...The aim of the Intensive and Critical Care Nursing is to better promote excellence of care in critically ill patients. Specialized nurses and their professional teams improve care. The articles provide an exchange of research, experiences of professionals, knowledge, and different skill sets, which are aiming to improve critical care nursing. The journals are compiled of articles of that are about relevant clinical research, educational information, psychological training to help the patient and their families, or technology developments. INSERT THESIS. The publisher of the Intensive and Critical Care Nursing (ICCN) journal is Elsevier, whose goal is to provide information regarding science, health, and technology. Most of the authors...
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...Scope of Critical Care Nursing - Critical care nursing is subspecialties of medical surgical nursing. The reason of being of “Nursing” in any setting is the provision of holistic nursing care. - The adjective “Critical” is characterized by actual or potential crises for the recipients of nursing care – - Critical – is defined as pertaining to a crisis, involving danger or risk. - Critical care practice areas began to develop in the late 1960’s in response to:- a- Developments in medical science and technology b- Related changes in community values and attitudes. Definition: - The American Nurses’ Association defined Nursing as: - “The diagnosis and treatment of human response to actual or potential health problem. - In 1984, the American Association of Critical Care Nurses’ (AACN) defined Critical Care Nursing: - “Critical care Nursing is that specialty within nursing that deals specifically with human responses to life- threatening problems” - Analysis of these definitions reveals several important concepts. - The basis of the definition rests with the words human responses. - Critical care nurses deal with a- The total human being b- His or her response to actual and potential health problems. - This suggests that the critical care nurse is involved with prevention as well as cure. - Additionally, human response can take the form of...
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...RUNNING HEAD: why a bachelor of science in nursing? Why a bachelor of science in nursing? Why a bachelor of science in nursing? According to Black(2014), Registered nurses are the largest group of healthcare providers in the United States, and as the healthcare system continues to evolve , many new opportunities and roles are being developed that will use nursing skills in different ways. As an experienced nurse, I did not think I would need to go back to school, for a bachelor in nursing, to be able to deliver high quality care to my patients in these new roles. I have been delivering high quality care, and did not think I could learn new methods of delivering care. As I am reading the Essentials of Baccalaureate Nursing, I could easily place myself in some of the Essentials. I realize that “maintaining competence, continue personal and professional growth”, are also part of my responsibilities. Black (2014) Being a nurse is caring for strangers, and a stranger may be someone with a different belief or culture. A baccalaureate generalist nurse will be able to practice holistic nursing care, which focuses on the mind, body and spirit as well as emotions. As a nurse in interventional radiology, I encounter patients every day who are undergoing procedures. They have questions already answered by the doctor, but want and need...
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...University Nursing Program 11/11/2011 Revised 11/30/2011 12/10/2011 SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES 2 Delegation It takes a team approach to manage patient-care. As a FNP, and a provider for this patient, she could collaborate with other experts and delegate care of the patient. The nursing supervisor for the clinic can aid the FNP to identify her role in the best utilization of the diverse workforce by facilitating the coordination of care by employing the experts and give an introduction of what services each specialty can offer to meet the needs of the patient. Examples of the roles of the diverse workforce are as follows: The LVN educator can give one to one instructions and education in pre-partum, intra- partum and post-partum care; The social worker can interview the patient’s life condition like the family dynamics and make appropriate recommendations for the patient to be successful at home; The community health RN, BSN can use her knowledge on what specific resources the patients needs within the facility and/or outside the community; The obstetrician can be consulted, and may expedite the care of the patient by making the recommendation to transfer to a higher level of care. As the nursing supervisor, it is a duty to advocate for the patient; to receive the best possible care. And if the...
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...A. Advance Quality Patient Care Patient quality of care can be advanced throughout the hospital by active participation of staff with the use of nursing-sensitive indicators. It can be accomplished by educating staff of what nursing sensitive indicators are, how they help improve the quality of care, and how they impact nursing care. For example, pressure ulcer incidence is one of the indicators, and it involves the amount of ulcers that develop during patient hospital stay (Agency for Healthcare Research and Quality, n.d.). The staff should know that it is an indicator and needs to be reported to the appropriate personnel so that it can be tracked. The staff should also know to implement their facility protocol for pressure ulcers. For example, consulting a wound care nurse or using a specialize mattress. They should continue to monitor the ulcer status if it worsens, improves or heals. Another example of an indicator is the prevalence of restraints. The staff should be aware that restraints are only used as a last resort when other measures have failed but when they are required the staff should know to apply the standard of care for restraint use. Report why they were needed, when they were initiated, and what type was used to the appropriate personnel. Then this data can be used by the facility to compare its data against previous data or use an outside organization such as NDNQI to see if the quality of care is the same, improving, or...
