...Nursing is a dynamic profession and life long learning is essential for nurses to stay current with the increased complexity of the healthcare needs of today and into the future.In other words, the needs of our patients are changing, as we must change in order to be prepared to better serve that need. Nursing has a long history of formal education which moved out of hospitals and into colleges and universities early last century. The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and following World War II. It was a proposed as a temporary solution to a shortage to a shortage but was not intended to replace the professional level of nursing education. The ADN program require about 2 yrs for the student to complete. The Adn nurses are associate degree in nursing, ADN nurses have clinical skills and hands on basic skills but they lack both management and leadership skills with in the nursing field. Additionally they lack research skills used in nursing as well as knowledge on informatics the use of technological advances in enhancing quality medical delivery. ADN gives you the fundamentals of nursing practices. They basic theory, skills, competencies knowledge of scope of practice and legalities for licensure and the essential general education core that is necessary as a foundation [English, psychology, biology chemistry, anatomy and physiology , etc].it gives you the bare minimum knowledge required...
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...higher institutions like Universities and colleges have responded to this demand previously by providing more nurses, for example more pathways were created to allow more people to become registered nurses (RNs) either as BSN, ADN or the more recently introduced program that allows students who already have baccalaureate degree in another field to become nurses with bachelor’s or masters degree in nursing. The IOM report indicates that our 20th century nursing educations are not sufficient and falls short of 21st century health needs. It is clear by all accounts that patients needs and environment of which nurses’ practice are continuously becoming more complex, this condition require nurse to sharpen their competencies to deliver high-quality care. This calls for different approach to nursing education and training. The report calls for new training that focuses on transforming Practice, Transforming Education, and Transforming Leadership. Based on the current scope of nursing practice, we can induce that U.S. nurses were trained to treat acute illnesses and injuries based on 20th century needs which is no longer adequate...
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...THE FUTURE OF NURSING Future of Nursing Future of Nursing The education that was taught to nurses up and well into the 20th century is no longer valid for dealing with all the health care issues in the 21st century. The American population is growing older and more diverse with cultural, social-economics, race, ethnicity, and religions. There is a larger shift in the nation’s health care needs for the 21st century. Health care issues today have many chronic conditions such as, arthritis, hypertension, diabetes, cardio-vascular diseases, many mental health issues, and increasing obesity levels in the old as well as in the young. The registered nurse with a higher education will be able to function in unpredictable and complex situations. The registered nurse with a baccalaureate is able to demonstrate flexibility and critical thinking. The old, tired way nurses have been educated will be replaced with advanced learning in community-based, multidisciplinary patient care delivery system of the future. Nurses will no longer be in the back seat due to lesser education, but will be seated side-by-side with other heath care disciplines making educated decisions, quality improvements, and have great system thinking skills. The higher educated nurse will have great team leadership skills. Nursing education was primarily taught for health care challenges of the early 20th century. Education for nurses leading into the 20th century was the basics of keeping patients...
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...decisions based on evidence and practice. On October 5th, 2010, the IOM released its recommendations on nursing in the US. According to the report it is crucial for nurses to obtain higher levels of education and training. You can depend on the IOM to be a fair and reputable organization. The IOM works with national academies and has a large number of professionals and volunteers. Their time is spent trying to come up with ideas to improve and support health. In order to manage the increasing responsibilities that come with the rapidly growing health care, nurses have to increase their level of education and training. Nurses need to be able to take the role as leaders, particularly nurses who practice in primary care. A report issued by the IOM proposed that these better-trained nurses can fill a gap. This brings up an old debate regarding what is “scope of practice.” Should nurses be able to order tests, write prescriptions and take on other responsibilities only reserved to doctors? Health challenges have shifted in the 21st century. In the 20th century we focused more on treating acute illnesses and injuries. Today Americans are older, those 65 and older will be almost 20% of the population by 2030. The older population creates more chronic conditions such as diabetes, heart disease, arthritis and mental health conditions. This is compounded by the increasing obesity levels in the US. Education for the 20th century is not acceptable for the changes...
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...20th Century Nursing Advances Ashley G. Tamayao University of Saint Lo uis Abstract This report includes the formation of different organization on national and international level, and milestone of different country on how each of them adapt to nursing standards during 20th and 21st century. This report also shows how nursing education evolves through time and the changes occurred to improve the practice of nursing. This also describes models of different theorists of nursing they derived that mold the hands of nurses for a more capable and more holistic care towards patient. 20th Century Nursing Advances During the 20th century the world has embraced innovation and reform. Throughout history, the needs for change have been the catalyst for people and organizations to give contribution to nursing education, practice and research. Nursing education has been determined not only by the evolution of technology and advances in science, but by the needs and development of society. The beginning of the 20th century was very significant because the first conference of the International Council of Nurses (ICN) met in New York State and passed a resolution stating that all nurses should be licensed by examination (Kalisch & Kalisch, 1978). As a result of the conference made by the International Council for Nurses (ICN), the Nurses Registration Act was passed on 12 September 1901 in New Zealand, providing for the registration of trained nurses. The legislation came...
