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Evidence-based practice has gained momentum in nursing
Nurse shortage in the united states 2018
Evidence-based practice has gained momentum in nursing
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The national shortage of Registered Nurses (RNs) has helped generate formidable interest in the nursing profession among people entering the workforce and those pursuing a career change. According to a report issued by the U.S. Department of Health and Human Service in 2002, the national population is continuing to grow and age and medical services continue to advance, so the need for nurses will continue to increase. They report from 2000 to 2020 the predicted shortage of nurses is expected to grow to 29 percent, compared to a 6 percent shortage in 2000. With the projected supply, demand, and shortage of registered nurses and nursing salaries ever-increasing, the nursing profession can offer countless opportunities. But first one must determine which educational path to pursue, Bachelor of Science in Nursing (BSN) or Associate Degree in nursing (ADN). Most will initially be educated at the associate degree level, even though the American Organization of Nursing Executives (AONE) has recommended a baccalaureate level as a minimal for entry-level nurses. With the expanding number of RN to BSN programs available there is always the option to further one’s education at a later date. The benefits for acquiring a BSN over an ADN include a better knowledge for evidence-based practice, an increased advantage for promotion, and the necessary gateway for higher education.
Many may argue that one is just as capable as the other in offering patient care. But recent studies conducted by Aiken et al. have shown nurses educated at higher levels are better prepared for delivering optimal patient care. One of the key eliminates is evidence-based practice. BSN programs provide the knowledge and preparation needed for evidence-based prac...
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...consider bsn education. Journal of Perinatal & Neonatal Nursing, 22 (2), 88-90. doi: 10.1097/01.JPN.0000319092.74920.32
Peirce, A. G. (2010). The essential imperative of basic nursing education: an ethical discourse. Advances in Nursing Science, 33(4), 320-328. doi: 10.1097/ANS.0b013e3181fb2eba
Raines, C., & Taglaireni, M. (2008). Career pathways in nursing: entry points and academic progression. Online Journal of Issues in Nursing, 13(3), 3. doi: 10.3912/OJIN.Vol13No03Man01
Spencer, J. (2008). Increasing RN-BSN enrollments: facilitating articulation through curriculum reform. Journal of Continuing Education in Nursing, 39(7), 307-313. Retrieved from EBSCOhost.
U.S. Department of Health and Human Services. (2005). FY 2006 budget in brief: health resources and services administration. Retrieved June 5, 2011, from http://www.hhs.gov/budget/06budget/healthres.html
There are several differences in competencies between an ADN and a BSN. These include, but are not limited to decision-making skills, the depth of knowledge base, as well as critical thinking abilities. As the nursing is role is becoming more complicated; strong skills are necessary for providing excellence in patient care (American Association of Colleges of Nursing, n.d.a., pp. 1,3). More than ever patients that are being admitted to hospitals have multiple commodities. When caring for a post-surgical open heart patient, it takes multiple types of critical thinking skills to recognize when a patient is becoming hemodynamically unstable. Quick, crucial, and significant decisions need to be made quickly to turn a grave situation around.
Taylor, D. (2008). Should the entry into nursing practice be the baccalaureate degree?. AORN Journal, 87(3), 611-620. doi: 10.1016/j.aorn.2007.07.006
I wish I had enrolled in the RN-BSN program sooner than this time. Before the RN-BSN program, I did not fully understand my role as a nurse. I had no knowledge of the functions of the Nurse Practice Act and the Board of Nursing. Nursing research was just a part of nursing curriculum. I have no prior knowledge of the evidence based practice. However, my trajectory into the RN-BSN program changed all that. I feel more confident and equipped as a professional nurse now than before. My two specific examples of change in behavior as a result of RN-BSN program are, one, changes in my skills and two, attitudes toward family dynamics, values and believes. The complexities of nursing practice, healthcare policies, and patients' needs lead to the
Taylor, D. L. (2008). Should the Entry Into Nursing Practice be the Baccalaureate Degree? AORN Journal, 87(3), 611-619.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
For the past few decades, there have been ongoing discussions involving the preferred educational level for nurses entering the field of healthcare. Two routes can be taken to entering the field: one can finish a two-year program and obtain their associate or add two years and get their baccalaureate instead. There are differences, albeit minor ones, between nurses prepared at the associate degree level versus those prepared at the baccalaureate level. However, an increase in technological advances in nursing field, and a higher demand for patient care has recently sparked the discussion of whether or not it is beneficial for nurses to further their education and obtain a baccalaureate degree or even a master’s degree as the case may be.
The shortage of registered nurses (RNs) in the United States has been a cyclical topic dating back to the 1960s. Only recently have employers in certain regions of the nation stated a decline in the demand for RNs. Consequently, according to the American Association of Colleges of Nursing’s (American Association of Colleges of Nursing [AACN], 2014) report on 2012-2013 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing, American nursing schools denied admission to 79,659 qualified applicants from baccalaureate and graduate nursing programs in 2012. The reported decrease in job availability and rejected admissions has left many individuals to question if the nursing shortage still exists. On the other hand, some experts project that the United States will be short more than one million RNs by 2020 (Dolan, 2011). Although some parts of the country are in less of a demand than others, it is undeniable that there is a national shortage of RNs.
In fact, Researchers had shown the results of outcomes having different degrees of level. According to AACN, Today 61% Nurses in the United States have a BSN degree who works in health settings. In fact, BSN nurses reduce death rate mortality, and readmission rate by using clinical practice knowledge (AACN) . Having advance level of knowledge involves nurses to manage the patient level of care and monitor for progress. American Organization of Nurses Executives states that nurses who have a higher education level promotes safe nursing care and improves patient safety. Higher educational nurses prepare herself for clinical challenging and complex roles (AACN, page 1). They develop more ideas, better intervention, and focus more on clinical
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stephan Helbra.
This paper is a first attempt at forming and articulating my own philosophy of nursing.
Nursing has always been a key career in the health care system. Although it is not often focused on in media and stories surrounding health care, nursing is a career of great importance. If any patient was asked about their experience at a hospital or a care center, many will mention the capability and care that they received from the nurses. The health care system could not function efficiently, if at all, if nurses were not present to perform their part. Nurses are more than just physicians support staff. Of interest in this paper is why people choose to study nursing in university or college. From students just graduating high school to mature student who have prior degrees or education, nursing is a popular choice as a path to study
Rich, K. & Butts, J. B. (2014). Foundations of ethical nursing practice (Chapter 4, 3rd ed.). In K. Masters (Ed.). Role development in professional nursing practice. Burlington, MA: Jones & Bartlett Learning.
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stamford, CT: Cengage Learning.
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
The BSN program helps the nurses in many ways including utilizing the process to the full scale and it will encourage nurses to use their skills like educating the patient as we’ll as creating new nurses. Because of the new health care reform, the BSN program will also aid in filling the gap from the influx of patients. The baccalaureate degrees and BSN program helps prepare students for the significant part they are going to play in reinforcing the new healthcare reform. At present, I utilize and develop nursing care plans in the nursing process, even though it needs some corrections due to the nature of my work. The highest standards of nursing can only be achieved through better research and advanced training.