...definition of nursing practice is based by each states rules and regulations to govern the practice of nursing within that state. All nurses practice acts include two essential purposes. First each act includes statements that refer to protecting the health and safety of the citizens in the jurisdiction. The second purpose is to protect the title of the RN. The legal title RN is reserved for those meeting the requirements to practice nursing. (Contemporary Nursing, 2014) The scope of practice for RN’s is to provide individuals and groups nursing care, requiring specialized knowledge, judgment and skill derived from the principles of biological, physical, behavioral, social and nursing science. Such nursing care includes: 1. Indentifying patterns of human response to actual or potential health problems amendable to a nursing regimen. 2. Executing a nursing regimen through the selection, performance, management and evaluation of nursing actions.’ 3. Assessing health status for the purpose of providing nursing care. 4. Providing health counseling and health teaching. 5. Teaching administering, supervising, delegating and evaluating nursing practice. (Law regulating the practice of nursing, dialysis care and community health workers., 2013) (Ohio Board of Nursing) An advanced practice RN is a registered nurse who has completed and advanced graduate-level education program and has passed a national certification examination in order to practice in one of four...
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...Professional Development of Nursing Professionals Today’s healthcare system is consistently evolving with new advances, technologies, and evidence based research, which challenges nurses to continue to stay on top of the industry to meet the increasing demands of our specialty to ensure continued safe and effective practice, and positive patient outcomes. Nursing most specifically is focused on a future of preventative, community, and palliative care to promote an increase in healthy living, and a proactive approach to ones health which will help to prevent an increase in healthcare cost in the future. In order to be successful our profession will need to focus on nursing education, leadership, and nursing practice. Nurses are the nerve center of the healthcare system and ensuring these key components are in place will lead us to a successful future. The Impact of the IOM Report on Nursing Education “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM p.163) The IOM is a report which has created a plan for the growth and future of nursing which focuses on higher education to ensure nursing stays proactive in its approach in the ever changing field of medicine. The evolvement of the health care system requires nurses to further their knowledge through advanced education. The education will need to focus on the level of nursing degrees and advanced certifications. For an example;...
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...The Impact and Future on Nursing In this paper I will discuss the goals of the 2010 Institute of Medicine (IOM) published report and its impact on nursing education, nursing practice specifically in primary care and the impact on the nurse as a role of leadership. In my conclusion, I will provide on a personal level what modifications I will make in my nursing practice to meet the IOM report goals. Within the paper I will explore how the impact of the 2010 IOM published report titled “The Future of Nursing: Leading Change, Advancing Health” has on the three topic points stated above. The IOM published report was set forth by the IOM’s Robert Wood Johnson Foundation Initiative on the Future of Nursing committee group whose purpose is “producing a report that would make recommendations for an action oriented blueprint for the future of nursing” (IOM, 2010, p. 2). The basis of the IOM report is to provide proposed changes with the newly implemented Affordable Care Act (ACA) of 2010 to the very complex United States healthcare system and how the future nurse’s role should evolve with education, practice and leadership. The IOM recommends that “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2010, p. 163). Today’s healthcare needs are expanding, diverse and ever changing. Nurses play a large role in providing care but cannot do so effectively if they are not being educated...
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...History states that nursing is career that mainly involves in physical, emotional and spiritual wellbeing of an individual with all ages and cultural backgrounds. As literatures states the essential focus of this profession collaborates all sciences to recover the health of human beings within their environments. So it is very important that a well-trained professional nurse should learn about physical science, social science, biological science, and technology. The American Association of Colleges of Nursing (AACN) states “education has a significant impact on the knowledge and competencies of nurses.” In United States, based on the education, the nursing degrees range from diploma to doctoral level. Associate degrees in Nursing (ADN) and Bachelor of Science in nursing (BSN) are the most common degree programs in United States. A community college or university can provide an Associate degree in nursing (ADN) with license to practice in health care settings (American Association of Community Colleges, 2003). On other hand, Bachelor of Science in nursing (BSN) are offered by senior colleges and universities that require different basics and prerequisites, and in BSN program, training will be provided to improve leadership skills in addition to clinical nursing skills. Fairleigh Dickinson University started first ADN degree in 1952. In United States this entry level nursing degree is awarded by community colleges or technical colleges. Associate degrees will train the students...
