Essays on Nurse

(NRS 441V: Professional Capstone) - Abstract A sizeable research shows that the currently witnessed nursing retention problems have significantly hampered the provision of healthcare across the United States. Nursing shortage is directly tethered to the low retention rates and not unless drastic steps are taken to avert this problem, the entire healthcare system is set to experience a hard time ahead. Therefore, this paper intends to explore what are the probable causes of this problem and subsequently give recommendations on the best evidence-based approaches to resolve the issue. Overwhelming evidence shows high levels of work stress and dissatisfaction ...

Communication is an integral part in the delivery of treatment to sick patients. In order to provide effective treatment plan, nurses must ensure that they have proper and effective communication skills. Nurses must also have the necessary skills to facilitate therapeutic communication. This kind of communication decreases the psychological distress that the patients may have and in a way, therapeutic communication raises the self worth of the patient if carefully undertaken. Engagement and rapport building, exchange of information and how an agreement action plan on the therapeutic process is also explained. This paper also takes a keep look at the communication ...

Introduction

In the field of nursing, nurses have a responsibility of providing treatment and care to their patients; this provision ensures easy coping with ailments and wellbeing. In order to carry out their responsibilities effectively, nurses must interact with their patients in an appropriate manner. The nurse-client relationship is an interactive process in terms of feelings, thoughts, and actions. According to Peplau’s outline of Interpersonal Relations theory, such relationships are crucial in nursing practice. Whether the client is an individual, group, family or community, this relationship benefits them in a variety of aspects (College of Registered Nurses of British Columbia, 4). ...

1. Describe the Master's prepared nurse’s role as researcher.

A research nurse performs a crucial role of guaranteeing the success of research studies. Research nurses also ensure the safety of participants and provide them with adequate information regarding the research topics, benefits and objectives of the research (Finkelman & Kenner, 2013). The role of a research is varied and intricate. Research nurses coordinate the management of the study through established organizational and leadership skills. Their roles in any clinical research entail preparation of protocols and other research–linked documentations. They submit research proposals for regulatory endorsement; coordinate the commencement, management and conclusion of the clinical study. More importantly, research ...

A midwife-nurse nurse is responsible for providing care for women in their pregnancy period and during birth. They also provide primary care to women after birth, carries out gynaecological examinations, gives family planning advices and takes care for the health of women at menopause. Basically, there are three factors that must be observed for one to be considered as an ideal midwife-nurse. First he/she must observe dignity protective actions while attending to a childbearing woman at high risk. To achieve this, there must be a dialog between the nurse-midwife-nurse and the childbearing woman. There must also be trust, mutuality, constant presence ...

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 ...

Hawkins, T. Charlotte., Flynn, L., & Clarke, P. S. (2008). Relationships between registered nurse staffing, process of nursing care, and nurse-reported patient outcomes in chronic hemodialysis units. Nephrology Nursing Journal, 35(2), 123- 145. Cho, S. H., June, J. K., Kim, M. Y., Yoo, C. S., Yun, C. S., & Sung. H. Y. (2009). Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units. Journal of clinical nursing, 18, 1729-1737. Blackwell Publishing Ltd. The main aim of this study was to scrutinize the relationship between nurse staffing and nurse-rated quality of nursing care and the ...

Part I

Communication: The nurse did not use a polite tone as she was communicating to her patient. The nurse used a hostile tone and it appears that she was yelling at the patient. The nurse made the patient feel frightened and inhibited. Rationale: The patient will feel threatened and may become uncooperative if the patient if an impolite, hostile tone is used. Treatment goals may be impaired if the patient feels frightened or intimidated.

Appropriate Action

The nurse should always act professionally

Cultural Competence The nurse failed to greet everyone in the room The nurse failed ...

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Introduction

The best way to describe critical reflection is through a passage delivered by Aldous Huxley in which he said, “Experience is not what happens to a man; it is what a man does with what happened to him” (University of Texas, 2012). In the healthcare profession, a health professional is confronted by situations that that requires critical understanding. Some encounters are challenging and perplexing. And because there is a level of urgency in the practice of medicine and healthcare, majority of the time healthcare practitioners does not have the luxury of time to contemplate on their actions. This is unless the incident ...

