunders.
Finke, L.M. (2009). Chapter 1: The faculty role. In D. Billings & J. Halstead (Eds.), Teaching in nursing: A guide for faculty (4th ed.). Boston, MA: Saunders.
Chapter 4: Literacy. (2009). In DeYoung, S. (Ed.), Teaching strategies for nurse educators.
he Neuman Model is appropriate for senior care.
Studies necessary with other models.
Penrod, et.al.; Reframing Person Centered Care for Persons with Dementia
Research and heory for Nursing Practice
Lit. Review, discussion
Research shows individual personhood approach has positive effects on care.
Biomedical and psychological models must be merged for persons with dementia.
Further study using different integration modeling.
Rajapaksa and Rothstein; Factors hat Influence the Decisions of Men and Women Nurses to Leave Nursing.
Qualitative, some quantitative analysis
For men, compensation largest barrier to remaining in nursing; for women dissatisfaction with career goals
Barriers to entry in profession for men and still social stigma
It is possible for hospitals and care centers to develop program to retain more nurses
Needs more demographic and psychographic variation.
Gillespie and Peterson; Helping Novice Nurses Make Effective Clinical Decisions
Their Experiences With a Refugee Population." Journal of Nursing Education.
Watson, J. (2008). "Social Justice and Human Caring." Creative Nursing. 14 (2): 54+.
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 .
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…
Among the Core Competencies for nursing educational components provided by the Massachusetts Department of Higher Education, "Patient-Centered Care" is listed first. The important task for nursing students in this component is to provide:
"…holistic care" that fully recognizes "an individual's preferences, values and needs," and also "respects the patient or designee as a full partner in providing compassionate, coordinated, age and culturally appropriate safe, and effective care (MACN).
ithin this milieu, the student should be assessing healthcare needs "through the patient's eyes" and the student should be respecting and encouraging the patient's opinions and decisions relative to his or her care (MACN). The student should fully understand the "multiple dimensions of patient-centered care" which includes: a) understanding the preferences and values of the patient and the patient's family; b) coordinating the integration of the care; c) providing physical and emotional comfort and support; c) communicating the patient's values, needs…
Kleiman, S. (2006). Discovering Cultural Aspects of Nurse-Patient Relationships. Journal of Cultural Diversity, 13(2), 83-87.
Ludwick, R., and Silva, M.C. (2000). Ethics: Nursing Around the World: Cultural Values and Ethical Conflicts. The Online Journal of Issues in Nursing, 5(3).
Massachusetts Association of Colleges of Nursing (MACN). Creativity and Connections:
Building the Framework for the Future of Nursing Education and Practice. Retrieved April 17, 2014, from http://www.mass.edu .
Horizontal Violence in Nursing
Nursing and the Prevalence of Horizontal Violence in the Workplace
The core of the nursing profession is undermined by Horizontal violence. Horizontal violence affects the quality of health care that is delivered in institutions where this repugnant behavior occurs. Many reports suggest that horizontal violence is rampant, particularly in relation to new nurses and recent graduates. It is typically covert and incorporates nonphysical and emotional damage. Examples include sabotage, destructive criticism, back-biting, undermining, scapegoating and verbal confrontation.
The targets usually express feeling ridiculed, demeaned and humiliated. Potential targets range from new hires to long-time or tenured nurses. Similarly, nurses engaged in horizontal violence cross all demographic lines and all areas of specializations. They are usually experienced nurses and are over-burdened by the stress of the job and the long hours associated with their work. At the current time, it is recognized that this problem exists and…
Erdreich, B., Slavet, B., & Amador, A. (1994). "Sexual Harassment in the Federal Workplace." U.S. Merit Systems Protection Board. Washington, D.C.
McKenna, B., Smith, N., & Poole, S. et. al. (2003). "Horizontal violence: experiences of Registered Nurses in their first year of practice." J. Adv Nurs.Apr;42(1):90-6.
Thompson, S. & Burk, R. (2009). "Junior nursing students' experience a vertical violence during clinical rotations." Nursing Outlook. 57 (4), 226-231.
