Memo For Nursing Study

I am a Nursing Student at the University of Massachusetts Boston and a resident of Roxbury. The purpose of this memo is to propose a healthcare policy on adequate nurse staffing levels. The State of Massachusetts is highly understaffed a situation which requires immediate measures to correct this disarray (MNA, 2017). The policy will involve an audit in all the public hospitals in Massachusetts this will help determine the number of nurses needed. This policy should be implemented as it will offer a solution to the long-term problem of limited nurses in health centers to a surplus of patients. Research indicates that nurses are essential for quality healthcare for both private and public health centers. Adequate nurse staffing levels are critical

As my senior year here at Jersey College of Nursing moves quickly to its end, I reflect on how far I have come and what exactly my experience here at Jersey College of Nursing has meant to me.

On August 2015, I started the RN-BSN program with the Transition to Professional Nursing as my first course. I took one class at the time because I was working as a full time nurse at the same time. I did not take a break and started a new class each start date because I wanted to complete this program as soon as possible. The journey has been a long, hard road and the stress was constant and many times I felt that I could not complete it; it has been a difficult but very satisfying journey.

Transitioning from nursing school to working in a hospital setting can be a challenging time for a new graduate. Due to the nursing shortage, new graduate nurses are being hired with little to no experience. This is overwhelming for new nurses, especially when they are not getting adequate support or training from the hospital. The amount of stress, pressure, and lack of training is leading to a high turnover rate for new graduate nurses. With patient acuity on the rise, new graduate nurses that are filling these vacancies in the hospitals, need to be competent nurses to provide proper and safe care to the patients.

Nursing students today are diverse with different learning styles. Nursing educators must shape students to become critical thinkers and there are a host of approaches for instructors to develop needed teaching skills (Kostovich et al., 2007). There are many models of education styles; one to fashion teaching after is from Kolb’s model in 1985 which suggests matching learning methods to teaching approaches. However, educators need to become proficient in identifying individual student learning styles. Nursing educators should also recognize their own teaching style and the effect it has on learner development and socialization (National League for Nursing, 2007). The National League for Nursing (NLN) has developed eight core

Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The

Over 33 years of nursing experience ranging from staff nurse to nurse administrator, in the areas of long-term care, psychiatric nursing, managed care, disease management, and case management. A flexible and practical team player, with excellent organizational and time management skills.

For the purpose of this essay, I will discuss the case of a five years old patient presenting to my place of work with the symptom of shortness of breath (SOB). To maintain confidentiality the pseudonym “Ryan” will be used to refer to the child and Ryan’s mother will be frequently referred to as “mum”.

A nursing supervisor is a versatile and productive member of the healthcare team. This position involves managing staff, recruiting new employees, ensuring that rules and policies are being followed and plays a huge role in patient care. With a positive job outlook growing rapidly this is a great position for someone who wants to be involved on the floor of the hospital both clinically and administratively. The nursing supervisor has many responsibilities in a healthcare setting.

“Advanced nursing practice is the deliberative diagnosis and treatment of a full range of human responses to actual or potential health problems.” (Calkin, 1984). Advanced nurse practitioners attempt to maximize the use of knowledge and skills and improve the delivery of nursing and health care services. The field of advanced nursing practice differs from basic practice as the former requires clinical specialization at the master’s level. At this level, nurses become expert practitioners whose work includes direct and indirect patient care. Direct patient care involves caring for patients and their families; this is the focus of my section on nurse clinicians. Indirect patient care includes work as an educator, researcher, and a

The orientation process for new hires lasts six weeks. The new nurse attends nursing orientation for one week and then is assign a preceptor on the unit for each shift. The DPCS introduces the new employee to their preceptor. This nurse works three weeks on the day shift, one week on the evening shift and one week on the night shift working with both medically acute rehabilitation patients and surgical patients. Nurses receive extra days of their orientation with patients that the nurse has limited clinical experience such as a nurse with postoperative experience will work more with the medically acute rehabilitation patients to practice new skills. For new graduates their orientation is individualize and can last from 8-16 weeks.

I am writing this letter, and hoping that there is still something I can do about my problem.

In my profession, I believe everyone should communicate with proper grammar, regardless of their work position or status. Others count on the people of the nursing profession to be educated and professional. I have received email from higher-ups that contained errors, just as I am certain they have received emails from me with errors. I can’t say that I have seen memos with errors, maybe because memos are not the first-line of communication where I work. I have seen two memos in the five years that I have been employed with this company, and I did not notice an error in either of the memos. In the short time that I have been in this program, I have seen some assignment descriptions and directions with errors. I don’t put too much thought into

The first goal in preparing the new graduate nurse is ensuring their preceptor are clinical experts and are available in the desired time frame. Webster (2016) describes the role of the preceptors as those of mentors, organizers, role models, socialization agents. Therefore, utilizing Patricia Banner’s novice to expert developmental model and Dreyfus skill acquisition theory, the new graduate nurse (novice nurse) can achieve personal and professional growth, critical decision- making skills. Hence, the new graduate nurse is considered a novice nurse, because they have less than two years ‘of experience. Therefore, skill acquisition is in the first level of the novice nurse. Consequently, the novice nurse has acquired little experience and require direction and the preceptor must provide his/her with rules in guiding their patient care. Also, the preceptors will help the novice nurse improve communication skills, which may help remove barriers when collaborating with the interdisciplinary team and colleagues. Moreover, the novice nurse will be held accountable for the patient’s safety and quality of care they provide. Therefore, the preceptor provides teaching methods to ensure the new graduate achieves his/her goals, such as increasing their knowledge in clinical skills, decision-making, understanding of policies, procedures, regulations, and guidelines. Moreover, the preceptor in important to the novice nurse in achieving his/her clinical competence.

This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.