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Nursing staff work with patients from different cultural backgrounds. Consequently, one of the challenges facing nurses is the provision of care to culturally diverse patients. Hospitals and healthcare agencies must accommodate these needs by initiating diversity management and leadership practices" (Coe, 2011). Thus, in order to provide this crucial, soothing environment, nurses have a responsibility to engage in a fundamental education of cultural differences. Nurses need to be prepared and aware of the differences between cultures and how to relate to people from different cultures and what the expectations are. For example, so many cultures have very strict expectations about gender roles and what's appropriate and what isn't and while these thoughts might seem very old-fashioned or foreign to the modern nurse, violating these ideas will only make the patient uncomfortable.
Having such cultural competency requires active endeavors on my part, such as reading about different cultures, taking seminars in…
Coe, S. (2011). Cultural Competency in the Nursing Profession. Retrieved from Nursetogether.com: http://www.nursetogether.com/Career/Career-Article/itemid/1154.aspx
Hood, L. (2009). Leddy & Pepper's Conceptual Bases of Professional Nursing. Philadelphia: Lippincott, Williams, Wilkins.
Professional Nurse, My Evolutionary Journey
As my memory recalls the idea of becoming a nurse was with me when I was an 8-year-old and playing nursing in a makeshift hospital made of my toys. Nursing was being experienced at that time with caring of squirming kittens in my nursery, sleeping dolls in surgery room of my toy hospital. After lapse of a long period since then it is still a wonder that the patients completely unknown never feel reluctant to expose a personal corner of their lives and share with us their deepest threats. At their worst as well as at their best they trust us to be caring, confidential and skilled. Nursing profession is really a unique one and the nursing education is not just a viewer sports where the student listens, observes and understands rather they are required to really live what he or she learns by means…
"Consensus Statement on Emerging Nursing Knowledge: A Value-Based Position Paper
Linking Nursing Knowledge and Practice Outcomes" (October, 1999) USA Nursing Knowledge Consensus Conference, Boston, Massachusetts. Retrieved from http://www.bc.edu/bc_org/avp/son/theorist/consensus2.html Accessed 26 October, 2005
'Compassionate Care Nursing with meaning: Incorporating Holism into Nursing Practice"
(November-December, 2003) Chart. Retrieved from http://www.findarticles.com/p/articles/mi_qa3932/is_200311/ai_n9325377 / Accessed 25 October, 2005
Masters in Nursing Overview
The person selected for this interview is my mentor, an advanced nurse practitioner who specializes in geriatrics. She said she began her nursing career by graduating with a bachelor's degree in nursing at the University of California at Berkeley. The program at Berkeley well prepared her for her initial role as a registered nurse. While in school, she mentioned, she was able to procure an internship in the healthcare field which helped her confirm that she actually wanted to have a career as a nurse. After working as a registered nurse for approximately five years, she decided to earn a Master's of Science in Nursing so that she could become an advanced nurse practitioner. To her delight, after earning her degree from the University of California at Berkeley approximately 10 years ago, she was able to obtain a position at Kaiser Hospital in Oakland as an…
The benefits to joining this and other professional nursing associations around the nation include having a strong voice and a fellowship with others who spend their careers helping patients and families during times of need.
There are several ways that affiliating with a professional nursing association can provide this including:
Federal lobbying on issues important to nursing and health care.
State lobbying through our State Nurses Associations and nationwide state legislative agenda on issues vital to your scope of practice.
epresenting nursing where it matters, including the Environmental Protection Agency, Department of Labor, the U.S. Department of Health and Human Services and many others, right up to the White House.
Speaking for nursing through the media including stories in the Wall Street Journal, Chicago Tribune, USA Today, 60 Minutes, NBC Nightly News, CNN, and NP to name a few (Your guide to the benefits of membership... (http://nursingworld.org/member2.htm)."
ANA's Statement of Purpose (accessed 3-20-07)
http://nursingworld.org /about/mission.htm' target='_blank' REL='NOFOLLOW'>
The work of Fink, Krugman, Casey and Goode (2008) entitled: "The Graduate Nurse Experience: Qualitative Residency Program Outcomes" reports a study which evaluated responses to the Casey-Fink Graduate Nurse Experience Survey which was administered to graduate nursing students at the University HelathSystem Consortium/American Association of Colleges of Nursing and states findings that graduate nurses "...experience role conflict and stress as they begin practice in work environments of high complexity, nurse shortages, and expectations to become competent rapidly." (Fink, Krugman, Casey, and Goode, 2008) the work of Spencer (2008) entitled: "Increasing RN-NS Enrollments: Facilitating Articulation through Curriculum Reform' states that increasing enrollments in nursing programs is one method to deal with the shortage of nurses. However, the majority of these new graduates will be educated at the associate degree in nursing level. The need to increase the number of nurses educated at the baccalaureate level is significant. Research has shown that…
Bibliography (Fink R, Krugman M, Casey K, Goode C. 2008)the graduate nurse experience: qualitative residency program outcomes. J Nurs Adm. 2008 Jul-Aug;38(7-8):341-8.
Int J. Nurs Educ Scholarsh. 2008;5:Article32. Epub 2008 Aug 22.
Lee JM.(2008) Articulation of undergraduate and graduate education in public health. Public Health Rep. 2008;123 Suppl 2:12-7.
Public Health Rep. 2008;123 Suppl 2:12-7.
Schuldt HAArd U, Ohlen J, Gustavsson PJ. (2008) Generic and professional outcomes of a general nursing education program -- a national study of higher education. Int J. Nurs Educ Scholarsh. 2008;5:Article32. Epub 2008 Aug 22.
They represent nurses in New Jersey and are a federation member of the American Nurses Association, and are organized for individual professional nurse members through its regions to participate in activities for the advancement of nurses and nursing and to promote the profession as an essential, independent and distinct social service. Their stakeholders are all the member nurses in New Jersey.
The American Association of Nurse Anesthetists (AANA) is an organization made up of certified egistered Nurse Anesthetists, who are advanced practice nurses who specialize in anesthesia care. AANA is the professional association representing more than 30,000 Certified egistered Nurse Anesthetists (CNAs) nationwide and was founded in 1931. Their Mission Statement is as follows: Advancing patient safety and excellence in anesthesia. (March 2004) Their goals and objectives are integrity, professionalism, advocacy and quality. Their motto is "Supporting our members ~ Protecting our patients, with the goal of becoming recognized leaders…
American Association of Nurse Anesthetics. Retrieved October 3, 2006 at http://www.aana.com/Default.aspx
American Nurses Association. Retrieved October 3, 2006 at http://www.nursingworld.org/about/
New Jersey State Nurses Association. Retrieved October 3, 2006 at http://njsna.org .
It is necessary and important for any professional to understand the differences and applications of theory, practice and research. Within the nursing profession these concepts are highly regarded and the AACN has identified this process of distinguishing between as Essential #3. The purpose of this essay is to explain and indentify practice discrepancies that may adversely affect patient outcomes. This essay will suggest that leadership and purpose are necessary in order to truly understand the synthesis of these concepts.
