Pressure Ulcer Prevention and treatment in inpatient rehabilitation

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Pressure Ulcer Prevention and treatment in inpatient rehabilitation

Write a 500-750 word about pressure ulcer prevention and treatment in inpatient rehabilitation. Make sure to include the following:

  1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
  2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
  3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
  4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
  5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
  6. A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment Pressure Ulcer Prevention and treatment in inpatient rehabilitation.

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Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required

The problem, issue, suggestion, initiative, or educational need that will be the focus of the project

Pressure ulcers have been identified as one of the leading causes of morbidity in in-patients as well as a contributor to poor health outcomes and consequent high increase in costs of healthcare (Jaul et al., 2018). Pressure ulcers are classified among the leading causes of medical-related errors. However, with appropriate care and interventions, nurses can avoid pressure ulcers and the resultant deteriorating effects on the patient and additional costs to a healthcare facility.

The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.

Nurses working in healthcare facilities located in rural settings face a unique challenge as regards maintaining competency (Buerhaus et al., 2017). This is more so when these nurses face complications that are uncommon such as the treatment and prevention of pressure ulcers. Educational programs for nurses can improve their decision making processes. However, the programs need to be designed carefully and successfully implemented if sustained changes in practices are to be achieved as well as improved patient outcomes are to be realized (Stiggelbout et al., 2015).

A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need

Persons charged with nurse education in rural areas are required to educate nurses in a way that empowers them to offer care that is competent and knowledgeable including in lower frequency situations of patient care. Nurses in different competency levels have different prioritization of patient care (Meretoja et al., 2015). Beginner nurses have linear thinking while nurses that are more competent are capable of utilizing approaches that are more complex when prioritizing care to patients. Hence, understanding the needs of these categories of nurses helps in addressing complex care issues. The professional self-confidence and personal self-concept of nurses are related directly to the competency level of a nurse (Orta et al., 2016). Self-confidence is a necessary component of competence. Nurses with high levels of self-confidence also exhibit increased engagement and interest in care and management of patients, lifelong learning, as well as in addressing quality standards.

Nurses working in rural settings may be impeded by few resources in the quest to access continuous education necessary for achieving clinical competency (Hendrickx &Winters, 2017). One of the main concerns regarding rural setting nurses is access to educational opportunities. Additionally, when evidence-based information is used in the continuing education programs, it increases the potential for rural setting nurses to attend as well as value the programs (Kalb et al., 2011)

Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes

Prevention programs for pressure ulcers comprise of diverse components such as skin assessment, use of support surfaces and preventive measures, education and training, and assessment of risk (Mallah, Nassar, & Badr, 2015). Prevention programs for PU including nurse education have shown significant results as pertaining to the reduction in prevalence as well as a reduction in the time it takes to treat PU. When nurses’ knowledge improves, it results in enhanced patient outcomes such as a reduction in human suffering, reduction in pain, and a reduction in the time spent in hospitals (Dillie & Mengistu, 2015).

Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing

Studies have shown that PU treatment and prevention can be enhanced through nurse’s knowledge, intentions, attitudes, and practices towards the healthcare concern, the years of experience, as well as the gender of nurse play a significant role in relation to the intentions, attitudes, practices, and knowledge of nurses on PU treatment and prevention (Dillie & Mengistu, 2015). Thus an education program that targets nurses of all genders and various levels of experience is a powerful tool for improving their understanding. Education programs can assist nurses to improve on the nursing care quality.

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A proposed solution to the identified project topic

Rural nurses would benefit from an education program on PU treatment and prevention. A multi-faceted educational intervention will be designed Pressure Ulcer Prevention and treatment in inpatient rehabilitation. The project will require an instrument to be crafted that will measure the nurse’s knowledge on pressure ulcers and permission sought from relevant ethical boards to utilize the said instrument. The PICO model will be used where a multi-faceted, evidence-based educational intervention that is linked to treatment and prevention of pressure ulcers, in comparison to absence of formal education will result in enhancing the confidence and knowledge of rural setting nurses in caring for patients that have pressure ulcers or are at risk of acquiring PUs. The purpose of the project will be to assess the impact that an education intervention that is multi-faceted would have on the competency and knowledge of nurses working in rural settings, in relation to PU treatment and prevention. The goal of the project t will be to measure the multifaceted educational intervention’s efficacy in aiding rural setting nurses to not only achieve but also maintain the confidence and knowledge that is related to the treatment and prevention of PUs.

 

References

Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46.

Dilie, A., & Mengistu, D. (2015). Assessment of nurses’ knowledge, attitude, and perceived barriers to expressed pressure ulcer prevention practice in Addis Ababa government hospitals, Addis Ababa, Ethiopia, 2015. Advances in Nursing, 2015.

Hendrickx, L., & Winters, C. (2017). Access to continuing education for critical care nurses in rural or remote settings. Critical care nurse, 37(2), 66-71.

Jaul, E., Barron, J., Rosenzweig, J. P., & Menczel, J. (2018). An overview of co-morbidities and the development of pressure ulcers among older adults. BMC geriatrics, 18(1), 1-11.

Kalb, K. A., O’Conner-Von, S. K., Brockway, C., Rierson, C. L., & Sendelbach, S. (2015). Evidence-based teaching practice in nursing education: Faculty perspectives and practices. Nursing education perspectives, 36(4), 212-219.

Mallah, Z., Nassar, N., & Badr, L. K. (2015). The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and after study. Applied Nursing Research, 28(2), 106-113.

