...outcomes. Nursing most specifically is focused on a future of preventative, community, and palliative care to promote an increase in healthy living, and a proactive approach to ones health which will help to prevent an increase in healthcare cost in the future. In order to be successful our profession will need to focus on nursing education, leadership, and nursing practice. Nurses are the nerve center of the healthcare system and ensuring these key components are in place will lead us to a successful future. The Impact of the IOM Report on Nursing Education “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM p.163) The IOM is a report which has created a plan for the growth and future of nursing which focuses on higher education to ensure nursing stays proactive in its approach in the ever changing field of medicine. The evolvement of the health care system requires nurses to further their knowledge through advanced education. The education will need to focus on the level of nursing degrees and advanced certifications. For an example; if it was required that all nurses practice with a BSN it would “provide a more uniform foundation for the re-conceptualized roles for nurses” (Johnson, 2011, p.170) which will provide consistency of care, patient centered focus, and better outcomes. Requiring higher levels of education also encourages nurses to prepare for other roles in the...
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...“Nursing’s Role in Promoting Quality and Patient Safety Assignment” Nurses inherently are concerned with patient safety. They are best positioned to prevent medical errors at the bedside. There is a moral and legal imperative to implement safe practices at all times. Nurses and the profession are negatively impacted when medical errors occur. Until recently the Centers for Medicare & Medicaid Services (CMS) mandated that all patient medications be administered 30 minutes before or after a scheduled time (Department of Health & Human Services [DHHS] & Centers for Medicare & Medicaid Services [CMS], 2011, December 22). Given the expanding role of nurses, the CMS mandate is now unrealistic and counter-productive. The Institute for Safe Medication Practices (ISMP) addressed this issue by creating an Acute Care Guideline for the timely administration of schedule medications. Institute for Safe Medical Practice The ISMP is dedicated to preventing medical errors by promoting safe medication administration procedures (ISMP, 2013a). The ISMP reviews all facets of safe medication administration. Medication errors frequently result in debilitating injuries or death. The ISMP posits that the most frequent medical error is medication administration. Medication error affects over 1.5 million people annually (ISMP, 2007b, p. 1). The ISMP has committed staff and resources to reduce medication errors. It has developed training and educational programs for health care staff and consumers...
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...“The nursing process is essentially a problem-solving process” (Treas & Wilkinson, 2014, p. 31). It is a standardized way of getting information about the patient to best treat them and then evaluating what you have done. All steps of the nursing process are evident in the electronic health record (EHR), they however are not necessarily next to each other in the order of the nursing process as explained in a nursing textbook. It depends on the format of the EHR that is chosen by your place of employment. “Regardless of the type of documentation that is used, you will use or refer to the nursing process as a guideline when you are charting” (Treas & Wilkinson, 2014, p. 390). There are narrative formats to use when charting in source-orientated...
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...Delegation in nursing is the most evident but yet most overlooked of management skills. Integrating this ability is an essential constituent within the scope of the nursing practice. The American Nursing Association (2006) defines delegation as, “The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome”. With the anticipation of the baby-boomer generation and the utilization of unlicensed nursing assistive personnel (NAP) on the rise; how will healthcare prepare for such conditions? By distinguishing the nature of communication as well as personal interaction during delegation, may better clarify how both roles work together to carry out patient care and...
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...Theoretical Foundation for Nursing Roles and Practice The nursing shortage is clearly a problem, and although the healthcare industry has acknowledged the shortage for decades now, the aging population has sealed the reality with an alarming force. Contributing factors include an aging population, along with its rapid increase of chronic diseases, and the limited capacity of nursing schools. As the population ages, the demand for healthcare services also escalates (Grant, 2016). The three million nurses in these United States contribute to the largest segment of the healthcare workforce, making nursing the fastest growing occupation. The Bureau of Labor Statistics has determined that there will be 1.2 million vacancies for registered nurses...
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...MANAGER ROLE Nurse Manager Role Abstract The aim of this paper is to discuss the advanced practice nurse manger role. Discussion will ensue regarding the nurse manager role: historical development; original and current educational preparation requirements; licensing, certification, continuing education, value requirements, skill requirements, options in the employment setting; issues of concern; and future projections. Based on the informed understanding of the nurse manager role new insights, personal strengths, and personal challenges that are envisioned for a nurse assimilating to this role will be provided. Introduction Leadership is an integral part of nursing. Grossman and Valiga suggest that leadership is not necessarily tied to a position of authority (Grossman & Valiga, 2005, p. 4). Also suggested by Grossman and Valiga, is that each professional nurse has the potential and the responsibility to provide leadership in each of our individual areas of practice, institutions, professional organizations, communities, and our profession as a whole (Grossman & Valiga, 2005, p. 4). Leadership is a course in undergraduate education and nurses in any role are leaders in many capacities. The purpose of this paper is to look at the nurse manager role: historical development, educational preparation, skill requirements, value requirements, role options, concerns, future projections, and my perspective. Historical Development of Nurse Manager Role The first...