Theories are simply theories and not laws and it is possible to accept theories as infallible. This is not ideal for the nursing profession. Theories are used to guide and model behavior and not replace it. Such ideas as the theory of gravity or the nuclear theory of the atom are often accepted as true fact but in reality there are many problems with those theories that prevent them…
Hall, L.M., Doran, D., & Pink, G.H. (2004). Nurse staffing models, nursing hours, and patient safety outcomes. Journal of Nursing Administration, 34(1), 41-45.
TITLER, M.G., Kleiber, C., STEELMAN, V., GOODE, C., Rakel, B., BARRY-WALKER, J.E.A.N., ... & BUCKWALTER, K. (1994). Infusing research into practice to promote quality care. Nursing Research, 43(5), 307-313.
Professional Nursing Ethics
It is not a good idea, but it is possible to become a nurse today without knowing what the Nightingale Pledge is and more important, what it represents. The reason it is not a good idea is simple; nursing is a field that carries with it a great social, moral and ethical responsibility. This accountability is now guided by the Code of Ethics with Interpretive Statements; however, the original blueprint was the Nightingale Pledge. We could consider that original pledge as nursing's equivalent to the physicians' Hippocratic Oath. In other words, the modern version of the Nightingale Pledge, the Code of Ethics with Interpretive Statements, is a thorough guide that helps both new and old nurse's alike carry out their responsibilities in a way that also meets all ethical duties required by the profession. The Nightingale Pledge has evolved for more than a century…
An area where being a nurse can become difficult in regard to ethics is in the area of personal values vs. professional ethics. Nurses must maintain their competence even if they do not live by the same values of their patients. A client's race, sex, or religion, for example, must not interfere with the understood obligations of the nursing community. Everyone should be treated equally. What comes to mind about this ethical obligation is the poor judgment that was shown by some healthcare workers throughout the nation immediately following September 11, 2001. This date is famous for the terrorist attacks that were perpetrated on the nation by individuals of the Muslim faith and of Middle Eastern decent.
For several weeks after that tragic day, however, many Muslim and Middle Eastern families, and anyone who looked like they could be of Middle Eastern decent, became the victims of blatant profiling and racism. What was worst about this news is that in some of these cases of obvious hate crimes, the racism was performed by hospital emergency room staffs because they refused to treat potential terrorists (as they were considered). When performing nursing duties, nurses must have a blind eye to the differences of the client's life values. A homosexual male should not be treated poorly because of his sexual orientation. A black woman who has been raped must not be judged to be immoral anymore than a white woman. Nurses must exercise sound ethical judgment and accept the responsibilities of the profession.
Nurses provide services that include respect for human dignity and they should not change their responsibility to the patient because of some social or economic status, personal attributes, or the nature of the medical condition. This scenario of personal values and professional ethics then can also be tested when it comes to working in an extremely hazardous environment. Nurses are exposed to communicable diseases on a daily basis and there are often patients who are violent or show other ideals of noncompliance. "It was an opportunity to learn about the challenges nurses encounter in their everyday practice -- health and social inequalities, HIV / AIDS, TB, poverty and compromised
Professional Nursing Associations: ationale
A professional association refers to "an organization of practitioners who judge one another as professionally competent and who have banded together to perform social functions which they cannot perform in their separate capacities as individuals" (Merton, as cited in Matthews, 2012). Nursing has, over time, developed to professional status and is at present characterized by numerous national professional associations. Whether or not these associations add value to their professions and whether or not there is need to have so many of them have been subjects of debate in recent years. This context gives an in-depth demonstration of the rationale behind professional nursing associations, and illustrates why there is need to have them in greater numbers.
The ationale behind Professional Nursing Associations
Nursing is built upon the concept of advocacy; nurses not only advocate for their profession, but for their patients as well (Gregg-McQuilkin, 2005). Professional associations,…
Day, L. (2006). Advocacy, Agency and Collaboration. American Journal of Critical Care, 15(4), 428-430.
Gregg-McQuilkin, D. (2005). Why Join a Professional Nursing Organization? Nursing 2014, 35(8), p.9.
Mason, D.J., Leavitt, J.K. & Chafee, M.W. (2013). Policy and Politics in Nursing and Healthcare -- Revised Reprint. St. Louis, Missouri: Elsevier Health Sciences.
Matthews, J.H. (2012). Role of Professional Organizations in Advocating for the Nursing Profession. The Online Journal of Issues in Nursing, 17(1), p. 3.
Professional Nursing Organization Comparison
Choose two professional organizations. These can be organizations you are a member of or that are known in the nursing profession.
Create a table comparing the two organizations.
American Nurses Association
The organization has roughly 490 chapters throughout 85 countries.
American Nurses Association was established in 1896 as the Nurses Associated Alumnae and was renamed the American Nurses Association in 1911.
Support of Nursing Leadership
STTI provides opportunities for nurses to participate in leadership programs and mentoring opportunities, and take advantage of career development resources.
The ANA provide programs and offerings for nurses, nursing leaders, and all stages of the nursing career trajectory.
Members can ask career-related questions and get responses from STTI volunteer Career Advisors.
More than 900 nurse researchers, students, clinicians and leaders attend the International Nursing esearch Congress to learn from evidence-based research presentations. The theme of the 26th…
American Nurses Foundation. Retrieved from http://www.anfonline.org
American Nursing Association. Retrieved from http://nursingworld.org
Sigma Theta Tau International School of Nursing. Retrieved from http://www.nursingsociety.org/Pages/default.aspx
Integration Evidence-Based Practice Professional Nursing Practice
The concept of evidence-based practice -- EBP is becoming growingly significant in the sphere of nursing. (Stiffler; Cullen, 2010) Evidence-based practice is not entirely a novel concept; it is the manner in which nurses cater to the norms of care and practice efficiently. (Nysna, 2006) According to Linda Burnes Bolton, DrPH, N, FAAN, vice president and chief nursing officer in the Cedars-Sinai Medical Center in Los Angeles, evidence-based practice -- EBP in reality it is only an alternative mode of viewing the conventional theme of the nurses maintaining their sanctified reliability with society. (Wessling, 2008) David Sackett, MD, a Canadian physician, is regarded the father of evidence-based practice. According to Sackett, "evidence-based practice is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. . .[by] integrating individual clinical expertise with the best available external…
Adams, Susan; McCarthy, Ann Marie. (2005) "Evidence-Based Practice and School
Nursing" The Journal of School Nursing, vol. 21 no. 5, pp: 258-265.
Ciliska, Donna. (2006) "8. Evidence-based nursing: how far have we come? What's next?"
Evid-Based Nurs, vol. 9, no. 2, pp: 38-40.
