...CODE OF ETHICS FOR NURSES WHEREAS, the Board of Nursing (BON) has the power to promulgate a Code of Ethics for Registered Nurses in coordination and consultation with the accredited professional organization (Sec. 9, (g), Art III of (Republic Act) No. 9173, known as the “Philippine Nursing Act of 2002); WHEREAS, in the formulation of the Code of Ethics for Registered Nurses, the Code of Good Governance for the Professions in the Philippines was utilized as the principal basis thereof: All the principles under the said Code were adopted and integrated into the Code of Ethics as they apply to the nursing profession; WHEREAS, the promulgation of the said Code as a set of guidelines, regulations or measures shall be subject to approval by the Commission (Sec. 9, Art. II of R.A. No. 9173); and WHEREAS, the Board, after consultation on October 23, 2003 at Iloilo City with the accredited professional organization of registered nurses, the Philippine Nurses Association, Inc. (PNA), and other affiliate organizations of Registered Nurses, decided to adopt a new Code of Ethics under the afore-mentioned new law; NOW, THERFORE, the Board hereby resolved, as it now resolves, to promulgate the hereunder Code of Ethics for Registered Nurses: ARTICLE I PREAMBLE SECTION 1. Health is a fundamental right of every individual. The Filipino registered nurse, believing in the worth and dignity of each human being, recognizes the primary responsibility to preserve health at all cost. This responsibility...
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...SYNTHESIS OF ADVANCED NURSING ROLES BROWN_K_W5A2_SU_NSG5000 Kerry Ann Brown South University Due to the changing health care environment, the nursing profession is currently in a process of evolution. Scopes of practice and role expansions are being prepared. Some of these roles are traditional, such as nurse practitioners who have been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic...
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...Nurses Jessy Thomas Grand Canyon University: NRS-433V May 24, 2015 Gender and the experience of moral distress in critical care nurses Patricia Banner, an American nurse theorist defined the ethical compartment as “the embodied skilled know-how of relating to others” in ways that are respectful and support their concerns (Corley MC, Nurses Ethics 2002). Moral distress is fairly new topic of discussion in the print and media. The term begins when Jameton recognized the negative feelings when one person realize the morally correct course to be taken but can’t practice due to the restriction imposed by the place they work. Moral distress can happen in variety of setting and roles. Many researchers studied this topic among various health care workers among nurse educators, students, critical care and medical-surgical nurses and administrators. The moral distress among nurses may vary depending upon many factors such as gender, ethnic back ground or the context in which they practice. A meta-analysis of 19 studies on moral sensitivity and moral judgment found that females are higher in the case of moral sensitivity scores. (Christopher B, Gender and moral distress) Problem Statement The problem of this study aimed to address was: “Critical care settings are highly technical, dynamic patient care environments”. Often nurses need to make sudden judgments and decisions of complex nature that can take care of patients needs while keeping their autonomy and human dignity. The judgments...
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...Professional Roles Mission Statement Name University Professional Nursing Mission Statement Many things can be learned when a person’s formative years are spent in a small town with minimal resources for the community. High on that list is an appreciation for the influence people can have on each other’s lives, for both positive and negative aspects. Speaking from the perspective of someone who spent twenty-five years of her youth living in a New Mexico village of about 3,000 people, I have acquired a desire to impact other’s lives in positive ways. Several aspects impact a community’s philosophies regarding care provision, including licensing requirements and education, ethics, professional and personal traits, and continual growth to reflect current developments in research discovery. It is my mission to provide compassionate and competent care to members of my community, as evidenced by aligning myself with care providers who share a similar philosophy of growth through continual self-analysis, research and education in the healthcare environment. My goal is to always exude the confidence and humility which creates a comfortable and healing environment. Functional Differences Nursing has long been recognized as one of the most trusted professions in the world (Saver & Alfaro-LeFevre, 2014, p. 2). Because nurses are in a profession inherent to helping people, the community expects a certain amount of dedication and obligation toward the population in general. Two...
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...Organizational Systems and Quality Leadership Organizational Systems and Quality Leadership Task 1 A. Nursing Sensitive Indicators Nurses are integral key players in multidisciplinary teams caring for patients in complex healthcare systems. Hospitals, a primary care delivery portal within the health system, are inundated with patients requiring higher acuity care. Nurses must be prepared to recognize patients’ health care needs and provide quality patient care outcomes. The knowledge of nursing sensitive indicators can be helpful in providing the care which meets quality standards. Nursing sensitive indicators rely on evidence-based practice. The American Nurses Association created a repository for implementing, developing, and storing nursing sensitive indicators in the National Database of Nursing Quality Indicators, or NDNQI. The nursing sensitive indicators are a set of standardized performance measures intended to help hospitals assess the extent to which nursing interventions have an impact on patient safety, quality, and the professional work environment (Erickson, J. 2011). Nurses directly impact these measures and when evidence-based practices are adopted, patient care improves as shown in historical outcomes data. In the scenario of Mr. J there were multiple failures to recognize and use nursing procedural sensitive measures to improve his safety, quality of care, and patient satisfaction. Although Mr. J had mild dementia, he was appropriately responsive...
