The American Nurses Association (ANA)

enhance quality. Some of the nursing issues in health care reform are; access to care,

The meeting I attended was the Arizona State Board of Nursing via livestream on September 17, 2015. This meeting is open to the public to attend or watch online livestream which is what I did. The members of attendance were: Board President Randy C. Quinn, RN, MSN, CRNA, Board Vice President Carolyn Jo McCormies, RN, MS, FNP-BC, Board Secretary Terri Berrigan, LPN, C-AL, and Board Members Lori A. Gutierrez, BS, RN-C, DON-CLTC, CBN, Jana Machesky, LPN, Kathryn L. Busby, J.D., Dr. Kimberly A. Post, DPN, MBA/HCM, RN, NEA-BC, M. Shawn Harrell, RN, MS, and lastly Melinda Pheanis Preston, DNP, APRN, PMHNP-BC. According to the Arizona Board of Nursing mission statement their organization protects and promotes the welfare of the public ensuring that each person holding a nursing license of the practice of nursing license or certificate is competent to practice safely (“Mission Statement,” n.d.). The purpose of these board meetings is to discuss any regulations that need investigating so they keep the nursing standards to protect the public. This involves bringing forth nurses to discuss any disciplinary actions that have been brought up against them or that needs further review.

The Texas Nurses Association (TNA) District one meeting for the El Paso area, took place on September 20, 2016 at 1845. The President of District one, Paula Meagher was unable to attend the meeting as she was ill. She did however provide us with a list of the current Advanced Practice Registered Nurse (APRN) issues that TNA is engaged in. The issue that really caught my attention was Texas Occupations Code, section 157.011 (b-1) which deals with APRN restrictions on writing prescriptions for Schedule two controlled substances. The TNA website states:

Service personnel experience a tremendous number of traumatic experiences while in service. These traumatic experiences include situations such as different forms of explosion, gun battles, vehicle crashes, helicopter crashes, intense fear, seeing fellow service members dying as well as a feeling of helplessness (CITE). These are situations that an average American can simply not fathom. Certified Registered Nurse Anesthetists (CRNAs) who work with service personnel typically do understand these traumatic experiences. In this article, Wilson and Pokorny conducted a study to understand the experiences CRNAs have with service personnel who have traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD) and are emerging from general anesthesia with emergence delirium (ED) (CITE). There are no studies in literature that contain information on patients with these specific problems, which makes this study important. Wilson and Pokorny hope other researchers will get involved to help learn more about this subject and get the service personnel and CRNAs the advanced medical help they need.

American Nurses Association (ANA) Standards of Professional Performance explains how all registered nurses do their work and activities consistently according to their professions that promote the wellbeing of their patients and communities (ANA, 2010a). The standards provide a mechanism to patients that they are been taken good care of and that the nurses know exactly what to do so as to provide high-quality care and the measures are in place to determine whether nursing care meets the standards. These activities are related to performance like ethics, quality of practice, education, communication, resources, leadership, environmental health, professional practice evaluation, and evidence-based practice and research. Registered nurses are responsible for their professional actions to themselves, their patients, their peers, and the community at large.

A discussion regarding the health care reform or even health care in general can be somewhat controversial. The definition of health is drastically different depending on whom you speak to. Many would define health as " a person's absence of disease, others would describe good health based on the status of mind, body & social well-being" (GCU Lecture, module 2, 2012). According to The American Heritage® Dictionary of the English Language, health is defined as "The overall condition of an organism at a given time". An individual's overall health affects the nation, this is where stakeholders come into value. According to Keele, Buckner & Bushnell a stakeholder is either an individual or an organization that either invest time and

Advanced nurse practitioners (ANP) can be found in a variety of settings. In the clinical setting, they are attending to children who have health care needs distinctly different than other age ranges, adults who are experiencing symptoms that can be addressed on the spot, and the elderly who have specific needs that require expertise in the area. Family nurse practitioners (FNP) are able to cover health care needs of the young, old, and in the ages between using efficient, effective, and professional strategies based on nursing guidelines, policies, and laws. Nursing services. Guidelines determine the course of action FNP. Policies are the principles that denote prudence. Nursing laws reflect the specialized care, skill, and expertise

The National League for Nursing was first started by a group of brave women, whom shared a passion of commitment on the nursing education values and perspectives. These women paved the way for all the professional nursing organization in the United States. In 1952, the NLN historic role was to develop a set of guidelines that outline the Accreditation criteria for all nursing services and nursing education. The founding group works diligently in promoting and being reliable advocates for the importance of health care and nursing education. The NLN governed the NLN Accrediting Commission, which is responsible for the accreditation of nursing education schools and programs.