Vital Role of Professional Nursing Organizations in Canada and British Columbia
According to the society of Registered Nurses Association of British Columbia (RNABC), which will be renamed College of Registered Nurses of British Columbia (CRNBC), effective after May 2005, (Seale, 2005) the primary purpose of having professional nursing regulatory bodies and nursing associations for nurse practitioners in Canada and British Columbia are to ensure that all nurses have the basic competencies required of nurse practitioners expected by the public. Although nursing as a profession is regulated in virtually all estern, industrialized nations in some shape or form, in Canada and British Columbia, registrant participation through chapters has long been a particular cornerstone of the governance processes of the profession of nursing and expanded the profession's ability to evolve and serve the changing physical and mental needs of the public. (Nursing BC, 2004)
Nursing Organizations -- Establishing Professional Standards, Contributing to…
C.N.A. (2004) Official Website. Retrieved 24 May 2005 at http://www.cna-nurses.ca/CNA/practice/advanced/initiative/default_e.aspx
CNPI. (15 Apr 2005) "Nurse Practitioner Role to Strengthen Canada's
Primary Health-Care System" Retrieved 24 May 2005 at http://www.cnpi.ca/documents/pdf/CNPI_news_conference_April_15_e.pdf
CNPI. (2005) Official Website of Canadian Nursing Practioners. Retrieved 24 May 2005 at http://www.alden-bugden.ca/cnp/modules/news/
oles of Professional Nursing Associations
Conduct a web search of at least two professional nurses' associations and describe how each organization defines its respective role at local, state, and national levels.
Identify the organization and its website. What are some examples on the website demonstrating that the organization addresses policy and politics?
The website for the American Nurses Association (ANA) can be found at www.nursingworld.org, and by reviewing the wealth of content provided by the ANA through this interactive forum it is evident that the organization actively addresses both public policy and political issues. Through the auspices of its American Nurses Association Political Action Committee, or ANA-PAC, the ANA seeks "to promote the improvement of the healthcare system in the United States by raising funds from & #8230; members and contributing to support worthy candidates for federal office who have demonstrated their belief in the legislative and regulatory agenda of…
American Nurses Association (2010). Position statement: Registered nurses' roles and responsibilities in providing expert care and counseling at the end of life. Silver Spring,
MD. Retrieved from http://nursingworld.org /MainMenuCategories/EthicsStandards/Ethics-Position' target='_blank' REL='NOFOLLOW'>
Orem's Self-Care Model: A Professional Nursing Practice Model
Nursing theory is an organized and systematic articulation of a set of statements related to questions in the discipline of nursing. (Caley, p. 302, 1980) The model presented by Dorothea Orem is based on the idea that as human beings, we are engaged in self-care activities that allow us to maintain a state of good health. Orem defines health as "a state of a person that is characterized by soundness or wholeness of developed human structures and of bodily and mental functioning" (Coleman, p. 325, 1980) Utilization of Orem's concepts allows the nurse freedom to develop their own style practice to best meet the self-care needs of any patient.
Nurses have always recognized the rights of clients of all ages to be both informed and active participants in care, but the idea of self-care has not always been apparent concerning the idea…
1. Caley, J.M., Dirksen, M., Engalla, M., & Hennrich, M.L. (1980). The Orem self-care nursing model. In J.P. Riehl & C. Roy (Eds.), Conceptual models of nursing practice (2nd ed., pp. 302-214). Norwalk, CT: Appleton-Century-Crofts.
2. Coleman, L.J. (1980). Orem's self-care concept of nursing. In J.P. Riehl & C. Roy (Eds.), Conceptual models of nursing practice (2nd ed., pp. 315-328).
3. Fawcett, J. (1989). Orem's self-care framework. In J. Fawcett (Ed.), Analysis and evaluation of conceptual models of nursing (2nd ed., pp. 205-261). New York F.A. Davis.
4. Johnston, R.L. (1982). Orem self-care model. In J.J. Fitzpatrick, A.L. Whall, R.L. Johnston, & J.A. Floyd (Eds.), Nursing models and their psychiatric mental health applications (pp. 56-60). Bowie, MD: Brady/Prentice-Hall.
The decade-old system that specifies least standards for staffing in nursing homes need to be restructured, the report says. The U.S. Department of Health and Human Services must call for nursing homes to have at least one N within the facility during all times. Based on the departments' 2001 report to Congress on minimum staff-to-patient ratios for nursing homes, the HHS should mention the staffing levels that increased with the number of patients. Central and state report cards on nursing homes should give information on levels of nursing staff, and measuring of staffing levels should be developed for hospital report cards. The healthcare facilities should avoid using nurses from temporary agencies to fill the vacancy. (Substantial Changes equired in Nurses Work Environment to Protect Patients from Health Care Errors)
Working for long hours on the part of the nurse's makes them fatigue since it decreases their energy and reduces their…
ANA Commends IOM Report Outlining Critical Role of Nursing Work Environment in Patient Safety" (November 5, 2003) Retrieved at http://www.nursingworld.org/pressrel/2003/pr1105.htm . Accessed on 11 February 2005
Hallmarks of the Professional Nursing Practice Environment" (January, 2002) AACN White Paper. Retrieved at http://www.aacn.nche.edu/Publications/positions/hallmarks.htm . Accessed on 11 February 2005
Statement of the American Nurses Association for the Institute of Medicine's Committee on Work Environment for Nurses and Patient Safety" (September 24, 2002) Retrieved at http://www.nursingworld.org/pressrel/2002/iom924.htm . Accessed on 11 February 2005
Substantial Changes Required in Nurses Work Environment
Professional Organization for Nursing
In the past, a number of individuals inside every society started delivering care and nutrition for all those who had been struggling to look after themselves. Because these people became 'care specialists,' they started to express to other individuals the procedures that helped them and also to train other individuals as apprentices who would probably at some point continue their function. The advancement of contemporary nursing starting from some sort of vocation, towards the profession and discipline of nursing, started during the later part of the 1800s when Florence Nightingale stated her perspectives on the way nurses ought to be taught and schooled and just how patient care ought to be offered (Hegge, 2011).
The very first schooling institution for nurses within the U.S. established during 1873. Two decades afterwards nursing school managers sensed the moment had arrived to interact as well as discuss…
American Nurses Association. (2010). Nursing: Scope and standards of practice, (2nd ed.). Silver Spring, MD: Nursesbooks.org.
American Nurses Association. (2009). Historical review of nursing and the ANA. Retrieved from www.nursingworld.org/FunctionalMenuCategories/AboutANA/History.
Bureau of Health Professions. (2011). The registered nurse population: Findings from the 2008 National Sample Survey of Registered Nurses. Retrieved from http://bhpr.hrsa.gov/healthworkforce/rnsurvey2008.html.
Fowler, M. D .M. (Ed). (2008). Guide to the code of ethics for nurses: Interpretation and application. Silver Spring, MD: Nursesbooks.org.
The Shared Governance arrangement:
offers an apparatus for registered nurses to show guidance in the development of practice decisions authorizes all nursing staff to add to work redesign advances the quality of patient and family outcomes.
