Nursing is more than a profession taught by science. It is an art that the nurse refines through the creative use of oneself based on the skills and expertise, to transmit emotions and meaning to the patient. Nursing is a process that is subjective and requires interpretation, sensitivity, imagination and active participation. A core skill utilized by a nurse is advocacy, both for our patients and our profession. Our profession requires participation of advocacy at all levels of nursing, starting at the bedside and continuing all the way to nurses in legislation. To be a proficient patient advocate, the nurse must be able to assess the patient’s constant change in physical, psychological, spiritual, and social needs. I apply my knowledge …show more content…
The CRNA has deeper understanding of disease processes, pharmacological treatment and technological interventions when caring for patients. Advance practice comes with a high level of responsibility; furthermore, increased autonomy is why I aspire to advance my nursing practice. I want to be the nurse that eases my patient’s way through what may be the most stressful time in their life. During my anesthesia shadowing experience I witnessed the complexity and compassionate care that the CRNA provided safely and efficiently. Most importantly I observed clear communication that was vital to all involved in the care of the patient’s unique needs. My shadowing experience fueled my drive to continue to pursuing CRNA School and extend my knowledge at the …show more content…
Utilizing the knowledge and skills that I garner at the University of Pittsburgh I will demonstrate safe evidence-based interventions and continue to foster an understanding of modern anesthetics. After having gained experience I plan to become involved with teaching nursing students lending support to fellow nurses to achieve their dreams just as others did for me. Being an active member of American Association of Nurse Anesthetists and giving back to the profession is important to me. I can also foresee, in my professional CRNA future, being an advocate for our profession on a political platform. Most importantly, my final professional goal is to continue to be a lifelong learner and model, and uphold the superior standard set forth by the
My mom has worked in hospitals since before I was born. From being a nurse to becoming a Certified Registered Nurse Anesthetist, she spent a lot of time in hospitals, which meant her family did too. After spending many nights and even holidays at them, hospitals became like a second home to me; and the staff, a family. I learned to love everything about hospitals: the smell, cleanliness, layout, and even the chaos. I saw how controlled yet sincere everything was. I saw and learned things wandering around hospitals that many others will never understand.
This paper brings up my personal nursing philosophy that I am planning to deliver in my nursing career. I believe that nursing is more than merely as a profession, it also involves my medical knowledge combined it with a commitment to quality nursing care with compassion, respect, dignity, and advocacy for each patient. I believe that the interdisciplinary care and collaboration in the medical field are crucial elements that lead to a healthy relationship among healthcare professionals in promoting quality patient care that is individualized to each patient’s needs.
As an acute care nurse practitioner I hope to utilize my experience as an Intensive Care Unit nurse along with clinical knowledge and skills acquired through a graduate level program to provide the highest quality patient care. In my current role, I place high value on patient-family centered care and advocacy as well as commitment to lifelong learning. I have built my nursing career upon these values. I am excited to begin the journey of becoming an acute care nurse practitioner and to further my education and expand my scope of practice in the field of critical care, for which I have already developed a passion.
In today’s healthcare system, nursing is a challenging field as a result of rapid technological advances and changes in healthcare policies. As a dedicated nursing professional, with a great passion for learning, I strive to stay on top of these changes. I am determined to increase my knowledge to be an instrumental part of providing quality healthcare. The demands of nursing are high; however the rewards are even higher. Nursing requires both a supreme understanding of the science of health, and a caring bedside manner befitting only those who seek a position of such a personal involvement in the well-being of a patient. Academically, I will put forth all of
Nurse Anesthetists are also known as CRNA, which means Certified Registered Nurse Anesthetists. Being a CRNA, one has big shoes to fill when it comes to their job. CRNA’s work with anesthesiologist surgeons and other physicians and medical professionals to give anesthesia to patients undergoing medical and surgical procedures. CRNA’s care for patients before, during and after a medical or surgery by doing a patient assessment , preparing the patient for anesthesia, they must maintain the anesthesia throughout the whole procedure to secure the proper sedation, and pain management, and as a CRNA they must make sure the patient recovers from the anesthesia properly. CRNA’s usually overshadow anesthesiologists. They perform much of the work
Certified registered nurse anesthetists are advanced practice nurses who are certified and specialized in the administration of anesthesia (“Position description,” 2014). CRNAs make their own independent decisions and judgments regarding the application of anesthesia, and, in most states, physician supervision of CRNAs is not required (“Legal issues,” 2010). The profession was introduced to the United States during the
They also take care of patients anesthesia before, during, and after surgery. They even give mothers epidurals during child birth for pain management. A CRNA can also perform physical assessments, participate in preoperative teaching, administer anesthesia to keep patients pain free, oversee recovery from anesthesia, prepare for anesthetic management, and follow the patients postoperative course from recovery to the patient care unit. These types of nurses are the only certified personnel to deliver anesthesia in most rural hospitals in the United States (Lippincott Williams & Wilkins 42).
