...Nurse Shortage in Nursing Homes Nursing shortages have been an issue in the health care field for a few years now. This shortage is seriously impacting nursing homes and the elderly in our society today. With a shortage of 8.1% of nurses in 2008, it is important to understand what is happening to nurses (Addressing the Nursing Shortage, 2010). To help one understand the nurse shortage more, this paper will discuss resource scarcity, stakeholders, economic flows, changes in supply and demand, pricing decisions, along with a business proposal. The business proposal will discuss where the market has a shortage of providers, list of services the firm will provide, explanations of set prices, and who will be hired and how much one will be paid. Resource Scarcity and Stakeholders Economic Flows According to Jacobs & Rapoport, “Economic flows can involve both money and services.” There are a couple of economic flows that could affect the nursing home and the nursing shortage. The first would be how the nursing home provides health care to the elderly. If the firm does not provide good service to the patients and customers, most nurses and patients would not want to stay at the nursing home. The second economic flow that could affect a nursing home is money. If the nursing home does not have the right amount of money, patients are not going to get the service they require. The same could be said about the nursing shortage in nursing homes. If the money is not there, then the nurses...
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...Nursing Home Crisis Many may not understand what goes on at a nursing home. They think that it is easy work just taking care of the basic needs of a resident. As for the time that I have been a nurse aide I have found how hard of work being a nurse aide is and how much many nursing home forget the importance of meeting the basic needs of their residents. You would think that this would be the most important aspect that all nursing homes must meet, but just like every other business a nursing home is also money base, it is not charity. Many times in this hard economy nursing homes have to make cuts, and unfortunately they are cutting all in the wrong places. Many times office jobs in the nursing home are the last to be cut and the nurse aides are the first to be cut, and the reason being is because many states do not have laws stating the aide to resident ratio. Today, a local nursing home has just got a new hope in recovering the problem of the loss of success that their nursing home has encountered. They have begun to cut nurse aides and have begun to run the halls short-handed, unfortunately their complaints have went up and their residents have become very unhappy. The nursing home has now decided to fire the current administrator and hire a new administrator in hope for new ideas and better success for their nursing home. Although the new administrator has many difficult problems to solve she has a lot of faith in recovering the problem the nursing home is now encountering...
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...Nursing Job Descriptions The many faces of the professional nurse The title of Nurse has many applications in modern medicine. Each specific type of nurse has a different set of responsibilities: Registered nurses (RNs), Nurse Practitioners, head nurses or nurse supervisors, Licensed Practical Nurses (LPNs), nursing home nurses, Home Health Nurses, and nursing aides. While there are many shared tasks, these nursing professions require special skills and different levels of patient interactions. We've compiled the many nursing job descriptions below: Nursing Forum: Join the discussion about nursing careers and education. Registered Nurse job description (RN) Registered Nurses (RNs) comprise the largest group of healthcare workers. To become an RN, students must learn what it takes to work directly with patients and their families. They are the primary point of contact between the patient and the world of health care, both at the bedside and in out-patient settings. RNs perform frequent patient evaluations, including monitoring and tracking vital signs, performing procedures such as IV placement, phlebotomy, and administering medications. Because the RN is much more regular contact with patients than are physicians, the RN is usually first to notice problems or raise concerns about patient progress. RN job descriptions also include developing the day-to-day nursing care plans both in the hospital and for care after discharge, to be administered by families and visiting nurses...
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...assessment and analysis Introduction There is a wide range of problems that nurses are experiencing from their places of work. There are also challenges that they face in regarding their professional development because they do not have the prerequisite skills that are necessary for the provision of care of the highest standards to their patients. Because of the majority of workers who are aging at an increasing rate, it is likely that hospitals will experience a shortage in nursing. It is necessary to have ongoing education for nurses so that to make sure the currency of knowledge so that to enable evidence-based customer care. The education cost is high to both the individual and the organization; therefore, it should be cost effective, appropriate, and relevant (Jacob, & Cherry, 2005). Research indicates that education for nurses is not always planned and developed systematically, and it relies on the interest and assessment area of the nurse educators. According to this paper, it will aim at identifying, analyzing, and assessing the educational needs at LewisGale (LG), which is a long term care facility. This paper will help determine the educational needs that should be addressed and challenges that long term facilities are currently facing. Residential Care Residential care provides care in facilities also known as nursing homes. This is a place where people requiring continual nursing care with significant deficiencies with daily living activities. Residential care...
