"Nursing / Doctor / Physician" Essays

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Nursing When Florence Nightingale Noted That Nurses Essay

Essay  |  1 pages (331 words)
Bibliography Sources: 0



When Florence Nightingale noted that nurses, not doctors, should teach nursing she emphasized the uniqueness of the profession. Nursing is not a watered-down version of doctoring. Nor is nursing practice something doctors learn in medical school. It is a nurse, not a doctor, who sits by the patient's bedside. It is a nurse, not a doctor, who helps patients bathe, read, and eat while they heal. Doctors and nurses provide wholly different services to patients. Their professions are related and ancillary but they are not so similar to render doctors able to teach nurses how to practice the art and science of caring. Therefore, only a nurse knows how to counsel and mentor other aspiring caring professionals.

Nightingale knew this, which is why she remains one of the most important figures in the history of the profession. Florence Nightingale may have in fact given birth to nursing as a professional enterprise: defining it in contrast to what physicians do. Physicians have long overshadowed nurses…… [read more]

Advance Nursing Practice Term Paper

Term Paper  |  4 pages (1,558 words)
Style: APA  |  Bibliography Sources: 4


Advanced Nursing Practice

As healthcare in the United States becomes a more complex and crucial societal element, it will become increasingly important for providers to gain different levels of specialization and education. One area that is growing as a result is the advanced nursing practice. Although this area of advanced nursing practice can involve different areas of study and healthcare… [read more]

Nursing Communications Attn: Professor Re: How Oral Term Paper

Term Paper  |  2 pages (620 words)
Style: APA  |  Bibliography Sources: 5


Nursing Communications

ATTN: Professor

RE: How Oral and Written Communication is Used in Nursing

Dear Sir:

My technology involves helping people in a healthcare setting as a nurse. I help people by providing them with healthcare assistance and guidance in the way of oral communications, physical help and emotional assistance (Fitzgerald, 2001). I also provide guidance to family members in need of support when associated with the patients I work with. In the current market there is a shortage of nursing staff, so the demand is high for qualified nurses with strong business communications skills (Fitzgerald, 2001). I will use oral and written communication in many ways in the nursing field, including when participating in collaborative efforts between myself and the patients I work with, and the physicians and other healthcare personnel I must associate with. Oral communication skills are helpful for building rapport (Locker, 2006) in a nursing setting. Written communication skills are important for documenting information and notes regarding one's interactions with the patient, physicians, family and other pertinent information.

While I do not have any experience working as a nurse, I have always had strong writing skills. Past instructors including Dr. Macioci stated that I was, "An exceptional English Student" suggesting I am quite well-versed in the language. By learning how to combine my experience and talent with the written word with the skills I learn in oral communication, I will be able to build rapport with the people I work with and write in a way that is understandable, clear and concise, which will be of utmost importance to the physicians I work with in the field (Sass, 2000; Johnstone, 1999).

Nursing is a field that is essential in healthcare. Nurses work one-on-one with doctors, patients and other administrative staff to ensure the safety and livelihood of patients and other people they may provide support for.…… [read more]

Exploring the Role of Emergency Room Nursing Term Paper

Term Paper  |  5 pages (1,937 words)
Style: APA  |  Bibliography Sources: 3


Emergency Room Nursing

Exploring the role of emergency room nursing

Introduction of emergency room nursing in Canada and the rationale for choice:

The emergency room nursing is governed under the aegis of Emergency Nursing Association -- ENA which is the national association for professional nurses committed to the development of emergency nursing practice. The ENA caters to its members through… [read more]

Stem Cell Research and Nursing Professionals Term Paper

Term Paper  |  7 pages (2,371 words)
Style: APA  |  Bibliography Sources: 5


Stem Cell Research and Nursing

Nursing professionals and medical experts predict that modern nursing has a complex future that it has to come to terms with. This is mainly due to the modern technological advancements in the field of medicine, advanced technology and the developments in medicine and science; which have meant that there are new methods, techniques and problems… [read more]

Critical Care Nursing and Role of the Critical Care Nurse Term Paper

Term Paper  |  6 pages (1,884 words)
Style: APA  |  Bibliography Sources: 2



Critical Care Nursing and the Role of the Critical Care Nurse

Recently, while working in a critical care unit, I had the privilege of attending to the needs of Ms. X, a patient who had recently undergoing open heart surgery. Ms. X had been suffering mitral valve problems before the surgery. Although these problems can be caused by infection… [read more]

Healthcare Nursing Term Paper

Term Paper  |  5 pages (1,515 words)
Style: APA  |  Bibliography Sources: 11


Nursing: Patient-Centric Communication

There are probably no skills that are as critical in nursing as are communication skills. The nurse is generally responsible for giving the patient instructions on medications, follow-up and other very critically important care information. Ineffective communication may result in poor outcomes for patients and in the most severe of cases even death to the patient. This… [read more]

Future of Nursing in Texas Term Paper

Term Paper  |  8 pages (2,033 words)
Bibliography Sources: 5


Future of Nursing in Texas

Like all other states in the U.S. Texas is on the brink of what many assume will be a disruptive nursing shortage (Texas Team, 2009). Nurses are the largest demographic portion of the health care delivery system, and they are in some way involved in the care of nearly every patient in need of care… [read more]

Standardized Nursing Procedure Research Paper

Research Paper  |  3 pages (786 words)
Bibliography Sources: 4


Standardized Nursing Procedure

Infusing Chemotherapy Procedure




Methods and Development:

In developing a functional standardized procedure for the infusing of chemotherapy in accordance with the Medical Board of Ca., Title 16, CCR Section 1379 and Ca. Code of Regulations, the following method has been established in order to ensure the administration of chemotherapy to cancer patients by registered nurses who meet the strict standards depicted in the following procedure in terms of education, respect, quality control, and accuracy. In ensuring patients that their chemotherapy will be administered in accordance with a standard of procedure that meets not only the aforementioned board regulations, but that of the Board of Nursing, patients have the capacity to undergo treatment in a mindset of reassurance and comfort in a difficult time.


(1) Specify which standardized procedure functions registered nurses may perform and under what circumstances.

Wash hands

Put on sterile gloves before hanging chemotherapy

Ensure sterile gloves have been tested and are safe using when handling chemotherapy agents

Pharmacy will spike the chemotherapy and prime the tubing

Discard the gloves in the container designated for chemotherapy waste

Determine and verify the route of administration (IVP, IV infusion) of the chemotherapeutic agent

All continuous infusions classified as vesicants must be administered via a central line (UCHC, 2010, p.4)

Non-vesicants may be administered peripherally (UCHC, 2010, p.4)

Hang the chemotherapeutic agent and infuse via central or peripheral line at a rate indicated by physician and documented in physician's orders

Each chemotherapy agent requires separate IV tubing, and two should never be administered through the same tubing unless specifically ordered by the physician (UCHC, 2010, p.4).

Use new tubing with each dose of chemotherapy

Monitor patient

Monitor in terms of side-effects, effectiveness of pre-chemotherapy medications, hydration, and overall patient stability and safety (LSUHSC, 2009, p.1).

Upon completion, discard waste in waste-safe receptacles

(2) State any specific requirements which are to be followed by registered nurses in performing particular standardized procedure function

Specifications should be followed as per instructions in patient's chart dictated by the administering physician or physicians

(3) Specify any experience, training, and/or education requirements for performance of standardized procedure

In performing the procedure at hand, certain experience levels, training, and education are to be required for the performance of standardized procedure functions.

Current Registered…… [read more]

Scholarship Grant Essay

Essay  |  4 pages (1,357 words)
Bibliography Sources: 1+


Further to this my ambition is to reach the apex of the profession, thus being able to teach and learn all my life.

To that end I also intend to go further to obtain a Master's degree for nurses that would only make me an eligible practitioner, but enable to help other aspirants by essaying for roles of faculty and contributing my own contributory research in nursing management, and other areas. The basics to all these steps are the current course and therefore in view of my ambition and dedication to my cause I may kindly be considered for admission. (Stkate, 2011) If given the opportunity to further my studies I am sure I shall be able to use the opportunity to reach the position I dream of in the academic world.

My commitment to campus and community service

I have stated earlier that my core values as a giving person has prompted me to choose the nursing profession where I tend to empathize with those in pain and need. The major reason why I am confident of doing community service is that the training and duties are having flexible schedules, and with the availability of many locations like urban hospitals, suburbs, I can also address my career concerns by a lateral shift in the career and move up the ladder. (Discover Nursing, 2011a)

Community service is not new to me, although I appear to be highly motivated and ambitious and career centered, I have already engaged in giving my contributions to the community. Thus volunteering run in my veins and it was cultivated in me from a very young age. As a teenager, I used to volunteer three weeks out of my summer holidays and work with physicians at a local clinic in Lagos, Nigeria. I used to diligently carry supplies for the doctor as he did his rounds. I also observed the doctors as they performed surgical procedures and patient care. As a little girl with a sheltered upbringing, it was an eye opening experience, which ended up being my first hands on experience working in a hospital setting. I later decided at the age of fifteen that I wanted to dedicate my time at various orphanages mainly in Lagos. I served as a mentor and an elder sister to young children especially girls. I gave them a sense of hope that anything is possible with hard work and dedication. I am devoted to this orphanage and I spend at least one month every year in Nigeria to help this great cause.

My most recent project, which I am passionate for, is what I do with the Canadian Red Cross. I volunteer with the Street relief program, a department of the Canadian Red Cross where I work with homeless people and poverty affected communities. We serve hot meals to these affected populations three times a week and we provide a health bus where homeless people can get free health care from doctors and nurses. It is more rewarding… [read more]

Medical Nursing Medical L Term Paper

Term Paper  |  5 pages (1,796 words)
Bibliography Sources: 9


In addition, the inadequate supply of adequate nurses leads to the increase in the workload of available nurses leading to the decline of quality healthcare delivery.

"Other outcome of nursing shortage includes increased risks for occupational injury, increased nursing turnover, and greater chances for nurses to solicit psychiatric assistance as a resource at high levels of job stress." (Yun, Jie. & Anli, 2010 P. 122).

By facilitating the migration of foreign graduate nurses to supplement the existing nursing workforce, the problems associated with the shortage of nurses will be addressed.


Aiken, L.H. (2007). U.S. Nurse Labor Market Dynamics Are Key to Global Nurse

Sufficiency. Health Service Research.42(3):1299-1320.

Brush, B.L. Sochalski, J. & Berger, A.M. (2004). Imported Care: Recruiting Foreign Nurses

to U.S. Health Care Facilities. Health Affairs. 23(3):78.87.

Duvall, J.J & Andrews, D.R. (2010). Using a Structured Review of the Literature to Identify

Key Factors Associated With the Current Nursing Shortage. Journal of Professional Nursing 26(5):309-317

Dudley.G (2009): Nursing shortage in rural America: a tragedy not yet fully acknowledged? Steopathic Family Physician. 1(1): 12-17.

Leonard, B.J. Fulkerson, J.A. & Rose, D. (2008). Pediatric Nurse Educator Shortage:

Implications for the Nursing Care of Children. Journal of Professional Nursing. 24(3): 184-191.

Nichols, B.L. Davis, C.R. & Richardso, D.R. (2011). International Models of Nursing.

National Academy of Sciences. USA.

Rosa, J.M. (2009. Factors that influence the advisement of nursing students regarding

Associate degree nursing faculty perceptions and baccalaureate completion. Article Teaching and Learning in Nursing, 4(4):128-132.

Rich, K.L. & Nuget, K.E. (2010). A United States perspective on the challenges in nursing education. Nurse Education Today. 30(3):228-232.

Yun, H. Jie.S. & Anli, J. (2010). Nursing shortage in China: State, causes, and strategy.

Nursing Outlook. 58(3): 122-128.… [read more]

Nursing Theory Analysis Essay

Essay  |  20 pages (7,913 words)
Style: APA  |  Bibliography Sources: 1+


Transactions have occurred when goals are attained" (King, 1992, p.23). The nursing practice occurs in a sequence where nurse-patient interpersonal relationships or dyads happen. While transactions continued between patients, nurses and family, it can be predicted whether the goal will be met or not or to what extent (King, 1997).

Thus goal attainment presented by King is described as a… [read more]

One on One Nursing During Childbirth Essay

Essay  |  8 pages (2,635 words)
Bibliography Sources: 8


¶ … Nursing through Stages of Labor and Delivery:

For many women and families, labor and delivery is usually a time of excitement and expectations that is coupled with anxiety, uncertainties, and fear. This is largely because childbirth represents a huge transition in a woman's life that involves becoming a mother and learning and growing in the entire process. Actually,… [read more]

Evidence-Based Computerized Physician Order (CPOE) System Lesson Term Paper

Term Paper  |  4 pages (1,008 words)
Bibliography Sources: 5


¶ … evidence-Based Computerized Physician Order (CPOE) system Lesson Plan

The purpose of this lesson plan module is to provide an orientation to nurses to the use of Computerized Physician Order (CPOE) system. The lesson plan is evidence-based.

Lesson objectives

To teach the participants how what CPOE system is

To teach the participants how to operate a CPOE system

To teach the participants the different types of CPOE systems

To teach the participants the benefits of CPOE systems

To teach the participants the potential risks of CPOE

To teach the participants how CPOE is implemented.

At the end of the lesson, the nurses should be able to:

Sate all the terminologies that are related to various order entries

Know what CPOE is

Know how CPOE operates

Know the types of CPOE

Know the benefits and risks of CPOE

Know how to implement CPOE

Class Time: 90 minutes

Prep Time: 30 minutes

Materials and suppliers

Computer and Projector

Hand outs

Power point presentations

Background information as well as resources:

Al-Dorzi, HM., Cherfan, a et al. (2011).Impact of computerized physician order entry (CPOE) system on the outcome of critically ill adult patients: a before-after study. BMC Medical Informatics and Decision Making 2011, 11:71 doi:10.1186/1472-6947-11-71

Collins S, Currie L, Bakken S, Cimino JJ: Interruptions during the use of a CPOE system for MICU rounds.

AMIA Annu Symp Proc 2006, 895.

Eslami S, de Keizer NF, Abu-Hanna a: The impact of computerized physician medication order entry in hospitalized patients -- a systematic review.

Int J. Med Inform 2008, 77:365-376

Dunn, W. (2008). Bringing evidence into everyday practice: Practical strategies for healthcare professionals. Thorofare, NJ: SLACK Incorporated

Karsh BT, Weinger MB, Abbott PA, Wears RL: Health information technology: fallacies and sober realities.J Am Med Inform Assoc 2010, 17:617-623.

Keillor, a ., Morgenstein (2005).Computerized Physician Order Entry Systems and Medication Errors. JAMA. 2005;294(2):178.doi:10.1001/jama.294.2.178-a

Hagedus, SM (2005).Computerized Physician Order Entry Systems and Medication Errors.

JAMA. 2005;294(2):179.doi:10.1001/jama.294.2.179-b

Upperman JS, Staley P, Friend K, Neches W, Kazimer D, Benes J, Wiener ES: The impact of hospitalwide computerized physician order entry on medical errors in a pediatric hospital.

J Pediatr Surg 2005, 40:57-59.

Design a pre and post-test to measure the nurses' knowledge CPOE system use before and after the orientation

Pre-test to measure of nurses' knowledge CPOE system use before the orientation

1. What does CPOE stand for in full?

2. What are the functions of a CPOE system?

3. What are the major components of a CPOE system?

4. What are the potential benefits of a CPOE system?

5. What medical errors are reduced by a CPOE system. Name five types of these errors

6. Are there risks in the use CPOE systems?

7. Does the CPOE technology need to be able to transmit a given order for it to be deemed "certified"?

8. Who is responsible for the maintenance of the CPOE

9. Does the CPOE lead to lower mortality rates in hospitals. If yes, justify your answer

10. In which departments of a hospital can the… [read more]

Neo-Natal Nurse Term Paper

Term Paper  |  1 pages (407 words)
Bibliography Sources: 1+


In addition, because I am a black female, I feel that I could relate to black babies in areas where there are few black nurses, and I feel this would be a help to the families, as well. As of 2003, only 4.9% of nurses in the United States were African-American, and the number of neo-natal black nurses is even smaller. I feel I have much to give to the field, and could help create an environment that was more supportive for children and their families in the black community.

