Essays on Advanced Nursing.

The orientation systems at Mercy Medical Center in Des Moines are the same for all nurses. The subjects usually attend a four to five-week formal class from where they are expected to learn the skills and competencies required for the job. The new nurses are joined by a preceptor whose main objective is to give practical insights to the discussion. Their readiness for the job will be evaluated through a series of assessment activities. A clinical resource nurse may also be requested to gauge the suitability of new recruits to the positions they will fill in. After the probationary period, the orientation ...

Abstract:

The ever-increasing demand for health care services and the decreasing workforce number has made it possible to recognize the services of nursing practitioners. NP’s are individuals licensed under Australian law to conduct advanced assessment of patients, prescribe medications, order diagnostic tests, and as well refer the patients to other health care practitioners. The Australian Nursing and Midwifery Council (ANMC, 2006) requires NP’s to undertake further training to gain accreditation for a minimum of three years after being registered. The work of a NP also includes working in a collaborative capacity and a wide range of other health professionals to achieve positive ...

Introduction

Stress is caused by a number of factors such as pregnancy, disease and financial constraints and the environment. It is possible for mothers who are pregnant to often experience stress due the anxiety of delivery or having too much responsibility. Stress can also be experienced by college students due to the new environment and colleagues. This paper analyzes the annotated bibliography of several articles about stress management in various situations.

Talley, L. (2013). Stress Management in Pregnancy. International Journal of Childbirth Education, 28(1), 43-45.

Talley (2013) points out that pregnancy is an exceptional life event which in itself may ...

Introduction

Specialists in nursing have existed since early 1900s with nurse anesthetics and nurse midwives having been the pioneers. They lay formative foundations in early 20th century for advanced nursing practice. The roles of advanced nurses have not been clear historically. There was and still there is a lack of clarity in roles of different advanced nurses. This paper delineates the roles of clinical nurse specialist and nurse practitioners.

Nurse practitioners and clinical nurse specialists are two of advanced practice nurses with nurse midwives and nurse anesthetists constituting the rest. Clinical nurse specialists provide care in a wide range of specialty areas, ...

Executive Summary

Studies have indicated that health care facilities that develop well-informed, health-conscious personnel will reduce costs, lower absenteeism, and fit nurses who will attend patients effectively. The responsibility of the advanced practice nurse abbreviated as APN is to offer preventative care, treatment as well as management of chronic as well as chronic illnesses utilizing advanced diagnostic reasoning, clinical skills, and advanced therapeutic interventions. Moreover, APNs exhibit a high level of autonomy as well as clinical proficiency in the management of rheumatic illnesses (Buppert, 2008). APNs integrate education, leadership, management, research, and consultation into their clinical responsibilities. Therefore, this means that ...

Define Advance Practice Nursing in the state of California.

Advance practice nursing (APN) refers to the level of nursing that utilize high comprehensive skills, knowledge and experience in offering nursing care, United States. (2007). APN refer to registered nurses who gain specialized skills in offering expert nursing care who have master’s degrees in nursing. Advanced practice nurses include; certified nurse mid-wives, nurse anesthetists, clinical nurse specialists, and nurse practitioners. Their mandate is to offer advanced or expert nursing services. These specialized or advanced nurses are registered and certified to practice by the California State Board of Registered Nursing. They provide expert services that include; consultations, direct patient ...

It takes a special person to be a caregiver. Whether they make a decision to care for a family member or decide to dedicate their education to learning how to care for others, giving one’s time to take care of those who cannot is a significant act. These people are caring, selfless, and kind. They have big hearts that are filled with love and compassion for everybody that they meet. Unfortunately, it is a common misconception that caregivers never experience burnout. It is expected by many that an individual making the choice to care for others will never tire of the work, emotionally exhausted, ...

When palliative care was first introduced in healthcare, the focus of care delivery was exclusively on cancer patients and their families, but it eventually expanded to other types of terminal illness (Zimmermann et al., 2008). At the moment, the World Health Organization (WHO, 2014) defines palliative care as a multidisciplinary approach to healthcare for patients that are diagnosed with life-threatening conditions. A different definition describes palliative care as an intervention aiming to mitigate suffering instead of curing an illness (Becker, 2008). All definitions agree that the purpose of palliative care is to provide relief from pain, enhance the quality of ...

