Personal practice related to ANA scope of practice Essay

As a nurse, one must follow a scope of practice, what is expected of them within their role of the nursing profession. These guidelines shape the responsibility of the professional nursing organization and serve to protect the public. According to, Nursing’s Social Policy Statement: The Essence of the Profession (American Nurses Association, 2010, p. ) defines contemporary nursing: â€Å"Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. † I believe my role, as a nurse is consistent with the scope of practice outlined by ANA and the contemporary definition cited. As a nurse, I strive to be clinically competent and aware of the constant challenges that one faces on a daily basis. Being well informed promotes health and prevents further illness and injuries. One goal I try to set aside every week is to attend a weekly ground rounds meeting, where additional education is provided on a specific case study. This opportunity allows me to stay current and up to date on new medications available, research findings and team collaboration feedback from staff on effective treatment options for optimal patient outcome. In addition, completing required competencies and being a member of Oncology Nursing Society also strengthens my knowledge and skill in providing the best evidence based practice to an individual and their families. Being a resource nurse for my unit allows me the opportunity to share my knowledge with the staff and actively participate in mentoring young nurses build a strong foundation and develop critical thinking skills. Education is critical in the nursing profession. Lifelong learning must be an ongoing process due to the rapidly growing population and technology advancements in our society today. I believe it is the responsibility of the nurse to facilitate this process and collaborate with other nurses in their field to continue to work together to strengthen the role of the nurse in an environment that requires continuous education and competencies. â€Å"Registered nurses must continually reassess their competencies and identify needs for additional knowledge, skills, personal growth, and integrative learning experiences† (American Nurses Association, 2010 p. 13). State legal regulations and professional standards of nursing The Ohio Board of Nursing defines nursing and the scope of nursing practice. Rules and regulations are in place to determine compliance set in motion by the Nurse Practice Act. Responsibility is outlined by establishing standards for nursing education programs, eligibility to sit for the state licensure exam, renewal criteria of that license, and setting standards for continuing education to meet renewal criteria. The Board is also responsible for defining the standards of delivering safe nursing care for registered nurses and protecting the community with these standards. Another role the Board is responsible for is reviewing and investigating violations of this Nurse Practice Act and determining if a nurses license is to be denied, revoked, suspended, or restricted in any way (Ohio Nurses Association). It is essential that nurses maintain an understanding of the legal regulations within their nursing practice. The Ohio Board of Nursing requires all Ohio nurses to have continuing education on Ohio law with a total of 24 continuing education hours every two years for license renewal (Ohio Board of Nursing). As a professional, I feel it is my primary responsibility to understand the law and regulations defined before me, this knowledge allows me to safely practice nursing care and deliver the best care to my community. I have worked in other states as well, and of those states I have worked, Ohio is the only one requiring a continuing education credit with a focus on state law and regulations. I feel every state should have continuing education credit requirements for renewal and at least one of the required credits have a focus on law. It is important as a professional to have knowledge of this. To have a check and balance system in place to make sure one is justly maintaining these standards and expectations in delivering a safe competent nurse to our community is vital to the population as a whole. Provisions 7, 8 and 9 â€Å"Provision 8 describes the nurse’s moral obligation to society. Provision 9 describes the responsibilities of the nursing profession to both the individual nurse and society in general. Provision 7 provides the necessary linkage between individual competence and evolving professional standards of practice, in addition to giving nurses a responsive and collaborative role n health policy for the overall advancement of the profession† (Fowler & Association, 2010, p. 91). Initially, these Provisions were never intended to be carved out of stone, but