Please remember to send me the confirmation page as soon as possible when we offer a position or an extension. The nurse CAN NOT start until I have this paper showing the start and end date. Also, the nurse CAN NOT work past their previous end date when they are extending, so if I don’t receive the confirmation page then they will have to take a few days off until I receive it.
The article “Dance of the call bells, using ethnography to evaluate patient satisfaction with quality of care” suggest the Key phenomenon and group under the study, by stating dance of the call bells, referring to the amount of times in a shift the call bells would ring and the group that it affects most are the patients. The title states how the call bells interfere with a patient opinion on whether quality care was received.
Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing?
When I arrive to the Trauma ICU 4800 unit, all of the nurses were already being followed by other students. The nurse in charge had me follow several different nurses, so I was able to observed several different patient cases. The first patient had received a triple bypass open-heart surgery. The patient had received a creatinine blood test. The patient had a dialysis machine next to them, which was used to function as the kidneys since the patient’s kidneys were not functioning correctly. Also, the patient’s body temperature was lowered from having a taken cool liquids so the nurses were keeping him warm with a bair hugger, which was a machine that helped regulate the patient's’ body temperatures.
I am applying to the Walden M.S. in Clinical Mental Health Counseling Program. I plan to practice as a licensed professional in counseling and Higher Education. I have always wanted to be a Clinical Mental Health Psychologist, working with individuals to help improve their mental and emotional health is something that I am committed to. Starting this program now is the best time because the information that I learned from my undergrad career would help me to be more successful in my grad career by learning more but at an advanced level. Once I receive my degree I plan to go back to school to get my doctorate degree in psychology, and utilize the skills that I have learned to open my own private practice that helps individuals who suffer with mental and emotional disabilities, within my practice I plan to let each individual patient talk about their issues and come up with a strategic plan for treatment. The personal qualities that I possess are having self-confidence and the ability to work and collaborate with others having the ability to be receptive to feedback while maintaining a positive attitude.
In the corner of the small hospital room stood a shy little girl. “You shouldn't be in here, honey”, my mother said as she nudged me out of the room where my grandfather lay dying. At the time, I couldn't understand the enormity of the situation. Ignorant to what was happening around me, my innocent mind fled with curiosity. The beeping of the machines and the soft quick steps of nurses captivated my attention. I was fascinated with this strange new world. This is the moment that sparked my desire to become someone great; a nurse.
Patient falls have been a long debated healthcare issue throughout time and measured as a nursing sensitive issue. The National Quality Forum (NQF) has endorsed patient falls with an injury with the steward of the American Nurses Association (NFQ: Quality Positioning Systems, 2014). All patient falls are documented per 1,000 patient days via the measurement description (NQF: Quality Positioning Systems, 2014). The target population that accounts for the total number of patient falls is in the medical-surgical, step-down, critical care, critical access, surgical, medical and adult rehabilitation units (NQF: Quality Positioning Systems, 2014). The Center for Control and Disease (CDC) has reported that every seventeen seconds, an elderly patient will have a fall in a hospital (Hill & Fauerbach, 2014). The majority of falls are associated with patients ambulating from a bed, chair, or toilet without the proper assistance (Shorr, Chandler, Mion, Waters Liu Daniels, et al., 2012). There is a new regulation published by the Center for Medicaid Services. It states that injuries acquired through a fall in an organization will be held responsible for those medical costs (Hill & Fauerbach, 2014). In fact, in 2010, there was approximately $30B in hospital costs related to patient falls (Hill & Fauerbach, 2014). With the increasing number of patient falls in acute care settings and the change of healthcare coverage, does the use of bed alarms reduce the risk of falls of
The concept of specialty nursing evolve from the profession role of registered nurse as a result of changes in the healthcare demand for more knowledge focus and need for advance nursing education. Nursing profession has evolved thru out history to specialty focus area to meet this demand. Many of these specialties have resulted in, recognition, explanation and growth that had made and impact on the health care needs. For example many of these specialties has evolved with time to incorporate certification exam and graduate degree in nursing, even as of today many specialty are evolving into doctorial educated level such as DNP. Hemic discuss that as each specialty evolves it goes thru different stages that involve define it and forming organization and introducing evidence. Hemic discuss the stage of development as dynamic and at times may not mature exclusive, and some might show characteristic of more than one stage at the same time. For example there are 4 stage of development of specialty into advance practice nurse ( ). Due to healthcare need for specialty some specialty has shown to evolve differently from that of APN. Nursing informatics is a nursing specialty that has shown to evolve differently from that of an APN. There are several key difference has been found in the evolution of NI and APN. The future goals and vision in relation to trends and needs in healthcare has been shown to impact the evolution of NI.
