...Rachel Miley Nursing Roles 1 Nursing Practice Act July 2015 Nursing practice is to do or perform habitually or customarily, make a habit of. (Mosby) But it is also the performance that requires specialized education, knowledge, and judgment of a trained person. This trained individual can be a licensed practical nurse, a registered nurse, a bachelor’s degree nurse, a master’s degree nurse, or a nurse practitioner. But all nurses must be able to observe, assess, and act on what your findings are. The goal of a nurse is to take care of patients to the best of their training and ability. Their ability will be defined in the term scope of practice. Scope of practice is defined as the extent and limits of the medical intervention that a health care provider may perform. (Farlex) Or in other words, staying within the professional nursing knowledge and not practicing above or below your scope of practice. A registered nurse, like everybody else, have responsibilities that come with the job. But they do differ in precise qualifications. A nurse must be able to assess, formulate, plan, implement, initiate, and evaluate nursing actions that are necessary in the field of nursing. They must be able to accept responsibility for their own actions and work well with others in a team setting. Communication is a key factor in nursing. Coworkers, patients, patient’s families, doctors, therapists, and emergency response teams are all the people that should be communicating with. Respect...
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...According to the Texas Board of Nursing, nurses are advised to use the six-step decision making model developed by the board to assist nurses make a sound professional judgment before undertaking a nursing task or procedure.(Texas Board of Nursing,2010) Step-1: Is the act consistent with the Texas Nursing Practice Act (NPA)? (Texas Board of Nursing: NPA, Ch 301.002(2) Step-2: Is there an appropriate order that authorizes the performance of the activity? Step-3: Is the act supported by conclusive scientific data from nursing research or evidence based practice standards? Has the action approved by a national nursing organization for nurses to practice it in accordance with the guidelines and standards issued by the organization? Step-4: Does the nurse personally posses the knowledge and clinical competency to perform the task safely? Step 5: Is the act within the accepted nursing standards of care which would be provided under similar circumstances by another nurse who have similar training and experience? Does an adverse reaction or consequence of action be resolved by nursing intervention only? Step 6: Is the nurse prepared to accept consequences of the actions? (Accountability).If there is a “no” answer for any of the steps above, then task is not in the nurse’s scope of practice. On top of following this six-step model, the nurse should always take in to consideration any physical, emotional, or institutional ( Eg. Availability of necessary...
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...asked to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses. When it comes to investigating a new procedure, a systematic approach should be applied. It is imperative to determine whether a given procedure is within the nursing scope of practice before deciding to adopt or implement it. Some standard steps that must always be followed are based on the Nurse Practice Act, the ANA Standards of Practice, rights of patients, and safe nursing practice. According to Anderson (2013), determining if a new procedure is within the scope of nursing practice can be accomplished in three steps. First, define the issue, which means clarifying what exactly is being asked and what the new procedure entails. This step also includes gathering any additional information such as conducting a competency assessment to perform the task, as well as any previous experience, current knowledge and skill. Evidence-based practice and nursing research must also support the adoption of any new procedure. Secondly, since evidence is not the only component, the Nurse Practice Act and the policies of the workplace must also be considered. Nurses may be limited by the facility policies/standards to perform certain tasks even though the tasks are allowed by the BON (Anderson...
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...Illness Theory because healthcare organizations function on these theories guidance. Butts and Rich (2015) explain the implication of complexity science on the nursing profession as they describe it as the fundamental tenet of nursing. Complexity Science is the grand or general perspective that is a fundamental principle of nursing (Butts & Rich, 2015). The concepts that are applicable in complexity science include the healthcare facilities, organizational and systems analysis, and medical studies (Butts & Rich, 2015). These three concepts form the tenet of the current POI, which is about the health care access, medication, and conditions. This complex science is all about the sophisticated adaptive programs made up of individual components or “agents” that are interlinked in some ways but can act individualistically and at different times (Butts & Rich, 2015). The current POI is based on the concept of a healthcare facility that requires complex adaptive system. As a facility, health organization will act as both whole and agents; where the different units or departments such as environmental services, social work, nursing, the business office, and others (Butts & Rich, 2015). Each department can be divided into smaller components to...