In the shared governance arrangement, the staff nurses are a big piece of the course, designated and chosen from their units to stand for an area of practice on one of many councils. it's all about shared choice making and authorizing staff nurses to affect their practice atmosphere and have a say in unit choices (Shared Governance at Henry Ford Hospital, 2011).
A new nursing deficiency is revitalizing shared governance. This pioneering organizational model gives staff nurses power over their practice and can expand their affect into administrative areas formerly controlled solely by managers. But nursing shared governance is tough to describe. Its configurations and procedures are dissimilar in every business. Shared governance, is…
Drenkard, Karen. (2010). Going for the gold: The value of attaining Magnet recognition.
Retrieved February 18, 2011, from Web site:
Estlund, Sarah. (2010). List of Nursing Labor Unions. Retrieved February 17, 2011, from Web
eview On Nurses Shortage
The supply of professional nurses relative to the increase in demand for their services has been on a general decline over the years. As a career choice, nursing has been facing perennial shortage of professionals. Most healthcare organizations will affirm that their daunting tasks were recruiting fresh nurses and retaining the ones already in practice. The 2008 projections from the Bureau of Labor Statistics showed that the demand for professional nurses would increase from the then two million to three million, which represents sixty percent increment. In ideal situations, the number of those who have enrolled in nursing will be sufficient to supply the rise in their number. Nevertheless, this would not be the case if nothing were done to salvage the worrying trend of most students not graduating or resorting to other careers. According to Benjamin Isgur of PWHC Health and esearch Institute,…
American Association of Colleges of Nursing. (2009, September, 28). Nursing Shortage Fact Sheet. USA: AACN.
Buerhaus, P.I., Staiger, D., & Auerbach, D.I. (2009). The future of the nursing workforce in the United States: Data, trends, and implications. Boston: Jones and Bartlett Publishers.
Blakeley, J., & Ribeiro, V. (2008). Early Retirement among Registered Nurses: Contributing Factors. Journal of Nursing Management, 16(1), 29 -- 37
Cummings, G., et al. (2008). The Relationship between Nursing Leadership and Nurses' Job Satisfaction in Canadian Oncology Work Environments. Journal of Nursing Management, 16(5), 508 -- 518.
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…
About ENA. (2010, January). Retrieved October 2010, from Emergency Nurses Association: http://www.ena.org/about/Pages/Default.aspx
About the ACNM. (2010, February). Retrieved from American College of Nurse-Midwives: http://www.midwife.org/members.cfm
CNS - Who We Are and What We Do. (2010, January). Retrieved October 2010, from National Association of Clinical Nurse Specialists: http://www.nacns.org/AboutNACNS/MissionStatement/tabid/57/Default.aspx
Kozier, B., Erb, G. & Blais, K. (1997), Professional nursing practice (3rd edition),
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:
For example, I would ask Mark to imagine what he would consider fair if he had recently been forced to work three floating shifts back to back because the unit was short-staffed as a result of Lisa's taking her vacation. Furthermore, I would explain to Mark that if his vacation spared him from having to fill floating responsibilities that is already an additional benefit to him and not something for which he deserves extra privileges or compensation. More importantly, his coworkers already had to fill more floating shifts than they would have otherwise because he was on vacation. Therefore, instead of considering himself to be unfairly burdened by being asked to fill a floating shift, Mark should be appreciative and should probably volunteer for it, precisely out of the desire to be fair to his coworkers.
That aspect of conflict resolution would be an element of collaboration in the long-term…
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.
Autonomy in the nursing profession states the importance of the client's role in making decisions that reflect advocacy for the client (Wade, 1999, p.310). Ultimately, this includes taking care of the patient physically as well as mentally and emotionally, developing a relationship with the patient that is beneficial to his care and actively advocating for the patient's rights and care. This type of autonomy, it is important to note, is not the same as individual or work autonomy, yet it must be considered that empowerment in nursing autonomy will inevitably lead to better professional and personal autonomy and should also lead to increased job satisfaction (Wade, 1999, p.310).
Typical definitions of autonomy would include the idea of complete independence for the person making the decisions. However, in the case of the nursing profession, the client's needs and desires must be heavily weighed and, in fact, become central…
Wade, G.H. (1999). Professional nurse autonomy: Concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-8.
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics, 2(1),
White, L. (2004). Foundations of nursing: Second edition. Clifton Park, NY: Delmar Learning.
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…
" (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.
A person's health is an ever-changing state of being resulting from the interaction with the environment. Optimum health is the actualization of both innate and obtained human potential gained through rewarding relationships with others, obtaining goals and maintaining expert personal care. Adaptations can be made as required to maintain stability and structural integrity. A person's state of health can vary from wellness to illness, disease, or dysfunction. Professional nursing is founded on the need to promote wellness practices, the attentive treatment of persons who are acutely or chronically ill or dying, and restorative care of patients during convalescence and rehabilitation. It also includes the education and measurement of those who perform or are learning to perform nursing responsibilities, the support and communication of research to enhance knowledge and practice, and the management of nursing in healthcare delivery systems. Nursing practice centers on the application of a body of knowledge in…
Johnston, N., Rogers, M., Cross, N. And Sochan, a.(2007) Global and planetary health:
teaching as if the future matters. Nursing Education Perspectives 26(3), 152
Nyatanga, L. (2005) Nursing and the philosophy of science. Nurse Education Today 25(8), 670-675
Why should nurses recognize nursing expertise varies with education, experience and context of practice?
Nurses should recognize nursing expertise differs from person to person because of varying experience levels, forms of education, and context of practice. This is substantial knowledge for nurses to remember for several reasons. For one, it will help nurses better understand their colleagues (Husted, 2008). For example, a nurse who attended a better school than their colleague, will be more understanding if their colleague under performs or is hesitant in comparison because he or she had a higher quality education (Husted, 2008). Conflicts between colleagues are less likely to arrive when there is an understanding that performance among each other may differ due to varying circumstances. (Benner, 2009).
In addition, nurses should retain that their coworkers expertise will most likely not be the same due to the varying routes everyone takes to the medical field and…
Apker J., Propp K.M., Ford W.S.Z., Wallac N., Serbenski M., & Hofmeister N. (2006).
Collaboration, Credibility, Compassion, and Coordination: Professional Nurse
Communication Skill Sets in Health Care Team Interactions. Journal of Professional Nursing 22 (3), 180-189.
Benner P.E., Tanner C.A., Chelsa C.A. (2009). Expertise in Nursing Practice: Caring,
Nurse Study eview
Vahey et al. (2004) research indicated the importance of investigating the role of environment and clinical situation for both nurse performance and patient satisfaction. This study is a quantitative approach to investigating these topics as it sought to find correlations between these variables.
