...Chamberlain College of Nursing Nursing 501 Theoretical Basis for Advanced Nursing Practice Spring 2014 Nursing theory is important because it is the foundation and structure for the profession of nursing. There are many different types of theories and they all serve a specific purpose. Theories are important and valuable because they allow the nurse to understand and comprehend their role as a nursing professional. Theories also play a part in helping the nurse deal with patients and other disciplines in nursing and most important the role of a nurse in this profession. Theories explain and help to grasp the understanding of the distinctive relationship between the nurse and other individuals such as the patient and other health care professionals. Nursing is definitely an art and the various nursing theories assist with the practice of nursing. Hildegard Peplau had an excellent insight into how humans interact. She was able to observe and identify how dynamic and unique the nurse patient relationship is. Peplau knew that nursing was more than a task oriented profession. She was able to describe and define how practicing nursing is an art of healing. She acknowledged the human aspect of nursing rather than the concentration of the clinical components such as lab results or diagnoses. Peplau’s theory defines and explains the different phases of the interpersonal process. She goes into detail with the roles of the nurse and the four...
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...Virginia A. Henderson’s Nursing Theory Critique Gaylinn Breeze Maryville University Abstract This paper aims to provide an in depth critique of Henderson’s Nursing Theory using Fawcett’s framework for analysis and evaluation of nursing models. This paper will provide an analysis of the theory based on its scope, context and content. Secondly, the paper will provide an evaluation to unearth its significance, internal consistency, testability, as well as provide empirical and pragmatic adequacy. Lastly, the paper will give a detail of its assumptions and limitations. Virginia A. Henderson’s Nursing Theory Critique Virginia A. Henderson was considered a mother of nursing in the advent of modern day nursing. Her contribution to the nursing system was widely considered as a tool for transforming the nursing practices in health facilities. She gave elaborate guidelines and drew attention of nurses towards what an effective nursing practice would require of them. In her own setup, she carried out research and formulated a theory. Her theory of nursing focused on providing patients with factors that would enhance independence for the patients. In her efforts to transform the patient’s care approach, she acknowledged that basic needs were of primary concern in enabling a functional nursing approach. Her relationship between nursing care and basic needs propagated the ‘Needs Theory’. Scope...
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...health care setting. In the nursing profession, nurses are prepared at different levels. A baccalaureate nurse is a nurse who has completed a four years formal training in a university or senior college and has completed a 120 hours college and has acquired broader understanding in physical and social sciences, nursing research, public and community health, political, economic and social issues. While an associate degree nurse is a nurse who has completed a two years program in a community college and has completed a 60 hours college credit and only acquired understanding of fundamentals of nursing and sometimes lacks some basic knowledge to handle critical issues as they arise in patient care. Although both Educational levels took the same licensure exam after completing their program and have registered nurse license to practice as a registered nurse, there are still some enormous difference between the quality of their work in terms of positive patient outcome, lower mortality rates, quality patient care, clinical competency, administrative/leadership role, critical thinking and decision making. These roles are also incorporated in the GCU college of nursing philosophy where it states” the baccalaureate nursing practice incorporates the role of assessing , critical thinking and communicating , providing care , and teaching and leading,” Studies have linked a positive patient outcome to the educational level of the nurse taking care of the patient, Study conducted by Dr Linda...
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...Governors University Nursing Program Interview Form This interview is to be conducted in person or over the phone. Persons being interviewed are not expected to respond in writing. Candidate name: Daniel S Kramer Candidate ID number: Student ID: 000257902 Name and title of the interviewee: Kimberly J Stults RN, MSN Describe the specialty area of the interviewee: Director of Education and Health Information Technology The interviewee belongs to the following category: Educator Educator Administrator Clinical Specialist Staff Nurse Nurse Researcher Date of interview: September 13, 2012 In person: X Via phone: 1. How would you describe your role in your current position and your educational preparation for this role? I am responsible for the initial creation, continuous education, and competency for whole house. I have my MSN in Nursing Education. This has prepared me and shown me the need for education services and the need to maintain competency for the staff. Provides the necessary tools to deliver current and competent care to our patients. My education has shown not only the need for education, but has provided insight into how to provide the educational programs/training to the staff. 2. How would you explain the unique contributions you as a nurse bring to an interdisciplinary team? Nurses are educated to look at the patient as a whole. I believe this...
