...Professional Dynamics December 6, 2015 BSN vs. ADN The discussion of rather an associate’s or bachelor’s degree should be the required educational experience of future nurses is one that will not end until one or the other is completely phased out. Some healthcare facilities have already begun the process of requiring their nurses to have a BSN versus an ADN upon hiring. A major difference between the two degrees is that a BSN readily prepares an individual for more advanced positions than an ADN, such as nurse manager. The BSN also has more preparation for entrance into an advanced degree program, such as nurse practitioner. It has reached a point where nurses are being put in positions to advocate for large groups of individuals, be involved in the politics of healthcare, and serve as a representative for nurses everywhere; however, there are only few nurses taking on these grand roles. Lack of preparation, knowledge, and ceasing further education is to blame. Obtaining a BSN as expressed by the American Association of Colleges of Nursing (AACN, 2015) “enhances both clinical competency and care delivery”. This presents another difference between the two degrees. Another difference between the ADN and BSN is that the clinical experience for both the patient and nurse is observingly different. A study done to explore the clinical differences between a nurse with an ADN vs a nurse with a BSN expressed that many times the nurse’s critical thinking skills that caused the most...
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...Educational Preparation of the Baccalaureate degree Nurse Shelly Crawford Grand Canyon University Professional Dynamics NRS-430V Leigh Ann Tovar March 16, 2013 Educational Preparation of the Baccalaureate degree Nurse To truly understand the differences between the Baccalaureate of Science in nursing degree verses the Diploma nurse and the Associates Degree in Nursing, you must first be able to understand the definition, description and the competencies of each Degree. 1. Definition of the Diploma Nurse A Diploma Nurse is someone who completes a nursing curriculum associated with a hospital or medical facility than traditional colleges. The Diploma Nurse program is a three-year program. ("Diploma vs. BSN," 2010, p. 1) 2. Definition of the Associates Degree in Nursing An Associate’s Degree in Nursing is a two to three year degree. Requirements are a minimum of 60 semester credit hours. Often these nursing degrees are conferred at community colleges. There are many 4 year colleges and universities that offer the associates degree programs as well. (Seehorn, “n.d.”, p. 1) 3. Definition of the Baccalaureate Degree in Nursing (BSN) A Baccalaureate Degree in nursing is described as a Bachelor of Science degree with a major in nursing that combines theory and clinical nursing courses and is granted by an accredited school. This degree is a 4 year degree which requires a minimum of 120 semester credit hours. ("Bachelor Degree," “n.d.”, Para. 1) There...
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...Associate Degree Program vs Bachelor’s Degree Program for Nursing Associate Degree Program vs Bachelor’s Degree Program for Nursing To become a registered nurse, one must graduate from an accredited nursing program and pass the NCLEX exam. There are different routes one may take to become a registered nurse. These routes include a diploma, associate degree, or baccalaureate degree program. The diploma program was the core of nurse educating until the 1960’s. The typical diploma program lasts three years. This program focuses on clinical experience and direct patient care. Over the years, the diploma programs have decreased. In 2010, there was only 54 accredited diploma programs. Since diploma programs are not as common as associate degree programs or bachelor’s degree programs, this paper will compare the ADN and BSN programs and explain why having a bachelor degree in nursing is a benefit to not only the nurse, but also the hospital and the patient. Associate vs. Bachelor’s Degree Programs Associate degree programs typically last two years, but the student is required to take other courses to fulfill graduation requirements. According to Creasia & Friberg (2011),”the ADN program prepares the nurse for direct patient care for secondary care settings, such as community hospitals and long term care facilities”. Many people choose an ADN program because community colleges are less expensive than going to a university. Community colleges can also be more accessible...