As a high school student, I have been committed to my education, and my future. I hope to attend nursing school when I graduate, and specialize in neo-natal nursing. I have a BLANK (ADD HERE) GPA, and will graduate in the top numbers in my senior class. I feel I have much to offer to nursing school, and I hope you will accept my application to attend school beginning with the Spring Semester 2005. Thank you.


Author not Available. "Minority Nurse Statistics." MinorityNurse.org. 2003. 15 Oct. 2004.

< http://www.minoritynurse.com/statistics.html

Author not Available. "Neonatal Nurse." Nursesource.org. 2004. 15 Oct. 2004.…… [read more]

Nursing Pus, Bodily Fluids, and Oozing Blood Term Paper

Term Paper  |  3 pages (993 words)
Bibliography Sources: 1+



Pus, bodily fluids, and oozing blood: most little children know instinctively that what comes out of our bodies is often "gross." Yet as nurses we are obliged to deal with all of life's discharges and dirtiness. Especially now, nurses are responsible for more than just moral support for patients. It is we who come into direct contact with communicable diseases and other dangers ranging from needle pricks to contaminated blood. More and more, nurses deal with dangers other than those related to illnesses. Job-related stress and strain is taking on all persons in the medical profession. Nurses are called on to work extraordinarily long hours, for example, and are given increasingly more difficult responsibilities related to medical technologies. Moreover, nurses are being involved more frequently in malpractice lawsuits than ever before. In his article "On the Defensive," Todd Stein notes, "Today, as nurses take on more of the physician's medical duties, they are increasingly exposed to a physician's greatest fear - the malpractice lawsuit." Because of all these reasons, my dream of becoming a nurse has been relatively difficult to fulfill. Friends and family have often vocally opposed my desire to enter the nursing profession because of the various mental and physical dangers involved. Although nurses generally get paid well, we are undervalued as professionals, especially when considered next to doctors. My decision to become a nurse was therefore deliberate and well-thought out. I have had to take considerable amounts of time off and have invested time, effort, and money into schooling so that I can realize my dream. Nursing, in spite of its dangers and drawbacks, is an admirable profession because it involves healing, kindness, and compassion.

Like many nurses, I am drawn to the profession out of a deep desire to help others heal and prosper. Nurses can directly impact the lives of their patients by properly attending to their needs, both physical and mental. Unfortunately, many aspiring nurses like me meet with the daunting comments from friends and family members, comments that could potentially discourage someone from pursuing the career in earnest. For example, when I graduated from high school, many people advised me against a career in nursing. In spite of these obstacles I invested a huge amount of energy, time, and resources into going back to school to manifest my dreams.

In order to be a successful and effective nurse, we must be empathetic and patient, as well as physically and mentally strong. Being a nurse is more than just giving someone their medication or about getting paid; nursing is about giving and caring. According to Virginia Henderson, nursing does not consist of merely following physician's orders; it entails "assisting individuals to gain independence in relation to the performance of activities contributing to health or its recovery ("Virginia Avernal Henderson"). In other words, nurses actually help the infirm to heal themselves; in essence, nurses empower patients. In order to do so, nurses must be preeminently powerful ourselves. Understanding the true…… [read more]

Nursing Nurse Practitioner Role: Current Term Paper

Term Paper  |  10 pages (3,118 words)
Bibliography Sources: 1+


Reading the Grossman / Valiga book is a terrific exercise in learning and in challenging me to become more informed; but without the extra stimulus resulting from the article by Dr. Ketefian, the director of postdoctoral studies at the University of Michigan's nursing program, I might have thought Grossman / Valiga had covered all the bases. They didn't. But none… [read more]

Nurses Use the Nursing Process Term Paper

Term Paper  |  5 pages (1,413 words)
Bibliography Sources: 5


The patient or family would have an opportunity of learning about blood sugar testing as well as diabetic control.

Nurses are therefore people who are responsible for various form of patient care. They may also be involved in comforting patients. Their responsibility will however differ depending on the roles that they are playing at any given instance. Their duties go… [read more]

Leadership -- Nursing Discover Term Paper

Term Paper  |  6 pages (1,853 words)
Bibliography Sources: 1+


"Nursing -- leading, following, and giving." The new face of nursing has changed, from one in which nurses were viewed as mere attendants to doctors, to one in which the unique place of nurses is now acknowledged. As health care grows more financially strapped in America today, yet increasingly necessary for an aging population, nurses have become front line fighters for quality healthcare. Today, the nursing profession must show more leadership than ever before. Also, the idea of having a mission statement of leadership is especially important in today's environment given the increasingly vocal role as patient advocates many nurses must play in a bureaucratic health care environment. Private nurses may be paid to act as advocates in some understaffed environments, while nurses in the public health care system must ensure that patients receive referrals with all due speed and that other aspects of managed care do not interfere with patient care. The empowerment to act as a leader as well as a follower and facilitator of care is something that all nurses must remember, although, if not immediately respected by all doctors, patients, family members and staff members, they might be apt to forget -- but cannot forget, given the pressing needs of their patients and organizations.

Works Cited

Kaminsky, M. (1998). "Voicing voicelessness: On the poetics of faith." American Journal of Psychoanalysis. 58, pp.405-416.

Neuman, B., & Fawcett, J. (Eds.) (2002). The Neuman Systems Model. Fourth Edition. Upper Saddle River, NJ: Prentice Hall.

Raingruber, Bonnie. (Jan-Mar 2004) "Meanings in Child and Adolescent Mental Health Nursing." The Journal of Child and Adolescent Psycatric Nursing.

Wendt, D.A., & Vale, D.J. (1999). "Managing quality and risk." In P.S. Yoder-Wise (Ed.), Leading and managing in nursing. Second Edition. St. Louis, MO: Mosby, pp. 173-189).

Whitman, Walt. "When I Heard the Learned Astronomer." About.com. Retrieved on 15 Jul 2005


Yoder-Wise P. (2003). Leading and Managing in Nursing. St. Louis, Missouri: Mosby.… [read more]

Nursing the Differences Between a Lpn Term Paper

Term Paper  |  3 pages (973 words)
Bibliography Sources: 1+



The Differences between a LPN and an RN in a Home Healthcare Setting

Although both nursing professionals perform functions that are critical to patient care in the home healthcare clinical setting, the licensed practical nurse and the registered nurse both have distinct responsiblities and specific delinated and limited capacities, according to both the law and the nurses' respective demands of professional ethics and their profession's chains of command. The registered nurse acts as the guide and definer of a patent's treatment, in absence of the physician. The licensed practical nurse assists the registered nurse in observing the patient and administering the treatment under the supervision of the registered nurse. Unlike the LPN, the RN is registered with a professional organization and must obey the organization's ethical codes and legal strictures, and must maintain certain levels of competency to comply with evolving standards. The licensed practical nurse has evidence that he or she has passed an exam to standards, and is professionally licensed to dispense care. (Carter, 2005)

The Nurse Practice Act of 2004 justifies these different levels of allowed competency on the part of the LPN and the RN based on the rigors of testing and the levels of education required of the different nursing professionals. Because he or she has a professional degree, unlike the LPN, the RN has the ability to make decisions regarding treatment as well as to dispense and give care, a critical aspect of the home healthcare setting, where a doctor may often be absent. The RN has a unique responsibility to manage a patient's long-term treatment, rather than to merely administer to the immediate demands care of a specific patient under like the LPN. (Carter, 2004) Thus, unlike an LPN, an RN can act as a director and a decision-maker in the home healthcare environment as well as an observer, advisor, and caregiver. In fact, in some it settings, the RN may be assigned to making on-site treatment decisions, while assisted by an LPN. (Carter, 2004)

The practice of nursing by a licensed practical nurse or LPN is thus defined as the performing of selected tasks and sharing of responsibility under the direction and decision-making of a registered nurse or RN. The LPN, unlike the RN, functions mainly within a framework of supportive and restorative care, health counseling and teaching, case finding and referral, collaborating in the implementation of the total health care regimen and executing the medical regimen under specific and guided rather than independent directions. (Carter, 2004) The RN can aid the physican in the diagnosis of the patient, remit specific orders about how the patient's treatment, medication, and care ought to progress according to the goals set at the onset of the treatment, and make decisions regarding patient care that alters such goals and treatment, provided these decisions are vetted by the physican responsible for the patient in the home healthcare setting. The RN can manage…… [read more]

Nursing Professions Mexico in Ancient Term Paper

Term Paper  |  13 pages (5,271 words)
Bibliography Sources: 1+


On an average, the basic qualification for a 'general' nurse is a middle school education, which is also known as 'secundaria', which goes through to the ninth grade. After finishing this basic education, these women are required to undergo a three-year practical training, although today, the requirements and qualifications are gradually increasing and becoming more and more stringent. According to… [read more]

Nursing Profession Term Paper

Term Paper  |  3 pages (918 words)
Bibliography Sources: 1+


Enrollees of the program must have a BS degree in Nursing. Their primary task is to collaborate with health professionals and physicians.

s noted by Dr. L Ford:

"extensive knowledge base not only about basic cognitive levels and developmental milestones but you also have to know what equipment is appropriate to use for children of different ages and sizes."

Practice Patterns- NPs practice are being conducted in several areas of needs, where their skills and knowledge are much needed. As mentioned in the article, PNPs presence are now in far flung rural areas, prisons and correctionals, schools and other institutions. Their expertise is not anymore bounded in the field of maternal and childcare.

Such that the basic practice of PNP had some resistances initially with medical associations, doctors and nursing organization, it managed to push through with the program.

Research Findings- According to a recent article on the 40th Anniversary of PNP studies shows that the practice of the pediatric nursing practitioners are well accepted by patients and physicians alike. This attributes to the credibility of all nurses who qualified in the training being conducted to for the PNP program.

Practice related Proposal for the PNP Role- The PNPs basic role is centered on pediatric care. The suggested proposal with these regards is the undertaking and care of children in the custody of the local social service unit. This proposal will serve as a practice ground for new PNPs who passed the program.

Issues pertaining to the health care of children within local social service units will then be partially resolved thus making good use of the acquired knowledge of new PNPs. Local officials and medical practitioners will surely agree on such term of practice.

Performance criteria in this role-

Hereunder are the specified criteria:

1. The practicing PNP must be able to grasp knowledge on the patients psychological status, behavioral patterns and emotional imbalance, if in this state.

2. The background of the PNP must be very well suited for the assigned patient, thus not compromising the welfare of the patient.

3. The extent of knowledge in child care and family dynamics must be above average. This is to ensure that both physical and psychological needs of the patient would be met.

Evaluation- The prescribed evaluation must come from a neutral observer, a basic knowledge in healthcare and partially or impartially concerned with the patient.


History of Nursing.


Quan, Kathy. The Florence Nightingale Pledge.


History of Nursing.

http://nursing.about.com/gi/dynamic/offsite.htm?zi=1/XJ& sdn=nursing& zu=http%3A%2F%2Fmembers.nuvox.net%2F%7Eon.gloriamc%2Fhistory.html… [read more]

Philosophy of Professional Nursing Term Paper

Term Paper  |  5 pages (1,467 words)
Bibliography Sources: 1+


¶ … nursing philosophy. It explores several elements of nursing including illness, personal beliefs, and patient care. It then provides a blueprint of the writer's philosophy when it comes to the field and practice of nursing.

As a nurse, I am a believer in complete patient care. I understand my role is that of caregiver for the patient, facilitator of… [read more]

Nursing Concepts and Theory Essay

Essay  |  5 pages (1,674 words)
Bibliography Sources: 10


Health can also be defined as a dynamic state of well-being that is characterized by system equilibrium and adaptation of the individual to the environment.

Illness and health

Health and illness are a continuum that is parallel to the adaptation-maladaptation continuum. Thus health is seen to be synonymous to adaptation of the individual to their external and internal environment while illness comes about when there is maladaptation to the external and internal environment. White (2002)

defines health as a state of poor health. According to this definition illness is the direct opposite of health. Dayer-Berenson (2010)

gives a more detailed definition of illness as the abnormal process by which the person's level of functioning is changed as compared to a previous level. Therefore, health and illness can be said to be direct opposites and the objective of nursing is promoting health and reducing the burden of illness in the individual.


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Carper, B. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13-23.

Clark, M.J. (2003). Community health nursing: Caring for populations (Fourth ed.). Upper Saddle River, NJ: Prentice Hall.

Dayer-Berenson, L. (2010). Cultural Competencies for Nurses: Impact on Health and Illness. Burlington, Massachusetts: Jones & Bartlett Learning.

Diamond, J. (1999). Guns, germs, & steel. New York W.W. Norton.

Fawcett, J. (1995). Analysis and evaluation of conceptual models of nursing (Third ed.). Philadelphia: Davis.

Holland, J.L. (1985). Holland's Theory and Person-Environment Interactions. Paper presented at the 93rd Annual Convention of the American Psychological Association, Los Angeles, CA.

Rolfe, G. (1998). Expanding Nursing Knowledge. Oxford: Butterworth Heinemann.

Springhouse. (2002). Illustrated Manual of Nursing Practice. Philadelphia: Lippincott Williams & Wilkins.

White, K. (2002). An introduction to the sociology of health and illness. Thousand Oaks, CA: SAGE Publishing.

Zerwekh, J.C., J.C. . (2006). Nursing today: transition and trends (5th ed.). St. Louis, MO: Saunders Elsevier.

Higher rate of nurse retention


Reduction of working hours…… [read more]

Advanced Nursing Development a "Master Term Paper

Term Paper  |  3 pages (1,259 words)
Bibliography Sources: 1


First and foremost, the nursing leader must ensure that their nursing staff provides the utmost quality of care for their patients. They must regulate nursing activity to provide for a sterile and cooperative environment that will best provide for the benefit of their patients. They must ensure quality care, meaning that nurses under their advisory are competent and communicative with patients. Moreover, they must help facilitate communication between physicians, patients, nursing staff, and anyone else involved within particular healthcare cases. They must "communicate with other healthcare professionals" and to "develop and work in collaborative and interdependent relationships" (American Association of Colleges of Nursing, 2012, p 11). In many ways, this makes them a prominent diplomat within the healthcare field.

Along with these roles, there are general professional activities that advanced nurses are responsible for practicing as well. Advanced practice nurses work within a wide number of different clinical fields, often working in specialty areas to help augment physicians working in very specific health care genres. Depending on the specific genre the advanced practice nurse is working in, his or her professional duties will vary. Yet, their primary role is to assist the leading physician and help collaborate the teams of nurses that work under them. In addition, these nurses must also work to support the structure of contemporary nursing as a whole. This means collaborating efforts with volunteer and nonprofit groups to best serve and understand the population within their specialty. Researching and publishing academic papers ia another major professional activity the advanced nurse participates in, as he or she must remain relevant within their practice and help contribute to the growing discourse in their field.

From this professional perspective, the nurse leader must help provide guidance and advice within a role model context to younger nurses in the field. As an advanced nursing practitioner, one will undoubtedly have more knowledge in terms of how nursing theory meets actual practice. This provides the possibility to advice nurses under one's care as how to embody particular theories and strategies within individual care settings. Nursing leaders not only provide a source of primary knowledge on general care, they also serve as a way to better understand how to launch nursing theories into actual practice.

It is imperative to embody all of these roles within one's own professional development. An advanced nursing position carries with it a massive amount of responsibilities. It is imperative for the nursing leader to see their role as a multi-faceted one which deals not only with the training of nurses, but also the facilitation of theory into actual practice. Personally, I can use these roles as a way to influence my own professional practice. As an advanced nurse, I must embody the role of the communicator to help increase the efficiency of the staff under my charge. This also plays into the concept as the advanced nurse embodying the role of a diplomat as well. I must become knowledgeable about the specialty I am working in, but also… [read more]

Nursing Metaparadigm Term Paper

Term Paper  |  3 pages (1,054 words)
Bibliography Sources: 3


Nursing Philosophy and Metaparadigm

The concept of nursing in a modern world goes far beyond simply bandaging up wounds and conducting doctors' orders. The contemporary nurse follows a unique philosophy of care, one which is heavily influenced by the four nursing paradigms. This modern nursing philosophy is guided by principles governing how nurses focus on the art of nursing itself, the flexible concept of health, the uniqueness of autonomous persons, and the interrelated elements of a care environment that is supposed to promote recovery and better future health. Together, these are all related in how a nurse responds and strategizes for care in the wide variety of settings seen within the larger philosophy of nursing.