The article is premised on the idea that nurses employed in hospitals are experiencing greater workloads resulting in career fatigue and burnout. The article incorporated past research on these topics and suggested that "Indeed, more than 40% of hospital staff nurses score in the high range for job-related burnout, and more than 1 in 5 hospital staff nurses say they intend to leave their hospital jobs within 1 year. The understaffing of nurses and the overwork of health professionals in hospitals are ranked by consumers as major threats to patient safety, and more patients are bringing their own caregivers to the hospital with them."…
Vahey, D.C., Aiken, L.H., Sloane, D.M., Clarke, S.P., & Vargas, D. (2004). Nurse burnout and patient satisfaction. Medical care, 42(2 Suppl), II57.
The authors describe findings from a survey designed to gather baseline data about changes organizations experience after implementing the Clinical Practice Model framework, and report how the Clinical Practice Model Resource Center staff used the survey findings to build the capacity of individuals accountable for implementing this integrated, interdisciplinary professional practice framework into the organization's operations." (2002) The following model has been created for monitoring the progress of the nursing staff at the MD Anderson Cancer Center MEDVACM specifically checking progress in Years 1,3, and 5.
MD ANDERSON CANCER CENTER MEDVAMC
Job Performance Review Guide
PERFORMANCE GOALS AND OJECTIVES
ecome familiar with your department's business goals.
Work with your manager to define and document your goals. Include what you are expected to produce by your first review, activities needed to accomplish results, and success criteria.
Magnet Designation (2006) Inside UVA Online Vol. 36, Issue 14 August 26, 2006. Available at http://www.virginia.edu/insideuva/nursing_excellence.html .
Bailey, F. Amos (2000) Balm of Gilead Center, Cooper Green Hospital Pioneer Programs in Palliative Care: Nine Case Studies - Robert Wood Johnson Foundation - Milbank Memorial Fund October 2000. Online available at http://www.milbank.org/pppc/0011pppc.html#foreword .
Forrow, Lachlan (2000) Palliative Care Program, Beth Israel Deaconess Medical Center/CareGroupPioneer Programs in Palliative Care: Nine Case Studies - Robert Wood Johnson Foundation - Milbank Memorial Fund October 2000. Online available at
One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of…
Basford, L. And O. Slevin. (2003). Theory and Practice of Nursing: An Integrated Approach to Caring Practice. New York: Nelson Thomas.
Beckstead, J. And Beckstead, L. (2004). A multidimensional analysis of the epistemic origins of nursing theories, models and frameworks. International Journal of Nursing Studies. 43
Cohen, J. (1991). Two portraits of caring: a comparison of the artists - Leininger
Nurse Patient atios and Quality of Care
This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there remains an issue about hiring more nurses -- where will these nurses come from if the nursing schools do not increase their recruitment efforts and broaden their curriculum. In addition, we note that the large majority of patients and stakeholders primarily want two things when admitted to a healthcare facility: better paid nurses and more highly-trained professionals who are satisfied with their vocation.
Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures…
More Nurses Make the Difference. (February 2012). The Lamp. 69 (1): Retrieved from: http://search.informit.com/au/documentSummary;dn=045435426132502;res=IELHEA
Safe Nurse Staffing: Looking Beyond the Numbers. (2009). Vantage Point, CNA. Retrieved from: https://www.nso.com/pdfs/db/newsletters/Safe_Nurse_Staffing_-_Looking_Beyond_the_Raw_Numbers_20094.pdf?fileName=Safe_Nurse_Staffing_ -_Looking_Beyond_the_Raw_Numbers_2009-pdf&folder=pdfs/db/newsletters
Aiken, L. (2001). The Hospital Nurse Workforce: Problems and Prospects."Draft
For the Council on the Economic Impact of Health System Change. Retrieved from: http://council.brandeis.edu/pubs/hospstruct / Council-Dec-14-2001-Aiken-paper.pdf
Nursing 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:
Getting old is not very fun when considering the opinions of the elderly. This is true because many hard and difficult decisions must be made in terms of health and health care. Two options immediately arise when one is not able to take care of themselves and seek the assistance of others. The first option is home health care and the other is nursing home health care. The purpose of this essay is to examine, weigh and discuss these two options. This essay will then conclude on when it is best to choose nursing home care and when it is not wise or advisable to do such a thing.
Home Health Care
What exactly is home health care and what does it entail? Home health care helps seniors live independently for as long as possible, given the limits of their medical condition. It covers a wide range of…
Berger, Joseph, (2012). A Shift From Nursing Homes to Managed Care at Home. The New York Times, 23 Feb 2012. Web. http://www.nytimes.com/2012/02/24/nyregion/managed-care - keeps-the-frail-out-of-nursing-homes.html?pagewanted=all&_r=0
Bojorquez, Manuel, (2013). Eleven states get failing grades for nursing home care. CBS News, 9 Aug 2013. Web . http://www.cbsnews.com/8301-18563_162-57597944/eleven-states - get-failing-grades-for-nursing-home-care/
Friedland, R. (2009). Home Care vs. Nursing Home Care. Care, 25 Nov 2009. Retrieved from http://www.care.com/senior-care-home-care-versus-nursing-home-care-p1017- q14698.html
Klauber, M. (2001). The 1987 Nursing Home Reform Act. Public Policy Institute, Feb 2001. Retrieved from http://www.aarp.org/home-garden/livable-communities/info - 2001/the_1987_nursing_home_reform_act.html
Nursing & Humanities, Alice Munro
SLIDES FOR A PRESENTATION OF HUMANTIES AND NURSING: CHRONIC AND TERMINAL CARE ISSUES PRESENTED IN ALICE MUNRO'S "THE DAY OF THE BUTTERFLY," BELLE & SEBASTIAN'S "IT COULD HAVE BEEN A BRILLIANT CAREER," AND TONY KUSHNER'S "ANGELS IN AMERICA"
"The Day of the Butterfly" by Alice Munro is a quiet portrayal of elementary schoolgirls in 1950s Canada learning one of their classmates has a terminal illness.
"It Could Have Been A Brilliant Career" performed by Belle and Sebastian is a song about a young stroke victim and his caregiver.
"Angels in America" is a television-film adaptation of the Pulitzer-Prize-winning play by Tony Kushner, and depicts the AIDS epidemic in 1986 before any cure or medication had been discovered.
From the standpoint of a professional Nurse, these artistic depictions of terminal and end-of-life illness teach us emotional lessons about the experience of survivors -- they ask…
Even under the best of circumstances, nurses are regularly exposed to patients experiencing pain and they routinely encounter grief in situations involving disability and death. All of those environmental factors can be the source of emotional stress that can also present significant challenges in terms of maintaining a grounded spirituality. If nurses hope to be able to cope with all of those stresses over the long-term, they must develop stress-reduction strategies, relaxation techniques, and supportive human relationships to maintain their emotional and spiritual health.
Contemporary healthcare is becoming more and more open to the holistic perspective (Tong, 2007). As part of the patient-education and counseling role of nurses, they should be prepared to help patients understand the many complex ways that various life issues relate to their health and the general interconnectedness of their physical, emotional, and spiritual integrity. Naturally, nurses should pay attention to all of those interrelated issues…
Tong, R. (2007). New Perspectives in Health Care Ethics: An Interdisciplinary and Cultural Approach. Upper Saddle River, NJ: Pearson Education, Inc.
