Reply 1 Tof N

 Nurses play a crucial and essential role in delivering patient’s quality of care, being the most direct caregivers for many of them. Nurses like Florence Nightingale, Isabel Hampton, and Lilian Wald were heroes who provided a tremendous knowledge that nowadays we are still using, and made a profound difference in the quality of care of patients, being their legacies followed today (Black, 2017, p. 324). Nursing has evolved in various aspects meaning that many changes have occurred in ways that are responsive to changes in the environment we are surrounded for. One of the changes we can observe in which this nursing field has evolved is gender equality knowing that in previous decades, and when Florence Nightingale started her nursing profession was a female dominated career where only women were the ones who provided care for patient, but today many males’ candidates are practicing the profession and are involved in patient’s care.

  The way they used to dress was totally different and not the same we use to wear today, they worn long white dresses, white hats, and white stockings, and nowadays nurses wear comfortable and beautiful scrubs, no hats, no dresses, and appropriate shoes and socks as well. As time has passed nurses have grown into highly specialized, and respected members of health care teams being a key element of the healthcare industry. Nursing education 100 years ago was a more direct training on how to address doctors, while nursing education today is more complex, formal, and comprehensive than it was before. Actually, today we as nurses need to take a complex and national exam as a requirement for becoming a licensed RN. While we get more knowledge and foundation of a stronger education we take into consideration the patient’s responsibility in our shoulders, and especially when we become advanced practice nurses.

  The impact of technology has allowed nurses become more precise, and efficient, alleviating some of the physical demands. The way nurses do their job today is easier than before keeping in mind that patient’s records are digital helping us with less paperwork, and preventing human mistakes on charts, that way is easier for us while doing an assessment on a patient. Another advantage we have with technology use is using the mobile apps to look up any medical information, as well as the special beds and chairs providing us a more comfortable environment as we don’t have to do so much heavy lifting (Dawn, 2016).

 Today, Nursing is what I expected when I entered this education. Although I never imagined being a nurse, I’m more than happy and proud of myself for having chosen this beautiful career. This teaches me every day to be a better person and value the love and care I provide to people who really need my help. I always thought about the tremendous responsibility I would have while dealing with real people who are really sick, but I’m always eager to learn new things and expand my knowledge to be more successful in my life and be the great nurse I always dreamt of when I decided to get into this field.

 References:

Black, B. P. (2017). Professional nursing: concepts & challenges. 8th ed. St. Louis, Mo.:

Saunders/Elsevier.

Dawn, P. (2016, August 3). Nursing is in transformation, and that’s good for nurses. Retrieved  

from http://blog.nurse.org/2016/08/03/

REPLY 2

Nursing is one of the fields that require much attention, dedication, and passion concerning how nurses treat patients under their care. Nursing program entails taking care of patients, this involves giving them guidelines on various issues such as medication, feeding and dietary habits as well as offering assistance to patients with various medical challenges to ensure their good stay while at the health care facility. Nurses plays a pivotal role of assisting doctors identify the best care plan for patients. They are also involved in executing the care plan offered by doctors and can sometimes advice doctors more about the health condition of patients since they spent most of the time with the patients (Ronquillo, Currie & Rodney, 2016). While most people enter the nursing profession with the wrong mental perspective that nursing is a simple duty, some of them drop out during the training program as the task requires much dedication and perseverance as one interacts with diverse people with different health complications. While the different people may have various personalities, the nurse is expected to display high level of professionalism and care to patients, which calls for ethical values as a nurse (Clavijo, de Julián Romero & Paniagua, 2016). Although I expected nursing to be quite challenging while I was taking my nursing program, I never thought it would be that hard. The modern evolution trends have drastically changed the nursing roles unlike in the past.
During my studies as a nurse, I thought the nursing profession would be hard since I could see various nurses doing their duties with ease. When I visited the some of the healthcare facilities within my locality, I would see nurses doing their work perfectly and enjoying interacting with different patients and examining their medical conditions. For me, I was passionate about the profession since I like assisting people who are suffering from various conditions. Therefore, nursing was a good choice for me since I was able to identify the various people with different medical conditions and assist them to recover. However, I never thought that the task would be that difficult. I thought the task was easy while I was taking the nursing program in college until I entered the actual profession. I realized that the task was not as easy as I thought since most of the times, I found myself interacting with different patients with various medical conditions and who have different medical illnesses.
Working at the ICU was challenging for me since I found myself working with patients who were facing different critical issues. When I entered the nursing profession, I thought that nursing involved taking care of patients and giving them directions on how they would take their drugs as well as assisting doctors in treatment of patients. I never imagined that nurses play a more involving and critical role than the doctors assigned to treat the patients. I found myself working for more hours in a day than I expected. At times, I would work both day and night taking care of different patients since the nurses in my healthcare facility was limited. I realized that nursing has greatly changed and the profession has become more involving since nurses perform some of the task that doctors do not do.
Arguably, the nursing role has changed drastically since I have been using most of my time in the hospital taking care of patients, giving them directions on dietary habits and offering emotional support to different patients. This is one of the aspects that have drastically changed since I left my nursing program from college.
 

