...country saw a new Affordable Health Care Act 2010 which cited numerous responsibilities and accountabilities on healthcare professionals. The nurses and physicians are warranted to generate a system that is more patient-centered and provide the optimal level of care. The IOM report “The future of nursing: Leading change, Advancing health”, summarizes the significance of changing nursing practice in numerous arenas to encounter distinctive needs of clients by executing the highest level of excellent care. The last few decades have witnessed nursing role evolving significantly and becoming integral part of the healthcare system. The IOM report has a remarkable influence on the nursing future. The IOM report released by the national academics of science lays utmost importance on the potential theory and uses evidence-based practice in order to improve the safety and quality of care rendered in the health care setting. In this paper, we will discuss the effect of IOM report on the various arenas of nursing practice, education, leadership, and management. The technology has changed our lives significantly and nursing is no exception to it. The modern technology has brought in many changes in nursing and healthcare system. The nursing have seen numerous changes and will continue to grow in near future. In the healthcare industry, the technology has been instrumental in reducing medical errors and enhance client safety. According to IOM.” Changes in health care necessitates the system...
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...Journal of Advanced Nursing, 1999, 30(6), 1432±1440 Issues and innovations in nursing education Evaluation of an innovative curriculum: nursing education in the next century 1 Senior Lecturer, Faculty of Welfare and Health Studies, University of Haifa Hasida Ben-Zur PhD Dana Yagil PhD Lecturer, Faculty of Welfare and Health Studies, University of Haifa and Ada Spitzer RN PhD Senior Lecturer and Head of Nursing Department, Faculty of Welfare and Health Studies, University of Haifa, Haifa, Israel Accepted for publication 22 March 1999 BEN-ZUR H., YAGIL D. & SPITZER A. (1999) BEN-ZUR Journal of Advanced Nursing 30(6), 1432±1440 Evaluation of an innovative curriculum: nursing education in the next century The present research focused on an interim evaluation of a new nursing curriculum made by ®rst- and second-year undergraduates. Study 1 examined the assessments made by 90 students of the new, actual programme of their studies, as well as an ideal one, on 21 bipolar criteria re¯ecting the developing changes in health care practices and higher educational processes in western society. The results of study 1 indicated that students perceived the actual programme as compatible with health care changes, but lacking in terms of the learning process. Study 2 investigated the same assessments among 105 registered nurses who evaluated the traditional nursing programme under which they were trained as well as an ideal one. The results of study 2 showed that registered...
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...Professional Roles & Values Professional Roles & Values October 4, 2015 Professional Roles & Values A. There are many differences between a professional nursing organization and the board of nursing. I am going to start with discussing the professional nursing organization I did my research on, AWHONN. AWHONN represents nurses and the support staff who care for pregnant and laboring women. There is a fee to belong to this organization. The sole purpose of the organization is to provide education and safe evidence-based practices for the nurses in the field of Labor & delivery and postpartum care and recovery, and obstetrics. They provide educational material and several journals for their members. Some of the educational resources are free and others can be bought at a reduced cost. Several times a year, AWHONN hosts conventions and provides lectures and continuing nurse education classes. This also allows for nurses to network with other care providers in their field of interest. The mission of this organization is not focused on all nursing, rather it is only focused on nurses working in women’s health and specifically for those working with women in their child bearing years. (AWHONN, 2015) The Washington State Board of Nursing Commission regulates and maintains competency and quality of nursing among registered nurses, licensed practical nurses, advanced registered nurse practitioner and nurse technicians. The job of the board is more than education. It...
