...Where Are Nurses In the Nursing Homes and Assisted Living Facilities? Assisted living facilities, one of the fastest growing housing options for older adults, represents a potentially new employment option for RN’s. When most people think of nursing homes, they think about nurses being responsible for the patients. However, most nursing homes and assisted living facilities in the United States do not have any RN’s employed. Most assisted living facilities have LPN’s, medical technicians, and certified nursing assistants. Why are there no nurses in nursing homes/ assisted living facilities? “Slightly fewer than 1 million people age 65 or older live in an estimated 33,000 assisted living facilities, private or shared units.”(Kovner) All assisted living facilities provide congregated meals, laundry and housekeeping services, and some social activities; all assisted living facilities provide health monitoring and assistance with activities of daily living (ADL’s). “Approximately 60% of residents need assistance with one to three ADLs; 75% need assistance with medications.”(Kovner) “Current estimates suggest that 50% of residents in assisted living have Alzheimer’s or Dementia, and the number is expected to grow.”(Kovner) Many assisted living facilities have a special locked down unit for residents with Alzheimer’s or Dementia. On average a nursing assistant will have 14-30 residents to tend to. This means making sure everyone is checked on every hour, changed, and making sure...
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...task of ensuring that their love ones are placed in nursing homes. According to the Center of Disease Control (CDC) (2012), about 1.5 million Americans live in nursing homes and about 22% of 5.3 million people 85 years of age or older had a nursing home stay in 2006. They go on to say, there are approximately 16,000 nursing homes and about 1.7 million nursing home beds in the United States. While only twelve percent of nursing home residents are between the ages of 64-74, 45% are over 85 years of age. It is estimated that anyone over 65 years of age will have a 43% chance of spending some time in a nursing home (Kemper and Murtaugh, 1991) and about 24 % of these individuals will spend less than a year in residence at a nursing home (CDC, 2012). The key employees of the nursing home that have the most interaction and greatest impact with the residents of nursing homes are the registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). For several years the shortage and turnover rate of nursing home staff has long been a serious problem for multiple nursing homes nationwide (Pillemer, et al., 2008). Providing effective and safe quality care in nursing homes requires clinically and interpersonally competent staff. Research findings suggest that inadequate supervisory, managerial, and human resource practices within nursing homes contribute to poor outcomes, including high nursing staff turnover, lower employee satisfaction, and poor...
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...The purpose of this research paper is so that I can explain, in my own words, the impact that the Institute of Medicine 2010 report, “The future of Nursing: Leading change, Advancing Health”, has had on nursing education, a nurses role as a leader and on the nurses practice, (particularly in the primary care setting) as well as how I would change my practice to meet the goals of the Institute of Medicine report, in 750-1000 words. I would like to explain the Importance of the Institute of Medicine. The Institute of Medicine is an interdisciplinary committee to our country that focuses on points about our community’s health. This team was formed in 1970 under the charter of the National Academy of Sciences. They give self-governing facts that are researched for policy makers and healthcare providers for both the public & private sectors. As these teams are necessary for yielding reports, the Institute of Medicine is also attributed to having forums and other activities to create discussions and encourage critical-thinking. The Institute Of Medicine will also make recommendations for making health care more desirable and improve health professions education that has a great influence on encouraging change. Dr. Harvey V. Fineberg is president of the Institute of Medicine. “The Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, is a thorough examination of how nurses’ roles, responsibilities and education should change to meet the needs of...
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... explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation to provide safe, quality care creates distinct challenges when delegating care to unlicensed assistive personnel (UAP). These challenges are amplified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; hospitals, home care settings, and nursing homes with high patient acuity; and the use of sophisticated technology. An...
