...Education for Nurses Means Safer Care for the Patients Ethan Hu May 29, 2014 Higher Education for Nurses Means Safer Care for the Patients I. Introduction: In today ever changing world of healthcare, where technologies become more advance and patients become sicker, there is an urgent call from many nursing associations, especially the American Nurse Association, which encourages nurses to pursuit higher education. While two-year prepared nurses have the same set of clinical skills as four-year prepared nurses, there are data that show association between better patient outcomes and higher educational level of nurses. This paper will focus on the differences in competences, approaches as well as clinical decisions made by associate nurses and baccalaureate nurses and how they affect patient outcomes. II. Definitions: According to American Nurses Association, nurses who have completed any qualified two-year degree nursing program offered by any community or private colleges and successfully pass the National Council Licensure Examination (NCLEX) are considered Associate Degree Nurse (ADN). ADNs are only prepared to meet the standard defined by the nurse’s scope of practice in order to practice nursing at an entry-level. ("How to Become a Nurse," n.d.) Baccalaureate nurses are those who have gone though a four-year program and received a degree of Bachelor of Science in Nursing (BS/BSN). Besides possessing the basic skills required to enter practice, BSNs are also academically...
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...wounded soldiers. She made crucial observations on the spread of infection that has influenced the care of patients to this day. After the war, Nightingale pushed for education in the health care setting as well as in classrooms and she developed London's first school to train nurses in 1860. Within a few years the trend had spread to the United States and in 1867 Linda Richards was the first "trained" nurse in America. Since then education has developed and changed dramatically. Associate Degree Nurse Associate degrees in nursing are obtained from junior and community colleges. They generally take 2 to 3 years to complete. Originally the associate program was created in response to fill the large nursing shortage during World War II. "It was proposed as a temporary solution to a shortage but was not intended to replace the professional level of nursing education." (ADN or BSN, 2004) Those who graduated from the associate level were to work under the care of a professional nurse as a technical nurse. However, the associate level of education became desirable and more popular and is now viewed as a admirable career choice for individuals who prefer a quicker, less costly path to the profession of a registered nurse. Bachelor Degree Nurse Baccalaureate degrees in nursing are obtained from a university and take roughly 4 to 5 years to complete. "The American Nurses Association (ANA), the national...
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...profession that sets on exceptional nurse apart from others. Safer patient outcomes and reduction in patient mortality and secondary insults of illness has decreased with an increase of staffing Baccalaureate Degree in Nursing (BSN) nurses over a staff consisting mainly of Associate’s Degree in Nursing (ADN) nurses. This paper focuses on the educational differences and competencies between nurses with an ADN and BSN respectively and the experience and skill sets that form the clinical decisions made by these nurses and how their decisions affect patient care and outcome. Mildred Montage was a nurse educator in the 1950’s and was the leading advocate and creator of the ADN in reaction to the stark shortage of nurses in the years preceding World War II (Creasia & Friberg, 2011, p.14-15). This degree was designed to decrease the shortage of nurses and the adequate level of clinical nursing skills and successful pass rate of graduates on the National Council Licensure Examination (NCLEX) were all taken into accountability for measuring the success of the ADN programs. An associate degree nurse is defined as a nurse attending a community college, up to three years but no less than two years, with training in clinical skills. A nurse graduating from a community college nursing program gains an ADN and is then qualified to sit for the NCLEX to obtain licensure as a Registered Nurse (RN) (ANA, 2014) A baccalaureate degree nurse is defined as a nurse attending a university or state...
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...Competency Between Associate Degree Prepared Nurses and Baccalaureate Degree Prepared Nurses Grand Canyon University: Professional Dynamics July 2013 Differences in Competency Between Associate Degree Prepared Nurses and Baccalaureate Degree Prepared Nurses Achieving a Baccalaureate of Science in Nursing (BSN), or an Associate’s Degree in Nursing (ADN), makes an individual eligible to sit for the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Once either candidate successfully passes he or she is granted a Registered Nurse (RN) license and can gain employment in the workforce. With licensure as a RN come the core values that each nurse accepts while practicing nursing (Creasia J. & Friberg E., 2011). Both degrees hold the RN to the same level of accountability. These programs show varied curriculums, which produce differences in the outcome of the competencies that each RN exhibits. A BSN program is offered by a four-year college or university. The focus is on theory, collaboration, and evidence based practice, while encompassing and embracing the entire nursing picture. Within the BSN program, students discover perspectives about human diversity and promotion of spiritual and healthy wellbeing, as well as digging deeper into the ethical, political, historical, and social influences that have shaped and continue to shape the world of nursing (American Association of Colleges of Nursing, 2008). The number of BSN program options has steadily increased...