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...and Interprofessional Team Development A. Organization Self Assessment Tool (See Appendix 1 A) 1. Description of practice setting The work environment for the practice of nursing has been known as one of the most demanding throughout all areas of nursing. In general, nurses provide the vast majority of patient- care in hospitals, nursing homes, ambulatory care sites, and other health care settings. Penant Hospital is 200- bed hospital located close to the inner city. We serve mainly people from low socio-economic backgrounds, average age 65years. There is a large migrant population in the area, with demography of blacks, whites and Hispanics. Penant hospital was established almost fifty years ago and is part of a large corporation. We are Joint Commission accredited and have over 400 medical staff. Our dedication to providing quality, compassionate, cost effective healthcare that is responsive to the needs of our patients, physicians and community is firmly established in our mission. We provide many services to our community. These services encompass emergency care, breast care, inpatient hospice care, behavioral health, laboratory services, wound care, orthopedics as well as pain management. Penant Hospital has an administrative team which comprises of Chief Executive Officer (CEO), Chief Medical Officer(CMO), Chief Nursing Officer(CNO), Chief Financial Officer (CFO) , Chief Organizational Officer (COO) and Director of Risk Management. Their...
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...Nursing Science INTRODUCTION Short Overview of History of Nursing Education Nurse education expands to empirical and theoretical frameworks introduced to future nurses and aimed at preparing them for completing tasks in a nursing care unit. The education is also introduced to nursing students by professional nurses and other medical experts who have been taught to accomplish a range of educational tasks. Previously, prior to the development of the theoretical foundations proposed by Florence Nightingale, nursing was considered purely from a medical viewpoint, which involved medical intervention and treatment. Further investigations and development of nursing education has been largely influenced by other disciplines, including ethics, morale, and philosophy which teaches future nurse to perceive persons not only as patients with certain disorders, but as holistic beings whose concerns also depend on their social, cultural, and political backgrounds. Contemporary arrangements also focus on the development of the balance between practical implications and theoretical foundation to shape a new patient-centered vision on nursing and health care. Purpose Statement The main purpose of this paper is to trace the shifts in nursing education, starting from the development of Nightingale’s model and focusing on the present underpinnings and alterations in nurses’ training. Florence Nightingale Concepts and Frameworks With the advent of Nightingale’s concepts in nursing, a rigid...
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...Economic Tools and Concepts Wesley Hill HCS/522 Health Care Economics University of Phoenix Introduction Current health care issues in the United States use economic tools and concepts to understand and explain how to improve quality and minimize cost. Although there are many issues facing health care, one area of focus is a nursing shortage in health care facilities. Three economic tools that will be focused on in this essay are choice and opportunity cost, supply and demand, and marginal analysis. Registered nurses (RN) are the largest group of health care professionals in the United States, strengthening the entire health care delivery system (Caron, 2004). It is important to understand the effects that a nursing shortage has on the economy and the health care system. Choice and Opportunity Cost Choice and opportunity costs are two of the most important concepts in economics. There is never an endless amount of resources, supplies, or even time so choices must be made on a daily basis. The choices that must be made in health care organizations are how to spend their limited income in the best way. The term best can be hard to define when dealing in terms of buying or spending. Health care organizations must consider what choice will give the most satisfaction or maximize gain. Wiseman explains opportunity costs as being, “…any good, including service, is the satisfaction or benefit foregone in not being able to use the resources involved to obtain some...
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...Nurses The difference in competencies between nurses trained at the associate-degree (ADN) level versus the baccalaureate-degree level in nursing (BSN) is miniscule. The BSN program incorporates most of the curriculum taught in the ADN program, excluding the leadership/ management, public health and critical thinking aspects. In 1951, Mildred Montag introduced a 2-year degree program (ADN), which trained the nurses for “intermediate functions requiring skill and some judgment” (Schank & Stollenwerk, 1988). In Montag’s curriculum, the role of nurse was focused on clinical skills and mostly task oriented. Due to the advanced education, a BSN graduate varies from a ADN graduate, in that they are well equipped to have a broader scope of practice, better comprehension of the culture, economic and public health issues that impact the patients. According to the American Association of College of Nursing (2012), nurses prepared at the BSN level, tend to have lower mortality rates, scarcer medication errors, and encouraging outcomes (Fact Sheet, 2012). In this paper, nursing judgment on patient care situations will be the differentiated between ADN and BSN competencies, which regard to the three major factors only required within BSN education: leadership/management, critical thinking and public health nursing. The art of leadership/management in nursing consist of the ability to communicate with staff and to recognize new resources that can be utilized to enhance patient care. A BSN...
