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Nursing teaching plan
Teaching plan: Patient with diabetes
Patient Maria G. is a thirty-two-year-old Latina female recently diagnosed with type II diabetes. She is the single mother of a young boy, Luis, who has been flagged as being pre-diabetic. The teaching plan for Maria G. will educate her about the potential consequences of diabetes and empower her with knowledge so she can improve her diet and exercise habits, with the hope of minimizing the need to rely upon insulin injections to manage her condition.
The objectives of the teaching plan are as follows:
The patient will be able to understand and describe her specific types of diabetes.
The patient will be able to name and describe the specific type or types of diabetes medications she has been prescribed, how to take them, and how she intends to fit the dosage into her lifestyle.
The patient will be able…
All about diabetes. (2012). Medical News Today. Retrieved:
Diehl, Louise. (2010). Teaching plan for diabetes mellitus. Nurses are Great.
; And, 3) The individual must believe that the recommended action can be adhered to successfully. (TC, 1)
Prevention: Primary, Secondary, Tertiary (diet, exercise, immunizations, screenings)
The Health Belief Model would contribute to a lesson in prevention of the condition's worsening severity. Here, the primary level of prevention is seen as dietary. The secondary level is seen as exercise and the tertiary level is viewed as immunizations and screenings.
Teaching strategies will included the use of visual aids and literature materials as well as the applied discussion of realistic dietary and exercise goals.
Resources to be used in supplement to the education of the patient will include pamphlets regarding the implications of diabetes, the distribution of kits with required self-treatment materials, the compilation of useful web resources, nutritional dietary recipe kits and preliminary exercise regimen diagrams.
Methods of Evaluation
The effectiveness of the proposed teaching learning plan…
TCW. (2006). Health Belief Model. Universitie Twente. Online at http://www.tcw.utwente.nl/theorieenoverzicht/Theory%20clusters/Health%20Communication/Health_Belief_Model.doc/.
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.
Nursing Diagnosis Plan
Assessment Analysis- Patient, CM., is a 60-year-old female African-American, married and a factory worker. CM is complaining about difficulty breathing, dyspnea. She indicates she is completely compliant with her medication regimen, naps and sleeps 7 hours a day. She is active, has a positive attitude, and regularly exercises. She does admit that sometimes she waits to seek medical attention, believing she should trust in God for minor issue. She does not take OTC or herbal medications and her immunizations are up-to-date. She denies use of alcohol, tobacco, or illicit drugs. Her pharmaceutical regimen consists of control of heart issues (aneurysm, artery disease, COPD, vein thrombosis, hypertension, aortic aneurysm; arthritis, seizures, and diabetes). She is emotionally stable, plans to continue working for at least 7 more years, and has a positive attitude.
Areas for Focused Assessment- CM has visited the hospital four times in the last two weeks.…
Treatment with Daliresp. (2012). Forest Pharmaceuticals. Retrieved from: http://www.daliresp.com/TreatmentWithDALIRESP.aspx?WT.srch=1&guid=363952239
Sarkar, S. And Amelung, P. (2006). Evaluation of the Dyspneic Patient in the Office. Primary Care. 33 (3): 643-57.
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.
For instance, the presentation includes breastfeeding modeling, written literature, and suggestions about getting involved in support groups, which are actions that support cognitive, affective, and psychomotor goals. In order to facilitate the learner's achievement of these goals through the previously listed actions and other instructional programming, the program insures that the patient feel comfortable both physically and emotionally and that her personal and cultural background, including her learning style, are taken into consideration. To further assist the learner in attaining the stated goals, the program is organized in a logical manner that places information and modeling before self-attempts. Additionally, by maintaining a positive attitude about the learner's cultural background, feelings, and learning style, the program increases the chances of success. Finally, the program clearly presents both goals and actions associated with successfully completing the program, and the teacher was able to work with the learner by identifying the learner's emotional…
The procedure itself and the hospital stay associated with it is only one small chapter in the patient's life. They will eventually go home and will have many years after the procedure. It is important for the nursing staff to make a positive impact on how they feel about the procedure. The procedure will represent a lasting memory to the patient. If the patient perceives this to be a time of strength and care from nurturing individuals then it will help them to be able to develop the coping mechanisms necessary to learn to live with the after-effects of the procedure.
If the patient sees this as a negative experience, then it could produce unwanted effects such as depression, post-traumatic stress disorder, or other emotional problems that could have an effect on their ability to cope with the life changes. Those that develop appropriate coping mechanisms will be more likely…
Knoll, N., Rieckmann, N., & Schwarzer, R. (2005). Coping as a mediator between personality and stress outcomes: A longitudinal study with cataract surgery patients. European Journal of Personality, 19, 229-247.
Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2004). Initiation and maintenance of physical exercise: Stage-specific effects of a planning intervention. Research in Sports Medicine, 12, 221-240.
Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2004). Behavioral intentions and action plans promote physical exercise: A longitudinal study with orthopedic rehabilitation patients. Journal of Sport & Exercise Psychology, 26, 470-483.
Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2005). Stage-specific adoption and maintenance of physical activity: Testing a three-stage model. Psychology of Sport & Exercise, 6, 585-603.
In what ways did the wave of the nursing shortage in the 1980's and in 2000 support or constrain theoretical thinking? Why? Are there ways to influence the cycle of shortage and theoretical thinking? Identify one nursing theorist that would support your discussion/views. Provide rationale for selection of theorist.
Nursing shortages have been a problem in this country for a long time. It has been found that because of these shortages there needed to be a better way to incorporate theoretical thinking into nursing education so that nurses are better prepared to be the best that they can be. The accomplishment of critical thinking abilities has been recognized as an essential product of undergraduate nursing teaching. It has been found that nursing scholars learn best by way of experiential education. Kolb's experiential learning theory is the basis for a practice incorporation technique intended to offer critical thinking skills in undergraduate…
Experiential Learning (Kolb). (2008). Retrieved September 30, 2010, from Web site:
Kim, Hesook Suzie. (2010). The Nature of Theoretical Thinking in Nursing. Retrieved September 29, 2010, from Web site:
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 Evidence-Based Practice
The press for evidence-based practice in nursing and for nurses as consumers of research is driven by a number of substantive factors. The state nursing boards and The Joint Commission (TJC) insist that policies and practices have a foundation in research. The keystone of this trend is that nurses must be able to read nursing research discriminately, understand how medical research relates to practice, and must sufficiently possess high levels of new literacy so that they can evaluate the research articles they review. When nurses are competent consumers of research, they are better prepared to integrate the research into their practice.
