Five years from now I will be sixty years old. Many people think that at that age I should be planning for my retirement. I hope that my good health will continue and that I will have earned my DNP. I am planning to continue to work as a general oncology nurse navigator. I envision moving to part time status in five to seven years. I foresee the current navigation program growing. I hope we will have at least two more full time, disease specific navigators. Working as a navigator in a part time capacity would allow me to return to nursing education.
Navigation is a new role for nursing. If the program is to grow into disease specific navigators my role will need to change. Educating existing physicians at my facility has been a challenge. Many physicians are not willing to discuss the patient’s diagnoses, or treatment options. Instead they tell the patients their diagnoses or treatment options. Many physicians practicing at my hospital seem to lack the time or know how to have these conversations. I have been told by several patients, they did not fully understand “the paper “ the physician gave them regarding their surgical options. They have told me they just chose what the physician recommended or what their relative had done. This is frustrating for me because my role was specifically created to assist physicians in these circumstances to save them valuable time. N0 matter how physicians are educated, they do not refer patients to the service. My referrals
Hospice is where I will stay once I get my nursing degree. I will be the first out of my parents and mothers side of the family to graduate from a four year college. I have so many people depending on me and looking up to me to finish school and to become successful. My family is my motivation. They give me the strength to push myself for the better. I am an only child so I feel like I have to be the best at everything. I push myself harder than anyone else. I really am my worst critic, but I take that as something positive because there’s always room for improvement. I will strive to do my very best through school even though I know it’s going to be hard. Lastly, I’ve always wanted to be a nurse. Never in a million years had I thought I would enjoy this job so much. From the moment I became a CNA I knew I wanted to be a nurse. I enjoy helping others. Also, working side by side with the amazing nurses I’ve had the pleasure to work with has made me want this that much more. I love to talk with them and hear their journey to becoming a nurse. It’s not the easiest job but defiantly worth all the hard work. There are so many opportunities available with a BSN
Being able to grasp the patient’s views, habits, and behaviors gives me the knowledge to assist the patient in making better choices. I have noticed in my workplace, how some nurses are better at conveying information to a patient and presenting it in a way that assist the patient in understanding the complexities of the issues. They do this with humor, challenging the patient’s reasoning, confidence, and solid examples of the matter. Observing these interactions has allowed me to intercede into my patient’s reasoning. There are times when I have been successful and moments when other nurses ask me to come and speak with their patient to assist in these difficult
I am pleased to state that I have been a registered nurse for forty years. At this moment, I continue working in nursing while pursuing my Bachelor of Science in Nursing degree. My intended month of completion is October 2012. My experience in nursing education has motivated me to continue my education and pursue a Masters degree in a nursing related field commencing in 2013. Thus, in terms of my career planning, my education is a crucial part to my professional development. Extending and deepening one's education, especially within the career field of one's choice, can only bring upon additional professional opportunities as well as opportunities for personal growth. My career planning includes building upon my decades of experience in obstetrics, my particular area of specialty, expertise, and passion, with the assistance and addition of higher education. I believe in terms of career planning, my strengths include foresight, preparation, internal motivation, and focus.
Prior to beginning the nursing program the only patient contact that I had was in an outpatient clinic setting and had often thought how great it would be to become a nurse. As my preceptor clinical experience has come to an end, I can being to look back and reflect on my experiences not just over these past few months, but from the beginning at Avalon Care Center my first exposure to a long term care facility. Which at that time had made me question, if nursing is the right career path for me? Since then, I have had many wonderful experiences from being able to watch an open heart surgery for a valve replacement and a total neck resection for throat cancer with, jaw reconstruction with the use of the patient fibula. Still to this day, I
In 2000, it was estimated that there were 110,000 open nursing positions, by 2025, it is projected that the open nursing positions will grow to 260,000. The shortage is due to many aspects including, rising population, decreasing of new students in nursing school, decline in nursing earnings compared to other growing occupational fields, aging of nursing workforce and the aging population that will need health care services in the near future. A survey found that 55% of registered nurses intend to retire between 2011 and 2015. This is primarily the
Education for the providers and patients both need to be more accessible. Providers education for screening, and implementation of a policy to set better guidelines for screening, needs to be created so that patients at risk can be educated soon rather than later on lifestyle changes. The education for patients needs to be more extensive in the office and also in the community where individuals are more likely to ask questions and be in an environment where they are more comfortable.
