"Nursing / Doctor / Physician" Essays

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Nursing Knowledge Annotated Bibliography Evidence Annotated Bibliography

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

SAMPLE TEXT:

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

http://robjohnfrank.com/how-to-de-stress/

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]


Patricia Benner Theory 21st Century Essay

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

SAMPLE TEXT:

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]


Future of Nursing Technologies Research Paper

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

SAMPLE TEXT:

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

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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).

References

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

http://currentnursing.com/nursing_theory/Neuman.html

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

http://currentnursing.com/nursing_theory/development_of_nursing_theories.html

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:

http://currentnursing.com/nursing_theory/interpersonal_theory.html

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

http://currentnursing.com/nursing_theory/behavioural_system_model.html

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

http://www.historynet.com/civil-war-nurses

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

http://currentnursing.com/nursing_theory/Florence_Nightingale_theory.html

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

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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]


Theoretical Foundations for Nursing Roles Essay

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

SAMPLE TEXT:

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]


Advanced Nursing Ethics Term Paper

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

SAMPLE TEXT:

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).

References

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

Publishers.

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]


Nursing Family Nurse Practitioners: Improving Essay

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

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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.

References

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

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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

SAMPLE TEXT:

" (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.

Bibliography

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 Metaparadigm Term Paper

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

SAMPLE TEXT:

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]


Nursing Across Theories Essay

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

SAMPLE TEXT:

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.

Bibliography

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

SAMPLE TEXT:

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.

References

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=2.21.0.0.0&nvjtl=%22JN050%22&sc_cmp1=js_navg_nvjtl&IPath=JRKV&excrit=QID%3dA3855799626362%3bst%3da%3buse%3dALL%3brawWords%3dEndoscopy%3bCID%3dUS%3bSID%3d%3f%3bTID%3d0%3bENR%3dNO%3bDTP%3dDRNS%3bYDI%3dYES%3bIND%3dALL%3bPDQ%3dAll%3bPDQ%3dAll%3bPAYL%3d0%3bPAYH%3dgt120%3bPOY%3dNO%3bETD%3dALL%3bRE%3dALL%3bMGT%3dDC%3bSUP%3dDC%3bFRE%3d30%3bCHL%3dAL%3bQS%3dsid_unknown%3bSS%3dNO%3bTITL%3d0%3bOB%3d-relv%3bRAD%3d30%3bJQT%3dRAD%3bJDV%3dFalse%3bHost%3dUS%3bMaxLowExp%3d-1%3bRecsPerPage%3d25

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]


Advanced Nursing Development a "Master Term Paper

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

SAMPLE TEXT:

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 Concepts and Theory Essay

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

SAMPLE TEXT:

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.

References

Anderson, A.M. (2005). Nursing Leadership, Management, and Professional Practice for the LPN/LVN (3rd ed.). Philadelphia: F.A. Davis Company.

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

NURSES WORKLOAD

Reduction of working hours…… [read more]


Interview With an Advanced Practice A-Level Coursework

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

SAMPLE TEXT:

(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+

SAMPLE TEXT:

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]


Nurses Use the Nursing Process Term Paper

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

SAMPLE TEXT:

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]


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

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

SAMPLE TEXT:

¶ … 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]


One on One Nursing During Childbirth Essay

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

SAMPLE TEXT:

¶ … 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]


Nursing Future in 2021 Term Paper

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

SAMPLE TEXT:

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.

Reference

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

SAMPLE TEXT:

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.

References

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 Theory Analysis Essay

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

SAMPLE TEXT:

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]


Medical Nursing Medical L Term Paper

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

SAMPLE TEXT:

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.

References

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]


Scholarship Grant Essay

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

SAMPLE TEXT:

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]


Standardized Nursing Procedure Research Paper

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

SAMPLE TEXT:

Standardized Nursing Procedure

Infusing Chemotherapy Procedure

INFUSING CHEMOTHERAPY PROCEDURE FOR REGISTERED NURSES

IN THE STATE OF CALIFORNIA

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.

Procedure:

(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]


Nursing Definitions Autonomy Term Paper

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

SAMPLE TEXT:

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]


Future of Nursing in Texas Term Paper

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

SAMPLE TEXT:

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]


Nurse the Nursing Career Differs Essay

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

SAMPLE TEXT:

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.

References

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]


Nursing With the Intention Essay

Essay  |  2 pages (602 words)
Bibliography Sources: 0

SAMPLE TEXT:

Nursing

With the intention of providing a wider scope of health care services to a more diverse group of patients, I seek admission to the Post Masters Nurse Practitioner Program. The extensive clinical experience the program offers will perfectly supplement my current professional position, optimizing my talents and expanding my expertise within the field of psychiatric nursing. Applying nursing theory to practice, I will work within the optimal professional parameters that will promote my career goals. Those goals include both short-term and long-range plans that involve improving quality of care within my community.

The ability to work within my home community is critical for me on a personal level, as I am already knowledgeable about the local resources available. As I work in the rigorous Post Masters Nurse Practitioner Program I will be developing a more in-depth understanding of the unique needs of the community, its demographics, and its health care resources and personnel.

During the course of the program period, I hope to develop the professional contacts that will improve my ability to help community members in need. I intend to work with team members on improving quality of care and access to care. The program will help me become familiar not just with the practical daily application of nursing theory to practice; I will also become more aware of the community resources available to patients.

Therefore, I will be able to provide the best possible outreach consultation and help my clients achieve optimal health within the local system. Knowing the limits and potential of that system is critical to being able to aid patients. I want to be able to help patients who may be destitute or in need of ancillary services to know how and where to apply for that aid. Similarly, I want to be able to…… [read more]


Nursing Research There Is a Certain Expectation Essay

Essay  |  3 pages (1,226 words)
Bibliography Sources: 0

SAMPLE TEXT:

Nursing Research

There is a certain expectation within any academic field that there will be continuous research and development in order to keep the scholarship and acumen up-to-date within that discipline. This is especially true in the medical field, where sometimes the research is far away from the actual practical needs of the staff and patients. In this case, the modern nurse performs a very critical role -- that of helping drive the intellectual development of the medical field forward while, at the same time, focusing on the more practical and implementable aspects of research and development.

The idea of research can be daunting to anyone, and the idea of taking courses on research methodologies even more so. Nursing research is a two-way academic communication -- it results from data that comes from the ground up (the egg), but it must be processed by those who have the expertise and time to perform the proper steps within acceptable methodology (the chicken). In the field of contemporary medical care, particularly physician and nursing, there are five major reasons why more than a cursory knowledge of research and research methodology is essential for a professional career: expectation of a level of academic proficiency, ability to understand and communicate complex terminology to multiple stakeholders, an understanding of the research process so that as materials become available they are understandable, the possibility of conducting research and/or further interest in specific subject matter, and finally, the essential need to remain cognizant of contemporary medical developments.

Research and the Contemporary Nursing Model- the modern nurse is expected to have a certain level of medical expertise that is beyond simple care and advocacy. The nurse is expected to understand complex physiological relationships, pharmacology, and have a certain academic expertise that sets the field to a higher plane. As the medical world becomes more complex, the bar rises throughout the pyramid, and as the level just below the physician, the nurse must exert a higher level of cerebral knowledge in balance with compassionate care.

