...public through the regulation of registered nurses and nurse practitioners. This includes registering nurses, setting standards of practice, assessing nursing education programs in B.C. and addressing complaints about CRNBC registrants. Exploring the CRNBC website encouraged and inspired me to get involved in maintaining competence and commitment with the profession through continued learning. The website offers various seminars, online learning modules and case studies. Web learning modules offer you a convenient way to learn. They allow you to learn at your own pace at any time of day. The modules are segmented into topic areas, so you can either complete the modules in their entirety or select a single topic area to focus on. For added convenience, you can stop mid-way through the module and then later return to where you left off to continue your learning. On the other hand, The ARNBC is committed to nursing excellence, to providing a strong and influential voice for B.C. Registered Nurses and Nurse Practitioners, to developing infrastructure, programs and policies that support evidence informed nursing practice and to ensuring that the voice of the members – all B.C. Registered Nurses and Nurse Practitioners – is heard at every level of the healthcare system. The ARNBC is focused on providing supports and solutions that result in better health outcomes for all British Columbians. One thing I find interesting with their site is the B.C Nursing Wiki. It was created as a platform...
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...How the death of a patient can impact on nurses: A literature review During 2012 there were 499,331 deaths registered in England and Wales, a rise of 3.1% compared with 2011. Almost half of these occurred in National Health Service Hospitals. (Office for National Statistics, 2012). These figures indicate a substantial amount of individuals dying in a hospital setting each year, therefore a large proportion of patients will be receiving some form of care prior to and at death (Blackwell 2010 p.1). Numerous research studies have been carried out by theorists identifying the impact of bereavement on different individuals. The earliest thorough study of grief and loss developed from Freud with his classic paper ‘Mourning and Melancholia’ (Freud 1917 cited in Payne et al 1999). Freud believed that for the bereaved to detach from the deceased one must work through their grief by reviewing memories and thoughts of the deceased (Ellman 2010). Other theorists have recently identified death and the importance of understanding it. 'Death is a natural progression from life. Most nurses will be exposed to the physical and emotional effects of this experience as they care for a dying patient. The nurse is taught how to provide support for the patient and family as they proceed through the stages of grief. Often, however the nurse may not realise his or her own need to grieve'. (Brosche 2003 p. 173). Although nurses try to remain professional whilst at work...
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...Prepared Registered Nurses Grand Canyon University: NRS 430-V Professional Dynamics September 23, 2012 Three different pathways exist to educate students with the knowledge needed to be able to sit for the NCLEX-RN licensing exam. The American Association of Colleges of Nurses states “the NCLEX-RN exam measures the minimum technical competency needed to practice as a registered nurse” (2012). The nursing student may complete his or her education over two to four years. The first, a hospital based program, requires three years to complete. Graduates receive a diploma, not a degree. “Approximately 54 diploma programs remain, in the United States” (Creasia & Friberg, 2011). The second, a community college based program, requires two to three years to complete. Graduates receive either an associate of science in nursing degree (ADN) or an associate of arts in nursing degree (AAN). “In 2009, 980 ADN/AAN programs were in existence, in the United States” (Creasia & Friberg, 2011). The third and final pathway, a traditional college or university based program, requires four years to complete. Graduates receive a bachelor of science in nursing degree (BSN). “In 2008, 748 BSN programs were in existence, in the United States” (Creasia & Friberg, 2011). ADN/AAN and diploma level education is comparable. The number of diploma programs is small compared to the number of associate and baccalaureate programs; therefore, I will limit this analysis to exploring the difference...
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...A Comparison of Nursing Practice between Associate Degree level Nurses and Baccalaureate Degree Level Nurses Leila R. Chanid Grand Canyon University: Professional Dynamics NRS 430v January 8, 2012 Abstract This paper will compare the Nursing profession across the healthcare industry of Associates Degree Level Nurses and Baccalaureate-Degree level nurses. It discusses the preparedness of beginning practice at both levels, exploring competencies developed by both trained professionals and the differences in the learning experience each of them contain. It also compares the new graduate in the workforce at both levels of education. Research from journals, nursing books from accredited colleges and magazines were used to discuss their differences. Nursing has slowly over the years become a respected profession due to leaders in history whom changed the way healthcare outcomes were established in nursing. Nursing professionals can thank leaders such as Florence Nightingale for understanding the complexity of care involved in a community and the importance of training for nurses. St. Thomas Hospital in London, England founded by Florence Nightingale in the 1860’s was the beginning of the transformation of the way nurses practice and levels of training a nurse can accomplish. The Civil War and Great Depression era’s created a definite need for good trained nurses and patient outcomes became a way of evaluating the training of nurses. As, patient outcomes improved...
