...Running head: ARTICLE SUMMARY 1 Article Summary ARTICLE SUMMARY 2 Article Summary Nurse has the opportunity to promote the health and welfare of clients across the lifespan and from diverse populations. (Jensen, 2011) Factors such as economic, political, and social issues impacts the care delivered by the community health nurse. Community health nurse, health promotion activities were guided by individual perspective nurses concerned with protecting, promoting, preserving and maintain health as well as preventing disease. These reflect the ethical principle of promoting good and preventing harm. (“RN Community Health Nursing” 2007) The concept map method used to analyze data in this article combining qualitative and quantitative studies help us to analyze and identified the findings of nursing specifics studies. The role of nurse is to facilitate wellness through health promotion and teaching. Nurse collaborates with individuals, families, and communities...
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...Future Impact of the Nursing Role Future Impact of the Nursing Role In November of 2010, the Institute of Medicine (IOM) issued a report titled “The Future of Nursing: Leading Change, Advancing Health.” It’s a look at how nurses should change their practice and role in healthcare. The new legislative reforms in the nation are being phased in over the coming years. This reform will expand the scope of the nursing profession and practice. This reform states that: “A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health (IOM-2010) .“ The Institute of Medicine (IOM) developed four key messages that form the origin for the analysis and endorsements presented. The first three are referring to the nursing role, and these are in summary: 1). Nurses should practice to the entire extent of their training and education. 2). Nurses should strive for higher levels of education and training, through a quicker more user friendly educational system that promotes seamless progression from one degree to another higher degree. 3). Nurses should be considered equal colleagues with physicians and other health care professionals, when remodeling health care in the United States. What is the impact on nursing practice, in primary...
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...Running head: Professional Development of Nursing Professionals Professional Development of Nursing Professionals: IOM report Grand Canyon University: NRS 430V July 27, 2012 Professional Development of Nursing Professionals: IOM report The United States health care system is meant to provide the most cost effective, safe, and accessible care. Congress passed the Affordable Care Act of 2010 to try and overcome some of the hindrances that affect healthcare. The Robert Wood Johnson committee partnered with the Institute of Medicine to overcome the healthcare obstacles and mold new procedures, techniques, and policies to create a more effective healthcare system. The policy aims to transform practice, education, and leadership. (Committee Summary) One of the core notes of the Affordable care acts is that “Nurses should practice to the full extent of their education and training.” (Committee Transformation) According the American Nurses Association nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. (ANA, n.d.)” All nurses no matter what degree try to live up to the ANA standard. ADN nurses are more than capable of providing care. The key point in recent studies is that BSN nurses provide better care. ADN nurses are most likely able to...
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...The “In” Credible Web: Evaluating the Credibility of MedlinePlus Cecelia Chamberlain College of Nursing Course Number: NR 500 September 2012 The “In” Credible Web: Evaluating the Credibility of MedlinePlus Accessing health information via the Web has become the “In” thing. According to a 2010 survey conducted by the Pew Internet & American Life Project, 74% of all U.S. adults are using the Internet, and of those accessing the Web 80% are looking for health information (Fox, 2011). This paper will evaluate the credibility of MedlinePlus at http://www.nlm.nih.gov/medlineplus/. This website was located using the search engine Google and was chosen for its .gov domain. According to Brenner (2005), Web addresses ending in .gov, .edu or .org offer greater authority and are more reliable sources. MedlinePlus is a health information website produced by the U.S. National Library of Medicine (NLM). This site provides a wide variety of health and wellness topics as well as interactive tools designed to educate, inform, and guide consumers and medical professionals on health related issues (NLM, 2012). The following criteria; authority, information, and objectivity, ease of navigation, and privacy and security policies will be used to evaluate and identify MedlinePlus as a credible health information resource. Furthermore, implications to nursing practice will be discussed. Authority Authority is consistently identified in the literature as being of the upmost importance....