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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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...The history of Nursing Science Theresa Nwaoha-Ezekwo NUR/13 October 25, 2012 Pam Monroe Florence Nightingale’s Environmental Theory While the history of nursing can be traced back to the early first and second centuries, or even earlier, the study of nursing research and theories is a 20th and 21st century phenomena. The act of nursing is rooted in the Greco-Roman tradition of humanista, which core values are respect for the dignity of person, and the right to be free of pain and suffering; and the Judaic – Christian tradition of Caritas, with core values of solidarity with the sick, hungry, homeless, and hopeless (Evers, 2003). Coming from this line of thought it is not surprising that Florence Nightingale as a professed Christian chose to care and advocate for the sick and poor. The study and history of professional nursing science, research, and theories although a late 20th and 21st century phenomena, is said to begin with Florence Nightingale. Her use of mathematical and statistical data to show the relevance of her findings; that environmental factors can, and do influence patient’s rate of recovery was the beginning of nursing research and science as it is known today. One could almost imply that Nightingale knew that outcome measures needed to be “relevant, and address both the constant and variable components in order to determine effectiveness of an outcome” (Blackwood, 2006). Over the past centuries, Nursing as an independent science has emerged...
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...does knowledge of the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the "Nursing Timeline of Historical Events" media piece. How have these trends influenced your perspective of nursing practice? Paraphrasing the great philosopher Santayana, we can say that those who dare to ignore the lessons of history condemn themself to go throw the same growing pains past generations had to go, unnecessarily. Modern nursing practice is based on scientific knowedge, technological accomplishments that have allowed the development of a data base of wisdom, knowledge, information and data about individuals and populations who suffer illness and sickness. Also, knowing that men and women of courage, determination and intelligence and observation skills paid a painful price to arrive to the knowledge base that we have now at our disposition, and had to fight many battles in the different communities and nations to advance the idea that the provision of a rational, compassionate and professional medical and nursing care oblige us to be grateful to they and to commit ourselves to continue practicing modern nursing without taking it for granted. One lesson contemporary medicine and nursing that shows a tendency to incorporate state of the art technologies and procedures to the nursing/medical care, may learn from this empirical stage of the nursing history is that we need to keep the compassionate...
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...head: HISTORICAL DEVELOPMENT OF NURSING 1 Historical Development of Nursing Valerie Spalding Theoretical Foundations of Practice NUR 513 May 31, 2014 Dr. Noura Kassis HISTORICAL DEVELOPMENT OF NURSING 2 Historical Development of Nursing The development of nursing has made giant leaps throughout the last century. Starting with Florence Nightingale, the history of nursing will be discussed. A few significant events, theories and theorists will be depicted. In addition, the relationship between nursing science and the profession will be described. Moreover, the influences on nursing science of other disciplines will be mentioned. Because nursing has a plethora of history and events, a few momentous historical events will be referenced. Theorists, Theories and History Theory as defined in Taber’s (2013), is a statement that best explains all the available evidence on a given topic. In 1859, Florence Nightingale’s Notes on Nursing that concentrates on the manipulation of the environment for the interest of the patient is recognized as the first nursing theory (George, 2011). Although more defined, so many of her notes are used in nursing practice today. “Every nurse ought to be careful to wash her hands very frequently during the day” p.20 (Nightingale, 1860 & Lim, 2010). Today, the World Health Organization and Center for Disease Control have strict guidelines for hand washing in nursing practice. In addition, Nightingale’s work...
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...HISTORICAL DEVELOPMENT OF NURSING 1 Historical Development of Nursing Valerie Spalding Theoretical Foundations of Practice NUR 513 May 31, 2014 Dr. Noura Kassis HISTORICAL DEVELOPMENT OF NURSING 2 Historical Development of Nursing The development of nursing has made giant leaps throughout the last century. Starting with Florence Nightingale, the history of nursing will be discussed. A few significant events, theories and theorists will be depicted. In addition, the relationship between nursing science and the profession will be described. Moreover, the influences on nursing science of other disciplines will be mentioned. Because nursing has a plethora of history and events, a few momentous historical events will be referenced. Theorists, Theories and History Theory as defined in Taber’s (2013), is a statement that best explains all the available evidence on a given topic. In 1859, Florence Nightingale’s Notes on Nursing that concentrates on the manipulation of the environment for the interest of the patient is recognized as the first nursing theory (George, 2011). Although more defined, so many of her notes are used in nursing practice today. “Every nurse ought to be careful to wash her hands very frequently during the day” p.20 (Nightingale, 1860 & Lim, 2010). Today, the World Health Organization and Center for Disease Control have strict guidelines for hand washing in nursing practice. In addition, Nightingale’s...
