...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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...Implications of Evidence Based Practice-Research Patricia Davis Immaculata University The Importance and Implications of Evidence Based Practice-Research Evidence based practice is a way of providing health care that is guided by incorporating current knowledge and clinical expertise. This research and resource information corrects clinical problems, application of quality interventions, and evaluates the outcomes for further improvements in the future. Evidence based practice is an approach that improves the impact of nursing, psychology and social work. It gives research the cause and effect that gives validity to the information. The purpose of evidence based practice is ensuring that patients receive the best quality care and keep nurses, nursing care, and knowledge up to date. The American Nurses Association (ANA) recognizes the importance of evidence based practice (EBP), and that it incorporates the registered nurse to integrate, participate in the formulation, and contribute to the knowledge of research to improve healthcare outcomes (ANA, 2010). Evidence based research results in favorable patient outcomes across various geographic locations. The impetus for evidence-based practice comes from decisions of efficacy, and healthcare facility pressures for cost containment. Evidence practice stresses changes in the education of students, more practice-relevant research, and closer working relationships between clinicians and researchers. The evidence based practice...
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...Nursing: A Concept Analysis Robin A. Jonas University of Phoenix Abstract The term ‘nursing’ appears left open to a wide array of definitions and interpretations. If the discipline of nursing is to develop, progress and take its place in society as a distinct and knowledgeable profession in all contexts, a clear analysis of the term must be undertaken. A summation of opinions gathered in personal interviews with nurse leaders specializing in education, research, and practice add a personal and emotional perspective to the analysis. Appendix A lists questions used in the interviews. A concept map serves as a visual result of this analysis. Clarity of the concept of nursing will add to its knowledge base and is important to future development of the discipline. Results suggest a need for the nursing discipline to adopt a concept that will explain the discipline given its presentation in any context. Keywords: art of nursing, science of nursing, concept analysis, knowing, relevant and irrelevant attributes of nursing Nursing: A Concept Analysis ...
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...exam to attain licensure for practice as registered nurses, they all practice at different levels of competencies and scopes. Although the cognitive abilities between the associate degree and the baccalaureate degree nurses are similar, the difference between these two practicing nurses is mostly related to the level of preparedness and their role functioning standards. The achievement of BSN by practicing nurses serves to enhance nursing care particularly on individuals, families and community like the ADN, but also extends their expertise to community health, leadership, research and evidence based practice. Although the differences in the abilities may not be evident in the beginning of their nursing practice, it becomes pronounced as these nurses gain experience in clinical areas. On like the associates level, the “BSN education includes additional course work in nursing and a broader range of studies in other disciplines” (McEwen). The BSN nurse receives more extensive preparation in the sciences and liberal arts and broader theories to base their understanding of the psychosocial and physiological behaviors of their patients. This gives them the platform for greater...
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...Associates in Nursing Versus Baccalaureate in Nursing A Review Associates in Nursing Versus Baccalaureate in Nursing Degrees Florence Nightingale, considered the founding mother of nursing, first established the first training school for nurses in 1860 (Friberg, 2016, p.1). Since that time, nursing training schools are required to have a form of formal education for the Registered Nurse, whether that education be a nursing Diploma, Associates, or Baccalaureate degree. It is debated whether the different nursing degrees can project the performance or quality of the nurse and whether this difference can effect patient outcome. The differences between an associate-degree-prepared nurse versus a Baccalaureate –degree nurse can be discerned through the interpretation and skills performed on a patient. Nursing has evolved through the centuries and has since based its practices on nursing theories that guide the student nurses to perceive the patient holistically. During the turn of the 20th century, hospitals were newly being established creating a new kind of environment that required multi-disciplinary relationships. Nursing was still at its early infancy, with graduate nurses having very little skill set, knowledge of advanced technologies, or experience with the medical field (Friberg, 2016, p.14). One solution was to group the inexperienced nurses with the experienced nurses and doctors in large rooms, giving rise to the introduction of specialty units; ICU, CCU. The experienced...
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...Historical Development of Nursing Timeline Person may represent an individual, a family, a community or all humankind. Health represents a state of well-being as defined by the individual or mutually decided on by a individual and a nurse. Environment represents the person’s physical surroundings, the community, or the universe and all it contains. Nursing is the practice of the science and art of the discipline (George, 2011). Metaparadigm pertains to the core concepts of a particular discipline. Until the 1990's there was general agreement in the literature that the metaparadigm of the discipline of nursing consisted of four major concepts: person, health, environment, and nursing (George, 2011). Concepts are thoughts believed to be true. Concepts can either be concrete or abstract in nature and can be observed or experienced through one’s reality. Concepts are the elements used to generate theories. Chinn and Kramer (2004) define a theory as “a creative and rigorous structuring of ideas that projects a tentative, purposeful, and systematic view of phenomena” (p.58). Theories are not a fact or a scientific law which produce the same results 100% percent of the time. Theories can provide possible and temporary explanations to phenomena that are ever changing as new evidence emerges. Simply stated, the theory suggests a direction in how to view facts and events (George, 2011). The degree of predictability surrounding a theory is the research that is gathered by using different...
