Study "Nursing / Doctor / Physician" Essays 1-52

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Advanced Nursing Ethics and Values Term Paper

… ¶ … Nursing Ethics and Values

Advanced Nursing Ethics and Values

The application of the concept of care ethics presented to assist registered nurses identify if they are practicing its use efficiently. Following a fundamental meaning of caring, consisting of… [read more]


Nursing Is Changing. Recent Healthcare Essay

… I witnessed this fact firsthand during my own pregnancy, an arduous ordeal that left me bedridden for the duration of the three trimesters. I have rarely been in the position in which I have had to depend on the help of others for an extended period of time. However, it was my nurse practitioner, not my obstetrician, who continually worked with me to aid in the successful delivery of my daughter. She was instrumental in exemplifying the role of nurse practitioners, who are charged with not only determining a course of action to assist a patient, but also with partnering them in a way so that they deal with the individual vicissitudes that accompany most treatments. I felt very fortunate to have a nurse practitioner to assist me in overcoming a difficult pregnancy, and was inspired to attempt to aid others with their treatment by becoming one of these professionals.

Therefore, I am extremely excited to pursue the remaining two years of my studies, especially since they focus on varying aspects of the care of a nurse practitioner. I have dedicated my life to helping people: in addition to having worked as a pharmaceutical sales consultant I also perform volunteer work raising funds for a non-profit organization and working with people at a homeless shelter. I truly believe the best way I can have the most meaningful, direct impact on people's lives is as a family nurse practitioner. This position would allow me to reach a wide range of people with varying treatment needs, and suitably prepare me for forming a partnership with them that allows a holistic form of healing that encompasses the physical, mental and spiritual -- the type of care…… [read more]


Physicians and Registered Nurses Term Paper

… Furthermore, the difference between nurses and GP in diagnosis was mostly in diseases where doctors themselves may also face diagnostic difficulties (Al-Almaei et al. 2000)."

The level of communication and the relationship between the doctors and the nurses was good. This also contributed to the agreement amongst the nurses and physicians because the nurses felt comfortable giving a diagnosis and suggesting treatment (Al-Almaei et al. 2000). Exploring this relationship is important in third world countries where there is a shortage of both doctors and nurses (Al-Almaei et al. 2000). Having the two work together and learn form one another improves the quality of healthcare that the patient receives.

In addition, such an environment provides nurses with positive outcomes. They learned new skill sets and interacted with physicians in a relaxed atmosphere because the physicians were unaware of the study. Overall, this particular study encourages nurses to get additional education so that they can better serve patients and assist doctors in a more effective manner. The study concluded that the project reinforces 'the role of the nurse practitioners as health care providers with limited resources, able to help people, but who must refer to the local health center for guidance and medical expertise. With organized training, none of the nurses missed any life-threatening conditions (Al-Almaei et al. 2000)."

Discussion and Conclusion

The purpose of this discussion was to provide a description of current research, synthesis, demonstrations and other projects that have resulted in positive nurse physician relationships. More specifically the discussion focused on the relationship between the two as it relates to increases in nurse satisfaction, decreases in nurse turnover, better working environment, and better patient outcomes with an emphasis on patient safety. Our research found two descriptions of the relationship between nurses in physicians.

The first report discussed the relationship between RNs and physicians on a setting where they are collaborating and consulting. We found that in an ideal situation the nurse and the collaborating doctor work in the same facility. The research also suggests that the physician view the nurse as an associate rather than a subordinate. The findings reveal that the physician should also have an understanding of the types of responsibilities the RN is ailing and able to handle. When these issues are addressed appropriately, the outcome is positive for the nurse and physician. In addition, the quality of care the patient receives is improved.

In the next description, we focused on the comprehensive healthcare project conducted in Pakistan amongst patients who were Afghan refugees. The research was designed to assess the differences in diagnosis and treatment among nurses, general practitioners and consulting physicians. The study revealed that the relationship between the nurses and the doctors was relaxed because the doctors were not aware of the study. The relaxed atmosphere between the healthcare professionals created an environment in which the nurses felt comfortable making diagnosis and prescribing treatment. This resulted in a greater level of confidence amongst the nurses and better patient care.

References

The working relationship… [read more]


Nursing Leadership Term Paper

… One of the more pivotal theories in pedagogy holds that one cannot expect learners to understand concepts if they are not modeled by others. Similarly, within the critical educational field of nursing, encouraging critical thinking, the use of evidence-based practice, communication and dialog about subject matter, and turning into a lifelong learner that also expects this type of learning from others is a way to move beyond the abstract and showing that it is possible within a healthcare model, to use transformative teaching models to move the practice ahead while still encouraging greater communication and empathy (McAllister, 2005).

Asking pertinent questions -- Sometimes asking questions can help busy professionals (specialists or physicians) just slow down a bit to re-explain their logic -- which is both a learning and teaching role. Sometimes, asking questions provide more of a direction to a learning situation than providing answers. A nurse does not need to be in a leadership role to ask questions, or to help guide the discussion in a more formative manner that allows for not only more clarification from the leader or the speaker, but ways to push learning issues to ensure that the majority of the group is understanding and getting the required level of expertise from the event (Critical Thinking Company, 2013).

Giving constructive clarification -- Depending on the situation, it is often an effective leadership role to give constructive clarification when performing a procedure or witnessing someone else -- more like a debrief after the event so that everyone can learn. In a similar fashion then, to critical thinking, giving constructive clarification or asking more about "what if," "how," and the relationship of the issue to specific nursing issues, the covert leader will be able to find ways to increase understanding within the group without adopting a formal, leadership role (Critical).

Servant leadership -- Servant leadership, in brief, is a way to provide opportunities for others to succeed through allowing them making situations easier -- finding ways for others to succeed by helping to prevent previous mistakes or errors you might have made, etc. (nursetogether.com; Clark, 2009)).

References

Borkowski, N. (2011). Organizational Behavior in Health Care. Sudbury, MA: Jones and Bartlett.

Chang, W., et al. (2009). Job Satisfaction and Perceptions of Quality of Patient Care. Journal of Advanced Nursing, 65(9), 1946-55.

Clark, C. (2009). Creating Nursing Leadership and Management. Sudbury, MA: Jones and Bartlett.

Critical Thinking Company . (2013, June). Critical Thinking and Nursing. Retrieved from criticalthinking.org: https://www.criticalthinking.org/pages/critical-thinking-and-nursing/834

Hamric, A., et al. (2009). Advanced Practice Nursing: An Integrative Approach. St. Louis, MO: Elsevier.

McAllister, M. (2005). Transformative Teaching…… [read more]


Doctor's Clinic Description Essay

… Doctor's Clinic

DESCRIPTION: DOCTOR'S CLINIC

The description of a Doctor's Clinic and the people who work there depends on the type of illnesses and conditions, the clinic specializes in. Let us assume that we are talking about doctor's clinic where sports injuries and related problems are treated. Most Doctors' clinics are fully functional units where more than one doctor/physician specializing in the field is available for consultation.

