As A Clinical Nurse Leader Case Study Paper

The risk for women developing heart disease involves contributing factors that can be associated with age, weight, and diet. After menopause women are more likely to develop heart conditions that

The textbook, Concepts for Nursing Practice, defines leadership as, “an interactive process that provides needed guidance and direction.” (Giddens, J., 2013, p.375). Leaders can be informal, a coworker that everyone looks up to, or formal, a manager that has authority that has been given to them (Giddens, J., 2013, p.375). In the case of the nurse manager I have been shadowing, she is a formal leader. The hospital has appointed her as the Surgical Services Nurse Manager to lead the Surgical Services departments and act as their spokesperson when addressing upper management. Her position within the heath care team is as a liaison between upper management and lower tier health care leaders. The Surgical Services

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community.

No matter how great a nurse leader may be, every nurse leader has their strengths and weaknesses. My strengths include being compassionate, humble, and resilient. Whereas my biggest weakness as a leader is not having the appropriate skills to influence others to see things my way.

I have scheduled an interview and time to observe a nurse leader with the Director of Nursing (DON) for the Virginian Nursing and Rehab facility in Fairfax, Virginia for Thursday October 2, 2014 at 7:30am. I plan on spending a full eight-hour shift with the nurse leader observing the following three leadership activities: 1) Observing her making rounds on the units 2) Observing and or participating in a nursing leadership meeting and 3) Observing the facility’s interdisciplinary team meeting.

Being a leader in the profession of nursing requires pride and dedication to the nursing career path. This is why I decided to conduct my interview with Pamela Prefontaine, a leader in the nursing field. Prefontaine graduated from Bellin School of Nursing in 1982. She then went on to get her Bachelor of Science in Nursing in 1990 from the University of Wisconsin Green Bay. Prefontaine then graduated from the Milwaukee School of Engineering in 2009 with a master’s degree in medical informatics. Prefontaine was the team leader of pediatrics at Bellin from 2001-2007. She has also been a team leader of a medical and surgical floor at Bellin also. Furthermore, Prefontaine was also the assistant director of the NICU at Saint Vincent’s Hospital. She currently is a consultant for informatics.

The risk of heart disease rises as people age. Men develop an increased risk of heart disease at the ages of 45 and older, while women 55 and older are at an increased risk. “A woman’s natural hormones give some level of protection from heart disease before menopause.” (www.fda.gov) “After menopause, women develop heart disease as often as men, and women who have a heart attack don’t fare as well as men. Women are more likely than men to die from a heart attack.” (www.fda.gov) Obesity is caused by many different possible factors including “genetics, metabolic, psychological reasons, socicultural reasons, sedentary lifestyle, neuroendocrines, medicamental reasons, and high caloric nutrition.” (www.obesidad.net) Obesity is known to cause colon cancer, high blood pressure, and premature death. “Obesity is also associated with high blood cholesterol, complications of pregnancy, menstrual irregularities, hirsutism (presence of excess body and facial hair), stress incontinence (urine leakage caused by weak pelvic-floor

Leadership is encountered in every occupation and in everyday life. In nursing, leadership is not only prevalent; it is crucial to patient care and employee satisfaction. The nurse leader that was interviewed was a nurse at the Newport Hospital in Newport, Washington. This is a small hospital in a rural community. She is a charge nurse in the acute care unit, as well as in charge of leading infection control in the hospital. With these roles comes a lot of responsibility, and tasks that must be completed in a timely manner to create a workflow for the rest of the staff. There is a lot of juggling and balancing everything that is included in all of those positions.

In the increasingly complex, ever changing environment of today’s healthcare, effective leaders are essential to help drive positive change resulting in increased access to care with positive outcomes for as many as possible. In its 2010 report, The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine (IOM) recognized that nurses are well positioned to play a key role in the transformation of our healthcare system in the United States (U.S.) (Institute of Medicine [IOM], 2010). In The Essentials of Doctoral Education for Advanced Nursing Practice, the American Association of Colleges of Nursing (AACN) specifically identifies organizational and systems leadership as a core competency for advanced

Health care is a necessity and a service utilized by all persons at some point in their lives. It is essential for individuals to receive the best quality of care with best outcomes possible. However, this is not always the case. According to Jukkala, Greenwood, Motes and Block (2013), the health care system is not perfect and still presents the opportunity for medical errors and inequities that place patients at avoidable risk. The Clinical Nurse Leader (CNL) although a fairly new role to nursing was created by the American Academy of Colleges of Nursing (AACN) to help alleviate the unnecessary errors or disproportions that many clients face (Stavrianopoulos, 2012).

Doctor of Nursing Practitioner and Clinical Nurse Leader emerged as an answer to the immediate IOM health care concerns and to the potential health care problems in the future. As collaborators, both DNP and CNL can bring the latest evidence-based practice to the table to better patient outcomes. This type of collaboration and communication is crucial to effectively managed patient care as they move from acute care to outpatient settings.

Crimmins, Hayward, Ueda Saito and Kim in there journal article give statistical data on heart disease and death in both women and men (2008). This article states “37 percent of men and 27 percent of women over the age 65 report having a heart condition” (Crimmins et al., 2008). Crimmins research addresses the many differences in men with coronary artery disease compared to women with coronary artery disease. The study noted that men have a higher mortality rate from heart disease than do women (Crimmins et al., 2008). This article also notes that “40-50 percent of postmenopausal women will develop heart disease” (Crimmins et al., 2008). Crimmins and colleges noted men develop heart disease 5 to 10 years earlier in life than do women ( 2008). Evidence suggests that women who are hospitalized for cardiovascular issues are less likely to “receive certain types of drugs and diagnostic and treatment procedures” (Crimmins et al., 2008). Low socio-economic status and poor educational levels also have a marked effect on men and women’s knowledge of cardiovascular disease and the timing of when they seek treatment (Hemingway, 2007).

There is a higher incidence rate for men ages 75-84. There is also a higher incidence rate for men ages 85-94. 66% of cardiovascular disease occurs in people of the age 75 and older. The leading cause of death in women over the age of 65 is heart disease. In 2005 cardiovascular disease in people greater than 65 was the underlying cause of death in 864,480 of the approx. 2.5 million total deaths in the U.S. This accounted for 82% of the deaths that year. After any kind of cardiovascular episode, all patients are at risk for disability and a possible repeat episode.

The following is a case study of a 45-year old female patient; presented with a one-month history of sharp upper back pain. Consequently, this pain was felt at the hand of a motor vehicle accident. In the paper, I will recount the means of what take place in the by-product of an X-ray image; which fell outside acceptance limits for the designated view. The investigation described here will contrive the methodology necessary to succeed an X-ray image to fall under acceptance limits.