... all Registered Nurses should have a minimum education level of a Baccalaureate degree. “Differentiation of practice debates that have plagued nursing for the past 50 years started in the early 1960’s when a preliminary report by the Surgeon General’s Consultant Group on Nursing stated nurses in leadership positions should have a minimum of BSN preparation” (Orsolini-Hain, 2009, pp.266-271). By comparing the competencies of both the ADN nurse and the BSN nurse, one may begin to understand why there is such an ongoing debate about the educational qualifications of each of these nursing types and how they relate to entry level practice. “Ironically, though, nursing continues to allow many pathways into practice and has yet to reach a consensus about the educational qualifications needed by entry-level practicing nurses” (Creasia, 2011, pp.11-25). Associates Degree The Associates Degree nurse is required to complete a minimum average of 70 credit hours. These credits can take up to 4 years to complete depending on the school and the educational aptitude of the student. The ADN program was designed to be only 2 years in length and was created to help quickly increase the quantity of nurses available to offset the nursing shortage. “Associate degree nursing programs are designed to be 2 years in length and consist of a balance between general education and clinical nursing courses, all of which carry academic credit. ADN programs prepare technical bedside nurses for secondary care...
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...Code of Ethics Assignment; Part I The ANA Nurses Code of Ethics is a very important tool in the field of nursing that helps and allows nurses to be able to fulfill their ethical obligations in order to help improve healthcare. The ANA Nurses Code of Ethics was developed by the American Nurses Association to provide guidelines for nurses to carry out their ethical duties by practicing nursing in an effective, suitable, safe, and autonomy way. Provision six of the Code, addresses that nurses should use their values and moral reasoning and thinking to facilitate improvements of the health care environment. Improvements need to be done in the environments of the patients as well as the community clinics, hospitals, and any type of facility that practices nursing including the workplace of the nurse. Reading provision 6.1 which is titled “The influence of the environment on moral virtues and values.” (American Nurses Association, 2014). Taught me that the professional nurse shall do whatever it takes to establish, maintain, and improve health care. Provision 6 states that a nurse’s ability to fulfill their ethical obligations is a direct function of the environment that he/she is placed in. (American Nurses Association, 2014) If the nurse shows respect and care for the environment he/she can be a stepping stone to others in the environment and may model positive behavior toward the healthcare environment. The more initiative the nurse displays others may want to become more involved...
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...is vital that Congress preserve funding for nurse practitioners educational programs, traineeships, and Nurse Managed Clinics. Congress must reduce federal spending through the Division of Nursing in the Bureau of Health Professions of the Department of Health and Human Services. The American Academy of Nurse Practitioners (AANP) are advocates for nurse practitioners and patients. The AANP’s legislative team identify critical issues related to licensure, access to care, patient safety, health care reform, and reimbursement. They represent NPs on national committees and in health organization. Thus, the AANP is fighting Congress for sufficient funding for Nurse Education Programs (2015). The writer will introduce a new policy to improve the nursing shortage. Literature Review According to the American Association of Colleges of Nursing (AACN, 2014), a shortage of nursing school faculty is restricting nursing program enrolments. Nursing schools identified faculty shortages for rejecting qualified applicants. In 2012-2013, U.S. nursing schools rejected almost 80, 000 qualified applicants from undergraduate and graduate nursing programs due to insufficient number of faculty (2014). In addition to faculty shortages, clinical practice sites, classroom space, and clinical preceptors, and budget deficits also restricted enrollments (2014). The nursing shortage contributes to increase stress levels. As a result, there remains a high nurse turnover and vacancy rates (Littlejohn, Campbell...
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...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 populations of nurse residency programs using sampling data and dissect the strategies...
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...Arreguini Grand Canyon University The Big Debate “Why should I get a BSN?” says the prospective nurse who is faced with a decision to spend more time and more money to get the same pay as those who spend less of both. It is a very good question. Honestly, it’s a question that I have posed to myself many times. And truthfully, I wasn’t sold on the idea, until recently. I think it all comes down to being prepared. The more prepared we are, the better we are able to equip our patients with what they need. "Health care needs more nurses that are prepared to implement solutions – and the BSN curriculum emphasizes leadership and evidence-based practice in a way that the much shorter ADN program can not." (2014, para. 6) So how do we become more prepared? More preparation and more education. A Baccalaureate degree can help our nurses to be better prepared in many ways. Nurses with a baccalaureate level education are associated with lower mortality rates, more positive outcomes and increased critical thinking. Lower Mortality Rates There is much evidence to support that nurses with baccalaureate degrees are associated with patients that have lowers mortality rates. "In a study published in the October 2014 issue of Medical Care, researcher Olga Yakusheva from the University of Michigan and her colleagues found that a 10% increase in the proportion of baccalaureate-prepared nurses on hospital units was associated with lowering the odds of patient mortality by 10.9%."( 2015,...