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...public protection. This article describes effective delegation by presenting the factors affecting delegation, explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation to provide safe, quality care creates distinct challenges when delegating care to unlicensed assistive personnel (UAP). These challenges are amplified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; hospitals, home care settings, and nursing homes with high patient acuity; and the use of sophisticated technology. An...
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...VISION FOR THE FUTURE OF NURSING 10 Human Genome Project completed the initial mapping and sequencing of a composite set of human genes in 2003” (p. 392). This is an area of nursing practice that nurses will question their own morals and ethics. With technology on the rise, there will be new ethical dilemmas and nurses will be more active in exploring ethical aspects of patient care. Nurses’ ethical perspective will be respected by other professionals and as a result, nurses in larger numbers will sit and serve on ethics committees as ethics consultants. As new roles become the norm, nurses need to be trained in these specific areas to have the knowledge how to care for these patients. Nursing care will become more important in the future as the nation’s demographic changes. Nurses must be culturally competent and recognize that cultural sensitivity begins with health care providers. The rise of community base health care is seen throughout the United States and nurses will be needed to fulfill these roles in the community base setting such as school nursing, hospice, clinics, HMOs, and other health care settings (Chitty & Black, 2010). Conclusion As different trend in nursing become more popular in the future professional nurses must keep up with the new trends and practice evidence-based nursing. Professional nurses must be aware of and incorporate in their daily practice nursing theories to care for their patients. Finally, with new trends and roles available to nurses, most...
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...UNV-504 July 31, 2013 Annotated Reference List Kaplan, G. (2012). Waste not: The management imperative for healthcare. Journal of Healthcare Management/American College of Healthcare Executives, 57(3), 160-166. Retrieved from http://ehis.ebscohost.com.library.gcu.edu:2048/eds/pdfviewer/pdfviewer? sid=69dc6d91-8f7f-4151-b276-c2d279bedc61%40sessionmgr11&vid=3&hid=3 Efficiency is key. Working smarter not harder is one way to be efficient. The author of this peer reviewed article, an expert in the field based on his education, title and position, discusses not only the truth about healthcare and its revenue and spending, but brings to light a new outside-of-the-box idea for reducing waste. As a future nurse and healthcare administrator, I found this article intriguing and unique. Even though this article grew out of a turnaround for one healthcare system, others nationwide would be wise to adopt and follow its discoveries. First, Dr. Kaplan and his board identified their current management procedures benefited themselves, employees, vendors, rather than their patients. To resolve this, his board adopted the production and management methods of Toyota, the leading carmaker, in identifying their target consumer, their patients, and ways to identify, reduce if not eliminate waste. Following in Taiichi Ohno’s footsteps, the father of the Toyota production method, Dr. Kaplan and his board focused on reducing and potentially eliminating the seven identified wastes, as previously...
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...and thoughtful approach to decision making when making a promise to a person or a group" (Nelson & Hofmann, 2010, p. 294). The purpose of doing the self assessment was to identify some areas of strength and some areas of weakness. By identifying these, I can make the patient experience better. The insights that I gained by completing the self assessment included not only my own morals and beliefs but also those of the organization that work for and my profession of nursing. Sometimes it is difficult to balance all three. My ethical decision can be based on the situation at that given time and may not be the same the next time because each situation can be different. As nurses, we are guided by our professional code of ethics. When I was conducting research on ethics, I found on the American Nurses Association (ANA), website they are advertising the year 2015, as the Year of Ethics. The ANA, is holding an Ethics Symposium that discusses ethical competencies and resilience. The Code of Ethics for nurses "is particularly useful in today's health care environment because it reiterates the fundamental values and commitments of the nurse, identifies boundaries of duty and loyalty and describes the duties of the nurse that extend beyond...
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...The Role of Nursing Advocacy Across all Healthcare Settings Nursing is an autonomous profession where lives are saved every day. Nursing advocacy can affect patient outcomes. As the nursing profession evolves and responsibilities increase, it is necessary to better understand the concept of nursing advocacy. The role of advocacy is not new for the nursing profession, but the nature of advocacy in the nursing practice remains ambiguous. Nurses are obligated to act as an advocate for their patients, but there is lack of clarity on how to perform this role. The purpose of this paper is to better understand nursing advocacy and to explore ways it is practiced across all fields of nursing in order to promote improved patient care. Advocacy is an essential role for the nursing profession; however, it can be affected by many factors. The goal of advocacy is to balance the relationship between the healthcare system and the patients who are served by evaluating patient/family needs, providing information and education, ensuring access to proper care and supporting the patient and family’s decision within the structure of a multidisciplinary team. This paper will explore the following research question: What are the variables that affect the role of nursing advocacy and in what ways is it practiced across all fields of nursing? Review of Literature Introduction The general topic of the review of literature is nursing advocacy. We are examining and exploring a clearer definition...