The practice of nursing goes far beyond what it was once thought to be, and incorporates elements of its own philosophy to better serve patients and unique care strategies. The concept of "philosophy is an attitude toward life and reality that evolves from each nurses beliefs" (Baxter, 2012). Essentially, a philosophy will help guide an individual through unique experiences, influencing their thoughts and behaviors to meet a certain end goal. Nursing philosophy influences the modern nurse by imparting certain beliefs on the notion of care and how that should be served to each unique individual. From this perspective, "nursing is an art" (Baxter, 2012). Nursing is how modern practitioners are guided to provide a state of care for vulnerable patients in need. As such, modern nursing philosophies focus on the need to provide appropriate and flexible care for the wide variety of individuals a nurse will encounter during his or her practice.

The concept of the nursing metaparadigms was created to provide a well established foundation for the modern nurse to understand the interrelated parts within the nursing practice and how they all work together to provide a greater strategy for care. These are elements within larger nursing philosophy that help provide an understanding of the main nursing role within contemporary medical practice, yet are fluid enough to adapt to the needs of every unique individual and circumstance. In general, the concept of a metaparadigm is a process "that serves to define an entire world of thought"(Johnson, 2013). It is meant to establish unique practice standards for individual and larger contexts. The nursing metaparadigms become a useful tool in incorporating all of the necessary elements of nursing to provide for the best strategy of care for every individual in every unique situation.

There are four main concepts found within the modern literature's discussion of the nursing metaparadigm. Essentially, these represent "all interactions between the society, the environment, and the recipient of care are dynamic and synergistic" (Baxter, 2012). The literature highlights the notion that all elements of the metaparadigm are interrelated, yet have their own unique focuses that allow nurses to meet the needs of particular care situations and contexts. The first to be discussed here is the concept of nursing. Essentially, the nursing paradigm is the one which presents the element of caring at… [read more]

Advanced Nursing Ethics Term Paper

Term Paper  |  5 pages (1,763 words)
Bibliography Sources: 10


After fulfillment of the innate capabilities within the objectives, assessment is done in order to have a tested and recorded perspective of the decisions made. After the decisions have been made, it becomes relevant to consider relaying the necessary approaches of confidentiality among the nurses. As depicted in the case example, it is relevant to have a stable decision-making process that eliminates cases of failed confidentiality in the nursing profession (Redman, 2013).


Bartter, K. (2001). Ethical issues in advanced nursing practice. Vol. 8, Issue 4, pgs 23-34.

Oxford: Butterworth-Heinemann.

Butts, J.B., & Rich, K. (2011). Philosophies and theories for advanced nursing practice.

Sudbury, Vol. 5, Issue 6, pgs 34. Mass: Jones and Bartlett Publishers.

Cody, W.K., & Kenney, J.W. (2006). Philosophical and theoretical perspectives for advanced nursing practice. Vol. 8,Issue 3, pgs 45. Sudbury, Mass: Jones and Bartlett


Grace, P.J. (2009). Nursing ethics and professional responsibility in advanced practice. Vol.

3, Issue 4, pgs 34-45. Boston: Jones and Bartlett Publishers.

Grace, P.J. (2011). Nursing ethics and professional responsibility in advanced practice. Vol.

2, Issue 7, pgs 7. Boston: Jones and Bartlett Publishers.

Kjervik, D.K., & Brous, E.A. (2010). Law and ethics for advanced practice nursing. Vol. 3,

Issue 4, pgs 34-45. New York: Springer.

Mirr, J.M.P., & Zwygart-Stauffacher, M. (2010). Advanced practice nursing: Core concepts for professional role development. Vol. 7, Issue 4, pgs 79. New York, NY: Springer.

Pang, S.M. (2002). Nursing ethics in modern China: Conflicting values and competing role requirements. Vol. 8, Issue 8, pgs 54. United States: Editions Rodopi (NY.

Redman, B.K. (2013). Advanced practice nursing…… [read more]

Patricia Benner Theory 21st Century Essay

Essay  |  5 pages (1,400 words)
Bibliography Sources: 4


This is particularly true regarding her belief that change management in modern healthcare is one of the more important aspects for all stakeholders. Medical care engenders rapidly changing situations, priorities, and needs. Experience works through these changes in order to continually assess the situation and use the nurse's toolbox to provide answers. Too, Benner's model requires that the patient change,… [read more]

Theoretical Foundations for Nursing Roles Essay

Essay  |  4 pages (1,262 words)
Bibliography Sources: 4


Extra credit programs were also availed of which she chose to be participating.

Currently the interviewee is a FNP at a local dispensary; she has given credence in caring for pediatric cases that require constant supervision from children with respiratory complications to those with ADD. This is because she lacked adequate experience specifically in the area of pediatrics, of which she found crucial in giving her an all round experience value in her role. The interviewee also presented a case of an autistic child who was very aggressive and withdrawn; above and beyond the norm for patients of autism. She managed to get the child first to start communicating with an I-pad, where the child would communicate through a sequence of pictures and words. She found that the child would be calm after a 20 minute session of listening to Beethoven, after which he drew pictures with less intense shading patterns.

After the rigorous question and answer section, it was her turn to share on her own volition her point-of-view towards the nursing profession. She began by sharing the fact that in her role; it was her submission that they had a close relationship to their patients in ways that physicians only dream. Day by day primary care and follow ups while giving the patients preventive care was a tool in terms of giving the health sector in Buffalo a supplementary relief. She was keen to point out that the nurses need to be given a chance to practice free from constant interruptions and un-needed supervisions that would lead to duplicity of roles, which would be essentially time wasting (Thatcher, 2002). Delegation of roles in the health sector needs to be allocated such that, in future, the scope of practice leads, not into conflicts; she reiterated that the ultimate aim of all the players is provision of quality health care. She gave insights to individuals who are seeking a graduate program to look for one that would challenge them to keep their grades up. The best approach in selecting the best graduate program would involve selection of key principles in balance with clinical practice and accumulated total graduating mark. It was not a matter of the prestige the school had, but relatively on the value of the programs offered.

The nurse further gave the opinion that the license exams needs to be re-evaluated since, in its current, form it is prone to be manipulated and abused. She cited that license exams needs to be based on a report the students file in relation to the theoretical work taught, and the application of said principles in a manner that shows the student's ability to philosophize; and challenge any ambiguities that lie in the profession.

After the interview, it was incumbent on all the parties that personality and temperament management is crucial when looking to hire a nurse. This is largely a service sector and so the nurse needs to have excellent people's skills beyond the 'medical training undergone. Education programs need… [read more]

Nursing Knowledge Annotated Bibliography Evidence Annotated Bibliography

Annotated Bibliography  |  8 pages (2,252 words)
Bibliography Sources: 0


Frank, R., (2013), "How to De-stress," Retrieved from:


Frank believes that stress management is the need of all the practitioners since pressure of work is ever-increasing today. She recommends that there are evidence-based stress management techniques that can help practitioners generally and nurses particularly to reduce stress and achieve high productivity. The technique includes low-intensity drills like walking, cycling,… [read more]

Diverse Population Nurses Must Attend Research Paper

Research Paper  |  5 pages (2,037 words)
Bibliography Sources: 30


Similarly, just as human beings are dynamic changing entities so is health: "which implies continuous adjustment to stressors in the internal and external environment through optimum use of one's resources to achieve maximum potential for daily living" (Imogen King's theory of goal attainment, 2012, Current Nursing). Environment encompasses both internal and external factors; formal and informal organizations that affect the patient's health (including the nurse). Nursing is the process of helping people maintain their health to reach their personal life goals, which will vary from individual to individual (Imogen King's theory of goal attainment, 2012, Current Nursing)


Theory. (2012). Current Nursing. Retrieved:


Imogen King's theory of goal attainment. (2012). Current Nursing. Retrieved:


Uys, L. (1987). Foundational studies in nursing... Orem, King and Rogers. Journal of Advanced

Nursing, 12(3), 275-280.

Topic 2: Theory and Research

Obesity and the subsequent health problems it causes is increasingly a problem for the American population: more than 1/3rd of adults are obese (Adult obesity facts, 2013, CDC). Nursing is uniquely suited to deal with the problem of obesity because the condition is a social as well as a biological disorder. Even if someone is well aware of the fact that he or she should change his or her diet and exercise patterns, it can be very difficult to do this because of physical, social, and economic reasons. These reasons will vary with the individual, even though the condition manifests itself across a wide range of populations.

Theory can help nurses conceptualize an empowering method of treatment beyond the 'calories in/calories' out modality often prescribed, which is clearly not effective in motivating people to lose weight in and of itself. The theory of self-care as advocated by Dorothea Orem seems well-adapted to promoting weight loss. Orem's emphasis on health maintenance is highly compatible with treating obesity, given that diet and exercise modifications ultimately must be undertaken by the patient through self-empowering activities and choices. Orem also strongly emphasized preventative care, which is a crucial component of healthy diet and exercise prescriptions (Dorothea Orem's self-care deficit theory, 2012, Nursing Theories). However, beyond the individual level, nursing interventions on a community level that can create less 'obesegenic' environments are required, given the noted influence upon environmental cues (such a lack of healthy foods in close proximity and a high density of fast food restaurants) upon factors related to weight control. However, the precise formula needed to be effective in bringing about such changes has yet to be determined. For example, in a National Health Service (NHS) government-funded anti-childhood obesity campaign in the UK: "it found targeting parents and children together in family-based interventions had mixed reviews in terms of success and evidence was inconclusive on the effectiveness of these strategies" (Milligan 2008).


Adult obesity facts. (2013).CDC. Retrieved: http://www.cdc.gov/obesity/data/adult.html

Dorothea Orem's self-care deficit theory. (2012). Nursing Theories. Retrieved:


Milligan, F. (2008) Child obesity 2: recommended strategies and interventions. Nursing Times;… [read more]

Cultural Competency in Nursing Capstone Project

Capstone Project  |  6 pages (1,874 words)
Bibliography Sources: 1+


Three months will be critical towards the achievement of quality training on the cultural competency on the nursing practice as a replica of the pilot study. The final month will focus on the evaluation of the developments of the program and design towards the integration of positive mechanisms while eliminating negative influences of the program. This will be vital for the development of mechanism to maintain the critical change.

Steps to Maintain Change

In order to maintain the cultural competency change in the nursing practice, the following steps would be necessary

Integration of training programs to enhance cultural awareness of the nurses within the institution

Implementation of relevant policies and rules with the aim of integration cultural competency as an organizational culture

Incorporation of the need for cultural competency among nurses within the institution

Development of rules and regulations to ensure that change is maintained within the organization


There is need to integrate a structured approach towards ensuring up-to-date cultural competency in accordance with the standards and benefits to the needs and preferences of the patients. This is because of the need to have culturally competent nurses in order to address the demands of diverse patients and clients at the workplace. The structured approach is demonstrated through the Rosswurm and Larrabee's six-step model for change focusing on equipping the staff with the cultural knowledge for the period of six months followed by critical evaluation process.


Anderson, N.L.R., Calvillo, E.R., & Fongwa, M.N. (2007). Community-based approaches to strengthen cultural competency in nursing education and practice. Journal of Transcultural Nursing, 18(1), 49S-59S.

Beach, M.C. (2005). Cultural competency: A systematic review of health care provider educational interventions. Cultural Competency, 43(4), 356-373.

Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. The Journal of Transcultural Nursing, 13(3), 181-185.

Rosswurm and Larrabee, (1999). A Model for Change to Evidence-Based

Practice. Sigma Theta Tau International Volume 31(4), Fourth Quarter 1999, pp 317-

Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility vs. cultural competence: a critical distinction in defining physician training outcomes in multicultural education. Journal of Healthcare for the Poor and Underserved, 9(2), 118-12

Vanguard…… [read more]

Admission to Nursing Training Essay

Essay  |  4 pages (1,423 words)
Bibliography Sources: 0


I am invited to participate in nursing conferences in the community and I take part in staff development programs offered in our community.

Under the nursing home guidelines I am obliged to have conversations with our patients but I do far more than engage in small talk. Since I see them 5 days a week is should come as no… [read more]

Family Nurse Practitioner Research Paper

Research Paper  |  3 pages (968 words)
Bibliography Sources: 3


This supervision can come in multiple forms. It is not unusual to see stand-alone clinics that are staffed by nurse practitioners with a supervising doctor who does not routinely appear at the clinic. In other instances, family nurse practitioners may work with doctors in family medical care centers, so that they literally work together on a daily basis. One of the more interesting, but also somewhat controversial, uses for family nurse practitioners is the role of the mobile nurse who visits rural areas and provides healthcare to people who would otherwise not have access to a primary healthcare professional. Those nurses may work almost completely independently of doctors, only utilizing them when a patient needs a referral for care.

One thing that does seem to separate the family nurse practitioner from the family doctor is nursing's emphasis on a collaborative care model. "Family nurse practitioners approach patients with an understanding of the value of collaborative, family-centered care" (Britt, 2012). In other words, nurses focus on treating the family rather than just the patient. This can be especially useful when dealing with chronic diseases, such as diabetes, where lifestyle changes aimed at disease management should involve the entire family dynamic.

Furthermore, that collaborative approach extends beyond the focus on the family and includes the entire potential of healthcare providers. "In addition to the focus on family dynamics, nurse practitioners have referral and consultative relationships with other healthcare providers, such as physicians, pharmacists, and psychologists. Effective collaboration has proven to promote better communication, healthcare management, and positive health outcomes" (Britt, 2012). In other words, family nurse practitioners know that in many cases their patients' healthcare needs will be outside of the scope of routine care and management, and then, instead of focusing on providing treatment, they focus on ensuring that their patients have access to the appropriate care.

The role of the nurse practitioner is gaining traction, not only in the United States and Canada, but also around the world. In a recent survey examining the spread of the nurse practitioner, 71% of 31 countries indicated that they had some type of nurse practitioner program (usually through a master's degree program), with 23 countries formally recognizing nurse practitioners as something distinct from nurses (Pulcini et al., 2010). What this change may mean is that that the traditional family doctor as the primary initial healthcare provider may be undergoing a transition, and family practice nurses may eventually become the primary healthcare professional for most people.


Britt, D. (2012). Family nurse practitioner's role in primary care. SouthSource, 23. Retrieved

September 2, 2013 from South University website: http://source.southuniversity.edu/family-nurse-practitioners-role-in-primary-care-110820.aspx

Naylor, M. & Kurtzman, E. (2010). The role of nurse practitioners in reinventing primary care.

HealthAffairs, 29(5), 893-899. doi:10.1377/hlthaff.2010.0440

Pulcini, J., Jelic, M., Gul, R., & Loke, A.Y. (2010). An international survey on advanced practice nursing education, practice,…… [read more]

Nursing Interview Essay

Essay  |  4 pages (1,390 words)
Bibliography Sources: 0


Next, Jenny decided to obtain her PhD in nursing from the University of Texas at Houston School of Nursing. She did this because she saw an opportunity for expansion in her career at NASA and realized that she needed the research background that a PhD would provide in order to expand her career in that direction. Obtaining her PhD, Jenny learned how to design and conceptualize research projects. It also provided her with the educational background she needed to help write articles about how the astronauts experienced different facets of life in space and then translate those experiences to the broader human experience.

Present Position

Currently, Jenny occupies two roles at NASA: nurse and researcher. In her capacity as a nurse, Jenny helps oversee healthcare for people at the Johnson Space Center in Houston, Texas. She is in a supervisory position and is responsible for a myriad of different healthcare-related concerns at the Space Center. For example, Jenny schedules and oversees the administration of routine vaccination programs, such as the current influenza vaccination program being offered to employees and their families at the Space Center. She is also one of the go-to people for when a person on the worksite experiences an illness or an injury. More significantly, Jenny is in charge of monitoring astronauts who are preparing to go into space. She keeps a careful eye on their physical condition to monitor any conditions that might prevent them from being declared eligible for flight. In that role, Jenny is called upon to make important decisions that could not only impact the individual astronaut, but also have an impact on the entire team in space. Jenny stated that her most important ability in that aspect was the ability to remove her clinical judgment from her personal judgment. All astronauts want the opportunity to go into space, but it is Jenny's job to look at their mission suitability, as a whole, not at individual desire, when determining whether an astronaut can be cleared for flight.

