...Nursing Leadership Health Policy Paper Shoba Jacob Grand Canyon University Ethics, Policy and Finances in the Health Care System NUR-508 Nursing Leadership Health Policy Paper Professional growth and maintaining competencies mainly in knowledge and skill in the field of nursing is very important. Nurses needs to be updated with the current scope and standards of nursing practice. One of the important characteristics of any profession is the accurate educational preparation which can be achieved with the interest of the individual and funding. Every nurse is responsible for the professional growth (Association, 2001) Purpose for a Policy Change Education is important, it is the base for gaining knowledge and wisdom. It is an important tool and a path for success and paves the way in becoming good future citizens to the community, institution/organization and country. Once a person becomes a registered nurse (RN), it becomes important to pursue the career which helps nurses to apply and pass the knowledge to the fellow co-workers, apply the knowledge at the bed side with real patients and also in highly pressured situations. This knowledge gained by pursuing the career is also beneficial for the nursing students, by observing the clinical practice actions of skilled experienced nurses (Jackson, 2009). Due to the nations shortage of nurses, the effort to educate more nurses and advanced practice nurses has become one of the urging needs and the goal is to reach 340...
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...Nursing Shortage (revision) October 29, 2012 The nursing shortage is an issue that is battled worldwide. There is evidence that there was a growing concern of a nursing shortage in the United States dating back to the early 1960’s. In a March 2012 report it was noted that the healthcare job market is exceeding the growth realized in 2011. This growth accounts for one out of every five new jobs in 2012 according the Bureau of Labor and Statistics (BLS). Registered Nursing will be the top occupation in terms of job growth through 2020 with the number of employed nurses increasing by 712,000 which is a 26% increase. (Rosseter, 2012) Will this growth satisfy the increasing demand for healthcare services? It is important to first look at some of the problem areas facing the United States Healthcare system in regard to Registered Nurses. It is significant to note that the nursing shortage is due in part to the aging workforce. Presently 75% of the nurses are older than 40 years of age. Many nurses around the age of 54 are electing to decrease their hours. There is increasing evidence that nurses are seeking early retirement at 62. The largest group of nurses will soon start to retire which is expected to create a 20% shortage due to the aging workforce. (Duvall, 2010) In addition to the worries about the aging workforce, there are concerns about stress, job satisfaction, and physical demands on the nursing population. Nurses are particularly susceptible...
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...the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the "Nursing Timeline of Historical Events" media piece. How have these trends influenced your perspective of nursing practice? My understanding of the nursing history used to be limited to Florence Nightingale time during the Crimean war. However, after watching the slides and read other resources, I realised that nursing history go way back before Florence Nightingale. In order to understand nursing, the history must not be waved aside as a thing of the past.Nursing over many decades has made a lot of great progress. Dorothea Lynde Dix made a landmark by initiating first nursing registration.Effort of Elizabeth Mahoney for coloured nurses despite racial discrimination made positive change among coloured nurses.Midred Montag's idea about 2 year associate nursing degree gave birth to many nursing schools. All these people and many others have made a tremedous progress in nursing,from bedside nursing to nursing research. The foundation of nursing today is laid on the efforts of brave men and women who practiced and gave their best to the profession. Nursing has risen from a profession that is not respected to a highly competitive profession. Despite many changes and trends in nursing, nursing has remained a profession whose primary responsibility is to care for the patients. From the "Nursing Timeline of Historical Events"...
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...Nursing Research Study: Evaluation of Linear Measurement and Growth Plotting in an Inpatient Pediatric Setting Student Grand Canyon University NRS433V July 11, 2010 Nursing Research Study Summary The heights and weights of children can be key indicators of normal growth and development for each child and should be done routinely in a variety of patient care settings. The purpose of this paper is to provide a summary on the recent article in the Journal of Pediatric Nursing, Evaluation of Linear Measurement and Growth Plotting in an Inpatient Setting (Lipman, Euler, Markowitz, & Ratcliffe, 2009), in which nursing researchers documented an evaluation of the processes of obtaining measurement in their urban children’s hospital. Background The issue of a lack of properly done and routine measurements in pediatrics has been the topic of many studies done in the settings of pediatric and family practice offices. Inpatient admissions offer a unique opportunity to assess the growth of children. The purpose of the study being summarized was to “determine adherence to hospital policy and accuracy of growth documentation by obtaining data on the linear measuring practices to inform and improve nursing care” (Lipman, Euler, Markowitz, & Ratcliffe, 2009). The setting for the study was an urban children’s hospital in which the staff is exclusively registered nurses. “Registered nurses are significantly more likely to measure children accurately” (Hench, et al., 2005). Proper...
