...October 2002 national competency standards for the enrolled nurse Introduction Description of Enrolled Nurse National Competency Standards Assessing Competence Glossary of Terms Introduction The Australian Nursing and Midwifery Council (ANMC) is a peak national nursing and midwifery organisation established in 1992 with the purpose of developing a national approach to nursing and midwifery regulation. The ANMC works in conjunction with the state and territory nursing and midwifery regulatory authorities (NMRAs) to produce national standards which are an integral component of the regulatory framework to assist nurses and midwives to deliver safe and competent care. The standards include the national competency standards for enrolled nurses which were first adopted by the ANMC in the early 1990s. These have been reviewed and revised regularly since then. Other standards developed by the ANMC for implementation by the NMRAs include the competency standards for registered nurses, midwives and nurse practitioners, codes of professional conduct and ethics, and a range of position statements and guidelines. The full list of standards, position papers and guidelines produced by the ANMC can be viewed on the website. The national competency standards for the enrolled nurse are scheduled for review in 2007. This review will be undertaken by a team of expert nursing consultants and will include extensive consultation with nurses around Australia. The purpose underpinning the review...
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...the specialty. The continued evolution of advanced practice nursing has seemingly sparked numerous conceptual models influencing practice. Many models share common similarities, while each maintains their own unique characteristics specific to their developers and contributors. Ann Hamric developed Hamric’s Integrative Model of Advanced Practice Nursing in 1996, that has undergone two subsequent revisions in response to research, variations in practice, and theoretical influence. The resiliency of Hamric’s Model is exemplified by its continued presence in advanced practice nursing literature (Hamric, Spross, & Hanson, 2009). Hamric’s model presents a foundational approach to advanced practice nursing that is generalizable among all specialties of advanced practice nursing. The structural basis for Hamric’s model shares many similarities with Abraham Maslow’s Theory of Self-Actualization. Hamric centralizes a foundation in education, certification, and experience that is built upon to develop central and core competencies. These competencies are patient focused and all encompassing of actions that take place in the healthcare setting. Like Maslow’s strive for self-actualization, where one must progressively satisfy personal needs that rang from the basic biological needs to those that stimulate our intellect, one must accomplish primary criteria before progressing to the central competency of patient care, and finally becoming proficient in core competencies of the healthcare...
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...Interveiw with a Master's Prepared Nurse Interview with a Master’s Prepared Nurse Interview with a Master’s Prepared Nurse Introduction As a mastered prepared nursing student, gaining insight into the interplay among education, career path, and opportunities by interviewing an already masters prepared nurse, in the field of nursing education, can be used as a guidance into the experiences that may lie ahead in a promising and rewarding career in nursing education. This interview with a mastered prepared registered nurse, helped identify specific competencies that the MSN-prepared nurse gains after completing such a program. The interview was conducted on October 22, 2014 with the Clinical Nurse Educator for Woman and Infant Services, at Banner Gateway Medical Center. She was accommodating for this interview, although she states her days are quite busy, in her clinical role. Questions and Career Overview The Nurse Educator was first asked what her role was as the Clinical Nurse Educator for this medical center. She was quick to state that nurse educators in the Banner Health System not only have education for their specific units, but also have responsibilities to educate system wide. A day in the life of a Nurse Educator sometimes goes globally with her knowledge; to teach beyond his/her assigned unit. She continued to explain that there are a variety of functions that her position encompasses, however, she limited the list to the top three: onboarding/new...
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...It is of no surprise that the healthcare environment is rapidly evolving throughout the United States. This includes rising healthcare cost, provider shortages and ongoing changes within the Affordable Care Act. In addition, the American Associate of Nurse Practitioners (AANP) (2013), developed standard of practice guidelines that must be adhered by all nurse practitioners. Acknowledging the standards of practice is key as well as taking initiative in making sure they are being implemented in practice. Quality Assurance and Continued Competence is a standard of care that ensures the nurse practitioner remains compliant in continuing education. AANP (2013) identifies this can be achieved by attending continuing education programs, remaining...
