Nurse Practice Registered Nurses

It is well known that the United States is made up of several different cultures and the health care system delivers care to a very diverse population. However, depending on ones culture-receiving care may be a challenge at times. In this paper we are going to take a closer look at the culture of Hispanic Americans. The Hispanic population has grown to over 55 million residents with in the United States in 2015, with an estimated growth rate of 2.1% per year (Krogstad & Lopez, 2015). Making this minority group on of the fastest growing populations within the United States (DeNisco & Barker, 2016).

In this discussion, a Hispanic or Latino group is considered. While the statistic is not available for the city of Cleveland, in Ohio this group represents a 3.7% of the total population as of July 1, 2016 (USCB, 2018). The Hispanic/Latino group represents people from Cuba, Latin America, Mexico, Puerto Rico, Caribbean and other Spanish cultures, regardless of race (Juckett, 2013). While a treatment plan in hospitals is the same for all the patients, the perception varies in different ethnic groups or races. Thus, a health care provider need to be aware of Hispanic/Latino cultural beliefs and implement this knowledge into a daily routine.

The number one priority of the Registered Nurse should be to provide holistic, patient-centred, safe and evidence based care to every patient. Patients who are admitted into hospital or seek healthcare services externally through clinics or the community usually expect to receive the safest and the highest quality of care possible from that facility. Registered Nurses have a major responsibility to ensure that this is achieved. To help guide nurses and other healthcare workers in the right direction, the Nursing and Midwifery Board of Australia created and enforced the “Registered Nurse Standards for Practice”. These standards aim to assist healthcare practitioners in providing high quality and safe care to every client. The standards also aim to prevent any form of harm or negative consequence to the patient during and after their time in any healthcare facility. This paper will discuss the reportedly increasing issue of elder abuse, the responsibilities of the Registered Nurse and the associated Standards of Practice when faced with a patient or family that is experiencing this type of harm. The standards discussed in this paper will be Standards 2.5, 2.9 and 6.6.

The Hispanic community in the largest minority in the USA and the fastest growing, it is also one with a high incidence of preventable diseases such as Diabetes, periodontitis, colorectal cancer and HIV. Obesity and teen age pregnancy are significantly more prevalent in Hispanic/Latino population as well. Rate of vaccination is also below that of the majority of the population. Addressing their health care makes good public health and economic sense.

In the preparation of writing this paper, I reviewed several educational videos from the U.S. Department of Health and Human Services (n.d.) that show healthcare providers interacting with patients from different cultures. I chose the video that shows a Hispanic man interacting with his surgeon. I chose this video because all counties in Ohio except one are seeing increases in the Hispanic population. There has been a nine

There have been concerns regarding the identification and credentialing of advanced practiced registered nurses (APRNs). A APRN is a registered nurse who has successfully completed an accredited graduate-level education program, in which the individual is well prepared and successfully passed the nationwide certification examination (APRN Consensus Model, 2008). However, there are still debating issues of who would fall under the APRN category. The National Council of State Boards of Nursing (NCSBN) has identified four APRNs who are deem fit to be called ARPNs; however, only two will be named. They would be certified registered nurse anesthetists (CRNAs) and certified nurse practitioners (CNPs). Whereas, the nurse informatics and the nurse administrations are not considered to be APRNs; although, they are still license registered nurses but they do not provide direct patient care and are not required to take the national certification examination (ARPN Consensus Model, 2008).

Hispanics Health Promotion The United States, land of the free, has been the melting pot of many cultures. Culture being learned through behaviors, beliefs, and values shared by a group of individuals. Hispanics are the largest ethnic minority population in the United States today. Whether it is behavior such as smoking, food, and family being the central hub of everyday life. The overall health status of the Hispanics in the United States can attributed to lack of preventative care, seeking care of illness on onset, and overall lack of medical treatment.

The hospital that the clinic is attached to is opening a brand new facility and has decided to expand their community support by opening a family medicine clinic that will utilize the hospital resources. The community is a wide range of working classes, low income, poor, and rural families that must travel some distance to reach health care providers. Attracting patients that need primary care and continued health care will drive referrals to the ancillary departments in the hospital. This increases revenue for the hospital.

The Hispanic community is the largest minority in the USA and the fastest growing, It is also one with a high incidence of preventable diseases such as diabetes, periodontitis, colorectal cancer and HIV. Obesity and teenage pregnancy are significantly more prevalent in Hispanic population as well. (Crowie, 1989) Reasons for this discrepancy are many and varied, so different and varied approaches will be needed. Addressing their health care makes good public health and economic sense.

A good protocol is created from evidence-based medical practices agreed on by medical staff involved in anticoagulation therapy (i.e., all stakeholders) and addresses key decision points and respective courses of action integrated with the clinical judgment and experience of the practitioner.

According to the American Association of Colleges of Nursing (2015) the traditional roles of the advanced practice nurses include nurse practitioners, clinical nurse specialists, nurse midwives and nurse anesthetists. Therefore, the impact of the research on the practice of the preparation of DNP nurse educator requires education in evidence-based practice, quality improvement, leadership, policy advocacy, informatics, and systems theory. Furthermore, transitioning to the DNP as a nurse educator does not change the current scope of practice of the Advance Practice Registered Nurses (APRNs) for their current roles. The transition of the DNP better prepares APRNs by utilizing new models of the care delivery system and growing complexity of health

The health care system in the U.S. is used less than its full capacity by Hispanic women, especially after recent migration to the U.S. Among recent immigrants, protective factors such as traditions, health values and behaviors are shown to guard and strengthen health. Safeguards to health deteriorate sharply as they acculturate to U.S. society ((Sanchez-Birkhead, 2010).

Even after half a decade there remains a shortage in primary care providers with only a reported one forth of medical school graduates seeking residencies in family practice, pediatrics, and obstetrics/gynecology. The FNP is a qualified clinically competent healthcare member that can fill this void in primary care in this cost-sensitive society. Despite barriers like the lack of third-party reimbursement, prescriptive authority, and hospital admission privileges the projected employment

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.

I have long heard about how CRNA’s make a lot of money and that I should look into obtaining the education for this career. It wasn’t until now that I realized what a great profession this would be. I may not be able to complete what is required for this career, but maybe I can tell my fellow nursing students what an awesome career this could be.