A group of physicians belonging to the same field with ample experience join hands and offer complete one-stop service in their related field. Or example Doctor's Clinic in Vero Beach, Fl, is a 40-physician multi-specialty unit. Since sports related injuries are now common, in a clinic that deals with it, you will find sports psychologist and therapist along with specialists who deal with the physical aspect of the condition. It is usually a walk-in facility because some people may encounter sports related injuries on the field and may not have time to get an appointment. For this reason, doctor's clinic always offers some walk-in facility. While some physicians are available only through appointments, other specialists can be consulted on first come first serve basis. This is how most doctor's clinics operate in the country regardless of the number of physicians they have working for them.

Even with first come first serve basis practice method, there are times when some patients are given preference and this is mainly due to the nature and seriousness of their problems. In many clinics, you will notice a sign politely requesting your cooperation in special cases. These cases are either emergency related ones or those connected with children. Since children must be treated immediately, doctors will usually request your understanding and attend to a child in distressful condition first. Similarly emergency cases are given preference over normal outpatient problems.

Despite their best intention, doctors at a clinic might not always be prepared to deal with your condition as it may seem too serious for them to handle. In this case, you will be referred to a specialist in some well-known hospital. It must be borne in mind that a doctor's clinic is always comprised on a group of…… [read more]


Promoting Dignity in Individual Care Essay

… Prone individuals are worthy of to be treated with dignity, regard, humanity and compassion (Help the Aged, 2007 and 2008). These values stress the significance of permitting a specific goal or keep control over their day-to-day tasks and in certain,… [read more]


Actinic Keratoses (Aks) Are Pre-Cancerous Article Review

… Recurring AKs may also require a treatment originally used for serious wart infections, Imiquimod (Aldera). This treatment often causes increased inflammation, and patients should be educated about reasonable expectations prior to the Rx.

Cryotherapy or cauterization may be used to treat isolated cases of AK. These therapies may be initial painful for a few days and may result in some scaring, but are a quicker treatment with fewer side effects appropriate for patients who do not wish to wait 2-3 months for relief.

Photodynamic therapy can be used with hyper-resistant AKs. This treatment works at a cellular level to create a cytotoxic effect on both cancerous and pre-cancerous cells.

Use in Practice:

The article under review would be excellent within a NP clinic or practice. It is valuable because it provides a logical and cogent treatment protocol for AK. As an outline for treatment, these various protocols give both a starting point, reasonable expectations, and an access point for educating clients on AK. In addition, the information is presented in a clear manner, outlined for easy access, appropriate visuals, and for further reading and/or reference, a well-researched list of alternative sources.

Recommendation:

This article would be appropriate for the nurse, nurse practitioner, physician or anyone involved in the clinical environment in which AK might be prevalent; particularly in areas with high penetration of UV rays, or a population (farmers, construction workers, etc.) who spend a large amount of time in the sun.

Source:

Hepplewhite, A. (2012). Management of patients with actinic keratosis. British Journal

of Nursing. 21…… [read more]


Standardized Coding Systems Essay

… Standardized Coding Systems and Nursing Informatics

As the pace of technological progression increases at a seemingly exponential rate, with the introduction of computer mainframes in the 1980's having paved the way for cloud-based data storage and retrieval today, the field of nursing informatics has emerged in response to the flood of medication guidelines, patient histories, and diagnostic codes that a nurse must decipher during the course of their duties. A significant transformation is currently occurring within hospitals, community clinics, and pharmacies throughout the nation, as the healthcare delivery model shifts from traditional paper filing systems and handwritten medical charts to the implementation of the electronic health record (EHR), using electronic documentation (ED) to record patient interactions. In an article published in 2008 by the Online Journal of Issues in Nursing, Marjorie a. Rutherford applies her expertise with Nursing Intervention Classification (NIC) systems and the Nursing Outcome Classification (NOC) system to examine both the need for a standardized nursing language, and the ramifications that various coding and classification systems can have on the effectiveness of nursing practice. According to the central premise of Rutherford's work, "it is impossible for medicine, nursing, or any health care-related discipline to implement the use of ED without having a standardized language or vocabulary to describe key components of the care process" (2008), and by examining the systemic structure of various nursing languages in use today, an accurate measurement of their relative efficacy can be obtained.

The use of standardized language to document care has been recognized by physicians since 1893, when the system that would eventually become the International Classification of Diseases (ICD-10) today was first instituted. While the benefits of a universal healthcare language, through which medical diagnoses and treatments can be communicated and comprehended across national borders, have been clearly established, it was not until 1973 that a standardized nursing language was first developed. Since that time several proposed coding systems for nurses have been proposed, including the Nursing Minimum Data Set (NMDS) in 1988, the…… [read more]


Advanced Practice Nurses and Prescriptive Term Paper

… Political issues involving physicians, in general, also pose significant issues for the modern Nurse Practitioner. The dramatic increase in Nurse Practitioners has given rise to questions about their impact on the incomes of other health providers, including physicians. Researchers have… [read more]


Adult Nurse Practitioner Marketing Portfolio Essay

… NPs bring in income on a fee-for-service basis or a per-member-per-month basis. Figuring an NP's share of income for a fee-for-service practice is done by multiplying the number of visits by the collected fee per visit. . . . Until NPs no longer need a physician on written agreement, all NPs should expect in pay something for physician consultation. Experienced NPs often pay physician employers/consultants 10 to 15% of their net income brought to the practice.

Most employers will want a percentage of an NP'S earnings as profit. (Buppert, 2007, pp. 315-316).

Buppert (2007) recommends that NPs who believe they deserve higher salaries than surveys indicate should present their rationale for requesting a higher figure during salary negotiations. The following three points prove worth not only considering but remembering and implementing the concepts:

1. A nurse practitioner who does not ask for a higher salary figure will not receive one.

2. A nurse practitioner who does not deserve a higher salary figure will not receive it.

3. Even when a nurse practitioner asks for and may actually deserve a higher salary figure; that NP will need to "sell" the rationale to receive a higher salary figure to secure it (Buppert, 2007).

The NP will also need to negotiate benefits. The package may vary according to the following three measures:

1. What benefits best match the needs of the NP?

2. What benefits appear most reasonable?

3. What specific benefits are other NPs routinely receiving? (Buppert, 2007).

Numbers 1 and 2, however, depict the only considerations that matter. The NP also needs to consider whether the employer pays for continuing education. Additional concerns that need to be addressed that affect the bottom line of the NP's revenue potential include:

A retirement plan

Job-related expenses like a cellular telephone, beeper, and travel

Vacation

Sick leave

Malpractice insurance

Relocation expenses

Any sign-on bonus

Professional dues

Reference books and/or subscriptions to professional publications

The following table relates a comparisonof salaries relating to nurse practitioners a 2010 survey indicates:

TABLE

Average Earnings by Job Title (adapted from IOM Institute of Medicine, 2011, p. 4-20).

Position

Average Earnings

Staff Nurse

$61,706

Management/Administration

$78,356

Nurse Anesthetist

$154,221

Clinical nurse specialist

$72.856

Nurse Midwife

$82,111

Nurse Practitioner

$85,025

Patient Educator

$59.421

Patient coordinator

$62,978

Informatics nurse

$75.242

Marketing Plan

To market one's self as an adult NP, the NP could benefit from using a selection of promotional tools from the following list that Egidio (2008) suggests in the book, A Nurse Practitioner's Complete Guide to a Successful Medical House Call.

