Nurses Essays (Examples)
Study Document
Contemporary Professional And Clinical Nursing Issues
… medication administration. The medication, being a Schedule IV medication, ought to be checked first, and then counted, and then signed by 2 registered nurses at the treatment room and prior to administration (Government of New South Wales, 2013; Government of Western Australia, 2013). This did not happen … fear consequences such as loss of work or suspension of their professional license leading to stress and lower performance (Al-Ghareeb & Cooper, 2016). Nurses lead from the front in the provision of care and in the administration of drugs, therefore, lack of confidence following an…[break]…could reduce the … al., 2017). Medication safety issues can lead to adverse events or even death (ACSQHC, 2019; Davies et al., 2019).
Recommendations
Teaching of student nurses in hospital environments is necessary to prepare them for the life ahead as it improves their decision-making and problem-solving skills (Bogossian et al., … necessary to prepare them for……
References
References
Australian Commission on Safety and Quality in Health Care [ACSQHC]. (2019). Implementation of the national safey and quality health service standards. Retrieved from https://www.safetyandquality.gov.au/standards/nsqhs-standards/implementation-nsqhs-standards
Australian Commission on Safety and Quality in Health Care [ACSQHC]. (2016). National safety and quality health service standards. Retrieved from https://www.safetyandquality.gov.au/our-work/assessment-to-the-nsqhs-standards/nsqhs-standards-second-edition/
Ben Natan, M., Sharon, I., Mahajna, M., & Mahajna, S. (2017). Factors affecting nursing students' intention to report medication errors: An application of the theory of planned behavior. Nurse Education Today, 58(2), 38-42. doi:10.1016/j.nedt.2017.07.017
Bogossian, F., Cooper, S., Kelly, M., Levett-Jones, T., McKenna, L., Slark, J., & Seaton, P. (2018). Best practice in clinical simulation education, are we there yet? A cross-sectional survey of simulation in Australian and New Zealand pre-registration nursing education. Collegian, 25(3), 327-334. doi:10.1016/j.colegn.2017.09.003
Claffey, C. (2018). Near-miss medication errors provide a wake-up call. Nursing, 48(1), 53-55. doi:10.1097/01.NURSE.0000527615.45031.9e
Davies, K. M., Coombes, I. D., Keogh, S., & Whitfield, K. M. (2019). Medication administration evaluation tool design: An expert panel review. Collegian, 26(1), 118-124. doi:10.1016/j.colegn.2018.05.001
Government of New South Wales. (2013). Medication handing in NSW public health facilities. Retrieved from https://www1.health.nsw.gov.au
Government of Western Australia. (2013). Storage and recording of restricted schedule 4 (S4R) medicines. Retrieved from https://ww2.health.wa.gov.au/About-us/Policy-frameworks
Study Document
Elder Abuse
… emotional, physical, and sexual abuse makes it even more challenging to respond to and identify elder abuse (Lachs, Teresi, Ramirez, et al., 2016). Nurses have a responsibility to protect their patients from abuse, but may encounter conflicts when they suspect family members, other residents, or other healthcare … aging population and the growing numbers of seniors in…[break]…elders—particularly women—have tolerated behaviors that could be considered abusive by some cultural frames of reference. Nurses have to make difficult decisions about when to intervene in situations where verbal or psychological abuse is considered normative in other cultures, perhaps … or psychological abuse is considered normative in other cultures, perhaps by speaking directly with the patients themselves.
From a professional point of view, nurses need to continually review the professional literature and stay abreast of changes to eldercare legislation, policy, and protocol. Concerns should be raised immediately … Concerns should be raised immediately……
References
References
Falk, N. L., Baigis, J., Kopac, C., (August 14, 2012) \\\\\\\\\\\\"Elder Mistreatment and the Elder Justice Act\\\\\\\\\\\\" OJIN: The Online Journal of Issues in Nursing 17(3).
Forum on Global Violence Prevention; Board on Global Health; Institute of Medicine; National Research Council (2014). Ethical considerations. Washington (DC): National Academies Press (US); 2014 Mar 18.
Lacher, S., Wettstein, A., Senn, O., et al. (2016). Types of abuse and risk factors associated with elder abuse. Swiss Medical Weekly 2016(146): 1-10.