Jenny's additional role is that of a researcher. She designs medical experiments for astronauts to conduct in space, and even some experiments that focus on the astronauts' medical conditions as impacted by space. She finds that her critical thinking skills and extensive medical knowledge are the most useful skills in her role as a researcher.

Pearls of Wisdom

Although Jenny's job seems outside of the traditional role of nursing, it was interesting to hear that she felt that empathy was her most critical skill as a nurse. Jenny talked about why she was motivated to become a nurse. As a child, she had severe allergies. She had to go in for frequent shots to help control the symptoms of the allergies, but was terrified by the shots. Some of the nurses she encountered were brusque and made her feel worse, while others would lie that it was not going to hurt. However, her best experience was with a nurse who would acknowledge that it would hurt,… [read more]

Theoretical Foundations of Nursing Research Paper

Research Paper  |  10 pages (4,161 words)
Bibliography Sources: 30


32). The evaluation will help in developing a complete scientific rationale for nursing intervention to enhance quality of care.

Ethical Dilemma:

Ethical issues and dilemmas have become common in the nursing profession because of global developments and changes in the modern health care system. These issues and dilemmas require guidance in making ethical decisions in nurses' daily experiences and practice.… [read more]

Nursing Practice Act California Essay

Essay  |  2 pages (599 words)
Bibliography Sources: 2


Scopes of Practice

An understanding involving the specific scopes of practice associated with RNs' as well as physicians is essential in figuring out which functions overlap healthcare practice and for that reason need standardized processes. Failure to differentiate nursing practice out of healthcare practice may lead to the restriction of the RNs' practice and also the growth and development of unneeded standardized processes. RNs' are informed to not mistake nursing guidelines and operations with standardized processes (DCA, 2011).

Capacity of RNs' Practice

Those activities including the practice of RNs are laid out within the Section 2725 of the California Nursing Practice Act, Business and Professions Code. An extensive, comprehensive description states that the actual practice of nursing indicates all those attributes, such as fundamental healthcare, which will help individuals deal with issues in day-to-day living which re-associated together with their actual or prospective well being or sickness issues, or even the treatment method thereof, which need a considerable level of scientific understanding or even specialized ability (DCA, 2011).

Within Section 2725(a), the Legislation specifically announced its intention to offer apparent lawful authority designed for functions and operations that have common approval and utilization. RNs' should realize that the use of nursing procedure functions is actually common nursing practice that doesn't involve a standardized process (DCA, 2011).


Board of Registered Nursing (BRN) (2013). Nursing Practice Act, accessed from: http://www.rn.ca.gov/regulations/npa.shtml

Board of Registered Nursing (BRN) (2013). Business and Professions Code -- Use of RN, accessed from: http://www.rn.ca.gov/regulations/bpc.shtml

Department of Consumer Affairs (DCA) (2011). An Explanation Of The Scope Of RN Practice Including Standardized Procedures. Board of Registered Nursing, accessed from: http://www.rn.ca.gov/pdfs/regulations/npr-b-03.pdf… [read more]

Nursing Course Project Milestone #1:PICOT Capstone Project

Capstone Project  |  4 pages (1,216 words)
Bibliography Sources: 6


Nursing and Allied Health Collection has 400 titles, and offers work of professionals working in the field and students in nursing-focused curriculum. This database offersnursing profession issues hence I find it useful.

2. How can you focus or expand the search if initial search results are not satisfactory?

The research on the nursing communication issues can be carried on the journals mentioned above. If these journal articles are not found enough to cover the subject, two more things can be done. The internet research can be conducted to find what problem other nursing departments and organizations are facing and how did they solve them. Besides that, there can be a primary research conducted on the nurses to find what is hurdle in the confident communication and how do they feel they can overcome it.

3. Describe ways you might refine your general search to reduce the number of results from your search. Can you use the EBSCO subject headings? What about the advanced search option using Boolean limiters such as AND. Once you have a reasonable number of relevant search results (10-30) what final limiters will, you set to reduce the search results further (i.e., English language limiter, age limiters, publication year limiters, peer-reviewedjournallimiter, and/or human subject limiter)?

The research can be refined using several procedures and sources. The EBSCO subject headings deal with maintaining Comprehensive Subject Index of subject terms that can be applied to all articles that are indexed through EBSCO. This offers a disciplined approach to research. The advanced search using Boolean limiters like AND help find what sources are must to come to a final solution. These sources should be qualitative AND quantitative etc. Normally publication year limiter and peer-reviewed limiter are used to refine research. Besides that, matching exact key words in the problem statement also play a vital role in selection of resources.

Literature Review Worksheet

Your Name:

Date: July 15, 2013

Your Instructor's Name:

Purpose: To find evidence to support an intervention that will change the outcomes.

Search Question:

APA Reference for Article

Peer Reviewed

Brief Description of Research

Type of Research

Study Outcomes / Recommendations


Anderson, L, (2012), "Why Communication in the Nursing Profession is Important?," Retrieved from: http://www.nursetogether.com/why-communication-in-the-nursing-profession-is-important


Discusses how lack of confidence in communication results into conveying or wrong message among patients, peers and doctors.


Facilitate nurses in their communications.


MacKay, R. C, Matsuno, K, and Mulligan J., (1991), "Communication problems between doctors and nurses."

Quality Assurance in Health Care.3(1):11-19.


Elaborates Communication difficulties faced by nurses and their causes.

Quantitative using survey questions among doctors and nurses

Listening to nursing problems and helping them.


Smith, H. And Pressman, H., (2010), "Training Nurses in Patient Communication," Retrieved from: http://www.patientprovidercommunication.org/article_9.htm


Puts light on how and why nurses are not confident while communicating

Secondary research

To offer training on patient-provider communication


Painter, R., (2012), "Poor nursing communication causes needless hospital injuries and deaths," Retrieved from: http://www.painterfirm.com/a/38/Poor-nursing-communication-causes-needless-hospital-injuries-and-deaths


Nurse's job of patient care is incomplete without… [read more]

Nursing Theory Practice Setting Essay

Essay  |  5 pages (1,696 words)
Style: APA  |  Bibliography Sources: 6


f. Offer examples from theorist's work that matter.

There are lots of locations where Levine's principles are still made use of in the nursing skills, procedures and practices in the modern era. First being, the main care provided the client by the registered nurse can alter their view on the hospital stay in addition to the management design. Hence offering them with even more concentration and care they desire while pleasing their requirements. Second of all, if a client recognizes and adjusts with the healthcare facility environment, he/she will be comfy in chatting with the doctors/nurses with any kind of discomfort or their own fret about their conditions. Consequently seeing to it that the client is in their convenience area for this to occur is among the significant obligations of the registered nurse. For instance, a patient discovered with cancer cells in the main phase, the method of wholeness consist of expertly prepared to psychologically, healthy to get the care and appointment for full recovery and remedy hence avoiding the metastatic condition (Parker and Smith, 2010).

Finally, the most essential idea of Levine still made use of in today's nursing procedures is conservation or maintenance to keep the individuality or personal details of the patient exclusive, to provide them and their relative understanding about the illness and nerve to withstand/fight the illness (Parker and Smith, 2010).


Alligood, Martha Raile (2010). Nursing theory: Utilization and application. Toronto: Mosby Elsevier.

Chinn, P.L., & Kramer, M.K. (2011). Integrated knowledge development in nursing (8th ed.). St. Louis: Mosby.

Current Nursing (2010). Levine's four conservation principles. Retrieved from http://currentnursing.com/nursing_theory/Levin_four_conservation_principles.html.

Levine, M.E. (1973). Introduction to Clinical Nursing (2nd Ed.). Philadelphia F.A. Davis.

Levine, M.E. (1990). Conservation and integrity. In M.E. Parker (Ed.), Nursing theories in Practice. New York: National League for Nursing.

Marriner-Tomey, A., & Raile, M.R. (2006). Nursing Theorists and Their Work. Mosby Inc.

O'Brien, M.E. (2011). Servant leadership in nursing: Spirituality and practice in contemporary healthcare Sudbury, MA: Jones and Bartlett.

Parker, M. & Smith, M. (2010) Nursing theories and nursing practice (3rd ed.). Philadelphia: F.A. Davis Company.

Schaefer, K.M., & Pond, J.B. (Eds.). (1991). Levine's conservation model: A Framework for Nursing Practice. Philadelphia F.A. Davis.

Taber's Medical Dictionary (2009). Myra levine's conservation model. Retrieved from http://www.tabers.com/tabersonline/ub/view/Tabers/144303/0/MYRA_LEVINE%27S_CONSERVATION_MODEL_ .… [read more]

Personal Philosophy of Nursing Research Paper

Research Paper  |  3 pages (969 words)
Bibliography Sources: 2


Philosophy of Nursing


My professional and personal interest in health contributes to my perspective that health should be a prominent issue in every person's life. This concept is fundamental to my philosophy of nursing. Health should always have some part of our attention. Mental health, emotional health, and physical health are interconnected; no one aspect of health is more important than the others. My life experience and my professional experience has proven to me be repeatedly and very clearly the necessity for strong health. I am aware of the significance of health professionals and the potential the health industry has to affect great change on individual, societies, and the world. The paper illustrates my philosophy and predictions for the field of nursing.

When people feel passion toward a subject or activity, they devote themselves sincerely and genuinely to endeavors revolving around that topic. In my case, it is nursing to which I am devoted. Nursing is more than a profession for me; it is what I am meant to do with my life. I think nursing is the type of profession where it is very possible to be overwhelmed and to easily be caught up in the work -- to be busy "getting the hang" of the work, so to speak. Yet nursing is a profession where reflection is a huge asset because as we encounter a variety of patients, situations, and challenges, ideally, we become better at what we do because we have integrated those experiences into our current skill set and practice. I am specifically interested in present laws, as well as developing new laws that improve nursing and protect nurses in the workplace. My interest in my helping my community, strengthening families, and helping people live better lives inspire me to earn the appropriate, recognized credentials of a fully accredited and registered family nurse practitioner.

At the core of nursing should be empathy, diligence, and confidence. Nursing is a part of medicine, which is a type of civil or social service to society. Nurses deal with people; this is a profession that requires empathy. I do not advocate for nurses to be weak or naive, but I do think that nursing needs to be very much aware of the human element. Unfortunately, most people do not encounter nurses until after something detrimental has occurred; people are in highly emotional states. In order for nurses to get the information they need so that the appropriate care can be provided, nurses need to have a sense of what others are going through or else there will likely be numerous arguments between patients, families, and nursing staff, which only exacerbates a likely already tense situation. With nursing, "the devil is in the details," meaning that the profession demands attention to detail as well as quick action, which is why at the core of nursing I believe confidence is there, too. There will be…… [read more]

Future of Nursing Technologies Research Paper

Research Paper  |  4 pages (1,469 words)
Bibliography Sources: 4


This test ultimately showed that telemonitoring could be used in this kind of condition provided the patient was not alone in the home. Similar technologies have been introduced wherein the patient is monitored remotely. Some applications for smart phones can let patients communicate directly which medical personnel so that they can have their symptoms analyzed remotely without having to go… [read more]

Timeline Historical Development of Nursing Term Paper

Term Paper  |  3 pages (989 words)
Style: APA  |  Bibliography Sources: 4


1968: Dorothy Johnson's theory of nursing developed. "Dorothy Johnson's theory of nursing 1968 focuses on how the client adapts to illness and how actual or potential stress can affect the ability to adapt. The goal of nursing is to reduce stress so that the client can move more easily through recovery" (Development of nursing theories, 2012, Nursing Theories). Johnson's theory was a milestone in terms of the way it acknowledged the psychological state of the client could have an impact upon the patient's health to the same degree as his or her physical state. In Johnson's system, a "human being" is seen as "having two major systems, the biological system and the behavioral system. It is role of the medicine to focus on biological system where as nursing's focus is the behavioral system" (Johnson's behavior systems model, 2012, Nursing Theories).

1960s-1970s: This era was a period of great social unrest and witnessed the rise of a number of civil rights movements, including the women's rights movement. As a result of the greater empowerment of women in the workforce, many nurses began to call for greater respect for the unique role of nurses and also greater scientific and systematic analysis within the nursing profession.

1972: Betty Neuman's systems theory developed. Incorporating the notion of 'systems theories' from conceptions of management, Neuman's systems theory conceptualized the client and his or her relationship to the environment as a series of interacting systems and health as a dynamic state. "Each client / client system has evolved a normal range of responses to the environment that is referred to as a normal LOD [Line of Defense]. The normal LOD can be used as a standard from which to measure health deviation" (Betty Neuman, 2012, Theories of Nursing).

1979: Jean Watson's theory of human caring developed. In direct contrast to the systemization of the nursing process and the more academic emphasis of other major theorists, Watson emphasized nursing as a science of 'caring' in a manner that was spiritual as well as intellectual in nature (Development of nursing theories, 2012, Nursing Theories).

Present day: Nursing theory has begun to incorporate more mid-range or practice-based theories that do not aspire to be all-encompassing and instead deal with the specifics of various practice situations (Development of nursing theories, 2012, Nursing Theories).


Betty Neuman. (2012). Theories of Nursing. Retrieved:


Development of nursing theories. (2012). Nursing Theories. Retrieved:


Hannik, Elizabeth. (2013). Linda Rogers, the first school nurse. Working Nurse.

Retrieved: http://www.workingnurse.com/articles/lina-rogers-the-first-school-nurse

Hildegard E. Peplau (2012). Nursing Theories. Retrieved:


Johnson's behavior systems model. (2012). Nursing Theories. Retrieved:


Stein, Alice. P. (1999). America's Civil War. Retrieved:


Theory of Florence Nightingale. (2012). Nursing Theories. Retrieved:


Virginia Henderson theory of nursing (2012). Nursing Theories. Retrieved:

http://currentnursing.com/nursing_theory/Henderson.html… [read more]

Professionalism in Nursing Term Paper

Term Paper  |  2 pages (828 words)
Bibliography Sources: 0


Professionalism in Nursing Question Set

Describe an incident derived from your clinical experience which to you represents the ideal of professional values in nursing. Describe the characteristics and actions of the nurses involved. How has your idea of professionalism changed during the semester?

During my clinical experience I witnessed countless examples of nurses demonstrating their genuine commitment to professional values, but one incident was especially resonant considering the circumstances. The role of nurses in extending human dignity to patients suffering pain, uncertainty, and fear is well-established, but as nursing students struggling to study and keep pace, this capacity of our chosen profession can often be overlooked. I was reminded of the nurse's natural ability to resort human dignity to those in need towards the conclusion of a particularly grueling shift, when an elderly patient arrived in extreme distress after slipping in the shower. This patient was immediately tended to, examined for internal injuries, and provided with medication to relieve his pain, but their emotional state continued to fluctuate between confusion and anguish. A senior nurse, who had already worked an exhausting 10-hour shift, took the time to sit with this patient, asking him about his family and pets, and simply calming him down as best she could. My colleague spent almost two hours in the room with this man, making sure he understood his situation fully, and even waiting until his adult children arrived. This experience changed my conception of professionalism and values in nursing, because I learned that this job is more than simply a skill to be parlayed into a paycheck. I discovered that nursing is somewhat of a higher calling, and that in my career I would be presented with a number of opportunities to reaffirm a patient's sense of dignity.

DQ2: Review your discussion post #1 and 2. Evaluate your initial assessment by comparing your initial assessment of strengths and weaknesses to your actual clinical experience. Based on these experiences, relist your strengths and weaknesses and areas you excel in and need improvement. What do you think of your new list? How can you improve on your weaknesses?

Prior to gaining clinical experience in the field, I listed believed that my professional strengths included patience, compassion, good organizational skills, effective personal communication skills, having respect for patients and coworkers, and a desire to learn. My perceived professional weaknesses included my lack of experience in delegating, lack of confidence in communicating with MDs, and being a new graduate. I also stated…… [read more]

Nursing Family Nurse Practitioners: Improving Essay

Essay  |  5 pages (1,527 words)
Bibliography Sources: 5


In a diverse society, the role of family nurse practitioners is becoming increasingly salient. Language, culture, and gender are all issues that need to be taken into account when developing optimal care plans for patients and for communities.