Phone books, including literal Yellow Pages as well as online listings

Radio Spots

Direct Mail

Brochures

A Web Site or Social Network

Health Fairs

Health Lectures

Business Cards

REFERENCES

Buppert, C. (2007). Nurse practitioner: Business practice and legal guide. Sudbury, MA: Jones & Bartlett Learning. ____. (2011). Nurse practitioner's business practice and legal guide (4th ed.). Sudbury MA: Jones & Bartlett Publishers. Egidio, J. (2008). A nurse practitioner's complete guide to a successful medical house call. San Diego… [read more]


Managing Futility in Oncology Settings Partnerships in Peril Research Proposal

… MANAGING FUTILITY IN ONCOLOGY SETTINGS; PARTNERSHIPS IN PERIL

ABSTRACT

Ideally, doctors and nurses work as a team to try to achieve a similar, overall goal: Contribute treatment to foster improvement in patients' health. In consideration of contemporary concerns in this… [read more]


Nursing Epistemology: Personal and Kinesthetic Knowledge Richard Thesis

… Nursing Epistemology: Personal and Kinesthetic Knowledge

Richard Noss, Stefano Pozzi, Celia Hoyles begin their article "Meanings of average and variation in nursing practice" with the central question: "what mathematics -- if any -- do people do in their working lives?" (Noss, Pozzi, Hoyles, 1999, p.25). In short, how is the pragmatic deployment of mathematics in one's working life different from the way that the use of mathematics is taught in textbooks? The focus of their article Educational Studies in Mathematics is how individuals can be error-prone on tests of empirical knowledge, yet be mostly error-free in practical contexts. They studied pediatric nurses and asked them to determine a hypothetical patient's blood pressure based upon a chart, as a way of testing the nurse's conceptions and mental images of average and variation (Noss, Pozzi, Hoyles, 1999, p.27). Nurses were chosen for these mathematicians's research because nursing practice has always involved making sense of quantitative information through the measurement, recording and interpretation of patient data (Noss, Pozzi, Hoyles, 1999, p.29).

The researchers were surprised to discover that even when determining a patient's blood pressure, nurses were more apt to use intuition than mathematically certain methods. The nurses were more inclined to rely upon their past experience: "The nurses used a variety of strategies, almost all of which would be judged 'wrong' on the straightforward criteria of general mathematical correctness, e.g. 'I looked at the chart and judged which was the middle range' or 'At a glance, all the systolic pressures are on or around 110 mm Hg'. Yet they made perfect sense and were correct as estimates of the child's blood pressure -- a kind of everyday average" (Noss, Pozzi, Hoyles, 1999, p.35). "Another feature common to all the interviews was that the nurses tended to superimpose on the BP chart a personal narrative of what the baby might have been doing, as illustrated by Abigail, when asked to compare the average systolic blood pressure before and after midday" (Noss, Pozzi, Hoyles, 1999, p.37). It was not enough or meaningful to determine hypothetical blood pressure based upon statistics, a relevant patient history had to be constructed, even though the patient was not 'real.' This shows that 'ways of knowing' for nurses in practice, even regarding something as directly calculable as blood pressure…… [read more]


From RN to Nurse Practitioner Term Paper

… Nurse Practitioner R.N.

From R.N. To Nurse Practitioner

Summary of Research & Clinical Problem

Analysis of Literature on Nursing Practice - Use of Self-Report Tools

Nurse Practitioner vs. Registered Nurse

Reasons for Transfer

Gaps in Research

Strengths & Weaknesses of… [read more]


Nursing Education Level Term Paper

… ¶ … Baccalaureate Nursing Students Better?

Being a nurse in the twenty first century has become more complex and demanding than in preceding decades. With the advent of greater technology the nursing community requires an immediate infusion of interest with respect to the training and education nurses receive in order to meet the challenges of the new healthcare millennium. The focus of this report is on an article authored by Aiken, et al. (2003) wherein the authors address the issue of nursing education and patient outcome effectiveness. No only did the authors very clearly present to the reader a well-defined study purpose (i.e., surgical patient risk adjustment mortality and failure to rescue and level of nurse education) their investigative conclusions clearly emphasize the positive influence of nurse education on medical consumer surgical healthcare wellness. According to the authors improved patient surgical outcomes are better when direct care RNs are trained at the baccalaureate level, or above, and when the medical facility has a higher number of BSN nurses over non-BSN nurses. What…… [read more]


ADN to Bsn: Nursing Term Paper

… The primary reason for this increased inclination towards BSN is because of broader career opportunities available to BSN graduates.

The Bachelor of Science in Nursing (BSN): Pros and Cons:

BSN graduates also start their careers in nursing from entry-level positions. However, they have more advancement opportunities and are assigned more responsible and challenging positions as compared to the ADN graduates. It is one of the lengthiest paths to become a registered nurse but also the most prosperous because of the numerous advancement opportunities available to BSN graduates. They work not only as promoters of health but also perform as educators for patients, assist physicians during treatments, treat the patients in the absence of a physician or other senior staff and administer medications. They are assigned more challenging tasks as compared to the ADN degree holders. They are also responsible for developing health plans for patients, instruct the patients and assist the community members in maintaining good health. They are mostly placed in hospitals, where they are responsible for the supervision of junior nursing staff and other support staff.

BSN degree holders also assist physicians and surgeons in their private practices and sometimes independently treat the patients in the absence of the physician or surgeon. They are also involved in providing assistance during surgeries, administering medications and maintaining patient's health record. In most of the cases, they are expected to independently perform their job and work as a substitute of the physician. This implies the importance of BSN graduates in the nursing profession. BSN graduates are also widely accepted as public health nurses in the government sector. They are sent to different public as well as private health agencies to work with the community on different health issues. They work with different communities to initiate different health improvement programs and to educate the families and individuals about different health concerns. Most of these opportunities are either not available to ADN graduates. Even if such opportunities are available to ADN graduates, they are expected to have considerable experience as a registered nurse.

Another promising opportunity available to BSN graduates is that they can join different pharmaceutical or healthcare companies as business consultants. Career growth of business professionals in heath care industry is reasonably impressive and this opportunity is mostly available to BSN degree holders. They can perform in the areas of marketing, quality assurance and product development.

At this point, it should be notified that different state governments have been trying to increase the educational requirements for registered nurses to at least a bachelor's degree level. As soon as any such legislation will be passed, BSN will become the only educational path to obtain an RN license. Even today a number of advanced career opportunities in nursing are open only for BSN graduates. Moreover, managerial positions in healthcare are only available to bachelors or advanced degree holders. A bachelor's degree is also necessary for getting enrolled in other areas of specializations.

