Becoming Influential

Nurses are at the center of the health care industry, and are in a sole position of power. The academic area of my life involves being a pre-nursing student. In this discourse community we share collective goals such as studying, earning excellent grades, achievement into nursing school, and eventually becoming a nurse. Nurses are very important to society; their remarkable discourse community stands out in the health community. Their work provides trustworthiness to the provided of drugs and information given from doctors. Healthcare will always be needed, and with healthcare we need people who are well train in their field to be on top of their game and be knowledgeable about the healthcare. We might not always trust that our doctor knows what they are prescribing us but we can trust that our nurses have the knowledge of what they distribute. There are general fallacies among the field of nursing and several things to think about before following the path of a

EHRs can also improve quality of nursing care by providing nurses with education on the latest in evidence based practices relating to their patients’ conditions. “In order to bridge the gap between research and practice and to improve the quality of care, evidence-based Clinical Practice Guidelines (CPGs) can be incorporated into homecare agencies’ EHRs” (Topaz, Radhakrishnan, Masterson, & Bowles, 2012, p. 25). By incorporating this technology, EHRs go further to empower nurses to make prudent care decisions based on the latest research on best practices.

Throughout the article, “Nursing, knowledge and power: A case analysis” by Christine Ceci, readers come into terms with the relationship between knowledge and power and the damaging effects that these relations hold on health care. This article brings about the issue of the deaths of twelve children at the Winnipeg Health Sciences Centre who had died while undergoing or shortly after undergone cardiac surgery in the year of 1994. In this article summary, I am going to summarize this article by stating the main points of the Sinclair Report, address the Wiseman Committee and their views, and explain the problems the nurses brought up. All of these factors play a key role in Christine Ceci’s overall reaction to the issue. Concerns were raised

healthcare organization accrediting bodies, and to maintain credibility with patients and peers alike, must adhere to the National Patient Safety Goals. As stated by Ulrich and Kear (2014), "Not only are nurses responsible for providing safe patient care, we are also responsible for creating an environment in which others can provide safe patient care, and for being the last line of defense when needed between the patient and potential harm. Having a deep understanding of patient safety and patient safety culture allows nurses to be the leaders we need to be in ensuring that our patients are always

The Quality and Safety Education for Nurses (QSEN) Institute developed six core competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics (Quality and Safety Education for Nurses Institute, 2017). At my facility, it is clearly evident that they have adopted these six core competencies to improve patient quality and safety. My facility created the Office of Patient Experience which supports care that is safe, of high quality and high value. Patient satisfaction is a top priority which is why our guiding principle is known as “Patients First”. Through teamwork and collaboration, we deliver care that is patient-centered by working together in multidisciplinary rounds on the inpatient units. Also, the nursing education department supports quality, safety and consistent nursing care through a database of policies and procedures developed using evidence-based research. Lastly, the nursing informatics department is working towards making our EPIC system more patient-centered. They are doing this by decreasing the redundancy in charting for the nursing staff and finding ways to improve processes which automate tasks. This in turn will reduce the time that the nursing staff spends with their computer and increase the time that the nursing staff can spend with their patients.

Healthcare is ever changing and anyone in the healthcare profession needs to stay up to date with the evolving technologies. The goal of most healthcare facilities is to keep patients safe, provide excellent care and keep the facilities profitable all at the same time. Organizations such as The Joint Commission have been established to ensure this happens. The Joint Commission’s mission statement is “All people always experience the safest, highest quality, best-value health care across all settings.” (Joint Commission, 2014). With the new technologies surfacing, groups are needed to ensure patient safety and monitor patient care. The demand on healthcare is growing as well as patient expectations.

Advances in modern technology surrounds us in our day to day lives, allowing conveniences and efficiency at our fingertips. Great strides have been made over the years with technology, and the healthcare industry along with many other industries have adopted this new way of functioning; electronically. The effects of technology have come to the forefront in where our government has acknowledged the benefits and opportunities. “The promise of Health Information Technology for improving quality and safety of health care while reducing costs has caught the eye of policy makers and other leaders in health care” (Hersh, 2006). It deeply affects how we connect, interact, and communicate internally and externally, but also gives us a sense of control on how we engage ourselves to the innovative software and systems.