In addition to the emphasis on evidence-based practice and research consumption in nursing, strong economic forces are also directing this trend toward practicing nurses becoming consumers of research and evidence-based practitioners. Healthcare stakeholders require greater accountability with respect to effective practices, transparency, and efficiency in order…
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:
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.
Nurse's ole As esearcher
The nurse plays a unique role as a researcher. This involves them focusing on the latest treatment options, how they affect patients and the best times specific techniques should be utilized. Moreover, they must understand the numerous side effects of different therapies and how this will affect the patients they are working with. These areas help them to serve as confidant in comprehending how and when to apply certain procedures. (Allan, 2005)
At the same time, the nurse will understand the psychology, customs, behavior and biological factors which are contributing to a host of conditions. This enables them to comprehend the challenges patients are going through and the lasting impact this is having on them. When this happens, they can reduce suffering and improve their ability to cope with the issues they are facing. These insights will help patients to make a full recovery with reduced…
Allan, J. (2004). Clinical prevention and population health. American Journal of Preventive Medicine, 27(5), 470-481.
Allan, J. (2005). Clinical prevention and population health curriculum framework: The nursing perspective.
Allen, D. (2002). The Changing Shape of Nursing Practice. New York, NY: Routledge.
American Academy of Nurses. (2009). Nurses transforming health care using genetics and Genomics. Washington, DC: Author.
Unfortunately, most quantitative studies lack external validity in the research design to allow for general conclusions.
Teaching Theories and Nursing
It was Nightingale that recognized the potential of combining sound logical reflection and empirical research in the development of scientific knowledge that lead to evidence-based practices of today. She saw the need to only classify one's illness by the best possible available knowledge but to also collect patient information in the form of survey. Nightingale's work was also groundbreaking as it was the first to integrate such ideas into one method. She understood how factors such as housing and nutrition could have a direct influence on the patient's health and prognosis (McDonald, 2001, p. 68). Still many researchers to come would look at her work as primitive, inconclusive and one-sided. They would see how such details act as an extension of evidence and the attention paid to details as research…
Ackermans, W. & Lohnes, P. (1981). Research methods for nurses. New York: McGraw-Hill.
Allen, K. (2005 Aug.). Online Learning: constructivism and conversation as an approach to learning. Innovations in Education and Teaching International, 42, 247-256.
Bigge, M.L., & Shremis, S.S. (1999). Learning Theories for teachers. New York: Addison- Wesley Longman.
Bilyeu, S.M. (2005 April 1). When families complicate patient care: a case study with guidelines for approaching ethical dilemmas. MedSurg Nursing, 6.
Nursing Personal Improvement Plans
Learning is an essential part of nursing in modern practice. As such, it is important even to keep learning while working within the professional field. Planning for particular stages in one's career and breaking down a realistic time model for strategies to meet those goals help fuels a career that is ripe with development and success.
Personal improvement objectives are a crucial part to any nursing position, whether it is from a brand new employee, to one that is working towards a future advancement in his or her career. The professional development portfolio can help secure that a strong strategic solution is reached to fulfill future objectives. The research states that "since a portfolio is developed over time, it is also provides a way of monitoring professional development" (Oermann, 2002, p 73). The nursing professional gets to continue learning from their actual clinical practice, just as…
Cerbin, W. (1994). The course portfolio as a tool for continuous improvement of teaching and learning. Journal on Excellence in College Teaching, 5(1), 95-105.
Feldman, Harriet. (2005). Educating Nurses for Leadership. Springer Publishing Company.
Oermann, Marilyn H. (2002). Developing a professional portfolio in nursing. Orthopedic Nursing, 21(2), 73-80.
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…
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.
teaching BSN program ADN level a graduate level nurse. Prepare online te
The topic for the online teaching session covered in this document is Evidence-Based Nursing: Transforming Clinical Practice. This is a prudent topic for individuals looking to pursue a Bachelor's of Science Degree in Nursing or an Associate Degree in Nursing, since in either case individuals will be looking to compete in a workplace environment that is increasingly looking to augment traditional techniques with evidence-based ones (Matthew and Aktan, 2014, p. 1). As the title of this topic suggests, evidence-based practices have the potential to actually revolutionize the way clinical practice is performed.
I would deliver the didactic content for this course in two different ways. The first would be via pre-recorded, online lectures. These lectures would be pre-recorded so that students could access them at their leisure (whether in the evening, daytime, or in the wee hours of…
Matthew, L., Aktan, N.M. (2014). Nursing Student Attitudes Towards Statistics. Journal of Nursing Education. 25: 1-5.
Wijenayake, E., Hookey, C. (2014). Establishing an improving group care in hospice: translating research into practice. BMJ Support Palliat Care. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/24645014
Nursing Intervention in Disaster
The possibility of occurrence of disasters is a reality. With this in mind there should be efforts made to prevent any upcoming or potentially disastrous events. These efforts are what are known as disaster prevention. Disaster prevention therefore refers to efforts put in place to ensure that adverse effects of events that are potentially disastrous are prevented even when the disaster cannot be controlled. Disaster prevention is done at various levels of the society and is undertaken so as to prevent all types of disasters. Nurses are involved to a large extent when it comes to the prevention and mitigation of disasters. Nurses are involved in institutions that can influence change and due to the unique skills that they posses they can make interventions in disasters. To perform efficiently, a nurse must be always prepared to make changes in plan actions at any time and at…
Harden, E.G., (2004). The role of nursing in disasters. Retrieved march 22, 2013 from http://helid.digicollection.org/en/d/Jdi018e/2.html
Rittenmeyer, L., (2007). Disaster preparedness: Are you ready? Retrieved march 22,2013 from http://www.nursingcenter.com/prodev/ce_article.asp?tid=726331
Wolters Kluwer Health, (2007). LWW Journals - Beginning with A. Retrieved March 22, 2013, from http://journals.lww.com/smajournalonline/fulltext/2007/09000/spiritual_issues_in_the_aftermath_of_disaster.32.aspx
eport on Conditions at Brighton and Sussex University Hospitals NHS Trust
The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The conditions were especially distressing given that in general they could be fixed or at least ameliorated relatively easily. Not all of the ills of old age or disability can be remedied, of course. Pain and fear will be present even with the best possible care. Given that this is true, all possible efforts must be made to reduce fear, anxiety, and pain to the greatest degree possible.