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...Explain the functional differences between a regulatory agency, such as a board of nursing (BRN), and a professional nursing organization (PNO) as it pertains to your professional nursing practice. The Board of Nursing is a government agency responsible for regulating nursing practice, creating laws, administering licensure exam and issuing licenses, and overseeing and ensuring the safe practice of nursing. Its ultimate goal is to protect the health, safety and welfare of public receiving nursing services (NCSBN, 2015). The New York State Board of Nursing is administered under the Office of Profession of the state, located in Albany, NY. It defines four distinct nursing professions in New York State: Registered Professional Nurse, Clinical Nurse Specialist, Licensed Practical Nurse and Nurse Practitioner (nysed.gov, 2014). The office of Profession also is responsible for setting standard for accreditation and registering nursing education programs within New York State (nysed.gov, 2014). As a Registered Professional Nurse in the state of New York, I can perform patient health evaluation and assessment, teach and educate patients about their health conditions, perform medical tasks ordered by physicians, nurse practitioners, physician assistants and be a part of an interdisciplinary health team to plan and implement health care. To practice as a registered nurse, I must comply with New York State nursing regulation, complete mandatory trainings on Child abuse and infection control...
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...am going to tell you about is a licensed practical nurse (LPN). A LPN is a nurse that has to do things like blood work and draw blood from people. LPN is one of the most helpful nurses their is. There are many more nurses that are helpful to. LPN’s are help because if we did not have LPNs no one would get there blood drawn or blood work done. LPN’s also test blood to see if you have any diseases in your blood. LPN’s also test your blood to tell whether or not if you are healthy. They perform many of there tasks that other nurses do. LPN’s is a licensed practical nurse. To become an LPN, you must attend a training program and become listended. Usually the training programs are at least a year in length. LPN’s are trained...
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...Staffing Requirements for Nursing Homes John R. Bowblis Objective. To study the impact of minimum direct care staffing (MDCS) requirements on nurse staffing levels, nurse skill mix, and quality. Data Sources. U.S. nursing home facility data from the Online Survey Certification and Reporting (OSCAR) System merged with MDCS requirements. Study Design. Facility-level outcomes of nurse staffing levels, nurse skill mix, and quality measures are regressed on the level of nurse staffing required by MDCS requirements in the prior year and other controls using fixed effect panel regression. Quality measures are care practices, resident outcomes, and regulatory deficiencies. Data Extraction Method. Analysis used all OSCAR surveys from 1999 to 2004, resulting in 17,552 unique facilities with a total of 94,371 survey observations. Principle Findings. The effect of MDCS requirements varied with reliance of the nursing home on Medicaid. Higher MDCS requirements increase nurse staffing levels, while their effect on nurse skill mix depends on the reliance of the nursing home on Medicaid. MDCS have mixed effects on care practices but are generally associated with improved resident outcomes and meeting regulatory standards. Conclusions. MDCS requirements change staffing levels and skill mix, improve certain aspects of quality, but can also lead to use of care practices associated with lower quality. Key Words. Minimum direct care staffing ratios, quality, nursing homes Nursing homes are faced with the challenge...
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...becoming a Registered Nurse and the core differences in competencies between nurses with the associate-degree versus the baccalaureate degree Svetlana Jones Grand Canyon University: NRS-430V Professional Dynamics November 26, 2014 The Origin of Nursing Education Programs Regardless of the general recommendation proposing to move nursing schools from hospitals to universities throughout the first half of the 20th century, it was not till 1950s when hospitals finally agreed to this significant change. Nonetheless, the baccalaureate nursing programs (BSN) did not generate enough nurses to eliminate the post-war nursing shortage. Fortunately in 1951, a well-know nurse and educator Mildred Montag suggested and shaped a new associate degree-nursing program (ADN) to overcome the nursing shortage (Creasia, 2011). The two-year ADN program was designed to be only a temporary solution to a pressing problem; however, the ADN program remained and is producing many new nurses every year. The emphasis of my work is to compare the current ADN and BSN program and highlight the main differences between an ADN and BSN nurse. Moreover, I will use a patient scenario to demonstrate how nurses with an ADN and BSN degree are prepared to provide a competent and safe nursing care to their patients. Two Main Pathways of Becoming RN An ADN program takes two years to complete and is usually offered by community colleges. The curriculum for this nursing program includes...
