...Quality Research Article Critique Factors Influencing Emergency Use of Nurse Practitioners: A Critique Problem and Purpose This is critique of a Qualitative Nursing article, the article is: Factors Influencing the Decision to Use Nurse Practitioners in the Emergency Department by Laurie A. McGee, MN, ARNP and Louise Kaplan, PhD, ARNP, published in Journal of Emergency Nursing, Volume 33, Number 5, October 2007. The problem that is stated in the article is there is a growing and serious problem facing the overcrowding of emergency rooms within the United States. There is a current epidemic of the population that relies on emergency room care as primary care. “The 2004 National Hospital Ambulatory Medical Care Survey (NHAMCS) reports an 18% increase in the number of visits to emergency departments from 1994 to 2004.” This causes long wait times and may cause emergency room doctors and nurses to be overworked allowing for a possibility for mistakes to handle the volume. “Overcrowding is defined as a situation in which demand for emergency services exceeds the ability of a department to provide quality care within acceptable time frames.” Overcrowding can delay care which is a patient safety issue and can lower patient satisfaction. “The Joint Commission on Accreditation of Healthcare Organizations' review of sentinel events has attributed patient deaths to delays in patient care. In hospital emergency departments, delay of treatment is the most common type of sentinel event.”...
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...Professional Development of Professional Nurses: The Future of Nursing Amy K. Fettig RN Grand Canyon University: NRS-430V Professional Dynamics April 28, 2013 Professional Development for Nursing Professionals: The Future of Nursing A report was published in 2010 by the Institute of medicine discussing the future of healthcare. “The United States has the opportunity to transform its health care system to provide seamless, affordable, quality care that is accessible to all, patient centered, and evidence based and leads to improved health outcomes” (Institute of Medicine, 2010). This report has a significant effect on nursing. The impact on nursing practice, nursing education, and nursing leadership will be discussed. The Impact on Nursing Practice “Nurses should practice to the full extent of their education and training (Institute of Medicine, 2010).” In order for all patients to receive primary care then advanced practice nurse’s such as Nurse Practitioners should be used to their full extent of their abilities. There are several ways in which new opportunities are being opened up to advanced practice nurses and several barriers to overcome in order for them to improve healthcare. New Opportunities Healthcare is changing towards primary care. It is vital that nurses have advanced education in order to provide primary care. Advanced practice nurses, for example, are being used by the Department of...
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...Dunham, Elizabeth Hawkins-Walsh, and Kristy Martyn article titled, “Capacity Of, And Demand For Pediatric Nurse Practitioner Educational Programs: A Missing Piece of the Workforce Puzzle” discussed “whether the marginal increase in the pipeline for PNP’s is related to a limit in the capacity of educational programs or whether unfilled students exist.” The author’s used experimentation and studies to determine whether there was an increase or decrease in Pediatric Nurse Practitioner (PNP) programs in higher education schools. They provide examples of how educational programs have not been getting the amount of people they think they would have. One of the reason they discuss in the article is that programs have been shut down in common areas. A wide variety of colleges only offer the Family Nurse Practitioner (FNP) program. The...
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...Family Nurse Practitioner Melissa Rodden South University NSG 5000 Role of Advanced Practice Nurse: Family Nurse Practitioner April 18, 2015 Abstract The issues of patient safety and the increasing scope of family nurse practitioners in medical practice have been dealt with in this paper. National Patient Safety Guidelines are an important tool to help standardize the patient safety procedures. The role of the family nurse practitioner in helping patients is unquestionable and they are the cornerstones of modern medical practice. Introduction Today’s family nurse comes with in depth knowledge of medicine and is board certified. The responsibilities that have to be fulfilled by such a practitioner embrace health as a way of living and they focus on both treatment and prevention. In recent times, with transitional care gaining widespread acceptance the family nurse practitioner is being granted more decision-making authority although in certain states they are still under a physician’s supervision. The National Patient Safety Goals (NPSGs) were put forward by the joint commission for the first time in 2002. The aim of introducing these goals was to deal with patient safety issues and specify certain prerequisites for accreditation (Fairman et al., 2011). Discussion The 2015 NPSG’s provide great scope for a family nurse practitioner to improve...