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...The Future of Nurse Leadership A paper submitted in partial fulfillment of the course MHST/NURS 604 Leadership Roles in Health XXXXX February 28, 2013 Abstract Canada’s healthcare environment faces dynamics of change and elements of uncertainly. However, change and uncertainty need not be met with prospects of a dismal future. The framework of healthcare faces distinct challenges, potentially providing the opportunity for nurse leadership to provide a pathway for the future. One concern is the capacity to prepare the next generation of nurse leaders, both formal and informal, to become effective leaders, contributing to the future health of the workplace. This study is an analysis pertaining to the development of future nurse leaders. The analysis seeks to uncover the challenges of developing nurse leaders, and the necessary requirements for the next generation of leaders within healthcare. The findings suggest that the development of nursing leadership is vital in relation to healthy workplace environments, and quality patient care. Furthermore, a new paradigm and set of competencies necessary to lead nursing into the future. Keywords: leadership, nursing, development...
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...Analysis of a Case Study Community Health Nursing - NUR 311 November 01, 2015 Abstract This paper examines the role of a home care nurse in the case of a patient who is non-compliant with care and lacks knowledge about his medical condition. Nurses have numerous legal, professional and ethical duties. The three main duties are to respect all patients’ confidentiality and autonomy and to recognize duty of care owed to all patients. This paper will explore the ethical dilemma involved with a patient unwillingness to comply and the nurse’s duty to respect the patient’s wishes. Further discussion will give insight into the nurse’s legal responsibilities and elaborate on the principle of beneficence, health concepts, autonomy vs. paternalism, patient teaching, family as caregiver, Eco mapping, and therapeutic nursing interventions. Analysis of a Case Study Situation Overview The article, “The Patient Who Fell Through The Cracks,” described Mr. H as a 65 years old, morbidly obese man diagnosed with CHF, PVD, bilateral venous stasis ulcers, and HTN. He lived at home with his diabetic wife and mentally-challenged adult son. The environment in which they resided was unhealthy, possibly due to self-care deficit and lack of knowledge about health and wellness. Mr. H. lacked the support system that he needed to care for himself. Due to Mr. H’s inability to comprehend and self-care deficit immediate intervention had to be initiated by the nurse which involved providing wound...
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...ADN AND BSN DIFFERENCES 1 ADN AND BSN DIFFERENCES 2 Random Differences between ADN and BSN Nurses Although testing for one’s RN license is universal, the training background of an ADN versus a BSN nurse are very different. This has brought us to the discussion of the differences between an ADN and a BSN level nurse. As the needs of the patient population is changing, the demand for a more educated, skilled, resourceful practitioner is required (Smith, 2009). Personal Experience Example of how an ADN versus BSN nurse would treat a CHF patient. A specific patient case I reviewed, was readmitted to a hospital again within thirty days with a diagnosis of congestive heart failure. The ADN trained nurse could administer drugs, perform daily weights, ensure that the patient followed a cardiac diet, but was strictly task oriented (The Future of the Associate Degree in Nursing Program, 2013). The BSN trained nurse, would base the care provided using a more integrated system (Why the Push for BSN Nurses?, 2012). The focus of the BSN trained nurse would encompass more teaching, measuring compliance of instructions that were given, and ensure core measures would be met prior to discharge. The follow up care would include determining if the patient had access to meds, home health, understood the need to maintain dietary restrictions, and instruct the patient on keeping a daily weight log to ensure that weight trends would be monitored and recorded. ADN...
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...ADN AND BSN DIFFERENCES 1 ADN AND BSN DIFFERENCES 2 Random Differences between ADN and BSN Nurses Although testing for one’s RN license is universal, the training background of an ADN versus a BSN nurse are very different. This has brought us to the discussion of the differences between an ADN and a BSN level nurse. As the needs of the patient population is changing, the demand for a more educated, skilled, resourceful practitioner is required (Smith, 2009). Personal Experience Example of how an ADN versus BSN nurse would treat a CHF patient. A specific patient case I reviewed, was readmitted to a hospital again within thirty days with a diagnosis of congestive heart failure. The ADN trained nurse could administer drugs, perform daily weights, ensure that the patient followed a cardiac diet, but was strictly task oriented (The Future of the Associate Degree in Nursing Program, 2013). The BSN trained nurse, would base the care provided using a more integrated system (Why the Push for BSN Nurses?, 2012). The focus of the BSN trained nurse would encompass more teaching, measuring compliance of instructions that were given, and ensure core measures would be met prior to discharge. The follow up care would include determining if the patient had access to meds, home health, understood the need to maintain dietary restrictions, and instruct the patient on keeping a daily weight log to ensure that weight trends would be monitored and recorded. ADN...
