The National Competency Standards for the Registered Nurse

Abstract

The study presents the idea concerning Nursing Practices and Standards in taking the responsibility over the patient. There are many cases that medical practitioners experience in the time of their profession and giving a reach for the young nursing students. The main objective is to develop strategies in achieving the ANMC Competency standards for the Registered Nurse during the TGP.

Introduction
In the world of medicine, the roles of doctors, nurses, and midwives are the important people that can make their patient feel comfortable. For the health care issue, the future in nursing education is very visible. There are many programs that make their profession in full progress. The nursing profession begins in the four corners of the school. It is also done with the collaboration with practice settings to make the study applied in general sense. In that kind of practice, the medical environment can be gasp easily and they can feel the responsibility in an early stage.

The nurses and any other medical practitioners kept their oath and core values. The core values emphasizes in the medical world. Nursing professionals promotes health in a broad sense, crafting every stage development of the patient, also measuring the illness affecting or being affected by the physical, emotional, mental, social, and spiritual factors.

There are many dedicated medical practitioner and a community is lucky enough to keep a responsible and knowledgeable professionals. Not all people can perform their job with so much care. Imagine, taking care a person that is not related to you and you don't seem to bother about his awful smell and difficult to read moods. Those are some of the things that the people should be thankful of. The medical practitioners as well, must hold their head up high because not all ordinary can do what they can. They are present because people need them.

Discussion
From the TGP, it shows that the nurses face a mix of old and new issues and the time usually dictates a challenge. The demographical issues, financial problems, securities and benefits, and many other issue that the nurses and the whole medical community tends to experience great impact in their working environment. The quality of health care among the people is given by the medical practitioners most specifically the nurses. Through their help, there is a significant early recovery of the patients. Their knowledge on the area of health and care is unmeasured but there is an assurance that every nurse gives their expertise through the international standards.

As indicated in the ANMC Competency Standards for the RN (2008), certain roles are placed in the shoulders of the nurses and there are changing roles of the nurses that sometimes depend on the given situation. The nurses can be the assistant of the doctors and most of the time they are the partners of the patient for their early recovery (Medical Education Division, 2007). Through the different roles of the nurses there are issues that are hitting them abreast about the quality of health care they give.

With regards to the details identified in the ANMC Competency Standards for the RN (2008), every personnel are entirely oriented about their specific roles. The creation of the standards in the hospitals has a purpose to help the nurses as well as the other personnel remains align in their oath. The set of rules, guidelines, or desired characteristics for the physical objects, materials, activities, behaviors, performance, quality, or their results, which are consolidated in a technical document and aimed at the achievement of an optimum degree of order in the functioning of any equipment, procedure, system, or organization. Standards are evolutionary in nature. They are established by consensus, and approved by a peer-recognized professional or technical body of experts, or by a regulatory or governmental agency. It is expected that standards will be used universally for the specific area where they apply. For learning objectives to be achieved during the TGP clinical practicum that demonstrates the achievement of competence for entry to practice as a registered nurse, information system standards address issues of order and compatibility in the design, development, implementation, and operation of information systems and information technology (Wiener, Freiman, & Brown, 2007, Garcia, 2005 and Jennings, 2008). In following the certain standards there are specific health outcomes that are specifically present among the patients. The outcomes such as mortality and morbidity are well-understood measures but may not be particularly informative for understanding the effects of nursing interventions. Outcome measures more sensitive to the effects of nursing actions are needed, such as functional, physiological, and psychological status; stress level; satisfaction with care received; symptom control; home functions; caregiver burden; goal attainment; quality of life; utilization of service; safety; and cost of care. On the other hand, there are illnesses that positive outcomes are hard to settle for the patients. Most of the illness or diseases are the various cancers especially when the situation reached the final level and the cardiovascular problems (Beck, 2008). The nurses find it challenging to work in the environment wherein the impact of care is mostly needed. The opportunities for the patient to acquire the support and the professional care of the nurses are a great help and their hope to live longer is establish. But there are certain circumstances that the nurses, even if she or he followed the rules, the situation cannot be changed.

