...Rachel Miley Nursing Roles 1 Nursing Practice Act July 2015 Nursing practice is to do or perform habitually or customarily, make a habit of. (Mosby) But it is also the performance that requires specialized education, knowledge, and judgment of a trained person. This trained individual can be a licensed practical nurse, a registered nurse, a bachelor’s degree nurse, a master’s degree nurse, or a nurse practitioner. But all nurses must be able to observe, assess, and act on what your findings are. The goal of a nurse is to take care of patients to the best of their training and ability. Their ability will be defined in the term scope of practice. Scope of practice is defined as the extent and limits of the medical intervention that a health care provider may perform. (Farlex) Or in other words, staying within the professional nursing knowledge and not practicing above or below your scope of practice. A registered nurse, like everybody else, have responsibilities that come with the job. But they do differ in precise qualifications. A nurse must be able to assess, formulate, plan, implement, initiate, and evaluate nursing actions that are necessary in the field of nursing. They must be able to accept responsibility for their own actions and work well with others in a team setting. Communication is a key factor in nursing. Coworkers, patients, patient’s families, doctors, therapists, and emergency response teams are all the people that should be communicating with. Respect...
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...According to the Texas Board of Nursing, nurses are advised to use the six-step decision making model developed by the board to assist nurses make a sound professional judgment before undertaking a nursing task or procedure.(Texas Board of Nursing,2010) Step-1: Is the act consistent with the Texas Nursing Practice Act (NPA)? (Texas Board of Nursing: NPA, Ch 301.002(2) Step-2: Is there an appropriate order that authorizes the performance of the activity? Step-3: Is the act supported by conclusive scientific data from nursing research or evidence based practice standards? Has the action approved by a national nursing organization for nurses to practice it in accordance with the guidelines and standards issued by the organization? Step-4: Does the nurse personally posses the knowledge and clinical competency to perform the task safely? Step 5: Is the act within the accepted nursing standards of care which would be provided under similar circumstances by another nurse who have similar training and experience? Does an adverse reaction or consequence of action be resolved by nursing intervention only? Step 6: Is the nurse prepared to accept consequences of the actions? (Accountability).If there is a “no” answer for any of the steps above, then task is not in the nurse’s scope of practice. On top of following this six-step model, the nurse should always take in to consideration any physical, emotional, or institutional ( Eg. Availability of necessary...
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...asked to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses. When it comes to investigating a new procedure, a systematic approach should be applied. It is imperative to determine whether a given procedure is within the nursing scope of practice before deciding to adopt or implement it. Some standard steps that must always be followed are based on the Nurse Practice Act, the ANA Standards of Practice, rights of patients, and safe nursing practice. According to Anderson (2013), determining if a new procedure is within the scope of nursing practice can be accomplished in three steps. First, define the issue, which means clarifying what exactly is being asked and what the new procedure entails. This step also includes gathering any additional information such as conducting a competency assessment to perform the task, as well as any previous experience, current knowledge and skill. Evidence-based practice and nursing research must also support the adoption of any new procedure. Secondly, since evidence is not the only component, the Nurse Practice Act and the policies of the workplace must also be considered. Nurses may be limited by the facility policies/standards to perform certain tasks even though the tasks are allowed by the BON (Anderson...
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...Illness Theory because healthcare organizations function on these theories guidance. Butts and Rich (2015) explain the implication of complexity science on the nursing profession as they describe it as the fundamental tenet of nursing. Complexity Science is the grand or general perspective that is a fundamental principle of nursing (Butts & Rich, 2015). The concepts that are applicable in complexity science include the healthcare facilities, organizational and systems analysis, and medical studies (Butts & Rich, 2015). These three concepts form the tenet of the current POI, which is about the health care access, medication, and conditions. This complex science is all about the sophisticated adaptive programs made up of individual components or “agents” that are interlinked in some ways but can act individualistically and at different times (Butts & Rich, 2015). The current POI is based on the concept of a healthcare facility that requires complex adaptive system. As a facility, health organization will act as both whole and agents; where the different units or departments such as environmental services, social work, nursing, the business office, and others (Butts & Rich, 2015). Each department can be divided into smaller components to...