Introduction

The health care system remains a fundamental component in national development. An effective health care system enables a country to attain high economic development by providing quality medical services to the people. The system ensures that members of the public access reliable, affordable, and quality medical services. This move creates a healthy and working nation because people can engage in social economic activities and contributes, in national development. The system also creates a conducive environment to nurture talents, innovativeness, creativity, and invention, thus attracting local and foreign investors. Most developed states have invested in health care through hiring qualified and competent nurses, establishing ...

Introduction

The role of a nurse practitioner in modern day world has seen its share challenges from other physicians. According to Lowe, Plummer and Boyd (2013), nurse practitioners target to improve healthcare delivery. Nurse practitioners offer a huge advantage in helping to reduce the doctors’ shortage, but there has been opposition from doctors to expand the role of a nurse practitioner. One of the roles of a nurse practitioner is managing care environments and modifying the care delivery to ensure the attainment of patient's needs (Lowe, Plummer and Boyd, 2013). As such, many people view the role of the nurse practitioner as entirely ...

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Introduction

It is well accepted that nurse practitioners provide excellent health care, meeting quality standards and also a cost effective alternative to the traditional medical model. As a profession, we are capable of independent practice. The issue being that In New York State, as well as 34 other states, Nurse Practitioners is required to maintain a collaborative agreement with a physician. A collaborative agreement is a very loosely defined set of mandates, left opened to many different interpretations. Also, according the Patient Protection Affordable care Act (PPACA), Nurse Practitioners are recognized as providers but there patients must be assigned ...

Tillot et al. (2013) identifies that nursing shortage is a result of an aging workforce, aging population, job dissatisfaction, shortage within the nursing faculty and the lack of an engaging and collaborative environment is care settings. Tillot et al. (2013) utilized a systematic review of past literature aimed at assessing the factors that deny the workers an opportunity to engage their colleagues constructively in practice. The study notes that the management should focus on developing an environment where communication and staff collaboration and engagement is considered a primary element of the organizational culture. The study is highly applicable in nursing practice since ...

Treating Mental Health Illness – A Literature Review

ABSTRACT The following literature review explores the capabilities of the nurse practitioner treating varieties of mental disorders as comorbidities of primary care patients. The NP interface with the primary care and outpatient services of different people living on the fringe of society with specific barriers to quality health care connected to mental illness proves valuable. The efficacy of the NP in treating mental illness in patients according to the literature emerges as a valuable intervention with screening, diagnosing, and therapy options for specific patients often isolated from medical care access with mental illness including homeless, geriatric, pediatric, and the ...

Abstract

The topic of this paper is regarding the effects of the nursing shortage on patient safety and adverse events. Due to the nursing shortage, there is an increase inare registered more patient adverse events and there is increasedthe risk to the patient’s safety increased. If the nursing shortage problem is not correctedsolved, then there will be a continuance ofcontinue increase in the risk to patient safety risk , andas well as harm to the patient. In the paper there is provided Aan explanation of the nursing shortage, the its cause of the shortage, how the shortageit affects patient safety, and ...

Nurse Managers with effective skills and knowledge are essential components of our health- and medical-care systems. Studies on the relationship of nurse management with nurse empowerment, staff nurse turnover, management of generational issues are being done in all parts of the world. These studies have established correlations between effective nurse management and increased overall productivity of the healthcare systems. The roles of nurse managers are increasingly recognized as they provide leadership to the largest group of employees (nurses) in any healthcare organization (Mathena, 2002).

Nurse empowerment

Improvement in the present nursing working conditions is critical for retaining the nurses currently in ...

Nursing Shortage and Nurse Turnover

Nursing leaders and managers are an integral part of the working environment that makes sure that work goes on smoothly. Although some people still use the leadership and management interchangeably in nursing practice, these two concepts of nursing leadership and nursing management are actually different. Therefore, nursing leaders and managers approach issues differently. It is pertinent to examine the definition of both nursing leaders and managers in order to relate their functions to the topic of discourse. It is often said that a leader is capable of being an effective manager. However, the reverse is not always the case ...