In conclusion, firm devotion, sound knowledge, considerable experience and good performance… [read more]


Respondeat Superior Article Review

… ¶ … Medical Malpractice and Respondeat Superior (by Judith J. Regan and William M. Regan)

According to Judith and William (2002), the legal concept of vicarious liability and the doctrine of Respondeat Superior occur when an employee commits a tort… [read more]


System Analysis of T Term Paper

… According to Ms. Small, the server for the T-SYSTEM is located in Massachusetts. The go-live date was set for one month in advance while preparations such as training nurses, doctors and all others was performed in two hour sessions arranged… [read more]


Coronary Artery Bypass Graft Surgery Term Paper

… Coronary Bypass

Nurse Training for Support in Coronary Artery Bypass Graft Surgery (CABG)

The purpose of the account that follows is to propose a course design for nurse training specific to the tasks and responsibilities relating to the treatment of… [read more]


Tele Nursing Research Paper

… Tele-Nursing

Annotated Bibliography

Abbot, P. And Coenen, a. (2008). Globalization and advances in information and communication technologies: The impact on nursing and health, Nursing

Outlook, 56(5), 238-246.

Both authors are RNs and hold Ph.D.'s and give their input on how… [read more]


Ethics of Reporting Child Abuse Term Paper

… Ethics of Reporting Child Abuse

In most states, nurses and doctors are required by the law to report suspected child abuse. For example, in California, nurses are warned: "Registered nurses must also be aware that failure to report as required is also considered unprofessional conduct and can result in disciplinary action against the RN's license" (Terry, 2004). However, in this case, the RN's opinion conflicts with the presiding physician's opinion although the doctor is also required to report suspected abuse. The two health care professionals are in conflict about the right way to read the scenario. The abuse case is ambiguous, as it is not clear if the mother or a day care worker is the perpetrator or if abuse is taking place at all.

The fact that the child is in the ER makes the case even more difficult to interpret, as neither the nurse nor the doctor knows the child well. The child may have a medical condition that makes him or her vulnerable to injury, and it is not clear from the facts if this is the first time the child has been injured, if this reflects a pattern of injuries, or if the nurse has access to the child's complete medical history. However, if abuse it taking place at the day care center, other children may be at risk if the child's case is not reported. The mother may also take the child back and put the child in harm's way at the center. Reporting the case as abuse may put the mother under scrutiny in a way that is unfair, and may not reflect the full facts of the case, but to do nothing is not a feasible alternative, either.

There is always a fear of misreporting abuse. According to the Journal of Advanced Nursing, 60 per cent of healthcare professionals have seen a child they suspect was being physically abused, but only 48 per cent reported it to the authorities, Over a fifth "said they were worried about getting it wrong" ("Child Physical Abuse Under-Reported by Healthcare Staff and 1 in 5 Worry About Getting it Wrong," 2006, Medical News Today). Interestingly, amongst medical professionals, of the 74 per cent who were aware of the mechanisms for reporting, community nurses showing the highest levels of awareness, followed by doctors…… [read more]


Self-Concept Individual Project Term Paper

… Self-Concept Individual Project

How do you see the role of the nurse? Discuss functions of nursing and how it differs from the role of the physician?

Nurses are responsible for the health and management of the patients. They are trained… [read more]


Theatre Nurses Equipped Term Paper

… Communicate approximate length of operation, any requirement and essential resources to the waiting list office, bed management, operating theatre department and/.or theatre scheduler.

Contact all patients failing to attend pre-operative assessment to identify the reason. Act on the reason, following… [read more]


Problem Statement of Graft Documentation and Coding Research Term Paper

… Coding labels would ultimately help automate the process further, removing potential for human error in the manual documentation of various allografts. This demands much more complex data structures to store and categorize all data, but ultimately has proven far more successful as a strategy by recent research (Edgerton, Grizzle, & Washington, 2010).

By eliminating the search for the binders, the nurses will be able to complete their required paperwork in a timely fashion. This new system will prevent the nurse from failing to complete the appropriate paperwork by oversight or on purpose.

If the procedure of biological allograft tracking and documentation was adjusted to make it easier and more efficient for the circulating nurse, the chance of this process/procedure being overlooked would be reduced. By increasing compliance of graft tracking, we comply better with The Joint Commission's requirements, hospital policy, and increase patient safety.

Still, the research documents clear resistance to change in the field (Edgerton, Grizzle, & Washington, 2010). For example, there are clear concerns regarding the high investment costs of such technologies. Thus, there is an additional problem in being able to justify the costs of such technology. It is important to explore the potential increase in quality of care provided in order to therefore justify such high initial expenditures.

References

Bren, Linda. (2005). Keeping the human tissue transplants safe. FDA Consumer.

Brubaker, Wilson D. (2010). Coding and traceability: Cells and tissues in North America. Cell Tissue Bank, 11(4), 379-389.

Edgerton, Mary E., Grizzle, William E., & Washington, M.K. (2010). The development of a tissue request tracking system for the CHTN: A case study in managing change in informatics for biobanking operations. BMC Medical Informatics and Decision Making, 10(32), 1-7.

Zabel, Karen. (2009). Allograft safety initiative is granted…… [read more]


Role Modeling in Nursing Case Study

… John has some strengths, but also some unfortunate weaknesses. First, he is very relaxed and easy to teat and work with from a nurse's perspective. This makes diagnosis and involvement with the patient much easier and simplified. He is able to help support nursing and physician staff requests. Still, he has some serious weaknesses that also threaten potential care strategies. One of his major weaknesses is his affinity for smoking and drinking. He often smokes right after he is stabilized and nurses have reported that he comes in drunk often as well. This is a clear issue that is undoubtedly affecting his health and recovery, but John does not seem to want to change his behaviors and adapt to his new way of life that requires greater attention to his health and well being. He has been to the facility 16 times in a year and a half, showing a clear inability to adapt thus far which is concerning for future health care goals.

3. Goals / Life Tasks

John's current goal is to simply ease the immediate symptoms he is experiencing in his visits to the hospital. When he arrives, he is just looking to ease his immediate pain. It is important for the nursing staff to encourage a broader view of his health concerns to influence him to better internalize why prevention methods would help him feel better in the long run. This would help him adapt to certain treatment strategies and suggestions. Another long-term goal would be to connect John in social groups and organizations that will help him make more meaningful connections with others. Right now he is lonely, and that can be a negative factor in his health. Increasing his positive relationships through more social engagement would be a huge benefit. Nursing staff can ask to speak with his daughter, but also recommend joining social meet up groups that include members in his same age group with the same interests. This will help him find some of the social interaction he is missing and give him a stronger…… [read more]


Mercy Hospital, the Vice President of Nursing Case Study

… ¶ … Mercy Hospital, the Vice President of Nursing Services, Helene Swenson, is driven to such distraction by her conflict with two colleagues that she believes there is no alternative but to resign. Not wanting to accept this, the President… [read more]


Anesthesiologist Assistant Subspecialty Postgraduate Fellowship Term Paper

… ¶ … Subspecialty postgrad pain

As most of us are aware the U.S. population is aging at a never before seen rate, based on the availability of good medical care, proper nutrition and other positive aspects that increase longevity. (Takamura,… [read more]


Sexual Harassment in Hospitals Existence Term Paper

… Negligent attitude from the supervisory officials or human resource department will definitely post a wrong sign and encourage opportunistic individuals to get on with their misbehavior with impunity. The onus lies with the human resource professionals to ensure that work ethics are not compromised in any way and that professional stature of the person or other individual reasons do not interfere in an impartial hearing of the reported abuses. The hospital management must encourage an open atmosphere where employees can apprise them of their concerns without any hesitation and promote an impartial discussion pertaining to any reported misbehavior. It certainly takes a combined effort on the part of the human resource professionals and the employees to create a congenial working climate and to prune up the weeds that in any way threaten to destroy the positive, hope giving, and curative hospital ambience.

