As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice. Establishing an independent nursing practice is an opportunity to obtain greater autonomy in your practice and focus on a particular population or healthcare venue. As long as the NPs cannot overcome the
When one considers the traits needed to be a good nurse, and what a core value of nursing would be, a multitude of characteristics are brought forth. Common ideas brought forth are empathy, integrity, respect and communication. However, an often overlooked but nonetheless quintessential attribute of the nursing practice is accountability. In nursing, where the lives of patient’s and their loved ones, and the reputation of one’s own nursing practice are in one’s hands, it is essential to take responsibility for what you do or do not say or do. Being accountable for one’s actions or words can often mean either recovery or deterioration, health or illness, life or death. This concept of nursing is explored brought forth often in Tilda Shalof’s novel A Nurse’s Story: Life, Death and In-Between in An Intensive Care Unit, where she discusses difficult situations wherein she had to hold herself accountable for her actions. Therefore, due to the sensitive and intense nature
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions. “Shared governance, which gives nurses control over their professional practices, is an essential element of a professional practice nursing model, providing structure and context for health care delivery” (cite shared governance article). This allows each healthcare worker to have a voice in the decision making and encourage input that will expand the business and healthcare.
Every field of occupation requires each position to operate under a variety of different tasks and responsibilities. Depending on the work that is to be completed, sometimes, delegating certain tasks to those who are well-trained and competent to finish it plays a major role ensuring what needs to get done is completed. In the nursing field, registered nurses are tasked with many responsibilities that need to be finished in order to guarantee that patients are getting the quality care they need and are healing effectively. Part of the responsibilities of a nurse is to delegate tasks to unlicensed assistive personnel (UAPs) and licensed practical nurses (LPNs). In order to properly delegate tasks to these workers, the registered nurse needs to follow the five rights of delegation provided by the National Council of State Boards of Nursing (NCSBN) (n.d.): (a) right task, (b) right circumstance, (c) right person, (d)
Nursing has come a long way from being the hand maidens of the physician to having control over nursing knowledge and practice. It now has two essential ingredients of accountability and autonomy. There is more demand from the nurses now than in the past when all they were expected to do was just to provide comfort and care. They were just meant to assist the physician during treatment, assist in the patients personal hygiene administer medication that is prescribed by the physician and dress wounds. These were just things that any woman could do. Nursing demands much more now as they are educators, client advocate, and managers. More so it is a requisite for any field of endeavour to attain professional status, it is actually an attribute of a profession.
Nurses are uniquely positioned to be present at virtually every level of our health care system, nurses work at the community centers, clinics, hospitals and nurses are also present not only as bedside clinicians but also at the level of management, in the form of nurse managers, supervisors all the way up to the Director of nurses. We have a unique vantage point of the real state of affairs of our health care system, with the push for higher education and training, nurses will start to occupy more influential
Power is often explained as the “formal authority” for making decision and who resource control and who has less tangible symbolic power or in fact the skills for control meaning and ideas. As argued by Bodenheimer & Grumbach (2012), the distribution of intangible and tangible resources under inter-organisational relation often determines the engagement strategies, specifically the choice among strategies that is often dependent on conflict or cooperation. The same can be revealed for inter-professional relation where the power differential sources, like wider social, professional and cultural systems, reinforce and produce of power imbalances. From Pyramid of health professions, nurses have mainly defended the independence, professional autonomy as well as professional status within the relationships with other health workers.
As we transition into the new role of NPs, our scope of practice expands. Moreover, as our responsibilities increase, we later become policy makers, and develop autonomy and decision–making skills. NPs are responsible for providing safe nursing care with more specialized knowledge and advanced education. We are also responsible for pursuing continuing education and advanced knowledge to remain competent quality providers, and meet the needs of the community. With our acquired repertoire of skills, it is essential that we utilize them to make informed decisions and collaborate with our community to promote wellness and healthy living. As advanced practice nurses (APN), we work to deliver and provide family-focused, culturally competent, and
The nursing process is a series of organized steps designed for nurses to provide excellent care. Learn the five phases, including assessing, diagnosing, planning, implementing, and evaluating.
This essay will be focused on delegation and how it is linked to decision making. Delegation and decision making are both essential in the life of a nurse. To explain how delegation and decision making are important, this essay will be looking at the clinical experience of student nurse Kingston. He has had a bad clinical experience because of the failure of proper delegation.
perform a selected nursing task or activity in a selected patient situation that is within the job
Delegation is part of healthcare clinicians’ everyday life. It is important for us a nurses to be careful when we chose to delegate to be sure not to compromise our patient’s safety. There are several mechanisms in place to ensure patient safety for example hospital policy and procedure manuals. As nurses when we provide patient care it is imperative that we remain in our scope of practice. Throughout my nursing career, I have learned when delegating one must remain accountable and responsible.
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
Many factors influence the nurse ability to provide safe, effective, and high quality patient’s care. Among these factors, nurse fatigue. Nurse fatigue occurs generally as a result of a lack of adequate sleep, working extended shift hours, 2-3 back to back 12 hours shifts with no inadequate time to sleep. As a soon to be novice nurse, we need to be aware of the impacts that fatigue can have on the delivery of our care and most importantly the safety of the patients, coworkers and self. In fact, fatigue greatly decrease the nurse ability to provide safe care through increased likelihood of medical errors (e.g; administration of the wrong medication or dose to the wrong patient) causing harm. Our role and responsibility as a nurse is to be the
Power has varied definitions. According to Mullins power is considered as having control, influence or dominion over something or resources (Mullins, 2002).As stated by Benner” Power includes caring practices by nurses which are used to empower Patients” (Benner, 2001) . Ideally, nursing leaders must have knowledge and abilities which are strong in the multi-factorial domains of nursing practice (E.A. Ward, 2001).The challenge of leadership is all about how leaders can channel their subordinates to get things accomplished. It is about transforming ideas into actions, dreams into realities, and problems into solutions and hurdles into positive outcomes (Kouzes J. M., & Posner, B. Z. 2015).