Nursing Case Application Paper

I have been partially helping in coordinating respite care for the CLC. There have been some changes, and I was asked by the CLCL chief and CLC team to take full responsibly of coordinating the respite care until they can hire an admission nurse. I am fine with their request; however, I told them that I will get back to them after consulting with you. I will have two bac-up person in case I am absent, and I will make sure that this role does not interferes with performing my regular duties as a Nurse Educator. As this is an added responsibility, I would need your approval before I can confirm the role with the CLC chief.

This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may

I had the pleasure of interviewing a good friend of mine and a co-worker named Vincent. Vincent is a 28-year-old from the Philippians. He is the youngest of two and him and his brother are part of his family first generation of children born here in America. Vincent has been working as a nurse for the past three years providing in-home services to special needs children. Vincent explained he enjoyed his job and get fulfillment from doing his job. Vincent did express some dissatisfaction with his job as of late because his clients are beginning to become more physically aggressive towards him leaving him with bruises and torn clothes. Vincent stated he has been thinking about joining the United States Air Force to gain more experience in triage because he would like to work in the emergency room or ICU one day.

The new graduate nurses (NGN) are faced with various issues and challenges especially in their first year of nursing practice. The period of transition from a student to a graduate nurse is a demanding period that is filled with new experiences and there are several concerns and factors that can affect the transition process. The research into the issues has recommended some strategies that can be utilised to ease the transition process from being a student to a professional practicing nurse. Exhaustion, reality shock and time management are some of the factors and issues that the new graduate might encounter during their first year in their career.

Nurses can work as case managers for many different reasons. According to Clark (2015) case management is “a collaborative process between the case manager and the client and his or her family designed to identify and meet health care needs through quality, cost effective services” (287). In the case of Maria Flores, members of the team include a community health nurse/case manager, public health nurse, department of social services, obstetrician, school counselor, and Maria Flores and her parents. There are five key principles of case management that apply to the case of Maria Flores. The first principle is “case management addresses a variety of determinants of health” (Clark, 2015, p.289).

For years now it has been well know and documented that there is a brutal disconnect between what school prepares NGRN for and the reality they find once they begin working.(Duchscher, 2009) This stark difference found between school and reality sets new graduates (NG) up for a hard fall and the disillusionment they are under when entering the professional practice can lead them to exit nursing altogether.(Duchscher, 2009) The problem then of course becomes recruitment and retention, and the cost of training new nurses back in 2007 was recorded to be as much as 82,000 to 88,000 each.(Ulrich et al., 2010)

Job retention rates amongst newly graduate nurses tend to fluctuate widely. These fluctuations have many possible and combined explanations including orientation quality, level of confidence, residency programs, pay rates, mentoring programs, management support, and countless views of job satisfaction. My concept will focus on transition to practice success of new graduate nurses in relationship to their organization’s orientation process, job satisfaction, and the effects of job retention rates.

Across the United States, hospitals are experiencing a nursing shortage. Yet, according to the American Association of Colleges of Nursing, 63,857 students graduated from nursing school in 2015 alone and enrollment is increasing. It seems like a lot of new nurses to fill those vacancies, does it not? Studies show, however, that within a year, about thirty percent of those new graduates have voluntarily left their job (Hillman). Further studies have attributed the high turnover rate to new nurses’ lack of competency to handle conflict, make critical decisions, and function autonomously (Bratt). Many of the new graduates are disappointed with the hospital’s orientation, or lack thereof. Lack of knowledgeable preceptors and lack of nursing staffing in general has led to new nurses being thrown into autonomous function more quickly. Without proper training, these nurses must make sound clinical judgements and provide competent care to patients, which anyone can imagine is stressful. Today, Nurse Residency Programs (NRPs) are being instituted in numerous hospitals as a way to improve new graduate nursing skill, but research shows many other benefits to these programs. NRPs also reduce hospital spending costs, increase patient safety, and most importantly increase new nurse retention rates.

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 is not just a collection of tasks. To provide safe and effective care to the clients, nurses must integrate knowledge, skills and attitudes to make sound judgement and decisions. This essay describes some of the essential knowledge, skills and attitudes of nursing and discusses why they are essential attributes of a competent nurse.

The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.

The health care industry is experiencing a surge in the number of baby-boomers needing health care and increased demands on the physicians providing the care. This trend has made the role of Advanced practice providers more important (cite). It is imperative to understand the differences and similarities in the advanced practice provider roles as it pertains to healthcare. This paper will identify specialty nursing roles including advanced practice registered nurses (APRN). It will further compare and contrast the advanced practice nurse (APN) and physician assistant (PA) roles in practice.

Another care delivery system is functional nursing. In this system, specific tasks are assigned to different nurse depending on their skills and their licensed skill set. The idea behind functional nursing is that every task will be carried out by a specialist assigned just to that particular task. In this task, both RNs and nurse aides are utilized. One benefit of functional nursing is that CNAs can only do certain tasks that they are skilled to do. Because of this, they perform these tasks often and increase the speed in which they are capable of doing them. This allows tasks to be completed faster, because each member of the care team takes care of specific care tasks, allowing care to be given quickly and efficiently. Due to this, there are also fewer RNs required to perform care, resulting in an overall more cost-efficient system. A disadvantage of this care system is that relationships with patients become detached and clinical, because care is performed by multiple nurses. This type of

Which action by a newly graduated RN working on the postsurgical unit indicates that more education about delegation and assignment is needed?

Thank you for your post. I agree that the topic is broad; but you hit the mark when the nurses must take control of his practice in the daily basis. I feel the same way about the extensive work of nursing. You were right to say that one has to have the right mind-set and solid composure to meet the day in nursing. One of our theories mentioned that the more one knows himself, the more he’s capable of caring for the patient. I believe this is true, because it is a selfless, serving task the minute you take the patient assignment. Fortunately, nursing is also a very rewarding job and it happens in the environment when nurses have the autonomy of their practice and the effective team support of nurses. I remember during my early years