Meretoja, R., Numminen, O., Isoaho, H., & Leino‐Kilpi, H. (2015). Nurse competence between three generational nurse cohorts: A cross‐sectional study. International journal of nursing practice, 21(4), 350-358.

Orta, R., Messmer, P. R., Valdes, G. R., Turkel, M., Fields, S. D., & Wei, C. C. (2016). Knowledge and competency of nursing faculty regarding evidence-based practice. The Journal of Continuing Education in Nursing, 47(9), 409-419.

Stiggelbout, A. M., Pieterse, A. H., & De Haes, J. C. (2015). Shared decision making: concepts, evidence, and practice. Patient education and counseling, 98(10), 1172-1179 Pressure Ulcer Prevention and treatment in inpatient rehabilitation.

Quality Improvement Program for Nursing Home Executive Summary

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Executive Summary

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
The purpose of the quality improvement initiative.
The target population or audience.
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion Quality Improvement Program for Nursing Home Executive Summary.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Quality Improvement Program for Nursing Home

Executive Summary

According to (WHO, 2020) facts, falls are the second leading cause of unintentional/accidental injury and cause an estimated 646000 deaths annually. Adults over 65 years account for the most casualties, with over 37 million falls requiring medical attention every year. Moreover, (CDC.gov, 2003), states that typical nursing home (with 100 beds or more) record hundreds of falls – many going unreported. A Bavarian study by (Büchele, 2014) postulates that the fall rates are higher in men (2.18 falls per person-year) than in women (1.49 falls per person-year) with three-quarters of the falls occurring in the residents’ rooms or bathrooms. Having worked in a seniors’ living facility for a couple of months, I realized that the facility had put very few measures to mitigate injury and death from falls in the facility. This quality improvement plan was created to help curb the prevalence of falls amongst older adults living within a nursing facility.

Target Population/Audience

More than 1.4 million seniors are living in over 15000 nursing homes across the US (CDC.gov, 2016). This plan is meant to benefit the 212 seniors living within the facility where I work as well as the millions of others living in nursing facilities in the US and globally.

Benefits of the Program

The plans seek to increase the number of support rails in the residents’ rooms, common areas, and high-risk areas as well as sensitizing residents on preventive measures against falls. Once implemented, the plan will benefit both the residents and staff living or working in the facility by reducing the number of falls. The sensitization program will also help older people to prevent any injuries or casualties resulting from accidental or unintentional falls during their stay within the facility.

Interprofessional Collaboration Strategy

For any quality improvement program to become successful and effective (Reeves, 2017) states that there must be a collaboration between healthcare professionals, stakeholders, and the target population. The plan will be useful and successful if a healthcare professional upholds collaboration in the facility and the members. The partnership will be required between facility staff, management, and the seniors living there. Each stakeholder plays a specific role in actualizing the program and ultimately boosting seniors’ safety within the facility. The main stakeholders include the Director of Nursing (DON) at the facility, Head Nurse (HN), CareGivers (CG), and the facility’s physical development team Quality Improvement Program for Nursing Home Executive Summary.

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Director of Nursing (DON)

The DON plays an executive and oversight role in the program. As the chief decision-maker in the facility, she will approve all plans and models of the program and oversee its adoption and actualization in the facility. She also endorses program budgets and manages the accounts on behalf of all stakeholders. The DON receives briefings and opinions from the head nurse, registered nurses, and the facility’s physical development team.

Head Nurse (HN)

The HN oversees the implementation of the program at the ground level. She receives briefs from registered nurses and the facility’s physical development team and relays it to the DON for approval. The RN distributes resources and oversees program materials are provided and trickle-down promptly. As the project manager, the HN will ensure all plans are actualized and all steps put in place to ensure project success and effectiveness.

CareGivers (CG)

The CGs are the link between the seniors and the management. They are responsible for the actualization of the plans and training of the members on the program. CGs will ensure the support rails are fixed appropriately and in the right areas to minimize falls within the facility. They receive budget estimates from the physical development team and forward them to the registered nurses for approval.

Physical Development Team

The team is responsible for the erection and fixation of the support rails within the facilities. It will also ensure measures like resurfacing slippery floors, putting warnings and hazards in high-risk areas and ensuring common areas and seniors’ rooms are free from fall hazards.

Budget Estimates for the Program

           The program entails fixing hand and support rails within the facility, seniors rooms, common areas and bathrooms. A few modifications will also be made in high risks areas like eradicating slippery floors. Support/grab rails cost $20-$30 per bar. The facility has 14 male shower rooms and 19 female shower rooms. Each shower requires at least 2 bars amounting to $100 per bath. All 212 seniors’ rooms will also need two support bars each – amounting to $50 per cabin. Physical improvements and training of members will require at least $1200 and $500 respectively. According to the above estimates, the entire program’s budget is approximately $15000.

Program Evaluation

           Program evaluation is fundamental to any quality improvement program. According to (Pritham, 2016), the assessment allows stakeholders to determine the effects of the programs, its success, and possible improvements that can make it more effective. The program will be evaluated every month to determine whether it helps curb the number of falls amongst seniors living within the facility. Where loopholes are identified, actions will be taken swiftly to ensure the program runs effectively.

 

References

Büchele, G. B. (2014). Predictors of serious consequences of falls in residential aged care: analysis of more than 70,000 falls from residents of Bavarian nursing homes. Journal of the American Medical Directors Association, 15(8), 559-563.

