...Quantitative Research Article Critique Frances Vitek Winston-Salem State University NUR 3303 Nursing Research Introduction Nurse residency programs are important in the desire for nursing recruitment and retention. New graduate hires face many stressful challenges transitioning from student to professional RN in the workforce. Loss of a new graduate nurse leads to a great financial loss and ultimately increase in the shortage that in turn can lead to patient safety issues. The leaders of the nurse residency programs need to be vested and continue to follow and mentor these new professionals well into their second or third year of hire. The purpose if this paper is to critique the research article “Are rural and urban newly licensed nurses different? A longitudinal study of a nurse residency programme” by Marilyn Meyer Bratt, Marianne Baernholdt, and Jessica Pruszynski. My examination focuses on specific aspects of the article in terms of process and validity of research methods and results. According to Burns and Grove (2012) the purpose of reviewing literature provides us with evidence in theory and science about a specific problem, alloying is to decipher information about what is known to us and not. The key concept covered in Bratt, Baernholdt and Pruszynski’s article is to determine if there is a difference among rural and urban nurse residency programs that lead to a higher retention rate? The key points of this review is to assess the two different...
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...Associate-degree Level VS. Baccalaureate-degree Level in Nursing Lisa L. Ramirez Grand Canyon University: NRS 430-V November 22, 2013 There are many differences in the nursing field between an undergraduate nurse, holding an associate’s degree (ADN) and a graduate nurse, holding a baccalaureate’s degree (BSN). The main focus of this paper is to identify the differences of competency in the nursing practice of nurses holding an ADN vs. a BSN degree in the roles of assessing, critical thinking, communicating, providing care, teaching, and leading. Competency is the ability to do something efficiently and successfully. Grand Canyon University (GCU) offers the BSN program and is based on the curriculum set forth by the College of Nursing. This curriculum is outlined to prepare the student to respond creatively to the continuously changing health care systems throughout the world. “Within this program, professionalism, ethical decision making, accountability, effective communication, and critical thinking are emphasized and is achieved by the application of liberal arts, science, health and nursing theories” (GCU). The Associate Degree Nursing curriculum provides knowledge, skills, and strategies necessary to integrate safety and quality into nursing care, to practice in a dynamic environment, and to meet individual needs which impact health, quality of life and achievement of potential, according to the community college of Piedmont. According to an article from...
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... Rubs vs. Handwashing Alcohol-Based Hand Rubs versus Handwashing Efficacy Hand hygiene has been the foundation of preventing nosocomial infections throughout the hospital. It has been taught for several generations that hand hygiene is effectively accomplish through the use of handwashing with soap and water. Unfortunately, studies have shown that handwashing practices have fallen out, which have led to a noticeably low compliance rate with health care workers. This in turn has led to an increase of nosocomial infections, and has had a negative impact on improving the health of patients who rely on physicians, nurses and other ancillary staff who have direct contact with them. Fortunately, an introduction of a new product has been able to change the statistical data with low compliance rate for hand hygiene. Some facilities have introduced the use of alcohol-based hand rubs as an alternative to the conventional handwashing techniques to help decrease the rate of nosocomial infections. There are several factors that indicate a better efficacy rate with using hand rubs versus handwashing. Studies have shown that health care workers have listed barriers and constraints that prevent them from practicing proper hand hygiene; therefore, leading to a low compliance rate. The effect of this low compliance rate leads to longer hospital stays, the development of resistant bacterial infections, and consequently a higher mortality rate among the patients. Research suggests that...
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...Educational Preparation Paper Grand Canyon University: NRS 434 This paper will discuss the differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level, by using research from different nursing organizations found online. Also identifying a patient care situation in which I will describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse. Differences in competencies between ADN versus BSN In conducting the research for this paper I was a little biased in my opinions of this topic and had to keep an open mind. I am an associate-degree level nurse, and have been for six years. I feel that my experience has taught me a lot about critical thinking, and helping patients improve their outcomes. I felt pressure in to completing my baccalaureate-degree level of education before I felt that I was ready to complete the education. I now have a better understanding into baccalaureate education as being the accepted minimum requirement for nurses. Much research has been done, relating to BSN versus ADN nurses and better patient outcomes. In Grand Canyon University College of Nursing Philosophy, it states “Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching, and leading.” I feel that no matter what education level one has after nursing programs that this is a baseline for nurses. It was hard...
