...Educational Preparation Jessica Ferrante Grand Canyon University NRS-430V January 24, 2015 Educational Preparation Adults of all ages dream of becoming a nurse. Being able to help and care for people is a very rewarding and satisfying career. Currently most nursing schools offer either an Associate-degree in nursing (ADN) or a Baccalaureate-degree in nursing (BSN). With these two choices available, which path should one take? The ADN program is a 2 year program offered at local community colleges, with prerequisites that usually take 1-2 more years of education. These programs are successful in producing a graduate that is able to pass state licensing exams known as the National council licensure examination (NCLEX) that tests for minimum technical competency for safe entry into basic nursing practice. (AACN, 2014). They teach the fundamentals of nursing and nursing skills. The ADN programs are less expensive and can get you into the workforce relatively quickly. Many nurses begin with the ADN route because of time limitations or money, and then go back to school for their BSN. BSN programs are offered at the University level and usually require 4-5 years of education. The cost is significantly more and there are fewer programs available. The curriculum of the program includes basic fundamentals of nursing, additionally incorporating research concepts, theory, leadership, management, and public health. It also prepares the student to take...
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...Educational Preparation Professional Dynamics NRS-430V October 04, 2015 Educational Preparation The concept of nursing itself started in 300 BC, but the evolution of nursing continues now and in the future. Through the change of times, preparations for the expectations of tomorrows nursing persist. Currently there is a large population of associate-degree (ADN) nurses and a smaller amount of baccalaureate-degree (BSN) nurses, but with the change of times the trends of nursing are changing. Education is becoming a requirement from ADN to BSN levels of nursing. What is causing this modification in nursing? Why is this adjustment imperative to the future? There is a very distinct difference between the associate-degree nurse and the baccalaureate-degree nurse. This discussion will look at the difference between the ADN and BSN degree’s and answer the question of why the nursing trends must change at this time. Nursing started out by men caring for the ill in 300 BC. Prior to the 1800’s, nursing was still in its formative years, the ill and the poor were cared for by the lowest class of humanity. In 1873 the first formal nursing education program in the United States was a 4-month hospital-based diploma program at the Boston Training School for Nurses at Massachusetts General Hospital which was originally intended to emulate the model put forward by Florence Nightingale when she established collegiate nursing in London in 1860 (Creasia, 2011). In 1958 diploma...
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...A Comparison of Critical Thinking Skills between Associate, Baccalaureate, and RN-to-BSN Nurses A Comparison of Critical Thinking Skills between Associate, Baccalaureate, and RN-to-BSN Nurses There are many differences in the competencies between associate and baccalaureate level nurses. Associate level nursing programs tend to concentrate on the more technical aspects of nursing which allows students once they graduate to provide appropriate care to patients and families, especially during times of illness. They may practice on a more restricted level, making their nursing skills limited to more direct patient care in nursing homes and hospitals. Baccalaureate nursing programs improve on these skills by teaching more critical thinking to allow a more thorough approach to caring for their patients. RN-to-BSN programs allow ADN nurses that have grown confident in their hands-on skills and want to gain more critical thinking skills the ability to build on their education and "prepare...for a broader scope of practice" (American Association of Colleges of Nursing, 2014). The American Association of Colleges of Nursing (AACN) notes multiple research studies linking fewer medication errors, lower mortality rates and more positive patient outcomes to nursing education received at the baccalaureate level (2014). BSN programs also help teach the leadership needed for nursing supervision and prepare their nurses for graduate studies. Critical thinking competency is key...
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...has dramatically changed in the past few decades. In nursing, competencies define the duties and skills required for nursing positions and establish the educational requirements needed to qualify for each nursing title. In its October 2010 report on The Future of Nursing, the institute of Medicine states” an increase in the percentage of nurses with BSN is imperative as the scope of what the public needs from nurses grows, expectations surrounding quality heightens, and the settings where nurses are needed proliferate and become more complex.”In a study released in May 2008 issue of the Journal of Nursing Administration, Dr Linda Aiken and her colleagues confirmed the findings from their landmark 2003 study which shows a strong link between RN education level and patient outcomes, The researchers found that every 10% increase in the proportion of BSN nurses on the hospital staff was associated with a 4 % decrease in the risk of death and failure to rescue by 5%. The Bachelor of Science degree in Nursing requires a four-year university degree in which the first two years focus on general science and the second two on a more specific nursing curriculum. The ADN (Associate Degree in Nursing) requires two years of...
