...Nursing Research Nursing is often incorrectly regarded as a subset of the medical profession; in reality, the profession of Nursing is a unique, distinct science with its own knowledge base and skillset. In accordance with the requirements of a scientific profession, there is a need for scholarly inquiry and nursing research in order to maintain autonomy and distinction of the Nursing perspective separate from other disciplines. An editorial published in the Journal of Nursing Scholarship noted that “the distinguishing feature of a profession is how its practitioners use knowledge to make a difference” (Hegyvary, 2007). The evidence generated by Nursing scholars influences global health initiatives and policy worldwide. The need for field wide scholarly inquiry, the application of rigorous scientific standards to research, and the importance of stringent ethical and legal protection for research subjects has been the subject of numerous articles, books, and papers. The Nursing Profession has a responsibility to engage in scholarly research for many reasons that will be discussed in depth within this paper. Importance of Nursing Research to the Nursing Profession As noted in the introduction, in order to maintain its status as a unique, autonomous profession, Nursing as a field must continually refine and expand its scientific knowledge base. The AACN position statement summarizes the importance of research to the profession by stating “The essence of a discipline is...
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...Running head: NURSING 1 What is Nursing? Shakira Rideout Keyano College NURSING 2 What is Nursing? In this paper I will identify the fundamental concepts of nursing. In addition, I will recognize how nursing is based on the principles of Primary Health Care (PHC). Further, how the history of nursing has formed nursing today and what it means to be a professional in nursing by incorporating the code of ethics. Fundamentals of Nursing Nursing is a profession that centers on the caring for individuals, as a client, as a family, as a group and as a community so they can achieve, maintain or recover optimal health and quality of life (Burger & Goddard, 2010). I believe that the nursing role is to educate clients by the protection and promotion of general health which is congruent to The American Nurses Association (2007) which defines nursing as; the protection, promotion and optimization of health, prevention of illness, lessening of suffering through diagnoses and treatment and advocating client care for individuals, families, groups and communities (American Nurses Association, 2007). The nursing profession utilizes a system that increases client knowledge about factors that can contribute to overall health and the resources that can increase wellbeing; this is called the Nursing Process. This process is a technique used to assess and diagnose needs, plan and implement interventions, and evaluate the outcomes...
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...and BSN Competencies The nursing as a profession has grown tremendously since the days of Florence Nightingale. Although nursing has developed to be such a broad spectrum of specialties, the core nursing values that focus on the patient and service to the patient have only been strengthened as nursing holds core truths to be the basis of the profession. Nursing as a profession has grown in response to the needs at hand. In 1983 the National Commission on Nursing Implementation Project (NCNIP), completed a three year project to provide leadership for the nursing’s future (AACN-AONE, 1993, sec. I, Background). The main goal of the project was to create competency based statements of practice for ADN and BSN nurses. This resulted in differentiated competencies. The ADN prepared nurse provides direct client care to those with common and well-defined nursing diagnosis, practices within a structured setting where policies procedures and protocols provide provisions for healthcare, uses basic therapeutic communication skills with clients, coordinates client focused needs and care with other health team members, recognizes client needs for information and teaching plans, acknowledges that research influences nursing practice, assists in data collection procedures, maintains accountability for own practice and aspects of care delegated to peers and licensed practical nurses or unlicensed assistive personnel, plans and implement nursing care consistent with the overall...
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...in creating a strategic plan. Whether it is for an individual, an institution, or a profession a strategic plan can identify the strengths and weakness that are present, discover opportunities and pinpoint gaps (Drenkard, 2012). I recently took a road trip to Wisconsin from Missouri for my nephews wedding, and one of the first things I did was strategically plan for that trip. I assessed a variety of possible routes and determined the best course to get me where I wanted to go. I would not ever dream of driving off in my car to an unknown area without first having a plan and knowing the exact direction to take, however I have unknowingly done this with my nursing career. I go to work daily and rotely perform my duties that are expected of me with the goal of making it through my shift, but as far as having a strategic plan for my future in nursing during this challenging time for the profession, I do not have one. The facility I am employed does have a strategic plan, but it has only been in the past five years the plan has been openly discussed and published. Because of recent low nurse satisfaction rates, and high turnover rates, staff nurses were asked to participate in developing a new strategic plan. This was ground breaking for the bedside nurses. It gave them a voice in resolving the issues that surround them and gave them a sense of empowerment. Another major stride for the nursing...
