Defining Np Scope Of Practice Nursing Essay

Defining Np Scope Of Practice Nursing Essay This original research was conducted in a large teaching hospital in the North West of England that examined ward-based Advanced Nurse Practitioners (ANPs) and aimed to clarify their roles and expectations in patient care and how they impact the clinical practice. Study participants (which consist of five ANPs, 14 ward-based nurses, and five patients) were observed and invited to participate in interviews. The roles and skills of ANPs were observed and gathered from the interviews. ANPs were described as pivotal in the management of patient care and served as an invaluable link between the medical and nursing team. They frequently translated medical information for nurses, patients and other allied healthcare professional to make sure that the plan of care was well understood and provide further explanations if necessary. ANPs were observed to be confident practitioners, good information resource and by using their technical knowledge and skills served as a role model to support the nurses and junior doctors to enable them to be more efficient in providing care. In addition, ANPs were found to be less intimidating than doctors and more approachable in resolving care issues. Meanwhile, ANPs were faced with a number of challenges and have to ove rcome skepticism from other health professionals who have different views on the ANP role expectation and scope of practice. ANPs perceived that their education had not adequately prepared them for their clinical role. ANPs have great impact in nursing practice and patient care. Although the study strives to clarify the role of the ANPs, the findings regarding the role of ANPs are not clearly defined and lack consistency that may lead to role conflict and overload. Running Head: How are acute care nurse practitioners enacting their roles in healthcare teams? A descriptive multiple-case study This multiple-case study conducted in two-university affiliated teachings hospitals in Quebec, Canada aimed to understand how cardiology acute Care nurse practitioners (ACNPs) enacted their roles in healthcare teams. Data were collected from interviews, field notes, documents and time and motion study of NP activities. The work activity pace was faster before noon due to patient care demands. Participants in one hospital believed that NP role was not an integrated role of medical and nursing components but an expanded role because they assumed more expanded nursing role components than the medical role. In addition, NPs needed to consult with physicians for patient care decision making that were within their scope of practice. They did not have that much authority in regards to decision making due to lack of structures to formalize the organizational role. There were also inconsistent messages about the role expectations to attempt to formalize the prescriptive authority of NPs which had not been approved by the medical advisory board. On the other hand, participants in the other hospital believed that NPs enacted their role more in the medical component since the medical directives and prescriptive privileges had been approved by the medical advisory board. NPs had greater autonomy in their role and prescriptive authority. It was also noted that NPs participated very little in nursing activities such as implementing nursing care plans or use of clinical care pathways. In both hospitals, the largest role component was the clinical role. The transfer of prescriptive and decision-making authority must be addressed to enable NPs to work their full scope of role to optimize patient outcomes. Clarifying role structures were expected to enable the NPs enact their role in healthcare team and prevent role confusion. Running Head: Defining NP scope of practice and associated regulations: Focus on acute care This review of literature was conducted to define the NP scope of practice (SOP) with emphasis on NPs in acute care setting. Documents were gathered from different resources including National Council of State Board of Nursing (NCSBN), individual state board of nursing, and NP scope and standards of practice. According to Federation of State Medical Boards (2005) and NCSBN (2009), à ¢Ã¢â€š ¬Ã…“SOP is a set of rules, regulations and boundaries within which a fully qualified NP may practiceà ¢Ã¢â€š ¬Ã‚ . It defines what activities a profession can undertake. Both practice acts (state regulatory board form of statutes approved by legislators) and its rules and regulations define NP SOP and require approval from legislators to become law. The Consensus Model for Advanced Practice Registered Nurses (APRN) Regulation was developed to resolve different issues concerning inconsistent APRN education and licensure requirement across jurisdiction and issues in certification. It helps stand ardize regulations for APRNs. Professional regulators are working together in implementing a consistent SOP for NPs in all jurisdictions. According to American Academy of Nurse Practitioners (AANP), NPs are licensed independent practitioners that provide nursing and medical services emphasizing on health promotion and disease prevention. In addition, NPs have a collaborative practice agreement with the physicians. However, regulations are different from state to state NP SOP are not clearly defined and further clarifications are needed especially as it pertains to NPs working in acute care to ensure that NPs are practicing according to their education, training and competency as evidenced by the certifications they hold. Running Head: NURSE-DIRECTED INTERVENTIONS TO REDUCE CATHETER-ASSOCIATED URINARY TRACT INFECTION This research focuses on the evidence-based practice guidelines conducted at the University of Colorado Hospital as a quality improvement project to initiate a nursing-driven approach to reduce the incidence of catheter-associated urinary tract infection and improve patient outcomes. A catheter-associated urinary tract infection (CAUTI) is the most common cause of healthcare-associated infection. It is a major health concern leading to prolonged hospital stay and increased healthcare cost. Evidence-based use of indwelling urinary catheter (IUC) must be enforced to reduce the prevalence of CAUTI. In this project, an intervention design was implemented to evaluate the nurse-driven intervention incorporating evidence-based guidelines. The goal is to decrease the prevalence CAUTI by emphasizing health education on specific unit-based nursing practice. Improving the nursing care by educating the nurses regarding insertion, management and early removal of IUC to ensure the best practice and expanding this education to ancillary services (eg. rehabilitation and transport staffs) were found to positively impact the CAUTI rates. Focused unit interventions such as providing education on postoperative catheterization, use of bladder scanner to check for urinary retention to minimize IUC reinsertion, and encouraging early removal of the urinary catheter were found to decrease the catheter days and prevent infection. Providing education by infusing the best evidence into current practice are important interventions to raise awareness. Incorporating evidence-based guidelines and strategie s by focusing of nursing-driven interventions can improve patient outcomes.