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...Professional Studies Assignment Introduction For this essay I will be reflecting on an incident from practice, by drawing on developing knowledge, understanding and the application of professional studies. Reflection offers an opportunity to learn through an experience. This allows us to develop or sustain effective practice (Johns, 2000). I will be using the Gibbs (1988) reflective framework to structure my reflection (see appendix A). I find this framework very easy to follow, and as Clodagn (2003), explains it allows a person to implement alternative actions to an event, if followed. The incident will be described and the influence of key issues relating to ethical theories and decision-making, illness journeys and lay and professional perspectives will be explored. Principles of nursing models will be looked at and their contribution to individual patient care. I will also look at resource management, quality assurance and the role of evidence-based practice. For the purpose of this essay, to maintain confidentiality, the patient will be referred to as Mr Charlie Wood, (NMC code of professional conduct 2002; 5.1). Incident The incident occurred when I was a student on a medical ward. Mr. Wood, age 80 had been admitted to hospital following a stroke. From this he had lost the ability to mobilise and speak effectively. He was a very dependent gentleman and counted on the nurses to undertake all aspects of his care. His wife, whose name has also...
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...Nursing theory is assumed as the body of information, which is used to assist the nursing practice. Nursing models are created with theories and perceptions. They are used to assist nurses assess, plan and implement patient care by delivering an outline within which to work. Nursing models also assist the nurses to accomplish consistency and unified care. This presentation shall examine the importance of Dr. Jean Watson’s theory of caring in today’s nursing practice, its relation to metaparagidm concepts and how the theory help us to improve the current nursing practices. Watson delivers many valuable impressions for nursing practice. •Watson ties different theories together which are frequently being used in clinical nursing practice. •The comprehensive explanations of the care factors which can provide direction to the nurses who desire to train as a bedside nurse or do nursing research. “Her accomplishments are the following - Recipient of numerous awards counting: an international Kellogg Fellowship in Australia, a Fulbright Research Award in Sweden and six Honorary Doctoral Degrees, including 3 International Honorary Doctorates (Sweden, United Kingdom, and Quebec) She was the 1993 recipient of the National League for Nursing Martha E. Rogers Award, which identifies a nurse academic who has made substantial donations to nursing information that advances the science of caring in nursing and health sciences. New York University recognized her as a Distinguished Nurse...
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...Name: Jackline M Kithinji Grand Canyon University: NRS-430V-0191 May 17, 2015. An associate degree level nurse has a two or three year degree from a community college. At the end of the education one can sit for the NCLEX examination and earn the RN title. This level of education was created to increase more nurses into the workforce quickly due to the shortage in labor. The Baccalaureate degree nurse has a 4year education that encompasses skills and management education. The Grand Canyon University Nursing Philosophy states that,” Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, providing care, teaching communication and leading. “After the 4years the nurse can also sit for the NCLEX exam and gain the RN title. The debate between an associate degree levels versus the baccalaureate degree level nurse is an ongoing debate. Associate degree nurses are very strong on the nursing skills level while the latter is educated on research, leadership, policies and ethics hence this type of education level opens up jobs on the management level. In today’s age healthcare has become a business competition with vast changes and thus many hospitals seek magnet status thus the demand for baccalaureate degree nurses is a value that is recognized. Patients also equate great outcomes and care through magnet status hospitals that have these Bsn prepared nurses. Quality patient care is co related to a well-educated...
