...RUNNING HEAD: why a bachelor of science in nursing? Why a bachelor of science in nursing? Why a bachelor of science in nursing? According to Black(2014), Registered nurses are the largest group of healthcare providers in the United States, and as the healthcare system continues to evolve , many new opportunities and roles are being developed that will use nursing skills in different ways. As an experienced nurse, I did not think I would need to go back to school, for a bachelor in nursing, to be able to deliver high quality care to my patients in these new roles. I have been delivering high quality care, and did not think I could learn new methods of delivering care. As I am reading the Essentials of Baccalaureate Nursing, I could easily place myself in some of the Essentials. I realize that “maintaining competence, continue personal and professional growth”, are also part of my responsibilities. Black (2014) Being a nurse is caring for strangers, and a stranger may be someone with a different belief or culture. A baccalaureate generalist nurse will be able to practice holistic nursing care, which focuses on the mind, body and spirit as well as emotions. As a nurse in interventional radiology, I encounter patients every day who are undergoing procedures. They have questions already answered by the doctor, but want and need...
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...The nursing process is a system of investigation, evaluation and planning aimed at delivering individualized client care, whether that be for an individual, a family unit or a whole community. The goal is to identify the existing or potential health needs of the client and the best way of providing care to overcome health problems or promote wellness. Once information has been gathered and evaluated, a decision can be made on what the particular needs are, assessable goals for are set and an action plan is formulated and initiated in the hope that the goals can be met through nursing care. If the process were to finish at this point, whether the care had been effective would go unnoticed (a little like baking a cake and never tasting it to see if it was worth making again). The final phase of the process therefore is an essential element and to a degree, will be the basis for future care, in other words; were the goals met or does the process need to return to the planning stage for devise a different pathway to achieving a more appropriate outcome. (ANA, 2014). The research process; which is basically a series of steps which are used as a guideline may be addressed in different orders each time it is used, the process may go forwards and backwards to each step at any time. The research process differs from the nursing process in that it starts with a question, a statement of fact or a problem and is followed by a period of investigation. The research process includes...
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...A. Advance Quality Patient Care Patient quality of care can be advanced throughout the hospital by active participation of staff with the use of nursing-sensitive indicators. It can be accomplished by educating staff of what nursing sensitive indicators are, how they help improve the quality of care, and how they impact nursing care. For example, pressure ulcer incidence is one of the indicators, and it involves the amount of ulcers that develop during patient hospital stay (Agency for Healthcare Research and Quality, n.d.). The staff should know that it is an indicator and needs to be reported to the appropriate personnel so that it can be tracked. The staff should also know to implement their facility protocol for pressure ulcers. For example, consulting a wound care nurse or using a specialize mattress. They should continue to monitor the ulcer status if it worsens, improves or heals. Another example of an indicator is the prevalence of restraints. The staff should be aware that restraints are only used as a last resort when other measures have failed but when they are required the staff should know to apply the standard of care for restraint use. Report why they were needed, when they were initiated, and what type was used to the appropriate personnel. Then this data can be used by the facility to compare its data against previous data or use an outside organization such as NDNQI to see if the quality of care is the same, improving, or...
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...Save Link Assignment Educational Preparation View Rubric Due Date: Nov 30, 2014 23:59:59 Max Points: 200 Details: Write a formal paper of 750-1,000 words that addresses the following: 1. Discuss the differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level. 2. Identify a patient care situation in which you describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse (BSN versus a diploma or ADN degree). For additional help finding research on this topic, refer to the GCU Library tutorial located at in the Student Success Center. Refer to the American Association of Colleges of Nursing (AACN) Fact Sheet: Creating a More Highly Qualified Nursing Workforce as a resource. Refer to the assigned readings for concepts that help support your main points. Refer to “Grand Canyon University College of Nursing Philosophy." This is an informational resource to assist in completing the assignment. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion. You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. NRS430V...