George Thomson :: essays research papers

George Thomson b. 1757, d. 1851 Scottish folksong editor and publisher. For 59 years he worked for the Board of Trustees for the Encouragement of Art and Manufactures in Scotland. Joined the Edinburgh Musical Society, played the violin in the orchestra and sang in the choir. He developed an interest in Scottish folksongs set to classical arrangements and about 1791 he decided to publish a comprehensive collection for voice and piano trio, by the most renowned European composers. This cost a great deal of his private money and was not complete until 1841. Haydn was engaged to arrange folksongs and these were published in 1792 and 1795. Pleyel arranged other tunes and the first part of the "Select Collection of Scottish Airs" was published in 1793. From the Preface:- "The Symphonies and Accompaniments next engaged his solicitude. For the composition of these, he entered into terms with Mr Pleyel, who fulfilled part of his engagement satisfactorily; but having then stopt short, the Editor found it necessary to turn his eyes elsewhere. He was so fortunate, however, as to engage Mr Kozeluch, and afterwards Dr Haydn, to proceed with the Work, which they have finished in such a manner as to leave him nothing to regret on Mr Pleyel's breach of engagement." Beethoven, Weber, Hummel and Bishop were also involved, Beethoven writing 126 settings and Haydn 187. As mentioned above, this was not a cheap undertaking and, sadly, cannot be deemed a musical success, the Scottish folksong being largely of an alien nature to the arrangers, and if, as claimed in the Preface, Haydyn tackled the work con amore, Beethoven was angered by the simplification of his piano accompaniments to suit the demands and abilities of the drawing-room market. Indeed, he later refused George Thomson's approaches to write chamber music, incorporating Scottish folktunes, pricing himself out of the publisher's means. George Thomson :: essays research papers George Thomson b. 1757, d. 1851 Scottish folksong editor and publisher. For 59 years he worked for the Board of Trustees for the Encouragement of Art and Manufactures in Scotland. Joined the Edinburgh Musical Society, played the violin in the orchestra and sang in the choir. He developed an interest in Scottish folksongs set to classical arrangements and about 1791 he decided to publish a comprehensive collection for voice and piano trio, by the most renowned European composers. This cost a great deal of his private money and was not complete until 1841. Haydn was engaged to arrange folksongs and these were published in 1792 and 1795. Pleyel arranged other tunes and the first part of the "Select Collection of Scottish Airs" was published in 1793. From the Preface:- "The Symphonies and Accompaniments next engaged his solicitude. For the composition of these, he entered into terms with Mr Pleyel, who fulfilled part of his engagement satisfactorily; but having then stopt short, the Editor found it necessary to turn his eyes elsewhere. He was so fortunate, however, as to engage Mr Kozeluch, and afterwards Dr Haydn, to proceed with the Work, which they have finished in such a manner as to leave him nothing to regret on Mr Pleyel's breach of engagement." Beethoven, Weber, Hummel and Bishop were also involved, Beethoven writing 126 settings and Haydn 187. As mentioned above, this was not a cheap undertaking and, sadly, cannot be deemed a musical success, the Scottish folksong being largely of an alien nature to the arrangers, and if, as claimed in the Preface, Haydyn tackled the work con amore, Beethoven was angered by the simplification of his piano accompaniments to suit the demands and abilities of the drawing-room market. Indeed, he later refused George Thomson's approaches to write chamber music, incorporating Scottish folktunes, pricing himself out of the publisher's means.

