...Virginia Board of Nursing The Use of Simulation in Nursing Education Introduction This document provides information and guidance to schools of nursing (both PN and RN) in Virginia on the use of simulation in lieu of direct client care hours in the fulfillment of the clinical hour requirements for nursing education programs. As of April 2008, all RN nursing education programs approved in Virginia shall provide a minimum of 500 hours of direct client care supervised by qualified faculty, and all PN nursing education programs approved in Virginia shall provide a minimum of 400 hours of direct client care supervised by qualified faculty [18 VAC 90-20-120.E]. This document will outline the essential components and major concepts that are necessary when using simulation in lieu of direct client care. Background in Simulation Technological innovations are advancing practice across all domains of education and industry, and the same is true in nursing education. Simulation is gaining popularity as a means to provide innovative learning experiences and foster a richer understanding of didactic content. As nursing programs prepare to integrate simulation into nursing education, the Virginia Board of Nursing has prepared this outline of major concepts that need to be addressed when preparing and integrating simulation into nursing curricula. Simulated experiences provide the student with the opportunity to be involved in patient care experiences they may otherwise...
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... 1 Associates Degree Nursing Education vs. Baccalaureate Degree Nursing Education: Differences in Clinical Practice Suja Kuruvilla Grand Canyon University: NRS-430V Professor Lorraine Hoover September 2, 2012 Health care is a field that is changing dramatically. Many practicing nurses have various degrees in nursing like Associate Degree, Diploma, Baccalaureate and Master’s degree. Due to the varying levels of education and training, differences exist between the nurses prepared with an Associate degree (ADN) when compared to those nurses who have trained in a Baccalaureate degree (BSN). Though nurses getting these degrees have their differences in preparation, nurses earning these degrees have adequate theoretical and clinical learning experiences. The license qualifying examination for many states- National Council Licensure Examination (NCLEX) - does not differentiate between ADN and BSN degree prepared nurses and allows nurses with both degrees to take the licensing examination after completion of the degree regardless of the educational background of the applicant. The differences in competencies between nurses prepared with an ADN compared to those prepared with a BSN include the quality of training and duration of the course. From research shown in many well published studies and from my own practice, I feel that such differences in training create various approaches to patient management in similar clinical situations and hence do have a variable...
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...2012 WHY ARE NURSES LEAVING? Nursing shortage has created a serious challenge in the health care delivery system, as there are not enough nurses to meet the patient’s demand. This shortage is a major concern in the health care system as it has a great impact on the quality of care to be provided. It was stated that by the nursing workforce in the United States, that registered nurse (RN) shortage may exceed five hundred thousand by the year 2025 (American Association of Colleges of Nursing [AACN], 2010; Cipriano, 2006; United States Department of Health and Human Services,2002). Several factors have contributed to Registered Nurses (RNs) leaving clinical nursing practice. These includes job dissatisfaction, increase in age of working nurses, verbal and physical abuse from managers, physicians and co-workers, lack of support from members of staff, fatigue and exhaustion due to work overload, and retention and recruitment. This situation can be improved by ensuring adequate nurse to patient ratios by reducing work load, promoting respects of nurses, giving rewards and recognizing nurses for a job well done, empowering nurses and nursing management, and increasing recreational activities for nurses to reduce fatigue and burnout. Purpose and Research Questions The study was conducted to identify the factors why RNs are leaving clinical nursing practice, what their expectation from the Nursing Management, job satisfaction and...
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...have to undergo NCLEX-RN state board exam irrespective of the courses they have done. Another fact being that all these programs provide the basic knowledge and skill in effective patient care ADN nurses are more task-oriented employed in a workplace with not so complex patient scenario. They work under the basic nursing protocols. It is one of the preferred career path as it is the less expensive and short path of becoming a Registered nurse. The nurses with Baccalaureate are more skilled with good leadership qualities for effective patient care affecting less mortality. They take care of both the physical and mental well-being of a patient. They are more in to service than in to opportunities. They are with good leadership abilities and skills primarily focused on analyzing and resolving to critical patient care needs. They are efficient theoretically as well as practically enabling them to be part of multidisciplinary teams. Within the undergraduate subdivision, there are two preparatory levels of nursing education: Associates Degree in Nursing (ADN) and Baccalaureate Degree in Nursing (BSN). patient-centered care and compassion remain consistent between both degree-levels Major differences in competency of critical thinking and problem solving skills, evidence-based practice and clinical judgment, exist between nurses prepared at the associate-degree level and baccalaureate degree level, thus proportionally affecting patient outcomes The ADN is a two-year program that provides...