CDC.gov. (2003, February 27). Centers for Disease Control and Prevention . Retrieved from CDC.gov: https://www.in.gov/isdh/files/CDC_Falls_in_Nursing_Homes.pdf

CDC.gov. (2016, March 11). Center for Disease Conntrol and Prevention . Retrieved from CDC.gov : https://www.cdc.gov/nchs/fastats/nursing-home-care.htm

Pritham, U. A. (2016). Assessing DNP impact using program evaluations to capture healthcare system change. The Nurse Practitioner, 41(4), 44-53.

Reeves, S. P. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, (6).

WHO. (2020, March 20). World Health Organization . Retrieved from World Health Organization.int: https://www.who.int/news-room/fact-sheets/detail/falls. Quality Improvement Program for Nursing Home Executive Summary.

NR439: Evidence-Based Practice Discussion Essay Papers

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NR439: Evidence-Based Practice Discussion Essay Papers

Week 1 discussion

Role of Research and the Importance of the Searchable Clinical Question

The practice of nursing is deeply rooted in nursing knowledge, and nursing knowledge is generated and disseminated through reading, using, and creating nursing research. Professional nurses rely on research findings to inform their practice decisions; they use critical thinking to apply research directly to specific patient care situations. The research process allows nurses to ask and answer questions systematically that will ensure that decisions are based on sound science and rigorous inquiry. Nursing research helps nurses in a variety of settings answer questions about patient care, education, and administration.

As you contemplate your role in the research process, read the following article.

Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 19, S76–S77. doi:10.4103/2230-8210.155409. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102354944&site=eds-live (Links to an external site.)Links to an external site.

Choose one case study, and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked.

Identify whether the focus of your question is assessment, etiology, treatment, or prognosis.

Remember to integrate references.

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Week 2 discussion- NR439: Evidence-Based Practice Discussion Essay Papers

Search for Literature and Levels of Evidence

Reflect on your practice, and identify a significant nursing clinical issue or change project that you would like to search for evidence in online sources. Formulate searchable, clinical questions in the PICO(T) format for your nursing clinical issue.

Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue.

Briefly describe how it is relevant to your nursing clinical issue. Remember to give a complete reference to the study.

Week 3 discussion- NR439: Evidence-Based Practice Discussion Essay Papers

Research Problems, Designs, and Sample

This week, we will discuss the research design and sample for your nursing clinical issue. The research design flows from the research question and outlines the plan for the study that will answer the research question. The design identifies the major components of the study. It is important to remember that there is no one best design for a research study.

After you review the designs, describe which research design you would expect to find when searching for evidence relevant to your own research question from Week 2. Why? Explain your answer.

The most common sampling method is the convenience sample; therefore, many of the studies that you find for evidence use this sampling method. What are the implications for using a convenience sample on the way you interpret and use the findings?

Week 4 discussion- NR439: Evidence-Based Practice Discussion Essay Papers

Ethical and Legal Issues

Read one of the following.

Stefaniak, M., & Mazurkiewicz, B. (2017). The importance of adhering to high standards of research ethics. British Journal of Nursing, 26(1), 62. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120706824&site=eds-live&scope=site (Links to an external site.)Links to an external site.

Feeney, S., & Freeman, N. K. (2016). Ethical issues: Responsibilities and dilemmas. YC: Young Children, 71(1), 86. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=114680496&site=eds-live (Links to an external site.)Links to an external site.

Questions for first article:

Describe one reason for adhering to high standards in ethics.

What are the dangers of conflict of interest?

Questions for second article:

Discuss the difference between ethical responsibility and ethical dilemma.

Share an experience of ethical dilemma or moral distress in nursing today.

Week 5 discussion- NR439: Evidence-Based Practice Discussion Essay Papers

Data Collection and Measurement

Access the following information. You may read the PDF online or download it.

American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. ANA. http://nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/workforce/Fast-Facts-2014-Nursing-Workforce.pdf (Links to an external site.)Links to an external site.

Review these facts, and describe what the results say about this sample of the nursing workforce.

What do you believe was the intent of the researcher who designed the survey?

The next process for our study is to collect data. The research design will indicate the best data to be collected. The tools that we use to collect data need to be reliable and valid. Define these terms with respect to research, and explain why they are important.

Consider data collection and measurement methods for your nursing clinical issue. Explain how you would collect data and what measurement methods you would use.

Week 6 discussion- NR439: Evidence-Based Practice Discussion Essay Papers

Data Results and Analysis

After the data are collected, it is time to analyze the results!

Discuss one of the four basic rules for understanding results in a research study.

Compare clinical significance and statistical significance. Which one is more meaningful when considering applying evidence to your practice?

Compare descriptive statistics and inferential statistics in research. Please give an example of each type that could be collected in a study that would be done on your nursing clinical issue you identified in previous weeks.

Week 7 discussion- NR439: Evidence-Based Practice Discussion Essay Papers

Applying and Sharing Evidence to Practice

After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this information must be shared with your healthcare team.

Choose one of the articles from the Week 5 RRL assignment, and discuss the findings. Would you apply the evidence found to your practice? Explain your answer.

Translating research into practice is the final and most important step in the research process. Review information you found your nursing clinical issue and explain ways in which you would share the research-based evidence with your peers.

Week 8 discussion- NR439: Evidence-Based Practice Discussion Essay Papers

Where Do You Go From Here?

Improving patient outcomes is paramount to healthcare improvement today.

How has your thinking changed about nursing research and evidence- based practice as the result of this course?

Will the information you learned during this course be helpful in your nursing role today?

