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Writing professional nursing policies
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The Magnet certification of the American Nurses Credentialing Center(ANCC), mandates that nurses utilize research and evidence base practice to improve the safe delivery of patient care (Stanley, 2011). Due to the cost of “application fees, appraiser fees, site visit costs, and document preparation” that range from $46,000 to $251,000, some institutions have to rethink Magnet status due to its financial implications (Drenkard, 2010). Despite the initial and maintenance costs of the Magnet certification, evidence suggests the expenses may be offset within couple years through higher net inpatient revenue (Jayawardhana, Welton, & Lindrooth, 2014). As future Advanced Practice Registered Nurses (APRN), it is our role to improve patient care
Nurses and physicians need to become partners in health care reform. We have a responsibility to provide competent care to our patients. National standards need to be put in place to decrease the inconsistencies in APN practice. Overwhelming data supports the APN over the physician in cost effectiveness, quality and access to care and many other aspects.
Aiken, K. (2011). Nurse Outcomes in Magnet and Non Magnet Hospitals. Journal of Nursing Administration, 41(10), 428-433. doi:10.1097/NNA.Ob013e31822eddbc
The history of Magnet Status began in 1992. The American Nurse Credentialing Center first developed of the idea of Magnet Status after extensive research studies were perform during the nursing shortage of the 1980’s. The goal was to find out why some hospitals were able to retain and even recruit nurses during the shortage. It was found that of the 165 hospitals that participated, 41 shared seven core attributes. (Chaffee, Leavitt, & Mason, 2007) These seven attributes were the beginning of what have become the fourteen forces of Magnetism. The attributes or forces are based on nursing standards of care. That is the ability of the hospitals, working with the nursing staff to provide the excellent nursing care. That is care for the patient as well as the nursing staff and the hospital as a whole. The programs first awarded Magnet status in 1994. Since then several hundred have reached Magnet Status with several hundred more in the application process. In 2001 the first international hospital was awarded Magnet status. As with the medical field and even nursing all things must change, this includes the Magnet Program. In 1996 the standards and requirements along with the name evolved and changed. The program became known as the Magnet Recognition program for excellence in Nursing Service with requirements moving from internal review to pu...
There are many organizations pursing the accreditation by the American Nurses Credentialing Center (ANCC) Magnet Recognition Program (Pinkerton, 2008). It is a great achievement when an organization receives Magnet recognition. However, “several factors must be considered by those organizations making the decision, and these factors can be grouped and reviewed using the recently released empirical model for the Magnet Recognition Program” (Pinkerton, 2008, p. 323).
I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and how I will evaluate whether or not I improved in these two areas. Learning Needs / Goals The two areas I feel I need further development in are understanding the scope of practice for an RPN, and Intravenous (IV) therapy. Also, it is important to understand your role as a nurse to ensure the patients’ needs are being met, and to ensure you stay within your scope of practice while providing care.
The government responded to the recommendations of the Francis Inquiry and voiced the recommendations for improving patient involvement in care, including changes to regulations and inspections (DOH, 2014). The NMC also responded to the Francis Inquiry in relation to the role of the nurse which was evaluated and criticised for ways in which it could be improved within the clinical setting, in order to improve nursing practice and knowledge towards patient-centred care. The NMC whole-heartedly agreed that there should be an increased focus in nurse training, education and professional development, in practical aspects in addition to theory (NMC, 2013).
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Magnet Status is a credential of organizational acknowledgment of nursing superiority((Nursing world). It is given to hospitals that have satisfied the requirements intended to determine the quality and strength of their nursing (Nursing World). The magnet status award is given to hospitals by the American Nurses' Credentialing Center, which is an associate of the American Nurses Association (The truth about nursing, 2012). This award was started in 1990 as a way to recognize hospitals that offer outstanding nursing care(Hopkins Medicine). Since 1990, out of all 7,569 hospitals in the united states, only 258 of those hospitals have received the honor of magnet status (Hopkins Medicine). Magnet status does not come easy, so hospitals must work very hard in order to meet the strict requirements (Hawke, 2003). Magnet status is a
Aiken, L.H., Havens, D.F., & Sloane, D.M. (2000). The magnet nursing services recognition program: a completion of successful applicants with reputational magnet hospitals . American Journal of Nursing, 100, 146-153.
The APRN listens and engages with the patient as care and compassion take place. As the nurse discerns what the patient’s needs are and considers obstacles to achieving optimal care the application of theory is necessary as the process is not always quantifiable. The APRN who does not learn nursing theory may focus primarily on EBP and miss this engagement opportunity with the patient. One may prescribe medication; however, if the patient does not take the medication, then the nurse assumes the patient is noncompliant. The application of Watson’s themes where appropriate helps the APRN discern how to help the patient become compliant. It is necessary to care for the patient outside of the idea of only providing care to understand the obstacle in that patients circumstances and reach improved patient outcomes to any disease
The American Nurses Association (2008) has defined the FNP, under the broader title of Advanced Practice Registered Nurse (APRN), as one “who is educationally prepared to assume responsibility and accountability for health promotion and/or maintenance as well as the assessment, diagnosis, and management of patient problems, which includes the use and prescription of pharmacologic and non-pharmacologic i...
In order for optimal patient care to be achieved nurses need to be inspired by their work and feel supported by the health care staff. Both patients and nurses deserve to be given the attention and support they need to thrive. The patient to nurse ratio in California is already being addressed and this is a movement that needs to extend worldwide. It is imperative that health care professionals as a whole are being heard and supported. Patients depend on their health care providers and nurses are the backbone of patient care thus acknowledging their needs should always be top priority.
A hospital that obtains magnet status displays “knowledge and expertise for the delivery of nursing care globally” (ANCC, 2008). Magnet status means displaying professionalism in models of care with nursing leadership, organizational structure and evidence based practice. The American Nurses Credentialing Center (ANCC) provides a model to help aid visually with understanding the components a hospital must achieve to be considered magnet. This 5 component model was designed “to provide a framework for nursing practice and research in the future, as well as serving as a road map for organizations seeking to achieve Magnet recognition” (ANCC, 2008).
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
By improving managed care, healthier patients can be achieved and personal health improvement strategies can be developed for the community. I am excited at the possibilities working as a nurse practitioner can achieve. I am confident that my skills will be aligned with the education Walden will provide. Working in the nursing field for over 17 years, I have acquired many professional assessment experiences. In healthcare, nursing interventions are constantly changing, focusing on the evidence based practice to improve patient