Defining Np Scope Of Practice Nursing Essay

Defining Np Scope Of Practice Nursing Essay This original research was conducted in a large teaching hospital in the North West of England that examined ward-based Advanced Nurse Practitioners (ANPs) and aimed to clarify their roles and expectations in patient care and how they impact the clinical practice. Study participants (which consist of five ANPs, 14 ward-based nurses, and five patients) were observed and invited to participate in interviews. The roles and skills of ANPs were observed and gathered from the interviews. ANPs were described as pivotal in the management of patient care and served as an invaluable link between the medical and nursing team. They frequently translated medical information for nurses, patients and other allied healthcare professional to make sure that the plan of care was well understood and provide further explanations if necessary. ANPs were observed to be confident practitioners, good information resource and by using their technical knowledge and skills served as a role model to support the nurses and junior doctors to enable them to be more efficient in providing care. In addition, ANPs were found to be less intimidating than doctors and more approachable in resolving care issues. Meanwhile, ANPs were faced with a number of challenges and have to ove rcome skepticism from other health professionals who have different views on the ANP role expectation and scope of practice. ANPs perceived that their education had not adequately prepared them for their clinical role. ANPs have great impact in nursing practice and patient care. Although the study strives to clarify the role of the ANPs, the findings regarding the role of ANPs are not clearly defined and lack consistency that may lead to role conflict and overload. Running Head: How are acute care nurse practitioners enacting their roles in healthcare teams? A descriptive multiple-case study This multiple-case study conducted in two-university affiliated teachings hospitals in Quebec, Canada aimed to understand how cardiology acute Care nurse practitioners (ACNPs) enacted their roles in healthcare teams. Data were collected from interviews, field notes, documents and time and motion study of NP activities. The work activity pace was faster before noon due to patient care demands. Participants in one hospital believed that NP role was not an integrated role of medical and nursing components but an expanded role because they assumed more expanded nursing role components than the medical role. In addition, NPs needed to consult with physicians for patient care decision making that were within their scope of practice. They did not have that much authority in regards to decision making due to lack of structures to formalize the organizational role. There were also inconsistent messages about the role expectations to attempt to formalize the prescriptive authority of NPs which had not been approved by the medical advisory board. On the other hand, participants in the other hospital believed that NPs enacted their role more in the medical component since the medical directives and prescriptive privileges had been approved by the medical advisory board. NPs had greater autonomy in their role and prescriptive authority. It was also noted that NPs participated very little in nursing activities such as implementing nursing care plans or use of clinical care pathways. In both hospitals, the largest role component was the clinical role. The transfer of prescriptive and decision-making authority must be addressed to enable NPs to work their full scope of role to optimize patient outcomes. Clarifying role structures were expected to enable the NPs enact their role in healthcare team and prevent role confusion. Running Head: Defining NP scope of practice and associated regulations: Focus on acute care This review of literature was conducted to define the NP scope of practice (SOP) with emphasis on NPs in acute care setting. Documents were gathered from different resources including National Council of State Board of Nursing (NCSBN), individual state board of nursing, and NP scope and standards of practice. According to Federation of State Medical Boards (2005) and NCSBN (2009), à ¢Ã¢â€š ¬Ã…“SOP is a set of rules, regulations and boundaries within which a fully qualified NP may practiceà ¢Ã¢â€š ¬Ã‚ . It defines what activities a profession can undertake. Both practice acts (state regulatory board form of statutes approved by legislators) and its rules and regulations define NP SOP and require approval from legislators to become law. The Consensus Model for Advanced Practice Registered Nurses (APRN) Regulation was developed to resolve different issues concerning inconsistent APRN education and licensure requirement across jurisdiction and issues in certification. It helps stand ardize regulations for APRNs. Professional regulators are working together in implementing a consistent SOP for NPs in all jurisdictions. According to American Academy of Nurse Practitioners (AANP), NPs are licensed independent practitioners that provide nursing and medical services emphasizing on health promotion and disease prevention. In addition, NPs have a collaborative practice agreement with the physicians. However, regulations are different from state to state NP SOP are not clearly defined and further clarifications are needed especially as it pertains to NPs working in acute care to ensure that NPs are practicing according to their education, training and competency as evidenced by the certifications they hold. Running Head: NURSE-DIRECTED INTERVENTIONS TO REDUCE CATHETER-ASSOCIATED URINARY TRACT INFECTION This research focuses on the evidence-based practice guidelines conducted at the University of Colorado Hospital as a quality improvement project to initiate a nursing-driven approach to reduce the incidence of catheter-associated urinary tract infection and improve patient outcomes. A catheter-associated urinary tract infection (CAUTI) is the most common cause of healthcare-associated infection. It is a major health concern leading to prolonged hospital stay and increased healthcare cost. Evidence-based use of indwelling urinary catheter (IUC) must be enforced to reduce the prevalence of CAUTI. In this project, an intervention design was implemented to evaluate the nurse-driven intervention incorporating evidence-based guidelines. The goal is to decrease the prevalence CAUTI by emphasizing health education on specific unit-based nursing practice. Improving the nursing care by educating the nurses regarding insertion, management and early removal of IUC to ensure the best practice and expanding this education to ancillary services (eg. rehabilitation and transport staffs) were found to positively impact the CAUTI rates. Focused unit interventions such as providing education on postoperative catheterization, use of bladder scanner to check for urinary retention to minimize IUC reinsertion, and encouraging early removal of the urinary catheter were found to decrease the catheter days and prevent infection. Providing education by infusing the best evidence into current practice are important interventions to raise awareness. Incorporating evidence-based guidelines and strategie s by focusing of nursing-driven interventions can improve patient outcomes.

