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Showing posts with label Nursing. Show all posts
Showing posts with label Nursing. Show all posts

Sunday, October 2, 2011

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]

Monday, August 15, 2011

How Does Social and Behavior Affects Children with ADHD

Introduction

In talking to a child, the parents can figure the problems that might contribute in the social and behavioral character of their children. Children are naturally honest and energetic in all activities that they do. And parents should be aware on the different activities that their children are going into.

Background and Problem Statement

A typical problem among the children is the ADHD. The ADHD affects the characteristics of the children that can be seen in their behavior. Through the reward, praise and punishment the behavior and social interaction of the children can be recognized. According to the experts and clinicians, the behavior of children towards ADHD can be identified through the observation of the parents. However, how does ADHD affects the social and behavioral aspects of children?

Research Aim and Objectives

The main aim of the study is to describe the effects of ADHD among the children on their social interaction and behaviors. In order to provide the necessary information, there are three objectives that should be considered. First is to investigate the general approach of parents and clinicians regarding the ADHD. Second is to analyze the social and behaviors of children through the observation. And third is to recognize the effective intervention of the medical professionals on the issue of ADHD.

Literature Review

ADHD stands for the Attention-Deficit Hyperactivity Disorder. This is a kind of disorder that is noticeable among the children. The ADHD, according to the experts, is a neurobehavioral development disorder that is characterized by the co-existence of attention problems and hyperactivity. These common behaviors occur infrequently alone and they can be recognized before the child reaches his seven years of age. ADHD maybe unknown to the society because of the natural activeness of children however, there are times that the child uses his unnecessary behaviors to get the attention of his parents. The popular example of children having the ADHD is hitting the wall with their head. This way they get the attention of their parents but adults usually misinterpret this behavior. Part of the general approach of the experts on the case of ADHD includes the drugs, and behavioral modifications. Parents can observe the changes in the behavior and social skills of their children while they were watching TV, activities, and the courtesy skills of the children. Children having the ADHD have the difficulty in controlling the situation like sitting, waiting, not talking, listening, and paying attention that affects the focus of their work. The early behavioral symptoms that can be seen are the simply dropping of things, and starting the several projects and yet leaving them incomplete. In terms of the social problems that can often exhibited when there are other people. There are instances that a child can concentrate fully in her/his work when they are alone but when they are people around them, they get distracted and unable to finish what they started. In this way the cycle of their activity is affected and working them towards completion can be hard for them than the usual. The simple exposure of the child in the other medium such as the television, computers, and not playing with other children definitely affects the foundation of learning, behavioral and social skills of a child. The long exposure of children with the television can alter the true meaning of nature. Because children with ADHD are often alone, they often view the television shows as the only medium wherein they can view the world. Conversations and books are important to build the concentration among children and make the children feel that they are loved. However, through the appropriate guidance and understanding of both parents and the clinicians, the changes in the behavior and social skills of the children can be improved. There is an argument that if the children with ADHD can live happily with the perception of independences, respect, and recognizing the supports, there is no need for medicinal drugs.

Methodology

The suggested method that can be used in the study is the comparative case studies. The case studies that can be used must be focused the cases of ADHD. Through the help of the case studies, the study can find the applicable information regarding the ADHD and determine if the kind of deficiency evolves throughout the time. Within the case studies, there include the intervention used by the medical professionals and the right approaches of the parents on their children having the symptoms or presently have the ADHD.

Source:

Stephenson, S., (2006) ADHD and Montessori: A Case Study [Online] Available at: http://www.michaelolaf.net/ADHD.pdf [Accessed 05 Aug 2010]

Systemic Lupus Erythematosus (SLE)

Introduction

Diseases and other illness are the common suspects in the increasing rate of mortality. Because of the rapid changes such as the evolution of the diseases and the continuous negligence of the people in their health status, the diseases became harmful. Moreover, there are silent threats that can affect the entire body. Many experts said that the lifestyle of the patient is the driving force towards the evolution of the disease. In addition, once the patient has been diagnosed of the said disease, their compliance in following the prescriptions is often ignored or neglected by the patients which triggers in the serious cases.

Background and Problem Statement

The systemic lupus erythematosus (SLE) is another type of case that destroys not only the organs but also the confidence of the patients. The use of the alternative medication without the accredited knowledge is one main problem that the health care providers are attempting to resolve. Both doctors and patients should be aware on the successful management of the disease that somehow involves the understanding and partnership to achieve the specific goals (Chambers, Rahman, & Isenberg, 2008). Although the medical professionals are focused in discovering the available solutions to this disease, the treatment and continuous adherence are still important. However, how important is the level of compliance of the patients in order to achieve the quality of health and wellness?

Research Aim and Objectives

The main aim of the study is to investigate the evolution of the SLE among the patents. In order to achieve this goal, the study should consider the four objectives. First is to describe the typical consultations given by the clinicians or the health care provider towards their patients. Second is to determine the various campaigns and spread of information regarding the SLE in a certain community. Third is to recognize the effectiveness of support coming from the patient’s family to enhance their compliance in medicines and treatments. And lastly is to determine the level of compliance of the patients in treating the SLE.

Literature Review

The concern of the health professionals is based on their prescriptions and modes of medications or treatment according to the needs of the patients. The deep understanding and compliance of the patient regarding their health situation is indeed needed. Usually, the treatment is usually based on how will the body react and the mind of the patient follow the said procedure of the health care providers for their overall improvement. In all parts of medical treatment, the level of adherence and compliance of the patient is important to achieve their own quality health expectations (McElhone, et al., 2005). The health care professionals are present to provide the needs and generate the conclusions regarding the situation of the patient. But the evolution of the disease lies in either negligence or compliance and adherence of the patients (Chambers, Rahman, & Isenberg, 2008).

The compliance of the patients on the prescriptions starts through the basic consultations. The physicians can apply the medical methods to assess the situation of the patient and create thoroughly treatment procedures with accuracy. The heath care professionals expected that their recommendations and follow up medications can significantly create an impact towards the improvement in the current health situation of the patient. In the issue of patients with systemic lupus erythematosus (SLE), the patients are advised to have a regular consultation towards their regular medications that can be investment in a successful management of their illness (Beresford & Davidson, 2006).

Methodology

The suggested method in the study is the use survey and interview. In the first phase of the study, the survey will be conducted on the patients having the case of SLE. The participation of the family or one member of the family is also assumed to be part of the survey. Through the use of the Likert Scale, the researcher/s can identify the level of understanding of the patients regarding their case as well as the level of their compliance and sticking unto what the health care professional prescribed. In the second phase of the study, the interview will be given to the health care professionals or consultants of the patients. In this way, the researcher/s can gain the basic idea for the adherence and compliance of the patients as well as its importance in recovery and achieving the quality of health. Through the interview, the study can justify if the compliance among the patients or their negligence affects the evolution of the disease or at least minimize its risks.

Work Cited:

Beresford, M.W., & Davidson, J.E., (2006) “Adolescent Development and SLE”, Best Practices Research in Clinical Rheumatology, Vol. 20.

Chambers, S.A., Rahman, A., & Isenberg, D.A., (2008) “Treatment Adherence and Clinical Outcome in Systemic Lupus Erythematosus”, Articole de Orientare – Revisita Romania de Reumatologie, Vol. 17, No. 1, Accessed 10 June 2010, from http://www.medica.ro/reviste_med/download/reumatologie/2008.1/art_03.pdf

McElhone, K., Teh, L.S., Walker, J., Abbott, J., (2005) “Treatment Adherence in Systemic Lupus Erythematosus (SLE)”, Rheumatology, Vol. 44.