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...1. Develop a focus group discussion guide for the research described above. a. What topics should be discussed in what order? * How do children parents decide which hospital to take their children to, when their children need acute care? * Is the quality of service a factor on their decision * Is the financing a determine factor? * Is their decision driven simply by emotion? b. What pre tasking exercises might be relevant? Ask the people who are participating in the focus group to prepare a journal: list the events that took place from the time your child was first sick until your child felt better. c. What exercises might you use during the focus group? * Give the group members a blank sheet of paper. Ask them to draw the kind of hospital they would like, the kind of doctors, nurses and care they would like to have for their child. Immediately tell them that nothing above a kindergarten level is expected. * Guided Fantasies or Visualizations: tell the individuals to close their eyes, and visualize the perfect hospital. * Word Association and Sentence Completion 2. Evaluate the use of the telephone as the method for the survey. After analyzing and evaluating the competitor’s message of Akron Children’s hospital, it was time for the research team to test whether the care-centered brand massage they recommended was going to be effective beyond doubt in influencing parent’s hospital selection. In addition, the focus group and telephone survey...
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...PHD in nursing. This paper will focus on the abilities or competencies of a prepared Associate Degree nurse, and the abilities or competencies of a Baccalaureate Degree Nurse. This is a hot topic now and has been for many years. I have been hearing for many years that ADN will be phased out, and only BSN will be used in the future. The time period in which to mandate this event is governed differently by the state where the nurse works. There are catchy phrases out there like BNS in 10, or BSN by 2020. “As of 2010, at least 18 states, including New York, New Jersey, were considering BSN in 10 legislation.” (nursing link 2011, 07.) The first step is to define nursing. “Nursing is the knowledge based discipline, which focuses on the wholeness of human being.” (studymode, 2012,02.) The ADN nurse and BSN take a different approach in teaching their students. They both take the same state mandated NCLEX, but have a different time of training. “The Associated Degree takes a shorter path of two years where the BSN takes a longer with 4 years of education to complete the degree.” (studymode, 2012,02.) Now to break this down and let you know the difference of a 2 and 4 year nursing program. The Associate trained nurse is more task oriented, while the BSN is based on theory and research. I having a diploma hospital based program spent 4 or more days in the hospital setting, but my wife has her BSN and she tells me she usually only spent 1 or 1.5 days at the hospital. I see...
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...Educational Preparation ADN vs BSN Maria Valdez Grand Canyon University Annette Saint Educational Preparation ADN vs BSN We, as students, in the United States of America have the remarkably wonderful opportunity to have many educational avenues to pursue. As a nursing student we have the ability to enter into different programs. You have the 3-year diploma program, which is administered in the hospital setting, the Associate Degree 2-year (ADN) which is acquired at a Community College or the four-year Baccalaureate Degree (BSN) which is awarded at a University. Regardless of what pathway is chosen by the graduate you still have to sit and take the same boards also known as the NCLEX-RN Licensing Examination. Baccalaureate nursing graduates have all the education of a diploma and an associate degree nurse but have a more in depth understanding of nursing research, nursing leadership, including management, humanities, and public health nursing (April 2009). This extra education gives a comprehensive understanding on many social, cultural, economic and political issues (2009). In 1965 there was a 3-yr study done by the American Nurses Association (ANA). It issued “A Position Paper on Education Preparation for Nurse Practioners and Assistants to Nurses.” The main point that was made is the “the education of all of those who are licensed to practice nursing should take place in institutions of higher education” (2009). Nursing Education is being associated with...
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...Available online http://ccforum.com/content/12/2/R36 Research Vol 12 No 2 Open Access Detecting myocardial infarction in critical illness using screening troponin measurements and ECG recordings Wendy Lim1, Paula Holinski1, PJ Devereaux1,2, Andrea Tkaczyk2, Ellen McDonald2, France Clarke2, Ismael Qushmaq3, Irene Terrenato4, Holger Schunemann2,4, Mark Crowther1 and Deborah Cook1,2 1Department 2Department of Medicine, McMaster University, Canada of Clinical Epidemiology and Biostatistics, McMaster University, Canada 3Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia 4Department of Epidemiology, Italian National Cancer Institute Regina Elena, Rome, Italy Corresponding author: Deborah Cook, debcook@mcmaster.ca Received: 6 Dec 2007 Revisions received: 22 Jan 2008 Accepted: 4 Mar 2008 Published: 4 Mar 2008 Critical Care 2008, 12:R36 (doi:10.1186/cc6815) This article is online at: http://ccforum.com/content/12/2/R36 © 2008 Lim et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Introduction To use screening cardiac troponin (cTn) measurements and electrocardiograms (ECGs) to determine the incidence of elevated cTn and of myocardial infarction (MI) in patients...