As the complex nature of the medical world continues to expound -- there must be a level within personalized medical care that has the time and ability to explain the complex nature to the patient and patient's family. Without an exposure to research and research methodologies, the contemporary nurse would be unable to meet that standard of academic excellence. This is especially true in that the nurse must be conversant with the doctor, the specialist, and still understand the overall medical paradigm to the point they can communicate to all levels of stakeholders.

Since new materials are produced faster than anyone could possibly keep up (via journals, the Internet, conferences, etc.) an ability to quickly scan and glean information from complex materials is essential. Without a background in research this would be cumbersome and take far more time than the beneficial outcome would require.

The modern nurse may, in the course of a career, find an area of interest or need that is so… [read more]


Nursing Philosophy a Philosophy Essay

Essay  |  10 pages (2,764 words)
Bibliography Sources: 10

SAMPLE TEXT:

Nursing Philosophy

A Philosophy of Nursing

Like every profession, nursing is both a commonly shared calling and a very personal one. Every nurse shares certain professional standards with all of his or her colleagues, has in common a large number of experiences, has been educated and certified through similar processes. but, despite these many concurrent aspects of the lives of… [read more]


Nurse Anesthetist Anesthesiologists Are Charged Research Paper

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

SAMPLE TEXT:

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]


Definition and Role of the Advance Practice Nurse Essay

Essay  |  2 pages (504 words)
Bibliography Sources: 3

SAMPLE TEXT:

¶ … Advanced Nursing Practice

Defining Advanced Practice Nursing

Advanced Practice Nurses (APRNs) and are licensed Registered Nurses (RNs) who have pursued advanced educational degrees, typically master's level degrees in specialized areas of nursing. Generally, APRNs are more thoroughly prepared than RNs to provide for the comprehensive care of patients across a broader range of needs arising from disease and illness as well as in connection to supporting wellness and general health. The route to becoming a Nurse Practitioner requires first achieving a bachelor's degree and then a subsequent master's degree in Nursing, followed by achieving national certification and demonstrating professional competencies. In principle, the defining characteristic that distinguishes the APRN from the RN is that APRNs are better qualified to provide nursing services autonomously and with less direction from physicians (NCBON, 2011).

The Advanced Practice Nursing Role in Healthcare

Generally, advanced practice nursing comprises four specific roles or sub-specialties: Nurse Practitioner, Clinical Nurse Specialist, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife (Hamric, Spross, & Hanson, 2009). In principle, advanced practice nursing differs from traditional nursing by virtue of the degree that advanced nursing practice emphasizes nursing theory, and the practical application of evidence-based research knowledge directly to the clinical setting (Hamric, Spross, & Hanson, 2009). One of the most significant roles of advanced practice nurses is their responsibilities as liaisons between physicians and patients. In contemporary clinical medicine, patients actually interact with nurses much more than with physicians and rely on them tremendously to inform and educate them. The continual…… [read more]


Cultural Diversity and Nursing Care Plan Term Paper

Term Paper  |  2 pages (653 words)
Bibliography Sources: 2

SAMPLE TEXT:

Cultural Diversity and Nursing Care Plan

A culturally diverse population, like in Hawaii, lends itself to unique problems for healthcare professionals. Culture shapes perceptions, expectations, and behavior (Taylor, Lillis, LeMone, & Lynn, 2008). When different cultures are involved, the perceptions, expectations, and behavior that come with each can impact the effectiveness of care. Consequently, to offer the best nursing care possible, it is imperative to alter a nursing care plan to fit the needs of a culturally diverse population.

Nursing diagnoses have been accused of being culturally insensitive, with terminology including ineffective coping and noncompliance, but those diagnoses may be linked to cultural beliefs and behavior (Walsh, 2004). In addressing these diagnoses, a nursing care plan should take into account the cultural factors that may have brought it about. The care plan should incorporate learning about the cultures, gathering relevant information, and using the information to tailor the care delivered to patients in a manner that works within the patients' culture.

The first step to take in creating a care plan for the culturally diverse is to become familiar with the cultures' beliefs. Some cultures believe in alternative sources of medical treatment. For example, a patient may be seeing an herbalist in conjunction with a physician and may be received an herbal remedy and a pharmaceutical that, together, cause the patient to be overmedicated (Taylor et al., 2008). By being aware that a patient may be seeking complementary or alternative forms of care, the nurse knows what information should be collected in order to provide better care.

It is also important to understand different cultures' opinions on aspects of medicine. A cultural perception about a certain medical practice may cause a patient to be noncompliant with the prescribed treatment (Walsh, 2004). For example, if a culture believes that meditation or prayer should be used over drugs, a patient may choose to forego medicine provided by the doctor, which would appear noncompliant. A nursing care plan could…… [read more]


Introduce Pre-Nursing Students to Nursing Later in Their Education Book Report

Book Report  |  4 pages (1,153 words)
Bibliography Sources: 5

SAMPLE TEXT:

¶ … 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 functioning as an instructor, individual counselor, caregiver, medical researcher, emotional and psychological counselor, and personal case manager. As an amalgamation of these roles, a nurse must assist the client in all physical, mental, and psychological roles that advocate proper medical care and maintain the dignity of the client. In the contemporary world, it is important to note that a more holistic approach is preferable, seeing the patient as more than their disease, and advocating for that patient's proper care and assistance when they are unable (Koenig-Blais, 2010, intro). This role has become even more complex as technology evolves in conjunction with the fiscal issues faced globally in the healthcare industry.

Because of this increased complexity, students of nursing require a far more advanced set of preliminary core courses in order to be fluent within the field. Without a grounding in these courses, some of the more advanced and complex issues fall by the wayside and are left untouched until practicum -- a time that is too late for remedial catch-up and produces far more stress upon both the student nurse and instructor that necessary. Medicine, in fact, is not becoming less complex -- quite the contrary, it is becoming more complex. When one adds to this to the sociological and cultural changes in the modern environment, one finds that it would be more prudent, and certainly more efficient, to introduce the actual practice of nursing a bit later in the curriculum cycle; once the basics have been presented, absorbed, and at least the basic vocabulary is fluent (Speziale and Jacobson, 2009). In fact, the ten major transformations in the healthcare industry have specific relevance to modern nursing:

Trend

Relevance to Nursing

Changing Demographics

The modern population is far more ethnically diverse; both the nursing population and the client population. Each demographic and psychographic change requires a different approach to teaching nursing.

Technological Explosion

Advances in technology mean more information at a quicker pace; greater accessibility to clinical data, resulting in more efficient case management. This also means the modern nurse must be adept in using this technology.

Globalization

Globalism changes the amount and accessibility of information, as well as the universe of opportunities for the modern nurse.

Educated Consumer

The consumer is far more educated in medicine, alternative therapies, and their perceptions though the media which increases their expectations from the healthcare system.

Complexities of Care

Medical advances create a more complex system of care protocol.

Fiscal Issues

While organizations struggle to make ends meet, there is increasing pressure for nurse managers to be fluent in business speak and techniques.

Bureaucratic Issues

With increasing bureaucratization comes the requirement of a greater understanding of legal and social policy issues.

Interdisciplinary Issues

The truth is -- a modern nurse now needs… [read more]


Art of Nursing Research Paper

Research Paper  |  5 pages (1,537 words)
Bibliography Sources: 5

SAMPLE TEXT:

Synopsis of the theorist's view

Even though Henderson's theory has some limitations, it has proven over time to portray some values in the nursing science. More so to the nursing education part, Virginia Henderson's concept has been critical from the historical perspective. The theorist's view and contribution to the nursing literature extending from back in the early 18th century has had a tremendous impact on the nursing research by strengthening the focus on the nursing practice and confirming the value of the tested interventions in assisting individuals to recover (Henderson, 1991).