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...this legislation. Also in 2010 the Institute of Medicine (IOM) in partnership with the Robert Wood Johnson Foundation (RWJF) released a report that was two years in the making. The goal for the committee formed between the two entities was to produce a report that would address the lack of a roadmap for change needed to help steer the profession of nursing through the many coming changes in the modern American healthcare system. This paper will address three main components of the IOM report. The Impact of the IOM Report on Nursing Education The profession of nursing is unlike many of its colleagues within the healthcare community. Currently there are four different tracks to becoming an RN. It has been noted that the different paths of reaching the same goal of becoming a practicing RN has been a contributor to confusion among not only the general public but also the profession itself. “Perhaps the belief that ‘a nurse is a nurse is a nurse’ developed because, even though registered nurses may be prepared in educational programs that vary in length, orientation, and content, the graduates all take the same licensing examination, and, superficially all seem to be able to provide the same level of care” (Catalano, 2009, p. 88). The IOM’s key component regarding education states that nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. With this in mind the committee looked at a few key...
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...to the full extent of their education and training, nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression and nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States (IOM, 2011). Education One key point in the IOM is education. It is becoming more widely believed that a higher educated nurse is a higher quality nurse. The IOM strongly supports this belief. According to one study “The causal relationship between the academic degree obtained by RNs and patient outcomes is not conclusive in the research literature. However, several studies support a significant association between the educational level of RNs and outcomes for patients in the acute care setting, including mortality rates (IOM. 2011).” This trend is more apparent today, as evidenced by the number of hospitals requiring a BSN for hire or simply requiring RN’s with undergraduate degrees to obtain a BSN to maintain employment. While there are many studies that show a similar correlation between higher education and better care, much more research needs to be done...
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...Running head: FUTURE TRENDS Future Trends in Nursing Carol J. LaRatta Professional Dynamics 430v 01/22/2012 Future Trends in Nursing The world is evolving and so is the medical profession. Will the future trends in nursing practice, nursing education and nursing leadership be the influencing factors on how we as individuals take part in leading the way for better opportunities and a higher quality of care for our patients? You be the judge. The need and desire for a higher level of education will never end. We, as individuals are in control of our future and we are the ones who decide where we want to take it. There are so many opportunities available to those who wish to take responsibility for their careers. The workplace is changing rapidly everyday and with it we must actively participate and voice our concerns to be heard. Becoming proactive in discovering and implementing new ideas whether it is at the management or organizational level, political level or at the patient’s bedside, we must unite and work as a team to excel to the next level. To promote change it takes a strong leader with creative ideas to make a difference. Anyone can be a leader but that does not mean people will follow. We must actively voice our concerns and opinions at meetings, advisory committees and to the boards where policy decisions are made. Nurses were not seen as leaders in the past but we must continue to change that. Creating new partnerships with physicians, clinicians, business...
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...remediation, including the likelihood of recidivism, among nurses who had been the subject of disciplinary action and had been put on probation by a state board of nursing. M ETHODS : Boards of nursing in six states, Arizona, Maryland, Massachusetts, Minnesota, Nebraska, and North Carolina, chose to participate in this exploratory study. A 29-item questionnaire was used to investigate the records of 207 RNs, LPNs, and advanced practice RNs (APRNs) who were disciplined and put on probation by a state nursing board in 2001, as well as to collect data on their employment settings, the boards’ actions, and remediation outcomes (the presence or absence of recidivism); 491 nurses who had not been disciplined served as controls. RESULTS: Among the disciplined nurses studied, 57% were RNs, 36% were LPNs, 3% held both RN and LPN licenses, and 3% were APRNs. Of the disciplined group, 39% recidivated between 2001 and 2005. Three factors were shown to influence the recidivism rate: having a history of criminal conviction, having committed more than one violation before the 2001 probation, and changing employers during the probationary period. Data on history of criminal conviction prior to state board disciplinary action were available for 112 (54%) of the 207 nurses. Among those 112, 35% (n = 39) had a history of criminal conviction, whereas only 3% of the control group reported one. The recidivism rate among those with a history of criminal conviction (56%; 22 of 39 nurses) was nearly twice...
