...PROFESSIONAL DEVELOMENT OF NURSING PRACTICE Femi ISEMEDE NRS/430v February, 23 2014 Introduction. The impact of the Institute of Medicine (IOM) 2010 report as it affects the future of nursing in relation to nursing education, nursing practice, particularly in primary care and the nurse’s role as a leader will be our subject of discussion. The IOM is not a profit organization but an organization founded for the purpose of providing national advice with regards to biomedicine science, medicine, and health. It functions independent of the United States government and provides “unbiased, evidence- based and authoritative information and advice concerning health and science, policy to policy-makers, professional, leaders in every sector of the society and the public at large. In 2010 the IOM released a detailed report exploring the need of nursing profession to evolve and prepare for the impact that will occur as a result of health care reform and the transformation that will be seen on our complex health care system. Achieving this transformation will require remodeling many aspects of the health care system. With the recent passage of the Affordable Care Act (ACA), millions of Americans who could not previously afford health insurance now find themselves with the opportunity to seek and obtain medical attention that was previously denied to them. With a huge number of individuals who now are able to receive primary care. This brings the concern whether or not there will be...
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...quality. Prior to this assignment, leadership analysis will be provided, which is influence on working environment and the outcome of patient care in my unit. Following by literature reviewed on comparison between transactional and transformational leadership. Manoeuvre in supervise change and direction to convert work culture will be considered and last but not least this paper will conclude its point of view on leadership and its influence on team efficiency. At first, I am a stated register nurse with 5 years of an experience in Intensive care unit in a private sector hospital and graduated from one of the well-known nursing university of Malaysia. Currently, I am pursuing my study Bachelor of Nursing with local university in collaboration with one of UK University. Presently, I am working in 12 beds of multi discipline Intensive care unit. There are one nursing supervisor, one senior staff nurse, 26 staff nurses and 3 hospital attendants. Since I started working in this unit about 5 years ago, I realise that patient in this unit easily getting Hospital Acquired infection which is cause by poor working culture that actually affecting patient care. In general manner, the unit was facing a lot of complaints and getting high rate of Ventilator Associated Pneumonia to patient who is on long term of ventilator support. Similarly, poor term work also appears in this unit due to all selfish behaviour. When there was an adverse incident happen, everyone will just blaming each other...
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...Professional Studies Assignment Introduction For this essay I will be reflecting on an incident from practice, by drawing on developing knowledge, understanding and the application of professional studies. Reflection offers an opportunity to learn through an experience. This allows us to develop or sustain effective practice (Johns, 2000). I will be using the Gibbs (1988) reflective framework to structure my reflection (see appendix A). I find this framework very easy to follow, and as Clodagn (2003), explains it allows a person to implement alternative actions to an event, if followed. The incident will be described and the influence of key issues relating to ethical theories and decision-making, illness journeys and lay and professional perspectives will be explored. Principles of nursing models will be looked at and their contribution to individual patient care. I will also look at resource management, quality assurance and the role of evidence-based practice. For the purpose of this essay, to maintain confidentiality, the patient will be referred to as Mr Charlie Wood, (NMC code of professional conduct 2002; 5.1). Incident The incident occurred when I was a student on a medical ward. Mr. Wood, age 80 had been admitted to hospital following a stroke. From this he had lost the ability to mobilise and speak effectively. He was a very dependent gentleman and counted on the nurses to undertake all aspects of his care. His wife, whose name has also...