Reference

Henderson, V. (1955). Harmer and Henderson's Textbook of the principles and practice of nursing. New York: Macmillan

Henderson, V. (1956). Research in nursing practice: when? Nursing research, 4 (3), 99

Henderson, V. (1960). International council of nurses basic principles of nursing care ICN,

Geneva

Henderson, V. (1966). The nature of nursing. New York: Macmillan

Henderson, V. (1982). The nursing process. Journal of advanced nursing, 7 (4), 103-109.

Henderson, V. (1991). The nature of nursing reflections after 25 years. New York: National

League for Nursing.

Hesook, K & Kollak, I. (2005). Nursing theories: conceptual and philosophical foundation.

California: Springer Publishing Company.

Mariner-Tomey, A. & Alligod, M. (2005). Nursing theorist and their work. St. Louis: Mosby,

Inc.

Nursing Theory and Theorists. (2008). The signature of…… [read more]


Nursing Care Plan Essay

Essay  |  3 pages (961 words)
Bibliography Sources: 1+

SAMPLE TEXT:

Nursing Care Planning

Background- In contemporary nursing an issue comprising three essential attributes, respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine becomes the template for patient care planning. During the diagnosis and initial opinion period, there are several events that will necessitate the nurse acting on behalf of the patient because of the patient's inability to either act or understand the procedure. (Burkhard, et.al., 2007). Thus, the nurses' role as an advocate is to facilitate, encourage or to enable patients to be involved in all aspects of their healthcare, and when unable to do so, act in their stead. 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. Under the paradigm of quality health care, modern nurses should interpret this as "quality patient care" -- which comprises three important factors -- sound theoretical knowledge of the latest medical procedures, information and innovations; superior communication skills that are multi-culturally based; and the ability to empathize appropriately with the patient and family to buttress the role of caregiver. The necessity for modern nurses is to be far more than ever -- more of a multitasking professional with superior communication and organization skills -- and even more focused on the holistic model of the patient and the manner in which they, the nurse, affects the outcome of the patient's care experience (Brown, 2007). One of the major tools nurses use to adapt these various skills and responsibilities to individual patients is the nursing care plan.

The Nursing Care Plan- A typical nursing care plan outlines the actions, medications, and medical plans that the nurse will use to provide appropriate patient care. It is an intermediate stage of the nursing process, and focuses on guiding the ongoing and fluid process of nursing care and evaluation. The idea nursing care plan has six major parts: 1) It focuses on actions which are designed to solve or minimize the existing problem; 2) It is a product of a deliberate systematic process; 3) It relates to the future; 4) It is based upon identifiable health and nursing problems; 5) Its focus is holistic, and 6) It focuses to meet all the needs of the service user (Barrett, et.al., 2009). Essentially, the plan allows a nurse to individualize appropriate care procedures that prevent overlap, omissions, and allow the nurse to assume the hub role of care when there are multiple physicians involved (Doenges, et.al. 2002). The plans have one primary purpose, though. That is to provide cogent and appropriate directions for the nursing staff surrounding an individual's care. To accomplish this, there are essentially 10 steps to the care plan:

Step/Name

Overview

Identify Strengths

Identify Risks…… [read more]


Doctor of Nursing Practice Essay

Essay  |  3 pages (880 words)
Bibliography Sources: 1+

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¶ … DNP program is different from a traditional PhD program.

One of the distinguishing features of the advanced practice nursing discipline is the emphasis which is placed on clinical proficiency. This differs from many of the medical disciplines where educational and professional development center more directly on research aspects of any particular field. This principle has seen an elevation in importance with the 2004 initiation of the process by which Advance Practice Nursing (APN) programs begin their evolution into Doctor of Nursing Practice (DNP) programs. According to the American Association of Colleges of Nursing (AACN), "On October 25, 2004, the member schools affiliated with the American Association of Colleges of Nursing (AACN) voted to endorse the Position Statement on the Practice Doctorate in Nursing. This decision called for moving the current level of preparation necessary for advanced nursing practice from the master's degree to the doctorate-level by the year 2015." (AACN 2010)

The result would be the creation of a new doctorate program for the nursing profession that in some ways parallels aspects of the PhD program for nursing and which, in other ways, differs considerably. Perhaps the most significant difference between them is the capacity in which the DNP program projects itself for continuing professional development and education. Its emphasis on the practical aspects of engaging clinical nursing make it an approach particularly well-suited to ongoing improvement and expansion of professional qualifications. By contrast, the PhD functions more in the formative capacity, helping individuals to establish core mentor-mentee relationships and to gain in the fundamental knowledge specific to one's intended area of study and work. So denotes Cramp (2005), who reports that a PhD program "prepares nurse scientists with focused areas of research expertise and is designed to allow students to work one on one with experienced senior researchers. Students are matched based on research interest on admission with a College of Nursing professor who is a graduate faculty fellow." (p. 1)

The DNP, instead, reflects the rising prominence of clinical nurses who are equipped with advanced skill and knowledge sets. Quite to the point, Cramp makes the case that while these aims reflect a core difference between nursing PhDs and nursing DNPs, both subsets of the nursing profession are likely to possess greater and more extensive education than is the traditional Medical Doctor (MD). That said, all indications are that the nursing profession is coming increasingly to demand a level of educational development and practical qualification that converge in the Doctor of Nursing Practice initiative.

2. Discuss your educational and professional goals, short-term and long-term, and address how earning the Doctor of Nursing Practice (DNP) will help…… [read more]


Nurse Practitioner Women's Health Term Paper

Term Paper  |  2 pages (631 words)
Bibliography Sources: 1

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Nurse Practitioner -- Women's Health

The nursing profession has steadily grown throughout the years. Nurses have gone from providing basic patient care under the supervision of a physician to being able to diagnose and prescribe medications to treat certain illnesses independent of supervision. Nurses that practice without the supervision of a physician are usually nurse practitioners. They treat acute and chronic illnesses such as hypertension, flu, coughs and colds, and other healthcare issues. They can also specialize in a field of medicine such as women's health. Women make up half of the population and studies have shown that women seek healthcare at a higher rate than men do and respond differently to treatments as well as providers ("Women's Health," 2009). As such, the Women's Health Nurse Practitioner (WHNP) is an important and growing field. WHNPs provide basic healthcare to women who may otherwise not have insurance or are underinsured. They also provide services to patients who are fully insured but cannot afford to take time off of work because of the limited office hours of their primary care physician, or they do not have the time to wait for long periods of time just to get in to see their doctor.

The WHNP plays an important role in the healthcare issues that women may face. Not only does this profession require specific training, it also requires a certain skill set. The WHNP must be a person that not only possesses the clinical training necessary, but she must also be able to relate to the patient on a personal and social level. Women are now at a high risk for heart disease, thyroid problems, gynecological problems and other health issues and these health concerns are growing at an alarming rate. Women need to be able to discuss their healthcare issues and concerns with someone who is knowledgeable and supportive. In many instances the WHNP is their…… [read more]


Motivation of Becoming a Physician Assistant Admission Essay

Admission Essay  |  2 pages (566 words)
Bibliography Sources: 0

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Physician Assistant

My original motivation for pursuing a medical career goes back to the unexpected loss of my mother in 1995. She was the victim of medical malpractice due to the errors of her physician. Prior to that, I had never realized how vulnerable ailing patients are to mistakes in the medical field. A few years later, I had a comprehensive annual medical checkup that was conducted by a physician assistant. During our conversation, I inquired into the nature of that occupation and into the specific requirements for qualification for employment in the field.