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...Differences in competences between associate degree lever and Baccalaureate degree level nurse Name - With held Grand Canyon university Author Note Prepared for Module 2, Professional dynamics Professor – Jayme Ambrose The differences in competencies between nurses prepared at the associate – degree level versus the baccalaureate – degree level in nursing. Nursing is a dynamic profession that strives on continuous learning as nursing becomes increasingly complex with the health care need of today’s generation. To keep up with this ever changing trend, nurses have to seek to acquire knowledge at the highest level at all time. There are mainly two categories of registered nurses operating in the US with two distinct levels of training towards the same licensure as registered nurses. Nurse with RN license may be educated to the level of BSN (Bachelor degree of nursing) or (Associate degree in nursing). Education and Training Associate degree in nursing is achieved after a two to three year Program at a community college level. The need for this subsector arose from a shortage of nurses after the Second World War. There were many nursing positions to be filled by hospital administrators that the training schools can produce. These nurses are trained at vocational skill training level with an average clinical placement of 400 hours. The plan was to have them work under the supervision of the professional nurse Baccalaureate degree trained nurse. The associate...
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...Consumers will control more of their health care dollars and consumers will become more active in their own health care leading to more consumer decision making. There are also changes in the workforce and the availability of individuals to provide the care which also adds to the need for our changing world to become innovative and look at the provision of healthcare from a different lens. As the sweeping transformation in health care takes hold, several representations appear to be taking shape. Each present’s their own challenges and opportunities, but the following represent different points on the spectrum as widespread emerging influences: medical tourism, workforce tsunami, and Program for All-inclusive Care of the Elderly (PACE). Medical tourism is a phenomenon in which patients are seeking healthcare services overseas (Dunn, 2010). Many times insurance firms encourage patients to pursue their healthcare needs in this fashion. There are several factors that led to this growing trend such as the growing dependence on technology, privatization of healthcare, and the enhanced globalization of both health care and tourism (Connell, 2006). Medical tourism is a rapidly growing trend and has become more prevalent in just the past decade. There are several reasons that it has gained widespread popularity. Some of the more common...
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...for employees for the medical positions will be a need for additional HR and IT personnel. The Healthcare field is constantly changing, and HR in this field is projected to fall behind in the coming future. One of the biggest concerns for in future HR trends is that the Baby Boomers are leaving the workforce. This is not an issue by itself, but when paired with the lack of skilled workers joining the field, it is a problem. While on the surface, the problem will effect the staffing; the problem could be more wide reaching and affect the cost and availability of healthcare to the general public. While this trend isn’t specific to healthcare, and all industries are facing challenges, issues arise when organizations, in particular those in the healthcare realm, have skilled senior people as opposed to generalists. Retaining experience is crucial and the current generation is not filling the positions vacated by aging Baby Boomers. These Boomers will soon stop putting into the Medicare and Social Security taxes, yet will begin to draw from them and that money is projected to run out in about 15 years. HR managers face the task of filling the open positions, and what seems to be the trend for this an increase in pay for skilled workers in the medical field. However, incoming employees are drawn by the salary, and go for the higher paying positions of RN and LPN, leaving major deficiencies in the CNA and CMA positions still understaffed. Human Resources in the Health Care field...
