...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 Nursing’s Scope and Standards of Practice Description of Scope of Nursing Practice Development and Function of Nursing Standards ...
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...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 Nursing’s Scope and Standards of Practice Description of Scope of Nursing Practice Development and Function of Nursing Standards ...
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...and ethics. With technology on the rise, there will be new ethical dilemmas and nurses will be more active in exploring ethical aspects of patient care. Nurses’ ethical perspective will be respected by other professionals and as a result, nurses in larger numbers will sit and serve on ethics committees as ethics consultants. As new roles become the norm, nurses need to be trained in these specific areas to have the knowledge how to care for these patients. Nursing care will become more important in the future as the nation’s demographic changes. Nurses must be culturally competent and recognize that cultural sensitivity begins with health care providers. The rise of community base health care is seen throughout the United States and nurses will be needed to fulfill these roles in the community base setting such as school nursing, hospice, clinics, HMOs, and other health care settings (Chitty & Black, 2010). Conclusion As different trend in nursing become more popular in the future professional nurses must keep up with the new trends and practice evidence-based nursing. Professional nurses must be aware of and incorporate in their daily practice nursing theories to care for their patients. Finally, with new trends and roles available to nurses, most nurses at the professional level are removing themselves from the traditional bedside nursing practice. Nurses are moving into new roles created due to rise in technology and a need for community based nursing practice. This will only...
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...Running head: Research Critique, Part 1 Research Critique, Part 1 Grand Canyon University: NRS-433V Introduction to Nursing Research May 20, 2012 Research Critique, Part 1 Advanced Care Planning (ACP) is a huge part of healthcare. Dying is a part of life, but that doesn’t make the subject any less scary. Just because healthcare professionals handle end of life issues on a regular basis, doesn’t mean that they are immune to the sensitivities of the topic. End-of-life decision making is the process that healthcare providers, patients, and patients’ families go through when considering what treatments will or will not be used to treat a life-threatening illness. (Thelen, 2005) Many nurses who deal with death and decision making burn out. Hospice staff, because of their work with the terminally ill, are considered a high-risk group for burnout. Often, the reason behind the decision to leave or take a sabbatical from hospice work is that the staff member reached the limits of his or her capacity to care and “couldn’t take it anymore.” (Keidel, 2002) A qualitative study done, on anticipating emotion, related to ACP, was chosen to be critiqued, due to this highly sensitive topic in the healthcare industry. The subject this study was critiqued on, were, the problem statement, purpose and research question, literature review, and conceptual/theoretical framework. The clinical problem, addressed, is that end of life discussions between healthcare professionals and clients...
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...Business Research Ethics Cynthia Debose RES/351 April 29, 2013 University of Phoenix Dr. Julie Bonner 2. The article chosen from the University Library to evaluate the practice of unethical business research conduct is called Flacking for Big Pharma written by Harriet A. Washington. The article delves into the activities of “Big Pharma,” or the commercial pharmaceutical industry of the United States. In this article the author highlights some market strategies used by the industry, which suggest corrupt practices. The article criticizes the actions of the pharmaceutical industry beginning in the 1980s to the present, asserting that the industry compromises the integrity of the process of medical research and that it pressures consumers and doctors to use its products and that it falsifies data regarding the capabilities and dangers of its drugs (Harriet A. Washington, American Scholar, Summer 2011, vol. 80). Drug makers do not just comprise doctors; they also undermine the top medical journals and skew the findings of medical research. Identifying unethical business research involved in this article is given. Evaluating the article will also show how unethical behavior affects the industry, injured party, and society. A proposition of how unethical behavior can be avoided is proposed. The article is based on how pharmaceutical companies use medical research in medical journals and advertising (Washington H., 2011). Medical advertising has an influence on medical...
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...Critique of Research Article Name Instructor Unit Date Medical articles can be well analyzed based on the content, the reputation of the authors among other useful information. However, it is paramount that evidence based practice (EBP) be adopted when analyzing an article. According to Sackett et al (1996, pg 71-72) “Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients”. The best available and current research is utilized in making a judgment about the article in question (Drisko and Grady2012). The research article, Healthcare Providers’ Intentions to Engage in an Interprofessional Approach to Shared Decision-Making in Home Care Programs: A Mixed Methods Study by Legare et al., presents views of the healthcare providers in the implementation of the interprofessional approach to shared decision-making (IP-SDM). In addition, it evaluates their intention for engaging in the program. The IP-SDM program has been gaining popularity in Canada but it is yet to be incorporated into the healthcare system (Reeves et al., 2008) Interprofessional approach entails the engagement of different professionals within the healthcare system, where all contribute towards the achievement of a common method of patient care. In addition, the aspect of shared decision-making entails the development of a system that involves the patients in determining the type of treatment that is given...