The caregiver role includes those activities that assist the client physically, mentally, and emotionally, while still preserving the client's dignity. In order for one to be an effective caregiver, the patient must be treated in a holistic manner. Proper communication and advocacy is another role that the modern caregiver assumes when providing quality care (Carroll).
It is in the role of patient advocacy and cost-cutting that most nursing leaders are directly involved with hospital policy. Technology has increased the ease and ability for adequate communication -- there are more translators, access to databases, etc. within the field, and certainly there is more information about healthcare available for the layperson. However, the manner in which modern medicine works -- the reality that it is the nurse as opposed to the doctor who tends to follow the patient throughout their care, lends greater credibility to the use of the modern nurse as…
Carroll, T. (2005). Leadership Skills and Attributes of Women and Nurse Executives -Challenges for the 21st Century. Nursing Administration Quarterly, 29(2), 146-54.
Gershenson, Moravick, Sellman and Somerville. (n.d.). Expert to Novice: A Nuse Leader's Evolution. Nursing Management, 49-52.
Kouzes and Posner. (1994). An extension of the leadership practices inventory management systema dn individual contributors. Educational and Psychological Measurement, 54(4), 959-66.
Vesterinen, Isola and Paasivvra. (2009). Leadship Styles of Finnish Nurse Managers and Factors Influencing it. Journal of Nursing Management, 17(2), 503-9.
Nurse, Legislation and egulation
Identify a legislative issue/policy change related to a workforce/patient care issue that you believe to be a priority. Describe legislative efforts surrounding your interest.
The developments and strides in distance education has proved to be a worthwhile evolution in educating as well as practice of modern nursing construct that now requires some really fast and accurate means of knowledge dissemination (Benner et al., 2010; IOM, 2010; Jones & Wolf, 2010). The advanced technology helps in extending the reach of multifaceted nursing faculty, where the students might be placed in remote areas and lack access to quality education in pursuing their nursing dreams as a career option (Jones & Wolf, 2010). The predicaments faced in these newly evolved settings, as envisaged by Board of Nursing (BON), are noted as under:
BON needs that the local educational regulations match with their own while approving distance education programs.
Anderson, K. M., & Avery, M. D. (2008). Faculty teaching time: A comparison of Web-based and face-to-face graduate nursing courses. International Journal of Nursing Education Scholarship, 5, 1-12.
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. Retrieved from www.carnegiefoundation.org/newsroom/press-releases/educating-nurses-call-radical-transformation
Billings, D. (2000). A framework for assessing outcomes and practices in web-based courses in nursing. Journal of Nursing Education, 39(2), 60-67.
Chappy, S. L., Stewart, S. M., & Hansen, T. S. (2010). Eliminate border wars. Nursing Education Perspectives, 31(6), 392-394.
The prescriptions include wisdom, honesty, and courage, as well as human dignity, integrity, respect, health, and independence.
Part 3: Formulate possible evidence-based practices and an action plan that could work towards achieving improvement outcomes.
Provide insight into the diagnostic processes (e.g., root cause analysis) used to determine the primary causes of the problem. Consider both qualitative (cause-effect diagram, barrier analysis), and quantitative (theory testing or drill down analysis) methods.
Analyze the cost-effectiveness of your initiative and how your initiative mitigates risk and improves health care outcomes.
Countless interventions have been used for fall prevention amongst the elderly population. These include risk-assessment and management programs, I.e. Designed to screen those who are most at risk and to design interventions that will reduce their risk of falling; exercise programs slanted dot enhancing flexibility, endurance, and strength; education programs (including one-to -one counseling on methods to prevent falls); environmental modification in homes or…
ANA Nursing-Sensitive Indicators. http://www.nursingworld.org/MainMenuCategories /' target='_blank' REL='NOFOLLOW'>
[Roberta S. Rehm]. Thus, the need for nurses to upgrade their skills in handling assistive technical gadgets becomes more pronounced. The most frustrating and stressful situation for parents is when school authorities fail to show an active interest in the needs and care requirements of the technologically dependent children. Here again, school nurses, as health care deliverers in the school, can exhibit a proactive approach. Increased parent- nurse rapport is one way to reduce the parental concern for children with special needs. Clearly, nurses are central in delivering quality medicare for dependant children and in promoting it in the school setting. They have to play a coordinated role with parents and school administration to ensure that required level of care is delivered to the dependent children. [Roberta S. Rehm]
It needs to be highlighted here that schools nurses may not be always available as in many cases they are entrusted…
Barbara A Montagnino, Rizalina V Mauricio, "The Child with a Tracheostomy and Gastrostomy: Parental Stress and Coping in the Home -- A Pilot Study," Pediatric Nursing, Sept 2004 v30, p373
Roberta S. Rehm, "Creating a Context of Safety and Achievement at School for Children who are Medically Fragile / Technology dependant," Advances in Nursing Science, March 2002, v24, p71
3) Louis Dixon, "Tracheostomy: Easing The Transition From Hospital to Home," Accessed on 23rd Oct 2005, available at http://www.perspectivesinnursing.org/v1n3/dixon.html
The purpose, mission, activities, benefits, and target audience of two professional nursing organizations: The National Association of Pediatric Nurse Practitioners and the American College of Nurse Midwives
A nurse beginning her medical career will likely want to join an organization that can support her throughout her tenure in the profession. On a personal level, professional organizations provide a source of continuing education and networking. On a professional level, organizations such as the National Association of Pediatric Nurse Practitioners (NAPNAP) and the American College of Nurse Midwives (ACNM) act as advocates for the interests of professionals. They demand that nurses' unique areas of expertise are honored and treated with respect, and that the interests of children and their parents are honored. hen selecting which organization to join, however, a nurse must ask herself this critical, soul-searching question: what area is her primary field of practice? Does the nurse seek…
"About ACNM." American College of Nurse Midwives. [23 May 2012]
"About us." National Association of Pediatric Nurse Practitioners. [23 May 2012]
Define the Problem
Today, there is a serious problem within the nursing field. There is a huge shortage of nurses in general, but an even greater shortage of nurses with higher levels of education. This ultimately means there are less capable nursing staff that can take on specialty and leadership roles. Unfortunately, "without a more educated nursing workforce, the nation's health will be further at risk" (Tri-Council of Nursing, 2010). Without greater numbers of RNs with advanced degrees, there is only so much the available nursing population can contribute within the field of healthcare. It is clear that "nurses with advanced education are needed in large numbers to serve as teachers, scientists, primary care givers, specialists, and leaders throughout the healthcare delivery system" (Tri-Council of Nursing, 2010). Currently, there is a huge shortage of more advanced nursing specialists and practitioners. s the nation's healthcare demands continue to grow and…
A survey of the existing research that provides statistics to show how alarming the problem is becoming, but also to provide foundation for the most potentially successful solutions. The projected numbers of needed advanced nursing specialists, as well as the goals for future benchmarks, all need to be documented within the context of this research in order to show how dire the problem is and create a foundation for potential solutions. The research was carefully surveyed and thus, data was collected through comprehensive means. The ideal target / benchmark uncovered in this search was that 80% of nursing staff should hold baccalaureate degrees (Pecci, 2013). This research also helps focus in on the most lucrative proposed solutions as a way to promote them within actual practice. It needs to uncover solid alternatives that can help increase the number of advanced practice nurses in this country in a practical and feasible manner. Essentially, the data collection is a survey of prior research, and can be done independently. This means I will personally scour the published resources from academic and scholarly sources, as well as from professional nursing organizations.