As detailed in the ANMC Competency Standards for the RN (2008), the nurses are expected to deliver the right treatment, respect, and love on their work. Without the three elements, the nurse may not meet the expectation of the patients. In the beginning of the nursing practice, the students are expected to show the ability to assess the patient through their observation, therefore, the nurses are capable of assisting the patients is nay given details. In addition, nurses have the kind of touch that makes the patients relief and ease their pain which is also similar to the mothers.

Conclusion

Every professional follow certain standards in which they follow. Through that specific standard, the quality of their work can be delivered. The complex work of the nurses includes the care planning and delivery with the adequate knowledge, monitoring, caring behaviors, safety, ensuring the quality of health care. Through their responsibilities, the added pressure to save lives became part of their whole being to deliver the care.
Taking care a wound is already been taught at home although that is far difference with the practices of the medical practitioners. It is good that even the household practices a good first aid in a simple wound like more of an accidental cut. Still the medical practitioners are striving to create a world without scars. The people that are engaged in an operation that gave them an awful scar felt embarrassed especially when it is very visible (Baird, 2008). There are many kind of operation like the leg ulcer that really needs attention. The continuous research and development of the medical practitioners to deliver the medicine and solution for the health of the people will make a difference in the near future (Baker & Andre, 2008).

The health representatives and medical professionals are helping together to make a community away from the illness. Now that the world experienced so much health advisories and breakouts, the medical team are always there and ready to face the danger. Unlike the soldiers, the medical practitioners are fighting in an unseen enemy. The scars that carved in the skin is literally different in the scars that the HIV (Ryff & Singer, 1998) impact and mental illnesses left (Gupta, 2004 and PAHO, 2000). The medical team is doing their best no matter how hard the things are. The unrelenting power that lies inside of them should not ceases and reaches the goal in answering the medical questions and concern.

References:

Baird, S., (2008). Regenerative Medicine: A Growing Future Imagine a World Where You Could Heal a Wound without Scarring, Where Mind-Degenerating Disorders Don't Exist, and No One Waits on a Transplant List. Journal Title: The Technology Teacher. Vol. 67. No. 8

Baker, A., & Andre, K., (2008). Working with Alienated Children & Their Targeted Parents: Suggestions for Sound Practices for Mental Health Professionals Annals of the American Psychotherapy Association, Vol. 11.

Beck, C., (2008). Professional Nursing Practice Models and Culture Change. Nurses Involvement in Culture Change. New York University College of Nursing. [Online] Available at: http://hartfordign.org/uploads/File/issue_culture_change/Culture_Change_Background_Beck.pdf. [Accessed 14 September 2011].

Garcia, M., (2005). The Role of the Nurse on the Health Care Team, Nursing Care of the Sick [Online] Available at: http://www.wpro.who.int/internet/files/pub/85/1-6.pdf. [Accessed 14 September 2011].

Gupta, M., (2004) Occupational Risk: The Outrageous Reaction to HIV Positive Public Safety and Health Care Employees in the Workplace. Journal of Law and Health Vol. 19 No. 1.

Jennings, B., 2008. Work Stress and Burnout among Nurses: Role of the Work Environment and Working Conditions. Patient Safety and Quality: An Evidence Based Handbook for Nurses. [Online] Available at: http://www.ahrq.gov/qual/nurseshdbk/docs/JenningsB_WEWCN.pdf. [Accessed 14 September 2011].

Medical Education Division (2007). Administering Intramuscular/Subcutaneous Injection. [Online] Available at: http://www.brooksidepress.org/Products/Administer_IM_SQ_and_ID_Injections/lesson_2_Section_1.htm. [Accessed 14 September 2011]

PAHO, (2000). Pan American Health Organization, Essential Drugs and Technology Organization and Management of Health Systems and Services Human Resource Development Building Standard-Based Nursing Information Systems [Online] Available at: http://www.ehealthstrategies.com/files/nursing_IS_standards.pdf [Accessed 14 September 2011].

Ryff, C., & Singer, B., (1998). The Contours of Positive Human Health. Contributors Journal Title: Psychological Inquiry. Vol. 9 No. 1.

