New knowledge is applied into practice through evidence based decision making, quality improvement processes, instituting policy changes, and providing patient and community education opportunities. With background in OB/GYN, my interest is the role of Women’s Health Nurse Practitioner. My aim involves collaborating with other healthcare professionals to provide high quality individualized care, promote health education, disease prevention, advocacy, and counseling to women in a community setting. WHNP certification is provided by the National Certification Corporation
Clinical Nurse Leader (CNL) – a master’s degree educated RN who assumes accountability for client care outcomes through the assimilation and application of research based information to design, implement, and evaluate client plans of care. The CNL is a provider and a manager of care at the point of care to individuals and cohorts or populations. The CNL designs, implements, and evaluates client care by coordinating, delegating, and supervising the care provided by the health care team, including licensed nurses, technicians, and other health professionals. Doctor of Nursing Practice (DNP) – a practice focused doctoral degree in nursing. The degree that is recommended by the American Association of Colleges of Nursing (AACN) for all advanced practice nurses by 2015.
Prevention of illness and injury, refers to metaparadigm of health and illness, which describes the client’s state of well-being. Alleviation of suffering through the diagnosis and treatment of human response, describes the metaparadigm of nursing, which refers to the actions taken when providing care to the patient. Advocacy in the care of individuals, families, communities and populations, describes the metaparadigm of person which refers to recipients of nursing care which includes individuals, families and
Assessment is a systematic process using a rational method of planning to identify a patient’s health and any actual or potential problems that need to be met and to provide interventions to meet those needs. (Berman et al, 2010) A comprehensive assessment establishes a database of information relating to the patient including visual observations during initial interview including, skin condition, cloths, hair, hygiene, demeanor and presence of pain etc. During the interview the nurse should gather family history and both subjective and objective data to establish baseline data as a reference point and an indicator to the effectiveness of interventions. (Berman et al, 2010) Subjective data is what the patient thinks, feels and believes and can also be referred to as the symptoms including itching, pain and worry or anxiety. Objective data is measured during the physical examination; it can be seen, heard, smelt, felt, observed, tested or measured against an excepted standard, including: skin color, bowel sounds, blood pressure, temperature, level of pain, urine analysis etc.
Nurses across the country can sign up to join the ANA in order to broaden their career by making an impact in the nursing profession. The purpose of the ANA is to keep lofty standards for the health care profession, promote justice for nurses in their professions, keep the public’s perception of nursing accurate, and represent the nursing profession to Congress (ANA, n.d.). A board of nursing (BRN) is an organization for each state (and US territory) and is part of the body that forms the National Council of State Boards of Nursing (NCSBN) for the United States (NCSBN, n.d.). The NCSBN is responsible for the upkeep of the NCLEX exam for nurses, releasing statistics about nursing licenses, researching nursing-related topics and problems, maintaining a uniform profession and safe scope of practice, and providing discipline to violators of the scope of nursing practice (Cherry, 2011, p. 78; NCSBN, n.d.). The are quite a few differences between professional nursing organizations and boards of nursing.
.This belief system aligns well with a nursing profession that I define as a profession that provides compassionate care and promotion of healing for ill and injured individuals, education and advocacy for clients and families, collaboration of care with other professionals for optimal outcomes, and health promotion and prevention for well individuals. Theory Description I believe that my core personal beliefs and values are directly reflected in my philosophy of nursing. My values of security and family are reflected in patient centered care. My values of God as the guiding force in my life and kindness are reflected in compassionate care and my values of accountability and life-long learning are reflected in competent care. Following is a description of the main components of the framework that guides my practice: Purpuse I strive to provide patient-centered care that is non-judgmental to all those in need regardless of race, religion, financial status, or lifestyle choices.
RTT1 Task 1 Deborah H. Keele Western Governors University Nursing-sensitive Indicators Nursing-sensitive indicators as defined by the American Nursing Association (ANA) are “indicators [that] reflect the structure, process and outcomes of nursing care.” These indicators depict the quality of care provided to any given individual client, or an institution’s population as a whole (Nursing-Sensitive Indicators). Careful scrutinization of these indicators provide reasons for keeping current practices or evidence for improving policies and procedures. In this scenario several nursing-sensitive indicators point to a need for a through system analysis. The use of restraints, the developing decubitus, and the potential for the development of a urinary tract infection are all starting points for a backwards look at where this particular organization is breaking down. The apparent disregard for religious dietary guidelines/restrictions indicates to the public a cultural insensitivity in general.
The use of coding schemes (such as ICD-9) allows for consistency in documentation between different healthcare providers. This allows for more efficient communication of a patient’s condition between different platforms within the healthcare system. Information gathered from coding systems is used for several purposes, such as determining reimbursement for services, statistical research and cost-benefit analyses, just to name a few possibilities. Part A1: Addressing the Challenges The health information management (HIM) supervisor in this scenario has been put in charge of assisting in the transition brought upon by the acquisition of a new clinic by the parent hospital. She must determine the most effective way to provide appropriate staffing for both sites, while possibly having to eliminate one of the coding positions to accommodate the change.
This paper will briefly discuss 3 core conditions associated with effective helping skills, empathy, genuineness and acceptance (unconditional positive regard). It will focus on empathy and critically discuss the condition, looking at how empathy affects the nurse-patient relationship as this is viewed as central to the delivery of care (Yu & Kirk 2008, Bonnie et al 2003). It will also discuss why effective communication skills are imperative in building a therapeutic nurse - patient relationship. The significance of a therapeutic nurse- patient relationship is advocated within the Nursing and Midwifery Councils (NMC) Code of Professional Conduct. It states that nurses are responsible in developing and maintaining an appropriate relationship; advising that nurses must listen to the people in their care and respond to their concerns, “Make the care of people your first concern, treating them as individuals and respecting their dignity”, (NMC 2008).
Through the use of the nursing process all professional standards can be adhered to and patient care can be safely tended to. This essay will discuss planning and delegation of a nursing shift. The registered nurse has responsibility for delegating nursing intervention and remains accountable for those interventions delegated. Appropriate delegation will occur when the registered nurse is aware of professional standards and individual scope of practice of their co-workers. Additionally, the paper will highlight critical thinking and decision making which are important attributes the registered nurse will need to develop along with the ability to provide a suitable handover to appropriately delegate nursing