Lachs, M.S., Teresi, J.A., Ramirez, M., et al. (2016). The prevalence of ersident-to-resident elder mistreatment in nursing homes. Annals of Internal Medicine 165(4):229-236.
Malmedal, W., Iversen, M.H. & Kilvik, A. (2014). Sexual abuse of older nursing home residents: A literature review. Nursing Research and Practice 2015(Article 902515): http://dx.doi.org/10.1155/2015/902515
Roberto, K.A. (2016). The complexities of elder abuse. American Psychologist 71(4): 302-311.
Saghafi, A., Bahramnezhad, F., Poormollamirza, A., et al. (2019). Examining the ethical challenges in managing elder abuse: a systematic review. Journal of Medical Ethics and History of Medicine 2019(12): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642445/
Wangmo, T., Nordstrom, K. & Kressig, R.W. (2017). Preventing elder abuse and neglect in geriatric institutions: Solutions from nursing care providers. Geriatric Nursing 38(5): 385-392.
Study Document
Legal And Ethical Issues In Healthcare
… by the fact that the dilemmas encountered are not documented; neither is there any information giving details of how such dilemmas were overcome. Nurses' ability to handle dilemmas in the course of their profession could be a result of their experience in previous ethical situations at various … be drawn from the understanding of the principles of ethics, the process of making decisions, the nursing code, and ethical theories. Therefore, all nurses would gain from in-depth knowledge of ethical principles and the process of making decisions. This would boost their skills in deciding. Availing avenues … could help mitigate the challenges (Nora et al., 2016).
There is also a need to conduct workshops for addressing ethical matters regularly for nurses. In a lot of the health institutions around, ethical committees only meet to make decisions on research findings. It is important to have … lot of the health institutions……
References
References
Chen, Y. Y., Chu, T. S., Kao, Y. H., Tsai, P. R., Huang, T. S., &Ko, W. J. (2014). To evaluate the effectiveness of health care ethics consultation based on the goals of health care ethics consultation: a prospective cohort study with randomization. BMC medical ethics, 15(1), 1.
Morrison, E. E. (2011). Ethics in health administration: a practical approach for decision-makers. Jones & Bartlett Publishers.
Nora, C. R. D., Deodato, S., Vieira, M. M. D. S., &Zoboli, E. L. C. P. (2016). Elements and strategies for ethical decision-making in nursing. Texto&Contexto-Enfermagem, 25(2).
Reddy, M. S., &Mythri, S. V. (2016). Health-care Ethics and the Free Market Value System. Indian journal of psychological medicine, 38(5), 371–375. https://doi.org/10.4103/0253-7176.191387
Taylor, S. C. (2015). Health Care Ethics. Internet Encyclopedia of Philosophy. Retrieved from https://www.iep.utm.edu/h-c-ethi/#H2
Yip, C., Han, N. R., &Sng, B. L. (2016). Legal and ethical issues in research. Indian Journal of anesthesia, 60(9), 684–688. https://doi.org/10.4103/0019-5049.190627
Webster, G., Bayliss, F., Rubin, S., &Zoloth, L. (2000). Moral Residue. Margin of Error: The Ethics of Mistakes in the Practice of Medicine. Hagerstown, MD: University Publishing Group.
Study Document
The Role Of APRN In Policy Making
Introduction
Nurses are professionals and experts with the capability and responsibility to have an influence not only in the prevailing but also future healthcare delivery … and endeavours to cultivate and progress persons’ health all the way through their life expectancy and across all societal levels. Through policy work, nurses have the ability and ought to influence practice standards as well as procedures to guarantee quality of care. More than ever, nurses ought to be incorporated in every healthcare environment and also are set in a unique role in the formulation of policy (Burke, 2016).
… provide information and insight that is precise and pertinent. It is imperative to demonstrate that when being involved, the insight rendered by the nurses is accurate and relevant in the policies being considered. A second strategy is assertiveness. Nurses invest a significant amount of time and determination in their endeavour to efficaciously come off……
References
References
Burke, S. A. (2016). Influence through policy: Nurses have a unique role. Reflections on Nursing Leadership. Retrieved from: https://www.reflectionsonnursingleadership.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role
Chilton, L. (2015). Nurse Practitioners Have an Essential Role in Health Policy. The Journal for Nurse Practitioners, 11(2), A19.