Types of the Radar

Imagine an airplane plummeting towards the ground at a fast pace speed, its foggy outside and impossible for the pilot to regain control of the plane and he has to make an emergency stop, everyone on the plane is panicking but the pilot reassures them a safe landing, because he has a secret weapon called radar. What is radar? Radar stands for radio detecting and ranging, it is used to find radio waves and retrieve information and also to transmit radio wave information.Heinrich Rudolf Hertz a German scientist studying electromagnetic theory of light is responsible for the development of the radar system. Along with other less well known scientist under him. There are multiple different types of radar,  AIR SEARCH RADAR, meaning plane missiles response.  HEIGHT FINDING RADAR- when in the air, trying to find signal to land. & FIRE CONTROL RADAR.Radar was used a lot back in modern wars, mostly on ships for purposes like to avoid ship collision and to be able to find where the other boat and any other miscellaneous objects where and to either a. have the element of surprise or b. to avoid. Radar can also be used in the air, fighting while in flight can be even more dangerous than fighting by land or by the sea, but with the use of radar, planes can use antennas to detect other enemy airplanes, they might also have them in modern day airports to help the pilot find the landing strip while in the air, the radar will send transmitted information to the pilot that will help them prepare to land. It’s not only used for these practices though it can also be used for many modern day 21 century objects in your home as well such as the microwave oven, the television, antennas and transmitters and the satellite radio.Directions/ example of how a radar would work: Magnetron generates high-frequency radio waves.  Duplexer switches magnetron through to antenna.  Antenna acts as transmitter, sending narrow beam of radio waves through the air. Radio waves hit enemy airplane and reflect back.  Antenna picks up reflected waves during a break between transmissions. Duplexer switches antenna through to receiver unit.  Computer in receiver unit processes reflected waves and draws them on a TV screen. Enemy plane shows up on TV radar display with any other nearby targetsUSES OF RADAR:The radar gun, is a device often the police use to fine speeding drivers with, what happens is the police shoot a beam towards your car, the beam reflects off the metal body of the vehicle in question, depending on how high the wave frequencies are determines whether or not you will be issued a speeding ticket.Navigation radar is used in many situations lets talk ships, the navy is the primary users of radar today, it has many uses for them including locating enemy ships, finding the distance of other ships to avoid collision in dreary weather and at night, to navigate on course to fix their various positions at sea so someone is aware of where they are if they get lost, measuring surface waves, monitor regular ship movements, sea traffic control, to warn of tropical storms and breaking waves and for sea clutters and traffic.Fun fact: even though radar is useful to find the enemy the enemy can also find you, the US navy has developed â€Å"secret† radar that is able to hide itself from being found at sea.Weather radar devices electronically convert the reflected radio waves into picture that show the location and intensity of precipitation and the speed of the wind. It can be used to track the intensity and the location of various types of precipitation. Or where bad weather is coming from and headed, It is also used to detect and track the velocity of thunderstorms and tornadoes.