Nurses have an opportunity to change health care in the community in which they practice. It is of great importance for nurses to be involved in health care policy. There are many ways in which each and every nurse can become involved in legislative decisions. Whether it is writing a letter, making a proposal or actually joining a legislative group. There are bills passed daily that can have either a negative effect or a positive effect on patients. As primary care providers, we see these effects on a daily basis.
I can remember serving in the Air Force as a nurse and working with the chief of nursing. During my training period, things just seemed so difficult and hard for me to grasp under such a stressful environment. The chief of medical was very detail oriented and she would always pushed us to think outside of the box. We would go through different mock code scenarios as if we were out in the battlefield for two weeks. If we did not respond to the level of her expectations, she would make us redo the mock code scenario over again. There were many days in which we felt frustrated, giving up and crying. In the end, we realized that the chief of nursing was just trying to build our character, instill confidence and prepare us for future of being in a war zone.
My assumptions for nursing before walking into this course were that this profession focused on quality care for all different types of patients. I viewed nurses as someone who is brave, courageous, always up for a challenge, and compassionate. When I made my career choice to become a nurse, I thought their main jobs were to spend time with the patients, help them feel comfortable, provide them with medication that was ordered by their physician, and help patients with day to day tasks. I looked at nurses as someone who is like a close family member – specifically a mother. They provide you with all of the love and care that a mother can provide. My impression of nursing was that nurses were given a plan of treatment ordered by the physician
Having worked as a CNA under the supervision of a nurse for six years in a nursing home, I thought I was well prepared to become a great nurse. I did not know that other than learning sciences and medical procedures there was still more required of me to be a great nurse. At the commencement of the semester, I signed up for the HPR class as a prerequisite for the nursing program. However, I had no clue of what I was expected to learn on the subject. In the last few months, I have learned a lot in regards to professionalism in the workplace, professional nurse attributes and responsibilities, and the quality and safety initiative currently in place in nursing practice which will be the key in a more favorable outcome and higher satisfaction
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.
Pearson (2013) clarifies “clinical decision making is essential to every aspect of care delivered to a patient” (p. 214). It is the ability to blend information and make decisions that will later be implemented in the situation. Evidence-based decision making involves choosing from a variety of possibilities and combining the knowledge through research and the scientific evaluation of one’s practice. The purpose of this paper is to analyze my decision of administering ativan by advocating for the patient and anticipating her change prior to confirming signs; which provided a therapeutic response.
Many people believe that Nursing started with Florence Nightingale, however nursing itself dates back to the beginnings of motherhood when nurses were traditionally female. In fact, nursing and medicine have been closely intertwined throughout the ages. The history of nursing has its origins in the care of infants and children, so all mothers were in fact nurses. Gradually an evolution started developing into dedicated caregivers who practiced the art. In fact, nursing has been called the oldest of arts and the youngest of professions.
College means a great deal to me; it has been my number one goal since my first day of kindergarten. No one in my family has ever gone to college, so I would be the first which makes me want it more. Even if I do not get into a extravagant university, I will attend a community college to complete my general education requirements. College is extremely important to me, personally, and I want to prove to everyone, especially myself that I can achieve my goal to become a registered nurse.