Hughes, A. (2010). The challenge of contributing to policy making in primary care: the gendered experiences and strategies of nurses. Sociology of health & illness, 32(7), 977-992.
Shariff, N. (2014). Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development. BMC nursing, 13(1), 20.
Study Document
Culturally Competent Patient Care Advanced Practice Nursing
Culture in Advanced Nursing Practice
Abstract
Culturally competent nurses can assess the psychological, spiritual, physiological, social, environmental, and epidemiological data on a particular cultural group to provide culturally sensitive and patient-centered care. … not limited to ethnic, linguistic, religious, and national heritage, and can also include subcultural domains, age, socioeconomic status, and political affiliations. Advanced practice nurses have a moral and legal obligation to provide culturally competent care, outlined in Standard 8 of the American Nurses Association (ANA) Standards of Practice. Cultural assessment strategies enable the advanced practice nurse to understand the complex intersections between health status, cultural needs, disease … factors that impact healthcare attitudes, behaviors, beliefs, and expectations.
Cultural competency becomes relevant to advanced nursing practice on the individual level (such as nurses working with individual patients) and also on the organizational level (built into healthcare policy or institutional policies). For the advanced practice nurse, cultural … between the……
References
References
Coats, H., Crist, J. D., Berger, A., Sternberg, E., & Rosenfeld, A. G. (2016). African American Elders’ Serious Illness Experiences. Qualitative Health Research, 27(5), 634–648. doi:10.1177/1049732315620153
“Cultural Awareness and Influences on Health: NCLEX-RN,” (2020). Registered Nursing. Retrieved from: https://www.registerednursing.org/nclex/cultural-awareness-influences-health/
Marion, L., Douglas, M., Lavin, M., Barr, N., Gazaway, S., Thomas, L., Bickford, C., (November 18, 2016) \\\\\\\\\\\\"Implementing the New ANA Standard 8: Culturally Congruent Practice\\\\\\\\\\\\" OJIN: The Online Journal of Issues in Nursing Vol. 22 No. 1.
Smith, L.S. (2018). A nurse educator\\\\\\\\\\\\'s guide to cultural competence. Nursing Made Incredibly Easy 16(2): 19-23.
Spector, R.E. (2016). Cultural diversity in health and illness. 9th Edition
Wagner, J. (2019). Cultural competency. Medicine Libre Texts. Retrieved from: https://med.libretexts.org/Bookshelves/Nursing/Book%3A_Leadership_and_Influencing_Change_in_Nursing_(Wagner)/03%3A_Diversity_in_Health_Care_Organizations/3.04%3A_Cultural_Competency
Williams, M.T., Duque, G., Wetterneck, C.T., et al. (2018). Ethnic identity and regional differences in mental health in a national sample of African American young adults. Journal of Racial and Ethnic Health Disparities 5(2018): 312-321.
Young, S., & Guo, K. L. (2016). Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The health care manager, 35(2), 94-102.
Study Document
The History Of Dorothea Dix
… the war as a soldier (though some did); to serve their country and assist the men who did fight, they would act as nurses and deliver medical supplies, as Barton often did, even in the most dreadful of conditions. War and social politics put women in a … the historical figure in nursing, Dorothea L. Dix (1802-1887). She was a Civil War era nurse and served as the Superintendant of Army Nurses. One of her major contributions to the field of nursing was to establish the first mental asylums in the U.S. thanks to a … the government had a duty to provide care for those in need.
Dix represents in her person the type of social advocacy that nurses today are expected to demonstrate. She set the tone for how a nurse can stand up for those in need, who cannot stand ……
References
References
Brown, T. J. (1998). Dorothea Dix: New England Reformer (Vol. 127). Harvard University Press.
Darraj, S. M. (2009). Mary Eliza Mahoney. Infobase Publishing.
Fantel, H. (1974). William Penn: Apostle of Dissent. NY: William Morrow & Co.
Gollaher, D. L. (1993). Dorothea Dix and the English origins of the American asylum movement. Canadian Review of American Studies, 23(3), 149-176.
Hardy, S., & Corones, A. (2017). The nurse’s uniform as ethopoietic fashion. Fashion Theory, 21(5), 523-552.
