...Nursing Nurse practitioners play a crucial role in the modern healthcare system given their responsibilities in administering patient care. One of the critical components in the delivery of healthcare services in the modern healthcare setting is collaboration between different stakeholders. Modern healthcare environments and settings are characterized by the establishment of a multidisciplinary team that provides patient care. Consequently, nurse practitioners are required to collaborate with others, particularly physicians in their respective roles in the care delivery process. Stewart & DeNisco (2019) states that collaboration among healthcare providers or clinicians is based on shared goals and decision making, mutual relationships, and use of collective knowledge of all stakeholders involved in the care process.
Collaboration with physicians has tremendous impacts on the practice and job satisfaction for nurse practitioners. The collaboration changes the practice of nurse practitioners by shifting their focus to patient-care, holistic care. When collaborating with physicians, nurse practitioners help……
Dillon, D. & Hoyson, P.M. (2014, January). Beginning Employment: A Guide for the New Nurse Practitioner. The Journal of Nurse Practitioners, 10(1), 55-59.
Stewart, J.G. & DeNisco, S.M. (2019). Role of development for the nurse practitioner (2nd ed.). Burlington, MA: Jones & Bartlett Learning.
Introducing Informatics Early in Nursing Education
As Shackelford (2019) notes in “Industry Voices—Healthcare is Changing,” there is a serious need to reach future workforce members at an … is Changing,” there is a serious need to reach future workforce members at an earlier age, before they enter into college and a nursing program. Students need to start developing real world skills that will translate well to professional development in the healthcare industry—and that means they … out what to do academically and professionally, having received little guidance otherwise (Shackelford, 2019). This paper will discuss why introducing informatics early in nursing education can have a positive effect on professional development and the healthcare industry overall. It will also include a discussion of how informatics … the future in the conclusion.
There is currently an increasing demand in the healthcare industry for newly graduated nurses who posses nursing informatics……
Eardley, D. L., Krumwiede, K. A., Secginli, S., Garner, L., DeBlieck, C., Cosansu, G., & Nahcivan, N. O. (2018). The Omaha System as a Structured Instrument for Bridging Nursing Informatics With Public Health Nursing Education: A Feasibility Study. CIN: Computers, Informatics, Nursing, 36(6), 275-283.
Kinnunen, U. M., Rajalahti, E., Cummings, E., & Borycki, E. M. (2017). Curricula challenges and informatics competencies for nurse educators. Forecasting informatics competencies for nurses in the future of connected health, 232, 41-48.
Piscotty Jr, R. J., Kalisch, B., & Gracey?Thomas, A. (2015). Impact of healthcare information technology on nursing practice. Journal of Nursing Scholarship, 47(4), 287-293.
Risling, T. (2017). Educating the nurses of 2025: Technology trends of the next decade. Nurse education in practice, 22, 89-92.
Shackelford, S. (2019). Industry Voices—Healthcare is changing. We need to reach the future workforce earlier. Retrieved from https://www.fiercehealthcare.com/hospitals-health-systems/industry-voices-healthcare-changing-and-our-educational-approach-should-be
Shin, E. H., Cummings, E., & Ford, K. (2018). A qualitative study of new graduates’ readiness to use nursing informatics in acute care settings: clinical nurse educators’ perspectives. Contemporary nurse, 54(1), 64-76.
Tubaishat, A. (2019). The effect of electronic health records on patient safety: A qualitative exploratory study. Informatics for Health and Social Care, 44(1), 79-91.
Education Plan for Nurse Burnout at North Mountain Medical
The current issue at North Mountain Medical is nursing burnout, which is caused by various factors including inadequate staffing, increased workload, long working hours, poor working environment, and inadequate time to complete … environment, and inadequate time to complete a task effectively. The proposed change project to address this issue is an educational plan that targets nursing burnout, particularly workplace stress management. In this regard, the practicum education project focuses on training nurses at North Mountain Medical on nursing burnout, particularly workplace stress management. Through the insights obtained from this course, nurses in this facility will be able to implement evidence-based strategies … insights obtained from this course, nurses in this facility will be able to implement evidence-based strategies on workplace stress management and preventing/dealing with nursing burnout.