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 ...

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 ...

Rationale

It is apparent that the entire healthcare system is grappling with nursing shortages-a phenomenon that is characterized by improper nurse-patient ratios. This has adamantly hampered the quality of care provided and adversely affecting patient outcomes and satisfaction. According to the American Nurses Association, proper staffing and hence patient-nurse ratios is an integral aspect in improving the quality of healthcare provided. High nurse-patient ratios means that nurse have to deal with huge numbers of patients leading to clinical errors, clinically acquired infections or premature discharges from hospital. This leads to high readmission rates and increased hospital costs due to recurrence ...

Introduction

Nurse practitioners are following the higher professional standards. It indicates that all nurse practitioners are responsible for their actions and are accountable for malpractice. Legislation that regulates the practice of nurse practitioners varies from different states. It differs in opinions among nurses, physicians, or legislators account for the inconsistencies. The core objectives of the health care professions especially the nurse practitioners are to deliver safety of the patients, effective health care, and cost-efficient health care. Nurse practitioners play a vital role in achieving the objectives. Failures of delivering the proper health care to the clients result to accountability or liability.

Failure to follow standards of care

...

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, ...

The nursing field is tasked with delivering health care that is effective, efficient, timely, and accessible. These measures of quality nursing care can be achieved when nursing practice is properly coordinated. Nursing staffing levels play a critical role in nursing administration. Nurse administrators should ensure that there are adequate nurses in the health facilities to deliver quality patient centered care. The available nurses should have the right skills and knowledge to deliver the services demanded by the patients. However, too many nurses may not be economical. Therefore adequate staffing is a serious issue in nursing administration which involves ensuring there are ...

Role of the major public health personnel, including the public health nurse, involved in the disaster.

The key roles of the public health personnel including the community nurse include the assessment of the disaster, policy development, and provision of health care needs for the affected victims of Franklin County. The community nurse provides direct care to the patients, families, or a group of people that were affected by the disaster through the door to door visits. The community nurse is collaborating with experts from other disciplines such as the epidemiologist (Sharon Kong), Fire department (Jim Anderson), EMS department(Cory Sanborn), Police department(Jeff Stackhouse), public health officers 9(Lane Harris), Environmentalists (Seth Stattmiller), and many other ...

Scenario 1: Teaching a newly diagnosed type II diabetic patient the importance of monitoring his/her blood glucose level.

This scenario will require applying connectivism theory of learning to help the patient effectively comprehend the importance of monitoring blood glucose level in the body. Connectivism theory is relevant in this scenario since it requires that the patient needs knowledge to assimilate the importance of monitoring his or her blood glucose level. The patient has to be active and learn as the process of learning is carried on. James states that, “Nurturing and maintaining connections is needed to facilitate continual learning” (2013). The theory makes learning contextual as the patient has to connect the information he has concerning ...

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An Overview: Family Nurse Practitioner

In every community, each individual has their respective parts to play. This part are identified as role. Role is defined as “the set of interconnected rights, beliefs, norms and behaviors as determined by the people in a given social condition” (MacMillan Online Dictionary, 2014). It is then acceptable to assume that roles are dictated by the society according to what it deemed appropriate and necessary for a specific individual based on social position or social status. In the case of the Nurse Practitioner, he or she too has a socially-determined role to play to the betterment of the community. However, ...

Bill S.864 National Nursing Shortage Reform and Patient Advocacy Act The National Nursing Shortage Reform and Patient Advocacy Act bill creates requirements for the acute care facilities to provide registered nurses based on the increased patients’ acuity as long as the minimum nurse-to-patient ratios are met all the time. Direct care registered nurses are mandated to act in the exclusive interest of their patients, and possess the right to be patient advocates. The bill seeks to address a number of policy issues such as the growing nationwide shortage of direct-care registered nurses in hospitals, provide minimum standards for patient ...

