...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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...the University of Wisconsin-Madison with an anticipated graduation in August 2018. As a part of my DNP degree requirements, I decided to focus my scholarly project on the graduate clinical education. Majority of advanced practice nursing (APN) programs rely heavily on one-to-one preceptor-student model to provide clinical education. Nationally, there is inadequate number of clinical sites and clinical preceptors. And many APN programs are facing challenge to retain and recruit graduate clinical preceptors especially in the primary care including the DNP program at the UW-Madison. Beside a high demand, preceptors available to precept have to overcome several barriers to provide a high quality clinical education including a lack of any formal training in an educator role....
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...Orienting to the role of an academic nurse educator is a dynamic and challenging process. While engaging in this role with a preceptor, this novice nurse educator was guided by the core competencies developed by the National League for Nursing to teach Bachelor’s of Science in Nursing (BSN) degree students. Utilizing teaching, assessment, and evaluation strategies learned throughout the Master’s in Nursing Science program, this educator developed a didactic presentation on building cultural competence for Health Assessment nursing students, demonstrated and assisted in the development of essential skills to conduct an adult physical examination, and coordinated a perioperative clinical rotation for senior level nursing students. This practicum experience has played a pivotal role in strengthening this novice educator’s ability to assist students in identifying their learning needs, strengths, and limitations, while providing opportunity to experience the teaching-learning environment of the academic arena. Keywords: nursing students, learning, practicum learning, nurse educator PRACTICUM EXPERIENCE Nursing 740 Practicum Experience New nurse educators transforming into their new role often discover they are not as prepared as they would hope to be (Poindexter, 2008). Being an experienced or expert nurse is not sufficient to assume their new role as a nurse educator (Poindexter, 2008). To better transition into the nurse educator role, nurses with experience need to be prepared...
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...Running head: MENTORING IN NURSING: A CONCEPT ANALYSIS Mentoring In Nursing: A Concept Analysis Leslie R. Dick The University of North Carolina at Charlotte Introduction Mentoring can be dated as far back as the Ancient Greeks. Young athletes were trained by their more experienced superiors. Homer is most famous for our initial understanding a mentor when he tells of Odysseus leaving his infant son with a companion, Mentor, when he left on his Odyssey (Gentry, Weber, & Sadri, 2008). Mentoring is a relationship between two people which lasts over an extended period of time. One of the people, the mentor, is more experienced and considered senior to the mentee and is trusted by the mentee. The mentee is less experienced, although not necessarily younger, than the mentor. Mentors can play an important role in our lives. They share knowledge, experience, and wisdom, and they critique us and give honest feedback. Positive, competent mentors develop relationships with their mentees and are focused on their growth. They are also generous and professional in their collaborations. The benefits of mentoring relationships include increased self-confidence and retention, strengthened professional relationships and increased skill levels. These consequences of mentoring improve the health environment for all. Through this concept analysis, I hope to show the attributes associated with mentoring as well as provide related terms that will provide a further understanding...
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...Challenges of New Graduate Nurses: Transition to Practice Job retention rates amongst newly graduate nurses tend to fluctuate widely. These fluctuations have many possible and combined explanations including orientation quality, level of confidence, residency programs, pay rates, mentoring programs, management support, and countless views of job satisfaction. My concept will focus on transition to practice success of new graduate nurses in relationship to their organization’s orientation process, job satisfaction, and the effects of job retention rates. Identifying these challenges are significant noting that low retention rates are costly for health care facilities as well as for the economy. According to Gemberling, Tretter-Long, Reiner, Potylycki, and Davidson in their article Clinical Support for the Off-Shift Nurse and the Graduate Nurse: The Clinical Rock Stars, “Depending on the specialty, estimated replacement costs for an RN were $42,000-$64,000 [in 2005]” Gemberling et al. (2011). This topic is especially important for new graduate nurses when considering a first place of employment. Nursing educators and health care managers have been analyzing and designing new ways to combat low retention rates specifically for newly graduated nurses. Review of Literature Several factors influence job satisfaction, which is a key characteristic that effects job retention rates. Gemberling et al. (2011) found that most new nurses leave their first job because of stress related...
