Registered Nurse Essays (Examples)
Study Document
Culturally Competent Patient Care Advanced Practice Nursing
Culture in Advanced Nursing Practice
Abstract
Culturally competent nurse 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 nurse have a moral and legal obligation to provide culturally competent care, outlined in Standard 8 of the American nurse Association (ANA) Standards of Practice. Cultural assessment strategies enable 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 … factors that impact healthcare attitudes, behaviors, beliefs, and expectations.
Cultural competency becomes relevant to advanced nursing practice on the individual level (such as nurse working with individual patients) and also on the organizational level (built into healthcare policy……
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
Specialty Certification In Nursing
As Bonsall (2012) points out, The American nurse Credentialing Center (ANCC) has defined specialty certification as “a process by 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 nurse to further their education in order to increase their competence levels and obtaining specialty certification is one of the ways in which nurse can do that.
Different types of certifications include Certified Pediatric nurse (CPN), Oncology Certified nurse (OCN), Family nurse Practitioner (FNP-BC), Certified registered nurse Anesthetist (CRNA). Certification is typically good for a number of years, usually 5, and then the nurse must update, which requires additional education (American Academy of nurse Practitioners, 2019).
Achieving certification requires taking an exam. So for The American……
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
Professional Nursing Practice And Leadership
… under unprecedented pressures to deliver high quality patient-centered care in the wake of the ongoing global coronavirus pandemic. In far too many instances, nurse are being overwhelmed on the front lines of patient care, and it may be weeks or even months before the peak of the … it may be weeks or even months before the peak of the pandemic is fully experienced. Against this backdrop, identifying ways that professional nurse can help achieve this goal by assuming appropriate leadership roles has assumed new importance and relevance. To determine the facts, the purpose of … presented in the paper’s conclusion.
Review and Discussion
In some ways, the nursing profession is unique because it calls upon virtually all professional nurse to be prepared to “hit the ground running” in a leadership role from day one of their career. For example, Standard 12 of … in a leadership role from……
References
References
ANA leadership and governance. (2020). American Nurses Association. Retrieved from https://www.nursingworld.org/ana/leadership-and-governance/ .
Delgado, C. & Mitchell, M. M. (2016, January-February). A survey of current valued academic leadership qualities in nursing. Nursing Education Perspectives, 37(1), 10-13.
Meliniotis, C. (2015, March 30). Effective nursing leadership. Elite Healthcare. Retrieved from https://www.elitecme.com/resource-center/nursing/effective-nursing-leadership/ .
Student handbook.
Study Document
The Role Of Quality And Safety In Nursing Science
Quality and Sustainability Paper
Introduction
Quality and safety are paramount for patients experiencing illness and seeking treatment. The role of the nurse is complex, requiring effectiveness, efficiency, compassion, and understanding. Some aspects of nursing science involve research and use of evidence-based practice to provide the … care (the highest third of hospitals) had 23% lower odds of 30-day inpatient mortality” (Smeds-Alenius, Tishelman, Lindqvist, Runesdotter, & McHugh, 2016, p. 117). nurse 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 nurse 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……
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
Contemporary Professional And Clinical Nursing Issues
… subsequently analyse its legal, ethical, delegation, teamwork, conflict management, and clinical leadership contexts.
The Issue
In a simulation class, a student and a registered nurse were providing care to a patient that was in severe pain and had asked for pain drugs. When asked what her pain level … was eight. She also stated that her leg felt uncomfortable and tight in the cast that had been placed on it. However, the registered nurse happened to be distracted when taking the woman’s vital signs that she failed to take notice of her level of pain. Whilst the … happened to be distracted when taking the woman’s vital signs that she failed to take notice of her level of pain. Whilst the registered nurse measured the vital signs, the student nurse recorded them. Before the end of the measurement session, the student nurse brought the attention of the registered nurse……
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
Transitioning From Student To Nurse Leader
Becoming a professional nurse takes a long time, and some students may become so accustomed to the rigors of an academic regimen that they are ill-prepared to … year and at five years.