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...Core Competency: Evidenced-Based Practic C 08/13 Evidenced-Based Practice is ”the practice of nursing in which the nurse makes clinical decisions on the basis of the best available current research evidence, his or her own clinical expertise, and the needs and preferences of the patient.” (Mosby, 2009, p. 677). Utilizing Evidenced Based Practice is a way to give the best, most effective care to patients. This paper will discuss methods and results of a study and how the results were obtained. Next, I will discuss possible barriers to EBP, and ways to overcome these barriers; and finally, facilitators to EBP. The study that was used was “Clinical Nurse Specialists’ Approaches in Selecting and Using Evidence to Improve Practice.” The purpose of this study was to determine the method that CNS use to incorporate evidence in everyday practice. The method was a telephone survey with a 75% response rate. journals, internet, and online research data bases rather than their peers and experiences. The study also pointed out downfalls or barriers to EBP including financial resources and resistant organizational culture (Profetto-McGrath, Negrin, Hugo & Smith, 2010, p. 38). Although Evidenced-Based Practice is beneficial for improved patient care and outcomes, there are some barriers to using this source. First there is inadequate research that is up to date with some of the more complicated problems, studies that are not complete or hard to read and understand, and studies...
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...competent healthcare professional who possess the required level of nursing experience needed to deliver high quality, customer focused, and clinically effective patient care in a modern well equipped clinical setting. Key qualities include being able to continually assessing a patient’s needs and wishes, coping with frequent interruptions in high pressure situations, and being able to respond quickly to emergencies. Having a real passion for nursing, with a strong desire to provide the highest level of care & service to patients. WORK EXPERIENCE • Flacq Hospital ( Year 2005-2009; General Nursing) • Moka Hospital ( Year 2009-upto now; Ophthalmic Nursing) |REGISTERED NURSE June 2008 – Present | | | |DUTIES: | | | |Meeting a patient’s nursing care needs. ...
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...Nursing Sensitive Indicators The American Nurses Association established national initiatives called nursing-sensitive outcome indicators that focus plans/programs to increase quality and safety in patient care. They gauge aspects of direct patient care related to quality of nursing care by reflecting on structure, process and outcomes of nursing care. Structure in regard to staffing and the skill, education and certification of staff; process in regards to measuring aspects of nursing care related to assessment, intervention and RN job satisfaction, and outcomes by improving the rates of specifics in relation to patient outcomes such as in this particular case preventing hospital acquired pressure ulcers, improving patient satisfaction and restraint prevalence. Nursing Sensitive indicators are only specific to nursing and in 1998, ANA developed a National Data base of nursing quality indicators (NDNQI) so they could continue to collect and build on data from studies to expand nursing knowledge related to factors that influence the quality of nursing care. Why is this important? The nursing profession has the responsibility to measure, evaluate and continually improve practice. NDNQI identify where and how the staff is needed and show the need to increase staff in particular areas of nursing care that need improvement. The NDNQI mission is to help the RN in patient safety and quality improvements by providing research based national and comparative data on nursing care...
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...jobs that include providing care and assistance, especially in education and medicine. This work is satisfying for some people, but it can also be highly stressful. In the following scenario, consider how a company in the nursing care industry is responding to the challenges of the new environment. Major Topic Areas * Stress * Organizational change * Emotions * Leadership The Scenario Parkway Nursing Care is an organization facing a massive change. The company was founded in 1972 with just two nursing homes in Phoenix, Arizona. The company was very successful, and throughout the 1980s it continued to turn a consistent profit while slowly acquiring or building 30 more units. This low-profile approach changed forever in 1993 when venture capitalist Robert Quine decided to make a major investment in expanding Parkway in return for a portion of its profits over the coming years. The number of nursing homes exploded, and Parkway was operating 180 homes by the year 2000. The company now has 220 facilities in the southwestern United States, with an average of 115 beds per facility and a total of nearly 30,000 employees. In addition to health care facilities, it also provides skilled in-home nursing care. Parkway is seen as one of the best care facilities in the region, and it has won numerous awards for its achievements in the field. As members of the baby boom generation become senior citizens, the need for skilled care will only increase. Parkway...