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...Interview with a Master’s Prepared Nurse Deborah Hill, RN, BSN Ruthie Robinson October 29, 2014 Interview with a Master’s Prepared Nurse Introduction As a mastered prepared nursing student, gaining insight into the interplay among education, career path, and opportunities by interviewing an already masters prepared nurse, in the field of nursing education, can be used as a guidance into the experiences that may lie ahead in a promising and rewarding career in nursing education. This interview with a mastered prepared registered nurse, helped identify specific competencies that the MSN-prepared nurse gains after completing such a program. The interview was conducted on October 22, 2014 with the Clinical Nurse Educator for Woman and Infant Services, at Banner Gateway Medical Center. She was accommodating for this interview, although she states her days are quite busy, in her clinical role. Questions and Career Overview The Nurse Educator was first asked what her role was as the Clinical Nurse Educator for this medical center. She was quick to state that nurse educators in the Banner Health System not only have education for their specific units, but also have responsibilities to educate system wide. A day in the life of a Nurse Educator sometimes goes globally with her knowledge; to teach beyond his/her assigned unit. She continued to explain that there are a variety of functions that her position encompasses, however, she limited the list to the top three:...
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...DIFFERENCE IN COMPETENCIES BETWEEN NURSES WITH ASSOCIATE DEGREE AND BACCALAUREATE DEGREES Kelly Matthews Grand Canyon University: RN to BSN NRS 430 V – PROFESSIOANL DYNAMICS 06/14/12 Abstract This is an attempt to analyze the differences in competencies between the nurses with Associate Degree (ADN) and Bachelor’s degree (BSN) in Nursing. The contemporary nursing career demands critical thinking, effective communication skills and comprehensive knowledge. To be equipped with these attributes, a Nurse must pursue at least the BSN degree program. The salient points considered for this analysis and finding are: • A comparison of curricula of both programs. • Increasing requirement of Educators, Researchers and Administrators in Nursing. • Patient safety, quality of care, sync with technological advancements. • A patient care situation. DIFFRENCES IN COMPETENCIES OF NURSES WITH ASSOCIATE DEGREE AND BACCALAUREATE DEGREE Education is an infinite process. Everyday, new developments emerge and new deceases and remedies discovered. The overall outlook of healthcare professions has dramatically changed in the past few decades. Nursing plays a very critical and important part in efficient care and patient safety. Nurses work shoulder to shoulder with physicians in treatment planning and management. Legal and ethical responsibility of the care provided is also increasingly shared by the Nurses. Nursing profession thus calls for better qualified and well groomed...
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...Competency Differences of ADN and BSN Graduates Virginia Tanner Grand Canyon University: NRS-430V January 10, 2016 Controversy over the entry level educational requirements to the nursing profession has been on-going since the inception of the two-year degree program by Mildred Montag in 1952. This educational model was meant to be a temporary solution to a critical nursing shortage post WWII but became a mainstay of nursing education to present day. Therefore, the debate between various state educational programs, nursing organizations, and other interest groups has continued for over half a century without formal resolution (Mahaffey, E. 2002). Additionally the reality that both associate degree (ADN) and baccalaureate degree (BSN) prepared nurses gain the title of RN by passing the same board examination only increases the confusion surrounding these two program levels of nursing education. Examination of these different educational preparation pathways in the level of nurses’ competencies requires discussion for the nursing profession to evolve while continuing to utilize both ADN and BSN prepared nurses. The primary educational focus for an ADN is hands-on bedside care of patients. The BSN educational focus encompasses the ADN model along with public and community health care, and leadership development within the nursing field. The different degree levels is advantageous because ADN programs provide a population source for BSN programs. Associate program graduates...
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...Competency: Analysis of the Concept Michelle Trigg University of South Alabama Abstract Understanding the nature and meaning of nursing competency is the initial step in having an unambiguous definition of its practice. All healthcare professionals, including nurses, may only prove to be proficient in their capabilities if they are able to perform comprehensive assessments related to the provision and maintenance of safe and efficient care, the protection of all members of the general public, and the undertaking of all necessary actions in order to preserve the nursing profession. Any and all standards that are established, based on such a perspective, must be adhered to in practice and for the purpose of nursing evaluation. This paper will evaluate and explore the concept of competency and the ways in which the nursing profession integrates the many aspects of competency. Keywords: competence, competency, concept analysis Competency: Analysis of the Concept The concept of competency in nursing is a professional regulation and is extremely important to patient safety and outcomes. In the past, competency in nursing focused on evaluating clinical skills, and not the actual ability(ies) or comprehension of the science behind them (Allen et al., 2008). Nurse competency is a requirement in the clinical setting, and outlines the dimensions...