NR439: Evidence-Based Practice Discussion Essay Papers

PICOT/Evidence Appraisal Assignment – nr439

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PICOT/Evidence Appraisal Assignment – nr439

Purpose

Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.

Course Outcomes

This PICOT/Evidence Appraisal Assignment – nr439 assignment enables the student to meet the following Course Outcome.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)

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Due Date

Submit the completed PICOT Worksheet form (Links to an external site.)Links to an external site. by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This PICOT/Evidence Appraisal Assignment – nr439 assignment is worth 200 points.

Directions

Read these guidelines including the grading rubrics below. Watch this video on how to complete the assignment at http://www.brainshark.com/devry/vu?pi=zHZzQomrNzHr05z0 (Links to an external site.)Links to an external site.

Download the PICOT Worksheet form (Links to an external site.)Links to an external site..

Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve.

Download an Example (Links to an external site.)Links to an external site. of how to fill in the worksheet to help you complete your own form. PICOT/Evidence Appraisal Assignment – nr439

Submit the completed PICOT Worksheet form.

Example 1:

What is the PICO(T) question?

Will influenza immunization compliancy rates increase if flu clinics are provided in a Flu PODS and immunization clinics at convenient times covering all shifts?

Define each element of the question below:

P- (Patient, population, or problem): Hospital employees and volunteers required to have the influenza immunization annually

I -(Intervention): Offer multiple Flu “PODS” and immunization clinics to hospital employees and volunteers making it convenient to receive the required immunization. Offer at a variety of times, available to all shifts

C- (Comparison with other treatment/current practice): Compare analytics showing employees and volunteers who received flu shot prior to 2016 when Flu PODS and immunization clinics were not offered compared to 2016 where Flu PODS and immunization clinics are offered to accommodate shifts. Track number of employees/volunteers coming at each hour time frame.

O- (Desired outcome): Increase of compliance of receiving the annual mandatory flu shot by employees and volunteers

Example 2:

What is the PICO(T) question?

For non-diabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly vs. no observations for signs of hyperglycemia promote improvement of pulmonary complications?

Define each element of the question below:

P- (Patient, population, or problem): Non-diabetic patients on corticosteroid therapy.

I- (Intervention): Monitoring for headache, fatigue, nausea, vomiting, and blurred vision

C- (Comparison with other treatment/current practice): No observations for signs of hyperglycemia

O- (Desired outcome): Improvement of pulmonary complications

T-(Time): 90 days

PICOT/Evidence Appraisal Assignment – nr439

 

Role of the APN Essay Assignment

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Role of the APN Essay Assignment

Discussion Part One

Mary, a baccalaureate prepared registered nurse, has been practicing for fifteen years. Throughout her nursing career, she worked in pediatric, surgical, and emergency departments. She worked as a floor nurse, charge nurse, and was recently offered a position as a nursing supervisor. A stipulation for becoming a nursing supervisor is that Mary must attain a Master of Health Administration degree within 2 years of accepting the position. The offer prompted Mary to contemplate her career. She is interested in returning to college, but she realized that she does not want to pursue working in administration and away from patients. Mary decided to become an Advanced Practice Nurse (APN). Mary knows that working as an APN will allow her the opportunity to make a larger contribution to individuals, environment, health, and nursing. She researched graduate nursing programs and discovered that there are four roles of the APN. Mary must choose one role and apply to a program, but she is unsure about the different roles and their individual scopes of practice.

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Discussion question:

How would you decide? Develop a pros and cons list to assist Mary in making her decision. Include each role of the APN on the list and be certain to provide appropriate rationales and citations.

Discussion Part Two

A clear definition for the various roles of CNM, CNP, CNS, and CRNA has been convoluted by various state definitions that confuse the roles and often obscure their intended meaning. Such state definitions reveal further confusion with regard to role separation, competency, emphasis, approach, and variation. This misunderstanding extends to nurse educators, providers, reimbursement, and even the public. The lack of clarity regarding initial role preparation versus current certification serves to further frustrate accreditors, consumers, and employers alike.

Discussion question:

How does your state define the role and scope of the CNP? Provide a correctly formatted citation for your reference resource.

Discussion Part Three

Mary expressed that she wants to work directly with patients. She is familiar with working in a large hospital system, and prefers to remain in her current town when she graduates. She has considerable clinical experience in pediatric, surgical, and emergency nursing.

Discussion question:

Based on Mary’s experience and interests, which role would you choose for her, and why?

Role of the APN Essay Assignment

Advanced Registered Nurse Scope of Practice Essay

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Advanced Registered Nurse Scope of Practice Essay

Scope of practice

Part 1. A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.

My motivation for gaining an advanced registered nurse qualification is to become an educator who prepares the next crop of nurses for practice. I expect that being a nurse educator will allow me to engage individuals aspiring to become nurses in a formal education process where I will impart professional nursing skills and concepts. I anticipate that being an educator is a specialty role for advanced registered nurses since it deviates from the traditional role of nurses to engage patients in providing primary care, and instead move towards preparing future nurses for practice (Grinspun & Bajnok, 2018).

I anticipate that my ability to practice as a nurse educator will be determined by four elements. The first element is the regulatory requirements. Like any other education program, nursing programs are managed by professional bodies that determine if the educators are qualified to prepare students at the level of education. This includes having the right accreditation and certification that is recognized by the relevant authorities, and considered as an indication of qualification as an educator. The second element is educational background. A higher level of education is typically preferred since it is indicative of professional proficiency and knowledge, as well as familiarity with important concepts that influence practice Advanced Registered Nurse Scope of Practice Essay. It is not uncommon for educators to be engaged in research activities and to be authorities who have published materials. Successfully completing education courses are also preferred since this is an indication of an understanding of how to educate others having understood the different education theories and what learners require (Cherry & Jacobs, 2013).