The success of NPs depends on practicing evidence-based care with competency in assessment, diagnosing, managing patients, and maintaining a caring practice. The nursing component of the NP role continues to be challenged from within nursing, as well as by large national physician organizations. NPs are extensions of nursing practice who are guided by nursing theory. The transformation from nurse to the advanced practice role of NP involves development of advanced knowledge and skills for listening, knowing, being with patients, connecting patients to their communities, promoting health,
Many of us have experienced this: we spend 10-15 minutes in a doctor’s appointment and the experience feels like a Q&A session, then we are told to follow the treatment regiments but are left with many unanswered questions. Nurse Practitioners (NPs) can be a part of a solution to this problem by providing a holistic and high-quality healthcare that centers around patients’ needs.
More than half of nurses over 50 say they plan to retire in the next decade.
It has grown from a non-educated nurse to one that has to be even more educated to keep up with the fast changing times with diverse topics and culture differences. It is a constant challenge for physicians and nurses to do their best in the fast changing nursing field. As nurses, we have to be constantly upgrading our education. We can’t expect anything to always be the same and to never change. Register nurses today work as a team, they work every day with physicians, pharmacists, speech and occupational therapists, just to name a few. Since nurses are primarily responsible for direct patient care and coordination, I believe that they should not be these educated on the health care
Going back to when I was a novice nurse, I was nervous, scared, afraid of making medication error, charting errors or fail to recognized patients worsening symptoms. These fears, made me vigilant, focused and kept me on my toes at all times. No matter which part of nursing I ended up as I grew up the from medical surgical nursing to stepdown unit nursing to intensive care nursing, I felt those fears in every step of my growth and they helped me be a better nurse for my pateints. Today, I am in the advanced practitioner program to become a nurse practitioner who is responsible for: interviewing, assessing, diagnosing, counseling and treating patients. To provide safe and quality healthcare, I am expected to have good critical thinking and decision making abilities (Maten-Speksnijder, Grypdonck, Pool, & Streumer, 2012). while I can recognize clinically deteriorating patients and recommend treatments, I am now responsible for providing treatments. I am now recognizing that facts about being not only responsible for the patient, but also to provide safe care that keeps the patient out of the hospital and out of the ICU. Knowing these facts, I am yet again, faced with the fears of my limited clinical practice knowledge as a practitioner. The amount of information that I have received and learned during this clinical rotation was both exciting and overwhelming at the same time, because I realized as a novice student nurse practitioner (NP), the limited depth of
By 2010, unless many more young people become nurses, about 40 percent of the nursing work force will be over age 50, according to the General Accounting Office (“Nursing Workforce”, 2001).
As the population begins to age in Ontario so does the age of our nurses. The objective of this report is to outline the job prospects for nurses as a result of our ageing population, and the challenges that are presented with these opportunities. With an ever increasing number of nurses retiring, there are fewer graduates to replace them. There was a time in the 1990's when jobs were hard to come by for nurses. Almost 25 years later we are heading towards a shortage that is pointing towards a strain on our healthcare system, with an ageing population and an increase in chronic disease. A large percentage of the population is both ageing and falling ill with fewer nurses by the decade to care for them. According to Statistics Canada the number of seniors will jump to 9.8 million by 2036. There was a time when the number of nursing grads would out number the nurses who were retiring. We are now looking at the pendulum swinging in opposite direction, the number of nurses retiring is projected to outnumber new graduates. If this trend continues “Canada will be short almost 60,000 full-time equivalent RN's by 2022.” (CN-aii.ca).
Rachel Gotbaum did an interview on nursing shortage in 2007. There were multiple interviews with health care professionals through her interviews she found that “In the next decade 80 million people will retire. She has stated that since health care changes constantly that nurses need to continue their education no matter how old or how many years they have been in the medical field. When medicine is involved you should always be up-to-date on the latest technology and diagnosis. Nurses may become suddenly ill or injured were they are no longer able to give care anymore. You can never plan if an
The nursing profession will continue to experience a workforce shortage estimated at a vacancy between 300,000 - 500,000 RNs by 2025 (UHC/AACN, 2009). This shortage is mostly due to the large population of baby boomer nurses approaching retirement, currently the largest demographic of nurses are those between the ages of 50 and 60 (UHC/AACN, 2009), as well as the increasing rates of nurse turnover. Of specific concern on this front is that many new graduate nurses (NGNs) are not only leaving jobs within the first 1-2 years but may leave the profession altogether (Griffin, 2005). At a rate of 30% the