...I agree that most nurses are not interested in politics; however, we are a major component of implementing health care policies. I appreciated the fact that the importance of nursing was acknowledged. This module identified three ways to achieve policy support which are persuasion, manipulation, and intimidation. I am most familiar with persuasion,...
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...Title: Core Competencies Necessary for the APN Role Development. Name: Course: Institution: Date: Interview with an Advanced Practice Nurse Introduction Interview with APN/CNP, Diane John Diane John, APN/CNP is a nurse practitioner at Health land, a Hawaii center for the public. She has devoted 30 years to her nursing career. She has worked as a nurse in a medical intensive care unit and as a research nurse in the study in the intensive care unit. She has been a Female Nurse Practitioner for the past 20 years where she started out as a midwife at wife care center, where she provided midwife services to women. Rationale for an engaged interview process The reason for this interview is to find out Competencies necessary for APN role development and also to get some background information of a nurse leader on a one on one basis. This information will be important because it will help us to develop leadership skills in the field of nursing. About the Diane John APN leader Diane John, APN/CNP is an attendant specialist at Health land, a Hawaii community for the general population. She has dedicated 30 years to her nursing profession. She has filled in as an attendant in a restorative emergency unit as a examination nurture in the study in the emergency unit. Interview What is the CNS nurse? The CNS is a practice for preparing advance practice nurses to be part of the clinical practice team where you work together with doctors to provide service to patients.Bringing knowledge into...
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...importance. The IOM is a committee that bases their decisions off of reviewed research and analysis that support their deliberations. The Health Professions Education report (IOM, 2003) forcefully impacted the health care profession we know today by making huge changes in the way we prepare our healthcare staff in both academics and clinical practice settings. These new standards included curriculum revisions focusing on evidence-based research and practice, as well as implementing new training programs for medical professionals currently in practice to reinforce or update their skills. Clinical education was urged to now revolve around The five core competencies listed below. Provide patient-centered care -be respectful of your patient’s values and beliefs, opinions, and expressed needs;be punctual to pain and suffering; deliver continuous care; listen to,educate, clearly inform, with, and educate patients; share decision making and plan of care management; and continue to advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health. Work in interdisciplinary teams - cooperate with all, collaborate with all, communicate with all , and integrate care in teams to gain your patient’s trust. Employ evidence-based practice - utilize quality research with clinical examples and outcomes and patient opinions and beliefs for better care while involving yourself in the growing and...
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...Concepts Analysis Paper Demis Rey BSN Theoretical Foundations of Advanced Nursing Kaplan University March 10, 2014 The concept of Quality has a close relation with nursing practices. Higher quality healthcare is the common goal of all healthcare team and improving healthcare quality has become the common focal point of all healthcare organization. Quality has become an important issue for healthcare facilities facing a changing of healthcare environment (Tsai, & Wu, 2013). Quality is derived from the Latin “quails” and is defined as essential character of nature…an inherent or distinguishable attribute or property, a character “trait” and is defined as superiority of kind and degree or grade of excellent (Wicks, & Roethlein, 2009). Every quality expert defines quality somewhat differentially, and there are a variety of perspectives than can be taken in defining quality. The most widely concept of quality is the Industrial Organization Society (IOS) definition as “the degree to wish a set of inherent characteristics fulfill requirements” (Wicks, & Roethlein, 2009, p. 85). The psychological concept is closely aligned with the dictionary definition when quality relates to logic: “quality is the positive or negative character of a proposition” (The Merriam-Webster Dictionary, 2014). Quality is a set of characteristics or properties, as supported by the multidimensional definitions of quality. Quality can focus on excellence or can be viewed as the degree of a...
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...I S P A R T I C I PAT I O N IN CURRICULUM DESIGN of program outcomes has been identified as a core competency for nurse educators A N D E VA L UAT I O N (Billings & Halstead, 2009; Southern Regional Education Board, 2002). Facing declining NCLEX-RN® pass rates, faculty at an associate degree nursing program at a public community college in Mississippi responded to the National League for Nursing ([NLN] 2005b) call to transform nursing education by undertaking an intensive critique of its curriculum and program outcomes. Based on this analysis, a conceptual framework was created to guide curriculum revision, development, and implementation. The framework provides structure for ongoing and systematic curriculum review and revision. A review of the literature revealed the need to move from a teaching-centered to a learning-centered approach to teaching. Learning-centered institutional design is reflective of a number of principles: the need to bring about substantive change in participants; the full engagement of learners and the mindset that students bear primary responsibility for personal choices; multiple learning options to appeal to students’ preferred learning styles; the enhancement of collaboration; educators as learning facilitators; and measurement of success through the documented improvement and expansion of learning. Learning-centered curricula focus primarily on student learning with a goal-based emphasis and the evaluation of learning based on...