The facts that this report is based on were documented by…
Grant, P. (2010). Ethical lessons from the 'undercover nurse': implications for practice and leadership. Medical Ethics 36: 469-472.
Margaret Haywood's diary. Retrieved from http://news.bbc.co.uk/2/hi/programmes/panorama/4701651.stm .
Online bulletin. Retrieved from http://www.southerneditorial.co.uk/bulletin/july05/breaknews.htm.
Reasons for the substantive hearing of the Conduct and Competence. Retrieved from http://www.nursingtimes.net/Journals/1/Files/2009/4/17/haywood_NMCruling.pdf
Nursing - Discharge planning
Discharge Planning in Nursing
Mr. Trosack's Case
The three main health issues include movement hindrance where by Mr. Trosack will move with the help of a walker. Mr. Trosack diabetic condition is main health issue. Mr. Trosack is depressed and lonely and requires a special care and assistance. Mr. Trosack lives in a crowded apartment located at a second floor in a 3-storey building. The building does not have an elevator and thus Mr. Trosack has to use the stairs to reach to his apartment. The house has furniture and personal valuables and thus making it hard for him to use his walker once inside the room. e takes the garbage by himself since he lives alone because his wife died two years ago. e fears climbing up the stairs because of pain that emanate from the strain. is family works for 60 hours a week…
Hip fracture is a main health issue that happens in the United States. This study uses the baseline (1993) and data collected in 2006 in order to evaluate the aftermath of hip placement discharge. Patient discharge depends on the status code from the Medicare inpatient claim. They categorize discharge status depending on the condition of the patient. Mr. Trosack would fall for nursing facility because he would not get the required professional assistance from his family. In this study, most of the hip fracture patients went to a nursing facility.
An evaluation in this study reveals that at the time of placement, the patients had gone home for 90 days, and 180 days for patients discharged at a nursing facility. The evaluation of the care of hip placement patients needs consideration when choosing a discharge placement for them. Mr. Trosack, in addition to the surgery, is diagnosed with diabetes, hypertension, and obesity. The family, despite knowing all this, does not provide or hire a medical officer for a regular check up on him.
In order for Mr. Trosack to get well, it is crucial to refer him to a nursing facility. In this study, the home and rehabilitation discharge seems to decline while many people opt for the nursing placement, which increased. In these nursing facilities, patients are not likely to report any health issue compared to those placed at their homes. In addition, these nursing facilities offer functional needs to patients and may reduce hip fractures in elderly people.
" (1) What does the phrase "concept inventing" mean to you?
2) Does the process of concept inventing add clarity to a unique lived experience that aides in individualizing patient care? - or - Does the process of concept inventing add unnecessary jargon to the profession of nursing which creates barriers in collaboration with other disciplines? (3) State your stance on this issue and create a logical argument to defend your thoughts.
C. (1). "Concept inventing" can be thought of as a way to analyze situations in such a way as to contemplate their meaning to create understanding. Using both the aspects of science, including logic, rationality, and empirical analysis, and art, including intuition, emotion, integrity, honor, and compassion, nurses can process information in such a way as to create a complete conceptual picture of both the abstract aspects and concrete facts of a situation. In doing so, nurses can…
Chen, K.M. (2000, January.) The focus of the discipline of nursing: Caring in the holistic human health experience. Nursing (Graduate Research), 2(1). Retrieved Dec 3, 2006 from Graduate Research. Website: http://www.graduateresearch.com/kueimin2.htm.
Nagai-Jacobson, M.G., & Burkhardt, M.A. (1996). Viewing persons as stories: A perspective for holistic care. Alternative Therapies, 2(4), 54-58.
Rogers, M.E. (1990). Nursing: Science of unitary, irreducible, human beings: In E.A.M. Barrett (Ed.), Rogers' Science-Based Nursing. New York, NY: National League for Nursing.
Wainwright, P. (1999). The art of nursing. International Journal of Nursing Studies, 36, 379-385.
("Summary of the LPN Declaratory Ruling, 2003)
The selected tasks and shared responsibilities of the licensed practical nurse define such nurses as responsible for being adequately prepared for the nursing responsibilities they assume because they have obtained the validation of completion of an approved preparatory program and have evidence of the successful completion of a nursing licensing examination. A registered nurse, however, as the title conveys, must be registered as a specific health care professional, within a professional organization, rather than merely possess evidence of having a license, and has passed the necessary coursework to obtain his or her master's in the nursing profession. The LPN's validation documents state that he or she has reached the achievement of mastering all theoretical and nursing skill competencies required of an entry level practical nurse in caring for individuals in any age group. It states that the licensed practical nurse has the sufficient…
Carter, Melodie R. (Jun 2004) "ABCs of Staffing Decisions." Journal of Nursing Management. Retrived 2 Sept 2005 at http://www.findarticles.com/p/articles/mi_qa3619/is_200406/ai_n9425719
Nurse Practice Act. (2004) Retrived 2 Sept 2005 at http://www.arsbn.org/pdfs/practice_act/2004/nursepracticeact_2004.pdf
Summary of the LPN Declaratory Ruling." (Feb 2003) Connecticut Nursing Journal. Retrived 2 Sept 2005 at http://www.findarticles.com/p/articles/mi_qa3902/is_200212/ai_n9305171
According to the Joint Statement on Delegation produced by the American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN) "the N assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient's condition, complexity of the task, predictability of the outcomes, abilities of the staff to who the task is delegated, and the context of other patient needs" (Joint Statement).
In this particular case, it is easy to determine the frustrating aspects affecting Ms. W. It can also be a relatively simple matter to correct the situation in order to ensure effective care for Ms. . The nursing supervisor in this case would sit down with Ms. W. And map out a strategy for the patient's care, remembering of course that the key to successful delegation "depends on the quality of N and NAP working…
Joint Statement on Delegation, American Nurses Association and the National Council of State Boards of Nursing (NCSBN).
Potter, P.; Deshields, T.; & Kuhrik, M.; (2010) Delegation practices between registered nurses and nursing assistive personnel, Journal of Nursing Management, Vol. 18, Issue 2, pp. 157-165
As a future nurse educator, using technology to gather and disseminate healthcare information will become even more critical for me in the future. Students and patients alike will expect that their teachers will have a broad, in-depth range of knowledge about new technology in the field of heath informatics.