Music is an art widely appreciated for its effect on the human psyche. Researchers are increasingly drawn to study the effect of music in the day-to-day lives of people with a bias toward quantifying its scope of impact and understand it as they do science. Personality theorists, cognitive psychologists and applied psychologists alike are interested in how a musical distraction has varying effects on the cognitive task performance per individual. Uhrbrock (1961) noted that amongst other observations, the quality of work can be adversely affected by the use of music in the work situation and Instrumental, rather than vocal, music is ...

Article 1: DePue, J. D. et al. (2013). Nurse–community health worker team improves diabetes care in American Samoa. Diabetes Care, 36. Article 2: Scholes, C. et al. (2012).A qualitative study of young people’s perspectives of living with type 1 diabetes: do perceptions vary by levels of metabolic control?. Journal of Advanced Nursing.

Backgrounds and Aims

Article I: - The study responds to reports that poor and high risky families in American Samoa have high levels of obesity, cardiovascular risks and diabetes. - Thus, it sought to evaluate the effectiveness of culturally-adapted nurse-led primary cares to support ...

Nurse Practitioner Practice

Nurse practitioners are guided by theory in their practice. Their success in practice depends on their practicing evidence-based care and their competency in assessing, diagnosing, and managing patients (American Association of Colleges of Nursing, n. d.). Graduate educational programs that prepare nurses for advanced nursing have certain core elements such as graduate nursing core and specialty curriculum content. These core essentials prepare advanced practice nurses for direct care roles (Fan, 2009). This paper will describe how theory and research will be integrated into my practice as a nurse practitioner. In my nurse practitioner role, I will integrate and apply a ...

Management strategies for adult patients with pain in outpatient clinics

Introduction The current study describes a framework that applies systems thinking to the issue of under-management of chronic pain in outpatient hospitals. It expands the nursing focus from individual patients to the healthcare system. Consequently, the study investigates the various strategies of chronic pain management and formulates an effective approach for addressing under-management of chronic pain. Subsequently, it discusses the application of the scheme in a Chronic Pain Management Program. The formation of the management program is significant to the advanced nursing practice because it has the potential to ameliorate the care of all patients at a system level. Therefore, system ...

Evidence-based Practice

Evidence-Based practice (EBP) is a problem solving approach to the provision of healthcare to patients and families (Bennett, 2009). The history of EBP as a concept can be traced back to the 1970s and 1980s to the works of epidemiologists at McMaster University, Canada. EBP developed partially as a response to the scathing critic of the practice of medicine by Archibald Cochrane (Cohen, Stavri, and Hersch, 2003). Cochrane accused medical practice at the time of not being evidence-based. He argued that the treatments, tests, procedures, and interventions used at the time had no evidence on their effectiveness (Cohen, Stavri, and Hersch, 2003). ...

Introduction

The current essay involves a critical review of the research process and development of two research reports on nursing care and shared care services and evidence based practice in the nursing profession. Understanding the research process and development may furnish important insights on how evidence based practice be implemented effectively in aid of better patient care in both traditional hospital nursing care and shared care services involving nurses as useful members in the healthcare staff. Parameters for the research process critique involve important aspects in a research report: research approach or design, sampling method, methods of data collection, validity and ...

Introduction

It should also be noted that nurses in the practice of labor and delivery draw their knowledge from an in-depth pool and wide base of nursing expertise. This extensive approach is in combination with clinical expertise to avail a measure of care and support that exceed normal personnel. They hold the capability of effective implementation of strategies for patient management in the low and high risk patients. They additionally hold the capability of assessment, planning, implementation and evaluation of plan care in an individualized approach. This case is operating on the basis of certain women being held in regard of ...

Introduction

Workplace bullying is a major problem that has continually escalated in many health care organizations in the United States. Similar to other professions nurses experience bullying in places of work, and this subsequently affects the delivery of services by the affected nurses. Bullying in nursing has various impacts on the working environment of nurses and provision of quality health care to patients. Workplace bullying has adverse effects on the nursing profession. It is described as repetitive abuse whereby the victim suffers from bullying behaviors such as verbal abuse, physical assault, intimidation, humiliation or threats issued by the perpetrator (Murray, 2009). ...

