...3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity 20. Quality improvement 21. Relationship-based care 22. Safety Teaching-Learning Strategies * Review course syllabus distributed by instructor * Read requirements and policies related to program found in Nursing Student Handbook (NSH) * Review course supplemental learning guide (SLG) * Text for course * Read definitions of Major Concepts used in the Program...
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...competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level nursing. Nursing is a dynamic and complex discipline that needs increase knowledge and skills. Now days a nurse is expecting to make critical decision sometimes than following doctors’ orders, which requires more education. There are some differences between associate-degree level nurse and baccalaureate nurse even though they carry the same RN position in their beginning of their carrier. Professionalism, ethical decision making, accountability, critical thinking and effective communication are included in baccalaureate degree program. A lot of RNs are advancing their nursing degree to bachelors. What we see around is ,most of them are coming from some kind of health care field . After initial licensure, RNs can obtain additional academic degrees in nursing. Surveys show that half of the nurses are holding BSN and the other half holds associate or AND degree . According to the Institute of Medicine(IOM) and Robert Wood Johnson Foundation(RWJF) report, “The Future of Nursing: Leading Change, Advancing Health”, nursing will need to undergo changes in nursing scopes of practice, which will also needs advances in nursing education and training ,in order to meet the healthcare needs of society. Modern civilization has traveled far and creates a rich history which includes advances in education in nurses and women and nursing practice has been improved...
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...Becoming a qualified nurse Rob Burton and Graham Ormrod The aims of this chapter are: P To explore the expectations of a newly qualified nurse P To highlight the experiences of newly qualified nurses P To discuss the roles of the nurse in different fields of nursing P To provide an overview of the structure and rationale of the book Introduction: how this book can help you to become a qualified nurse Becoming a qualified nurse is quite an achievement. After three or four years of education involving academic and practice experiences, entering the nursing register of whichever field of nursing you qualify in is something to be proud of. The hard work pays off and you are able to become a professional in your own right. This does bring with it some challenges as well as rewards. You may now find that there are different expectations of you, and a set of roles and responsibilities that are different from those experienced as a student under supervision. The aim of this book is to explore and develop important aspects of the roles and responsibilities of the qualified nurse in order to develop your understanding and prepare you to successfully make the transition from student nurse to registered professional. It can also be used as a resource for those who may already be qualified and registered, but are looking for helpful advice and are wishing to continue their professional development. The roles and responsibilities of a qualified nurse include essential professional...
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...TITLE PAGE Therapeutic Communication And Nursing Considerations As a nurse, one must expect to be faced with diverse situations. From teaching patients of varied educational backgrounds to explaining a difficult diagnosis, it is the place of the nurse to build a proper relationship and provide therapeutic communication to each person in the most effective manner possible. This paper first describes the fundamental elements of the communication process, and second, reviews the three levels of communication with nursing applications. Third, this paper differentiates between verbal and nonverbal communications, and furthermore describes the nurse’s focus in the nurse-patient relationship. This paper outlines therapeutic and non-therapeutic communication techniques, with regard to cultural diversity and patients with alternative communication needs. The Communication Process “Communication is an interactive process between two or more persons who send and receive messages to one another”(Varcarolis, 2010, p. 175). “Two common elements of every communication exchange are the sender and receiver. The sender initiates the communication. The sender is a person who has a need or desire to convey an idea or concept to others. The receiver is the individual to whom the message is sent. The sender encodes the idea by selecting words, symbols, or gestures with which to compose a message. The message is the outcome of the encoding, which takes the form of verbal...
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...leadership skills: being born with a certain set of physical and emotional characteristics for inspiring others to reach a common goal ii. Style theories: 3. 4. How leaders behave in certain environments and situations. a. Democratic: you care about what others think b. Lasae faire: no structure; people can do what they want c. Authoritarian: you are in charge iii. Situational-contingency theories 5. 6. These theories consider the challenge of a situation and encourage an adaptive leadership style to complement the issue being faced. Assess, assess, assess 7. You are typically democratic; you assess the situation and change your style based on what the situation is. iv. Transformational theories 8. 9. Inspires, motivates, empowers, mentors, provides intellectual stimulation and promotes creativity b. Motivational Theories v. Hierarchy of needs 10. 11. Low level needs will always drive behavior before higher levels needs can be addressed. For example, pain level, nutrition, and energy level need to be considered before delivering patient education. vi. Two-factor theory 12. 13. Must have good working conditions as well as recognition and achievement. High salary alone is not enough to create job satisfaction. vii. Expectancy...
