This entry will discuss the DNP student peer-reviewed presentation at the Haitian American Nurses Association (H.A.N.A) monthly meeting on March 18, 2017. The DNP student had the opportunity to speak to members who were non-health professionals, nursing students, nurses, ARNP’s and DNP’s. The DNP student had the chance to prepare for this presentation with her mentor Dr. Marie Etienne. Preparation was done via a conference call. H.AN.A’s meeting was from 7:00PM to 10:00 PM.
The model that will be utilized to implement the change outlined within this paper is the Stetler Model. The model focuses on the nurse as the main critical thinker, but can be utilized by a group of clinicians. The model uses a systematic approach to bring about change through a five step process that involves the following: preparation, validation, comparative evaluation and decision-making, translation/application, and evaluation (Schaffer, Sandau, and Diedrick, 2013). This model focuses on defining the needs priority by way of evidence based research. Evidence is gathered externally via research and internally such as outcome data, consensus data, and experimental information (Schaffer, Sandau, and Diedrick, 2013).
The Complexity Adaptive System (CAS) is a system that can adapt to an ever-changing environment. CAS and the professions of nursing are closely related because the profession of nursing is constantly evolving in many directions. Back in the late 1800s, a registered nurse had a very narrow scope and they are categorized in the lower pay grade hierarchy (Chaffee & McNeill, 2007). In today’s profession of nursing, the nursing roles and scope of practice have expanded into over 100 specialties and contribute to essential roles in various parts of the healthcare system (Chaffee & McNeill, 2007). This just shows that the simple title of a registered nurse encompasses a huge role of responsibility because the daily hospital operations and the delivery
According to Garson (2000), the primary issues of healthcare, which were improving access, lowering costs, and improving the quality of care, would accelerate through 2010. Later in 2008, the Institute of Medicine (IOM) along with the Robert Wood Johnson Foundation researched the need of radically changing the nursing profession to confront the issues of healthcare (National Academy of Sciences, n.d.). Through these issues the IOM has devised a report suggesting the transformation of nursing practice, education, and leadership. By transforming the nursing profession, the IOM will give way for positive changes in the healthcare system. With this said, the IOM has researched and devised a plan to confront the issues of healthcare, however, how will this impact the nursing profession?
Despite accepting advanced roles and responsibilities APRNs have often encountered various barriers in the delivery of effective health care based on the variability in the legislative requirements endorsed by various states. To overcome these barriers and improve the delivery of healthcare the Consensus Model for APRNs has been endorsed by 41 various nursing organizations focusing on defining the roles, population foci and implementation strategies across the nation (American Nurses Association [ANA], 2017). Creating a standard expectation regarding the practice of APRNs will help to foster more consistent, quality education APRN programs nationwide (Rounds, Zych, & Mallary,
Advanced Practice Registered Nurses(APRNs) have expanded in numbers and competencies over the past several years. Because of the increasing needs of APRNs, they are being highly valued and became an integral part of the healthcare system. APRNs include Certified Registered Nurse Anesthetists, Certified nurse-midwives, Clinical Nurse Specialists and Certified Nurse Practitioners. Each has a distinct history and context but shares the commonality of being APRNs. They are educationally prepared to presume responsibility and liability for health promotion or maintenance, assessment, diagnosis and management of patient problems which includes the use and prescription of pharmacologic and non-pharmacologic interventions.
The nursing profession plays a vital role at the policy table in implementing full practice autonomy for Nurse Practitioners. Nurse Practitioners are contributing experts of the health care system. They have the education and skills needed to be a resource and partake in the policy process and political implementation. This particular policy development will require not just one nursing representative, but many, to push for and symbolize the dire need of full practice autonomy for Nurse Practitioners. In fact, the National Council of State Boards of Nursing [NCSBN] (2017) has formed the Advanced Practice Registered Nurse (APRN) Consensus Model, which streamlines the education, regulation, licensure, accreditation, and certification across the nation.
They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later. Which is dangerous, and a high risk for making an error. The change agent or the nurse leader will need to use the driving forces that will help the project to be successful.
Nurse Leadership Strategies to Facilitate Change during Informatics Initiatives Transformation Innovative changes are occurring in nursing practice due to the implementation of technology. Nurse leaders are awakening bringing new ideas to the practice that excite, inspire, inform, and engage nurses to become a part of the changes. These authors speak about building a relationship using communication; action plans to encourage change. Leaders need to embrace change is important to
Inconsistent regulation of Advanced Practice Nurse (APRN) role and scope of practice prevent a seamless healthcare system in which APN can practice. Advanced practice nursing roles and opportunities are increasing globally due to the necessity of expert nursing care at an advanced level of practice. An APRN is a registered nurse who has developed the complex decision-making skills, expert knowledge base, and clinical competencies for expanded practice, and are shaped by the context and/or country in which she or he is credentialed to practice. The practice of APRN is underpinned by the regulatory mechanisms and country specific practice regulations. An APRN practice includes several components including the ability to diagnose, prescribe treatments,
The article grabbed the attention of many including the legislators and policy makers who failed to recognize the contribution of nurse practitioners in making healthcare more affordable and accessible. The aftermath of this article is the current state of advance nursing practice. Even though we have not overcome all the barriers but there has been a lot of improvements in existing barriers. As Safriet mentioned in her article that nurse practitioners can be fundamental in restructuring the complex healthcare system. Nurse practitioners have repeatedly proved that they can provide cost-effective and high quality care to patients of all
The transition from an Associate Degree (AD) nurse to a Bachelor’s of Science in Nursing (BSN) is a rewarding time during a nurse’s career. There are many reasons why nurses return to college to get their BSN degree. Some return to meet a personal goal others return for professional advancement or are mandated by their employer to do so. Over the past few years many organizations stopped hiring AD nurses or drastically reduced the number they hire. Many AD nurses who delayed returning to school regret not doing so sooner when they realize the wealth of knowledge gained from getting their BSN degree.
My knowledge in the Doctor of Nursing Practice (DNP) continues to expand as I progress through the DNP program. The knowledge I have attained while in the study of the DNP I and DNP II is priceless. For example, recognizing stakeholders and utilizing networking has helped me to progress on my DNP project (Gokenbach, 2012). I also have a better understanding as well as the purpose of a DNP project. My mentors have been great in directing me in remaining on the right track.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