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...(ENA), the American Association of Critical Care Nurses (AACN), the American Academy of Pediatrics (AAP), and the American College of Emergency Physicians endorse the practice of FPDR and still it is not a widely accepted practice. Why is this? The following three articles will discuss the positive and negative beliefs from the perspectives of both health professionals and the patient’s families. This paper will also support why it is important to offer FPDR and establishing policies to do so. The first article by Jensen and Kosowan (2011) addresses cardiac health care professional’s perspectives on FP during CPR. Some opponents in healthcare argue that FPDR would be too traumatic of an experience for families to watch. Family interference, increased staff stress, and legal action on the resuscitation team were also concerns of healthcare professionals. The article reports research done in several Canadian hospitals regarding the beliefs of health care providers on the topic of FPDR. The research found that nurses are more supportive of FPDR than physicians. Research did not support the concerns expressed by health care professionals. Furthermore, families felt it was “their right,” (Kosowan, 2011, p. 25) to be present during resuscitation. Opponents to FPDR agree that policies and procedures being in place would diminish the perceived concerns (Kosowan, 2011, p. 29). The second article opens...
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...Research Database Assignment Form Describe briefly your topic of interest (15 possible points): According to the American Diabetes Association (2013), "There are 25.8 million people in the United States, or 8.3% of the population, who have diabetes". The amount of cases of adolescents with Type 1 diabetes, previously known as juvenile diabetes is multiplying. Lack of compliance in diabetes can lead to serious complications, such as blindness, kidney damage, cardiovascular disease, neuropathy and foot ulcers, but people with diabetes can lower the occurrence of these and other diabetes complications by controlling blood glucose, blood pressure, and blood lipids by eating properly, exercising, and following the treatment regimen. My topic is on compliance issues with the adolescent with Type 1 Diabetes; parental support and involvement and influences from peers. #1 Database (or collection) (30 possible points): Title of source: Academic Search Complete Location of source (URL): http://www.ebscohost.com/academic/academic-search-complete Owner or publisher: EBSCO Host Describe (in your own words) the research database or collection of research including the purpose and the subject matter it covers: This database is the world's most comprehensive, scholarly full-text academic journals for multidisciplinary research that is offered by most institutions, which grants free access. Membership required for full text. The amplitude of content enclosed in this resource completely...
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...Research Summary Table: Hand Chamberlain College of Nursing Research Summary Table: Handwashing Author, Year of Publication | Purpose | Sample | Design | Findings | Limitations | Creedon, S. (2005) | The purpose of this study is to show hand hygiene from a prospective of clinical behaviors. | A total of 314 hand hygiene observations were reviewed for changes in behavioral patterns, and a total of 62 questionnaires were completed. | A quasi-experimental design with a convenient sample was used. | Improvement in hand hygiene and a decrease in infections was noted at 83%. | No comparison group or random assignment to group | Bisset, L.(2003) | The purpose of this study was to identify whether different healthcare professionals understand the definitions of proper handwashing. | A total of n=105 nurses and n=18 doctors | The design used to complete this study was through questionnaires. | The findings revealed additional training and changes to policy and procedures need to be implemented. The study revealed over 60% of the staff did not know the correct definition of hand hygiene. | No inferential statistics were offered.No comparison group or random assignment to groupNo educational resources were completed. | Smith, S. (2009) | To identify the most effective handwashing practice. | The sample consisted of 5000 deaths that were reviewed. | The design was a systemic review. | Few studies described the effectiveness of handwashing. | No comparison between TBL...
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...Ethics plays a vital role within the healthcare field by providing a shared framework in which the healthcare professional functions. There are many different health disciplines, each one with a separate and specific code of ethics. To better understand how ethics guides the behavior of the different health disciplines, the Codes of Ethics for the Travel Allied Healthcare Professional, Health Education Professional, and the Healthcare Ethics Consultant were compared to AHIMA’s Code of Ethics. In general, the Codes of Ethics were similar in many key points regarding the fulfillment and support of patient care, the upholding of individual patient rights and the need for professional competency and development. The results of the review identified the following nine overriding principles: 1. Place the welfare and safety of the patient above any personal interests. 2. Value and uphold the privacy and confidentiality of personal health information and use judgment in its dissemination and use. 3. Respect the individual dignity and worth of every...
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...-HS100-section-unit7 Project/Assignment.doc •Current issues 1-Healthcare.gov (2010) Brochure: The Health Care Law & You (PDF – English 8.99 MB, Spanish 8.3 MB) This brochure is design to accompany the www.healthcare.gov website. Its sole purpose is to provide readers with a little incentive on what to look forward to when visited the website. So one would wonder why I would then go to the website, and the reason or answer to that would be to get more information. The brochure is mainly used to introduce the company or organization, and to inform or provide you with The Healthcare Law, The Law Makes Healthcare More Affordable, and Law Increases You Access to Affordable Care. It’s like almost having the website in you hand. I think this brochure is helpful because it has information that small business could get insight on regarding getting help. Also show anyone can save money on affordable healthcare. 2-Nicholas Bakalar (2013). New York Times Newspaper. Safer Hospital Rooms. This article geared toward showing how some hospital really tries to help improve the safety of others. Also how the cleaning process take place to make you stay a clean and health one by committing to effectiveness. In the article it states that studies that were develop to understand why this was happen in the first place. This is clearly a helpful and useful article to read to let people know wonder you’re a visitor or patient not all hospitals are clean but some are try to make it save and...