Wiener, J., Freiman, M., & Brown, D., (2007). Nursing Home Care Quality [Online] Available at: http://www.kff.org/medicare/upload/7717.pdf [Accessed 14 September 2011]

Abstract

The study presents the idea concerning Nursing Practices and Standards in taking the responsibility over the patient. There are many cases that medical practitioners experience in the time of their profession and giving a reach for the young nursing students. The main objective is to develop strategies in achieving the ANMC Competency standards for the Registered Nurse during the TGP.

Introduction
In the world of medicine, the roles of doctors, nurses, and midwives are the important people that can make their patient feel comfortable. For the health care issue, the future in nursing education is very visible. There are many programs that make their profession in full progress. The nursing profession begins in the four corners of the school. It is also done with the collaboration with practice settings to make the study applied in general sense. In that kind of practice, the medical environment can be gasp easily and they can feel the responsibility in an early stage.

The nurses and any other medical practitioners kept their oath and core values. The core values emphasizes in the medical world. Nursing professionals promotes health in a broad sense, crafting every stage development of the patient, also measuring the illness affecting or being affected by the physical, emotional, mental, social, and spiritual factors.

There are many dedicated medical practitioner and a community is lucky enough to keep a responsible and knowledgeable professionals. Not all people can perform their job with so much care. Imagine, taking care a person that is not related to you and you don't seem to bother about his awful smell and difficult to read moods. Those are some of the things that the people should be thankful of. The medical practitioners as well, must hold their head up high because not all ordinary can do what they can. They are present because people need them.

Discussion
From the TGP, it shows that the nurses face a mix of old and new issues and the time usually dictates a challenge. The demographical issues, financial problems, securities and benefits, and many other issue that the nurses and the whole medical community tends to experience great impact in their working environment. The quality of health care among the people is given by the medical practitioners most specifically the nurses. Through their help, there is a significant early recovery of the patients. Their knowledge on the area of health and care is unmeasured but there is an assurance that every nurse gives their expertise through the international standards.

As indicated in the ANMC Competency Standards for the RN (2008), certain roles are placed in the shoulders of the nurses and there are changing roles of the nurses that sometimes depend on the given situation. The nurses can be the assistant of the doctors and most of the time they are the partners of the patient for their early recovery (Medical Education Division, 2007). Through the different roles of the nurses there are issues that are hitting them abreast about the quality of health care they give.

With regards to the details identified in the ANMC Competency Standards for the RN (2008), every personnel are entirely oriented about their specific roles. The creation of the standards in the hospitals has a purpose to help the nurses as well as the other personnel remains align in their oath. The set of rules, guidelines, or desired characteristics for the physical objects, materials, activities, behaviors, performance, quality, or their results, which are consolidated in a technical document and aimed at the achievement of an optimum degree of order in the functioning of any equipment, procedure, system, or organization. Standards are evolutionary in nature. They are established by consensus, and approved by a peer-recognized professional or technical body of experts, or by a regulatory or governmental agency. It is expected that standards will be used universally for the specific area where they apply. For learning objectives to be achieved during the TGP clinical practicum that demonstrates the achievement of competence for entry to practice as a registered nurse, information system standards address issues of order and compatibility in the design, development, implementation, and operation of information systems and information technology (Wiener, Freiman, & Brown, 2007, Garcia, 2005 and Jennings, 2008). In following the certain standards there are specific health outcomes that are specifically present among the patients. The outcomes such as mortality and morbidity are well-understood measures but may not be particularly informative for understanding the effects of nursing interventions. Outcome measures more sensitive to the effects of nursing actions are needed, such as functional, physiological, and psychological status; stress level; satisfaction with care received; symptom control; home functions; caregiver burden; goal attainment; quality of life; utilization of service; safety; and cost of care. On the other hand, there are illnesses that positive outcomes are hard to settle for the patients. Most of the illness or diseases are the various cancers especially when the situation reached the final level and the cardiovascular problems (Beck, 2008). The nurses find it challenging to work in the environment wherein the impact of care is mostly needed. The opportunities for the patient to acquire the support and the professional care of the nurses are a great help and their hope to live longer is establish. But there are certain circumstances that the nurses, even if she or he followed the rules, the situation cannot be changed.

