...Transition: LPN to RN…Is it the right decision for everyone? The debate is as old as the professions themselves, and in a society where success is most often measured by “climbing the corporate ladder” the choice between becoming an LPN/LVN or an RN is not always easy. While an RN license provides more opportunities for promotion, an LPN/LVN license can be earned more quickly with less time needed in school. Nurses at all levels face the challenge of balancing work with school, family obligations and other external commitments, and often, these factors play a large role in determining available finances and time available for educational pursuits. For people considering a nursing career, RN programs are sometimes excluded as most classes are daylight programs. Accelerated and evening programs exist, but clinicals and preceptorships are generally offered during the day. LPN training programs, being shorter to begin with, are much more flexible and usually offer part-time, night, and weekend hours. As people evaluate the career choice that’s right for them, educators must work to match the student with the best career fit, and it’s equally important for future nurses to understand the requirements and potential benefits of careers and an LPN/LVN and RN. Licensed practical and licensed vocational nurses, known as LPNs or LVNs, depending on the state in which they work, provide basic nursing care under the supervision of a registered nurse or physician. Typically tasks such as changing...
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...There are varied avenues of academic development that prospective nursing students can select from when contemplating entering into the field. The two most frequently achieved pathways in nursing education for an entrance position, is an associate’s degree or a bachelor’s degree in nursing. A survey organized by the Health Resources and Services Administration in 2008, demonstrated that fifty percent of nurses retained a bachelors degree or higher and that at least thirty-six percent received an associate’s degree ("Fact sheet: Creating," 2012). However, the variance between the degree levels statistically is not the only differentiating consideration. The primary disparities among an associates and bachelors degree in nursing are curriculum based, patient outcome related, administrative preparation and opportunity. Presently, either approach to nursing study is an acceptable path to establish a career in the discipline; however the education levels differ considerably in these particular areas of concentration. An associate degree program in nursing serves to instruct pupils on fundamental nursing skills, in comparison, a bachelor degree is focused on progressive courses of research and nursing principles. The associate level is two years in length and based regularly at community colleges; as a result graduates are able to execute a transition to the workforce more promptly. A prerequisite of general studies is required to obtain acceptance to a nursing program at this...
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...The Future is Here and Now Dr. Chen of The New York Times wrote “Nurses currently form the largest sector of health care providers, with more than three million currently registered; but few have led or even been involved in the formal policy discussions regarding the future care of patients.” (Chen, 2010). According to the Institute of Medicine’s (IOM) report of the future of nursing tides are changing. In the paragraphs to follow this paper will discuss how the IOM report has impacted the field of nursing and how registered nurses (RNs) will be acquiring higher more specialized education, ascending into leadership, and transform their practice. Impact on Education The acquisition of a nursing license in the United States is unique in the fact that there are currently several pathways to licensure. A person wishing to practice nursing may complete a hospital diploma program, a community college associate degree in nursing (ADN), attend a four-year college for a baccalaureate degree in nursing (BSN) or even complete a bridge program in which the individual already possesses a baccalaureate degree in another field of study learns nursing practice (Creasia & Friberg, 2011, p. 25). The report from the institute of medicine (IOM) recognizes these varied pathways to nursing as a benefit as well as a hindrance to the field (Institute of Medicine, 2011, p. 166). The benefit to the field is availability of nurses due to the attractive cost of education at the diploma and community...
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...Educational Mission Statement Martina Little NUR/588: Developing and Evaluating Educational Programs June 8, 2015 Jennie Pattison Educational Mission Statement The goal of this paper is to address the mission and philosophy statements of both the work and school institution in which I attend. The mission and philosophy statements of both will be compared and contrasted, by incorporating examples of how they relate and differ. My definition of a mission statement is to provide insight of the institutions goals and overall agenda. The philosophy defines and supports the attitude and outlook of the institutions mission statement. Due to the military, I now reside in Virginia. I work at an institution that was founded by nuns and embodies religion as its common denominator amongst many other health organizations. The institutions mission states: “The Mission of Bon Secours Health System is to bring compassion to health care and to be Good Help to Those in Need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church.” This mission statement is valued throughout the facility starting from the beginning and end of our shifts through “huddles. [Delete period. Quoted word within quotes only use single quote] ” (Bon Secours Health System, 2015). [Include a page number or paragraph number in the in-text citation for...
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...Department of Nursing, San Antonio College Nursing 3350: Transition to Baccalaureate Nursing Dr. Russell G. Zaiontz October 11, 2024 Professional Development Plan My Professional Nursing Development Plan aims to successfully navigate toward a Family Nurse Practitioner certification. As a Nurse Practitioner (NP), I will focus on patient-centered care and will attempt to maximize patient preference, as indicated by Core Competencies of the American Association of Colleges of Nursing (AACN). I hope to develop my critical thinking and leadership skills and adhere to the Texas Board of Nursing (BON) Differentiated Essential Competencies (DECs). Role of the Baccalaureate Nurse The role of the baccalaureate prepared nurse extends beyond clinical skills and emphasizes evidence-based practice and holistic patient care. The Texas BON DECs outline...