As a student who had only just completed the first semester of the course, I had no experience with pediatric patients prior to the shadowing task. Thus, the nurse shadowing task was a rather exciting experience for me, exposing me to several new aspects of pediatric care (Burkitt et.al 2001). However, its most heart- rending element was congenital patient care – seeing babies being born with an illness was a rather touching experience.
While a few of my peers were fairly well- informed on the subject of pediatric care, I wasn’t. Most of the information I gleaned and things I saw in the course of my nurse shadowing assignment were new to me. The nurse practitioner I was tasked to shadow provided me with detailed information about appendicitis, which is apparently a widely- occurring pediatric issue and, at times, may take long to diagnose (Gaydos et.al 2005). Further, I gained…
What causes staffing shortages in the field of nursing? Staffing shortages can be the result of many variables—turnover, unmet demand for services due to a lack of RNs, overwork (nurses calling in sick), and so on. Buchan (2002) identified the problem of staffing shortages in nursing as having an underlying cause in the nature of the health system itself as well as a social one: “Nursing in many countries continues to be undervalued as women’s work, and nurses are given only limited access to resources to make them effective in their jobs and careers” (p. 751). This is especially true in countries like Saudi Arabia, where nursing is viewed as woman’s work but is not valued highly by society—though it is recognized as being highly needed (Alyami & Watson, 2014). To address the issue of staffing shortages, the Institute of Medicine (IOM, 2012) has called for more nurses to…
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.
After spending a semester in the Newborn Intensive Care Unit (NICU) as a student nurse in training, I can report that I have learned a great deal about the vital issues and practices that are involved in the intensive care unit for newborns, and about the duties and responsibilities of a nurse in that area of healthcare. Part of my training involved treating wounds and the therapeutic communication that is involved in wound care; also, I became well familiarized with the family centric care that is part and parcel of the NICU.
Family Centered Care at the NICU
hat can be more important for a family that has just been on the emotional roller coaster of giving birth prematurely to a new member of the family than being made to feel welcomed and to be treated with a great deal of professionalism and respect? There are a number…
Auckland District Health Board (2010). Car seats for babies / Information for parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.
Auckland District Health Board (2010). Establishing and Maintaining Breast Milk Supply /
Information for parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.
Aukland District Health Board (2010). Meconium and Newborn Babies / Information for Parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.
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)…
Health Information Technology has significant impacts on nursing policy and practice including the role of these professionals in patient education. Actually, the Information Technology development process in healthcare is based on the nurses' ability to understand the community and provide distinctive insights about patient education among other factors (Effken & Abbott, 2009). Since nurses are important elements of the healthcare system, they are critical in ensuring that the confidence of patients in the health providers is maintained even as technology mediates interactions.
The main impact of the emergence of Health Information Technology on the role of a nurse in patient education is that technology mediates interactions between patients and their care providers. As a result, nurses are required to ensure that the role technology plays in mediating these interactions does not affect the insights provided in the process or the delivery of improved patient care. Moreover, through Health Information Technology,…
Adams, K., Greiner, a.C. & Corrigan, J.M. (2012). Chapter 5 -- Patient Self-Management
Support. Retrieved from the National Academies Press website: http://www.nap.edu/openbook.php?record_id=11085&page=57
Bastable, S.B. (2008). Nurse as educator: principles of teaching and learning for nursing practice (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers.
Effken, J.A. & Abbott, P. (2009, August). Health it-enabled Care for Underserved Rural
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…
Developmental perspective was the concept that the nursing students participating in this study were typically younger than they patients they were caring for. This made it difficult for them to ask the "older" patient questions about a lifestyle they had been practicing for many years.
Environmental constraints were noted that prevented the participants in the study from fully implementing best practice guidelines. The primary of which was time. They noted that because of other duties and paper keeping requirements, they had little time to properly present the best practice guidelines. Some noted that they had little time to do expected things such as breathing, much less introduce the patient properly to best practice guidelines.
During their third year of training the nurses were introduced to a comprehensive program concerning cigarettes and cessation programs. In addition they had already been taught more efficient time management training. With these new tools they…
10) Sanders, D., Fowler, G., Mant, D., Fuller, a., Jones, L., & Marziller, j.