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...into nursing Student's Name Course Number May 29, 2014 Faculty Name Socialization into nursing The concept of the socialization of nursing and the actual application and practice of nursing, in my experience, are two completely different ideals. While the research suggests that professional socialization into the practice of nursing is where “individuals acquire a personal identity and learn the values, norms, behaviors, and social skills appropriate to their social position” (Melrose, Miller, Gordon, & Janzen, 2012, pg. 2), my experience was diametrically different. I encountered more dissension amongst the other nurses and very few of them had any interest in acclimating new recruits. The orientation process was more like a sink or swim environment and the only real transference of knowledge came when I confronted the more experienced nurses and bombarded them with questions regarding the specifics of the cultural processes and procedures. Conceptually, socialization into nursing should have been an opportunity for me to develop an identity as a nursing professional, however, that really didn’t take place until I after my orientation and I migrated to a different shift, with a new group of professional nurses who saw that I needed their assistance. At this point in my nursing journey, the process of socialization began to be more textbook like. New nurses were heavily oriented to the environment and were encouraged to ask questions. We were assigned nursing mentors...
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...Running Head: CRITIGUE OF PROFESSIONAL VALUES Critique of Professional Values: The Case of BSN-RN Completion Education Winston-Salem State University School of Health Sciences Division of Nursing CRITIGUE OF PROFESSIONAL VALUES The researchers were trying to address the professional values of RN-BSN students in completion of their education. The authors clearly stated the problem throughout the research study. The problem is very important and impacts the nursing practice today. The article explains how the RN-BSN professional values are being perceived in nursing practice today. The continuation education on professional values must be continued after BSN completion. The importance is necessary for nurses to continue with instilling the professional values throughout their career. This article is easily researched on line and anyone can access it for reading purposes. The purpose of the research was to explain few questions about the differences in the perception of professional values correspond with nurses who are currently practicing. If the differences do exist, the question would be are the differences related to educational background or other factors professional values. The purpose of the study is explained clearly throughout the article and background information...
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...The Age Old Debate: ADN vs BSN, a comparison Seth Ronning Grand Canyon University Professional Dynamics Kimberly Hammerton September 4, 2013 The Age Old Debate: ADN vs BSN, a comparison In battles of good versus evil through out history, good almost always triumphs in the end. For example the New York Yankees have won a total of twenty seven World Series Championships compared to the Boston Red Sox who have won a meager seven World Series. Another example would be Darth Vader returning from the dark side to vanquish the evil Emperor by means of hurling the villain over a rail to unseen depths and certain death. In the case of Bachelors level nursing compared to Associates level nursing however, there really is no good versus evil to compare. There is no dark versus light there is just a different level of attained educational degree. The question is what does the difference in education level provide in the level of competency of each nurse. The aim of this paper is to discuss what is the definition of competency in nursing and how is it measured, what are the advantages in nursing care for associates and bachelors degree care, and how do the differences in educational level affect overall patient outcomes. What is competency in nursing? The American Nurses Association, or ANA, defines competency by stating, “competency is an expected level of performance that results from an integration of knowledge, skills, abilities, and judgment” (ANA 2004). A nurses’ ability...
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...promote excellence in nursing and health care globally, American Nurse Credentialing Center introduce a recognition program called Magnet. Magnet recognized institute demonstrates high quality in patient and nurse satisfaction, superior nursing practice and outcomes. Magnets designation helps to foster a collaborative culture that attracts and retain top talent nurses. It also improves patient care, safety, and satisfaction. The goal of Magnet Recognition Program is to 1. promote quality in a setting that supports professional practice, 2. Identify excellence in the delivery of nursing services to patient 3. Disseminate best practice nursing services Also, magnets provide an Internet -based learning program for nurses to share evidence-based practice, resource, research, experience and strategies that led to quality patient care, nursing excellence and innovations in professional nursing practices. The Magnet model is base on four basic principle: Transformational Leadership, Structural Empowerment, Exemplary Professional Practice, New Knowledge, Innovation and improvement and Empirical Outcome.Magnet recognized nurse demonstrate patient advocacy.Nurses also involved in shared governance and decision-making structures and process of established standards of practice and address opportunities for improvement. Magnet is not an award it’s credential, once the hospital has attained Magnet status, it must continue to deliver and maintain nursing excellence.Magnet...
