...Generalist: Reaction Paper In today’s society nursing has grown to fit the healthcare needs of society. We have grown by providing different nursing educational roles that will evolve healthcare as we know it. The advanced generalist education role is a clinical nurse leader. The American Association of Colleges of Nursing defines the clinical nurse leader role (CNL) as a leader in the healthcare system that delivers care across different settings within a Microsystems, using assimilation and application of research-based information to design, implement and evaluate the patients plan of care (Thompson, and Lulham, 2007). The Clinical Nurse Leader is further described as designing and implementing, and evaluating client care by coordination, delegation, and supervision of the care provided by the health care team (Thompson and Lulham, 2007). Thompson and Lulham (2007) states that the healthcare team in which supervision care is provided from the CNL include the license nurses, technicians, and other various health care professionals. American Association of Colleges of Nursing (2013) states that clinical nurse leaders are masters prepared nurses that involves risk anticipation for individuals and groups of patients, implementation of evidence based practice initiatives, team leadership, management and collaboration with other health care professional team members, and the use of information system and technologies to improve healthcare. The advance generalist advocates for patients...
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...Improving The Safety Of Using Medications In Hospital Settings Background Improving the safety of using medications was the third Joint Commission safety goal for 2014 (Hospital National Patient Safety Goals, n.d.). Every year medication errors are a significant cause of morbidity and mortality in hospitals. Simply put, medication errors come from incorrect dosing by physicians on prescriptions, administration of the wrong dose of the prescribed medication to the patient, failure of the healthcare provider to administer prescribed medication, or failure of the patient to ingest said prescribed medication (Choo, J., Hutchinson, A., & Bucknall, T., 2010). Role of the Nurse According to the Journal of Nursing Management, nurses should practice the five rights of administration that they are taught while in school. Those rights are: right medication, right dose, right route, right time, and right patient (Choo, J., Hutchinson, A., & Bucknall, T., 2010). While checking the five rights is useful in the final stages of the administration process, the rights do not reflect the other complex steps to medication administration, such as preparation, labeling, determining interaction, etc. Normally medication errors are never the result of an isolated human error. They may come from workplace stress, distractions, interruptions, insufficient training, and misinformation (Choo, J., Hutchinson, A., & Bucknall, T., 2010). The individual nurse should make sure that...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, 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...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, 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...
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...(IOM) Report on the Future of Nursing Education, Practice and Leadership Aaron Peterson Grand Canyon University Profession Dynamics NRS-430V April 14, 2013 The Institute of Medicine’s (IOM) 2010 report on The Future of Nursing is a vision for ways to evolve nursing to better impact the changes in the world. The IOM was established in 1970 by the National Academy of Sciences. The IOM consists of a group of experts that discuss, debate, and examine future solutions in regards to the many concerns that the nation faces in regards to healthcare. This group’s primary goal is to improving high quality care, reduce medical errors and increase patient safety. In order to achieve these goals the group focuses the need to advance nursing education, nursing practice and nursing leadership. In healthcare nursing is considered one of the most versatile occupations with many different career pathways, a broadening scope of practice and increasing number of responsibilities. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. We must embrace the changes to improve the healthcare sector and provide care for people in all different settings. “The committee envisions a future system that makes quality care accessible to the diverse populations of the United States, intentionally promotes wellness and disease prevention, reliably improves health outcomes, and provides compassionate care across the lifespan. “In this envisioned...
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...Competency Differences Between ADN vs BSN in Nursing Grand Canyon University: Professional Dynamics Competency Differences For ADN vs BSN in Nursing Are all registered nurses created equal and the same? To simply put it, no they are not. A registered nurse may be prepared at the diploma level, associate-degree level, baccalaureate-degree level, master degree level, and some possess a doctoral degree. The focus of this paper will be directed at the differences in competencies between nurses prepared at the associate-degree (ADN) level and nurses prepared at the baccalaureate-degree (BSN) level. Graduates from either degree must pass an examination as put forth by the National Council Licensure Examination (NCLEX) in order to become a licensed registered nurse. The NCLEX exam is the same for both degrees even though their prepared education is different. Three major differences in nursing competencies include education, nursing judgment, and professional identity. The following paragraphs will review and discuss how nursing care or approaches to decision making may differ upon the educational background of a registered nurse. First and foremost, “baccalaureate nursing programs encompass all of the course work taught in associate degree and diploma programs plus a more in-depth treatment of the physical and social sciences, nursing research, public and community health, nursing management, and the humanities” ("Impact of Education," 2014, para. 4). The additional...