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...their concerns about their hospital care. As a result of this survey, a focused piece of research was commissioned to assess the levels of service being delivered to hospital patients with learning disabilities.Hahn conducted a study with advanced practice nurses and the interventions they use for older adults for preventive intervention model for adults aging with developmental disabilities. Healthcare organizations are expected to meet the needs of this diverse population and sensitive to patients with healthbased challenges and disabilities (Hahn 2014) . In the study conducted by Dinsmore and Higgins, the group for the study was recruited from a charity organization for people with disabilities. They wanted to help the conductors of the study with the project. The participants interviewed had to have a disability and had to have some type of experience being in a hospital setting.Thirteen interviews with this group were conducted and members of these people’s families were also interviewed and they provided a different vantage point for the disabled family member’s hospital stay. The finalised interview structure consisted of a discussion of nine topics a full report of the investigation, including a thorough discussion. A full report CARING FOR THE DISABLED PATIENT 3 of the investigation, including the...
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...Master's-Prepared Nurse Interview Jennifer P Johnson Grand Canyon University Theoretical Foundations for Nursing Roles and Practice NUR-502 Dr. Jayme Ambrose December 4, 2014 Master's-Prepared Nurse Interview A nurse prepared with a master’s education is well equipped with the knowledge to take on many roles and function in a wide variety of areas, such as hospitals, community based agencies, research, educational institutions, corporate business, executive settings, governmental and international health organizations. Mastered prepared level nursing professionals should seek roles in the work force that require advanced practice skills in order to function as, providers and organizers of the health care delivery process (The Essentials of Master’s Education For Advanced Practice Nursing,1996). A nurse with a Master’s prepared level of education, will be equip to serve important functions as expert clinicians (The essentials of Master’s Education For Advanced Practice Nursing, 1996). I selected this particular nurse for the interview, because she embodies one of the Institute of Medicine’s recommendations, which is to engage in life-long learning (IOM, Recommendation 6.October 5, 2010). She is constantly, exploring new areas of learning. This nurse has a Master of Science degree (MSN) as a Family Nurse Practitioner and another Master of Science degree (MSN) with an emphasis in Education. Overview of Career She received...
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...the study were to determine the attitudes of non-professionals in affectionate touch provided by nurses, especially male nurses. The literature review was to research how the patient was touched by nurses and its effect. Several terms were used such as protective, expressive, and instrumental touch. “Protective touch, as when a nurse moves a patient’s hand away from the ventilator tubing, prevents a potentially dangerous, even and isn’t often discussed in the literature” (Krautscheid & O’Lynn, 2011). “Expressive touch is usually applied to the arms, hands, shoulders, and knees, some patients report that they find this kind of touch physically comforting” (Krautscheid & O’Lynn, 2011). And, “Instrumental or necessary...
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... although it is recognised that the fundamental theories explored may be applied to any setting where the teaching, training and mentoring of adults occur. The essay will explore the writer’s understanding regarding the role of a mentor within the workplace and the theoretical ties surrounding mentorship and how these are linked into the writer’s role of a mentor. Any names or areas of work mentioned in the essay have been changed in order to maintain confidentiality, clause five of the Nursing and Midwifery Council (NMC) Code of Professional Conduct: Standards for Conduct, Performance and Ethics (NMC 2004). The term ‘mentor’ is defined by the English National Board (ENB) and the Department of Health (DOH) to “denote the role of the nurse, midwife or health visitor who facilitates learning and supervises and assesses students in their practice setting” (ENB & DOH 2001a P6). Nicklin and Kenworthy (2000) define a mentor as someone who by example and facilitation guides, assists, and supports the student in learning new skills, adopting new behaviour and acquiring new skills. Quinn (2000 P.427) furthers this definition by pointing out the fact that a mentor is someone who “enters into a formal arrangement to provide education and personal support to a student throughout the period of the placement.” This denotes the level of responsibility and commitment required by the mentor, as an agreement is established. Within that agreement a contract of...
