...Healthcare Professional nursing practice models enable nurses to control the delivery of care and the environments in which that care occurs. Nurses have input into decision making and can design innovations specific to a particular care setting. (Professional Nursing, 2011) Today the nursing profession is increasingly in complexity and versatility. The current healthcare reform is adding a broader scope of practice for nurses. The current standards of practice continue to evolve allowing nurse to practice at higher functioning than what was previously expected. This has caused a shift to a higher complexity and more advanced level to the profession. Advancement in science and technology has added to the complexity in the nursing practice during the past 20 years. Technology savvy nurses are required to meet the standard of practice as we continue to advance into a paperless world. These issues are raising the bar on the practice of medical care for all healthcare workers across the board. There is a wide spectrum of nursing expertise, education, and credentialing that is now necessary for the ever changing profession. Differentiated models of practice are supported by a clinical "ladder" or defined steps for advancement within the organization based on experience in nursing, additional education, specialty certification, or other indicators of professional excellence. (Erickson, 1998) Much higher expectations are placed on registered nurse new graduate. Just a few decades...
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...Current and Future Nursing Models That Guides My Nursing Practice Leila Pinter Concordia University Nursing Theory MSN 834 Dr. Tracy Shannon February 15, 2015 Current and Future Nursing Models That Guides My Nursing Practice Nursing theories are what we base our practice on. It is not only the basis for our practice but also patient care, nursing research, education, and personal and professional development. It allows us to understand and analyze our practice, draw inspiration from them, and guide us with those tools to improve patient outcomes. I align myself most closely with Patricia Benner’s Model From Novice to Expert. The concept of Benner’s theory states that you acquire knowledge and skills over time with practice and experience. Current Model Current Practice I recently left my position as an emergency room nurse and now practice as a case manager for a health insurance company. My roles as a nurse have changed over the years, and prior to leaving the emergency department I was a charge nurse and the trauma coordinator. It was my job in both of those positions to be a leader, mentor and resource person. I was usually the most experienced person in the department, therefore the person to assist when questions would come up or critical situations would arise. As the trauma coordinator, it was my job to know the ins and outs of the program and ensure we are following the recommended guidelines, and prepare for our certifications. I worked closely...
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...EDUCATION Critical thinking and analysis: a model for written assignments Sharon L Edwards W hat is critical analysis? In the author’s personal experience this question has been answered by the following statement: ‘It is being critical of the literature.’ However, this does not answer the question. A literature search also failed to provide any information on critical analysis. The justification for developing a model for critical analysis, however, was not solely the lack of available literature. Other reasons included: to provide a definition of the terms; and to help both educationalists and students interpret the concepts involved. Nurse educationalists and nursing students lack a clear understanding of the critical processes and this could severely diminish the profession’s ability to articulate issues that are imperative to the advancement of nursing practice in the future. This article recommends a model of critical analysis that can be used by students and educationalists. It suggests that critical thinking and analysis are interrelated and complementary, but not synonymous. It gives examples of the model’s components in order to clarify their meaning. The model will hopefully give students a premise on which to base their assignments, and nurse educationalists will be able to incorporate it into their teaching practice. It will also provide an element of reality to critical analysis which will prevent it from becoming so abstract and idealistic as to render...
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...EVIDENCE BASED PRACTICE BENCY GNANASIGHAMANI AMERICAN SENTINEL UNIVERSITY Introduction Medical and health care is one of the most dynamic human disciplines, and large amounts of money are spent annually on high-quality and sophisticated research, resulting in an exponential growth in health care literature. Regularly, new and more effective medicines, medical devices, and procedures are invented. One major objective behind all these efforts is to help doctors, nurses, and medical technicians provide the best possible care and treatment to patients. In addition to using traditional and well-established procedures and practices, health care practitioners are adopting innovative interventions that are based on best practices as well as solid research-based evidence. Evidence-based practice is one such technique and is quickly gaining popularity due to its potential to effectively handle clinical issues and provide better patient care (ANA 2003). Implementation of Evidence Based Practice places additional demands on nurses to apply credible evidence to individual client situations through searching related evidence, using clinical judgments, and considering client values and system resources. To effectively apply the Evidence Based Practice process, in addition to the basic skills required to undertake nursing work, a nurse must have the ability to: identify knowledge gaps, formulate relevant questions, conduct an efficient...
