...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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...Holistic Nursing Journal of Holistic Nursing Florence Nightingale in Absentia: Nursing and the 1893 Columbian Exposition Barbara Appleton NRS-433V Introduction to Nursing Research 14-Nov-2011 November 21, 2011 Summary During the 1893 Colombian Exposition, nursing leaders worldwide were provided a podium to work together to organize and establish the globalization of nursing education and standardize the nursing curriculum to improve patient care worldwide. In collaboration and discussion on the evidence based practices of Florence Nightingale and on the current nursing developments and improvements of social, cultural, educational and scientific advancements in healthcare for the expansion of a more unified practice of the nursing profession nationally and internationally based on a theoretical path of deductive reasoning, a quantitative approach. American and European nursing leaders: Isabel Hampton (Robb), Lavinia Dock, Eva Lückes, and Ethel Bedford Fenwick (Crane 2010), were given the opportunity to influence and provide guidance to sanction the evolution of nursing education processes for the development toward the progression of second generation of nursing. As a result of this event, the nursing profession has become one of the most respected professions devoted to health promotion for the benefit of mankind. This paper will explore the development of how clinical expertise developed, and by what methodologies influence the development nursing education...
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...An analysis of some of the ethical concepts identified from the American Nursing Association (ANA) code of ethics The American Nursing Associations (ANA) code of ethics for nurse practitioners was first adopted in 1950 with the sole purpose of reinforcing the ethical obligations of every individual who joins the nursing profession (American Nurses Association, 2001). The document provides a detailed and explicit elaboration of the ethical duties that nurses are expected to fulfil in their day to day routine undertakings as nurses. The following paper attempts to analyze some of the ethical concepts identified in the ANA code of ethics for nurses in the United States. Found in the first provision of the ANA code of ethics, the right to...
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...My Nursing Practice Analysis Nursing has been a significant part of my life for more than 31 years. During my career, I have taken care of thousands of patients, and knowing that I have been a part of a patient’s healing process and grieving process is satisfying. The American Nurses Association (ANA) (2010) states, “The art of nursing is based on caring and respect for human dignity” (p. 23). As a nurse, respecting my patient’s dignity is part of my role. I am upholding the ethical values set by the ANA by respecting the dignity of my patients with respect to his or her medical and personal decisions concerning treatment. ANA (2010) provision seven states, “The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development” (Fowler, p. 143). I have an obligation as a nurse to be actively involved in health policy and with organizations that engage in community activities such as volunteering for free health clinics and free medical care for the underprivileged. I have an obligation as a nurse to become a mentor in my community. I would like to educate my community on the importance and ramifications of unhealthy eating and its effect on a person’s health. I would also attend state and budgetary meetings and provide testimony on the benefits of healthy eating and the health care problems that unhealthy eaters face, and assist those who do not have the funds to eat healthy. According to ANA (2010)...
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...practice the American Nurses Association relies on members as the first link in developing an official resource. Members are nominated to a working group that researches the issue at hand and writes a statement before going to the ANA for final approval. This bottom-up approach ensures the standards are current and accurately represent nurses across the nation (ANA 2014). The Department of Health Scope of Practice Tree asks us, Is the act permitted or prohibited by the nurse practice act, Is it consistent with standards? Do you have current clinical skills to perform the act safely? Is the act with in in standard of care? Are you prepared to accept the consequences of your action? The six main categories of practice are assessment, Analysis, Outcome Identification, Planning, Implementation, and Evaluation. By implementing standards of care we are able to provide excellent care to out patients. Different entities that might be involved in developing a standard of practice are The American nurses Association and the Joint Commission on Accreditation of Healthcare Organization (JACHO) have established and recognized standards of care. Standards of care are found at the national and state level. State boards of nursing develop standards of care at the state level and enforce those standards. The American Nurse Credentialing Center (ANCC) work on the national level. Professional specialty nursing organizations, Educational institutions, state boards of nursing and other...
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...strengths, and personal challenges that are envisioned for a nurse assimilating to this role will be provided. Introduction Leadership is an integral part of nursing. Grossman and Valiga suggest that leadership is not necessarily tied to a position of authority (Grossman & Valiga, 2005, p. 4). Also suggested by Grossman and Valiga, is that each professional nurse has the potential and the responsibility to provide leadership in each of our individual areas of practice, institutions, professional organizations, communities, and our profession as a whole (Grossman & Valiga, 2005, p. 4). Leadership is a course in undergraduate education and nurses in any role are leaders in many capacities. The purpose of this paper is to look at the nurse manager role: historical development, educational preparation, skill requirements, value requirements, role options, concerns, future projections, and my perspective. Historical Development of Nurse Manager Role The first nursing leader was Florence Nightingale and leadership was implicitly discussed in the scope and standards of nursing prior to 1996 revision when leadership appeared as an explicit standard. American Nurses Association (ANA) standard 15 states: “The registered nurse provides leadership in the professional practice setting and the profession” (American Nurses...