The organization offers information about 'best practices' in healthcare technology, such as how to protect patient privacy in the online age. Medical ethics and best practices will no doubt be a topic of debate in many of the classes I will teach in the future, whether I am educating future nurses or patients.
The organization offers continuing education resources in the field of health technology. Keeping one's education current is essential, as healthcare computer systems are constantly changing and improving.
Members can attend conferences, and interact with nurses from a wide variety of backgrounds, thus broadening my framework of knowledge…
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
According to the research, it "is defined as a practice-based ethic that is patient centered, It is an individualistic ethic that unites the reason why a decision is made with the action itself and the foreseeable consequences of that action," (Brown, 2010). In this the theory also shares with Parse's theory the importance of individual decision making and choices. One of the main differences is the notion of how we relate to one another. We have a freedom from aggression, known as negative right, based on this relationship, where we are not scared of others acting out irrationally against us. As such, the health care professionals do not act to harm the patients, but the patients also have the strict role of being the patients, thus "to fulfill his responsibilities in the treatment plan and not to place any unreasonable demands on the healthcare professional" (Brown, 2010). This is different…
Brown, Barbara. (2010), A bioethical decision making guide: A synopsis of Symphonology. Health and Human Development. Penn State University. Web. http://www.personal.psu.edu/dxm12/n458/symphonology.htm
Parse, Rosemary Rizzo. (2011). Human becoming theory. Nursing Theories. Web. http://currentnursing.com/nursing_theory/Rosemary_Pars_Human_Becoming_Theory.html
Taking the history of a patient is a crucial aspect of patient assessment and treatment. A good history can mean the difference between a successful patient outcome and unsatisfactory outcomes. However, taking a complete and useful history is a skill that is developed by means of training and practice; it is not some talent that is innate (Bickley & Szilagyi, 2007; McKenna et al., 2011). According to Craig (2007) nurses are increasingly being asked to take patient histories. Given these growing responsibilities nurses need training and guidelines to taking an adequate patient history. The following is a summary and critique of Craig, L. H, (2007), A "Guide to Taking a Patient's History" in Nursing Standard, volume 22, issue 13, pages 42-48.
Craig (2007) takes a comprehensive approach to explaining the interview and history taking process. This approach is applicable for most any patient population; however, Craig does not…
Alarcon, R.D. (2009). Culture, cultural factors and psychiatric diagnosis: Review and projections. World Psychiatry, 8, 131 -- 139.
Bickley, L.S. & Szilagyi, P.G. (2007). Bates' Guide to Physical Examination and History
Taking. 9th ed. Hagerstown, MD: Lippincott, Williams & Wilkins.
Craig, L.H. (2007). A guide to taking a patient's history. Nursing Standard, 22 (13), 42-48.
Read the case study below and respond.
You are the evening charge nurse of a medical unit. The staff on your unit has voiced displeasure in how requests for days off are handled. Your manager has given you the task of forming a committee and reviewing your present policy regarding requests for days off on the unit. On your committee are four LPNs, three CNAs, and five RNs. All shifts are represented. There are three men among the group members, and there is a fairly broad range of ethnic and cultural groups.
Tomorrow will be your fourth meeting, and you are becoming a bit frustrated because the meetings do not seem to be accomplishing much to reach the objectives that the group was charged to meet. The objective was to develop a fair method to handle special requested days off that were not part of the normal rotation.…
Nursing theory, research, and practice
Scenario in which theory, research, and practice interact to create good patient outcomes
Imogene King’s theory
Using the Imogene King’s theory to enhance Nurse-Patient Relationship
Enhanced Patient care
narrative explanation of your visual representation following the diagram.
Nursing theories have been developed as a way of trying to explain the fundamental importance of clinical practice (INSCOL, 2014). Even though these theories are used to guide practice, it is true to claim that most of them have not been put to the test as a way of determining whether the proposed nursing actions produce the claimed effects. If nursing asserts itself as the professional practice it is a professional practice environment must be supported and practiced. In order to enhance the outcome of patients and nursing staff then the professional nursing practice must be supported (INSCOL, 2014). There exist several nursing theories…
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:
The fact that a novel in the sentimental and seduction genre attained such heights of popularity is, in the first instance, evidence its impact and effect on the psyche and minds of the female readers of the novel. As one critic cogently notes:
hy a book which barely climbs above the lower limits of literacy, and which handles, without psychological acuteness or dramatic power, a handful of stereotyped characters in a situation already hopelessly banal by 1790, should have had more than two hundred editions and have survived among certain readers for a hundred and fifty years is a question that cannot be ignored.
The initial question that obviously arises therefore is what made this book so popular and in what way does this novel speak to the feelings and aspirations of the readers to make it such a perennial favorite. As Fudge ( 1996) notes,
Barton, Paul. "Narrative Intrusion in Charlotte Temple: A Closet Feminist's Strategy in an American Novel." Women and Language 23.1 (2000): 26. Questia. Web. 10 Dec. 2011.
Fiedler, Leslie A. Love and Death in the American Novel. Rev. ed. New York: Stein and Day, 1966. Questia. Web. 10 Dec. 2011.
Fudge, Keith. "Sisterhood Born from Seduction: Susanna Rowson's Charlotte Temple, and Stephen Crane's Maggie Johnson." Journal of American Culture 19.1 (1996): 43+. Questia. Web. 10 Dec. 2011.
Greeson, Jennifer Rae. "'Ruse It Well": Reading, Power, and the Seduction Plot in the Curse of Caste." African-American Review 40.4 (2006): 769+. Questia. Web. 10 Dec. 2011.
Discussion #1 Diabetes (either type 1 or type 2) can cause many problems for the patient when the disease is uncontrolled. Please choose one of the problems associated with diabetes and describe what happens to the body to cause the problem. Examine what causes the problem in the patient with diabetes and create a teaching strategy for a patient who is at risk for the problem. Include the types of Insulin in your post, Lantis, Lispro, egular and Intermediate acting and illustrate how evidence-based practice can improve outcomes. Justify your answers and cite your references.
