Nurs 6050 Week 2 Assignment

Nurs 6050 Week 2 Assignment

WEEK 2

Nursing leadership is a vast specialty, ranging from undergraduate to graduate school; it differs significantly from a nurse who wants to excel in a healthcare institution, to someone who wanted to specialize in a certain field, or to another individual who wants to work “side by side” with the doctors. According to American Association of Colleges of Nursing (AACN, 2012), The Clinical Nurse Leader (CNL) is a leader in healthcare delivery across all settings, not just in acute care. Implementation of this role will vary across settings . Nurs 6050 Week 2 Assignment.  It all comes down to one thing. Further education and training are needed to advance and prepare these nurses in delivering quality health care across the spectrum.

One research priority that the IOM noted that particularly applies to me is the Identification of the influence of nursing on important health care decisions at all levels. I would want to be more specific as for the roles of APRN in the hospital setting. My main reason for continuing education towards attaining my Masters in Nursing specializing in Family Nurse Practitioner is the drive to do more for the patients. I have found out that I really wanted to pursue this career when I started working in the Emergency Room and discovered how much more independent I become in using my critical thinking, even though there’s a doctor’s availability 24/7, the setting in ER makes you think three steps ahead, fast paced, with sets of protocols to follow but also very instinctive in nature. Being a competent nurse, most of the time you expect what the doctors are going to order or what treatments will best benefit the patient. I learned to stand up for myself and my judgment and to question the providers if I think that the orders are doubtful. Nurs 6050 Essay Assignments . Then I found myself wanting to do more, especially being around the mid-level practitioners as we call it, our Nurse Practitioners cut ER wait times and speed up the process of ER visits for patients; I know what I wanted to do next, to go back to school and further my education. Nurs 6050 Week 2 Assignment.

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Along with the autonomy and authority comes with the challenges of becoming a nurse practitioner, one of which is APRN’s are not as appreciated in the field. I still see physicians that talk down to NP’s or physician specialists that would come to ER, who would not even want to acknowledge their assessment of the patient and would only take it from another fellow physician even though the NP’s are the ones that saw the patient and treated their condition. As per  Schadewaldt, Mcinnes, Hiller and Gardner (2014), “Recent definitions of collaboration in the literature describe it as being based on communication, shared decision-making and the respect and equality of team members. However, research demonstrates a tension between this theoretical ideal and how collaboration between nurse practitioners and medical practitioners occurs in practice. Nurs 6050 Week 2 Assignment. Different socialization processes of the two professions and legislative requirements influence collaborative practice. The way these two professions overcome traditional boundaries and realize collaborative practice in the primary healthcare setting needs to be examined”. Currently, there are not many types of research available regarding this topic that would discuss personal experiences and observation relating to the collaboration of medical practitioners and nurse practitioners. Nurs 6050 Week 2 Assignment.

Also, there are patients would request to “see the doctor” and some that does not give the NP’s much credit because they are “not doctors”. If only the public will be educated by what nurse practitioners do and if only they would notice that most of the NP’s listen and spends more time with them as much as physicians do. According to Sherman and Pross (2010), The establishment of a healthy work environment requires strong nursing leadership at all levels of the organization, but especially at the point of care or unit level where most front line staff work and where patient care is delivered.

Traditionally, nurses have been viewed by the general public as doctor’s assistants that “carry out doctor’s orders” and not as professionals who have independent practice with increased autonomy. To meet the challenges of health care demands and the shortage of experienced nurse leaders, we must “assume primary responsibility for personal and professional growth through efforts that continue individual education and opportunities that develop and advance the exercise of leadership skills” (Porter-O’Grady, 2011). Nurs 6050 Week 2 Assignment.

Reference

American Association of Colleges of Nursing. (2012, May 29). Clinical Nurse Leader (pdf file). Retrieved from aacn.nche.edu

Sherman, R., & Pross, E. (2010, January 31). Growing Future Nurse Leaders to Build and Sustain Healthy Work Environments at the Unit Level. Retrieved from nursingworld.org: http://nursingworld.org/RSS/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol152010/No1Jan2010/Growing-Nurse-Leaders.html

Schadewaldt V., Mcinnes E., Hiller J.E. & Gardner A. (2014, May). Investigating Characteristics of Collaboration between Nurse Practitioners and Medical Practitioners in Primary Health Care: A Mixed Methods Multiple Case Study Protocol. Journal of Advanced Nursing 70(5), 1184–1193.

Porter-O’Grady, T. (2011, May). Future of Nursing Special: Leadership at all Levels. Nursing Management, 42(5), pp. 32-37. Nurs 6050 Week 2 Assignment.

The 2010 healthcare reform act (Patient Protection and Affordable Care Act, or PPACA) gives nurses new opportunities to deliver care and play an integral role in leading change. (See http://championnursing.org/sites/default/files/nursingandhealthreformlawtable.pdf.) Understanding these opportunities is just the first step. We need to know how we can be part of the solution to achieve better patient outcomes at a more reasonable cost. We need to do more to prevent disease; provide chronic care management to an aging, sicker, and more diverse population; and offer end-of-life care that emphasizes comfort and compassion. Across all settings—especially geriatrics—we must do more to prepare ourselves for the future. Nurs 6050 Week 2 Assignment.