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...quality and patient outcomes that contain costs. “Numerous studies reveal an association between higher levels of experienced RN staffing and lower rates of adverse patient outcomes” (www.nursingworld.org, 2015, para. 1). For this reason, nurse-to-patient ratios is an issue that needs to be addressed at NYP in order to improve quality healthcare within their organization. The acuity of the unit in which patient care is being provided, should determine the acceptable nurse-to-patient ratio. According to the American Nurses Association (ANA), factors that influence the nurse staffing needs include: patient complexity, acuity, or stability; number of admissions, discharges, and transfers; professional nursing and other staff skill level and expertise; physical space and layout of the nursing unit; availability of or proximity to technological support or other resources ("Optimal Nurse Staffing," 2015). Currently, New York is one of only fourteen states that addresses the nurse staffing issue in hospitals. New York State requires organizations such as NYP to disclose their nurse-to-patient staffing ratios to the public; however the state does not require a minimum nurse-to-patient ratio to be maintained at all times. As of July 2003, California is the only state that mandates minimum nurse-to-patient ratios within all their hospital organizations. The nurse-to-patient ratio in California is 1 to 5 on medical-surgical units. Ultimately, NYP will benefit by providing better staffing ratios...
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...CURRICULUM REVISION A CONCEPTUAL MODEL to Support Curriculum Review, Revision, and Design in an Associate Degree Nursing Program B E T T Y W. D AV I S P A R T I C I PAT I O N IN CURRICULUM DESIGN of program outcomes has been identified as a core competency for nurse educators A N D E VA L UAT I O N (Billings & Halstead, 2009; Southern Regional Education Board, 2002). Facing declining NCLEX-RN® pass rates, faculty at an associate degree nursing program at a public community college in Mississippi responded to the National League for Nursing ([NLN] 2005b) call to transform nursing education by undertaking an intensive critique of its curriculum and program outcomes. Based on this analysis, a conceptual framework was created to guide curriculum revision, development, and implementation. The framework provides structure for ongoing and systematic curriculum review and revision. A review of the literature revealed the need to move from a teaching-centered to a learning-centered approach to teaching. Learning-centered institutional design is reflective of a number of principles: the need to bring about substantive change in participants; the full engagement of learners and the mindset that students bear primary responsibility for personal choices; multiple learning options to appeal to students’ preferred learning styles; the enhancement of collaboration; educators as learning facilitators; and measurement of success through the documented improvement...
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...Professional Roles and Values Melissa Hurst WGU Professional Roles and Values RUP1 Professional Roles and Values INTRODUCTION Nursing is not just simply going to school and passing the NCLEX. It truly is an experience like no other, filled with lifelong learning that continues far past the classroom. Nurses learn not only from their classroom and clinical experience, but also from past experiences and even our earliest predecessors. Although at times it can be very hectic and challenging, it is equally as fulfilling and rewarding. Nursing qualities include eagerness to learn, a kind and caring attitude, compassion, empathy, integrity, ability to embrace diversity, self-awareness, ability to be a good listener and communicator, respectful, and a professional demeanor. A nurse must also be prepared to meet not only the academic aspects of nursing, but also physical and emotional aspects. It is important for nurses to be a team player, and possess the ability to collaborate and work well with other. The nurse must be able to leave his or her personal feelings at the door when their shift begins, and take care of all people equally regardless ethnicity, gender, financial situation, and cultural preferences. Responsibility and accountability are two very important aspects within the nursing field. Nurses must provide the best care possible to their patients, and advocate for not only their patients, but the nursing profession as a whole. A. FUNCTIONAL DIFFERENCES ...
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...Chapter I The Problem and Its Background Introduction Nursing involves specialized skills and application of knowledge based on education that has both theoretical and clinical components. Nursing upholds standards set forth by professional organizations and follows an established code of ethics. The concerns of nursing focus on human responses to actual or potential health problems and are increasingly focus on wellness, an area of caring that encompasses nursing’s unique knowledge and abilities. Nursing is rich in tradition, which is used to develop and redefine both the art and science of nursing. Furthermore, nursing is increasingly being recognized as scholarly with academic qualifications, research, and publication specific to nursing is increasingly becoming more widely accepted and respected. Background of the Study One of the major issues in nursing currently involves nursing education. Nursing profession provides a single route for the educational preparation of its practitioners. However, the development of nursing as a profession has resulted in three major educational routes that prepare graduates to write the National Council Licensure Examination (NCLEX) for registered nursing. The three traditional educational avenues that prepare men and women for registered nursing are hospital-based diploma programs, 2-year associate degree programs (primarily found at junior and community colleges), and baccalaureate programs (offered at 4-year colleges...
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...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...
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