...Nursing with Technology Kaitlyn M. Cole Walden University NURS 3010 Section 01, Information Management in Nursing and Healthcare January 18, 2016 Nursing with Technology “The application of nursing informatics knowledge is empowering for all healthcare practitioners in achieving patient centered care” (AMIA, 2016). Integrating technology with patient care is an important tool used today by health care professionals. The purpose of this paper is to discuss nurses managing care in their work environment with information technology. Work Environment and Managing Knowledge Understanding how difficult it is for nurses to provide care is essential to make changes that adequately promote a healthy work environment. Nurses must organize, prioritize, and have decision making skills. In order to achieve quality care and the best patient safety outcomes possible, nurses must be knowledgeable in their clinical setting. Information, data, and knowledge are of value to nurses in all areas of practice (ANA, 2015). When providing patient care, data is obtained and then aggregated for decision making. The appropriate use of knowledge involves putting it into action and applying it to the current situation in order to act and carry out the right action in the clinical environment (ANA, 2015). Nurses are skilled in managing and communicating information and this is essential to effective healthcare delivery. Managing Change in Workflow Electronic health records are...
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...for associate degree (ADN) and 4 years for baccalaureate degree (BSN). “ADN nurses are educated to provide nursing care to persons with similar health alterations in structured settings, whereas BSN nurses are educated to engage in independent thinking and to provide nursing care to persons with complex and differing health alterations within variety of settings, including the community” (Hood, 2010, p. 18). Even though both ADN and BSN are getting the same license, the education related to communication, critical thinking, and leadership skills vary. Firstly, the competency level between ADN’s and BSN’s differs in both listening and verbally communicating. ADN uses basic communication skills to coordinate with other health care members to meet the immediate needs of patients. The associate degree nurse recognizes the individual’s need for information and can modify a standard teaching plan. The nurse with a bachelor’s degree uses complex communication skills in multiple settings to collaborate with other members of the team and is accountable to provide leadership. The bachelor’s prepared nurse assesses the need for information and builds comprehensive teaching plans, for each client and uses that research to implement evidence based practice. Secondly, ADN and BSN differ in their critical thinking skills competency. A nurse’s critical thinking ability facilitates better decision...
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...Baccalaureate Nurses : A person can become an RN through three different routes. A 3 years Diploma program learned in hospitals. A three year ADN achieving from a community college and four year BSN from a college or university. Graduates of all these program must pass the NCLEX – RN licensing from one of the State Board of Nursing in order to work as a Registered Nurse in a hospital setting or Community Health centers or any other organizations. The main differences between all these nursing programs is the years to study in the school. ADN or Diploma Nursing programs mainly based on clinical skills and more task oriented. BSN program includes all of the course materials and practical in ADN or Diploma program. Which focus primarily the physical and social sciences, nursing research and management, public and community health. This will improve or enhances the nurses professional development, better understanding of the person, health, nursing and environment which are the main concepts in nursing. A Registered ADN or Diploma nurse works in hospital or outpatient facilities where they give direct care to the patient like administering medications, managing intravenous infusions, blood transfusions, observing and monitoring patient conditions like vital signs, maintaining health records and communicating with doctors with the updates of patient condition. Additionally they provide emotional support to patient and families. Whereas a BSN can enter in administration, research and...
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...Journal of Nursing Management, 2000, 8, 265±272 The development of a model to manage change: re¯ection on a critical incident in a focus group setting. An innovative approach M. CARNEY RGN, RM, RNT, FFNRCSI, MBA (HONS) Lecturer, School of Nursing and Midwifery, University College Dublin, Ireland Correspondence Marie Carney School of Nursing and Midwifery University College Dublin National University of Ireland Earlsfort Terrace Dublin 2 CARNEY M . (2000) Journal of Nursing Management 8, 265±272 The management of change: using a model to evaluate the change process. An innovative approach management of change. The Change Management Model may provide nurse managers or change agents with a structured and measurable model for managing and evaluating the change process. A measurement constructs tools to further assist the evaluation process is also described. Background The author argues that certain key variables can be identi®ed which contribute to the successful implementation of change. These variables include critical success factors for change, communication issues, change dynamics that include resistance or acceptance of change, and the variables related to the management of the implementation and evaluation stages of the change process. Key issues Change is a constant in the health care ®eld. Nurse managers must learn to accept change as a normal process and to develop coping and managing strategies for the successful management of change. This acceptance...
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...WORD COUNT 4399 The assignment will discuss a critical incident from a nursing management perspective, being an admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the...
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...Over I have several goals regarding my future nursing career; however, my long term nursing goal is to work in critical care. My exposure to this area of nursing occurred when my mother was in the intensive care unit following exploratory surgery due to severe abdominal pain which revealed necrosis of a large portion of her large intestine. Following this, she spent many weeks in the intensive care unit with a diagnosis of septic shock. During her time in the ICU, she was mechanically ventilated for several weeks. In addition, she had evidence of kidney injury and subsequent hyperkalemia that resulted in cardiac irregularities. Her experience as a patient and my experience as the family point person in communicating with the healthcare team and observing the nursing staff played an important role that led to my decision to focus my future nursing career on critical care nursing. I was inspired by the overall knowledge, commitment, and diligence of the night shift nurse who cared for my mother consistently. He was very compassionate with us, extremely knowledgeable in responding to all of our questions about the pathophysiology of her condition, and explaining the rationale of the treatment approach made a positive difference in her outcome. “Critical care nursing is that specialty within nursing that deals specifically with human responses to life-threatening problems. A critical care nurse is a licensed professional nurse who is responsible for ensuring that acutely...