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...Benner Analysis Paper Scott Hultquist Daemen College Benner Analysis Paper I was first introduced to the Benner and the Dreyfus model of skill acquisition nine months after I graduated from a two year nursing institute. I had been hired to work in an Intensive Care Unit. Of course I was excited and could not wait to begin my new career. I was told that orientation was going to be six months long and that the first three months would only be class room training. I was a little disheartened because I thought I was ready to work as a professional nurse in an extremely busy unit. In retrospect, I was wrong I definitely needed that orientation. The first day on the unit with my preceptor was very memorable. She was a nurse that had been working on the unit for the past thirty-five years and didn’t have any plans to retire. She said to me, “Scott, I know you think you know everything; but in fact you really don’t know anything yet.” Her statement confused me as I had just graduated from school and completed half of my orientation process. I felt that I could handle anything that was presented to me. My preceptor went on to say, “nursing is about caring, I can teach anyone the skills and the theory but if you do not care about people then you will never be an expert nurse. At that point I was uncertain of how things were going to proceed. Throughout this paper I will explain my journey using the seven stages of the Benner model and how I perceive my levels of competency...
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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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...New Graduate Nurses, Transition Shock Rachel Gable Grand Canyon University NUR 433V November 25, 2012 New Graduate Nurses, Transition Shock Nursing is by nature a stressful occupation. Making that even more stressful, newly licensed nurses are being thrown into the profession more and more without the proper orientation and training. Although newly licensed nurses have achieved the legal and professional requirements of minimal competence to enter practice, studies indicate that many new nurses lack the clinical skills and judgment needed to provide safe, competent practice (Dyess & Sherman, 2009). The rapid deployment of new graduates into clinical settings where they assume professional responsibilities on the same level as a seasoned nurse and is becoming more of a serious issue today. The purpose of this study is to determine the learning and transition needs and recommendations of the new graduate nurse. In a recent survey done by Berkow, Virkstis, Stewart and Conway in 2009, only ten percent of the health system executive nurses believed that newly graduated nurses were ready to deliver safe patient care. Typically new graduate nurses receive up to six months or less of orientation and training in hospitals. This is not sufficient time for the new graduate nurse to feel comfortable with critical thinking skills, communication and time management. This is especially important because of the high acuity of today’s patients and can lead to medication...
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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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...student learning. In an online learning environment learning experiences should be given in a rich platform that stimulates individual thinking through analysis and processing of situations. Students should be exposed to learning experiences that includes discussion, forum, chats and other resources that are supported by the expertise and experience of the online instructor. Principles of ministry within the Christian Faith, should be center to the learning process and extremely important for the development of the future nurse in carrying out the most important function which is the healing of others, according to our Lord Jesus Christ teachings. Teaching responsibilities: My current teaching responsibilities include: Syllabus creation and updates, Use of technology for enhancement of lessons to include: power point, Camtasia, Adobe captivate. Lesson plan to include: summary statement, questions, essay, projects, exam directives and monitoring. Monitoring of attendance and evaluation of assignments and grading. Effective use of: Blackboard, EDU, Peoplesoft or other platform for student documentation of course assignments to include not limited to: discussion questions, forums, interactive assignments, chat, course completion, evaluations and grading. Thirty years experience working actively as a registered nurse. Seven years experience working as nursing professor for several colleges such as: Seminole Community College, Valencia Communitya nd Cambridge Institute...
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...Fulfillment of the Requirements of N5327 Analysis of Theories in Nursing Ronda Mintz-Binder, DNP, RN March 27, 2012 Examining Nursing Practice: A Personal Framework After graduating nursing school in 2008, I started working as an Operating Room nurse (OR) at a level one trauma center, which specializes in neurosurgery. I now scrub and circulate neurology, urology, ENT (ear, nose and throat), and plastic surgeries. I am also a charge nurse and in charge of orienting new nurses and graduate nurses. The OR is fast paced and challenging. One never knows what is going to come through the doors, but you have to be ready at any given moment, to do anything from removing tonsils to clipping an aneurysm, in a matter of minutes. In the OR, often times the team gets caught up in tasks that need to be performed to get the case going, and sometimes forget that a human being is lying on the table with both physical and emotional needs. That is why, I teach my new graduates and everyone that I precept to act like it is a member of their family lying on the table. Often times just a friendly word or a smile before the patient is put under anesthesia can make a world of difference. If there is time, I also update the family to what is going on in the OR and try to answer any questions that I am able to. Sometimes surgeries last for sixteen hours; just an update can mean the world of difference to an already anxious family. Some OR nurses might tell you that their nursing is...