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...Violence towards Nurses in the Health Care Sector We have all heard before of the abuse and violence that happen in nursing homes; but what we tend to hear more about is how nurses are abusing patients, those being patients that are older, disabled and coming closer to the end of their life span. Patients sometimes receive such negative abuse from nurses, this consists of physical abuse which is defined as any action with the intention to cause any physical or bodily harm to someone; for example this would include a nurse hitting or slapping a patient or even pushing them around. You often hear about nurses neglecting their patients, this is a deliberate action where nurses deprive the patients of what they need, this includes a nurse that purposely withholds a patient from eating, drinking or giving them their medication ("Abuse in Canada's Nursing Homes", 2012). It’s quite sad to see how this action takes place in nursing homes; a nursing home is a place for the elderly to go to because they can no longer take care of themselves and they need the assistance in their day to day activities. The nurses in long-term care facilities are there to provide residents with the care that they need and require, as they cannot do it themselves. Patients will often receive mental abuse from staff, that is, an act with the intention to cause any emotional harm to someone ("Abuse in Canada's Nursing Homes", 2012). You often hear about nurses yelling or threatening patients; this seems hard...
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...Health Care Interview This paper contains an interview with a health care nurse who works in a Home Health Nurse (HHN) agency. Part of the interview is the description of the home health department, the type of work done within this department, and some specific information that makes this department unique to other facility in medical care industry. The interview will provide a springboard to take a closer look on the primary responsibility of the provider, the department’s customer, the career path to this point, and the required training, preparation, and education for this field of work. Additionally, to understand how this department fit in to the broader context of health care industry, the discussion explores the interviewee’s role and compares the home health positions in other organizations. Home Health Nursing is primarily a Long-term component of Health Care Delivery Systems. According to Austin, A. and Wetle, V. (2012), “The term LTC (Long-Term Care) means providing health care services to an individual for more than 90 days. LTC includes hospitals, assisted living and community-based residential facilities, adult day care, respite care, hospice care, rehabilitation centers, mental health facilities… and care provided by family and friends” (p. 9). There are cases that care required is for recovery and monitoring purposes that last less than 90 days, but essentially the majority of care almost always involves a series or a process of care that takes time. The interviewee...
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... Educational Preparation Throughout history nursing has been known as the act of caring or the sick, handicap and wounded. Nursing has developed into a profession over the last century, impart because of education. Nursing education has evolved from a trained nurse to a level of Doctorial Degree in Nursing. This paper will discuss the differences in competencies in two degrees in modern nursing the Associate Degree Nurse (ADN) and the Bachelor Degree Nurse (BSN) and how they relate to patient care situations. Differences in Competencies Associate Degree Nurse In 1942, World War II created a nursing shortage in American society. The Associate Degree program was established by Dr. Mildred Montag in 1943 at the Adelphi College of Nursing. Dr. Montag felt that a shorter education program for nurses would help with this nursing shortage. She never intended for this 2 year program to replace the nursing baccalaureate program (“Mildred Montag Envisions AD Nursing Education”, 2011). Montag’s idea of and Associate Degree Nurse (ADN) was to prepare technical skills in nursing for community hospitals and other patient care setting. AD nurses were eligible to take the RN licensure examination. She intended for these ADN’s to work under the baccalaureate level nurses in these facilities (Creasia, 2011). The ADN has graduated from a collegiate school. They have been seen as competent in technical skills in nursing for bedside nurses or secondary care setting and are eligible to...