Palliative care is a component of compassionate care. It is a dynamic holistic care of people who have got highly developed and progressive diseases. The care involves management of all symptoms and offering of spiritual, psychological and social support to the patients. The aim of this care is common among all the nurses giving it, which is the accomplishment of the highest quality of life for all the patients as well as their families. Many features of the care do not only apply to the late stages of diseases, but also in earlier courses in combination with some treatments (Baldacchino et ...

Introduction

Nurse practitioners (NPs) perform a number of chores in primary care settings. The United States government has developed health care goals of 2020 that should be achieved through interactive work between healthcare practitioners, the government, and the society (Healthy People 2020, 2014). The roles of nurse practitioners range from taking care of the sick in the hospital to helping the needy in villages and homes. The main role of nurse practitioner in primary care setting includes meeting health demands for a growing population, addressing patient healthcare needs and ensuring a quality physician-led team for every patient. One of the key roles ...

Abstract

Theories in nursing provide an avenue where the perspectives of nurse are described and explored in clinical phenomena. The perspectives include the definition ’what’ of nursing, ’who’ of nursing and when nursing services are needed. The goals and boundaries of a nurse are identified in a theory. Theories are composed of concepts, propositions, frameworks and assumptions which they are based on. Since this paper looks at the accepted theory and how it affects nursing care of patients, Peplau’s theory of interpersonal communication will be discussed. Hildegard Peplau theory is based on the psychodynamic nursing. The relationship between the nurse and ...

Introduction

Patient health outcome is influenced by different factors. One of these factors is the nursing staff-patient ratio. Nurse staffing and how it affects the patient and nurse outcomes is of major concern to the hospital administrators and policy makers. This can be linked to the findings of several researches done relating to the outcomes of nurse-patient ratios. Since delivery of high-quality patient care is a key motivating factor for managers, understanding this myriad of issues and providing key solutions will be a beneficial step towards restructuring the nurse-patient relationship within the health care system. The review paper by (Patternson, 2011) pointed ...

Theoretical Strategies and Practical Applications

While the entire world suffers from retaining workers in the healthcare industry, retaining nurses and nursing managers is one of the highest priorities for healthcare facilities. With high burnout rates, high retirement rates, low enrolment rates in nursing schools, low compensations for demanding positions, stressful working environments, and high job dissatisfactions in the nursing field, it is expected that the nursing field will experience high shortages because replacement and retention rates are too low to keep up with retirement rates. It is possible to categorize factors that determine nursing manager retention rates by importance. “Communication, participative management, and effective ...

PART 1

Professional socialization Professional socialization refers to the process whereby an individual acquires skills, sense and knowledge of all aspects that characterize the profession. It involves learning everything that entails a particular profession (Claywell, 2009, p.6). This means that the internalization of the values, culture norms and ethical standards is necessary for one to be considered to have gone through full professional socialization. The values of different professions vary. In nursing, students learn through a procedural culture and in the end acquire the occupational identity of the profession. A student nurse does not acquire full professional socialization until after a long spell ...

Section 1 – Describe a Crucial Conversation

It was again Patient X, brought in for the second time this month into the emergency department due to a new diabetes complication. The patient was a woman in her fifties, who previously had her leg amputated due to the advancement of diabetes. The physician who attended her ordered lab work to determine the level of glucose, which came back as 1200. The physician immediately asked intravenous insulin medication for the patient, yet Nurse A, who was in charge of the patient’s medication, was not administering her insulin as the physician instructed. Nurse B, who had a long history with ...

Personal Philosophy of Nursing

Transitions and Trends in Professional Nursing Personal philosophy of nursing Nursing should not be viewed as any other job from which people should just look forward to pay day. Nursing is not only a calling but a duty that people should perform with undying passion towards improving the health sector. Of essence to note is the reality that unlike other professions, nursing takes a people-oriented approach because, fundamentally, nursing is about the lives of people (Gastmans, 2002). Apparently, nurses view the profession differently, in my view, being a nurse is the most viable decision I have ever had to make. The ...

