Changes are inevitable, and both nursing and especially nursing education are in an excellent position to lead rather than follow. But that is not easy. It takes energy, ideas and commitment. This is our time of opportunity! It is crucial that nurses become involved in the political process and that we teach our students and future leaders how to do that.
In the quest for professionalism, nurses were constantly confronted with conflicting assumptions on which their role was based. While the development of knowledge is an essential task for nursing, the work of historians suggests that professional status is not likely to evolve passively form nursing’s recognition as a scholarly discipline. It was in that era that actual cures were developed for certain endemic infectious diseases. However the decline in many of the most lethal
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.
Nursing students increasingly encounter ethical problems during their clinical practice which sometimes infringe the rights of patients. Simply put, ethical issues are a major concern in the healthcare field because healthcare providers have to make ethical decisions on a daily basis. Working in the modern world as a newly developed registered nurse, one can face many hurdles as they come upon their new work environment. While trying to grasp this major transition, nurses can often find themselves in the mist of ethical dilemmas. There are, in some cases, policies of the healthcare institutions and the nurse’s personal professional ethics that can conflict with the clinical settings’ decision making.
What would be a good way to train a qualified nurse? The US is facing serious problems when it comes to the training of nurses. This is due to the increased healthcare demands, baby boom, increased prevalence of diseases, staff turnover, aging of working force, and low interests gained from the nursing career. Today we have more than 1 million positions yet to be filled by nurses due to increased demand and retirement of nurses in senior positions. This calls for a change in the training processes for nurses.
To meet the requirements of our future healthcare, APNs must utilize their educational background and skills to lead other professionals creating a team-oriented culture. Conflict is inevitable in healthcare, hence, APNs have a variety of opportunities to use ADR in healthcare settings and avoid litigation, which would lead to high-cost conflict resolution. Gerardi & Fontaine (2007) emphasize that true collaboration and healthy work environments start with engagement towards relationships and interactions with others. Understanding each other revitalizes our spirit of patient care and improves how we communicate, negotiate, and how we resolve our differences (Gerardi & Fontaine, 2007). By forming a collaborative practice with strong relationships, APNs will improve future work environments and patient
Ethical Issues in Nursing This book examines major ethical issues in nursing practice. It eschews the abstract approaches of bioethics and medical ethics, and takes as its point of departure the difficulties nurses experience practising within the confines of a biomedical model and a hierarchical health care system. It breaks out of the rigid categories of mainstream health care ethics (autonomy, beneficence, quality of life, utilitarianism…) and provides case studies, experiences and challenging lines of thought for the new professional nurse. The contributors examine the role of the nurse in relation to themes such as informed consent, privacy and dignity, and confidentiality. Nursing accountability is also considered in relation to the contemporary Western health care system as a whole.
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.
Obstetrical nurses identify themselves as advocates for laboring women (James, et al., 2003). But, Thorman, et al. (2006) in a Round Table Discussion of Perinatal Nurse Executives, states that, “much work is still needed to support appropriately assertive communication techniques when nurses have concerns about patient status”, to promote and ensure patient safety. My research interest is focused on identifying the barriers to assertiveness, or implementing the chain of command, when an obstetrical nurse is faced with clinical discord that threatens patient safety. This interest, sparked by quality assurance record reviews, led me down a path of communication factors and teamwork systems.
The medical profession and healthcare is a very complex and rapidly developing arena. Due to pressure of science, improvements of technologies and easy access to information through mass media by the public, more challenges have been created for the nursing profession in maintaining good nursing practice. In Harley & Linsley (2007)’s opinion, current nursing practice requires greater sensitivity towards nursing issues which are happening in social environment. It is only through awareness and understanding of current nursing issues which are challenging nursing education, profession and changing ethical concerns that nurses are able to contribute more effectively to the healthcare system. According to Bartels (2005), the nursing profession is heading towards a known disaster – shortage of nurses, increased demand of society, decreased reimbursement and growing dissatisfaction from patients and professionals.