Nursing Implementation Plan Paper

Nursing shortage is a global problem facing all health care system and the impact on nursing professional and patient care outcomes cannot be over emphasized. Despite all effort made by the ANA and health care institutions to address the issue of nursing shortage there seems to be no change and the problem still exist hence there is every need to implement a new plan to address the problem of nursing shortage (ANA, 2014). The project plan is aimed at introducing a policy plan that will help in eradicating nursing shortage. This paper will focused on nursing shortage’s impact on nurses, patients and nursing profession, and a proposed project that will focus on eradicating the problem of nursing shortage through the use of mentoring program for high schools and colleges student.

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

The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

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.

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

According to the Texas, Nurse Practitioner can be well defined as a registered nurse who has advanced education and clinical training in a specialty area. They provide as a primary healthcare provider from children to the elderly population patients. They can address both acute and chronic disease conditions in the patients. Texas is more thorough and complete than the other states according to my own individual research. Board Rule 221 requires that one identifies the advanced practice role and population focus area for which you have been licensed as an advanced practice registered nurse by the Texas Board of Nursing.

After reading the Nurse of he Future Nursing Core Competencies (NOF), I believed it was created to help nurses used critical thinking when delivering care. Being a nurse had empowered me to know the important of critical thinking when caring for patients. “Nurses use critical thinking to integrate objective data with knowledge gained from an assessment of the subjective experiences of patients and groups, and to apply the best available evidence and research data to the processes of diagnosis and treatment”.

Advanced Practice Nurses play an important role as innovators who can help shape school policies across the nation. APNs need to know how the school system works so they can contribute in formulating school policies aimed at keeping school children physically active. APNs need to collaborate with parents, school officials and the community to direct activities that have the greatest positive impact on school-aged

Nursing, as the largest health care profession in the United States, plays a tremendous role in health promotion and delivery of care. From the 2.7 million employed registered nurses to the current Deputy Surgeon General of the United States, nursing infiltrates all aspects of healthcare (Bureau of Statistics, 2015). Therefore, as a profession, nursing must understand the intricacies of the Patient Protection and Affordable Care Act (ACA) and within its framework develop strategies to “advance nursing, health, and healthcare through education, clinical practice and research,” (Young et al, 2017). This paper aims to review portions of the ACA as it pertains to nursing, and offer an example of nurse practitioner innovation in practice.

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 nurse manager I selected to interview is a Baccalaureate degree nurse and has attended several in-house training sessions related to her position within the hospital. She attended Lenoir Rhyne University to obtain her BSN and has been employed with the institution for 13 years and has been in nursing for nearly 20 years. She is currently certified as a Certified Emergency Nurse (CEN) and is also a Sexual Assault Nurse Examiner. The Hospital that she is employed with is a private hospital she manages a 15 bed emergency department and 6 bed express care facility, which also holds several involuntary commitments for several hours at a time waiting on placement.

Ineffective breathing pattern related to decreased oxygen saturation, poor tissue perfusion, obesity, decreased air entry to bases of both lungs, gout and arthritic pain, decreased cardiac output, disease process of COPD, and stress as evidenced by shortness of breath, BMI > 30 abnormal breathing patterns (rapid, shallow breathing), abnormal skin colour (slightly purplish), excessive diaphoresis, nasal flaring and use of accessory muscles, statement of joint pain, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity

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.

A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to achieve Mr. Bertoli’s healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate

Hippocrates' general standards and in addition a vows not to utilize restorative information to abuse human rights or common freedoms and to hone medication without separation or predisposition. It is significant for nurses or physicians to adhere to these basic principles of the hippocratic oath which is to do the patient no harm.Many healthcare providers have conveyed concern regarding absence of emotion in robots, suggesting that this is the component that will never make human caregivers obsolete(Huston 2013). My gap in research concerns whether patient’s feeling psychologically neglected can be attributable to the distraction of technological nursing carts by nurses. I am interested in technology and the evolution of technology moving forward.I always wanted to change the world