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...Professional Studies Assignment Introduction For this essay I will be reflecting on an incident from practice, by drawing on developing knowledge, understanding and the application of professional studies. Reflection offers an opportunity to learn through an experience. This allows us to develop or sustain effective practice (Johns, 2000). I will be using the Gibbs (1988) reflective framework to structure my reflection (see appendix A). I find this framework very easy to follow, and as Clodagn (2003), explains it allows a person to implement alternative actions to an event, if followed. The incident will be described and the influence of key issues relating to ethical theories and decision-making, illness journeys and lay and professional perspectives will be explored. Principles of nursing models will be looked at and their contribution to individual patient care. I will also look at resource management, quality assurance and the role of evidence-based practice. For the purpose of this essay, to maintain confidentiality, the patient will be referred to as Mr Charlie Wood, (NMC code of professional conduct 2002; 5.1). Incident The incident occurred when I was a student on a medical ward. Mr. Wood, age 80 had been admitted to hospital following a stroke. From this he had lost the ability to mobilise and speak effectively. He was a very dependent gentleman and counted on the nurses to undertake all aspects of his care. His wife, whose name has also...
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...Nursing theory is assumed as the body of information, which is used to assist the nursing practice. Nursing models are created with theories and perceptions. They are used to assist nurses assess, plan and implement patient care by delivering an outline within which to work. Nursing models also assist the nurses to accomplish consistency and unified care. This presentation shall examine the importance of Dr. Jean Watson’s theory of caring in today’s nursing practice, its relation to metaparagidm concepts and how the theory help us to improve the current nursing practices. Watson delivers many valuable impressions for nursing practice. •Watson ties different theories together which are frequently being used in clinical nursing practice. •The comprehensive explanations of the care factors which can provide direction to the nurses who desire to train as a bedside nurse or do nursing research. “Her accomplishments are the following - Recipient of numerous awards counting: an international Kellogg Fellowship in Australia, a Fulbright Research Award in Sweden and six Honorary Doctoral Degrees, including 3 International Honorary Doctorates (Sweden, United Kingdom, and Quebec) She was the 1993 recipient of the National League for Nursing Martha E. Rogers Award, which identifies a nurse academic who has made substantial donations to nursing information that advances the science of caring in nursing and health sciences. New York University recognized her as a Distinguished Nurse...
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...Name: Jackline M Kithinji Grand Canyon University: NRS-430V-0191 May 17, 2015. An associate degree level nurse has a two or three year degree from a community college. At the end of the education one can sit for the NCLEX examination and earn the RN title. This level of education was created to increase more nurses into the workforce quickly due to the shortage in labor. The Baccalaureate degree nurse has a 4year education that encompasses skills and management education. The Grand Canyon University Nursing Philosophy states that,” Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, providing care, teaching communication and leading. “After the 4years the nurse can also sit for the NCLEX exam and gain the RN title. The debate between an associate degree levels versus the baccalaureate degree level nurse is an ongoing debate. Associate degree nurses are very strong on the nursing skills level while the latter is educated on research, leadership, policies and ethics hence this type of education level opens up jobs on the management level. In today’s age healthcare has become a business competition with vast changes and thus many hospitals seek magnet status thus the demand for baccalaureate degree nurses is a value that is recognized. Patients also equate great outcomes and care through magnet status hospitals that have these Bsn prepared nurses. Quality patient care is co related to a well-educated...