Type 1 diabetes is an autoimmune disease that destroys the insulin-producing beta cells in the pancreas such that it produces only a little or no insulin. Accounting for 5 to 10% of diabetes in the U.S., the disease occurs primarily in children and young adults. Prior to the discovery of insulin in 1921, everyone…
Drugs & Medications - Singulair Oral. WebMed. Retrieved http://www.webmd.com/drugs/mono-8277-MONTELUKAST+-+ORAL.aspx?drugid=6485&drugname=Singulair+Oral
Why Is This Medicine Prescribed? Med Line Plus. Retrieved http://www.nlm.nih.gov/medlineplus/druginfo/meds/a600014.html#side-effects [Type text]
When nurses put their patient(s) ahead of themselves, it assures that they address and solve any patient problems or concerns about post-hospitalization care (Han, 2009). Patients' health has a more significant chance of improving or remaining stable if they understand their condition which is why it is valued for nurses to communicate effectively (Han, 2009). Proper communication by a nurse can give caregivers and/or patients the powers of freedom and independence concerning their health once they are discharged from the hospital (Bauer, 2009).
Identify Nurses oles in Discharge Planning
In most discharge planning, nurses have a central role. As a generalization discharge planing, nurses ensure that their patient receives their medication, instructions, and have discussions with patients and their family regarding concerns dealing with discharge (Han, 2009). Nurses must identify those who require discharge planning and begin the transfer from one facility to another (or to home) (Han, 2009). Also,…
Bauer M, Fitzgerald L, Haesler E, & Manfrin M (2009). Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence. Journal of Clinical Nursing Vol. 18 (18), 2539 -- 2546.
Han C.Y., Barnard A., & Chapman H. (2009). Emergency department nurses'
understanding and experiences of implementing discharge planning. Journal of Advanced Nursing Vol. 65 (6), 1283-1292.
Lamiani G., Furey A. (2009). Teaching nurses how to teach: An evaluation of a workshop on patient education. Patient Education and Counseling Vol. 75 (2), 270-273.
Of course, as Medicare beneficiaries increase because of the number of baby boomers, the Medicare program may adjust. However, current hospice figures demonstrate that only about twenty percent of all elderly individuals that die are enrolled in hospice programs.
Implementation and Monitoring
The needs of this new program will require thorough training and once implemented, precise monitoring. "When you approach a problem in the way your work group functions, you're implementing an organizational change. By taking a critical look at your process, and using some theories from organizational design, you can fix the problem -- and change your organization to make quality more likely." (Derby, 1999) The training will be a key because of the potential requirements associated with the Hospice program that may require completely new skill sets for the majority of our staff. The fact is that many of our nurses may not have acquired the necessary skills…
Derby, Esther. (2002). Modeling Organizational Change. Retrieved on February 12, 2005, at http://www.estherderby.com/writings/modeling.htm
Hospice Benefits and Utilization in the Large Employer Market. Ed. Beth Jackson, Teresa Gibson, Joline Staeheli. March 2000. U.S. Department of Health and Human Services. Retrieved on February 12, 2005, from http://aspe.os.dhhs.gov/daltcp/Reports/empmkt.htm.
Rubenfeld, M. Gaie, & Scheffer, B.K. (1995). Critical Thinking In Nursing. Philadelphia: JB Lippencott.
Social Security Administration. (1993) "Social security programs in the United States." Social Security Bulletin 12/22/1993.
Others include delays in data accessibility, albeit shorter delays and the continued need for source data verification (Donovan, 2007).
Other obstacles have occurred in the developing of mobile healthcare applications. These have included mobile device limitations, wireless networking problems, infrastructure constraints, security concerns, and user distrust (Keng and Shen, 2006).
A third problem that has been encountered is that of a lack of education on not only the importance of the information technology but also training on how to use the specific pieces of equipment. The tools that are provided to people are only as good as the training that is provided on how to use them. The tools may be able to do wonderful things, but if those that are using them do not know how to get the best use out of them they will in the end be less efficient.
According to an Institute of…
Al-Assaf, Al F., Bumpus, Lisa J., Carter, Dana, and Dixon, Stephen B. (2003). Preventing Errors
in Healthcare: A Call for Action. Hospital Topics. 81(3), 5-12.
Brommeyer, Mark. (2005). e-nursing and e-patients. Nursing Management -- UK. 11(9), 12-13.
Damberg, Cheryl L., Ridgely, M. Susan, Shaw, Rebecca, Meili, Robin C., Sorbero, Melony E.,
Facilitating Teaching and Assessment
Facilitating, Teaching and Assessment
Facilitating, teaching and assessment in practice
The facilitation, teaching and assessment of nurses are important and critical jobs. Hospitals understand that it is cost effective for them to have a senior employee mentor the junior employees so that they are soon trained enough to be on their own at work. Mentors are employees that have supervisory as well as leadership qualities to teach and facilitate learners. The nurse mentor carries on the job by assessing and evaluating the methods that can be used to facilitate the nurse. These methods may include but are not limited to lectures and discussion. The processes of facilitation and teaching depends on the capacity of both the mentor as well as the learner. The following discussion will focus on mentor and learner backgrounds, learning needs of the learner and the responsibilities of both parties. It also offers…
American Medical Association, 2013, "Continuing Medical Education," Retrieved from:
Brown, J.S., 2005, "New Learning Environments for the 21st Century," Retrieved from:
Blueprint for Teaching Ethics in Nursing Practice
The development of a test blueprint is an important component in teaching practice just like architecture is to the building and construction industry. One of the major reasons for the development and use of a test blueprint in the teaching profession is the differences in understanding and perspectives of the term "test" by students and teachers alike. Moreover, teachers and students are increasingly likely to have differing opinions and expectations regarding the contents of a test. Therefore, teachers are increasingly faced with the task of preventing these misunderstandings about the nature of a test. A test blueprint is an important tool through which teachers make valid and reliable judgments regarding test scores before the test itself (Oermann & Gaberson, 2013, p.59). For this lesson plan on teaching ethics in nursing practice, tests administered to students will be based on the development of a…
Arreola, R.A. (1998). Writing Learning Objectives. Retrieved May 26, 2015, from http://www.uwo.ca/tsc/graduate_student_programs/pdf/LearningObjectivesArreola.pdf
Daly, W.M. (2001, October). The Development of an Alternative Method in the Assessment of Critical Thinking as an Outcome of Nursing Education. Journal of Advanced Nursing, 36(1), 120-130.