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...Designation Drives Healthcare Change in Institutions A Professional Practice Model (PPM) is a plan that represents the culture of an organization involving their beliefs, values, theories, and systems for nursing practice. A PPM outlines the elements of nursing practice in a way that brings meaning and significance to our daily work. Reinforcing the relationship between nurses and patients is the primary goal of a PPM. The Magnet Model provides a framework to achieve excellence in nursing practice and serves as a road map for organizations seeking Magnet recognition (American Nurses’ Credentialing Center website, 2015, para. 1). What is a Magnet Hospital? The American Nurses’ Credentialing Center (ANCC), which is an affiliate of the American Nurses Association (ANA), recognizes hospitals that comply with standards intended to assess the quality and strength of their nursing. These hospitals are known as Magnet hospitals. By achieving Magnet status, a hospital is affirmed to be one with a high level of job satisfaction, a low staff nurse turnover rate, and proper grievance resolution. There is also a great emphasis placed on staff nursing involvement in data collection and decision-making in patient care delivery. Nurse leaders are encouraged to value clinical feedback from staff nurses to help establish and advance researched-based nursing practices. Magnet hospitals are expected to obtain best patient outcomes by establishing appropriate personnel mixes and fostering...
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...Primary, Secondary, and Tertiary levels of Health Promotion in Nursing Practice Cristian Zambrana Grand Canyon University: Family Centered health promotion July 4, 2014 Primary, Secondary, and Tertiary levels of Health Promotion in Nursing Practice Health promotion is the sustained process of improving the health levels in society (O’Donnell, 2009). The definition of health promotion was established by the World Health Organization (WHO) in the organization’s Ottawa Charter. The charter was signed in 1986. The original definition was slightly altered in 2005 at the WHO’s Bangkok Health Summit to include the ability of one to increase the knowledge and control of their health. The designation of health promotion has been adopted although individual countries have been awarded the privilege to decide on how best to implement health promotion. The WHO designed three health models that have influenced the growth of health promotion. The first was the biomedical model of health that focuses on the behaviors and lifestyle of an individual. The biomedical model does not treat individuals based on their environment. The second is the social model that takes into account society’s collective behavior to create a common universal health promotion plan. The third is the ecological model, which takes into account the relationship between the individual and their surrounding environment (VicHealth, 2013). The different environmental systems that...
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...most likely reflecting the beliefs of our parents and other family members. As our first teachers, our parents are responsible for influencing the way in which we see the world and our place within it (Curtis, Gaylord, & Norton, 2004). As the only way of life ever known, these cultural beliefs often determine the way we view factors such as religion, nutrition, and even healthcare (Curtis et al., 2004). As healthcare professionals, nurses today are faced with the responsibility of providing not only the safest and highest quality care possible, but also ensuring the care provided is culturally acceptable and in sync with an individual's health beliefs (Curtis et al., 2004). The expectation that nurses today understand every culture and concept of health and healing associated within each cultural group is unrealistic. Fortunately, nurses still have the ability to deliver patient-focused care to all of their patients, simply by increasing their awareness of their own personal beliefs. As Aysha Mendes states in the article, The role of nurses' and...
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...that define nursing practice and provide the explanation to why nurses do what they do. Nurses are exposed to theories everyday in clinical practice. During any given day, a nurse will utilize multiple nursing theories. These theories guide how a nurse treats patients, how tasks are performed, assessments completed and interventions established. By studying nursing theory, it allows the nurse to sharpen critical thinking skills. One such theorist is Betty Neuman. Betty Neuman Educational background and career path Used widely in today’s nursing, Betty Neuman began developing her system many years ago. In 1947 she received RN Diploma from Peoples Hospital School of Nursing, Akron, Ohio. She then moved to California and gained experience as a hospital, staff, and head nurse; school nurse and industrial nurse; and as a clinical instructor in medical-surgical, critical care and communicable disease nursing. In 1957 Dr. Neuman attended the University of California at Los Angeles (UCLA) with double major in psychology and public health. She received BS in nursing from UCLA. In 1966 she received Masters Degree in Mental Health; Public Health Consultation from UCLA ("Nurses Info," “n.d.”, p. 1) Neuman developed a widely used theory model named, Neuman’s Systems Model in 1970. There are many aspects of today’s nursing that uses Neuman’s model. Define Neuman’s metaparadigm in nursing A metaparadigm (or major concept) in the application of Neuman’s system model addresses the person...