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... Directly reporting to this position: Title • Advanced Skills Enrolled Nurse • Enrolled Nurse • Assistant in Nursing Classification ENA; EN Level 1 – 2 FTE FTE FTE Also reporting to this supervisor: • Clinical Nurse, NMA; RNM Level 2 • Registered Nurse, NMW; RNM Level 1 • Advanced Skill Enrolled Nurse, ENA; EN Level 1-2 • Enrolled Nurse, ENA; EN Level 1 - 4 • Assistant in Nursing, ENA; AIN Level 1 - 3 ENA; EN Level 1 – 4 ENA; AIN Level 1 – 3 Key Responsibilities As part of a multidisciplinary team provides comprehensive evidence based nursing care to patients. Facilitates and promotes patient safety and quality of care. The Registered Nurse practices within their scope of practice considerate of the Nursing and Midwifery Board’s Nursing Practice Decision Flowchart. Page 1 of 3 Registered Nurse | RNM Level 1 | Position Number: 113857 Brief Summary of Duties 1. Clinical 1.1. Provides comprehensive evidence based nursing care to patients including assessment, intervention and evaluation. 1.2. Undertakes clinical shifts at the direction of senior staff and the Nursing Director including participation on the on-call/after-hours/weekend roster if required. 1.3. Participates in ward rounds/case conferences as appropriate. 1.4. Educates patients/carers in post discharge management and organises discharge summaries/referrals to other services, as appropriate....
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...Proposal to: Mayor and Chief Medical Officer Proposal Title: Nursing Care Center By: Nightingale Nurse Recruit, Nursing Director: Anesta Parris; Medical Information Technology Directors: Dawn Froemel & Ernestina Ayon; Laboratory Services Director: Andrea Dabney April 12, 2013 Introduction Please accept this proposal for the new Riverview Hospital Nursing Care Center. Key health care directors have contributed to this plan. Each director’s perspective is shared as related to his/her department. The following pages of this proposal contain their ideas and touch on the following considerations for the planning of this new facility: The specific department services provided How nursing care center services coordinate with the services the hospital provides How nursing care center departments interact and coordinate with each other to provide efficient and effective care Potential grants to assist with funding the nursing care center project How departments demonstrate consideration and application of the nursing care center code of ethics Executive Summary Nursing Director Executive Summary Nationwide, nursing staffs is changing in today world include not only long-term to care for their patients’. The population of people receiving treatments in the hospital is becoming highly trained and committed to health care staffs. The goal is to make a difference and to take action to improve the nursing staffs. Highly recommend to improve the nurses to limited access...
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...Executive Summary of Accreditation Audit June 2012 I prepared and reviewed an accreditation audit for Nightingale Community Hospital to organize and ensure compliance with Joint Commission standards for our hospital. We are preparing for a site visit that should occur within the next 13 months. I have reviewed the current compliance status of our hospital and will explain our corrective action plan that will ensure compliance with the Joint Commission standards for the focus area of communication. An accreditation audit was performed by Carl Anderson, Director of Quality. We were only in 100% compliance in December throughout the year in one of the priority focus areas of the Joint Commission standard: Communication; Standard: UP.01.03.01; A time out is performed before the procedure. See chart below: This is the universal protocol for preventing wrong site, wrong procedure, and wrong Patient Surgeries. In evaluating this, I must review all standards that go hand in hand with the time-out standard; per Nightingale Community Hospital policy, Site Identification and Verification (Universal Protocol). I will address the elements of performance for all three: UP.01.01.01; Conduct a preprocedure verification process. UP.01.02.01; Mark the procedure site, and UP.01.03.01; A time-out is performed before the procedure. I will then address the items that are not addressed in Nightingale's policy in my corrective action plan and add any updates. (Commission, 2012) Standard...
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...Organization Executive Summary and Situation Analysis Working for the Managed Care Organization of America, the ultimate goal would be to ensure cooperation in the understanding, agreement, and commitment between all divisions and units. One of the problems at the Managed Care Organization of America is that the healthcare professionals are put in a position where they are inhibited in their involvement over the communication and networking systems between the Nursing Administration, the head of each nursing unit or the RN or LVN in charge, and the certified nursing aids. This executive summary takes a brief look at designing and developing a contract process program that integrates cooperation and communication systems between the Nursing Administration, the head of each nursing unit or the RN or LVN in charge, and the certified nursing aids. Another challenge for the Managed Care Organization of America is the unclear policies in the Hospital Equipment Management Program. This executive summary offers a proposal whereby the healthcare professionals would develop and monitor a two-way communication channel and incorporate it into the Hospital Equipment Management Program, hold related workshops that can be attended by the Director of Hospital Operations and the division managers, build a cooperation team that unites operational goals and develop systems that evaluate whether these operational goals are being met and implemented with success. This executive summary also gives a...
