Tabrizi Breast Cancer

In today’s healthcare system, nursing is a challenging field as a result of rapid technological advances and changes in healthcare policies. As a dedicated nursing professional, with a great passion for learning, I strive to stay on top of these changes. I am determined to increase my knowledge to be an instrumental part of providing quality healthcare. The demands of nursing are high; however the rewards are even higher. Nursing requires both a supreme understanding of the science of health, and a caring bedside manner befitting only those who seek a position of such a personal involvement in the well-being of a patient. Academically, I will put forth all of

For my interview, I spoke with one of the Nurse Practitioners (NP) that I interact with while working my shift at the hospital. I will call her Terri Smith because although I asked to use her quotes in my paper, I did not think to ask for permission to use her actual name. Where I work, many of our internal medicine physicians are hospitalists. During the night, they are covered by the umbrella of Quest Care. There are several NPs that work under the afore mentioned physicians and are there, on-call, when needed for their clinical expertise. It is nice, because even though I can’t develop much of a relationship with the doctors whose patients I work so hard to take care of, I get to have the opportunity to grow strong bonds with the NPs that I see almost every shift.

On November 1st, 2016 I had the opportunity to conduct an interview with Katherine M. Sawyer RN, BSN of Owosso, Michigan. Katherine, a female nurse who has worked in the nursing field for thirty-six years began her nursing career at Ingham Medical where she was a full-time staff-nurse for three years; then worked as a per-diem staff-nurse for eleven years. After working at Ingham for a total of fourteen years, Katherine obtained a position at Memorial Healthcare in Owosso where she worked as a nurse educator for fifteen years. Shortly after this she became a Basic Life Saving (BLS) instructor as her main role as a nurse educator was to provide nursing orientation and this additional role fit in perfectly. After some time she became involved in Quality Improvement for four years, and she has now switched back to the nurse educator role where she once again has the role of nursing orientation for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Patient Care Techs (PCTs). The number of staff she teaches and orientates each month varies between one and ten individuals. She also teaches BLS and First Aid at Baker College of Owosso. Her contact information is as follows: Phone number (989) 413-1974 and e-mail address kmsawyer521@gmail.com. The purpose of this paper is to inform the reader of Sawyer’s role in the nursing profession as a nurse leader. Individuals will learn of Sawyer’s many different roles, responsibilities, and the organizational structure of Memorial

As I prepare for my first classes in nursing school, I recognize my unique position to examine the values that I will bring into my nursing career. Without any experience, my values remain relatively unshaped regarding healthcare. In contrast, the values of nurses who have already accumulated a variety of experiences tend to be more nuanced and informed. For this exercise, I met with one of these experienced nurses—CC, a cardiac-catheterization laboratory nurse who just welcomed her third child. Together, CC and I explored the differences in our upbringings, how we were each sucked into nursing, and how our values have changed throughout different life experiences. Above all, I intended to delve into the story of her fifteen-year career in order to discover how an experienced nurse philosophizes patient care.

Our healthcare system is ever evolving, remarkably changing the sphere of nursing practice. The roles of Advanced Nurse Practice practitioners are expanding, taking up a multitude of roles across a diversified healthcare specialties. Advance Nurse Practice practitioner stands as leader in this comprehensive profession bridging the gap in management and clinical aspect of care (McDermott & Morant, 2010), reflecting the complexity of culture, organization and practice setting (Hyrkas & Dende,2008) to improve the quality of patient care. This paper is about the interview with a Certified Nurse Practitioner. The Certified Nurse Practitioner interviewed is from the Hematology/Oncology Department in one of the university affiliated hospitals in Chicago. The purpose of the interview is to learn about the competencies needed to successfully perform the various roles of a Certified Nurse Practitioner in this complex health system. The rationale of the interview process is to give an opportunity as a graduate student to “assimilate primary care competencies into specialty nurse practitioner practice that exemplify professional value, scholarship, service, and culturally global awareness” (Chamberlain College of Nursing, 2014) that can be advantageous for my professional development. The interview showed the importance of knowledge of competencies appropriately applied in practice essential in the functions and roles of a Certified Nurse Practitioner within the scope of practice for

Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that

I am constantly striving to adopt evidence based practices and gain as much exposure to my future profession as possible. The hunger I posses to improve the health and wellbeing of my state, in an acute care setting, through adopting an innovative practice of caring inspires me to strive towards distinction.