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...Professional Development of Nursing Professionals SILVIA C. MIHAILA Grand Canyon University: NRS-430V December 4, 2015 Professional Development of Nursing Professionals The nursing profession will face significant changes in the near future. There is an urge to reconsider changes in the healthcare system to better outcome for patients and nursing professionals. Over the years patients needs become more complex with a great desire for more skilled, trained, and highly educated nurses to provide higher quality of care. The report of Institute of Medicine (IOM) together with Robert Wood Johnson Foundation (RWJF) that started in 2008 and finish in 2010 elaborates on the impact and benefits patients and particularly patient care would have if these changes would occur. To achieve the suggested recommendations by IOM and RWJF, and to meet the future changes in healthcare, nurses must transform their education, nursing practice, and leadership roles. The Impact of IOM report on nursing education As a result of our aging population and more critical patient conditions, care shifted from acute to more chronic condition. Nurses are required to be reeducated to an expanding role, understanding care management system and quality improvement methods to deliver a high standard of care for the patients. “There is a strong trend for higher educational attainment with the coming generation of older adults…a factor associated with improved health and lower disability” (ANA, 2013). In...
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...The Role of Nursing Advocacy Across all Healthcare Settings Nursing is an autonomous profession where lives are saved every day. Nursing advocacy can affect patient outcomes. As the nursing profession evolves and responsibilities increase, it is necessary to better understand the concept of nursing advocacy. The role of advocacy is not new for the nursing profession, but the nature of advocacy in the nursing practice remains ambiguous. Nurses are obligated to act as an advocate for their patients, but there is lack of clarity on how to perform this role. The purpose of this paper is to better understand nursing advocacy and to explore ways it is practiced across all fields of nursing in order to promote improved patient care. Advocacy is an essential role for the nursing profession; however, it can be affected by many factors. The goal of advocacy is to balance the relationship between the healthcare system and the patients who are served by evaluating patient/family needs, providing information and education, ensuring access to proper care and supporting the patient and family’s decision within the structure of a multidisciplinary team. This paper will explore the following research question: What are the variables that affect the role of nursing advocacy and in what ways is it practiced across all fields of nursing? Review of Literature Introduction The general topic of the review of literature is nursing advocacy. We are examining and exploring a clearer definition...
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...Michelle Gilliland Northern Kentucky University Nursing Theory NRP 434 Cindy Foster February 07, 2013 Erickson, Tomlin, and Swain The Modeling and Role Modeling Theory of nursing was created by Helen C. Erickson, along with Evelyn M. Tomlin and Mary Ann P. Swain. It was first published in their book, Modeling and Role Modeling: A Theory and Paradigm for Nursing, which was published in 1983. (Nursing Theory, 2011). Helen Lorraine (Cook) Erickson was born in 1936. On her marriage to Lance Erickson in 1957, the psychiatrist Milton Erickson became her father-in-law; he was a major influence on her nursing career and pivotal to the development of her ideas, especially the concept of MRM. In addition to her father-in-law’s instrumentality, Erickson drew on the ideas and works of a number of esteemed psychologists, namely: Piaget, Maslow, Selye and Lazarus (Valle, 2011). Educational Background * 1957 - Graduated Saginaw General Hospital * 1974 - BSN; University of Michigan * 1976 - MSN Psychiatric Nursing; University of Michigan * 1984 - Doctorate in Educational Psychology; University of Michigan Clinical Background * ER and Medical - Surgical Nursing * Director of Health Services; San German, Puerto Rico * Independent Psychiatric Nurse Consultant In the intervening years she has published numerous articles and research papers but is best known for the influential book, Modeling and Role Modeling: A Theory and Paradigm, which was co-written...
