Lonliness In Nursing

Advance practice Nursing origins date back more than a century. Advance practice nursing roles do not stand apart from nursing rather it builds on foundation and core values of nursing discipline (Hamric, Hanson, Tracy & O’Grady, 2014). Advance practice nurses (APN’s) are distinctive of other healthcare professionals such as doctors and physician assistants because of their holistic approach and its nursing framework at its core. Barbara J Safriet’s article ‘Health care dollars and regulatory sense: The role of advanced practice nursing’ highlights the effectives of APN’s in terms of both quality and cost effectiveness and challenges barriers to practice. This paper is the reaction to the article and will identify the two issues

Advanced Practice Registered Nurses (APRN) play an essential role in the healthcare facilities where they ensure that there is the delivery of quality services to the patients. The implementation of the policy of protecting these nurses will have a positive impact on their various operations and how they provide services to the patients. The American Nurses Association has put more weight on protecting the APRNs and ensuring that there is fairness and consistency in their functions across different states in the country (Schwab, Gelfman & Tirozzi, 2005). When they have the right working environment, the APRNs have a chance to save lives and ensure that patients recover with ease by providing them with the right services. On the other hand,

Advanced practice nurses (APN) have a vital role in the future of health care, especially since the enactment of the Affordable Health Care Act. With more citizens having health insurance coverage they will be seeking health care providers, and there are not enough physicians to care for them all. According to Letiziam (2014), advance practice nurses are licensed autonomous health care providers that have been trained to evaluate, diagnose, and treat patients and their conditions. Advanced practice nursing is an umbrella that covers four separate roles of nurses, this includes: the certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), certified nurse practitioner (CNP), and certified nurse specialist (CNS).

Many nurses do not get involved in health care policy even though the nurse should. Most nurses do not know much about health care policies, some view it as “foreign and complex” (Falk, 2014, p. 203). I consider myself one of the nurses that do not know much about health care policy and I am one of the nurses that do not get involved in health care policy. I do not get involved with health care policy because I was never taught about it, so I do not want to get involved in something that I do not know much about. I look forward to learn more about health policies and becoming more involved in health policies.

There is no doubt in my mind that to define and measure health in today’s society is a challenge. Over the past number of centuries, or even decades, the idea of what health is has developed, and still to this day, varies across the many socio-economic levels within a country, varying on an even broader spectrum globally. In 2013 the World Health Organisation defined health as “A state of physical, mental and social well-being, and not merely the absence of disease or infirmity”. This aspect of wellness regarding ones mental health is a relatively new concept to be introduced, further showing that how we perceive health is an ever changing continuum, as opposed to an unvarying definition. In contrast to health, Baldwin, J et al. (2015) put

it is imperative that nurses maintain a current knowledge of evidence-based practice to best care for their patients, families, communities, and the health care system itself.

Every human on earth is born with the desire for some type of human connection and as one grows the need becomes even more profound. This need is portrayed in the film The Yellow Wallpaper when a woman with a evident mental disorder is isolated causing that disorder to intensify. Although, one's mental well being is not the only victim when it comes to social isolation. In the article, “The Dangers of Social Isolation”, Traci Watson explains how the lack of human connection in a person's life can put them at a higher risk of death. Every person needs some type of human connection to maintain a mentally and psychically stable life.

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

I wonder how many times I’ve felt lonely, even when within close proximity of other people. What is loneliness - a feeling, a state of being? Sociologist Adrian

Recently the advanced practice registered nurse (APRN) became a very important profession due to the major changes in the healthcare system and the Patient Protection and Affordable Care Act (PPACA) goals that focus on providing patients with affordable but quality care, improving patient health outcomes, expanding care to the underserved areas, and lowering the costs. It became apparent that over the years nurses played an important role in healthcare system. According to the National Governors Association (2012) “The demand for primary care services in the United States is expected to increase over the next few years, particularly with the aging and growth of the population and the passage of the Affordable Care Act (ACA)” (p. 1). In addition,

The role of Nurse Practitioner came into inception in the mid 60s. This was in response to a shortage of physicians across the nation. With the demand for primary care services for all ages, one option to close the demand gap and increase the number of providers is the option for states to revisit the laws governing how Nurse Practitioners practice and provide care to patients in different settings like hospitals, outpatient clinics and others. Whether they work autonomously or under a physicians' supervision, their scope of practice involves but is not limited to assessment and planning with a goal to provide the the best care for optimal patient health and outcomes.

In an article by Howie, Troutman-Jordan, and Newman they concluded, “For older adults the quality of social relationships has a greater impact on well-being than the quantity of contacts” (pp. 68, 2014). Stevens and van Tilburg continued on to say this, “Merely having friends is not sufficient….a combination of qualities in different levels of friendship is most beneficial” (pp. 31, 2000). This being said it appears that by having friends to help alleviate the loneliness that many older individuals feel can help alleviate this and improve overall well-being which could have a positive impact on increasing the life span. My second question deals with if depression impacts one’s life span. According to Drs. Wolkowitz, Epel, Reus, and

It is estimated by 2020 there will be a shortage of 60,000 RNs in Canada (McGillis, Gates, Peterson, Jones & Pink, 2014, p, 54), a fact that is exacerbated by the implementation of a completely foreign examination system. The baby boomer generation is entering a stage that requires additional healthcare resources, a reality that is supported by the fact that the geriatric population is expected to increase up to 22.8% by 2031 (McGillis et al., 2014, p.54). The projected increase in geriatric population is proportionately linked with the increased demands of healthcare services directly translating increased pressure on the health care system. If large amounts of nursing students continue to fail the NCLEX examination, the pressure increases on nurses who are currently practicing in Canada to meet the needs of the aging

Advanced Practice Registered Nurses (APRN) play a vital role in the future of health care irrespective of their specialty .APRNs are often primary care providers and are at the forefront of providing preventative care to the public (Nursing World, n.d.). Advanced practice nursing roles are developing globally, and opportunities for advanced practice nursing are expanding worldwide due to the need for expert nursing care at an advanced level of practice.

The Community Care Act 2014 sections 1, 2 and 4 highlights the general responsibilities of the act and it could be said the ones that most affect social workers in making decisions for action. We will look at these sections to see how they fit alongside the BASW Code of Ethics for Social Workers (2012).