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...Introduction Community or public health nursing is a concept intended to shift the focus of the traditional nurse role to a global scope. Nursing practice is based in the art and science of identifying individual patient responses to illness and decreasing patient suffering when possible. Public health nursing expands beyond the individual to explore causative health related factors both negative and positive within the community, while developing processes to alleviate suffering while promoting wellness. Group Definition of Community/Public Health Based on the definition offered by Radzyminski (2007), this group collectively redefines community or public health nursing as a collaborative community based, socially responsible and resource conscientious approach to the delivery of wellness within a specific population by a Registered Nurse. The Texas Department of Health’s (April 12, 2011) echoes this concept in their vision statement embracing illness prevention and public health promotion. The focus on the greater-good of the population, as described by Sidorov and Romney (2011, p. 17), does not discount the individual. Indeed, public health promotion and protection may actually advance patient self-care. With a strong community health system, the individual is better able to work within that system to improve their own health status, self-intervene early with many a health exacerbation, and rely on efficient and effective healthcare options (Sidorov & Romney...
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...Executive Summary Ryan Lefever Western Governors University Joint Commission Executive Summary Nightingale Community Hospital strives to provide compassionate care in a safe environment. In the competitive market of healthcare, it is imperative to meet The Joint Commissions’ standards. The goal of the Joint Commission is to provide up to date patient safety standards for healthcare organizations to meet. While these safety issues are important in their own right, the accreditation is used by Medicare as validation that the facility meets their standards resulting in full reimbursement of medical costs in the care of Medicare patients. Without the accreditation the hospital would most likely go bankrupt To ensure that Nightingale Community Hospital will meet The Joint Commissions standards, they have collected data in the focus areas of the commission to see where improvement is needed. The hospital appears to be doing well in many of the areas, but infections control could be improved over the period before the next inspection. Within this area the hospital has decided to seek improvement with a focus on central line bloodstream infections (CLBSI). To improve compliance and safety involving central line use with Nightingale Community, a new central line protocol will be introduced. The policy is planned to begin a phased roll out to the nursing units over the next month. The hospital has been broken down into three phases, so that the nursing educators and...
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...Catheter-Associated Bloodstream Infection Surveillance Variability Kochurani Thomas Grand Canyon University NRS-433V May 1, 2011 Bloodstream infections are the most common hospital-associated infection (HAI) in intensive care units (ICU) and a significant source of in-hospital deaths, increased length of stay and added medical costs. Both adult and pediatric patients who have catheters inserted into their blood vessels face increased risk of an infection developing along the invasive plastic devices which can become life-threatening as they spread into the bloodstream. According to Centers for Disease Control and Prevention (CDC), an estimated 248,000 blood stream infections are reported per year (CDC, June 2010), and mortality rate of 12%-25 %( CDC, 2011) .This dangerous lethal medical complication can be prevented by proper management of the catheter insertion and strict aseptic technique during care. Even though CDC has recommended standard catheter associated blood stream infections (CA-BSI) prevention strategies, the study shows areas of variability in the surveillance. A central line is an intravascular catheter that terminates at or close to the heart or in one of the great vessels which is used for infusion, withdrawal of blood, or hemodynamic monitoring. The Aorta, pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic veins, internal jugular veins, subclavian veins, external iliac veins, common iliac veins, common femoral veins...