Important of Education Essay

Education means considerably more than just teaching a student to read, write, and manipulate numbers. Computers, the Internet, and advanced electronic devices are becoming essential in everyday life and have changed the way information is gathered. How this new technology is utilized in the curriculum and managed by teachers will have an important role to play in widening the resource and knowledge base for all students. Technology affects the way teachers teach and students learn. To make the best use of information technology (IT), schools need a workable plan to fully integrate it into all aspects of the curriculum so students are taught how, why, and when to use technology to further enhance their learning. If a school does not have a clear plan of how and why it wishes to implement IT, then it runs the risk of wasting money. In schools today, nearly all classrooms have access to a computer. However, many schools mistake this as incorporating information technology into the curriculum. School staff need to research what IT is available and what would best serve the school’s purpose, not simply purchase the latest equipment. There should be a policy stating how IT is going to assist pupils’ development and what teachers want pupils to achieve (Reksten, 2000). Staff members need to be clear about what they want IT to do for them before they can start incorporating it into their lessons. The only way information technology is going to be useful to schools is if all staff members are well-informed and fully supported. It is the principal’s responsibility, and should be part of the school’s plan, to ensure that all staff are consulted about the changes, and that the change is carefully organised. Some teachers may be resistant, especially if they have not had much experience with computers, so training teachers is essential in implementing IT into the school curriculum. Staff members must feel involved in the process of acquiring technology, and in learning how to operate it, in order for them to increase their confidence in using IT as a curriculum tool. Teachers are only going to be able to incorporate IT into their lessons if they are competent users themselves (Reksten, 2000). In addition, teachers need to be aware that IT within the classroom is extremely flexible, but that they need to plan what purpose IT serves in each lesson. The skills a child learns are the important part of any lesson, and it is the same with technology. IT needs to be used and understood in all subjects in the same way as the ability to read is necessary for all subjects, and â€Å"must be used across the curriculum, in the same way that a pen and pencil are used in most subject areas† (Ager, 2000, p. 15). The best way to plan the use of IT in the classroom is to approach it as simply a learning tool that is more advanced (and more exciting) than the traditional pen and paper. It is vitally important for students to be taught the strategies for using IT. Children also need to be fully informed about the capabilities of IT before being asked to use it. Pupils should be aware that the contexts in which they use IT will change, and they need to know what the appropriate use of IT is and what is not. Whilst it is important that children learn to use IT effectively, teachers must emphasise that IT is not always suitable. According to Apter (1968), the danger is that the â€Å"computer dehumanizes people and inevitably leads them to act like machines themselves† (p. 58). Teachers must make sure they plan to use variety in their lessons. Too much IT instruction may be just as harmful to a child as not enough. The usefulness of IT in the classroom, as with any learning tool, depends on the innovation and imagination of the teacher. It is imperative, though, that the implementation of IT into a school is carefully planned. The current information explosion makes it essential that IT be used extensively within the classroom so children know how to use IT appropriately and effectively. Teachers must, therefore, be fully informed about what kinds of IT are available and whether or not they are appropriate for classroom use. School boards and teachers must therefore ensure that all staff have a clear plan about what they want their students to achieve through IT. The appropriate incorporation of IT into the classroom will broaden the minds and skills of students, allowing them to be better prepared for further technological advances.

The Red Scare essays

The Red Scare essays The Red Scare took place twice in American History. First in the period of 1919 to 1921 which was triggered by a Communist take over of Russia. The Red scare never really stopped since it's first appearance, but occurred again in the 1950's. It was a label given to the actions of legislation, race riots, and the hatred and persecution of revolutionary objectors during that After the war formally ended on November 18, 1918, there was an ideological war still going on in the US. It was a war which prompted mass paranoia and caused what would be known as the Red Scare, beginning in 1919 and ending in 1921. First period of red scare began in June 1919, when the newly appointed US attorney general, A. Mitchel Palmer, was waken up by the explosion on his door steps. A bomber tripped over something, blowing himself up. It was later found that additional bombs had exploded on the doorsteps of other high-ranking government officials in at least 8 more cities. This was the start of the first Red Scare throughout the country. The next day's New York Times newspaper reported that the attack was Bolshevik or After all the unfair legislation passed by the government, the scene was set for a disaster. Palmer used the laws set down in 1917 to deport members of the WWI. When the Palmer Raids began, its two main targets were the Communist Party, and the Communist Labor Party. In 1918, after the end of the war, all the groups which opposed the war came under fire. They were seen as destructive to the peace and security of the American nation. The focus of the attacks was no longer on the conscientious objectors, since many of them had already been jailed during the war, and were still in jail at the time. It was now switched over to the Socialists; they were still a Another reason for the Red Scare was the strike held by mine workers. They were ...