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...difference between nurses prepared at the baccalaureate degree level and nurses prepared at the associate degree level. Abigail Fosu Grand Canyon University: NRS 430V 11/08/2015 The associate degree and the baccalaureate degree nurses are both RNs who have taken and passed the NCLEX proficiency test and are licensed to practice nursing. They both have in most cases the same job titles and duties. However the difference between these two nurses are the educational levels attained. The BSN nurses has educational background that prepares them to be ready for the demands of the job. As they take more core classes which shape and build their skills as nurses. Education and training. The commitment require to become a baccalaureate degree nurse is more than that of an associate degree nurse, BSN nurses are in school for four years where as an associate degree program takes two years. They take more humanitarian and social science classes, as well as classes expanding deep into theory, evidence based practice, nursing research and patient care. The baccalaureate students also are able to build and learn leadership and managerial skills through team projects that they are required to participate in during their study. They are able to develop strong critical thinking skills and problem solving skills within the four year period. Unfortunately ADN programs focus directly on the basic nursing skills, how to perform, duties, techniques and procedures as nurses. . Job opportunities...
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...plan of care that identifies or recognizes particular needs of an individual and how the needs will be addressed and conducted by the health practitioners or health care systems. Health Assessment is the gathering of information by physical assessment or extensive medical questionnaire. The health evaluation is done diagnose diseases early in characters that seem to be in good health condition. The purpose of the health assessment is to establish a plan of care for the patient and family. The health assessment takes into consideration eleven health patters. The interview was conducted using these eleven health care patterns with three open ended family focused questions per health pattern. A family health assessment is a critical approximation tool used in the healthcare system for the formulation of the family health plan. The research by the health practitioners as in the paper gives detailed information on the role of nurses in the family assessment and how the task can be done. Based on Gordon's principle of functional health pattern, the paper provides a summary of the findings of the health patterns of the involvement of the family with the inclusion of nursing diagnosis of each assessment offered to them. The use of this technique creates a standard systematic approach to collect information and data analysis considering the nurses determine to consider the aspects of health management, sexuality, sleep/rest, values/beliefs, roles/relationship and patterns of elimination...
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...FNP Role Development Katy Lehigh Concordia University Wisconsin FNP Role Development For five decades nurse practitioners have been providing safe, effective, quality primary care services to all ages and populations. As a testament to their commitment and excellence nurse practitioners are being chosen as provider of choice by millions of Americans. Becoming a skilled provider is a dynamic process that occurs over time. Effective role development is essential in becoming a dynamic, compassionate, and knowledgeable clinician. Political Perspective Not all threats to our nation derive from foreign enemies. Our nation suffers within our own borders due to chronic illnesses, rising medical costs, wasted resources, poor coordination of care, and a lack of nationalized healthcare. “America’s health care system is in crisis: It is a ‘sick care’ system, not a health care system” (Blumenthal, 2012). The current healthcare system is fragmented, mismanaged, and poorly financed. Americans receive healthcare insurance through various means, such as government run programs, like Medicare and Medicaid, privately through their employer, private pay, or the purchase through an open market. Regardless of the many healthcare options the United States has to offer, 14.7% of the population remains uninsured (Shi & Singh, 2015, p. 199). “The existence of multiple payers makes the system cumbersome” and poses a billing and collection nightmare for healthcare providers (Shi &...