Bibliography

1) Anita Hoffman, Louis Hamlin, 'Perioperative Nurses and Sexual Harassment', Retrieved on February 16th 2004, from http://www.findarticles.com/cf_0/m0FSL/5_76/94538204/p1/article.jhtml?term=

2) Michele T. Pathe, "Patients who stalk doctors: their motives and management," Retrieved on February 16th 2004, from, http://www.mja.com.au/public/issues/176_07_010402/pat10750_fm.html

3) Phoebe Dey, "Nurses Face High Rate of Workplace Violence,"

Retrieved on February 17th 2004, from, http://www.expressnews.ualberta.ca/expressnews/articles/news.cfm?p_ID=4063& s=a

4) Gilbert A. Bouchard, " Nurses Place Violent Workplace: Study"

Retrieved on February 17th, 2004, from http://www.expressnews.ualberta.ca/expressnews/articles/news.cfm?p_ID=651& s=a

5) Susan P. Phillips, and Margaret S. Schneider, "Sexual harassment of Female doctors by patients," The New England Journal Of Medicine, Volume 329:1936-1939, December 23, 1993, Retrieved on February 17th, 2004 from, http://content.nejm.org/cgi/content/full/329/26/1936

6) Church of Scientology, "Psychiatrists and Sexual Abuse," Retrieved on February 17th 2004, from, http://www.scientology.org/reform/new/75psych.htm

7) Henry R. Fenton, "Physicians and Sexual Misconduct, retrieved on February 16th 2004, from, http://www.millerhealthlaw.com/publications/pdfs/physicians_misconduct.pdf.… [read more]


APRN Prescriptive Authority for Two New England States: A Comparison Research Paper

… APRN PRESCRIPTIVE AUTHORITY: NH VS Massachusetts

APRN Prescriptive Authority

APRN Prescriptive Authority: New Hampshire vs. Massachusetts

APRN Prescriptive Authority: New Hampshire vs. Massachusetts

Massachusetts is the 44th largest state in the United States with 7,838 square miles of land (Netstate.com,… [read more]


Intravenous Therapy or IV Fluids Essay

… A medical assistant in an outpatient department of a hospital or another health facility may be permitted to perform other tasks surrounding IV therapy (Keir 2006). She may be asked to set up the IV therapy equipment, initiate it, monitor the patient on the therapy, discontinue it, or teach the patient about the therapy. In the interest of her profession, she should be updated with State laws and facility protocol about her role. In setting the equipment up, she should make sure that the drug and dosage and the equipment are correct. When she inserts an IV, she must observe stringent hygienic measures. She should perform the procedure competently before she actually carries it out. She should review the signs and symptoms of complications when monitoring another patient on the therapy. If she is ordered to discontinue the therapy, she should make sure she applies pressure to stop the bleeding and apply standard precautionary measures. She should be knowledgeable about the reasons for therapy in transmitting that knowledge to the patient about IV therapy and the procedure involved. She must remember that the patient is a human being with psychosocial needs. In addition to her skills and tasks, she should be able to educate and comfort the person according to his or her personal and special circumstances and needs, such as those of older persons and children (Keir).

Statistics show that employment for medical assistants is predicted to increase faster and is the fastest growing occupation (Keir 2006). #

BIBLIOGRAPHY

BLS. Medical Assistants. Bureau of Labor Statistics: U.S. Department of Labor, 2009.

Retrieved on February 23, 2012 from http://www.bls.gov/oco/ocos164.htm

Keir, Lucile et al. Medical Assisting 5th edition, Thomson Delmar Learning: Thomson

Corporation, 2006. Retrieved on February 22, 2012 from http://www.delmarlearning.com/companions/content/0766841464/curriclum/KeirSetUpdate.pdf

Pearson. Intravenous Therapy. Pearson Education: Prentice Hall, 2010. Retrieved on http://www.wps.prenhall.com/wps/media/objects/3535/3620697/Intravenous_Therapy_p1071.pdf… [read more]


Nurse Practitioners' Autonomy the Current Role Term Paper

… Nurse Practitioners' Autonomy

The current role of nurse practitioners in the United States will need to be upgraded significantly in the near future for two important reasons. For one, as components of the new Affordable Care Act (ACA) become law,… [read more]


Nurse Health Habits Effect Hospital Environment Research Paper

… Nursing

This study has the following limitations; the chosen location, the chosen industries, the population, environmental factors and several uncontrollable variables; which are briefly outlined below. The chosen location is Houston, Texas United States. Since the hypothesis is the… [read more]


Licensing as a Family Nurse Research Paper

… In the section of this document dedicated to practical nurses, the author explicitly states that "It is the responsibility of the qualified license nurse to promote patient/client education and to involve the patient/client and, when appropriate, significant others in the establishment and implementation of health goals" (CMR Board, 1994, p. 12). This passage is important because not only does it outline this specific duty for family nurse practitioners, but also it denotes the fact that these professionals will be involved with other practitioners (such as physicians) to help patients achieve optimal health status.

In addition to the aforementioned responsibilities of family nurse practitioners in settings such as doctor's offices, their collaborative approach to assisting patients also includes disseminating orders to other health care personnel. Therefore, not only will these professionals work under the supervision of physicians, but they will also have health care professionals working under their supervision. The Nurse Practice Act contains specific guidelines to what sorts of responsibilities nurse practitioners can delegate to their subordinates, which includes administrative and basic tasks related to patient welfare such as mobilization or the obtaining of blood pressure and other sorts of data (CMR Board, 1994, 11). This fact confirms the notion that family nurse practitioners can work in doctor's offices, where oftentimes physicians have minor health care workers such as physician's assistants who perform these menial tasks for them. Family nurse practitioners will suitably fit in such an environment, because they will not only be able to work under the supervision of a physician as needed, but will also be able to supervise other workers such as physician's assistants as needed.

Family nurse practitioners are advanced practice nurses who have advanced training and experience. Oftentimes, these professionals may have a graduate level degree. Due to the fact that there is an impending shortage of health care professionals, one of the most viable places for a family nurse practitioner to work is in a doctor's office. In this type of setting such a professional can actually aid physicians and their work load considerably by performing primary care service on a variety of individuals of virtually all ages and walks of life. As such, working in this type of organization is extremely likely for a family nurse practitioner and a clear career path to steady work.