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...Evidence-Based Practices in Nursing Evidence-based practice can be defined as any research done whose findings enhance the ability to make better decisions regarding health care. (effective healthcare) There have been countless studies done on a multitude of topics. All of this research has led to more effective treatment and better outcomes for patients. An example of an evidence-based project performed in 2014 is one on catheter associated urinary tract infections.(Clagg) This is an immense problem in hospital and nursing home settings. There are many ways we can examine this study to see how the nurses involved with these particular patients can decrease the risk of these infections. Patients admitted in the hospital are much easier to do this type of evidence based research on due to availability of data. In the hospital, the nurse can monitor the patient’s intake and output, the color of the patient’s urine, and whether or not it has any odor or sediment.(Clagg) This research may also be done in a nursing home setting with twenty-four hour nursing care. This type of research would be difficult in the patient who was at home with a Foley catheter without having a home health nurse multiple times per day. The steps of the nursing process closely relate to evidence-based practice. This is because the nursing process is designed to deliver complete care. The nurse taking care of the patient must evaluate the patient’s needs based on subjective and objective data, develop...
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...from infection. ANA established a code of professional nursing by publishing and editing nursing articles. I never thought initiation of nursing was men started. Nursing is still dominated by women such as giving love and care like motherhood. It is amazing how nursing has been developed for all decades. First trend is the changing of nursing uniform. There are so many changes about uniforms and caps. It was white uniforms, white shoes, and white caps which is very uncomfortable to practice in bedside nursing. White uniforms get dirty easily such as blood spot and stains. It has been changed to better way to be comfortable scrubs with design. It looks more professional and functional. Second trend is the advanced of technology for caring for patients. New technology has been invented continuously to improve the patient care for treating and diagnosing disease. Nurses have more knowledge and responsibility for patient care by dealing with the advanced technology such as Intra-aortic balloon pump, Aquapheresis,CVVH PA catheter,etc. Those technologies promote to efficient quality of care. Third trend is the growing need for continuing education. Hospital persuade to RN to have BSN instead of Associated degree or Diploma in nursing. Nowadays, there are so many high education opportunities such as nurse practitioner, nurse anesthesia, nurse educator, MSN, BSN. This make nursing field to be respected more. I enjoyed reading about the history and foundation of nursing. It changed...
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...Title: The differences in Competencies between Nurses Prepared at ADN versus BSN level of Nursing with- Patient Case Scenario Name: Lu-Anna Godett Grand Canyon University: NRS-340V May 3rd, 2015 Nursing is a field that is constantly changing and evolving which makes it necessary for nurses to grow and evolve with it. One of the ways to facilitate these changes is through education. This paper will take a look at the difference in competencies of an Associates Degree and a Bachelorette Degree nurse. We also look at the differences in approach, and the roles that experience and skills play in the clinical decisions made by a BSN and an ADN prepared nurse by evaluating a clinical scenario of a BSN versus an ADN. Associate Degree Nursing This program takes about 2 to 3 years to complete, usually at a technical or community college. According to Ellis and Hartley (2008), this program was expected to put new nurses into the work field more quickly to help eliminate the nursing shortage. Mildred Montag designed the ADN in 1952 as an alternative to typical college education. Creasia (2011) states that Montag’s intent was that ADN nurses would work under the direct supervision of BSN level nurses. Bachelor Degree Nursing This degree is completed in a 4-year college or University. The first school to introduce this program was the University of Minnesota in 1909. Bachelorette nursing programs teach basic nursing skills along with concepts of health...
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...Plan In assessing the needs of the organization, the education department realized that the systems current methodology of validating nursing competencies was out dated and very inefficient and non cost effective. In March of 2012, the education department embarked upon collaboration with a well-known national speaker to come speak to our leaders and clinicians regarding nursing competencies. This was the initial step taken to start changing forever how we assessed and validated nursing competencies across the system. Unit Based Competency Business Case As we examined the dynamics in healthcare, we pursued the introduction of a new unit based competency model. This shifted the paradigm from yearly skills labs that were non productive to the UBC model as it was the right thing to do. The ability of the nurses at the point of service is constantly plagued by intricate innovations in the areas of equipment’s, staffing, requirements from regulatory bodies, on-line documentations, and the like. The current trend in healthcare is highly motivated by a well-educated clientele of the community, hence an escalating expectation from the nurses is inevitable, most specifically the competency. Competency assessment as required by external and internal standards is a must for every healthcare facility. The controversy however, arises as to how an organization comprehends and interprets competency verification. Various interpretations are available;...
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