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...Save Link Assignment Educational Preparation View Rubric Due Date: Nov 30, 2014 23:59:59 Max Points: 200 Details: Write a formal paper of 750-1,000 words that addresses the following: 1. Discuss the differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level. 2. Identify a patient care situation in which you describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse (BSN versus a diploma or ADN degree). For additional help finding research on this topic, refer to the GCU Library tutorial located at in the Student Success Center. Refer to the American Association of Colleges of Nursing (AACN) Fact Sheet: Creating a More Highly Qualified Nursing Workforce as a resource. Refer to the assigned readings for concepts that help support your main points. Refer to “Grand Canyon University College of Nursing Philosophy." This is an informational resource to assist in completing the assignment. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion. You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. NRS430V...
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...Core Competency: Evidenced-Based Practic C 08/13 Evidenced-Based Practice is ”the practice of nursing in which the nurse makes clinical decisions on the basis of the best available current research evidence, his or her own clinical expertise, and the needs and preferences of the patient.” (Mosby, 2009, p. 677). Utilizing Evidenced Based Practice is a way to give the best, most effective care to patients. This paper will discuss methods and results of a study and how the results were obtained. Next, I will discuss possible barriers to EBP, and ways to overcome these barriers; and finally, facilitators to EBP. The study that was used was “Clinical Nurse Specialists’ Approaches in Selecting and Using Evidence to Improve Practice.” The purpose of this study was to determine the method that CNS use to incorporate evidence in everyday practice. The method was a telephone survey with a 75% response rate. journals, internet, and online research data bases rather than their peers and experiences. The study also pointed out downfalls or barriers to EBP including financial resources and resistant organizational culture (Profetto-McGrath, Negrin, Hugo & Smith, 2010, p. 38). Although Evidenced-Based Practice is beneficial for improved patient care and outcomes, there are some barriers to using this source. First there is inadequate research that is up to date with some of the more complicated problems, studies that are not complete or hard to read and understand, and studies...
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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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...Nursing Sensitive Indicators The American Nurses Association established national initiatives called nursing-sensitive outcome indicators that focus plans/programs to increase quality and safety in patient care. They gauge aspects of direct patient care related to quality of nursing care by reflecting on structure, process and outcomes of nursing care. Structure in regard to staffing and the skill, education and certification of staff; process in regards to measuring aspects of nursing care related to assessment, intervention and RN job satisfaction, and outcomes by improving the rates of specifics in relation to patient outcomes such as in this particular case preventing hospital acquired pressure ulcers, improving patient satisfaction and restraint prevalence. Nursing Sensitive indicators are only specific to nursing and in 1998, ANA developed a National Data base of nursing quality indicators (NDNQI) so they could continue to collect and build on data from studies to expand nursing knowledge related to factors that influence the quality of nursing care. Why is this important? The nursing profession has the responsibility to measure, evaluate and continually improve practice. NDNQI identify where and how the staff is needed and show the need to increase staff in particular areas of nursing care that need improvement. The NDNQI mission is to help the RN in patient safety and quality improvements by providing research based national and comparative data on nursing care...
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...jobs that include providing care and assistance, especially in education and medicine. This work is satisfying for some people, but it can also be highly stressful. In the following scenario, consider how a company in the nursing care industry is responding to the challenges of the new environment. Major Topic Areas * Stress * Organizational change * Emotions * Leadership The Scenario Parkway Nursing Care is an organization facing a massive change. The company was founded in 1972 with just two nursing homes in Phoenix, Arizona. The company was very successful, and throughout the 1980s it continued to turn a consistent profit while slowly acquiring or building 30 more units. This low-profile approach changed forever in 1993 when venture capitalist Robert Quine decided to make a major investment in expanding Parkway in return for a portion of its profits over the coming years. The number of nursing homes exploded, and Parkway was operating 180 homes by the year 2000. The company now has 220 facilities in the southwestern United States, with an average of 115 beds per facility and a total of nearly 30,000 employees. In addition to health care facilities, it also provides skilled in-home nursing care. Parkway is seen as one of the best care facilities in the region, and it has won numerous awards for its achievements in the field. As members of the baby boom generation become senior citizens, the need for skilled care will only increase. Parkway...
