...In this paper, is describing an initiative step to integrate simulation into an undergraduate nursing program. The aim is to structured a clinical practice lab as an summative simulation to enhance the student competencies, using this method as a teaching strategies leads the students to practice with realistic events with out harming the patient. According to the report The integration of simulation across the curriculum as an active learning educational outcome has demonstrated to improve the knowledge, skills and attitude among the pre-licenses nurse ( ). Although, this practice permit the pre-licenses nurse to reflex on their ongoing competencies performance in the clinical practice simulation lab. This perspective goal on using...
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...Prevention Grand Canyon University NRS 430V Professional Dynamics 22 October 2010 Prevention As a nurse, we have to be accountable to meet standards with our clients. We meet some of these standards on a daily basis without even thinking about them. Between patients, we automatically wash our hands without giving it a second thought. We don on a pair of gloves when we do IV therapy or IM shots. “Accountability for professional nursing revolves around interventions, outcomes, and costs.” (Hood, 2010) Prevention is the key to interventions, outcomes, and cost. People associate pressure ulcers with long term care. They can occur during a long surgery. As nurses we need to be sure that we are doing our part to prevent them no matter what the setting. If the patient has poor nutrion status or certain other qualifiers their chances for receiving a pressure ulcer increase significantly. With keeping this in mind we need to ensure that we do what we can to prevent pressure ulcers. Even in acute care pressure ulcers occur. They can happen in as little as an eight hour shift. With different health conditions making it easier for someone to acquire a pressure ulcer. The risk of acquiring one in acute care is a stagering “2.7 percent to 29.5 percent” (AHCPR Supported Clinical Practice Guidelines). As a nurse we have a responsibility to our patients to give them the best care available. With that we have to prevent harm from our clients. As nurses we need to be...
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...Running head: COMMUNITY HEALTH NURSING ASSESSMENT Community Health Nursing Assessment Alison C. Jessup Saint Joseph’s College COMMUNITY HEALTH NURSING ASSESSMENT Abstract COMMUNITY HEALTH NURSING ASSESSMENT Prior to becoming a nurse five years ago I didn’t really give much thought to the community that surrounded me. I independently went about my daily life without really considering my neighbors or municipality and I certainly wasn’t geared towards thinking about how I can give back to the community. It wasn’t until I began working in a local hospital that I started to contemplate the community and those I serve not only within the confines of the brick and mortar but far beyond. I initially started to become involved in the Jordan Hospital community and today I currently participate in various committees such as our Unit Based Council, Service Excellence, Meditech 6.0 Computer Implementation and our Stroke Resource Team. Exposure to various teambuilding opportunities has enhanced my relationship with senior leadership and also allowed me to be a voice for staff nurses and implement positive change. A particular area that I saw the greatest opportunity for change with the most impact to patient care and safety was with our stroke team. It is not unusual to have patients admitted to my floor with a diagnosis of Cerebral Vascular Accident or Transient Ischemic Attacks. Rarely do we see the inpatient stroke victim, but it does happen. The first inpatient stroke...
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...Introduction: The aim of this document is to reflect about a critical incident that happenned during my practice as an anaesthetic nurse trainee, based on the Gibbs reflective model (1988), which is the model that suits better in health-care settings. This critical incident fits perfectly on the description made by Benner (1984) in a way that promotes the nursing care with a substancially difference on the patient outcome. In accordance with the 2015 Nursing and Midwifery Council, confidentiality has been maintained with the use of pseudonyms. Description: This scenario referes to a 27 years old female patient, who required surgery for multiple teeth extraction under general anaesthesia. On arrival, Mrs. Jo asked for all the needles...
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...lead to accomplishing some goal or purpose. * A systematic and organizes method for providing care to clients. * Provides individualized, holistic, effective and efficient client care. * Clients of all ages and in any care setting. * Characteristics of Nursing Process * Problem solving method - client focused * Systematic- sequential steps * Goal oriented- outcome criteria * Dynamic-always changing, flexible * Utilizes critical thinking processes * ● Interpersonal – promotes nurse-client relationship● * Cyclical – continuous and promotes improvement of nursing care * Systematic problem - solving approach toward giving individualized nursing care. STEPS: * Assessment * Nursing Diagnosis * Planning and outcome identification * Intervention * Evaluation * ASSESSING PATIENT’S HEALTH STATUS Assessment * A systematic collection of subjective and objective data with the goal of making a clinical nursing judgment about an individual, family or community. * 1st phase of nursing process which involves systematic data collection , organization and validation, interpretation, and documentation of data. * Purpose of Nursing Assessment * To establish the client-nurse relationship. * To obtain information about the client’s health, including physiologic, socio-cultural, cognitive, developmental & spiritual aspects. * To identify actual & potential problems. * To...
