...The Significance of Having a Multidisciplinary Team 3 Abstract The growing prevalence and hospital acquired pressure ulcers is an immediate concern. The major challenge is the A major challenge is the lack of knowledge and skills in wound identification, management, treatment and prevention. This, along with other factors, creates poor patient care and vast costs to the pertinent facilities. The solution is to have interprofessional collaboration. The utilization of current advanced practice nursing staff as a resource for floor nurses and other involved healthcare workers is a must. This would obtain certification in wound care and be responsible for the ongoing continued education for wound prevention, monitoring and maintenance. The staff will be educated and trained at quarterly intervals on wound identification, staging, prevention, maintenance and monitoring. Key words: wound care, evaluation, pressure ulcers, multidisciplinary, specialist, evidence The Significance of Having a Multidisciplinary Team 4 Problem Identified The Centers for Medicare & Medicaid Services (CMS) declared in October of 2008 that it will no longer provide reimbursement for hospital acquired pressure ulcers (HAPUs) because it is a preventable occurrence (CMS, 2014). Even though the percentages of occurrences have declined since then, HAPUs continue to cause financial strain on institutions (estimated $9.1- $11.6 billion dollars loss annually)...
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...Henderson’s Nursing Theory Critique Gaylinn Breeze Maryville University Abstract This paper aims to provide an in depth critique of Henderson’s Nursing Theory using Fawcett’s framework for analysis and evaluation of nursing models. This paper will provide an analysis of the theory based on its scope, context and content. Secondly, the paper will provide an evaluation to unearth its significance, internal consistency, testability, as well as provide empirical and pragmatic adequacy. Lastly, the paper will give a detail of its assumptions and limitations. Virginia A. Henderson’s Nursing Theory Critique Virginia A. Henderson was considered a mother of nursing in the advent of modern day nursing. Her contribution to the nursing system was widely considered as a tool for transforming the nursing practices in health facilities. She gave elaborate guidelines and drew attention of nurses towards what an effective nursing practice would require of them. In her own setup, she carried out research and formulated a theory. Her theory of nursing focused on providing patients with factors that would enhance independence for the patients. In her efforts to transform the patient’s care approach, she acknowledged that basic needs were of primary concern in enabling a functional nursing approach. Her relationship between nursing care and basic needs propagated the ‘Needs Theory’. Scope and Origin ...
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...Desmond Mueller California State University, Fullerton School of Nursing Concepts of Professional Nursing Practice BSN 306, Section 05 Anne Johnston-Silverberg, MS, FNPc September 14, 2012 The Affordable Care Act: The Role of the Nurse Practitioner The recent implementation of the Affordable Care Act (ACA) has had a significant impact on the American health care delivery systems. The passage of this bill mandates that all Americans must have health care coverage and that insurance companies cannot disqualify applicants due to preexisting conditions (National Council of State Boards of Nursing, 2014). These changes will undoubtedly lead to an increase in the number of people seeking medical care, particularly those with chronic diseases. It is estimated that this influx in the number of patients will result in a primary care provider shortage of 20% by the year 2025 (Poghosyan, Boyd & Knutson, 2014). With many new physicians choosing to pursue specialties due to the promise of a larger salary, hospitals and clinics will need to start looking to other health care providers, such as nurse practitioners, to fill this role. The purpose of this paper is to discuss the role nurse practitioners play with regards to the Affordable Care Act by examining the history and qualifications of nurse practitioners, the current practice of nurse practitioners, the basics of the Affordable Care Act legislation, and potential nursing challenges. History of Nurse Practitioners The role of...
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...Exam Sarah Miller The Ohio State University College of Nursing Question #1: You are interviewing for an advanced practice nursing position in a multi-physician practice. They have no prior experience with Advanced Practice Nurses or Nurse Practitioners. Please discuss how you might convince them to hire you. Please describe how you would benefit the practice by explaining the role, function, and limitations of a nurse practitioner. Incorporate research demonstrating the significance of the advanced practice nurse to support your position, including cost-related issues. The nurse practitioner role is one that has expanded significantly since its conception. As noted by the APRN Consensus Model, we...
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...A COMPARATIVE STUDY OF THE PHILIPPINES AND U.S.A. B.S. NURSING CURRICULUM In Partial Fulfilment of The Final requirements for the Subject CURRICULUM DEVELOPMENT ________________________________________ Prepared and Submitted by: ROTSEN J. JAMBONGANA, RN CHARMAINE S. DACLES, RN ANA TESSA SOLIGUEN, RN STEPHANIE VARELA, RN TRACY SARMIENTO, RN MICHELLE CAñA, RN PEARL DOLALAS, RN ________________________________________ Respectfully Submitted to: MRS. MERLE SALVANI, MN Professor MASTER IN NURSING University of St. La Salle March 2011 Abstract At the undergraduate level, individual college and university administrations and faculties sometimes mandate core curricula, especially in the liberal arts. But because of increasing specialization and depth in the student's major field of study, a typical core curriculum in higher education mandates a far smaller proportion of a student's course work than a high school or elementary school core curriculum prescribes. In the United States, most control over education rests with the various state governments. Each state has different laws and objectives for education, but the states generally permit schools and colleges to operate with considerable independence and autonomy. As a result, American educational institutions can vary widely in the type and quality of their programs. To maintain consistent standards of education, the U.S. Department of Education officially recognizes private accrediting agencies...