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...Nightingale was born into a wealthy and prominent family in nineteenth century Europe. During the Crimean War, Nightingale, through her population-based epidemiological approach was able to successfully and dramatically reduce mortality rates among soldiers. Nightingale envisioned nurses being formally trained and skilled in the care of the sick, injured, and weak. Nightingale also made clear distinction between nursing focused on caring for the sick and nursing focused on the prevention of illness (Stanhope & Lancaster, 2014). As time progressed, women began to play a more prominent role in society. Educated women and uneducated women alike began entering the workforce. Women of means also began to break free of some of the societal restraints upon them and became more active in public affairs. Lillian Weld, a pioneer of public health nursing, and Mary Gardener organized a meeting of public health activists and their supports in 1912. This meeting would lead to the formation of the National Organization for Public Health Nursing. Since that time, nurses have been active participants in the formation of public health education, standards, policy, and regulations (Stanhope & Lancaster, 2014). Impact on Nursing Practice...
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...would not learn a lot; this has definitely changed. Learning and practicing intravenous (IV) access was a skill that I wanted to have before my graduation, and I believed that I needed to be in a hospital setting for this to occur. I am not currently doing intravenous initiation with the intension of hanging fluids or medications, but I have been practicing venipuncture. Looking back, I realize that student nurses need to be open minded to their placement areas and have a good attitude because they may pass on an opportunity to form new relationships and gain new skills. E- Doing venipuncture is significant to me because I have not done venous access before, and I realize that it has serious implications for the patients. Venipuncture, an introduction of a needle into a vein to obtain a blood sample for hematological, biochemical or bacteriological analysis, is one of the most invasive procedures in nursing (Lavery & Ingram, 2005). The fact that a sharp instrument is being introduced into a vein also means that there are serious implication for the health and safety of the nurse and the patient. Recently I had a patient who explained that she was “scared of needles”, so drawing blood from her was challenging in some way. She came in for her annual physical, and already was emotionally drained after speaking with myself and the doctor about the recent death of her father. I had asked if she was ok while cleaning her skin and she said yes, but while I was drawing the first vile of...
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...overall care. Not understanding and identifying nursing-sensitive indicators contributed to adverse outcomes, which included the development of a pressure ulcer and the likely unnecessary use of restraints. Lastly, family dissatisfaction with care was evidenced when the daughter called the patient’s physician to complain that her father had not received the ordered kosher meals. If the hospital nursing staff had understood and identified nursing-sensitive indicators, the negative outcomes cited above may have been avoided. The nurses would know that through data collection, measurement, and evaluation of nursing practice it has been recognized that nursing care has a direct impact on specific patient outcomes. Because of this research, the profession has been able to elevate the quality of nursing care by developing and implementing evidence based practice, which has been demonstrated to improve patient outcomes (American Sentinel University, 2014). Quality Patient Care Collecting hospital data from each unit on specific nursing-sensitive indicators could advance quality patient care throughout the hospital. Staffing levels and the mix of nursing personnel (RN, LPN’s, and CNA’s) on a unit can have a direct effect on nursing job satisfaction. These three combined indicators have been shown to play a significant role in the quality of patient care and patient-family satisfaction, another two indicators (The HealthcareSource, 2013). Data collected should also include the...
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...I am proud to be a member of the nursing profession for 16 years. I absolutely identify nursing as a profession. Nurses are required to receive specialized training and education by nursing scholars to enter the profession. A professional licensure is required to validate competency. Upon entrance into the profession, nurses make an implicit moral commitment to uphold the values and moral obligations expressed in their code of nursing ethics (Burkhardt & Nathaniel, 2014, p.131). Any violation of this code of ethics can result in our licensure being revoked or suspended. We have an appointed body that defines and governs our practice. Nursing research and evidenced based practices provide the scientific basis for delivering quality healthcare. Nurses are responsible for coordinating with patients to prepare and carrying out a plan of care suitable for the patient; we utilize judgment by applying critical thinking skills and compose a nursing diagnosis....
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...Caregiver burnout problems can show up mentally, emotionally, and physically. The nurse becomes unnecessarily agitated, anxious and confused just like a patient with UTI. Sometimes the crave to finish the job that was started or attempts to meet with date line may create so much professional frustration that it is no longer easy to hide the symptoms. I am of the opinion that reading or just taking a few minutes as recommended to set oneself up for the day is a good idea. However good that recommendation may be, given the nature of nursing profession and the vocational demands, it is not usually possible to organize oneself before getting report and starting the day’s job. There nurse end up stressing and burning out through their entire career as care givers. According to Ermak (2014), burnout is the issue of compassion fatigue which is the emotional strain of dealing with traumatic and difficult situations on a daily basis. Nurses should understand that their responses to these emotional things can become normal, and it shouldn’t be. There should be some kind of relief to staff who face stressful or challenging job related anxiety to help the recuperate before getting back on the floor for patient care. Therefore ready, even taking a few minutes of meditation before work commencement is absolutely advisable One cannot exhaust the benefits of reading. Mahon (2014), says that there are known positive effects from reading including better oral communication, more self-confidence...