A number of alarming statistics were uncovered in this comprehensive search of the research. If the situation continues as it is today, by 2025, there will be a shortage of 260,000 nurses in this country (American Nurses Association, 2010). Only about 50% of RNs working today have a baccalaureate degree, with only 13.2% holding a master degree or higher (American Nurses Association, 2010). Even more alarming, the enrollment growth of entry-level baccalaureate nursing programs from 2008 to 2009 was only 3.5%
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+.
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
Now that domestic economic factors have reshaped much of the post-graduate employment landscape, the nursing field is only that much better a choice for me.
According to a recent study published in 2008 in the United Kingdom, researchers determined that empathy and caring among Nursing program students (as measured by questionnaires) declined throughout the educational training process, with program entrants and first-year students consistently exhibiting greater levels of empathy and caring than upper-class students. Therefore, part of my commitment to my future profession is to defy that phenomenon to the best of my ability through conscious awareness and effort throughout my undergraduate studies at xxxxxx University and my professional training afterwards. Ultimately, I hope that effort will also enable me to contribute positively and consistently to the xxxxxxxxxx University community during my undergraduate education should I be fortunate enough to be awarded admission to…
ecause this is true, it is critically clear that the nursing leadership manager's role is one of a vital nature and that support for nurses in their role is the primary component that must necessarily be integral to leadership in nursing in dialysis units if the turnover of nurses is reduced to the lowest possible level. The nursing leadership manager's role is one that must proactively deal with burnout of these dialysis unit nurses instead of attempting to address these as they occur. Prevention is 'key' toward this end. As the demands grow for quality and competent nursing staff so does the need grow for competency in leadership nursing manager roles. ecause the dialysis unit nurse is very closely involved in their patient's care and because these patients are required to report for treatment several days a week for several hours a day the nurse's mental, physical and emotional state…
Aiken, L.H., & Patrician, P. (2000). Measuring organizational traits of hospitals: The Revised Nursing Work Index. Nursing Research, 49, 146-153.
Aiken, L.H., & Sloane, D.M. (1997). Effects of organization innovation in AIDS care on burnout among urban hospital nurses. Work Occupation, 42, 453-477.
Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J., & Silber, J.H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [Electronic version]. JAMA, 288, 1987-1993.
Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J.A., Busse, R.A., Clarke, H., Giovanetti, P., Hunt, J., Rafferty, a.M., & Shamian, J. (2001). Nurses' reports on hospital care in five countries [Electronic version]. Health Affairs, 20, 43-53.
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.
Assessment 3: Professional Accountability and Patient Safety
Defining the Issue: Violence from Patients towards Nurses:
In this discussion, I concern myself with ‘violence from patients towards nurses.’ It is important to note, from the onset, that violence meted to nurses by patients is one of the least discussed contemporary nursing issues. In the words of Stevenson, Jack, O’Mara and LeGris (2015, p. 32), “registered nurses (RNs), compared to other healthcare providers are at a higher risk of experiencing violence in the workplace that is initiated by patients and families.” In essence, violence from patients towards nurses includes any act of aggression initiated by the patient and (or) their relatives and friends and directed at the nurse. Acts of aggression in this case could include, but they are not limited to, grabbing, scratching, hitting, and in some cases shouting down the nurse in a threating manner. It is important to note…
Effective Approaches in Leadership and Management
Nursing turnover is one of the most important issues facing the health care industry today. Turnover rates increase costs for health care facilities and decrease the quality of care for patients, as new nurses constantly need to be trained and a lack of experience throughout the department can mean that patients suffer ultimately from a continuous rotation of novices (Twibell, 2012). Han, Trinkoff and Geiger-Brown (2014) have shown that various factors can impact turnover rates: nurses can be burned out by working too many shifts or consecutive hours; they can feel overburdened and unsupported; they can feel that they are not empowered to actually care for the patients they way they were taught they should. All of this can contribute to high turnover rates in nursing. This paper will discuss the ways leaders/managers can address the problem, the approach that I would personally prefer,…
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.
Pillars of Nurse Treatment
In my humble esteem, I believe there is a fair amount of truth in the statements that pertain to these two questions in this assignment. On an extremely fundamental level, working as a nurse certainly involves increasing the level of comfort for patients. The notion of making patients more comfortable is the crux of these couple of statements, which reference hand holding and back rubbing as examples of how nurses can make others feel better. Again, the need to do so is certainly something that most patients appreciate, and which benefits them in both the short-term and the long-term. However, there is more to nursing than simply comforting someone during their time of distress. In fact, there is a significant amount of aspects pertaining to nursing that actually have very little to do with comforting patients. Nurses need to understand many different technical principles, many of…
Buresh, B., & Gordon, S. (2013). From silence to voice: What nurses know and must communicate to the public (3rd ed.). Ithaca, NY: ILR Press. ISBN: 9780801478734.
Naylor, M.D., Kurtzman, E.T. (2010). The role of nurse practitioners in reinventing primary care. http://content.healthaffairs.org / Retrieved from
Evolving Practice of Nursing and Patient Care Delivery Models
How the Practice of Nursing is Expected to Grow and Change: The Future of Nursing has a few healthcare delivery challenges unique to it, but there are several such issues that commonly occur in other nations, as well. Population aging is one issue that generates demand for increased healthcare services. A growing number of individuals, from all age groups, suffer from chronic illnesses; about 50% of U.S. citizens have been diagnosed with arthritis, diabetes, cardiovascular diseases, mental disorders, and hypertension (Reinhard & Hassmiller, n.d.).