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...program, and the Baccalaureate programs. Though all are eligible to take the same NCLEX-RN exam to attain licensure for practice as registered nurses, they all practice at different levels of competencies and scopes. Although the cognitive abilities between the associate degree and the baccalaureate degree nurses are similar, the difference between these two practicing nurses is mostly related to the level of preparedness and their role functioning standards. The achievement of BSN by practicing nurses serves to enhance nursing care particularly on individuals, families and community like the ADN, but also extends their expertise to community health, leadership, research and evidence based practice. Although the differences in the abilities may not be evident in the beginning of their nursing practice, it becomes pronounced as these nurses gain experience in clinical areas. On like the associates level, the “BSN education includes additional course work in nursing and a broader range of studies in other disciplines” (McEwen). The BSN nurse receives more extensive preparation in the sciences and liberal arts and broader theories to base their understanding of the psychosocial and physiological behaviors of their patients. This gives them the platform for greater...
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...Perceptualizing the Profession In the health care field, there is ongoing debate on subjects such as health care reform, ethical dilemmas, and ideals regarding nursing as a profession. Those debating the issue are generally passionate about their stance on regarded topics. Some teeter or straddle the fence, while others have no opinion or just do not care. The view of nurses in the workforce has fueled discussions on how nursing is categorized in terms of perception: Is nursing an occupation or is it a profession? In the Oxford Dictionary (US) online (2014), the word profession is defined as “a paid occupation, especially one that involves prolonged training and formal qualifications.” A precise definition has been debated among scholars since the beginning of the 1900’s and was historically reserved for learned professions such as law, ministry, medicine and educators of higher learning (Williams, Onsman, & Brown, 2009). It is interesting to note, as society has changed, so has the term, profession, in its application. There are professions such as athletes or actors and actresses who have coined the term profession, which only serves to further distort the public’s perception and acceptance. This perceptual view varies across geographical, cultural and historical milieu. In an effort to understand nursing as a profession and where it may be in the future, one must return to its very beginning. Regardless of the blurred edges, the criteria of a profession have evolved...
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...Values A) Functional Differences: The functional differences between a regulatory agency, like the Texas Board of Nursing and a Professional Nursing Organization, like with Texas Nurses Association, are many. Even though both agencies support nursing, they do in different ways. The mission statement of the Texas Board of Nursing is as follows: “The mission of the Texas Board of Nursing is to protect and promote the welfare of the people of Texas by ensuring that each person holding a license as a nurse in the State of Texas is competent to practice safely” ("Mission and Values," n.d., para. 1). One of the primary roles of the BON is license issues. They issue and renew licenses for nurses in the State of Texas. They issue all licenses to graduates of approved nursing education programs. All nurses are required to renew their licenses on a biennial basis with evidence of required continuing education. In the State of Texas, RN’s must have twenty hours of CEU’s every two years for this renewal process. The BON enforces the NPA (Nurse Practice Act) and nursing education, conducting investigations of complaints against nurses and adjudicating complaints ("Licensure Renewal," n.d.). Texas Nurses Association (TNA) is a professional nursing organization with supports and advocates for nurses. The mission statement of the TNA is as follows: “Advancing the nursing profession through leadership, collaboration, advocacy and innovation” ("Mission," n.d., para. 1). The TNA was founded...
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...Phenomenology: A research tool in nursing practice Phenomenology: A research tool in nursing practice Description of the problem Nursing as a discipline and branch of science has grown tremendously over the years. The use of research, scientific inquires, evidence-based practice, and scientific validations have contributed immensely to this growth. Several disciplines such as Psychology, Sociology, Arts, and Philosophy have played major factors in the growth of nursing as a science. Science as a discipline is never static and continues its growth through the use of quantitative and qualitative research inquires. Phenomenology is a branch of philosophy that aims to utilize methodology in nursing research (Tuohy, Cooney, Dowling, Murphy, & Sixsmith, 2013). This paper will focus on the role of phenomenology as a research tool in nursing practice and the similarities between phenomenology and the views of logical positivists. Background and significance Edmond Husserl is recognized as the pioneer of Phenomenology, having introduced this movement at the beginning of the 20th century (Tuohy et al., 2013). Phenomenology as a branch of philosophy focuses on the importance of exploring the realities of life and living, it is a method of recounting occurrences as it appears to the person experiencing the occurrence (Tuohy et al., 2013). Phenomenology is described as a movement because unlike other philosophical views; it...
