American Association of Nurse Executives

Due to the massive popularity and use of the P value in scientific research studies Advanced Practice Registered Nurse (APRN) in primary care settings must administer care based on the best available scientific evidence. In healthcare where frequency and volume of scientific studies overwhelm APRN’s and health care professionals, they are having to implement and rely on many statistical metrics to make crucial decisions. APRN’s in their daily practice will have to think critically through the research process and review the statistical data in such a manner that they can determine and decide on the best available evidence.

The American Nurses Association (ANA) is a full-service professional organization that symbolizes the interests of registered nurses through its constituent and state nurses associations. The ANA implements the nursing profession by raising high standards of nursing practice, honoring the rights of nurses in the work field, promoting a positive and realistic view of nursing, and by pushing the Congress and regulatory agencies on health care issues affecting nurses and the public. Their mission statement is, “Nurses advancing our profession to improve health for all.” Some of ANA’s main focuses are reformation of the health care system so that it delivers primary health care in the communities, growing roles for

notes she took back with her provided the foundation of what would later become her

As the nursing profession advanced, numerous modifications transpired, driving the progression of this health sector in a new direction (Thomas & Richardson, 2016, p. 1072). In the past, regulations of working conditions allowed nurses to work on a rotation of eight-hour shift, but in the 70s and 80s the healthcare system progressed to working 10-12 hour shifts. This new working condition was implemented to accommodate the rise of nursing-shortages (As cited in, Bae, 2012, p. 205; Witkoski Stimpfel, Sloane & Aiken, 2012, p. 2501). In 2009, it was approximated that roughly 60% of nurses are now abiding to 12-hour shifts, according to the American Nursing Association (ANA) (As cited in, Bae, 2012, p. 205). Today, not only is this practice still used, but a new development has occurred, overtime. Overtime work began to be used by the healthcare system as a supplement, alleviate the on-going nursing shortages and remediate new compilations being brought by understaffing issues, therefore becoming a custom in nursing practice (Debrit, Ngan, Hay, Alamgir, 2010, p. 28; As cited in, Bae, 2012, p. 205; Berney, Needleman, Kover, 2005, p. 165). A national survey completed by a sample of Registered Nurses (RN), concluded that 43% of nurses work more than 40 hours a week, and that 9% work more than 60 hours a week (As cited in, Bae, 2012, p. 61; Bae & Brewer, 2010, p. 99). In 2010, a survey completed by the U.S. Department of Health and Human Services, also calculated that

With the Affordable Care Act, opening healthcare to millions of people, primary care physicians would be overwhelmed with patient care. IOM suggested the transformation of nursing to fill the gap and provide quality patient care. Nurses were called to accept a greater role in the healthcare of America. Innovative technologies, aging population, and health care reorganization would make it is necessary to empower nurses who are critical to healthcare, therefore impacting the future of nursing and the quality of healthcare. (National Academies of Sciences, Engineering and Medicine, 2010) Nursing

In this week discussion I will explain how the American Nurse Association (ANA) outlines professional nurses scope of practice. Then I will review my current state of Ohio scope of practice section they have outlined for registered nurses.

“Qui tam pro domino rege quam pro se ipso in hac parte sequitur” is Latin for meaning “Who brings the action for the King as well as for himself” (Blumenreich, 1999). An abbreviated form, “qui tam” is a current writ in the United States under the False Claims Act. This act allows a private individual or “whistleblower” with knowledge of present or past fraud committed against the federal government to bring suit on the government’s behalf. As a student embarking on a new career in anesthesia, I feel it very important to have an understanding of a lawsuit brought by the Minnesota Association of Nurse Anesthetists (MANA) against Allina Health Systems, several Minnesota hospitals and a number of anesthesiologists. It is one in which has kept the Certified Registered Nurse Anesthetist (CRNA) profession thriving and has also been instrumental in bringing about regulatory changes regarding reimbursement of anesthesia professionals.