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...Differences and in Competencies between Nurses Prepared at Associate-Degree versus the Baccalaureate-Degree Level in Nursing Yolanda Youngblood Grand Canyon University Some will argue that there is Avast difference between nurses that possess a BSN vs those that possess an AND. Nurses with a BSN when compared to nurses with a AND display apparent variances and likenesses when the amount of education in various programs, the years required to obtain a degree, how educational/degree rankings affect delivery of patient’s care and effect, and the various requirements needed for licensing where all analyzed. It is understood that nurses with a BSN and nurses with a AND are held to the same standards, have the same responsibilities and liabilities, and usually work in the same healthcare settings. Nevertheless; a nurse’ professional experience, work setting, and level of education could possibly create a difference in the manner in which said nurse might administer patient care, handle stressful scenarios, and work towards their career trajectory. The direction in which modern technology and the healthcare industry are heading in a nurse’ level of education should be brought to the forefront. There isn’t substantial evidence to prove that nurses with BSNs are better equipped than nurses with ADNs, but there are those in the healthcare sector that are leaning towards requiring nurses to have their BSNs. A BSN is vastly encouraged in the...
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...theory the next thought should be nursing because the foundations of nursing are built from nursing theories. The history of nursing holds a significance to theory in that theories help establish nursing as a profession (Smith & Liehr, 2014). Theories from the past in the Nightingale era and new theories today in the 21st century aid in the guidance of nursing practice and research (Smith & Liehr, 2014). In the twentieth century, nursing was not recognized as an academic discipline or a profession (Alligood, 2013). As theories such as the middle range and grand theories are being brought to the forefront of nursing education, nursing is being viewed now more than ever as a profession. The purpose of this paper is to compare and contrast the middle range and grand theories and discuss how they are relevant to nursing practice. A relevant and important concept for nurses to understand is that theory informs practice and research in the everyday world of nursing and that the existence of nursing is founded on theories (Smith & Liehr, 2014 ). Every procedure, assessment, and nursing intervention is related to and guided by nursing theory and it is every nurses obligation and responsibility to utilize theory into their practice. Theory is a key component in the history of nursing as an academic discipline and it is vital to the practice of professional nursing (Alligood, 2013). Two major theories that are useful to nursing practice but provide different types of utility...
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...the Future of Nursing in Education, Practice and Leadership NRS-430V Professional Dynamics September 12 2012 This paper focuses on expanding the impact of Institute of Medicine report on future of nursing, leading change, advancing health and illustrates its impact on nursing education, practice and leadership. Focus of this report highlights re structuring of the health care system to provide better service to patients. Today nursing is recognized as a promising career and has gained much significance over the years, several programs for becoming a nursing professional are being offered by universities, community colleges and hospital based schools. Since the mid 20th century, demands for nursing professional have been on an up rise, there has been a tremendous increase in the number of nursing graduates in the last decade (NLN, 2010b). The focus of nursing education have shifted to new dimensions such as community health, public health, primary care, geriatrics, disease prevention, health promotion and other areas rather than being limited to a particular area. And this is mainly to prepare nurse to deal with evolving health care system. Demand for nurses produced high amount of entry-level nurses, the study emphasizes highly educated nurses are preferred to handle todays today’s health care challenges. By 2020 the nursing work force should consist of 80% BSN (Bachelor of Science in Nursing) prepared nurses. Achieving this targeted BSN level nursing workforce involves...
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...Competences were created to govern the continuum of several types of nursing practices in all aspects of nursing programs and thus set the pace for graduates to provide accurate and competent care at a higher level of performance that displays knowledge, skills, abilities and judgment (American nurses association 2008 pg. 3) As healthcare becomes more advanced and complicated both level of nurses at the Associated Degree Nurse and the Baccalaureate nurse tend to differ due to the fact both category has its own responsibilities and role The role of the Associated Degree nurse is primarily based on technical skills as oppose to the nurse with a baccalaureate degree is competent in both technical skills and more advanced in critical thinking communication and decision making skills an Associated Degree Nurse is none the less responsible in both hospital or non hospital environment. Even though there’s a difference with the level of competency in both categories of nursing yet both categories are expected a generally high level of safety practice in every respect . A nurse with an Associate degree in no doubt expects to apply their objectives and theories into providing the highest level of care. This nurse is expected to demonstrate experience and skills gained through her years thus administering the optimum of care to clients. It is of significance that this level of nurse develop a sense of comradely with clients and members of their family...