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...Number:113440 This Position Directly reporting to this position: Title • Advanced Skills Enrolled Nurse • Enrolled Nurse • Assistant in Nursing Classification ENA; EN Level 1 – 2 FTE FTE FTE Also reporting to this supervisor: • Clinical Nurse, NMA; RNM Level 2 • Registered Nurse, NMW; RNM Level 1 • Advanced Skill Enrolled Nurse, ENA; EN Level 1-2 • Enrolled Nurse, ENA; EN Level 1 - 4 • Assistant in Nursing, ENA; AIN Level 1 - 3 ENA; EN Level 1 – 4 ENA; AIN Level 1 – 3 Key Responsibilities As part of a multidisciplinary team provides comprehensive evidence based nursing care to patients. Facilitates and promotes patient safety and quality of care. The Registered Nurse practices within their scope of practice considerate of the Nursing and Midwifery Board’s Nursing Practice Decision Flowchart. Page 1 of 3 Registered Nurse | RNM Level 1 | Position Number: 113857 Brief Summary of Duties 1. Clinical 1.1. Provides comprehensive evidence based nursing care to patients including assessment, intervention and evaluation. 1.2. Undertakes clinical shifts at the direction of senior staff and the Nursing Director including participation on the on-call/after-hours/weekend roster if required. 1.3. Participates in ward rounds/case conferences as appropriate. 1.4. Educates patients/carers in post discharge management and organises discharge summaries/referrals to other services, as appropriate....
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...chosen. Use your textbook as well as other sociological sources (e.g., textbooks, journal articles) in this section. You will need to select one sociological theory which is relevant to your chosen issue, state the main ideas of this theory, and explain how effective the theory is in helping to understand the chosen issue. Conclusion Provide a minimum 200-word summary which explains how health sociology theory provides a different way of making sense of the organisation of health care. ISSUE DESCRIPTION The rise of nurse practitioners concerns the extension of some aspects of nursing practise to incorporate tasks once only performed by doctors. The issue here is whether the rise of the nurse practitioner role improves the agency and professional status of nursing, and the extent to which it is resisted by doctors as a challenge to their clinical autonomy. Nurse practitioners fall under the category of advanced practise nurses. The Australian nursing and midwifery council (ANMC) has proposed the following broad definition of advanced practice nursing: “Advanced practice nursing defines a level of nursing practice that utilises extended and expanded skills,experience and knowledge in assessment, diagnosis, planning, implementation and evaluation of the care required. Nurses practising at this level are educationally prepared at post-graduate...
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...Role Summary Samantha B. Quesada South University Family Nurse Practitioners (FNP) are advanced practice registered nurses who work autonomously or in collaboration with other healthcare professionals to provide health promotion, disease prevention, direct care, and counseling across the lifespan that is family-focused. FNPs are graduate level practitioners that may enter as non-nurses who must satisfy the requirements to take the RN licensure exam, either as a precondition to the NP program or as part of an articulated educational program that delivers the basic generic nursing content, in addition to the NP-specific content Midwives are primary health care providers to women throughout the lifespan. Women receive...
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...| Master’s Prepared Nurse Interview | | 5/21/2014 | [Type the abstract of the document here. The abstract is typically a short summary of the contents of the document. Type the abstract of the document here. The abstract is typically a short summary of the contents of the document.] | When one interviews another about their career path, one learns many things about a person. This paper will be an interview with a person to be referred as Michelle Smith for writing purposes. While interviewing Smith, I realized that my nursing experience has mirrored hers in many ways. Various universities have similar missions and viewpoints. Nursing is truly a lifelong learning process; age does not determine when nurses stop learning. Summary of Nursing Career Smith is currently a master’s prepared nurse teaching in an associate level nursing program. Smith adopted a life learning path early in her career. She was an adult student in an associate level nursing program with a husband and two teenage daughters at home. In 1990, she graduated and she began working as a registered nurse. At this point in history, according to Smith, it was highly recommended that two years of medical-surgical experience be obtained prior to working in specialty areas. After working her two years on a medical-surgical unit, she transferred to an eight bed intensive care unit. “It was a different environment back then. If we had a code during the night we ran the code until the doctor made it...