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... A. Understanding Nursing Sensitive Indicators Nursing sensitive indicators include the configuration, process and outcomes of nursing care. The configuration of nursing care concludes the nursing staff, their nursing skills, and the level of education that each nurse holds. The process of nursing care concludes the nursing assessments, intervention and implimentation. The outcome of nursing care either positive or negative depends on the quantity and quality of the care provided to the patients by the nursing staff ("Nursing world," 2013) Each nurse should hold proper information and knowledge of nursing care such as knowledge of pressure ulcers. In this scenario every nursing personnel should provide the ultimate nursing care in dealing with pressure ulcers. In order to prevent any pressure ulcer each nursing personnel should be aware of the pressure ulcer concept, their prevention and the correct technique of reducing any other complication related to pressure ulcers. In this case the nurse and the CNA should use their knowledge of preventing any pressure ulcer. The first action is to assess completely the patient for any sign of pressure ulcer such as any erythema or bruising. It is essential that the nursing staff know to reposition the patient and reasses the out of sight sites parts of the body for any sign and symptoms of bruising and shearing. Also it is important for nursing staff to know that, the patients with restraint...
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...Ways of Knowing Nursing is a very rewording profession which can blossom when incorporated into practice of Carper’s fundamental patterns of thinking. After reading Cotton and Roden article (December 2006 – January 2007), I realized great importance of understanding and implementing four concepts of thinking into daily nursing practice. According to Carper (1978:21-22) empirics, aesthetics, personal and ethical way of knowing in nursing are ‘necessary for achieving mastery in the discipline’. I believe that implementing those four patterns of knowing into daily nursing care is vital in order to provide best quality care for each patient. Nursing care should be implemented in flexible, thoughtful manner and should be carefully executed in unique situation with unique patients. Empirical Way of Knowing Empirical way of thinking is defined in article as a ‘factual, descriptive…exemplary, discursively formulated and publically verifiable which is ultimately aimed at developing abstract and theoretical explanation’ (Carper: 15). This way of thinking is executed using Evidence Based Practice. I have been a nurse for the past 10 years and I believe that empirical way of knowing is most familiar to me. For example, my facility is using Congestive Heart Failure protocol (policy created by facility based on clinical practice guidelines CPG) for patients admitted to hospital with either new onset of CHF or exacerbation of the disease. Each patient with CHF has comprehensive assessments...
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...Associate degree nurses? Both BSN and ADN programs teach the fundamentals of nursing, to include health assessment, medication administration and care planning. Both must pass the NCLEX exam to qualify for entry level practice. But a BSN is a 4 year degree while and ADN is 2 years. BSN programs put more focus on the science of nursing, integrating theories and ethical decision making. Many hospitals are employing BSNs only in order to achieve ‘Magnet status’, recognizing them for quality patient care and nursing excellence. Nurses that are educated at the BSN level vs the ADN level are better trained for the workforce due to their theory background, their focus on evidence based practice and strong critical thinking skills leading to better patient outcomes. A nurse may wonder why knowledge of theory important while caring for patients at the bedside? As a particular religion guides a person for how they should live their life, theories act as guides for nursing practice. A theory provides a nurse with a tool to help them assist with describing, explaining and predicting why they do what they do. Creasia & Friberg, describe how theories provide frameworks to help give direction and guidance for nurses in their education, research and professional practice. (2011, p. 94) BSN programs provide more emphasis on theory than ADN programs. Magnet hospitals are adopting theories as the basis for their nursing philosophies and seek BSN’s as they have the knowledge and background to understand...
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...The difference between an Associates degree in nursing and Bachelors in science in nursing is that a BSN nurses are better prepared in medical setting vs. an ADN nurse especially in the acute care settings. Hospitals want nursing to be better prepared especially with all the advancements in the medical field. “The complexity of medical and surgical interventions undertaken in hospitals requires an even bigger and more sophisticated clinical workforce” (Altamann 2011). A lot of ADNs do not have the complexity or the critical thinking as do BSNs do. ADN nurses only have 2 years to complete their program, therefore their programs are usually shortened in order to meet the 2 years, and also this program main purpose is hands on skills. The ADN program provided clinical skills so that a nurse could work in a clinical set up and do required tasks, it was all about looking after the patients, routine care and doing what the physician or practitioner told them to do. The most obvious reason nursing student chose to get their ADN is for the financial advantage and that it less time to complete their program. Many community colleges for nursing cost less money each semester to attend full time. Attending community college gives nursing students the chance to prepare for the financial demands of a 4-year university if they plan on transferring. If transferring were something the student would like to do. Some students are able to get scholarships and are able to transfer to a university...
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...Nursing Process Paper Nursing involves following certain procedures, regulations, and guidelines. Nurses follow the nursing process, which is a reasoned and organized method of planning in order to provide care using critical thinking skills. The nursing process is a set of steps in which are designed to provide excellent and professional care (American Nurses Association, 2017). Critical thinking skills are used to identify, treat, and avoid health issues while also promoting wellness. Within the nursing process there are five phases, which may include; assessment, diagnosis, planning, implementation, and evaluation (American Nurses Association, 2017). The first phase of the nursing process is assessment. Nurses use assessment for analyzing...
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