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...-l.' Nursing Trends: That I foresee in the year 2020 In the last thirty five years, nursing care has branched out from strictly clinical, hospital and nursing home setting to other areas. Due to strict health insurance payment guidelines, patients today are being sent home from the hospitals faster and sicker. This in turn increases the demand for more nursing care in the home. A lot of today's nurses are filling this need between the patient’s home and the hospital health care team. This trend continues to grow. Due to shorter hospital stay of patients, multiple skilled nurses and advanced technology, many changes will be impacted in Nursing in the year 2020. Some of these changes that will be made in the year 2020 are the following: 1. A shift from hospital to specialty care nursIng. 2. A shift to facing increasingly complex ethical dilemmas 3. A shift from working as a part of a hospital staff to "Dejobbing". Hospital opportunities will continue to rise in specialty areas. Due to advanced technology, critical care nurses will stay in demand to treat patients for conditions that previously would have been fata1. Other specialty areas would continue to be in demand such as preoperative, neurological, emergency and cardiovascular areas. Maternal/child health is another good choice for future nursing. The - .. , the sub specialties of Neonatal Intensive care and Pediatric Oncology...
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...INTRODUCTION This essay is a critique based on a pilot study carried out on ‘patient stories of living with a pressure ulcer’ and I will be using Caldwell, K. et al. (2005) as a structured research framework to carryout the evaluation on this study. First and foremost a definition of what research, (nursing research in particular) and research critique entails will give a greater understanding of what this essay aims at addressing. On one hand, Polit and Beck (2006, p4), defined research as a systematic inquiry that uses disciplined methods to answer questions or solve problems, while on the other hand they define nursing research as a systematic inquiry designed to develop knowledge about issues of importance to nurses, including nursing practice, nursing education and nursing administration. The importance of having research carried out in the nursing field can only be emphasised as it is the key element in generating and guaranteeing evidence to guide nursing practice and improvements to care and quality of life of both clients and service users as claimed by Polit and Beck (2006, p4). However once the research is undertaken and published, great emphasis is placed in finding out or identifying the strengths and weaknesses through critique. Polgar and Thomas (2000), point out that critiquing research entails identifying the strengths and weaknesses of research publications to ensure that patients/clients receive assessments and treatment based on the best available evidence...
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...Educational Preparation of Registered Nurses: Associate Degree in Nursing (ADN) vs. Baccalaureate Prepared Nurses (BSN) Donna Rodriguez Grand Canyon University Professional Dynamics NRS 430V Jayme Goodner September 28, 2013 Educational Preparation of Registered Nurses: Associate Degree in Nursing (ADN) vs. Baccalaureate Prepared Nurses (BSN) The purpose of this paper is to discuss the educational preparation of the Associate Degree nurse (ADN) versus the Baccalaureate prepared Nurse (BSN). This will be accomplished by first exploring the differences in competencies between nurses based on degree level and with the use of a patient care example to describe the difference in the nursing approach based on formal educational preparation. Currently there are two paths to obtaining a registered nursing certification the ADN versus the BSN. The reasons for the development of the ADN nursing programs were simple. It was a matter of supply and demand, and a necessary solution to a problem. In the year of 1951, after the war a huge nursing shortage existed. It was at that time that a nurse educator named Mildred Montag made a proposition to prepare nurse technicians in 2-year associate degree community colleges. A 5-year study of ADN graduates noted preparation was successful, as the nurses passed their exams for licensure and demonstrated the ability to practice nursing with competence (Creasia & Friberg, 2011). The typical ADN degree is comprised of an average of 70 credit...
