...Paper Professional growth and maintaining competencies mainly in knowledge and skill in the field of nursing is very important. Nurses needs to be updated with the current scope and standards of nursing practice. One of the important characteristics of any profession is the accurate educational preparation which can be achieved with the interest of the individual and funding. Every nurse is responsible for the professional growth (Association, 2001) Purpose for a Policy Change Education is important, it is the base for gaining knowledge and wisdom. It is an important tool and a path for success and paves the way in becoming good future citizens to the community, institution/organization and country. Once a person becomes a registered nurse (RN), it becomes important to pursue the career which helps nurses to apply and pass the knowledge to the fellow co-workers, apply the knowledge at the bed side with real patients and also in highly pressured situations. This knowledge gained by pursuing the career is also beneficial for the nursing students, by observing the clinical practice actions of skilled experienced nurses (Jackson, 2009). Due to the nations shortage of nurses, the effort to educate more nurses and advanced practice nurses has become one of the urging needs and the goal is to reach 340,000 practicing nurses by 2020. The need for nurses keeps growing but the funds for education are becoming scarcer. In 2006 due to shortage of faculty three-quarters of qualified applicants...
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...clinical nurse leader. The American Association of Colleges of Nursing defines the clinical nurse leader role (CNL) as a leader in the healthcare system that delivers care across different settings within a Microsystems, using assimilation and application of research-based information to design, implement and evaluate the patients plan of care (Thompson, and Lulham, 2007). The Clinical Nurse Leader is further described as designing and implementing, and evaluating client care by coordination, delegation, and supervision of the care provided by the health care team (Thompson and Lulham, 2007). Thompson and Lulham (2007) states that the healthcare team in which supervision care is provided from the CNL include the license nurses, technicians, and other various health care professionals. American Association of Colleges of Nursing (2013) states that clinical nurse leaders are masters prepared nurses that involves risk anticipation for individuals and groups of patients, implementation of evidence based practice initiatives, team leadership, management and collaboration with other health care professional team members, and the use of information system and technologies to improve healthcare. The advance generalist advocates for patients, communities and the health care professional team (AACN, 2013). The advanced generalist has a nursing core that consist of a didactic supervised practice experiences that demonstrate advance nursing knowledge in the masters level practice (AACN, 2013)...
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...Nursing Nurses face various ethical and legal issues in the medical setting. As professionals, nurses must be aware of these legal and ethical issues when they occur. Nurses have a legal and ethical obligation to respond to these issues. Being a professional nurse requires a nurse to assess the pros and cons of different situations, but also to withhold their personal beliefs and listen and respect the beliefs and traditions of others. Legally Nursing implications require nurses to maintain licensure, obey state and federal laws and to remain within their scope of practice. Within these legal and ethical issues the American Association Code of Nursing ethics, personal and societal values, legal aspects and legal responsibilities all affect decisions. Two different cases will be discussed and explored; an advance directive case involving a woman by the name of Marianne, and a malpractice case involving a nurse and the involved healthcare organization. The American Nurses Association Code of Nursing Ethics can influence the final decision made in the case study involving Marianne’s family by designating a surrogate. According to "American Nurses Association" (2011), “The nurse supports patients self-determination by participating in discussions with surrogates, providing guidance, referral to other resources as necessary, and identifying and addressing problems in the decision-making process” (1.4). In the case study involving malpractice, the nurse being called upon...
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...| | | | | | | | | | | | | | | | | | Professional Development of Nursing Professionals | | | | CRYSTAL M FORE NRS 430V: Professional Dynamics 10/26/2013 | There has been a deficiency in the nursing practice as health care has changed and grown. Nursing has advanced significantly over the last 150 years and the days of Florence Nightingale, but nursing is still in its infancy in regards to its potential that needs to be for the changing population. The population in this United States is changing; people are living longer than ever before with complex health issues, large cultural and minority groups within this country continue to grow, and those living in rural or poverty environments all in need of more support. “Affordable Care Act”, passed in 2010, there will be an influx of patients that are entering the health care arena that have had limited access to health care. The 2010 Institute of Medicine, Future of Nursing: Leading Change, Advancing Health, discusses changes that need to take place in order to provide efficient care to their patients which include nursing education, changes to scope of practice to fit the training Registered Nurses (RN’s) and Advance Practice Registered Nurses (AR NP’s) gained during their...
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...Nursing: Leading Change, Advancing Health” There are four key messages the IOM focuses on: Nurses should practice to the full extent of their education and training, nurses should achieve higher levels of education of education and training through an improved education system that promotes seamless academic progression, nurses should be full partners with physicians and other health professionals in redesigning healthcare in the United States, effective workforce planning and policy making require better data collection and an improved infrastructure (IOM, 2010). The IOM recommends that by the year 2020, 80% of all nurses have a Bachelor of Science in Nursing (BSN). To achieve this recommendation, the nursing profession must decide that a BSN would be the entry-level into practice. There are multiple ways to achieve a nursing degree from Diploma, Associate Degree to Bachelor’s Degree. Students who have a four year degree in another field of study can easily obtain a nursing degree in an accelerated second degree bachelor’s program. Patient care has become more complex over the years, the more educated the nurse, the easier it will be to transition into an ever changing healthcare system. These nurses will readily manage their patients in a variety of settings, implement evidence based practice, and leadership skills to work collaboratively with other professionals in the workplace. Nurses are in the unique position of...