During the first three years I will work as a nurse practitioner in an urgent care/occupational health care setting serving individuals living in low socioeconomic areas. Providing urgent care treatment in an underserved community is important to me, as these communities are in dire need of healthcare providers who speak their language and understand their culture. I hope to make a difference in these communities by encouraging prevention. In order to be worthy of serving this population, I will need to partner with a practice that will take me under their wing and help me reach my highest professional development potential.

Nature and scope of the project: Despite the advances in medical technology, breast cancer is the most common cancer among women and is the second cause of mortality in African-American and Caucasian women in the United States. Mammography has shown to be one of the best method to reduce late detection of breast cancer. The American Cancer Society recommends monthly self-breast examination (SBE), clinical breast examination every three years and mammography starting at age of 40. Despite the recommendations, there is a disparity among different racial groups. The breast cancer screening rates are higher in certain subgroups, including low-income African-Americans and Hispanic

The healthcare industry has intensely advanced throughout the world, in turn changing the principles that incorporate the practice and culture of nursing practice. Altering the model of care to a patient-centered mode signifies an organizational culture shift and requires the participation of executives at the senior level (Cliff, 2012). To practice this care to provide the best care possible, it goes beyond the nurse to all healthcare professionals and senior leadership. The days of patients and nurses following a physician’s order without favor to care has now loaned themselves to more of an interdisciplinary approach to practice. Though, it is encouraged that the patient makes decisions for themselves, after receiving the proper education and information on their condition. Part of the patient-centered care is to be the patients’ advocate, by letting them know you are there for them when they are unable to speak and advocate for themselves and what is in their best interest. That goes in hand with educating them on “self-management of care, health literacy, patient, and family education through nurse-patient communication and interaction (Finkelman & Kenner, 2016, p. 271).”

I quickly recognized I wanted to practice medicine as part of a team and under supervision. However, I still desired sufficient independence with extensive and in-depth training. With this in mind, I began forming opinions about the various careers in healthcare until I came across the PA profession. By shadowing Araya, a PA, at a clinic, I observed how she provided sensitive and comprehensive care to the patients. She took time to explain to the patients their diagnoses in a warm, personable,and comforting attitude, which were all personality traits that I possess. I was extremely pleased of the lengths the PA went to in order to make the patient feel included and taken care of. Prior to this experience, I knew I wanted to construct strong relationships with my future patients and understand and treat patients as a whole. Not only was this palpable within the care Araya provided to her patients, but I now have the opportunity to build relationships with patients as a healthcare volunteer at Jamati Clinic by listening attentively to their main concerns as well as their outlook on their

Background - The modern nurse has a rewarding, but extra challenging, career. The role of the 21st century nurse is not limited to assisting physicians, but to be more of a partner with both the doctor and patient as an advocate, teacher, researcher, counselor, case manager, and of course, caregiver. Because of the complexities of the marketplace, HMOs, governmental structure, rising costs, lack of adequate staff and support, the nurse must rely on a number of tools in order to be effective and successful. The nurse must have the ability to analyze materials from other nurses and scholars, and must remain current with both scholarship and practice. It is therefore advantageous for the nurse to have access to understanding many of the theoretical templates that nursing scholarship has to offer. While unlikely that a nurse will utilize only one theoretical view, the more robust the toolbox, the better the nurse will be able to handle difficult situations (Kozier, Erb and Blais, 1997).

This paper brings up my personal nursing philosophy that I am planning to deliver in my nursing career. I believe that nursing is more than merely as a profession, it also involves my medical knowledge combined it with a commitment to quality nursing care with compassion, respect, dignity, and advocacy for each patient. I believe that the interdisciplinary care and collaboration in the medical field are crucial elements that lead to a healthy relationship among healthcare professionals in promoting quality patient care that is individualized to each patient’s needs.

“Nurses are more than caregivers in today’s healthcare settings. They are teachers, advocates and pioneers in improving healthcare. They are stepping out of the old model and taking ownership for changes in healthcare. Nurses are developing their own scientific research programs to improve patient care. They are playing a pivotal role in healthcare reform. Nurses are becoming leaders, not followers in healthcare reform.”

My philosophy of nursing education grows out of my philosophy of nursing. Much has been said related to healthcare reform, healthcare globalization, and healthcare delivery. A resounding theme in all of these discussions is the need for nurses to take a position of leadership in the healthcare industry (Institute of Medicine, 2010). I believe nurses, as leaders, are uniquely qualified to bridge the gap between the healthcare industry and a rapidly changing global environment. Nurses are educationally in tune to the proposed changes that are being made, yet sensitive enough to address the needs of individuals affected by these changes. In a global community, nurses advocate for the individual.