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...12/6/2013 There are new opportunities and programs for nurses as a result of the Affordable Care Act of 2010, which aims to increase quality, access and value of care. For this to come to fruition, the nursing scope of practice will be utilized to the fullest capacity, nursing education will include expanded skills and leadership roles will be increased from clinical setting to board rooms. With every decade, nursing has become an increasingly integral part of health care services, so that a future without large number of nurses is impossible to envision. (Institute of Medicine [IOM], 2010, p. 87). Transforming Nursing Practice Nursing practice will have to change from outdated scope of practice policies and procedures to updated ones that will allow for the creation of patient center systems. Health care is centering on more chronic conditions and less on acute and specialty settings. Long- term care and palliative care will be on an upward trend in the coming years due to the aging population. RNs will be better utilized as roles shift and expand to free up physicians from procedures such as IVs and cardiac outputs, health histories and performing exams. There will be increased RNs to patient ratio, which will result in less medication errors and lowered infection rates. On the other hand, given the projected nursing shortage, task shifting to overworked nurses could create unsafe patient care environments, especially in acute care hospitals (IOM, 2010, p. 107)....
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...Educational Preparation of the Nurse Jennifer L. Pham Grand Canyon University Professional Dynamics NRS-430V Mandy Sheriff November 04, 2012 Educational Preparation of the Nurse The Author has never given much thought in regards to if there is a difference between the baccalaureate (BSN) prepared nurses versus the associate Degree (ADN) prepared nurses. She was firm in her belief that regardless what degree a nurse has, once they take the NCLEX-RN test and pass, they became a Registered Nurse. The nursing scope of practice between the BSN, ADN and Diploma prepared nurse does not discriminate, because all groups are awarded the same license. (Creasia & Friberg. 2011). Early in the author’s career, she was asked if she would ever go back to school for her Bachelor’s degree. She would always answer, “No”. The Author foolishly thought the only reason a nurse needed a higher degree, was that nurse wanted to go into management. The author loves floor nursing so much, she was adamant that she would never step into a management role. Within the last year, she has been given the opportunity to be an instructor, teaching various obstetric classes. In stepping into this new role she realized how much she enjoyed it. She found an error in her thinking. She did not need her Bachelor’s degree for the management role she never wanted. She needs it for the teaching role she enjoys. Her new focus in her career is to continue her education, so she can give back to the profession...
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...Achieving Magnet status is a rigorous, long, and costly process. Magnet status was designed to make healthcare organizations safer, reduce infection, mortality, hospital acquired UTI, and fall rates. Improving employee satisfaction and retain nurses was another reason. Only a handful of healthcare organizations nationwide has received magnet status. Once received it has to be maintained every four years. The purpose of this paper is to discover how magnet status drives healthcare changes. History of Magnet Status The nursing shortage of the 1980s had researchers curious how some hospitals were able to retain nurses. High nurse turnover and vacancy rates were affecting most hospitals. Researchers looked at the hospitals that were retaining nurses and what they were doing right. Magnet status was created in 1983 after investigating hospitals that retained nurses; it was determined that these hospitals had quality patient, resident, and client care. Magnet organizations have a history of positive nurse and work satisfaction linked to increased autonomy in practice, structural empowerment, participation in decision-making opportunities, and a positive work environment (Laschinger, Fingan, Shamian, & Wilk, 2004). Magnet organizations recognize and reward their nurses for competence. Nurses are given more autonomy and decision-making about patient care. Professional growth through higher education and certificates is rewarded. Interdisciplinary collaboration between leadership...
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...knowledge to excel. Education is needed for self-enhancement. Nurses constantly desire to better themselves. They unceasingly advance in their profession by continuing school, obtaining certificates, and completing new training programs. The nursing profession has grown drastically from what it once was. Although there have been an abundance of change, the basis of why one practices nursing remains constant – the desire to make a difference in a person’s life by providing quality care. Nurses share the same drive and passion, but is that enough? Society and employers have preconceived notions about nurses at the associate-degree level versus the baccalaureate-degree level. They believe one’s level of education plays a significant role in nursing care and decision-making. Are they correct? Unfortunately, education does play a role in what an employer seeks for. It is proven true that health care facilities desire a nurse with a baccalaureate-degree, rather than an associates-degree. Pew Health Professions Commission (1998) states: No matter which type of entry into practice program one chooses, “the demands placed on nursing in the emerging health care system are likely to require a greater proportion of RNs who are prepared beyond the associate degree or diploma level.” (p. 64) Health care professionals are seeking nurses who are confident and competent. In their eyes, this means bachelor-prepared nurses. “Nurses who were diploma or associate degree prepared were initially...
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...to patients for decades. Pursuing Magnet designation is a journey a hospital can take to acquire this level of excellence. The purpose of this paper is to explain an overview of components making up Magnet designation, the impact Magnet status has on change in healthcare and its organizations, and the benefits and challenges that go hand in hand. Overview of the Magnet Recognition Program The Magnet Recognition Program is not an award but a “performance-driven recognition credential” designed to achieve excellence in patient outcomes and satisfaction of nurses (Drenkard, 2010). Magnet Recognition is the highest and most prestigious distinction a healthcare organization can receive for nursing excellence and high-quality patient care. The Magnet program model organizes 14 Forces of Magnetism into five model components. The five model components are transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation, and improvements, and lastly, empirical quality results. The first component, transformational leadership, identifies the need for more involvement with nursing in leadership roles. The second component, structural empowerment, provides an innovative environment where strong professional practice flourishes and relationships and partnerships develop among many types of community organizations. Exemplary professional practice, the third component, involves the application of knowledge and evidence with patients, families...