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...customs, practices, and values of a culture is essential for nurses and health care providers. Beyond the racial and ethnic group, classification that usually comes to mind with discussion of cultural diversity, other types of cultural diversity such as gender and organization affiliation warrants attention. This paper will discuss cultural competence in home health care/hospice, the people that receive service and issues of community vulnerability. Exploration of standards of cultural competence, potential impacts of delivery of care, and possible solutions to implement where standards are not being met will emerge. Cultural Competence According to Freidman, Bowden, and Jones (2003), people view culture as a model for our way of living, behaving, living, and feeling. An association between culture and heath practices is existent. In fact, culture is the most influential factor in determining health behaviors and beliefs (Campinha-Bacote, 2003). Cultural competence involves being aware of, and conversant on, and sensitive to the diverse cultures that exist in the population. Health care providers should not only embrace cultural diversity but must also strive for cultural competence in order to ensure that all patients receive the best care possible. Nurses spend the most time with their patients; therefore, if nurses are not aware of all the variables that can affect the patient’s health and outcome, such as culture, then this can affect the safety of the patient. Campinha-Bacote...
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...Administrative Ethics Paper HCS335 March 4, 2012 Angela Stark Administrative Ethics Paper Describe the issue and its impact on the population it affects most. What arguments or facts are used in the article to support the proposed solution? What are the ethical and legal issues reported for your administrative issue? Explain the managerial responsibilities related to administrative ethical issues. If none were stated, what should have been done? Identify any proposed solutions. When a nurse becomes overwhelmed, they may turn to narcotics like in this case. The nurse was putting the patient’s health at risk to help her get her drugs. She would chart the patient was given the drug but in turn she was giving them saline and was taking the drugs herself. It was a flexible nurse so she didn’t have certain rooms with specific patients. The pharmacist was the one who actually figured out there was an increasing amount of narcotics signed out and the signatures were questionable. Confidentiality became an issue in this situation. Since two nurses knew of the situation and confronted the nurse about getting help. But one nurse stated all the nurse had to do was complete rehabilitation during her leave. The other nurse supervisor wanted to have a meeting with other members to discuss how it needed to be handled, let the other staff members know what had gone on and see if they know anything but didn’t say anything. Also reassuring the staff that a problem had been...
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...Leadership This assessment requires that you consider and provide evidence of your learning and personal development as well as the application of this in practice. The following document provides you with a clear structure by which to achieve this. 1. Outline the implementation of your personal action plan for improving your leadership capabilities I currently work as the Clinical Team Lead in a Psychiatric Intensive Care Unit for an NHS Foundation Trust. Working in restrictive, structured, secure environment can be daunting and frustrating for patients who are admitted, due to a combination of the intensity of their mental illness, behaviours derived from this level of intensity and the constraints caused by the environment. This frustration can at times be displayed in a violent manner and directed towards nursing staff and their peers. It was identified through various discussions with the patients, staff and the Manager that both patients and staff were frustrated and both parties had different views towards reasons of violent and aggressive behaviour (appendix 1 and 2). Staff believed it was the patient’s internal views and presentation that led to an aggressive outburst, while the patient reported environmental and poor communication to be the contributing factor. Whittington and Duxbury (2005, p 469) identified environmental conditions and poor communication to be at the forefront of patient aggression and violence incidents and that there is a need to explore the...
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...social care. A nurse basic professional responsibility is to provide care and support to people who need helps to improve their health issues. Its professional responsibility is to provide nursing care and support to the people who have been suffering from deterioration of health. A traditional way of nursing is to just provide primary care and follow the order of the professional practitioner, but now new concept of therapeutic relationship and implementation of therapeutic process is evaluated (Fournier, 2000). Nursing practices includes variety of settings and these settings will affect the processes which are out of control over nurse’s influence. These processes may be government laws, policies, management decisions and orders of other professional practitioners. The code of ethics outlines the intention of professional nurse to accept the individual rights and respect these rights in medical practices. Such code of ethic for nurses may affect to fulfil their moral obligation and other ethical problems they may face during their professionalism. Nurses are encouraged to take part in discussion and take decision for their moral obligation which they are facing in taking care and supporting their patient. (Gelman, White, Carlson & Norman, 2000) Over the period of time, there has been increasing emphasis on the on collaborating care and inter professional working between health and care supports. It has been widely argued about the collaborating working between both services...
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...design copyright © 2008 by John N. Bailey. Under Australia's Copyright Act 1968 (the Act), except for any fair dealing for the purposes of study, research, criticism or review, no part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means without prior written permission from John N. Bailey. All inquiries should be directed in the first instance to the publisher at the address below. Copying for Education Purposes The Act allows a maximum of one chapter or 10% of this book, whichever is the greater, to be copied by an educational institution for its educational purposes provided that that educational institution (or the body that administers it) has given a remuneration notice to JNB Publications, Disclaimer All reasonable efforts have been made to ensure the quality and accuracy of this publication. JNB Publications assumes no responsibility for any errors or omissions and no warranties are made with regard to this publication. Neither JNB Publications nor any authorised distributors shall be held responsible for any direct, incidental or consequential damages resulting from the use of this publication. To Order this Publication This publication can be ordered in a wire bound format or as an electronic copy for unlimited copying and editing in an RTO. For distribution details, please visit our website at www.jnbweb.com. or email me at johnb@jnbweb.com . Published in Australia...