Transition into the professional nursing role
The state where I will be seeking employment following graduation as a registered nurse is New Jersey. The criteria for becoming a registered nurse in this state include the following (1) graduation from a registered nursing program that has been approved by the New Jersey Board of Nursing; (2) pass a background check and (3) pass the NCLEX-RN …
This health care organization is a 478-bed acute care teaching hospital (About Saint Peters University Hospital, 2019) with much to offer newly graduated registered nurse (RNs). For example, the hospital features a new graduate program for nurse, the staff is well known for being highly supportive of new nursing graduates and they……
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
Current Issue In Nursing Nursing Shortage
Current Issue in Nursing: Nursing Shortage
Nursing quality and adequate staffing are intertwined. Adequate levels of nurse, lower nurse to patient ratios, and also more highly trained nurse are associated with better health outcomes and lower mortality rates. But despite the fact that there is high demand for nurse, and also increased interest in entering this very exciting profession, retaining qualified nurse and recruiting new nurse is a struggle for many hospitals. Also, in a desire to cut costs, many institutions are often unwilling, despite evidence-based research supporting higher … many institutions are often unwilling, despite evidence-based research supporting higher staffing ratios as leading to lower-cost and superior patient outcomes, to hire more nurse as healthcare staffing makes up as much as 40% of all intuitional operating costs (“Nursing Shortage,” 2019).
The attempt to cut costs by … must be managed with long-term care and guidance. Nursing has gained respect……
References
References
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/
Study Document
Staffing For Nurses In Hospitals
… policy issue because it would oblige hospitals that are part of the Medicare program to create a committee that is partly made of nurse who can discuss the issue of staffing. As Fowler and Comeaux (2017) point out, staffing is still a major challenge for nurse. If there are too few nurse on staff it can lead to nurse burnout. The right ratio of nurse to patients is required to prevent nurse from being overburdened (Martin, 2015). The reason I selected this policy is because it is clearly important to nurse’ own health and ability to do their jobs. It can also play a part in preventing turnover rates from going too high (Laschinger … be a solution to the problem of low quality care (Fowler & Comeaux, 2017) and it can be a way to ensure that nurse feel confident about their work (Martin, 2015). As Martin (2015)……
References
References
ANA. (2019). Nurse staffing. Retrieved from https://www.nursingworld.org/practice-policy/advocacy/state/nurse-staffing/
Dousay, T., Childers, B., Cole, M., Hill, T., & Rogers, C. (2016). Lower Nurse-to-Patient Ratio: Higher Patient Satisfaction. Retrieved from https://scholarworks.moreheadstate.edu/cgi/viewcontent.cgi?article=1105&context=student_scholarship_posters
Fowler, D., & Comeaux, Y. (2017). The legislative role in nurse staffing ratios. MedSurg Nursing, 26(2), 12-14.
Laschinger, H. K. S., & Fida, R. (2015). Linking nurses’ perceptions of patient care quality to job satisfaction: the role of authentic leadership and empowering professional practice environments. Journal of Nursing Administration, 45(5), 276-283.
Martin, C. J. (2015). The effects of nurse staffing on quality of care. MedSurg Nursing, 24(2), S4-S4.
Reiter, K. L., Harless, D. W., Pink, G. H., & Mark, B. A. (2012). Minimum Nurse Staffing Legislation and the Financial Performance of C alifornia Hospitals. Health Services Research, 47(3pt1), 1030-1050.
Rondeau, K. V., & Wagar, T. H. (2016). Human resource management practices and nursing turnover. Journal of Nursing Education and Practice, 6(10), 101.
Twigg, D. E., Myers, H., Duffield, C., Giles, M., & Evans, G. (2015). Is there an economic case for investing in nursing care–what does the literature tell us?. Journal of advanced nursing, 71(5), 975-990.