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...nurses leading the healthcare labor pool today (Institute of Medicine, 2013). Therefore, with a legislative healthcare facelift this large, nurses will be on the front lines of this rapidly changing system. The Institute of Medicine (IOM) is a nonprofit organization that was asked to evaluate and provide recommendations on nursing in the United States (National Academy of Sciences, 2013). The goal of this paper is to discuss the impact of the IOM report on nursing in primary care, nursing education; and furthermore, the effect it has on of nurses as leaders. The IOM report developed four pivotal recommendations that focus on improving the future of nursing which in turn will remodel the health care system and improve patient outcomes (IOM, The Future of Nursing Summary, 2011). Key Message #1 According to the IOM report, the first recommendation is to maximize the “full potential of nurses”; therefore, increasing the quality of patient care. As illustrated in key message number one; “Nurses should practice to the full extent of their education and training” with particular focus directed towards advance practice registered nurses (IOM, The Future of Nursing, 2011, p. 86). The IOM report suggest that Medicare programs lift restrictions that limit advance practice registered nurses (APRN’s) allowing them to...
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...In this day and age when medicine becomes more technological and industry driven, nursing needs to find its new role in the rapidly transforming healthcare system. In 2010 the Institute of Medicine (IOM) published proposals about remodeling of nursing in the U.S. - “The Future of Nursing: Leading Change, Advancing Health.” This report points out to the need for changes in education, expanding practice, and demonstrating leadership in nursing. This modification will have a strong effect on the nursing in future and will contribute to changes of scope and standards of practice. Impact of the IOM Report on Nursing Education In regards to nursing education IOM report proclaim, "nurses should achieve higher levels of education and training through improved education system that promotes seamless academic progression." (IOM Report, 2010). Today healthcare system is advancing rapidly and requires from all caregivers to improve their knowledge and specialization. The training and education that was given in the past to the nurses does not satisfy the demands of modern days and need to changed dramatically to allow them to keep up with rapidly changing scope of todays medicine. Nowadays, ever-growing complexity of patients demands from nurses to achieve a higher level of education in order to deliver a higher-quality patient care. To achieve this goal nursing schools have to develop new educational model, that provide competencies in decision making, quality improvement, systematic...
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...The Significance of Diversity in Nursing Diversity in the world of nursing is crucial in order to provide sufficient care to all individuals. Nurses have to be able to provide medical needs to all types of people, regardless of personal beliefs and customs. The purpose of this paper is to discuss the relevance of diversity and nursing including the significance it can have on patients receiving nursing care, problems with the low minority population in nursing, and a summary of the generational aspect of diversity in nursing. Importance of Diversity in the Workplace Across the nation, as the diversity of the population persistently expands, it is paramount the nursing workforce mirrors this evolvement to “effectively meet patient care needs and ensure cultural competency” (Mason, Leavitt, & Chaffee, 2014, p. 378). One important reason for nurses to study the effect of diversity is to improve the community and help promote the need for social change. There is a connection between the absence of variation in the workplace and health inconsistencies. If more nurses were to work with the indigent and minority populations, this “improves access among underrepresented groups” and would help with the discrepancy in health care (Huston, 2014, p. 137). Competent transcultural nursing care impacts the quality of care a patient receives by understanding the client’s needs holistically. Clark (2014) states that humility or the ability to learn from others and having an open mind is needed...
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...Research Summary Table: Hand Chamberlain College of Nursing Research Summary Table: Handwashing Author, Year of Publication | Purpose | Sample | Design | Findings | Limitations | Creedon, S. (2005) | The purpose of this study is to show hand hygiene from a prospective of clinical behaviors. | A total of 314 hand hygiene observations were reviewed for changes in behavioral patterns, and a total of 62 questionnaires were completed. | A quasi-experimental design with a convenient sample was used. | Improvement in hand hygiene and a decrease in infections was noted at 83%. | No comparison group or random assignment to group | Bisset, L.(2003) | The purpose of this study was to identify whether different healthcare professionals understand the definitions of proper handwashing. | A total of n=105 nurses and n=18 doctors | The design used to complete this study was through questionnaires. | The findings revealed additional training and changes to policy and procedures need to be implemented. The study revealed over 60% of the staff did not know the correct definition of hand hygiene. | No inferential statistics were offered.No comparison group or random assignment to groupNo educational resources were completed. | Smith, S. (2009) | To identify the most effective handwashing practice. | The sample consisted of 5000 deaths that were reviewed. | The design was a systemic review. | Few studies described the effectiveness of handwashing. | No comparison between TBL...
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