My physician assistant explained that in many ways the profession provides many of the same rewards as those associated with employment as a physician; on the other hand, it requires considerably less sacrifice of the grueling schedules and responsibilities that are typically the most difficult aspect of becoming a physician. Because the training is so much shorter than the training to become a physician, the path to becoming a licensed physician assistant is not as expensive and does not necessarily entail a substantial financial investment and all of the subsequent obligations with respect to paying for it over time. My understanding is that new physicians routinely take on debt greater than their first several years of salary just to finance their pre-requisite academic training.

In my case, some of the most important benefits of the opportunity to enter the medical field as a physician assistant include the shortening of the amount of time between the initial decision and my actual ability to contribute to the medical welfare of patients and other healthcare beneficiaries. In particular, I am extremely motivated to bring quality medical services to rural areas of the…… [read more]


Bioethical Issues in Nursing and Health Care Case Study

Case Study  |  2 pages (565 words)
Bibliography Sources: 3

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Bioethics and Nursing

Patient is a 59-year-old man, overweight and hypertensive, with a history of alcoholism. Patient has been diagnosed with end-stage renal disease, but refuses to adhere to diet, medication, and abstinence from alcohol. Jane Martin, APRN, is concerned about her roles and responsibilities concerning Patient.

What are Jane's professional responsibilities to Mr. Tate?

As a licensed professional, Jane's responsibilities are to use her skills and to the best of her ability do whatever is necessary to assist in Patient's continued treatment. Under NRS 632005, the State of Nevada specifically indicates that nurses should assist in maintaining the health, safety, and welfare of their patients. Further, the practice of professional nursing 632.017-18, indicates care of the ill, injured or infirm. As a nurse, Jane is responsible for carrying out the doctor's orders to the best of her ability. She is not responsible for Patient's adherence to protocol or instructions, but she is responsible for informing (even if on a continual basis) Patient of best practice instructions, and letting him know that she is also responsible for notifying her superiors that he is not participating appropriately in his care.

Jane's role is, however, not as a diagnostician. Her role within the care system is to assist and provide professional care for the patient. It is also not her role or responsibility to introduce her own sense of morality or justice in determining what the best use of advanced care, medications, or procedures might be. Since Patient is "of sound mind," and mobile, it is her responsibility to take her concerns over the Patient's health to the proper authority.

With whom could Jane Martin discuss her ethical concerns regarding Mr. Tate?

Jane should…… [read more]


AHRQ Accountability of Nursing Professionals Paper: Select Thesis

Thesis  |  3 pages (1,007 words)
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AHRQ

Accountability of Nursing Professionals Paper: Select one patient safety practice from the AHRQ resource, and identify and explain how the nursing professional is accountable in relationship to implementing change based on the evidence for practice. Include a patient care situation and how you would change your practice to meet the requirements.

AHRQ article: Patient safety and nurse advocacy

Medical errors are a fact of life: they are the eighth leading cause of death in the U.S., and an estimated 44,000 to 98,000 people die in hospitals each year as the result of medical errors (Medical errors, 2009, AHRQ). That figure is not even including the many patients who do not die, but whose quality of care is severely and needlessly compromised. The causes of medical error are many -- incompetence, overtired nurses, and miscommunication are some of the most common culprits. To reduce error, nurses must work with both patients and other healthcare professionals to minimize the causes of errors, as well as to increase organizational vigilance and fail-safe mechanisms to better guard against errors. The greatest patient safety practice is for the nurse to assume the role of advocate for his or her patients.

For example, one common error according to an Agency for Healthcare Research and Quality (AHRQ) article entitled "Medical errors: the scope of the problem" is that of diagnostic errors: "diagnostic error, such as misdiagnosis leading to an incorrect choice of therapy, failure to use an indicated diagnostic test, misinterpretation of test results, and failure to act on abnormal results" (Medical errors, 2009, AHRQ). Asking patients about their full medical history, encouraging patients to ask questions, and using electronic record-keeping to ensure that comprehensive information is maintained about patients from facility to facility are all ways to reduce error. Nurses must be fluent in culturally sensitive communication strategies to use with their patients to engage in effective fact-finding and interviewing. They must demand that efficient record-keeping is deployed within their organization, to reduce complaints such as negative drug interactions on the ward and misdiagnoses of conditions because symptoms were not transferred on the records from doctor to doctor. For the nurse to take on a role as advocate in favor of more throughout record keeping would also result in fewer errors such as "blood transfusion-related injuries…giving a patient the blood of the incorrect type," and "misinterpretation of other medical orders, such as failing to give a patient a salt-free meal, as ordered by a physician" (Medical errors, 2009, AHRQ).

Another common source of errors is "equipment failure, such as defibrillators with dead batteries or intravenous pumps whose valves are easily dislodged or bumped, causing increased doses of medication over too short a period" (Medical errors, 2009, AHRQ). Although the nurse cannot guard against every technological malfunction, keeping abreast of how to use equipment and keeping a watchful eye on how to maintain new technologies is essential. New technology is dependant upon nurses using their role as advocates to truly work for the patient. Also, if… [read more]


Job Performance of a Nurse Research Proposal

Research Proposal  |  2 pages (580 words)
Style: APA  |  Bibliography Sources: 3

SAMPLE TEXT:

¶ … Nursing is undergoing continuous and significant change. The changes are the result of economic, psychosocial, educational, and psychological factors that have forced these changes and applied pressure to the health profession. With all this change and the prospect of universal health care, the cornerstone of proper patient care will be the nurse. What role will the nurse play in the future and what will his or her job responsibilities be?

This study is needed to answer the problem of what that role of the nurse will be in this future "unknown" program of "healthcare for all" and what importance the nurse does and will play. Will the nurse be "lost" in the bureaucracy of a giant machine?

Purpose

This study will review the important role the nurse has played in our private healthcare system to this day, the job responsibilities and discuss why it is so important that this significant role continue in the future. It will also review the nursing process and discuss its impact on patient care and the crucial role it must continue to play.

Objectives

What must be accomplished is the establishment of proof of the significance of the nurse's role through research, example, and hypotheses. This study must examine the evidence of the past to show that the future, though changed in structure has no less a need for the important function and expanding job responsibilities of the nurse.

Review of Literature

The areas of literature surveyed will be the importance of nursing and some of the past history of the profession, the key ingredient of why nurses are so important in any health system -- patient care and communication, the "nursing process," nursing theory and practice, current job responsibilities of the nurse,…… [read more]


Nursing Conceptual Model Develop Your Own Research Proposal

Research Proposal  |  4 pages (1,343 words)
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Nursing Conceptual Model

Develop your own conceptual model

Nurse conceptual model: Nurse 'burnout'

The most common reason nurses cite for entering the profession is their desire to help others. However, because nurses are often placed in the position of caretakers, they seldom have the ability to engage in positive self-care, especially under highly stressful situations when a patient's life is at risk, or when the organization for which they work is understaffed yet depends upon split-second, accurate reactions by the nurse. The result of these pressures is the phenomena of nurse burnout, a state of being which manifests itself in physical, emotional, and behavioral symptoms and, if left untreated and ignored, can result in the nurse leaving his or her current position and even the profession of nursing entirely (Burnout: Warning signs, 2009). Nurse burnout is a serious issue, given the increasingly critical shortages of nurses across the nation. To reduce the rate of burnout amongst nurses, it is important to define its core features, which contain physical, emotional, and behavioral manifestations.