The third element is the work conditions. Good earning potential and work conditions can be good motivators for taking on the role of an educator. For instance, a tenured position would be preferable over a non-tenured position since it offers greater job security, autonomy and permanency that reduces work-related stress. The final element is the educator responsibilities and roles. This element influences practice as an educator through matching capabilities to expectations such as advising students, teaching, practicing as a nurse, and conducting research. Each education institution has unique expectations of its faculty members, and these expectations must be matched to capabilities (Milstead & Short, 2019).

There are two agencies that define the scope of practice for advanced registered nurses who take on the role of educators. The first agency is the National League for Nursing (NLN) that offers accreditation services for nurse educators across the USA. The agency exercises its accreditation authority through the Commission for Nursing Education Accreditation (CNEA), as a branch of NLN whose singular responsibility is to accredit nurse educators with a focus on ensuring that education services focus on the core values of excellence, caring, diversity and integrity. The second agency that defines the scope of practice for nurse educators is the National Commission for Certifying Agencies (NCCA). This is a national agency that offers certification to nurse educators. It draws its authority from the National Organization for Competency Assurance (NOCA). The NCCA has the primary responsibility of certifying nurse educators using the most current practice standards, a responsibility that it fulfils through regularly updating its certification requirements and ensuring that nurse educators meet the requirements before being permitted to practice.

There are two certification programs that define the scope of practice for nurse educators. Firstly, the certified nurse education program enables nurse educators to facilitate learning activities in nurse education facilities. Some of the activities that the program permits educators to engage in include curriculum design, as well as teaching, advising and evaluating nursing students. Secondly, the certified nurse educator program enables nurse educators to facilitate the clinical components of nurse learning activities (Black, 2016).

Part 2. A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing.

The three professional nursing organizations that are most influential in advancing the scope and influence of advanced nursing are the NLN, American Association for Colleges of Nursing (AACN) and Organization for Associate Degree Nursing (OADN). The first organization is the NLN that draws members from among nurses and focuses on ensuring that nursing excellence is not compromised. It achieves this by facilitating professional development among advanced registered nurses. This occurs through managing testing services, research grants and teaching resources for its members. Besides that, the NLN has a direct influence on the scope of nurse educators through managing their qualifications for practice and credentialing (National League of Nursing, 2020) Advanced Registered Nurse Scope of Practice Essay.The second organization is the AACN, the national agency whose primary responsibility is to improve the quality of nurse academics. It does this by promoting advanced nursing practice, research and education. This agency focuses on improving health care in general and nursing care delivery in particular through establishing the quality standards for nursing education, In addition, it aids the nursing education institutions to implement these standards. Besides that, it supports professional nursing practice (American Association for Colleges of Nursing, 2020). The third organization is the OADN, the national agency that represents advanced registered nurses and advocates for their interests. It draws its members from among nurses who have associate degree nursing qualifications. The agency’s primary responsibility is to promote an idealized future for advanced registered nurses while enhancing the quality of their education and strengthening their professional roles. Additionally, the agency presents a platform for unifying nurse professionals through supporting networking opportunities and disseminating information even as it partners with other organizations (Organization for Associate Degree Nursing, 2020).

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Concerning the three organizations (NLN, AACN and OADN), perhaps the most important organization is the NLN. It is the oldest nurses’ organization in the USA since it was formed in 1893. It has the most number of members and has much influence. It has 37,000 individual members and 1,200 institutions. The organization focuses on promoting nursing education excellence as its primary mission. It does this through building a diverse and strong nursing workforce with the capacity to advance the health agenda at the global and national levels (National League of Nursing, 2020). NLN is distinctive from the AACN and OADN since it draws members from across the world while the two are restricted to drawing members from the USA. Besides that, the members of NLN are not restricted to any single group and include health care organizations, education organizations, the public, nurse practitioners, and nurse educators. As a member of NLN, I expect to be exposed to nurse diversity since I will have access to a global network of nurses. Additionally, NLN members have access to assessment and testing services, research grants, networking opportunities and development programs that help with professional growth and development. In its long history of existence, the NLN has always remained current by revising its objectives and operations, and continuously renewing itself. These measures ensure that the organization remains relevant with regards to improving, enhancing and expanding the provision of nursing services while supporting efforts to deliver high quality nursing education (National League of Nursing, 2020).

The NLN is aligned with my worldview and philosophy of care. All through its long history, the organization has continuously evolved to remain relevant. I believe that nursing is an evolving profession and there is always room for improvement. As such, I am always open to new knowledge and experiences. Through having access to a large network of nurses and other stakeholders, I am able to engage in discussions, discover new knowledge and contribute to practice changes so that I experience professional growth even as the profession matures. In addition, the organization offers research and education opportunities along with access to current evidence that enhance my practice. As a result, the organization presents many resources that nurses can use to improve professional skills, knowledge and practice.

Part 3. A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years.

