This new phenomenon has been labeled complexity compression. Background of study The association between the nurse staffing levels and the patient outcomes has been extensively studied over the past decade or so. The question being asked by researchers is: does an increased staffing level lead to more positive patient outcomes? This study was conducted by interviewing nurses and not patients. There is a direct link between the amounts of stressors that nurses “juggle” and how the effect of those stressors tend to affect their patient outcomes, either positively or negatively.
Advanced Nursing Roles Advanced practice nursing can be described as the future of nursing practice. Nurses who are trained to take on advanced nursing roles bring their creativity, intuition, and dedication to affect and change the healthcare system (Blais & Hayes, 2011). The number and demand of advanced practice nurses dramatically increased in the last decade. Despite the need for the higher level of nursing practice, there are many challenges that advanced practice nurses face every day. The purpose of this paper is to discuss opportunities, challenges, and practice requirements that Adult Gerontological Acute Care Nurse Practitioner has to overcome in order to address the needs and demands of the healthcare system in the state of New Mexico.
Intergenerational Victimization Every year, over 1.3 million women experience physical abuse by an intimate partner (“Domestic”). In the civilized American society, domestic abuse appears to be a barbaric custom. Yet, to many women in America, it is a harsh reality. Like racism, domestic abuse operates on oppression and the desire for dominance. Both are horrific practices prominent across the world and evident throughout history.
Hospital Acquired Infection (HAI), or as it is sometimes referred to as Nosocomial infection; is an infection occurring in patients after admission to hospital that was neither present nor incubating at the time of admission. This student will discuss the role of the nurse in preventing hospital acquired infection while on clinical placement, define HAI, and look at the causes of HAI and how it is spread. This student will also show in order to minimise these risks, systems must in place, understood and implemented by all concerned. Plowman (1997) claimed that, 6,000 deaths per year are caused by HAI, with significant financial costs for the NHS and personal costs for patients’ families. Other factors include separation from family, anxiety, sense of isolation and stigma.
Title: Reducing the numbers of medication errors by the nurses in health care system. Administration of medication is a key element of nursing care. Medications are an amazing discovery. They promote healing, reduce suffering and contribute to modern medical miracles. However, because thousands of new drugs have been developed recently, because the health care environment is increasingly complex, and because the patients are older and often sicker, there is increasing risk for medication errors in hospitals.
“The Future of Nursing: Leading Change, Advancing Health” is an evidence based report developed in 2010 that evaluates the capability of nursing to meet the anticipated demands the health care reform will create. The report makes recommendations for an action-oriented blueprint for the future of nursing. The four key messages of the IOM report are: (1) Nurses should practice to the full extent of their education and training, (2) nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression, (3) nurses should be full partners with physicians and other health care professionals in redesigning health care in the United States, and (4) effective workplace planning and policy making require better data collection and information infrastructure. (Institute of Medicine, 2011, p.1) The IOM report impacts the future of many aspects of nursing, including: nursing education, nursing practice, and role of the nurse as a leader. The IOM report has a significant impact on
Sr. Roy believed that the patient’s modes of adaption were partly innate and partly acquired behaviors; if the behaviors are appropriately applied there is an increase in health restoration. According to "Nursing Theory" (2011), The nursing theory was named “The Adaptation Model,” and includes a “six step nursing process: 1) The first level of assessment, which addresses the patient's behavior, 2)The second level of assessment, which addresses the patient's stimuli, 3)Diagnosis of the patient, 4)Setting goals for the patient's health, 5)Intervention to take actions in order to meet those goals, and 6)Evaluation of the result to determine if goals were met.” Theory’s Historical background: Sister Callista Roy is considered a living legend as she has been awarded various acknowledgements for her contributions to nursing. Sr. Roy developed the Adaptation Model in 1976, and for the past 36 years, she has been researching and updating her work, literally adapting to the ever-changing world and social needs. She has based her works upon a holistic approach that incorporates the patient’s needs that are “individualized in accordance to the patients’ religion, background, education, family, and society as a whole” (Boston College William F. Connell School of Nursing, 2012). The patient outcome, good, bad,
Nurses can also build partnerships with doctors and collaborate with health care workers, to help improve the health care system in the United States. The IOM sees the nurse as a great leader, but they are not being used to their full potential due to challenges like policy regulation, high turnover of nurses, the aging workforce and the difficulty to find a job coming out of school. The ANA in a press release, agreed with the IOM report and acknowledged the need for nurses to step up and meet the challenges of the changing and advancements in the health care system, (McNamara, 2010). IOM Recommendations The Institute of Medicine report recommended that leaders in nursing should work together to help improve the number of nurses with a BSN degrees from 50 percent to 80 percent by the year 2020.
Transforming the Nursing Profession The Intitule of Medicine (IOM) with partnership with the Robert Wood Johnson Foundation (RWJF), in 2008, began assessing and calling out for the much needed transformation of the nursing profession, creating a 2-year Initiative on the Future of Nursing. The IOM report discusses research regarding our evolving healthcare makeup in the United States and the future changes and the effects of The Affordable Care Act of 2010 (ACA). The IOM has four main ideas that lists recommendations in; “Transforming the Nursing Profession”; nurses practicing to their full education and training, nurses should have an education system that promotes higher education with ease, nurses should be redesigning health care equally alongside physicians and other health care professionals, and lastly, improve collection of data as it pertains to policy making and workforce. This paper will discuss the IOM’s impact on nursing education, primary care practice, and nurse leadership roles. Nursing education with its multiple routes for entry level licensure make it one of the most distinctive in the United States today.
Reviewing these standards annually and publishing them on The Joint Commission Website, it is a key component to improving health care (The Joint Commission, 2011). The Joint Commission website has the current National Patient Safety Goals (NPSGs) for 2011. Established in 2002, NPSGs have addressed areas of concern in patient safety for the health care environment. In the past couple of years, these goals have undergone changes. These revisions have streamlined the performances, the standards of care for patients and eliminated certain requirements.