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...dynamics. NRS 430V Monica Kidder November 08, 2012 Educational Preparation Nursing education is very important because of the skill needed to practice .All nurses’ use critical thinking and best judgment at all times in their area of practice. There is a belief that Associate degree in nursing educational level is lower than the Baccalaureate degree in nursing and their scope of practice. Associate Degree in Nursing is a two to three years program and Baccalaureates Degree is a four year program. After receiving the Associate Degree in nursing successful candidates are required to pass NCLEX an external professional exam monitored by Board of Nurse examiners. Bachelor’s Degree in Nursing is a four year program which deals with level of health promotion and spiritual perspectives and deals with ethical issues and social influences. It works across liberal arts including biblical concept. In the area of practice Bachelor’s degree nurse is better equipped to deal with all level of practice both as a bedside nurse and as a manager for good patient’s outcome. The program prepares nurses for a broader scope of practice. Bachelor’s Degree in nursing program equips nurses better than the Associate Degree Nursing to be able to meet with the challenges and the demand of the changing needs of patients in our world today as suggested by the Institute of Medicine Landmark Report on the Future of Nursing. This was initiated by the Robert Wood Johnson Foundation that is calling for more...
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...Applying the Jean Watson's Caring Theory to the Nurse Staffing Ratio in Practice Chamberlain College of Nursing NUR501: Theoretical Basis Advance Nursing December 05, 2015 Introduction Nursing theory impacts the practice of nursing in many different ways that can have a great influence. Theory provides a structure to support and shape nursing practice, encourage quality of patient care, and can be utilized in practice situations to give solutions to problems in nursing practice. Utilizing theories to solve nursing obstacles can be used in educational settings, research environment, direct patient care, informatics, as well as in administration and management of nursing care services. The advantages of applying theory to resolve a challenge in nursing practice can be demonstrated by applying Jean Watson’s theory of human caring. Jean Watson’s theory of human caring is a grand theory that provides to the empirical stand point of nursing. It emphasizes on genuine caring about the human being as whole; meaning caring about the human’s mind, body and spirit in order for the healing process to sustain at highest level. Her theory is portrayed as a model of caring which art and science are both included; presenting a framework that involves and divides art, science, humanities, spirituality, mind-body-spirit in medicine, and nursing (Watson, 2000). Nursing practice today is impacted by Watson’s caring theory. It does not only enable nurses to improve care for...
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...path to get there. Especially to the career I attend to pursue. Anything in life that i plan to achieve i must predicted a way to get there. I must have to created start goals, that will get me throughout my careers path that will help me successfully become who I dream to be. The career that i have in mind when I first began college was nursing, however, today want to become technician radiologist. Which I mind pursuing in further path of career. I chose to pursue this career because my early childhood I knew that I wanted to be in the healthcare industry, but entering my adult life never new what exactly i wanted to be. So i choose nursing, than physical therapy, than medical...
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...Elder Abuse in Residential Care Facilities Elder abuse is a catch all term referring to any deliberate or negligent act by a care giver or any other individual that results in harm or a major risk of harm to a vulnerable adult over the age of 60 years (Stefanacci & Haimowitz, 2013, p. 68). Under the umbrella definition for elder abuse, more specific types of abuse can be identified such physical abuse, sexual abuse, emotional abuse, exploitation, neglect and abandonment (Stefanacci & Haimowitz, 2013, p. 68). The physical abuse refers to the infliction, or threat to inflict, physical harm onto an elderly individual or the deprivation of their basic needs. Sexual abuse is defined as any form of nonconsensual sexual contact. Exploitation refers to the illegal misuse, theft, or concealment of an elderly individual’s funds, assets, or property. Neglect is the failure or refusal of a formal or informal caregiver to supply the vulnerable elder in their care with shelter, food, health care, or protection. Abandonment refers to the desertion of the vulnerable elder by either a legal custodian or anyone who has assumed responsibility for their care (Stefanacci & Haimowitz, 2013, p. 68). Residential care facilities (RCFs) have a multitude of different names across the Unites States but are most commonly referred to as assisted living facilities (ALFs), adult congregate living facilities, domiciliary care homes, and shelter care homes. Since the mid 1990’s, RCFs have made up one...