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...Basic concepts in nursing science School of Nursing Medical University March, 2005 Introduction 1. Definition of nursing science 2. Four basic concepts that affect and determine the nursing practice (1) Human being (2) Environment (3) Health (4) Nursing Human being 1. The human being is a uniform whole （entirety） (1) Concept of a whole (2) The uniform whole of human being 1) Physiological 2) Psychological 3) Social 4) Spiritual 5) Cultural 3. The human being is an open system (open whole) (1) Close system (2) Open system 4. The scope of human being in nursing (1) Individual (2) Family (3) Community (4) Society Basic goal of human being: To maintain the balance of organism 1) Balance among subsystems of an organism 2) Balance between organism and its environment (internal environment and external environment) 2. Basic need of human being (1) Definition of basic need 1) Need 2) Basic need of human being (2) Types of basic need 1) Physiological need 2) Social need 3) Affective need 4) Cognitive need 5) Spiritual need (3) Characteristics of basic need 1) Approximately same basic need 2) The importance of each need for each person is different 3) All the basic needs are interconnected and interactive (4) Factors that affect meeting needs ...
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...technical nurse from a professional nurse? Is it their education, work experience or innate organizational and leadership skills? Most current educators, leaders and professional nursing organizations say the primary differentiator between a technical nurse and a professional nurse is the level of education. The Nursing Diploma and two-year Associates-Degree Nurses (ADN) are considered “technical” while a nurse with a four-year Bachelors of Science Degree in Nursing (BSN) is considered “professional”. The distinction of differentiating nursing capabilities based on education arose after the creation of the two-year ADN programs at junior colleges. After World War II there was a sudden growth in junior colleges to support the demand for technical training and education of returning veterans. At the same time there were accelerated advances in medical sciences and facilities and a supporting demand for more nurses. Creative educators, led by Dr. Mildred Montag, starting in the early 1950’s created the two-year ADN curriculum to help meet the growing demand for nurses. “Dr, Montag’s doctoral research, not only as the spark that began the Associate Degree Nursing movement, but also the research base that proved her ideas could work in the real world and established Associate Degree Nursing as the only nursing program that was research proven over time.” However, some educators took liberties and experimented with the ADN curriculum as they worked to provide the best mix of clinical...
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...CODE OF ETHICS FOR NURSES WHEREAS, the Board of Nursing (BON) has the power to promulgate a Code of Ethics for Registered Nurses in coordination and consultation with the accredited professional organization (Sec. 9, (g), Art III of (Republic Act) No. 9173, known as the “Philippine Nursing Act of 2002); WHEREAS, in the formulation of the Code of Ethics for Registered Nurses, the Code of Good Governance for the Professions in the Philippines was utilized as the principal basis thereof: All the principles under the said Code were adopted and integrated into the Code of Ethics as they apply to the nursing profession; WHEREAS, the promulgation of the said Code as a set of guidelines, regulations or measures shall be subject to approval by the Commission (Sec. 9, Art. II of R.A. No. 9173); and WHEREAS, the Board, after consultation on October 23, 2003 at Iloilo City with the accredited professional organization of registered nurses, the Philippine Nurses Association, Inc. (PNA), and other affiliate organizations of Registered Nurses, decided to adopt a new Code of Ethics under the afore-mentioned new law; NOW, THERFORE, the Board hereby resolved, as it now resolves, to promulgate the hereunder Code of Ethics for Registered Nurses: ARTICLE I PREAMBLE SECTION 1. Health is a fundamental right of every individual. The Filipino registered nurse, believing in the worth and dignity of each human being, recognizes the primary responsibility to preserve health at all cost. This responsibility...