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...The American Nurses Association (ANA) states nursing is 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. Nurses are delivering their care in a wide variety of practice areas with different scope of practice. The Institute of Medicine (IOM) was founded in the year of 1970, to aid the government and non-government zones in making decisions in health related issues, by providing reliable evidence. Robert Wood Johnson Foundation was the sponsor of IOM 2010 report, which is considered as the first move on the future of nursing. Astudy was conducted to explore the various ways in which nursing profession can transformed in order to increase the opportunities and to organize a health care system, which will deliver a quality standard care. The main focus of the report was to develop a standard health care system for the future, through which a large populations of United States will be able to achieve a quality care. The significance of the IOM report education sector The IOM report has a strong impact in the area of nursing education. Health industry is advancing day-by-day at a maximum pace. So, it is very important for nurses to upgrade their knowledge level to comply with the requirements of changing health care system, which can be achieved by higher education...
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...is linked to real problem thinking and why critical thinking is essential to problem solving especially the management practice. Finally a brief conclusion is drawn at the end of the essay. Diverse materials and references are utilized to cross examine the topic of critical thinking under a reasonably large contextual circumstance. As a project manager, it is of great importance to use critical thinking to understand new information, to evaluate and solve problems and to make sound decisions. Making decisions using critical thinking skills in today's world - a world with increasing number of conflicts, pressure and uncertainty is more imminent than ever before. Organizations and businesses today are confronted with multiple challenges including increasing conflicts brought by economic globalization, fast-paced developing technology and growing diversity. All of these highlight the importance of critical thinking in nowadays society. Critical thinking is the process of collecting and evaluating resources in order to make the most appropriate decision. By adopting critical thinking theory and inferred practice, decision makers such as project managers can effectively deal with these challenges and make reasonable decisions. This essay seeks to expatiate the theories of critical thinking and the theory-related real life practices, also the special significance of critical thinking to project managers will be demonstrated. Critical thinking, in a rather simple term, is using...
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...SYNTHESIS OF ADVANCED NURSING ROLES BROWN_K_W5A2_SU_NSG5000 Kerry Ann Brown South University Due to the changing health care environment, the nursing profession is currently in a process of evolution. Scopes of practice and role expansions are being prepared. Some of these roles are traditional, such as nurse practitioners who have been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic...
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...Differences and in Competencies between Nurses Prepared at Associate-Degree versus the Baccalaureate-Degree Level in Nursing The nursing profession has multiple entry levels which are diploma, Associate (ADN) degree and Baccalaureate (BSN) degree (Lane & Kohlenberg, 2010). Historically, The Bachelor of Science in nursing degree was established in 1909, whereas the Associate degree was established in 1958 (Hood & Leddy, 2006). BSN students are required to attend 4 years of college education, mostly given at colleges or universities, and on the other hand ADN students are required to attend 3 years of a community college nursing program (AANC, 2011). These variations in the years of education create differences in competences between BSN and ADN. Some variations include critical thinking, decision making, problem solving, and ethical reasoning. Both, ADN and BSN prepared nurses sit for the same licensure examination (Taylor, 2008). According to Lane & Kohlenberg (2010), “Baccalaureate education provides nurses with critical thinking for complex patients and opportunities for leadership, professional mobility, and advancement, this does not mean associate degree nurses are unimportant” (p. 220). Associate degree nurses demonstrate the critical role in nursing (Lane & Kohlenberg, 2010).They continued by adding that through building onto the fundamentals of Associate degree education, emphasis on research, social and physical sciences, and management of community health;...
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...Benchmark - Research Critique Part 2 View Rubric Due Date: Apr 19, 2015 23:59:59 Max Points: 150 Details: Prepare a critical analysis of a quantitative study focusing on protection of human participants, data collection, data management and analysis, problem statement, and interpretation of findings. The quantitative research article can be from your previous literature review or a new peer-reviewed article. Each study analysis will be 1,000-1,250 words and submitted in one document. As with the assignments in Topics 1-3, this should connect to your identified practice problem of interest. Refer to the resource entitled “Research Critique Part 2.” Questions under each heading should be addressed as a narrative, in the structure of a formal paper. You are also required to include an Introduction and Conclusion. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Submit the assignment along with an electronic version of the article used for the analysis. If an electronic version is not available, submit a clean unmarked copy of the article. NRS433V.v10R.ResearchCritiquePart2Guidelines_student.docx ------------------------------------------------- ...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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