References

Britt, D. (2012). Family nurse practitioner's role in primary care. www.southuniversity.edu. Retrieved from http://source.southuniversity.edu/family-nurse-practitioners-role-in-primary-care-110820.aspx

CMR Board of Registration in Nursing (1994). Registered nurse and licensed practical nurse. www.massnurses.org. Retrieved from http://www.massnurses.org/files/file/Legislation-and-Politics/np_act.pdf

Hamric, A.B., Spross, J.A., & Hanson, C.M. (2009). Advanced Practice Nursing: an Integrative Approach (4 ed.). Philadelphia: Saunders Publishing.… [read more]


Malpractice in Advanced Nursing Practice Essay

… If a nurse specialist, her conduct should be compared with the reasonable practice of a similar or equivalent specialist. In addition, the courts recognized the extent of her role in patient care. While she may not modify the course of… [read more]


Nursing Education Admission Essay

… During my course of study, I intend to familiarize myself with two areas of research that interest me the most: anesthesia and midwifery. I do not currently intend to specialize, but may later choose to do so if I feel my skills would be developed best by focusing in one of these core areas of research.

There are several important issues in contemporary nursing that affect all nurse practitioners, and ultimately all patients. The issue that has weighed most heavily on my mind lately is the relatively slow process of transitioning towards electronic medical records. I understand this is largely a regulatory and administrative issue, but as a nurse practitioner, I will also be impacted by the choices made my institution. In the future, I expect that there will be more uniformity in the use of electronic medical records. Right now, I fear that electronic medical records are not being used to their fullest potential to prevent patient error and facilitate our practice as nurses.

While there are federal guidelines and new regulations related to the use of medical records, there has been much reluctance among health care practitioners to embrace information technology. Much of the resistance comes from physicians, but I have also witnessed my colleagues in nursing view electronic medical records with suspicion. Some administrators have expressed concern that they cannot make the transition to electronic medical records because they have yet to receive adequate guidance and the ability to train employees. The expense of training employees, and the time we need to take from our daily practice also merits concern. However, I think it is important to make the transition soon. I am certain that electronic medical records and their implications for health care will be addressed during the Doctor of Nursing Practice program of study, as it will become a major clinical methodology shift. Thank you for your consideration.… [read more]


Nursing Education Does Essay

… The article gave several different evidence-based practices that could be used to further diversity in nursing education.

2. Assess instructional materials given to patients or students. Is it appropriate for a multicultural curriculum/audience? To what extent to instructional materials support… [read more]


Nursing Personal Statement Choosing Admission Essay

… I worked on numerous units such as the medical, surgical, and mental health units. I also worked with an organization called PARTY (Prevent Alcohol and Risk-related Trauma in Youth) which focuses on youth between the ages of fourteen and eighteen at various high schools within the greater Toronto area (GTA) in bring awareness to the consequences of the use of drugs.

I finished at the top of my nursing program and graduated with a Cum Laude distinction as a result of my dedication, determination, hard work, discipline, and perseverance. As a registered nurse, currently working in the community, I care for various clients with different health issues. My job as a community nurse relies on making sound judgments, trusting one's gut feelings as well as relying on one's ingenuity, critical thinking, and problem solving skills. Community nursing has been very educational, and fast paced, exposing me to the realities of medicine. Whether as a nurse or as a volunteer, I try as much as possible to respect my clients and treat them as a sum of their parts, and not just a disease or situation.

To further explore my interest in medicine, I volunteered as a Physician Assistant with Dr. Fashoranti at North Cumberland Memorial Hospital and also at Safe Care Medical where I worked with Dr. Ajisafe's. Working with Dr. Ajisafe opened my eyes to the various possibilities medicine had to offer. Despite the fact that I was an observer for the most part, I certainly had some hands-on experience using my nursing background. I was able to interact with the patients whom I came in contact with regarding their medical issues. I observed how Dr. Ajisafe respected his clients' space; he attended to them as humans but not as a disease and gave optimum care every single time. Working with Dr. Ajisafe has given me a wealth of knowledge about medicine as a career and my passion for medicine has grown much more.

Goucher College stands out and I have indeed chosen to apply to this remarkable institution based on its comprehensive curriculum, its small class size and more teacher-student interaction. The school also has a 99.6% success rate in getting its students into medical schools. Due to my background and my focus both in the past and for the future, as well as with regards to the above-metioned statistics, I am convinced that Goucher's program is right…… [read more]


Clinical Framework for Advanced Practice Nurse Essay

… By highlighting the use of master's-equipped nurses to oversee care from the hospital to within the home, this model has been able to reduce re-hospitalizations for elderly patients with multiple chronic conditions. Research shows that using the Transitional Care Model… [read more]


Nursing Doctoral Business Proposal Business Proposal

… Owing to this, it is evident that hiring ARNPs as Case Managers will lead to positive changes in the organization.

ARPNs have prior interaction with both their colleagues, or fellow practitioners and patients. Therefore, this means that they have an… [read more]


Nursing Administration Specialist Dr. M Research Proposal

… 2. There is likely to be profound resistance to the push to discontinuing unionization amongst the nursing staff, who are very loyal to their union ties.

3. Staff members are profoundly resistant to change, given that they have been working there for decades and are resent an outsider like Dr. M giving them advice.

4. Nurses have relatively low levels of education -- most have AAs and only a quarter have BSNs.

5. There is also tremendous friction between doctors and nurses, perhaps because of this educational discrepancy.

Conclusion

In terms of the hospital's strengths, there is profound community goodwill and a desire for it to succeed, as well as new-found institutional support from the university system that has acquired it. However, hospital has many weaknesses. Some of these are administrative, such as the inefficiencies of patient transport from the ED and the ways in which patients are overseen in terms of their care. This exacerbates the unavoidable societal problem of uninsured people using the ED as a site of primary care. There is also a great deal of animosity amongst the staff members on every level. There are opportunities to bring in new nurses and improve nurses' existing credentials as well as a change of leadership, which can be a harbinger of creative, out-of-the-box thinking. However threats remain -- it is uncertain if the hospital can remain solvent and compete with more efficient entities in the wake of the staff's change resistance. Also, introducing new staff will take time and may be resisted by the still-unionized nurses who may fear losing their jobs.

The problem of escalating healthcare costs and a lack of insured patients are endemic to all hospitals. These chronic conditions cannot be solved by the hospital alone. However, in the short-term, new standard operating procedures can improve productivity, including mandating physicians discharge patients within a specific timeframe and creating a day as well as a night shift transport from the ED, to reduce the amount of work at night and paperwork at night. Although improving the credentials of the nurses is not something that can be done immediately, shifting to a 24-hour model with the existing staff is one possibility, as well as giving nurses greater authority over patients. This could also increase the perceived respect of nurses in the eyes of physicians, given that all nurses would have greater responsibility on an individual basis for patient care, increasing their sphere…… [read more]


Advanced Practice Nursing Compare Essay

… Whereas APRNs; are strictly limited to specific kinds facilities, duties and as a gatekeeper in controlling costs. ("American Nursing Association," 2010) ("Louisiana State Board of Nursing Guidelines," 2011)

Part 2: Under SB 192, Louisiana would be the only state in the nation with such a regulatory structure. How would this affect current APN practice? Is this a step backwards in the progress we've made?