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...Associate vs. Baccalaureate Degree Nursing Julie Jones Grand Canyon University Nurses can earn many different degrees. Two of the most common degrees received by nurses today are the Associate Degree of Nursing (ADN) and the Bachelor of Science in Nursing (BSN). Both of these degrees allow the holder of the degree to take the nursing boards which will confer the title of Registered Nurse (RN). However, each of these degrees are very different from the other in terms of educational requirements, competencies, time to complete the degree and scope of practice. The ADN is a two year degree that is an entry level degree requiring only seventy credit hours of core nursing courses (Blegen, Goode, Park, Vaughn, & Spetz, 2013). Some of the advantages of the two year degree include a reduced cost, faster entry into the clinical or hands on experience, and the ability to obtain licensure as a Registered Nurse. Obtaining the license of the RN allows the graduate to apply for and receive a good paying job sooner than the four year degree. However, there are also several disadvantages to the ADN. Some of these disadvantages include a lack of comprehensive theory, a program of study that is more task-oriented instead of being a well-rounded, holistic, and goal oriented nursing. This lack leads to an inability to use the critical thinking skills that are taught at the baccalaureate nursing level. This lack can hinder the ADN’s ability to gain employment at the more preferred...
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...Obstetric Consent for the Use of Epidural Anesthesia Sharon Lopez Apollo College Obstetrics Professor Scherer October 8, 2009 Nurse Perspective Epidural anesthesia is a procedure utilized frequently, for pain relief, by woman enduring the labor process. There are many considerations that the nurse is responsible for prior to, during, and after the procedure is performed. Knowing what these assessments, provisions, interventions, and evaluations are will prevent harm of the patient and ensure suitable pain relief measures are successful. According to Wong, epidural is the most effective pain relief measure used for labor (Wong, Perry, Hockenberry, & Deitra Leonard Lowdermilk, 2006). Epidural by Definition Epidural anesthesia involves the process of placing a needle fed catheter into the epidural space of the spinal column in between the L4 and L5 lumbar vertebrae. The purpose of this placement during labor is to block the T10 to S5 required for pain relief of all body areas involved in labor without suppressing organ function and decreasing LOC (Wong, Perry, Hockenberry, & Deitra Leonard Lowdermilk, 2006). The quantity and type of medication used determines the inhibitory effects on motor function and activity. This is a consented procedure which requires adequate education. Assessment Upon admission to the labor and delivery unit, the nurse should be attentive to any surgical history, allergies, obstetrics history, current medications...
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...bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire, cultural awareness, cultural knowledge, cultural skill, and cultural encounter (Montenery, Jones, Perry, Ross, & Zoucha, 2013). This writer’s understanding of this model is detailed in the following paragraphs. The first concept, cultural desire, requires a diversity of staff and residents whose cultures contribute to the pool of knowledge from which the staff draws its...
