As “nursing is based upon a body of knowledge that is always changing with new discoveries and innovation” Potter and Perry (2005), nursing profession need to improve from its old fashioned bedside nursing. Report by IOM about future of nursing 2010 indicates need for “more highly educated, diverse nursing workforce”. In US one can become a professional Registered Nurse (RN) by studying Associate Degree in Nursing (ADN) or studying Bachelor’s degree in Nursing (BSN, Bachelor of science in Nursing). Both degree gives eligibility to take NCLEX examination and to get license to practice as a professional Registered Nurse. A long standing discussion is in progress about the differences in competencies of BSN and ADN nurses.
Primary care nursing is a standard practice in the intensive care unit, and by nature is a proponent of transformation. Patients benefit from the evolution of nurses obtaining higher levels of training and education. For example, a nurse in the intensive care unit through vigilance and training can affect incidence of ventilator acquired pneumonia and central venous catheter infections. Hospital induced delirium is a very expensive add-on to the cost of healthcare, but through early detection and treatment can be minimized by the bedside nurse. Essentially, if nursing performs at the peak of their training and education we can greatly impact in every area the goals of the IOM report.
“Two consensus reports from the Institute of Medicine (IOM) which calls for greater interprofessional education of physicians, nurses, and other health professionals, as well as new methods of improving and demonstrating competency throughout one’s career (IOM, 2003b, 2009)” The Robert Wood Johnson Foundation of nursing research network is estimate costs of nursing education for different degree levels. Although nurses are rapidly adapting to new technology and their ability to give exceptional care to their patients. “Nurses have great potential to lead innovative strategies to improve the health care system. However, a variety of historical, regulatory, and policy barriers have limited nurses’ ability to contribute to widespread transformation (Kimball and O’Neil, 2002).” There are numbers of health care institution have put limitation and regulation on their nurses, some of this regulation are imposed by state law. Here are few of the examples of limitations.
Over the years, the nurse anesthesia specialty evolved to meet the demands of surgeons in quest of a solution to the high morbidity and mortality caused by anesthesia. As pioneers in anesthesia, nurse anesthetists actively participated in the fine-tuning of anesthesia delivery techniques and equipment improvement. The AANA (2009) recognizes Sister Mary Bernard as the first nurse who chose anesthesia as a specialty. She was a Catholic nun who entered St. Vincent's Hospital in Erie, Pennsylvania, to assume the duties of anesthetist in 1877 (AANA). At the end of the nineteenth century, the art of anesthesia improved greatly with the contribution of Alice Magaw.
The media is very influential in regards to how society perceives nurses; this is something which has altered the image of nursing within the past, (Benison and Voogd, 2008) Appropriate examples of cases which have been focused upon within media will be underlined and discussed throughout this essay. Nurses must have a significant degree of self-awareness in order to deliver patient centred
Introduction The 2010 Institute Of Medicine and along with the partnership of The Robert Wood Johnson Foundation has put forth a landmark report focusing on the future of advancement in nursing . Ensuring that being the largest part of the medical profession nurses are given a chance to play a active part in redesigning the future of our nations healthcare reform .As per the 2010 IOM report it is time to look ahead ,a time to consider and a time to implement meaningful advancements in this drastically changing world of healthcare. The IOM has been involved in constant research and data collection for decades in bringing forth these changes to improve the quality and safety by focusing on three important aspects ,transforming nursing
The call to form the primary care workers, including advanced practice registered nurses, especially nurse practitioners. The call to build the primary care workforce, will increase as access to coverage, service settings, and services will increase under ACA. Nurses are good in assisting transition from hospital to home, preventing medication error and reducing rates of infection. In short the product of the report if followed, would rise the number of nurse practitioners and doctorate level nurses to deliver health care treatment for some patient who are looking for treatment and are unable to find a health care provider ready to take
It is imperative that creative, passionate, effective individuals with vision, who will challenge the service, are recruited and developed within services.” (Doody & Doody, 2012, p. 1217). As stated previously nurses currently in leadership roles need to mentor nurses subordinate to them to aspire for leadership roles because of the shortage that currently
A Vision for the Future Melanie Reynolds NUR/391 June 13, 2011 Patricia DeBruin Health Care and Nursing Today The health care system today is facing many challenges and opening many doors for opportunity and growth that will directly influence the nursing profession and more important the delivery of patient care. The expanding roles of nurses, the influence of evidenced-based practice, the importance of research and the trends in health care are directing the nursing profession toward a powerful evolution into a future of opportunity. The days of Florence Nightingale have long passed, but the example that she set for attending to the needs of patients is emerging to a higher standard today. Healthcare today is demanding nurses to keep up with and transform the nursing practice to meet the demands emerging today in health care. Influence of Evidence-Based Practice Evidence-based practice developed to facilitate a higher quality of care and the best patient outcomes.
The health care system has developed significantly in the way it operates, and is constantly changing with time, to achieve the best outcomes for both the HCP and the patient. Conducting research is fundamental, as it provides nurses/paramedics with an increasingly sound evidence base, from which they are able to adapt to and better their practice (Burns & Grove, 2007). Research is a systematic enquiry, which utilises disciplined methods to be able to solve problems and answer questions (Polit & Beck, 2008). Evidence-based practice in health care relates to the process in which the practitioner, utilising the research, obtains empirical evidence regarding the effectiveness of the range of options, and then determines the relevance