The experience I had at the State Board of nursing cases was very interesting. I was surprised there were so many nurses and other individuals who participate in the process of disciplining nurses. The entire process was very professional yet intimidating. I felt as though the language they used was very professional in a legal setting but very intimidating to me because I have never been in a legal setting before. I felt that the language used could be very confusing to someone who has never been in that situation.

In the early 1980s it came to light that while the supply of nurses had reached a record high, only 80% of hospitals nationwide had adequate nurse staffing levels (American Nurse Credentialing Center, 2011, p. 8). To address this issue a taskforce was formed within the American Academy of Nursing (AAN). Through an initial study of 165 hospitals, the AAN determined the characteristics of healthcare organizations that were magnetically attracting and retaining nurses as employees (American Nurse Credentialing Center, p. 9). In this study the AAN found “Forces of Magnetism” that contributed to the high level of job satisfaction amongst nurses, superior quality of care, low job turnover, and high level of nurse involvement in leadership, decision-making, and research. In the early 1990s, catapulted by the findings of this initial study, the American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program. The intention of the ANCC’s Magnet Recognition Program was threefold: To reward hospitals that demonstrated “excellence in the delivery of nursing services to patients;” to encourage quality in the nursing work environment to support practicing professional nurses; and to guide navigation for the dissemination of evidenced-based clinical nursing practice (American Nurse Credentialing Center, 2011, p. 14).

To qualify for a career, job, or position in the field of nursing, a person must have specific skills, abilities, and qualifications. Professionals who work in the field, as well as career guidebooks, suggest that if a person is interested in this career path, he or she should be able to have time management skills, communication skills, being able to treat patients and delegation skills. Time management skills, is for someone to be able to have time for their families and friends, but have time to work or to study in order to be a nurse. Communication skills are a huge part in the nursing field. Being able to communicate with your co-workers or your patients is very helpful in order to be a nurse. Working with patients remembering what they

With these great services, there comes many challenges. The first challenge being that the center is serving so many the need for a bigger building is required as the program grows. Visiting Nurses Association (VNA) of Kennett has been so kind to donate a brand-new building for the nutrition center to move and can expand its services. With the new building, Laura Ford is implementing new hours from 9:30 a.m. to 5:00 p.m., an in-door walking tack, a room with computer for classes, exercise programs, arts and crafts, a game room, a library, and intergenerational programs. The second challenge, there is a lack of volunteers for this program. There is limited staff and it mostly made up of volunteers. They take the money saved from paying a

The foundation of nursing was based off of giving aid to the sick and injured mainly in an Impoverished portion of a community. May different facets of nursing were created from this and nursing aid was in homes, schools and a specific public building. As years past nursing evolved into a more educational role along with giving aid to the sick and or injured. Education such as how to prevent the spread of illness and disease by washing your hands. The advancement in technology is so vast now that there are many ways to now know disease prevention including in todays impoverished areas. The challenge for nurses is to get this information to all of the public.

I chose to select this article because it was about the benefits of professional nursing associations. Over the past few weeks we have learned an abundance regarding different nursing organizations and how they can positively impact our nursing careers. This article can further contribute to what we have learned about the subject matter.

The Canadian Nurses’ Association (2007) definition of a Registered Nurse in part states that the members are, “self-regulated healthcare professionals who work autonomously and in collaboration with others enabling individuals, families, groups, communities and populations to achieve their optimal health” (p. 10). To ensure that safe and ethical care is being administered, the College of Nurses of Ontario (CNO, 2015) outlines several practice standards and guidelines to be followed by its members. Within this framework, the nursing profession has a multitude of concepts to explore and apply when providing the best possible client care. Recovery is a multi-dimensional concept directly related to professional caring and practice experience in nursing. To understand the role recovery plays in a patient’s treatment one must investigate the various components that make up this concept. In this paper, I will present the phases and dimensions associated with recovery and any influencing factors relating to the process. The research and knowledge gained will be used to relate the aspects of the concept to professional caring. I will reflect on enhancing and integrating my comprehension of the concept in my future professional nursing care as I continue my journey as a healthcare provider.