Category: Nursing

Respond to the following Research linking patient safety outcomes to ADN and BSN nurses…

Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on some real-life experiences, do you agree or disagree with this research?

A study done in 2011 by Aiken and colleagues revealed that increasing the number of the registered nurses in hospitals is not only the solution to reducing patients’ mortality rate, but rather increasing number of nurses who have a higher educational, and a positive work environment, positively decrease the mortality rate in the hospitals (Cherry & Jacob, 2017). It interesting to know that every 10% increase in number of BSN nurses, decreases the mortality rate to 4% (Cherry & Jacob, 2017) even though 4% seems small, but it is still a great impact to life-saving effort.

There is no doubt that knowledge is the key, just like we all are getting our bachelors in nursing, there is a huge difference in the knowledge acquired. I personally have grown in confidence and knowledge through the course of this study and I am excited to be a better nurse clinically and in the community.

Recently, hospital position openings are BSN preferred, based on the reports like that of Institute of Medicine which support that nurses who are BSN possess the skills and knowledge needed to produce a better or positive patient outcome (Sherman, 2012). Last year, I attended a job-fair organized my Methodist hospital, and it was an instant offer for the positions available, everyone was qualified except me because I didn’t have a BSN, so that was my instant driving force to enroll in BSN program.

Based on my experience, I have worked with nurses who have years of work experiences without BSN and Nurses who have BSN but no experience. I personally think that having years’ experience is a big plus in terms of practical nursing. For example, an LPNs/LVNs took me on floor orientation in Nursing home after I was hired, even though she is an LVN, there are things she taught me that I didn’t know as an RN, obviously because she has years of experience, but not a higher education. I strongly believe also that having a higher education in nursing, prepares nurses to assume leadership roles, and exposes nurses to skills and knowledge needed to deliver a high-quality nursing care.

I agree with the aspect of BSN being prepared to assume leadership roles, but I do not believe that ADN nurses contribute to higher mortality role, because all nurses are exposed to the same clinical training in the hospitals. I believe that having a positive work environment, increasing the number of nurses, and a better communication with other health care teams improve a better patient outcome.

If I am in a hiring position, I would refer to hire a registered nurse with ADN who have years of experience over a BSN nurse who has no experience based on the type of position available, leadership positions would go for BSN, while floor position goes to ADN with a higher years of work experience.
                                  

                                                                 References

Cherry, B. & Jacob. S. (2017) Contemporary nursing, issues, trends, & management. St. Louis: Elsevier. Six editions. Retrieved from
https://pageburstls.elsevier.com/#/books/978-0-323-101097/cfi/6/8!/4/2/14/4@0:10

Sherman. R (2012) An 80% BSN Prepared Nursing Workforce by 2020?
Emerging RN Leader
. Retrieved on September 18
th
. From

An 80% BSN Prepared Nursing Workforce by 2020?

Hanging Attitudes in the Workplace Essay

Several attitudes can be displayed in the workplace depending on conditions, management style, personal issues, and values. There are seven steps for changing attitudes in the workplace. Refer to this week’s readings on the step-by-step process for changing attitudes in the workplace. Now, read the following scenario:

You are a new manager in the department (either major or desired management position). You discover that the majority of staff members have a negative attitude, they gossip, and have low morale. Many bring their home issues and problems to work.

Using the University Online Library, you may also research on the topics related to attitudes and perception and write your response. Your response should be of at least three pages.

Based on the above scenario and your research, answer the following questions in a Microsoft Word document:

Explain each of the seven steps, including the substeps, with detailed, specific examples on how you will effectively change negative attitudes in your department.

What will you do specifically to turn your department around to a well-functioning team with positive attitudes?

Support your responses with examples.

Answer both of the following discussion questions for your discussion response.

What, in your opinion, is the most dangerous electrolyte imbalance and why? Explain the pathophysiology of the imbalance.

Disease processes can cause an array of fluid and electrolyte imbalances. What does a nurse practitioner need to consider when treating various diseases? When a patient has hemodynamic instability associated with orthostatic hypotension, what treatment is considered to provide stability?

250 words with reference no older than 5 years and intext citation.

DNP Scholarly Project and PhD Dissertation

Becoming Familiar With the DNP Scholarly Project and PhD Dissertation

As a doctoral candidate, you will complete either a DNP Scholarly Project or a PhD Dissertation. Are you curious about what will be required of you? For this

Assignment, you locate and read materials that pertain to your doctoral program at Walden University, and begin thinking about your DNP Scholarly Project or PhD Dissertation.

To prepare:

DNP students:

Review the DNP section of the University website (http://researchcenter.waldenu.edu/DNP-Doctoral-Study-Program.htm.