As detailed in the ANMC Competency Standards for the RN (2008), the nurses are expected to deliver the right treatment, respect, and love on their work. Without the three elements, the nurse may not meet the expectation of the patients. In the beginning of the nursing practice, the students are expected to show the ability to assess the patient through their observation, therefore, the nurses are capable of assisting the patients is nay given details. In addition, nurses have the kind of touch that makes the patients relief and ease their pain which is also similar to the mothers.

Conclusion

Every professional follow certain standards in which they follow. Through that specific standard, the quality of their work can be delivered. The complex work of the nurses includes the care planning and delivery with the adequate knowledge, monitoring, caring behaviors, safety, ensuring the quality of health care. Through their responsibilities, the added pressure to save lives became part of their whole being to deliver the care.
Taking care a wound is already been taught at home although that is far difference with the practices of the medical practitioners. It is good that even the household practices a good first aid in a simple wound like more of an accidental cut. Still the medical practitioners are striving to create a world without scars. The people that are engaged in an operation that gave them an awful scar felt embarrassed especially when it is very visible (Baird, 2008). There are many kind of operation like the leg ulcer that really needs attention. The continuous research and development of the medical practitioners to deliver the medicine and solution for the health of the people will make a difference in the near future (Baker & Andre, 2008).

The health representatives and medical professionals are helping together to make a community away from the illness. Now that the world experienced so much health advisories and breakouts, the medical team are always there and ready to face the danger. Unlike the soldiers, the medical practitioners are fighting in an unseen enemy. The scars that carved in the skin is literally different in the scars that the HIV (Ryff & Singer, 1998) impact and mental illnesses left (Gupta, 2004 and PAHO, 2000). The medical team is doing their best no matter how hard the things are. The unrelenting power that lies inside of them should not ceases and reaches the goal in answering the medical questions and concern.

References:

Baird, S., (2008). Regenerative Medicine: A Growing Future Imagine a World Where You Could Heal a Wound without Scarring, Where Mind-Degenerating Disorders Don't Exist, and No One Waits on a Transplant List. Journal Title: The Technology Teacher. Vol. 67. No. 8

Baker, A., & Andre, K., (2008). Working with Alienated Children & Their Targeted Parents: Suggestions for Sound Practices for Mental Health Professionals Annals of the American Psychotherapy Association, Vol. 11.

Beck, C., (2008). Professional Nursing Practice Models and Culture Change. Nurses Involvement in Culture Change. New York University College of Nursing. [Online] Available at: http://hartfordign.org/uploads/File/issue_culture_change/Culture_Change_Background_Beck.pdf. [Accessed 14 September 2011].

Garcia, M., (2005). The Role of the Nurse on the Health Care Team, Nursing Care of the Sick [Online] Available at: http://www.wpro.who.int/internet/files/pub/85/1-6.pdf. [Accessed 14 September 2011].

Gupta, M., (2004) Occupational Risk: The Outrageous Reaction to HIV Positive Public Safety and Health Care Employees in the Workplace. Journal of Law and Health Vol. 19 No. 1.

Jennings, B., 2008. Work Stress and Burnout among Nurses: Role of the Work Environment and Working Conditions. Patient Safety and Quality: An Evidence Based Handbook for Nurses. [Online] Available at: http://www.ahrq.gov/qual/nurseshdbk/docs/JenningsB_WEWCN.pdf. [Accessed 14 September 2011].

Medical Education Division (2007). Administering Intramuscular/Subcutaneous Injection. [Online] Available at: http://www.brooksidepress.org/Products/Administer_IM_SQ_and_ID_Injections/lesson_2_Section_1.htm. [Accessed 14 September 2011]

PAHO, (2000). Pan American Health Organization, Essential Drugs and Technology Organization and Management of Health Systems and Services Human Resource Development Building Standard-Based Nursing Information Systems [Online] Available at: http://www.ehealthstrategies.com/files/nursing_IS_standards.pdf [Accessed 14 September 2011].

Ryff, C., & Singer, B., (1998). The Contours of Positive Human Health. Contributors Journal Title: Psychological Inquiry. Vol. 9 No. 1.

Wiener, J., Freiman, M., & Brown, D., (2007). Nursing Home Care Quality [Online] Available at: http://www.kff.org/medicare/upload/7717.pdf [Accessed 14 September 2011]