References
Clavijo, M. C., de Julián Romero, F. J., & Paniagua, M. V. (2016). Evolution of education in nursing. Medwave, 16(6), e6505-e6505.
Ronquillo, C., Currie, L. M., & Rodney, P. (2016). The evolution of data-information-knowledge-wisdom in nursing informatics. Advances in nursing science, 39(1), E1-E18.

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What is the role of health care reform in shifting the focus from a disease-oriented health care system toward one of wellness and prevention, and how does nursing fit into this shift?

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Comment

Comment1

The nursing shortage causes nurses to have to take on larger caseloads, work longer hours and overtime, creates nurse fatigue and ultimately lends way to burnout, injury and medical errors. The impact of reimbursement, legislation, regulation and technological advances must also be considered. A failure to consider the relationships among all these aspects limits the full appreciation of the complexity of the nursing shortage today (ANA, n.d.).

                Some of the ways specifically the nursing shortage is impacting the public are higher mortality rates, increased hospital acquired infections, higher medication errors,  patients being diverted to facilities farther away from their families, surgeries being postponed longer than they should be and longer wait times (ANA, n.d.).

                To facilitate improvements in nurse staffing, now and in the future, healthcare organizations must focus on recruitment, maintenance, and retention. In an attempt to address nurse burnout and shortage healthcare institutions are offering incentives  such as providing sign on bonuses, offering competitive wages, providing tuition reimbursement; implementing nurse patient ratios protocols and providing ongoing training and CE’s for their employees. Nurses in general can help work toward the shortage by providing appropriate and thorough education to their patients, decreasing hospital admissions and office visits (Minority Nurse Staff, 2013).

Coment2

The nurse shortage almost seems to be used to promote many other issues besides nursing.  In my previous places of employment, I have felt that the nursing shortage was more of an issue of a short staffing pattern, not that nurses were not available.  And I also think that phasing out the LPN/LVN is a mistake.  Many nurses that are LPN/LVN do not want to advance to being and RN and many cannot.  I have talked to many LPN’s who do not want the added responsibility and I understand that too.  I believe there will always be a need for LPN/LVN and I love working with them.  I have often thought that in hospitals there should be teams consisting of three-member teams; a RN, a LVN/LPN and a CNA. I do realize that this is not needed everywhere but our profession is continuously being burdened with added responsibilities.  If you supply a RN with these qualified positions, the RN can handle more cases while learning gaining experience in leadership and educating.  What are your thoughts with your experiences thus far as a RN?

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Please Answer According The Comments. Thanks. Remember 100 Words For Each. Reference Between 2013-2018. Thanks

Comment 1

The PPACA was aimed to improve the health care system, offering affordable health insurance to more Americans, expand the Medicaid program to cover all adults that live below the poverty level, and to support innovative medical care delivery methods designed to lower the costs of health care generally (Lampert, 2009). The PPACA mandates that everyone that is legal will have health coverage in the United States or a penalty will have to be paid at the end of the year. With the influx of people now receiving healthcare, they will be seeking medical attention where in the past they would not. The increase in people seeking medical attention will result in a needed increase in nurses to take care of these patients and more training to gain more expertise and skills to be able to manage the emerging needs and diseases.

A key nursing provision is the health care workforce loan repayment program (Section 5203). This section focuses more on children. It has a focus on pediatric medical or surgical and children mental and behavioral health care. The repayment program will offer psychiatric nurses, social workers, and professional/school counselors up $35,000 a year in loan repayments for their participation in an accredited pediatric specialty residency program.  A second key provision is public health workforce recruitment and retention programs (Section 5204).  This provision is aimed at eliminating the shortage of public health agencies. This provision has offered a one third repayment of loans for an exchange of a contract of employment acceptance with a public health agency for three years. This program is offered to eligible public health or health professions.

I know my nursing career will be affected by the provisions that were listed above along with all the other provisions listed in the PPACA. Offering loan repayments will give nurses the incentive to obtain higher degrees. Recruitment and retention would likely decrease the nurse shortage by new nurses coming in and showing loyalty to the season nurses.