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...Electronic Medical Records Christina Pierre HCS/490 Monday August 26th, 2013 Dr. Alex Kadrie Electronic Medical Records The Electronic Medical Record (EMR) is a digital version of a persons’ medical record that contains the same information as paper record except it comes in an electronic form. The EMR is much more secure than paper record. The access of EMR is limited to staff who have a leg mated “need to know” for treatment, payment, or operation purposes. The EMR system is designed to prevent unauthorized users from gaining access to a patient medical record through safeguards. The system is intended to track patient’s entire health and medical history in an electronic format. A patient’s information can easily be retrievable and can make a patient navigate through the health care system much safer and more efficient. The Electronic Medical Record can help organize patient information better, such as diagnoses, medications, and test result in a way that make guidelines easier to follow. It can provide automated prompts and reminders for when tests are due or when control of chronic disease is suboptimal. Through a tracking system and disease registries the EMR can improve patient care from outside to identify potential quality problems. The EMR also support diseases registries and reports to identify the patients who need follow-up appointments. The EMR can facilitate...
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...RESEARCH 2015 R E S E A R C H , 2 015 The Doctoral Programs at Harvard Business School educate scholars who make a difference in the world through rigorous academic research that influences practice. More than 140 strong, HBS doctoral students represent diverse backgrounds, degrees, undergraduate schools, and disciplines includ— ing economics, engineering, mathematics, physics, psychology, and sociology. They examine the most critical issues in business management through rigorous research, creating and disseminating new knowledge as the next generation of thought leaders. By the time they graduate, students will have authored and co-authored publications with faculty members, who often become important mentors, colleagues, and collaborators. ACCOUNTING AND MANAGEMENT Chattopadhyay, Akash , Matthew R. Lyle, and Charles C.Y. Wang. “Accounting Data, Market Values and the Cross-Section of Expected Returns Worldwide.” Working Paper, April 2015. (Revise and resubmit to Journal of Accounting and Economics.) Gow, Ian D., Sa-Pyung Sean Shin, and Suraj Srinivasan. “Activist Directors: Determinants and Consequences.” HBS Working Paper 14-120, June 2014. Gow, Ian D., Sa-Pyung Sean Shin, and Suraj Srinivasan. “Consequences to Directors of Shareholder Activism.” HBS Working Paper 14-071, February 2014. Ioannou, Ioannis, Shelley Xin Li, and George Serafeim. “The Effect of Target Difficulty and Incentives on Target Completion: The Case of Reducing Carbon Emissions.”...
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...ADN VS BSN PATRINA HAYES GCU ADN VS BSN The nursing field is a rapidly growing profession that requires many different levels of degrees. Registered nurses can have levels of education ranging from a Associates to Doctorate degree. This paper will give a better understanding to the difference between the Associates degree in nursing (ADN) and Baccalaureate degree in nursing (BSN). The ADN program was established in 1951 due to a nursing shortage in the post war years (Haase, 1990) Since then, the curriculum has changed from teacher or subject oriented to bedside and basic critical thinking skill. The ADN program is a two year program not including the required general education classes. The BSN program is a four year program including prerequisites. The BSN program emphasizes in critical thinking, leadership skills and a professional role away from the bedside. Both programs include their core curriculum of Adult Health, Maternal and Newborn nursing and Pediatrics. BSN Program includes nursing research and nursing informatics. The American Association of Colleges of Nursing(AACN) believes nurse with their BSN degree are more prepared for today’s workforce due to their well-developed critical thinking skills, leadership and ability to practice in different settings The ADN student focuses on providing bedside care to patients with acute and chronic health needs with policy and procedures reflecting current standard of care. The obvious differences between the programs are...
