...Impact on the Future 1 Nursing’s Future after the 2010 Institute of Medicine Report Jennifer Klein Grand Canyon University: NRS-430V-0102 April 24, 2016 Impact on the Future 2 Introduction The 2010 Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” has created a positive and irreversible impact on the future of Nursing. The IOM report according to the American Nurses Association, “calls on nurses to take a greater role in America’s increasingly complex health care system.” The report has triggered a domino effect on the impact for the nursing field in correlation to nurse’s education, practice, and their role as a leader. The Impact of the IOM Report The impact of the IOM report on nursing education: The IOM committee asserts that nurses must achieve higher levels of education to include being taught in new ways so that every nurse may rise to the challenge of an everchanging patient climate. The first and second points set forth by the Institute of Medicine address nurses and their practice in regards to training and education. These two points have pushed employers to encourage nurses to further their education and most are offering financial assistance to nurses to ensure this opportunity is taken advantage of and achieved. Many employers that offered financial assistance in the past have increased their yearly maximum allowance in tuition for nurses to ensure this educational achievement can be met...
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... March 11, 2014 Renee Martin-Thornton Ethical and Legal Issues Ethics is an integral part to nursing practice. The American Code of Ethics for Nurses (ANA) with interpretive statements acts as a guide for professional conduct by outlining the ethical values of the profession. The Code provides the profession with a statement of responsibility to the public and serves as a basis for individual nursing decisions in clinical situations when ethical dilemmas arise. The code integrates universal, ethical principles which serve as the foundation for ethical actions. Nurses face ethical dilemmas on a daily basis. Our primary goal as nurses is the commitment to protect our patients. Provision 2 of the American Nursing Code of Ethics, describes the nurse’s primary commitment is to the patient. (ANA, 2010). Another important goal is to maintain safety, dignity and accountability. Respect the patient’s confidentiality and autonomy. The Nurse acts as the person who helps and advocates for the patient and their families about health care and end of life decisions. According to the American Nurse Association Code of Ethics, Provision 1:1 states that, “a fundamental principle that underlines all nursing practice is respect for the inherent worth, dignity, and human rights of every individual” (ANA, 2010). In the case study of Marianne a comatose patient, she has no advance directives, leaving her husband and children to make the decisions with different opinions...
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...Your work environment plays a large role in the ability to provide quality care. The atmosphere of a facility is critically important. It impacts everything from the safety of patients and their caregivers to job satisfaction. Studies consistently show how work environment issues, such as nurse staffing, are linked with patient outcomes, length of stay, and chance of death. ANA supports a healthy work environment for all nurses and patients. ANA Official Positions about Workplace Safety Just Culture – ANA supports the Just Culture concept and its use in health care to improve patient safety. Healthy Nursing Work Hours – Nurse employers should provide a work schedule that allows adequate rest and sufficient compensation. Working When Fatigued – Each registered nurse has an ethical responsibility to carefully consider her/his level of fatigue. Work Release During a Disaster – Nurses should be released as part of organized medical rescue teams during disasters. Sexual Harassment – ANA believes that nurses and students of nursing have a right and responsibility for a workplace free of sexual harassment. ANA Principles Related to Workplace Safety ANA Principles of Nurse Staffing – identifies the major elements to consider when evaluating the safety and appropriateness of nurse staffing. ANA Principles for Pay for Quality – many policy makers are exploring and promoting pay-for-performance or value-based purchasing programs. Here are ten principles to guide you in any...