Nurses play an important role in health care delivery. Although nursing is typically a rewarding career, particularly for those whose primary focus is on providing care, challenges abound to make it a demanding profession. One of the most controversial issues that nurses face is that they are underpaid and overworked. In fact, many nurses feel that their pay rates are low when considering their duties and responsibilities. The pressure is heightened by the fact that medical organizations are forced to comply with industry regulations and standards around nurse-to-patient ratios. This has created a situation in which nurses either find themselves single-handedly doing the work of two nurses or working for longer than they are supposed to work. The issue also places the health of nurses at risk. This controversial issue has had the inevitable distinction of causing high turnover rates among nurses and low recruitment rates so that nurse number populations remain low. The nurse populations are likely to remain low and the available nurses being overworked unless the pay rate and working hours can be improved (Huff, Kline & Peterson, 2015).

References

Accreditation Commission for Education in Nursing (2020). Home. Retrieved from https://www.acenursing.org/

American Association for Colleges of Nursing (2020). About AACN. Retrieved from https://www.aacnnursing.org/About-AACN

National League of Nursing (2020). About. Retrieved from http://www.nln.org/about

Organization for Associate Degree Nursing (2020). About OADN. Retrieved from https://www.oadn.org/about-us/about-oadn

Black, B. (2016). Professional nursing-e-book: concepts & challenges. New York, NY: Elsevier Health Sciences.

Grinspun, D. & Bajnok, I. (2018). Transforming nursing through knowledge: best practices for guideline development, implementation science, and evaluation. Indianapolis, IN: Sigma Theta Tau International.

Cherry, B. & Jacob, S. (2013). Contemporary nursing, issues, trends, & management (6th ed.). Amsterdam: Elsevier Health Sciences.

Huff, R., Kline, M. & Peterson, D. (2015). Health promotion in multicultural populations: a handbook for practitioners and students (3rd ed.). Thousand Oaks, CA: SAGE Publications, Inc.

Stanhope, M. & Lancaster, J. (2014). Public health nursing: population-centered health care in the community (8th ed.). Maryland Heights, MO: Elsevier/Mosby.

Milstead, J. & Short, N. (2019). Health policy and politics: a nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning Advanced Registered Nurse Scope of Practice Essay

 

Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system.
For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:
A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.
A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?
A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required

Professional Liability for APNs Essay

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Professional Liability for APNs

In the above writings, I agree that organizations have the responsibility of information their providers on how to identify and minimize risks associated with professional liability. Any healthcare organization should guide its employees on risk management and educate them about risk-related issues. Nurse practitioners should be provided with continuing education in the assessment of risks and risk minimization regularly.   When nurse practitioners understand the potential liability risks, they will be able to prevent or mitigate these risks. Research and collection of data related to nursing malpractice liability should go on being published to increase nurse practitioner’s knowledge concerning malpractice and professional liability (NAPNAP, 2015).

The issue I would like to add to enhance the conversation is the importance of employers providing liability insurance for their staff and strategies that a nurse practitioner can use to reduce the risk for professional liability. According to NAPNAP (2015), liability insurance safeguards providers of health care as well as their clients. Even though the employer might provide coverage for malpractice insurance, it might not entirely safeguard the individual nurse practitioners of their license. Therefore, nurse practitioners must analyze the coverage provided by the employer to establish whether having individual malpractice is necessary.  Nurse practitioners have the obligation of understanding of malpractice risks within their work setting and have an awareness of the form of coverage paid for employer- provided insurance. Professional Liability for APNs Essay

Stewart and DeNisco (2018) indicate that while a nurse practitioner may be covered by the malpractice program of his or her employer, it behooves the nurse practitioner to have personal malpractice insurance to avert an employer’s conflict of insurance. Also, the nurse practitioner can lessen the risk of professional liability by maintaining present clinical knowledge and skills, clearly documenting all treatments and carefully evaluating how a patient responds to treatment.

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References

National Association of Pediatric Nurse Practitioners (NAPNAP). (2015). Position Statement on Malpractice Insurance for Nurse Practitioners., Journal of Pediatric Health Care, 29(4), A11-A12.

Stewart, J., &  DeNisco, S. (2018). Role Development for the Nurse Practitioner. Burlington, MA: Jones & Bartlett Learning.

 

 

How your organization should identify and minimize the potential risks regarding professional liability for APNs?
Discuss specific strategies or actions the APN can utilize to ensure effective risk management.
Discuss how APNs will maintain standards of care to as they practice throughout your organization.
Hi All,
As we focus on potential risks and liabilities for our providers, it is important to outline these risks for our nurse practitioners. As with any providers, increased responsibility also brings more associated risks (Pearce, 2016). As mistakes occur it is important that our providers are informed, ready, and supported. A way to do this is by preparing and understanding potential risks. These risks include the following: possible clinical errors, malpractice, negative public view towards nurse practitioners, potential HIPAA violations or exposing confidential information, not informing patients, and additional direct practice risks (Buppert, 2018).
By ensuring our providers are aware of associated risks helps minimize potential risks. These risks can have anything to do with quality of care to the patients individual view of care or of the provider themselves (Buppert, 2018). Therefore, our company puts strain on keeping up with clinical professional appearance including physical as well as maintaining a positive reputation. Maintaining up to date clinical practice and utilizing those current practices in day to day care. Ensure our NP’s understand the importance of having personal insurance. Keeping NP’s aware of HIPAA laws and potential violations (Pearce, 2016). Professional Liability for APNs Essay
In order for our company to help support our providers, it is important that we provide them with content to continue to be successful and minimize potential liability risks. This include educational content, providing up to date information to serve as educational documents as well as giving a consistent reference to standards of care. These standards are especially important to keep clear and intact for our company, especially in the case of any possible malpractice lawsuits (Norful, de Jacq, Carlino & Poghosyan, 2018).