Peplau provided arguably the most revolutionary and most effective working formula for nurses all over the world known as Peplau’s nursing formula. This nursing theory completely changed the way nurses view their nursing duties as well as the patients they tend to on a near daily basis. In the period between 1943 and 1945, Peplau served as a nurse in the army corps being assigned to the 312th field station hospital in England. Here, she made acquaintance and worked with some of the key leading figures in American psychiatry as well as British psychiatry. After the war, she did extensive ...

Dissertation Submitted in Partial Fulfillment

Public Health November,2014 Abstract Type II diabetes has negatively influenced millions in the United States. Adverse impact of type II diabetes in children is ever increasing and needs some serious strategic and professional input from nurses deployed at schools. Unfortunately, the sensitivity of diabetic issue is never addressed appropriately. Moreover, the lack of research on the topic has also resulted in a significant increase in childhood type II diabetes. The research indicates that controlling type II diabetes in children is possible. School nurses employing the knowledge of physical exercises, dietary plans and emergency response can readily ...

Abstract

The nurse practitioner (NPs) role evolved historically from changes in the demand for and supply of physicians and primary health care services. Beginning in the 1965, programs were developed and offered specifically to educate and train NPs based on specialization which includes family nurse practitioner. The transition from another nursing role to a family NP role depends on how similar and different those two roles are. It is also depends on individual strengths and weaknesses as these relate to the new role and how effective strategies are in improving the latter. Career progression to the NP role requires envisioning the ...

Introduction

Close to 60% of all new graduate nurses who are employed at health care institutions, leave those places within the first year of employment (Pine & Tart, 2007). The cumulative effect of this high turnover has staggering losses. A 2004 economic analysis of this issue reported that the dollar cost of turnover per Registered Nurse (RN) in a 6000-bed acute care hospital is more than $60,000 (Ponyton et al, 2007). Nurse turnover negatively affects the ability of the patient care team thereby compromising the quality of care given in that hospital. In addition it results in personal losses to the ...

Identification of the issue

Many countries of the world are facing the problems of the nursing shortage and high nurse turnover in the healthcare set-ups. Many young nurses either change their place of employment or leave the nursing profession within one year of their professional careers. High nurse turnover is economically costly and is associated with negative patient outcomes. Several strategies have been adopted by the healthcare systems to reduce this shortfall. Two of the most significant of these strategies are attracting newcomers to the profession and improving staff retention. A significant link exists between healthy work environments, job satisfaction and staff ...

1. Which of the following is an antidote for benzodiazepine overdose or toxicity?a. Buspirone (BuSpar)b. Hydroxyzine (Visteril)c. Flumazenil (Romazicon)d. Naloxone (Narcan)There is one other drug overdose antidote in the above list. Name the drug and its mechanism of action. Flumazenil (Romazicon®) is another drug given to reverse the depressant effects of benzodiazepine and thus useful for overdose treatment. It acts as a competitive antagonist of benzodiazepines, having high affinity to GABAA receptors, which is the BZD binding site. This allows it to specifically target benzodiazepine and drugs with similar MOA such as zolpidem, but not other ...

Part 1: Optimal Nurse Staffing in the Post Anaesthesia Care Unit at the University of Toledo Medical Centre, West Toledo, OH.

The issue of staffing among registered nurses has been acknowledged to be one of the perennial problems that affect the nursing sector. Many evidence-based studies in nursing have found that there is a very strong relationship between nurse-to-patient ratio and safe patient outcome (American Nurses Association, 2014; Welton, Unruh, & Halloran, 2006). Just like many other nursing units, the nursing section at the University of Toledo Medical Centre has established staffing policies and guidelines that ensure that patients in Post Anaesthesia Care Unit (PACU) receive holistic nursing care. In this regard, the management has divided the level of care into two phases: ...