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...Professional Development –Impact of IOM Report on Nursing Scholastica Ezeh Grand Canyon University Professional Dynamics NRS 430v Cynthia Yascavage August 29, 2012 Abstract Nursing profession has been growing at a very fast rate with estimated membership of over 3 million. They will play a vital role in helping to realize the 2010 Affordable Care Act (ACA) legislation (IOM Report, 2010). For nurses to play their part in the transformation of the healthcare industry there were certain recommendations made by the committee appointed by The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) in 2008. These changes have to occur in nursing education, nursing leadership role and nursing practice. Impact on Nursing Education The nursing profession has different entry level educational tracks to becoming a registered nurse (RN). The associate degree in nursing (ADN), the diploma in nursing, the bachelor’s of science in nursing (BSN), and the accelerated, second- degree bachelor’s program for those with baccalaureate degrees in another field. With the increase in the number and diversity of the aging population in United States, increase in the complexity of patient needs and care environment, there is the need to change the educational system for nurses to ensure that it covers acute care and extend to community care with prevention in mind. To address the committee’s recommendations nurses can advance their level of education through a variety...
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...Marc Forster, director of ‘Stranger than Fiction’ and Marion Halligan, the author of ‘Café Society’ both uses connections between setting and character to convey ideas. They do this by relating the setting to the character therefore moving the plot forward, using the setting to develop ideas about the characters and forming relations through characters via the settings and their living environment. The movie ‘Stranger than Fiction’, and the short story ‘Café Society’, both use the setting to give more information about a character. In the novel ‘Café Society’, the story is set in mostly a café. Café’s are normally quite quirky, artistic places where people go to relax or form ideas and just take a minute for them selves. The main character in the novel is Frances she is a creative, imaginative person herself and because she is a writer and can picture herself in different situations throughout her lifetime. In the novel she constantly changes the story from reality and illusion, and the reader as to get their head around which is which before continuing with the story. Marion Halligan, the author of ‘Café Society’, has written this novel so that the character’s personality and actions are similar to the setting and the place that the story is primarily based around connected with the character. The same sort of concept applies with the text, ‘Stranger than Fiction’. The main character, Harold Crick is a 40 something man, single and work is his first priority. He lives in...
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...Pro-ana movement stay alive and mostly unchecked. With eating disorders plaguing so many people this could be dangerous for any minors on the internet. Hundreds of people die every because of eating disorders and many people develop body issues at very young age. A movement online was started called Pro-ana and in some cases Pro-Mia, referring to eating...
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... Implementation of a Safe Handling Program and Mobility Proposal The purpose of this paper is to propose a Safe Patient Handling Program and Mobility (SHPM) at Doctor’s Hospital. The need for this program will be proven through evidenced based research. According to the American Nurses Association and their position statement, “Elimination of Manuel Patient Handling to Prevent Work Related Musculoskeletal Disorders” the risk of musculoskeletal injury because of manual lifting techniques affects nurses working in any specialty area (ANA 2003). The ANA conducted it's own Health and Safety Survey of nurses in 2011, in which 62% of the more than 4.600 respondents indicated that suffering a disabling musculoskeletal injury was one of their top three safety concerns. The survey also showed that 8 of 10 nurses worked despite experiencing frequent musculoskeletal pain and that 13% were injured three or more times on the job within a year (ANA 2011). This proposal of implementing a Safe Patient and Handling Mobility program will explore the organizational and individual barriers to implementation and identify factors that might influence implementation. Factors influencing organizational readiness will be addressed for this proposed change as well as internal and external resources available to support this initiative. A theoretical model will be discussed, and how it relates to the proposal of a SPHM at Doctor’s Hospital. Patient-handling tasks historically have been recognized...
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...EITHICAL DELIMAS IN NURSING Green Group Shannon Blake, Sherri Dunn, Susan Brown, Tammie Hicks, Miriam Cook Grand Canyon University Nrs-437 November 7, 2015 Nurses have been playing very important roles in the caring of patients throughout the continuum of life and at the end of life for years. It is the position of the ANA that participation of nurses in euthanasia is prohibited as those acts are in contradiction of the code of ethics for nurses. Nurses have a duty to provide humane, comprehensive and compassionate care in respect to the rights of patients, but maintain the standard of the profession in the presence of chronic, debilitating illness and at the end of life. Voluntary euthanasia is the act of taking a life painlessly especially to relief suffering from an incurable illness, with the consent of a dying patient. Denying people such wishes can lead to unnecessary suffering. There are two types of euthanasia; involuntary, where patients refuse to consent and non-voluntary, patients unable to consent. Euthanasia can have great impact on the society. It affects everyone one way or another. Although a person has autonomy to make decisions about his end of life care doesn’t take away from the fact that their family and friends will be affected with guilt, anger and bitterness. Voluntary euthanasia can hamper efforts to advance medical research in finding cures for diseases (Saunders, 2011). As the nurse taking care of a terminally ill patient...
