...The functions of the human body and the effects of the environment, drugs, and genetics on humans never failed to catch my high interest; therefore, I inclined toward a career that included these interests. Yet, at the same time, I strongly desired to make a difference in people's lives. When it comes to the healthcare field, most assume that a physician is the ideal way of benefiting society and themselves. However, for me, my interests inspired me to pursue a nursing vocation. Clad in white uniform, stockings and a white cap on our head a nurse with her smiling face surely gives an impression of a live human being whose heart overflows with compassion for those numerous patients who come to the hospital from different directions. Nursing is a symbol of service and humanity, a nurse is frequently seen in hospitals, clinics and even communities. A nurse remains very attentive to their duties. A nurse is noble and affectionate to all patients. Just like other service holders too has to give eight hours' duty daily, but in some case time of working not fixed. Sometimes nurses need to perform night duty, which a nurse does with same sincerity. A nurse reaches the hospital at required time, takes charge of the ward from the other nurse and is ready for the duty. A nurse looks after her patients, gives them medicines or injections as prescribed by the doctor. A nurse maintains a chart, notes down patient's temperature and condition of short intervals. A nurse is a true picture...
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...Why is informatics significant to nursing and health care? What impact will it have on your duties as a nurse? “All work in informatics is motivated by the need to create new solutions--often using information technology-- that enhance biomedical science, the health of the populace, and the quality and safety of care that is provided to individuals when they are ill” (American Medical Informatics Association, 2015, p. 1). Information is critical for effective decision making in the practice of nursing. The major payers of health care are demanding the care nurses give be evidence-based. While anecdotally we may say they are effective, without informatics we cannot prove that our activities are effective. Additionally, health care facilities...
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...Nursing is such a dynamic profession; I suspect there will be many new roles for nursing that will most likely evolve in the 21st century. One is technology advancements, we have already begun the process of assessments via satellite, online medical services, and internet based education. These advancements will more than likely continue to advance into a more technical practice. Where a physician will be able to examine a patient via internet with the assistance of a nurse and technology, this will assist the with elderly care and the increase of hospice patient care in the home. I have already seen in other states where nurse practitioners are being hired through ambulance services as a prevention for an ER visit or re-hospitalization. The...
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...WHY DID I CHOOSE NURSING When I was a little girl I always dreamed of being a nurse. I would watch my mother get ready for work every night. First she would put on her scrubs, then the stethoscope, and then her id for the hospital. She would come home and speak about all of her experiences and adventures. I was inspired. I started helping my mother take care of my grandmother and from then on I knew this was my calling. My mother always said: “Alexandra, you have a nurturing spirit, and you were born to be a nurse” (Danielle Jerome). I went to Camden county college as pre-nursing major and I got to work. College wasn’t as easy as I thought and I began to become discouraged. I switched my major to mathematics education and shortly realized that nursing was the only thing I can dream about. Then I landed in Prism Career Institute for LPN license and I feel right at home. School is not easy for me but I am prepared to buckle down. I’d had a plethora of jobs in my lifetime. My first job when I was 15 was an administrative assistant in a senior day care. I absolutely loved that job. I sat at a desk, greeted guests, answered phone calls, wrote emails, and assisted the manager with anything he needed done. I learned at a very young age how to be professional and mature. After that I went to the restaurant business. I worked at Friday’s, Cracker Barrel, and Bahama Breeze just to name a few. Working in the restaurant business taught me self control, responsibility, and great customer...
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...RUNNING HEAD: why a bachelor of science in nursing? Why a bachelor of science in nursing? Why a bachelor of science in nursing? According to Black(2014), Registered nurses are the largest group of healthcare providers in the United States, and as the healthcare system continues to evolve , many new opportunities and roles are being developed that will use nursing skills in different ways. As an experienced nurse, I did not think I would need to go back to school, for a bachelor in nursing, to be able to deliver high quality care to my patients in these new roles. I have been delivering high quality care, and did not think I could learn new methods of delivering care. As I am reading the Essentials of Baccalaureate Nursing, I could easily place myself in some of the Essentials. I realize that “maintaining competence, continue personal and professional growth”, are also part of my responsibilities. Black (2014) Being a nurse is caring for strangers, and a stranger may be someone with a different belief or culture. A baccalaureate generalist nurse will be able to practice holistic nursing care, which focuses on the mind, body and spirit as well as emotions. As a nurse in interventional radiology, I encounter patients every day who are undergoing procedures. They have questions already answered by the doctor, but want and need...
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...The National Guideline Clearinghouse link to one practice guideline that pertain to the clinical topic chosen is Inpatient diagnosis and treatment of central vascular catheter (CVC) infections. Research design is critical ( to all nursing research and should be measured based on the evidence sources according to the strength of evidence and using Level I: highest level of evidence approach, and collected data should be the “best evidence” meaning, research findings that are methodologically appropriate, rigorous, and clinically relevant for answering the pressing questions. Within any level, evidence quality can vary considerably, no research is perfect. Data collection would have a solid plan for collecting and management. A research designs must provide a systematic approach to data collection that leads to new knowledge and/or solution to question or problem (Schmidt and Brown 2015 and National Guideline Clearinghouse 2017). What instruments might you use and how would you establish reliability and validity? The instruments are the tools for data collection; which can include questionnaires/surveys, interviews, observations and readings. The instruments ideally chosen should ensure validity and reliability....