Ideally, I would like to help promote community health by revealing ways access to healthy food and exercise opportunities impact individual health. Cultural factors such as roles of women in the society are often sensitive matters. Public forums on topics like gender, sexual orientation, and socio-economic status will help engage community members. Community members need to know how they can take responsibility for their own health, which is something a family nurse practitioner can help them do. The family nurse practitioner sees the big picture, promoting health within a global, multicultural context.


Gibson, C.L. (2013). Infusing cultural humility into nurse practitioner curriculum. NONPF 39th Annual Meeting. Retrieved online: https://nonpf.confex.com/nonpf/2013pa/webprogram/Paper6070.html

Linn, L.S. (1976). Patient acceptance of the family nurse practitioner. Medical Care 14(4): 357-364.

McDowell, H.M. (1984). Family nurse practitioner. International Nursing Review 31(6): 177-179.

Nyirati, C.M., Denham, S.A., Raffle, H. & Ware, L. (2012). Where is family in the family nurse practitioner program? Journal of Family Nursing 18(3): 378-408.

University of California, San Francisco (2013). MS Specialty area: Family nurse practitioner. Retrieved online: http://nursing.ucsf.edu/programs/specialties/family-nurse-practitioner-fnp… [read more]

Nursing Is a Science Research Paper

Research Paper  |  5 pages (1,355 words)
Style: APA  |  Bibliography Sources: 3


Wresting itself from a subservient role has required the introduction of evidence-based practice to the definition of nursing. During the course of their work, nurses like Nightingale began to develop the compendium of knowledge that is used in the delivery of care to patients. That compendium of knowledge has grown and deepened to the point where the profession of nursing is distinct from other sectors of public health. Nurses may be entrusted with roles such as coordinating emergency response in national disaster situations, or creating public health awareness and interventions. The functions of a nurse range from hospice care to caring for whole communities in need.

Cody & Kennedy (2006) propose an ontology of nursing that transcends its more practical definitions as an art and science devoted to care. As archaeology is the study of that which is ancient, nursing is the study of that which promotes health and wellness (Cody & Kennedy, 2006). Nursing is "an inherent process of well-being," meaning physical, mental, and spiritual well-being (Cody & Kennedy, 2006, p. 124). The physical dimension of nursing is the dimension most accessible and understandable. Mental aspects of nursing are manifest obviously in psychiatric care, but nurses in all areas of the profession provide psychological assistance to patients, families, and communities. McMahon, Pearson & Pearson (1998) note that nursing is a therapeutic activity that is distinct from medicine in its therapeutic role. Whereas medicine can be relegated to the task of providing a "cure" for something, nursing assumes the often more challenging role of providing "care," (McMahon, Pearson & Pearson, 1998). Thus, a nurse continues to provide care when a terminally ill patient is in hospice. A nurse may offer spiritual solace and support within or outside of an established religious perspective (O'Brien, 2011).

A systems perspective on nursing shows how the profession is defined by its relationships: relationships between nurses and each other; between nurses and other members of the health care team; between nurses and the community; and between nurses and patients. A relational perspective highlights the features that unite nurses in all their multiplicity of roles. Ultimately, the provision of caring and compassion occur within a strong ethical framework that looks toward the future even as it draws from the wisdom of the past. Although nursing is complex, multifaceted, and multidisciplinary, its ultimate focus on health care is indisputable. The nurse's role is distinct from that of the physician.

Defining nursing has become less challenging due to the evolution of the profession, to its establishment as a legitimate science, and to its multifaceted role in the provision of health care. As the health care system contends with issues like budgetary constraints, nursing's place in the system becomes more robust as many nurses serve in positions of power and administration. Leaders in their institutions and communities, nurses are entrusted with the role of anticipating dangers to personal or public health and preventing illness. Public policy analysis and political decisions related to public health fall within the province of… [read more]

Nurse Practice Specialties Research Paper

Research Paper  |  3 pages (1,049 words)
Bibliography Sources: 4


" (Beattle, 2010, p.1) Bednash went on to state that with the growing movement for reform of the healthcare system "we expect to see growth in the four advanced practice registered nurse (APRN) roles -- nurse practitioner, clinical nurse specialist, nurse anesthetists, and nurse midwife…" (Beattle, 2010, p.1) Beattle reports that PricewaterhouseCooper's list of top healthcare trends for 2010 states that new nursing opportunities will be influenced by factors that include: "the push to increase quality while cutting healthcare spending; the insurance market and payment reforms, greater adoption of health IT; and new, alternative care delivery models outside of physician's offices and hospitals." (Beattle, 2010, p.1)

The fourth article examined in this study is the work of Bickford and Lewis (2007) who report hat a great deal has changed "since nursing informatics (NI) became an established nursing specialty practice. The scope of practice statements and standards of practice have been revised at 5-year increments to reflect the changing expectations and evolution in nursing and informatics practice." (p.1) According to Bickford and Lewis "The Scope and Standards of Nursing Informatics Practice was published in 2001 and again served as a resource for the ANNC's NI Content Expert Panel responsible for oversight of the NI certification. The new definition of NI included communication, knowledge, decision-making, patients and other providers, information structures, information processes, and information technology. The standards of practice described a problem-solving framework, and the standards of professional performance included the new standard of communication." (2007, p.1) Nursing Informatics: Scope and Standards of Practice (2001) is reported to define nursing informatics as "a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice." (Bickford and Lewis, 2007, p.1) Nursing informatics is reported to provide support to patients, consumers and nurses as well as other providers in their decision-making "in all roles and settings." (Bickford and Lewis, 2007, p.1) Due to the increase in the complex nature of information and knowledge, new competencies are required for today's nursing professionals.

It is clear from the studies examined in this present review of studies that nursing practice specialty areas are undergoing change and growing expansively in today's healthcare education and provision environment. Not only are the roles of nursing professionals expanding rapidly but the curriculum of nursing education institutions are being drive by these rapid changes to the nursing practice specialties. The future opportunities of nursing professionals will continue to grow in the future according to all reports.


Beattle, L. (2010) Emerging Specialties, and Opportunities for Nurses. NurseZone. 11 Jun 2010. Retrieved from: http://www.nursezone.com/nursing-news-events/more-features.aspx?articleid=34360

Bickford, CJ and Lewis, D (2007) ANI Connection: The Specialty of Nursing Informatics. CIN Computers, Informatics, Nursing, Vol. 25, No. 6, Dec 2007. Retrieved from: http://www.nursingcenter.com/lnc/journalarticle?article_id=753408

Cruz, J. (2012) Whose Consensus Is It Anyway? All Nurses. 1 Sept 2012. Retrieved from: http://allnurses.com/nurse-practitioners-np/whose-consensus-anyway-779977.html

Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women's Health (2002) U.S. Department of Health and Human Services, Health Resources… [read more]

Nursing Across Theories Essay

Essay  |  5 pages (1,574 words)
Bibliography Sources: 5


Nursing plays a vital role in contemporary theories. The objectives of nursing in the theories are to assist the patient to achieve as much independence as possible to promote better health outcomes when the patient is living at home. Nursing is applied differently from one theory to another in the focus of the theory. Where one theory focuses on caring, one focuses on independence, and still, one focuses on self-care. In all the theories careful evaluation is needed to determine what the patient needs and any deficits that need to be addressed. After evaluation, the nurse can provide guidance, support, and teaching to assist the patient to develop their own self-care agency. Continued evaluation is important to determine changes as they arise and offer teaching and support to meet the needs that arise from the changes.


Nursing Theory and Theorists. (2008, June 19). Retrieved from Nursing Crib: http://nursingcrib.com/news-blog/nursing-theory-theorists/

Application of Orem's Self-Care Deficit theory. (2011, Oct 17). Retrieved from Nursing Theories: http://currentnursing.com/nursing_theory/self_care_deficit_theory.html

Virginia Henderson. (2011). Retrieved from Nursing Theory: http://nursing-theory.org/nursing-theorists/Virginia-Hendersoon.php

Baulita, T. (2010, July 17). Theory of the Nursing System. Retrieved from Self-Care Magazine: http://upoun207tfn.blogspot.com/#!/2010/04/theory-of-self-care.html

Britz, J. & . (2010). Self-care and quality of life among patients with heart failure. Journal of American Academy of Nurse Practitioners, vol 22, 480-487. Retrieved from Jouran.

Rosales, R. (2010, July 17). Theory of Self-Care by Orem. Retrieved from Self-Care Magazine: http://upoun207tfn.blogspot.com/#!/2010/07/theory-of-self-care.html

Vance, T. (2000). Caring and the Professional Practice of Nursing. Retrieved from RN Journal: http://www.rnjournal.com/journal_of_nursing/caring.htm… [read more]

Nursing Intro / Job Description Research Paper

Research Paper  |  5 pages (1,531 words)
Bibliography Sources: 5


In addition to providing patient care for individuals, I will be able to work towards improving public health and safety for all. I am thrilled to learn that the job outlook for endoscopy nursing is promising, within South Florida especially.


Advanced Endoscopy Fellowship, Florida (2012). Mao Clinic. Retrieved online: http://www.mayo.edu/msgme/residencies-fellowships/internal-medicine-and-subspecialties/advanced-endoscopy-fellowship-florida

"Endoscopy Jobs," (2012). CareerBuilder.com. Retrieved online: http://www.careerbuilder.com/JobSeeker/Jobs/JobResults.aspx?tally=Category+Navigator+Selected&APath=

Florida Gastroenterology Society (2012). Retrieved online: http://www.fl-gastrosociety.org/

Kaufman, C. (2011). Endoscopy registered nurse salary & career outlook. Schools.com. Retrieved online http://www.schools.com/news/endoscopy-registered-nurse-salary-career-outlook.html

Keefe, S. (n.d.). Training for endoscopy nursing. Retrieved online: http://www.ehow.com/way_5535234_training-endoscopy-nursing.html

Society of Gastroenterology Nurses and Associates (SGNA). Website retrieved at: http://www.sgna.org/… [read more]

Interview With an Advanced Practice A-Level Coursework

A-Level Coursework  |  3 pages (1,326 words)
Bibliography Sources: 3


(6) Better-informed consumers are more likely to be aware of malpractice issues and to recognize insufficient or inappropriate care.

(7) Expanded legal definitions of liability have held all professionals to higher standards of accountability. For example, because of the expanded scope of practice of advanced practice nurses, courts have held them to a medical standard of care. (Croke, 2003, p.1) Reported as the nursing negligence issues that were the reasons for settlements or verdicts in favor of patients were those stated as follows:

(1) failure to communicate adequate information to the physician;

(2) inadequate patient assessment,

(3) nursing interventions, or nursing care;

(4) medication errors;

(5) inadequate infection control; and (6) unsafe or improper use of equipment. (Croke, 2003, p.1)

A study involving 250 cases that were analyzed show findings the following types of negligence to be the most frequently reported cases.

Figure 1

Source: Croke (2003)

As shown in the figure above "the greatest frequency of reported cases of negligence occurred" in the following settings:

(1) acute care hospitals (60%).

(2) The rest occurred in long-term care facilities (nursing homes and rehabilitation and transitional care units) (18%);

(3) psychiatric facilities (8%);

(4) home health agencies (2%);

(5) independent practice care settings of physicians (2%); and (6) advanced practice nurses, which include nurse practitioners, nurse midwives, and nurse anesthetists (9%). (Croke, 2003, p.1)

In the case of Hall v. Arthur (1998), it is reported that the United States Court of Appeals for the Eighth Circuit upheld a trial court's decision, which held a hospital liable because of a nurse's breach of a standard of care in an anterior cervical diskectomy and fusion (ACF)." (Croke, 2003, p.1) The plaintiff's argument emphasized the use of "…Orthoblock, a ceramic substance used to replace bone in maxillofacial surgery, which was implanted in the patient's spine. (The usual procedure in such surgery would be to obtain bone from a bone bank or harvest it from the patient's hip.) After four months of back difficulties, the patient, Mr. Hall, required a second ACF to remove the Orthoblock and have his own bone implanted." (Croke, 2003, p.1) The policy of the hospital made a requirement that "any 'unusual requests' for the use of a product undergo review by department managers to assess the product's appropriateness. 2 The nurse failed to seek such a review and ordered the Orthoblock for use in the patient's ACF. The package insert for the product, presented as evidence at trial, indicated that Orthoblock was specifically contraindicated for use in spinal procedures. The plaintiff's attorney argued that the nurse's failure to follow hospital policy contributed to Mr. Hall's injury." (Croke, 2003, p.1) When the case was appealed the hospital is reported to have failed to "dispute the jury's findings of negligence, but asserted that the plaintiff produced insufficient evidence from which a juror (or "reasonable fact finder") or judge could conclude that the nurse's negligence contributed to Mr. Hall's injury. The appellate court disagreed, stating: "[W]hile we cannot say with certainty that Mr.… [read more]

Nursing Education Article

Article  |  10 pages (2,915 words)
Bibliography Sources: 1+


Unfortunately for the patient, there is a need to have someone immediately available who has "the ability to collect, interpret, analyze, synthesize, and evaluate data" (Maneval, Filburn, Deringer, & Lum, 2011). Critical thinking is important in nursing primarily because the nurse is the healthcare worker tasked with direct care of the patient (Simpson, 2002, 23). The need to make decisions… [read more]

Nursing Future in 2021 Term Paper

Term Paper  |  2 pages (576 words)
Bibliography Sources: 1


Generally, the nurse practitioner is more available than a doctor, so when immediate decisions are needed the practitioner can make them. Of course, the level of care provided by a neonatal nurse practitioner varies from hospital to hospital, but these individuals are receiving more recognition as the field progresses.

The education required begins when the registered nurse chooses an area of the hospital in which they want to work. Most neonatal nursing practitioner programs require that the nurse entering the program has a minimum (usually two to three years) experience in a neonatal setting prior to beginning the program. Program length and requirements vary, but the candidate can expect two to three years of training after which the nurse may have to pass nurse practitioner boards. As with any other nursing field, the neonatal nurse practitioner will be required to maintain a certain number of continuing education hours every year to maintain a license. The reason for this is that the field changes and the nurse must stay abreast of those changes. It would also be wise for the nurse to join local and national neonatal nursing organizations for support and professional enrichment.

The nursing landscape is changing as the profession, in general, is viewed with increased respect. Nurses have long been the primary caregivers, while doctors ensure that the clinical needs of patients are fulfilled. Practical nursing blurs the lines between the two, and it is a needed distinction. The nursing model is based more on direct patient care and needs to have a greater voice in decisions that are made for patients.


Ellis-Christensen, T. (2011). What is a neonatal nurse practitioner? Retrieved from http://www.wisegeek.com/what-is-a-neonatal-nurse-practitioner.htm… [read more]

Nursing Roles and Responsibilities Research Paper

Research Paper  |  3 pages (930 words)
Bibliography Sources: 3


It should also assist in making the client do better decision making.

"In cases where the client is unfit or unable to make decisions regarding themselves then the nurse should act as a manager" (Joel, 2002), the main purpose here is to make right decisions, allocate resources properly, coordinate activities and evaluate the overall care provided. This can be done by planning all the activities in advance then giving directions, developing staff if necessary, monitoring all the operations and giving rewards to those who deserve it in a fair and justified manner so that everyone involved feels satisfied.

Here we can see that nursing can help the practitioner learn many things besides the medical terminologies, therefore it has a great scope of learning for any person and that is one of the reasons why we have chosen to write this article.

Let's focus on training of nurses, besides the above mentioned responsibilities there are other tasks which should also be a part of any nurse's training. This includes being able to become a researcher, here it should learn how to participate in any scientific investigation as well as having awareness of research processes, the aim here is to learn the overall language of research and responsibilities towards sensitive issues which involve protecting the rights of others.

Other roles for nurses include being a clinical specialist, this job is for those nursing professionals who have earned a master's degree in their respective field and have considerable clinical expertise related to their specialty. Midwife is a special training program for nurses regarding midwifery, this includes prenatal as well as postnatal care and the practitioners of this program can also deliver babies of women who deal with uncomplicated pregnancies. Nurses can also be trained to become anesthetist, here the nurses complete their courses at an anesthesia school which also trains in carrying out any sort of pre-operative status regarding the clients.