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...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 care (Hamric, Hanson, Tracy, & O’Grady, 2014). NPs empower their patients by allowing them involvement...
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...acute skills for nurses in critical care wards. In this section of the literature review, we will discuss policies in the nursing profession, case studies and various approaches to work based acute skills learning programmes. For our purposes we conducted a literature search using popular medical databases and terms such as ‘acute skills’ ‘learning programmes’ and ‘critical care learning’. Our review highlights on the several important approaches to work based learning ranging from reflective practice to experiential learning and work based formal practical training to enhance professional skills. A learning programme for acute ward nurses responsible for caring of critically ill patients has been the central focus of nursing practice development. According to Coad et al (2002), a work-based learning approach has been found to empower ward staff with the necessary skills of nursing and the authors studied the efficacy of a five-day competency based high dependency skills course in enhancing professionalism and quality of care in nursing. The aims of comprehensive critical care are developing leadership potential and enhancing networking opportunities for nurses within critical care and acute ward areas. Critical care is the most challenging aspect of nursing care and acute skills in nursing are enhanced not just by work-based learning programs but also from first hand nursing and emergency experiences. Titchen (2003) describes emergency care in which one professional learns from...
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...Accountable Care Organization is a healthcare organization characterized by a payment and care delivery mode. lt seeks to tie provider reimbursements to a quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers form an ACO, which then provides care to a group of patients. The ACO may use a range of payment methods, (e.g. capitation, fee-or-service with an asymmetric or symmetric shared savings). The ACO is accountable to the patients and the 3rd party payer for quality, appropriateness, and efficiency of the health care provided. The Centers for Medicare and Medicaid Services (CMS), an ACO is considered an organization of health care providers that agree to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program. This paper identifies the differences between HMO’s and ACO’s but also correlates the similarities between ACO’s and Patient Center Medical Home (PCMH). The ACO’s place a degree of financial responsibility on the providers in hopes of improving care management and limiting unnecessary expenditures while continuing to provide patients freedom to select their medical services. The success and challenges of ACO are identified and explored. By increasing care coordination, ACO’s can help reduce unnecessary medical care and improve health outcomes, leading to a decrease in utilization of acute care services...
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...move continuously from a small nursing skills class several decades ago up to the philosophy’s degree in nursing practice today. Since nursing is the holistic care of a human being, as caregivers, we must continue to invest time and effort into providing more advanced nursing to our holistic beings for their better health. According to the Institute of Medicine (IOM), nurses must be 80 % baccalaureate prepared RN workforce by 2020 (AACN Face Sheet, 2015). Therefore, nurses must endeavor to achieve the Bachelor of Science in nursing (BSN) for more competencies in their lifetime working field. Needless to say, patients will receive highly qualified care based upon enhanced education. Thus, BSN education preparation should be differentiate in order to meet these expectations. Different Competencies between the Associate-Degree Versus the Baccalaureate Degree Level The enlightened preceding nurses through many experimental years have developed many characteristics for a professional nursing. Currently educated nurses utilize their competencies that acquired from school in many different clinical setting environments. Compare to Associated degree level (ADN) focused on learning basic clinical skills within two years, BSN programs broadened learning realm along with the education centered on the art and science of nursing in four years (Walters & Kluwer, 2012). For example, ADN nurses tend to have better grasp on nursing skills and tasks such...
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...Title: The Difference in competencies between Nurses prepared at the Associate Degree level versus the Baccalaureate Degree level. Name: Jason Nordstrom Grand Canyon University, Phoenix Arizona: NRS-430V-0500 November 07th, 2012 Introduction: Recent studies have shown that nursing practices and quality of overall patient care, have a direct link to the quality and level of nursing education. Today’s nursing education must be able to meet the demands, challenges and needs of a modern healthcare. According to the (AACN) Facts Sheets: It approaches today’s nursing workforce with researches, relating education to outcomes, and also outline the capacity and preparedness of four year college, as means of improving the level of education in the United States. The definition, history and competencies of BSN and ADN degrees are discussed below: Associate Degree in Nursing (ADN): An associate degree in nursing, on average requires from two to three years of formal education. ADN predominately prepares nurses for bedside patient care, in a healthcare facilities such as hospitals and long-term care. It is usually offered by community and junior colleges, and some nursing schools. Students with an ADN, meet academic requirement for NCLEX-RN exam, and are eligible for license as R.N. The ADN was started by Dr. Mildred Montag in 1951, as WWII was ending. This was an important and necessary step, in order...