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... A. Understanding Nursing Sensitive Indicators Nursing sensitive indicators include the configuration, process and outcomes of nursing care. The configuration of nursing care concludes the nursing staff, their nursing skills, and the level of education that each nurse holds. The process of nursing care concludes the nursing assessments, intervention and implimentation. The outcome of nursing care either positive or negative depends on the quantity and quality of the care provided to the patients by the nursing staff ("Nursing world," 2013) Each nurse should hold proper information and knowledge of nursing care such as knowledge of pressure ulcers. In this scenario every nursing personnel should provide the ultimate nursing care in dealing with pressure ulcers. In order to prevent any pressure ulcer each nursing personnel should be aware of the pressure ulcer concept, their prevention and the correct technique of reducing any other complication related to pressure ulcers. In this case the nurse and the CNA should use their knowledge of preventing any pressure ulcer. The first action is to assess completely the patient for any sign of pressure ulcer such as any erythema or bruising. It is essential that the nursing staff know to reposition the patient and reasses the out of sight sites parts of the body for any sign and symptoms of bruising and shearing. Also it is important for nursing staff to know that, the patients with restraint...
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...Ways of Knowing Nursing is a very rewording profession which can blossom when incorporated into practice of Carper’s fundamental patterns of thinking. After reading Cotton and Roden article (December 2006 – January 2007), I realized great importance of understanding and implementing four concepts of thinking into daily nursing practice. According to Carper (1978:21-22) empirics, aesthetics, personal and ethical way of knowing in nursing are ‘necessary for achieving mastery in the discipline’. I believe that implementing those four patterns of knowing into daily nursing care is vital in order to provide best quality care for each patient. Nursing care should be implemented in flexible, thoughtful manner and should be carefully executed in unique situation with unique patients. Empirical Way of Knowing Empirical way of thinking is defined in article as a ‘factual, descriptive…exemplary, discursively formulated and publically verifiable which is ultimately aimed at developing abstract and theoretical explanation’ (Carper: 15). This way of thinking is executed using Evidence Based Practice. I have been a nurse for the past 10 years and I believe that empirical way of knowing is most familiar to me. For example, my facility is using Congestive Heart Failure protocol (policy created by facility based on clinical practice guidelines CPG) for patients admitted to hospital with either new onset of CHF or exacerbation of the disease. Each patient with CHF has comprehensive assessments...
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...Complete and submit the Nursing Expertise Self-Report Scale located on pp. 175 & 176 in Clinical Delegation Skills. Answer each question based on your personal experience as a nursing professional. • Write a 350-word reflection on your results from the Nursing Expertise Self-Report Scale and explain how you plan to use this information to improve your communication skills in health care settings. The Nursing Expertise Self-Report Scale and Reflection was an interesting assessment on my nursing skills. The questions that were asked in the scale were difficult to answer based on the grading scale. Overall it was a good reflection of how I approached my patients and utilized my skills. After completing the nursing scale, I realize that there are some things that I need to do different. For example, question number six mentioned, “Emotional attachment to get in the way of good care.” (Hansten, 2009, pp. 175-176) I feel that is a question that is difficult to answer because a nurse needs to have an emotional attachment to connect. The reason we became nurses is because we care for others and we want to care for their health. We came into this field with an emotional attachment. I will continue to treat my patients how I would like to be treated and show them the respect they deserve being under my care. Every nurse is different in how they treat and care for our patients. We all have procedures and guidelines to follow by as a health care professional, but...
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...facilitate reflective practice and enhance the delivery of care in district nursing practice. Barbara Brush Student number: B00628470 Word count: 2084 Due Date: 3rd February 2015. Introduction. Due to the increasing demands on the Health Service the “Transforming your care “ report (Department of Health Social Service and Public Safety, (DHSSPS) 2011a) made recommendations to increase care in the community, making home the centre of care aiming to reduce the strain on limited resources and give value for money. Within the community care district nurses are vital, there role is autonomous, unique and varied. Furthermore there expert theory, skills, and knowledge of self and practice adds to their advanced interpersonal communication skills to assess clients with increasing complex needs (Blazor et al 2008). Communication is the cornerstone of the nurse patient therapeutic relationship and is the essence of good care (Stein-Parbury, 2009). Within the community care setting, therapeutic relationships are a high priority of the health service to enhance the well-being of the growing ageing population and patients with complex palliative care needs (Bain and Baguley 2012). The Department of Health (2006) acknowledges that communication is paramount for human interaction, otherwise people cannot relate to others effectively, make their needs known and identify what is happening to them. A fundamental aspect for district nursing staff is to ensure the whole family unit is included...