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...What has driven nursing theory development? Nurses have always been seen as the providers of bedside care and those that follow through with physician’s orders. To me what drove theory development was the nurse’s desire to become independent and practice with models and beliefs specific to nursing as a profession while providing holistic care to the patient to encompass not only their physical illness but by providing care that incorporates their spiritual, emotional and environmental needs and to improve the outcomes for their patients. By exploring these ideas of providing a holistic care approach the nurse realized she could have the freedom to critically examine old ways of performing nursing tasks and duties and explore the new ways of providing care to the patients. By performing studies and research a nurse would be able to provide evidenced based care to improve the outcomes for her patients in all aspects of their lives not just their current illness or health problem. Applying these concepts the nurse could “examine his or her current frame of reference for practice in light of the challenge to adopt or change a conceptual model or theory. As the nurse begins to learn the content of the new conceptual model or theory, he or she begins to appreciate the discrepancy between the current way of practice and what nursing practice could be” (Alligood, 2010, p.501). “While some of the more physical and mechanical aspects of nursing are being delegated to individuals with less...
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...Introduction: Clinical governance is defined as “a system which organisations are responsible for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish” (“Standards for general practices,” 2015). A method of improving the quality of services and achieving a high standard of clinical practice involves appraising staff performance. Clarke, Harcourt & Flynn (2012) states that in the health sector, a key role in implementing clinical governance is by appraising the performance of staff, this in turn, is critical to containing health care costs and ensuring and improving quality patient care. The intentions of performance appraisals are to maintain and improve a high standard of patient care, however, there are many studies concluding that performance appraisals are not always effective and may even be considered destructive (Bouskila-Yam, & Kluger, 2011). Evidence suggests that appraisals provide minimal satisfaction, as at times can be perceived as unfair, poorly structured and judgmental towards some employees (Spence & Wood, 2007). The reader believes that if performance appraisals were conducted in a manner to suit all parties involved, then appraising staff would be beneficial and critical to improving clinical governance, thus, patient quality care. In the readers’ experience, performance appraisals have not been well presented or conducted...
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...Problem There has been a big loss in textbook sales at the University’s bookstore. A group from the University Students Organization researched textbook prices at three outlets. In general, prices of textbooks have been increasing which has become a major burden to all students of all majors. This increase makes a difficult situation for students already trying to pay university tuition and housing bills. Many students have jobs to help pay the costs, so an increase in the price of textbooks is a cause for concern. The University Bookstore is convenient for some students on campus, it can be time saving for some who are trying to get their books on time before semester classes begins. The University Bookstore may be competitive to other bookstores on campus when it comes to pricing, but it will not be as competitive as online book prices. We are going to take a look at textbook prices for ten different courses at two online outlets, and compare them to a third outlet which is the University Bookstore. Pricing Comparison New books Table 1 below is a comparison of textbook prices, the University Bookstore charges the highest price for all ten books. Half.com charges the lowest price for seven out of the ten books, while Amazon.com offers the cheapest price for the remaining three textbooks. In total, five textbooks – in this example for a student taking the courses astronomy, computer, economics, history, and English – cost $544.95 at the University Bookstore. To buy those books...
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...Application of Nursing Theory Nurses have to make numerous decisions on a day to day basis. Some are simple decisions and other issues are more complex and require guidance to make decisions. Nursing theory is one way for nurses to make decisions based on problems or situations they face. As Cody (2003) states, “one learns to practice nursing by studying nursing theories” (pg. 226). This statement can be applied to problem solving and decision making. By using theory, nurses can apply concepts to solve problems, since practice is derived from theory. It is also noted by Cody (2003), that “nursing practice will be transformed to the betterment of humankind when all nursing practice is fully autonomous and guided predominantly by nursing theory” (pg. 230). This includes all aspects of nursing including nursing leadership, nursing education, nursing informatics and health policy. The middle range nursing theory of nursing intellectual capital is one that was developed to understanding how nursing knowledge within healthcare organizations influences patient and organizational outcomes (Covell, 2008). It is comprised of two mutually supporting concepts of nursing human capital and nursing structural capital. Nursing human capital is influenced in the workplace by nurse staffing and employer support for continuing professional development and is directly related to patient and organizational outcomes. The nursing structural capital is directly related to patient outcomes (Covell...