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...Transforming the Nursing Profession The transformation of the nursing profession is dependent upon formal education, evidence based nursing practice, and providing strong leadership roles at all levels of the health care system. The nursing education encourages lifelong learning that includes seamless academic progression (Robert Wood Foundation, 2010). The nursing practice incorporates both standards of practice and professional accountability. Strong leadership focuses on safety and quality of care to realize the vision of transformed health care. (Robert Wood Foundation, 2010). All of these are equally important to produce a highly qualified nursing workforce that provides value based quality care and takes the leadership role in transforming the nursing profession. Transforming Education – The Impact of the IOM Report on Nursing Education: The current nursing workforce involves different levels of education and training like licensed vocational nurse (LVN), associate degree, diploma, and bachelor’s degree. This leads to confusion and inconsistency in care. “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (Robert Wood Foundation, 2010). The purpose of the nursing education is to meet diverse cultural patient’s needs, take the leadership role in the health care system, and use evidence based knowledge to provide cost effective quality care. The nursing profession is dynamic in...
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...Health Promotion is the provision of information and/or education to individuals, families, and communities that-encourage family unity, community commitment, and traditional spirituality that make positive contributions to their health status. Health Promotion is also the promotion of healthy ideas and concepts to motivate individuals to adopt healthy behaviors. According to the World Health Organization, Health promotion is the process of enabling people to increase control over, and to improve their health. Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals, but also action directed towards changing social, environmental and economic conditions so as to alleviate their impact on public and individual health. Health promotion is the process of enabling people to increase control over the determinants of health and thereby improve their health. Participation is essential to sustain health promotion action. The Ottawa Charter identifies three basic strategies for health promotion. These are advocacy for health to create the essential conditions for health indicated above; enabling all people to achieve their full health potential; and mediating between the different interests in society in the pursuit of health. These strategies are supported by five priority action areas as outlined in the Ottawa Charter for health promotion: * Build healthy public...
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...SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES 1 SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES Delegation Orchid Quiton Chefalo Western Governors University Nursing Program 11/11/2011 Revised 11/30/2011 12/10/2011 SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES 2 Delegation It takes a team approach to manage patient-care. As a FNP, and a provider for this patient, she could collaborate with other experts and delegate care of the patient. The nursing supervisor for the clinic can aid the FNP to identify her role in the best utilization of the diverse workforce by facilitating the coordination of care by employing the experts and give an introduction of what services each specialty can offer to meet the needs of the patient. Examples of the roles of the diverse workforce are as follows: The LVN educator can give one to one instructions and education in pre-partum, intra- partum and post-partum care; The social worker can interview the patient’s life condition like the family dynamics and make appropriate recommendations for the patient to be successful at home; The community health RN, BSN can use her knowledge on what specific resources the patients needs within the facility and/or outside the community; The obstetrician can be consulted, and may...
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...Literature Review One nursing issue that I am passionate about is the shortage of nurses. This has been a long standing problem, even in the days of Ms. Florence Nightingale, when she and her nurses "used limited resources to address unlimited wants for healthcare (Cherry & Jacob, 2014)". They did the best they could and were able to improve the soldiers' condition dramatically. Agreeably, the situation is far better today. This topic is of great importance because, a shortage of nurses means that the ratio of patient to nurse increases and this can result in nurses being overwhelmed. It also affects the every aspect of patients’ care and it increases the risk of negative patients’ outcomes. It makes nurses apprehensive when they are going to work and that is not a good way to feel on a regular basis. Some of the reasons listed as causes of shortage of nurses include lack of good role models and early professional socialization, unrealistic workload, an aging workforce, negative work environment, retention problem, and insufficient nursing faculty staff. I chose the first article "Becoming a nurse: a meta-study of early professional socialization and career choice in nursing," because it attempts to deal with the issue of nursing shortage by investigating what motivates young people to choose nursing as a career and early professional socialization (Price, 2009). It highlighted the need to have good mentors, peers and role models, especially as new nurses are transitioning...