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...Health care is a field that is changing dramatically. Many practicing nurses have various degrees in nursing like Associate Degree, Diploma, Baccalaureate and Master’s degree. Due to the varying levels of education and training, differences exist between the nurses prepared with an Associate degree (ADN) when compared to those nurses who have trained in a Baccalaureate degree (BSN). Though nurses getting these degrees have their differences in preparation, nurses earning these degrees have adequate theoretical and clinical learning experiences. The license qualifying examination for many states- National Council Licensure Examination (NCLEX) - does not differentiate between ADN and BSN degree prepared nurses and allows nurses with both degrees to take the licensing examination after completion of the degree regardless of the educational background of the applicant. The differences in competencies between nurses prepared with an ADN compared to those prepared with a BSN include the quality of training and duration of the course. From research shown in many well published studies and from my own practice, I feel that such differences in training create various approaches to patient management in similar clinical situations and hence do have a variable effect on patient outcomes. Nurses with an ADN or a BSN have distinctive differences in their preparation to get their degree. Nurses with an ADN obtain their degree through attending community colleges, nursing schools, or other...
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...Nursing Process and Clinical Decision Making Janet NUR/300 Kimberly Tomsai October 12, 2011 Nursing Process and Clinical Decision Making Not all nurses have the same knowledge and experience therefore nurses need to understand clinical judgment, decision making, and the nursing process to administer the best nursing care regardless of personal skill level. Nurses make clinical decisions based on knowledge and experience. A variety of theories and conceptual frameworks have developed to explain the science of nursing and clinical judgment, one of the most notable is that of Patricia Benner. Benner’s theory presents that nurses operate in five stages of clinical judgment from novice to expert (Bias, Hayes, Kozier, & Erb, 2011). The novice is the student nurse who has very little or no knowledge whose main concern is with rules and guidelines to complete tasks. Next is the advanced beginner or the graduate nurse who understands the concepts of nursing but sees difficult situations as more difficult tasks to complete and more rules to learn and often feels overwhelmed frequently consulting with more experienced nurses. For example a new patient arrives to the unit the nurse has not completed the tasks for the patients she already has becomes overwhelmed with how to prioritize and meet each patient’s needs. At the competent stage the nurse no longer functions entirely within a set of rules. Organizational and technical skills have improved the nurse is...
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...Emmanuel Okoroafor. Educational Preparation. Grand Canyon University January 2013 Educational Preparation * BSN means Baccalaureate of Science in Nursing and ADN means Associate Degree in Nursing. Both degrees will qualify a student to take the same NCLEX exam for a practicing license. There are different competency levels in these two programs. BSN is a four year university program with focus on knowledge, theories, research and clinical and an overall emphasis on the entire field of nursing. The program tend to expose the student to human diversity, global perspective, ethical, legal, health promotion, spiritual perspective, political, and social influences using liberal arts for a complete understanding of the field(Punturi,2010)The ADN is a two year program with focus on the clinical skills and more task oriented. The ADN program does not go into too much details of different aspects of health sector like leadership, political, ethical, policy and other global perspectives. BSN prepared nurse posess the following competency according to leddy and Peppers Conceptual Bases of Professional Nursing(Lucy J Hood,2010)provide direct care with different nursing diagnosis using nursing process, within allowed parameters, and independent nursing decisions. * A mentored clinical learning situation in both classroom and practice setting helps nurses to apply theoretical knowledge with actual event(Field,2004) In a study by Benner, on competency of nurses the study highlighted...
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...Clinical reasoning, evidenced based practice and my application of both in nursing practice Clinical reasoning, evidenced based practice and my application of both in nursing practice Simmons (2009) states “clinical reasoning guides nurses in assessing, assimilating, retrieving, and/or discarding components of information that affect patient care” (p. 1151). I feel that without clinical reasoning nurses would just be going through the motion of caring for a patient with no specific outcome in mind. Because of the autonomous work of the nurse in many settings clinical reasoning is a skill that must be fine-tuned. There will not always be others to collaborate with on the care of patients and therefore the practicing nurse must feel confident in her decision of what type of care to provide, this is where her skills of clinical reasoning (cognitive process) come in and she is able to decide on the type of care to be given based off of her skills alone. The following are some of the different types of clinical reasoning out there. 1. Subjective expected utility theory, which explains how, decisions ‘ought’ to be made using mathematical estimation of highest probability. (Simmons, 2009, p. 1153). 2. Information processing theory, which focuses on how decisions are made, not how they should be made. (Simmons, 2009, p. 1153). 3. Hypothetico-deductive method which is a medical descriptive model based on information processing. (Simmons, 2009, p. 1153)...
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...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 to promote...
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...competent healthcare professional who possess the required level of nursing experience needed to deliver high quality, customer focused, and clinically effective patient care in a modern well equipped clinical setting. Key qualities include being able to continually assessing a patient’s needs and wishes, coping with frequent interruptions in high pressure situations, and being able to respond quickly to emergencies. Having a real passion for nursing, with a strong desire to provide the highest level of care & service to patients. WORK EXPERIENCE • Flacq Hospital ( Year 2005-2009; General Nursing) • Moka Hospital ( Year 2009-upto now; Ophthalmic Nursing) |REGISTERED NURSE June 2008 – Present | | | |DUTIES: | | | |Meeting a patient’s nursing care needs. ...