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...According to the Texas Board of Nursing, nurses are advised to use the six-step decision making model developed by the board to assist nurses make a sound professional judgment before undertaking a nursing task or procedure.(Texas Board of Nursing,2010) Step-1: Is the act consistent with the Texas Nursing Practice Act (NPA)? (Texas Board of Nursing: NPA, Ch 301.002(2) Step-2: Is there an appropriate order that authorizes the performance of the activity? Step-3: Is the act supported by conclusive scientific data from nursing research or evidence based practice standards? Has the action approved by a national nursing organization for nurses to practice it in accordance with the guidelines and standards issued by the organization? Step-4: Does the nurse personally posses the knowledge and clinical competency to perform the task safely? Step 5: Is the act within the accepted nursing standards of care which would be provided under similar circumstances by another nurse who have similar training and experience? Does an adverse reaction or consequence of action be resolved by nursing intervention only? Step 6: Is the nurse prepared to accept consequences of the actions? (Accountability).If there is a “no” answer for any of the steps above, then task is not in the nurse’s scope of practice. On top of following this six-step model, the nurse should always take in to consideration any physical, emotional, or institutional ( Eg. Availability of necessary...
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...There are so many comparisons between the GCU Mission and Domains/CON Mission and Program Competencies and the AACN's Essentials for Master's Education for Advanced Practice Nursing, but they are quite similar. Mission: Grand Canyon University prepares learners to become global citizens, critical thinkers, effective communicators, and responsible leaders by providing an academically challenging, values-based curriculum from the context of our Christian heritage. The College of Nursing and Health Care Professions faculty believes in educating nurses within a dedicated and supportive community of Christian values. Curriculum: The curriculum at GCU is designed to prepare students with the skills and knowledge needed in the contemporary job market. Students are challenged to develop these tools and to push their intellectual limits in order to become successful in their careers. The AACN nursing programs prepare graduates to provide excellent, holistic care while encouraging a passion for achievement, a lifelong curiosity for knowledge, and pursuit of advanced professional degrees. In addition, the GCU curriculum fosters personal discovery so that students realize within themselves the elements of compassion and accountability. Grand Canyon University is a premier Christian university and a uniquely important element of the GCU mission statement is the defining attribute of its Christian heritage. The GCU community defines its culture by the way its members reflect a committed...
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...a page. I want to understand why a new grad BSN trumps my six years of experience as an ADN. Continuing my research, my eyes began to open. BSN programs offer more in depth theoretical concepts, community and public health issues according to nurselink.com. According to the GCU website, I will learn self-leadership by learning how to use the facility and participate in the GCU community. I will be a good communicator. I will sharpen my analytical and problem solving skills. I will know and have appreciation for diverse groups of people. In my present class I’m learning nursing practice companies and theoretical models. Ok, fine I thought. Then I discovered the Core Competencies, set of guidelines for graduating nurse to assist in a successful career created by the National League of Nursing. Four areas of growth should occur by graduation. The categories are Human Flourishing, Nursing Judgment, Professional Identity, and Spirit of inquiry. According to NLN, a successful ADN will in the following categories be able to: Human...
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...of Phoenix Material History of Nursing Research Worksheet There have been many influential publications, agencies, and people in the field of nursing research. Write 1–3 sentences in each cell of the table below to describe the importance, goal, or influence of each item. |Publications |First publication date and importance: | |Nursing Research |First published: 1952 | | |Importance: “Research conducted by the ANA and other specialty | | |groups provided the basis for nursing practice standards that | | |currently guide professional practice. The increase in research | | |activity in the 1940’s prompted the first publication of Nursing | | |Research” (Burns & Grove, 2007, p. 9). | |Sigma Theta Tau Journal published by this organization is |First published: 1967 | |now called Image—The Journal of Nursing Scholarship |Importance “Features scholarly work in all areas of nursing and | | ...