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...Implications of Qualitative Research Report Grand Canyon University NRS 433V: Introduction to Nursing Research February 27 2011 Critique of Qualitative Research Introduction Restraints are methods used in the medical field in an effort to restrict the movement of a patient in order to protect the safety of the patient, other patients, and caregivers. Since the onset of the use of restraints, this practice has been an ethical issue and topic for discussion. Further, it continues to be a concern in the health care industry because of the physical, emotional and psychological freedom involved. A study conducted by Hantikainen and Kappeli (2000) interviewed 20 skilled and untrained nursing staff from two nursing homes in a German speaking area in Switzerland. The authors concluded that there is no clear agreement on the definition of restraints and, as such, this lack of clarity translates to the nursing staff inconsistency and corresponding defensive behavior. Further, they felt the crucial component of establishing “restraint-free care” is nursing staff’s understanding of the impact of their personal perceptions of their thinking on their application of restraint policy. The intent of this qualitative research study was to discover nursing staff member’s perceptions on the use of restraints and how these insights affect their decisions at bedside (Hantikainen and Kappeli, 2000). This paper will review the above research article to critically analyze:...
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...San Marcos Abstract This paper explores the findings from four peer reviewed articles about the effects of Healing Touch (HT)/Therapeutic Touch(TT) has on patients. The studies represented in the articles vary in their study designs; however they all aim to ask the same two questions. 1) Does Therapeutic touch play a role in the healing process and health outcomes in selected patients; and 2) Secondly, Is there a need for TT to be utilized in further treatment modalities? This paper examines two different oncology patient studies, one osteoarthritis pain study and one study focusing on patients who are being treated in a psychiatric facility. The Effects of Healing Touch on Patient’s Health “Healing Touch (HT) is a complimentary non invasive biofield therapy, which has demonstrated effectiveness in reducing pain, distress and fatigue. HT purportedly supports the body’s natural healing process and enhances the function of the immune system (Wong, Ghiasuddin, Kimata, Patelesio, & Siu, 2012, pg.1).” The goal of Therapeutic/Healing Touch is to restore harmony and balance to individuals energy systems, which provides the opportunity to self-heal (Wong et al., 2012, pg.27).This paper explores research conducted on the effects of Healing Touch on patients with cancer, pain as and well as other effects on their mental health and the need to further research into the effects of Healing Touch on multiple health care...
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...ERMA: Electronic Record Management Application Stacey N. Tucker DeVry University Table of Contents Section Page Number Introduction 3 The Creation, Birth, and Development of ERMA 4 Legal Aspects 5 Strengths of Vizion 7 Weaknesses of Vizion 8 Strengths of ERMA 9 Weaknesses of ERMA 10 Recommendations for Improvement 11 Conclusion 12 Terminology 13 References 14 ERMA: Electronic Record Management Application ERMA, or the Electronic Record Management Application, was designed and developed by Correct Care Solutions for use in correctional facilities across the country. Used primarily in the ambulatory setting and clinics within correctional facilities. ERMA was primary created, and copyright protected for Correct Care Solutions in 2011 and since has been implemented in over two hundred correctional facilities. In 2013, the El Paso County Criminal Justice Center underwent a change of contract, this meant that their medical department was no longer ran by Correctional Health Care, and as such was no longer privy to their current electronic health record Vizion. The conversion from Vizion to ERMA would end up taking almost 2 full years to be put into full effect. The program implementation was meant with many challenges, these included both legalities and overall functionality. Compared to its predecessor ERMA is was still in its infancy and had a long way to go before it would...