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...Nurses at Associate-Degree level versus Baccalaureate-Degree level Nursing is evolving and a higher level of education makes the nurse more efficient and it also opens doors for advancement. There are several educational levels to prepare to become a nurse. There is the Associate Degree, which is 2 year program, a 3 year diploma Degree, and the Baccalaureate, a 4 year nursing program. Although there are some similarities in terms of taking the NCLEX-RN exams and acquiring an RN license after completion, there are also some differences. At both the 2 year Associate Degree and the 3 year diploma Degree levels, the educational qualification is minimum and the nurse is competent enough to give safe professional nursing care, where as in the 4 year Baccalaureate Degree program, it takes 2 years longer to finish and the nurse gets an additional theory based on knowledge with critical thinking skills, competency in problem solving skills, and is able to make nursing diagnosis in patient care while have good communication skills. According to the American Association of Colleges of Nursing (AACN), The National voice for Baccalaureate and graduate nursing programs believes that education has a significant impact on the knowledge and competencies of the nurse as it does for all health care providers (AACN). Nurses with Baccalaureate Degrees in nursing have more knowledge to meet the demands required of a present day nurse and are able to recognize their skills in critical thinking...
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...technologies today requires that professional nurses be educated and competent to the baccalaureate level. Nurses with their RN can be educated to the level of associates degree or to baccalaureate degree. According to the Grand Canyon University Baccalaureate Curriculum Model, the associates degree level nurse differs from the baccalaureate level nurse in three main competencies; client, nurse, and nursing education. One of the different competencies between associate degree (ADN) and Baccalaureate degree (BSN) is type of client or patients they are prepared to treat and the care setting which they are allowed to work in. “ADN nurses are educated to provide nursing care to persons with similar health alterations in structured setting, whereas BSN-prepared nurses are educated to engage in independent thinking and to provide nursing care to persons with complex and differing health alterations within a variety of settings, including the community” (Hood, 2010, pg. 18). Health care is not only centered as inpatient hospitals but throughout the community as preventive care as well, leaving ADN nurses in a disadvantage. Nurses now a day have to be able to practice across multiple settings. Contrasting the graduates of an ADN program with the graduate of a BSN program; the BSN nurse is prepared to practice in all health care settings; ER, critical care, public health, community health, and mental health. Another difference in competency between the ADN and BSN is the type of expertise...
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...Study Of Charge Nurse Competencies Yvette Thornton Grand Canyon University May 27, 2011 NRS 433V The article,” A qualitative study of charge nurse competencies” by authors Yoder, Connelly and Miner-Williams in the October 2003 issue of MedSurg Nurse, focus on the lack of formal training for charge nurses and the feedback from the staff on what competencies are necessary for a charge nurse to be effective. This qualitative study sought to identify a key set of competencies that are necessary for the charge nurse to an effective leader and through effective leadership, improve patient care. The authors reviewed current literature while researching the topic. As stated in this excerpt from the article by Yoder, Connelly and Miner-Williams(2003) such as recent articles offer advice to the new charge nurse (Costello-Nickitas, 1997; Shermont & Russell, 1996; Sonnenberg, 1999), to managers about the role (Zimmerman, 2000), or about the legal responsibilities of the team leader and charge nurse based on litigation (Mahlmeister & Koniack-Griffin, 1999). There are no true charge nurse development or training programs or studies that focus on this issue at all. In one of the few studies about the role, Bostrom and Suter (1992) examined charge nurse decision making concerning patient assignments. They concluded that experienced charge nurses considered more factors in making assignments and relied less on the acuity system than did novice charge nurses. Some authors have...