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...Nursing 101 The Art and Science of Nursing Spring 2013 PRE-REQUISITES AND CO-REQUISITES: None COURSE CREDITS AND COURSE HOURS: 3 credits (3, 1, 2) GRADING SCALE: Refer to 2011/2012 CNC Calendar, p. 110 COURSE DESCRIPTION: This course introduces the beginning student to the dimensions of professional nursing practice. Through group and individual learning activities, students are introduced to concepts, professional nursing practice, issues & trends in nursing, and the Canadian health care system. This course establishes the foundation for your future nursing career. COURSE STRUCTURE: Classes are delivered using lecture, discussion, group work, and lab and clinical experiences. There is also an online component to the course. Please visit the Nursing 101 Moodle shell regularly for readings and submission of assignments. There are required readings assigned for each week and material from these readings will be applied during class activities. It is expected that students will have completed the required readings, as this will help facilitate each students’ active participation in the course and the achievement of learning outcomes. All required and supplemental readings are testable material. STUDENT REQUIREMENTS: PARTICIPATION IN ALL LAB AND CLINICAL SESSIONS IS MANDATORY. FAILURE TO ATTEND YOUR SCHEDULED SESSION WILL RESULT IN FAILURE OF NURSING 101. (See policy regarding illness in student handbook & CRNBC Fitness to Practice Requirements). You must...
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...Discussing the future of nursing theory can bring up a wide outlook of the direction of nursing. Everyone has different views and interests concerning nursing’s future. In this discussion, we will cover some of the opinions of what has driven nursing theory development, what will drive future development in nursing theory, and how might nursing practice change as a result of evolving nursing theory. According to "Nursing Theory" (2011), “The nursing profession has evolved greatly over time, moving from dependence upon total medical direction providing basic care into an independent practice modality with its own nursing theory practice, nursing models, and distinct nursing interventions” (Nursing Theory).The requirements of nursing education have grown greatly. Nurses used to only take care of basic ADL’s of patients. Today, many nurses have more knowledge than the physicians working with these nurses. It is only logical that nurses have their own set of theories and models that guide their nursing practice. Nursing theories increase the general knowledge within nursing through research implementation. Theories provide the basis for nursing practice, helps to generate future knowledge, and indicates in which direction nursing should develop. Nursing theories are an attempt by the nursing profession to continue within the professional boundaries of nursing (Nursing Theory, 2011). Nursing theory has also been driven by the advanced educations available to nurses. Advanced education...
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...across Theories The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way. Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a conceptual model, which identifies the focal point of nursing inquiry and guide the development of mid-range theories that will become useful to nurses and also to other health professionals. According to Walker and Avant (2011), these theories contributed in “conceptually sorting the nursing from the practice of medicine by demonstrating the presence of distinct nursing perspectives.” In this essay, Orem’s Health Care Deficit Theory and Sister Callista Roy’s Adaptation Model are compared and analyzed for their importance in nursing. Orem’s Self-Care Deficit Theory Orem’s Self-Care Deficit Theory is one of three grand theories written by Dorothea E. Orem. According to Orem, nursing becomes necessary when an individual can no longer care for him or herself. Nursing provides care through acting, guiding...
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...MODULE 2: Theory Development in Nursing Discuss the five development of nursing theory. Silent Knowledge Stage is the period where nurses practice blind obedience to medical authority. Trainings of nurses and student nurses were limited to hospital settings. There is no independent decision-making by the nurse, and technical skills can only be performed by skilled nurses. Hospital schools believed that the nursing education comprises only of learning technical skills and that there is no need to be educated of theory. It is in this stage that nurses are dependent to doctors, and they carry out orders no questions asked. Received Knowledge Stage is the time when nurses were encouraged to be registered as a professional by taking up state licensure, and pursue graduate education to study nursing functions and purposes. Prominent nursing organizations were formed and books containing lessons on nursing research and theories were published. The publication of the Journal of Nursing Research was then set forth, which goal, according to Parker (2006), was to promote scientific productivity and report scientific investigations for nursing, and contains papers on a variety of topics in relation to health care and current policies. This drove nurses in graduate education to inspire other nurses scholars to improve their awareness on theories and their skills in practice. Subjective Knowledge Stage is the period where authority was internalized and new sense of self emerged...
