...benefits of a living a lifestyle free of negative health behaviors. The purpose of health promotion in nursing practice is to switch gears from protection of certain diseases to focus on improving the general health of the people they serve. Health promotion has changed the roles and responsibilities of nurses. Increasing demands are placed on nurses as healthcare has shifted from an acute, hospital-based care to preventive, community-based care. The home is now the primary place healthcare takes place. Reimbursement for hospital care is less resulting in shorter stays. Nurses must take on additional roles and play a bigger part of disease prevention and health promotion. A greater emphasis is being placed on nurses being more independent in their practice. Nurses are expected to be increasingly accountable morally and legally for their behavior. Nursing has evolved into many roles as advocates, care managers, consultants, delivery of services, educators, and healers. As advocates a nurses strives to ensure the patient receives the high quality, best care in a cost effective manner. In the role of a case manager the nurse strives to maintain continuity of care, prevent ineffective or unsafe care, and service duplication. To be successful in the role of care manager the nurse must...
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...Entrepreneurship Reflection Essay Entrepreneurship is the process of starting a business or organization within a field that is designed to attract a target audience and provide supplies to meet their demands. The health care industry is very complex and thrives on advances within the field and in medical technology advancement. Most entrepreneurs within the health care industry are looking to expand the access and advancements within health care. There are pros and cons to entrepreneurship within the health care industry. Positive Effects of Entrepreneurship on Health Care One of the most positive effects of entrepreneurships within the health care has been in the new ways of technology and the ability they have on the innovation of using that technology to help in treatment and care of patients. Advances in technology are allowing for patients to receive quality that is needed. Technology has helped in the research and detection of diseases and illnesses. This research has then in turn helped health care professionals to be better prepared for illness and diseases and take possible precautions to help with the spread of these illnesses. Another positive effect of entrepreneurship on the health care field, is the establishment of alternative urgent treatment to a primary physician’s office or to the trip to the emergency room. Concierge and direct primary care locations can now be located in local pharmacies such as CVS and Walgreens. These local minute clinics and urgent...
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...of confidence and reassurance about working in an acute ward. Reflection is a process of learning from ones experience (Spalding, 1998). The objective of my experience is to show the positive effect of using therapeutic communication skills with patients. Therapeutic communication can be described as a face to face technique of forming a rapport between a nurse and a patient that focuses on advancing the psychological, physical, social and emotional well-being of the patient. It usually involves providing health education and the use of strategies that give confidence to a patient to communicate feelings and ideas and that conveys acceptance and respect. Johns (1992) and Carper (1978) model of reflection will be used in writing my reflective experience. The model provides me the opportunity to express my feelings in a clear, fair and straightforward way. In the first week of my placement, I was assigned a mentor. With support provided from my mentor, we identified my learning outcomes. One of my learning outcomes is to provide support to three identified patients under my mentor as their primary nurse. I will be using the provision outlined in the NMC (2008) code which proclaims the importance to respect individual’s confidentiality and hence the identity of the patient concerned in this reflection will be kept anonymous. He will simply be referred to as Mr K. Description Mr K is a fifty-two year old patient in an acute ward diagnosed with bi-polar disorder....
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...Nursing Expertise Self-Report Scale and Reflection Dawn Haag HCS/350 October 29, 2012 Polly Hanson The purpose of this paper is to provide my reflection of the results of The Nursing expertise self-report scale and how the results will be used to improve communication skills in health care settings. The scale used in this assignment, developed from Patricia Benner’s model of clinical competence, measures self perception by a nurse progressing from novice to expert. Her model suggests a link between experience and expertise using a scoring method. “The nurse-expertise self report scale has 20 items scored using a Likert Scale from Strongly Agree to Strongly Disagree” (Hansten & Jackson, 2009, p. 178). Based on the scoring of those 20 items as determined by a point value assigned to expert and novice, this writer scored 85 out of a possible 100. This score, according to Benner’s system, reflects experience resembling closer to expertise rather than novice. Acquiring 28 years of nursing experience, I would expect to have evolved closer to expert than novice in patient care, however; I know with each new day and each patient or situation, an opportunity exists to learn something new. I have often identified communication skills as an area that I could improve upon. In the early stages of my career, communicating with my patients seemed easier than communicating with my peers and superiors. Over time, I have become a more confident communicating with my peers...