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...Nursing Educators, Nursing Informatics, and Nurse Administrators should be classified as an advanced practice nurse. The consensus states that many nurses with advanced graduate nursing preparation practice in roles and specialties that are essential to advance the health of the public but do not focus on direct care to individual (APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee, 2008). If the consensus recognizes that nurses in these roles as essential to advance the health of individuals how can they not be qualified to practice as an advanced practice nurse? In today’s ever changing healthcare we need all roles that practice at a Master’s or Doctorate’s level to be considered an advanced practice nurse. Every role has a unique part in helping to advance nursing and healthcare in general. Our nursing educators are the ones that help educate other nurses to fulfill the four roles, CNP, CNS, CNM, and CRNA, which are classified by the consensus as an advanced practice nurse. They have the knowledge base to instruct other nurses on the evolving material that makes healthcare so unique. Without our educators none of the other nurse would even be able to practice as an advanced practice nurse. Our nursing informatics are the ones that help to put together the programs we use as nurses and as an advanced practice nurse to record patient data. We wouldn’t even be able to chart without their help. Every day new programs are created...
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...Nursing: Leading Change, Advancing Health, published in 2010. This report had impact, and will continuously do so, on the nursing profession, especially related to nursing education, nursing practice, and nurse’s role as a leader. Related to nursing education, IOM’s 2010 report recommends that all nurses should “achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (Future of Nursing, 2010). The report also mentions that due to the changes in the nation’s demographics as well as health care needs, the ways of education during the 20th century are not appropriate anymore in dealing with health care in the 21st century. The report of IOM 2010 also recommends that “80% of nurses should be baccalaureate prepared and the number of doctorally prepared nurses should double by 2020” (Chard, R., 2013). In order to comply with the IOM recommendations and increasing patient demanding and complexity in providing care, nurses should advance knowledge and skill by continuing education which is available not only in schools, but also in the form of journals, online programs, webinars, and conferences, all of which support lifelong learning (Fights, S.D., 2012). The IOM 2010 report on nursing education may bring impacts not only on nurses, but also on education system throughout the nation. RNs...
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...2010, the United States (US) lawmakers approved the Patient Protection and Affordable Care Act (PPACA) attempting to improve the United States health care system by focusing it’s emphasis on cost maintenance, access, and quality of care (Poghosyan, Lucero, Rauch, Berkowitz, 2010). This transformation will now necessitate a restructure of the many roles within the health care professionals, including registered nurses (RNs). In 2008, the Robert Wood Johnson Foundation (RWJF), and the institute of Medicine (IOM) launched a two-year planned response to the critical need to assess and transform the nursing profession (Institute of Medicine, 2010). According to the Institute of Medicine (IOM) report, The Future of Nursing: Leading Changes, Advancing Health, suggest that the future of nursing is advancing with the opportunities that will transform the healthcare system by using knowledge and skills of nursing. The purpose of this discussion focuses on the impacts of the health care reform in nurses’ practice, education, and leadership. The implications on Nursing Education In the US, the health care system is changing dramatically. As the baby boomer population is aging, there has also been a surge of obesity triggering the complexity of chronic illness, such as diabetes, hypertension, and cardiovascular disease. These factors demand highly skilled and knowledgeable nurses in order to provide the utmost of specialized quality care. The education of nurses over the past decades...
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...at no cost (U.S. Department of Health and Human Services, 2013). There are more than three million 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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...advancement: transformation of practice, transformation of education, transformation of leadership, and meeting the need for better data on the healthcare workforce. This paper will go into more detail about the impact of the report on transformation of practice, education and leadership. Nursing education today is not sufficient for what the future of health care needs and has in store for nurses. The report stresses the importance for an improved education system. One that will ensure the new generations of nurses are equipped with the ability to deliver safe, quality, and patient centered care. (IOM (Institute of Medicine), 2011) “To ensure the delivery of safe, patient-centered care across settings, the nursing education system must be improved. Patient needs have become more complicated, and nurses need to attain requisite competencies to deliver high quality care” (Lola, 2011, p. 7). The report stresses the need for nurses to achieve higher levels of education and training in order to achieve these competencies. The suggestion is that more nurses should be entering in to the nursing field with a bachelor’s degree then going on to obtaining a masters or doctorate’s degree. The goal is to increase the number of nurses with a bachelor’s degree from 50-80% by 2020. (IOM (Institute of Medicine), 2011) The report also suggests that, “Nurses should move seamlessly through the education system to higher levels of education, including graduate degrees. Nurses with graduate degrees will...