Frederick Douglass Essay examples

Frederick Douglass Essay examples Frederick Douglass Essay examples Frederick Douglass was an African American slave who dreamt all his life of being a freeman. Not only was he a slave, but he was very involved in his religious life of Christianity. Regardless of his hardships he went through, Douglass always had hope and believed that one day God would set him free. This kind of optimism was thought highly of amongst the other slaves who had little to no hope of freedom whatsoever. These slaves lived in a society in which land was only free to the whites, and the oppression of these slaves was taking its toll on them. Throughout his journey to freedom, Frederick Douglass kept journals of his life and eventually put together The Narrative of the Life of Frederick Douglass, Written by Himself in 1845. Being born into slavery in 1818, Frederick Douglass had no chance of being a freeman from the start. He was born to Harriet Bailey and white male, Aaron Anthony, who is assumed to be his mother’s owner. In 1826 when he was moved to live on another property after the death of his mother and father, Douglass began to learn how to read. He was taught by Sophia who was his new owner. Unfortunately, her husband forbade her because learning â€Å"would forever unfit him to be a slave† (Baym 1171). Nevertheless, Frederick Douglass continued his reading and writing on his own, which, in the long run, was a huge benefit for him. During his later career, Frederick Douglass explored his options. He subscribed to William Lloyd Garrison’s Liberator who was an abolitionist. He heard Douglass give his first speech on antislavery and shortly hired him. Giving antislavery speeches around the nation was liberating and dangerous for Douglass; however. There were mobs and attacks broken out during his speeches that ended up injuring him. Later, he wrote The Narrative Of the Life of Frederick Douglass and sold thirty thousand copies in its first five years. This was greatly beneficial to Douglass as an international spokesperson fo r freedom and equality. This book was praised for its descriptiveness and how it was obvious that Douglass had written it in his own words. Douglass â€Å"shaped the facts of his life to underscore the particular truths that he wished to convey at the moment of composition† (Baym 1172). He used realistic stories and he made his books so detail oriented, and was praised on the imagery and personification. He was a very strong family-man and praised his mother and grandmother’s influence they had on his culture and his life. Frederick Douglass was separated from his mother soon after birth and he assumes this is so, â€Å"to hinder the development of the child’s affection toward it’s mother, and to blunt and destroy the natural affection of the m other for the child† (Douglass 18). He believes that his father is his mother’s white master, because it was common for masters to impregnate their female slaves. Douglass explains that he believes th at mixed slaves have it worse than full African American slaves, because â€Å"they are, in the first place, a constant offence to their mistress† (Douglass 19). The main point of why Douglass wrote this book was to inform people of the dehumanization of slavery. Throughout The Narrative, we can read about stories from people he knew or saw, therefore we don’t really hear about Frederick in the beginning of the book. In chapters three and four, we read about Colonel Lloyd’s plantation to set the scenery for the reader, and to also ensure the accreditation of the book. His main point is to express how unjust it is for whites to get away with what they’re doing. He wants to convince white Northerners that the events he witnessed- like a white man killing a black man- are unjust. In The Narrative, Douglass portrays himself as both the narrator and the protagonist of the story. The two personas are changing throughout the story, and he eventually progresses f rom uneducated slave, to an articulate commentator. In the text, he frequently dramatizes the

