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Registered nurse career goals
Registered nurse career goals
Registered nurse career goals
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Nursing practice holds different levels of degree for nurses that include Associate degree in Nursing, Bachelor degree in nursing, and Master degree in Nursing. Even though the degree level in nursing are to provide basic care to the patients, but the level of competency and knowledge in the profession is different. Nursing practice in advance level play important role to provide quality of care to patients. Many health care settings require nurses to earn baccalaureate degree level to apply for RN position. The purpose of writing this paper is to identify the proficiency level between an Associate degree of Nursing versus Baccalaureate degree level. Nurses play different role in bedside patient care, such as advocate, caregiver, and teacher. …show more content…
In fact, Researchers had shown the results of outcomes having different degrees of level. According to AACN, Today 61% Nurses in the United States have a BSN degree who works in health settings. In fact, BSN nurses reduce death rate mortality, and readmission rate by using clinical practice knowledge (AACN) . Having advance level of knowledge involves nurses to manage the patient level of care and monitor for progress. American Organization of Nurses Executives states that nurses who have a higher education level promotes safe nursing care and improves patient safety. Higher educational nurses prepare herself for clinical challenging and complex roles (AACN, page 1). They develop more ideas, better intervention, and focus more on clinical …show more content…
Having experience of the situation gives depth of knowledge to identify the different roles. Lead RN who holds BSN degree made better decision than ADN nurse. An elderly patient admitted for pneumonia who was getting IV fluids continuously, during night shift. She started wheezing and more shortness of breath. The respiratory therapy was called to provide breathing treatment so patient can feel better; however, it did not help at all. Although ADN nurse was reviewing patient H&P, medical history to collect data to analyze the problem to call the MD; however, she was not able to focus better intervention and outcomes. In meanwhile, Lead RN provided better intervention to make the patient more comfortable such keep head elevated, monitor I &O closely, assess every two hours and monitor patient more closely, then MD was notified and addressed the problems such as patient might me fluid overloaded. BSN nurse made better decision than ADN nurse because It might be due to working in nursing field since so many years; however, she had advance knowledge in depth to provide healthy and safe care to the patients. In fact, the nurses who holds BSN degree at work has stronger leadership skills and critical thinking than Associate
Taylor, D. (2008). Should the entry into nursing practice be the baccalaureate degree?. AORN Journal, 87(3), 611-620. doi: 10.1016/j.aorn.2007.07.006
Theisen, J. L., & Sandau, K. E. (2013). Competency of new graduate nurses: A review of their weaknesses and strategies for success. Journal of Continuing Education in Nursing, 44(9), 406. doi:10.3928/00220124-20130617-38
The nurse needs to recognize the limitations of each staff member and learn what assignments are within the scope of their practice and what are tasks that need delegation. Delegation is defined as a complex process that requires clinical judgment and final accountability for patients’ care (Weydt, 2010). An assignment is defined as “giving someone else a task within his/her own practice and is base on job descriptions and policies” (NCSBN, 2005, p. 1). The Board of Registered Nursing (BRN) and the Board of Vocational nursing & Psychiatric Technicians (BVNPT) website, lists what duties the RN and the LVN can legally do and is within their scope of practice, this is called the ‘nurse practice act’. A nurse assistant personnel (NAP) or Unlicensed Assistive personnel (UAP) may perform different tasks depending on the state that they reside in, but most include tasks that are considered activities of daily living (ambulating, hygiene, grooming)(NCSBN, 2005). The LVN can perform tasks that the nursing assistant can do, as well as other tasks which include: medication administration (oral, subcutaneous, intramuscular), simple dressing changes, wound care, suctioning, catheter insertion, drawing blood from a patient, and starting an IV and intravenous fluids. IV and blood draws are dependent on the LVNs certification, competence, and
Nursing, as a crucial part of the health care system, keeps evolving while dealing with an increasingly complex clinical situation that involves quality of patient care. Therefore, to successfully handle these scenarios, nursing needs to become more advanced, clinically and academically. A DNP degree is needed in this situation because according to Dunbar- Jacob, Navito & Khalil (2013), a DNP degree is considered to have more impact on nursing than a Master’s or Bachelor’s degree due to the advanced clinical education a DNP provides (p. 425). Hence, the DNP degree has an enormous impact in nursing practice especially in terms of improving clinical care, promoting leadership roles, and improving educational status.
Recent research has exhibited that a decrease in mortality rates and medical blunders, in addition to an increase in positive outcomes, are associated with nurses who have studied at baccalaureate and graduate degree levels. With the technological advances made in health care, the increase of patient need, and more importantly, an increase in the practice demands across healthcare settings, a larger emphasis must be placed on nurses furthering their studies to that of a baccalaureate and even a master’s degree. At the end of the day, patient care is the number one focus for all healthcare professionals, and if further education for a nurse can assist in improving that aspect, then a larger onus should be placed on nurses in the present and the
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Q.3 Nurses as part of regulated health care practitioners are responsible and accountable to abide by the standards, codes and guidelines of nursing practice (NMBA, 2016). The nurse in the case study has breached the standard 1.4 of the Registered Nurse Standards for Practice. According to standard 1.4, the registered nurse should comply with "legislation, regulation, policies, guidelines and other standards or requirements relevant to the context of practice” when making decisions because this will be the foundation of the nurse in delivering high quality services (NMBA, 2016). The nurse in the scenario did not follow the hospital policy concerning “Between the Flags” or “red zone” and a doctor should be notified of this condition. Furthermore, the nurse failed to effectively respond to a deteriorating patient.