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...the management of this case, which I would like to further explore, is the psychosocial care of patients with chronic illnesses, and the relevance of this to primary care. On reflection of this case, it is evident that much of Mr DS’s long-term care is under the management of specialist physicians or other members of the multidisciplinary team. For example, his cardiovascular and respiratory health is under the management of specialist physicians, he has been under the care of orthopaedic surgeons for the management of musculoskeletal problems, and his care has also received extensive involvement from occupational therapy and physiotherapy. However, the psychosocial health of both the patient and the patient’s family...
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...Date: File Name: Sherman “Red” Yoder Discipline: Nursing Student Level: Expected Simulation Run Time: 20 minutes Guided Reflection Time: 20 minutes Location: Simulation lab Location for Reflection: classroom Admission Date:Today’s Date: Brief Description of ClientName: Sherman “Red” YoderGender: Male Age: 80 Race: CaucasianWeight: 109 kg 240 poundsHeight: 183cm 72 inchesReligion: ProtestantMajor Support: Jon (son) Phone: 869-555-3452Allergies: no known allergiesImmunizations: Influenza last fall; tetanus – 4 years agoAttending Physician/Team: Dr. Frank BakerPast Medical History: Diabetes Type 2 diagnosed ______ (insert month that is six months prior)History of Present illness:Developed an ulcer on his big toe that was treated at home for 2 weeks. Son brought patient to ER 6 days ago and patient was treated for sepsis with IV antibiotics.Social History: Widower; Son (Jon) lives nearbyPrimary Medical Diagnosis: SepsisSurgeries/Procedures & Dates: L4-5 laminectomy – 25 years ago; transurethral resection of the prostate – 6 years agoNursing Diagnoses: Impaired Walking; Impaired Skin Integrity; Ineffective Health Maintenance; Ineffective Self Health Management | Psychomotor Skills Required Prior to Simulation Basic head to toe assessmentAssisting a patient with ambulationWound assessment and wet to damp dressing changeCognitive Activities Required prior to Simulation [i.e. independent...
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...Windshield Survey Summary and Reflection Kysa Douglas, RN NUR/405 November 10, 2014 Sybil Meadows, MSN, BSN, RN Windshield Survey Summary and Reflection There are many different definitions for what a community is. The one I find most appropriate is from the World Health Organization (WHO). They provide the following definition: “A group of people, often living in a defined geographical are, who may share a common culture, values and norms, and are arranged in a social structure according to relationships which the community has developed over a period of time. Members of a community gain their personal and social identity by sharing common beliefs, values and norms which have been by the community in the past and may be modified in the future.” (Stanhope, 2012) According to Stanhope community health is “the meeting of collective needs by identifying problems and managing behaviors within the community itself and between the community and the larger society.” (Stanhope, 2012) The community becomes the client when the focus of the nurse is on the collective or common good of the population rather than a single patient. The nurse may care for individuals or families, but the resulting changes in health are intended to affect the community as a whole. Even if direct nursing care is provided to an individual, if their health needs are a common community-related problem, it is still considered community health. With the community as the client, decisions are made...
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...their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to demonstrate the quality of our care and team working abilities. There is a connection between practice and thinking about practice – action and reflection are interdependent; they need one another. Reflection may be triggered by an awareness of a gap between theory and practice, a difference between what ‘should be’ and ‘what is’ (Sullivan & Decker 2005). Our actions and the quality of our care are improved by reflection-on-action, by making sense of what we have experienced, and thinking about how we might act differently in the future (Lillyman & Ghaye 2000). Reflection has a rôle in maintaining one's personal portfolio and maintaining competency and continuing professional development. Support and supervision from managers, who already have a responsibility for assessing competence and continuing professional development of staff can help make this process much easier (Jasper 2001). Reflection is a very personal matter, through our reflections we learn not only about our own...
