Without superb time management, a nurse’s job will never get done. When implementing a new electronic health record (EHR), this disrupts the routine that nurses have worked hard to develop. According to the American Recovery and Reinvestment Act (ARRA), U.S. hospitals are to become meaningful users of EHR (Kelley, Brandon, & Docherty, 2011). How can the disruption be minimized while implementing a new EHR as directed by the ARRA? Relative Advantage Relative advantage is when “the individual adopting the new innovation must see how it will be an improvement over the old way of doing things (Rogers, 2003).
The barrier to expand prescriptive authority in Missouri continues to exist. Nurse practitioners must continue to battle through these barriers by educating, being active in their organizations and by being involved in the legislative field. A nurse practitioner has the knowledge and capabilities to manage all medical aliments, treat them, diagnosis them, and give pharmacologic management, as long as it is not a controlled substance. The incapability of nurse practitioners to prescribe controlled substances negatively affects their patients. This results in a decreased quality of care and autonomy towards to the patient.
Literature Review of Evaluation Strategies A review of nursing literature suggests no one decisive methodology in evaluating clinical performance, but advocate a diffuse approach based on the curriculum evaluation model. According to Bonnel (2009), both the student and the faculty need to share transparency of expected clinical outcomes. Bonnel (2009) further clarifies the evaluation process as a systematic process consisting of three components; preparation, clinical participation, and concluding “data interpretation and feedback” (p. 459, para 1). The preparation phase readies the student for the clinical site selection, defines objectives with expected clinical outcomes. Clinical participation delineates performance observation across the practicum spectrum with acknowledgment of any noted deficiencies.
Once I started researching a career in nursing I realized that there were a lot more types of nurses then I had originally imagined. I have not decided on which field of nursing I would like to specialize in yet but I just imagine myself as a general nurse, working in a hospital setting. A Registered Nurse (RN) is not a doctor assistant; a RN gets to treat wounds, give IV’s and basically get to treat their own patients. Right now my main priority is to stay focused on taking all necessary steps to pursuing Nursing as a career.Gwendolyn Mink describes most Registered Nurses as working directly with the patients and their families. They are the families’ contact with the medical world, in the hospital and at the patients’ home.
| | |licensing exam to obtain a nursing license. RN’s | | | |specialize in patient care and educating patients on | | | |health maintenance and disease prevention or provide | | | |case management. | | |Certified Registered Nurse |An advanced practice registered nurse who specializes in|Outside of anesthesia services, CRNA’ s are limited to a| |Anesthetist |the administration of anesthesia. To become a CRNA, one|nurse’s scope of practice and cannot treat diseases | | |must acquire graduate-level education and board |and/or medical conditions.
“Knowledge of legal issues are essential because nurses are required to practice in accordance with legislation affecting nursing practice and health care failure to respect the legal rights of clients may result in legal or disciplinary actions.” (Makely, Austin, & Kester, 2013, p.64). Failure to respect the legal rights of clients may result in legal or disciplinary actions. According to the Department of Consumer & Industry services, regulation R338.10104 Delegation; Rule 104. (1) Only a registered nurse may delegate nursing acts, functions, or tasks. A registered nurse who delegates nursing acts, functions, or tasks shall do all of the following: (a) Determine whether the act, function, or task delegated is within the registered nurses scope of practice.
This assignment discusses an approach for an effective nursing care delivery system which relates to my chosen branch of nursing. In this essay I will discuss the importance of holistic communication in nursing care and its implementation to show that it is necessary when treating the patient. Doctors, nurses and other health professionals cannot treat the patient with out using this method. I also discuss 2 barriers in communication and 2 types of communication which are verbal and none verbal and identify examples which clearly define the meaning of communication and its importance to our day by day living. Communication is defined as a process of transferring information from one entity to another.
Evidence-Based Practice Intro to Professional Nursing 3010 April 11, 2015 Evidence-Based Practice As nursing developed as a profession, it gained a scientific basis that has developed theories and performed research specific to nursing and has defined the way that patients are treated. Nurses no longer utilize trial-and-error to treat patients, but use methods of treatment that are firmly based in knowledge gained through research (Black, 2014). “Evidence-based practice is a problem-solving approach to clinical decision-making within a healthcare organization that integrates the best available scientific evidence with the best available experiential evidence” (Hain & Kear, 2015). In the past, patients were treated using
Problem solving is another area of informal leadership a professional nurse possesses. Upon encountering a problem, whether noted objectively or overheard through another’s complaint, the nurse employing leadership will not vent and complain to others, but take a different approach such as discuss with others with questions such as ‘have you noticed a problem when; entering this information in the computer, working with the IV pump, difficulty replacing universal precaution equipment, working with a Dr. Smith during procedures?’ etc. After garnering this information and determining if this is a static problem or ongoing, the nurse exemplifying the problem solving leadership will determine the next step whether further investigation is required, increasing an order of supplies, or approaching management and communicating with them. These actions will define and determine if the nurse is an effective leader. The assigned titles “manager”, “director”, “administrator” do not determine the leader, but the actions, attitude, and professionalism of the person determines the level of leadership.
Nurse Retention By Lee Ann Runy An Executive’s Guide to Keeping One of Your Hospital’s Most Valuable Resources With no end in sight for the nation’s nursing shortage, hospitals are placing greater emphasis on retaining their current RN staff. It’s a complex process, requiring in -depth knowledge of the needs and wants of the nursing staff and lots of creativity. “You have to know what motivates nurses to stay,” says Pamela Thompson, CEO of the American Organization of Nurse Executives. To that end, many hospitals regularly conduct retention or exit surveys to understand what’s on nurses’ minds. Leadership involvement is also important.