Huitt, W. (2011). Bloom et. al.'s Taxonomy of the Cognitive Domain. Educational Psychology Interactive. Valdosta, GA: Valdosta State University. Retrieved May 26, 2015, from http://www.edpsycinteractive.org/topics/cognition/bloom.html
Oermann, M.H. & Gaberson, K.B. (2013). Evaluation and testing in nursing education (4th ed.). New York, NY: Springer Publishing Company, LLC.
care in the situation of Mr. and Mrs. P would be holistic in nature, grounded in a philosophy of caring. There are serious existential issues at stake, as Mr. P has wondered why God has not "taken him" already, while Mrs. P may be suffering from depression given her inability to leave the house or handle the life affairs like paying the bills. Therefore, a recommended treatment plan would focus more attention on the mental and spiritual health of the couple without taking attention away from Mr. P's physical needs. It would also look after the physical health of Mrs. P as well as her psychological needs. As holistic nursing takes a "whole person" approach, it is the ideal philosophical framework for working with this small family unit.
As the AHNA (2016) puts it, holistic nursing aims "to integrate self-care, self-responsibility, spirituality, and reflection." From the holistic nursing framework, the…
AHNA (2016). What is holistic nursing? Retrieved online: http://www.ahna.org/About-Us/What-is-Holistic-Nursing
Cameron, R. (2016). Look again at psychedelic drugs. Nursing Standard. Retrieved online: http://journals.rcni.com/doi/abs/10.7748/ns.30.44.29.s28
Shumate, T. (2013). The Benefits of Psychedelic Drug Application for Clinical Treatment of Mental Illness. Journal of Undergraduate Nursing Writing 6(1). Retrieved online: http://archie.kumc.edu/bitstream/handle/2271/1175/STTJUNW-2013-Shumate.pdf?sequence=1
Mrs. Margaret Foley's Culturally Congruent, Personalized Nursing Care Plan
Case Scenario Overview
Mrs. Margaret Foley (Maggie) is a 46-year-old Aboriginal female has had an emergency open cholecystectomy. Although the case does not specifically indicate why the laparoscopic surgery was changed to an open procedure, this is common whenever the surgeon has trouble accessing the gallbladder for any reason such as a patient's smaller frame. Furthermore, this has several implications for the length of her stay and her care plan. There are also factors that indicate that Maggie will benefit from a nursing care plan that is attunded to her cultural needs due to the fact that multiple previous misunderstandings were mentioned in her case history. For instance, the case indicates that Maggie "felt uncomfortable" with the medical jargon used which was essentially incomprehensible to her and likely led her to not follow the care plan that was recommended for her.…
nursing, despite some early events in my life that might have derailed my career. I was studying for my R.N. degree when my husband became ill and I had to return to full-time work. However, I was able to earn my LPN through the Army Reserve. Recently, it has been my privilege to offer support and assistance to the families of troops deployed in Iraq with the Army Reserve 801st Combat Support. The sometimes-sad nature of this work is balanced by my work within the Aurora Health System in Pediatrics. Although the children have health challenges, working with young people is a truly joyful aspect of a nursing career. I also teach Heartsaver classes for new parents with special needs before their discharge from the hospital.
In my spare time, I work with battered mothers and children in Lake County, and help at the village food pantry. I teach CPR…
nursing theory practice setting.
Provide an overview of the theory
Myra Estrin Levine is known as the most important Nursing theorist for developing "The Conservation Model." Levine got a diploma in 1944 and obtained her B.S in 1949 and finished M.S.N in 1962 from Wayne State College. She acted as a specialist to healthcare facilities and colleges of nursing. Furthermore, she offered a teaching format for the medical or surgical sector of nursing and developed "The 4 Conservation Fundamentals." "She clearly connected wellness to the procedure of conservation design and viewed wellness as one of its necessary elements" (Levine, 1991).
The 3 significant ideas of the Conservation Model are 1) wholeness, 2) adaption, and 3) conservation. "Whole, wellness, hale all are sourced from the Anglo-Saxon word hal" (Levine, 1973, p. 11). Myra Levine formulated her take of wholeness as an open system, which meant checking out the components of the…
Alligood, Martha Raile (2010). Nursing theory: Utilization and application. Toronto: Mosby Elsevier.
Chinn, P.L., & Kramer, M.K. (2011). Integrated knowledge development in nursing (8th ed.). St. Louis: Mosby.
Current Nursing (2010). Levine's four conservation principles. Retrieved from http://currentnursing.com/nursing_theory/Levin_four_conservation_principles.html .
Levine, M.E. (1973). Introduction to Clinical Nursing (2nd Ed.). Philadelphia F.A. Davis.
Personal Development Plan for Academic Year 2014
What do I want to achieve?
The main target for this academic year is for me to improve my academic writing in school. I would like to make sure I get the basis English language writing skills and know how to do the various forms of academic writing that we will be using the course of my education within this institution. The main reason that makes me want to achieve this is the fact that in almost all the subjects that I will be taking in this school, there will be some form of official paper that I will have to write and these official papers will have to be in the form of academic structure and the punctuations and grammar must be of accepted levels and even the language must be of the college level. I have to otherwise but to concentrate…
Richard Yates, (2008). How to Improve Your Academic Writing. University of Essex Printing Services. Retrieved April 1, 2014 from https://www.essex.ac.uk/myskills/How_to_improve_your_academic_writing.pdf
At times patients cannot care for themselves, and nurses must remedy these self-care deficits (Dorothea Orem's Self-care theory, 2011, Nursing Theories).
Whenever possible, patients should be empowered to act as best as they can to care for themselves. The nurse is viewed as an aid to remedy the self-care deficit in Orem's view. The nurse is not seen as superseding the patient's basic right to autonomy. Although some nurses know this intuitively, when busy or rushed sometimes it can be easy to forget the value of allowing patients to do as much as possible as they can for themselves, even if this is something as simple as eating and drinking or going to the bathroom.
Given the preponderance of lifestyle-related diseases today, Orem's stress upon patient self-knowledge and awareness is essential. Patients will care for themselves when they return home from a healthcare environment in most instances, and they must…
Cody, W.K. (2006). Philosophical and theoretical perspectives. Sudbury, MA: Jones and Bartlett
Dorothea Orem's Self-care theory. (2011, January 11). Nursing Theories.
Retrieved April 6, 2011 at http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
Nursing Mission and Philosophy Statements
Finding the mission and philosophy statements of nursing programs is not complicated. They are generally listed on their websites so that students who are considering them can find what they are looking for. It is important to have a nursing school that matches well with a student's personal philosophy of nursing, so learning about several schools is a good idea. That helps the student make the right choice. Where LSU nursing school and UAB nursing schools are concerned, there are many differences in how the information is presented. Addressing these differences - as well as the similarities - is vital to form a clear understanding of the missions and philosophies of both schools.