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...What primary relationships do you see between legal and ethical issues faced by nurses in their practice? How would you explain these relationships to others? What would you say are at least two ethical dilemmas that are often faced by nurses in their daily practice? Explain how accountability and responsibility play a role when nurses face with these dilemmas. One of the most well known ethical dilemmas that nurses can face in their career is their patient's belief system. One example is the familiar dilemma of when a patient has a strong religious belief that interferes with sound evidence base medical practice. For example Jehovah Witnesses forbid blood transfusions under any circumstance. Even when it's the difference between life and death, the answer will always be no blood transfusion. Most knowledgeable and experience nurses will attempt to explain the necessity and benefits of the blood transfusions, but it's also understood that it's the nurse's job to support patient's rights. Nurses often face unique challenges because of the amount of time they actually spend with patients and their family. Nurses are typically the ones who actually witnesses the patient's or family's struggle to make crucial decisions. Most often nurses are engaged with the patient and their family more than any other healthcare provider. One key fact to recognize is nurses bring with them their personal values, which at times can be in direct conflict with what their patient wants...
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...expected to perform competently (ANA, 2010, p. 2). The 2004 Scope and Standards were revised in 2010 secondary to the change in dynamics of the nursing profession. The current 2010 Scope and Standards (1-16) are thoroughly stated, leaving those reading minimal occasion for misinterpretation, in comparison to the 2004 Scope and Standards (1-15). For example, the 2010 Standard 1. Assessment, specifically states the competencies in collecting data, recognizing the impact of personal attitudes values and beliefs, and the fact that the health care consumer’s care preferences is to be honored because they have the authority over their health. The 2004 Scope and Standard 1. Assessment, gives very general authoritative statements. It never highlights the attitudes, values and beliefs of the nurse and the impact it has on the health care consumer or the fact that the health care consumer has the authority over their health and the nurse has to honor their preferences (ANA, 2010, pp. 32-33, 119). The 2010 Standard 7. Ethics competencies states that that the registered nurse will practice ethically, clearly stating that the nurse will “take appropriate action regarding instances of illegal, unethical, or inappropriate behavior that can endanger or jeopardize the best interests of the healthcare consumer or situation” (ANA, 2010, p.47). The 2004 Standard 12. Ethics addresses this same subject, stating to report illegal, incompetent, or impaired practices (ANA, 2010,...
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...Ethical and Legal Issues in Nursing NUR/391 Ethical and Legal Issues in Nursing As nurses, it is our duty to advocate for our patients. At times, we are faced with personal and professional challenges that impact how and when we chose to advocate. It is imperative we have a healthy awareness of these potential challenges. Improvements in health care technology have provided patients with an array of treatment options as well as assumed or possible increased chance of survival. As a result, nurses are met with a rise in ethical decision making. This paper will discuss the legal, ethical, social, and personal factors that can impact our decision making process, with the focus on two specific case studies. American Nurses Association Code of Nursing Ethics Role in Practice The American Nursing Association (ANA) has created a set of ethical standards for the profession of nursing to abide by, which is entitled the ANA Nursing Code of Ethics. The ANA Code of Ethics states that collaboration is central to the care nurses deliver and to their ethical commitment to the patient (Garity, 2005). In the end-of-life case study, the nurse (she) has an unwritten obligation to the patient; the family appears to be in conflict with how to proceed with the patient's medical treatment. The medical team has an obligation to give the family all of their options and possible outcomes. If the family remains in conflict, it would then be appropriate for her to refer the family to...