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...Medical Administrative Specialist, a person should research the job description, the requirements to become one, and the job outlook for the future. 1. Job Description A. physician practices; large healthcare and allied health organizations such as clinics, hospitals, and foundations; insurance companies; medical publishers; research organizations; and medical product manufacturers 2. Requirements A. Education 1. Associates Degree 2. Total of 68 credits B. Training 1. Internships 2. On-the-job 3. Job Outlook A. Various fields 1. Medical Transcriptionist 2. Insurance Billing B. Expected growth Medical Administrative Specialist In today’s job market of limited opportunities, it is necessary to choose a career path wisely. One sector of the economy with high growth prospects is the medical field. As such, a career in Medical Administration would appear to be a promising choice. However, there are many important aspects that must be taken into account before choosing to follow this career path. These aspects include salary, the large number of available jobs, and the job outlook for the future. When choosing a career, salary isn’t always the first thing to look at, but of course, should be considered. The pay varies greatly in the Healthcare Administration category, since there is a wide range of jobs. An entry-level professional who possesses an Associate’s in Healthcare Administration Degree from an accredited school...
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...The Summary Paper Legal/Ethics Issues In The Health Care Business BUS670 Rhunda Mitchell Instructor Little 10/24/11 More than any other industry, it is in the healthcare business that ethics are of utmost importance. This is because, people in this industry deal with such situations and circumstances, everyday, which have a direct bearing on another person's life. In this paper one will discuss the ethical/legal issues which are faced by the healthcare industry as a nurse, and ethical issues in healthcare, pertaining to both management and medical research and give suggestion on how to handle each situation in hand. Ethical/ Legal Issues as A Nurse: Nurses are subject to a wide range of legal, ethical and professional duties which can be very challenging. These duties are generally considered to be to respect a patient’s confidentiality and autonomy and to recognize the duty of care that is owed to all patients. As a nurse their duties have to be always professional, because there are legal implications if these duties are breached. They also must consider when it is okay as a nurse to breach these duties and therefore ethical issues arise. Ethics is a set of moral and practical guideline that influences nursing decisions big and small. One of the main priorities of a nurse is to advocate for their patients a nurse expresses and defends the cause of their patient, nurses are expected to protect their patients’ rights. Patients’ rights can vary from...
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...Running head: HEALTHCARE COMMUNICATION Personal and Professional Healthcare Communication Gloria Carmona University of Phoenix Personal and Professional Healthcare Communication Communication is vital in all business settings, but it is a matter of life or death when communication takes place in the healthcare setting. When caring for critically ill people, the way people communicate can make a difference. Healthcare communication can be between patient and caregiver or between the doctor and the nurse in care of the patient. Communication between physicians and nurses is essential to the function of intensive care units and significantly affects patients' outcomes and length of stay (Narasimhan, Eisen, Mahoney, Acerna, & Rosen, 2006, p. 217). The purpose of this paper is to define healthcare communication and discuss the theories and principles of therapeutic communication in healthcare setting for the healthcare professional. This paper will also review relevancy of effective personal healthcare communication with other healthcare professionals, clients, and patients as well as review the relevancy of effective professional healthcare communication to health outcomes and how the lack of effective personal and professional healthcare communications contributes to poor health outcomes. Many forms of healthcare communication exist both verbal and written. Therefore, the definition of healthcare communication also takes many different...
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...ACCOUNTABLE: UTILIZING EVIDENCE-BASED Being Accountable: Utilizing Evidence-Based Research Grand Canyon University NRS 430V Professional Dynamics August 27, 2011 Being Accountable: Utilizing Evidence-Based Research Merriam-Webster defines accountability as “an obligation or willingness to accept responsibility or to account for one’s actions” (Merriam-Webster, n.d.) What does this term mean from the global healthcare perspective? In the healthcare arena, it is a legal, moral, and ethical term used to describe healthcare providers’ obligation to themselves, their patients, and to society as a whole. The nurse is an integral part of the healthcare team that contributes to accountability realm. How does this concept translate into everyday professional nursing practice? According to the American Nurses Association, “accountability means to be answerable to oneself and others for one’s own actions. The nurse acts under a code of ethical conduct that is grounded in moral fidelity and respect for the dignity, worth and self-determination of patients.” (p. 9). The ANA developed the Code of Ethics for Nurses as a tool or guideline for the nurse to “carry out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession” (ANA, n.d.). Nurses have a responsibility for the care they provide during their nursing practice. To whom is the professional nurse responsible and accountable? Nurses are accountable to the profession...
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