In the above writings what do you agree with how they answered the questions and what would you add to enhance the conversation regarding the above question.. this is a discussion question. Professional Liability for APNs Essay

 

Family Nurse Practitioner Practicum Experience Reflection: Relationship with Professional Goals and Clinical Skills Self-Assessment

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Family Nurse Practitioner Practicum Experience Reflection: Relationship with Professional Goals and Clinical Skills Self-Assessment

The family nurse practitioner (FNP) role is an important one as we provide both curative and preventive health services to marginalised communities (Hu & Forgeron, 2018). To be precise, the FNP provides primary health care or PHC to the underserved and vulnerable populations in the US who do not have access to a physician.

In my practicum experience as a trainee FNP, I faced some challenges given that it is now that I am beginning to accumulate clinical skills in practicums. A particular patient encounter stands out for me. This was a 34 year-old female patient who came with a chief complaint of dizziness. After history taking and physical examination under the supervision of my preceptor, we reached a diagnosis of vestibular migraine. Family Nurse Practitioner Practicum Experience Reflection: Relationship with Professional Goals and Clinical Skills Self-Assessment. To me, this was the first time that I was beginning to relate theoretical clinical concepts to a real clinical situation. The challenge was immense. I found the synthesis of information from the history and the physical examination to arrive at a diagnosis a challenging but critical clinical skill. Furthermore, ruling out the other differential diagnoses proved to be an uphill task. I however quickly realised that the difficulty I was experiencing was because I had no clinical experience and still did not know how to manage my time in the clinical area (I spent an inordinate amount of time performing each task, like physical examination). From my preceptor, I learnt that in the clinical area I needed to consult other professionals like the physician if I had any difficulty. This effective communication is important (Vermeir et al., 2015). Luckily, I am inclined towards using only evidence-based interventions from my training (EBP) and practice integrity and honesty in following policies, standards of practice, and professional guidelines (Correa-de-Araujo, 2016; Poorchangizi et al., 2019). These attributes helped me a lot.

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My professional goal is to be a FNP that uses evidence-based practice (EBP) to solve community health problems.

References

Correa-de-Araujo R. (2016). Evidence-Based Practice in the United States: Challenges, Progress, and Future Directions. Health Care for Women International, 37(1), 2–22. https://doi.org/10.1080/07399332.2015.1102269.

Hu, J., & Forgeron, P. (2018). Thinking, educating, acting: Developing advanced practice nursing. International Journal of Nursing Sciences, 5(2), 99–100. https://doi.org/10.1016/j.ijnss.2018.04.006.

Poorchangizi, B., Borhani, F., Abbaszadeh, A. et al. (2019). The importance of professional values from nursing students’ perspectives. BMC Nursing, 18(26). https://doi.org/10.1186/s12912-019-0351-1.

Vermeir, P., Vandijck, D., Degroote, S., Peleman, R., Verhaeghe, R., Mortier, E., Hallaert, G., Van Daele, S., Buylaert, W., & Vogelaers, D. (2015). Communication in healthcare: a narrative review of the literature and practical recommendations. International Journal of Clinical Practice, 69(11), 1257–1267. https://doi.org/10.1111/ijcp.12686.

NURS 6565 family Nurse practitioner practicum Professional Goals

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NURS 6565 family Nurse practitioner practicum Professional Goals

Week 4 Journal

During my practicum as a family nurse practitioner (FNP), I came across a 16-year old female with depression. As an FNP, I was often the first to see patients with mental disorders. An FNP can diagnose and provide treatment to patients with uncomplicated mental disorders like anxiety and depression, within their scope of practice (Balestra, 2019). The patient reported and presented symptoms such as increased appetite, sadness, crying outbursts, irritation, increased weight, insomnia, concentration difficulties, social withdrawal, and feeling hopeless and worthless.  Since in the context of primary care I was seeing the client for health needs and the depression was acute, I was able to successfully diagnose the patient for depression and prescribe sertraline as the first-line treatment. I collaborated with a mental health provider in the organization during the initial diagnosis and the period management of the patient.

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In line with my short-term goals, after handling this patient I decided to become involved in advocacy activities for people with mental illnesses within the organization and the community. I often sensitized community members about mental health conditions to reduce the stigmatization of people with mental health illnesses. I also educated the community members and the patients who visited the organization to actively seek medical attention without fear whenever faced with a mental health condition. According to Mannarini & Rossi (2019) people with mental health problems normally face social stigma associated with mental illnesses and this makes prevents people from seeking treatment and also make recovery difficult. Therefore, sensitizing the community about mental illness is the first step towards reducing the social stigma associated with mental ill-health (Stuart, 2016).

 

 

References

Balestra, M. L. (2019). Family nurse practitioner scope of practice issues when treating patients with mental health issues. The Journal for Nurse Practitioners, 15(7), 479-482.

Mannarini, S., & Rossi, A. (2019). Assessing Mental Illness Stigma: A Complex Issue. Frontiers in psychology, 9, 2722. https://doi.org/10.3389/fpsyg.2018.02722.