Three Year Professional Development Plan

“Know who you are, and be it. Know what you want, and go out and get it!” said by Carroll Bryant has been an inspiration for me throughout my life. Nursing professional are pro-active individuals who are involved in imparting quality care to patients in different healthcare settings. I am currently enrolled in the Bachelors of Science in nursing (BSN) program. I find myself to be self-motivated and hard working. My colleagues often praise me for my hard-work and dedication towards my profession. My seniors in the medical surgical unit have appreciated me for my negotiating and organizing skills. ( ...

1. What evidence-based communication skills, change processes, and interventions are you using to guide your work in the field experience? Please be complete and provide at least 2 examples of how you are using these practices. Communication is a key skill that leads to the translation of research evidence into practice. Constructive feedback is an evidence-based strategy of communicating observations about a staff member’s behaviors. It entails focusing on the behavior and not the person, stating observations rather than judgments, and working out with the staff how to communicate more effectively (Duffy, 2013). In the course of my field ...

Nurses in advanced roles apply “an expanded range of practical, theoretical, and research-based competencies to phenomena” (Barker, 2009, p.19) within specialized areas of nursing. Advanced roles include nurse practitioner, nurse educator, nurse informaticist, and nurse administrator. Each role is distinct yet all roles share similarities in the areas of clinical practice, primary care, education, administration, and research. This assumption is explored by comparing and contrasting the different roles. A good background on advanced nursing roles assists in situating this student’s own role as family nurse practitioner. Henceforth, it becomes easier to analyze this specific role in terms of ...

Culturally-competent nursing

Culturalogical assessment is significant while providing nursing care to individuals, families, groups and institutions of diverse cultures and backgrounds. Leininger’s theory of culture care diversity and universality (CCDU) emphasizes on the vital role of nurses in entering the client’s world to discover cultural knowledge embedded within individual and family values. Therefore, nurses should be knowledgeable about the client’s culture and factors influencing their needs and lifeways. In today’s era of globalization, diverse populations are disseminated in all corners of the world. Barriers exist in the healthcare practices for the diverse populations and there is ...

What is your worldview of nursing?

Nursing continues to evolve because of new developments in the world of technology. The nursing profession undergoes real revolution because there is rapid development in all the aspects. The increase in globalization has really influenced the health care industry and nursing profession forms the backbone of health care (Buttz & Rich, 2011). Nurses have a bigger role to play in the health of nations.

What assumptions inform your philosophical lens?

There are major assumptions that inform the philosophical lens in nursing. The underlying assumptions include the independence of the patient and the nurse. Some philosophies in nursing include serving the needs of individual and the society. Provision ...

Introduction

It is said that in this world, change is the only permanent thing. Indeed, changes in the nursing profession and health care industry are inevitable as a result of external and internal catalysts. Policy reforms occur because of social, economic and political pressures. Knowledge is created every day, technology evolves at a fast pace, and consumer demands change. Organisations must respond effectively by modifying their strategic goals, structures, systems, processes, and culture (Anderson & Ackerman-Anderson, 2001). As a result, the professional roles of nurses expand, clinical practices improve, the work environment benefits from redesign, and patients receive better care. For this reason, change ...

Introduction

The proper execution of Advanced Nursing Practice is very much reliant on theory analysis and evaluation. Analysis refers to the objective and nonjudgmental description of a nursing theory while evaluation involves the judgments about the extent to which a nursing theory satisfies certain criteria (Fawcett, 2000). Theory analysis and evaluation entails the systematic and detailed review of all available primary sources such as publications and presentations by theorists (Fawcett, 2000). Theory Analysis and Evaluation are done in order to determine the exact assertions and practicality of a theory instead of relying on inferences from other authors on that theory. The relevance ...