Physical symptoms

Physical symptoms of burnout are manifestations of burnout that affect the physical body or person of the nurse. Nursing is a demanding profession, mentally, emotionally, and physically. Because of the lack of nurses at many facilities, "many nurses work 12-hour shifts and have more schedules during which they work on their feet all day, lifting, rolling, and moving equipment and patients" (Gelinas 2003). A nurse can never simply 'coast' through her day: unlike an office worker, he or she must be 'on' every second of a shift. The physical demands may manifest themselves in back pain, swollen feet, or other occupational injuries. Also, the mental and intellectual demands put upon the person of the nurse may result in physical symptoms, such as high blood pressure, nausea, a craving for high-carbohydrate food or an inability to eat, and other manifestations of a high-stress response.

Additionally, like many shift workers, particularly those who do not see a great deal of daylight because of their eccentric hours, nurses may find it difficult to eat and sleep properly simply due to their schedule. This is how the nurse's 'environment' may predispose the nurse to an unhealthy physical state. A poor diet, addiction to caffeine or nicotine, and even prescription and non-prescription stimulants are ways that nurses may self-medicate to get through a difficult day, ironically sacrificing their own health while they take care of the health their patients. "Fewer nurses mean more work for all. Inadequate staffing results in a tailspin of events that is ultimately doomed to failure, resulting not only in loss of energy, burnout and disengagement, but also eventual loss of nurses. Many nurses feel overburdened by heavy patient loads and the increasing intensity of service that sicker patients require. They'll work a double shift today when asked, but leave tomorrow" when the demands become too great, and the nurse simply breaks down from the pressure (Gelinas 2003).

Physical stresses upon nurse demonstrate how health is holistic… [read more]


Philosophy of Nursing Has Undergone Many Changes Essay

Essay  |  6 pages (1,826 words)
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Philosophy of nursing has undergone many changes since its early beginnings. Nurses are known for their desire to help and serve humanity by helping to alleviate their suffering. Selflessness and a commitment to others is a key characteristic of the nurse, who often works long hours to help those in need. These basic tenets of the nursing profession have not… [read more]


Nursing Leader's Perceived Role in Nurse Recruitment Research Proposal

Research Proposal  |  30 pages (8,934 words)
Bibliography Sources: 25

SAMPLE TEXT:

LR Explor/The nurse leader role in recruit.

Nurse Leaders as Recruiters

Nurse leaders serve an integral role in the field to demonstrate skill in recruitment of future nurses. To do this they must work within existing systems as well as advocate for the expansion of other recruitment essential systems and system change need awareness. Nurse leaders must work collaboratively with… [read more]


Implementing the Clinical Nurse Leader Role in the Women's and Children's Department Research Paper

Research Paper  |  16 pages (4,307 words)
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Clinical Nurse Leader Role

Implementing the Clinical Nurse Leader Role in the Women's and Children's Department

The recently emerging role of Clinical Nurse Leader has come under extreme scrutinty by both the promoters of the position and the detractors. Developed as a further educational and training program to Clinical Nurse Specialist, Clinical Nurse Leader has the fundamental duty of coordinating… [read more]


Nursing When Florence Nightingale Noted That Nurses Essay

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

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Nursing

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)
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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)
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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)
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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)
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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)
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SAMPLE TEXT:

Nursing

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)
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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]


Philosophy of Professional Nursing Term Paper

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

SAMPLE TEXT:

¶ … 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 the Differences Between a Lpn Term Paper

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

SAMPLE TEXT:

Nursing

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+

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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+

SAMPLE TEXT:

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.

References:

History of Nursing.

http://nursing.about.com/od/historyofnursing/

Quan, Kathy. The Florence Nightingale Pledge.

http://nursing.about.com/od/historyofnursing/a/pledge.htm

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]


Leadership -- Nursing Discover Term Paper

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

SAMPLE TEXT:

"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

http://quotations.about.com/cs/poemlyrics/a/When_I_Heard_Th.htm

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


Nursing Nurse Practitioner Role: Current Term Paper

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

SAMPLE TEXT:

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]


Nursing Pus, Bodily Fluids, and Oozing Blood Term Paper

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

SAMPLE TEXT:

Nursing

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]


Neo-Natal Nurse Term Paper

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

SAMPLE TEXT:

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.

References

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]


History of Modern American Nursing Term Paper

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

SAMPLE TEXT:

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.

References

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]


Clinical Nursing Professionals Require Self Term Paper

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

SAMPLE TEXT:

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.

Reference

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


Nursing Specialties Although Nurse Anesthetists Term Paper

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

SAMPLE TEXT:

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]


Nurse as Patient Advocate Persons Term Paper

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

SAMPLE TEXT:

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]


Role of Nursing in Child Growth Essay

Essay  |  3 pages (870 words)
Style: Harvard  |  Bibliography Sources: 3

SAMPLE TEXT:

Role and Responsibilities of a Pediatric and a Child Health Nurse

In 1986, nursing competency campaigns were initiated in Australia with regards to institution of the Australian Nurse Registering Authorities Conference. The 1990 agenda of the National Training Board ensured development of country-wide plans for different professions' competency. Pediatric and child-health nurses refer to registered nurses with superior clinical knowledge and abilities necessary for providing specialist care. Ten nursing criteria have been defined by Australia's National Nursing Organizations; the criteria were derived from a 1992 convention of the International Council of Nurses, Geneva. Some criteria are as follows: nursing specialty advocates overall ethical purposes and functions; specialty is included in the Australian nurse registration requirement, and specialty denotes a nursing practice area which includes knowledge and skills (ACPCHN, 2006).

Role and the responsibilities of a Pediatric and a Child health nurse.

Competencies established by the Australian Confederation of Pediatric and Child Health Nurses (ACPCHN) are a cause for debate, when it comes to nurses' roles and responsibilities. These were viewed as positive for pediatric nursing professionals, and a means to promote nursing's professional side in the realm of pediatrics (ACPCHN, 2009). Nursing competencies denote standards based on which progress of nurses is graded for retaining or obtaining Australian nurse registration (Nursing and Midwifery board of Australia, 2006).

Pediatric nurse practitioners (or PNPs) are key healthcare personnel responsible for providing childcare. They come under the sector of advanced-practice nursing; this designation necessitates advanced training in a particular discipline following RN training completion (Registered Nurse) and completion of an Australian certification exam. In recent times, PNPs' role in providing childcare has come to the forefront, in view of pediatric subspecialty doctors' projected shortage. PNPs possess certifications and training different from neonatal nurse practitioners (NNPs), and thus, have been recommended as experts who can offer healthcare facilities to the increasing number of children afflicted with chronic diseases. PNPs working in the field of subspecialty care will more likely work for some part of their career in inpatient settings, compared to primary care PNPs. However, over 50% of PNPs working in subspecialty care have worked primarily with outpatients. The above finding indicates that a significant variation exists among and/or within individual subspecialties, in terms of PNPs' jobs. Staff studies often group primary care providers into the following specialties: pediatrics, family medicine and internal medicine. This grouping leads to misrepresentation of the organization's unique nature and childcare financing (Freed et al., 2010).

