Study "Nursing / Doctor / Physician" Essays 56-110

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Nursing Theorists Research Paper

… Orem's theory of 'Self-Care Deficit' specifies when intervention from nursing is a requirement due to the limitations of the patient to participate in self-care that is effective in nature. The priorities in this case study are those of: (1) pain reduction; (2) developmental self-requisites; and (3) universal self-requisites. This case involves the investigation of functional patterns including: (1) activities and exercise (not being met as the patient is bedridden and elderly); (2) nutrition and metabolism (bedridden and cannot prepare meals that are well balanced; and (3) sleep and rest (poor sleep due to ongoing pain); (4) elimination (constipation due to inactivity; and (5) coping and tolerance to stress (inability to patient to cope with their disability. (Iglesias et al.) The requiremens of the nursing professional in this scenario include: (1) self-awareness enhancement; (2) Adaption to physical disability; (3) self-care assistance IADL's; (4) Intervention to self-status; and (5) pain management/control. (Iglesias et al., nd)

Summary and Conclusion

Dorothea Orem's 'Self-Care and Self-Deficit' Theories are such that serve the nursing professional in providing the precise levels of care required in meeting the needs of patients while enabling them to provide effective self-care. The role of the nurse in view of Orem's theory is to pick up in providing care where the ability of the patient leaves off.

Bibliography

Dorothea Elizabeth Orem made nursing theory "exciting, realistic and usable (2007) Southern Cross, Page 3. Retrieved from: Thursday, July 19, 2007

Dorothea Orem's Self-Care Theory 2012) Dorothea Orem's Self-Care Theory. Retrieved from: http://currentnursing.com/nursing_theory/self_care_deficit_theory.htmlIglesias, M. et al. (nd) Case Study Application info Dorthea Orem's Nursing Theory. Retrieved from Scribd at: http://www.scribd.com/doc/20791871/Case-Study-Application-of-Dorothea-Orem-s-Nursing-Theory

George B. Julia, Nursing Theories- The base for professional Nursing Practice, 3rd ed. Norwalk, Appleton & Lange.

Integration of Dorothea Orem's Nursing Theoretical Framework (nd)Williams & Lippincot / http://www.scribd.com/doc/20791871/Case-Study-Application-of-Dorothea-Orem-s-Nursing-Theory

Meleis Ibrahim Afaf (1997), Theoretical Nursing: Development & Progress 3rd ed. Philadelphia, Lippincott.

Orem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc.

Potter A Patricia, Perry G. Anne (1992) Fundamentals Of Nursing -- Concepts Process & Practice 3rd ed. London Mosby Year Book.

Taylor Carol, Lillis Carol (2001)The Art & Science Of Nursing Care 4th ed. Philadelphia, Lippincott.

Taylor, S.G. (2006). Dorthea E. Orem: Self-care deficit theory of nursing. In A.M.

Tomey, A. & Alligood, M. (2002).…… [read more]


Nurse Violence Workplace Research Paper

… Online Journal of Issues in Nursing. Retrieved January 19, from .

Occupational Safety and Health Administration. (2011). U.S. Department of Labor. Retrieved January 18, from .

Occupational Safety and Health Administration, p.1.

Garelick, A. & Fagin, L. (2004). The doctor -- nurse relationship. Advances in Psychiatric Treatment (10). Pp. 277 -- 286.

Sirota, T. (2007). Nurse-physician relationships: Improving or not? . Lippincott Nursing Center. Retrieved January 19, from .

No Author. (2008). Lateral Violence and Bullying in the Workplace. Center for America Nurses. Retrieved January 19, from .

Brown, T. (2010). When the Nurse is a Bully. New York Times. Retrieved January 19, from .

Longo, J. (2010). Combating Disruptive Behaviors: Strategies to Promote a Healthy Work Environment. Online Journal of Issues in Nursing. Retrieved January 19, from .… [read more]


Physician Shortages Identify Essay

… The type of care needed by patients require graduate level nurse training. Yet the number of Bachelors of Science degreed nurses are unable to get the additional training due to lack of instructors holding a graduate degree. A requirement to teach Advanced Nursing Practice (Miller & McIntyre, 2011). This creates a catch 22 of sorts as the number of nurses is due to a shortage of teachers with the Graduate level degree to train the upcoming undergrads in the field (Miller & McIntyre, 2011).

