...Deliberative Nursing Process is set in motion by the behavior of the patient. According to the theory, all patient behavior can be a cry for help, both verbal and non-verbal, and it is up to the nurse to interpret the behavior and determine the needs of the patient. The Deliberative Nursing Process has five stages: assessment, diagnosis, planning, implementation, and evaluation. In the assessment stage, the nurse completes a holistic assessment of the patient's needs. The diagnosis stage uses the nurse's clinical judgment about health problems. The planning stage addresses each of the problems identified in the diagnosis. In the implementation stage, the nurse begins using the nursing care plan. In the evaluation stage, the nurse looks at the progress of the patient toward the goals set in the nursing care plan. This is the ADPIE that we use every day. Nursing care has to be flexible. Not only does a nursing care plan depend on the needs of the patient at the time of admittance, but it also needs to be able to change when and if any complications come up during the treatment and recovery process. Ida Jean Orlando's Deliberative Nursing Process directly addresses this need for flexibility, and helps nurses focus on the patient rather than simply sticking to a nursing care plan no matter what. Specialty areas Emergency Nurse- a. How to get there- ASN or BSN b. Pass NCLEX c. You need two years before you can take a licensure exam d. Emergency nursing certification...
Words: 1081 - Pages: 5
...Probably one of the most controversial research reports of all times in the great BSN versus ADN entry level debate among nursing academia is the Aiken study. This one research study was the major catalyst for the Institute of Medicine (IOM) calling for a ratio of 60% BSN and 40% ADN/ diploma in the North Carolina nursing workforce. Study Design: quantitative, observational study with cross-section design Objective: To examine whether the proportion of hospital RNs educated at the baccalaureate level or higher is associated with risk-adjusted mortality and failure to rescue (deaths in surgical patients with serious complications). Purpose: "We tested whether hospitals with higher proportions of direct-care RNs educated at the baccalaureate level or above have lower risk-adjusted mortality rates and lower rates of failure to rescue (deaths in patients with serious complications). We also examined whether the educational backgrounds of hospital RNs are a predictor of patient mortality beyond factors such as nurse staffing and experience. These findings offer insights into the potential benefits of a more highly educated nurse workforce." Conclusion: In hospitals with higher proportions of nurses educated at the baccalaureate level or higher, surgical patients experienced lower mortality and failure-to-rescue rates. "Our findings indicate that surgical patients cared for in hospitals in which higher proportions of direct-care RNs held bachelor's degrees experienced...
Words: 1032 - Pages: 5
...Transformation and evolution related to basic level of education requirement is evident in the nursing profession. Currently there is a mixed population of educational training and skills working at the same capacity. “The sample survey also shows that 50.0% of the RN workforce holds a baccalaureate or graduate degree while 36.1% earned an associate degree and 13.9% a diploma in nursing.” (Rosseter, 2012) Each program prepares their students with the same basic training to pass the boards required for licensure. However the ability to pass the same standardized test does not equate to equality in educational training or practicing skill level. The NCLEX tests for minimum technical competency for safe entry into basic nursing practice. Passing rates should be high across all programs preparing new nurses. This exam does not test for differences between graduates of different programs, measure performance over time, or test for all of the knowledge and skills developed through a baccalaureate program. (Creasia & Friberg, 2011) Studies connecting patient outcome to educational training have enlightened employers prompting a change in the demand for higher educated and skilled nurses in the field especially in the hospital setting. Developing and producing a skilled work force is not a new concept to nursing. Since the early 1800’s movement toward education in the nursing industry has continually transformed and evolved. Hospitals were the first to offer formal training...
Words: 1191 - Pages: 5
...ELDER ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS BY CHRISTINA KAY FALK THESIS Submitted in partial fulfillment of the requirements for the degree of Master of Science in Community Health in the Graduate College of the University of Illinois at Urbana-Champaign, 2013 Urbana, Illinois Adviser: Stephen J. Notaro, Ph.D. ii ELDER ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS By: Christina K. Falk Elder abuse is a topic that impacts everyone in America at some point in their life. Special care units also called dementia units are protected areas in a nursing home that are specially designed for dementia/Alzheimer patients. This thesis reviewed how a special care unit in a nursing home affect the number and severity of deficiencies reported to Medicare. The data was collected from Medicare’s Nursing Home Compare system and the Illinois Public Health Department. This study reviewed 770 nursing homes in Illinois were reviewed, 141 had special care units during the time of data collection. The facilities had a range of total deficiencies from one to 74 with Level of Harm ratings ranging from one to four on a four-point scale. The results showed that residents in a nursing facility that has a special care unit are at a greater risk of a higher Level of Harm but no difference in the number of deficiencies. Possible causes of this greater risk are due to the intrinsic nature of the population in special care units, the need for policy and procedural...