Many individuals pursuing the nursing career have it in their aspirations to be actively involved in the restoration of health to individuals who need it. It is, therefore, the dream of every nursing professional to restore smiles on the faces of people who had lost it to pain and suffering. This is quite interesting bearing in mind that patients spend most of their time with the nurses. It is the nurses who give the prescribed medicine, they do the cleaning, and they prepare the patients for other medical procedures, and so on. In other words, a patient’s recovery happens ...

Emotional intelligence in Nursing

Emotional intelligence in nursing is the ability to process emotions, understanding and assimilations, and manage emotions. Extensive research outside the practice of nursing has exhibited correlations between significant workplace and measured emotional intelligence and the outcomes of workforce such as management of stress, effective leadership, and performance, retention of jobs, job satisfaction, positive conflict styles and burnout prevention . In a number of nursing research studies, pilot data have exhibited the same results that correlates measured emotional intelligence with nursing performance levels in the nursing leaders and clinical staff, stress adaptation, job satisfaction, professional achievement and some positive clinical outcomes in ...

Management of Aggressive Behavior

Aggressive behavior involves a patient raising their voice towards the nurse or violent attack using a weapon or an object. These threats pose a serious threat to the physical and psychological wellbeing of the nursing staff. To manage these aggressive behavior certain containment measures can be used. A possible way of managing this aggressive behavior involves the calming of the patient using verbal and persuasive approaches that will ultimately calm the patient. In cases where this does not work, physical contact may be required to manage the aggressive behavior. According to Foster, Bowers and Nijman (2007), methods such as restraint, seclusion, ...

- Healthcare Management Issue/Problem: Working Hours for Nurses Among the many issues that are discussed in workplace settings revolving around the topics of efficiency and productivity are hours worked by personnel. There are several aspects of this relationship that has been studied by management experts leading to an obvious conclusion. The management of time of work personnel (i.e. the number of hours worked) affects both their productivity and the organization’s viability. The Stanford University (n.d.) said that overwork leads to a decrease in the average productivity (as explained by output). The decrease in productivity is due to employees ...

The importance of effective management of pain in the post-operative patient cannot be overemphasized. Its inadequate management can have profound adverse effects on patients such as sleep disturbances, mobilization difficulties, aggression, high levels of anxiety, and increased distress and suffering (Carr et al., 2005). Post-operative pain can also have unwanted physiological effects on patients and cause complications such as nausea, vomiting, paralytic ileus, and increases in blood pressure (Mackintosh, 2007). This paper will critic the pharmacologic and non-pharmacologic interventions that were used in the management of post-operative pain (rated at 6/10 on the numeric scale) in a patient who is ...

NSG 5000 Advance Nurses Roles Assignment

Advanced Practice Roles in Different States Introduction Advanced practise registered nurses (APRN) provide services such as treatment, preventive care, the management of chronic and acute illnesses using high clinical skills, therapeutic interventions and diagnostic reasoning. Advanced practise nurses integrate research, education, leadership, consultation and, management in their clinical roles. APRN nurses work in a variety of health settings and may serve as consultants, speciality care providers or primary care providers (Sullivan et al, 2010). The term advanced practise nurse is a term used to refer to a registered nurse who has met some advanced educational and clinical practise obligations ...

Introduction

Advanced Practice Nurses are licensed and registered nurses with graduate level education who have various roles such as directing care for patients and communities, administration of health care institutes, policy formulation and implementation. APNs are specialized in various fields such as Clinical Nurse Specialist (CNS), Nurse Practitioners (NP), Family Nurse Practitioners (FNP), certified registered nurse anesthetist (CRNA), and certified nurse midwife (CNM). The roles of ANPs differ by the field of specialization but can largely be divided in to traditional nursing roles and enacted roles (White et al., 2008). In this essay, the roles of FNP, CRNA, and CNM ...

- A summary of the health profile of the specific high-risk family group of teen-obesity with explanation of the high-risk condition and associated behaviors or patterns. Income gap in the United States has been a great determinant of the quality of life that is led by many families in the United States. People with access to finances are able to afford quality housing, healthcare and are able to live in healthy environments. On the contrary people who have low incomes lead low qualities of life that include the occupation of low income houses, which in most cases are in ...