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...Nursing 101 The Art and Science of Nursing Spring 2013 PRE-REQUISITES AND CO-REQUISITES: None COURSE CREDITS AND COURSE HOURS: 3 credits (3, 1, 2) GRADING SCALE: Refer to 2011/2012 CNC Calendar, p. 110 COURSE DESCRIPTION: This course introduces the beginning student to the dimensions of professional nursing practice. Through group and individual learning activities, students are introduced to concepts, professional nursing practice, issues & trends in nursing, and the Canadian health care system. This course establishes the foundation for your future nursing career. COURSE STRUCTURE: Classes are delivered using lecture, discussion, group work, and lab and clinical experiences. There is also an online component to the course. Please visit the Nursing 101 Moodle shell regularly for readings and submission of assignments. There are required readings assigned for each week and material from these readings will be applied during class activities. It is expected that students will have completed the required readings, as this will help facilitate each students’ active participation in the course and the achievement of learning outcomes. All required and supplemental readings are testable material. STUDENT REQUIREMENTS: PARTICIPATION IN ALL LAB AND CLINICAL SESSIONS IS MANDATORY. FAILURE TO ATTEND YOUR SCHEDULED SESSION WILL RESULT IN FAILURE OF NURSING 101. (See policy regarding illness in student handbook & CRNBC Fitness to Practice Requirements). You must...
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...Walden University Nurs-6015-1 Information & Healthcare Technologies Applied to Nursing Practice February 23, 2013 Nursing informatics affecting attitude The professional role of nursing is evolving and nurses are recognizing the integral connection of informatics competencies to evidenced based practice and the roles it plays in clinical decision making, nursing research, measurement of nurse sensitive outcomes, professional development, operational effectiveness, and ultimately the nurse-patient relationship (Schleyer, Burch, & Schoessler, 2011). It is essential with the advancement in technology that nurses become more user friendly and have a higher level of training in the area of nursing informatics. Nursing informatics has taken a step toward advancements in technology over the last decade with many facilities across the nation implementing these new systems. These new systems are designed to assist nurses and providers by reducing repetitive documentation, reducing medical errors, reducing medication and administration errors, increasing the quality of care for patients, and increasing patient outcomes. My attitude is positive and accepting of nursing informatics from the knowledge gained throughout the course. It has given me a higher level of awareness with everything nursing informatics can assist in and it has given me a feel of being more opened to using newer technology. Having a positive attitude can affect the overall implementation of a new...
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...Stages of Development The practice of professional nursing have evolved over the years, contemporary nursing practice is different from that of the past, but issues affecting the profession today are related to our history. Developing a sense of nursing evolution provides the background necessary to understand current nursing practice. The development of the discipline of nursing practice has gone through stages which helped in shaping the characteristics of the discipline as a human science. Thus, we have these stages of development of theoretical nursing: 1. Stage of Practice, Apprenticeship and Services. This stage deals with the provision of health care for the promotion of healing and sense of well being and creation of healthy environment in order to minimize suffering and deterioration. 2. Stage of Education and Administration. In this stage the focus is on social goals to empower nurses to provide effective and quality care by developing programs that suits best for nurses to develop their craft. 3. Stage of Research. This stage nurses needs to improve the nursing practice, by engaging in any scientific studies. There is a challenge to develop the substantive content needed for practice with nursing disciplinary perspective. 4. Stage of Theory. This stage gives emphasis on the basic query around the heart of nursing and its undertaking and objectives, and focus on the attempt of the development of nursing theory and research and legitimacy of the approach of knowledge...
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...Running Head: CRITIGUE OF PROFESSIONAL VALUES Critique of Professional Values: The Case of BSN-RN Completion Education Winston-Salem State University School of Health Sciences Division of Nursing CRITIGUE OF PROFESSIONAL VALUES The researchers were trying to address the professional values of RN-BSN students in completion of their education. The authors clearly stated the problem throughout the research study. The problem is very important and impacts the nursing practice today. The article explains how the RN-BSN professional values are being perceived in nursing practice today. The continuation education on professional values must be continued after BSN completion. The importance is necessary for nurses to continue with instilling the professional values throughout their career. This article is easily researched on line and anyone can access it for reading purposes. The purpose of the research was to explain few questions about the differences in the perception of professional values correspond with nurses who are currently practicing. If the differences do exist, the question would be are the differences related to educational background or other factors professional values. The purpose of the study is explained clearly throughout the article and background information...