Patients want and expect to receive high quality care. Nurses want to provide the best care possible to their patients and like everybody else; want a pleasing job environment. Hospitals, on the other hand, are expected to provide a safe environment to patients, have enough nursing staff and remain profitable (Keller, Dulle, Kwiecinski, Altimier & Owens, 2013). The ultimate goal is to improve quality of care and patient safety across the United States; therefore, all the different interests of these major stakeholders should be taken into

The roles of the advance practice nurse (APN) in health policy today, are vast. APNs tend to have a deeper understanding of how current health policies directly effects their role in healthcare and their patients. In a research article by Primomo and Björling (2013), it was found that education is a key factor in influencing nurses to become politically involved in healthcare politics. Due to differences in curriculum, nurses without an advanced degrees have less exposure to the political involvement of healthcare workers.

The institutions make use of network-connected information systems that facilitates for efficient exchange of the information in the entire enterprise. Evidence-based practice has been common in the nursing education, science as well as practice (O’Sullivan & Benham-Hutchins, 2011). The nurses must aspire to achieve improvements in evidence-based quality as well as transformation in health care so that they can effectively redesign care to be safe, efficient as well as effective (O’Sullivan & Benham-Hutchins, 2011). Nurses must also respond to the launch initiatives which can potentially maximize the treasured contributions from the nurses, and hence deliver the EBP promises (O’Sullivan & Benham-Hutchins,

The most significant is the use of power in all three-system levels. The comprehensive learning on how nurses, leaders, organizations, and various government agencies utilized their power, and the input from other students have revealed to me the benefit of legitimate use of power, and the consequences when power is illegitimately utilized (Ottenberg, et al., 2011). When addressing the power utilization in all the health system levels, the most urgent issue that came to my mind is the advanced practice nurses inability to again full autonomy to practice to their full potentials in some states, despite the institute of medicine (IOM) recommendations. This barrier for the APN is steamed up by the illegitimate expression of power by the physicians to suppress the practices of the

In 2009, the American Nurses Association and the National Quality Forum held a conference with a multidisciplinary team of experts and individuals from nineteen different organizations involving nursing to identify the nursing profession’s position in accomplishing the goals of the National Priorities Partnership. This committee is a combination of forty-eight organizations that was established by the National Quality Forum. A portion of the action plan for the nursing profession concentrated on the impact of health information technology in improving the care provided to patients (Capriano, 2011).

Every health care organization is struggling to address the mandated Centers for Medicare (CMS) core measures, the Hospital Consumer Assessment of Healthcare Providers (HCAHPS) patient satisfaction scores, in addition to the reportable events requirements. Given the reimbursement tied to outcomes, the organization is taking a serious stance in addressing the quality and safety initiatives, in addition to patient satisfaction scores. Furthermore, the organization has a patient safety counsel that focuses on nursing professional practice through the utilization of evidence based initiatives, assuring that nursing is deeply entrenched in working towards quality and safety goals.

Dr. Patricia Benner is responsible for the idea that a nurse begins her career as a novice, having a sound educational base, and eventually develops into an expert nurse after a multitude of experiences in the field (“From Novice to Expert”, 2013). This paper will explore Benner’s five stages to becoming clinically competent. This paper will also discuss the use of information technology in the clinical setting, including potential benefits of electronic health records to nurses and the impact of health information technology on consumer health.

Nurses play a very important roles in patient care. They have the power to improve the quality of care, thus improving patient outcomes. According to Fackler, Chambers, and Bourbonniere (2015), the phenomenon, which is stated in this study, is that the concept of power is usually viewed by nurses ' perception of their work environment; the environment that allows them to take proper care of their patients. Furthermore, based on the social theory that power is defined as the capacity to achieve goals, the authors believe that if the nurses ' capacity to achieve goals for themselves and their patients culminates in a positive conclusion, then power becomes an essential phenomenon to explore (Fackler et al., 2015).