Stuart H. (2016). Reducing the stigma of mental illness. Global mental health (Cambridge, England), 3, e17. https://doi.org/10.1017/gmh.2016.11. NURS 6565 family Nurse practitioner practicum Professional Goals

Prescriptive authority in Texas, Obtaining the DEA number and safe prescribing practices

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Introduction

Family nurse practitioners (FNP) provide primary care and acute care services while focusing on health promotion and disease prevention. FNPs work in the community setting, nursing homes, clinics, and hospitals to diagnose, make appropriate prescriptions, perform examinations, and provide patient education (Gadbois et al., 2015). In Texas, nurse practitioners attend a high number of patients. Healthcare professionals are assigned with DEA numbers that allow one to prescribe drugs, and this includes legal prescription of controlled substances. This paper will discuss the appropriate prescriptive authority for Lori, a new FNP in Texas. additionally, the process of obtaining the DEA number will be described as well as the safe prescribing practices for Lori as a nurse practitioner.

Appropriate Prescriptive Authority

Lori will require a written agreement with the supervising physician outlining the medications and devices she may prescribe. In Texas, physicians can delegate prescribing and ordering of prescription medications, nonprescription medications, and medical devices and equipment to an APRN. In addition, the supervising can also delegate the prescribing and ordering of Schedules III-V Controlled Substances and Schedule II Controlled Substances to Lori as an APRN, with the specific requirements (Peterson, 2017).

DEA Registration Process

Lori will apply for the DEA number online. She will go to www.deadiversion.usdoj.gov website and then follow all the guiding steps during the application. During application, Lori will need to fill all the six sections that include personal information; practicing state; practice information; background; prescription schedules; and charges. Lori will also need to fill the drug schedules she intends to prescribe (Tierney et al, 2015). After applying, Lori will wait for three business days and the application will be availed for editing or approved Prescriptive authority in Texas, Obtaining the DEA number and safe prescribing practices.To confirm the approval of the DEA number or make any inquiries, Lori can call 800.882.9539. Lori is required to have an active license from the state she intends to practice when applying for the DEA number.

DEA will allow Lori to prescribe mediations classified as ‘controlled substances’ (Tierney et al, 2015). It is therefore clear that DEA regulates and controls prescription of controlled substances by ensuring that APRNs only prescribe the drugs they have authority to prescribe and also prevent APRNs from making illegal prescriptions.

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Lori will have various responsibilities after obtaining her DEA number. Once Lori obtains the DEA number, it will be her responsibility to ensure that she accurately and appropriately prescribes the controlled substances. Texas allows APRNs to prescribe some schedule medications, and as per the agreement with the supervising physician. Therefore, Lori should ensure that she prescribes only the authorized schedule drugs (Dineen & DuBois, 2016).

It is also the responsibility of Lori to make sure that she does not do any illegal prescription and that she prescribes controlled substances on cases that are medically allowed and appropriate. Moreover, Lori will need to enquire if the prescription monitoring program (PMP) allows her to obtain any information regarding the prescription of the controlled substances (Marco et al, 2016). If she is allowed, she had the duty of obtaining the information to determine if there have been illegal prescriptions that have been dispensed utilizing her DEA number. In case she notes illegal prescriptions under her DEA numbers, she should report and forward the information to DEA for further investigations (Tierney et al, 2015).

 

Safe Prescribing Practices

Safe prescribing practices include Lori ensuring that she only prescribes the medications she is authorized to and as per her scope of practice. If Lori intends to prescribe the controlled substances, she should ensure that she registers with DEA (Green & Stacey, 2015).

Before prescribing opioids, barbiturates or benzodiazepines, Lori should ensure that she checks the history of the patient in the prescription monitoring program (PMP) because there is a PMP in Texas. the PMP collects information from pharmacists and other healthcare providers to facilitate safe patient care during prescription and use of controlled substances. Additionally, the PMP monitors the prescribing of controlled substances to establish if there is any misuse or abuse. Lori will be needed to confirm with the PMP for all prescriptions of the controlled substances to prevent any duplication of their prescriptions (Elder et al, 2018).

Conclusion

A written agreement with the supervising physician indicating the medications and devices Lori can prescribe will be necessary according to the Texas laws. Lori can obtain her DEA number online to allow her to prescribe medications, including controlled substances. Finally, Lori will need to prescribe according to her scope of practice and follow the required prescriptive laws Prescriptive authority in Texas, Obtaining the DEA number and safe prescribing practices.

 

 

References

Dineen K & DuBois J. (2016). Between a Rock and a Hard Place: Can Physicians Prescribe Opioids to Treat Pain Adequately While Avoiding Legal Sanction? Am J Law Med. 42(1), 7–52.

Elder J, Garett D & Pines. (2018). Optimal Implementation of Prescription Drug Monitoring Programs in the Emergency Department. West J Emerg Med. 19(2), 387–391.

Gadbois, E. A., Miller, E. A., Tyler, D., & Intrator, O. (2015). Trends in state regulation of nurse practitioners and physician assistants, 2001 to 2010. Medical care research and review: MCRR, 72(2), 200–219. https://doi.org/10.1177/1077558714563763.

Green S & Stacey P. (2015). Optimizing the Use of State Prescription Drug Monitoring Programs for Public Safety. Journal of Nursing Regulation. 6(3), 4–10.

Marco C, Venkat A &Baker EF, et al. (2016). Prescription drug monitoring programs: ethical issues in the emergency department. Ann Emerg Med. 68(5), 589–98.

Peterson M. E. (2017). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. Journal of the advanced practitioner in oncology, 8(1), 74–81.

Tierney M, Finnell D, Naegle M, LaBelle C & Gordon A. (2015). Advanced Practice Nurses: Increasing Access to Opioid Treatment by Expanding the Pool of Qualified Buprenorphine Prescribers. Substance Abuse. 36(4) Prescriptive authority in Texas, Obtaining the DEA number and safe prescribing practices.