Introduction

In recent times, there have been many developments in the healthcare sector. Healthcare practitioners have been equipped with skills that enable them to serve the society in the most effective manner. Like in any other sector, the proper running of things in healthcare is reliant on the administration, leadership or management. The management or leadership in all health care settings has the responsibility of making sure that patient care meets the standard or the set objectives. Administrative duties include tasks such as coordination, decision making and injecting motivation to the workforce. This paper will close analyze different objectives of ...

Application of the Theory of Human Caring

Introduction A theory refers to a set of propositions and concepts that provide an orderly way or method to view phenomena. Theory helps to guide research and enhance or support the existing knowledge on a certain discipline. A theory not only helps individuals to organize their ideas or thoughts, but it also directs them on what to do, when to do it and how to do it. Nursing is one of the disciplines that constantly employs the concept of the theory, and over the years, theory has become essential to effective nursing practice as well as research (Peate, 2010). The ...

Compassion in nursing involves a deep and empathic regard for the suffering of a patient and the desire and engagement to ease that suffering (Slatten, Carson & Carson, 2010). Empathy may take the form of counter-transference or the vicarious experience of the patient’s suffering (Boyle, 2011). Compassion entails the use of self enabling the nurse to establish a connection and a therapeutic relationship with the patient in order to (Smart et al., 2014). However, the repetitive practice of compassion can lead to fatigue, a phenomenon more common in settings such as oncology, palliative care, hospice, trauma, and emergency services. Constant preoccupation with patients and ...

Introduction 3

Gillick Competency Principle 4 Roles and responsibilities of nurses 5 Conclusion 8

References: 10

Ethical and Legal issue This case study focuses on a minor girl who does not want her parents to know that she is pregnant. She is contemplating terminating the pregnancy via an abortion without consulting or seeking the consent of her parents. According to the 2010 Health Practitioner Regulation National Law (WA) Bill, a minor is a person aged less than 18 years. The client in question, Chin Lee, is a minor because she is only 15 years old. In Western Australia, minors are governed by separate ...

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 ...

P- Patient or population (problem)

One of the primary determinants of the quality of care provided in a healthcare setting is the type or kind of leadership within that setting. The nurse leader or Nurse Manager therefore plays a critical role in helping determine the quality of care. When the leadership style they utilize augurs well with the opinions and needs of their staff, then the quality of care is assured to be high and effective for the current patient population (The Joint Commission National Patient Safety Goals, 2012). However, in those instances where the leadership style does not suit the staff nurses and other workers, ...

Leadership Shadowing Experience

Introduction Nurse shadowing is an effective way for nursing students and people interested in getting into nursing as a career to get experience on day-to-day activities of a nurse. Shadowing involves following an experienced nurse and learning through observation and asking questions. This report is a shadowing experience for an intensive care nurse leader. The report covers the observed management and leadership styles, problem-solving skills, communication skills, interpersonal relations, and workplace diversity. Further, the author compares the management theories taught in school with the concepts applied in the clinical setting.

Management Style

The nurse I shadowed is a nurse manager at an intensive care ...

Introduction

Nurse have various legal responsibilities in any hospital setting. The nurse’s responsibilities particularly become accentuated in settings where various problems are being experienced. In this case study, a step down unit of a hospital is experiencing high census and a very high patient nursing ratio, meaning that the unit is serious understaffed. Understaffing is a critical issue in health care because it can lead to several negative consequences. One of these problems is medical errors, and this is, in fact, what happens in this particular hospital. A medication error refers to an error by a care provider either in dispensing, administration, prescribing or ...

Leadership is essential to the successful management in the field of nursing. However, nursing leaders and employees have different views on the type of leadership style to be adapted for best results. Owing to the challenges in the nursing leadership, re-evaluation of current managerial tactics is necessary. A nurse leader must master delegation because it constitutes a critical portion of the effective leadership and success in the patient care. Since we live in a multi-cultural nation; good leaders should consider all aspects of a person including cultural diversity. Time management skills, self-efficacy and assertive communication are the other significant qualities of nurse ...