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...Education Today’s health care environment is undergoing significant changes due to complex patient’s needs, chronic health conditions, and technological innovations. Educating nurses within the 21st century requires a creative integration of knowledge, skill set, and caring within an increasingly complex healthcare system (Institute of Medicine [IOM], 2010). Nursing education is heavily laden with continuous content increases to be covered within the curriculum (Devereaux-Melillo, Dowling, Abdallah, Findeisen, & Knight, 2013). The need to examine curricular transformation is imperative in order to manage content saturation, and abate the separation of the classroom and clinical teaching. This paper will outline the following processes: (a) the development of a concept-based curricular plan for a baccalaureate program, (b) the impact of a concept-cased curriculum (CBC) on the faculty, students, finances, community of interests, accreditation, and (c) examples of the integration of competencies. Development of Concept-Based Curricular Plan Nursing faculty are challenged with curriculum, for they are presenting an astronomical amount of material to “cover the content”. According to Duncan and Schulz (2015) nurses practice conceptually on a daily basis by focusing on the patient needs, regardless of the medical diagnoses assigned. In order to practice conceptually, nurses must think conceptually by grouping important facts into concepts that can then be transferred from one...
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...from the PhD thesis – How the project demonstrates competencies Determine similarities and differences among multiple forms of DNP projects/capstones in terms of scope and expected deliverables Examine the issues that surround the DNP project/capstone If it Walks Like a Duck and Talks Like a Duck – Is it a capstone project? An endeavor by any other name: capstone, practice inquiry, scholarly project focused on practice May benefit group, population, or community (NONPF, 2007) Scholarly work that translates (is implemented) evidence into practice – Sustainability (Ahmed, et al., 2013) AACN description of DNP project “Rather than a knowledge-generating research effort, the student in a practice focused program generally carries out a practice applicationoriented “final DNP project,” which is an integral part of the integrative practice experience (AACN, 2006, p.3) Project possibilities (NONPF, 2006) Translate research into practice Quality improvement (care processes, patient outcomes) Implement and evaluate evidence based practice guidelines Analyze policy: Develop, implement, evaluate, or revise policy Design and use databases to retrieve information for decision making, planning, evaluation Conduct financial analyses to compare care models and potential cost savings, etc. Implement and evaluate innovative uses of technology to enhance/evaluate care...
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...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 job expectations and responsibilities include but are not limited to the development of a broader set of leadership and technical skills as well as to increase their understanding of healthcare delivery and its effectiveness (Hospitals, 2014). Critical to care (and the business) is the rights and best interest of the patients, focusing...
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...Research Critique, Part 1 XXX Grand Canyon University: NRS 433V XXX Research Critique: A Qualitative Study Researchers completed a study seeking out barriers to the implementation of non pharmacological interventions for patients with dementia by nursing home staff. To better recognize and understand these barriers and to in hopes of providing a stronger evidence base for cultural change, researchers elicited nursing staff, recreational therapists, activity personnel and medical directors in a study titled “Its About Time: Use of Nonpharmacological Interventions in the Nursing Home.” Problem Statement Dementia is one of the most common diagnoses on the rise amongst the geriatric population. Alzheimer’s The most common form of dementia is Alzheimers, affecting well over 5 million people nationally. Institutionalization is common amongst this population as the disease begins to progress, typically bringing on behavioral and psychological symptoms of dementia (BPSD) including agitation, aggression and depression. This population is recognized as vulnerable and fragile, both mentally and physically. Many frequently have physical comorbidities along with dementia. This issue of suffering from comorbidities brings on the prescribing of multiple medications, which over time interact and accelerate their functional decline (Kolanowski, Fick, Frazer, Penrod, 2009). Due to the lack of beneficial effects when weighted against both short and long term adverse effects of various...
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...University Professional Dynamics NRS-430V August 16, 2015 Professional Development of Nursing Professionals The momentum ignited by the November 30, 2010 Institute of Medicine (IOM) Future of Nursing Report will impact healthcare and redefine the expectations of the nursing profession. The historical report was the result of a two year initiative commissioned by the Robert Johnson Wood Foundation (RJWF) in response to meeting the demands for healthcare reformation and was inclusive of an action plan to resolve the nursing shortage and identify barriers. The first edition publication of the IOM in 2007 stated, “We want our healthcare system to deliver: the right care for every patient every time.” The process and application for delivering this standard of care which is evidenced based and patient centered must be viable, evolving and transformational in nature. Four key messages quoted here resulted from the forum discussions as stated by the Institute of Medicine (IOM) (2010 : 1. Nurses should practice to the full extent of their education and training. 2. Nurses should achieve higher levels of education and training through and improved education system that promote seamless academic progression. 3. Nurses should be full partners, with physicians and other healthcare professionals, in redesigning healthcare in the United States. 4. Effective workforce planning and policy making require better data collection and an improved information infrastructure...
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