...Describe the factors that help or hinder person-centred care and interprofessional working in relation to a chosen incident. (Word Count 2,993) In this essay a consultation observed during a Primary Care placement will be described, with the aim of defining person centred care in relation to it. To protect confidentiality and in accordance with the Nursing and Midwifery Council’s code of conduct (NMC, 2008), the names of persons or places are not referred to. The roles and responsibilities of the professions involved, the importance and difficulties of interprofessional collaboration and the effects of this on person centred care will also be explored. A conclusion will be drawn as to whether the event provided a person centred approach. The observed consultation (Appendix 1) took place in an elderly care clinic held in a hospital outpatient department. Outpatients Clinics are provided by the local NHS Primary Care trust on a regular basis as part of ongoing care for clients. A consultant, a nurse, the client and her carer were present. The client had an appointment to review her ongoing treatment of Parkinson’s disease. A publication to support the National Framework for older people (Department of Health, 2001) regarding the implementation of medicines endorses the monitoring of treatment to ensure the medication remains appropriate and to raise awareness of any adverse effects. The lady was in her eighties, frail and hard of hearing. A carer accompanied her from...
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...The nine Essentials are: · Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice o A solid base in liberal education provides the cornerstone for the practice and education of nurses. · Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety o Knowledge and skills in leadership, quality improvement, and patient safety are necessary to provide high quality health care. · Essential III: Scholarship for Evidence Based Practice o Professional nursing practice is grounded in the translation of current evidence into one’s practice. · Essential IV: Information Management and Application of Patient Care Technology o Knowledge and skills in information management and patient care technology are critical in the delivery of quality patient care. · Essential V: Health Care Policy, Finance, and Regulatory Environments o Healthcare policies, including financial and regulatory, directly and indirectly influence the nature and functioning of the healthcare system and thereby are important considerations in professional nursing practice. · Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes o Communication and collaboration among healthcare professionals are critical to delivering high quality and safe patient care. · Essential VII: Clinical Prevention and Population Health o Health promotion and disease prevention at the individual and population level are necessary...
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...The vibrant nature of the current healthcare system emphasize the need for a nursing profession that focus in alleviating patients suffering by providing quality and evidenced based nursing care. Graduates of master’s degree programs in nursing are prepared with requisite nursing skills, which enable them to engage in nursing practices exhibiting practice, ethical and legal challenges. To function effectively, the AACN provides nine distinct essentials for master’s prepared nurses that guide the preparation of nursing graduates for various diverse specialties in healthcare system. These AACN essentials include background for practice from sciences and humanities which explores the idea of a master’s-prepared nurse integrating various educational disciplines for the incessant improvement of nursing care, organizational and systems leadership which recognizes the need of having leadership skills in providing quality nursing care, and quality improvement and safety which recognizes that a master’s-prepared nurse must be coherent in the quality standards. Others include ability to translate and integrate scholarship into practice that establishes the role of a nurse in applying research outcomes during service delivery, informatics, and healthcare technologies that recognizes the role of nurses in using technology and HIT to promote provision of quality and evidenced based nursing care, and the essentials of health policy and advocacy that explores the role of nurses in employing...
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...Kyle Thompson – 05970640 Management of discharge Management skills in adult nursing UZTR6D4-40-2 05970640 The NMC Code (2008) charges nurses to protect confidential information, and to only use it for the purposes given – for their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to demonstrate the quality of our care and team working abilities. There is a connection between practice and thinking about practice – action and reflection are interdependent; they need one another. Reflection may be triggered by an awareness of a gap between theory and practice, a difference between what ‘should be’ and ‘what is’ (Sullivan & Decker 2005). Our actions and the quality of our care are improved by reflection-on-action, by making sense of what we have experienced, and thinking about how we might act differently in the future (Lillyman & Ghaye 2000). Reflection has a rôle in maintaining one's personal portfolio and maintaining competency and continuing professional development. Support and supervision from managers, who already have a responsibility...
