Barriers that prevent Nurse Practitioners from practicing in Long Term Care Facilities Nancy Marshall A thesis presented to the School of Graduate Nursing Mountain State University In partial fulfillment of the requirements for the degree…
Nurses are responsible for obtaining and maintaining specific knowledge and skills for different professional roles and responsibilities. The professional roles are: Caregiver, Educator, Advocate, Communicator and Manager. These roles are developed because of the need for greater levels of professional competency and expertise. They enable the nurse achieve the best possible patient care outcome in the least amount of time and resources. The developments resulted as a response to the ever-changing and increasing complexity in the healthcare systems which are due to new regulations, accreditation processes, professional standard, increased accountabilities and financial priorities.…
With the growing complexity of health care and diminishing availability of primary care physicians, many patients are seeing family nurse practitioners for their primary care needs. Therefore, the need for the nurse practitioners (NPs) becomes a must in the healthcare system. With the increased number of older adults, in merging of the new technologies into the healthcare system, the immerging of certain chronic and infectious diseases, all of these aspects have challenged us to re-examine the way health care system is operated and to make new changes. One of the changes that can make into the health care system is to let the PNs in playing their role in patient care management. The role of the nurse practitioners (NPs) in the healthcare industry…
Case Study: Assessment 3 Nursing Management Plan Nursing management of the patient is important to make sure the patient is safe and comfortable. Nursing care plans are created to aid in communication and organization of Mr. C's specific care needs and actions that can be addressed by the changing nursing staff. Upon arrival to the neurosurgical ward, Mr. C was alert, obeying commands and presenting a GCS of 15, along with a pain score of 5/10 where he was given appropriate analgesia. Left sided limb movement and facial drooping was still present, however right-sided strength and movement was strong. Mr. C was still experiencing high blood pressure but low pulse rate at 50 beats per minute, respiratory rate between 16-20 breaths per minute,…
Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…
One thing that I have learned is the importance of documentation and research to the future role of advance practice nurses. Advanced practice nurses, themselves, play a huge role in the outlook of this field. “We would all do well to remember this underlying philosophy of NP practice, then acquire and utilize skills that honor our nursing roots while providing the highest quality primary care”, Berg, Hicks and Roberts, 2017). Not only does quality of care impact the nurse practitioner (NP) profession, so does ethics and professionalism. Nurse practitioners have an obligation of acting as stewards in the NP role.…
"Nursing's future will be created only as the discipline underlying nursing practices is identified, structured, and continuously updated by systematic inquiry." 1. What does this mean to Schlotfeldt? The nursing future will be created as a discipline underlying the nursing practice (Cody. 2013. P. 15), through the years of the nursing profession, practices have been researched and evidence based practices (EBP) has been used to put the nursing practice into play.…
According the American Association of Nurse Practitioners ([AANP], n.d.), Georgia is a state with restricted practice which means that the state requires supervision or management by an outside health discipline, such as a physician, in order for APRNs to provide care. Full practice authority is when state and licensure law allows for the APRN to assess, diagnose, order and interpret diagnostic testing, initiate and manage treatments (which includes prescriptive authority) under the licensure authority of the state board of nursing. Full practice authority is the model recommended by the Institute of Medicine (IOM) and the National Council of State Boards of Nursing (American Association of Nurse Practitioners, n.d.). The state of Arizona is…
Best Practice Guidelines in Relation to Medical Surgical Nursing The Registered Nurses Association of Ontario (RNAO) states that “since 1925 the RNAO has advocated for healthy public policy, promoted excellence in nursing practice, increased nurses’ contribution to shaping the health-care system, and influenced decisions that affect nurses and the public they serve.” One of the ways the Registered Nurses Association of Ontario has achieved these goals is by developing a highly appraised program which advises nurses on evidence-based strategies to implement in their practice of patient care through the Best Practice Guidelines (BPG). Since 1999 the Best Practice Guideline Program employs the latest research to optimize the outcomes of nursing…
In the United States today, exposure to fast food ads, environment, socioeconomic status, genetic predisposition, overeating and unhealthy snacking has increased obesity in U.S. residents. According to the Centers of Disease Control and Prevention (CDC), more than one-third of U.S. adults are obese. Research suggests that obesity and not exercising is the leading cause of heart disease, which is the number one cause of death in America (CDC, 2016). As the number of obese patients enter the hospital, so does the need for more health care workers and the appropriate equipment. Nurses have to provide basic care to every single patient, which ultimately leads to back injuries in the nursing field.…
Hello, Tina~~ In order to understand better IOWA nursing practice, I searched the IOWA nursing board. Mine is Texas. I thought most nursing board will be almost same, but I was totally wrong after read the document regarding to nursing practice at Iowa. There is defined the Minimum standards of nursing practice for registered nurses.…
Since 2005, without much success, the Minnesota Nurses Association (MNA) has been encouraging hospital chief executive officers and/or administrators to set a baseline minimum staffing standard or create policy to protect patient safety (Minnesota Nurses Association, 2017). In 2010, the Affordable Care Act (ACA) implemented a new model of healthcare delivery and payment that was designed to improve quality and reduce costs, but as a result, cost control pressures have been put on nurse staffing levels in order to reduce nurse labor hours and their associated costs (Avalere, 2015). With a goal of making a case for sufficient nurse staffing levels and/or models, the American Nurses Association (ANA) teamed up with Avalere to conduct a targeted review of published literature, government reports, and other publicly available evaluations of nurse staffing and patient outcomes (Avalere, 2015). Their key findings with appropriate nurse staffing included: nurse staffing models should consider the number of nurses, the nurse-to-patient ratios and staffing should be adjusted to account for unit and shift level factors; helps to achieve clinical and economic improvement in patient care; improves patient satisfaction and patient quality of life; decreases/reduces: medical and medication errors, patient mortality,…
Past a few years everyone has noticed that there is a shortage of physicians in the United States. With the physician shortage, the quality of health care decreased dramatically. The number of medical students and residents entering primary care or pursuing careers in general internal medicine or family practice is steadily decreasing. One of the way this shortage car really be rescued is the integration of the nurse practitioners to filling the gap. Despite the physician shortage and the affecting aspect in the health care system in the US, still the NPs encounter many legislative issues which may cause a negative impact to the scope of practice of the NPs.…
Nursing standard of care is based on what an ordinary, prudent nurse with similar education and nursing experience would do in similar circumstances. Standards of practice provide a guide to the knowledge, skills, judgment and attitudes that are needed to practice safely. For example, standard of care urinary incontinence nursing staff must keep resident clean and dry, observing skin for changes such as reddened area with each incontinent and barrier creams to be used on all incontinent residents per facility protocol. A nurse must have followed the policies and protocol to give the care. If a nurse does not meet the standard of practice, a nurse may be found negligent if he or she negligence caused a patient harm.…
The Professional Nurse: Past. Present, and Future While pondering what comprises a professional nurse, a few things come to mind. A professional nurse should have empathy, first and foremost. The professional nurse should also be knowledgeable since the profession has no room for error. She or he should be able to communicate with patients as well as other health care professionals.…