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...HEALTH SCIENCE JOURNAL ® VOLUME 5, ISSUE 4 (2011) The Value and Significance of Knowing the Patient for Professional Practice, according to the Carper’s Patterns of Knowing Marianna Mantzorou 1, Dimos Mastrogiannis 2 1. RN, MSc, Lecturer, Department of Nursing Β΄, Technological Educational Institute (TEI) of Athens, Greece 2. RN, MSc, Lecturer, Department of Nursing, Technological Educational Institute (TEI) of Lamia, Greece Abstract Background: Τhe scientific value of man relies upon an extension of a continuous effort of mankind to explain the nature of man. The core issue in nursing is man within his entirety. The aim of the present study was to review the literature about the Knowing the Patient for Professional Practice, according to the Carper’s Patterns of Knowing. Method and material: In this paper the four patterns of knowing according to Carper will be analysed. According to these patterns, a description of the meaning and strategies of " knowing the patient will be made. Finally the significance and value of it will be discussed, with specific referance to: skilled clinical judgement, involvement, patient advocacy, and clinical learning about larger populations. CINAHL and Medline were the basic data bases used for this literature review. Results: The process of knowing encompasses empiric, aesthetic ethic and personal elementsOn the other hand, " knowing the patient‖ acquires two broad dimensions: a) knowing the patient's patterns of responses and b) knowing...
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...Running head: MY NURSING PHILOSOPHY My Nursing Philosophy and How Nursing Impacts My Life Liza Guillen Broward College My Nursing Philosophy and How Nursing Impacts My Life In order to fully understand my personal nursing philosophy I had to first begin to research the meaning of the word philosophy. Philosophy: the rational investigation of truths and principals of being, knowledge or conduct (http://dictionary.reference.com/browse/philosophy). Nursing can be defined differently by each individual. The word nursing comes from the Latin word nutricius, which means “nourishing.”(Nursing Today). To nourish is to provide any type of care necessary to promote; maintain life and growth. But what does care really mean? Well caring is defined as “feeling and exhibit concern and empathy for other” (the free dictionary). A nurse incorporates all of these meanings into not only patient care but to a way of life in order to truly believe and live by his or her own philosophy of nursing. Dr, Jean Watson’s caring theory incorporates three main elements of caring into her theory which are carative factors, the transpersonal caring relationship, and the caring occasion/caring moment (Watson, 2001). These elements describe the trusting relationship a nurse must create with the patient, the time and space to do so, and the how a nurse extend beyond their own sense of self to understand and care for others as unique beings. I believe these elements guide nurses to serve...
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...University: NRS-430V November 10, 2013 There was a time when a being Registered Nurse (RN) was sufficient and society did not express concerns on how an education was obtained. The baccalaureate nursing program is considered to be the beginning level of professional nursing. The nursing profession is often confusing mainly because of the various entry levels into the nursing field (Creasia & Reid, 2011 p 25). The ways it can be received are from a hospital diploma program, community college or four-year university. Nursing is a wonderful and humbling profession and it is often a self-disciplined one. No longer is it mainly focused on direct patient care and clinical skills, but one of more complexity that requires advanced skills, assessments, critical thinking, leadership, clinical decision making, case management, health promotion, and collaboration with other discipline of healthcare (Rosseter 2012). There are two types of RN’s, an Associate Degree Registered Nurse (ADN) and a Baccalaureate of Science Degree Nurse (BSN). Both of these types of graduates sit for the same examination to become licensed which is called the NCLEX-RN. However, there are differences in competencies between the two. In relation to nursing, competencies are defined by education and skills for each nursing titles (Hardy, 2013). The ADN is usually comprised of being a two or three year program and is found in community colleges or junior colleges. The programs are more directed to patient care,...
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...Why RN TO BSN The Need for Highly-Educated Nurses In the 21st century, the health challenges facing the nation have shifted dramatically. The American population is older—Americans 65 and older will be nearly 20 percent of the population by 2030—as well as more diverse with respect not only to race and ethnicity but also other cultural and socioeconomic factors. In addition to shifts in the nation’s demographics, there also have been shifts in that nation’s health care needs. Most health care today relates to chronic conditions, such as diabetes, hypertension, arthritis, cardiovascular disease, and mental health conditions, due in part to the nation’s aging population and compounded by increasing obesity levels. While chronic conditions account for most of the care needed today, the U.S. health care system was primarily built around treating acute illnesses and injuries, the predominant health challenges of the early 20th century. 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. As patient needs and care environments have become more complex, nurses need to attain requisite competencies to deliver high-quality care. These competencies include leadership, health policy, system improvement, research and evidence-based practice, and teamwork and collaboration, as well as competency in specific content areas such as community and public health and geriatrics. Nurses also...
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...feel that understanding myself will enable me to feel less vulnerable when patients express themselves. By developing skills of self-awareness I will be able to respond in a more appropriate way, thus helping the patient and decreasing feeling of embarrassment that may arise. Obtaining self-awareness will place me on a constant voyage of self-discovery. As a nurse doing self-evaluations at regular intervals will enable me to see how far I have come, identify what I still need to learn, and plan how I am going to get there. Burnard, P. (1992). Know Yourself! Self awareness activities for nurses. Scutari, London: Perry and Hollinster. Rawlinson, J. W. (1990). Self-awareness; conceputual influences, contribution to nursing approaches to attainment. Nurse Education Today, 10(2),...
