There are many different aspects of Advance Practice Nursing (APN) make that make the nursing profession unique and valuable. The competencies that comprise each advanced practice nursing discipline are vital in creating a solid foundation for clinical nursing. They prepare you to conquer challenges in the clinical setting and cultivate innovation to establish processes for clinical practice.
In the spring of 2010, President Obama signed into law The Affordable Care Act (ACA). The ACA has since caused many heated debates and state appeals. The law itself provided multiple health reforms and made it possible for millions of uninsured and underinsured to gain health insurance for the first time ever (Assistant Secretary for Public Affairs, 2014). The influx in new insured individuals and families will only increase the patient to doctor ratio; making the physician/nursing shortage dire.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress. In collaboration with other medical personnel, nurses engage in the development and enactment of patient care plans. Furthermore, they provide education to families and groups on various health issues such as disease prevention, among others.
Every nurse, at some point, has questioned why something is done. Perhaps the procedure misuses time, is painful for the patient, or is unnecessarily unsafe for the nurse. Is this process or procedure utilized because of an outdated method or is it proven to be the best practice? Thus, every nurse, and especially nurse leaders, have the unique ability to question, research, and discover enhanced nursing processes that can improve patient and nurse outcomes alike. The purpose of this discussion board is to discuss evidence-based practice in depth, including the nurse leader’s role, strategies for implementation, forces behind change, how organizational infrastructure and culture help or hinder implementations, and finally, describe the process
Directions: Please complete the following information on this template. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers.
NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie
Twenty two research articles were included in the review. Questionnaires, interviews, audits and reflections where also used to collect data. Nine research studies were found related to intentional rounding. The purpose of the study was clearly stated. The purpose was to evaluate how intentional rounding affects patient outcomes. The review was completed in 2014. Some limitations where discussed they were throughout the research material. The conclusion was that patient outcomes were positive with intentional rounding and they were based off the results from the study. The study did state that they were not sure if intentional rounding was the cause of improved patient outcome or relationships that formed with the nurse and patient. The article
Duty of care plays a major role for health professionals, Duty of care follows codes and principles put into action for facilities such as hospitals via external sources such as the Government, in order achieve one core goal which is to ensure that the patient is subject to the best possible care that can be given by the facility and the Health Professionals working at the health facility.
This entry will discuss the DNP student peer-reviewed presentation at the Haitian American Nurses Association (H.A.N.A) monthly meeting on March 18, 2017. The DNP student had the opportunity to speak to members who were non-health professionals, nursing students, nurses, ARNP’s and DNP’s. The DNP student had the chance to prepare for this presentation with her mentor Dr. Marie Etienne. Preparation was done via a conference call. H.AN.A’s meeting was from 7:00PM to 10:00 PM.
In the review of the literature regarding National Patient Safety Goals and the reduction of healthcare associated infections by the implementation of evidence-based practice, one article addressed the education of patients and family to prevent catheter-related bloodstream infections (Dela Cruz et al., 2012). MD Anderson Cancer Center Infusion Therapy Team places 600 central venous catheters (CVC) and PICC’s and 100 implanted ports each month at their facility (Dela Cruz et al., 2012). Volume like this has lead to an extensive formal education program to assist the patient and family with care and maintenance of their CVC to reduce the number of catheter-related bloodstream infections (Dela Cruz et al., 2012). The education program consists
Neff, Cimiotti, Heusinger, & Aiken (2011) carried out the largest survey of registered nurses ever conducted in a large southeastern state to see what the nurses have to say about providing safe and effective care and how satisfied nurses are with their current nursing position. A survey was sent out to a random sample of 49,385 registered nurses who were working and residing in this southeastern state using a modified Dillman’s methodology. Neff et al. (2011) mailed a cover letter explaining the purpose of the survey. Then a postcard was sent out a week after the first mailing to encourage participation. All the nonrespondents were sent a second mailing, and a voice message was sent to all nurses 2 days after the initial mailing and 2 days
Student nurses and nurses spend majority of their time dedicating themselves to patient safety and quality of care. They do patient education, administer medications, perform head to toe assessments, but most importantly, they possess effective communication skills by listening to their patients. This is important because it allows the nurse to understand the concerns of their patients and advocate for their rights. According to the American Nurses Association (ANA), advocacy is when one uses his or her position to protect, support, or speak out for the rights and interests of another.” (Sanford, 2012). The nurse serves as a patient advocate in many situations. Some of these situations include but are not limited to patient rights,
As you mentioned a clinical nurse leader (CNL) is in a great place to help initiate the use of evidence based practice into their clinical settings. They are in a position that gives them the resources and ability need to develop initiatives that improve patient outcomes (). Clinical nurses leaders are often the liaison between team members and patients, which allows them to actively engage all major stakeholders. I find that one of the ways that a clinical nurse leader uses evidence-based practice to reduce hospital-acquired infections is in his or her teaching to nursing staff, patient and their
Currently many patients state they do not use the 4% solution because it causes severe skin irritation. The stakeholders in this study would be the surgeons, pre-operative nurses, and the management team of the hospital who order products. This may also result in a cost reduction for the hospital. The team members include the surgeons and pre-op nurses would have to be divided into two areas. Those that use 4% solution and those who use a 2% solution. Each team would be responsible for using and tracking how well each solution worked. A limitation found in the study was the lack of follow up on the participants. Being that most of the surgeries we do in my department are outpatient surgeries. Many of the patients go home after surgery and I may no longer have the ability to see if they had developed a surgical site infection.
Nocturnal enuresis "Bed wetting" is the involuntary loss of urine that occurs only at night. It is normal voiding that