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...can create a more peaceful end of life, rather than simply complete the tasks at hand in the day to day when caring for the dying. II. Theory Perspective b. Defining “Peaceful” c. Dying is a personal experience and should never be alone. d. Five Outcome Indicators e. 16 Outcome Criteria III. Relationship to Nursing Practice f. Relevancy to Nursing i. Educate ii. Influence iii. Research g. Observe. Look, listen and feel h. Understand and Interpret i. Intervene with dignity, respect and empathy IV. Case Scenario V. Conclusion References Bjarnason, D. (2000, May). End-of-life care: Understanding and enhancing the nurse-patient dialogue. Retrieved May 3, 2011, from Proquest: http://proquest.umi.com/pqdweb?did=732206511&Fmt=2&clientId=14884&RQT=309&VName=PQD George, J. B. (2011). Nursing theories: The base for professional nursing practice. Upper Saddle River, NJ: Pearson. Moore, S. M., & Ruland, C. M. (1998). Theory Construsction based on standards of care: A proposed theory of the peaceful end of life. Nursing Outlook,...
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...versus evil through out history, good almost always triumphs in the end. For example the New York Yankees have won a total of twenty seven World Series Championships compared to the Boston Red Sox who have won a meager seven World Series. Another example would be Darth Vader returning from the dark side to vanquish the evil Emperor by means of hurling the villain over a rail to unseen depths and certain death. In the case of Bachelors level nursing compared to Associates level nursing however, there really is no good versus evil to compare. There is no dark versus light there is just a different level of attained educational degree. The question is what does the difference in education level provide in the level of competency of each nurse. The aim of this paper is to discuss what is the definition of competency in nursing and how is it measured, what are the advantages in nursing care for associates and bachelors degree care, and how do the differences in educational level affect overall patient outcomes. What is competency in nursing? The American Nurses Association, or ANA, defines competency by stating, “competency is an expected level of performance that results from an integration of knowledge, skills, abilities, and judgment” (ANA 2004). A nurses’ ability to provide proficient and safe care at the bedside in any setting demonstrates competence. This statement is true for associates and bachelors level education alike. When comparing a BSN level educated nurse to...
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...This first chapter gives overview about the nature of change will be carried by the author through implementing of the new nursing facility within the organization. Moreover, the rationale for selecting this particular change project and its aims, objectives and place of the change will be mentioned as well. Chapter two will display the literature review and their input related to the dissertation topic. It will cover several themes that are diabetes prevalence, diabetic ketoacidosis, insulin pump complication, and insulin pump therapy today. At the end of literature review, chapter’s author will discuss the critical of patient safety and team in management for diabetes mellitus. The methodology will be in the following chapter number...
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...Grieving is a complex process which can span many disciplines of thought, including psychological, spiritual, and medical. The article “Exploration of nurse practitioner practice with clients who are grieving” (White & Ferszt, 2009) explores the unique clinical challenges and roles of the nurse practitioner in working with patients who are grieving the death of a loved one. The authors chose a qualitative, descriptive, exploratory method to explore the NP’s practice working with grieving clients within a primary care setting. This approach is suitable for the type of information that was being researched, as it leaves more room for undirected answers and an open forum for the participants of the study to share their phenomenological experiences. The dearth of previous research in this area lends itself to qualitative research, as qualitative research is an appropriate way to open up the discourse and to determine what further questions might be worthwhile to investigate in the future (Polit & Beck, 2012). The authors used the purposive sampling method to select nine NP’s with significant experience grief and primary care, also are known for their holistic, comprehensive nursing approach, with the idea that substantive data could be obtained from these clinicians. The research conducted was a retrospective study about the care of particular grieving patients that these NP’s had provided in the past. After receiving three questions one month in advance of the interview, in order...
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