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...Nursing Roles and Values Task one Western Governors University Nursing Roles and Values Task One This scenario presents various ethical issues that could be argued several ways from HIPPA violations to whether or not this patient has/had the cognitive ability to understand the execution of an advanced directive and Power of Attorney. Advance Directives are put in place for this very reason. It eliminates the need for family members to make a choice in the heat of the moment and also respects the wishes of the person whom it affects directly. Although Mr. E’s hypoxia could affect his ability to think clearly one cannot assume that he has an altered level of consciousness nor the inability to execute an advance directive prior to this situation. His advance directive clearly states that he does not wish to be placed on a ventilator. The Wyoming Nurse Practice Act clearly states in Chapter 7, Section 6 (ii) Advocates for the client, and then further states in subsection (A) respects clients rights, concerns, decisions, and dignity (Fowler, 2008). Failure to follow the nurse practice act in your state could mean that you will have your license suspended or may lose your license completely. It would depend on what the State Nursing Board decides and what they find in their investigation. It would be very unfortunate for a nurse to lose their license this way. Unfortunately the nurse in this situation did not advocate for this patient, she allowed the...
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...It is important that nurses understand their roles as they enter into the world of healthcare. Nurses are advocates and temporary family members of those who are ill. Nurses are to provide the best care that they can give to patients. The nurse is the person who spends quality time with the patient and personally gets to know their likes and dislikes. And yes, those details are crucial in the care of a patient because that small amount of communication can help or hurt a patients’ mind set of wanting to get better and making their own decisions for their healthcare. If patients are being treated with respect while in the care of healthcare professionals it tends to make their condition more manageable due to the cooperation and understanding of their rights. Some types of rights that patients have are rights to refuse medications and very important rights to safe care. All patients should be treated equally and fairly regardless of their race, religion, or socioeconomic background. No one patient is better than the next person. There should be one common goal in all healthcare settings especially in the acute settings and that should be focusing on getting the patients back to their...
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...SYNTHESIS OF ADVANCED NURSING ROLES BROWN_K_W5A2_SU_NSG5000 Kerry Ann Brown South University 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...
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...society, individuals are living longer, with diseases still abundant, and healthcare cost on the rise there is a greater need for health promotion. In the new healthcare reform, nurses will play a vital part in health promotion and disease prevention in all levels; Primary, Secondary, and Tertiary. Affordable Care Act is here and healthcare is changing as well as the role of nursing. The new healthcare focus on health promotion and disease prevention vs disease oriented. Nurses are one of the key players in the new healthcare reform. For this reason, the roles and responsibilities of nurses are evolving with the times. One of the primary role of nursing is the responsibility as educator in health promotion and disease prevention. Another important Nurse’s role is the function as a case manager or coordinator for individual health promotion. The case manager’s role, the nurse has the responsibility to collaborate with other nurses, physicians, social workers, nutritionist, psychologists, therapists, individuals, and community groups. These two roles are one of multiple roles and responsibilities of nursing in the healthcare reform. There is three levels of disease prevention; primary, secondary, and tertiary. In primary prevention, the focus is to reduce the risks of obtaining a disease before it...
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...RUP1: Professional Roles and Values in Nursing Allegra Connors Western Governors University Functional Differences There are many differences in functions of a regulatory board of nursing such as the Illinois Board of Nursing (IBN) and a professional nursing association such as the Hospice and Palliative Nurse Association (HPNA). The Illinois Board of Nursing functions as the licensing body for professional nursing, regulatory enforcer and where complaints about nurses or nursing practice can be addressed. It’s role is to protect the public safety in regards to nursing and it’s practice (Cherry & Jacob, 2010). The role of the HPNA is one of advocacy for it’s members and their profession, including lobbying for laws and policies, communicating with members about issues that affect us as in end-of-life care, they allow networking and sharing among hospice professionals, they disseminate knowledge of new practices and issues and they offer professional development through courses and seminars as well as credentialing in the specialization of a nurse in hospice and palliative care. (Matthews, 2012) In regards to credentials the IBN sets the standards and scope of practice that nurses are responsible for in the state of Illinois. In essence they define nursing and what that means in their state. They are responsible for verifying through transcripts that an individual has obtained the correct schooling required and they administer the NCLEX-RN exam that an individual...