Let's have a look at few training programs which are considered to be away from mainstream nursing practices but in today's age are gaining rapid momentum as more and more nurses choose them in their training. This include being nurse entrepreneur, here nurses go for an advanced degree which allows them to manage any health related business. The nurse administrator training program is also gaining popularity in recent time, here the nurses operate at various different levels of management in any health setting, here the administrator's role is to manage and administer the overall resources as well as available personnel which are involved in providing patient care thus this job demands immense knowledge and experience regarding the field.


Johnstone, J. (1999). Bioethics: A nursing perspective. Sydney: Harcourt Saunders.

Whitehead, E. (2003). Thinking Nursing. Maidenhead: Open University Press.

Joel, L. (2002).…… [read more]

Nursing Definitions Autonomy Term Paper

Term Paper  |  10 pages (3,242 words)
Bibliography Sources: 10


Nursing negligence claims have been increasing for several years and there is no sign of a slowdown on the horizon. Because of health insurance limitations more responsibilities are being delegated to assistants who do not have proper training and patients are being discharged earlier than before without proper referrals. There is also a nursing shortage in the country which contributes… [read more]

Nurse the Nursing Career Differs Essay

Essay  |  2 pages (693 words)
Bibliography Sources: 3


They should also have satisfactory knowledge so they can convey advice, give proper health treatments, and provide patients' families with mental support (Bureau of Labor Statistics). Additionally, nurses should possess proper training when it comes to administering the treatment to patients and aiding them in their rehabilitation processes (Bureau of Labor Statistics). Perhaps one of the most important roles that nurses should play is the role of advocate for patient care; as a patient advocate, the nurses are solely the speakers when it comes to the patient's health, and thus they aid in the patient's overall care.

Patient care in and of itself is a full-time job, because nurses are advocates of these patients. As the American Nurses Association has stated, nurses focus in the "advocacy in the care of individuals," and nurses "alleviate suffering" through the use of "human responses." The communication between the patient condition and the nurse's response is an important aspect to patient healthcare (Thoroddsen). In that respect, one feels that becoming immersed as a full-time nurse would further one's goals when it comes to patient advocacy and patient treatment. It is this interaction with the patients, the patient's family, and the patient's community that sets the nursing career apart as a healthcare field from the medical field. And it is in healthcare that one's interests generally lie.


American Nurses Association. Nursing: Scope and Standards of Practice, p. 7. 2004.

American Nurses Association. Nursing's Social Policy Statement. Second Ed, p. 6. 2003.

Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Registered Nurses. Web. Retrieved on May 28, 2011. .

Glicksman, Allen, Joan Klein and Irene Warner Maron. Caregiver Nursing Protocol: Integrating Nursing Intervention With Social Work Services. Philadelphia Corporation for Aging. 2005. Web. 28 May 2011. .

Thoroddsen, Asta, Margareta Ehnfors, and Anna Ehrenberg. "Nursing Specialty Knowledge as Expressed by Standardized Nursing Languages." International Journal of Nursing Terminologies & Classifications 21.2 (2010): 69-79. Academic Search Premier. EBSCO. Web. 28 May 2011.… [read more]

Nurse Anesthetist Anesthesiologists Are Charged Research Paper

Research Paper  |  6 pages (1,826 words)
Bibliography Sources: 6


The discrepancy prompted The California Society of Anesthesiologists and California Medical Association to file a lawsuit, in February 2010, calling for a withdrawal of the Governor's opt-out petition. On October 8, 2010, however, the San Francisco Superior Court ruled in favor of the California Association of Nurse Anesthetists and Governor Arnold Schwarzenegger in support of California's right to opt-out of the federal requirement. CRNA training enables nurses to work with or without the supervision of a physician in order to protect patient care and safety. Statistically, 65% of all CRNA's continue to work in collaboration with physician supervisors in what is called an "Anesthesia Care Team."

Nurse anesthetists have come a long way since the day that Catherine Lawrence was trying to ease the pain of soldiers in the field. According to the American association of Nurse Anesthetists, CRNA's administer anesthesia to nearly 32 million patients annually throughout the United States in both private and public healthcare venues. They practice their nursing skills in large medical facilities to small community hospitals. They are available at pain clinics or dentist offices, have a respected place in the military and at Veteran hospitals and clinics, and in public health facilities. The pioneering women like Sister Mary Bernard, Alice Magraw, Agnes McGee, and Agatha Hodgins would be astonished at the advancement of technology, surgical practices, and medical achievements that the world has come to know as "normal" due to their heroic efforts and insights.

Works Cited

American Association of Nurse Anesthetists (2007). AANA History: Hand in Hand with Nurse Anesthesia. Retrieved May 26, 2007

Bankert M. (1989). Watchful Care: A History of America's Nurse Anesthetists. New York, NY: Continuum; p. 41

Gaffey, V. (April 1, 2007). Agatha Cobourg Hodgins: She Only Counted Shining Hours . AANA Journal, 75(2), 97-100.

History of Nurse Anesthesia Practice . (2010, May). American Association of Nurse Anesthetists,

Magraw, A (1906), A Review…… [read more]

Advanced Nurse Practitioner Essay

Essay  |  4 pages (1,420 words)
Bibliography Sources: 2


One widely accepted model for skill acquisition in Advanced Nursing Practice is the Skill Acquisition model, created by two brothers, Dreyfus and Dreyfus. This model helps illustrate how nursing students of all levels acquire the skills they need to keep pushing towards their goals within healthcare. There is first the Novice level, where skills are acquired primarily through mimicking the… [read more]

Practice Registered Nurse Essay

Essay  |  2 pages (882 words)
Bibliography Sources: 2


As such, they work collaboratively with entire family units to solve the health problems of multiple members of a family.

All APRNs have to abide by the National Organization of Nurse Practitioner Faculty (NONPF) competencies. There are a series of competencies that relate to scientific foundation, including methods for collecting and analyzing clinical and other medical data. Additionally, there are leadership competencies, which demands APRNs to assume "complex and advanced leadership roles to initiate and guide change," (National Organization of Nurse Practitioner Faculty, 2013). Quality competences are used to help improve overall quality of medical care and clinical practice. Practice Inquiry Competencies helps catapult the role of the APRN in new specialty areas within medicine. Technology and information literacy competencies ensure that APRNs are up-to-date with their knowledge of innovative technologies used in the field. Policy competencies require that APRNs are familiar with all policy guidelines, both federal and local. Health Delivery System Competencies requires APRNs to improve delivery of healthcare strategies while minimizing risks for patients. Ethics competencies demands APRNs use appropriate ethics in their decision making. Finally, independent practice competencies allow APRNs to function "as a licensed independent practitioner," which can work in collaboration or independently of physicians (National Organization of Nurse Practitioner Faculty, 2012). Hamric describes similar core competencies using patient models as a way to provide APRNs with guidance as to how to apply these core competencies to actual patient situations. There are unique state and local factors for practice on top of national expectations. For example, the State of Louisiana has specific requirements for APRNs that are unique from other states. In this state, APRNs can work with patients I regards to their psycho-social health as well as their physical health. This means their role can be expanded to work in mental health contexts as well (Louisiana State Board of Nursing, 2010). They can also opt to serve on the Board of Nursing in the State of Louisiana.


APRN Joint Dialogue Group Report. (2008). Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education. National Council of State Boards of Nursing APRN Advisory Committee. Web. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf

The National Organization of Nurse Practitioner Faculties. (2012). Nurse Practitioner Core Competencies. Web. http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pdf

Louisiana State Board of Nursing. (2010). Law Governing the Practice of Nursing. Web. http://www.lsbn.state.la.us/Portals/1/Documents/rules/npafull.pdf

University of California San Francisco. (2013). MS Specialty Area: Family Nurse Practitioner (FNP). School of Nursing. Web. http://nursing.ucsf.edu/programs/specialties/family-nurse-practitioner-fnp… [read more]

Standards of Nursing Practice Term Paper

Term Paper  |  5 pages (1,650 words)
Style: APA  |  Bibliography Sources: 5


This would be considered a principle-based ethics theory.

These philosophies and theories of values and ethics help define the values that nursing professionals should strive to perfect. Treating patients as individuals with the right to determine their own fate is an ethical principle that is put into practice with each patient, at least ideally. I may not always be completely successful in achieving this goal, but when I remind myself of this principle my relationship with the patient almost always improves. Thinking of this principle reminds me that nurses are here to service the health care needs of patients, not the other way around.


The values and ethics expected of professional nurses in modern health care have been codified in state laws and have been well defined by professional nursing organizations. This represents the culmination efforts by nursing and other health care professionals. However, this work is far from over and nurses can still make significant contributions to the profession and health care policy by being engaged in research, education, policymaking, and professional organizations.


ANA (American Nurses Association). (2011). Code of Ethics. American Nurses Association. Retrieved 11 Oct. 2013 from http://www.nursingworld.org/Mobile/Code-of-Ethics.

Fowler, Martha D.M. (ed.) (2008). Guide to the Code of Ethics for Nurses: Interpretation and Application [2010 Reissue]. Silver Spring, MD: American Nurses Association.

Hennessy, Jane. (2009). Pediatric Hematology Nursing: Scope and Standards of Practice. Association of Pediatric Hematology/Oncology Nurses (APHON). Retrieved 11 Oct. 2013 from www.aphon.org/members/documents/Hematology%20scope%20and%20Standards.pdf.

Kurtz, Pat and Burr, Ronald L. (2009). Chapter 11: Ethics and Health. In K.S. Lundy and S. Janes Community Health Nursing, 2nd Edition. Sudbury, MA: Jones and Bartlett Publishers.

Ohio Board of Nursing. (2013). Law and rules. Ohio Board of Nursing. Retrieved 11 Oct. 2013 from http://www.nursing.ohio.gov/Law_and_Rule.htm.

Ohio Board of Nursing. (2011). Scopes of practice: Registered Nurse and Licensed Practical Nurse. Ohio Board of Nursing. Retrieved 11 Oct. 2013 from http://www.nursing.ohio.gov/PDFS/Practice/RN_and_LPN_Scope_of_Practice.pdf.

ONCC (Oncology Nursing Certification Corporation). (2012). Oncology Nursing Certification Test Bulletin. Oncology Nursing Certification Corporation. Retrieved 11 Oct. 2013 from www.oncc.org/media/oncc/docs/getcertified/TestBulletin_2012.pdf.… [read more]

Nurse as Patient Advocate Persons Term Paper

Term Paper  |  4 pages (1,483 words)
Bibliography Sources: 1+


Mary Brophy (2001) discusses the role of nurse advocacy in the neonatal unit. The doctors and nurses are acting in the best interest of the infant. However, they also must not forget the infant also has a family who also has an opinion as to what is best for the infant. This can get into a struggle as to who… [read more]

Nursing Specialties Although Nurse Anesthetists Term Paper

Term Paper  |  1 pages (427 words)
Bibliography Sources: 0


According to Allied Consulting, these professionals can even earn more than some physicians or about $180,000. Shortages are greatest in U.S. locations with large populations of seniors and aging patients and in those states having more stringent laws for CRNAs. In some places, for example, they cannot perform specific duties without an anesthesiologist being present. Some states such as Florida want to license anesthesiologist assistants (AAs) to do some of the CRNAs' tasks due to the employment shortage. Many of the CRNAs are naturally against such legislature and may consider leaving the state if the law passes.

CRNAs make high salaries because they have a number of major challenges. "A person needs a shift in mindset when moving from a staff nurse position upward to this advanced, autonomous role," says a CRNA from Mt. Sinai Hospital in Miami Beach. "Nurses frequently rely on a doctor to give orders and assume ultimate responsibility. As a nurse anesthetist, I write orders for other people to implement and determine that an intervention is necessary. When something goes wrong, it's a matter of life or death." Another CRNA challenge is explaining the risks of anesthesia. Although the practice is almost 50 times safer today than 20 years ago, there are still some risks that the…… [read more]

Clinical Nursing Professionals Require Self Term Paper

Term Paper  |  3 pages (798 words)
Bibliography Sources: 1


They share their personal experiences and expect to share their beliefs as well. Thus the holistic nature of the field of nursing has put tremendous pressure on the nursing professionals.

Patricia Benner in this regard has very eloquently outlined the importance and the nature of nursing care. In her book she illustrates that a novice nurse begins with learning and learning develops when the theoretical framework is put to practice. Skills, practical abilities as well as dexterity all counts when a nurse is engaged in performing the clinical duties. Yet success however does not come in application only but rather on how the nurse utilizes external knowledge from the surrounding to polish their skills. Senior nurses for example are required to demonstrate competencies in the areas of organization, coordination, team arrangements as well as monitoring the process of care. They may take a leadership role and thereby give support to the health care institutions. To even further, their careers these nurses can even become specialized in certain clinical areas through advance studies and research. The concept of holistic nursing for example has become an extension of the nursing field as a result of intuitive nursing knowledge and skill development. From a personal experience, I feel that excellence in nursing has not been achieved as there are still more areas to explore especially in clinical practices that are outside the organization such as home care delivery, managed care etc. As a nurse at a rehabilitation clinic I personally have experienced that patient care is more effective at patients' own home as they are more relaxed, psychologically at peace and are not forced to be vigilant of the medical practitioners who are treating them. The role of the nurse is enhanced because s/he would be acting as the friend, mentor and medical assistant by making appropriate and knowledgeable decisions for them. Thus excellence in nursing practice still has a long way to go and practitioners can be expected to explore, exploit and specialize in their field.


Benner, PE (1984). From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Menlo Park, Calif: Addison Wesley…… [read more]

History of Modern American Nursing Term Paper

Term Paper  |  2 pages (568 words)
Bibliography Sources: 1+


Ultimately, once upper class females gravitated to the nursing profession, pioneers in the United States followed the example of Florence Nightengale, who managed to help reform British military hospitals by appealing to friends in high places in government. Consequently, nursing began to take shape as a bona-fide skilled occupation in spite of, rather than because of the attitudes and sentiments of American physicians of the late nineteenth century (Starr, 1984).

The Modern Nursing Profession:

Barely a century since women were still completely excluded from the medical profession altogether, nursing has grown into an essential component of modern medicine. Today it is inconceivable to imagine either a modern hospital or even the private medical practitioner's functioning without nurses performing the myriad necessary and vital functions at which they excel by virtue of their advanced training.

Nursing education now requires a four-year undergraduate degree as well as specialized training and practical experience in specific areas of medicine. By the end of the twentieth century, Registered Nurses earned the additional option of continuing their training to become Nurse Practitioners, who routinely perform many tasks of primary care medicine, formerly limited to Medical Doctors. As modern medicine continues to be shaped by the economics of HMO's, the nursing profession is poised to assume a larger and larger role in the modern practice of medicine.


Caplan, A.L., Engelhardt, H.T., McCartney, J.J. Eds. (1981) Concepts of Health and Disease: Interdisciplinary Perspectives.

Reading, MA: Addison-Wesley

Starr, P. (1984) The Social Transformation of American Medicine.

New York: Basic Books

Wertz, R.W., Wertz, D.C. (1979) Lying-In: A History of Childbirth…… [read more]

Nursing and Scholarship Will Two-Hour Essay

Essay  |  3 pages (1,199 words)
Style: APA  |  Bibliography Sources: 5


Knowing and knowledge are two concepts central to this -- knowing is the manner in which we perceive ourselves and the world around us, knowledge is the expression of what we know that may be communicated to others. It is also important to combine a moral and ethical perspective of this knowledge so that nursing can effectively combine cultural and social values with the responsibility of patient care and advocacy. This is done through a variety of combinations -- theoretical in some ways, tactical in others (Chin & Kramer, 2013).

Therein lies the overall new paradigm -- a modern nurse leader cannot be just one thing. We have moved from the bottom of a learning period in which facts were king, and realized that to be an effective nurse, we must combine a series of ways of knowing into a more holistic model of the patient and universe (Boyer, 1992). We now realize that individuals do not exist in a vacuum, but instead, are unique and hold individual experiences and feelings that directly interact with their health. We must use moral and ethical judgment, particularly when technology and science may be able to "do something," but potentially should not just because we can. Combining clinical theory as groundwork, then adding permission to use personal feelings with ethical and moral behavior as well as an understanding that sometimes situations call for more than clinical knowledge is emancipatory -- but as one saying notes: "With great power comes great responsibility."