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...Educational Preparation Throughout history nursing has been known as the act of caring or the sick, handicap and wounded. Nursing has developed into a profession over the last century, impart because of education. Nursing education has evolved from a trained nurse to a level of Doctorial Degree in Nursing. This paper will discuss the differences in competencies in two degrees in modern nursing the Associate Degree Nurse (ADN) and the Bachelor Degree Nurse (BSN) and how they relate to patient care situations. Differences in Competencies Associate Degree Nurse In 1942, World War II created a nursing shortage in American society. The Associate Degree program was established by Dr. Mildred Montag in 1943 at the Adelphi College of Nursing. Dr. Montag felt that a shorter education program for nurses would help with this nursing shortage. She never intended for this 2 year program to replace the nursing baccalaureate program (“Mildred Montag Envisions AD Nursing Education”, 2011). Montag’s idea of and Associate Degree Nurse (ADN) was to prepare technical skills in nursing for community hospitals and other patient care setting. AD nurses were eligible to take the RN licensure examination. She intended for these ADN’s to work under the baccalaureate level nurses in these facilities (Creasia, 2011). The ADN has graduated from a collegiate school. They have been seen as competent in technical skills in nursing for bedside nurses or secondary care setting and are eligible to take the...
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...Nurses Manage Patients Who Refuse Nursing Care Procedures Grand Canyon University: NRS 433V March 9, 2014 Nurses Mange Patients Who Refuse Nursing Care Procedures This paper will critique a qualitative research study about how nurses manage patients who refuse nursing care procedures. These articles also explains how nurses view informed consent as not being essential to nursing care procedures. PROBLEM STATEMENT The clinical problem being examined in the research study is the way in which nurses obtain consent prior to administering nursing care procedures, and the way nurses manage patients who refuse any nursing care procedures. By stating that nurses “do not regard obtaining consent as an absolute requirement” also stating that “consent is preferred but no considered essential” the significance is established and a clinical problem identified (Aveyard, 2004). The author identifies the need for further education of nurses on the need to obtain informed consent for nursing care procedures, and the need for more research of this topic. The role of persuasion in situations of informed consent has been widely commented on. Many commentators argue that the health care provider has a duty not only to give information but also to persuade the recipient of care to accept the course of action considered most appropriate for the patients’ safety. PURPOSE and RESEARCH QUESTIONS The study clearly identifies the aim of the study as “to examine the way in which...
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...Running Head : DIFFERENCES IN COMPETENCIES BETWEEN BSN VERSES ADN. Educational Preparation Shyni Joseph Grand Canyon University 02/17/2013 Nursing is one of the fastest growing occupations in the United States. Quality patient care hinges on having a well educated nursing workforce in the interest of improving patient safety and providing enhanced nursing care. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. Education enhances both clinical competency and care delivery. The overall outlook of healthcare professions 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...
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...Nursing learning has an immense contact on a nurse’s capability to practice, so as patient also requires the knowledgeable nursing personnel. I am an associate degree nurse. I have been working in the hospitals for last 8 year. I do have experience but still I am lacking something as a nurse then I have decided to add three more letters after RN. Nurses with Bachelor of Science in Nursing (BSN) degrees are well-educated to meet the workload placed on today’s nurse. BSN nurses are appreciated for their proficiency in critical thinking, problem solving, case management, clinical decision and health promotion. Baccalaureate nurse have additional chances to move up in nursing employment ladder in a variety of health care areas which offers as extensive professional development. Furthermore, nurses with a baccalaureate degree exhibit more nursing competencies as compared to their associate degree or diploma nurses. This discussion will point out the dissimilarity between Associate degree nurse (ADN) and Baccalaureate degree nurse (BSN) and also their ability to make sound clinical decisions. Associate Degree Nursing Versus Baccalaureate Degree Nursing The nation’s demand for nurses increased noticeably after World War II, as 78 million children were born between 1946 and 1964 (eventually known as baby boomers) (Creasia &. Friberg, 2011). Because of the nurses’ shortage after the World War II, associate degree nursing was originated by Mildred Montage in 1951. ADN was introduced...
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...health care environment is undergoing significant changes due to complex patient’s needs, chronic health conditions, and technological innovations. Educating nurses within the 21st century requires a creative integration of knowledge, skill set, and caring within an increasingly complex healthcare system (Institute of Medicine [IOM], 2010). Nursing education is heavily laden with continuous content increases to be covered within the curriculum (Devereaux-Melillo, Dowling, Abdallah, Findeisen, & Knight, 2013). The need to examine curricular transformation is imperative in order to manage content saturation, and abate the separation of the classroom and clinical teaching. This paper will outline the following processes: (a) the development of a concept-based curricular plan for a baccalaureate program, (b) the impact of a concept-cased curriculum (CBC) on the faculty, students, finances, community of interests, accreditation, and (c) examples of the integration of competencies. Development of Concept-Based Curricular Plan Nursing faculty are challenged with curriculum, for they are presenting an astronomical amount of material to “cover the content”. According to Duncan and Schulz (2015) nurses practice conceptually on a daily basis by focusing on the patient needs, regardless of the medical diagnoses assigned. In order to practice conceptually, nurses must think conceptually by grouping important facts into concepts that can then be transferred from one clinical situation to...
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