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...How the IOM report: “The Future of Nursing: Leading Change, Advancing Health” Impacts Nursing Kylie Kuehl Grand Canyon University: NRS 430V March 7, 2016 How the IOM Report: “The Future of Nursing: Leading Change, Advancing Health” Impacts Nursing In 2010, the Institute of Medicine (IOM) released a nursing report titled “The Future of Nursing: Leading Change, Advancing Health.” The report stressed the importance of developing a more highly educated nursing workforce, providing nurses more leadership opportunities, and interdisciplinary collaboration (Robert Wood Johnson Foundation, 2013). The release of the IOM report has lead to a number of revolutionary changes in nursing education and practice; it has impacted all aspects of the nursing profession. When it comes to nursing education, the recommendation stated in the IOM report is that nurses should obtain higher levels of education and preparation. Specifically, it is recommended that the percentage of BSN educated nurses be increased to 80% by the year 2020. The release of the IOM report has provided the momentum necessary to change nursing education across the country. (Institute of Medicine, 2011) One particular program that was approved in response to the report is The Rhode Island Nurses Institute Middle College Charter High School. The concept of this middle college was developed due to the number of students from low-income areas that were dropping out of nursing school. The middle college is intended to...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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...Interprofessional Collaboration By: Faith Syders Healthcare organizations are growing and changing in the recent years. The way healthcare is delivered is changing also. One of the changes that are occurring in healthcare recently is interprofessional collaboration. All of the staff members caring for the patients are starting to use a team approach to the delivery of care. Management is training staff to use interprofessional collaboration model for delivery of care. There are some things to consider when analyzing the interprofessional collaboration model. The teamwork model of interprofessional collaboration has benefits. The staff members, patients, and the overall healthcare organization all benefit from this model. When management is interviewing potential employee’s they are looking for desirable characteristics to add to the teamwork model. Management also uses strategies for working effectively as a team when working with and training team members. At times, there will be ethical considerations that need to be addressed. Also, how will a management team introduce interprofessional collaboration when it is not the current model being utilized currently? The benefits of interprofessional collaboration cross the lines for the staff member, patient and the health care organization. Each group has their own benefits from the teamwork. The pieces of the team bring the benefits together to create a successful teamwork model. Staff members have benefits...
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...week, the class objective was to examine the development and effects of the past management and leadership theory on the present trends in the leadership and role theories. We also discussed about different types of leadership and their attributes, and the DNP prepared nurse leaders prospective in reference to patient safety and positive health outcomes. As the class progresses, I learn different types of leadership but the most fascinating one is the transformational leadership. As echoed by Tinkham (2015), this type of leadership, which is the process whereby the leader attend to the needs and the motive of the followers. Transformational leadership has good qualities that one should aspired for because the transformational leaders are this type of leaders are guided by inspiring their...
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...Benchmark Assignment: Evolving Practice of Nursing and Patient Care Delivery Models The Evolution of Nursing Practice To my colleagues, the health care system has begun a decade of transitions that, for the nursing profession, promise to change the practice of nurses, expand current nursing roles and create new ones, and provide many opportunities for nurses to participate in shaping the future delivery system. With the passage of the Affordable Care Act (ACA) in 2010, care delivery and financing systems are undergoing significant transformations that will accelerate in 2014, when major provisions of the legislation are implemented. The purpose of the this letter is to explain how the practice of nursing is expected to shift and to also discuss the concepts of continuum of care, accountable care organizations (ACO’s) medical homes, nurse-managed health care clinics (NMHCs). Under the Accountable Care Organizations, strategies will be developed to align the goals of health care delivery reorganizations, enhance care coordination, and improve patient transitions across the care delivery continuum. Expansion of medical care homes, NMHC’s, and enhanced coverage for preventative care services will help to shift the delivery system's current focus on acute care to a greater emphasis on prevention and treatment of chronic care conditions using health care teams and information technology. Medical homes, sometimes referred to as NHMC’s, are identified as a concept that began in pediatrics...
