...Professional Development of Nursing Professionals Katrina Boluyt Grand Canyon University: Professional Dynamics November 2, 2015 Professional Development of Nursing Professionals The largest philanthropy in the United States focused exclusively on health, the Robert Wood Johnson Foundation (RWJF), together with the Institute of Medicine (IOM) published a report on nursing in 2010. This report was the result of a two year project designed to evaluate and revolutionize the nursing profession (IOM, 2011). The four key points published by the IOM are as follows: 1. “Nurses should practice to the full extent of their education and training” (IOM, 2011, p. 4); 2. “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2011, p. 6); 3. “Nurses should be full partners with physicians and other health professionals in redesigning health care in the United States” (IOM, 2011, p. 7); and 4. “Key effective workforce planning and policy making require better data collection and improved information infrastructure” (IOM, 2011, p. 8). This paper discusses the impact of the 2010 IOM report on nursing education, on nursing practice, and on nurse’s roles as leaders. The IOM report promotes nursing education in the United States by recommending nurses to obtain higher education and urging education systems to provide education that is easily attainable. The recommended goals outlined in...
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...Institute of Medicine (IOM) report: "The Future of Nursing: Leading Change, Advancing Health,": Transforming Practice, Transforming Education, and Transforming Leadership. Debra New Grand Cannon University September 6, 2015 The Future of Nursing: Leading Change, Advancing Health to understand how the 2010 Institute of Medicine (IOM) report impacts nursing we must first understand what it is. The IOM report is the result of a two-year project that was launched by the Robert Wood Johnson Foundation (RWJF) along with the Institute of Medicine. The report presents recommendations for an action plan for the future of nursing (Institute of Medicine, 2010 p.119). The report titled the “Future of Nursing” contained research that supported a formation for the envision on the way nursing will become. The central idea was to make sure the public would receive quality, affordable care where they would feel protected. The report was designed for nurses, policy makers, government officials, insurance companies and the public, all of which have a vested interested to ensure quality, safe, cost effective health care (Holzemer, 2010 p.119). The recommended changes in these areas of nursing serve as a fundamental part of attaining the goals set forth by the Affordable Care Act(2010)...
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...Compartment syndrome: A life and limb complication associated with poor patient positioning prolonged compression of a limb's vessels can impede circulation and lead to a compartment syndrome that causes muscle necrosis and loss of function. This syndrome is most frequently observed in long-term operations in the lithotomy position. Safe positioning should allow adequate blood flow to all four extremities.5 According to the AORN Positioning Patient Guide, patients in the lithotomy position should be repositioned at set intervals during the procedure, if possible. The time a patient can remain in this position without risk of injury is unknown. But if it is known that the longer the patient passes with the legs in that position, the greater the risk of suffering neuropathy, neurovascular complication or compartment...
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...I am a trained nurse working in one of major reference hospital in a capital city of Sabah. I have 14 years experience working as a trained perioperative nurse in operating theatre. Working through the years gives me ample experience in this field. Over this year, the workforce development in health care system has change the nursing profession and become more challenging. These changes had affected the nursing role and also their boundaries. Extending nursing role has happened in order to improve patient care. In Malaysia, registered nurses had given a credentialing to be able to undertake a wider range of clinical activity. The National Council of State Boards of Nursing has stated that definition of professional boundaries are the spaces between the nurses power and apply the following concepts are a spaces between nurses and a patient, nurses and doctor and also to other healthcare worker. College & Association of Registered Nurses of Alberta stated in their article “professional boundaries separate therapeutic behavior which well intentioned or not could lessen the benefit of care clients, families and communities”. Professional boundaries is a guideline for all nurses to perform their work as a professional without violent or crossing the limit of responsibility. Nurses need to practice and consistent with professional standards. Maintaining appropriate boundaries controls these power differentials and allows for a safe connection between the professional...
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...licensing and renewal of licenses of all nurses, regulating the standards of care provided, and taking disciplinary against nurses (Indiana State Board of Nursing, n.d.). The Nurse Practice Acts are enforced through the board of nursing by approving educational programs for nurses. Professional nursing organizations (PON) are more specific to areas of nursing. They are private organizations in which nurses can choose to become members of such as the Association of Perioperative Nurses (AORN). The AORN’s mission is to promote excellence in the delivery of care received in the perioperative area. The organization may lobby for legislation in various areas of the perioperative area to improve the quality of care that patient’s receive and hold seminars to ensure nurses are up to date on the latest research and technological advances in the surgical setting. The AORN strives for nurses to achieve continuing education, utilize evidenced-based practice, and become competence caregivers (AORN, n.d.). Nursing Code Examples Professional traits derived from the American Nurses Association Code of Ethics influence nurses in our daily practice. Provision 8 states, “The nurse collaborates with other health professionals and the public in promoting community, national, and international...