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...Practitioners. A nurse practitioner (NP) is a nurse with a graduate degree in advanced practice nursing. The NP has completed a nurse practitioner program in primary health care and has advanced knowledge and clinical expertise in assessment, diagnosis, treatment, and health care management. The nurse practitioner provides wide-ranging and constant care to patients in a variety of medical settings. There are a number of challenges facing nurse practitioners. The need for a more flexible and progressive approach to a nurse practitioner's delivery of care is a fundamental challenge. Much of the work traditionally carried out by general practitioners will need to be delegated to properly trained personnel such as nurse practitioners. This means that the ability to work with the medical profession and with other healthcare professionals is most important to the leadership challenges facing nurses. This is particularly important in poorer communities where access to a general physician is limited. Nurses in these settings will be relied on in such areas as providing medical advice, assessing illnesses and injuries, screening and categorizing patients, monitoring and care for patients with chronic illnesses, prescribing and interpreting diagnostic tests, health promotion and education, nutritional advice, breast and cervical screening...etc. The challenges that are most significant to nursing staff are to make a distinction with their roles among other health professionals, and...
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...Historical Development of Nursing Timeli ne Explain the historical development of nursing science by citing specific years, theories, theorist, and event in the history of nursing. 3 POINTS While it is known that the art of nursing has been around for thousands of years, the development of nursing as a science has not. The development of Nursing into a Science was driven by people believed in social reform. Nurses knew that they were providing duties that held the standards of professionalism. Nurses developed a concept that nursing practice should be based on which is person, health, environment and nurse. Next nurses developed the nursing process to guide nurses in practice. felt as though there were providing nurses who created theory from practice. Nurses who used their experience to solve problems in nursing practice. In the early mid twentieth century, around 1850 nurses decided to be recognized as a profession. To become a profession nurses had to be able to derive their knowledge base from science and learning. Nurses needed to express their ideas about the essence of their practice by developing a body of knowledge. Having a body of knowledge provided nursing with credibility from the medicine community. Credibility also provided nurses with trust from Medicine. In the early twentieth century femime values were low. Nurses wanted to define their practice. Nursing understood that their practice was unique and required research to support their theory. In...
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...health care. There are some obstacles, which prevent nurses from responding effectively to a quickly shifting healthcare settings and developing health care system. In 2008, a two- year project to identify and resolve the problems facing the health profession developed by The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM). This passage will explain the effect of IOM report on nursing education, practice, and nurse’s role as a leader. The IOM report -The Future of Nursing Leading Change, Advancing Health released in Oct 2010. The IOM selected the Com¬mittee on the RWJF to plan on the expectations of Nursing, with the rationale of developing a report and that would make suggestions for an advanced future of nursing. According to this report, there are so many challenge that facing the education in nursing and some resolutions that will be essential to progress the structure. In this present century, the patient’s requirements and health care settings became more multifaceted, the nurses needed to require competencies to convey expert nursing care. To meet this rising difficulty, the IOM committee recommended that nurses should accomplish top levels of education and recommended that they should cultured in specific ways to practice them to meet the requirements of the patients. The committee suggested that the nursing curriculum to be examined again, restructured, and proficiently transformed with respect to the patient needs. Competencies must progress...
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...“The Nursing Shortage” Final Report Abstract While the nurses are disappearing from developing nations to help the shortage in the United States, it is putting a strain on health systems in the developing world. American found a simple solution to the problem of our nursing shortage and how we have turned to the global market where nurses have become a hot commodity. Even though it seems to be a natural thing to import nurses, since we import everything else. By importing nurses it saves time and money but it will cause more problems in the end. The Nursing Shortage In the United States is a situation where the demand for nurses is greater than the supply, as is currently the case in several developed nations. According to a U.S. government study, by the year 2020, there could be a nationwide shortage up to one million nurses, which could result in substandard treatment for hundreds of thousands of patients. Just as alarming, fewer nurses are choosing to teach the next generation of professionals, resulting in tens of thousand of applicants being turned away from the nation’s nursing schools. (1) Reason for Shortage The responsibilities of nurses have increased and the patients are more ill as a result. In addition the average age of nurse’s increases while the number of applications to baccalaureate programs has decreased.(2) New opportunities became available for the nursing practice, which further drains the number of nurses available for acute...
