Role of the Rn

| 1- Collaborative work environment.2- Cooperation between physicians.3- Changing lines of authority.4- RNs maintain professional standards across care centers.

This assignment will explore and critically evaluate the role of the registered nurse in the development of a plan of care that is patient centred. This will involve examining and critically analysing the chosen nursing model in a holistic assessment of the patient and the use of the nursing framework ASPIRE (Barrett, Wilson and Wollands, 2012).

They must always maintain privacy and confidentiality in a nurse/child relationship. They should also differentiate between normal and abnormal physical findings and serve a child advocate. Nurses must also participate in activities to help manage the child’s pain and analyze any situations to anticipate pathophysiological problems and detect any changes in the status. Pediatric nurses may also administer medication while using an age- appropriate guidelines and determine the child’s needs related to pain management. One of the last general tasks is, that a nurse must evaluate a child for signs and symptoms of abuse and provide as much supportive care as possible to dying children.

Interprofessional practice for the professional nurse can be defined as collaboration and shared decision making with other health care professionals to improve care and provide safe outcomes for patients. Since nurse are central to the care of the patient, they are often viewed as the communicator and the coordinator of the patient’s care (Burzotta & Nobel, 2011). Nurses have a unique opportunity as a interprofessional team member given their scope of knowledge about the patient. However, nurses struggle with role-identify when a part of an interprofessional team. The work of nurses do is often viewed as non-professional and more task driven by

So it is extremely important that the RN and other team member have a two-way open dialog to ensure that the necessary information is obtained. When team members come together in such a collaborative way, it promotes an atmosphere that allows discussions that can solve complex client health care problems, prevent errors, and allows the RN to act as an advocate for the client. In the plan of care when the RN is continuously reviewing the chart and client status, this collaboration is critical. It allows the RN to ensure that all disciplines involved in the clients care are up to date and doing their part to contribute to the expected goals. In most situations it is the responsibility of the RN to organize these collaborations when they believe a client could benefit from

“All health care disciplines share a common and primary commitment to serving the patient and working toward the ideal of health for all.” (American Association of Colleges of Nursing, 2014, p. 1) There are many different professional members in the healthcare system. Each of them, have a specific specialty and responsibility to the patient and play an important role in the patient’s overall plan of care. “The scope of health care mandates that health professionals work collaboratively and with other related disciplines. Collaboration emanates from an understanding and appreciation of the roles and contributions that each discipline brings to the care delivery experience.” (American Association of Colleges of

Kaakinen et al (2015) discusses the two types of health care teams that will be involved in the patient’s care: multiprofessional and interprofessional. The multiprofessional model is an older model that does not focus on holistic care. Care is fragmented with an autocratic leader, vertical communication, separate goals of the professionals involved, and families are peripheral to the process (Kaakinen et al., 2015). The preferred model is the interprofessional model emphasizing a team approach, holistic care of the patient, horizontal communication, and involvement of the family (Kaakinen et al., 2015). The nurse should keep this collaborative approach in mind when dealing with any patient case, involving all teams associated with the patient for the best outcome.

This is the way nurses come together with healthcare consumer, family, and others in the conduct of nursing practices. Collaboration is professional healthcare partnership grounded in a reciprocal and respectful recognition and acceptance of: each partner’s unique expertise, power, and sphere of influence and responsibilities; the commonality of goals; the mutual safeguarding of the legitimate interest of each party; and the advantages of such a relationship. (Spring, 2010). Nursing students should be ready to collaborate with their patients and their families at times in every situation in order to come out with a positive outcome while helping the patients. This is attained by sharing the knowledge we have learned in class combined with what the patient says (subjectives) orthe situation you are. When nurses collaborate together and understand one another it will be easier for them to take care of the patients and they will manage to offer a high quality care possible.

A Nurse Practitioner is a registered nurse that has additional education and training in diagnosing and treating illnesses in specialty areas such as family, geriatric, neonate, or pediatrics. Nurse Practitioners prescribe medication, which usually RN’s cannot do, as well as treat illnesses and administer physical exams. Nurse practitioners have a master's degree or doctorate in nursing and board certification in their specialty. A pediatric NP has higher education, skills, and training in caring for infants, children, and teens than an RN. As licensed nurse practitioners, NPs follow the policy and regulations of the Nurse Practice Act of the state in which they work. As health care shifts away from the traditional hospital setting to within the community, the position and function of the nurse practitioner has changed to the front of

The purpose of this theory is to express the nurses’ influences, actions, and outcomes with regard to caring for critically ill patients (McEwen, 2014). The synergy model for patient care was created to link nursing practice with patient outcomes and this is explicitly stated in the model’s concept. This requires nurses to be proficient in the multitude of nursing practice. When nurse competencies and patient needs synergize, optimal patient outcomes can result (AACN, n.d.; McEwen, 2014). During the early 1990s, the AACN strategically set forth to identify a model that described nursing practice. In 1993, the AACN Certification Corporation established a think tank to draft a document that identified nursing concepts of practice, specifically certified nursing

I always knew I want to work with pediatric population. During my clinical rotations, I always requested to work with pediatric patients if available. Unfortunately, my nursing instructor who understood this passion and extracurricular activities passed away shortly before graduation. However, that adds to motivation to help continue to help children and their communities. In the first month of clinical rotation at Seattle Children’s, there was a patient’s family who was getting frustrated. After

According to American Nurses Association (2010) Scope and Standards of Nursing Practice, collaboration is defined as, “a professional healthcare partnership grounded in a reciprocal and respectful recognition and acceptance of: each partner’s unique expertise, power, and sphere of influence and responsibilities; commonality of goals; the mutual safeguarding of the legitimate interest of each party; and the advantages of such a relationship”.(p. 64). Collaboration amongst health care providers is very crucial in providing quality care to patients. Integration of disciplinary teams, improves communication, coordination, and most importantly, the safety and quality of patient care. It provides interaction between team members allowing

However, often the nurse will find herself dealing with difficult family dynamics with family members having differing expectations of the type of care that the patient should be receiving, staff conflict over treatment methods or strategies and high workloads. These issues can only compound the stresses on the Palliative Care Nurse and to cope

Palliative Care for Children: Enhancing the Quality of Life for a Child with a Life-Threatening Illness

The team model allows the utility of nonprofessional nursing personnel such as LPNs and nursing assistants, through delegation and observation by an RN while holding a team leader accountable.( Tiedeman&Lookinland,2004) The focus is to work collaboratively and cooperatively with shared responsibilities, and to some extent accountabilities, for assessment, planning, delivering, and evaluation of patient care. ( Tiedeman&Lookinland,