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...Nursing Health Alterations Syllabus1 Nursing Health Alterations Course Information Organization Course Number Credits Contact Hours Instructor E-mail Address Course/Faculty Website Office Campus Address City/State/Zip Office Hours Office Phone Office Fax Beginning Date Number of Weeks Meeting Times/Location WTCS - Wisconsin Technical College System 543-305, 543-105 3 54 Cynde Larsen clarsen@swtc.edu 608-778-4842 cell (texts=Yes; voice messages =No) 1639 Health Sciences Southwest Tech 1800 Bronson Boulevard Fennimore, WI 53809 Mondays 1-3, Wednesday 8-9, 11-12 and others by appointment. 1-608-822-2642 Ext. 2642 (Voice messages=OK) 608-822-2772 01/13/14 16 Mondays 9:30-10:50 Health Sciences Building Room 3608 Description This course elaborates upon the basic concepts of health and illness as presented in Nursing Fundamentals. It applies theories of nursing in the care of patients through the lifespan, utilizing problem solving and critical thinking. This course will provide an opportunity to study conditions affecting different body systems and apply evidence-based nursing interventions. It will also introduce concepts of leadership and management Prerequisites Nursing Fundamentals Nursing Skills Nursing Pharmacology Nursing: Introduction to Clinical Practice General Anatomy and Physiology, Anatomy and Physiology 1, or Body Structure and Function (PN Only) Textbooks Lemone, P. & Burke, K., Bauldoff, G. (5th Ed.). Medical-Surgical Nursing Textbook. London, M....
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...changes three times daily, which require at least two staff to complete. Her husband is by her bedside, when he is not at work, and is very caring and attentive. The work schedule for tomorrow indicates that the LPN and nursing assistant on your team will be male. What are your actions to ensure culturally competent care? a. What patient information is pertinent to foster culturally competent care? b. What questions should you ask yourself when caring for this patient? c. What steps would you take to provide culturally competent care? d. Identify appropriate nursing diagnoses and nursing plan of care for this patients e. Discuss factors in the healthcare system and in nursing that facilitate or impede culturally competent nursing care 2. As a nurse, you are caring for a 79-year-old man, a retired railroad worker who was admitted with dizziness and a history of falling. During your shift, your nursing assistant reports (with frustration) that the patient refuses to use his urinal while in bed and insists on standing bedside or walking to the bathroom to eliminate. The assistant requests a physician’s order for urinal use in bed only. What are your appropriate actions in this scenario? f. What questions should you ask yourself in this situation? g. What teaching (and to whom) could be involved in resolving the situation? h. What factors could be inhibiting cultural sensitivity? i. Describe influences...
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...Assessment tools are useful for nursing care as they can act as a guideline while trying to assess patients. Finding the right assessment tool to match the nursing care going to be given is important. All assessment tools may not match the type of care going to be given. It is important to evaluate the assessment tool not only to match the care, but also to make sure the tool is thorough and useful. The three assessment tools discussed in this essay are an admission assessment by Pamela Craig, a nursing needs assessment tool by the Department of Health Social Services and Public Safety, and a physical assessment tool by F.A. Davis. The admission assessment by Pamela Craig was designed through evaluation of the previous admission assessment tool in which Pamela Craig redesigned it to fix the flaws of the old one. The tool begins with baseline vitals upon admission, with the inclusion of how the patient was brought to the facility and from where. The tool includes allergies, with a section specific to latex allergies. It includes who the information is obtained from, in case the information is not able to be obtained from the patient. There is a place for family history information, as well as history of past diagnoses for the patient. There is a section for nutrition that includes questions about weight loss, nausea and vomiting, enteral feeding, and changes in appetite. The physical assessment part of the assessment tool covers each system. There are boxes to check within each...
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