...keep up with changing health care. These changes helped the nurses to expand their knowledge and search various opportunities in all aspects of health care. There are some obstacles, which prevent nurses from responding effectively to a quickly shifting healthcare settings and developing health care system. In 2008, a two- year project to identify and resolve the problems facing the health profession developed by The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM). This passage will explain the effect of IOM report on nursing education, practice, and nurse’s role as a leader. The IOM report -The Future of Nursing Leading Change, Advancing Health released in Oct 2010. The IOM selected the Com¬mittee on the RWJF to plan on the expectations of Nursing, with the rationale of developing a report and that would make suggestions for an advanced future of nursing. According to this report, there are so many challenge that facing the education in nursing and some resolutions that will be essential to progress the structure. In this present century, the patient’s requirements and health care settings became more multifaceted, the nurses needed to require competencies to convey expert nursing care. To meet this rising difficulty, the IOM committee recommended that nurses should accomplish top levels of education and recommended that they should cultured in specific ways to practice them to meet the requirements of the patients. The committee suggested that...
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...Systematic Approach to Care through Effective Person-Centred Care Planning. The NHS places a strong emphasis on delivering person-centred care to patients. Patient-centred planning was adopted as national government policy in 2001 via the “Valuing People” paper and more recently as part of the “Valuing People Now” document (DOH,2009). Person-centred planning is now promoted as a key method in delivering the personalisation objectives of the Governments “Putting People First” programme for social care (DOH, 2007). The Coalition continues this commitment towards personalisation of care with its “Capable Communities and Active Citizens” document (DOH, 2010). One key area to ensure that care is delivered in a systematic person-centred way is through effective care planning that involves the patient in the process as a key stake holder. Several systematic models to nursing care are available that will facilitate practitioners in ensuring that all needs of the individual are identified and met. This essay will define what is meant by the term “person centred care”, will explore the systematic nursing models of care delivery and will highlight good practice in constructing person-centred care plans. This will be done using examples of an original care plan (constructed by the author for a real patient whose name has been changed) - and will draw upon information and evidence from a range of contemporary sources. It is appropriate in the context of this essay to firstly define...
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...Healthcare Associated infections (HAIs) is an infection that patient normally receive through their progression of care in healthcare setting during the process of getting treatment for their different medical situation (Allegranzi et al. 2011). HAIs can be spread by multidisciplinary teams from their hand or working environment. This paper will explain the importance of correct hand hygiene (HH) as a key method to prevent and control HAIs. HAIs are primarily unnecessary adversative result in patients which is linked with the important mobility, extra usages of capitals and humanity (Pissoa- Silvia et al.2007). System of rules, answerabilities and method is a clinical governance which is focused at civilizing efficiency, protecting and delivering...
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...Juzénaité-Karneckiené, Anželika Veršinina Key words: Decontamination ■ Hospitalised patients ■ Methicillin-resistant Staphylococcus aureus ■ Octenidine Mindaugas Danilevicius, 2UAB ‘Apiterapija’, Vilnius, Lithuania, Audra Juzéniené, Indré Juzénaité-Karneckiené, Republican Vilnius University Hospital, Department of Infection Control, Vilnius, Lithuania Accepted for publication: July 2015 S36 I British Journal of Nursing, 2015 (Tissue Viability Supplement), Vol 24, No 15 © 2015 MA Healthcare Ltd Abstract Background: Methicillin-resistant Staphylococcus aureus (MRSA) infections are an increasing problem worldwide with a high risk of severe illness and mortality in hospitalised patients. Patients with chronic wounds are at particular risk of developing MRSA infections. As octenidinebased products have shown promising success in decontamination in the past, the aim of the present study was to determine its efficacy, safety, and tolerability in decontaminating hospitalised MRSApositive patients. Methods: From 1 April 2011 until 9 November 2012, 36 patients were screened MRSA-positive at the Republican Vilnius University Hospital, Vilnius, Lithuania. At least three swab tests were performed for each patient to screen for MRSA, one from each nostril and one from the perineum. In patients with wounds, an additional swab was taken from the wound surface. In the affected patients octenidine-based products were used in one or two cycles of 7 days each. In addition...
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...High-Risk Family Assessment and Health Promotion Paper Corey Hollmann University of Phoenix NUR/542 6/30/2014 Danielle Patrick High-Risk Family Assessment and Health Promotion-Suicidal Ideation Suicide and ideation to commit this final act, is a grave public health concern that is multifaceted and responsible for significant family risk. Suicide is a behavior that has worldwide resulted in nearly one million fatalities annually. Suicide is commonly an act driven by impulsivity and followed by thoughts of hopelessness and doom. In the United States, firearms, particularly handguns, are the most common means of suicide. Despite extreme notoriety, suicide and suicidal ideation remained stigmatized and hidden behind shadows of shame. Acts of deliberate self-harm and unsuccessful attempts remain largely underreported (Fleischmann et al., 2008; Freedenthal, 2007). Summary of Suicide Risk Health Profile The incidence of suicide has remained a significant health risk across multiple demographics, cultures, and sexes. In between the years 1999 and 2008, the suicide rate increased 10.5% and from 10.5 to 11.6 people per 100,000 population. Male's record rates that are four times greater than females while non-Hispanic whites recorded 14.1 suicides per 100,000 (National Vital Statistics System, 2008). Suicide is a behavior that exudes complexity that is characterized by methods to potentiate intentional termination of one's own life. The World Health Organization (WHO) has...