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...The Institute of Medicine (IOM) partnered with the Robert Wood Johnson Foundation (RWJF) in 2008, prior to the Affordable Care Act passing, stated a two year study on the nursing profession and changes needed to advance the future of nursing practice. The introduction of the report states the groups “established a 2-year Initiative on the Future of Nursing. The cornerstone of the initiative is this committee, which was tasked with producing a report containing recommendations for an action-oriented blueprint for the future of nursing, including changes in public and institutional policies at the national, state, and local levels” (IOM, 2011). This report also determined that nurses should continue to strive for higher levels of education and advanced training using an improved education system that promotes seamless academic progression unlike the stair-step type systems currently in place that do not facilitate education advancement. So when Congress passed the the Affordable Care Act March of 2010, which is the biggest reformation of the healthcare system since the Medicare and Medicaid programs were first created in 1965, created even more of a need for more nurses in advanced clinical roles. According to Medicaid.gov, “The Affordable Care Act is actually two separate pieces of legislation; the Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). Together these 2 legislative acts expand Medicaid...
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...NEBRASKA VS COLORADO NURSING PRACTICE ACT The Nursing Practice Act is rules and regulations that govern nurses. The Nursing Practice Act applies to all states. However, each state nursing guidelines varies. I will compare two states for you. I will take my home state of Nebraska and Colorado and compare the differences of the Nursing Practice Act. Nebraska Nebraska nursing practice act defines nursing practice as “the practice of nursing means those activities requiring judgment and skill based upon a systematized body of nursing knowledge.” Nursing care is provided care for immediate does not constitute as nursing practice. The scope of practice for the state of Nebraska is to assure safe and competent practice to protect the health, safety, and welfare of Nebraska. “In the practice of nursing, professional issues and practice questions arise that require the nurse to apply education, experience and professional judgment and to be legally responsible and accountable for the outcomes(s).” On April 14, 2016 the Nebraska Board of Nursing School adopted a Decision-Making Model for deciding the RN/LPN Scope of Practice. The State of Nebraska defines advance practice are nurses that have achieved their Advance Practiced Registered Nurse-Nurse Practitioner (APRN-NP) degree. Most APRN-NP have either a master or a doctoral degree in nursing. “APRN-NPs practice in collaboration and consultation with physicians and other health care practitioners.” Additionally, the have are eligible...
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...Development Plan It has been my experience that health care professionals as well as consumers are becoming more verbal about the inadequacies of the health care system. It is clear that improvement is necessary. There are many roads to improvement of the system, one of which is the proper use of the Advance Nurse Practitioner. With this role properly developed, the Advanced Nurse Practitioner can effect many changes both in and out of the hospital setting. It is for this reason that I chose to advance my practice as a nurse. As an advanced practice clinician, I will be able to make a difference in the community by contributing to the enlargement of the primary care workforce to meet the population’s primary care needs. Within the next five years, I view myself in an advanced practice role, that of a Nurse Practitioner serving the adult population in an outpatient clinical setting. As an advanced practice clinician and leader, my efforts will be directed at ensuring that effective health care is provided to the patients that will result in improved quality and health outcomes. At the local level, I will have a strong influence on my team in my area of clinical practice. This involves identifying the steps required to develop excellence in care for a group of patients such as skilled assessments, research-based interventions and the competencies required. As a leader, I must ensure that training and development programs and learning opportunities are provided and that there...
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...EDUCATION, PRACTICE, AND LEADERSHIP The demands for health care are increasing each day and will significantly increase with the new Affordable Care Act (ACA) now in place, which was passed by the United States Congress and later signed by President Obama in 2010. The passing of the ACA will ultimately allow millions of people who are un-insured to be insured and receive health care. In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) committee spent two years evaluating and transforming the nursing profession in order to help ready the future needs of healthcare. Two years later, on October 5, 2010 and just months after the ACA was signed, the IOM published its report named The Future of Nursing: Leading Change, Advancing Healthcare which partially focuses on the transformation of nursing education, practice and leadership roles of nursing. The IOM report focuses on the importance of nurses enhancing their education to meet the expanding technological advances and expansion of the nursing role by pursuing undergraduate and graduate degrees. These opportunities include nursing research, education, and IOM’s main focus, Advanced Practice Registered Nurse (APRN). A key point the committee states is that “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression" ("IOM Nursing Report," 2010). By achieving a higher level of education, this will allow a nurse with a...
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...Health Care System and the Practice of Nursing have become complex. Technological changes, complicated client needs, short hospital length of stay, and departure from acute care to community based care, all these changes have underscore the need for professional nurses to think critically in order to provide safe and effective client care. A better educated nursing workforce can provide good health education to patients and their families. The affordable care of 2010 has required the need for nurses to expand their role of practice to meet complicated patient demands. This has prompted the Institute Of Medicine to review the “Future of Nursing, Leading change and Advancing Health”. {Creasia & Fribery,2011} The Impact of the IOM report on Nursing Education. According to IOM report the future of nursing is aimed at improving the health of Americans by transforming the nursing profession. It is important for nurses to receive higher education and training to meet the dynamic environment in which they will practice.{Institute of Medicine,2010}. The IOM recommends that 80% of the nursing workforce will have baccalaureate degree in nursing by the year 2020. These nurses would be able to promote quality of nursing care through their critical thinking skills and research. Nurses should achieve higher levels of education and training through an improved education system by encouraging associate degree nurses to obtain BSN degrees. A highly educated nurse is preferred to handle the challenges...
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