Prioritizing care is one of the first things that nurses learn in their career. Prioritizing requires critical thinking whether it comes to discharging a patient, caring for a patient, or delegating a task to a LPN or CNA. As the charge nurse they must look at the whole picture and not just the tasks that need to be done. The charge nurse is the one makes the assignments for the individual nurses, so if there happens to be a float nurse from a different department they might give them the patients with the lowest acuity depending on the nurse’s experience. The charge nurse must know which patients could be discharged if there was an emergency to arise or not enough hospital beds for those patients who need to be admitted. For example, the nurse is not going to recommend someone who came in with a heart attack; they would most likely recommend someone who is two days post op and is being discharged to a rehab facility in a couple of days. It is the charge nurses duty to make that everyone providing great and safe care to the patient.
There has been great debate in the nursing community for years regarding what should be the educational requirements for a practicing nurse. There are currently many options for men and women to enter the field through LPN, ADN, and BSN programs. More recently, programs have been popping up allowing accelerated BSN obtainment through second degree programs. The debate stems from the conflicting ideas of whether nursing as a whole is a trade, requiring an associate’s degree, or should be considered a profession, often requiring a Baccalaureate degree. In this paper this author will use past nursing history, current medical demands and advancements, and clinical patient outcomes to argue that the minimum education for a nurse should be a Baccalaureate degree.
Nursing encompasses several levels of education and licensure. For decades the differentiation between these levels has been debated, primarily between the differentiation of the Associates degree in Nursing (ADN) and the Bachelors of Science degree in Nursing (BSN). The associate’s degree, which began with the intention of creating a technical nurse, has developed into being “equivalent” to a bachelors degree (Hess, 1996). The two degrees however are not equivalent, the bachelors educated nurse receives two years education beyond the associate, in the liberal arts and upper division nursing courses
There is only so much an individual can learn from a textbook or classroom setting when it comes to nursing. Although clinical practicums are mandatory with any nursing program one can only retain so much in such a short timeframe. Student nurses mostly focus on completing their care plans and any other mandatory assignment related to their clinical experience. With that being said new graduates become novice nurses on the level of clinical practice. Patricia Benner discussed the education and experience levels of nurses by utilizing five significant stages. These stages include novice, advance beginner, competent, proficient, and expert. The ultimate goal for all nurses should
The IOM reported the aim of future of nursing is to create improvement in the health of Americans through nursing profession, also to meet need of the different environmental health settings in which they will practice. It is important nurses get advanced education and training. IOM recommended “80 per cent of nurses to get BSN in nursing by the year 2020” (Institute of medicine, 2010). Doing this will enable those nurses to use their critical thinking skills and research to enhance quality of nursing care. The understanding is that nurses need to achieve advanced
Implementing care plans within legal, ethical, and regulatory parameters is a competency that all registered nurses but abide by. As stated before as a baccalaureate nurse you must include not only patients and their families but also the community and population (The Texas Board of Nursing, 2011). Following the nursing process the next competency include evaluate the results of the implementations that have occurred. Once again the biggest difference between the two degree plans is baccalaureate nurses will also include the community and population as well as the patient and their family (The Texas Board of Nursing, 2011). Education is a vital piece of nursing and must be completed at every possible opportunity. Educated patients and their families on promoting health and marinating health is a very important concept. Expanding this education to the community and population is a vital step in helping reduce risk for our patients (The Texas Board of Nursing, 2011). The last competency is the nurse’s role in coordinating human information and material management resources for patients and their families as well as the expansion to include communities and populations as ones transition to a baccalaureate nurse (The Texas Board of Nursing, 2011).
The first key message that is discussed is that nurses should practice to the fullest extent of their education and training. Most of the nurses that are in practice are registered nurses. Advanced nurse practitioners are nurses that hold a master’s or doctoral degree and include nurse midwifes, clinical nurse specialists, nurse practitioners, and nurse anesthetists and consist of about two hundred and fifty thousand of the nurses currently working today. Advanced practice nurses are limited to what
It is very fascinating the most of the universities are having online courses for nurses to get their higher education, while nurses are struggling between the work and home. Currently most of the hospitals in the United Sates are moving towards magnet status which needed higher educated nurses. In this situation, it is blessing for nurses to attain their higher education through online course even for associate RNs to become BSN. The BSN program helps the nurses in many ways including to utilizing the process to the full scale and it will promote nurses to use their skills like educating the patient as we’ll as creating new nurses. Because of the new health care reform, the BSN program also will aid to fill the gap from the influx of patients. The baccalaureate degrees and BSN program helps and prepares for the significant part they going to play in reinforcing the new healthcare modification. At present, I utilize and develop nursing care plan in the nursing process even though it needs some corrections due to the nature of my work. The highest standards of nursing could be only done through better research and advanced training. All these process will not only aid to create a healthcare model based on the clinicians wants, but also based on better data from the research which will eventually help to direct them towards right direction.