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...The role of senior nurses is dynamic and multifaceted. Nurse leaders in practice settings have unique opportunities to influence and even create the environment in which professional nursing practice can flourish. Marriner-Tomey (1993) suggested that, in this highly influential role, nurse leaders have a major responsibility to change behaviour to provide an environment that supports the preparation of competent and expert practitioners. It is part of nurse leaders’ role to serve as a model in providing effective socialisation experiences that impart the appropriate values, beliefs, behaviours and skills to staff. In the nursing profession, a nurse manager's personal style of leadership impacts multiple aspects of a healthcare facility's operations and can have far-reaching implications. This piece will define and discuss several different styles of nursing leadership. First and foremost, the autocratic style of leadership typically involves a leader or nurse manager who makes all pertinent decisions, gives specific orders, and issues directives to subordinate employees who must obey under watchful supervision. Sorensen et al (2008) advocate autocratic leaders strongly discourage workers from questioning the validity of any directives. Constable and Russell (1986) showed that the autocratic style of leadership is appropriate for workplaces such as jails, prisons, the military, and highly structured settings with routinized operations because, in these places, the lives of masses...
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...and societal values, and legal responsibilities all influence the way we care for our patients, treat our co-workers, and take care of ourselves. Never the less, nurses need to make a distinction between their individual values and their professional ethics when caring for their patients. The American Nurses Association’s Code of Nursing Ethics is the cornerstone for nursing practice. Even though patients can still receive quality ethical care even if the code has never been read by the nurse, enhanced and complete nursing care is given when the nursing code of ethics is followed. The nursing code of ethics, according to Lachman, 2009, is the fundamental document for nurses and it provides a social contract with the patients we serve and acts as an ethical and legal framework for nurses, especially while the nurse is taking on more multifaceted roles and is involved in more complex ethical and legal situations. In the case of 55 year old Henry, the ANA’s Code of Nursing Ethics would influence a final decision in the following ways. The final decision would not be based directly on the nurse caring for Henry, but based on a healthcare team approach. It is the nurse’s responsibility to make sure that Henry’s family is fully informed of all possible choices. First, according to Lachman, 2009, the patient is not the only one involved in the nurse’s care. The nurse must realize that they are also taking care of their patient’s family. In doing so, the nurse is expected to be kind...
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...requirements and half nursing requirements and is centered around the fundamentals of nursing, as well as obtaining information on how to generate care plans and learning every day nursing skills. The program also focuses attention more on the patient than the disease process. Developing this program in a Community College allows for lesser tuition rates, greater geographic locations and faster completion times without sacrificing education. (Mahaffey, 2002) Today’s Associate Degree nurses are a asset to healthcare as they are called upon to do many tasks to include in improving the quality of patient care, promoting patient safety and the effectiveness of care delivery, they must possess vital information about a patient’s health condition, and maintain and perfect the skills and abilities necessary for beginner-level nursing practice. (Mahaffey, 2002) Even with the vital role of the Associate Degree nurse some hospitals that were once eager to hire AD nurses now prefer to employ nurses with a BSN level or higher. (Mahaffey, 2002) Why is that we ask ourselves? Nurses with higher education often make more money; one would think hospitals would want to keep associate degree nurses to save a dollar. Well it turns out that hospitals with higher educated nurses are more likely to have fewer surgical patient mortality rates and higher patient safety rates. (JAMA, 2003) The National...
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...and principles based on patient care. Behavior is multifaceted and complex, stemming from a response to factors that are outside a purely ‘scientific’ understanding of infection and not simply understood as a deficit in knowledge. These call for educational interventions that consider beliefs, values and social understanding of pathogens and infection (Jackson, et al). It is not enough to have knowledge about the prevention of healthcare-acquired infections, but also the correct approach towards the right actions that are focused on patient safety. As far back as 1860, Florence Nightingale emphasized the importance of hygiene, cleanliness and standards of care, yet despite this, infections in hospitals and other healthcare settings continue to be a major concern for health services (Department of Health, (DH), 2009). In spite of recognizing the importance of hand washing in reducing transmission of microorganisms, compliance by healthcare professionals is often poor and protective equipment is not always used appropriately (Jackson, et al). Part of the problem is that healthcare workers are not always aware of the fields of contamination that surround them and inadvertently carry pathogens on their person and potentially go on the infect patients. While hand hygiene is certainly a crucial measure to prevent healthcare acquired infections, evidence suggests that transmission and infection occur as a result of additional unsafe movements during care. Researchers with extensive...
