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Organizational culture in healthcare
Organizational culture in healthcare
Organizational culture in healthcare
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Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.
This supplement is a record of my actions in cases 16-125169 (April10, 2016) and 16-125698 (April 12, 2016). On April 12, 2016 I was assigned case 16-125169 which involves Ms. Mya Navia a fourteen year old Francis Hammond School Student. On April 13, 2016, I was assigned a second case which was 16-125698 involving the same juvenile. On April 13, 2016 I touched base with Arrosa Kanwai (mother) who had previously denied me access to her daughter (16-119375).
I selected Family Nurse Practitioner (FNP) specialty track so that I could make a change in healthcare and the community. I want to be able to educate and care for others the way that patients would like to be cared for. Opening to the patients and educating in preventative care can be the key to some of the positive changes that our community needs. Since medicine is an evolving profession healthcare providers should keep up with the most up to date information on how to care for their patients. Family nurse practitioners are a key component in our healthcare today.
Through this course I have learned that history taking and performing a physical assessment and being able to differentiate normal from abnormal findings is one of the most important roles of a health care provider. If an accurate physical assessment is not performed, whether for baseline data or when the patient’s condition changes, then the patient is not receiving the level of competent care he deserves. Family Nurse Practitioners are expected to safely provide and meet the healthcare needs of people across the lifespan and diverse cultures through evidence-based care. Assessment is the first step in the process of individualizing care. To site a few examples, it is important to know a patient’s allergies to medications or food to avoid
Minimum coverage allowed in your state of residence. Under state law, a patient may pursue a civil claim against physicians or other health care providers, called medical liability or medical malpractice, if the health care provider causes injury or death to the patient through a negligent act or omission (Malloy, 2015). In North Carolina, The Nurse Practitioner has different risks and premiums. The recommendations are to obtain as much coverage as the provider can afford, but no less than one million (Krauss, 2004). Some employers will carry the liability insurance but they strongly recommend obtaining one 's own policy for additional coverage.
Veterans Affairs Nurse What a blessing it is to have the United States Department of Veterans Affairs (VA), Veterans Health Administration (VHA) providing multiple healthcare services to our heroes, our veterans! To be afforded the opportunity for our heroes to attend and be treated, at little to no cost, for a wide range of ailments from the common cold, to a mental health disability, or for the possibility of a healing surgery is a well-deserved and a wonderful privilege. One of the major demographics of care providers within the VHA is the registered nurse. There are over 51,000 registered nurses nationwide, with 60.7% of the total population of providers of healthcare, within the VA hospitals, VA outpatient clinics and VA Patient Care Medical Homes (VHA, Office of Nursing Services, 2012).
The American Academy of Nurse Practitioners Certification Board Inc. (AANPCB) is a self-regulating non-profit certifying board whose purpose is to offer an official and reliable program for the assessment of those needing to enter, continue, and/or advance in the nurse practitioner occupation through the certification process. The organization was recognized in the early 1990s by the American Academy of Nurse Practitioners. In 1999, AANPCB became separately incorporated as the American Academy of Nurse Practitioners National Certification Board, Inc. and the credential NP-C, which stands for Nurse Practitioners-Certified, was registered and trademarked. The American Academy of Nurse Practitioners Certification Board’s national certification
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Nursing has become a very dynamic role as it is constantly changing and evolving. The number of people entering the nursing field continues to increase. The responsibilities nurses are held accountable for are very diverse and demanding. Mental health nursing is one of the many diverse fields a nurse must be educated in. A nurse must be competent in attending to a patient’s mental health as it is something that pertains to all patients regardless of race, origin, or religion.
Najla Morshidi NURS 301 Case Study Health History and Analysis of Finding A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8?? , has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year.
This nurse’s plan as a registered nursing and student is to become an Advanced Registered Nurse Practitioner (ARNP) with a specialty certification in Family Nurse Practitioner (FNP). The geographical area in the state of California is in a community with patients having health disparities and it is an underserved population. Healthy people 2020 identified patients with healthy disparities as lesbian, gay, bisexual, or transgender, personnel living in nursing homes with disabilities, individuals living in rural areas, and women households with children (Centers for Disease and Control, 2015). The writer’s role as a FNP working in these underserved population will include doing assessments, diagnosis and treatments of common conditions, as well as preventative care services such as ordering laboratory work, medical tests, and prescriptions (American Association of Colleges of Nursing, 2015; National Organization of Nurse Practitioner Faculties, n.d).
1) As APN’s what can we do to support those experiencing family violence or threatening behavior? What resources are available in your community? As Advanced Practice Nurses we can support those experiencing family violence or threatening behavior by first screening patients for domestic violence so that they are properly identified, participating in preventative efforts, advocating for victims, and providing treatment measures to those effected. According Flaugher (2013) all adult patients should be routinely screened for domestic violence.
Introduction Nursing is known as professional discipline (Donaldson & Crowley, 1978). Nurses shortage is one of the significant issues in current nursing in Singapore and also in other countries. According to Buchan et al 2008, nurses shortage has a significant connection with a country’s historical staffing levels, country 's resources and it also estimates the demands for healthcare. Nursing shortages are unmeasureble, and they may be defined as professional capacity standards from an economical view.
The nursing profession has always been known for its attitudes to others, which encompasses the behaviors of being caring and compassionate. Nevertheless, what many of the individuals do not realize is that the actions of incivility among other nurses occur discreetly, whether it be in an institutional or practice setting. Incivility, in the world of nursing, is one of the most essential and difficult problems to approach. Throughout this discussion, it will entail what incivility is and why it occurs, whom are the most vulnerable, and how can nurse leaders address this issue. Incivility is defined as any impolite or disrespectful behavior toward another, whether intended to cause harm or not.
This situation presented an unresolved conflict between myself and the vice principal in my clinical placement. This conflict can be linked with the nursing concepts of interprofessional collaboration and communication, role clarification, and power. Therefore, it is understandable that nursing students working within an interprofessional team that does not demonstrate respect and understanding will result to ineffective care, health promotion delivery, and impede professional development. Interprofessional collaboration amongst health and non-health professionals is integral in optimizing health outcomes and promoting health.