My DNP project on Two-Hour Turning will contribute to nursing scholarship in a number of different ways. For instance: when looking at the four aspects of knowledge that are germane to nursing, we find:


DNP Project



The DNP Project will provide new data on a specific population.

There are studies of rounding, but many used small sample sizes and shorter time frames.


The DNP Project will provide a creative way to teach students about new techniques that are patient specific.

Using rounding is a nursing protocol that is easily placed in a curriculum for new nurses or as a training program.


The DNP Project does allow for a way to solve a specific problem.

There are thousands of patients in nursing homes across the United States. Contributing to knowledge about the issue will alleviate pain and suffering for many individuals.


The DNP Project will allow for integration in cross-disciplinary fields such as social work, public health, physiology, wound care, and proactive health prevention techniques.

The issue of chronic pressure ulcers has a medical, financial, ethical and even sociological paradigm. The DNP study allows us to broach those disciplines effectively.

(AACN, 2013; Glassick, 2000).


Alligood, M. And A. Tomey. (2002). Nursing Theory: Utilization and Application.

St. Louis, MO: Elsevier Mosby.

American Association of Colleges of Nursing. (2013). Defining Scholarship for the Discipline of Nursing. Retrieved from: http://www.aacn.nche.edu/publications/position/defining-scholarship

Bonis, S. (2009). Knowing in Nursing: A Concept Analysis. Journal of Advanced Nursing, 65(6), 1328-41. doi:10.1111/j.1365-2648

Boyer, E.L. (1992).… [read more]

Ethics Nursing Choose a Potential Ethical Dilemma Term Paper

Term Paper  |  2 pages (698 words)
Bibliography Sources: 3


Ethics Nursing

Choose a potential ethical dilemma that you may face in your chosen advanced role as Family Nurse Practitioner. Describe the situation and potential solutions, including collaboration methods.

The ethical dilemma I would like to discuss in relation to my role as Family Nurse Practitioner is that of same-sex partner visitation rights. Family nurse practitioners will encounter a diversity of families during the course of their career. The specific situation I would like to discuss involve a conflict between the Family Nurse Practitioner who is in a position of leadership, and the hospital administration. In this case, the hospital administration expressly forbids anyone but legal kin to be visitors of patients. State law does not yet allow for same sex marriage. Because of this, the administration is reluctant to change their visitation policies. My perspective is that the legality of same-sex marriage does not have a bearing on hospital policy regarding visitation rights. If a committed partner wishes to visit a sick relative in hospital, it is ethically imperative on our part to permit the visitation.

The potential solutions to this problem include the following. First, depending on my role in the hospital, I may call a meeting with the hospital administrator. This meeting would allow me to voice my concerns for the well-being of the patient and his or her family members. If I was a junior member of the team, I would alternatively speak with my supervisor on the matter of allowing the same-sex couples visitation rights. Therefore, communication is one of the solutions. A second solution, if all else fails, is to figure out a way to facilitate communication between patient and partner within the restrictive rules of the hospital. For example, we could use technologies like Skype to allow for video calls. While less than ideal, it is a collaborative solution that would not require the administration to change its policies. Ideally, the solution would be to change the hospital administration policy to allow same sex couple visitation rights because it is the ethical thing to do.

Provide the potential cost and benefits to…… [read more]

What a Nurse Practitioner Does in the Medical Field Research Paper

Research Paper  |  2 pages (413 words)
Bibliography Sources: 3


I will conduct physical exams, interpret medical history, and order and perform "…diagnostic tests and procedures" and also "prescribe physical therapy and rehabilitation" when it's needed (Nursing Online UC Cincinnati). It is exciting to project to the future and know that with the MS and the training, I will be "…performing minor surgeries and procedures," and offering "counseling and education to patients" when it comes to "preventative measures" to avoid illnesses (Nursing Online / UC Cincinnati).

The American Association of Nurse Practitioners explains that NPs are "…quickly becoming the health partner of choice for millions of Americans," and that NPs are bringing a "comprehensive perspective to healthcare." I want to be -- and plan to be -- part of the community of nurse practitioners working with families and older people.

Works Cited

American Association of Nurse Practitioners. (2013). Family Nurse Practitioner. Retrieved September 15, 2014, from http://www.aanp.org.

Money / U.S. News and World Report. (2011). Nurse Practitioner. Retrieved September 15,

2014, from http://money.usnews.com.

University of Cincinnati. (2010). Family Nurse Practitioner. Online Nursing Degree at the University of Cincinnati. Retrieved September 15, 2014, from…… [read more]

Theory Related to Nursing Research Paper

Research Paper  |  6 pages (2,135 words)
Bibliography Sources: 1+


We further see how the doctor, after Will's surgery very causally starts to inform the family of the complications during the surgery and only later on tells them that he is doing fine (Silverman, 2012).

Borderline case

Sir William Osler (1849-1919) was known for his compassion in treating his patient. Once a young boy was seriously sick and had whooping cough. He wasn't able to eat anything at least this was the case until one day Osler came to examine the child in his magnificent robes and the boy was so captivated by his appearance that when Osler sat with him and talked to him and started to feed him a peach the boy was able to eat the fruit. Osler kept on returning to the boy and fed him and within the next few days the boy was on his way back to health. Therefore, Osler made use of compassion to treat a dying kid and succeeded (Dossey, 2011).

Related Case

Humor is also used by some doctors in order to raise the spirit of their patients without ignoring the seriousness of the situation. For instance, once a patient didn't feel like he could drink 2 liters of barium sulphite in order to prepare for a CT scan. Following method was used by the doctor to encourage the patient

Doctor: Why don't u just drink a cup and throw the rest in the toilet at least this is what I tell the patients when I am not being recorded and let's face it this is kind of what you are supposed to do.

Patient (laughing): Thank you for that I feel much better able to go for the test now (Nauert, 2013).

Empirical Referents

Bedside manner has been described in a number of ways and one of these is Compassion. All these studies have the examples mentioned in them where application of compassion has been shown. There are inconsistent claims and descriptions of compassionate care in the policy documents and reports. It is further said that the provider should also receive bedside manner in order to give it. This can prove to be very challenging especially in the light of all the other pressures that are there in the social and health sector (Gilbert, 2010).


In case of the literature and nursing research minimal attention has been given to the idea of APN bedside manner. In most of the publications regarding the behavior of providers they have discussed the physicians when it is very important to discuss APN and their behavior and interaction with the patients as well. It is very important to take the providers' behavior seriously as it has clearly been seen through the researches that it greatly impacts the health, treatment output and the general satisfaction of the patients (Finch, 2008).


Bedside manner (n.d.). The American Heritage® Stedman's Medical Dictionary. Retrieved from Dictionary.com website: http://dictionary.reference.com/browse/bedside-manner

Finch, L. (2008). Bedside Manner: Concept Analysis and Impact on Advanced Nursing Practice. The Internet Journal of Advanced Nursing… [read more]

Ethical Analysis: Nursing Situation Research Paper

Research Paper  |  5 pages (1,813 words)
Bibliography Sources: 3


D: Current law / regulation at use

The Nurse Practice Act touches on this ethical situation where nurses have to promote patient's autonomy at all times.

E: Ethical Theory plus Resolution

In his approach to virtue ethics, Aristotle identified courage, truthfulness, and autonomy as some of the aspects defining one's professional character. In the quest to resolve this ethical dilemma, the nurse in question should desire to empower the patient buy providing all the required information relating to the ailment. This will foster autonomy because the patient will be able to make an informed decision without feeling short-changed. Medical and nursing education should include joint discussion sessions to addressing treatment and ethical issues (Peirce & Smith, 2013). The curricula should be designed to avail more information on the processes and principles considered in the provision of most complementary patient care contributions.

F: The outcome is supported by the ANA Code

The ANA Act considers the nurse as the essential element of resource management (Fry, Veatch & Taylor, 2010). The professionals give the patients relevant information regarding their condition, treatment, and ways of coping.

G: How the proposed resolution promotes ethical justice

New medical frameworks allow nurses to adopt more responsibilities in planning and identifying strategies to reduce or resolve illness-related problems (Butts & Rich, 2013). The success of such schemes requires freedom in the acquisition of information related to the patients' welfare. The concept fosters new ways of addressing problems and selecting health care priorities together with the patient and other stakeholders.


Butts, J., B. Rich, K., (2013). Nursing Ethics: Across the Curriculum and Into Practice. New York: Jones & Bartlett Publishers

Fry, S., T. Veatch, R.M. Taylor, C., (2010) Case Studies in Nursing Ethics. New York: Jones & Bartlett Publishers

Peirce, A.G., & Smith, J.A. (2013). Ethical and Legal Issues…… [read more]

Images of Nursing 1897 Pablo Essay

Essay  |  2 pages (637 words)
Bibliography Sources: 1


Both works are in the style of portraiture, but in different modes. "Florence" is depicting an historical event -- one that would provide positive propaganda once revealed. "Science," on the other hand, is a young man's experiment using an older format (Picasso's father and teacher was the model for the doctor) that was cynical enough to transfer the power from the doctor to the nurse based on Picasso's likely impressions of the way caregivers were seen by society.

Both paintings overflow with the emotions of calmness, duty, and quiet authority, and both have a semblance of religious symbolism that transcends their format. In "Science," even the nurse/nun is being practical and multitasking, we know there is religion at work because of her costume. There is likely an icon of some type above the bed, but the pallor and demeanor of the patient make it quite clear that this is a deathbed. Yet, in "Florence," there is almost a prayerful reverence at the center of the painting -- the tending of the wounded becomes almost a religious offering.

The sense of calm authority in both paintings is also an interesting comparison. In "Science," the nurse is clearly the most active of all the characters, and appears to be in charge -- she is active -- movement implied. In "Florence," we can see Nightingale as calm, never stern, but also "holding court" -- an almost Victorian pose that has the rest of the groups watching her in amazement.

Both works contribute to the idea of the nurse as the calm caregiver, the background solidness of kindness and unconditional service, but still the strength of inner character and a reverence for the miracle that surpasses medicine -- faith in the healing power of the nurse.


Pablo Picasso Biography, Cited in: Biography.com;


Smith, Francis. (1982). Florence Nightingale. St. Martin's Press.… [read more]

Nursing, the Field Itself Is Integrated Essay

Essay  |  3 pages (1,017 words)
Bibliography Sources: 0


¶ … Nursing, the field itself is integrated to the medical profession where it is commonly observed that the practitioners of this field help ill or sick personal usually under the guidance of a senior authority such as a professional medical doctor, nurses also perform many health awareness programs towards different societies. Here we will reply at some of the questions regarding research in this field.

Research on Nursing

The first question which will be addressed here is regarding the role of nurses in contributing towards nursing research. The overall research is a very crucial element for the evolution of the nursing field, the research produces data from nursing practices which assists in identifying the role of nurses. These researches also make the nurses do more informed and orderly precise decisions because every part of nursing is cleared and well learned through research, also one of the reasons is that the involvement of nurses in research reduces or completely avoids the expensive trial-an-error process as well as the not-so-safe interventions.

The involvement of nurses in research allows them to get an idea of many previously unknown nursing situations as well as to judge the requirement for intervention. It also assesses the favorable outcomes of decisions taken, gives advice for the betterment of patient and starts activities to boost the right behavior towards the patient.

Second question is on how nurses undertake research findings in considering their application to practice, the answer to that is that each finding adds to the overall practice and experience of the nurse which is also something that can bring efficiency to the field. As the field itself evolves, it must consider new and more effective ways to deal with practices that are according to new type of drugs and treatments available therefore this process is a must.

Third question is on how nurses maintain accurate documentation which can be used in nursing research. A nursing job also requires the nurses to deal with appropriate documentation which starts from the beginning from the early phase of routinely clinical rotation, nurses are supposed to not just look after their patients or other patients when needed but to properly and regularly document on the services which are provided by them.

There are many such textbooks written which properly gives reference to the documentation required in the nursing field at clinical level. The ability of a nurse to carry out appropriate and precise documentation serves many different and wide range of purposes such as it helps in keeping a thorough and continuous process of care. The arrival of every new shift of nurses requires them to have proper accountability of their patients, in this process the documentation also assists in looking after the situation in which legal options are used for many different cases.

The classes in a nursing school always remind them of the extreme need to follow a standard and appropriate documentation procedure. The nursing job is heavily dependent on communication skills; the method of properly documenting… [read more]

Nursing Nurses' Risk for Occupational Exposure Research Paper

Research Paper  |  3 pages (1,018 words)
Bibliography Sources: 3



Nurses' risk for occupational exposure to bloodborne pathogens

It is imperative that nurses and other healthcare workers follow safety protocol in order to protect themselves from infection by bloodborne pathogens such as HIV and hepatitis B or C. Since 1991, the Occupational Safety and Health Administration of the U.S. Department of Labor (OSHA), has published formal requirements for "annual bloodborne pathogen training" (OSHA, 2011). On state and local levels, these requirements need to be taken seriously in order to prevent the spread of HIV or hepatitis from patients to nurses.

Studies indicate that the risk of HIV infection for nurses is low, possibly only 1 in 200 incidents, "even after mucous membrane exposure or parenteral inoculation of infected blood, fluids, or secretions" (Allen, 1988). Yet one case of infection with the virus that causes AIDS is too many for a fatal disease that still has no cure. The fact remains that: "By December 2002, occupational exposure to HIV had resulted in 57 documented cases of positive HIV tests among healthcare personnel in the United States" (OSHA, 2011). As a result, the Centers for Disease Control (CDC) recommends a month-long plan for postexposure prophylaxis (OSHA, 2011).

As for hepatitis B, a virus that weakens the liver and can also lead to death, the risk of infection among nurses is higher (Allen, 1988). This is probably due to the ability of the HBV virus to survive outside the body (even in dried blood) for "up to 7 days" (OSHA, 2011), unlike HIV, which is very weak outside the body. As opposed to the .5% risk of contracting HIV, health care workers are at a 6 to 30% risk of contracting hepatitis B (HBV) "after parenteral exposure to the blood of HBV patients" (Allen, 1988). Fortunately, there is a vaccine available that is effective against HBV. Hepatitis C also damages the liver but is more dangerous than HBV because 80% of carriers do not show symptoms, and there is no vaccine (OSHA, 2011). As a result, hepatitis C is becoming a more serious problem than HBV.

OSHA has comprehensive directives for employers and employees to follow in order to prevent infection with bloodborne pathogens. Some of the protective measures include: mandatory implementation of an exposure control plan (ECP) for all employers, HBV vaccinations, use of protective gloves and other "personal protective equipment," treatment of all blood as if it is infected blood (universal precautions), a plan for postexposure treatment, and proper decontamination and hand washing practices (OSHA, 2011). In addition, OSHA employees perform regular compliance checks in healthcare facilities to ensure all requirements are taken seriously (OSHA, 2011).

Future roles for nurses with master's versus baccalaureate degrees

The demand for nurses is growing every year, and experts predict this trend will continue. While the current shortage of nurses is being filled with many health care workers who have only completed a three-year diploma or associate degree, nurses with bachelor and master's degrees have greater and more lucrative opportunities available to them. This… [read more]

Nursing Is a Rewarding, but Challenging Research Paper

Research Paper  |  6 pages (2,016 words)
Bibliography Sources: 0


¶ … nursing is a rewarding, but challenging, career choice. The modern nurse's role is not limited only to assist the doctor in procedures, however. Instead, the contemporary nursing professional takes on a partnership role with both the doctor and patient as advocate caregiver, teacher, researcher, counselor, and case manager. The caregiver role includes those activities that assist the client… [read more]

Nursing Organizations One of the Important Changes Research Paper

Research Paper  |  4 pages (1,129 words)
Bibliography Sources: 1+


Nursing Organizations

One of the important changes in nursing is a result of national nursing organizations influencing public policy development. Nurses, being 'in the trenches' of America's healthcare, are not only aware, but uniquely qualified to make appropriate recommendations in national policy. It is the nursing organization's role to analyze, lobby, and disseminate information to move healthcare policy forward; not only to satisfy its member nurses, but the advocating of healthcare principles as a whole. There are clearly numerous external forces driving healthcare policy -- not all of them appropriate for the improvement of patient care. However, the nursing organizations as a whole tend to use collaborative efforts to influence policy and change public views on certain aspects of modern healthcare. For instance, the National Association of Clinical Nurse Specialists uses a core agenda to drive health care policy with the clinical setting; the American Association of Occupational Health Nurses takes its structure from a local level all the way to government lobbying. These, and numerous other nursing associations, including the Oncological Nursing Society, have had numerous successes, particularly with influencing healthcare attitudes towards pain management. This model, adopted in many ways with nurses who deal with the disenfranchised, shows how grass roots efforts can extend into the top levels of the healthcare process (Mason, et.al. 2007, pp. 646-51). For the purposes of this essay, however, we will focus on three organizations that are vital parts of a nurse's career, both in terms of advancement and continuing educational opportunities: The Emergency Nurses Association, The American College of Nurse-Midwives, and the National Association of Clinical Nurse Specialists.