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...Outline the Process for Developing Nursing Standards of Practice and Identify the Different Entities That Might Be Involved in Developing a Standard of Practice. When outlining the process for developing standards of practice the American Nurses Association relies on members as the first link in developing an official resource. Members are nominated to a working group that researches the issue at hand and writes a statement before going to the ANA for final approval. This bottom-up approach ensures the standards are current and accurately represent nurses across the nation (ANA 2014). The Department of Health Scope of Practice Tree asks us, Is the act permitted or prohibited by the nurse practice act, Is it consistent with standards? Do you have current clinical skills to perform the act safely? Is the act with in in standard of care? Are you prepared to accept the consequences of your action? The six main categories of practice are assessment, Analysis, Outcome Identification, Planning, Implementation, and Evaluation. By implementing standards of care we are able to provide excellent care to out patients. Different entities that might be involved in developing a standard of practice are The American nurses Association and the Joint Commission on Accreditation of Healthcare Organization (JACHO) have established and recognized standards of care. Standards of care are found at the national and state level. State boards of nursing develop standards of care at...
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...Nursing-sensitive indicators represent nursing’s contributions to patient care. Nursing-sensitive indicators represent nursing’s contributions to patient care. RTT1 Task 1 RTT1 Task 1 Nursing-sensitive indicators reflect the structure, process and outcomes of nursing care (American Nurses Association, Inc., 2014). Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (American Nurses Association, Inc., 2014). One nursing-sensitive indicator is the development of pressure ulcers. Nursing-sensitive indicators represent nursing’s contribution to patient care. The primary nurse caring for Mr. J did not appear to have a great understanding of this nursing-sensitive indicator as demonstrated by the patient laying in restraints for extended periods of time without justification as to why. Patients at an increased risk of pressure ulcers either from age, mobility and/or nutritional status should have measures in place for monitoring and preventing breakdown. When the CNA ambulated the patient to the bathroom the family noticed a reddened area to the patients back and due to the lack of education of the CNA, this was not taken seriously. If the RN was assisting the patient, a skin assessment should have been done and prevention processes put in place to prevent any further breakdown. The condition of the patient’s skin at the time the patient was ambulated to the bathroom should have...
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...patient. The patient is famous and constantly overseen for their activities. As this patient’s nurse, we have been approached by People magazine and asked to serve as an informer. The magazine is offering a substantial amount of money for the patient’s information. However, using the ANA Code of Ethics, we have identified Provision Three as the best ethical approach to the scenario. Part Two Ethics is an integral part to the foundation of nursing. Historically, nursing care is vital for the welfare of the sick, injured, vulnerable, and for social justice. This concern is embodied in the provision of nursing care to individuals and the community. Nursing encompasses the prevention of illness and the alleviation of suffering. Nurses provide the protection, promotion, and restoration of health in the care of individuals, families, groups, and communities. Individuals who become nurses are expected not only to adhere to the ideals and moral norms of the profession, but also to embrace the part of what defines a nurse. The Code of Ethics for Nurses developed by the American Nurses Association explicitly states the primary goals, values, and obligations of the profession. Part Three According to the American Nurses Association’s Guide to the Code of Ethics for Nurses Interpretation and Application, Provision Three states “The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient (Fowler, 2010).” In the interpretation of provision three, the...
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...Individual Analysis Standards of Nursing Nursing is a multi-faceted and evolving profession defined by the American Nurses Association (ANA) as, “The protection, promotion, and optimization of suffering through the diagnosis and treatment of human responses, and advocacy in the care of individuals, families, communities and population” (ANA, 2010, p.1). Standards of nursing care set by the ANA include standards of care, code of ethics, and professional standards. The standards set forth by the ANA help to define the scope of nursing practice. For the purpose of this paper, I will further detail how these standards affect my professional nursing care. Nursing professionals are obligated and expected to practice within the scope and standards of nursing care. Within my own scope of practice, I follow the standards of care on a daily basis. I am assessing patients, planning patient care, implementing, and evaluating the outcomes of patient care. My facility has outlined standards of care. By following these policies and procedures, I can commit to safe nursing practice. Nursing professionals are also obligated and expected to adhere to the standards of professional performance. Within my own nursing practice, I am expected to provide nonjudgmental care, therefore I must disrequard my own prejudices and be an advocate for the patient no matter the patient’s race, economic status, disease process, or chosen lifestyle. The nursing professional is also responsible to...