historically, they have been a guide and continue to be a guiding force of moral and ethical standards to follow. I pride myself on working for a hospital that fosters an environment on ethical integrity and professionalism. Because of this strong thread, it motivates me to do more, achieve more, and be more than I am today. I want my patients and my community to feel that they are receiving the best nursing care. An example I recently explored was implementing a grid to follow based on patient’s diagnosis and treatment pathway prior to admission to the floor. I work in the hospital’s rapid admissions unit. My goal is to have the patient to their room in 30 minutes or less. Of recent, we have received a lot of admissions for pancreatitis, however, I have noticed that the patient arrives to my unit without pain management options, i. e. PCA pump. This has delayed the patient’s comfort and care prior to arrival to HRAU leaving me scrambling to get pain orders, equipment and recover any customer service issues. This grid allows a framework to use as a guide of anticipated orders and outcomes. I presented this grid to my nursing manager, our staff and the ER manager and charge nurses for their collaborative input and suggestions. So far it has been effective, and we are working on additional areas to cover as well. Nursing is continually evolving and as a professional it is our job to facilitate education within our community of nurses so we can better serve our patient population. Philosophical forces influencing practice Philosophy is an attitude toward life and that attitude evolves from every nurses belief system. One’s attitudes are shaped by their environment and an accumulation of life experiences, I define nursing as a way to give back. Giving good nursing care doesn’t stop at being knowledgeable about medicine and having the very best in technology. It goes beyond, by reaching that individual on a spiritual level and connecting with them. I have always believed that one cannot be taught how to show compassion, an individual either possesses that ability or they do not. I have always believed that that is one of my strongest qualities, and this has been reconfirmed back to me by my patients through the years. To truly interact with a person you need to gain their trust, once that has been achieved through a therapeutic environment, healing is then possible. Ethical principles influencing practice There are standards in place to dictate the need to protect patient’s values, beliefs, culture and safety. It is difficult at times, when dealing with challenging patients and having to handle the stress of our jobs to remain open and unbiased. It is nice to have a reminder that our patient’s values come first and respect their choices. Our role is to educate them about their treatment plan and make sure they are well informed, while letting go of our own attitudes. Determining, nursing practice are essential for dealing with day-to-day ethical issues (Jormsri, Kunaviktikul, Ketefian & Chaowalit, 2005). I recently had an Asian woman who presented with abdominal pain and requested to have cupping performed by a healer specialized in the field. I was initially at a loss, how was I going to find someone to perform cupping. I wanted to help this woman and when I asked my colleagues and manager they had no suggestions. So I contacted the department that handles cultural awareness and was able to get a lead on whom to call. After, two hours of my day spent looking for someone to call, I finally had my answer. I came back to give my patient an update on the progress and she was so relieved. It was like you could see the anxiety drain out of her. By the end of the day, the therapist arrived to do cupping with her and she was relaxed and expressed that she truly felt like I heard her. It was not easy and I did find myself getting frustrated with the process of trying to make something work that I knew very little about. I’m happy I followed through with it, because in the end every patient has a right to believe what they believe, even though her values and attitude toward medicine is very different than my own, I was able to put aside my own views and attitude and really help someone else. Conclusion Many might say nursing is a science and some might say nursing is an art. I believe it is both. To be a successful nurse one must have the passion to continue their education and apply their knowledge through the science of nursing, and have the efficacy and compassion to provide the art of caring. Without caring the nurse is unable to connect with the patient and if the nurse cannot connect, trust will not develop between the nurse and the patient. I have always believed nursing is a calling and it is one of the most challenging jobs to have, but by far it has been the most rewarding.