The Emergency Nurses Association- This organization is multidimensional, and set up for anyone involved in triage or emergency medical situations. They publish the Journal of Emergency Nursing, the ENA Connection, host an annual conference, publish a number of resources, and provides additional continuing nursing education. This continuing education is provided through the ENA Injury Prevention Institution, Trauma Nursing Core Course, Emergency Nursing Pediatric Courses, Course in Advance Trauma Nursing, and Standards of Emergency Nursing Practice. They have a Foundation that enhances emergency health care services through promotion and support of research education in areas of public need. Through the ENA one is able to become certified as a CEN (Certified Emergency Nurse), CFRN (Certified Flight Registered Nurse), both through the nationally recognized Board of Certification for Emergency Nursing (About ENA, 2010).

The Vision Statement for the association states that the "ENA is indispensable to the global emergency nursing community" and will "advocate for patient safety and excellence during emergency nursing practice." Their Code of Ethics is very close to Jean Watson's model (advocacy, expertise, excellent care), but also includes an extra public health option (Ibid;

The American College of Nurse-Midwives -- Founded in 1929, the American College of Nurse-Midwives (ACNM) is one of the oldest professional organizations for nurses. It represents Certified Nurse-Midwives and Certified Midwives in the United States and provides research, continuing education, Best Practice standards, and creates advocacy groups and liaisons… [read more]

Personal Philosophy of Nursing Term Paper

Term Paper  |  3 pages (948 words)
Bibliography Sources: 2


Personal Philosophy Nursing

Watson's philosophy of nursing is a unique approach to nursing that states that "nursing is a human science that addresses the nature of human caring" (Alligood 2009). Watson is all about going back to the traditional values of nursing, focusing on the caring aspects. Watson introduces theoretical proposition for the human-to-human relationships of nursing and details ten carative factors to monitor the application of her work in nursing. Watson has seven assumptions about the science of caring. The basic assumptions of caring are, according to Watson: 1) caring can be effectively illustrated and acted out only in an interpersonal way; 2) caring is comprised of carative factors that end in the satisfaction of specific human needs; 3) effective caring promotes health and individual or family growth; 4) caring responses will accept people not for just how they are but as what he or she may become in the future; 5) a caring atmosphere is one that offers the potential for the person to development while, at the same time, offering an environment for the person to decide what is best for him or herself at that given time; 6) caring is "healthogenic" -- more so than "curative" and this "healthogenic" caring is more complementary to curing; and, 7) the practice of caring is central to the practice of nursing.

Watson's theory of caring is the best philosophical model when it comes to nursing because it focuses on the patient and the human relationship between nurse and patient. With Watson's curative factors, there are certain aspects that are meant to satisfy all of patients' needs. The idea that Watson's theory thinks about not only the patient in the moment, but also whom the patient will become in the future, is incredibly innovative, as it forces health care workers (i.e., nurses -- and doctors as well) to consider the human individual as opposed to simply considering a patient.

The ten primary carative factors of nursing are: 1) the formation of humanistic-altruistic system of values; 2) the installation of faith (or hope); 3) the cultivation of sensitivity to one's own self as well as others; 4) the development of a helping and trusting relationship; 5) the promotion and acceptance of the expression of positive as well as negative feelings; 6) the systematic use of the scientific problem-solving method for decision making; 7) the promotion of interpersonal teaching/learning; 8) the provision for a supportive and protective (as well as corrective) mental, physical, socio-cultural and spiritual environment; 9) assistance with the gratification of human needs; and, 10) the allowance for existential-phenomenological forces (Current Nursing 2010).

Watson believed that there are many different factors that go into treating a patient. There is so much more to nursing than just giving medication; Watson believed that a nurse had to develop a very human relationship with a patient --…… [read more]

Whistleblowing in Nursing Essay

Essay  |  8 pages (2,192 words)
Bibliography Sources: 10


Nurse Whistleblower

Whistleblowing in the Australian Nursing Profession: Practical Observations and Ethical Implications

The world is growing ever smaller, as interconnections between previously disparate people and groups become ever tighter and more common, and suddenly there are fewer degrees of separation between all individuals and other features and events in the modern world. This also creates a greater general complexity,… [read more]

Dorothea E. Orem Nursing Theory Analysis Term Paper

Term Paper  |  7 pages (2,299 words)
Bibliography Sources: 4


Dorothea Orem: Nursing Theory Analysis

Nursing Theory Analysis

There are numerous nursing theories available for analysis and they are all decent theories. For the purposes of this paper, Dorothea E. Orem's nursing theory was chosen and will be analyzed. There are actually three nursing theories that Orem is known for: Theory of Self-Care, Theory of Self-Care Deficit, and Theory of… [read more]

Appropriate Manner and Skills Regarding Nursing Care Essay

Essay  |  3 pages (887 words)
Bibliography Sources: 1+


¶ … Skills Regarding Nursing Care

Nursing interventions are aimed at improving the overall health of the patient and to make him / her feel comfortable. Besides administering the medication as prescribed by the doctor, the nurse also has other interventions including regularly monitoring the patient's vitals, performing medical procedures, educating the patient and his family about the condition, etc. Nurses, being the main caregivers, are also involved in providing active counseling services for the family and the patients. In such cases where necessary the nurse refers the patient to other counselors. It is the responsibility of the nurse to ensure that the patient and his family are kept well informed and that they are not unduly stressed. The nurse has to manage all these without compromising the patient confidentiality. A brief overview of these important aspects of nursing care would provide better insight into the topic.

Patient Confidentiality

Nurses by nature of their profession have access to confidential information about their patients. However, professional ethics demand that nurses keep this information confidential. From the age old Nightingale pledge to the recent times when privacy acts such as the HIPPA (Health Insurance Portability and Accountability Act) are in place, it is clear that the nurse has a role to not only promote patient care but also to uphold patients' right to privacy and confidentiality. [Jeanette Ives Erickson,(2005)] In Australia too, the code of ethics for nurses provides the basis and the guidelines for ethical management of information. Nurses are also responsible for helping the patient take important decisions about his/her treatment. In other words nurses are fully aware of the legal as well as moral rights of the patients in determining their course of treatment action. [ANMC, (2005)] Confidentiality implies that nurses' share only pertinent health information with those directly concerned with providing treatment for the patient. As with all rules, there are some exceptions to the confidentiality provision as well and the nurse should evaluate the circumstances and do what is ethically right.

For instance, the nurse should exercise her discrimination to assess situations where confidentiality would cause harm to the society at large. A case in point would be a man diagnosed with HIV asking the nurse not to disclose the information to his wife. In this particular case, since maintaining strict confidentiality causes more harm, as the chances of the wife getting infected are high it is justified on the part of the nurse to disclose the information to the spouse. However, in other instances where the patient wants information regarding his prognosis withheld from his relatives, since there is no direct impact on others' health or safety, confidentiality acquires…… [read more]

Promoting Advanced Nurse Practitioner and Common Errors Term Paper

Term Paper  |  2 pages (675 words)
Bibliography Sources: 3



Advanced Nursing Practice: Promotion and Accountability

Promoting ANP to the Public:

In its traditional sense, the nursing profession is often thought of as an assistant class to medical professionals such as doctors, surgeons and clinical specialists. In spite of the important functions performed by nurses, their job roles and prospects for advancement in practice have been historically stagnant. However, that is changing considerably today as the nursing professional's role is evolving in an array of compelling directions. Even as this occurs, the public seems largely to be retained in its limited view of the role of nursing in healthcare.

However, in order for the public to reap the benefits of the expanding research and the resulting improved capacity of public and community agencies to serve demographics specifically in need, it is necessary for key populations to better understand the role of the ANP. The best route to accomplishing this is likely to be the use of outreach programs for targeted need populations. This concurs with the findings by McGee & Castledine (2003), who observe that reforms in the role of nursing have been "aimed at reducing health inequalities by improving both access to and the quality of healthcare by, for example, involving service users in service design and delivery and tailoring services to meet local needs." (p. 2)

This means that an important function of ANP is to place nurses in community roles that can help them to employ these expanded professional abilities to the specific benefit of underserved demographics. Public health agencies and community clinics should be seen as the path for promotion of advanced nursing practice, with a greater presence of these qualified professionals improving the service capabilities of otherwise frequently understaffed and resource-poor health outlets.

Avoiding Common ANP Mistakes:

That said, even as the role of the nursing professional expands, so too does the relative liability of the healthcare worker. Accordingly, we find that myriad risks to one's professional and legal status may be incurred when one takes to this next level of…… [read more]

Nursing Theorists Joan Riehl Sisca Term Paper

Term Paper  |  4 pages (1,222 words)
Bibliography Sources: 2


Nursing Theorists Joan Riehl Sisca

In 1980, a book by Joan Riehl and Sister Callista Roy with the name "Conceptual Models for Nursing" made ripples in the profession of medical and nursing. The book introduced a new theory of nursing that dealt with the basic problem faced by nurses and medical/psychological helpers for the patients who were active. In case the patient is unconscious, a nurse only needs to provide physical help for the unconscious patient; the nurse will not be required to interact with the patient on a conscious level. Yet, if the patient is suffering and yet he or she conscious, the role of the nursing increases and nurse in such situations is required to provide more than physical assistance. Most of the nursing theorist realizes the importance of interpersonal dimensioning of the nurses and they believe that there need to be some form of personal interaction between the nurses and patients so that the patient may recover faster. (O'Brien, 2009)

In general, a proper nurse needs to be able to assess the patient's ability to engage in activities of daily living and to assist the patient whenever and in whatever manner it is required. The nurse is considered to be responsible for providing and maintaining an easy environment for the patient that should be therapeutic in nature and it should include a proper mental care of the patient. (O'Brien, 2009)

According to the symbolic interactionism theory, people try to interpret the actions of each other and the interpretation is often based upon the meaning attached to the action and only then they react. Thus, it is a continuous process between stimulus and response. Riehl's suggestions emphasizes on the proper assessment and better interpretation of the actions by the patients that are being served and observed by a nurse. The nurse is then required to assess and predict the nature of the patient and his or her behavior. Such interactive interpretation is necessary especially in the cases of individual therapy and the family therapy. Every nurse remains concerned about the role of family in the treatment of the patient. ("Riehl, Sisca, Joan," 2010)

The assessment and interpretation of the actions of the patient by the nurse is done to plan proper interventions with the patient's family and the patient him or herself. As per Riehl, the nurse and the patient involves in an active exchange of information that can be collected and used by the nurse for the betterment in mental and physical health of the patient. The nurse may use all this information about the patient to employ multiple theories, therapies and allied health disciplines, she may also provide a plan for the interventions of the family member in the patient's health improvement. ("Riehl, Sisca, Joan," 2010)

The process of learning and assessing the 'self-concept' of the patient and helping the patient through the knowledge of his concept regarding various familial and social set ups and corresponding roles to be accepted by the nurse and the family… [read more]

Development for Advanced Nursing Practice Essay

Essay  |  4 pages (1,296 words)
Bibliography Sources: 1+


Advanced Nursing Practice

Describe the advanced practice nurse's role as advocate for the nursing profession.

The Advanced Practice Nurse (APN) is a registered nurse with advanced clinical education, experience, management training, and scope of practice. It involves a level of practice that requires advanced skills in not only clinical knowledge, but in the managerial tasks of planning, implementation and strategic thinking; as well as increased responsibility for diagnosis and evaluation of patients. This role has expanded due to a number of cultural and economic changes that often limit the Medical Doctor's time with individual patients (Association, 2010).

As an advocate for the nursing profession, the APN is expected to show the kind of acumen that not only rises above basic nursing, but is invaluable to the physician. The high standards that are expected in clinical knowledge, managerical ability, and performance place APN's as leaders in their field. This leadership role certainly impacts the day-to-day medical environment, but more than that, it extends as a role model for LPNs, RNs, and NAs; and as a way for other medical technologists, hospital administrators, physicians and specialists to not only feel comfortable with the APN's role, but to understand the validity and robustness of such a position within the medical community.

In addition, the APN's advanced training and abilities act as a public forum for the new paradigm of professional nursing. The advanced commitment, ability, and services that are now offered as part of the APN's regular duties can be seen by patients and the public as exemplary examples of what it is to be a modern nurse (Mezibov, 2002).

Describe the advanced practice nurse's role and responsibility in professional activities.

Despite the fact that for most medical professionals there are simply not enough hours in the day, there is a need and expectation that nurses of the caliber of APN participate not only in internal medical activities, but also as part of community outreach and other professional activities (conferences, discussion panels, etc.). Participation in professional activities, too, is one of the only ways that the APN can successfully integrate research into their practice. The expectation, again, for this field is that there will be a continued part of the APN's career devoted to new research activities that should enhance the field.

While it is sometimes difficult to make the time, submit the proper authorizations, and find the proper level of support; clinical practice often offers a more robust field of research activities that would be difficult to find without the attachment to a hospital or clinic. The intent of evidence-based research also has the dual role of not only enhancing the profession, but of informing the local stakeholders of issues that may be pertinent to their own lives. Too, often the general publicity of knowing that a particular research area is planned will bring additional funding into the organization. Thus, the participation of ongoing academic research, coupled with the expectation of involvement within the professional organizations for the nursing field, combine together… [read more]

Home Before Morning the Story of an Army Nurse in Vietnam Book Report

Book Report  |  3 pages (1,058 words)
Bibliography Sources: 1+


Home Before Morning: The Story Of an Army Nurse in Vietnam

The first chapter of Lynda Van Devanter's book Home Before Morning: The Story of an Army Nurse in Vietnam makes it clear that even though nurses who served in Vietnam were not formal combatants they still experienced the same trauma adjusting back to civilian life, long after the war had ended. Although Lynda begins her narrative in the present day, she is still tormented by night sweats and flashbacks. "Vietnam was the worst time of my life, yet it was also, in many ways, the most important and most intense" (Van Devanter 14).

The book is divided into three sections -- before Vietnam, during Vietnam and after Lynda's service overseas. When Lynda left for Southeast Asia, she was fresh out of nursing school, and had spent most of her life living in a sheltered suburban community. The first chapters of her memoir are devoted to a character study of herself as a young woman and America during the 1960s. Lynda was a somewhat naive, but tough-minded young woman who was insecure about her appearance (her nickname was 'Crisco' because of her 'big can') but confident about her ability to succeed in the world.

Lynda grew up in a Catholic household with a mother who was often ill and a loving father who raised her as the son he always wanted: caring for others was second nature to her, and she had been raised to be as tough as a man. Being an army nurse seemed like a natural extension of her family's values, as well as the ideals the Kennedy era. "I saw the United States pursuing a course that President Kennedy had talked about in his inaugural address: We are saving a country from communism. There were brave boys fighting and dying for democracy" (Van Devanter 49).

As part of her intensive medical training at a rigorous Catholic nursing college, Lynda saw psychiatric patients and patients at the end of life -- but nothing could have prepared her for Vietnam. If anything, she was isolated from the culture wars raging outside, although she was more liberal than her father and had supported the civil rights movement. Her brief love affair with a soldier made her all the more determined to serve in the military as a healer.

The second part of the book details Lynda's somewhat giddy introduction into the army through basic training (despite the discipline, her friendship with her fellow nursing student Barbara, made the training seem almost like boarding school or a slumber party). Basic training left both women woefully unprepared for the psychologically harrowing experience of being in Vietnam. Lynda took an oath to serve her country, just like the men she would nurse, and faced the same risks as her male counterparts. Lynda was first assigned to the 71st Evacuation Hospital. Ironically, within hours of arriving in Vietnam, the first army nurse was killed. This coincidence was a stark reminder of how women… [read more]

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