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...affect the Health of Americans in our Country. Wasn’t sure if you had this but can use as a quote.. The Campaign for Action is a national initiative coordinated through the Center to Champion Nursing in America (CCNA), an initiative of AARP, the AARP Foundation, and the Robert Wood Johnson Foundation. The campaign has mobilized diverse stakeholders nationally and in 49 states to address the nation’s most pressing health care challenges – access, quality and increasing cost – by utilizing nurses more effectively and preparing nursing for the future. http://thefutureofnursing.org/about Role of state based coalition- I made this up so you can copy and paste if you like. The role of the New Jersey state based coalition is to provide leadership in the transforming of healthcare throughout. New Jersey was one of the first states to take action. The state coalition advances the goals of the Future of Nursing by its focus to improve the nursing practice, focus on education and leadership by promoting higher education for nurses and improving the information available to the nursing workforce. The committees formed to improve nursing practice in all areas focus on education, data, leadership, diversity, and interprofessional collaboration, “We are advancing pathways for a diverse nursing workforce to achieve higher levels of education and training through an improved education system that promotes seamless academic progression, ensuring that nurses can deliver high-quality, patient-centered...
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...This essay is going to discuss my learning about Interprofessional working (IPW) and Interprofessional education (IPE). Pollard et al., (2010) defined Interprofessional working as “the process where members of different professions and or agencies work together to provide integrated health and or social care for the benefit of service users”. The two day IP conference (2011), was a great opportunity to meet different professionals and agencies from different areas of health and social care profession and share their views and understanding on IP working and IP learning. The Centre for Advancement of Interprofessional Education (CAIPE) has defined IPE as “Interprofessional Education occurs when two or more professions learn with, from and about each other to improve collaboration and the quality of care" (CAIPE, 2002). CAIPE uses the term "Interprofessional education" (IPE) to include all such learning in academic and work based settings before and after qualification, adopting an inclusive view of "professional". Based on the key themes, we discussed how Interprofessional collaboration can provide best possible care to the service users and analyse where the services are lacking. Through group discussions, key note addresses and seminars, I was able to learn about the communication issues between the health and social care professionals, contrasting professional perspectives and values, ethics within teams and stereotyping, power imbalances and team processes ( Fletcher, 2008)...
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...SYNTHESIS OF ADVANCED NURSING ROLES BROWN_K_W5A2_SU_NSG5000 Kerry Ann Brown South University Due to the changing health care environment, the nursing profession is currently in a process of evolution. Scopes of practice and role expansions are being prepared. Some of these roles are traditional, such as nurse practitioners who have been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic...
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...My Leadership SMART Goal Megan Borrayo NR 447- RN Collaborative Healthcare Professor Amanda Denno When creating my leadership SMART goal, I assessed what I as a leader would like to focus on in the future as a potential manager and educator. According to Institute of Medicine’s quality initiative, there are five initiatives including patient-centered care and working in interdisciplinary and/or interprofessional teams. Of these, recognition of the importance of interprofessional teamwork has proven to be very important for me. For my SMART goal, I chose to focus on interprofessional communication as a means for enhanced patient care and quality. This goal will be specific to all those dealing with the patients care, from doctors all the way to Certified Nursing Assistants. This includes all specialties that are consulted to work with the patient (physical/occupational therapy, speech therapy, psychiatry, etc.). My GOAL is to improve communication within the team and with the patient by providing bedside rounding once per shift. This gives a chance for questions to be answered, both from staff and patient, concerns, and opportunities for suggestions on improvement of patient care. This will take place within the unit at the bedside of the patient. By educating staff of the importance of communication within the team and with the patient, hopefully, staff will be willing and helpful to assist in making shift-by-shift bedside rounding a norm within the unit. Daily bedside...
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...year (ANA 2011). This proposal of implementing a Safe Patient and Handling Mobility program will explore the organizational and individual barriers to implementation and identify factors that might influence implementation. Factors influencing organizational readiness will be addressed for this proposed change as well as internal and external resources available to support this initiative. A theoretical model will be discussed, and how it relates to the proposal of a SPHM at Doctor’s Hospital. Patient-handling tasks historically have been recognized as the primary cause of musculoskeletal disorders among the nursing workforce. When comparing nursing to other occupations, nursing personnel and nursing assistants are among those at the highest risk of musculoskeletal disorders. In 2005, the Bureau of Labor Statistics of the U.S. Department of Labor identified nursing as the...
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