...Evolving Practice of Nursing and Patient Care Delivery Models The Speech Hello, my fello nurses. Thank you for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility...
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...Evolving Practice of Nursing and Patient Care Delivery Grand Canyon University: NRS 440V Jane Smith Evolving Practice of Nursing and Patient Care Delivery Hello fellow nurses, welcome to our Professional Nurse Evolution summit. My name is Jane Smith and like you I am a registered nurse, I work at the bedside. I always thought I’d live and die as a staff nurse at a busy level 1 trauma center in the inner city but recently I’ve looked up from the bedside and I see opportunities knocking at my door, and I see a way to help the community in which I serve in a different role. The practice of nursing is changing, growing, shifting in other words: transforming. Over the next decade, we will see nursing move from the acute care setting and into the community. I would like to discuss with you the concepts of accountable care organizations (ACO’s), medical homes, and nurse-managed health clinics, and continuum of care. Our health care system landscape is changing; no longer are we just treating illness, our health care system has evolved to one of disease prevention and wellness. With the signing of the Patient Protections and Affordable Care Act (PPACA), an additional 30 million Americans now have access to affordable and equitable health care (Institute of Medicine [IOM], 2011). The rising cost of health care and the sheer volume of those needing health care has led to reinventions in our care delivery models. According to the American Nurses Association (ANA), an ACO’s is a...
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...Discussing the future of nursing theory can bring up a wide outlook of the direction of nursing. Everyone has different views and interests concerning nursing’s future. In this discussion, we will cover some of the opinions of what has driven nursing theory development, what will drive future development in nursing theory, and how might nursing practice change as a result of evolving nursing theory. According to "Nursing Theory" (2011), “The nursing profession has evolved greatly over time, moving from dependence upon total medical direction providing basic care into an independent practice modality with its own nursing theory practice, nursing models, and distinct nursing interventions” (Nursing Theory).The requirements of nursing education have grown greatly. Nurses used to only take care of basic ADL’s of patients. Today, many nurses have more knowledge than the physicians working with these nurses. It is only logical that nurses have their own set of theories and models that guide their nursing practice. Nursing theories increase the general knowledge within nursing through research implementation. Theories provide the basis for nursing practice, helps to generate future knowledge, and indicates in which direction nursing should develop. Nursing theories are an attempt by the nursing profession to continue within the professional boundaries of nursing (Nursing Theory, 2011). Nursing theory has also been driven by the advanced educations available to nurses. Advanced education...
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...Walden University Nurs-6015-1 Information & Healthcare Technologies Applied to Nursing Practice February 23, 2013 Nursing informatics affecting attitude The professional role of nursing is evolving and nurses are recognizing the integral connection of informatics competencies to evidenced based practice and the roles it plays in clinical decision making, nursing research, measurement of nurse sensitive outcomes, professional development, operational effectiveness, and ultimately the nurse-patient relationship (Schleyer, Burch, & Schoessler, 2011). It is essential with the advancement in technology that nurses become more user friendly and have a higher level of training in the area of nursing informatics. Nursing informatics has taken a step toward advancements in technology over the last decade with many facilities across the nation implementing these new systems. These new systems are designed to assist nurses and providers by reducing repetitive documentation, reducing medical errors, reducing medication and administration errors, increasing the quality of care for patients, and increasing patient outcomes. My attitude is positive and accepting of nursing informatics from the knowledge gained throughout the course. It has given me a higher level of awareness with everything nursing informatics can assist in and it has given me a feel of being more opened to using newer technology. Having a positive attitude can affect the overall implementation of a new...
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...Nursing Theory, Research and Evidence Based Practice Over years nursing has been evolving as a science and the nursing practice became governed and organized now by rules, regulations and theories. Since 1992 Evidence Based practice (EBP) has been formally introduced to the field of nursing, and nursing policies and procedures have been changed accordingly due to the advances in research. Our practice is guided by our beliefs and directed by our advanced knowledge, (Laureate education 2010). Describe a change in practice that came out because of theory based research and evidence As discussed earlier nursing practice is in constant change, the latest change I have seen in my Intensive care unit (ICU) was the emphasis on early removal of unnecessary Foley catheters (Urinary catheters) , as many studied has shown its direct coloration with urinary tract infections, (Dr. L. Brusch MD, 2012). Every day the Foley catheter stays. The incidence of catheter associated urinary tract infection (CAUTI) is increased by 3-10%, and about 80% of nosocomial UTI’s is related to urethral catheterization. What kind of evidence where used The evidence used was urine specimens (urinalysis and urine cultures), blood test and clinical presentation. Urine cultures has showed bacterial colonization, meanwhile CBC showed leukocytosis, more over the clinical picture of fever, chills, puss around the site of insertion, pain, redness also supports the diagnosis of CAUTI, (Dr. L. Brusch...