Randomized controlled trial of anti-smoking advice by nurses in General practice. Journal of the Royal College of General
Practitioners, 1989, 39, pp 273-276.
nursing development class. The theme of Stroke and brain injury will be continued to be used in order to highlight how an instructive class may be developed, instituted and assessed. This essay will discuss the learning objectives and present their delivery in a form that outlines basic teaching and learning principles that reflect the essence of healing and the professional medical community.
Class Need Assessment
Evaluating the learning for this class will come in different stages. The first half of the class is based on the cognitive and basic knowledge skills that nurses need to have to identify the important factors dealing with stroke. This knowledge can be assessed with a simple testing procedure that quizzes the student on their knowledge using multiple choice questions and answers. The second half of the instruction is more hands on and requires the students to perform their job in a simulated activity of…
Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., ... & Warren, J. (2007). Quality and safety education for nurses. Nursing outlook, 55(3), 122-131.
Hanger, H.C., Walker, G., Paterson, L.A., McBride, S., & Sainsbury, R. (1998). What do patients and their carers want to know about stroke? A two-year follow-up study. Clinical rehabilitation, 12(1), 45-52.
Mant, J., Carter, J., Wade, D.T., & Winner, S. (1998). The impact of an information pack on patients with stroke and their carers: a randomized controlled trial. Clinical Rehabilitation, 12(6), 465-476.
Rodgers, H., Bond, S., & Curless, R. (2001). Inadequacies in the provision of information to stroke patients and their families. Age and ageing, 30(2), 129-133.
Nursing Time Management Strategies
By its very nature, the profession of nursing requires effective time management. Nurses are constantly asked to balance the needs of patients and also the demands of administrators as they care for patients and attend to the bureaucratic aspects of their duties. The nursing shortage has made the need for time management particularly acute. Nurses are often overburdened with the care of many patients, whom they must attend to all at the same time while working long shifts. They must budget their time but still dispense high-quality care. With this in mind, the article by Nelson (2010) entitled "Helping new nurses set priorities" argues that time management skills must be a component of the training of all new nurses. During the first critical years of practice, the nurse develops the habits and assumptions for how she will govern her time.
In general, "orientees' time-management skills improve…
Jones, T. (2010). A holistic framework for nursing time: Implications for theory, practice, and research. Nursing Forum, 45 (30): 185-196. Retrieved from:
Nelson, J. (2010). Helping new nurses set priorities. American Nurse Today, 5.5.
Retrieved from: http://www.americannursetoday.com/article.aspx?id=6620&fid=6592
Nursing Students Attitude Towards the Elderly: Literature Review
The changing demographics in many of the populations in industrialized countries has changed the aggregate needs of the nursing workforce and this trend is expected to continue into the future as the population continues to age. One issue that has arisen is that the younger generation of nurses have demonstrated through various means that their preference for their nursing roles within organizations is not for working with the elderly patients. Therefore, a gap exists between the demand for nursing jobs that deal with elderly patients and the supply of nursing students that are willing to fill these positions. This article will look at two research efforts that try to focus on this precise trend and provide information about how this trend could possibly be reversed and finding a more optimal point in the supply and demand for nursing positions in the future.…
Bleijenberg, N., Jansen, M., & Schuurmans, M. (2012). Dutch nursing students' knowledge and attitudes towards older people - A longitudinal cohort study. Journal of Nursing Education and Practice, 1-8.
Haron, Y., Levy, S., Albagli, M., Rotstein, R., & Riba, S. (2013). Why do nursing students not want to work in geriatric care? A national questionnaire survey. International Journal of Nursing Studies, 1558-1565.
Healthcare is changing so rapidly, there will be a need to profoundly alter the nature of nursing education to address the needs of providers and patients. "Nurse researchers are calling for curricular changes that emphasize how, along with what, students learn. Educators are bringing classroom and clinical teaching together by integrating knowledge acquisition and situated knowledge use in the classroom and clinical practice. The health care system and the patient population have undergone dramatic changes in the last half-century, but many nurse educators teach their students in the same way that they were taught decades ago" (A new dawn in nursing education, 2012, WJF). A number of innovations have been instituted, both technological and pedagogical in nature. For example, simulation technology allows nursing students to have an experience more accurate to the 'real world' of the nursing environment very early in their education, even before their residency. Also,…
The future of nursing: focus on education. (2011). IOM. Retrieved from:
Nursing is a challenging and every-changing career path. Nurses serve in a multitude of different roles: as healer, as advocate, as leader, and as visionary dedicated to improving public health as well as promoting individual patient outcomes. Entering the nursing profession opens up doorways and new paths that were previously unknown to me, offering me the chance to explore different areas of specialization and ancillary career options including the chance to work abroad or to enter the realm of public policy analysis.