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...KRISANTA CAMILLE LAZARO LACDO-O RN Tabuc, Pontevedra Capiz Mobile No. 09462426679 E-mail Address: krisantacamillelacdoo@hotmail.com CAREER OBJECTIVE To develop nursing career in an environment that offers tremendous potential for professional growth and achievement; exploring opportunities offered with impactful challenges utilizing my experience, skills and passion. SUMMARY OF QUALIFICATION * July 2011 PNLE Passer with rating of 80.6% * Excellent communication skills (English and Filipino) both verbally and written with great interpersonal skills. * Adept nursing knowledge base and fundamental clinical skills * Computer Proficient (Microsoft Office Suite) * Profound ability to development, implementation, maintenance and organization of work. * Possess critical and analytical thinking skills with the ability to prioritize needs rapidly and make decisions accordingly. * Work well with a team, multi tasking , and willing to enhance professional and technical knowledge/experience through trainings and such * Emotionally stable and have a sympathetic disposition and scheduling flexibility to accommodate changing needs. ------------------------------------------------- EDUCATION College Bachelor of Science in Nursing Filamer Christian University Roxas Avenue, Roxas City, Capiz 2007-2011 Academic Awardee Secondary Pontevedra Christian School Ibarra St. Ilaya Pontevedra Capiz 2003-2007 ------------------------------------------------- ...
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...Critique Of The Research Article: Perspectives Of Hospital-Based Nurses On Breastfeeding Initiation Best Practices In: Other Topics Critique Of The Research Article: Perspectives Of Hospital-Based Nurses On Breastfeeding Initiation Best Practices Running head: CRITIQUE OF THE RESEARCH ARTICLE: PERSPECTIVES OF Critique of the Research Article: Perspectives of Hospital-Based Nurses on Breastfeeding Initiation Best Practices Kimberly Baird Grand Canyon University Intro. To Nursing Research NRS-433V April 21, 2011 Critique of the Research Article: Perspectives of Hospital-Based Nurses on Breastfeeding Initiation Best Practices The purpose of this research study is to evaluate the differences in breastfeeding knowledge and the implementation of breastfeeding by registered nurses in the postpartum units and the hospital policies, both formal and informal, related to the implementation and support of breastfeeding. Human milk is accepted as the ideal food source for infants for the first 6 months of life. Breastfeeding is then encouraged as a supplement to other foods until the child is 12 months of age and beyond. Both The Academy of Pediatrics and the International Lactation Consultant Association support these recommendations. CDC statistics report that in 2006 73.9% of women breastfed in the early postpartum period. This drops to 33.1% of those that are exclusively breastfeeding at 3 months of age and then drops again to 13.6% exclusively breastfeeding...
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...however in the work setting the nurses association code of ethics supersede. As an individual, when we commit an offence, even though we are guided by our association code of ethics it is the law of our country by which we will be judged. In this paper we will be exploring how personal and societal values, and the American Nurses Association (ANA) code of ethics would influence decision in two scenarios involving patients. One case in which a nurse is a witness against her colleague in a malpractice case, in which her colleagues negligence resulted in harm to the patient, and she have reported her colleagues acts of negligence to her administrator on several occasion. The other case involves a patient who was diagnosed hemorrhagic stroke requiring ventilator assistance. Her family is divided in what the management should be, with her husband wanting to try everything to save her life and her children believing that she would not want to do surgery to be kept alive to live a poor quality life, which they believe will occur if she did the surgery. We will also be looking at the fundamental legal aspects of each case and the legal responsibility of the nurse in the work setting. American Nurses Association Code of Nursing Ethics Influence on the Case Studies In the incident where the nurse is a witness in a malpractice case against her colleague whose negligence resulted in harm to a patient, The American Nurses Association (ANA) Code of ethics provision three point five would...
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...Title: Exploring the Competencies Between Nurses Trained at the Associates degree level versus the Baccalaureate degree level Grand Canyon University: Professional Dynamics Competency Differences Between Associate and Baccalaureate Nurse Training As I embark on another educational endeavor, it is important to understand the return on investment that will be gained from committing time, energy, and finances to an advanced degree. There have been numerous studies and research that have proven that nurses trained at the baccalaureate level are associated with lowering the odds of patient mortality, creating better outcomes for patients, and decreasing the occurrence of medication errors (AACN, 2015). To be a nurse, be it at the associate or baccalaureate level, means the same thing: to provide compassionate care through the “promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles” (ICN, 2002). However; since 1965, the American Nurses Association (ANA) has taken the stance the nurses should be educated, at minimum, at the baccalaureate level for entrance into the profession as the belief that an increasing number complex health issues and growing number of advancements in knowledge require education beyond nursing basics (Nelson, 2002). This paper will explore...
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