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...Competency Differences between nurses prepared at the Associate-Degree Level (ADN) or Baccalaureate-Degree Level (BSN) level Competency Differences between nurses prepared at the Associate-Degree Level (ADN) or Baccalaureate-Degree Level (BSN) level It has always been said that the higher level of education one can obtain, the better. Currently for Registered Nurses there are many programs out there that encourage furthering education and enrolling back in school to obtain a Baccalaureate-Degree in Nursing (BSN). Both nurses, whichever program they are enrolled to, are educated through nursing programs that require them and prepare them to take the same National Council Licensure Examination (NCLEX). We will be able to see some differences in competency based on educational level and background based on research and evidenced-based practice. Nurses throughout the United States are being encouraged to enroll back into school to achieve a higher level of education. You can see RN-BSN programs; BSN-MSN, LVN-ADN or LVN-BSN program information anywhere from website advertisements, e-mails, commercials, and magazines. There is no doubt that education is important and that based on the job one is looking to fulfill, certain levels of a degree or certification are required. ADN and BSN nurses, although both RNs, do hold certain traits of differences based on their education level. A nurse with an Associate’s Degree is taught more how to treat the patient medically. They most...
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...Nursing Theory: Compare/contrast two theories Name University Professor Course Date Nursing Theory: Compare/contrast two theoriesIntroduction Theory has so far remained a strategic tool in advanced nursing practice. Firstly, nursing utilizes every feature of management science. Fortunately, the knowledge base of each and every management science takes theory into account. Theory includes methods, principles, and concepts. The principles are usually related, and can be observed and validated or verified when translated into the practice of management. Likewise, concepts are general notions, thoughts, and ideas that tend to form a basis of discussion or action. Therefore, theoretical principles guide clinical nurses to various fundamental nursing concepts and provide productive line of action in a given situation. As a result, nurses should note that taking a hermeneutic or phenomenological approach (strict natural science approach) to nursing is not only naive but also misleading in real-life-settings. Alligood and Tomey, on the other hand, argues that prescriptive theories are often used as fundamental practice guidelines, which play a pivotal role in providing a wide range of practice situations in the nursing and nursing sector (2002). Apart from that, nursing can only become a real profession when it has both a theoretical and a scientific base. This follows the fact that nurses deal mainly with human behavior, thus, nursing is indeed a practice profession. Briefly...
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...Concept Comparison and Analysis Jo Ann Tyler Green NUR/513 10/15/2012 Michelle Johnson Concept Comparison and Analysis The concept, quality of life, as used in nursing theories, is presented in a historically situated context. This approach to concept analysis was selected to illuminate the subjective, contextual, and fluid nature of the concept. Based on this review, quality of life is defined as an intangible, subjective perception of one’s lived experience. From a review of Peplau’s, Rogers’, Leininger’s, King’s, and Parse’s conceptualizations of quality of life, it is concluded that it may be viable to replace health with quality of life as a meta-paradigm concept for nursing. There are numerous definitions of quality of life that exist. Described as experiences of life (Meeberg, 1993), satisfaction with life, and well-being (Ferrans, 1996; Haas, 1999; (Meeberg, 1993), the definition of quality of life lacks precision and specificity. Consistency is important because “differences in meaning can lead to profound differences in outcomes for research, clinical practice, and allocation of health care resources” (Ferrans, 1996, p. 294). Nurses have made important contributions to understanding this concept. The quality of life has been examined in groups of people experiencing a particular illness or health deficit, such as cancer or heart disease (C. R. King, 1998). Quality of life concept analyses have focused on existential aspects of the concept. However, these...
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...The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities. As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. 1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. 2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. 3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. 4. A minimum of three scholarly references are required for this assignment...
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...The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by CCNE and AACN using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, their specific care discipline, and their local communities. As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. A minimum of three scholarly references are required for this assignment...