Role of nurses in keeping children safe

Public Health Nurses (PHNs) role in childcare is improving healthcare and outcomes of foster children.…… [read more]


Nursing Transition Essay

Essay  |  4 pages (1,471 words)
Bibliography Sources: 4

SAMPLE TEXT:

Personal Reflection on Transition to Nursing

Transition is a difficult period for amateur nursing graduates (NGs), many of whom are making their first move to qualified clinical practice within the hospital surroundings (Duchscher, 2008). In this paper I will discuss the nursing expertise that I gained in the period of my attachment / residency utilizing Driscoll's (2000) reflective model, a… [read more]


RN and Lpn Compared Essay

Essay  |  3 pages (1,023 words)
Bibliography Sources: 5

SAMPLE TEXT:

On the other hand, LPNs have completed a minimum of a year of nursing education or certificate. Many LPNs complete an Associate of Applied Science or AAS (Nursing Licensure).

Therapies

Statute 65-1136 states that an LPN may perform only limited intravenous fluid therapy and only as supervised by an RN (KSBN, 2014). Even then, an LPN may do so if she has passed the appropriate intravenous fluid therapy examination, completed the pertinent course, and passed the approved therapy examination (KSBN).

Delegation

Statute 65-1165 states that an RN shall supervise all nursing procedures assigned to an unlicensed person (KSBN, 2014; NCBon, 2014). These procedures include the administration of medication. The extent of the supervision will be determined by the RN after assessing certain criteria. These are the patient's health status and physical and mental stability in receiving nursing care; the simplicity of complexity of the procedure delegated and to be performed; the nature and level of the training and competence of the unlicensed person to whom the task is delegated; and the closeness and accessibility of the RN to the unlicensed person at the time the procedure is performed by the latter (KSBN, NCBon).

An RN may delegate certain activities to LPNs and unlicensed individuals according to these criteria for activities, including technical tasks (NCBon, 2014). These tasks include the administration of medications through the assigned or permitted routes. These medications include oral, powder or liquid medications or as injectibles via any routes. Before these technical tasks are delegated to the LPN or an unlicensed person, they are made aware of the laws, standards, policies and procedures, which cover or regulate the administration of the medication. If applicable laws, rules, standards, policies and procedures allow the administration of the medication, all nursing laws and rule necessarily apply (NCBon).

In delegating tasks to an LPN or unlicensed person, the RN retains and maintains overall accountability in the administration of the tasks and their coordination (NCBon, 2014). She also assumes responsibility for the decision of delegating the tasks and the process; evaluates the patient's status and needs, designs a care plan, measures the competence of the personnel to whom the tasks will be delegated. The LPN or unlicensed person, on the other hand, expresses acceptance and an understanding of the delegated tasks, undertakes them correctly and as directed, acquires clarification and/or training if needed, and promptly reports the results of the tasks to an RN (NCBon).

BIBLIOGRAPHY

Greenwood, B. (2014). RN duties vs. LPN duties. Chron: Hearts Newspapers. Retrieved on October 21, 2014 from http://www.work.chron.com/rn-duties-vs.-lpn-duties-9254.html

KSBN (2014). Nurse practice act -- statutes and administrative regulations. Kansas Board of Nursing: KSBN.org. Retrieved on October 21, 2014 from http://www.ksbn.org/npa/npa.pdf

NCBon (2014). Delegation and assignment of nursing activities. NC Nursing Board.

Retrieved on October 21, 2014 from http://www.ncbon.com/myfiles/downloads/position-statements-decisio-trees/delegation-and-assignment-of-nursing-activities.pdf

Nursing Licensure (2012). LPNs vs. RNs. Nursing Licensure. Retrieved on October 21,

2014 from http://www.nursinglicensure.org/articleslpn-versus-rrn.html

SL Page (2013). LPN vs. RN -- what are the differences between an LPN and RN? SL

Page: Registered NurseRN.com. Retrieved on October… [read more]


Nursing Metaparadigm in Nursing Theories Essay

Essay  |  6 pages (2,039 words)
Bibliography Sources: 5

SAMPLE TEXT:

The relation of the theory to health is that it defines the concept or metaparadigm based on the patient's ability to operate independently based on the fourteen components. Moreover, nurses should emphasize health promotion and prevention and treatment of illness. While good health is a challenge affected by various factors, it can be achieved through a person's capability to meet these needs independently ("Virginia Henderson's Need Theory," 2012).

In relation to nursing, the Need Theory helps and promotes the patient in life activities and the realization of independence. Therefore, the nursing practice is geared towards making the patient complete and independent since these professionals perform therapeutic plans for individualized care as designed by physicians.

The philosophical foundation for the theory is an integrated approach to scientific study that takes advantage of the profession's wealth and complexity. In essence, nursing process should not involve isolating art from science but should be based on competence. According to Henderson, the conceptual model of nursing is a humanistic approach that focuses on treatment or care for the sick, incapable or dying individuals. As a result, her theory emphasizes on necessary actions for nurses to provide such care.

Henderson's Need Theory is applicable in various settings in nursing practice in order to provide adequate and effective care for sick, incapable or dying patients. The theory would be beneficial for nurse professionals or practitioners who work in rehabilitation centers. However, these nurses need to understand the essential needs of people so that these individuals can live normal and productive lives.

Conclusion

Nursing is a profession that is based on various theories, concepts, and models that govern actions undertaken to promote, sustain and recover a person's health and well-being. There are various nursing theories that focus on different aspects of nursing practice and nursing metaparadigms such as Orem's Self-care Deficit Nursing Theory and Henderson's Need Theory. The commonality of these two nursing theories is nursing since they attempt to define the role of this basic concept. However, the theories differ with regards to definition of a patient in need and how nurses should intervene as well as when its necessary for nursing to support patients. An example of a theory that is applicable to nursing practice, especially in rehabilitation centers, is Virginia Henderson's Need Theory.

References

Cruz, R. (n.d.). Fundamentals of Nursing Practice. Retrieved October 12, 2014, from http://www.peoi.org/Courses/Coursesen/nursepractice/nursepractice2.html

Henderson, V. (1991). The nature of nursing: a definition and its implications for practice, research, and education: reflections after 25 years. New York, NY: National League for Nursing Press.

Lake, R. (n.d.). Four Basic Concepts in Nursing. Retrieved October 12, 2014, from http://www.ehow.com/list_6133165_four-basic-concepts-nursing.html

"Virginia Henderson's Need Theory" (2012, February 4). Nursing Theories: A Companion to Nursing Theories and Models. Retrieved October 12, 2014, from http://currentnursing.com/nursing_theory/Henderson.html

"Virginia Henderson -- Nursing Theorist." (n.d.). Nursing Theory. Retrieved October 12, 2014,

from http://nursing-theory.org/nursing-theorists/Virginia-Henderson.php

Wanchai, A., Armer, J.M. & Stewart, B.R. (2010, October). Self-Care Agency Using

Complementary and Alternative Medicine (CAM) Among Breast Cancer Survivors. Self-Care and Dependent-Care Nursing: The Official Journal of… [read more]


Nursing Jobs Essay

Essay  |  2 pages (689 words)
Bibliography Sources: 2

SAMPLE TEXT:

Sanitation jobs were demanded: windows had to be kept clean in order to keep rooms light, and the air had to be kept pure and fresh. Nurses had to make sure rooms were well-ventilated (today, that is the job of the ventilation technician). They had to make sure fires were burning in the sick-room so as to keep it warm. Most importantly, a nurse was not supposed to "talk." Gossip among nurses was discouraged.