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...Government Bureaucracy: The wave of fiscal constraint in the late 1980s and the adoption of neoliberalism by Canadian Health Care System in 1990s have led to fragmentation of care and have had a massive impact on the care of Canadian population. Shrinking hospital budgets and governmental bureaucratic processes in the name of greater efficiencies has contributed to reduced number of nurses employed by direct lay-offs, turning full time jobs to part time and adoption of ideology of managerialism (Duncan, 2014). So, as the demand for registered nurses (RNs) has not changed, patient acuity has increased resulting in greater workplace demand, turnover and burnout for nurses (Reineck & Furino, 2005). The root causes like insufficient funds to heir...
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...The Joint Commission’s 2006 National Patient Safety Goal 2E set certain standards for maintaining an effective handover and to reduce medical errors. In 2008, this standards revised which including communicate effectively, provide an opportunity for questioning to the nurse who receives hand over, include read back or repeat back policy which indicate the verification process and provide an opportunity for the hand over receiver to evaluate and check the information. These standards will help to reduce the adverse events happening to the patient Wasserman, M. (2014). Muzio, L. (2013) stated that RNs have a different role in hospital sector which includes assessing the patient, plan the care, implement the care plan and evaluate the given care....
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...long standing debate regarding which type of nurse possesses greater competency or better prepared, an Associate Degree Nurse ( ASN) or the Bachelor’s Degree in Nursing( BSN). Many have argued that the ADN prepared education has more bedside skill but lacks critical thinking.(cite) and leadership ability. On the other hand the BSN education is the most prepared to think critically and work in leadership positions. Much of the research has even explored which degree program has a higher potential for hire. As nursing has created this chaos of distinction, there are some that may argue that it is pure rhetoric and then others that have given statistical evidence to how it effects patients outcomes relating to lower mortality rates, decubitus ulcers and pulmonary embolism(cite). Based on the research and evidence found it would be safe to say that, the impact of having a BSN significantly increases the nurses ability to deliver the best patient care due to the sound ability in making critical decisions, perform in higher administrative and leadership roles and increased marketability. According to most studies the ADN who pursues the BSN will benefit because they will become better able to think critically and function in a capacity of leadership and collaborate more effectively as a professional with the interdesciplinary team. Research toots that there is better patient care and patient outcomes when care is provided by a nurse holding a BSN. This has been With the pressing...
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...Where & When is the Line Drawn for Ethics? Assess the situation Most nurses will perform their jobs without any problems ever arising due to ethic situations. As time changes though, so do the thoughts and perspectives of nurses and bystanders. Situations arise and their eyes are opened to see things outside of the box. This paper will discuss four different situations that have happened in the past couple of years, involving different aspects of nursing, all in which have received a lot of controversy. So what is the big question; where and when does the line of ethics get drawn? Situation One: Do nurses have the right to refuse CPR (cardiopulmonary resuscitation) on a person? In California an elderly woman died because a “nurse” refused to do CPR on her (Wozniacka, 2013). The family of the woman that died agrees that the nurse was in the right even though the woman passed away. This woman lived in a non-assisted living home and fell to the floor in the dining hall. According to the family this woman knew this and she still wanted to live there. She did not have an order for DNR (do not resuscitate), but knew that if something were to happen then she would not have help until someone called 911 and the first responders arrive. Well someone did call 911 and the unit coordinator...
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...Community Hospital for a bilateral myringotomy. The mother of the child stepped out during the surgery in order to run an errand involving her other child. The mother was told the surgery would take about 45 minutes. The mother relayed that she should be back after the surgery to pick up her child. The mother did not respond after the recovery, even though the recovery nurse called out to the waiting area and paged for the mother. The patient was then transferred to the discharge nurse. The child was agitated waiting for her mother to return. Coincidentally, the father was at the desk and the nurse invited him to see his child. The nurse was relieved as the child changed her affect to one of excitement and called him daddy. After waiting thirty minutes the father offered to take his daughter home. The nurse agreed and provided the discharge paperwork to the father. The child abduction was reported two hours after the patient’s discharge, upon the mother’s return. This was due to the fact that the patient was released to the father but the mother had sole custody of the child; unbeknownst to the discharge nurse....
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