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...Running head: COMPARISON PAPER Comparison Paper Epidemiology: Global and Public Health NUR408 October 11, 2009 Comparison Paper Public and community health nursing are specialty areas that have been and will continue to be practiced and each having a specific area of focus. Research has indicated that many individuals tend to see each entity as one and have a misconception that public and community nursing is one in the same (Stanhope & Lancaster, 2008). The misconception is just that, a misconception. In the reading to follow, each area will discussed and one will be able to see the similarities and differences, the history and development and the role that is expected from each area of expertise. Although each specialty works within its main area of focus, the two also work closely together for the good of the individuals within the public and community sectors. Community and public health nurses strive to improve the health status of individuals, families, and populations. History and Development Public health and community health nursing has been in circulation for more than 120 years. Lillian Wald is known for being the established leader in this specialty. The goal of public health nursing has been to develop strategies to respond to prevailing public health problems. One of the earliest traditions of public health in America was similar to the British law known as the, Elizabethan Poor Law of 1601 (Stanhope & Lancaster). This law guaranteed...
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...path. Gary Rofle (2002) suggests that it’s not a pure science and discounts the opinion that nursing reflects technical rationality. He suggests that reflective learning, learning as an outcome of doing, which is closely related to art and which differs from individual to individual, dimension should also be considered. From the above discussion we can conclude that nursing is both art and science. In the words of Florence Nightingale ‘it requires preparation and dedication as hard as any sculptors work and its one of the finest fine arts’. In yet another instance she highlights the science behind the practice; ‘the most important practical lesson that can be given to nurses is to instruct them what to observe’, observation being a primary concept in science....
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...Reflection Paper One Advanced practice nursing (APN) can be loosely defined as an area of nursing in which nurses are required to practice at an advanced level in a specific area of interest. APN extends the boundaries of nursing’s scope of practice and contributes to nursing knowledge, and the development of the profession (Canadian Nurses Association, 2008). In order to become an APN, the nurse must obtain a master’s or doctoral degree from an accredited university in an area of concentration designated for advanced practice nursing. According to Joel (2009), there are currently four major groups of APNs: certified registered nurse anesthetist, certified nurse midwives, clinical nurse specialists, and nurse practitioners. APN focus on critical thinking, educating the public, diagnosing and treating illnesses, and prescribing medications to name a few. This paper will discuss the future of the nurse practitioner and how I, as a future adult-gerontology primary care nurse practitioner, will advocate for my patient population. Philosophy and Beliefs of Nurse Practitioners Due to the fact that nurse practitioner is a branch of advanced practice nursing, the two professions often share many of the same philosophic beliefs. The overall philosophy of both professions is centered on four key concepts of person, society, health and nursing; whereas, the core philosophy for nurse practitioners is that of individualized care where focus is on patients’ conditions, as well as, the...
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...Impact of 2010 iom report on future of nursing The nursing profession is a vast expanding profession that is based on new researches and innovations. In this profession attention is directed to the patient rather than on healthcare professionals.it is important for nursing profession to have more educated,skilled,trained nurses in order to provide best care to patients that is changing with more developed technologies .To meet the basic needs of advancing healthcare system some transformations are needed-practice,education,leadership.In 2010 The IOM and the Robert Wood Foundation brought the new report -The Future of Nursing Leading change,Advancing Health to address some changes in healthcare system in order to meet high demands of future nursing. Impact of iom report on nursing education Education is essential for nurses to work efficiently in their field. Nurses with higher Education become able to use Critical Thinking,Knowledge,skills.Based on IOM report it is required to change the education format as now BSN are in more demand.It is addressed in IOM report to have 80% BSN nurses by 2020 and to meet this target it is necessary to increase education level- by Having low cost, high level education available for Public-for which Providing funds by states and federal agencies is a helpful step.As seen today Many ADN degree nurses moving further for BSN degree by going back to studies. By this change more nurses will be...