One of the largest differences between the two schools is the length of their mission statements. The mission statement of LSU is much longer than the statement provided by UAB. The main…
Csokasy, J. (2009). Philosophical foundation of the curriculum. In D.M. Billings & J.J. Halstead (Eds.), Teaching in Nursing: A guide for faculty. (3rd ed.). (pp. 105-18). St. Louis, MO: Saunders-Elsevier.
Louisiana State University Nursing School (2011). Retrieved from http://nursing.lsuhsc.edu/
University of Alabama. (2011). Retrieved from http://www.uab.edu/nursing/
Student success a - endeavor. The student give 100% instructor provide students a 100%. The student responsibility prepared learn material assigned, turn assignments time, pay attention taught discussed, questions needed.
I agree that the process of education is a dialogue, not a monologue. Although an educator may have a plan about what he or she wishes to teach, the teacher must respond to student input. The students may not understand the material in the manner in which it is initially presented; they may be bored or ill-prepared; they may have probing and unexpected questions; or they may have different learning styles.
Using different approaches is particularly essential in healthcare education, given that new scientific knowledge builds upon old knowledge. emediation is successful because it ensures students have knowledge of the foundational concepts early on, before the student becomes completely left behind. Given the nursing shortage the nation is facing, finding…
Smith, A. (2010). Learning styles of registered nurses enrolled in an online nursing program.
Journal of Professional Nursing, 26(1):49-53. doi: 10.1016/j.profnurs.2009.04.006.
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.
The shortage of nursing staff remains a major challenge in the U.S. According to the American Association of Colleges of Nursing (AACN) (2014), the shortage is expected to be even greater in the next one decade or so. The shortage has been fuelled by factors such as reduced enrolment into nursing schools, increased retirement of the nursing workforce, as well as higher demand for healthcare due to population ageing and greater incidence of lifestyle diseases (AACN, 2014).
The shortage of nursing staff has severe implications for the nursing workforce. A high number of patients relative to nursing staff often translate to increased workload for nurses. Indeed, nurses continue to grapple with unhealthily lengthy work shifts, often stretching up to 12-13 hours. It is an issue that has sparked a great deal of debate given the connection between excessive workload and nurse outcomes. Literature extensively demonstrates that excessive workload as a…
1997, the average pass rate for first time test takers on the NCLEX-RN was 93%. Since 1997, the national average pass rate on the NCLEX-RN has declined to 83.8% (National Organization for Associate Degree Nursing, 2002). The pass rate for the state of North Carolina and many other states has also declined in recent years.
Community colleges are the prime educators of new registered nurses in the United States. In 1997, 701 community colleges awarded 41,258 associate degrees in nursing (National Center for Education Statistics 1997). The combined ADN graduate pool constituted 60% of the U.S. graduates who took the NCLEX-RN exam in 2000,and these graduates represent the largest group of nurses entering the profession (National Council of State oards of Nursing 2001). On the other hand, baccalaureate programs graduated 37% of the total; and diploma or hospital-based educational programs, graduated 3%.(Teich, et al.)
In addition to educating the majority…
Adams, Carolyn, Valiaga, Theresa, Murdock, Jane. McGinnis, Susan & Wolfertz, Joanne (2002). Trends in Registered Nurse Education Programs: A Comparison Across Three Points in Time. In National League for Nursing (Ed.), pp. 1-10).:.
American Association of Colleges of Nursing (1999). Temporary Nurses Called A Serious Risk Threat At Hospitals. In (Ed.), p.).: American Association of Colleges of Nursing.
American Health Care Association.(1999).Facts and Trends, The Nursing Facility Sourcebook.Washington, D.C.:American Health Care Association.
American Hospital Association.1999.Trendwatch:RN Shortages in Hospitals. Washington, D.C.: American Hospital Association.
When I looked at my class schedule, by the time music, art, PE, recess, lunch and IEP time was taken up, there were only 50 minutes out of the day when I had all my students in the classroom at the same time -- assuming of course, that no one was absent, but someone was always absent.
Most of my social life got put on hold because I needed my evenings free during the week to do all the week's instruction. About halfway through the school year, I really began to wonder if I was cut out for teaching. It seemed as if it was so much work, and it didn't seem to me that the other teachers put in as much time as I did. To me, that suggested that I might be compensating for some lack of ability. A call to my old professor put my mind at…
Badie, Rick. 1998. "Georgia's Teachers: Real lessons for new teachers." The Atlanta Journal and Constitution, April 30.
Daugherty, Richard F. 2003. "Reflections from first-year teachers: responses from Sallie Mae award winners." Education, March.
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
There is still a great deal of prejudice and ignorance about the mentally ill, and how to treat patients suffering from psychological disorders. Professor Feudenthal was to show compassion, without ignoring the serious implications of mental illness. She was also able to show how psychological concepts were evident in our own psyches and lives, not just in the lives of our future patients.
Professor Feudenthal was a charismatic and caring teacher because she was genuinely interested in how people lived their lives and perceived their own state of wellness, as well as how textbooks defined mental health. Every time I interview a patient in my work as a mental health nurse, I am living Professor Feudenthal's teaching, and it was because of this professor that I became a mental health nurse.
This teacher seemed to draw her energy from her students, as well as inspire them. When she encouraged students…
high turnover of nursing personnel. The three main risks associated with this issue are 1) poor quality care, 2) unhealthy work environments, and 3) negative financial performance.
The first risk -- poor quality care -- is the result of a high turnover of nurses, which can lead to inadequate staffing. When there are two few nurses on any given shift, patients receive less care and attention because the nurses on shift are stretched in too many directions at once. Patients are required to wait longer, especially in the E, which can be problematic for patients requiring immediate care. Such is what happened to Edith odriguez at King-Drew hospital in L.A: she died in the E lobby waiting area because of insufficient attention given her by an over-stretched staff (AP, 2007).