Impact Of Civil War On North And South - Free Essay Example

Sample details Pages: 4 Words: 1170 Downloads: 8 Date added: 2019/05/15 Category History Essay Level High school Tags: Civil War Essay War Essay Did you like this example? From April 12, 1861 to May 9, 1865, the civil war had a lasting impact on the North and the South and their individual attitudes towards slavery. This idea is evident in a series of letters that were gathered from that period. The first letter was written by James Henry Gooding, a Massachusetts Black Corporal on September 28, 1863. Don’t waste time! Our writers will create an original "Impact Of Civil War On North And South" essay for you Create order Earlier in the month, a Union force was defeated in the Battle of Chickamauga. The second letter was written by an unnamed New York Black Soldier in August 1864. During that month, the Battle of Mobile Bay and the Battle of Jonesborough had occurred, both of which were victories for the North. The third and final letter was written by James C. Beecher, Commander of a North Carolina Black Regiment on September 13th, 1863. During this time, the Union Army of Potomac crossed the Rappahannock River and shortly after, the Battle of Culpeper Court House occurred. Although the union had fought the Confederacy and had considered slavery to be a moral wrong, they still displayed similar attitudes to their adversaries, even reducing African American servicemens positions to statuses similar to laborers and slaves instead of soldiers. James Henry Gooding had turned to writing a letter to President Abraham Lincoln after the absence of equal pay became prevalent to him and other black soldiers. In his letter, Gooding asked an important question, Are we Soldiers, or are we LABOURERS? (Gooding, 1863). Gooding argued that Black soldiers should not be underpaid, for they performed the same work and accomplished the same duties that white soldiers did. He continued his letter, further explaining the prejudice of the situation, When the arms of the Union, were beaten again the black man begged, the privelege of Aiding his Country in her need, to be again refused, And now, he is in the War: and how has he conducted himself?Let their dusky forms, rise up, out the mires of James Island, and give the answer. We have done a Soldiers Duty. Why cant we have a Soldiers pay? (ibid). Gooding explained how black soldiers proved whites wrong, yet they still had not been recognized as worthy of equal pay. They had accomplished their duties like everyone else, but they were not adequately recognized for their participation. You caution the Rebel Chieftain, that the United States, knows, no distinction, in her Soldiers: She insists on having all her Soldiers, of whatever, creed or Color, to be treated, according to the usages of War. Now if the United States exacts uniformity of treatment of her Soldiers, from the Insurgents, would it not be well, and consistent, to set the example herself, by paying all her Soldiers alike?(ibid). Gooding pointed out that the union had not stood by what they had claimed to believe in. After all, one of the reasons why the civil war began was because of differences in views on slavery and whether or not it should be outlawed. An unknown soldier wrote to President Abraham Lincoln to the best of his ability. Instead of the musket It is the spad and the Whelbarrow and the Axe cuting in one of the most horable swamps in Louisiana stinking and misery. (Unknown, 1864). The unknown soldier described the treatment of blacks and the work they were assigned. The jobs that the unknown soldier spoke of were that of slave work. He compared the use of weapons to the physical labor that black regiments performed to show the clear lack of acknowledgement from their white superiors. The unknown soldier then went on to write about the fact that they were underpaid. we All Listed for so much Bounty Clothing and Ration And 13 Dollars A month. And the most has fallen short in all thes Things we havent Recived A cent of Pay Since we Bin in the field. Instead of them Coming to us Like men with our 13 Dollars thay come with only seven Dollars A month. (ibid). The soldier seemed to face the same problem as Gooding however, the u nknown soldier delved into further detail about other basic necessities they were deprived of alongside payment. Hardly have Anough Bread to Keep us From starving six or 8 ounces of it to Do A Soldier 24 hours on Gaurd or eney other Labor and About the Same in Meat and Coffee sum times No meat for 2 Days It is A hard thing to be Keept in such a state of misery Continuly. (ibid). The soldier explained the lack of food to further highlight their wretched situation. They were still expected to fight and perform physical labor after being fed scraps, and they accomplished those things, yet they were still deprived of the three dollars they were meant to be paid. James C. Beecher was a man of leadership. In his days as a commander of a black Regiment, Beecher had seen his fair share of injustices towards blacks. In Folly Island of South Carolina, Beecher wrote to General Edward A. Wild in an attempt to salvage his Regiment, describing the work that his black troops were assigned and how it had affected his troops sick list. In his letter, Beecher stated, It is reported to me on good authority that men of my command ordered to Morris Island on fatigue duty, are put to work laying out and policing camps of white soldiers on that Island Since the commencement of the war I have never before known such duty imposed upon any Regiment. (Beecher, 1863). Beecher pointed out the blatant inequity by mentioning his black soldiers were assigned duties that white soldiers never had to complete. To further prove his point, Beecher added the impact of such work on his black soldiers noting, As you are awareâ€Å"the fatigue duty of my regiment has been ince ssant and tryingâ€Å"so that my sick list has increased from 4 or 5 to nearly 200 in a little over one month.(ibid). Beecher was aware that simply presenting the situation would not be enough to convince Gen. Wild, so he added the increasing numbers of incapable soldiers to persuade Gen. Wild to take notice of his concerns and take action. Towards the end of his letter, Beecher sums up the real issue at hand with his bold word choice writing, when they are set to menial work doing for white regiments what those Regiments are entitled to do for themselves, it simply throws them back where they were before and reduces them to the position of slaves again.(ibid). In conclusion, even though the North had seen themselves to be more advanced than the South because they outlawed slavery, they still treated their black soldiers as slaves and laborers rather than soldiers. The three letters presented showed the hypocrisy of the Union from the perspectives of a White commander of a black regiment, a black soldier, and an unknown black soldier. The common point between all three letters were black regiments and the problems they faced that they felt brought them back to slave status due to unequal pay and the slave-like jobs they were appointed.