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...Running head: Jean Watson A Reflective Look at Jean Watson Thomas Bair NUR403: THEORIES AND MODELS OF NURSING PRACTICE Theories contain concepts, definitions, models, propositions, and are based on assumptions rather than concrete facts (Nursing Theories, 2012). They are used as a tool for reasoning, critical thinking and decision making. The nursing profession uses theories as the framework and foundation for practice to strengthen our nursing knowledge. As we advance in our profession, theories are constantly tested to determine if they still have an applicable meaning or do they need to be modified. This paper will give an overview of Jean Watson’s Theory of Caring and its impact on our nursing practice. Jean Watson’s Theory of Human Caring was developed in 1979 and continued to evolve over the years. It emphasizes the humanistic aspects of nursing in combination with scientific knowledge. The framework of this paradigm brings meaning and focus to nursing as a distinct profession. The conceptual elements of her theory are ten Carative Factors, Transpersonal Caring relationship, Caring moment and Caring Consciousness with a focus on: person, health, nursing and environment (Cara, 2003). These concepts are representation of a middle range theory. The Carative factors attempt to “Honor the human dimensions of nursing’s work and the inner life world and subjective experiences of the people we serve (Cara, 2003, p.52). Transpersonal...
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...Resources-Nursing shortages Nursing shortages has become a global issue facing many countries. The scarcity of nurses is expected to increase as demands for health care services increase. Scarcity of resources in health care is a multi-faced problem with multiple causes ranging from nurses leaving the profession because of job dissatisfaction, retiring baby boomers, increasing health demands with decreasing number of those entering the profession, shortage of nurse educators and nursing school, and lack of nursing program funding (Buchan & Aiken, 2008). Nursing shortage is not only a shortage of individuals with nursing qualification but also a shortage of qualified individuals who unwilling to work under current conditions. The American health care system is on a time bomb waiting to explode. The Nursing Shortage Influencing Factors Nurses leaving the profession because of job dissatisfaction Inappropriate distribution of nursing resources through inadequate career support, in appropriate skill mix and utilization, and poor retention incentives lead nurse’s job dissatisfaction (Buchan & Aiken, 2008). Inability of nurses to advocate for patients’ safety causes job dissatisfaction leading to poor job performance and negative patient outcomes. Therefore, nurses will leave the profession because of guilt and dissatisfaction for inability to perform to their best abilities. Aging Registered Nurses (RN) Workforce The fewer RN population entering the profession, higher aging...
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...The transformation of nursing Julien Augustin Grand Canyon University Professional Dynamic NRS-430v Mrs. Hathcock May 03, 2014 The transformation of nursing The institute of medicine has major impact on nursing profession today, because the world is changing the characteristic of everything for modern technology to healthcare system. In 2011, the United States has reformed the health system to improve the health outcome of all individuals. This reformation may affect especially nursing profession, the biggest portion of the health care workforce ( ̎ IOM REPORT, ̎ 2011). As a result of the healthcare reform, that was released in October 5th, 2010. Recommended that “ nurses should practice to the full extent of their education and training to improve higher education and reassure wide opportunities for nursing to grow and assuming leadership collaborative in full partnership with others in health care professionals to improve the quality of care” ( IOM REPORT 2011, Pag. 1). According to the IOM, “nursing is the largest section of the nation’s health care workforce”, nurses play very important role by being front lines of the patient care and helping identifying vital objectives point in the 2010 health care law (IOM REPORT, October 5th , 2010). In 1965, since the birth of the nation’s health care which are Medicare and Medicaid program, the major change that has been in placed was the affordable Care Act (ACA) that was introduced in 2010. This program was designed to provide...
