...the resident allowed me to look, I lifted the blankets and noticed she was lying on a bed pan. I immediately removed the bed pan and put underwear and an incontinence aid on the resident. I asked the resident how long she had been on the bed pan and she told me all night. The patient told me that the night shift nurse forgot to come and remove the bedpan before the resident fell asleep. I apologised on behalf of the other nurse and checked the residents back for any skin damage or bruising and told the supervising nurse and wrote on the resident’s progress notes what had happened. I felt very empathetic and sorry for this resident. Lying on a bedpan all night would be extremely uncomfortable and painful and it should not have happened. Exemplar 2: 22/07/2015 During lunch time a male patient seemed very upset. I went and sat with the patient while they ate and tried to talk to them. I asked how they were feeling, how their day has been, etc. the resident told me that they were just having a bad day and missed their family. After eating the resident went back to their room. I told my supervising nurse that the resident was quite upset and lonely. My supervising nurse told me to go to the resident’s room and play the cd that is in the cd player. I did. After about two minutes of the cd playing, the resident started to smile and sway to the music. After about five minutes I asked the resident if they were feeling any better. The resident thanked me and said...
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...CNA/MA Clinical Ladder Application Exemplars – Level III Level III Proficient SUBMITS exemplar describing collaborative, functional relationships with members of the nursing team I truly strive to provide our patients with the best patient-centered care experience during their recovery. To complete this task most efficiently, I have recognized that being a team player and professional development is extremely important. I begin my mornings with rearranging the rooms in preparation for the surgical and medical admissions. I have found this to be most effective in reducing the stress of my coworkers during high volume admission periods. It also provides incoming patients with a smooth transition onto the floor. My co-workers and I, enter the rooms together ensuring that AM care is offered and/or completed and that the patients ‘overall needs have been met. Before I leave each room, I ensure that the phone, call bell and the patient belongings are within reach. I also make sure that all tubes, wires, and/ or drains are untangled and in the appropriate place. I document and complete hourly rounds in a timely manner. Unexpected findings, such as substandard vital signs/glucose levels, changes in patient conditions, questions and concerns from the patient/...
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...FINAL PROJECT Develop a paper that is a comprehensive overview of the topic and its relationship to nursing leadership and or management (any of the topics reviewed in the course can be used). Critically evaluate the current impact of the topic upon nursing practice and the evolving health care system. Include recommendations for the future of nursing and nursing leaders. The paper is to be eight to ten (8-10) typed pages excluding the reference page and the title page. Use APA format including title page, introduction, conclusion, etc. The paper must be well-written using correct spelling, grammar, and sentence structure. Grading Criteria | Points | Current literature/research on the topic (minimum of five; at least 2 outside nursing, one of which must be from business) | 5 points | Evaluation of the impact of this issue on nursing leadership practice and health care system | 20 points | Recommendation for the future of the nursing profession | 30 points | Provide an exemplar of a nursing leader implementing the recommendations discussed in criterion c above. | 30 points | Scholarly writing | 15 points | TOTAL | 100 points | Stress and Time Management By: Annette Hall St. Joseph’s College of Maine NU506: Nursing Leadership Instructor: Jayne Rogers July 9, 2012 Abstract Managing stress and time in our lives and careers is important to our health and well- being. Nurses in particular have an unusually high stress level...
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...the enrolled nurse Introduction Description of Enrolled Nurse National Competency Standards Assessing Competence Glossary of Terms Introduction The Australian Nursing and Midwifery Council (ANMC) is a peak national nursing and midwifery organisation established in 1992 with the purpose of developing a national approach to nursing and midwifery regulation. The ANMC works in conjunction with the state and territory nursing and midwifery regulatory authorities (NMRAs) to produce national standards which are an integral component of the regulatory framework to assist nurses and midwives to deliver safe and competent care. The standards include the national competency standards for enrolled nurses which were first adopted by the ANMC in the early 1990s. These have been reviewed and revised regularly since then. Other standards developed by the ANMC for implementation by the NMRAs include the competency standards for registered nurses, midwives and nurse practitioners, codes of professional conduct and ethics, and a range of position statements and guidelines. The full list of standards, position papers and guidelines produced by the ANMC can be viewed on the website. The national competency standards for the enrolled nurse are scheduled for review in 2007. This review will be undertaken by a team of expert nursing consultants and will include extensive consultation with nurses around Australia. The purpose underpinning the review will be to contemporise the standards to reflect...