Comment 2

The effect of the Patient Protection and Affordable Care Act (PPACA) resonates profoundly in the U.S. healthcare environment and among the public. Two key provisions of the act include: 1) Guaranteed issue prohibits insurers from denying coverage to individuals due to pre-existing conditions; 2) Section 5204 Public health workforce recruitment and retention programs.

           With the first requirement, health care setting experienced a rise in the number of new patients, as expected. Many of these patients were probably afraid or restricted from going to the hospital or seeking medical care due to the lack of healthcare coverage. The impact is that more people are seeking medical care. From my nursing practice, I observe some of these patients have chronic illnesses that have been neglected and thus require more care. Also, more patients come for medical services; emergency rooms fill with more patients. This increases patients’ population. In return, this affects nurse to patient ratios. Nurses have to care for more patients. They have to work extra time due to shortage of staff. The downsides is that nurse morale is low and the risks for medical errors are high.  

                The second nursing provision (Section 5204) retained refers to the established “Public Health Workforce Loan Repayment Program.” This provision gird to assure an adequate supply of public health professionals to eliminate workforce shortages in public health agencies. The positive impact of this provision is that government will repay up to “1/3 of loans incurred by a health professions student in exchange for an agreement to accept employment with a public health agency for at least three years” (CDC). Ultimately, this provision makes it easier to attract young people to the field of nursing. This will have a positive impact on the nursing shortage. It is an attract incentive for many current nurses to pursue their studies and opt for advanced degree in nursing. This is exactly what I am intended to do.

Comment 3

Nice post! Some important aspects of the ACA, include the consumer assistance program, which is a program that helps people enroll in coverage as well as file complaints if a person is denied payment for any type of healthcare service. There are also preventative healthcare services if eligible, paid by insurance. Seniors that are on Medicare who are struggling with prescription costs, can find assistance with discounts and rebates as well. The ACA also offers more options when choosing insurance coverage. There is also a pre-existing condition insurance plan for people who may have a disability or chronic condition, that were previously denied coverage under regular insurance options. In addition, parents are able to cover their children under the age of twenty-six if they are unable to get insurance. The ACA has given people the ability to choose any doctor they wish to see, whether or not they are affiliated with a network or not. Additionally, the Children’s Health Insurance Program (CHIP) will be extended from 2015 through 2019, providing coverage to children in low-income families (KHN, 2018).

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Select an age group (infant, toddler, child, adolescent, young adult, middle age adult or older adult). What physical changes is this group experiencing? What are some pathological risks? Are there social factors affecting their ability to achieve wellness? What can advanced practice nurses do to promote health in this group?   

Follow the link to Healthy People Environmental Health site (http://www.phf.org.) What agencies are supporting the National Health Promotion Agenda for environmental health? Present one agency and its role.

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DQ 1

  

Describe one internal and one external method for the dissemination of your EBP project results. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How will your communication strategies change for each group?

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Nursing Theory application 5 pages APA style 6th edition

 

The purpose of the Theory Application paper is to help you apply your selected theory to your area of practice.

Steps:

  1. Select a theory that best fits your area of practice.
  2. Start your paper with an introductory paragraph, including a purpose statement.
  3. Discuss your rationale for selecting the theory for implementation.
  4. Briefly describe the theory.
  5. Describe your plan to implement the theory in your area of practice.
  6. Discuss potential barriers or challenges to the implementation plan and how you will overcomes these barriers.
  7. End with a conclusion paragraph summarizing the content of your paper.

Paper will be 5 pages in length, excluding the title and references pages.

Please be sure to support your paper using a minimum of 5 peer-reviewed sources.   Include APA 6 formatted citations and references.

Additional Instructions: The assignments must include:

  • Running head
  • A title page withAn APA6 references page
    • Assignment name
    • Your name
    • Professor’s name
    • Course

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Management in a patient who has to frequently self catheterize

  

What is the self-directed learning issue that was identified in your oral presentation?

Management in a patient who has to frequently self-catheterize.

Research the self-directed learning issue and provide a summary of your findings which is fully supported by appropriate, scholarly, EBM references.

  • Guidelines
  • The report should be between 5-7 paragraphs in length, discussing something learned from the student’s research about the self-directed learning topic.
  • Correct grammar, punctuation, and spelling should be observed.  
  • In-text citations and reference page should be written in APA format and scholarly evidence-based medicine (EBM) references must be used.

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DQ

Review your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are   the steps in reporting the issue? Create a mandated reporter scenario   and post it. Be sure to include a reference to your state’s website related to mandated reporting.

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