The Company Man Essay

In her article â€Å"The Company Man,† Ellen Goodman uses stereotypes about an average man to convey her attitude towards Phil. Phil is a character who works himself to death in his corporate job. Goodman reveals in her article that in order to be a â€Å"company man,† Phil sacrifices his everyday life. Ellen Goodman uses diction, syntax, and characterization to create a piteous tone in her essay â€Å"The Company Man.†Ellen Goodman uses diction to appeal to the readers’ emotion to create a piteous attitude. When Goodman states, â€Å"†¦ he always ate egg salad sandwiches,† makes Phil sounds boring, but makes the reader feel a little sympathy for Phil wishing had a little fun in life. In the passage she would call him a workaholic or say that he had no outside interests. Once again, Goodman’s diction is making the reader feel sympathy for Phil not having a fun filled life. The way that Goodman uses diction ties in well with her essay.Als o, Ellen Goodman uses characterization to appeal to the readers’ emotion to create a piteous attitude. In this passage she calls Phil a workaholic. She calls him this because he works six days a week, even on his off day. This shows Ellen Goodman’s her pity and sympathetic tone. She tries to convince her audience that feel was a good hardworking man.Ellen Goodman also uses syntax to appeal to the readers’ emotion to create a piteous attitude. Ellen Goodman states, â€Å"Phil was overweight and nervous and worked too hard.† This shows some pity that she had for him because of his condition. Also Ellen Goodman also states, â€Å"At the funeral, the sixty-year-old company president told the forty-eight-year-old widow†¦Ã¢â‚¬  This also shows her pity by putting the age in the passage so the reader can have sympathy.Ellen Goodman appeals to the readers’ emotions by using rhetorical devices such as syntax, diction, and characterization to create a piteous attitude towards Phil. Ellen Goodman is trying to get her audience to see that men, especially Phil, are good hardworking people.

Research Topics with Explanation Essay Example | Topics and Well Written Essays - 500 words

Research Topics with Explanation - Essay Example The provision of the maintenance of the group health benefit of the employee, at the time he or she is on leave, is an added advantage in the provisions of the law. A change in the FMLA, therefore, shall serve justice to employees who, given these reasons, need to take leave from their work. The law provides 12 weeks unpaid leave of assured protection of the employee’s job within any given twelve months time (United States Department of Labor, 2010). I chose the topic because among the provisions in the law are issues that relate to health. Health is an invaluable need for every employee should have a job-protected leave to attend to health matters. Given the inevitability of the reasons for the leave, it should be a paid leave. The target audience is the labor department that needs to make considerations of changing the law into paid leave (Perritt, 2004). Standardization of regulations regarding the use of cells phones while driving is an inevitable need for ensuring safety in the transport sector. Drivers of commercial motor vehicles should be subject to restrictions in the use of mobile phones while driving. They should abide bythe provisions by the FMCSA. Failure to comply as per the provisions of the law should attract a new disqualification sanction the drive or the commercial driver’s license upon multiple convictions for violation. Imposing restrictions on drivers of motor vehicle carrier relating to their use of mobile phones while conducting operations in the interstate commerce would further strengthen such regulations (FMCSA, 2010). Safety in the highways would gain improvement with standardization of regulations regarding cell phone use while driving. Driver-related crashes on the highways would reduce significantly. Cases of injuries that involve these drivers would be low (Wyllie, 2007). I chose this topic becaus e of the increasing concern over several lives lost in accidents involving drivers of commercial motor vehicles. The target

Drug Behavior and Blood Brain Barrier Permeability Essay

Drug Behavior and Blood Brain Barrier Permeability - Essay Example Adolescent's innovation and curiosity can be transformed in dependence and addiction. Substance abuse is a maladaptive pattern leading to clinically significant impairment or distress. Several illicit substances produce dependence, defined as substance abuse that leads to loss of control, monopolization of time by substance use, and adverse medical, social, or emotional consequences that include tolerance and withdrawal (Gonzalez-Mayo, et al., 2005). There is a continued use in spite of knowing the problems that it causes. The mesolimbic dopamine system, particularly the nucleus accumbens, is a critical reinforcing site for drug addiction; this same pathway is believed to control drug craving and seeking behavior. It was recently proposed that addiction is a disease of learning and memory; classical conditioning describes learning in which a natural response is elicited by a conditioned, or learned, stimulus that previously was presented in conjunction with an unconditioned stimulus. Some evidence suggests that the mechanisms involved in the acute stimulant effects of cocaine and other illicit psychostimulants may be similar to the underlying features that explain chronic effects and addiction. The studies conducted in mice have allowed researchers to disclose important data regarding addiction pathways and neurotransmitter input. In humans, cocaine acute intoxication ca... On the other hand, ethanol intoxication causes disinhibition, emotional lability, slurred speech, ataxia, coma, and blackouts. Nicotine is one of the most addictive substances, and causes restlessness, insomnia, anxiety, and arrhythmias. Boudreau & Wolf (2005) define sensitization as "the augmentation of behavioral responses to drugs of abuse that occurs during their repeated administration and persists long after drug exposure is discontinued". The study conducted by Bainton, et al. is based on behavioral sensitization and the similarities between the addiction pathways of mammals and flies. By analyzing genetic features of Drosophila, the authors show that the behavioral defects observed in the mutant strains are not caused by accessibility changes of the administered drugs, but from alterations in the blood brain barrier, by means of changes in nervous system function. The Experimental Fly Since 1900, Drosophila flies have been used for genetic experiments. The fruit fly Drosophila melanogaster is highly accessible to genetic analyses, and has been introduced as a novel model organism to help interpret the complex foundation of drug-induced behaviors (Heberlein, 2008). In this study, flies were maintained on special agars and mutants where screened for drug sensitivity. First, researchers evaluated several fly strains that carried a mutation named EP1529, and found an increased sensitivity to both cocaine and nicotine exposures; excision of the mutation restored drug sensitivity in these flies. Additionally, the altered gene was identified as moody, which encode for a G protein-coupled receptor. In both larvae and adult flies,