Words: 14268 - Pages: 58
...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...
Words: 8720 - Pages: 35
...graduating from either an Associate’s degree program, taking typically 3 years, or a Baccalaureate program, typically 4 years. Both degrees require the graduate to pass the NCLEX-RN exam. The percentage of nurses passing the NCLEX-RN is statistically insignificant regardless of program type- associates vs. baccalaureate. The NCLEX-RN exam tests for the minimal amount of skills the individual must have for safe practice. It does not measure, nor represent, the additional education a baccalaureate nurse will have obtained (2008). Baccalaureate graduates do excel in stronger communication skills, and have shown greater problem solving skills (Johnson, 1988). Additionally, the baccalaureate nurse shows greater nursing diagnosis skills and implementation of appropriate nursing interventions (Giger, 1990). Dr. Patricia Benner & team- Carnegie Foundation for the Advancement of Teaching , suggests the requirement of all entry level registered nurses (associate degree) become baccalaureate trained, additionally, that within 10 years of any nurses primary licensure (associate or baccalaureate) that the education level of masters be obtained. The purposes of these proposals are to have better educated nurses as many new graduates are lacking in education, not meeting todays current practice demands (Benner, 2009). Registered Nurses are key in direct patient care and coordination of care with other disciplines. In many cases, the nurse is dealing with members of an interdisciplinary...
Words: 1126 - Pages: 5
...Health Care Professionals 1 Health Care Professionals Leslie T. Moore Strayer University Professor Tataw August 9, 2011 Health Care Professionals 2 Abstract Health care professionals play a key role in the provision of health services to met the needs and demands of the population. This includes the health policy issues that greatly impact and affect our health care system in the United States currently and in the future. This paper will discuss and identify health care professionals and the role that they play in the United States health care system Health Care Professionals 3 1. Indentify and describe the three reasons there may be a physician shortage rather than a surplus in the United States. There are many dimensions to the future of physicians and other medical professions, but all fade away in the face of one major fact. In the year of 2010, the rate of medical staff departures from active practice may reach epic proportions, far outstripping the ability of hospitals or training programs to respond. It’s the baby boomers moving into retirement at age 65. The trend is also growing due to a number of reasons. Demographic ...
Words: 1966 - Pages: 8
...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
Words: 15841 - Pages: 64
...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
Words: 15841 - Pages: 64
...ASPECTS OF NURSING PRACTICE | | | COMPONENTS AND CHARACTERISTICS OF THE LEGAL PROCESS | | 8 | LEGAL PROTECTIONS IN NURSING PRACTICE | | 9 | | | 10 | NURSING PRACTICE AND THE LAW | | 11 | LEGAL ISSUES IN PRACTICE | | 12 | NURSE–CLIENT RELATIONSHIP | | 13 | LEGAL ROLES OF NURSES | | | SUMMARY | | | CONCLUSION | | | RESEARCH ABSTRACT | | 14 | BIBLIOGRAPHY | | OBJECTIVES * To introduce legal considerations * To define law * To understand sources of law * To list out the types of law * To explain the selected legal aspects of nursing practice * To understand the components and characteristics of the legal process * To explain the regulation of nursing practice * To enumerate standards of nursing care * To describeselected legal aspects of nursing practice * To explainlegal protections in nursing practice * To describe nursing practice and the law * To describe legal issues in practice * To explain nurse–client relationship * To list out the guidelines for safe nursing practice * To formulatelegal roles of nurses * To explain the legal responsibility of nursing students INTRODUCTION Nursing practice is governed by many legal concepts. It is important for nurses to know the basics of legal concepts, because nurses are accountable for their professional judgments and actions. Accountability is an essential concept of professional nursing practice and...
Words: 5480 - Pages: 22
...of 14 NURSING LAW AND ETHICS JURIS OUTLINE ( Atty. Aleth Joyce T. Cubacub) Chapter 1- Overview Nursing Profession - Process of constant change - Etymological perspective it comes from the Latin word meaning NUTRIX or nourish Nursing - Art, a science and a social science - Being an art, deals with skills that require dexterity and proficiency - Science : systematic and well-defined body of knowledge which utilizes scientific methods and procedures in the application of nursing process - Social Science: primordial interest is man whether well or sick - It is involved in total quality patient care when giving the patient prescribed medication or treatments - Primary focus is the individual’s response to health related problems FOUR FUNDAMENTAL RESPONSIBILITIES OF NURSING a. Promote health b. Prevent illness c. Restore health and d. To alleviate sufferings - Noble goal to promote the harmonious or symphonic interaction between men and their environment CHARACTERISTICS OF NURSING a. Nursing is caring b. Involves close, personal contact with the recipient of care; c. Concerned services ( humans as physiological, psychological and sociological organisms) d. Committed to personalized services regardless of color, creed or social or economic status e. Committed to promoting individual, family , community and national health goals f. Committed to involvement in ethical, legal and political issues in the delivery of health care NURSING PROCESS - Use nurse process as a tool in nursing practice...