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...oversee are feeling resentful of the change. As a nurse leader, identify factors that may lead to conflict and ways you can manage them. The nursing profession necessitated people to work closely with others whose background and culture are different. People can hold different values potentially affecting these relationships, which may result in conflict. Sound communication or conflict resolution skills can decrease the risk of conflict. Cultural diversity, combined with the stress of providing quality care, often results in conflict (Pettrey, 2003). According to the New York State Nurses Association (2005), unresolved conflict leads to barriers for employees, teams, organizational growth, and productivity, which results in a cultural breakdown within the organization. Conflict is a natural phenomenon (Kelly, 2006), and an inevitable aspect of life (Kemp-Longmore, 2000). It is a disagreement between individuals who perceive a threat to their needs, interests, and or concerns (Kelly, 2006). Over time individuals learn how to respond to conflict, making it an unconscious process. Improperly managed conflict can result in the nurses’ inability to provide quality care, and can escalate into violence or abuse (CNO, 2006). The Thomas-kill man Instrument (TKI) is a tool that has been developed to manage conflict. It identifies five styles of managing conflicts as follows: accommodating, collaborating, compromising, avoiding, and competing. Each of the five styles comes with its own set...
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...CHALLENGES OF PERFORMANCE MANAGEMENT IN NURSING INTRODUCTION An effective employee is a combination of a good skill set and a productive work environment. Many factors affect employee performance that managers need to be aware of and should work to improve at all times. These include a lack of recognition of employees who are performing well, quality performance outcomes and an absence of a formal performance management system and poor working conditions (Awases, Bezuidenhout & Roos, 2013). Over the last 20 years, a number of strategies aimed at improving the job performance of health workers have been implemented in low and middle-income countries (LMIC) (Marchal et al. 2012). Each strategy has had its specific perspective and focused on one particular issue: quality improvement, performance management, building learning organisations, innovation diffusion, to mention but a few (Chopra et al. 2008). While success has been reported in some cases, there is increasing acknowledgement that to improve performance of health workers especially nurses and health care organisations in general, approaches that deal with one problem, mostly fall short or obtain only short-term results (Marchal et al. 2010). The concern about shortage of nurses and it potential effect on quality of nursing care rendered as well as the mounted public urge on quality and excellent performance in the health sector mandates the Human Resource Management as part of their core function to ensure that an...
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...Adult- Gerontology Primary Care Comprehensive Exam Sarah Miller The Ohio State University College of Nursing Question #1: You are interviewing for an advanced practice nursing position in a multi-physician practice. They have no prior experience with Advanced Practice Nurses or Nurse Practitioners. Please discuss how you might convince them to hire you. Please describe how you would benefit the practice by explaining the role, function, and limitations of a nurse practitioner. Incorporate research demonstrating the significance of the advanced practice nurse to support your position, including cost-related issues. The nurse practitioner role is one that has expanded significantly since its conception. As noted by the APRN Consensus Model, we...
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...Worksite Development The development of competencies and skills are very important in the workplace (Goleman, 1998). This paper will examine the importance of the Nurse’s skills in the medical field. Identifying the role of the nurse in the care of the patient, the essential competency skills to develop an emotional intelligent nurse will be analyzed including intellectual skills, self-awareness, therapeutic and teaching skills, listening, and, probing skills (Xavier & Pereira, 2012). The process of these developments will be evaluated to assess for any improvement needed to achieve the desired emotional intellect outcome. Emotional Skills of the Nurse Competency in Nursing is a necessary element when caring for patients. The nurse demonstrates confidence in his or her knowledge and ability while acting with genuine empathy for the community served. She or he has studied medicine for years before beginning his or her career in nursing and has mastered the medical skills necessary to become successful. Nurses serve a diverse community with individuals of different languages, ethnicity, religious beliefs, and sexual orientation. The nurse can resolve conflicts and recognize the views and values of others while not judgmental of the differences of those he or she disagrees with. The nurse understands the importance of emotional intelligence because before one can understand others he or she must first understand oneself (Goleman, 1995). The nurse administers medication meticulously...
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...ASN Program Description Mission and Goals Our Mission Trinity College of Nursing and Health Sciences provides a quality higher learning environment preparing competent practitioners for health-care professions. Continuous quality improvement guides the educational process as students prepare to deliver culturally congruent health care, perform as responsible citizens within the global community and seek avenues for life-long learning. Our Goals Program goals for each department in the College derive from the philosophy of the College and the domain competencies, as follows: Knowledge • ability to examine and explain phenomena • ability to construct and organize knowledge • ability to integrate and synthesize knowledge • ability to apply quantitative and qualitative concepts Proficiency • ability to solve practical problems • ability to collaborate with multiple disciplines • ability to communicate effectively • ability to practice competently and skillfully in a changing health-care environment Culture Care Values • ability to preserve/maintain cultural identities • ability to accommodate/negotiate diverse life ways • ability to re-pattern/restructure health-care delivery methods • ability to apply ethical and legal principles to health care The Associate of Science in Nursing Program (ASN) is a two-year program of study combining didactic and clinical nursing courses as well as general education courses. The Program...