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...Which is better, having an Associate Degree in Nursing versus a Bachelor of Science degree in nursing? This is a common question these days. Many people have a misunderstanding of the difference between the two. What is known is that the time it takes to get an Associate Degree in Nursing (ADN) is shorter than the time is takes to earn a Bachelor of Science in Nursing (BSN). Also, after completing nursing school everyone sits for the same licensing exam, the NCLEX-RN. When considering the two degrees’ it’s important to consider training, skill level, patient outcomes, advancements and the future of nursing. Obtaining an ADN only requires two years of school. Lecture and clinical are combined. Most schools that offer an ADN are community colleges or technical schools. There is an application process, and sometimes a waiting list to get accepted. Earning a BSN requires getting accepted into a university and the program lasts four years. Two years of the program are lecture and the other two are clinical in a hospital. Both programs will train the nursing student how to be a bedside nurse, providing direct patient care to patients and their families. However, “there are distinct differences between the 72 ADN credits and 125 BSN credits required in each of the nursing programs' curriculum. The baccalaureate curriculum has a different focus, emphasizing evidenced-based clinical practice and leadership. Additional courses are offered in the baccalaureate curriculum, such as research...
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...Summary of Research Accomplishments I am a Doctor of Nursing Practice (DNP) student at the University of Wisconsin-Madison with an anticipated graduation in August 2018. As a part of my DNP degree requirements, I decided to focus my scholarly project on the graduate clinical education. Majority of advanced practice nursing (APN) programs rely heavily on one-to-one preceptor-student model to provide clinical education. Nationally, there is inadequate number of clinical sites and clinical preceptors. And many APN programs are facing challenge to retain and recruit graduate clinical preceptors especially in the primary care including the DNP program at the UW-Madison. Beside a high demand, preceptors available to precept have to overcome several barriers to provide a high quality clinical education including a lack of any formal training in an educator role....
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...Significance Of Nursing In The Implementation Of Health Care Reform Abstract The Patient Protection and Affordable Care Act provides for new professional roles and educational opportunities in nursing. As the number of insured Americans increases, so will patient numbers. Increased insureds will increase demands for nursing care as this legislation is fully enacted. The ways in which nurses can provide solutions for enacting the legislation and caring for the millions of newly insured Americans are discussed. The act also provides for professional training and development of advanced practice nurses to meet the demands of increased care and increased patient load. Keywords: healthcare reform, nursing education, nursing roles Significance Of Nursing In The Implementation Of Health Care Reform Healthcare reform has captured our time and attention during the past few months, it has been a long and heated discussion. As the healthcare and its underlying payment system evolve in the face of the new Patient Protection and Affordable Care Act; healthcare for all, a long time dream of many nurses, will be realized. This act requires all Americans to be covered by health insurance by 2014. Goals of the act are to not only enhance access to affordable care but also focus on wellness and prevention,...