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...The Future of Nursing Tonya Lipscomb Grand Canyon University: Professional Dynamics March 17, 2013 The Future of Nursing The field of nursing is a vast profession with continual growth into several different areas of the medical arena. With the Affordable Care Act of 2010, the need for nurses went on the rise and is at a steady rise. The Institute of Medicine (IOM) Report of 2010 discusses the need for nurses in different areas of healthcare and education. This paper will talk about the impact of the IOM Report on education in nursing, on the practice of nursing in primary care, and on nurse leadership. The Institute of Medicine 2010 (IOM) Report reveals the 2010 Affordable Care Act is the largest healthcare renovation since 1965. Changing the healthcare system to deliver safe, excellent, patient-centered, accessible, and inexpensive health care will involve a complete changing of the roles of various health care professionals, particularly nursing. To understand this vision, nursing education must be profoundly better before and also after nurses obtain their licenses (IOM 2010). Nurses are being summoned to fill expanding roles and to dominate high-tech tools and information management systems while teaming up and organizing care with assemblies of health care professionals. To answer these growing demands, the IOM committee requests for nurses to attain a higher level of learning and recommends that they are schooled in new ways that better help them to meet the...
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...impacts the health status and quality of life of the population. Factors that impact health care are the importance of supplying adequate nursing personnel and retaining RN’s in the workplace. There is a need to provide resources to educate registered nurses along with recruiting future registered nurses. “Economists use the concepts of demand and supply to inquire how the quantity of services used changes as price changes” (Getzen, 2007, p. 24). The purpose of this paper is to discuss demand versus supply of registered nurses and the effects of consumer demand versus the economic variables of cost, access, and supply. Demand Registered nurses are in more demand than ever before because of the continued nursing shortages. Factors contributing to the shortages are advancements in technology, people are living longer, and the health care needs are more complicated. In the early years nurses were trained to take vital signs, administer shots, and insert catheters. Nurse training in the past was more focused on bedside nursing compared to today’s nurses are doing more specialized care and training is more technical. “Today’s shortage, however, is exacerbated by an increased demand for health services required by the aging population and an increased demand for all levels of nursing personnel outside the traditional hospital and nursing home settings” (Louisiana State Board...
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...this higher demand for registered nurses. Nursing schools are struggling to expand capacity to meet the needs of the rising demand for care given the national move toward health care reform ("Nursing Shortage", 2014). Registered nurses compromise the largest group of health care professionals. The nursing shortage has caused adverse effects in health care, and nurses are often working long hours under stressful conditions causing them to become burnt-out, injured and fatigued. Patient safety is at risk along with poor quality of care due to the nurses being tired, and they become more prone to making mistakes and medical errors. Demand The request of registered nurses is not new in the health care industry; it has been here for decades. In 2000, the supply of registered nurses was about 1.89 million while the demand was approximately 2 million, causing a shortage of 110,000 ("Nursing Shortage", 2014). The request for nurses is expected to continue to increase and by 2015 quadruple. The lack of nurses is not just limited to the United States but is worldwide. Registered nurses compromise the largest group of health care professionals. Demand versus supply continues to be an issue with the increasing shortages of registered nurses (RN) and the growing demand for health care services. Due to the increase in population, baby boomers aging, and an increase in chronic disease is causing this higher demand for registered nurses. Nursing schools are struggling to expand capacity...
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...Nursing is one of the few professions with vast opportunities for growth and advancement Opportunities abound in both the clinical tract and the management tract of nursing. The purpose of this paper is to discuss some of the advancement opportunities one has as a professional nurse with a bachelor of science ( BSN) degree. In the Clinical tract, we see nurses moving up the ladder through advancement in education. Most nurses started as Nurses Aid or Licensed Practical Nurse (LPN). A number of nurses advanced by obtaining an Associate of Nursing Degree (ADN), and subsequently passed the state board of nursing exam to become a registered nurse. (Carter, 2012). As frontline RN, you are inclined to confront real life and death issues; be it resuscitating a patient in the unit or providing care for terminally ill patients. You acquire experience and become very comfortable with patient care in the clinical setting. However, the quest for more knowledge and the belief that we can do better, motivates an individual to pursue higher education like the Bachelor of Science in Nursing (BSN) or a Masters of Science Degree in Nursing (MSN). These undertakings allow for the exploration of other opportunities in the clinical setting as well as the management setting. (Donley & Fiaherty,, 2008). Some of the opportunities in the clinical tract include Unit Nurse Educator, Certified Registered Nurse Anesthetist (CRNA), Nurse Practitioner (NP), and Clinical Nurse Specialist just to mention...
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