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...Six Sigma, Lean, and Kaizen J. Paul Seiberlich Siena Heights University Prof. Anderson February 5, 2015 Kaizen and Six Sigma are associated with the Quality Model for achieving success in business. The term Kaizen has many different uses ranging from referring to a principle of personal conduct to a company wide strategy for achieving business success (Imai, 1986). In the United States, one of its most common uses is as the name of a lean enterprise tool for improving work processes. In this use, it refers to a systematic and specialized application of problem solving to uncover and extract waste from a work process. Kaizen as a company wide strategy for achieving business success is derived from the writings of W. Edwards Deming although the completeness of that connection seems to be unrecognized. It abstracts from Deming’s work the ideas that improvements must benefit customers; that they must occur every day, everywhere, and be implemented by everyone; that management must lead the implementation and that managers must be models and agents of its adoption; and that management and non-management employees must operate cooperatively. (Vitalo, R. 2013) The term “Kaizen” has two uses. One use refers to the principle of continuous improvement and describes a fundamental element in the Quality Model and in Lean thinking. The second use refers to methods that either suggest (e.g., Teian Kaizen) or generate and implement improvement ideas. Of the methods...
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...Final Case Submission: Avion Inc. 1. What parts of the supply chain are most closely involved with the situation in this case? What is the responsibility of each part in order to maintain a smooth flow of material? Procurement and Contracts: Should be responsible to amend the agreement that clearly defines what the service level requirements are, sets out the change control mechanism, the communication protocol and representative of both parties and review the agreement in conjunction with the supplier to remove any ambiguity. Category Management: Should be responsible for developing a SQM that will allow provide both parties with a forum to work in partnership and set targets and KPIs. Material Management: Should be responsible to understand the required and forecast inventory stocks and coordinate accordingly. Logistics: Should be responsible for transporting the product through the supply chain. 2. What initially appears to be the problem? What really is the problem(s) in this case? The problem initially appears to be that the vendor is not meeting the expected performance level required by the customer. However the problem is not with the vendor rather within Avion. It appears that the company does not have appropriate cross function engagement, rather working in silos. There is no obvious communication structure whereby the SCM understands the scope requirements and can translate this to the vendor. Also following contract award it is not clear what...
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...“Creating Lean Suppliers” a Consider that the new corporate procurement strategy in support of your manufacturing business includes securing purchased critical parts and subassemblies from “lean” practicing suppliers. Your supply chain management in previous years has practiced the strategy of single sourcing as well as long-term partnering for critical purchased material. Prepare a list of bullets showing the advantages and disadvantages of staying with current suppliers (i.e. not switching) that currently do not have a “lean” in place and also define in the response your plan to achieve the new “lean” supplier requirement. I Advantage: * Better relationship – further involved in new production process * Better reputation (ethics) * Knowing the supplier better – its problems, cost-structure, and technology * Supplier may be more responsive * Creating “trust” II Disadvantage: * Cost of the BP team * Require extensive capital investment or extra personnel for suppliers * Time consuming (for the suppler to be lean) * Difficulty to change and sustain In order to achieve the new “lean” supplier requirement, I would want suppliers that have substantial responsibility during product development; the ability to accommodate and respond to the request of changes in product or manufacturing process; extensive capital investment or extra human resources. Also the suppliers that is reliable, and “self-reliant.” b Analyze Honda’s...
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...I know I didn’t choose the easiest career but nothing ever is easy when you really want it. While others had much more experience during high school around this career, I gained life skills that will help me become a successful nurse. I am aware that nursing is challenging physically and emotionally due to the flexibility of having different tasks and keeping them in order. Being on the right track throughout high school and going overboard helped gain a lot of traits that will benefit me through these challenges. I would have so many commitments throughout the week, sometimes on the same day and on top of that I would have homework and outside of school duties. I learned to adapt and solve it out and make plans so I won’t get to the point where I would give up. It may not be the same as being an actual nurse but with problem solving, stability of emotions and physical endurance is something that I am use to and don’t mind at all. Due to all the activities I participate in I have to interact...
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...Part 1: Nursing Attrition Grand Canyon University: Nursing 433V 11/22/2015 The Problem Statement This study seeks to know the reasons why nurses are leaving clinical nursing. The current and future nursing shortage is a huge concern. This study was done because the author feels that there is very little research pertaining to nursing attrition. And this is important to know and understand. Because knowledge and change can occur when it becomes known what the factors are that influence nurses to vacate clinical nursing. The bulk of this study was interviews with nurses who were no longer considered to be nursing in a clinical setting. The nursing workforce projections in the U.S indicate that the shortage of nursing could go above 500,000 RNs by 2025 (American Association of Colleges of Nursing [AACN], 2010; Cipriano, 2006; U.S. Department of Health and Human Services, 2002). The rate of vacancy was greater than 8% in 2008 (AACN, 2010). It seems astonishing to know that 30-50% of new nurses choose to either find a different position or they decided to no longer practice as a clinical nurse within their first 3 years after graduating from nursing school (AACN, 2003; Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Cipriano, 2006; Cowin & Hengsberger-Sims, 2006). This is an important study because by knowing and understanding the reasons for nurses leaving the clinical field of nursing, we can work towards making improvements, and develop better nursing-retention...
