Nursing Positive Quality Paper

The purpose of the nursing practice field experience is to enhance leadership and research skills; identify shortcomings in policies, procedures or processes; and improve the current processes to ensure optimal patient-centered, healthcare delivery through the use of up-to-date evidence-based resources.

Nursing informatics (NI) has become a vital part of healthcare delivery and has become a defining factor in the selection, execution, and assessment of technology that supports safe, exceptional quality and patient-centered care. Nursing has become so uniform. The data in patient records has become a valuable resource and has improved assessments and overall patient care. Before the launch of nursing informatics throughout the second half of the 20th century there were not any real standards for language. The use of data restricted the function and

In order to practice as a nurse informatics or NI specialist, one must know and understand the standard to which he or she is held. The purpose and function of scopes and standards of practice for nursing informatics is to provide an overview of the specialty, assist future specialists understand their scope of practice, and practice at a competent level to guide and support nursing care. The scopes and standards of practice further provides an insight into the foundation of clinical decision making processes and cognitive concepts as the nurse moves data to wisdom in the clinical setting. As a NI specialist, the informatics nurse follows the concepts, scopes and standards of practice to guide and define their profession. This paper will further discuss the principles that guides nurse informatics specialist, the scope and standards of practice, professional performance, functional areas for nurse informatics, competencies, evolution, progress, and the future the specialty.

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.

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

Hello Students, my name is Teresa Damien MS, APRN-BC. I have been a registered nurse for over a decade and currently practice as a psychiatric mental health nurse practitioner at an academic institution clinically focused in addiction psychiatry. I have worked in multiple areas of nursing over my career prior to mental health that include medical-surgical nursing, respiratory nursing, hospice nursing, home care pedicatric nursing, and nursing education.

The moderate sedation policy will be revised to require one on one nursing staff to monitor patient from admission until discharge criteria is met. Patient vital sign parameters will be included along with frequency of monitoring. All staff who assist or perform moderate sedation will complete required training as described in the policy. Annual recertification will be completed by all practitioners and registered nurses through continued education, observation, and implementation.

A key recommendation for transforming nursing practice from the IOM is improving quality of care. There is an ample amount of research that associates midwifery care as being of comparable or higher quality to obstetrician/gynecologists with increased patient satisfaction and lower cost (American College of Nurse Midwives, 2012). Midwives work to improve care outcomes through providing holistic, patient-centered care.

My nurse preceptor today was Patricia. Patricia was an amazing preceptor with an immense amount of knowledge. I enjoyed Patricia’s passion for knowledge. She just finished her DNP. She spoke to me about how she also held two bachelors degrees and a masters in nursing. She was very caring of her patient and showed compassion to not only the patient but the family as well. I don’t think I would have done anything differently because she was a great patient advocate, caring healthcare professional, and great at time management. I was fortunate to have worked with her today in the CICU. We had a 1:1 assignment, a 67 year old male who had a STEMI. Ultimately, he ended up needing an intra-aortic balloon pump (IABP) to assist his heart. This was placed 8/31.

One the most important issues facing nursing these days is the changing healthcare insurance industry. I saw how these changes affected staff firsthand. I worked at Quincy Medical Center for three years until it closed in December of 2014. The Affordable Care Act led to cuts to Medicaid supplemental payments for the uninsured and has forced many hospitals to reduce staff or close like Quincy Medical Center. This is a concern for nurses because under current federal regulations there are no specific requirements for nurse to patient ratios. Multiple research studies demonstrate that lower nurse-patient ratios save both lives and money long term. For example, hospitals that routinely staff with 1-to-8 nurse-to-patient ratios experience five additional deaths per 1,000 patients than those staffing with 1-to-4 ratios, according to the Journal of the American Medical Association. Higher nurse to patient traditions lead to higher burnout

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.

With the rapid growth in the implementation and use of electronic medical records, there is an increase in how we define the role of nurses and other team member’s (Deese & Stien, 2004). Along with providing optimal care, nurses are also responsible for interpreting and accurately documenting large amounts of information. According to, (Ericksen, 2009) nursing informatics is defined as the integration of nursing, its information, and information management with information processing and communication technology to support the health of people worldwide. In this

The authors conclude that in order to collect data for meaningful use, one must get back to nursing basics to satisfy regulatory requirements. Under direction of a nurse informaticist, utilizing electronic health records helps facilitate this.

As a knowledge worker, a nurse moves from the role of a “data gatherer, information user, knowledge user, and knowledge builder, respectively” (McGonigle & Mastrians, 2015, p. 114). It is in the role of a knowledge user that the nurse starts to take “notice of the trends in a patient’s clinical data and determines whether the clinical data fall within or outside the normal data range” (p. 114). In measuring the final outcome of the patient as suggested by O’Grady and Malloch (2003)

The nursing profession has been around for a very long time. Through many changes and reforms, it has drastically evolved into the nursing profession we have today. Nurses have an important role within the healthcare industry in the treatment and medical care of the sick. These trusted healthcare professionals continue to make up the largest majority of the healthcare field, as well as the fastest growing occupation. Nursing is a job that allows people to not only care for the sick but also to experience, learn and further their interest in the human body. This course has definitely provided me an insight to the roots of the profession I would like to pursue. I think it is important to know the history of nursing to understand fully on the problems that are affecting the profession. I believe that we cannot effectively address important issues without a foundation of historical knowledge. In other words, by examining the nursing history, I will be able to appreciate my important role as a nurse in the healthcare system. The topics I will be including in my reflection are the works of Florence Nightingale, the affects of World War II, the challenges of Filipinos aspiring to be nurses, and excerpts in Chapter 10 of “A History of American Nursing.”