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...reporting, report development, target monitors; information system needs analysis information security, database management and maintenance, and training and support. In particular, I was trained with various healthcare information security trainings, including initial broad awareness training and customized training relative to particular areas of VA’s departments, and other CEs in my first day internship at VANTHCS. The purpose is to ensure I was acknowledged in privacy and security relative to the VANTHCS’s policies, procedures, and practices of the VANTHCS site. Another task was to assist the preceptor in assessing New Residents’ documentation requirement upon receiving their application package. After that, I created the spreadsheet for New Resident Profiles to record and monitor the paperwork process. I also created a spreadsheet OSHA- Respirator Medical Evaluation Questionnaire spreadsheet for New Resident 2014 and submitted it to Employee Health Clinic as requested. Moreover, I evaluated and made correction in the Veterans’ consults status through the Vista and CPRS system program. I maintained the Veterans’ records in a specific of times and identified those Veterans whose the waiting list appointment are over 90 days. Furthermore, I collected the current staffs’ contact information to update it in the VANTHCS InTraNet, and create the Surgical Service Personnel Roster. Lastly, I supported the preceptor in the development of the new ASU software by running one by one...
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...Caring in nursing Name Professor Institution Course Date Introduction Concept analysis can be referred to as the activity where different concepts, their characteristics as well as their relations with other concepts are brought out clearly and evidently (Fawcett& Desanto, 2012). The creation of a distinct conceptual clarity about the different concepts proves to be of great importance to all the forms as well as the kinds of research. The general outlined guidelines of research as well as the philosophical literature are often in the mentioning of research analysis or on the hand also mention the concept of the research. Different disciplines have formulated different methods or rather devised different methods of concept analysis. These different methods are meant for the development as well as the clarification of their own concepts in their different fields. The methods may at one time share a scholarly view of the problems of concept as well as the methodology, however, since they are discipline specific, they too may also be in need of various modifications before they could be of use and applicable to the different fields in which they are meant to be used. In nursing science, the art of concept analysis is at a greater height seen as an integral part of the development of a theory and a discipline of the science of nursing. This paper evaluate the nursing concept of care in nursing. Caring in nursing Caring in nursing is the active support as well...
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...Organization and Time Management The observation and analysis of my preceptor experiences and situations have most certainly illustrated the fact that organization and time management skills are critical for all health care providers, but particularly important when caring for patients. Time management is a vital part of overall organization. Patients’ lives are in the hands of the attending nurse. A good example of the necessity of good organization and effective time management involves appropriate instructions at the receiving end of shift report. It is of major importance for the nurse to prioritize which patient she/he will care for first. By prioritizing the patients, the nurse is able to organize thoughts and manage time while caring for the patients and will hopefully prevent avoidable mistakes. Effective time management is extremely important in order to ensure appropriate time is set aside to accomplish high priority tasks. Good time management and good organization depends on many critical steps to include meticulous review, goal setting, and Prioritization. Hospitals and intensive care units should consist of meticulous nursing staff. These nurses allow themselves to get very familiar with every part of the patient regarding not only the disease or infection that the patient has but they also get to know the patients’ family. Meticulous nurses want to know every part of the patient to ensure that the nurse is not missing any details while caring for the patient...
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...National League for Nursing Evaluation and Learning Advisory Committee (ELAC) ANNOTATED BIBLIOGRAPHY ON ASSESSMENT AND EVALUATION ELAC Members: Marilyn H. Oermann (Chair) Karen Saewert (Chair-elect) Pamela Rutar Suzanne Yarbrough Sub-committee Members: Reba Childress Dawne-Marie Dunbar Sally Erdel Barbara Haas Evelyn Hayes Debra Hurd Sheila Kyle Gayle Preheim, Chair Linda Siktberg Gale R. Woolley, Chair A comprehensive literature review was completed, reflecting best practices in assessment, evaluation, and grading in nursing. This annotated bibliography of the literature is organized into four areas: assessment and evaluation in (a) the classroom, (b) the online environment, (c) clinical practice, and (d) learning and simulation laboratories. There is a fifth section that provides references on the assessment of psychomotor learning and performance; that section is not annotated. This work was completed by members of ELAC and its subcommittees as noted above. 1 CLASSROOM ASSESSMENT Ahmad, N. (2002). Evaluation of teaching: Through eyes of students. Plano: Institutional Research Office, Collin County Community College District. This article reviews the student evaluations instruments used to evaluate learning and faculty in the classroom. The purpose of this article was to search for come standardized instruments of student evaluations. Instruments used are: Individual Developmental and Educational Assessment (IDEA), Student Assessment of...
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