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...Bachelor of Science Nursing Degree [BSN] BY Maria Abbey. Grand Canyon University: NRS-430V Professional Dynamics. 1/7/16. Quality of patient’s care as concerns nursing hinges on having a well-educated nursing workforce just like other professions. The nursing profession is made up of different categories of educational levels of nurses ranging from associate degree [ADN] to bachelor in science [, BSN] masters in science[MSN] and doctorate in nursing. The level of competence varies according to their level of academic exposure. This discussion will narrow to the above competences. An associate degree level nurse is one that holds a 2-year programmed certificate obtained from a vocational, technical college or school. This training is basically to prepare the nurse technically as it were practical aspect with basic foundation of nursing and nursing theories and clinical rotation in a health care facility. This category of nurse functions better as a bed side nurse and is incapacitated when it comes to decision making level and administrative responsibilities with other health care teams. My experience on the job concerning charge nurse job description for example is only for the BSN nurses despite their year of graduation. I have seniority over the BSN nurses but charge nurse duties are rarely given to me because I have ADN certificate. When I asked the nurse manager why she will give me excuses that do not make sense to me. Now I know why I have limitations on...
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...contributions provided by the era of intuitive, apprentice, educated and contemporary nursing? 2. If you will be given the chance to weigh the order of importance of the different elements in the nursing metaparadigm what element will you consider the most important one? Explain. Answers: 1. During the intuitive era, nursing has been based on our own human instinct, which was to help and care for others. Nurses acted as slaves yet demonstrated the role of physicians, which made the role of nurses crucial in human existence. In the apprentice era, nursing has become more systematic since this was the time wherein hospitals, uniforms and nursing hierarchy (superintendent or director of nursing) have been developed. During the educated nursing, schools for nurses were established which trained them formally and gave emphasis on the importance of knowing the “why” (rationale) and not just the “how” (procedures) in nursing. And lastly, during the contemporary nursing, national and international organizations were built such as the World Health Organization (WHO), which helped the society of nurses in promoting health, fighting diseases and improving nutrition for all. 2. The four elements of the nursing metaparadigm are all vital and works hand in hand in the promotion of human well being but If I will be given the chance to weigh them, I will consider person as the most important element. Why? Because without the person, nurses wouldn’t exist. The need for nurses to take...
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...after the 6 weeks clinical placement in Knox. So far, I have completed two clinical placements in Australia. One is mental, another is surgical unit. Prior to commencing my Bachelor of Nursing in Australia, I have graduated from Peking University and achieved my first Bachelor of Nursing following a 3.5 years study and 1.5 years clinical placement in medical surgical ward, theatre, pediatric ward, gynecologic ward, delivery room and emergency room. Besides studying, I am also working in nursing home from last year. I am a nice person with excellent nursing skill and interpersonal skill, which enable me to working in a team with pressure. Furthermore, I can listen and speak mandarin and English fluently. All the experience and skills that I gain during studying and working are around nursing, which enable me to prepare well for future career. 2. What do you know about this organization and why have you chosen to work here? Healthscope is one of Australia’s leading private healthcare operators and the second largest private hospital provider. Healthscope owns or manages 45 medical/surgical, rehabilitation and psychiatric hospitals. In addition, Healthscope operates a leading pathology business with facilities in Australia, New Zealand, Singapore and Malaysia. The company was formed in 1985 3. Why have you chosen to work as a nurse? 5. What are your career goals? short/long 6. What was the high point and low point of your career so far? 7. What according to you are...
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...RTT1- Organization Systems and Quality Leadership Task 1 Nursing sensitive indicators developed by the American Nurses Association “reflect the structure, process, and outcomes of nursing care.” (American Nurses Association). To further understand the American Nurses Association definition a breakdown of each section is appropriate. To address the structure of nursing care it is important to access the skill level of the nursing staff, the availability of nursing staff, and the education level/certification level of the nursing staff. The process portion of nursing sensitive indicators measures assessments performed by nurses, appropriate nursing interventions and job satisfaction of nurses. (American Nurses Association). Finally, outcomes of nursing care according to the American Nurses Association, measures the quantity and quality of nursing care, for example, prevention of pressure ulcers, prevention of patient falls, and IV infiltration to name a few. Given the scenario in this case, there were several nursing sensitive indicators present that could have been prevented provided that the staff involved received proper training and had a strong foundational understanding of nursing-sensitive indicators. To begin the case of Mr. J, there was no definite explanation of why the restraints were applied. This is an appropriate opportunity for education related to restraint use. Although Mr. J was given pain medication, he obviously knew where he was...
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