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...Mentoring has been established in a variety of fields for many years. Within nursing, the term ‘mentor’ denotes “A nurse, midwife or specialist community public health nurse who facilitates learning and supervises and assesses students in a practice setting”, (Nursing and Midwifery Council (NMC) 2005). The essay will explore the role of the mentor in the field of nursing, with personal reflection on the authors experience as a mentor in my current role as a community mental health nurse (CMHN). The mentor-mentee learning relationship will be explored and the application of teaching and learning strategies will be examined. The essay will also discuss the responsibility of the mentor in relation to self, others and the professional agenda and will analyse current assessment procedures for nursing students. Following a student journey, the essay will consider how the mentorship process can be improved in the clinical practice environment. In recent years, the National Health Service has undergone huge modernisation and consequently, the preparation of nurses for the future has changed to reflect its new principles. The change in organisational and educational philosophies in teaching nursing has lead to a search for effective strategies that are directed towards making the most of human potential and learning in practice. The clinical experience of nursing students is widely acknowledged as being one of the most important aspects of their educational preparations...
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...Although there are many definitions of EBP, Muir Gray (1997) defines it as “an approach to decision making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits the patient best." The purpose of this assignment is to enable the development of skills in critical analysis by critiquing a research article, which will contribute to further development of knowledge and skills in using EBP in clinical settings. A framework developed by Hek and Moule (2006) (see pages 3- ) has been used to guide the critique of a research article. A framework was used as Caldwell et al (2010 pg e1) argue that “ frameworks assist the novice healthcare practitioner with learning about approaches to research by giving consideration to aspects of the similarities and differences between the qualitative and quantitative research paradigms.” This framework was chosen as it is comprehensive and covers points/questions raised during the critiquing process, although it is important to remember that it is not a definitive checklist and other questions may be asked during the critiquing process. The method, results and discussion sections of a qualitative research article by Weston, J.M., Norris, E.V., Clark, E.M. (2011). ‘The Invisible Disease: Making Sense of an Osteoporosis Diagnosis in Older Age’, Qualitative Health Research, 21(12), pp. 1692-1704, will be critically analysed...
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...Becoming a qualified nurse Rob Burton and Graham Ormrod The aims of this chapter are: P To explore the expectations of a newly qualified nurse P To highlight the experiences of newly qualified nurses P To discuss the roles of the nurse in different fields of nursing P To provide an overview of the structure and rationale of the book Introduction: how this book can help you to become a qualified nurse Becoming a qualified nurse is quite an achievement. After three or four years of education involving academic and practice experiences, entering the nursing register of whichever field of nursing you qualify in is something to be proud of. The hard work pays off and you are able to become a professional in your own right. This does bring with it some challenges as well as rewards. You may now find that there are different expectations of you, and a set of roles and responsibilities that are different from those experienced as a student under supervision. The aim of this book is to explore and develop important aspects of the roles and responsibilities of the qualified nurse in order to develop your understanding and prepare you to successfully make the transition from student nurse to registered professional. It can also be used as a resource for those who may already be qualified and registered, but are looking for helpful advice and are wishing to continue their professional development. The roles and responsibilities of a qualified nurse include essential professional...
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...Healthcare delivery in India - effects of Public policy, IT and Insurance Bhavik Kaul 1 Gaurav Dalvi 2 Great Lakes Institute of Management, Chennai October 2012 Abstract The global healthcare industry has greatly transformed itself into a professional service system, wherein each stakeholder has to justify its performance. In the increasingly globalized market, private healthcare providers have started dominating the supply side. Healthcare sector in India needs to be reoriented globally towards excellent service promotions and healthcare be made available at lower cost. With this view we plan to study the impact of various factors on the quality of healthcare delivery in India over the next decade. This research will attempt to verify the impact of the mentioned crucial factors on the Healthcare delivery in India through an empirical research and provide some assessment of the deficit in access to health services through structured integrated way called the Gaps Model of Service Quality which will take into account significant gaps identified & suggest methods to close the gaps. These suggestions will be used to make recommendations towards a 10 year incremental National Health Plan. 1. Theory & Hypothesis The 3 areas that we intend to include into our study of the healthcare landscape are – 1) Public Policy 2) Insurance 3) Healthcare Information Technology Systems (HIT) a. Hypothesis 1: Favorable National Health policies will have a positive impact...
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