The largest independent membership organization available exclusively to NPs is the American Association of Nurse Practitioners (AANP). Besides being a full-service national organization, it also certifies NPs nationally. The AANP represents all NP specialties and advocates for high-quality healthcare services for patients and their right to obtain such services from their provider of choice. One of the most significant functions of the AANP is its involvement in advocacy and government affairs. Over thirty laws benefiting NPs and their patients were passed with the support of the AANP over the last two years. The AANP has a dedicated federal staff that works with national policy stakeholders, regulators, members of Congress, and federal agencies to enact laws ranging from admitting privileges and appropriations to prescriptive authority. (AANP, 2015a).

Today’s modifications in health care reform will merit nurse executives to form associations with healthcare providers to remain viable and take a proactive stance on healthcare. Nurse leaders are essential players in regards to establishing standards and leading organizational change. The American Organization for Nursing Executives (AONE) established competencies that are foundational to transform an environment, which includes partnering with others for favorable outcomes. The AONE mission and vision is “to shape the future of health care through innovative and expert nursing leadership” (AONE, 2011, p. 3). Nurse leaders will need the skills established by the AONE competencies, which encompass communication and relationship building, knowledge of the healthcare environment, leadership, professionalism, and business skills (AONE, 2011).

Nursing is a career that is rapidly changing. This makes it vital for nurses to stay updated on current research as well as engage in what is known as lifelong learning or professional development. The American Nurses Association has defined the concept as "learning activities designed to augment the knowledge skill and attitudes of nurses and therefore enrich the nurses' contributions to quality healthcare.” The benefits of continued education is so the nurse can provide safer care and increase patient outcomes. It also helps nurses promote their critical thinking skills, increase their knowledge and it contributes to their professional growth. I will most definitely take advantage of all the continuous learning opportunities that come along

The nursing tasks include an ongoing interaction with patients, families, and other health care team members. Because of the high involvement with patients, nurses have the utmost responsibility to guard the patient’s safety. However, the American Nurses Association [ANA] (2015) made a valid point in stating that keeping patients safe and well starts by having a healthy nurse working in a safe environment. Additionally, Kieft, De Brouwer, Francke, and Delnoij (2014) also mentioned the study of the direct correlation between the nurses’ working environment and the patients’ quality of care. As such, nurses have to be cognizant of these environmental safety risks – staffing and occupational hazard - and plan interventions for both nurses and patients’ safety.

I liked what you communicated in your post about improving the patients' experience of care is done by the nurse executive's role through their interpersonal skills and collaboration. According to Bradley (2014), "system nurse executives are positioned in to ensure that nursing is represented and strategically engaged in decisions that will reshape our healthcare system and improve the health of the communities we serve"(p. 621). I envision that it will be exciting as nursing administrators we will be able to aid in the transformation of our future health care system with innovative ideas.

As a leader in a Medicaid health plan, this writer as an MSN prepared nurse can advocate for the membership based upon literature research, and be a transformational leader by leading people where they need to be to meet the needs of the future (American Nurses Association [ANA], 2010). The Institute of Medicine (IOM) recognizes the need for strong and capable leaders in order to realize their vision for the transformation of health

My most recent area of practice was on an observation department at Baptist Hospital of Miami. This unit is fast paced and to the lay person appears to be controlled chaos. As a result, the focus seems to be efficient task completion in a short time frame. An indirect result of this focus has reduced the amount of communication with patients and family as they await feedback and updates while they wait. Congruently, I’ve recognized the amount of call light usage questions and concerns from patients and their families throughout their stay. This concern has to lead my topic of focus and area of research for this microsystem assessment. I would love to remain in the future as an advanced practice nurse within this facility.

Nursing and Nursing education has evolved tremendously through history. Many professional organizations directly influenced the practice of providing quality care to the public and propelled Nursing to the profession that it is today. Among these groups are the Quality and Safety Education for Nurses (QSEN), American Association of Colleges of Nursing (AACN), and Institute of Medicine (IOM). We will discuss how these three organizations have impacted nursing and the nursing education.