- Introduction Amayatakul writes that “electronic medical record (EMR) is a digital version of a paper chart that contains all of a patient’s medical history from one practice. An EMR is mostly used by providers for diagnosis and treatment (Amayatakul, 2012, p.19).” This indicates that Electronic medical records will act as a supplement to nurse practitioners in that healthcare service will be efficient, which will be beneficial to both the patient and the staff members (Anderson, 2005, p.123). In addition, a nurse practitioner need electronic medical record as a way of keeping track of the patient’s past records. This will help the ...

As a little girl I used to admire my mother in her snow-white, starched, well ironed uniform; and hoped for the day I would work with her. On the rare occasions when I visited her at the hospital watching the doctors walking around with a group of student doctors was my favorite pass-time; and I would say to myself, one dayI will be in one those groups. While I still lived in my country, I finished high school and entered college with the intention of fulfilling my vision; but shortly thereafter I immigrated to the United States and changed my reverie. ...

Richard Angelo and the Ethics of Self-Delusion

THE ‘ANGEL OF DEATH’ Abstract

Charge nurse Richard Angelo was responsible for the deaths of at least 10 patients at Good Samaritan Hospital in West Islip, New York, between 1986 and 1989. A former Eagle Scout and volunteer fireman, Angelo sought to create situations in which he would be seen to revive patients he had brought to the brink of death by injecting them with lethal paralytic drugs. As such, Angelo violated his professional ethics on multiple levels and called into question the very nature of the patient-nurse compact. The Angelo case, and others like it, elicited a reassessment ...

Scope of practice

Scope of practice is a term that defines the procedures, processes, and actions a licensed individual can carry out in relation to his/her qualification. Qualification includes training, education, and experience. The practice act contains the scope of practice for all health occupations that require a license in order for the healthcare personnel to operate in a particular field in the health industry. The emergency department is a very critical unit in a health care center that handles patients who check in with life critical illnesses and injuries. These cases are usually unplanned for, and they require immediate attention. The emergency department is dedicated to such ...

Introduction

Shortage of nurses and various other quality and cost related issues have resulted in a boom of research and studies, related to staffing alternatives. In order to develop a workforce that can actually help to overcome the obstacles faced by the nursing industry and to ensure quality management in nursing practices, there are initiatives like supplemental staffing which are being accepted widely. It is important to understand that addressing the nursing related issues will not only help to improve the quality of health care but will also help to increase the productivity and reduce the effect of shortage of nurses, ...

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). ...

Reflection: Assessment and Nursing Intervention on the Transition

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Introduction

Transitioning from the Post-Anaesthesia Care Unit (PACU) to a regular medicine ward is not a breezy task especially among nurses who are initiating the transfer and the nurse receiving the patient. There are pressing concerns that must be considered. This is especially necessary since keeping the patients to stay longer at the PACU have resulted to congestion, patient and family dissatisfaction due to limited visiting hours and surgical delays (Thomas & De Leon-Ayson, 2008). Given these concerns and the vulnerability of the patients’ condition, nurses participating in the transition of patients from PACU to the ward are confronted with a complicated ...

Nurse Responsibilities

A nurse is a medical professional who focuses on taking care of sick individuals so that they can return to or improve their optimal health status (Philip, 2003). Unlike other medical professionals, a nurse has a lot of responsibilities. Some of a nurse’s main responsibilities include promotion of health, reducing the risks of a disease or treatment, and control of the spread of a disease. Sure there are a lot more responsibilities that a nurse has to fulfill (it may even vary from country to country) but this paper will only focus on these three.

Health Promotion

Nurses are considered members of the primary healthcare team. Primary healthcare ...

Abstract

Since nursing has evolved into a science and the twenty-first century nurse a professional practicing in various aspects of the discipline; implementation of a Nurse Practice Act became inevitable within the industry. This does not only set boundaries defining scope of function for every category of nurse, but also allows clients to determine the quality of care expected from each level as patent- nurse interactions are established. This document will embrace dimensions of the Nurse Practice Act across nursing cultures with the aim of evaluating its effectiveness in promoting adequate nursing intervention.

Introduction

A Nurse Practice Act is an international criteria found within ...