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...Running head: FURTHER NURSING EDUCATION TO INCREASE NURSING CARE Further Nursing Education to Increase Nursing Care Outcomes Marianne Green Grand Canyon University Further Nursing Education to Increase Nursing Care Outcomes Twenty five years ago, nursing instructors were telling their students that not far in the future they would have to obtain their Bachelor degree if they wanted to practice nursing. Associate degree nurses would be a career of the past. Today, the Associate degree nurse still practices and provides hospitals and clinics with quality and proficient patient care. Bachelor degree nurses are still in short supply. However, many nurses that hold their Associate degree in nursing are returning to college to advance their education and career. Obtaining their Bachelor degree in nursing will help today’s nurse as they strive to deliver the highest quality patient care in a safe environment. The opportunities for advancement in their job setting are more likely to occur as their educational background expands. (Forster, RN, May 27, 2008, p. 1) Last week I had a possible patient neglect situation. We had four children’s dental surgeries scheduled on Thursday. Two of the four children were from the same family. These two little girls had the most horrific odor about them and were filthy. I notified the dentist and at the time he was not concerned about the welfare of the children. Their teeth were literally rotten. As a result most of their primary...
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...Family Value Paper This paper will describe the importance of family in the health of our society using the hospital environment. Provide an explanation of how a family works as a system in promoting the health of its members. Identify the concept of family most often used in the hospital environment. Then determine if it is the best concept for considering family in nursing practice. Identify the nursing theory used in the hospital setting. Promoting the Health Today’s families come in many different sizes and dynamics. Family is more than individuals living under the same roof; it is a support system for all aspects of health. A healthy family strives to promote the, emotional, physical, mental, spiritual health of its members. Family is typically the client’s primary important group. Each family member’s action can directly affect another member reaction. Family works as a system in promoting health of its members by having good communication. Each member of a family plays an important role in promoting health of the family. The ability to express concerns, feelings, thoughts and experiences assistant in strengthening family. The family works as a system by showing commitment, trust and understanding to members. The family must be willing to work together and if needed make sacrifices for each other or to benefit the whole family. Concept of Family The concept of family most used in hospital setting is family as context. Family is in the background and not the primary...
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...of numbers on a page. I want to understand why a new grad BSN trumps my six years of experience as an ADN. Continuing my research, my eyes began to open. BSN programs offer more in depth theoretical concepts, community and public health issues according to nurselink.com. According to the GCU website, I will learn self-leadership by learning how to use the facility and participate in the GCU community. I will be a good communicator. I will sharpen my analytical and problem solving skills. I will know and have appreciation for diverse groups of people. In my present class I’m learning nursing practice companies and theoretical models. Ok, fine I thought. Then I discovered the Core Competencies, set of guidelines for graduating nurse to assist in a successful career created by the National League of Nursing. Four areas of growth should occur by graduation. The categories are Human Flourishing, Nursing Judgment, Professional Identity, and Spirit of inquiry. According to NLN, a successful ADN will in the following categories be able to: Human...
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...Burns: Understanding Nursing Research, 4th Edition Critiquing Exercise Knott, A. & Kee, C. C. (2005). Nurses’ beliefs about family presence during resuscitation. Applied Nursing Research, 18(4), 192-198. |STANDARDS/EVALUATION CRITERIA 50|KEY CONCEPTS IN CRITIQUE | |points | | |Descriptive Vividness 5 pts | | |Was the significance of the study adequately described? |1. The significance of the study was adequately described. | | |Family presence (FP) during resuscitation is a matter that | |Was the purpose of the study clearly described? |warrants more investigation as to whether or not it should, or | | |should not be allowed. Furthermore, the study proposes the | |Were the interpretations presented in a descriptive way that |necessity of protocols in place in institutions to guide | |illuminated more than the quotes did? |decisions on this matter. | | | ...
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