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...evidenced based practice and my application of both in nursing practice Clinical reasoning, evidenced based practice and my application of both in nursing practice Simmons (2009) states “clinical reasoning guides nurses in assessing, assimilating, retrieving, and/or discarding components of information that affect patient care” (p. 1151). I feel that without clinical reasoning nurses would just be going through the motion of caring for a patient with no specific outcome in mind. Because of the autonomous work of the nurse in many settings clinical reasoning is a skill that must be fine-tuned. There will not always be others to collaborate with on the care of patients and therefore the practicing nurse must feel confident in her decision of what type of care to provide, this is where her skills of clinical reasoning (cognitive process) come in and she is able to decide on the type of care to be given based off of her skills alone. The following are some of the different types of clinical reasoning out there. 1. Subjective expected utility theory, which explains how, decisions ‘ought’ to be made using mathematical estimation of highest probability. (Simmons, 2009, p. 1153). 2. Information processing theory, which focuses on how decisions are made, not how they should be made. (Simmons, 2009, p. 1153). 3. Hypothetico-deductive method which is a medical descriptive model based on information processing. (Simmons, 2009, p. 1153). 4. Benner’s model of skill...
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...Paper The American Nurses Association is a professional organization that has a distinct voice in the political arena. It is recognized both at state and national levels. This organization is one of the very best to belong for the practicing nurse as they are at the center of many health care issues that affect nurses directly. Nurse Leaders and Political Organizations Regulation of nursing licensure in the United States has traditionally been a state-based function in which each state regulates the health care workforce within its geographic boundaries (National Council of State Boards of Nursing, 2015). Nurses practicing within a state or territory are required to be licensed by the jurisdiction in which they practice. However, with so many advances in technology, practice is no longer limited by these boundaries. The use of telephone triage and air transport nursing are just a few examples of how nursing practice is crossing state lines, either physically or via technologies (American Nurses Association, 2015). According to the American Nurses Association (2015), “In 1997, the National Council for State Board for Nursing (NCSBN), a private association of state regulatory agencies, proposed a mutual recognition model of nursing licensure, referred to as the Nurse Licensure Compact (NLC)”(para. 3). Political Actions and Awareness The model is an agreement between two or more states to coordinate activities associated with nurse licensure. Although nurses generally do not...
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...Future of Nursing an IOM Report The Need to Transform Practice The Institute of Medicine’s Report (IOM) on the future of nursing was very informative and brought very valid points for the need to reform nursing. Registered Nurses (RN) do not practice at the level that are trained. According to the IOM’s report that need to change. For example some states do not allow nurse practitioners to perform at their educational there practice is governed by state laws (Institute of Medicine of the National Academies [IOM], October 2010)). With escalating health care costs advance practice nurses (APRN) need to be playing a larger role in the health care system, both delivering and decision making about health care. APRN’s need to be working from health promotion to disease prevention. States may need to streamline scope of practice regulations that reflect the full extent of the APRN educational level. The Federal government is well suited to reform changes at the states level and offer incentives for adopting best care practices. The IOM’s Report also recommendations changes need to occur within the Centers for Medicare and Medicaid, Congress needs to ensure that nurses practice at their educational level (IOM, October 2010) The Need to Transform Education As health care advances so should nurses. Nurses need to be encouraged at the educational to be lifelong learners. As patients present with more complex problems nurses need to have the most up to date education and training available...
