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Future of nursing
Vision for the future of nursing
Future of nursing
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Chapter One Takeaways Leaders must not just close the door on old models of healthcare delivery and clinical work; they must also turn around and face the future with a view to the emerging landscape and a commitment to develop a workable vision and to implement it. As a leader it is imperative to let go of the past while being engaged with the present and looking beyond the precipice of the now (Porter-O’Grady & Malloch, 2018). With 11 years of intensive care (ICU) bedside experience, I’ve seen wide-ranging changes in patient care. Starting with how patients are now cooled after a cardiac event, to how medications are handled and exposed of, even how family engagement is encouraged during patient rounds and cardiac events. These changes have
Building on the successful work of health care providers will help with the campaign of saving 100,000 lives. Through his speech, Dr. Berwick introduce six changes that every hospital needs to implement in order to save lives that will bring family together. The six changes Dr. Berwick wish every health care organization needs work on that will help save these lives are to deploy rapid response team, deliver reliable care for acute myocardial infarctions, prevention of ventilator associated pneumonia bundles, prevention of central venous line bundles, prevention of surgical site infection prophylaxis medication and prevention of adverse drug events with reconciliation. Even though the lives save may not know who they are, it will bring community and family together. According to Dr. Berwick “The names of the patients whose lives we save can never be known. Our contribution will be what did not happen to them. And, though they are unknown, we will know that mothers and fathers are at graduations and weddings they would have missed, and that grandchildren will know grandparents they might never have known, and holidays will be taken, and work completed, and books read, and symphonies heard, and gardens tended that, without our work, would never have
When I graduated high school, I really gave a lot of thought about what I wanted to do with my future and who I wanted to be. During this time, I read that psychologist often suggest people revisit the activities they enjoyed as a child. They claim that children spend their time participating in activities that bring them the greatest delight. Children do not think about salaries and retirement plans, they simply do what makes them happiest. This made me think back to how I spent my childhood and what I did in those years solely for the sake of it bringing me joy. That is when I realized that care giving and nurturing has been a part of my happiness since I was a child. Whenever a family member or friend was injured or ill, I would be the first in line to administer a Band-Aid or bring them soup in bed. When I was blessed enough to have everyone in my life be in good health, I would find an outlet for care giving in my stuffed animals. I would come up with fictional illness and ailments and find a way to care for them; whether it was constructing a tourniquet out of my hair ribbons, a cast out of duct tape or an oxygen mask out of sand which bags. When I allowed my imagination to run wild, I always found my greatest joy in nurturing. As I grew older I gave up my imaginary patients, but I never lost the happiness I felt when caring for another person.
Today, most hospitals have strict ICU visiting hours despite increasing awareness that family and friends play an active role in a patient’s care. Typically, patients in ICU are critically ill and are often at the end stages of their lives. The presence of family and friends in these circumstances is vital in creating the most comfortable and therapeutic environment for the patient. Studies have shown the benefit for the patients when the support and positive reinforcement of family and friends is present. Furthermore, a randomized controlled trial revealed that an unrestricted ICU visiting policy is associated with reduced cardio-circulatory complications, possibly because visits reduce patient anxiety and promote a more favorable hormonal profile (Berti, Ferdinande, Moons, 2007).
I have soon come to realize how much more there is to nursing than just helping and healing. Nursing is not taking care of individuals it is caring for them. Caring is not only important when concerning nurse and patient relationships. It is important in every aspect of humanity. The culture of caring involves intervening programs that help to build caring behaviors among nurses. As nurses become stressed and become down on their life it has shown that caring for oneself before others is key in caring for patients. Also, throughout the years many theorists have proven that caring has come from many concepts and ideas that relate directly to ICU nursing. The knowledge I have gained from reading and reviewing these articles has and will help me to become a better nurse. It will help and provide the pathway for caring in my professional
Healthcare is one of the most dynamic industries in our great nation. To truly understand just how dynamic the industry is, one needs to understand that healthcare in and of itself is a living, breathing industry that is ever changing and conforming to meet the ideals set forth from a broad group of stakeholders. When one looks at the evolution that healthcare has undergone in the past 165 years, the picture of the true dynamics of this industry is painted. One must take this evolutional history into account when looking at the next ten years in our industry. When looking at these evolutional processes, one can see that the systems have changed as our country and its people have required it to (Williams & Torrens, 2008). When looking at how this industry will change or evolve over the next decade, one can ascertain that it will be by the demands of those involved that change will come.
As I began watching Reinventing Healthcare-A Fred Friendly Seminar (2008), I thought to myself, “man, things have changed since 2008.” And as the discussion progressed, I started to become irritated by how little had changed. The issues discussed were far-reaching, and the necessity for urgent change was a repeated theme. And yet, eight years later, health care has made changes, but many of its crucial problems still exist.
...e crucial change needed in health services delivery, with the aim of transforming the current deteriorated system into a true “health care” system. (ANA, 2010)
The program director, the associate director, the administration, the head of nutrition and metabolism research as well as the nursing staff. All these personnel are charged with different responsibilities when combined helps in realization of an effective outcome that improves the nursing practice.
In closing, as the healthcare climate consistently changes across the United States, it is imperative that registered nurses understand the demand for superior knowledge and lifelong commitment to nursing. As nursing theory and practice expand, our role as leaders is to place a high priority on our commitment to educate and guide nurses, thus improving the lives of their patients through the support of transformational leadership. The Institute of Medicine’s recent report, The Future of Nursing – Leading Change, Advancing Health, specifically calls for nurses to advance and embrace leadership roles on all levels and fronts – from collaborative improvement to positive identification of areas facing challenges within the healthcare setting.
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
The development of knowledge requires a number of processes in order to establish credible data to ensure the validity and appropriateness of how it can be used in the future. For the healthcare industry, this has provided the ability to create and form new types of interventions in order to give adequate care across a of number of fields within the system. Research then, has been an essential part in providing definitive data, either by disproving previous beliefs or confirming newly found data and methods. Moreover, research in itself contains its own process with a methodological approach. Of the notable methods, quantitative research is often used for its systemic approach (Polit & Beck, 2006). Thus, the use of the scientific method is used, which also utilizes the use of numerical data (Polit & Beck). Here, researches make use of creating surveys, scales, or placing a numerical value on it subjects (Polit & Beck). In the end the resulting data is neutral and statistical. However, like all things its approach is not perfect, yet, it has the ability to yield valuable data.
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
There are and will be many challenges that we face that are and will define the strategic direction of health care altogether. Some of these challenges are proposed health care reform and legislation, information technology advancements, funding and costs of Medicaid and Medicare programs, access to health care, and maintaining a skilled workforce.
The interdisciplinary course is a core requirement in the after-degree nursing program as it incorporates the principles of self-directed learning and promotes critical thinking, which is an essential element in nursing practice. As a final year nursing student, I believe that knowledge from this course will enhance my ability to provide patient-centered care.
Resuscitation is defined as an “attempt to restore patients’ vital signs by mechanical, physiological and pharmacological means in emergency situations such as cardiac or respiratory arrest” (Leung & Chow, 2012). Families could benefit emotionally and spiritually because they will understand what it took to save their loved one. According to Guzzetta, “only 5% of critical care units in the United States, 8% in Canada, and 7% in Europe have written policies that allow family presence” (Guzzetta, 2016), despite approval. The Quality and Safety Education for Nurses (QSEN) defines patient-centered care competency as “recogniz[ing] the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient’s preferences, values, and needs” (QSEN, 2014).