The risk management solution to this first issue is to develop a temporary pool of nurses who can work on…
AP. (2007). Woman dies in ER lobby as 911 refuses to help. NBCNews. Retrieved from http://www.nbcnews.com/id/19207050/ns/health-health_care/t/woman-dies-er-lobby-refuses-help/#.V0XO57grLIU
Den, H., Deanne, N., & Belschak, F. D. (2012). When Does Transformational Leadership Enhance Employee Proactive Behavior? The Role of Autonomy and Role Breadth Self-Efficacy. Journal of Applied Psychology, 97(1), 194-202.
Geiger-Brown, J. (2010). Is it time to pull the plug on 12-hour shifts? Part 1. The evidence. Journal of Nursing Administration, 40(3): 100-102.
Ihan, M., et al. (2006). Long working hours increase the risk of sharp and needlestick injury in nurses: the need for new policy implication. Journal of Advanced Nursing, 56(5): 563-568.
Nurse-Care Analysis of Sheepshead Bay
The area is 4,074 square miles. Its population is 123,178. The people density of people who live in Sheepshead Bay compared to general inhabitants of Brooklyn of people per square mile is 30,233 to 34,917 (City-data.com; web).
On my visits there, I was astounded by the mass of people rubbing shoulders one with the other. The streets seemed dense and crowded with a great number of apartment buildings, more than those in the more laid back areas such as Flatbush and Queens, and also more than those in the vicinity of Coney Island. There were also a lot of immigrant offices and lawyers specializing in immigration services that was telling of the area.
In fact, involvement with immigrants who had been seeking service with bureaucracy involved with obtaining a Green card revealed that many of them, although living in other parts of Brooklyn (sometimes far…
Berke, N. (2009). Crime Prevention and Safety Workshop. Sheepshead Bites. Retrieved on 3/6/2011 from: http://www.sheepsheadbites.com/2009/06/crime-prevention-and-safety-workshop/#
Chan, S. (2006). Fatal Construction Accidents in the City Rise Sharply Over 12 Months New York Times. p. C13.
Chiswick, Barry R., (1991). Speaking, Reading and Earnings among Low-Skilled Immigrants, Journal of Labor Economics, 9, 149-170.
City-data.com. Sheepshead Bay. Retrieved on 3/6/2011 from: http://www.city-data.com/neighborhood/Sheepshead-Bay-Brooklyn-NY.html )
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.
Healthcare Practices in Nursing Today
Over the last 50 years, health care systems all over the world have experienced rapid and significant changes. Some of these changes have been the result of innovative developments in medical science and technology that have greatly benefited patients, prolonging and saving the lives of millions. Some of these changes, however, have had the unfortunate result of limiting patient access to prescribed treatment and diminishing the overall quality of care.
Significant challenges are being faced in health care as systems restructure and reinvent themselves in a difficult and often painful effort to make more efficient use of their available resources (ICN, 2001). Since health care is such a labor-intensive industry, the stresses on these systems inexorably trickle down to affect those employed by the system. Nurses, who are the most highly trained caregivers who have ongoing, regular patient contact, stand at the very heart of…
Abramson, S. (1980). Adverse Occurrences in Intensive Care Units. Journal of the American Medical Association 244 (14): 1582-1584.
Ahmadi, M. (1989). Traditional vs. Nontraditional Work Schedules. Industrial Management 31(2), 20-23.
Bennett, M. & Hylton, J. (1990). Modular Nursing: Partners in Professional Practice. Nursing Management 21(3), 20-24.
Beauchamp, T.L. & Childress, J.F. (1994). Principles of Biomedical Ethics, 4th ed. New York: Oxford University Press.
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.
Globally, a nursing shortage is impeding the advancement of healthcare systems around the world. The nursing shortage refers to any situation in which the labor market cannot keep up with patient demands. Causes of the nursing shortage include poor working conditions leading to high turnover rates, insufficient nursing education programs, and lack of incentives for nurses to work in areas of critical concern. Effects of the nursing shortage include further staff shortages due to high stress environments and poor patient care—including higher rates of mortality and morbidity. Nursing shortages have affected almost every region of the world, and may become worse unless concerted efforts are made to remedy the problem.
Even the most advanced healthcare systems in the world are short on nursing staff. As a result, existing nurses are working longer hours under high duress, and are more prone to making errors or experiencing workplace violence and…
Nursing educators normally combine their clinical expertise and the passion they have for teaching into a career that is rich and rewarding. They work in the classroom as well as the practice setting, they have the responsibility of preparing, and acting as mentors to the current and future nurse's generations. They teach in various patient care settings in order to provide continuing education to those likened nursing staff. They play a vital role when it comes to strengthening the nursing workforce as they act as role models at the same time providing the leadership that is needed for the implementation of evidence-based practice. They are responsible for designing, implementation, evaluation and revising of academic and continuing education programs that are being used by nurses. They include formal academic programs, which can lead to the certification of their degrees, as well as the informal continuing education programs that are designed for…
Nurses for a Healthier Tomorrow, (2010). Nurse Educator. Retrieved July 25, 2014 from http://www.nursesource.org/nurse_educator.html
Nursing Theorist Grid Dorothea Oren Theory
Over the years, nursing theories have been used in defining the ways healthcare is delivered through the interaction of patients and nurses. This study presents a theoretical discussion of the self-care concept in relation to health care delivery among elderly patients. The self-care concept is popular as Self-Care Deficit Theory of Nursing by Orem. Orem's theory perceives individuals as self-care agents equipped with unique needs. The theory focuses on transactional analysis in enhancing rehabilitative roles of nursing and positively influencing self-care agency among individuals. This creates power component based on self-care behaviors. The theory was initially defined as the analysis of exchanges between people in their interactions and communications with one another. The focus also classifies, understands, predicts and alters human behavior among the well and sick individuals. The theory supports individuals treated as adults and has a higher likelihood of using Adult ego…
Butts, J.B., Rich, K. (2012). Nursing Ethics: Across the Curriculum and Into Practice. New York: Jones & Bartlett Publishers.
Finfgeld- Connet, D (2008). Qualitative Convergence Of Three Nursing Concepts: Art Of Nursing, Presence And Caring. Journal of Advanced Nursing 63(5): 527-534.
Ranheim, A., (2010). Caring And Its Ethical Aspects -- An Empirical, Philosophical Dialog On Caring. International Journal of Qualitative Studies on Health and Well- being. 4(2) p 78-85.
Ranheim. A., Karner, A., Arman, M., Rehnsfeldt, A & Bertero, C. (2010). Embodied reflection in practice- 'Touching the core of Caring'. International Journal of Nursing Practice. 16. p 241-247.