Carefully review the requirements for the DNP Scholarly Project process.

Consider the steps and timeline you will work through to complete the DNP Scholarly project.

To complete:

Write a 1-page paper outlining the steps, timeline for completing the project / dissertation, and the documents you will use for  the DNP Scholarly Project . Include the main guide document that identifies the processes and procedures for the appropriate doctoral project.

Summarize the purpose of the DNP Scholarly Project.

Briefly describe a project that would be of interest to you and how you might go about completing that project.

IMPORTANT: PROJECT OF INTEREST
: INTRAPROFESSIONAL NURSING COLLABORATION AND COMMUNICATION: BEDSIDE ROUNDING

REFERENCE

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader]

[For DNP students ONLY]

Chapter 9, “Emerging Roles for the DNP”

Chapter 4, “Finding Problems and Writing Questions”

Institute of Medicine (IOM). (2010a). The future of nursing: Leading change, advancing health[Consensus report]. Washington, DC: National Academies Press. Retrieved from https://web.archive.org/web/20150211165201/http://iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health[Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

Please respond to the following Health Care Policy post…

Health Care Policy

ACA, also known as Affordable Care Act was enacted in 2010 (Hall, A., & Lorde, R., 2014). This mandated health plan provides coverage for specified preventive items or services. The ACA covers recommended immunizations, recommended preventive care and screenings for women and children.  Also, ACA is a health plan that provides dependent coverage of children for an unmarried, adult child until the child turns 26 years of age. The Affordable Care Act’s core achievement is to make all Americans insurable, by requiring insurers to accept all applicants at rates based on population averages regardless of health status (Affordable Care Act, 2016). The act also increases coverage by allowing states to expand Medicaid to cover everyone near the poverty line, and by subsidizing private insurance for people who are not poor but who do not have workplace coverage. The act allows most people to keep the same kind of insurance that they currently have, and it does not change how private insurance pays physicians and hospitals.

The ACA directly impacts delivery of care people without coverage or group insurance having difficulty obtaining individual insurance, not only because of its expense, but also because private insurers screen people for health status and either decline to cover people with potentially costly medical conditions, or charged them substantially more, or excluded coverage for their existing conditions.

A key challenge I anticipate is provider and hospital payment (Hall, A., & Lorde, R., 2014). Even though, it does not directly change how private insurers pay healthcare providers, direct client billing will pose a problem for collection. Nevertheless, it has set into motion market dynamics that are affecting medical practice, such as limiting insurance networks to fewer providers and requiring patients to pay for more treatment costs out of pocket.

References:

Affordable Care Act. (2016). Retrieved from: 
https://healthcare.gov/glossary/affordable-care-act/

Hall, A., & Lorde, R. (2014). 
Obamacare: what the Affordable Care Act means for patients and physicians
 [PDF]. Winston Salem: BMJ 2014;349:g5376 doi: 10.1136/bmj.g5376.

Please respond to the following Summary of the Health Care Act…

Summary of the Health Care Act 

Summary of the Health Care Act rolls back to affordable care Act’s expansion of Medicaid. The Act eliminates tax penalties for individuals who are not covered by a health insurance and ending taxes on high income earners and manufacturers of medical related devices for them to finance the current health law. The American Health Care Act was announced on 6th March, and passed by the House of Representatives on May. The overall approach of the Act is increase amount for the young and reduce for the older adults. The Act has provisions that help people buy insurance if they are not enrolled in a government program and have no coverage at work. Under the previous rules, insurers could not charge older adults more than three times what they charge young adults (Gaffney & McCormick, 2017). The new Act allows the insurers to charge the older adults five times more compared to young adults.

Under the new Act, continuous coverage is encouraged by requiring that the insurers impose 30% surcharge on premiums for those people who have a gap in paying. On the other hand, the insurers are prohibited from charging very high premiums that are based on an individual’s health status. The Health Care Act does not change the benefit design by a large margin. The requirement of the Affordable Care Act to cover 10 essential health benefit categories remain unchanged. There no changes on prohibition on lifetime and annual dollar limits. Nevertheless, Federal premium tax credits cannot cover abortion services except those outlined in the Hyde Amendment. The Act is expected to cut taxes of high income earners by repealing payroll tax increase and a tax on investment as imposed by the Act.

References

Gaffney, A., & McCormick, D. (2017). The Affordable Care Act: implications for health-care equity. The Lancet, 389(10077), 1442-1452

IOM Future of Nursing recommendations Essay

In a reflection of 450-600 words,
Explain How you see yourself Fitting
into the following IOM Future of Nursing recommendations:

Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.