Learning Objectives or Outcomes
As shown in the educational plan in Appendix A,……
Howe, D. (2018). Evidence-Based Education Program to Reduce Nurse Manager Burnout. Retrieved from Walden University website: https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=6757&context=dissertations
Hunt, P.A., Denieffe, S. & Gooney, M. (2017, March 8). Burnout and It’s Relationship to Empathy in Nursing: A Review of the Literature. Journal of Research in Nursing, 22(1-2), 7-22.
Khouri, R. (2011, June 29). Impact of an Educational Program on Nursing Students’ Caring and Self-Perception in Intensive Clinical Training in Jordan. Advances in Medical Education and Practice, 2, 173-185.
Mudallal, R.H., Othman, W.M. & Al Hassan, N.F. (2017, December). Nurses’ Burnout: The Influence of Leader Empowering Behaviors, Work Conditions, and Demographic Traits. Inquiry, 54. doi: 10.1177/0046958017724944
Rushton, C.H., Batcheller, J., Schroeder, K. & Donohue, P. (2015, September). Burnout and Resilience Among Nurse Practicing in High-intensity Settings. American Journal of Critical Care, 24(5), 412-421.
… collective bargaining that aims to improve personnel working conditions, hours, benefits, and wages (Full Beaker, 2017). When it comes to the field of nursing, unions work more rigorously in the event of a dearth of nursing staff, as nursing practitioners do not wish to jeopardize their jobs in a period of job scarcity (Marquis & Huston, 2017).
I am a cardiac nurse … cardiac nurse employed at XYZ hospital. In my workplace, unions have a central part to play. Union involvement in our hospital system benefits nursing staff as well as the overall healthcare system. Unions’ presence improves job security, wages, salary rise, education reimbursement working conditions, and seniority advantages, … one; however, every nurse is capable of learning to lead within the bounds of his/ her role. A union’s presence would influence how nursing leaders communicate with subordinates (i.e., nursing staff). Nursing leaders possess skills like conflict management/……
Dube, A., Kaplan, E., & Thompson, O. (2016). Nurses Unions and patient outcomes. ILR Review, 69(4), 803–833. DOI: 10.1177/0019793916644251.
Full Beaker. (2017). Should I join a nurses union? Pros and cons. Retrieved from https://nurse.org/articles/pros-and-cons-nursing-unions/
Marquis, B. L., & Huston, C.J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed). Philadelphia: LWW.
Current Issue in Nursing: Nursing Shortage
Nursing quality and adequate staffing are intertwined. Adequate levels of nurses, lower nurse to patient ratios, and also more highly trained nurses are associated … lower-cost and superior patient outcomes, to hire more nurses as healthcare staffing makes up as much as 40% of all intuitional operating costs (“Nursing Shortage,” 2019).
The attempt to cut costs by reducing staff levels reflects an unfortunately misguided view of the value of the nursing profession. It also reflects a misguided view of an aging patient population which increasingly consists of patients with multiple chronic conditions, many of … aging patient population which increasingly consists of patients with multiple chronic conditions, many of which must be managed with long-term care and guidance. Nursing has gained respect a profession within the healthcare industry as a whole, as more nurses are performing functions once filled by physicians, but … loads……
ANA health care economist Peter McMenamin on the nursing shortage outlook. (2019). Nursing
World. Retrieved from: https://www.nursingworld.org/~4afb8f/globalassets/practiceandpolicy/health-and- safety/rnjobmkt_peterminterview_final_030713.pdf
Bond, D. (2017). Will BSN students consider a future nursing faculty role? Nursing Education Perspectives, 38(1):9–17.