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...Accreditation Audit AFT Task 1 Roland Helmuth Western Governors University Accreditation Audit AFT Task 1 Medication Management A. Compliance Status I will be reviewing three specific areas dealing with medication management. They are the following with the correlating Joint Commission Standard following each one: 1. The hospital plans its medication management process, (MM.01.01.01). 2. Label all medications, medication containers, or other solutions on and off the sterile field, (NPSG.03.04.01). 3. Reduce the likelihood of patient harm associated with the use of anticoagulation therapy, (NPSG.03.05.01). In review of standard MM.01.01.01, I see that Nightingale Community Hospital (NCH) has a policy that speaks directly to this standard. The elements of performance are met by the policy that is in place and includes further information to make this important standard compliant with Joint Commission standards. In review of standard NPSG.03.04.01, I do not find the NCH has a policy that addresses this. Seeing that NCH has surgical and sterile procedures performed at its facility this standard needs to have a policy in place. The basis of this is patient safety related to the five rights of medication administration; Right patient, Right medication, Right dose, Right route and Right time. Even in a controlled environment of a surgical suite, this is vital to any procedure performed. In review of...
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...t Educational Preparation Candace Tiley GCU RN-BSN Professional Dynamics NSG-430V April 7, 2013 Nurses with a Baccalaureate in nursing education versus Associate Degree in nursing education are prepared to deliver a higher standard of patient care. The differences in the core curriculum of the baccalaureate program set it above the associate degree program giving the nurse who holds a BSN better critical thinking skills The BSN educated nurse has a broader base of education in such areas as the fine arts, as well as important nursing courses that emphasize evidence-based practice. BSN educated nurses are also taught leadership skills, management skills and nursing theory. To understand the differences in competencies between nurses prepared at the associate degree level versus the baccalaureate level requires at least a short review of the history of the development and introduction of the associate degree program (ADN). Of importance is when the ADN Program was introduced and the reason it was introduced. In the mid-1940’s the BSN Programs that had been in existence for 60 years were responsible for graduating about 15% of the new nurses. The remaining graduates came from the Diploma programs that had been in existence for 100 years. The ADN Program was introduced after World War II as a result of the severe nursing shortage during that time. The concept was initially explored by...
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...Ambulatory Surgery Centers Ambulatory Surgery Centers (ASCs) were developed in the health sector for providing instant surgical care, treatment and prevention of diseases. ASCs have improved the outpatient health care services in United States as compared to hospital based inpatient care programs (Becker & American Health Lawyers Association, 2006). The program has gained a good reputation due to high quality services and positive results experienced by patients. ASCs are subject to transparency and accountability and are expected to comply with the state standards of providing health care. The number of ASCs in U.S has increased with the current working ASCs estimated to be over 5,000. They work is over sighted by Medicare and Medicaid Services to ensure they adhere to health and safety ethics. Strategies I would use as a ASCs manager to increase referrals to my ASC while maintaining high patient satisfaction scores. Establishing referral linkages with other physicians to increase the volume of patients referred to my ASC. Physicians are devoted to maintaining a good working relationship with other physicians. For instance a patient might visit a physician with a leg problem but the pain stems from the spine. The patient can be referred to a spine surgeon in the area thus creating a good rapport between the two physicians. Maintaining a network of physicians in an area, who can communicate and refer cases to their colleagues is a major step in increasing the number...
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...Texas. TNA represents nursing’s viewpoint in several meetings annually, it includes groups such as Department of State Health Services, Nursing Data Collection Center, and the Board of Nursing. TNA observes the nursing environment by monitoring publications and websites, attends national conferences and engages in conversation with nursing experts to identify trends in healthcare and then process that information and shares it with members so they can be well prepared for the future. What is the difference between an umbrella organization (ANA or TNA) and a specialty clinical organization (ex. AORN, ENA, etc.)? Discuss the advantages of both. [10points]: Umbrella organizations like TNA or ANA identify to the smaller organizations like the specialty organizations. It is usually responsible for the groups under its care. TNA is the bigger group that consists of other small groups like AORN or ENA. The smaller groups are split into specialties. The advantage of belonging to a bigger group of organization Criteria for Membership in TNA [5 points]: To be eligible for membership you must have been...
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...Evidence & Expert Interview Paper Kimberly Russell Chamberlain School of Nursing Instructor Sniffen NR 447 Collaborative Health Care Evidence & Expert Interview Paper Introduction I have chosen two SMART goals to research and put into action by the end of week six of class. SMART Goal 1 is the leadership development goal and will standardize the surgical time-out procedure to include all required elements as recommended by the World Health Organization (WHO) and meet the requirements of the Joint Commission Universal Protocol. I chose this goal for myself to ensure that all nurses are consistently including all required information each and every time in the surgical time-out procedure and as a result will increase patient safety regarding wrong site surgery. SMART Goal 2 is the organizational planning goal which is to educate all staff on the required dry time for surgical skin prep liquids used in the operating room. I chose this goal after the sales representatives from Duraprep and Chloraprep gave an in-service and I realized that we were not allowing appropriate surgical skin prep dry time which puts our patients in danger for a surgical fire and increases the chance of post-op wound infection. Goal 1: Leadership Development Through my leadership development goal I will standardize the time-out procedure to include all the required elements as recommended by WHO. I will accomplish this by creating an “All Stop” for time-out...