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...AN INDEPENDENT VOICE FOR NURSING Work Engagement, Moral Distress, Education Level, and Critical Reflective Practice in Intensive Care Nurses nuf_237 256..268 Lisa A. Lawrence, PhD, RN Lisa A. Lawrence, PhD, RN, Instructional Faculty, Nursing Department, Pima Community College, Tucson, AZ Keywords Critical reflective practice, education level, moral distress, registered nurse, work engagement Correspondence Lisa A. Lawrence, PhD, RN, Nursing Department, Pima Community College, Tucson, AZ E-mail: llawrence@pima.edu AIM. The purpose of this study was to examine how nurses’ moral distress, education level, and critical reflective practice (CRP) related to their work engagement. The study is relevant to nursing, given registered nurse (RN) documented experiences of job-related distress and work dissatisfaction, and the nursing shortage crisis. A better understanding of factors that may enhance RN work engagement is needed. METHODS. A non-experimental, descriptive, correlational design was used to examine the relationships among four variables: moral distress, education level, CRP, and work engagement. The sample included 28 intensive care unit RNs from three separate ICUs in a 355-bed Southwest magnet-designated hospital. RESULTS. There was a positive direct relationship between CRP and work engagement, a negative direct relationship between moral distress and work engagement, and CRP and moral distress, together, explained 47% of the variance in work engagement. Additionally...
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...ALTER THIS PAPER....IT HAS BEEN SUBMITTED TO TURN IT IN....USING IT VERBATIN WILL RESULT IN A 100 MARK AND IDENTIFICATION WITH ANOTHER STUDENT PAPER...IN OTHER WORDS, YOU WILL BE FOUND TO BE COMPLETELY CHEATING AND MAY BE EXPELLED FROM YOUR UNIVERSITY...I WOULD USE IT AS A GUIDE, A LAUNCHING POINT....SOMETHING YOU COULD PARAPHRASE OR BORROW SOME IDEAS... Personal Theory of Counseling or Psychotherapy Personal Theory of Counseling or Psychotherapy Personal Theory of Counseling of Counseling or Psychotherapy Introduction This application paper will discuss my personal theory of counseling or psychotherapy in a number of different areas. Specifically, I will discuss the seven areas of interest. First, I will discuss and describe my basic view of human nature, Second, I will determine key factors that account for changes in behavior. Third, I will describe the nature of the therapist client relationship and its importance. Fourth, I will describe key functions and role of the therapist. Fifth, I will discuss the goals of therapy. Sixth, I will determine the techniques and theories of my approach. Seventh, I will discuss specific client issues best suited for my approach. (Walden University, 2012). In this paper I plan to describe and explain my own personal model for counseling. My personal model of counseling uses Gestalt Therapy, Person Centered Therapy, Existential Therapy and Adlerian Therapy which I think complement one another well My Basic View of Human Nature ...
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...Behavioral Problem The behavioral problem presented is a refusal for a colposcopy following an abnormal PAP smear from a 22-year-old woman. After missing two appointments, she has expressed that she no longer wants to proceed with the procedure as she fears experiencing pain and the test results. The purpose of using motivational interviewing techniques with this patient is fueled by the importance of follow up from abnormal PAP smear results. High-grade squamous intraepithelial lesion (HSIL) depicts changes to the cervical cells with a high association to precancerous or cancer cells (American Congress of Obstetrics and Gynecology, 2016a). Further, the patient has a potential cervical intraepithelial lesion (CIN) that may be a precancerous lesion and requires diagnosis by colposcopy (ACOG, 2016a). Cervical changes,...
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