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...of Nursing NR351: Transition in Professional Nursing June 2015 Professionalism In Nursing My goal for writing this paper is to illuminate the important role professionalism plays in developing the nursing profession. Academic degree entry into the nursing profession is varied and equilibrium of that requirement to a Bachelor of Science (BSN) degree will enhance the role of professionalism by broadening a nurse’s knowledge base, and enhance an understanding and use of research. Nursing professionalism is important for health care consumers as it leads to improved patient outcomes. What is Professionalism? Professionalism plays a vital role in nursing because the binding nurse patient agreement encourages the well being of patients and their overall health. As healthcare professionals, nurses are accountable to uphold the values and principles espoused by the profession. Using the Scope and Standards of Professional Nursing Practice and the Code of Ethics, professionalism is a standard of practice by which nurses are held accountable through the American Nurses Association (Hood, 2014). The research article written by Bunkenborg, (2012), illuminates the idea of professional awareness was found to have a decisive impact on nursing monitoring practice. It states nurses with a broader understanding of patients and the complexity of nursing, monitored their patients more than those nurses with less professional awareness (Bunkenborg, 2012). A nurses ability to understand...
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...coverage and greater access to healthcare than ever before. The nursing profession is now in a unique position to change healthcare in providing affordable and quality care that is more accessible. At present, there is a shortage to meet these demands and provide quality care that is needed for millions patients that are soon to be added by healthcare coverage. The IOM report put forth a vision and recommendations that puts nursing in the center of needed reforms to meet these challenges. The IOM report makes recommendations specific to nursing education as nursing is a unique profession that offers multiple pathways to entry-level practice. Changes in the healthcare system will require changes in the education of nurses. The report makes certain that nurses will need further educational qualifications to ensure quality care that is safe and patient centered. Competencies needed to practice have expanded greatly especially in areas of community and public health, teamwork and collaboration, research and evidence based practice, geriatrics, as well as leadership in healthcare system improvement and health policy (Committee on the Robert Wood Johnson Foundation, IOM report, 2011, p. 6). Nursing roles are frequently changing as they are expected to help patients manage chronic illnesses, identify as well as prevent the progression of illnesses and acute care episodes requiring hospitalizations. In its detailed report, the IOM, points out important competencies can be achieved...
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...making, but also it includes cerebral activities such as thinking and memory (Woolfolk-Hoy & Hoy 2004). From this process child will start to learn to analyze the condition and reasoning, which will advances throughout the childhood till adulthood. This essay will discuss the effect of multiple factors such as environmental and social variable on cognitive development. Essay will also explore the importance of understanding developmental psychology for nursing practice. Environment and social variables have a high influence on cognitive development. Jean Piaget and Lev Vygotsky have done remarkable research and develop their own theories in understanding of cognitive development in children. Even though, Jean Piaget and Lev Vygotsky have varied theory about cognitive development, both theories are equally significant to understand cognitive development of a child. According to Lev Vygotsky’s socio-culture theory of development, child’s cognitive development is greatly influenced by the social interaction and culture(Slavin 1996). Lev Vygotsky believed that it is inevitable for child’s cognitive development to be a part of a community. He suggested that a child observe and learn from cultural interaction. In addition, child develops a problem solving technique guided by other members of the community and uses it in case he faces it again (Slavin 1996). In contrast, According to Jean Piaget, children develop their own theory to...
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...beginning in 2008 in an attempt to assess and transform the profession of nursing. The culmination of this report in 2010 left several recommendation on “The future of Nursing: Leading Change, Advancing Health”. With nurses being the majority of the healthcare workforce, they are encouraged to lead the charge on changes in the healthcare system. This report discusses the effects of safe, effective and affordable care rendered at the primary level. Nurses can further this initiative by taking their education to the next level, which will allow stronger leadership roles and in turn will lead directly to improved care at the primary level. Transforming Practice Access to healthcare has been rewritten with the implementation of The Affordable Care Act of 2010 (ACA). This will allow open access to healthcare for millions; in turn increasing demands on healthcare professionals. In keeping with IOM report, ways in which a practicing nurse can implement changes are varied; in current practice it would begin with education and prevention early in the acute care stay in order to be preemptive in post-acute care period also early in a nurse’s education familiarizing oneself with the patient care needs in under-served communities, which allows for an insightful nurse to keep with the goals of primary care. Finally, continuously seeking reeducation on providing culturally competent care. The changes nursing will endure following the ACA are: Practice Setting- At the height of transforming...