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...Clearly, the future of nursing is heading for some significant changes. The Institute of Medicine (IOM) report, “The Future of Nursing: Leading Change, Advancing Health”, from 2011 highlights the changes facing the medical field, particularly related to nursing, and the obstacles we as nurses must face and overcome to continue to deliver effective, quality care to all patient populations. According to the IOM report, the passing of the Affordable Care Act (IOM report p. 21) will greatly affect the delivery of care, and nurses need to be ready to accept the challenges, “The ACA represents the broadest changes to the health care system since the 1965 creation of the Medicare and Medicaid programs and is expected to provide insurance coverage for an additional 32 million previously uninsured Americans. The need to improve the health care system is becoming increasingly evident as challenges related to both the quality and costs of care persist” (IOM report, p. 21). The key factors involved in nurses having the competency to meet the higher standards being set are based on: the transformation of nursing practice, the modification of nursing education, and the cultivation of nurses taking a more active leadership role. Transforming nursing practice can occur several ways. The IOM report stresses the importance of this transformation to take place to improve care of the more diverse population of patients. It states that, “…the system must undergo and fundamental shift to...
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...Nursing is said to be the largest healthcare job in the United States with above 2.6 Million registered nurses (RN’s) working in the hospital and other different settings in the nation. Nursing programs offered by community colleges and four-year universities must meet the growing demand to replace the nearing retiring nurses. (www.aacn.nche.edu/aacn-publications/position/joint-statement) Increasing expansion of clinical knowledge and complexities of patient’s health status mandates current nurses to have a high level of education with diversified skills. The registered nurses requires not only can practice across multiple setting such as simply performing procedures, giving medication and starting an IV’s but also they must exceeds in out of the hospital settings as well. They must know how to think logically and critically in making the appropriate decision in regards to patient care and able to manipulate high tech equipment. Preparation includes greater knowledge to community based health care, giving importance to health promotion, maintenance and cost effective care ("American Association of Colleges of Nursing," 2000, p.1). Nowadays, student can have choices either to have Associate level degree of nursing or Baccalaureate level degree of nursing. Both ADN and BSN must pass the NCLEX-RN licensing examination. The truth is even though nurses pass the NCLEX exam at the same rate does not mean that all entry level nurses are equally prepared for practice. The test only requires...
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...HOSPICE NETTAH NDUNGU Texas Tech University Health Science Center School of Nursing Hospice Hospice is a comprehensive, medically directed, team oriented program of care that emphasizes pain control and symptom management rather than curative treatment. It directs acceptance of death as a natural part of life and addresses the psychological and spiritual needs of the patient and family. This paper will outline the history of hospice, the effect it has on healthcare today, why it is important to nursing, how nursing is impacted by the availability of hospice services, and finally, what nursing has done to affect change related to hospice. History of Hospice Hospice was first applied to specialized care for dying patients by Dr. Dame Cicely Saunders, who started working with the terminally ill in 1948 (NHCPO, 2015). Dr. Saunders later created the first modern hospice – St. Christopher’s Hospice in a residential suburb in London. Her approach was later introduced to healthcare professionals and chaplains in the U.S in 1963 during a lecture at Yale University. In 1969 Elizabeth Kubler-Ross contributed to the idea of hospice centered care in her book: On Death and Dying which highlighted the five stages of dying and a plea for home care as opposed to treatment in an institutional setting. In 1978, the United States’ Department of Health, Education and Welfare Task Force acknowledged the hospice concept as a means of providing more humane care for America’s terminally...
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...between Nurse Prepared at Associate Level vs. Baccalaureate Level Nursing- Patient Case Scenario Difference in Competences between Nurse Prepared at Associate Level vs. Baccalaureate Level Nursing history has proven the necessity of education in practice. Even though all nursing license or diploma have the same target of protection, promotion human being well-being and illness prevention, there are many different levels of tasks that different degree of nurses can proceed. Differences in Competencies between Associate Degree Nurse vs Baccalaureate Degree Nurses Education is the key factor for the growth and development of nursing. With associate degree, students have been prepared with all knowledge and skills to work in the real world. Information about diseases, treatments, diagnosis, signs and symptoms along with interventions are applied to the plan of care and communicated among the team. Within 3 years, an associate degrees program will prepare hands-on nurses to be ready for the real world of nursing. However, a 4 years of baccalaureate nursing program will encompass the associate program plus a broader scope of practice such as nursing research, management, public and community health, humanities and sciences. It opens up a bridge to get to master degree for a more in-depth nursing knowledge. All the additional courses of baccalaureate nursing program provide nurses ways to empower the roles of assessing, critical thinking for better communicating and providing...