Words: 5411 - Pages: 22
...Name: Meredith Hillegass Date: 04/10/16 Instructions: All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several answers, list them in order of priority or significance. Do not assume information that is not provided. Please print or write clearly. If your response is not legible, it will be marked as ? and you will need to rewrite it. Scenario D.Z., a 65 year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD, emphysema). He has a past medical history of hypertension, which has been well controlled by Enalapril (Vasotec) for the past 6 years, has had pneumonia yearly for the past 3 years, and has been a 2 pack-a-day smoker for 38 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive of thick yellow-green sputum. D.Z. seems irritable and anxious; he complains of sleeping poorly and states that lately feels tired most of the time. His vital signs (VS) are 162/84, 124 HR, 36 RR, 102 degrees F, Sao2 88%. His admitting diagnosis is an acute exacerbation of chronic emphysema. Chart View Physician’s OrdersDiet as toleratedOut of bed with assistanceOxygen (O2) to maintain Sao2 of 90%IV of D5W at 50 ml/hrECG monitoringArterial blood gases (ABGs) in AMCBC with differential nowBasic metabolic panel (BMP) nowChest x-ray (CXR) q 24 hrs. Sputum cultureAlbuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment...
Words: 1866 - Pages: 8
...2012 Catalog Volume 20 Issue 1 March 5, 2012 – December 31, 2012 This Catalog contains information, policies, procedures, regulations and requirements that were correct at the time of publication and are subject to the terms and conditions of the Enrollment Agreement entered into between the Student and ECPI University. In keeping with the educational mission of the University, the information, policies, procedures, regulations and requirements contained herein are continually being reviewed, changed and updated. Consequently, this document cannot be considered binding. Students are responsible for keeping informed of official policies and meeting all relevant requirements. When required changes to the Catalog occur, they will be communicated through catalog inserts and other means until a revised edition of the Catalog is published. The policies in this Catalog have been approved under the authority of the ECPI University Board of Trustees and, therefore, constitute official University policy. Students should become familiar with the policies in this Catalog. These policies outline both student rights and student responsibilities. The University reserves the right and authority at any time to alter any or all of the statements contained herein, to modify the requirements for admission and graduation, to change or discontinue programs of study, to amend any regulation or policy affecting the student body, to increase tuition and fees, to deny admission, to revoke an offer...
Words: 130938 - Pages: 524
...be aware of opportunities to grow and reduce costs and be supported by Total Quality Management Process. The TQM process helps the hospital to create new products, ensure the standards of quality and client satisfaction and deliver improved services. In addition, the TQM process also helps in improving a company's bottom line profits by increasing operating efficiencies, eliminating waste, and creating working conditions conductive to productivity and company growth. The employees must work in healthy environments, which maximizes their efficiencies and enables them to perform at their best levels. In both the short-term and long-term, the quality improvement process pushes the company from different angles to achieve strategic goals and plans. One of the important processes of patient care is proper medical documentation and updated medical records. Description of chosen process Accurate and complete medical documentation is the responsibility of medical transcriptionists. However, the challenges to medical transcriptionists and the medical transcription industry are complex and varied. Pressures associated with cost, demand, workforce limitations, technological development, globalization, policy and awareness issues come together to create a picture that changes depending on one’s perspective and point of view. Trying to assemble these factors into a clear picture is a difficult challenge; yet a necessary challenge if the workers and the hospital system are going to respond...
Words: 11774 - Pages: 48
...Nursing Theorists A nurse is known for their compassion, ability to assist with healing, and their knowledge. Historically, compassion and ability to follow limited guidelines and doctor orders seems to have been what was required of anyone wanting to be a nurse. Times have been changing over the last 50 years and that change is accelerating. Anyone wanting to become a nurse will need to be medically knowledgeable and more of a clinician than ever before. Yet it is not as though nursing theory has only recently come into existence this century. Real theorists have been hard at work developing the theoretical framework for nursing practice for some time. For whatever reason, one desires to become a nurse, we must all start at the beginning...
Words: 2368 - Pages: 10