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...The New Role of the RN with A New BSN Degree [Name of Writer] [Name of Institution] The New Role of the RN with A New BSN Degree Introduction Quickly increasing the scientific knowledge and rising complications in healthcare authorize that the practiced nurses have power over the training for education corresponding with the branched out accountabilities that can be of necessity for them. Since the healthcare moves from the hospice-focused, in-patient management to extra initial and precautionary cure all through the society, the system of health care calls for registered nurses who are not merely capable of doing practice within numerous care settings- equally inside and further than the hospices- but are competent to work out with extra self-determination in clinical decision making, management of the cases, administration of un-licensed equipments and supplementary supporting staff, supply of direct bed-side healing, educating the sufferers by means of the labyrinth of the resources of health care, and guiding them on the procedures of treatment and implementation of hale and hearty styles of living. Above all, the grounding of the opening level qualified nurse calls for a superior direction to the community-centered initial care for health, and an impact on the promotion and preservation of health, and lucrative synchronized management. Role of RN with a BSN Degree Contrasting the graduate students of programs of associate degree nursing or diplomas...
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...Competency Differences of ADN and BSN Nursing is a self-motivated and multifaceted discipline, one that requires skilled, knowledgeable, and self-sufficient practitioners. The roots of nursing are firmly based on service to other individuals, groups, and communities. ADN Program Associate degree nursing programs are intended to be two years in length based to prepare practical bedside nurses for secondary care settings, such as community hospitals and long-term care facilities. The Associate degree nurse is prepared .to function at the intermediate level, not in leadership and management position. The professional behaviors, communication, assessment, clinical decision making, caring interventions, teaching and learning, collaboration, and managing care are the eight center competencies of ADN. By using clinical and thinking skills ADN graduate is responsible for caring for others while keeping the values of nursing profession for better outcomes. The inclusion of public health nursing as a part of curriculum is main difference between nursing in baccalaureate and diploma programs. BSN Program The Baccalaureate graduates are prepared in order think reasonably, evaluate critically, and communicate effectively with clients and other health care professionals. Baccalaureate programs are four academic years in length, and the nursing major is typically concentrated at the upper division level. There are vital components to prepare the baccalaureate graduate as generalist...
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...create a healthy community. There are very few hospitals that have truly made it their mission to heal and not just treat the signs and symptoms of illness." A healing physical environment. This concept takes into consideration not only how we care for patients, but also how our staff engages with families as caregivers. We have learned that by creating a loving, compassionate, and aesthetically pleasing environment, we are able to help patients and families cope with stress and illness. Mercy Gilbert Medical Center promotes a quiet environment that supports healing for patients, in addition to providing a calmer, more stress free environment for staff and The second component of a healing hospital enables the staff at Mercy Gilbert Medical Center to work more efficiently while providing additional privacy and security for patients. Utilizing the most advanced technology available today also assists in providing a healing environment. The third and most critical component of a healing hospital is embracing a culture of Radical Loving Care, a philosophy championed by healthcare industry leader Erie Chapman. By embracing this \philosophy, Mercy Gilbert Medical Center has developed a strong culture of compassionate care, taking healthcare workers back to their roots and reminding them why they went into...
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...topics of biomedical science, medicine, and health. Different states provide different stances regarding what a nurse can actually do. Multiple states allow nurse practitioners and certified nurse midwives to prescribe medication without a physician’s direction and partnership. There is widespread agreement in the United States that healthcare must become more patient-centric. Primary care and prevention must have a greater function compared to specialty care. Reports shows that states with a greater proportion of primary care providers receive better outcomes and drops in mortality rates. Nurses with differing degrees of education participate in vital jobs in primary care. Education and evaluation are crucial components of primary care. RNs, advanced practice registered nurses (APRN), and nurse practitioners (NPs) provide primary care services across the board. NPs provide care that is equivalent in range to that provided by primary care doctors. APRNs are qualified to diagnose possible health problems, create plans that mitigate diseases, prescribe medicine, and refer patients to physicians when needed. Midwives and birth centers...
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...a study and a series of recommendations for a multifaceted approach to the improvement of nursing to coincide with the implementation of the Affordable Care Act (ACA). These recommendations include topics such as accessibility of care, disease prevention, education initiatives, collaborative care, and many others. The ultimate goal of the IOM report is to make specific policy recommendations at all levels from the institutional to the national level to improve nursing while moving into a new era of healthcare. (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine [RWJF], 2010). For the purposes of this paper, I will focus on the impacts of the IOM report on three specific areas of nursing: education, nursing practice (primary care), and leadership. One of the more controversial recommendations made in the 2010 IOM report is related to education. It is stated that nursing education, due to a multitude of factors over the years has become very fragmented with many entry points into practice such as certificate programs, associate’s degrees (ADN), as well as baccalaureate degrees (BSN). The proposition put forward in the report is that the entire workforce of registered nurses (RN) should be comprised of BSN prepared nurses. The main contention is that this would create a more uniform entry point into nursing as well as better prepare nurses to take on leadership roles. (RWJF, 2010). Another advantage as described...
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...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 to the individual who is wanting to go into nursing. According to Wilkinson & Van Leuven (2007), “students in baccalaureate programs are prepared to provide direct patient care, to work in community care, to use research, and to enter graduate education”. Most baccalaureate programs are four years long. The BSN program includes several components that prepare the nurse to take on...
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