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...Community assessment and analysis Presentation Red group Interview with Community health Nurse Essex County New Jersey Demographic of Essex County Essex County is located in the North eastern part of new jersey. The history of Essex county dates back to 1666 when 30 families from Connecticut established settlement along the banks of Passaic river. Essex County was officially established in 1682 by east jersey legislature. Essex County is 129.631 square miles. The Geopolitical communities are designed by natural or human made boundaries (Maurer and Smith, 2009). It holds community safer for the residents and the governing body. Essex County is bordered by human made boundaries. The weather of the community fluctuates according to the seasons. The usual temperature throughout winter stays within 24 to 42 degrees Fahrenheit. In the summer, it hikes up, and ranges between at 68 to 85 Fahrenheit. Natural disasters like flood, blizzards, snowstorms, heavy rains hurricanes, power outrage, water shortage common here. Essex county is the second most densely populated county in new jersey As of 2010 census population was 783969. The county is made up of 22 municipalities which are widely diverse encompassing large inner-city communities. Essex’s county’s economic wealth is not distributed uniformly across all...
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...The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright © National Academy of Sciences. All rights reserved. The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 65815 between the National Academy of Sciences and the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies...
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...Chapter 51. Enhancing Patient Safety in Nursing Education Through Patient Simulation Carol Fowler Durham, Kathryn R. Alden Background The alarming rise in morbidity and mortality among hospitalized patients throughout the United States heightens concerns about professional competency.1 Nurses and other health care professionals are under increased scrutiny to provide safe, effective care. Likewise, nursing education programs are faced with increased pressure to produce graduates who are capable of providing safe patient care. Toward that end, nursing education programs develop curricula, hire qualified faculty, and select learning experiences for students in an effort to train and graduate competent, effective nurses. The instructional strategies utilized in both didactic and clinical components of nursing education courses are highly influential in determining critical thinking and clinical decisionmaking ability as well as in developing the psychomotor skill performance of new graduates. Of course, it is unrealistic to think that graduates of nursing education programs have received all the training they need when they depart the doors of academia. Orientation programs for new graduates and continuing education for nurses are essential tools to help practitioners improve their knowledge, skills, and expertise so that quality patient care is provided and outcomes are optimized while errors are minimized. Ongoing evaluation of nursing competence is necessary...
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...NURSING EDITION . CO NT ASTERY SERI ES TM N E R EV MOD IE W LE U PN Mental Health Nursing Review Module Edition 9.0 CONtriButOrs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Sherry L. Roper, PhD, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Mendy G. McMichael, DNP, RN Nursing Education Specialist and Content Project Coordinator Marsha S. Barlow, MSN, RN Nursing Education Specialist Norma Jean Henry, MSN/Ed, RN Nursing Education Specialist eDitOrial aND PuBlisHiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CONsultaNts Deb Johnson-Schuh, RN, MSN, CNE Loraine White, RN, BSN, MA PN MeNtal HealtH NursiNg i PN MeNtal HealtH NursiNg review Module editioN 9.0 intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2014 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses held by Assessment Technologies...
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...the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately capitalized. Pearson Education cannot attest to the accuracy of this information. Use of a term in this book should not be regarded as affecting the validity of any trademark or service mark. Warning and Disclaimer Every effort has been made to make this book as complete and as accurate as possible, but no warranty or fitness is implied. The information provided is on an “as is” basis. The...
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...CORE CONCEPTS OF Accounting Information Systems Twelfth Edition Mark G. Simkin, Ph.D. Professor Department of Accounting and Information Systems University of Nevada Jacob M. Rose, Ph.D. Professor Department of Accounting and Finance University of New Hampshire Carolyn Strand Norman, Ph.D., CPA Professor Department of Accounting Virginia Commonwealth University JOHN WILEY & SONS, INC. VICE PRESIDENT & PUBLISHER SENIOR ACQUISITIONS EDITOR PROJECT EDITOR ASSOCIATE EDITOR SENIOR EDITORIAL ASSISTANT PRODUCTION MANAGER PRODUCTION EDITOR MARKETING MANAGER CREATIVE DIRECTOR SENIOR DESIGNER PRODUCTION MANAGEMENT SERVICES SENIOR ILLUSTRATION EDITOR PHOTO EDITOR MEDIA EDITOR COVER PHOTO George Hoffman Michael McDonald Brian Kamins Sarah Vernon Jacqueline Kepping Dorothy Sinclair Erin Bascom Karolina Zarychta Harry Nolan Wendy Lai Laserwords Maine Anna Melhorn Elle Wagner Greg Chaput Maciej Frolow/Brand X/Getty Images, Inc. This book was set in 10/12pt Garamond by Laserwords Private Limited, and printed and bound by RR Donnelley/Jefferson City. The cover was printed by RR Donnelley/Jefferson City. This book is printed on acid free paper. Founded in 1807, John Wiley & Sons, Inc. has been a valued source of knowledge and understanding for more than 200 years, helping people around the world meet their needs and fulfill their aspirations. Our company is built on a foundation of principles that include responsibility to the...
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