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...Context (max 250 words) First, describe the context in max 250 words. Describe all details about the context that are necessary for analysing the learning situation, such as knowledge level of the students, specific learning context (e.g. ward, handover etc. ) Sitting : outpatient clinical physiology clinic. King Khaled university hospital. Riyadh .Saudi Arabia. Level of learner: internship doctors Number of learners: 2 Number of medical staff in the clinic: 1 consultant, 1 nurse, 2 internship doctors. Procedure to be performed: upper limb nerve conduction study (NCS). A non-invasive procedures Time scheduled for each patient: 45 minutes Total number of patient: 5. Clinic time: Wednesday morning 8 am -12pm Duration of placement: 1 month Learning situation (max 500 words) Purpose: At the end of the clinical session, the learner should be able to: 1- Perform a focused patient-centered history and focused physical examination for diverse patient referred to the clinical neurophysiology clinic 2- Perform upper limb nerve conduction studies in patients referred to clinical neurophysiology clinic. 3- Perform analysis ,interpret and report findings of nerve conduction study. 4- Demonstrate...
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...Nursing Students We want to thank you in advance for your active participation in this standardized simulation. Our purpose is to immerse you in a high quality clinical experience that will enhance critical thinking, decision-making, and prepare you as you move forward in the curriculum and transition into practice. The following material can be used in scenario preparation. You will find preparation documentation that includes course and student learning outcomes as well as general scenario information and resources. A brief patient history will be provided in addition to the most recent physician orders. Be prepared to document your assessment findings, administration of medication, and nursing notes. A medication administration record, laboratory results and patient education material will be provided for you during the simulated experience. One of the most important aspects of simulation is the assessment of performance and debriefing. Keep in mind that the purpose of participation is to enhance your learning and allow you to identify areas of needed remediation. There is no high-stakes testing. We are only asking that you engage in the learning experience and begin to use the feedback provided to enhance your practice. We want you to be able to self-reflect on your actions and interventions and remediate areas that you identify. An assessment matrix has been created that will be used to evaluate your assigned teams’ performance. The PREPARED™ Assessment Tool...
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...health and wellbeing is of importance to clinics and how increased ill health costs them money. It describes how increased absenteeism leads to increased turnover, which leads to low productivity and performance, costing countless dollars. It offers ideas of health education to help employees with lifestyle changes such as eating healthier and smoking cessation. Bloxam and Evans offer a good implementation plan with interesting ideas (2013). C.)The majority of my clinic employees stay healthy, although this article has very good ideas it would not be of great importance...
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...Terminologies in Practice Introduction Nursing professionals have standardized terminology they use to communicate with each other and other medical professionals. Standardized terminology (ST) has allowed nurses to agree upon a common terminology to describe assessments, interventions, and outcomes related to the documentation of nursing care. Nurses from different units, hospitals, geographic areas, and countries will be able to use commonly understood terminology to identify the specific problem or intervention implied and the outcome observed (Rutherford, 2008). Within ST there are organizations that have standardized the terminology for nurses. NANDA, NOC, and NIC are the organizations that will be discussed throughout this paper and how they related to patient care based on a provided scenario. The scenario I will be discussing is: 47yr male patient presenting to the ED with c/o SOB and CP x 3 days. Pt is pale and diaphoretic on arrival. VSS are HR 130; BP 123/74; O2 sat 96% on 4L NC; pt. with shallow rapid respirations rate 36. NANDA is an organization that has developed more than 200 nursing diagnoses. “NANDA International will be a global force for the development and use of nursing's standardized terminology to ensure patient safety through evidence-based care, thereby improving the health care of all people” (NANDA, 2014). NANDA committed to improving the quality of nursing care and improvement of patient safety through evidence-based practice (NANDA, 2014). From NANDA...
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...Care of Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers (those born from 1946–1964) reach retirement age (as of 2011) A large group of people born between 1946 and 1964, in the time after the Second World War. * What are the five racial groups listed in your text? African American, American Indian/Alaskan Native, Native Hawaiian/Pacific Islander/Asian, Hispanic, White * How would you perform discharge teaching to an Hispanic patient Teach the family as well because more than likely, pt is going home and family is his/her primary caregivers. * Apply effective and respectful communication strategies in the care of older adults and their families. *...
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