Hathway, M. (1934). Dorothea Dix and Social Reform in Western Pennsylvania, 1845-1875. Western Pennsylvania History: 1918-2018, 17(4), 247-258.
Howard, A. & Kavenick, F. (1990). Handbook of American women’s history. New York, NY: Garland.
Modak, T., Sarkar, S., & Sagar, R. (2016). Dorothea dix: A proponent of humane treatment of mentally ill. Journal of Mental Health and Human Behaviour, 21(1), 69.
Study Document
Specialty Certification In Nursing
As Bonsall (2012) points out, The American Nurses Credentialing Center (ANCC) has defined specialty certification as “a process by which a nongovernmental agency validates, based upon predetermined standards, an individual nurse’s … Essentially specialty certification indicates a nurse has competence and advanced knowledge within a specialized field. The Institute of Medicine (2010) has called for nurses to further their education in order to increase their competence levels and obtaining specialty certification is one of the ways in which nurses can do that.
Different types of certifications include Certified Pediatric Nurse (CPN), Oncology Certified Nurse (OCN), Family Nurse Practitioner (FNP-BC), Certified Registered Nurse … the nurse must update, which requires additional education (American Academy of Nurse Practitioners, 2019).
Achieving certification requires taking an exam. So for The American Nurses Credentialing Center (ANCC) and the American Association of Nurse Practitioners (AANP), which are the governing boards that administer tests to nurses seeking certification, the exams are different. The……
References
References
American Academy of Nurse Practitioners. (2019). AANPCB Certification. Retrieved from https://www.aanpcert.org/certs/index
BoardVitals. (2018). ANCC vs. AANP: Which FNP Exam Should I Take? Retrieved from https://www.boardvitals.com/blog/ancc-aanp-fnp-exam/
Bonsall, L. (2012). Specialty certification. Retrieved from https://www.nursingcenter.com/ncblog/march-2012/specialty-certification
Green, K. (2015). Careers in hospice care. Retrieved https://www.bls.gov/careeroutlook/2015/article/hospice.htm
Institute of Medicine. (2010). Future of nursing. Retrieved from https://www.nursingworld.org/practice-policy/iom-future-of-nursing-report/
NetCE. (2019). New Jersey Advanced Practice Registered Nurses CE Requirements, Accreditations & Approvals. Retrieved from https://www.netce.com/ce-requirements/nurse-practitioner/NJ/
Spiritual Care Association. (2019). Palliative care specialty. Retrieved from https://www.spiritualcareassociation.org/apbcc-hpc.html
Study Document
The Role Of Quality And Safety In Nursing Science
… care (the highest third of hospitals) had 23% lower odds of 30-day inpatient mortality” (Smeds-Alenius, Tishelman, Lindqvist, Runesdotter, & McHugh, 2016, p. 117). Nurses who make sure patients take their medications, advise them on after-hospital routines, and educate on options for lifestyle changes, can lead to improvement … means committing one’s self to providing a comprehensive and effective protocol that allows patients a chance to improve on their health outcomes.
When nurses engage in unhealthy practices like unfinished care, it can lead to negative health outcomes, lending to the correlation of quality of care and … to the correlation of quality of care and safety. “Unfinished care is a significant problem in acute care hospitals internationally. Prioritization strategies of nurses leave patients vulnerable to unmet educational, emotional, and psychological needs” (Jones, Hamilton, & Murry, 2015, p. 1121). For example, if nurses forget to check patient charts and administer the……
References
References
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. doi:10.1016/j.ijnurstu.2015.02.012
Lood, Q., Kirkevold, M., Sjögren, K., Bergland, Å., Sandman, P., & Edvardsson, D. (2019). Associations between person?centred climate and perceived quality of care in nursing homes: A cross?sectional study of relatives’ experiences. Journal of Advanced Nursing. doi:10.1111/jan.14011
Murray, M., Sundin, D., & Cope, V. (2017). New graduate registered nurses’ knowledge of patient safety and practice: A literature review. Journal of Clinical Nursing, 27(1-2), 31-47. doi:10.1111/jocn.13785
Sahlström, M., Partanen, P., Rathert, C., & Turunen, H. (2016). Patient participation in patient safety still missing: Patient safety experts\\' views. International Journal of Nursing Practice, 22(5), 461-469. doi:10.1111/ijn.12476
Smeds-Alenius, L., Tishelman, C., Lindqvist, R., Runesdotter, S., & McHugh, M. D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies, 61, 117-124. doi:10.1016/j.ijnurstu.2016.06.005