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...Future of Nursing Report Nursing comprise the largest group of health care workforce in the United States (US), with more than 3 million members (Institute of Medicine (IOM), 2010). Nurses can play an important role in helping to fulfill the goals set by the Affordable Care Act in 2010 (IOM, 2010). However, many obstacles are blocking nurses to advance change in the health care settings. These obstacles need to be lifted for nurses to better position themselves to advance health and lead change. The goals of this paper is to discuss the Institute of Medicine (IOM) report with the Robert Wood Johnson Foundation (RWJF) committee “Future of Nursing: Leading Change, Advancing Health”, the importance of the IOM report on nursing workforce, Campaign for Action, state-based action coalitions and initiatives. IOM report, "Future of Nursing: Leading Change, Advancing Health" In 2008, the IOM, in collaboration with RWJF, launched an initiative to meet the challenges of the nursing shortage to transform the nursing profession (IOM, 2010). With the RWJF initiative on the Future of Nursing, the IOM appointed the Committee with the intention of creating a roadmap to fulfill the RWJF objectives for the future of nursing (IOM, 2010). The RWJF recommends nurses to utilize the fullest extent of their training and education; pursue higher education and training via an educational system that promotes ease of academic progression; collaborate with inter-professionals and physicians as full partners...
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...Evolving Practice of Nursing and Patient Care Delivery Models The Speech Hello, my fello nurses. Thank you for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility...
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...Student: ____________________ Date: _3/25/12_____ Topic: Hourly Nursing Rounds to Improve HCAHPS Scores * Clearly state the proposed project (what do you plan to do): Implement hourly nursing rounds on the Progressive Care Unit at SPGH to improve patient satisfaction. Hourly nursing rounds have been shown in evidenced based practices to not only improve patient satisfaction but also help to reduce patient falls and reduce the occurrence of decubitus ulcers. Not only does hourly nursing rounds help the before mentioned items it also serves to reduce the call light usage by patients thereby increasing productivity for nurses (Culley, 2008). The proposed project includes education of the nursing staff on PCU to the initiation of hourly nursing rounds, including evidenced based research showing how regular rounds helps to improve patient satisfaction and safety. Described potential or real barriers and solutions (financial, political, social, etc) and methods that will or could be used to address these barriers: Some potential barriers could be reluctance by the nursing staff to participate in the hourly nursing rounds due to the feeling that they do not have enough time to complete these hourly rounds. By providing the unit with appropriate staff and helping to reduce or eliminate their fears by providing them with the research gathered can hopefully achieve this goal. Also by showing them that call light frequency will be lower when hourly rounds are...
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...I believe the media can both positively and negatively influence the public’s image of nursing. Showtime airs a program called Nurse Jackie in which she is portrayed in a dual light both as an advocate for her patients care despite being harsh, brash and ruffling feathers along the way. She is involved an extra marital affair and she is dealing with a problem with personal drug addiction and consequently steals medications from the pyxis to get her fix. I appreciate the program for its humorous side as it provides some real examples of day to day struggles in nursing care. The program does not portray nurses as being perfect but as humans that deal with some of the same daily struggles the public may be dealing with also. It is representative of how we dedicate our lives to caring for others but sometimes forget to put ourselves on our own list of priorities. Nurses are caregivers at home and work hence we may lose ourselves somewhere along the way. Having worked in nursing for a very long time I have practiced with many nurses who have fallen into drug addiction as portrayed in Nurse Jackie. It is perhaps a negative view portrayed for nursing, but it is also a portrayal of real life that we must be willing to accept as well. I have worked with other nurses who were appalled by the program about Jackie. Negative or positive it is a realistic example of what some nurses go through in their lives. Another program that is now cancelled portrayed the CNO at a hospital...
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...Nursing Theory Grid Nurse4682 NUR/403 February 12, 2012 Athena Brummett Theorist Selected: Ida Jean Orlando Description of Theory: Ida Orlando developed the theory of deliberative nursing process. The focus of this theory is on the patient determining their needs and how to meet their needs. She wrote about the interaction between the nurse and the patient's perception validation, and the use of the nursing process to produce positive outcomes. She wanted to define the function of nursing. She described nursing as unique and independent and the focus was on the patients need for help. This expressed need for help lead to a reaction in the nurse (Butts & Rich, 2010). Ida Orlando believed that her theory could be applied to patients with surgical, medical, obstetric, as well as psychiatric conditions and can be applied to both children and adults who are treated either at home, in the hospital, or clinic setting (Alligood, 2010). Theory's Historical background: Ida Orlando was born in the year of 1926. She earned her nursing degree in 1947 from a school of nursing at a hospital in New York. She went on to earn her B.S. in 1951 and her M.A. in mental health in 1954. While working as an associate professor in mental health at Yale University. She had a desire to learn about the role of nurses in mental health, where she received a grant to further...
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