(Greenwood, 2000, as cited in Saintsing, Gibson & Pennington, 2011). This is a fact that novice nurses are learnt during their nursing academia but integration of novice nurse in the critical settings is challenging. Fresh graduates subsequently can bring change with their new knowledge as they have up to date information and strategies to manage the patient. They are familiar with new researches regarding patient care. Work in critical care area is very important for their professional growth and learning.
Recruitment of Professional Nurses: The Evidence-Based Magnet Recognition Program® Magnet hospitals define hospitals that recruit and retain nurses by providing a positive working environment, as well as their excellence in providing high-quality nursing care (Schmalenberg& Kramer, 2008). They are international models for nursing standards. Other hospitals look to magnet organizations for ways to improve their patients’ results, reduce hospital stays, in addition to attracting and keeping the most qualified nursing staff (Yıldırım, Kısa & Hisar, 2012). In the early 1980s, the American Academy of Nursing (AAN) appointed a task force in hospital nursing practice out of concern for the numerous workforce issues that the profession was currently
Nurses Level of Leadership and Autonomy United States Within the United States, the oncology nurses play a vital role in leadership being at the forefront of care, as well as having a wide range of autonomy. However, ultimately, the providers make the orders that the nurses have to follow. A 2013 article, Nursing Practice Environment and Outcomes for Oncology Nursing elaborate on autonomy within the oncology nursing field. A notable finding of the study was the more autonomy the nurses felt they had compared to their peers on medical surgical floors. Their research states that oncology patients normally have complex cases and require a lot of knowledge and time.
When identifying areas which are affected, the problem spans from lack of assistance with activities of daily living, to major medical errors. One study focused on improved resuscitation rates related to appropriate nurse to patient ratios. Those involved in the study site the American Heart Association’s “chain of survival” to directly correlate their evidence. “Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” argues that nurses with an appropriate patient load are able to make contact with their patients more frequently, and for longer periods of time, giving those with a potential for cardiac arrest a more “timely response” to their cardiac event. Since “timely response” is the initial phase in the “chain of survival”, the subsequent steps are more likely to yield favorable outcomes.
The changing climate as a result of the advent of value-based care continues to place significant demands on hospitals, medical providers, healthcare organizations, and physicians to take a completely new look at the marketing strategy. A coherent strategy and sustained quality are critical in today’s healthcare market to attract new patients, retain existing clients, and maintain positive and productive relationships between the patients and hospital staff. To be viable today, healthcare organizations have to utilize effective strategic planning to develop integrated marketing strategies that makes it efficient and easy for the target population to identify what they need, make informed decisions, and provide insights and new information – not just basic promotion. Also, such efforts have to be constantly evaluated to ensure highest quality that fosters better outcomes and more value for the
8 EXPERTISE IN NURSING High demand for nurses to give quality and standard care has led to an increase in innovative nursing practice. How can these standards and innovations be maintained progressively to meet the dynamics in health care? .The only way is to continue to develop nurses knowledge and skills to the point where they become experts. According to Patricia Benner a nurse theorist, it is by the nurse practitioner gaining experience to the point where they become experts. Experience is one of the attributes that helps the profession to grow and knowledge is developed.
Abandonment and Nursing The career of nursing is more than just healing the sick. Nursing often causes nurses to face moral and ethical dilemmas. “Ethics refers to principles of right and wrong behaviors, beliefs, and values (Zerwekh & Garneau, 2015, p. 420).” When new graduate nurses begin their careers the first twelve months are a great time to gain a better understanding of personal beliefs and how they can affect patient care. Nursing is a highly respected profession and patients will seek advice from nurses. Therefore, nurses should learn how to react to situations that may not align completely with their own personal moral or ethical beliefs.
According to Goeschel (2011) " Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.". As patients’ advocators, who need to integrate all knowledge for instruction as well as communicate
According to Rettig (1980) when research was determined to be apart of the nursing profession prior to 1970, additional education requirements led to some resentment. A negative attitude toward research is also created when projects are tedious and the results provide no clear answer. Some ways to help nurses develop positive attitudes toward nursing research include having role models in the clinical area who value research, having more emphasis on research and statistics in nursing programs, and providing research courses at the undergraduate level that help the student develop vehemence for
Healthcare is evolving and is the forefront of discussion in the United States with the enactment of the Affordable Care Act (ACA), shortages of providers, and a growing transformation in access to health care. One primary proposed solutions to the lack of providers and improvement in access to health care are to expand the scope of practice of those of the non-physician healthcare providers, such as nurse practitioners (NP). There are central debates in the discussion of nurse practitioners having the ability to practice independently to help close the gap; many states are responding differently to the proposition to increase the scope of practice of nurse practitioners. By giving NPs a greater scope of practice, it will address the shortage
(2008). I would like to challenges Chief Nurse Executives (CNEs) to lead the journey and highlights how patients, their families, and health care organizations would benefit immeasurably if CNEs stepped forward and accepted this leadership role, then and only then can the best practice changes begin to improve what we as nurses already know. The processes of leading are intended to enable more people to develop into leaders and more people to share the roles of leading, to enhance the quality and safety of patient care (Stone P. Hughes R, Dailey M.
For example, CAQ’s have the potential to improve employment opportunities for many PAs. Dearani and Nowak (2015) argue that “Today’s health care paradigm has to reconcile millions of newly insured Americans with an aging population battling chronic conditions and a shortage of physician specialists… Certified PAs must have the education, experience and skills to deliver quality specialty care” (p. 6). CAQ’s are a way for specialty PAs to formally demonstrate their proficiency and advanced knowledge. In addition, according to Danielsen (2009), Governmental agencies like the Agency for Healthcare Research & Quality (AHRQ), and the National Institutes of Health (NIH) are heightening focus on patient safety and risk management. Therefore, the growing diversity of practicing PAs needs to ensure patient quality of care.
The controversy over the roles of physicians and nurse practitioners in primary care in the United States has been heatedly discussed over the past years. Although many may not even know the difference between the two, the issue is very important to those with the careers. A nurse practitioner is an alternative career for professionals who want to work in advanced healthcare but do not wish to make the commitment necessary to become a physician ("Nurse Practitioner vs Physician Assistant."). Physicians and nurse practitioners are different in their education and approach to care. Physicians study medicine and disease, while nurse practitioners study how to care for the sick.
Change in the Workplace: Implementation Bar-Coded Medication Administration Change is inevitable and constant in the modern world. Continuous advancement in technology is also changing the healthcare system to ensure patient safety and provide high quality patient centered care. The hospitals are adding more and more computer assisted devices and the nurses are facing new challenges every day. Change in the workplace means making changes in the work environment that is different from the current state. Implementing a change can create anxiety or fear of failure in nurses, which may lead to a resistance to change practice.
“More highly educated nursing workforce is critical to meeting the nation’s nursing needs and delivering safe, effective patient care….. Without a more educated nursing workforce, the nation’s health will be further at risk (Tri-council for Nursing, 2010).” As the acuity of the patient increases daily, so is the need for increases of higher education for nurses. The factor of increasing complexity of patient health require higher education for the liability of safe practice, thus is an agreeable requirement for employers to place upon the employees. Acquiring a bachelor’s degree is only an improvement for everyone. Nurses need the ability of fast critical thinking skills and observation of declining signs and symptoms.