Botha, E., Gwin, & Purpora, C. (2015). The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol. JBI Database of Systematic Reviews and Implementation Reports, 13(10):21–29. Retrieved from: https://insights.ovid.com/pubmed?pmid=26571279
Crawford, C. (2019). Addition of Advanced Practice Registered Nurses to the trauma team: An integrated systematic review of literature. Journal of Trauma Nursing. 26(3):141–146,
Gillespie, G. L., Grubb, P. L., Brown, K., Boesch, M. C., & Ulrich, D. (2017). ‘Nurses eat their young:’ A novel bullying educational program for student nurses. Journal of Nursing Education and Practice, 7(7), 11–21. doi:10.5430/jnep.v7n7P11
Haddad, L.M., Toney-Butler, T.J. (2019). Nursing shortage. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK493175/
Nurse staffing crisis. (2019). Nursing World. Retrieved from: https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-crisis/
Personal Philosophy of Nursing
Having a personal philosophy of nursing is important because it provides the nurse with an understanding of the framework that will be applied in the nurse’s own career of … patients. Personal understanding is the bedrock of growth and development. So it is appropriate to stop and consider how one’s own philosophy of nursing aligns with one’s view of the nursing metaparadigm. This paper will identify the factors that have influenced my development of my personal nursing philosophy. It will also discuss my thoughts regarding the nursing metaparadigm. Finally, it will examine the nursing theory that is most compatible with my personal philosophy.
Factors Influencing the Development of My Personal Nursing Philosophy
Factors that have influenced the development of my personal nursing philosophy are 1) my education, and 2) my own experience and understanding of nursing. My education has taught me the basics of nursing……
Erickson, H. L. (2007). Philosophy and theory of holism. Nursing Clinics of North America, 42(2), 139-163.
Faust C. (2002). Orlando's deliberative nursing process theory: a practice application in an extended care facility. Journal of Gerontology Nursing, 28(7), 14-8.
Frank, L., Engelke, P., & Schmid, T. (2003). Health and community design: The impact of the built environment on physical activity. Island Press.
McCormack, L., Thomas, V., Lewis, M. A., & Rudd, R. (2017). Improving low health literacy and patient engagement: a social ecological approach. Patient education and counseling, 100(1), 8-13.
Rajabpour, S., & Rayyani, M. (2019). The relationship between Iranian patients’ perception of holistic care and satisfaction with nursing care. BMC nursing, 18(1), 1-7.
Culture in Advanced Nursing Practice
Culturally competent nurses can assess the psychological, spiritual, physiological, social, environmental, and epidemiological data on a particular cultural group to provide … on a particular cultural group to provide culturally sensitive and patient-centered care. Since Madeleine Leininger first proposed that cultural competency was essential to nursing, various means of incorporating cultural learning and assessment have been incorporated into advanced nursing practice. Culture includes but is not limited to ethnic, linguistic, religious, and national heritage, and can also include subcultural domains, age, socioeconomic status, … the advanced practice nurse to understand the complex intersections between health status, cultural needs, disease prevalence, spirituality, agency, and more.
Culturally Competent Advanced Nursing Practice
Since Madeleine Leininger first proposed that cultural competency was essential to nursing, various means of incorporating cultural learning and assessment have been incorporated into advanced nursing practice. Cultural competency is important in nursing because “culture……
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.
… Patient safety is influenced by many factors including medication safety, which is identified as one of 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 … (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 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 medication safety and nursing care. This quality improvement project demonstrates how this can be achieved by using Plan-Do-Study-Act methodology.
Patient safety is widely recognized as … in turn affects patient outcomes. As a……
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.
… which a nongovernmental agency validates, based upon predetermined standards, an individual nurse’s qualifications for practice in a defined functional or clinical area of nursing.” Essentially specialty certification indicates a nurse has competence and advanced knowledge within a specialized field. The Institute of Medicine (2010) has called for ……
American Academy of Nurse Practitioners. (2019). AANPCB Certification. Retrieved from https://www.aanpcert.org/certs/index
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Bonsall, L. (2012). Specialty certification. Retrieved from https://www.nursingcenter.com/ncblog/march-2012/specialty-certification
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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
… of the group before the desires of the individual. Nurses can use and understand culture by utilizing models like Leininger’s transcultural model of nursing, by adopting a patient-centered care strategy, or simply by developing their cultural competencies. In doing so, nurses can promote safe, effective, and quality ……
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