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...University: NRS 430V Professional Dynamics September 16, 2015 Education Preparation: Associate versus Bachelor’s in Nursing The Art of nursing is here since the Biblical times but the modern nursing emerged after the time of Florence Nightingale. In 1873 nursing education was started formally as 4-month hospital training at Massachusetts General Hospital in Boston. Nursing has been growing since then and will continue to grow in future. In 1909 the first 4-yrs bachelor’s degree nursing program was established at the University of Minnesota. Due to the shortage of nurses after the World War II, again in 1952, nurse tech 2-yrs associate degree nursing program was started. Today nursing is a profession with multiple pathways for entry level practice. The purposes of this paper are to discuss the differences in competences between associate and bachelor’s prepared nurses and how their education levels affect the patient outcome. Associate versus Bachelor’s Degrees: Differences in Competencies Mildred Montag in 1952 proposed 2-year associate degree nursing program to prepare technical bedside nurses for secondary care settings, like nursing homes and community hospitals. The graduates of this program are provided with basic general education and skills required for entry into clinical nursing courses. Because the program was shorter than Bachelor’s degree it was more affordable and accessible to many students. In the beginning there was some confusion about the roles and responsibilities...
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...Difference in Nursing Degrees Melissa Rintz Grand Canyon University NRS 430V September 1, 2013 Nursing today has many different levels of degrees. Nurses have choices in the types of nursing schools they can attend. Nurses can obtain their degree through diploma programs that are based out of hospitals, through local community colleges, or through universities. Now in healthcare evidence based research supports that patients receive higher level of quality care with fewer adverse outcomes for patients [ (Friese, 2008) ]. A nurse is not just a nurse anymore. This paper will explain the differences in the competencies between nursing degrees including the differences between the Associate Degree Nurse (ADN), and Baccalaureate Degree Nurse (BSN). The differences will be exposed with patient care situations and the different approach based on the level of nursing degree. Associate Degree Nursing There are many differences between the ADN nurse and BSN nurse, but only a few similarities. The major correlation between the two degrees is they both sit for the NCLEX-RN licensing examination is exam is taken upon completion of your nursing program (American Association of Colleges of Nursing, 2012). The ADN nurse attends school for two years and takes significantly fewer credit hours and is generally less expensive [ (Link, 2010) ]. In both ADN and BSN programs the core curriculum is somewhat the same. The ADN nurse focuses more on learning technical clinical skills...
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...ADN VS BSN: Differences in Competencies Juline DiSilvestro Grand Canyon University Professional Dynamics NRS-430 V Monica Kidder RN, MSN May 11, 2013 ADN VS BSN: Differences in Competencies The complexity of modern healthcare and the patients of today mandate a higher level of academic preparation than in the past. Advanced critical thinking skills are a must. Nurses need to function independently, making clinical decisions, providing bedside care, case management, education to patient and family in regards to disease process, treatment, and how to adapt to a healthier lifestyle. As healthcare continues to evolve and become more complex, it is necessary to assure proper education has been achieved. Controversy among the nursing profession has existed for many years regarding what is the acceptable minimum education for nursing practice. The ADN program takes 2-3 years to complete. The ADN programs started due to a need for nurses during a nursing shortage brought on by WWII. The ADN program provided a shorter period of time to acquire the necessary minimal skill to obtain licensure, and practice safe entry level nursing without the emphasis on leadership, nursing theory and critical thinking. The focus of ADN programs has been to prepare the nurse with considerable clinical experience and technical nursing tools needed to provide patient care at the bedside (Cresia & Friberg, 2011). They do not have the education to perform research activities which becomes the basis...
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...Advanced Information Management and the Application of Technology C156/WTT Task 1 Teresa Miller Student id: 000273119 Proposal Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system. Identification and Roles of Team Members/Expertise The first person on this team is the acute care nurse manager. The acute care nurse manager is a bachelor prepared nurse and is beneficial to this team because of her close relationship with staff nurses. She will have input from floor nurses and be able to contribute important information about charting from the nursing standpoint. The nurse manager will be able to assist with questions that staff nurses may have during implementation and training. This member is able to discuss what the nursing staff needs for adequate charting. She will be able to look at each computerized system and contribute a nurses point of view. The second team member will be the chief medical officer. The physician has the input from other doctors and will be able to answer questions for other...
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