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...Running Head: Labor Shortage Labor Shortage [Author’s Name] [Institution’s Name] Labor Shortage The Nursing shortage is going to have a severe effect on the delivery and quality of health care. The problem has become even complex and there is a need for effective policy intervention, which requires efficient leadership involvement among the government and organizational stakeholders in combating nursing shortage crisis. In this regard, there is a need to find short as well as long-term solutions for the problem. Traditional measures are going to have very limited success owing to the predicted severe shortage of nurses in the future. Following are some suggestions in this direction: Reaching Out To Youth The current nursing workforce is aging fast and the solution lies kin reaching out to the youth and luring them towards the nursing profession and telling them how they can serve their community and society by joining the nursing profession (Zerwekh & Garneau, 2015). We are going to face an acute shortage of nurses in future and unless new and young people are attracted towards this profession, this shortage cannot be filled. Recruitment/Sign on bonus Recruitment/Sign on bonuses have also gained popularity as a method to attract nurses. However, they have been found to have a limited effect. Yet, they can be effective as a short-term solution (Cherry & Jacob, 2013). Retain Experienced Nurses Retention of the experienced...
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...Professional Nursing Kim Lopez American Sentinel University Philosophy of Professional Nursing The profession of nursing is sculpted by philosophies, theories and science. Theses components connect on another through the nursing process. The professional nurse’s philosophies shape practices, beliefs and nursing. Butts and Rich (2015) describe philosophy as a search for meaning and a set of beliefs. Nurses encounter many situations where their philosophies and beliefs guide their nursing judgment and decisions. As the nursing profession has evolved from a profession of skills to one of knowledge it is important to understand the overall discipline and the knowledge that motivates the thought and actions of the nurse (Butts & Rich, 2015). The development of theoretical formulations by nurse scholars has guided efforts to identifying what the core beliefs of nursing are. Theory development can be traced back to the writings of Florence Nightingale’s notes on nursing which altered the status of nursing from that of a domestic service to that of a profession (Selanders & Crane, 2012). When reflecting on my personal and profession philosophy, I found that looking at the traditional metaparadigm of nursing that includes person, environment, nursing and health (Butts & Rich, 2015) aided me in connecting my personal reflections, values, and beliefs with my professional outlook on my nursing practices. Personal Philosophy Nursing, for me, is more than a profession and cannot...
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...The nursing profession is the largest section of the country’s healthcare labor force employing over three million workers. Multiple obstacles stop nurses from responding effectively to the quickly changing healthcare system. Nurses must overcome these barriers; only then will they be able to lead change and begin a new era in healthcare. On October 5, 2010, the Institute of Medicine (IOM) released its advice on nursing in the United State in the scholarly article “The Future of Nursing: Leading Change, Advancing Health.” IOM is a non-governmental, non- profit organization created in 1970, under the congressional charter of the National Academy of Science. IOM provides leaders counsel on the topics of biomedical science, medicine, and health. Different states provide different stances regarding what a nurse can actually do. Multiple states allow nurse practitioners and certified nurse midwives to prescribe medication without a physician’s direction and partnership. There is widespread agreement in the United States that healthcare must become more patient-centric. Primary care and prevention must have a greater function compared to specialty care. Reports shows that states with a greater proportion of primary care providers receive better outcomes and drops in mortality rates. Nurses with differing degrees of education participate in vital jobs in primary care. Education and evaluation are crucial components of primary care. RNs, advanced...
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...Professionalism in a Clinical Nursing Setting Professionalism in a Clinical Nursing Setting Customer Inserts His/her Name University Name Introduction: Professionalism holds within its ambit several factors that combine to give it a collective meaning. It is marked by achieving an alignment between one’s attitude and the expectations of his profession. Professionalism is the part and parcel of all major professions of the world and clinical nursing is no exception in this regard. Moreover, professional behaviors are the true manifestation of professional attitudes and hence the importance of professionalism in clinical nursing can not be over emphasized. Cambridge Dictionary defines professionalism as follows: “Having the type of job that is respected because it involves a high level of education and training” OR “Having the qualities that connect you with trained and skilled people, such as effectiveness, skill, organization, and seriousness of manner” (Cambridge Dictionary). Therefore it becomes crystal clear that adhering to defined rules, regulations and procedures is the utmost pre-requisite to professionalism because of which it holds paramount significance for all professions including clinical nursing. Without specific knowledge and skilled training pertinent to a field, the true essence of professionalism can not be materialized. Attributes of Professionalism: There are numerous vital elements of professionalism out of which following are some of the essential attributes...
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