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In this article, I outline nine challenges that individual nurses and our profession must address if we are to help lead our country to a healthcare system that is more equitable and provides a higher quality of care. (For a flowchart of these challenges, see Nurse’s role in reforming healthcare by clicking on the PDF icon above.)

1. Use nurse-led innovations. Nurses know how to expand access to care and improve quality at lower cost. We’ve developed innovative care models to prove it, including nurse-managed health clinics, home visiting programs for low-income mothers, and the Transitional Care Model (TCM). By emphasizing the use of master’s-prepared nurses to oversee care from the hospital to within the home, this model has reduced rehospitalizations for elderly patients with multiple chronic conditions. Research shows that using the TCM helps patients achieve better long-term health outcomes and avoid repeat hospitalizations, all at a reduced cost. We need more nurses to develop innovations. (For good examples to follow, visit www.aannet.org/i4a/pages/index.cfm?pageid=3303.)
2. Generate evidence and engage in research. Nurses play important roles as innovators who help shape quality and safety. Successful models aren’t born, implemented, or sustained without solid effectiveness data. It’s up to all nurses to collect and track data to improve their own practice as part of broader efforts to improve care. Nursing research helps build the scientific foundation for clinical practice, prevention, and improved patient outcomes. Nurs 6050 Week 2 Assignment.
   We must support nurse researchers through adequate funding. The Robert Wood Johnson Foundation (RWJF) is doing this by funding the Interdisciplinary Nursing Quality Research Initiative, a program that links evidenced-based nursing care to improved patient outcomes.
3. Redesign nursing education. All nurses need to possess basic competencies to meet the demands of an aging and diverse society, with an emphasis on clinical training in multiple settings across the lifespan. The emphasis should be on quality and safety, evidence-based practice, research, and leadership. Several RWJF programs are working to incorporate these concepts into nursing education, including Quality and Safety in Nursing Education, the New Jersey Nursing Initiative, and the Nurse Faculty Scholars program. Therefore, we need to remove barriers to attaining baccalaureate and advanced degrees, such as by strengthening partnership links between community colleges and upper-division degree-granting institutions and all academic institutions and practice organizations. The RWJF-funded Center to Champion Nursing in America is providing technical assistance to help with academic progression. A standardized residency program would give nurses on-the-job learning and would better prepare them for clinical practice. Certification and continuous learning opportunities are essential to a profession that’s responsible for others’ lives.
4. Expand the scope of practice. Advanced practice nurses (APNs) must be allowed to practice to the full extent of their education and licensure. Working with physicians, they can provide cost-effective care and help address the primary care shortage. However, statutory and regulatory barriers prevent them from practicing to the full extent of their licensure. With 32 million Americans about to receive health insurance under PPACA, it’s crucial that APNs be permitted to provide the primary care they’re trained to give. Nurs 6050 Week 2 Assignment.
5. Diversify our workforce. Approximately 33% of our population belongs to a racial or ethnic minority group, and by 2042 minorities will account for a majority of the U.S. population. To reduce health disparities, greater efforts must be made to ensure that the nursing workforce reflects patients’ diverse backgrounds and cultural values. Furthermore, all nurses should be educated to provide culturally competent care. Finally, we need to bring more men into the profession. The goal of RWJF’s New Careers in Nursing program is to provide scholarships to students from diverse backgrounds to attain baccalaureate and masters degrees.
6. Embrace technology. We must learn to use the new­est medical technology and electronic documentation systems to improve quality. Nursing schools should use simulation labs and take advantage of online classes to educate more students. Nurses are frequent technology users; more of us need to be at the table to help make decisions about designing and purchasing the technologies that help patients the most. The RWJF Technology Drill Downs program provides a process that enables nurses to identify and apply technology solutions to improve patient care.
7. Foster interprofessional collaboration. Teamwork and collaboration are critical to seamless high-quality care. The process begins with understanding the roles and responsibilities of each healthcare discipline. Understanding—and the trust it fosters—must start in joint nursing and medical school training programs, and continue as a cultural norm in practice settings.
8. Develop leadership at every level. Nurses should have the opportunity to take on leadership activities whether they practice at the bedside or sit in the boardroom. They must believe they are capable and fully empowered to provide excellent care and make the changes necessary to improve ineffectual systems. Physicians and administrators must support nurses in their efforts. Most of all, nurses need to help each other through mentoring, educational and skills development opportunities, and support networks.
9. Be at the table. As the healthcare professionals most actively engaged in direct patient care, nurses are positioned to provide leadership in all healthcare areas, including developing systems to reduce medical errors, improving quality, providing better care coordination, increasing access to care, and averting workforce shortages. Yet clinical experience isn’t enough. To serve as successful and knowledgeable board or committee members, nurses must be familiar with governance, strategy, fundraising, financial systems, health law, and policy. Always say “yes” when asked to be at the table. If you believe you’re ready but haven’t been asked, then ask to be involved in a board or committee of interest. Nurse Leaders in the Boardroom, another RWJF program, is working to bring more nurses into leadership positions at the local, state, and national levels. Nurs 6050 Week 2 Assignment.

At the end of her life, Florence Nightingale said, “May we hope that when we are all dead and gone, leaders will arise who have been personally experienced in the hard, practical work, the difficulties and the joys of organizing nursing reforms, and who will lead far beyond anything we have done.” Take her words to heart and prepare yourself to contribute to the reforms that will take place in our lifetime. We have much to contribute

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