A 2009 report by the AARP (American Association of Retired Persons) pertaining to chronic problems notes that patients and caregivers have firsthand experience of the absence of patient care-related coordination amongst healthcare workers, typically leading to needless repeat hospitalizations, repeat procedures and examinations, and arduous hospital-to-home moves. An acute dearth of professionals (such as nurses) is being…
ANA. (2011). ADVANCED PRACTICE NURSING: A NEW AGE IN HEALTH CARE. American Nurses Association, 1-7. Retrieved from: http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/MediaBackgrounders/APRN-A-New-Age-in-Health-Care.pdf
Reinhard, S., & Hassmiller, S. (n.d.). The Future of Nursing: Transforming Health Care. AARP Internation: The Journal. Retrieved from: http://journal.aarpinternational.org/a/b/2012/02/The-Future-of-Nursing-Transforming-Health-Care
Ridge, R. (2011). Future of Nursing special: Practicing to potential. Nursing Management, 32- 37. Retrieved from: http://www.nursingcenter.com/journalarticle?Article_ID=1176058
Wilson, A., Whitaker, N., & Whitford, D. (2012). Rising to the Challenge of Health Care Reform with Entrepreneurial and Intrapreneurial Nursing Initiatives. The Online Journal of Issues in Nursing. Retrieved from: http://nursingworld.org /MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Rising-to-the-Challenge-of-Reform.html
nurse is difficult and tedious. It involves a lot more than a mere succession of skills and business activities. In fact, nursing is a part of the many processes, one of which is the process of socialization that is development and internalization of professional identity. This level of socialization, professional socialization is required for connecting with students and newcomers in professional practices. Therefore, it is important to increase the understanding of one of nursing's most important aspect, professional socialization, and explore the interconnected factors from the standpoint of a nursing student. This essay will examine Benner's five stages and provide personal reflection the topic of role socialization in nursing.
Patricia Benner wanted to understand how nurses make the transition from inexperienced novice to confident expert. She developed five stages in order to express her thought on such a transition. The stages she described are:
2. Advanced Beginner
Black, B., & Chitty, K. (2014). Professional nursing. St. Louis, Mo.: Elsevier.
Melrose, S., Miller, J., Gordon, K., & Janzen, K. (2012). Becoming Socialized into a New Professional Role: LPN to BN Student Nurses' Experiences with Legitimation. Nursing Research And Practice, 2012, 1-8. http://dx.doi.org/10.1155/2012/946063
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.
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.
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…
Another 1997 study suggested that the increasing intensity of work and the regular exposure to potentially violent patients is another significant stressor that accounts for job burnout among CMHNs.
A much earlier study from 1987 was also cited by the authors because it specifically identified two factors as unique sources of stress for psychiatric nurses: patient contact and administrative and organizational factors. In that regard, the authors reported the collective findings of a series of studies from 1985 to 1996 that further detailed the roles of exposure to violent and disruptive patients, staff shortages, and conflicts with fellow staff members and patients' families as significant sources of vocational stress related to job burnout in the mental health nursing field. wo separate studies in that series from 1989 and 1995 both determined that scarce resources (including staff shortages) greatly exacerbated the negative effects of all of those stressors.
The article concluded that on the basis of the comprehensive literature review, the main sources of vocational stress capable of leading to job burnout among CMHNs are: (1) stressors considered intrinsic to the job; (2) role-based stressors such troubled relationships among coworkers; (3) career development-related stressors in the nature of insufficient time or flexibility to pursue advanced career goals; and (4) organizational structure and operational changes necessitated by legislative and institutional policy reforms.
Edwards D, Burnard P, Coyle D, Fothergill a, and Hannigan B. "Stress and burnout in community mental health nursing: a review of the literature" Journal of Psychiatric and Mental Health Nursing; 2000 Vol. 7: 7-14.
Family centered care is a noble belief deeming family members and health care staff as equal partners and working collectively to address the needs of the kid. Competency rises when a system synergizes as nurses and patient / family member's honors each other's commitment to heath care. Patient family centered care is a continuous process in order to address the needs and duties of families (St. Jude Children's Hospital, 2014).
Words and concepts that describe this phenomenon
Dignity, respect, information sharing, participation and teamwork
Identifying terms (concepts) that can summarize, label or name this phenomenon
Each family and child is different: Families have diverse backgrounds, life experiences, customs and traditions, education, cultural values and notions. Care should be facilitated equally to all patients whilst catering the choices and needs of each family (St. Jude Children's Hospital, 2014).
Open communication between family, patients and healthcare staff: It's productive to openly voice…
Ahmann, E. And Dokken, D. (2012). Implementing Patient- and Family-Centered Care: Part II - Strategies and Resources for Success. Pediatric Nursing. Volume 38, Number 2.
Mastro, K.A., Flynn, L. And Preuster, C. (2014). Patient- and Family-Centered Care: A Call to Action for New Knowledge and Innovation. The Journal of Nursing Administration. Volume 44, Number 9, pp 446-451.
St. Jude Children's Hospital. (2014). What is Patient Family Centered Care? Retrieved from: http://www.stjude.org/stjude/v/index.jsp?vgnextoid=0342a1673c82f110VgnVCM1000001e0215acRCRD&vgnextchannel=6772fdb506543110VgnVCM1000001e0215acRCRD
4. Identify effective approaches to bridging the cross-cultural gap that may prevent families from using nursing home facilities when they are in the elders' best interests.
The following strategies will be used to help achieve the above-stated goals:
1. Develop expertise in writing grant applications.
2. Identify nongovernmental organizations that provide funding for these types of social programs.
3. Formulate a community education program to inform the people of Liberia of the need for long-term care facilities for the elderly when immediate family members are unable or unavailable to do so.
4. Develop a training regimen that can be used to help employees become familiar with the day-to-day care needs of the elderly and what part they will play in the process.
Given the current reluctance of the international community to make substantive investments in Liberia, the short-term tactics used to achieve the above-stated goals would require an…
Bray, M. (2009). The Mabel Bray Foundation. [Online]. Available: http://womeninactionfor progress.com/.
Liberia. (2009). U.S. government: CIA world factbook. [Online]. Available: https://www.cia.
Takahashi, K. (2008). Liberia: The impact of civil war. The Chicago Tribune. [Online].
achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #4, the MSN Essential IV, and the Nurse Practitioner Core Competencies # 7.
The achievement of course outcomes has prepared me to meet the fourth MSN program outcome: which is to evaluate the design, implementation, and outcomes of strategies developed to meet healthcare needs. Completing the course has also promoted the MSN Essential IV, and the Nurse Practitioner Core Competencies # 7. MSN Essential IV is "translating and integrating scholarship into practice," which is a core component of professional nursing. Through the course, we recognize the value of evidence-based practice as we integrate research outcomes within the practice setting. We also resolve practice problems, work as a change agent, and disseminate results.
Program Outcome #4: Evaluate the design, implementation, and outcomes of strategies developed to meet healthcare needs (MSN Essentials)
Evaluating the design,…
Campinha-Bacote, J. (2011). Delivering patient-centered care in the midst of a cultural conflict. Online Journal of Issues in Nursing 16(2).
Drenkard, K. (2012). Strategy as solution. Journal of Nursing Administration 42(5): 242-243.
Litaker, D., et al., (2006). Using complexity theory to build interventions that improve health care delivery in primary care. Journal of General Internal Medicine 21(2): S30-34.
"Population-Focused Nurse Practitioner Competencies," (2013). Retrieved online: http://www.aacn.nche.edu/education-resources/PopulationFocusNPComps2013.pdf