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...Tuberculosis: Epidemiology and Nursing Role Tuberculosis has been a persistent threat to the human race as far back as Hippocrates (c.460-c.370 BC). Globally, tuberculosis has infected millions during waves, often killing scores of people at a time, and then receding giving it an almost supernatural quality (Daniel, 2006). In recent history tuberculosis has been recorded in all corners of the world, and currently infects one third of the global population. In 2012, TB was responsible for killing 1.3 million people, making it the second largest fatal disease next to AIDS. The purpose of this paper is to describe tuberculosis, explain contributing factors, describe the disease in relation to the epidemiologic triangle, and finally discuss the role of community nurses in the prevention and treatment of the disease. Tuberculosis is a respiratory disease spread through the air. This is of course a simple definition and robs the disease of its true nature. In order to fully understand tuberculosis one must leverage the rules of communicable disease investigations. In that vein, tuberculosis is an infectious disease caused by mycobacterium, specifically mycobacterium tuberculosis. TB, as it is often referred, is indeed spread through infected sputum, carried through the air from a host to a new host. Once in the lungs, the bacteria become latent or active. Latent TB infection means the patient is not symptomatic, yet will test positive on skin test. The second route leads to active...
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...Nursing Roles and Values Task One Western Governors University State Regulations and Nursing Standards The State of Tennessee Board of Nursing’s Rules and Regulations of Registered Nurses, Rule # 1000-01-.13-1r states that unprofessional conduct is defined in part by "failing to take appropriate action in safeguarding the patient from incompetent health care practices" (State of Tennessee, 2011). There are a number of arguments in this case study that incompetent health care practices are being performed, from the decision to place a patient on a ventilator for an oxygen saturation of 88%, circumventing the patient’s written and verbal advanced directives, utilizing an unauthorized family member to get consent for a medical procedure, and discussing confidential medical information in a public location and with and unauthorized family member. The nurse clearly violated this rule because the nurse did not take any action at any point to stop the physician from taking these incompetent actions. Implications Rule # 1000-01-.13-1r applies because, as mentioned above, the nurse failed to take any action to prevent the physician from performing a number of incompetent acts related to the healthcare of the patient. First and foremost, the patient likely does not even need to be placed on the ventilator. The physician’s decision to place the patient on the ventilator is based on an oxygen saturation of 88%. Although the patient’s oxygen saturation does need...
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...How Society and Nurses Affect the Roles of Nursing Lisa A. Turner University of Alabama Birmingham Transitions into Professional Nursing Practice, NUR 474 How Society and Nurses Affect the Roles of Nursing Introduction A nurse has many roles and parts to play in the daily routine of caring for patients. By examining the different roles of a nurse; health promoter, care provider; learner and teacher, we will see how nursing has evolved and how the philosophy of nursing changes. How these roles tie into society and into the symbiotic relationship between society at large and the nursing profession. The shift of healthcare to prevention, education, and the ever changing world of medicine, along with the realization that a nurse’s job is specialized, has tremendously affected the beliefs and ideas of the profession. Based on our textbook, research, and my personal experiences I will explore and clarify my philosophy of nursing. The purpose of this paper is to examine the fact that nursing is an ever-changing profession which society’s ideas and beliefs will impact, whether by necessity or through evolution. Health Promoter and Care Provider Health promotion or prevention is the latest hot topic in the healthcare arena. According 2 to Prochaska, J. and DiClemente, C. (1992), the nursing strategies for health behavior change are Precontemplation, Contemplation, Preparation, Action and Maintenance touch on every different type of nurse and show a need for growth. While providing...
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...The Role of Nursing Advocacy Across all Healthcare Settings Nursing is an autonomous profession where lives are saved every day. Nursing advocacy can affect patient outcomes. As the nursing profession evolves and responsibilities increase, it is necessary to better understand the concept of nursing advocacy. The role of advocacy is not new for the nursing profession, but the nature of advocacy in the nursing practice remains ambiguous. Nurses are obligated to act as an advocate for their patients, but there is lack of clarity on how to perform this role. The purpose of this paper is to better understand nursing advocacy and to explore ways it is practiced across all fields of nursing in order to promote improved patient care. Advocacy is an essential role for the nursing profession; however, it can be affected by many factors. The goal of advocacy is to balance the relationship between the healthcare system and the patients who are served by evaluating patient/family needs, providing information and education, ensuring access to proper care and supporting the patient and family’s decision within the structure of a multidisciplinary team. This paper will explore the following research question: What are the variables that affect the role of nursing advocacy and in what ways is it practiced across all fields of nursing? Review of Literature Introduction The general topic of the review of literature is nursing advocacy. We are examining and exploring a clearer definition...
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