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...nursing specialties. Local public health information The Memphis/Shelby County Health Department is the ideal place to find public health information in Memphis, TN. It is there that one can find information on current health facts i.e., H1N1 (symptoms and side effects) west nile virus and other illnesses, public announcements, updates, recalls, general wellness checkups, health concerns and vaccinations (for children and adults). The Memphis/Shelby County Health Department is the best place to encounter the workings of the public health nurse. In addition to the above information, The Memphis/County Health Department can provide information on encountering disasters, readiness and preparations for those disasters (MSCHD, 2010). History of Public Health Public Health is not just a thing of the past. It is a very important part of our future as well. The very first encounters of the general population with public health nurses occurred in the 1800’s. Lillian Wald founded the first public health agency in 1893 known as the Henry Street Settlement. In 1898 public health nursing began in Georgia in Savannah. In 1903, Lillian Wald and the...
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...1. INTRODUCTION The Quality Improvement Network was established by the RCN’s Quality Improvement Programme in 1989 to contribute to the quality of patient care through the sharing of knowledge, skills and information on quality improvement, patient safety, clinical governance and leadership. The safe transfer of care is a vital component of the quality of care and safe practice (Pothier, et al., 2005). When the process of transfer of care is inadequately undertaken risks to the patient are increased and may subsequently lead to harm (BMA, 2005; Joint Commission, 2007). The Network organised a series of patient safety road shows which were specifically designed to build consensus and concentrate activities on the key topic of transfer of care, to facilitate networking between members of the Network’s regional groups and a range of colleagues working across all care sectors, and to identify the actions required to improve the patients’ experience of transfer of care across all health and social settings. 1.1 Literature Review “A good…handover process is a crucial part of providing quality…care…The conservation of patient data during the handover process is vital to ensure good continuity of care and safe practice. Any errors or omissions made during the handover process may have dangerous consequences…” (Pothier, et al., 2005) Delays in transferring or discharging patients can result in a range of problems for both patients and organisations (Bryan, et al., 2005)...
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...standardized, educational requirements preparing all APRNs at the graduate level” (Towers, p.23). Consequently, Stanley (2012) notes the consensus group met to address issues related to regulation and practice with the goal of implementing the Consensus Model by the target date of 2015. The model provides clear parameters for the APN. ”Only individuals who have graduated from an accredited APRN education program, are nationally certified, and are licensed under the criteria delineated in the model may use the title APRN” (Stanley, p. 245). Moreover, Stanley (2012) addresses the importance of the consensus model for psychiatric/mental health APRNs. Recommendations of the model, adopted by the American Psychiatric Nurses Association and the International Society of Psychiatric Nurses include a one entry level educational focus for future education, across the lifespan and a focus on health promotion and health maintenance content in psychiatric mental health content. Additional LACE recommendations for PMHNP practice (2011) include didactic curriculum content that covers the three P’s identified in the model as advanced pharmacology, physical assessment,...
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...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 upon whom we called when we needed a more intimate understanding on some particular issue. While the beginning of my nursing journey started off leaving me questioning whether I’d made the right decision, my overall experience had a very positive impact on...
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...Health Promotion is the provision of information and/or education to individuals, families, and communities that-encourage family unity, community commitment, and traditional spirituality that make positive contributions to their health status. Health Promotion is also the promotion of healthy ideas and concepts to motivate individuals to adopt healthy behaviors. According to the World Health Organization, Health promotion is the process of enabling people to increase control over, and to improve their health. Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals, but also action directed towards changing social, environmental and economic conditions so as to alleviate their impact on public and individual health. Health promotion is the process of enabling people to increase control over the determinants of health and thereby improve their health. Participation is essential to sustain health promotion action. The Ottawa Charter identifies three basic strategies for health promotion. These are advocacy for health to create the essential conditions for health indicated above; enabling all people to achieve their full health potential; and mediating between the different interests in society in the pursuit of health. These strategies are supported by five priority action areas as outlined in the Ottawa Charter for health promotion: * Build healthy public...
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...environment is undergoing significant changes due to complex patient’s needs, chronic health conditions, and technological innovations. Educating nurses within the 21st century requires a creative integration of knowledge, skill set, and caring within an increasingly complex healthcare system (Institute of Medicine [IOM], 2010). Nursing education is heavily laden with continuous content increases to be covered within the curriculum (Devereaux-Melillo, Dowling, Abdallah, Findeisen, & Knight, 2013). The need to examine curricular transformation is imperative in order to manage content saturation, and abate the separation of the classroom and clinical teaching. This paper will outline the following processes: (a) the development of a concept-based curricular plan for a baccalaureate program, (b) the impact of a concept-cased curriculum (CBC) on the faculty, students, finances, community of interests, accreditation, and (c) examples of the integration of competencies. Development of Concept-Based Curricular Plan Nursing faculty are challenged with curriculum, for they are presenting an astronomical amount of material to “cover the content”. According to Duncan and Schulz (2015) nurses practice conceptually on a daily basis by focusing on the patient needs, regardless of the medical diagnoses assigned. In order to practice conceptually, nurses must think conceptually by grouping important facts into concepts that can then be transferred from one clinical situation to another (Benner...
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