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...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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...Introduction Preoperative fasting is an experience which each individual must endure before entering the operating theatre. Fasting is an essential step. The purpose of fasting is to empty the stomach to reduce the risk of aspiration (Hamlin et al, 2009). Even though I am just a first year student with very little experience, I have already seen some conflicting recommendations regarding this subject. While working in the ward, nurses encouraged preoperative fasting to start at midnight which was different to what we learnt in our lectures, in which a preoperative fast of 4-6hrs was recommended. Guidelines for Preoperative Fasting. In 1999, the American Society of Anaesthesiologists (ASA) implemented preoperative fasting guidelines to help develop a high standard of patient care. These Guidelines propose that healthy patients have to fast six hours from solids and two hours from liquids. The current outstanding guidelines for elective patients and their Minimum fasting period in hours are: Clear liquids 2 hours, Breast milk 4 hours, Infant formula 6 hours, Non-human milk 6 hours, light meal 6 hours and regular meals 8 hours ( Blanchard, 2012). Even though these guidelines are in place, many studies have shown that hospitals are still using “NPO after midnight” without taking into consideration a patients characteristics, the procedure they are getting done or even the time the procedure is taking place. The guidelines for preoperative fasting in elective patients do not apply in...
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...Presentation Rationale Purpose: The purpose of this speech is to educate and inform my audience of the risks inherent from unintended hypothermia. I’m eager to alert perioperative staff of the potential dangers as well as the preventative measures that can be taken in order to avoid complications associated with unintended hypothermia. My central idea is hypothermia management saves lives. Intended Audience: My ideal audience for this speech would be those medical professionals working in the perioperative area. Significance: This topic is very significant to my audience because our patients’ outcomes are directly related to our competency in this area. Knowledge of what measures are to be implemented to avoid unintended hypothermia in the perioperative setting will greatly decrease our infection rates and shorten length of stay. Presentation Plan I. Introduction a. Audience hook: Did you know hypothermia is associated with a threefold increase in SSIs and it is estimated that SSIs increase postoperative hospitalization by an average of 4 days? (Hart et al., 2011) b. Thesis statement: Research suggests that intraoperative temperature management should be closely monitored because unintended hypothermia leads to increased risk for infection and increased length of stay. c. Preview of Main points: i. Unintended hypothermia leads to increased risk for infection. ii. Unintended hypothermia leads to increased length of stay. II. ...
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...How can communicable diseases be broken at a link within the communicable disease chain? Are there steps that a nurse can take to facilitate this process? Give a specific example. Use an example that is different than the postings of other students. There are six links in the Chain of Infection. Those areas include: 1. The infectious agent itself- 2. The reservoir where the infectious agent can live and multiply or lie dormant until the organism can find the opportunity to cause disease 3. The susceptible host 4. A means of Transmission 5. A portal of exit 6. A portal of re-entry Each link in this chain must be intact for a disease to be transmitted and infect another person. There is the potential to defeat a communicable disease process by disrupting the link in this chain at any point along the way thus preventing infection in another person. An example of the simplest chain of infection is an infected patient cared for by a health care worker who doesn't wash their hands before caring for another patient. Human sources of microorganisms are healthcare workers, patients themselves and visitors, any of whom may be individuals who are in some stage of an incubation period of a disease process, may already have a disease, or may be a chronic carrier of an infectious agent. The patient may be their own source of infection. (Baldwin, 2008) The bacteria must be able to find a susceptible host. Some individuals are immune to infection or are able to resist...
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...Differences and in Competencies between Nurses Prepared at Associate-Degree versus the Baccalaureate-Degree Level in Nursing The nursing profession has multiple entry levels which are diploma, Associate (ADN) degree and Baccalaureate (BSN) degree (Lane & Kohlenberg, 2010). Historically, The Bachelor of Science in nursing degree was established in 1909, whereas the Associate degree was established in 1958 (Hood & Leddy, 2006). BSN students are required to attend 4 years of college education, mostly given at colleges or universities, and on the other hand ADN students are required to attend 3 years of a community college nursing program (AANC, 2011). These variations in the years of education create differences in competences between BSN and ADN. Some variations include critical thinking, decision making, problem solving, and ethical reasoning. Both, ADN and BSN prepared nurses sit for the same licensure examination (Taylor, 2008). According to Lane & Kohlenberg (2010), “Baccalaureate education provides nurses with critical thinking for complex patients and opportunities for leadership, professional mobility, and advancement, this does not mean associate degree nurses are unimportant” (p. 220). Associate degree nurses demonstrate the critical role in nursing (Lane & Kohlenberg, 2010).They continued by adding that through building onto the fundamentals of Associate degree education, emphasis on research, social and physical sciences, and management of community health;...
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