In the post-1945 period, nurses began to exercise more voice in the way nursing was practiced. Various associations had been founded and by the 1990s nurses were exercising political clout to influence the way hospitals conducted operations. The jobs of nurses became more specialized and individualized. In fact, today nurses often lack the time to practice the basic job of "comforting" and talking to patients (BMJ Quality and Safety, 2013). This basic job is even given its own title -- psychoeducational care -- as are many jobs in the nursing practice today. Micromanagement, bureaucracy, and technological increases have turned nurses into little more than administrators. Some functions remain the same: tending to bandages, IVs, medication delivery, routine check-ups -- but computer systems also do the monitoring.

Nursing jobs, however, are opening up in terms of setting. While most registered nurses apply to work in hospitals, some nurses take to becoming independent contractors -- like midwives or alternative care physicians. In this way, they can escape the bureaucratic setting of today's wards and get back to providing the "care" and "comfort" that nurses in the Old World used to do, when nursing was still a charitable vocation.

Reference List

BMJ Quality and Safety. (2013). Registered nurses often lack time for nursing care activities. News Medical. Retrieved from http://www.news-medical.net/news/20131111/Registered-nurses-often-lack-time-for-nursing-care-activities.aspx

Rinehart, M. (1931). Beyond Bed Pans. History Matters. Retrieved from http://historymatters.gmu.edu/d/60/

Sundstrom, A., H. (1998). From the Decline/Dark Ages to the Rebirth/Renaissance of Nursing. Angelfire. Retrieved from http://www.angelfire.com/fl/EeirensFaerieTales/NursingDeclineHistory.html… [read more]


Personal Nursing Philosophy Nursing Autobiography Term Paper

Term Paper  |  6 pages (1,623 words)
Bibliography Sources: 7

SAMPLE TEXT:

Again, I prefer the RAM model because it incorporates many of the different perspectives and ideals that are embedded in different models into a practical approach to health that focuses mainly on the patient.

6. How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?

In the modern health care environment, changes is eminent and never the exception. Change can stem from many levels and perspectives. The role of the nurse in this process is crucial as they are in the frontlines of the patients care. They often act as the mediator between the patient and the doctor and their input can dictate the type and quantity of care given and received. There is the level of the patient which will often have to embrace change in order to improve their health.

The level of the nurse requires continuous skill development as technology and knowledge continues to progress. Furthermore, there is also an interpersonal component to nursing that requires that nurses are open to learning about other cultures and individual patient needs and how to effectively communicate under many different circumstances. The role of education in a nurses' career never stops and they must continually be open to change; both as a change agent and an advocate of change for their patients' health concerns.

Works Cited

Andrews, H., & Roy, C. (1991). The Adaptive Model. Norwalk: Appleton and Lange.

Denler, H., Wolters, C., & Benzon, M. (2013). Social Cognitive Theory. Retrieved from Education: http://www.education.com/reference/article/social-cognitive-theory/

Farlex. (2011). The Medical Dictionary. Retrieved from Farlex: http://medical-dictionary.thefreedictionary.com/adaptation+model

Nursing Theory. (2011). Sister Callista Roy. Retrieved from Nursing Theory: http://nursing-theory.org/nursing-theorists/Sister-Callista-Roy.php

Schin, S., Benkert, R., Bell, S., Walker, D., & Danford, C. (2006). Social Justice: Added Metaparadigm Concept for Urban Health Nursing. Public Health Nursing, 73-80.

Thorne, S., Canam, C., Dahinten, S., Hall, W., Henderson,…… [read more]


Learning in Nursing Essay

Essay  |  4 pages (1,325 words)
Bibliography Sources: 4

SAMPLE TEXT:

At its core, ways of knowing is the overall acquisition, interpretation and filtering of knowledge from the world around this. In the nursing prism, this would include book learning, practice learning and experiential learning. Each has their own place but one can often never replace the other. For example, reading how to do a suture is one thing but doing it is another. Doing it under pressure is a third thing altogether. As far as empiricism vs. interpretive paradigms, there is much to be said for both. The empirics are about what one can sense including from sight and hearing. However, not everything can be gleaned from that nor should anyone assume that this can or should be the case. Sometimes, it is about interpretation and other ways of getting information other than what can be proven at the time. Even so, empirical information should always take precedence over interpretations unless there is a very good reason why not. As such, the empirical paradigm is what the author of this paper favors but interpretation and its time and place such as with psychology and psychiatry.

Lastly, it should be stated that all of the above facets and factors in nursing contribute the lexicon and practice of nursing, each in their own way. Any expansion of knowledge or sharing of knowledge both in a professional and/or an educational setting, especially when speaking of an industry and field like nursing, is beneficial as it is a check and balance as well as a general learning experience that should be savored and utilized rather than shunned and rejected. While not everyone in the nursing sphere is aware of the give and take as well as the interaction of all of these paradigms and learning models, they should be. This is especially true when speaking of nurses that are RN or beyond and anyone that seeks doctoral certification because anyone that can be or will be teaching the nurses of the future should know the form and function of these models so that they can prepare the nurses and other medical professionals of the future. However, these models and ideas should also be applied inward and with one's own potential and future in mind. Being reflexive and limited in the learning and methods that can and should be used to improve one's skill set and way of learning and practicing is never a good idea. Learning should be cooperative and consulting in nature and there should be a focus on results-based learning outcomes as well as creating and maintaining consistency from person to person, especially in the same environment. Rules need to be flexed or broken sometimes but that should by far be the exception, not the standard.

Conclusion

Learning is a process and an art and nursing is certainly no exception. However, with nursing and medical practice in general, attention to detail and facts is extremely important as lives are often literally on the line. Knowledge has to be at the ready when… [read more]


Long-Standing Epidemic Research Paper

Research Paper  |  6 pages (1,647 words)
Style: APA  |  Bibliography Sources: 6

SAMPLE TEXT:

On the hospital management's part, employee policy on workplace violence, which is supposed to protect employees, should be strictly implemented. If there is no such policy, one should be promptly adopted. The Management and organizations should not tolerate this very destructive practice at a zero-tolerance level. But under all circumstances, nurses should stand united in this fight and regain their time-honored reputation of care-giving and compassion, possible only in an atmosphere of harmony (Sauer).

Conclusion

Lateral violence is a shocking phenomenon that has only recently gained wide attention and alarm because of its costly consequences to healthcare in general. Studies say that about 50% of nurses, especially newcomers, are victims of physical hostility by fellow nurses and of verbal abuse at 62%. Burnout is the identified as the major cause of it. Approaches have been recommended with zero tolerance as an overall target. But until they become effective, it must be conceded that LV is real, chronic and serious.

BIBLIOGRAPHY

Embree, J.C. And White, A.H. (2010). Concept analysis: nurse-to-nurse lateral violence.

