The National Institute of Nursing Research (NINR) Strategic Plan approached the clinical intervention studies, implementation research approaches, comparative effectiveness research and analysis of the cost, outcome and quality of care. Furthermore, NINR is committed in advancing the health of populations, irrespective of race, ethnicity, age, gender, socioeconomic status, and or sexual orientation to develop culturally responsive, evidence-based interventions. The continuous follow up on progress to achieve the objectives and assessment to direct the plan is included on the Strategic Plan of NINR to shape the future direction of NINR research.
Patients often have complex care needs, and often present with multiple co-morbidities or problems. The process of conducting a comprehensive nursing assessment, and the coordination of care based on these findings is central to the role of the Registered Nurse (NMBA 2006). Evidence-based interventions must then be planned and implemented in a patient-centred approach in order to achieve agreed treatment goals and optimise health (Brown & Edwards 2012).
This paper focuses on providing a summary of the efforts of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research which influenced the IOM report, “Future of Nursing: Leading Change, Advancing Health.” The importance of the IOM “Future of Nursing” report related to the nursing practice, nursing education and nursing workforce development will be stated. The role of state-based action coalitions and how they advance goals of the Future of Nursing: Campaign for Action will be described. A summary on will be provided of two (2) initiatives that are spearheaded by Florida state’s Action Coalition with an explanation of ways in which the initiatives advance the nursing profession. Existing barriers to advancement currently in Florida and ways in which nursing advocates may overcome these barriers will be discussed.
The Robert Wood Johnson Foundation (RWJF), a philanthropy organization, has been involved in health matters facing Americans for over 40 years with focus to child and family wellbeing, health coverage, health leadership and workforce, health systems improvements and healthy weight. Since its inception in 1972, RWJF support has grown and is now the largest philanthropy body devoted exclusively to health in the nation (RWJF, 2015). In this paper, the author discusses the RWJF Committee initiatives and their effect on nursing education, nursing practice and nursing workforce development, the role of action based coalition and expound on the state of Oklahoma Campaign team report.
The Intervention Wheel (Wheel), previously known as the “Minnesota Model”, is a conceptual framework used in the public health nursing practice for “defining population-based practice and explaining how it contributes to improving population health” (Stanhope & Lancaster, 2014, p. 187). Three core levels make up the Wheel: first, it is population based; secondly, it incorporates three areas of practice consisting of individual, family, community, and systems; and lastly, it recognizes 17 public health interventions, as well as describes them (Stanhope & Lancaster, 2014, p. 188). By incorporating all of these levels into the Wheel, it creates a structure, which helps public health nurses (PHN) to identify and document their interventions, as well as documents the essence of their work (Stanhope & Lancaster, 2014, pp. 193-195).
LoBiondo-Wood, G., & Haber, J. (2013).Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice(8th ed.). New York: Elsevier.
Public health nursing focuses on the entire community with similar health characteristics. As a result, it is a population-based intervention program that involves everyone at risk. Secondly, it guides assessment of the community’s health status through an elaborate process (Truglio-Londrigan and Lewenson 10). For example, the practice develops and prioritizes plans in accordance with research and analysis of risk factors, assets and health status of the community. Additionally, the practice also considers external determinant of health. The determinants are a range of factors that affect the health other than a person’s health risk or...
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
...nce in the outcomes for many. Knowledge grants others the ability to fulfill their duties across a spectrum of fields and for nurses; it allows them to make decision that can improve the outcome of patient's health. Nurses are a vital backbone to the healthcare system and through research they are able to continue to expand their roles, knowledge, and abilities on a professional and personal level.
The initiative recognized that nurses have the opportunity to change health care, as we know it, and transform it to meet the needs of the ACA. The barriers that were identified include “outdated policies, regulations and cultural barriers” (IOM, 2011, p. 85). While increasing the scope of practice for APRNs was a large part of this key message, cultural diversity, gender diversity, and the aging workforce were also highlighted.
Introduction A teaching plan is one of the most important steps in the nursing process. It is a vital tool used to achieve the best quality of patient care. A nurse should teach the patient what they need to know about their disease or disorder, diet, treatment, medication regimens, and self-care (Taylor, LeMone, Lillis, & Lynn, 2008). In this paper, I will explain teaching plan for diabetes patient with regular insulin injection, including the purpose of plan, outcomes, behavioral objectives, and teaching method.
As the culture of health care changes " Emphasis is shifting from acute, hospital-based care to preventive, community-based care, which is provided in nontraditional health care settings in the community" (Edelman & Mandle, p. 19). With these changes nurses will find themselves playing a larger role than ever in the health promotion of their patients. Community health programs with a focus on nurse directed patient education will be imperative as we move forward to ensure the needs of the growing patient population will continue to be met. It is an exciting time in health care and the strength of nurses is only beginning to be recognized, there are so many great things to come on well planned nursing intervention at a time.
Nies, M. A., & McEwen, M. (2011). Community/public health nursing: Promoting the health of populations (5th ed.). St.Louis, MO: Saunders.
Public Health Nursing (PHN) aims to improve the wellbeing of the population by promoting health and preventing disease among all people in the communities (Public Health Nursing, 2013). The PHN utilizes the primary, secondary, and tertiary prevention to help improve the health of the communities. The PHN process is applied to all levels of practice. Interventions are “actions take on behalf of individuals, families, systems, and communities to improve or protect health status” (Stanhope & Lancaster, 2012, p. 191). This paper will identify PHN interventions such as screening, outreach, and referral and follow-up, health teaching, and counseling that was identified in the PHN in the 21st Century project that this author completed as part of the PHN experience. This paper will also identify if the interventions were at the community, system or individual/family level.
The image of nursing has changed tremendously from the past until now. These changes are sometimes good and bad. In the past nurses didn’t have so many negative influences messing up the image of a nurse. They were looked at as healers and caregivers; there weren’t many negative outlooks of them. With the shortage of nurses in hard times such as war, and disease outbreaks people trusted the care coming from a nurse. Today nurses fight to main their positive image with media and social media always giving them a sketchy twist. For example many shows on T.V. portray female nurses as the promiscuous type, hooking up with the “hot” doctor to get ahead in the workplace. Despite the negative influences portrayed on nurses, there are efforts being
Nies, M. A., & McEwen, M. (2011). Community/public health nursing: promoting the health of populations (5th ed.). St.Louis, MO: Saunders.