The Association of Colleges of Nursing has reported that 30,000 applicants who were qualified to pursue BSNs were 'turned away' due to shortages in Nursing available to teach at the graduate level (Miller & McIntyre, 2011). Up to 61% of nursing colleges have adequate faculty reports the AACN.

A Third factor for nursing shortage is cuts in funding nurse staffing by hospitals and managed care plans. The monies to reimburse for certain types of nursing care were cut or decreased to the point that the strain on the hospital became to great. Therefore hospital policymakers chose to restructure workloads of nurses in order to compensate for additional insurance monies. This led to overloading the nurses to the point of RN burnout according to Dana Weinberg of Cornell Press (2003). It is also reported that the nursing profession is often misrepresented and misunderstood in terms of importance to patient care. Leading to as many as 250,000 nurses leaving the workforce as of 2005(AACN, 2007).

3. Identify and describe at least three roles the public health professional has in the health care system.

One role of the public health professional is to find ways of making it easier to access health care. There are so many agencies offering alternative health services such as mobile services for dental, seasonal vaccinations, and even lab services.

Another role is that of social worker for those with backgrounds in psychology to investigate incidents of troubled youth and teens (Public Health, 2011).

A third would for be for health professionals with backgrounds in counseling and substance abuse care to educate the public and provide outpatient services to communities.

With public health becoming more diverse in the 21st century there are opportunities for all types of professionals from different backgrounds to open up community practices. Some of the fields in public health include social work as mentioned, nutritionists, researchers, environmental studies, and fitness professionals (Public Health, 2011).

4. Identify and describe at least three roles that a health service administrator has in the health care system.

The health service administrator has professions in the public and also in the private segment of society. Jobs range from local governmental and civil office to the state or federal level (Public Health, 2011). Some of the roles include the public school system in positions such as a K-12 food safety inspector. A second role is at the university level health service administrators could take on the role of a researcher in defining programs that lead to sleep… [read more]


Barriers to Independent Practice and the Nurse Practitioner Research Proposal

… Np Barriers Proposal

Nurse Practitioner

personal professional practice barriers proposal

Legally, NPs possess the authority to practice independently. Non-recognition of the NPs authority, however, routinely hinders their ability to put that authority into practice. During the proposed *** study, "Nurse… [read more]


Nursing Law and Ethics Term Paper

… Nursing Law and Ethics

Name two (2) functions of the Nurses Board that are relevant to you as an Enrolled Nurse. 1.Centralized and universal licensure. 2.development and enforcements of legal responsibilities and practice rule of nurses.

State two (2) contributions… [read more]


Nursing Management Relating to Communication and Staff Case Study

… ¶ … Nursing Management Relating to Communication and Staff Welfare: A Case Study

Facts Of The Case Study

The fact of this case include a transfer for Senior Public Health Nurse Comrie which was initially communicated to her indirectly and… [read more]


Nursing Profession Term Paper

… References

American Heritage Dictionary. (1982) Second Edition.

A www.questia.com/PM.qst?action=openPageViewer&docId=5000534396

Bashford, A. (1997). Starch on the collar and sweat on the brow: self sacrifice and the status of work for nurses. Journal of Australian Studies, (52), 67+. Retrieved August 24, 2003, from Questia database, http://www.questia.com. http://www.questia.com/PM.qst?action=openPageViewer&docId=5001774259

Caines, E. (1999, September 6). How to end the nursing shortage. New Statesman, 128, 23. Retrieved August 24, 2003, from Questia database, http://www.questia.com. http://www.questia.com/PM.qst?action=openPageViewer&docId=5000779782

Dworkin, R.W. (2002, Summer). Where have all the nurses gone?. Public Interest, 23+. Retrieved August 24, 2003, from Questia database, http://www.questia.com. http://www.questia.com/PM.qst?action=openPageViewer&docId=5000843053

Goodwin, K. (2002, October/November). States tackle the nursing shortage: the lack of qualified nurses is reaching epidemic proportions. States, universities and hospitals all are trying to do something about it. State Legislatures, 28, 20+. Retrieved August 24, 2003, from Questia database, http://www.questia.com. http://www.questia.com/PM.qst?action=openPageViewer&docId=5000770255

Lin, C. (2002). The shortage of registered nurses in monopsony: a new view from efficiency wage and job-hour models. American Economist, 46(1), 29+. Retrieved August 24, 2003, from Questia database, http://www.questia.com.

Jardin Karen Des. (2001) Political involvement in nursing -- politics, ethics, and strategic action.