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...interested in a nursing career since it provides me an opportunity to help ill people and form a relationship with them to ensure that they are receiving the best nursing care. I believe that I possess the qualities to become a good nurse, namely, compassion, intelligence and the ability to listen and find solutions to problems that arise. I have been interested in continuing my nursing profession since I came to the U.S.A. I was a Registered Nurse in my native country of Romania, for over 17 years. I am seeking clinical experience in Neuro-surgical field since I worked in Romanian’ hospital in the surgical intensive care unit. Some of my experience included drawing blood, performing EKG’s, hanging intravenous medications, dressing changes, participating in the extubation of clients, post-mortem care, checking blood sugar, priming an arterial and central line set up, and enhancing my ability to interact in the therapeutic relationship. There are a number of long-term and short term goals that I would like to achieve when will get in to the nursing program, which would assist me in my professional development as a surgical nurse. My long-term goals are as follows: * To gain a better understanding of challenging roles of nurses in the post anesthesia care unit or operating room. * To further develop my critical thinking and organizational skills by anticipating clients needs in this specialty area. * To gain knowledge and skills in providing nursing care to clients...
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...is time for nursing to step up and mandate that the bachelor’s degree is the minimum requirement. It is essential in today’s challenging times that nurses understand the why and not accept the notion that this is how it has been done before, so this must be the acceptable. Only through furthering our education and the understanding of evidenced based nursing will today’s nurses be able to meet the ever changing needs in this complex society. Quality nursing care relies on education. The Associate Degree Nurse (ADN ) completes one to two years of general education with two years of clinical practice. Nurses are taking on more patients with less resources, are facing more complex illnesses, and using more technical equipment. Research has shown “lower mortality rates, fewer medication errors and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels.” (Rosseter, 2011, Rosenberg & Pfeifer, p18). According to the American Association of Colleges of Nursing (2011) “Studies have shown that graduates from an entry level nursing program may pass the NCLEX exam but that does not mean they are prepared for practice. The NCLEX does not test the difference between graduates of different programs, measure for performance, or test for the knowledge of a bachelor’s prepared nurse.” The works of Florence Nightingale is taught in the two year program, however there are others that have contributed as much as she did in nursing practice, that...
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...The profession of professional nursing has made many changes in the past half century and is expected to make many more by the middle of the twenty first century. These changes range from more technically challenging work both in and outside of the hospital, increasingly more complex patients, the need for critical thinking skills and the explosion of technology related to healthcare. Educational emphasis has evolved since the mid 20th century and will become increasingly more vital as the profession moves to the future. With all these changes in nursing the basics are still there; patient centered care, empathy, providing Maslow’s basic needs. During the Second World War the practice of nursing changed (Morgan, 1998). Nurses were no longer confined to the hospital, “they were really at the patient’s bedside, making their own choices based on their own clinical judgment and dealing with the consequences. They were discovering that’s what nursing is all about” (Morgan, 1998). Health care priorities also moved from the health of the community to the health and well being of the individual (Klainberg, 2010). Post Second World War also saw the ability of global travel. Air travel expanded and traveling from continent to continent in a day was becoming more feasible. With that comes the risk of spreading infectious diseases more easily. With that, fortunately, the discoveries of new and more effective antibiotics were taking off in the healthcare system. (Klainberg, 2010)...
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...Williams & Wilkins THE JOURNAL OF NURSING ADMINISTRATION Nurturing Charge Nurses for Future Leadership Roles Patricia A. Patrician, PhD, RN, FAAN Douglas Oliver, DNP, RN, ACNS-BC, NE-BC Rebecca S. Miltner, PhD, RNC-OB, NEA-BC Charge nurses are untapped leadership resources that can be groomed for future advanced leadership positions in healthcare organizations. The purpose of this study was to understand the development needs for the charge nurse role. This study demonstrates they receive little or no training for assuming positions of leadership and offers suggestions for enhancement of preparation. There is growing evidence of an impending crisis in chief nursing officer (CNO) retention.1 Seventy percent of CNOs report they will change jobs or retire in the future.2 The critical need for succession planning in nursing leadership has been demonstrated, yet two-thirds of CNOs reported that they do not have succession plans in place.3 Proactive planning is clearly needed to prepare the next generation of nursing leaders.4 The 1st step in succession planning is to identify nurses to mentor and develop. Commonly, nurses in management roles are likely candidates for development; however, many organizations do not consider charge nurses candidates for advancement based on the perception of the role as more of a task master than leader.5 Martha Dawson, DNP, RN, FACHE Kathleen A. Ladner, PhD, RN, FACHE and play a mission-essential role in managing patient flow, staffing, patient...
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