With change comes evolution. Most professions, specifically nurse anesthetist, as we know them today did not begin in the state they are in today. They grew through trial and error. Before revealing the history of this profession and most important, its leading pioneer, one must be familiar with the role of a nurse anesthetist. Nurse anesthetists, often confused with anesthesiologists, are nurses with baccalaureate degrees in nursing and master degrees in anesthesia who are responsible for administering anesthetics to patients preoperational. Contrary, anesthesiologists are physicians whose education requires a baccalaureate degree as well as medical schooling with special education in anesthesia. However, the anesthesia part of the education is very similar for both providers (KANA. 2011).
The US News ranked a Nurse Anesthetist number 4 in the top 100 best jobs of 2016. Although satisfying, a Certified Registered Nurse Anesthetist (CRNA) is a highly stressful nursing specialty (Phillips, 2010). According to Gouveia (2016), a registered nurse is ranked top 5 in most stressful jobs. Some of the brightest and best CRNAs, even past presidents of the American Association of Nurse Anesthetists (AANA) have taken their own life because of addiction (Quinlan, 2009). Substance abuse and addiction is a well-known topic unfortunately, it continues to be an issue and struggle everyday for some anesthesia providers. CRNAS are well-educated individuals; however, the prevalence, and relapse rates for substance abuse are alarming. The
With all of the different specialties in healthcare, some get overlooked or may be under the radar. An uncommon and often disregarded career choice in healthcare is that of a Certified Registered Nurse Anesthetist or a Doctorate of Nurse Anesthesia Practice. Although not many people know about these healthcare careers, they play a vital role within the healthcare team. This field is growing rapidly and the likelihood of coming into contact with a nurse anesthetist during a hospital stay is on the rise. Knowing the history, education, responsibilities, and career outlook for a Certified Registered Nurse Anesthetist or a Doctorate of Nurse Anesthesia Practice can aide in understanding their very specific role in the care of patients.
As the years go by, the nursing field is expanding. Different types of nurses are being needed for a variety of jobs in the nursing field. This field of work is especially one of the most important because the world will always need nurses. Although the nursing field is very competitive to get into, the need for nurses increases rapidly as time goes on. A CRNA, Certified Registered Nurse Anesthetist, is one of the most popular fields being practiced. A Certified Registered Nurse Anesthetist is a step further than a Registered Nurse. Certified Registered Nurse Anesthetists are advanced nurses that specialize in anesthesia. CRNA’s provide anesthesia care for millions of patients in the United States of America. Anesthesia is a form of medicine that puts a person that is undergoing surgery to sleep while also numbing the pain. There are many steps in the process to becoming a CRNA, it is a very serious field, therefore it requires more experience and training.
Certified Registered Nurse Anesthetists (CRNAs) are one of the most advanced types of nurses. They are responsible for providing quality anesthesia and anesthesia-related care in order to facilitate diagnostic, therapeutic and surgical procedures (America Association of Nurse Anesthetists, 2010). While their services are mainly used in the surgical setting, CRNAs can also provide assistance for pain management associated with obstetrical labor and delivery or for chronic and acute pain. Although they typically work under the supervision of Anesthesiologists, based on states regulations and by laws, they may also work independently (Kansas University Medical Center, 2014).
Advocacy is risky, in that other peers may disagree with the decision when addressing the good of individuals or the nurse may potentially lose their position. But being able to find a balance between the foreseeable risks and benefits involved when advocating for better conditions is what leads to a more effective patient care plan (Edelman, Mandle, & Kudzma, 2014, p. 111). In the novel “A Nurse’s Story” by Tilda Shalof (2015), a positive example of advocacy is demonstrated between a patient named Sylvie and a nurse named Tracy. Sylvie is on the top of the organ transplant list for a new lung, but needs oxygen at the moment because she is struggling to breathe. The nurses are put in a situation where she either gets a sedation and intubation but gets taken off the transplant list, or gets the sedation and intubation to help her breathe at the moment. Despite the repercussions of possibly jeopardizing Sylvie’s chance for a lung transplant and going against the doctor in charge’s disapproval, she still gave her a dose of morphine to ease her breathing. Tracy in this situation is a perfect example of an advocate nurse. There were so many risks involved, but she was able to put a whole picture together and add in her instinct to come up with a plan of action. The interpersonal interaction between Tracy and her patient previously enabled her to spend more time to connect with the patient to understand what she needs and how to solve this situation. Not only did the nurse-patient relationship help the patient and her family feel as though they are being cared for, but also helped them feel more motivated to open up to the nurse to achieve better satisfaction. As said in the novel, “it was a small thing, but it was a big thing to Sylvie and her mother” (Shalof, 2015, p.
The profession of nursing has matured from the time of Florence Nightingale. Nursing has gone from just treating dying soldiers on the battlefield to helping guide people through their entire lives from birth to death. The maturation of nursing has led to changes in nursing philosophy and allowed for practitioners of Nursing to meld these philosophies together to form their own philosophy. In this paper I will explain my philosophy of nursing and compare it to Virginia Henderson 's definition of nursing along with discussing some of the changes to Nurse philosophy I will also discuss some of the difficulties to being a patient advocate.
Nurse’s roles are expanding according to the need of the patient and society. A nurse has to play roles from bed side nursing to the prevention of disease and illness, educating patient, families and collaboration with different healthcare teams. Howell (2012) indicated