Study Document
Sexual Health Promotion Among Middle Eastern Women
...Registered nurse Introduction
Health promotion is a behavioral social science that draws from the environmental, biological, physical, psychological, and medical sciences to promote the health of individuals and prevent diseases, premature death, and disability by educating the community. The main purpose of health promotion is to positively influence the health behavior of communities and individuals. There have been increased efforts for cervical cancer screening using PAP tests, which have led to the declining mortality rates, especially in the developed countries like the United States (Abboud et al., 2017). However, this has not been the case for middle eastern women. The screening rates for these women remain low even for those who are located in developed countries, which puts them at a higher risk of advanced cervical cancer and poor health outcomes. Considering that cervical cancer is almost entirely preventable or curable if it is detected early middle eastern women must begin undergoing……
References
References
Abboud, S., De Penning, E., Brawner, B. M., Menon, U., Glanz, K., & Sommers, M. S. (2017). Cervical cancer screening among Arab women in the United States: an integrative review. Paper presented at the Oncology nursing forum.
AL-Hammadi, F. A., Al-Tahri, F., Al-Ali, A., Nair, S. C., & Abdulrahman, M. (2017). Limited understanding of pap smear testing among women, a barrier to cervical cancer screening in the United Arab Emirates. Asian Pacific journal of cancer prevention: APJCP, 18(12), 3379.
Ali, S., Skirton, H., Clark, M. T., & Donaldson, C. (2017). Integrative review of cervical cancer screening in Western Asian and Middle Eastern Arab countries. Nursing & health sciences, 19(4), 414-426.
Endeshaw, M., Clarke, T., Senkomago, V., & Saraiya, M. (2018). Cervical cancer screening among women by birthplace and percent of lifetime living in the United States. Journal of lower genital tract disease, 22(4), 280-287.
National Council of State Boards of Nursing. (2019). NCLEX-RN examination blueprint. Retrieved from https://www.ncsbn.org/nclex.htm
Payton, M., Parente, M., Al-Hawarri, M., Manasseh, M., Scott, M., & Altshuler, M. (2016). Barriers and Facilitators To Cervical Cancer Screening Among Iraqi Refugees Resettled in Philadelphia: A Qualitative Analysis of Patient and Provider Perceptions.
Vahabi, M., & Lofters, A. (2016). Muslim immigrant women’s views on cervical cancer screening and HPV self-sampling in Ontario, Canada. BMC public health, 16(1), 868.
Ziaei, T., Farahmand Rad, H., Rezaei Aval, M., & Roshandel, G. (2017). The relationship between Sexual self-concept and sexual function in women of reproductive age referred to health centers in Gorgan, North East of Iran. Journal of Midwifery and Reproductive Health, 5(3), 969-977.
Study Document
Disaster Preparedness At A Department Of Veterans Affairs Medical
… interview
The disaster preparedness administrator at the VA medical center in question is also the director of quality assurance (QA) who is a registered nurse with her master’s degree in public health. The quality assurance service oversees the medical center’s risk management function and the QA director is … center district, there is a fire station almost next door, but there is no room…[break]…made by Veenema and Griffin (2014) who note that nurse typically account for the largest group of staff in a tertiary health care facility and emphasize that, “The effectiveness of the healthcare system's … “The effectiveness of the healthcare system's response to a public health emergency or disaster is largely dependent on the surge capacity of the nurse workforce” (p. 188).
Finally, the interviewee made the point that disaster planning is an ongoing process that requires diligence in determining what changes ……
References
References
Blake, N. & Wilson, E. (2019, September/October). Disaster preparedness: Mitigation, response, and recovery to ensure staffing excellence in Los Angeles County. Nursing Economics, 37(5), 231-233.
Labrague, L. J. & Yboa, B. C. (2016, January). Disaster preparedness in Philippine nurses. Journal of Nursing Scholarship, 48(1), 98-102.
Natural disasters and severe weather. (2020). Centers for Disease Control and Prevention. Retrieved from https://emergency.cdc.gov/planning/index.asp .
VA fast facts. (2019). U.S. Department of Veterans Affairs. Retrieved from https://www.va. gov/health/aboutvha.asp.
Veenema, T. G. & Griffin, A. (2016, March). Nurses as leaders in disaster preparedness and response - A call to action. Journal of Nursing Scholarship, 48(2), 187-192.
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