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...Abstract This paper is written to provide education about cultural diversity in the health care field. The goal was to investigate the faith beliefs of Baha’ism, Sikhism, and Buddhism, and compare their spiritual perspective on healing, as well as the critical components of healing. These were compared with Christianity to determine the similarities and differences. This will be reviewed to better educate caregivers as they minister to various cultures in the hospital and community. Introduction Religious faith and beliefs of the patient must be integrated with the scientific medical care in order to provide holistic care to the patent. Religion and the health of individuals and populations play an important role in the social, behavioral, and health sciences. Coping strategies, health behaviors and attitudes are influenced by one’s religious believe. Health care providers caring for patients from different religious traditions must understand the diversity in faith in order to provide religious and culturally sensitive high quality care. Over 1200 different religions are practiced in the USA (Bryan, 1999). This paper will discuss the brief background of the three religions, address obstacles according to the religion that are being discussed but not all religions have them and the important component of healing process of three religions. These religions are frequently met in healthcare are Baha’ism, Sikhism and Buddhism. First faith: Baha’ism Baha’u’llah is...
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...Kyle Thompson – 05970640 Management of discharge Management skills in adult nursing UZTR6D4-40-2 05970640 The NMC Code (2008) charges nurses to protect confidential information, and to only use it for the purposes given – for their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to demonstrate the quality of our care and team working abilities. There is a connection between practice and thinking about practice – action and reflection are interdependent; they need one another. Reflection may be triggered by an awareness of a gap between theory and practice, a difference between what ‘should be’ and ‘what is’ (Sullivan & Decker 2005). Our actions and the quality of our care are improved by reflection-on-action, by making sense of what we have experienced, and thinking about how we might act differently in the future (Lillyman & Ghaye 2000). Reflection has a rôle in maintaining one's personal portfolio and maintaining competency and continuing professional development. Support and supervision from managers, who already have a responsibility...
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...Couples Wishing to Undergo IVF Treatment Should Be Awarded the Legal Right to Choose the Sex of Their Child: Abstract: Sex selection, also known as gender selection, has attracted great interest and controversy over the years. Gender selection has been associated with a number of ethical, moral, social and legal issues. Sex selection may be performed for medical reasons to avoid sex-linked diseases or for parental preference. The topics I will be covering include eugenics, beneficence, utilitarianism and pre-genetic screening in regards to sex linked diseases. Eugenics can be defined as the study or belief in the possibility of improving the qualities of the human species. In the context of IVF, treatment positive eugenics encourages reproduction by implantation of healthy embryos with inheritable desirable traits and negative eugenics seeks to identify and dispose of embryos found to carry undesirable inheritable traits. Introduction: Utilitarianism in the context of IVF sex selection and genetic screening is defined by the principle of utility, which seeks to judge moral rules, actions and behaviors based on their consequences. Where an action produces the best possible outcome, that being the greatest good for the greatest number it is seen as ethical and moral. Therefore, the testing, screening and disposal of genetically impaired embryos and implantation of only healthy and preferred embryos is justifiable because the outcome...
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...The Neuman Systems Model applies a comprehensive and holistic approach to the care of patients based on the five variables. According to Parker and Smith (2010), the Neuman System Model is described as, “wellness orientation, client perception and motivation, and a dynamic systems perspective of energy and variable interaction with the environment to mitigate possible harm from internal and external stressors” (p. 183). The patient/ family are the client system and interrelate with the five variables namely; the physiological, psychological, sociocultural, developmental, and spiritual beliefs. The Neuman System Model has been used in diverse settings such as, in critical nursing, psychiatric nursing, gerontological nursing, and for teaching purposes. In the United States, “the model is used to guide practice with clients with acute and chronic health problems” (Parker &ump; Smith, 2010, p. 192). As further explained by Parker and Smith (2010), the client system is the core: a person, individual, or community and the core interact with the flexible lines of defense, the normal lines of defense, and the lines of resistance. The client system is constantly affected by internal and external stressors. The goal of nurses in applying the Neuman System Model is, “to maximizing the quality of life lived, maintaining the highest level of independence possible, and preventing exacerbations of the on-going illness” (Ebersole, Hess, Touhy, Jett, and Luggen, 2008, p. 258). Mrs. J is...
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...will discuss a critical incident from a nursing management perspective, being an admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the senior nurse needed to consider who...
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