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...Stages of Development The practice of professional nursing have evolved over the years, contemporary nursing practice is different from that of the past, but issues affecting the profession today are related to our history. Developing a sense of nursing evolution provides the background necessary to understand current nursing practice. The development of the discipline of nursing practice has gone through stages which helped in shaping the characteristics of the discipline as a human science. Thus, we have these stages of development of theoretical nursing: 1. Stage of Practice, Apprenticeship and Services. This stage deals with the provision of health care for the promotion of healing and sense of well being and creation of healthy environment in order to minimize suffering and deterioration. 2. Stage of Education and Administration. In this stage the focus is on social goals to empower nurses to provide effective and quality care by developing programs that suits best for nurses to develop their craft. 3. Stage of Research. This stage nurses needs to improve the nursing practice, by engaging in any scientific studies. There is a challenge to develop the substantive content needed for practice with nursing disciplinary perspective. 4. Stage of Theory. This stage gives emphasis on the basic query around the heart of nursing and its undertaking and objectives, and focus on the attempt of the development of nursing theory and research and legitimacy of the approach of knowledge...
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...Running Head: CRITIGUE OF PROFESSIONAL VALUES Critique of Professional Values: The Case of BSN-RN Completion Education Winston-Salem State University School of Health Sciences Division of Nursing CRITIGUE OF PROFESSIONAL VALUES The researchers were trying to address the professional values of RN-BSN students in completion of their education. The authors clearly stated the problem throughout the research study. The problem is very important and impacts the nursing practice today. The article explains how the RN-BSN professional values are being perceived in nursing practice today. The continuation education on professional values must be continued after BSN completion. The importance is necessary for nurses to continue with instilling the professional values throughout their career. This article is easily researched on line and anyone can access it for reading purposes. The purpose of the research was to explain few questions about the differences in the perception of professional values correspond with nurses who are currently practicing. If the differences do exist, the question would be are the differences related to educational background or other factors professional values. The purpose of the study is explained clearly throughout the article and background information...
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...Running head: FURTHER NURSING EDUCATION TO INCREASE NURSING CARE Further Nursing Education to Increase Nursing Care Outcomes Marianne Green Grand Canyon University Further Nursing Education to Increase Nursing Care Outcomes Twenty five years ago, nursing instructors were telling their students that not far in the future they would have to obtain their Bachelor degree if they wanted to practice nursing. Associate degree nurses would be a career of the past. Today, the Associate degree nurse still practices and provides hospitals and clinics with quality and proficient patient care. Bachelor degree nurses are still in short supply. However, many nurses that hold their Associate degree in nursing are returning to college to advance their education and career. Obtaining their Bachelor degree in nursing will help today’s nurse as they strive to deliver the highest quality patient care in a safe environment. The opportunities for advancement in their job setting are more likely to occur as their educational background expands. (Forster, RN, May 27, 2008, p. 1) Last week I had a possible patient neglect situation. We had four children’s dental surgeries scheduled on Thursday. Two of the four children were from the same family. These two little girls had the most horrific odor about them and were filthy. I notified the dentist and at the time he was not concerned about the welfare of the children. Their teeth were literally rotten. As a result most of their primary...
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...Family Value Paper This paper will describe the importance of family in the health of our society using the hospital environment. Provide an explanation of how a family works as a system in promoting the health of its members. Identify the concept of family most often used in the hospital environment. Then determine if it is the best concept for considering family in nursing practice. Identify the nursing theory used in the hospital setting. Promoting the Health Today’s families come in many different sizes and dynamics. Family is more than individuals living under the same roof; it is a support system for all aspects of health. A healthy family strives to promote the, emotional, physical, mental, spiritual health of its members. Family is typically the client’s primary important group. Each family member’s action can directly affect another member reaction. Family works as a system in promoting health of its members by having good communication. Each member of a family plays an important role in promoting health of the family. The ability to express concerns, feelings, thoughts and experiences assistant in strengthening family. The family works as a system by showing commitment, trust and understanding to members. The family must be willing to work together and if needed make sacrifices for each other or to benefit the whole family. Concept of Family The concept of family most used in hospital setting is family as context. Family is in the background and not the primary...
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...of numbers on a page. I want to understand why a new grad BSN trumps my six years of experience as an ADN. Continuing my research, my eyes began to open. BSN programs offer more in depth theoretical concepts, community and public health issues according to nurselink.com. According to the GCU website, I will learn self-leadership by learning how to use the facility and participate in the GCU community. I will be a good communicator. I will sharpen my analytical and problem solving skills. I will know and have appreciation for diverse groups of people. In my present class I’m learning nursing practice companies and theoretical models. Ok, fine I thought. Then I discovered the Core Competencies, set of guidelines for graduating nurse to assist in a successful career created by the National League of Nursing. Four areas of growth should occur by graduation. The categories are Human Flourishing, Nursing Judgment, Professional Identity, and Spirit of inquiry. According to NLN, a successful ADN will in the following categories be able to: Human...
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