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...The American Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe, cost-effective patient care. CNS practice has been directly...
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...Professional Nursing Reflection M. Ott University of Wyoming Introduction to Higher Education in Nursing NURS 3010 April 14, 2013 Professional Nursing Reflection Nursing is a practice that has been described as a science an art. It has many definitions and many philosophies that guide its practice. Nursing lacks a singular, definitive theory or philosophy. Individual develop their own philosophies and theories based on their values, beliefs and professional identities. As registered nurses that are seeking to advance our education and become professional nurses, defined as a registered nurse with a Bachelor’s of Science Degree in Nursing (BSN), we need to be able to describe our current professional identities. We need to use the critical thinking skills that are so essential to the practice of nursing to analyze how we apply current theories and philosophies to our own nursing practice. How do our personal theories and philosophies compare to the current thoughts out there today and how can we develop a plan to continue to grow professionally as nurse leaders? We are simply applying certain steps in the nursing process to our way of thinking about our practice and future growth – assess, plan, and implement. I. Professional Identity – Knowledge, Theory and Philosophy I am currently a direct care provider in an emergency department at a Level I trauma center academic hospital. As an emergency room registered nurse (ER RN) I know that I am in...
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...Educational Preparation Looking back at the history of nursing starting in the 1950’s entry-level baccalaureate-degree nursing (BSN) programs was offered in colleges. These programs were a crucial part of the development of the advanced nursing educational program. After the war there was a shortage of nurses and the associate-degree level of nursing (ADN) programs were developed to help with this shortage in a quicker time frame. Both of these nursing programs were important at that time in history and still have their roles in society today (Creasia & Friberg, 2011). There are differences in the educational competencies for ADN nurses compared to those educated at the BSN level. One such difference is the leadership and management positions held in nursing thought by many to be primarily the role of the nurse with a BSN not an ADN degree. There has been quite a lot of debate on this topic over the years and there continues to be a need for clarification of the different roles of the ADN versus the BSN nurse (Schank & Stollenwerk, 1988). Chamings and Teevon (1979) found while asking nurse educators that differences in the competencies of nurses remained undetermined, while there were defined differences in expectations. It is understandable that an ADN or BSN graduate needs to be able to go into the workforce knowing their skills and being able to apply that knowledge to meet the requirements of their nursing role. Ashkenas (1973) did a study on new ADN graduates...
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...PROFESSIONAL ROLES AND VALUES Professional Roles and Values Western Governors University 0 PROFESSIONAL ROLES AND VALUES 1 As a nurse my mission is to be transparent, compassionate and discerning to the individual patient, family and their need. I vow to confront issues, be innovative, inspiring, motivating and an educator with integrity focusing on improvement for my patient, community and profession. Professional nursing encompasses many roles. The role of nursing has been defined and redefined throughout history. It involves much more than just bathing patients and giving medications. Nursing is regulated by Boards of Nursing, supported by Professional Nursing Organizations and gets its core values from the Nurse Code of Ethics as well as practice Nursing Theory from past and the present. Nursing is an ever evolving profession applying holistic care while functioning within the parameters set by legal and moral standards. A. Functional Differences The Board of Nursing is a regulatory agency found in all fifty states. It is a governmental agency that holds the responsibility for the regulation of nursing practice standards. This agency function includes approving educational nurse programs, interpreting and enforcing it’s state nurse practice act. Many nurses and non-health care persons know the Board of Nursing most for its responsibility for issuing nurse licenses, monitoring exams and intervening against nurses who commit acts that violate...
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