The clinical Leaning environment Essay Example | Topics and Well Written Essays - 250 words

The clinical Leaning environment - Essay Example The relationship of the teaching staff has a significant impact on the quality of nurses, it is one of the most crucial factors that are necessary for a positive learning environment. Teachers are also a channel towards better learning opportunities and many students identify that the attitude of teachers towards students and access to better learning are very important towards their development. Another factor which in my opinion is extremely important for proper clinical placement is proper professional orientation. Many nurses are being ill-treated in different clinics because of less staff, work load and many a times, the staff feels threatened by the nurses. All these problems were not encountered by me during my work here. Also, in this hospital, the staff was very resourceful in terms of their knowledge and experience. It was encouraging, supportive and acceptable towards minor mistakes. The entire experience of your clinical placement is shaped by the overall culture of the ward. It gets uncomfortable when students face unfamiliar patients and hard to follow schedules. If students are accepted wholeheartedly in the ward and are appreciated for their interest in the field, the clinical experience becomes better. Hence professional, educational and learning influences do impact on one’s overall clinical experience. Although in my opinion, my CLE was near perfect, but here was one area which i felt needed improvement and that was the proper training for those nurses who enter the Intensive care Unit or ICU. This unit is one of the most sensitive units in the hospital and one should be subjected to some special learning procedures in order to become a master at those skills. This problem is not only pertinent to this hospital but worldwide also; there are really few publications that focus on those nurses who are entering the ICU for the first time. So I think this area needs a little bit

Customer Service Operations & Excellence Essay Example | Topics and Well Written Essays - 2000 words