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...United States ages, the need for skilled nurses increases. That’s where I come in; I plan on being a registered nurse. There is currently a nursing shortage and very few nurses graduating from their nursing schools and practicing. To top that, the average age of a registered nurse is 45.7 years old, which means that the current nursing shortage will only increase as older nurses start retiring. With the retirement of baby boomers, a good chunk of the population, more available patient care is going to be necessary. There is currently an ever-increasing shortage of registered nurses to provide care for the growing number of people in nursing homes, home health care programs, and hospitals. In order to draw more people to the career of nursing, benefits and salaries for nursing will increase dramatically in the near future. Nurses will get better labor unions and more rights in the Standard of Care. There will be more financial aid available to people trying to obtain an education to become a nurse. Becoming a registered nurse requires attending and graduating from a state-approved nursing school. It must be state approved because nursing in the work force is regulated by the state and local governments, not the federal government. This is also why the licensing exams for becoming a registered nurse, or any kind of nurse for that matter, are controlled by the State Board of Nursing. There will be an estimated shortage of over 434,000 nurses by the year 2020. This shortage is caused...
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...The Dentist Office, Hospital and Nursing Home HCS/235 Jim Hueber Sydney Albin CST Amy Stepp works at John McQuillen a dentist office in Wamego KS and has been working there for the last two years before that she worked in a hospital and a nursing home. She has been working in the health care system for the last 20 years. I asked her several questions on how she got to where she is within the health care system and what it takes to stay there. Education is the most important thing in any career. Amy first went and got her CNA license where it helped her to understand what she was looking forward to when she would become a nurse. After getting her CNA license she went to nursing school where she got her associates. While she went to nursing school the last year she received her LPN. The final step to becoming the nurse is passing the NCLEX for the state that he or she wants to work as a nurse in. She also does continual training that has helped her to transition herself from a nurse to working as an administrator. Amy does believe that someone that wants to go into administration he or she should get a bachelor’s or master’s in the field. After receiving a degree it is time to start working in the field that he or she has chosen. In nursing the main responsibilities is taking care of the patients making sure that his or her vitals are normal and come up with a care plan that includes their medications and making sure there is a set up treatment plan. There is also setting...
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...Licensed Practical Nurse to Registered Nurse July 18, 2008 Role Transition: Licensed Practical Nurse to Registered Nurse The word “nurse” can conjure up many different mental images and emotions, depending upon whom you ask and the experiences that person has had with various nurses. There is a good reason for this. The nurse has many different responsibilities and roles. This paper will focus on relationships and transitional changes from the Licensed Practical Nurse (LPN) to the Registered Nurse (RN) role in the nursing process, as well as this nursing student’s observation of the role changes in the Home Health Care setting compared to literature reviewed. It will also include changes that must be made in this nursing student’s practice in order to assume the role of a Registered Nurse. Relationships and Transitional Changes from the LPN to RN Role According to the Oregon State Board of Nursing: “Practice of registered nursing” means the application of knowledge drawn from broad in-depth education in the social and physical sciences in assessing, planning, ordering, giving, delegating, teaching and supervising care which promotes the person’s optimum health and independence… “Practice of practical nursing” means the application of knowledge drawn from basic education in the social and physical sciences in planning and giving nursing care and in assisting...
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... many people believe that being a Certified Nursing Assistant (CNA) is just taking care of old people and changing them constantly but that is not the case. Future nurses all should go through the lowest level of nursing types in order to achieve where they are today. Certified Nursing Assistants are in high demands in the health care, for areas such as the nursing home. Nursing aides should be compassionate at their job, tolerant and have good communication skills; it is important for aides to express empathy to those that are sick or with limited abilities that are needed for daily care, maintenance of environment in stressful situations and be effectively concern about their patients' health (Nursing Aide 2017). Working as a nursing aide will give you experience that a nurse might not get, it is because nursing aides communicate and interact with the patients more. Besides the fact that CNAs jobs are primarily in nursing homes, more comes out from it. Think of nursing homes and assisted living as day care that you take your kids into. The CNAs are there to help them when they are in need, in pain, scared, and when they're happy. We are the ones that wake them up at the crack of dawn to start their day and help them brush their teeth before going to bed. There are times when you will see LPN (Licensed Practical...
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