Recommendation 5: Double the number of nurses with a doctorate by 2020.

Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level
.

How will increasing your level of education affect how you compete in the current job market?

How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Select the state where you plan to work as an advanced practice nurse and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors. Address how as an advanced practice nurse and nursing leader, one can influence desired change in the current health policies. Be sure to identify 
one
 MSN Essential that most relates to this topic in your discussions.

 

Discussion Board Rubric

Proficient

Novice

Introduction and quality of discussion’s Argument

 

 

 

 

 

 

 

1 point

It is consistent with application in research related to its context. Clarity of ideas.

0.5 point

The topic has a partially weak association to clarity of ideas and related topic.

 

Objectivity of Tone, overall quality & Review of Literature in APA 6
th
format within past 7 years

1 point

Tone is consistent, addressed professionally and objectively.

Evidence in literature supports arguments.

 

0.5 point

The tone is not consistently objective. Partially poor evidence in review of literature.

Quality of Reply posts

1 point

Consistent clarity and supported by research evidence.

 

0.5 point

Partially lack of clarity or lack of support with research evidence.

Practicum Project Goals, Objectives, and Justification

Description of the proposed Practicum Project

My proposed practicum project will endeavor to determine how the various management styles affect the retention and satisfaction levels of nurses. The project will analyze the different management styles and link these styles to the nurse turnover rates. The turnover rates are an indication of the satisfaction levels in the health care organization.

Rationale for the selected focus

One of the most important element of success in health care organizations is the management of the organization. The management is not only in charge of the operations but is also responsible to the management of the organizational staff. Management styles play a critical role in any organization as they determine how the mangers and the nurses will interact with each other. The level of interaction and perceived involvement of the nurses in their place of work greatly contributes to the nurse’s satisfaction and the turnover rates in an organization (Foster, 2002). The most recognized management styles include a consultative management style, authoritative and an exploitative style. Each of this leadership style has its unique traits that affect how the nurse issues will be handled in the organization. Nurse Managers and employers need to understand the aspects of leadership and the leadership traits that are important in managing the nurses and ensure high quality care in the organization (Mba & Teresa, 2013). Generally, providing health care services to patients requires a degree of flexibility and adaptability to the prevailing circumstances in an organization. Studies indicate that a consultative management style is associated with lower turnover and higher satisfaction while an authoritative style often has higher nurse turnover rates and is often associated with lower satisfaction (Magda, AhmedAbdou, & Naglaa, 2011).

The overarching project goal

The overarching goal of the project is to understand how the various management style affects the nurse’s retention and satisfaction in the organization. The project will aim at understanding how the characteristics of each leadership style affect the actual and the perceived nurse satisfaction with their place of work, which also affects the retention rates in the organization.

Measurable objectives

To arrive at the overarching goal of the project, the following key objectives will be of great importance. The objectives act as a guide for the project. The objectives of the project are to identify the characteristics of each leadership style as it pertains to the nursing management. The second objective will be to evaluate and examine the work place issues that are crucial in informing the satisfaction and dissatisfaction levels in an organization. The third objective guiding the project will be to identify the link between the management styles and the level of nurse satisfaction. This objective will also aim at understanding how the leadership traits affect the retention rates of nurses.

Questions or concerns that your colleagues may be able to help

I would like colleagues to share with me their experiences with the different management styles, mainly the level of perceived and actual satisfaction with their place of work under a manger who is collaborative and another one who is very authoritative. These experiences will be important in broadening my projects’ perspective of management styles in a health care setting.

Nursing practicum experience journal entries

This week, you complete and submit your first journal entry. Your journal draws from evidence, concepts, and/or theories you have examined in this program, especially those related to your specialization. What have you observed during your Practicum Experience that you would like to analyze through your journal writing?

To prepare:

Reflect on your Practicum Experiences in Weeks 1–3.

Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.

Analyze a problem, issue, or situation that you have observed during your Practicum Experience.

Using a minimum of three peer-reviewed sources of evidence, consider what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from the scholarly literature.

Determine how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.

Given the various evidence-based approaches that can be used in handling the observed problem, situation, or issue, think about a plan for approaching the matter differently.

To complete
 the Practicum and Journal Entry 1:

In your saved version of the NURS 6600 Practicum Journal document, do the following:

Write a 250- to 300-word journal entry (identified as Journal Entry 1) in which you do the following:

Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page).

Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature.

Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.

Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently.

Include references immediately following the content.

Use APA style for your journal entry and references

Nurse made medication error, because was overworked due to long hours, exhaustion, and being burned out.

This is one issue you need to use and other you can think of.