states ("IOM Report," 2010). The IOM is proposing for nationalized educational standards, practice standards and licensure standards. Currently there are about three million Registered Nurses nationwide, of those there is only about 60% who work in the acute care setting (Rosseter, 2011). Nurses create the largest portion of most staffing in any medical facility, yet they are the most limited with their various Practice Acts. Nurses are practicing on the “front lines” of health care, yet they are
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INTRODUCTION Electronic cigarette (e-cigarette) use, or vaping, in the worldwide is increasing. Less than a decade ago, the e-cigarette was an obscure product marketed as a safe, tobacco-free alternative to conventional cigarettes by a single company in China. Seven years ago, the electronic nicotine delivery device entered the US market. Today, health officials, policy makers, and researchers are all scrambling to keep up with a rapidly expanding, wildly controversial, and largely unregulated $3
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68-74 75-81 82-86 87-91 92-95 96-105 VIII-XV 106-109 110-122 123-125 126-128 129-135 136 Issue Statement Emanuel Medical Center (EMC) is encountering tremendous financial troubles as it struggles to remain open as an independent general acute care hospital. Changes in federal regulations such as the implementation of the EMTALA laws and lower reimbursement rates for federally run insurance programs, changes in service area demographics, and the evolution of the services that locally competing
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IOM Report and the Future of Nursing The Patient Protection and Affordable Care Act of 2010, as well as the changing needs of patients over several decades, have began putting pressures on the healthcare system as more people will have insurance 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
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concerning medical futility reveal that aggressive treatment at the end of life is not equating to better outcomes (Colello 2008). In fact, not only is it providing no benefit, all too often it imposes unnecessary pain and suffering. In the case of patients who lack decision making capacity and do not have an advance directive, families are often approached by nursing staff and asked “Do you want us to do everything?” or if they would prefer a Do Not Resuscitate status (DNR), meaning CPR will not be
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board certification. Nurse Practitioners can be educated and nationally certified in areas of Family Health (FNP), Pediatrics, including Pediatric Acute/Chronic Care, Pediatric Critical Care, Pediatric Oncology and general Pediatrics (PNP), Neonatology (NNP), Gerontology (GNP), Women's Health (WHNP), Psychiatry & Mental Health (PMHNP), Acute Care (ACNP), Adult Health (ANP), Oncology (FNP, ACNP, ANP, PNP or ANP) Emergency (as FNP or ACNP), Occupational Health (as ANP or FNP), etc. In Canada, NPs
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BSN: Closing the Primary Care Gap As the shortage of physicians grows, so does the demand for care. Patients and organizations will rely on nurses to close this gap in primary care. This will require nurses to provide a higher level of care and a broader range of services. They will be expected to be more independent, accountable, professional, and highly educated. Baccalaureate programs provide advanced training in critical thinking, leadership, education and patient safety (Cresaia & Friberg
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii About This Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Data Sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 The Role of EDs in the Canadian Health Care System . . . . . . . . . . . . . . . . .
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IOM report 2010 The health challenges facing the nation has significantly changed in the21st century. In the present century nurses with more skills, expertise, and knowledge is required to keep up with changing health care. These changes helped the nurses to expand their knowledge and search various opportunities in all aspects of health care. There are some obstacles, which prevent nurses from responding effectively to a quickly shifting healthcare settings and developing health care system
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Improvement 1. The National Health care Quality Report, 2011 Agency for Healthcare Research and Quality The nature of the development is to monitor and control nationally the quality of care in the United States. These reports measure trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care. In the 20th century new chapters on care coordination, health system infrastructures are put into place. The reports present, in chart form, the latest
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