Hamilton, H. Percival, E. (1996) Nurses in Australia: their role today and tomorrow. Medical Journal of Australia. volume 164. pg. 520-521… [read more]


Ethical Analysis: Nursing Situation Research Paper

… D: Current law / regulation at use

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

E: Ethical Theory plus Resolution

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

F: The outcome is supported by the ANA Code

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

G: How the proposed resolution promotes ethical justice

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

References

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

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

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


Theory Related to Nursing Research Paper

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

Borderline case

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

Related Case

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

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

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

Empirical Referents

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

Conclusion

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

References

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

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


What a Nurse Practitioner Does in the Medical Field Research Paper

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

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

Works Cited

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

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

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

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


Ethics Nursing Choose a Potential Ethical Dilemma Term Paper

… Ethics Nursing

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

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

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

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


Nursing and Scholarship Will Two-Hour Essay

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

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

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

Aspect

DNP Project

Analysis

Discovery

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

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

Teaching

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

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

Application

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

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

Integration

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

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

(AACN, 2013; Glassick, 2000).

REFERENCES

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

St. Louis, MO: Elsevier Mosby.

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

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

Boyer, E.L. (1992).… [read more]


Standards of Nursing Practice Term Paper

… This would be considered a principle-based ethics theory.

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

Summary

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

References

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

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

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

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

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

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

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


Practice Registered Nurse Essay

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

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

References

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

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

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

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


Advanced Nurse Practitioner Essay

… One widely accepted model for skill acquisition in Advanced Nursing Practice is the Skill Acquisition model, created by two brothers, Dreyfus and Dreyfus. This model helps illustrate how nursing students of all levels acquire the skills they need to keep… [read more]


Nursing Practice Act California Essay

… Scopes of Practice

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

Capacity of RNs' Practice

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

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

References

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

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

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


Theoretical Foundations of Nursing Research Paper

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

Ethical Dilemma:

Ethical issues and dilemmas have become common in the nursing profession because of global developments and changes in the… [read more]


Nursing Interview Essay

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

Present Position

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

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

Pearls of Wisdom

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


Family Nurse Practitioner Research Paper

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

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

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

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

References

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

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

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

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

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


Admission to Nursing Training Essay

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

Under the nursing home guidelines I am obliged to have conversations with our patients but I do… [read more]


Cultural Competency in Nursing Capstone Project

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

Steps to Maintain Change

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

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

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

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

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

Conclusion

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

References

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

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

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

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

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

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

Vanguard…… [read more]


Diverse Population Nurses Must Attend Research Paper

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

References

Theory. (2012). Current Nursing. Retrieved:

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

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

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

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

Nursing, 12(3), 275-280.

Topic 2: Theory and Research

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

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

References

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

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

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

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


Nursing Course Project Milestone #1:PICOT Capstone Project

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

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

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

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

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

Literature Review Worksheet

Your Name:

Date: July 15, 2013

Your Instructor's Name:

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

Search Question:

APA Reference for Article

Peer Reviewed

Brief Description of Research

Type of Research

Study Outcomes / Recommendations

1

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

No

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

Qualitative

Facilitate nurses in their communications.

2

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

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

No

Elaborates Communication difficulties faced by nurses and their causes.

Quantitative using survey questions among doctors and nurses

Listening to nursing problems and helping them.

3

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

No

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

Secondary research

To offer training on patient-provider communication

4

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

No

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


Nursing Theory Practice Setting Essay

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

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

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

References

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

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

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

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

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

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

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

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

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

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


Personal Philosophy of Nursing Research Paper

… Philosophy of Nursing

Nursing

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

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

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


Nursing Knowledge Annotated Bibliography Evidence Annotated Bibliography

… 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… [read more]


Patricia Benner Theory 21st Century Essay

… 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… [read more]


Future of Nursing Technologies Research Paper

… 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… [read more]


Timeline Historical Development of Nursing Term Paper

… 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

… 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

… 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

… 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

… 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

… 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

… " (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

… 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

… 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

… 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

… 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

… 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

… (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

… 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… [read more]


Nurses Use the Nursing Process Term Paper

… 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.… [read more]


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

… ¶ … 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

… ¶ … 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… [read more]


Nursing Future in 2021 Term Paper

… 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

… 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

… 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… [read more]


Medical Nursing Medical L Term Paper

… 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

… 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 Professional Writing

… 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

… 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… [read more]


Future of Nursing in Texas Term Paper

… 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… [read more]


Nurse the Nursing Career Differs Essay

… 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 Essay

… 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]

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