Tobiano, G., Marshall, A., Bucknall, T., & Chaboyer, W. (2015). Patient participation in nursing care on medical wards: An integrative review. International Journal of Nursing Studies, 52(6), 1107-1120. doi:10.1016/j.ijnurstu.2015.02.010
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
Study Document
Transitioning From Student To Nurse Leader
… health care organization is a 478-bed acute care teaching hospital (About Saint Peters University Hospital, 2019) with much to offer newly graduated registered nurses (RNs). For example, the hospital features a new graduate program for nurses, the staff is well known for being highly supportive of new nursing graduates and they even pay for otherwise-costly certifications (i.e., progressive care … though, the RN jobs that are available at Saint Peters are in the emergency department which employs a high ratio of new graduate nurses. This staffing arrangement appears to represent a significant detractor since it indicates that recent graduate nurses rather than…[break]…work my way up from a medical surgical unit/emergency department to collect my nursing foundation skills so that I can advance to …
Professional contributions
During my first 5 years following graduation, my personal contributions to a professional nursing community will include membership in the American Nurses Association……
References
References
About Saint Peters University Hospital. (2019). Saint Peters University Hospital. Retrieved from https://www.saintpetershcs.com/Locations/Saint-Peter-s-University-Hospital .
de la Fuente, E. I. & García, J. (2015, May 1). Psychometric properties and scales of the Granada Burnout Questionnaire applied to nurses. International Journal of Clinical and Health Psychology, 15(2), 130-134.
Kuehn, M. B. (2018, October 1). Creating a healthy work environment for nursing faculty. Creative Nursing, 16(4), 193-196.
Nursing school degrees. (2019). Becoming an RN in New Jersey. Retrieved from https:// www.nursing-school-degrees.com/nurse-licensure/become-a-nurse-in-new-jersey.html
Tollefson, M. & Kite, B. (2018, Winter). Effectiveness of student-led stress reduction activities in the undergraduate classroom on perceived student stress. College Student Journal, 52(4), 505-511.
Welcome to Robert Wood Johnson. (2019). Robert Wood Johnson University Hospital. Retrieved from https://www.rwjbh.org/rwj-university-hospital-new-brunswick/ .
Study Document
Improving Medication Safety And Nursing Care
… the most common type of errors in nursing practice (Getnet & Bifftu, 2017). Given the increased focus on patient safety and better outcomes, nurses face the need to enhance medication safety and nursing care. However, the healthcare environment is characterized by numerous interruptions that could compromise medication … enhance medication safety and nursing care. However, the healthcare environment is characterized by numerous interruptions that could compromise medication safety and nursing care. Nurses experience different kinds of interruptions in their work including during medication administration. Therefore, reduction of interruptions in nursing work is vital to improve … safety is widely recognized as a crucial component that influences the quality of care, which in turn affects patient outcomes. As a result, nurses face the need to enhance patient safety while providing care to diverse patient populations. Nursing staff play a vital role in improving patient … major issue in the modern……
References
References
Getnet, M.A. & Bifftu, B.B. (2017, November 20). Work Interruption Experienced by Nurses during Medication Administration Process and Associated Factors, Northwest Ethiopia. Nursing Research and Practice. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735655/
Monteiro, C., Avelar, A.F.M. & Pedreira, M.G. (2015, Jan-Feb). Interruptions of Nurses’ Activities and Patient Safety: An Integrative Literature Review. Revista Latino Americana de Enfermagem, 23(1), 169-179.
Taylor, M.J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D. & Reed, J.E. (2013). Systematic Review of the Application of the Plan-Do-Study-Act Method to Improve Quality in Healthcare. BMJ Quality & Safety, 23(4), 290-298.
Westbrook, J.I., Li, L., Hooper, T.D., Raban, M.Z., Middleton, S. & Lehnbom, E.C. (2016). Effectiveness of a “Do not Interrupt” Bundled Intervention to Reduce Interruptions During Medication: A Cluster Randomized Controlled Feasibility Study. BMJ Quarterly & Safety, 26(9), 734-742.
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