Admission Essay: Family Nurse Practitioner

Admission Essay: Family Nurse Practitioner I am applying for admission to the MSN program to fulfill my ambition to become a Family Nurse Practitioner (FNP). This program is perfectly designed for someone with my previous experience and background. My enthusiasm for the course and my inspiration to advance in this field is an indication of my need for my own personal development and a profound passion for the good I can do for others in the future. I have based my admission essay on the objectives of an MSN degree, as detailed in the following paragraphs. 1) Synthesize theoretical ...

1. Introduction In situations in which the demand for healthcare services exceeds the number of physicians available, nurse prescribing is normally recommended. This is because it has been found that the prescribing behavior of the nurses is equal to that of the physicians. The context within which nurse prescribing takes place exerts an influence on the mode of prescribing. In order to understand the views of nurses and other team members on nurse prescribing diabetes services, a case study was carried out in nine sites in England in order to determine the context within which nurses prescribe medicine for ...

This literature review embraces an analysis of gastric bypass in relation to alterations that can occur within the body after surgery and follow up care needed to avoid them. Precisely, an account of nutritional adjustments; implications for anemia; vitamin deficiencies, and malabsorption tendencies will be uncovered. In concluding recommendations and implications for evidence based practice will be discussed.

Nursing: Gastric Bypass Literature Review

Introduction Subtopics chosen for this literature review exploration are nutritional considerations; anemia complication; vitamin deficiencies and malabsorption tendencies. Eight articles have been selected to describe these interests in the surgical intervention under scrutiny. They are ‘Nutritional Considerations after Bariatric Surgery’ ...

The pivotal role that research plays in healthcare delivery cannot be understated. In this regard, it is apposite that health care professionals are equipped with knowledge of how to scrutinize research articles in a bid to ensure that researches are done accurately and properly. This statement emphasizes the need for decently carried out researches; a decency that can only be ascertained if information presented by researchers after carrying our researches are carefully critiqued. The paper presents a critique of an article by Eley, Eley, and Roger-Clark (n.d) through careful analysis of the sections of the article

Title of article

The essence of a research paper ...

Regulatory and accreditation bodies

Regulatory and accreditation bodies have a huge impact on how the nursing profession is developed and structured. These bodies have influences on numerous areas of nursing including nursing education and licensing. The aim of this paper is to describe the scope and purpose of the nursing regulatory body, the Board of Registered Nursing (BRN), and the accreditation body, the National League for Nursing. In addition, similarities and differences between accreditation and regulation are discussed.

The BRN

“The Board of Registered Nursing (BRN) is a California state governmental agency established by law to protect the public by regulating the practice of registered nurses” (BRN, ...

Evidence Based Practice for Type 2 Diabetes in the United States

I. Introduction Type 2 Diabetes is a prevalent chronic disease. It is currently the fastest growing disease in the world (Franz & Splett,2007).The health burden of diabetes as it currently stands is that the prevalence of Type 2 Diabetes is high among people aged above 25 (Narayan , et al., 2009). This segment of the demography is highly productive and dependable for the growth of the global economy (Narayan, et al., 2009). For every one person diagnosed with Type 2 Diabetes, there is one other person who goes undiagnosed. Pacific Islanders, Native Hawaiians, Asian Americans, Native Americans, Latinos, ...

Many people undergoing surgery experience significant anxiety during the preoperative stage and during the induction of anesthesia. A variety of pharmacological and behavioral modalities are used to treat this condition. Some of the pharmacological methods used include the administration of stress relieving drugs. The use of music as a part of preoperative therapy has been supported by American Music Therapy Association (Pritchard, 2009). A study by Ebneshahidi & Mohseni, (2008), found that music is a safe, easy, economical and effective way of relieving anxiety among patients awaiting surgery.

According to the association, music can cause positive change in mood and a reduction ...

Introduction

Today the concept of patient advocacy can be treated by different people in various ways. Still, there is a general tendency today, when there are major health care debates, to reduce this role to some typical images of a man on TV asking about your feelings after visiting the hospital the last time (Reece, 2011). But if this concept is considered in its true primary interpretation, it turns out to be very simple: it is first of all support of patients, and there is no one better to do it than nurses in the hospitals. In fact, everything that a nurse ...