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...Reducing the risk of surgical site infection Joy Ibeh Walden University NURS 4001, Section 7, Research & Scholarship for Evidence-base practice September 7, 2014 Reducing the risk of surgical site infection A surgical site infection is a preventable event and also a national concern. There are numerous publication on national awareness and guidelines for infection prevention in different surgical settings. The benefit of providing information and acquiring knowledgeis to prevent patient mortality rate by following the national clinical guideline. Therefore the purpose of this paper is to discuss information from the the clinical practice guideline for preventing and reducing the risk of surgical site infection. Practice Setting Problem The Practice seting problem chosen for this assignment is reducing the risk of surgical site infection by using clinical practice guideline. Surgical site infections (SSI)is an infection patient acquired from hospital after surgery, It has a significant representation of healthcare associated infections. According to Center for Dieases Control and Prevention (CDC) SSI is defines as “ an infection that occurs after surgery in the part of the body where the surgery took place.” (Spruce, 2014). The author, Spruce (2014) addressed the mortality rate of surgical site infection and further noted that SSI is the second most prevalent healthcare associated infection that are estimated to be 40% to 60% preventable. Spruce reported that $28.4...
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... Florence Nightingale’s contribution to research and the development of nursing makes her undisputedly the mother of research, and evidence based nursing. There are several examples that show her evidence base framework, this essay will show her contribution to research and nursing development, and show the paradigm that Ms Nightingale hold. The science of nursing has evolved throughout the many decades since Florence Nightingale presented her first theory in 1859. She did not set out to write a theory but her work has influenced nursing practice for the past century and a half (George 2011).Her first focus and data collection was on the manipulation of the environment for the benefit of the patient, this focus continues through today with the prevention of hospital acquired infections such as Foley, CLABS, Pneumonia. With her research she was able to show data which corroborated that if certain environmental settings are not correct patients can have fatal outcomes as in the Crimean war and in the area of Maternal Mortality. Ms Nightingale documented her first concept of clean environment in her 1860 published notes. Through this work she laid the foundation for evidence based practice (Nightingale 1992). One of her most important contributions was to address the care from trained nurses versus untrained nurses which eventually lead to more trained nurses, and her starting a nursing school, she was able to speak on the purpose of the statistics, as she was...
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...hospital stay, total costs of care and risk of mortality (Hatler, Buckwald, Salas-Allison & Murphy-Taylor, 2009). The lack of use in consistent protocols for central venous access devices accrue an approximately 250,000 bloodstream infections in U.S hospitals yearly (Hatler et al., 2009). An estimated 90,000 deaths a year result from these bloodstream infections associated with intravascular catheters (Hatler et al., 2009). The health care system averages $25,000 to $40,000 per incidence (Mathers, 2011). The identification of proper and/or improper practice and application of evidence-based practice protocols is essential to keeping catheter patency and prevention of infections. Definition of Topic Stated by the authors of Evidence-based Practice to Reduce Central Line Infections, “a catheter related blood stream infection is defined as a positive blood culture with clinical or microbiologic evidence that strongly implicates the catheter as the source of infection” (Render et al., 2006, p. 254). What, besides what we already are taught to perform, can be further done to reduce the percentage of blood stream infection in central venous catheters and access devices? Existing practices used for infection control of central line placement include maximal barrier precautions, which consists of strict compliance with hand hygiene, wearing a cap, mask, sterile gown, and...
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...non-government establishments make decisions in health care by evidence base practices. In 2010 The Institute of Medicine, sponsored by the Robert Wood Johnson Foundation and AARP, conducted a study on the future of nursing. The study was involved and asked the questions of “who,” “what,” “where,” “when,” “why,” and “how” of nursing to produce better quality patient care. The IOM instituted initiatives or a project plan to reform nursing care. Lets touch base on how the IOM initiatives made in impact on nursing education, nursing care, and nursing leadership roles. Education Education is a very important part of a nursing career, with advancing technology, the nurse has to stay informed and up to date. Education can be acquired by certifications and advancing in higher education. The IOM initiative has increased the awareness of the need of higher educated nurses. Nursing is broad and is advancing to public health care, preventative care, and chronic care, not just acute care. (Aiken, 2011) The IOM initiative drives the education system to help nurses pursue higher education without difficulties, like in the past. There is more programs designed to help the nurse work and go to school at the same time. The initiative implemented the idea for more funding for applicants, as well as, for the schools. The increasing need for nurse practitioners in the public health sector is another motivation to pursue a higher education in nursing. The IOM committee challenges nurses to further educate...