The profession has also been expanding at an unprecedented rate. As many new nursing students commence their program of study worldwide, the nursing shortage remains a critical area of concern. We need more and better qualified nurses to meet the worlds demand in providing top quality, evidence-based healthcare to a greater number of people. More nurses will help alleviate the burden of care, improve patient outcomes, and improve…
Nursing is a tough profession to perform well. There are constant innovations and changes in healthcare that make research and education a top priority among nurses to achieve the goal of providing high quality care. Evidence-based practice offers nurses a way to use the research continuously developed to create strategies and techniques that better suit the needs of patients. However, it is a daunting task that many nurses have not successfully accomplished. From problems with nursing leaders to an inability to apply knowledge learned, evidence-based practice has not caught on in nursing practice as desired.
To create strategies to better foster evidence-based nursing practice, it is important first to understand competencies and identify which competencies can lead to successful implementation of evidence-based practice. A 2014 article defined competencies and provided core competencies that may foster evidence-based nursing practice. "Competencies are a mechanism that supports health professionals in providing high-quality, safe…
Student Nurse Ethics exploring ANA Code Ethics
Explanation of your own core personal values
Honesty, kindness, persistence, security, lifelong learning, and family are my core values and beliefs. I use these values to guide me in making my day-to-day decisions. It is my belief that to be a nurse one has to be caring and to have knowledge and integrity. Nursing as a profession concentrates on patient healing, patient needs, patient empowerment and patient safety. It is my belief that the professional objectives of nursing as a profession are in agreement with my personal values and beliefs because my values overlap the forces at the heart of nursing. The characteristics or values that make me effective at doing my job cannot be switched off like a switch the moment my shift ends, but are part of my core as an individual and I carry those values with me wherever I…
American Nurses Association. (2001). Code of Ethics for Nurses with Interpretive Statements. Washington, D.C: American Nurses Publishing. Retrieved from Pitt.edu.
American Nurses Association. (2010). Guide to the Code of Ethics for Nurses: Interpretation and Application. (M. D. Fowler, Ed.) Silver Spring, Maryland: American Nurses Association.
Blackwell, A. (2008, September 22). What Are Your Values? The Most Important Values to Live By. Retrieved from The BridgeMaker: http://www.thebridgemaker.com/what-are-your-values-the-most-important-values-to-live-by/
Dahlin, B. (2015, September 19). Personal & Professional Philosophy of Nursing. Retrieved from ASU.edu: https://sites.google.com/a/asu.edu/brandi-dahlin/philosophy-of-nursing
Nursing: Nursing Virtues
Nursing Virtues: Nursing
Virtues can be defined simply as the habits of character that predispose persons to do what is right and moral. In the nursing profession, virtues are the habits that promote and affirm the values of independence, health, respect, well-being, and human dignity. Four virtues have been shown to be central to the nursing profession and its practice: compassion, humility, courage and integrity. Nurses are expected to conduct themselves within the provisions of these four virtues at all times. Elizabeth Pask's article, 'Self-sacrifice, Self-transcendence, and Nurses' Professional Self' demonstrates perfectly how nurses can be guided by these four virtues to make the right decisions when faced with difficult circumstances in their practice. The subsequent sections detail how each of these four virtues influence an individual's practice, and what a nurse leader could do to support the growth of virtues and enable nurses fulfill…
Crigger, N. & Godfrey, N. (2010). The Making of Nurse Professionals: A Transformational, Ethical Approach. Sudbury, MA: Jones & Bartlett Publishers.
Pask, E. J. (2005). Self-Sacrifice, Self-Transcendence, and Nurses' Professional Self. Nursing Philosophy, 6(4), 247-254.
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.