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...Professional Development of Nursing Professionals According to the Institute of Medicine (IOM) report (2010), the nursing profession has become the nation’s largest health care workforce with more than three million active licensed members. Registered nurses (RNs) usually work in hospitals, physician inpatient or outpatient offices, home healthcare, nursing care facilities, correctional facilities, government offices, schools or public health offices, and within the military. There primary role is provide and coordinate patient care, educate patients and the public about health conditions, and provide advice as well as emotional support for the patients and their family members (Bureau of Labor Statistics, 2016). Nursing has become one of the fastest growing healthcare professions with an expected 20% increase per decade by the year 2030 based on the high demand but quick turnover from the new grad nurses population and the 2010 Affordable Care Act (Auerbach, et. al., 2013). The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) in 2008, created a two-year initiative response toward the need to assess and transform the nursing profession in response to the 2010 Affordable Care Act legislation which has become one of the largest health care overhauls since the 1965 creation of Medicare and Medicaid. The IOM appointed a committee on the RWJF Initiative on the Future of Nursing at the IOM to produce multiple reports that would make recommendations for an action...
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...Abstract This paper will explore the long term care system in the United States focusing on the elderly. Understanding aging and the effects it shall have on the long term care industry is important for our society, as the numbers of the elderly are increasing. This paper shall also identify problems in the current long term care system that can cause risk to the elderly such as financial burdens and inadequate care. It will address the long term care professions and job opportunities available as well as give information needed for long term planning. Changes and needs to the long term care delivery systems will be addressed. In conclusion this paper will educate on the elderly needs for long term care and the best way to plan for their future. Long Term Care Systems in the United States When one contemplates the long term care system in the United States, the first thing one must do is understand the importance of aging. In the not so distant past, it was not uncommon for infants to die due to poor nutrition and infectious diseases, nor was the life span as high as it is today. The increasing number of elderly in our society, due to the “baby boomers and longer life spans,” and the changing patterns of activity among them, have led to new assumptions on how their needs and wishes govern the organization of long term health care. When thinking about long term care we must evaluate our rate of growth of the elderly. Statistics show that the population of 80 years or older...
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...not working in the healthcare field, the profession of nursing can cause a lot of confusion. There are multiple different certifications or degrees that get lumped into many peoples’ idea of nursing. For example, there are certified nursing assistants (CNAs), licensed practical nurses (LPNs), associate-level nurses (ADNs), baccalaureate-level nurses (BSNs), masters-level nurses (MSNs), doctorate level nurses (PhDs) and (APRNs) and many different types of specialty certifications. All of these different levels of nursing require varying levels of schooling and certification. For the purposes of this paper the discussion will focus on the differences in competency levels between ADNs and BSNs. Schooling One big difference between the associates nurse and the bachelors nurse is the length of time to get the degree. To get an associate’s degree, the schooling is usually done through a junior college or community college and completed within 2-3 years. On the other hand, the BSN is done through a traditional university and completed within 4 years. This difference in the length of time has made the ADN very popular because you get to start working and making money much more quickly. Also the ADN is much cheaper since you are in school for less time. The BSN has all of the same courses as an ADN, however, the education goes much more in depth. The additions of nursing management, community and public health, nursing research, and humanities gives BSN a much richer education. This...
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...Patient-Centered Health Care Home Many people in the United States do not have access to high quality primary care. There is substantial evidence indicating that sufficient access to high quality primary care results in lower overall health care costs and lower use of higher cost services, such as specialists, emergency rooms, and inpatient care. A large amount of the nation’s dollars are spent on health care. This large budget affects providers, patients, employers, and payers such as Medicaid, Medicare, and private insurers. This is a primary concern in many states including, Minnesota. There are significant gaps in the quality of health care that patients in the United States receive. The current health care payment and delivery system is particularly poor at providing care for people with chronic conditions. As a result of these factors, policy makers debated over proposals that can actually be effective. Some of these proposals aimed for reducing cost, focusing on patient, and improving quality of care. An example of a proposal that focused on patient-centered care and increased quality of care is the creation and introduction of Patient-Centered Health Care Home (PCHCH), also known as “Medical Home.” The introduction of the PCHCH in Minnesota will increase patients’ accessibility to health care services, give them power to be involved in decisions regarding their care, have continuity of care with their physicians, prevent duplication of services, reduce health care cost...
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