Customer Service Operations & Excellence - Essay Example Service Packages offered by The Edge Restaurant Service Packages also known as â€Å"A bundle of goods and services with information that is provided in some environment†. Supporting facility The physical resources that must be in place before a service can be sold. The physical resources of the Edge include the location of the restaurant in the campus, interior decoration of the restaurant, the advanced point of sale systems etc. Facilitating goods The material consumed by the buyer or items provided by the consumer. The facilitating goods in the Edge would include the food items served by the restaurant like Sandwiches, Baguettes and Paninis, Chocolate bars and tablets, Chocolate crisps, Fresh Fruits, Potato Chips, Waffles, Pancakes, Pasta etc. Explicit services The essential or intrinsic features are known as explicit services. The explicit services of the Edge restaurant would include the quality of food, timing of serving the meal, courtesy and behavior of the staff of th e restaurant etc. Implicit services This includes the psychological benefits or extrinsic features which the consumer may sense only vaguely. These include factors like the spacious environment, space provided for car and motorbike parking etc. The timings of the restaurant is 8:30 am to 2:00 pm which have been kept for the convenience of the students (Disabledgo, 2013b). ... The Service Blueprinting method consists of a graphically represented overview of the service process and activities. In each process the contact and the interaction points of the customers becomes visible. A Service Blue print would be created for The Edge restaurant to understand the interaction points between customers and identification of the failure points of the restaurant. Client Interaction: This separates the process step of the service activities that the client carries out independently (Gremler, n.d.). Visibility Line: It separates the visible service activity from the hidden service activity. Above the line the process components which can be seen, smelt or heard are ordered. Internal Interaction: This separates the activities that imply to the immediate relation to the customer’s order from the support activities. These support activities can serve as a guide for the preparation of the primary activities and do not belong to the customer’s order. Control Line: This separates the preparation activities from the management activities which are general. Line of Interaction Arriving at Canteen, Reading Menu, Selecting Menu, Ordering and Eating Line of Visibility Seating at Table, Giving the menu card, Taking order, Serving food &drinks, checking whether seats are ready or not Line of Internal Interaction Placing order, Taking drinks from counter, placing order on kitchen counter, cooking and serving meal Control Line Creation of special â€Å"order of the day† , Paying at counter etc. (Source: Gremler, n.d.) The failure points in each of the stage would be as follows: a) Line of Interaction: The seating arrangement, cutlery etc of the Edge restaurant can be termed as the failure points in the line of interaction. b) Line of Visibility: The

Managing People Essay Example | Topics and Well Written Essays - 3500 words

Managing People - Essay Example If the geographical scope, financial strength, and wide customer base fail to persuade someone about the prominence of Starbucks as an icon of the corporate world, one can come up with a long list of laurels and awards that the company holds under its name, highlighting its success and reputation (Clark, 2007, p. 427; Michelli, 2006, p. 387). Zagat’s Survey of National Chain Restaurants for the year 2010 identified Starbucks as â€Å"No. 1 Best Coffee† and â€Å"No.1 Most Popular Quick Refreshment Chain†. For the past decade, it has appeared on the Fortune’s list of â€Å"Most Admired companies in America† and â€Å"The 100 Best Companies to Work for† (Mangold, 2010, p. 82). Quite understandably, a significant portion of this impeccable success enjoyed by Starbucks comes from its ability to manage, effectively and efficiently, its human resource. As a service oriented business, employees determine the customer service quality of the company, represent the company and their productivity determines the overall productivity of the organisation (Hellriegel & Slocum, 2007, p. 97). This paper is an attempt to discuss the leadership, organisational culture, organisational structure, organisational learning and employee motivation techniques employed by Starbucks. The paper argues that the prime leadership for Starbucks comes from Howard Schultz, for most parts, has appeared as a transformational leader. In fact, fitting the profile of a transformational leader, has allowed Schultz to inspire and create many more leaders in the company who have assisted in driving the growth by providing a wonderful customer service experience (Behar, 2007, p. 489). The culture of the company can be classified as collaborative work culture, one where much importance is placed on employee empowerment, employee engagement and worker welfare. More importantly, it is the decentralised, flat and matrix structure is the prime entity, which supports s uch as a work culture through promoting open and efficient communication amongst employees (Gilbert, 2008, p. 111). Moreover, the employee motivation at Starbucks can be understood through the application of Expectancy theory and Equity theory of Motivation. Besides, the above mentioned points, the paper will also outline a change management processes for the company and would provide recommendations based on the findings and analysis. Findings and Analysis Leadership There is evidence to believe that, Howard Schultz has been a transformational leader for Starbucks. The prime reason for it is rooted in the fact that Schultz, right from the very beginning had a vision in mind. It was in the early 1980s Howard Schultz, the current CEO, Chairman and President of the company, joined Starbucks as head of marketing. Schultz, after a trip from Italy, realised that to those people, coffee meant much more than just a drink. It was an experience, glue holding together people and their convers ations and bringing them closer (Schultz & Yang, 1999, p. 27). Schultz landed upon the idea of creating coffee houses where coffee becomes an enchanting and relaxing experience rather than a mere product. Jerry Baldwin had left the