The new regulatory structure is streamlining the responsibilities of nurses. This is taking place with physician oversight boards regulating the industry and their responsibilities. These shifts are different from other states, by combing the APN responsibilities with those of MDs. This is a step forward by acknowledging how the discipline is contributing significantly to the quality of healthcare provided and its costs. However, these changes are ignoring the established practices of nursing industry boards. This is problematic, as they feel that there is reduced levels control by effectively transferring oversight to physicians' organizations. In this aspect, the changes are either a step forward or backwards depending upon the perspective which is taken. ("Removing Healthcare Barriers," 2010)

Name some regulatory barriers that currently exist for APNs? Where has progress been made? What remains to be done?

State laws are the biggest barriers for APNs. This is because they require that at least one MD be available inside any healthcare unit. These requirements; reduce the level of control and responsibilities of APNs by effectively passing them off onto the doctor. To address these challenges, many of these guidelines have been diminished. However, more needs to be done, as there are still strict rules limiting the roles and responsibilities of APNs. ("Removing Healthcare Barriers," 2010)

References

American Nursing Association. (2010). Nursing World. Retrieved from:

http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/MediaBackgrounders/APRN-A-

New-Age-in-Health-Care.pdf

Louisiana State Board of Nursing Guidelines. (2011). LSBN. Retrieved from:

http://www.lsbn.state.la.us/Portals/1/Documents/Forms/rnscope.pdf

Removing Healthcare Barriers. (2010). Campaign for Action. Retrieved…… [read more]


Nursing Professional Boundaries Essay

… Role Development and Role Boundaries

The nurse leaders draw professionals from the best utilizing the most appropriate management theories to develop an individual management style and performance. In addition, the nurse leader will act with the assumption that nurses and… [read more]


Advanced Practice Roles in Nursing Research Paper

… This was a viable lesson in community health nursing for me as the treatment of choice tends to be limited by a patient's economic condition (Mason, 2013).

Leadership attributes you currently possess, and attributes you may need to develop

I… [read more]


Masters-Prepared Nurse's Role: Questions Essay

… 713.2.2-03: Recognize the role of emotions in ethical decisions.

No matter how scientific in nature the nursing profession might be, the nurse will be affected by emotions. Given that caring and caritas is a critical component of nursing, this is only natural. Nursing requires a balance of emotions and empathy for the patient with the technical demands of the profession and the higher ethical code of the profession.

713.2.2-04: Identify the importance of personal values and patient values.

The nurse may have certain personal values based upon professional concepts of health as well as personal values based in anecdotal experience. The patient's view of health may conflict with these. The nurse can act as an educator but should not dismiss the views of the patient: rather she must try to understand them and create middle ground.

713.2.2-05: Identify the implications for nursing care of values conflict.

Because of the diversity of society, values will often conflict and nursing is never a value-free profession. There are always implications in the act of nursing -- what constitutes health; what constitutes a worthy life. Different cultures have different values regarding how children should be raised and how the elderly are viewed which have a direct impact upon nursing approaches. Nurses must have the professional skills to negotiate such a values conflict.

713.1.1-01: Describe the master's prepared nurse's role as researcher.

APNs, unlike some other types of NPs, have the ability to conduct independent research (What is APN, 2013, Vanderbilt University). This research may be an extension of the APN's academic or clinical experience. It may be primarily from a nursing paradigm or it may also bridge other healthcare perspectives.

713.1.1-02: Describe the master's prepared nurse's role as collaborator.

The master's prepared nurse can work as a collaborator with other colleagues on a patient's case or in research. The nursing perspective is unique. However, advanced academic preparation enables the nurse to become more fluent in the discourses of other professions.

713.1.1-03: Describe the master's prepared nurse's role as clinician.

Although the master's prepared nurse has grounding in theoretical aspects of the discipline, ultimately it is in the field of practice where nursing knowledge is tested. The master's prepared nurse will have clinical experience to inform her academic knowledge. Real, lived experience is not discounted simply because it does not conform to preexisting theories. The nurse fulfills many of the functions as a clinician once assumed by physicians.

713.1.1-04: Describe the master's prepared nurse's role… [read more]


Ethical-Legal Nursing Discussions Research Paper

… Communication must be repeatedly absorbed on moral distress instead of expanding into more general self-exploration; the tradeoff cannot be permitted to go beyond limits that stop relaxed working together between sessions. Also, the individual cannot be a member of the… [read more]


Advanced Practice Nurse Research Paper

… Advanced Practice Nurse

The RN that wishes to go deeper into the field and point towards a career as an advanced practice nurse (APRN) must first have the aptitude and motivation, and more importantly he or she must also have the knowledge of the educational requirements and professional components that are part of achieving the APRN license. The educational requirements and professional components involved in becoming an APRN will be presented in this paper, along with the emerging roles of the Advanced Practice Nurse, the theoretical perspectives of advanced practice nursing, and a global perspective of the field of advanced nursing.

Emerging Roles of the Advance Practice Nurse

Essayist Michaelene Jansen explains that many APRNs have difficulties simply working from the standard model for nursing; part of their frustration lies in the fact that they have been "…forced to launch their practice within the medical model…due to medical diagnoses used for billing and coding" (Jansen, 2010, 33). The advanced practice nurses today are involved in the identification and validation of "nursing diagnoses" -- and the revisions of existing diagnoses -- in order to follow through with nine "functional patters": exchanging, communicating, relating, valuing, choosing, moving, perceiving, knowing, and feeling" (Jansen, 35). Another role of the APRN is to "…develop skills to capitalize on the chaos in the healthcare system" and also to "create opportunities for the advantage of the profession rather than fear the future" (DeNisco, et al., 2012, 254). Moreover, the APRN must be able to help shape public policy -- by working with and leading other nurses -- and he or she must understand how to navigate the regulatory process (DeNisco, 254).

Professional Components in California & Florida

In Florida and in California, there are many pages (single-spaced) identifying the requirements for being licensed as an APRN (too many to list here). Some of the key requirements include: having a Master's degree in advanced nursing; paying up to $100 for the licensing process; passing state, and regional (or national) examination; have fingerprints recorded and accept a background check; applicants that fail the exam three times in a row (no matter which state they are in or where the examination was taken) are required to complete "a board-approved remedial course" prior to applying for another exam.

In both states, prior convictions must be reported. Even a misdemeanor that has been "…dismissed, or expunged" or otherwise wiped from the official records, must be reported to the licensing board (along with copies of the arrest paperwork); also, in both states any previous discipline / sanction that a nurse received in any context within the field must be reported. Failure to report either an arrest or a disciplinary action will result in disqualification as an APRN (Board of Registered Nursing).

Educational Requirements

The American Association of Colleges of Nursing (AACN) published a report consisting of all the educational requirements that an RN must successfully complete in order to qualify to obtain a license to practice as an advanced practice nurse. Called "The… [read more]


Staffing in Nursing Capstone Project

… After some five years of the placement of California law, nurses were very optimistic regarding their ratios. According to an analyst, the ratio law was a success and it was commonly witnessed that there was an increment in the total… [read more]


Employment Agreement Nurse Practitioner Essay

… VACATION

First year of employment two weeks of vacation will be included in the salaried employee benefits plan.

