Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.…
I have been in a nursing leadership role for many years. Approximately 8 years ago, I lead a group of nurses to develop a shared governance nursing model in our organization. Shared governance is having staff involved with making decisions related to unit operations. Staff looks at professional practice, staff development and orientation, quality improvement initiatives, and research. We created a three tiered governance model that included a unit council, specialty senate, and nursing congress. This model was implemented; however some units and departments had more success than others. Four years later, I was asked to gather a group of clinicians across the organization to look at how we could enhance the governance model to be an interdisciplinary model. We included clinicians from respiratory therapy, dietetics, clinical therapies, case management and discharge planning, pastoral care, lab and radiology services, pharmacy, and advanced practice nurses. This model was also implemented with varying levels of success.…
With the United States (US) and the world facing a multitude of issues, the nations healthcare concerns continue to take high priority. Finding timely solutions to health care reforms became the inspiration of the Institute of Medicine (IOM). Along with the Robert Wood Johnson Foundation (RWJF), the IOM created the RWJF Initiative on the Future of Nursing, which according the IOM (2010, p.ix) looks at the possibility of strengthening the largest component of the health care workforce – nurses – to become partners and leaders in improving the delivery of the care and the health…
An Elephantine Analysis In Charles Siebert's article The Elephant Crackup, the author employs a nuanced and compelling rhetorical strategy that seamlessly integrates firsthand narratives, expert opinions, and emotional appeals to shed light on the profound consequences of human exploitation on elephants. Through the deliberate use of linguistic choices, comparisons to human tragedies, and a careful balance of ethos, pathos, and logos, Siebert effectively engages the reader, emphasising the urgent need for compassionate rehabilitation practices and fostering a deeper understanding of the complex interplay between human actions and elephant behaviour. Charles Siebert establishes his credibility as a firsthand narration (Kairos) using an anecdote,…
In 2011, the Institute of Medicine (IOM) partnered with the Robert Wood Johnson Foundation (RWJF) to publish The Future of Nursing: Leading Change, Advancing Health. This report is a collaborative report written by a committee of scholars nationwide. Its purpose is to put forth recommendations that allow nurses to “(1) ensure that nurses can practice to the full extent of their education and training (2) improve nursing education, (3) provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts, and (4) improve data collection for workforce planning and policy making” (The Robert Wood Johnson Foundation and the Institutes of Medicine [RWJF and IOM]. This report sets a blueprint to assist nurses in achieving these goal.…
A Clinical Nurse Specialist (CNS) is an expert clinician who works in a specialized area of nursing practice. The CNS role in hospital has extended to responsibility for collective care concerning patient populations. CNS’s are now being used for case management, identifying and correcting systems problems, assess utilization patterns, and to establish large-scale organizational quality control. The research brief, Role Delineation Study of Nurse Practitioners and…
Promoting interdisciplinary care is essential to any functional and successful healthcare setting for both patients and staff. In the given case study there are several disciplines that are not being utilized to the benefit of Ms. W (FNP) and Ms. R, the patient. As the nurse supervisor it would be my responsibility to ensure that staff members on every level knew the resources available to them and how they could benefit the patients. To spread this information an employee meeting may be appropriate so that all staff members could communicate their roles and opportunities for patient involvement. This would also need to include the steps a practitioner would follow to engage an appropriate discipline.…
Nurse Practitioners has an important occupation. They credibility are more than health care providers but they are educators, mentors, researchers, and administrators. Having all those credentials and training help advance NPs roles to make sure their professional standards are maintained. They have low health care cost because clients that see NPs have low emergency visits, shorter hospital stays, and lower medication cost. The patient reported a high level of satisfaction is greater than those of a…
In 2010, the Institute of medicine released a report that focuses on the Future of Nursing. In this report the IOM focuses on nursing issues that impact the way health care is delivered and also discusses advances in practice. “Nursing has more than 3 million members, making the profession of nursing the largest segment of the nation’s health care workforce” (Institute of Medicine, 2015). This statistic reinforces the need for nurses to receive support in the way of education, primary care, and nursing leadership roles.…
Health and delivery is enhanced by the NP use of organizational practices and complex systems knowledge to effect changes in healthcare through negotiating, partnership and consensus. Patient and providers risks are reduced at the system and individual level while facilitating healthcare system development addressing providers, population, diverse cultural and stakeholders needs. Furthermore, the NP forms collaboration for transitions over care continuum(NONPF, 2012).…
3. Nurses should be full partners with physicians and other health care professionals in redesigning healthcare in the U.S.…
Nurse practitioners can focus on practice outside role and population emphasis and connection to patient healthcare needs. One of the biggest benefits of nurse practitioners is the can offer assistance and can address the increased demand for primary care needs and chronic illness management. Nurse practitioners provide a significant contribution to high-importance with patient centered primary care…
In October 2010, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) jointly released The Future of Nursing: Leading Change, Advancing Health. This report focuses on how nursing can help to meet the demands of an increased population of patients. This report has four key points. "(1) ensure that nurses can practice to the full extent of their education and training, (2) improve nursing education, (3) provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts, and (4) improve data collection for workforce planning and policy making." (Future of Nursing,p29) The report outlines how the nurses role will need to transform into one of a primary caregiver, and what actions will need to be taken to fulfill this role.…
I agree the Nursing Practice (DNP) prepares nurses with the degree to meet the increased need by providing leadership in community health centers, serving on interdisciplinary teams, and advocating for and directing future policy initiates. As primary care providers, the role of the DNP can be enhanced through the use of a primary care models that addresses the associated challenges related to increasing preventative care in the healthcare system. Although DNP are leaders, barriers need to be removed so that DNPs can provide the care they have been prepared to offer ( Lathrop & Hodnicki, 2014). Healthcare continues to change and is a life-long learning process that requires nurses to keep up with that change.…
As a family nurse practitioner (FNP) I expect to work in the same organization that I am working now, I am a case manager nurse, and as an FNP I expect to put my knowledge into practice at Simply Healthcare Plans, located in Miami – Florida. I know that preventative healthcare and basic health education are of particular importance amongst the populations of the underserved communities. Wanting to expand my nursing knowledge to provide my patients with the best practice available, paired with my desire to be at the forefront of healthcare breakthroughs.…