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...ADN vs BSN We, as students, in the United States of America have the remarkably wonderful opportunity to have many educational avenues to pursue. As a nursing student we have the ability to enter into different programs. You have the 3-year diploma program, which is administered in the hospital setting, the Associate Degree 2-year (ADN) which is acquired at a Community College or the four-year Baccalaureate Degree (BSN) which is awarded at a University. Regardless of what pathway is chosen by the graduate you still have to sit and take the same boards also known as the NCLEX-RN Licensing Examination. Baccalaureate nursing graduates have all the education of a diploma and an associate degree nurse but have a more in depth understanding of nursing research, nursing leadership, including management, humanities, and public health nursing (April 2009). This extra education gives a comprehensive understanding on many social, cultural, economic and political issues (2009). In 1965 there was a 3-yr study done by the American Nurses Association (ANA). It issued “A Position Paper on Education Preparation for Nurse Practioners and Assistants to Nurses.” The main point that was made is the “the education of all of those who are licensed to practice nursing should take place in institutions of higher education” (2009). Nursing Education is being associated with patient safety and improved quality of care. Health corporations are now wanting nurses to expand and seek higher opportunities...
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...BSN There is an increased focus in nursing to obtain a baccalaureate degree in nursing prior to entering the field. Many employers are requiring that an entry level nurse have their BSN degree. Employers are seeking out magnet status. In order to obtain this elite status they must have a high ratio of advanced degree nurses with their BSN or higher. The evidence behind having more nurses educated at a higher level is patient centered care. The differences in education between an associate degree nurse and a baccalaureate prepared nurse will be looked at thru this paper. The second item that will be addressed in this paper is how the care for patients differs between the ADN and BSN prepared nurse. Differences in education A person wants to go to school for nursing but are overwhelmed with a decision does this person obtain an associate’s degree in nursing or continue on further for a baccalaureate degree prior to entering the field of chosen study. This dilemma has been debated on for many years. The obvious difference between the two educations is the length of study. Both are able to sit for the same board exam the NCLEX at the end of study and they are both technically skilled for an entry level position. One may think then that there is really no difference in education other then the last three letters behind their name. The baccalaureate student not only studies for a longer period of time but there is an emphasis on evidence-base clinical practice and leadership within...
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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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...Professional Development of Nursing Professionals During the past years, we’ve witnessed a tremendous growth in the health crisis, but also the education. With skills that are needed to compete with these, health care advancement technologies and well being of these population growth are in crisis. As comprehensive as the need for health care is being overhauled through the years, a claim has been made on the topic of “Nursing” as being one of the most important. Health is not only to the sustainment of our species, but also, it only makes logical sense to not only educate the practitioners of the profession, but also increase the need for advancement in the education being delivered. The diverse healthcare setting is warranting change to the academic profession of the Nursing practice to accommodate the challenges of cultural and socioeconomic factors of health care populations. Due to the advancing stages of health care and recent health care reform, The Affordable Care Act of 2010 has placed a surge with more insured demographic change, the aging population and the chronically ill with comorbidities has placed need for professionals to practice with full competencies of leadership, critical thinking, evidence base practice, research and system improvements to accommodate the demand. According to The Robert Wood Johnson Foundation and Institute of Medicine (IOM) (2010), they have given a report for more surge for nursing professionals of various levels to acquire...
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...The Impact of The IOM Report on Nursing Mariama Jalloh Grand Canyon University Professional Dynamics NRS-430V-0500 Teresa Gaither June 21, 2015 The Impact of The IOM Report on Nursing The Institute of Medicine (IOM) is an independent, nonprofit organization, which was established in 1970. Their aim is to provide advice to all level of healthcare sectors to ensure that effective healthcare policies are being implemented. In the late 2010, IOM released a special report “The Future of Nursing: Leading change, Advancing health”. The report contains three messages related to nursing, which focus on the following sections: transforming practice, transforming education and transforming leadership. This paper focuses on the IOM report and how it impacts nursing education. This paper will also discuss the role of a nurse as a leader and their practice, particularly in primary care. Lastly, this paper will disclose how I would change my practice to meet the goals of the IOM report. Firstly, the IOM report also stated that it is crucial that a nurse must have training from an accredited institution system to so they can be ready contribute at their work (IOM, 2010). Educational standard has influence perceptions about nurses. Academics and professionals have hotly debated the minimum education needed by nurses for several decades. The IOM report also discuss and offer the reason why nurses having a higher level of education is a must; Nursing practice have expand greatly, they...
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