The salary will include the vacation benefit and no additional monetary benefit will be paid.

Third year of employment the addition of a third week of vacation will accrue.

Fifth year of employment the addition of a fourth week of vacation will accrue.

Vacation time will be scheduled with a minimum notice of 6 weeks, the more notice given to the designee of the corporation will be greatly appreciated for the adjustment of patient and physician schedules. The vacation times request should be made in writing to the corporation and include the complete dates of your request including weekday and weekend dates.

LICENSES RENEWAL

Current New York License is required prior to employment and will be verified by the Management. It is the responsibility of the employee to maintain his/her current License and submit a copy of the document prior to gainful employment. Failure to maintain this documentation as current will necessarily result in immediate cessation of salary and benefits until corrections are made.

TRANSPORTATION

Transportation will be the responsibility of the employee. Transportation will only be provided when the employee is out of town for the purpose of attending a meeting, conference, and/or education offering required by the Corporation. All receipts of the transportation will be required for reimbursement by the Corporation. Transportation should be arranged prior to the travel and an estimation of the cost and duration made at that time. When at all possible the Corporation will make these reservations and provide the information concerning the transportation prior to departure to the traveling parties.

INSURANCE

Medical Insurance:

The employee within the financial parameters defined by the Corporation may determine the type of plan selected. The plan identified by the employee should be submitted to the Corporation for review.

The information to be submitted to the Corporation should include type of plan, cost, and a contact person with the said insurance company.

Malpractice Insurance:

The employee will be carried on the primary physician's Medical Malpractice Insurance for the duration of their employment. It is the option of the NP to purchase persona; separate malpractice coverage.

COOPERATIVE AGREEMENT

The primary physician of the practice or any designated legal physician agent of the corporation, will execute a cooperative agreement for the purpose of satisfying legal requirements for the continuing practice of the NP.

SIGNED:

MD Date ARNP Date

SCHEDULE A - DUTIES

1. The Nurse Practitioner shall provide clinical and professional medical services to patients aged 12 and above within the scope of Nurse Practitioner's qualifications and consistent with accepted standards of medical practice and consistent with the reasonable productivity standards adopted by the Corporation and the Nurse Practitioner.

2. The Nurse Practitioner shall provide general patient care at the site specified by performance of accepted procedures and commonly used therapies and provision of appropriate support services. The Nurse Practitioner shall do all things reasonably desirable to maintain and improve her professional… [read more]


Family Nurse Practioner Term Paper

… These agencies impact this role positively if properly followed since their work complete the ethics and rules that inform the procedure.

CRAN's role in the medical field is aided by the fact that there are now many institutions that offer… [read more]


Nurse Practitioner Specialty Certifications Assessment

… Nurse Practitioner Specialty Certifications

An adult nurse practitioner is far more specialized than a "standard" nurse (i.e. An LPN or an RN). Nurse practitioners are also called Advanced Practice Registered Nurses (APRN), and have completed nursing education at a graduate… [read more]


Nursing, Leadership and Management Case Term Paper

… McClinton, 2012). This is a measure to ensure that the patient takes the required drugs only and if there is any change in prescription, then it is adhered to.

5. Communicating with your staff -- Holiday scenario

The best way to communicate with the staff about the change in the manner in which they sign up for they holiday time would be through an internal memo which could be pinned on the staff only notice boards as well as sent through mail. This method would ensure the communication has an official approach as well as ensuring no one from outside the organization comes to learn of it. The email supplement will ensure each person intended for the message gets it and keeps it as a reminder incase of future referencing.

6. HIPAA and the privacy of patients' information

The case given here is a complex one since the subject of the circumstance is an employee within the medical institution. However, my analysis pints towards a violation of the HIPAA guidelines since the nurse must be treated as an independent entity when it comes to the medial records and not as a prisoner of the institution. If there was any doubt to the call details as the supervisor had suspected, the best thing was to ask the nurse to forward the evidence to support her call of absence for more than a day in advance. By the supervisor taking up the file from the E.R it means he was privy to accessing even other unintended information.

7. The nurse leader's role in financial considerations

The nurse has a more hands on approach to healthcare than any other person within the health institution. This means they are able to advice the management on a variety of issues concerning the budgeting and procurement of hospital implements. They will advice on the products that are best for the patients and those that are effective in enabling then do their work effectively. This will save the finances of the institution in that they will avoid buying equipments that will be of no use to the institution. With sufficient mentoring and the hands on experience in using the implements, the nurses will be able to guide the management in the financial decisions that are to be made.

8. The nurse leader's role in cost reduction

In the process of cost reduction, the hospital must involve the nurse since they will guide in eliminating unnecessary purchases, they will then complementary products as well as the substitute products (hence no need to buy both), they will also advice on the duration a given quantity can help in the works, they will also ensure the re-usable implements are brought back to the cycle hence cutting down on costs immensely.

The nurses need to be fully engaged in the budgeting of the hospital, other wise they would not be held accountable if the budget and subsequent purchases go wrong. There is need to ensure the nurses are consulted on the… [read more]


Watson's Caring Theory of Nursing Term Paper

… Watson Theory of Nursing

Background and Fundamental Concepts of Watson's Caring Theory of Nursing

Jean Watson conceptualized and operationalized a notion that had always been fundamentally important as a defining purpose within the nursing field: caring. Generally, empathy and genuine… [read more]


Nursing Research Paper

… Internationally, I would like to join Peace Corps and possibly work in an African country providing healthcare to its citizens. After working on a local and national scale, I feel it would be good for me to put the skills that I will have learned throughout my career to use on an international level. By doing this, I will become not only a well-rounded nurse, but a well-rounded individual as well.

Having all of these rich experiences will place me in a position to pursue a doctorate degree in nursing and share my experiences with future nurses. I want them to know that as a nurse, we have an opportunity to provide quality healthcare worldwide. The field of nursing has evolved and will continue to do so in the years to come. In order to resolve the nursing shortage, potential nurses should have a clear understanding of the history of nursing, the benefits of getting BSN and career advancement as well as future trends in nursing. Once they begin to understand all of the factors involved in making a great nurse, they can begin to have a clear understanding of how their career choice will impact the profession locally and globally.

References

Delaney, C., & Piscopo, B. (2007). There really is a difference: Nurses' experiences with transitioning from RNs to BSNs. Journal of Professional Nursing, 23(3), 167-173. Retrieved May 3, 2012, from the ScienceDirect database.

Franklin, P.D., Archbold, P.D., Fagin, C.M., Galik, E., Siegal, E., Sofaer, S., et al. (2011). Building academic geriatric nursing capacity: Results after the first 10 years and implications for the future. Nursing Outlook, 59(4), 198-206. Retrieved May 3, 2012, from the ScienceDirect database.

Ozbolt, J.G., & Saba, V.K. (2008). A brief history of nursing informatics in the United States of America. Nursing Outlook, 56(5), 199-205. Retrieved May 3, 2012, from the ScienceDirect database.

Wildman, S., & Hewiston, A. (2009). Rediscovering a history of nursing management: From Nightingale to the modern…… [read more]

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