Vol. 45 # 3, Nursing Forum: PubMed. Retrieved on May 29, 2014 from http://www.ncbi.nlm.nih.gov/pubmed/20690992

Mitchel, A., et al. (2013). Workplace violence among nurses: why are we still discussing this? Vol. 4 # 4, Journal of Nursing Education and Practice: Science Education.

Retrieved on May 29, 2014 from http://www.sciedu.ca/journal/index.php/nep/article/download/3541/2416

Reed, J. (2014). Reducing lateral violence: a humanistic educational approach. RN

Journal: |Times Publishing LLC. Retrieved on May 29, 2014 from http://www.rnjournal.com/journalofnursing/reducing-lateral-violence-a-humanistic -- educational-approach

Rowe, M.M. And Sherlock, H. (2005). Stress and verbal nursing: do burned-out nurses eat their young? Vol. 3 # 3, Journal of Nursing Management: PubMed. Retrieved on May 29, 2014 from http://www.ncbi.nlm.nih.gov/pubmed/15819837

Sauer, P. (2012). Do nurses eat their young? truth and consequences. Vol. 38, Issue 1,

Journal of Emergency Nursing: Elsevier. Retrieved on May 29, 2014 from http://www.ncbi.nlm.nih.gov/pubmed/22079647

Sheridan-Leos, N. (2008). Understanding lateral violence in nursing. Clinical Journal of Oncology Nursing: High Beam Research. Retrieved on May 29,…… [read more]


Nursing Organizations Term Paper

Term Paper  |  2 pages (677 words)
Style: APA  |  Bibliography Sources: 3

SAMPLE TEXT:

Professional Orgs

A family nurse practitioner can expect to have a number of options for where to work. This role utilizes the training and education to provide a wide range of holistic health care services, and in that there are employment opportunities in many different types of health care environments (Van Pelt, 2012). Thus, the role might bring me to a hospital or a clinic, or a care home, and these can be both for profit or not for profit. I expect that I will work in a hospital, but whether it is profit or not-for-profit I do not know yet. In this role I will be helping people in primary care settings working alongside physicians in particular because of the emphasis on front line care (Lague, 2008). Most of the jobs in this field are therefore in hospitals, but as noted there are a number of places for employment in this growing field.

In the hospital setting, I might work in an emergency ward, or in post-surgery care, but definitely in a primary care role. These two roles are among the more common for a nurse practitioner, and put you on the front lines of providing care to people who have active health problems that they need help with. The role is likely going to be quite demanding, especially when I am new, as there is a steep learning curve not only for the different technical aspects of the job, but also for the development of the human, caring side as well. I anticipate having to put all of my skills and training to use in this high intensity setting.

A board that will support my role in this type of organization is the Nevada State Board of Nursing. This board provides the licensure for the nursing profession in the state of Nevada, so in that regard they are critical to my career. Moreover, this board also provides the oversight function and is responsible for governance of the nursing professional beyond licensure.

One of the key laws…… [read more]


Family Nurse Practitioner: Role and Setting Term Paper

Term Paper  |  2 pages (671 words)
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According to the authors, this is particularly the case given that the physical and emotional health of military women ought to be supported not only before (or after), but also during and following deployment. For this reason, the authors suggest that FNPs be flexible and dynamic in the execution of their mandate.

In the final analysis, the Family Nurse Practitioner role comes across as being an exciting and fulfilling specialty. However, after reviewing literature on this role, I have learnt that to succeed as a FNP, one ought to appreciate the relevance of collaborative, family-centered care. This is particularly the case given that as Nursing License Map points out in an opinion piece titled Family Nurse Practitioner Roles, "a family nurse practitioner, while having a wide range of skills and training, does not work completely alone." To be successful, a FNP, as Nursing License Map further points out ought to work closely with other stakeholders including, but not limited to, fellow health care professionals. Nursing License Map also identifies, and describes, the other numerous roles of FNP as being to educate, to diagnose, to treat, and to collaborate. A comprehensive nursing licensure info source, Nursing License Map is sponsored by Georgetown University School of Nursing and Health Studies. It can, therefore, be classified as an expert opinion article.

References

Agazio, J., Hillier, S.L., Throop, M., Goodman, P., Padden, D., Greiner, S., & Turner, A. (2013). Mothers Going to War: the Role of Nurse Practitioners in the Care of Military Mothers and Families during Deployment. Journal of the American Association of Nurse Practitioners, 25(5), 253-262.

De Milt, D.G., Fitzpatrick, J.J., and McNulty, S.R. (2010). Nurse Practitioners' Job Satisfaction and Intent to Leave Current Positions, the Nursing Profession, and the Nurse Practitioner Role as a Direct Care Provider. Journal of the American Academy of Nurse Practitioners, 23(1), 42-50.

Nursing License Map (2014). Family Nurse Practitioner Roles. Retrieved from http://nursinglicensemap.com/advanced-practice-nursing/nurse-practitioner/family-nurse-practitioner/family-nurse-practitioner-roles/… [read more]


Is There a Need for Professional Organizations? If Yes, Why? If No, Why Not? Term Paper

Term Paper  |  4 pages (1,247 words)
Bibliography Sources: 5

SAMPLE TEXT:

The NLN specifically promotes excellence in nursing education while the ANA is a generalist organization devoted to promoting knowledge about the nursing profession and improving nursing care.

This raises the question as to whether the proliferation of nursing organizations is good for the profession. Overall, it would seem that the current balance between having two, widely-know and widely-respected generalist organizations and a wide range of specialist associations conveys a nice balance between the need for a common nursing language and set of professional standards with the corresponding need to balance out these demands with the requirements of specializations. For example, different nursing specialties may have different, particular ethical quandaries that may need to be addressed by those with specific past experiences in the field. Also, there may be some conflicts between different nursing perspectives: for example, the point-of-view of a nurse in a surgical specialty may be at odds with a nurse who comes from an area of practice that focuses on treating disease through non-surgical means. "Societal changes and increased demands on the nursing profession" created the need for greater specialization (Matthews 2012). Specialty organizations are defined by "mission and vision statements that are specific to their specialty interests, goals, and purposes" (Matthews 2010). It would simply not be feasible to have a single organization address all of these different needs.

While the existence of an umbrella association like the ANA is helpful, as healthcare grows increasingly complex, the need for specialization is likely to increase rather than abate. Even the ANA itself admits that "the rapidly changing healthcare environment's demands, including the call for certification of nurses for specialty practice, created the need to develop consistent, standardized processes for recognizing specialty areas of nursing practice, approving specialty nursing scope of practice statements, and acknowledging specialty nursing standards of practice" (Recognition of a nursing specialty, 2010, ANA). More and more nurses are likely to seek advanced degrees and specialization because of the career possibilities this opens up for them, the chances for increasing their salaries, and also because of the need to meet different demographic shifts, including the aging of the population and the rise of chronic conditions such as diabetes.

The proliferation of specialist organizations does not obviate the need for associations like the ANA to provide general information and support to all nursing professionals. It has an important role in increasing cohesion in the profession. However, for many nurses the ideal is membership in the ANA combined with membership in a specialist association. This maximizes networking opportunities and ensures them access to the full range of services offered by both generalist and specialist nursing professional institutions. Nurses can also benefit from membership in state-specific nursing associations that address the particular issues germane to their region (Morales 2012). Nurses from historically-discriminated groups may find professional support and guidance in issues unique to them in their own professional associations. Ideally, a nurse should have a strong network of support and limiting that support to a singular organization might result… [read more]

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