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...Professional Development of Nursing Professionals In 2010 the United States Government passed into law the Affordable Care Act (ACA). Passage of this act enacted broad sweeping changes across the health care system focusing on expanded coverage, control of health care costs and improvement in the health care delivery system (Kaiser Family Foundation [KFF], 2013). This represents the largest change to the nation’s health care system since 1965 with the creation of Medicare and Medicaid programs (Institute of Medicine of the National Academies [IOM], 2010). As the “largest segment of the health care workforce,” nursing is at the forefront of these historic changes and as such, plays an integral role in the successful implementation of the ACA (IOM, 2010, p. 1). In order for nursing to be the leading agents of change, the nursing discipline itself must undergo a transformation to meet the challenges that lie ahead in the following three categories, nursing education, nursing leadership and nursing practice in the primary care setting. As new medical therapies are being developed at a rapid pace and the sweeping effects of the Affordable Care Act role out, nursing is called upon to take on more complex roles in the care of patients. “To respond to these demands of an evolving health care system and meet the changing needs of patients, nurses must achieve higher levels of education and training” (IOM, 2010, p. 7). In its 2010 article “The Future of Nursing: Leading Change, Advancing...
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...replication study. Nursing Ethics, 18(1), 54-63. doi: 10.1177/0969733010386162 The authors of this article were one Shelia Catlett of Western Kentucky University and Fairview Community Clinic, USA and one Sherry R Lovan also from Western Kentucky University, USA. Both authors conducted a qualitative research study, which was also a replication of a study published in 2002, investigating the qualities of a good nurse and the role ethics plays in decision making. Ethics refers to the moral code for nursing and is based on obligation to service and respect for human life. Ethical Knowledge occurs as moral dilemmas arise in situations of ambiguity and uncertainty, and when consequences are difficult to predict (McEwen Wills, 2011). Ethics in nursing is used to guide and direct nurses conduct and practices. It requires experiential of social values and ethical reasoning. Its main focus is on matters of obligation, what ought to be done, what is right, wrong and responsible. The study implemented modification related to the research questions, sample selection, data collection and Atlas.ti software for qualitative data for the purpose of providing ease of coding, viewing, mapping and storing the data for retrieval analysis. The main focus of this replication study was to understand what it means to be a good nurse and do the right thing. This research provided current and allied literature to the relationship between ethics and good nursing practice. They study was carried out...
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...(Institute of Medicine, 2013). Therefore, with a legislative healthcare facelift this large, nurses will be on the front lines of this rapidly changing system. The Institute of Medicine (IOM) is a nonprofit organization that was asked to evaluate and provide recommendations on nursing in the United States (National Academy of Sciences, 2013). The goal of this paper is to discuss the impact of the IOM report on nursing in primary care, nursing education; and furthermore, the effect it has on of nurses as leaders. The IOM report developed four pivotal recommendations that focus on improving the future of nursing which in turn will remodel the health care system and improve patient outcomes (IOM, The Future of Nursing Summary, 2011). Key Message #1 According to the IOM report, the first recommendation is to maximize the “full potential of nurses”; therefore, increasing the quality of patient care. As illustrated in key message number one; “Nurses should practice to the full extent of their education and training” with particular focus directed towards advance practice registered nurses (IOM, The Future of Nursing, 2011, p. 86). The IOM report suggest that Medicare programs lift restrictions that limit advance practice registered nurses (APRN’s) allowing them to...
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...Running head: ROY’S ADAPTATION MODEL Nursing theory is an organized framework of concepts that are designed to guide nursing practice and provide a foundation for clinical decision-making. There are many different types of nursing theories. This present paper will focus on one of the Grand theories, the Roy Adaptation model (RAM). The paper is divided into four main sections focusing on the importance of the RAM; summary of key concepts; view of RAM on specialization; and conclusion. There has been an evolution of nursing practice from when Florence Nightingale started. Nurses used to take direct medical direction to an evolution of independence. Today, advanced practice nurses are PHD, DNP, researchers, nurse practitioners, leadership positions in health care organizations, and education . The independence of the nursing profession has occurred in part due to an evolution of nursing theories. The importance of the nursing theories is that they provide framework for nursing practice. There are more than thirty different theorists who have helped contribute to the process. Broadly, these thirty theories can be divided into three major categories Grand theory, Middle theory, and practice. The present paper focuses on the Roy Adaptation Model (RAM) of the Grand Theory. This was chosen as it approaches the care of the patient using a scientific and holistic approach, which aligns with my personal practice as a nurse and belief system. Initially, this model was considered...
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