Free Essays on Westray Coal Mine

Jenny March 03, 2003 Case Study: Westray – You Be The Judge 1) The stakeholders in the Westray mine were the residence of Pictou County, Westray Mining Corporation, Curragh Inc., and Nova Scotia Power. The operation of the mine would benefit each of the stakeholders. The residence of Pictou County, an economically depressed area, would receive over 200 jobs, a source of income and they would be able to work side by side with their family, friends and neighbours. Westray Mining Corporation and Curragh Inc. would produce a profit and Nova Scotia Power would receive 700 000 tonnes of coal annually for 15 years; the coal had a low sulphur content and would allow the utility to meet federal requirements concerning sulphur dioxide emissions without installing expensive scrubbing equipment. 2) Primarily, it was the provincial government, the general manager and the mine manager who were responsible for the safety of the Westray mine. The provincial government should have enforced safety regulations and the mine general manager should have stopped operations if safety precautions were not taken. 3) In the long-run, Curragh will have a reputation of disregarding the safety of its employees. People will see Curragh as a company who is only looking to maximize its profits, even at the cost of the lives of its workers. Furthermore, people will look down on the company because the president, Cliff Frame, made false promises to the families of the victims announcing that he would establish a trust fund for them. Also the president is known in the past to be associated with other mining industry failures. 4) After 1994, The Provincial Department of Labour laid 52 charges under the Occupational Health and Safety Act and all were dropped. The RCMP laid charges of manslaughter and criminal negligence causing death against Curragh and two former mine managers, Gerald Phillips and Roger Parry. In June 1995, a Nova Scotia judge stayed the ch... Free Essays on Westray Coal Mine Free Essays on Westray Coal Mine Jenny March 03, 2003 Case Study: Westray – You Be The Judge 1) The stakeholders in the Westray mine were the residence of Pictou County, Westray Mining Corporation, Curragh Inc., and Nova Scotia Power. The operation of the mine would benefit each of the stakeholders. The residence of Pictou County, an economically depressed area, would receive over 200 jobs, a source of income and they would be able to work side by side with their family, friends and neighbours. Westray Mining Corporation and Curragh Inc. would produce a profit and Nova Scotia Power would receive 700 000 tonnes of coal annually for 15 years; the coal had a low sulphur content and would allow the utility to meet federal requirements concerning sulphur dioxide emissions without installing expensive scrubbing equipment. 2) Primarily, it was the provincial government, the general manager and the mine manager who were responsible for the safety of the Westray mine. The provincial government should have enforced safety regulations and the mine general manager should have stopped operations if safety precautions were not taken. 3) In the long-run, Curragh will have a reputation of disregarding the safety of its employees. People will see Curragh as a company who is only looking to maximize its profits, even at the cost of the lives of its workers. Furthermore, people will look down on the company because the president, Cliff Frame, made false promises to the families of the victims announcing that he would establish a trust fund for them. Also the president is known in the past to be associated with other mining industry failures. 4) After 1994, The Provincial Department of Labour laid 52 charges under the Occupational Health and Safety Act and all were dropped. The RCMP laid charges of manslaughter and criminal negligence causing death against Curragh and two former mine managers, Gerald Phillips and Roger Parry. In June 1995, a Nova Scotia judge stayed the ch...

Discuss politics and power in the workplace. What is an example of an Term Paper

Discuss politics and power in the workplace. What is an example of an appropriate use of power What is an example of an inappropriate use of power, and why - Term Paper Example The concept of power stems from the concept of hierarchy in an organization and therefore power has to be exerted to get work done. Hence power backed with politics is an essential force to create change in an organization which leads to innovation. Power and politics can be used in both positive and negative ways. A balanced use of power in appropriate ways to regulate and monitor employees with strong leadership qualities can bring both satisfaction at the workplace and huge rewards for the organization. In contrast forceful manipulation and abuse of power to dominate others is extremely harmful for both the workers and the organization. Since power is always a bone of contention in the workplace, its proper usage can be tricky. Appropriate use of power should result in the form of happy, contended employees, a peaceful workplace and efficient performance. But by no means should the authority stop from exerting necessary power to prevent offending the employees. An appropriate use of power will be rewarding employees on their performance. This power can easily result in the reinforcement of the positive activities of the worker. These rewards do not necessarily have to be tangible but they can be small intangible praises which can be very meaningful for the employee and will boost his morale. (7 types of power in the workplace)Efficient use of power is also creating the right balance between being an ignorant leader and being a control freak. The employees should not be able to take advantage of the boss lenience but simultaneously should not be fed up of his micromanagement and criticism. The right ways to use powe r is dependent upon the organization and the workers but they all result in better performance, effective leadership and satisfied employees. When exerting power, it is very easy to cross the line and abuse it because with power comes the tendency to overuse it. In appropriate use of power will