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...increasing demand for safe, high-quality, and effective health care services?” (Institute of Medicine, 2011). My paper will attempt to review the IOM’s report on nursing education, nursing practice, and a nurse’s role as a leader. Nursing Education The nursing profession is educationally diverse. Many nurses can obtain their training and education via diploma, associate’s, bachelor’s degrees, and more recently accelerated, second-bachelor’s degree programs. With such diversity in education, there needs to be a more consistent curriculum that encompasses the changing health trends. According to the IOM, “the ways in which nurses were educated during the 20th century are no longer adequate for dealing with the realities of health care in the 21st century (2011). The health care system is being bombarded with a variety of chronic illnesses such as: arthritis, cardiovascular disease, diabetes, hypertension and mental health conditions. This barrage of chronic conditions is a result of our aging population and obesity numbers. The IOM has proposed that the nursing educational system needs to be revamped. One way to improve the nursing educational system is to introduce competencies that can handle the chronic...
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...prepared Nurses Thokozani B. Armstrong Grand Canyon University NRS-430v Jane January 27, 2013 TDifferences in Competences Between the BSN and ADN Prepared Nurses. he eThe endeavor to maintain properly trained and educated nurses dates back to the 20th th century with the inception of the Diploma program and the Baccalaureate thereafter. In their undifferentiated roles to affect positive outcomes in the multilevel entry nursing professional practice, the Bachelor of Nursing (BSN) prepared nurse is more prepared than the Associate Degree (AD) and Diploma in Nursing prepared nurses in professional competency, therefore thecompetency. The purpose of this paper is to examine the professional competencies as evident in education, evidence-based practice (EBP), critical thinking and communication. Multi-level entry and undifferentiated roles are discussed as they have a significant connection to the nursing professional competency. Undifferentiated roles Undifferentiated roles BSN, AD and Diploma prepared nurses hold the same licensure, received upon passing the minimum required technical skills for entry to the nursing practice. The test is conducted by the National Council of State Boards of Nursing (NCSBN). Education The first nurse training...
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...Differences in competencies of the ADN and BSN nurse Patricia Baird NRS-430v September 6, 2014 Michael Jones Are there really differences in the competencies of an associate degree nurse and a Bachelor degree nurse? The differences I have found all relate to education, theory, research, and length of schooling. Over the last decade there has been an increase in hospitals that are seeking magnet status and have found better patient outcomes when staffed with bachelor degree nurses according to a study conducted in 2003, Dr. Linda Aiken found that surgical patients have a higher survival rate when the work force consists of more nurses with BSN degrees. (Journal of the American Medical Association Sept 2003) This may be due to the research and evidence based practice taught in the BSN degree program. According to my readings associate degree nurses are more task orientated whereas bachelor degree nurses have the leadership and theory to back their decisions. I believe that education is important for nurses to keep up with current practice and evidence based practice but am having a hard time understanding why the tasks are not a focus for each degree. If the bachelor degree is better shouldn’t the tasks be just as important? To me the answer is yes. Without the knowledge and practice of the tasks can you really understand the outcomes of those tasks and without the experience can these tasks be learned? So my research continued and what I found was that...
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...Differences in Bedside Competency Between ADN and BSN Nurses Tonya L Henson Grand Canyon University NRS-430V May 10, 2010 Currently in the United States there are three types of Registered Nurses. Diploma nurses obtain their education through a hospital based program. Associate Degree nurses usually receive their degree in a two year or community college setting. A Bachelor of Science degree in nursing is a four year academic degree. The debate over minimum education requirements for nurses has been going on for decades and there still seems to be no general consensus. The subject of entry level education requirements is one that is very divisive to many nurses. Internet searches bring up thousands of blogs, message board postings, position statements and statistics related to this issue. In this paper the focus will be on ADN and BSN nurses. Associate degree programs are designed to train students to provide entry level care in a hospital setting. The ADN is an attractive option for many due to shortened program time and the reduced tuition rate. Baccalaureate nursing programs have additional classes in humanities, the sciences and expanded nursing coursework. The additional classes in community health nursing, nursing management and research are designed to provide the BSN prepared nurse for a broader scope of practice. This enables the BSN prepared nurse to move away from direct bedside care in a hospital setting. The BSN degree also serves as a bridge to those...
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