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...Education Preparation Eunsook Kim Grand Canyon University: NRS 430V June 14. 2015 Education Preparation Nursing still lies in the middle of evolution. When we look back from the foundation of nursing, this powerful waves move continuously from a small nursing skills class several decades ago up to the philosophy’s degree in nursing practice today. Since nursing is the holistic care of a human being, as caregivers, we must continue to invest time and effort into providing more advanced nursing to our holistic beings for their better health. According to the Institute of Medicine (IOM), nurses must be 80 % baccalaureate prepared RN workforce by 2020 (AACN Face Sheet, 2015). Therefore, nurses must endeavor to achieve the Bachelor of Science in nursing (BSN) for more competencies in their lifetime working field. Needless to say, patients will receive highly qualified care based upon enhanced education. Thus, BSN education preparation should be differentiate in order to meet these expectations. Different Competencies between the Associate-Degree Versus the Baccalaureate Degree Level The enlightened preceding nurses through many experimental years have developed many characteristics for a professional nursing. Currently educated nurses utilize their competencies that acquired from school in many different clinical setting environments. Compare to Associated degree level (ADN) focused on learning basic clinical skills within two...
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...NURS 2010 Project Janice Klein Westerns Governors University Nursing is a profession that has been influenced by nursing pioneers, scholars, government agencies and nursing organizations. Nurses need to develop a professional mission statement that defines our understanding of nursing concepts, our professional strengths and our critical thinking abilities. A. Functional Differences A regulatory agency, such as the Virginia Board of Nursing (VBON), is state government agency that exists solely to enforce the laws that regulate nursing practice. The BON protects the public’s safety and welfare by outlining the standards for safe nursing care, issuing licenses to practice nursing and monitoring compliance to state laws (McDaniel, 2013-14). The BON will investigate complaints of nurses not in compliance with the nurse practice act and will take necessary disciplinary action against nurses found in violation. In addition, BONs approve pre-licensure nursing education programs and oversee the licensure examination of nurses. All health care professionals must pay licensure fees in order to practice legally in their state. These activities assure that the public is cared for by qualified individuals (McDaniel, 2013-14). Professional nursing organizations have the same goal as BONs, to protect the public, however the method by which it is accomplished is functionally different. Nursing organizations are nurses working together to develop professional standards and practices...
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...Future of Nursing Report Nursing comprise the largest group of health care workforce in the United States (US), with more than 3 million members (Institute of Medicine (IOM), 2010). Nurses can play an important role in helping to fulfill the goals set by the Affordable Care Act in 2010 (IOM, 2010). However, many obstacles are blocking nurses to advance change in the health care settings. These obstacles need to be lifted for nurses to better position themselves to advance health and lead change. The goals of this paper is to discuss the Institute of Medicine (IOM) report with the Robert Wood Johnson Foundation (RWJF) committee “Future of Nursing: Leading Change, Advancing Health”, the importance of the IOM report on nursing workforce, Campaign for Action, state-based action coalitions and initiatives. IOM report, "Future of Nursing: Leading Change, Advancing Health" In 2008, the IOM, in collaboration with RWJF, launched an initiative to meet the challenges of the nursing shortage to transform the nursing profession (IOM, 2010). With the RWJF initiative on the Future of Nursing, the IOM appointed the Committee with the intention of creating a roadmap to fulfill the RWJF objectives for the future of nursing (IOM, 2010). The RWJF recommends nurses to utilize the fullest extent of their training and education; pursue higher education and training via an educational system that promotes ease of academic progression; collaborate with inter-professionals and physicians as full partners...
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...Analysis of an Ethical Dilemma Part 1 Grand Canyon University April 26, 2013 Analysis of an Ethical Dilemma Part 1 Voluntary and assisted euthanasia have been and will continue to be one of the most controversial ethical debates in the medical field. Euthanasia stems from the Greek language: eu meaning good and thanatos meaning death. The practice of voluntary euthanasia is when the patient requests to die but someone else has to perform the act, for example removing the patient from all life-sustaining equipment or giving a lethal injection. Where as the definition of assisted suicide is a physician prescribes a lethal dose of medication and the patient on his or her own will have to perform the act of consuming the medication to cause death. There are many ethical implications that arise from either option. “In the balance are crucial issues: personal autonomy, dignity, compassion, ending suffering, protection of the vulnerable, promotion of good palliative care, and redefinition of the role of the physician in death and dying” (Van Norman, (2012). It is imperative for nurses to be conscious of their obligations professionally, educated on the laws surrounding the issue, who the stakeholders involved are, the impact on social values/morals, and the ethical theories and principals involved. Nursing Obligation According to the American Nurses Association nurses are never allowed to have any part in euthanasia, such actions would be a direct violation of the...
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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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