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...Primary, Secondary, and Tertiary levels of Health Promotion in Nursing Practice Cristian Zambrana Grand Canyon University: Family Centered health promotion July 4, 2014 Primary, Secondary, and Tertiary levels of Health Promotion in Nursing Practice Health promotion is the sustained process of improving the health levels in society (O’Donnell, 2009). The definition of health promotion was established by the World Health Organization (WHO) in the organization’s Ottawa Charter. The charter was signed in 1986. The original definition was slightly altered in 2005 at the WHO’s Bangkok Health Summit to include the ability of one to increase the knowledge and control of their health. The designation of health promotion has been adopted although individual countries have been awarded the privilege to decide on how best to implement health promotion. The WHO designed three health models that have influenced the growth of health promotion. The first was the biomedical model of health that focuses on the behaviors and lifestyle of an individual. The biomedical model does not treat individuals based on their environment. The second is the social model that takes into account society’s collective behavior to create a common universal health promotion plan. The third is the ecological model, which takes into account the relationship between the individual and their surrounding environment (VicHealth, 2013). The different environmental systems that...
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...Concept Comparison and Analysis Across Nursing Theories Dana Montgomery NUR/513 Mary Nicks Abstract Define caring? Caring is a critical element of caring in the profession of nursing. It is the groundwork approach that is utilized in day to day practice. Many theories have been studied in regards to caring. For the purpose of this paper, I will be discussing Marilyn Ann Ray’s Theory of Bureaucratic Caring, Madeline Leininger’s Cultural Caring Theory, and Jean Watson’s Theory of Human Caring. The Theory of Bureaucratic caring was created for a more multifaceted institute while the Cultural Caring theory identifies the need for cultural awareness in caring. Theory of Caring describes caring in a more methodical approach. The meaning of caring respectively has similar qualities, but the approaches are entirely different. This paper will elucidate on these three theories of caring, compare and analyze their concept definitions, and apply a specific theory to practice. Caring is defined as feeling and displaying concern or empathy for others. Nursing has become more convoluted with advancing technology and continuous changes, it can be very challenging. For an individual to become an efficient nurse they must have a positive perception of what caring is as it has become a vital part of nursing. Concepts are essential to theory development and have often been referred to as the building blocks or structural components of theory (Chinn & Kramer 1999). As a core concept...
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...HPNA Position Statement Evidence-Based Practice Background Increased attention is being directed toward the development of methods that can provide valid and reliable information about what works best in healthcare. The careful scientific evaluation of clinical practice became a prominent focus during the second half of the 20th century.1 More recently, attention has been paid to methods of determining which of multiple proven approaches to a healthcare problem works best for which patients.2 Evidence-based practice encompasses implementing the best-known practices into the clinical setting using a scientific approach. It evolved from evidence-based medicine, which was developed in Canada to teach medical students. “Evidence-based medicine has been defined as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”3, p. 3 The National Quality Forum’s report A National Framework and Preferred Practices for Palliative and Hospice Care Quality is a consensus report that is a first step toward introducing evidence-based measures into palliative practice on a formal, national level.4 The Agency for Healthcare Research and Quality (AHRQ) supports organizations in their efforts to improve the quality and efficiency of healthcare by facilitating the use of evidence-based research findings in clinical practice.5 The nursing discipline has also embraced evidence-based practice over the past 25 years, initially through...
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...Recognition Program The Magnet Recognition Program is not an award but a “performance-driven recognition credential” designed to achieve excellence in patient outcomes and satisfaction of nurses (Drenkard, 2010). Magnet Recognition is the highest and most prestigious distinction a healthcare organization can receive for nursing excellence and high-quality patient care. The Magnet program model organizes 14 Forces of Magnetism into five model components. The five model components are transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation, and improvements, and lastly, empirical quality results. The first component, transformational leadership, identifies the need for more involvement with nursing in leadership roles. The second component, structural empowerment, provides an innovative environment where strong professional practice flourishes and relationships and partnerships develop among many types of community organizations. Exemplary professional practice, the third component, involves the application of knowledge and evidence with patients, families, communities, and interdisciplinary team. The fourth component, new knowledge, innovation, and improvements, is the practice of constantly redesigning and redefining existing systems and practices for future...
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