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...Education Today’s health care environment is undergoing significant changes due to complex patient’s needs, chronic health conditions, and technological innovations. Educating nurses within the 21st century requires a creative integration of knowledge, skill set, and caring within an increasingly complex healthcare system (Institute of Medicine [IOM], 2010). Nursing education is heavily laden with continuous content increases to be covered within the curriculum (Devereaux-Melillo, Dowling, Abdallah, Findeisen, & Knight, 2013). The need to examine curricular transformation is imperative in order to manage content saturation, and abate the separation of the classroom and clinical teaching. This paper will outline the following processes: (a) the development of a concept-based curricular plan for a baccalaureate program, (b) the impact of a concept-cased curriculum (CBC) on the faculty, students, finances, community of interests, accreditation, and (c) examples of the integration of competencies. Development of Concept-Based Curricular Plan Nursing faculty are challenged with curriculum, for they are presenting an astronomical amount of material to “cover the content”. According to Duncan and Schulz (2015) nurses practice conceptually on a daily basis by focusing on the patient needs, regardless of the medical diagnoses assigned. In order to practice conceptually, nurses must think conceptually by grouping important facts into concepts that can then be transferred from one...
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...National competency standards for the registered nurse Introduction • • returning to work after breaks in service, or • National competency standards for registered nurses were first adopted by the Australian Nursing and Midwifery Council (ANMC) in the early 1990s. The ANMC was a peak national and midwifery organisation established in 1992 to develop a national approach to nursing and midwifery regulation. The ANMC worked in conjunction with the state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework – to help nurses and midwives deliver safe and competent care. educated overseas seeking to work in Australia involved in professional conduct matters. The National Board may also apply the competency standards in order to communicate to consumers the standards that they can expect from nurses. Universities also use the standards when developing nursing curricula, and to assess student and new graduate performance. The ANMC officially became the Australian Nursing and Midwifery Accreditation Council (ANMAC) on 24 November 2010. The name change reflected ANMC’s appointment as the independent accrediting authority for the nursing and midwifery professions under the new National Registration and Accreditation Scheme (the National Scheme) that came into effect on 1 July 2010 (18 October 2010 in Western Australia). These are YOUR standards — developed...
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...Journal of Transcultural Nursing http://tcn.sagepub.com/ Standards of Practice for Culturally Competent Nursing Care : 2011 Update Marilyn K. Douglas, Joan Uhl Pierce, Marlene Rosenkoetter, Dula Pacquiao, Lynn Clark Callister, Marianne Hattar-Pollara, Jana Lauderdale, Jeri Milstead, Deena Nardi and Larry Purnell J Transcult Nurs 2011 22: 317 DOI: 10.1177/1043659611412965 The online version of this article can be found at: http://tcn.sagepub.com/content/22/4/317 Published by: http://www.sagepublications.com On behalf of: Transcultural Nursing Society Additional services and information for Journal of Transcultural Nursing can be found at: Email Alerts: http://tcn.sagepub.com/cgi/alerts Subscriptions: http://tcn.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav Citations: http://tcn.sagepub.com/content/22/4/317.refs.html >> Version of Record - Sep 26, 2011 What is This? Downloaded from tcn.sagepub.com by Marty Douglas on September 27, 2011 412965 ouglas et al.Journal of Transcultural Nursing TCN22410.1177/1043659611412965D Commentary Journal of ranscultural Nursing T 22(4) 317–333 © The Author(s) 2011 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/1043659611412965 http://tcn.sagepub.com Standards of Practice for Culturally Competent Nursing Care: 2011 Update Marilyn K. Douglas, DNSc, RN, FAAN1, Joan...
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...LEARNING SOLUTIONS FOR SCOTLAND’S COLLEGES F0K9 34 Calculations and Practical Techniques in Health Care August 2007 © COLEG Calculations and Practical Techniques in Health Care F0K9 34 Acknowledgements No extract from any source held under copyright by any individual or organisation has been included in this publication. © COLEG – Material developed by Cardonald College. This publication is licensed for use by Scotland’s colleges as commissioned materials under the terms and conditions of COLEG’s Intellectual Property Rights document, September 2004. No part of this publication may be reproduced without the prior written consent of COLEG and SQA. © COLEG 2 Calculations and Practical Techniques in Health Care F0K9 34 Contents Section 1: Introduction to this teaching pack Information about the HNC Health Care Group Award Information about this Unit Why the packs have been written How the pack is organised How to use the pack Scottish Credit and Qualifications Framework (SCQF) and the HNC Health Care Section 2: Session Plans Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12 Week 13 Week 14 Week 15 Week 16 Introduction / Mentor / Holistic care / Models Roper-Logan-Tierney Model / Safe practice in placement Respiration / Peak flow / Oxygen saturations Blood pressure / Pulse / Temperature Height / Weight / Body Mass Index / Fluid balance Specimen collection/ Urine testing Explanation of Skills Booklet Calculations...