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...Professional Development of Nursing Professionals Robert Smith Grande Canyon University September 14, 2013 Professional Development of Nursing Professionals In 2010, comprehensive health care legislation was passed by Congress and signed into law by President Obama. These laws were the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act, collectively known as the Affordable Care Act (ACA). The ACA represents the largest changes to health care since the creation of Medicare and Medicaid programs 45 years prior. It is expected to allow more than 32 million Americans to finally afford health insurance. In the same year that the ACA was passed into law, the Institute of Medicine (IOM) wrote a report entitled The Future of Nursing: Leading Change, Advancing Health. The report was designed to show that nursing could help lead the future to a better health care system. A system that will meet the changing and challenging demands that will be realized with the implementation of the ACA. By virtue of their regular, close proximity to patients and their scientific understanding of care processes across the continuum of care, nurses have a considerable opportunity to act as full partners with other health professionals and to lead in the improvement and redesign of the health care system and its practice environment (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of...
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...The 2010 IOM Report: The Future of Nursing Michelle Kennedy Grand Canyon University NRS-430V April 5, 2015 The 2010 IOM Report: The Future of Nursing The Institute of Medicine (IOM) released its 2010 report called The Future of Nursing: Leading Change, Advancing Health and it calls for an increase in nurses working in the profession to be “80 percent BSN-prepared” by the year 2020. (An 80% BSN workforce by 2020?, n.d.). The four key messages that the committee developed included ideas such as: * Nurses using their complete education and training during practice * Nurses should have access to a better education system that lets them further their education successfully * Nurses should work with physicians as partners in changing the healthcare system in the United States * Policies and Procedures should effectively use data collection EDUCATION Along with the education portion of “BSN in Ten”, The Institute of Medicine focused on facts that nurse’s education from the 20th century were not adequate for the 21st century anymore. The patients’ needs and care environments have changed and become more complex. There have been arguments that it is not possible to teach nursing students in 2 years for an Associate’s Degree what the Bachelor’s Degree nurses learn in 4 years. There is not enough emphasis spent on the evidence based practice in a 2-year degree, therefore, making the Bachelor’s Degree a better choice. The nurses need to be educated to deliver...
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...Historical Development of Nursing Timeline Historical Development of Nursing Timeline The 19th century marked the beginning of professional nursing. Florence Nightingale was the legend behind it as she began the struggle of nurses being recognized as professionals. It is hard to believe that nurses were once assigned to the job as a sentence for crimes committed or for the women who were too old or sick to hold conventional jobs. Nightingale’s focus included infection control, documentation, patient safety, confidentiality, and evidence based practice, which seems common place today, but was very forward thinking for that period. The era of Florence Nightingale is just the beginning of the timeline of significant events and theoretical development that shaped the evolution of modern nursing and nursing science. Timeline 19th century | * 1836: Kiaserworth Deaconess Institute opens the first recorded school of nursing in Germany. * 1850: Florence Nightingale attends Kaiserworth for three months of training. * 1854: Florence Nightingale was nicknamed the ‘lady with the lamp’ by the soldiers during the Crimean war. This period is where she developed the foundation for evidence based practice. * 1860: The Nightingale school of nursing was established and incorporated theory as well as clinical experiences. She was the first nursing theorist. * 1861: Dorthea Dix is chosen as the first superintendent of the United States Army nurses. * 1874 The University of...
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...The Impact on Nursing of the 2010 IOM on the Future of Nursing. In 2008 ,the Robert wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) lunched a 2years initiative to to respond to assess and transform the nursing profession. The IOM appointed the committee on the RWJF ,initiative on the future of nursing at IOM. The IOM report is a recent development on the landscape of nursing, it include “The future of nursing ,leading change ,advancing health” which was released in October 2010.Its mission is to “serve as adviser to nation to improve health”. Its opinion are highly regarded and carry heavy weight legislative decision. The report outlines major categories of change needed in nursing to meet the health care need of the nation (IOM,2010). -Nurses should achieve higher level of education and training through improved education system that promotes seamless academic progress. -Nurses should practice to full extent of their education and training. -Nurses should be full partners ,with physician and other health care professional ,in redesigning health care in united state . Efficient workforce planning and policy making require better data collection and prepared information infrastructure. Impact of IOM on education; The 2010 Affordable care Act represent the broadcast health care overhaul since 1965,creation of Medicare and Medicaid programme. Transforming the healthcare system to provide safe, quality ,patient centered accessible...
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...Nursing 2020 John Doe University of Phoenix Professional Dynamics JMS-007V Jane Doe October 12, 2011 Nursing 2020 The growing demands of our society today with respect to our aging population, diverse ethnic backgrounds, health reforms, discovery of new medications and diseases, and development of new medical technologies serves as a clear warning for the nursing profession that something needs to be done to keep up with the pace. “With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce” ("Report," 2010). The message of the Institute of Medicine (IOM) in regards to the future of nursing clearly states that changes should be made in its field in order to meet these emerging demands. As stated in the IOM report on The Future of Nursing: “A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care setting 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” ("Report," 2010). Because of this, focus in the changes in education, nursing practice, nursing role, and leadership are the key requirements for nurses today. If changes are not started at this time, then the future of quality and safe nursing care is at risk. Knowledge is power, and quality education is needed to acquire knowledge. “A more educated nursing workforce would be better equipped to meet the demands...
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