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...lasting relationships. A person must be aware of their presence and understand themselves to have a confident professional presence. Models of Health and Healing I am a mindful person and can easily drown out the distractions of the everyday noise of the unit so I can remain on track. It is important to try and think outside the box and keep your eye on the big picture. Utilizing critical thinking skills is a must. Everyday, every shift, a person is faced with making a difficult decision quickly with a limited amount of information. I currently work in a behavioral health setting. The pace of the unit can change rapidly during a shift. I feel my practice is a mixture of the first model of physical body and also the third model of body-mind-spirit. In behavioral health we often are more focused on the emotional care aspect, remembering to be culturally sensitive to our clients as well as respecting their spiritual beliefs and incorporating these aspects into their individualized recovery plan. With the advancements our society has achieved in medication, sometimes the cultural and spiritual beliefs can be easily overlooked by providers. As a nurse, it is important to know your clients’ beliefs to help them communicate their perspective to the provider if they do not feel comfortable doing this alone. Working in behavioral health, there are times when the physical body concerns have been overlooked. A though admission assessment needs to be completed,...
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...DIFFERENCE IN COMPETENCIES OF AN ADN AND A BSN 1 The Difference in Competencies of a Nurse with an ADN versus a Nurse with a BSN Stacey M. Kestler Grand Canyon University THE DIFFERENCE IN COMPETENCIES OF AN ADN AND A BSN 2 Abstract According to American Association of Colleges of Nursing fact sheet: Creating a More Highly Qualified Nursing Workforce, there are 2.8 million registered nurses currently active and practicing, of these 55% hold a bachelor’s degree, and by 2020 they estimate that number will increase to 80%. This is important because what will happen to the nurses that currently have an ADN or are about to enter into the ADN program? What is the difference between a nurse with an ADN and a nurse with a BSN, and is one better than the other? Nurses make the decisions to get their ADN or BSN for many different reasons, but there are many journals and articles in publication that statically show that having a BSN is safer for patients. In the October 2014 issue of Medical Care, it published that having a 10% increase in the proportion of bachelor educated nurses decreased mortality rates by 10.9%. In the May 2014 issue of The Lancet, it published that European hospitals with a higher number of BSN nurses showed that patients were more likely to live after facing complications due to surgery. In conclusion Nancy Burgess states in her article ADN versus BSN Nursing Degree…Which will it be?, that the United States...
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...decade (Arnold et al., 2010). As such, humans nowadays can expect to live longer than their ancestors before them. Several studies have aimed to determine what factors contribute to exceptionally prolonged existence. The following text shall explore the genetic, environmental, psychological as well as lifestyle factors common in centenarians, a population believed to be exemplary of optimal functioning in humans, to determine norms that can explain this phenomenon, shedding light on the gateways to prolonged life. Finally, the text shall address the implications of these research findings. One breakthrough study, known as the “Georgia Centenarian Study” by Poon and colleagues conducted in 1992, has been exceptional in sparking subsequent research in the field of gerontology. This study consisted of recruiting 285 centenarians and individuals nearing 100 years of age (i.e. 98 years and older) from a 44-county area of northern Georgia (Davey et al., 2010). Participants were recruited from skilled nursing facilities, personal care homes as well as located through voter registry. Numerous subsequent studies have used the population-based data obtained from this study for further analysis of factors contributing to increased longevity. One such study by Martin et al. (2009), entitled “Engaged Lifestyle, Personality and Mental Status among Centenarians” aimed to provide...
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...Health Advocacy Campaign Development Tiffany E. Snowden Walden University NURS 5050/6050 Section 06, Policy and Advocacy for Improving Population Health February 8, 2015 Health Advocacy Campaign Development Living a long, thriving and healthy life is a vision many Americans strive to make a reality. Unfortunately, many are deprived of that dream because of smoking and tobacco use. It is estimated that approximately 16 million Americans suffer from a disease as a result of smoking in addition to the one in five deaths that occur annually from smoking (Smoking & Tobacco Use, 2014). The purpose of this paper is to describe the population affected by smoking, summarize the attributes of two successful health advocacy programs and develop a successful health advocacy campaign for smoking. Smoking and the Affected Population Tobacco use is the leading cause of preventable deaths in the nation (Smoking & Tobacco Use, 2014). There are many reasons that an individual chooses to partake in tobacco use including stress and peer pressure. In 2012, with an estimated 42.1 million Americans aged 18 years or older, approximately 18% of the adult population was cigarette smokers (Smoking & Tobacco Use, 2014). Aside from adult users, it is estimated that more than 3,200 adolescents smoke their first cigarette on a daily basis (Smoking & Tobacco Use, 2014). According to the 2012 Surgeon General’s Report, approximately 9 out of 10 smokers initiate smoking by the...