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...that can be understood in different ways. Harrison, P. (2009) The importance of compassion is vital in any care setting where there are vulnerable people. The nurses, doctors and any other healthcare professional that is part of the team who deliver the care need to understand how important it is to understand this concept. Delivering compassion care can be something as small as holding somebody’s hand when they are in the later stages of their life, if they feel scared or another thing is as simple as listening to the patient and to hear their problems. The patient will feel better and the nurse should feel good about themselves too knowing that something as small as holding somebody’s hand or listening has benefited that patient. The nursing standard had a report on how student nurses are eager to deliver good and professional compassionate care to their patients when out on practice however lack of time and paperwork are factors on how much time they can actually spend with their patients. It has been said that a high amount of nurses in the NHS are set to retire over the next few years and this article reports why this may be. Watson, R et al (2003) if this is the case then why is it when they become professionals then they struggle to still have...
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...Nursing Theory: Compare/contrast two theories Name University Professor Course Date Nursing Theory: Compare/contrast two theoriesIntroduction Theory has so far remained a strategic tool in advanced nursing practice. Firstly, nursing utilizes every feature of management science. Fortunately, the knowledge base of each and every management science takes theory into account. Theory includes methods, principles, and concepts. The principles are usually related, and can be observed and validated or verified when translated into the practice of management. Likewise, concepts are general notions, thoughts, and ideas that tend to form a basis of discussion or action. Therefore, theoretical principles guide clinical nurses to various fundamental nursing concepts and provide productive line of action in a given situation. As a result, nurses should note that taking a hermeneutic or phenomenological approach (strict natural science approach) to nursing is not only naive but also misleading in real-life-settings. Alligood and Tomey, on the other hand, argues that prescriptive theories are often used as fundamental practice guidelines, which play a pivotal role in providing a wide range of practice situations in the nursing and nursing sector (2002). Apart from that, nursing can only become a real profession when it has both a theoretical and a scientific base. This follows the fact that nurses deal mainly with human behavior, thus, nursing is indeed a practice profession. Briefly...
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...Although ICNP can be utilized at all acute care and long term care centers at the local, regionally, nationally and international levels, the exemplar used for this paper is a medical unit in an acute care hospital. ICNP has led to a large database that validates nursing specific diagnoses, interventions and outcomes. It is cross-referenced with different nursing classification systems to compile common information across the continuum. A nurse in the medical unit is able to utilize a care plan that is formulated based on information compiled and translated into best evidenced based practice. “Information gathered is also useful in the educational setting expands nursing knowledge of interventions, outcomes and languages” (Rutherford, 2008). The nurse would choose a nursing diagnosis based on the assessment and collection of patient information. ICNP can be utilized incorporating other systems of classification such as Omaha System, NANDA, NIC, and HHCC (Hynn & Park, 2002). A nursing diagnosis is formulated and a recognized set of interventions would be initiated. With the added benefit of an electronic format at the bedside, the nurse is able to document at the bedside with more precision and timeliness, improving the accuracy of documentation. For example, a patient admitted with the diagnosis of COPD, the nurse could use the nursing diagnosis of impaired gas exchange. A care plan would be created with appropriate interventions and outcome criteria. Care would be more...
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...safety, efficiency, access and continuity of healthcare. This paper will provide an overview of the Meaningful Use program. An analysis of Meaningful Use implications for nurses, nursing, national health policy, patient outcomes and population health associated with the collection of core criteria will also be discussed. Recommendations for additional core criteria will also be presented. Overview of Meaningful Use NANDA International (NANDA-I) was developed to identify and classify health problems within nursing, increase the visibility of nursing, organize nursing data and allow for accurate reimbursement for nursing care (Thede & Schwirian, 2015). NANDA-I states that it’s diagnoses are intended to communicate the professional judgements that nurses make every day to patients, other healthcare professional and the public (NANDA International, 2015). NANDA-I diagnoses relevant to the patient scenario given are 1) fluid volume deficit related to increased fluid loss and insufficient fluid intake 2) electrolyte imbalance related to increased fluid loss and insufficient fluid intake 3) knowledge deficit. The Center for Nursing Classification and Clinical Effectiveness, CNC (2015) defines the Nursing Intervention Classification (NIC) as a comprehensive, research-based, standardized classification of nursing interventions. “The Classification includes the interventions that nurses do on behalf of patients, both independent and collaborative interventions, both direct and indirect...
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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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