Supply Chain Management Approach Analysis Essay - 1034 Words

This case study discusses a supply chain management approach analysis and describes how project managers should implement business processes to understand the importance of a successful project implementation. The case analyzes the â€Å"topics related to financial management, accounting, procurement, sales, marketing, contracts, manufacturing, distribution, logistics, the supply chain, strategic planning, tactical planning, operations management, organizational structures and behavior, personnel administration, compensation, benefits, career paths, and health and safety practices† (Schwalbe, 2011). This case study discusses how a project manager is tasked with an assignment to position the organization to distribute its resources/products†¦show more content†¦In this case study the project manager decided to build and information system to increase and improve the functionalities of online sales. A key function directly related to the business process reengineering i s the information system process of information technology. The concept of business process reengineering is often discussed in management circles seeking to improve the way things are done within an organization. If you are looking to redesign the functionality of business process you are in fact taking a business reengineering approach. Organizational change, information technology and business process reengineering are all interrelated within the framework of improving business processes. If organizations are in fact seeking to streamline business processes through business process reengineering concepts they must fully understand the BPR methodology. The systematic approach of BPR suggests five step methodologies which essentially provide a BPR framework to a successful implementation. The first methodology which was taken by AD is the preparation. When analyzing BPR, â€Å"this very first step in BPR is to develop and articulate what is to be accomplished by reengineering, inc luding goals and scope as it relates to BPR† (Motiwalla Thompson, 2011). This was the case for AD whose â€Å"sales had come predominately through retail outlets in shopping malls across the Midwest andShow MoreRelatedAn Empirical Analysis Of Supply Chain Risk Management1692 Words   |  7 PagesDaniel Hoenig in the paper titled â€Å"An empirical analysis of supply chain risk management in the German automotive industry† applied the practices of supply chain risk management by surveying sixty-seven manufacturing plants in German automotive industry. The need of real empirical research in supply chain risk management to help analyzing supply chain risk and test the previous research proposed instruments that can be applied for supply chain risk management was the motivation of this work. 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