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...Essentials of Baccalaureate Education Grand Canyon University 21 June 2015 Competencies. The difference in nursing program options, diploma, ADN and BSN has been an on- going debate and discussion for years. The areas of community nursing, broader scientific research, as well as patient education and leadership skills are focused upon in the BSN program while only minimally in the Diploma or ADN curriculum. In addition, courses in the BSN nursing major focus on nursing science, communication, and decision making, all of these areas promote and encourage a more competent based nurse upon graduation. Community nursing in Arizona, is an integral part of providing quality and need based healthcare to certain demographical regions of the state. Immunizations, education of communicable diseases are a crucial part of the foundation of community nursing. Without specific education in these areas, a nurse would not be able to effectively impact the demographics they serve. When the publication was released from the Carnegie Foundation study, in October, 2010, the Institute of Medicine (IOM) published a report, The Future of Nursing: Leading Change, Advancing Health. In this report, it was emphasized that “nurses should practice to their highest degree of education and training” as well as work towards attaining a degree of higher education. This report emphasized what many nursing leaders on all levels had been communicating; in order to meet the demands of a constant changing healthcare...
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...A Life Mission Marjorie G. Rizzo Southeastern Louisiana University College of Nursing and Health Sciences NURS 333 September 28, 2015 LIFE MISSION 2 A Life Mission Choosing to pursue a career in nursing represents the commitment I have to live in accordance with my values. A nursing career constitutes a large part of my overall mission in life. A mission that acquires more dimensions as I learn more of what nursing entails. Experiences and Decisions My experiences have taught me the wisdom of living my life in a manner that provides me with the things that give my life meaning. Experience has taught me to make decisions based upon my values. Challenges Life presents challenges that require either creating a way to change the circumstances that present themselves or adapting to those circumstances. In the process of changing and adapting, I learned that I can use the strengths, skills, and creative thought processes I’ve developed and to apply these skills to other areas in my life. Direction I have moved towards different careers based upon my natural talents and inclinations, but found that they left me unsatisfied. I realized the dissatisfaction was due to the lack of altruistic components in the fields I was pursuing. I researched different career options and decided that nursing encompassed all the things that have meaning for me. Mission Statements My personal mission in life is in line with my view of life as a continuous growth process. At the core of my...
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...Cynthia Ellis March 1, 2015 Western Governors University In our practice, professional presence is the foundation on which we establish what it means to be human and to care for our fellow man. To be a nurse and choose the many sacrifices it takes to spend one’s life caring for others requires knowledge of one’s own personal beliefs and values. Our own past experiences with life and how they have shaped us also influence how we relate and treat our patients. These things work together to create our mindful presence. Throughout our years of practice, our experience with patients, coworkers and physicians as well as a growing knowledge base help us develop a road map which we follow in our everyday work. These things help us better understand others and what it truly means to be human. As we gain a better understanding for the very people we serve, we can better create a healing environment. Jean Watson, a nurse theorist, best defines a human as “a valued person in and of him or herself to be cared for, respected, nurtured, understood and assisted. He is to be viewed as greater than and different from the sum of his or her parts.” She then says that nursing is “a human science of persons and human health, illnesses, and experiences that are mediated by professional, personal, scientific, esthetic, and human transactions.” (Watson, 1999) Surely, with her definition of nurses, we are to be held to a very high standard as well as charged with the difficult task of caring for our...
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...AACN Statement of Support for Clinical Nurse Specialists The American Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe...
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