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...Boom! The airplane slammed into the World Trade Center. Screams and pleads for help filled the busy city. Fire and smoke covered the iconic “twin tower” full of innocent people. Firefighters sprinted into the burning building, despite the dangers. Smoke-covered people were evacuated from the building by the first responders. Many of them died, but they saved a remarkable about lives. Heroes come in many ways, but all have one thing in common. They are ordinary people that act extraordinarily. Heroes significantly impact other’s lives. Oftenly, they don’t brag about their heroic acts. For example, “Steve St. Bernard insists he is not a hero, but it is a label he might be stuck with for a while” (NewsCurrents). Steve saved a young, special...
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...Susan Best, author of The Serial Spaces of Ana Mendieta, bases her thesis around a desire to reevaluate Mendieta’s work; she does this in an effort to defend Mendieta’s artworks against being labeled and perceived by both, feminist theorists and art critics as belonging to essentialism. In other words, there have been many critics who in trying to understand the intent of Mendieta’s work, have concluded that though perhaps unintended, Mendieta’s work ultimately emphasizes damaging perceptions about women and their relationship to nature- suggesting that Mendieta’s approach to her work was unawaringly pushed by colonialist and patriarchal beliefs . The author expresses in both, direct and indirect ways, that Mendieta’s work should not be seen...
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...Jones, 301-628-5198 jemarion.jones@ana.org American Nurses Foundation Receives Inspirational Gift of $100,000 To Endow Leadership Fund SILVER SPRING, MD – The American Nurses Foundation (ANF) today announced that long-time ANA member Major General Irene Trowell-Harris, USAF, Ret, EdD, RN, has made a $100,000 gift to support the development of nurse leaders. The Irene Trowell-Harris Endowed Leadership Fund will support initiatives that give nurses a greater voice in influencing health care delivery and policy. In 2014, the fund will provide matching grants to state nurses associations to send nurses to the American Nurses Association’s (ANA) Advocacy Institute. The institute, created in 2009, is designed to help nurses become effective political leaders in their communities and expand state grassroots capacity. The Institute features a two-day program in Washington, D.C., and a year-long mentoring program. “Maj. Gen. Trowell-Harris’s life is a lesson in leadership and generosity. She has used her passion for education, nursing, and helping others throughout her remarkable career to advance the nation’s health and well-being. Her investment in the work of the Foundation and ANA will enable us to ensure that nurses’ expertise and insight have the greatest impact on health care,” said ANF Executive Director Kate Judge. “Investing in nurse leadership as a legacy is important to me for inspiring and educating future generations of nurse leaders to excel in the civilian, military and...
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...Quiz 2 Ana Lia Barragán Echenique The effects of an undervalued currency Undervaluation vs. Depreciation Undervaluation and depreciation are often confused; however, they have two very different meanings. Depreciation is defined as the increase or decrease of a currency’s price, in terms of another currency. This happens in the free market due to forces of supply and demand. (Baumol and Blinder). To exemplify this phenomenon, let’s pretend that the supply of US-dollars increases or demand for this currency decreases. The result would be the depreciation of the US-dollar in terms of other currencies like the Euro or the Renminbi. In contrast, the low value of a currency because of undervaluation does not happen because of market forces. This is due to the active manipulation of a currency and is act of government intervention. As a consequence the currency has a value underneath its official exchange rate (Baumol and Blinder). The consequence of undervaluation: Inflation Even though it is important to distinguish between both terms, the effects caused by depreciation help understand the effects caused by undervaluation. Depreciation reduces the value of a currency in relation to another. In our example, a weaker US-dollar leads to cheaper exports. The aggregate demand for these products will increase, because consumers everywhere will buy more of the less expensive products. This is a direct application of the law of demand (Baumol and Blinder). American exports would experience...
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