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...Baccalaureate Prepared Nurse A Comparative View of the Associate and the Baccalaureate Prepared Nurse Universities began establishing baccalaureate-level nursing programs in the 1950’s, awarding graduates with a Bachelor of Science in Nursing (BSN) degree. In 1951, Mildred Montag proposed the innovative idea of a 2-year Associate Degree in Nursing (ADN) program at the community college level to remedy the severe nursing shortage following World War II. Nursing faculty regarded ADN nurses as competent in basic nursing practice as they demonstrated the ability to pass state nursing licensing examinations. This commenced the national ADN educational movement followed by public confusion regarding the credentialing requirements and competencies of a professional nurse (Creasia & Friberg, 2011). Over the past 40 years, the entry-level education and qualifications for nursing have been widely debated by the medical community (Institute of Medicine, 2011, p. 169). This essay serves to provide a comparative view of registered nurses prepared at the associate and baccalaureate levels, detailing the specific competencies of each. According to the Institute of Medicine, the ADN “prepares nurses to provide direct patient care and practice within the legal scope of professional nursing responsibilities in a variety of health care settings” (2011, p. 44). This includes the utilization of critical thinking in patient assessment and the implementation of interventions based on the individual...
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...of Science in Nursing (BSN)? The American Association of Colleges of Nursing (AACN) and many others believe that education has a significant impact on the knowledge and competencies of a nurse (American Association of Colleges of Nursing [AACN], 2011). Studies suggest that graduates of Baccalaureate degree programs have a better understanding of the conceptual and theoretic approach to nursing care in specific nursing situations. There is also a significant relationship between the level of basic nursing education and degree and proficiency of leadership demonstrated. Moreover, there is a significant relationship between educational preparation and degree and proficiency to which the nurse makes nursing diagnosis, executes and implements the nursing process, and evaluates the effects of nursing intervention (Giger & Davidhizar, 1990). Nursing has changed greatly over the years, to keep up with the demands of an evolving healthcare system and changing patient needs, nurses must achieve higher levels of education. An ever increasing body of research reinforces this claim and shows a connection between baccalaureate education and lower mortality rates (“Creating a more qualified nursing workforce“, 2011). According to the 2008 National Sample Survey of Registered Nurses conducted by the Health Resources and Services Administration (HRSA) nursing is the nation’s largest healthcare profession with more than 3 million registered nurses (RN’s) nationwide. Of all licensed RN’s...
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...Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing? The ANA defines nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” The above ANA definition of Nursing focuses on the holistic health care of individual, families , communities and population which is achieved through many therapies and techniques, that protects, promotes and optimizes health and abilities. With the wide availability of health care services, through proper diagnosis and treatment we can make a person fully perfect, functional or effective as possible. Health advocacy encompasses direct service to the individual or family as well as activities that promote health and access to health care in communities and the larger public. Advocates support and promote the rights of the patient in the health care arena, help build capacity to improve community health and enhance health policy initiatives focused on available, safe and quality care. Health Advocates are suited best to address challenge of patient-centered care in our complex healthcare system. This definition of nursing includes the four components of the other metaparadigm theories. A metaparadigm is a concept that is extremely...
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...Holistic Nursing Journal of Holistic Nursing Florence Nightingale in Absentia: Nursing and the 1893 Columbian Exposition Barbara Appleton NRS-433V Introduction to Nursing Research 14-Nov-2011 November 21, 2011 Summary During the 1893 Colombian Exposition, nursing leaders worldwide were provided a podium to work together to organize and establish the globalization of nursing education and standardize the nursing curriculum to improve patient care worldwide. In collaboration and discussion on the evidence based practices of Florence Nightingale and on the current nursing developments and improvements of social, cultural, educational and scientific advancements in healthcare for the expansion of a more unified practice of the nursing profession nationally and internationally based on a theoretical path of deductive reasoning, a quantitative approach. American and European nursing leaders: Isabel Hampton (Robb), Lavinia Dock, Eva Lückes, and Ethel Bedford Fenwick (Crane 2010), were given the opportunity to influence and provide guidance to sanction the evolution of nursing education processes for the development toward the progression of second generation of nursing. As a result of this event, the nursing profession has become one of the most respected professions devoted to health promotion for the benefit of mankind. This paper will explore the development of how clinical expertise developed, and by what methodologies influence the development nursing education...
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...nurses must be able to communicate the environmental health risks, provide needed education and advocate for public policies to mitigate the risk to health (Stanhope and Lancaster, 2014). This paper will explore the nurse’s role in environmental nursing through the review of environmental principles, explaining differences between an environmental exposure history and an environmental health exam and the four phases of a chemical exposure. Finally, author will discuss the differences between community-based and community-oriented nursing and explain the how population-based approaches are applicable to the hospital setting. Environmental Principles According to Stanhope and Lancaster (2014), nurses must know how to assess for environmental health risks in order to help the individuals, families and communities they care for. In 1995, The National Academy of Science’s Institute of Medicine (IOM) published a report calling for all nurses to have a basic understanding of environmental health principles including these competencies in all aspects of nursing practice (U.S. Department of Health and Human Services, 2012). Stanhope and Lancaster (2014), aptly explain the four core competencies recommend by the IOM and integrate them with the American Nursing Association’s (ANA) Principles for Environmental Health. 1. Basic Knowledge and Concepts: Nurses must comprehend the scientific...
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