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...Stages of Development The practice of professional nursing have evolved over the years, contemporary nursing practice is different from that of the past, but issues affecting the profession today are related to our history. Developing a sense of nursing evolution provides the background necessary to understand current nursing practice. The development of the discipline of nursing practice has gone through stages which helped in shaping the characteristics of the discipline as a human science. Thus, we have these stages of development of theoretical nursing: 1. Stage of Practice, Apprenticeship and Services. This stage deals with the provision of health care for the promotion of healing and sense of well being and creation of healthy environment in order to minimize suffering and deterioration. 2. Stage of Education and Administration. In this stage the focus is on social goals to empower nurses to provide effective and quality care by developing programs that suits best for nurses to develop their craft. 3. Stage of Research. This stage nurses needs to improve the nursing practice, by engaging in any scientific studies. There is a challenge to develop the substantive content needed for practice with nursing disciplinary perspective. 4. Stage of Theory. This stage gives emphasis on the basic query around the heart of nursing and its undertaking and objectives, and focus on the attempt of the development of nursing theory and research and legitimacy of the approach of knowledge...
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...Nursing 101 The Art and Science of Nursing Spring 2013 PRE-REQUISITES AND CO-REQUISITES: None COURSE CREDITS AND COURSE HOURS: 3 credits (3, 1, 2) GRADING SCALE: Refer to 2011/2012 CNC Calendar, p. 110 COURSE DESCRIPTION: This course introduces the beginning student to the dimensions of professional nursing practice. Through group and individual learning activities, students are introduced to concepts, professional nursing practice, issues & trends in nursing, and the Canadian health care system. This course establishes the foundation for your future nursing career. COURSE STRUCTURE: Classes are delivered using lecture, discussion, group work, and lab and clinical experiences. There is also an online component to the course. Please visit the Nursing 101 Moodle shell regularly for readings and submission of assignments. There are required readings assigned for each week and material from these readings will be applied during class activities. It is expected that students will have completed the required readings, as this will help facilitate each students’ active participation in the course and the achievement of learning outcomes. All required and supplemental readings are testable material. STUDENT REQUIREMENTS: PARTICIPATION IN ALL LAB AND CLINICAL SESSIONS IS MANDATORY. FAILURE TO ATTEND YOUR SCHEDULED SESSION WILL RESULT IN FAILURE OF NURSING 101. (See policy regarding illness in student handbook & CRNBC Fitness to Practice Requirements). You must...
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...across Theories The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way. Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a conceptual model, which identifies the focal point of nursing inquiry and guide the development of mid-range theories that will become useful to nurses and also to other health professionals. According to Walker and Avant (2011), these theories contributed in “conceptually sorting the nursing from the practice of medicine by demonstrating the presence of distinct nursing perspectives.” In this essay, Orem’s Health Care Deficit Theory and Sister Callista Roy’s Adaptation Model are compared and analyzed for their importance in nursing. Orem’s Self-Care Deficit Theory Orem’s Self-Care Deficit Theory is one of three grand theories written by Dorothea E. Orem. According to Orem, nursing becomes necessary when an individual can no longer care for him or herself. Nursing provides care through acting, guiding...
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...Walden University Nurs-6015-1 Information & Healthcare Technologies Applied to Nursing Practice February 23, 2013 Nursing informatics affecting attitude The professional role of nursing is evolving and nurses are recognizing the integral connection of informatics competencies to evidenced based practice and the roles it plays in clinical decision making, nursing research, measurement of nurse sensitive outcomes, professional development, operational effectiveness, and ultimately the nurse-patient relationship (Schleyer, Burch, & Schoessler, 2011). It is essential with the advancement in technology that nurses become more user friendly and have a higher level of training in the area of nursing informatics. Nursing informatics has taken a step toward advancements in technology over the last decade with many facilities across the nation implementing these new systems. These new systems are designed to assist nurses and providers by reducing repetitive documentation, reducing medical errors, reducing medication and administration errors, increasing the quality of care for patients, and increasing patient outcomes. My attitude is positive and accepting of nursing informatics from the knowledge gained throughout the course. It has given me a higher level of awareness with everything nursing informatics can assist in and it has given me a feel of being more opened to using newer technology. Having a positive attitude can affect the overall implementation of a new...
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