Discussion: Examining Nursing Specialties NURS 6003

NURS 6003 Discussion: Examining Nursing Specialties

Discussion: Examining Nursing Specialties NURS 6003

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Healthcare is one of the rapidly changing and advancing sectors. As such the sector is driven towards the provision of quality services to its clients. The nursing profession is at the center of all the changes and implementations in healthcare institutions aimed at bettering the service quality to patients (Boehm et al, 2019: Kristensen et al, 2015). The responsibilities of nurses require them to continuously advance in terms of knowledge and skills developed (Price & Reichert, 2017). As a graduate nurse, a thorough thought process led me to enroll in an MSN program specializing in psychiatric nursing practice.

The choice to specialize in psychiatric nursing was challenging as there are several options, all aimed to better patient outcomes. My choice was motivated by an observation that I made over time as a nurse. There is a steady increase of mental health cases among both adults and children that took my attention. I am excited about helping patients with mental conditions and being a part of a team that works to eradicate or minimize mental health problems and their associated effects. Psychiatric nursing is a challenging field that requires dedication. I am ready to handle all the challenges involved. Besides, as an undergraduate, I spent most of my training sessions in the psychiatry unit because it felt more like what I wanted compared to other departments.

In the development of my professional career, I intend to join professional bodies and that will work to enable my application of psychological knowledge to better my practice. Specifically, I will join the American Psychiatric Association (APNA) because they play a role in the advancement of mental health nursing and practice (American Nurses Association, 2016). Joining this association will help me uphold and improve values such as integrity, transparency, and inclusivity among others that will help me to provide quality care for mental health patients. It may not be an easy journey to achieve my career goal, but I will put my effort into achieving the best.

It is critical for an organization’s performance to have effective nurse leaders and managers. Nurse leaders are frequently found on the clinical floor, where they supervise RNs and help with patient safety and advocacy (Post University, 2021). A nurse manager is frequently someone with decision-making authority and responsibility over large teams of nurses, who manages staff training, communicates with other managers, and employs evidence-based practice (Post University, 2021). Nurse managers and leaders must possess qualities such as patience, open-mindedness, compassion, and persuasiveness (Whitney, 2018). It would be difficult to be a strong leader or manager without a combination of these talents.

When I worked in postpartum, our nurse manager would review incident reports. The number of nurses reporting postpartum hemorrhages had increased, according to the nurse manager. So the nurse manager got together with the nurse leaders to figure out what could be done. The post-partum bleeding scale was chosen by the nurse manager. The nurse leaders were in charge of implementing and training the new scale, while the nurse manager reviewed the forms and incident reports to assess its effectiveness.

RE: Discussion – Week 10

I have been a neonatal intensive care (NICU) nurse for nearly 14 years. One of my favorite aspects of my role as a bedside nurse is precepting nursing students for their internship and orienting newly graduated nurses. I enjoy reading and learning about new evidence-based practice guidelines to improve patient care and long-term outcomes for neonates and sharing with my coworkers. Teaching has become a passion and many coworkers said I should teach full time because I can explain things well and have a

Discussion Examining Nursing Specialties NURS 6003
Discussion Examining Nursing Specialties NURS 6003

vast knowledge base of NICU nursing. My children are now grown and in college, so I decided now was the time to pursue my Master of Science in Nursing (MSN). As much as I love bedside care, I knew I did not want to be in administrative type position or locked in to 24-hour call shifts as a neonatal nurse practitioner. The idea of MSN in Nursing Education seemed the best fit with my love of teaching and career goals. After completing my MSN, I hope to continue in my role as a NICU clinical nurse educator and transition to a parent educator. Discussion Examining Nursing Specialties NURS 6003

We here often of the critical nursing shortage. Many reasons exist as to why nurses leave the bedside, but what about bringing new nurses to the profession? Qualified students try to get in nursing school and end up wait listed due to faculty shortages. Those students often choose a different profession. To combat this issue, the American Association of Colleges of Nursing lobbied for federal funding for faulty development programs (Shipman & Hooten, 2008). This contributed to my decision to pursue the specialty of nursing education with my MSN. I knew I would not have difficulty finding a position if I choose to become an academic instructor.

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I love helping my coworkers learn more about NICU care and evidence-based practices. I also designed, implemented, and participate in our unit-based nurse mentor program. I developed a standardized orientation pathway for our newly graduated nurses to acclimate to their new career. I participate in multiple committees, such as developmental and unit council. Those are all great ways for clinical nurse educators to provide teaching formally and informally (Jenkins, 2008).

The first national organization to lobby for funding for nurse education research was the National League of Nurses (NLN). This professional organization focuses on nursing schools and faculty, and leaders in nursing education. After reviewing the benefits of the NLN membership, I discovered the cost is only $80 for graduate school students. One of the biggest benefits was free access to the publication ‘Nursing Education Perspectives” (NLN, n.d.)

I am excited to pursue my MSN with the specialty focus of nursing education. Teaching the next generation of nurses is so important to our professional. I look forward to the opportunity to inspire others to keep pushing nursing forward. Discussion Examining Nursing Specialties NURS 6003

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References

Jenkins, P. (2008). The role of the nurse educator: Mentor, change agent, expert. Journal for Nurses in Staff Development, 24(5), 245-247. https://doi.org/10.1097/01.nnd.0000320686.49684.c6

National League of Nurses (NLN). (n.d.). Membership Services. Retrieved on November 2, 2020, from https://www.nln.org/membership

Shipman, D., & Hooten, J. (2008). Without enough nurse educators there will be a continual decline in RNs and the quality of nursing care: Contending with the faculty shortage. Nurse Education Today, 28, 521-523. https://doi.org/10.1016/j.nedt.2008.03.001

READ ALSO: Discussion: Strategies for Academic Portfolios

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By choosing the PMHNP as our specialty, we also need to consider the stigma of mental illness is worldly, a significant societal problem. The overall community is widely misinformed regarding this problem, and dread of the mentally ill rests prevailing. Moreover, the stigma directly influences people with mental disorders and the cherished ones who assist them, often incorporating their family members. Stigma, hatred, and bias toward personages with mental illness can be complicated, but they can drive to wreck no matter the extent and add to worsening signs and decreased probability of receiving treatment. Moreover, it negatively affects rehabilitation among people diagnosed with critical mental ailments.

One of the significant interests for people with mental health issues is obtaining mental health care specialists who have the acquaintance and abilities to render extensive attention, including precautionary tactics, primary mental health, psychotherapy, and medication management. Psychiatric mental health nurse practitioners (PMHNPs) are tutored in the competencies that could aid reach the requirements of this community. Sadly, the psych NP function is defectively discovered, organizational obstacles have restricted the full range of practice, and, as a consequence, there is a curtailment of the specialty amongst advanced practice nurses.

https://www.psychiatrictimes.com/view/stigma-in-healthcare-empowering-physicians-and-trainees-to-seek-help

https://mhanational.org/issues/2020/mental-health-america-access-care-data

Standards of Practice: Examining Nursing Specialties

Nursing is a calling, not a profession. In the early years of my career, I recall having an intuitive urge to care for my family, and I have always felt sympathy for the sick and suffering. My bachelor’s degree in nursing has helped me understand my emotions and has given greater meaning and purpose to the care I provide to patients and their families. The nursing profession is extremely dynamic; we must keep moving forward with a well-planned strategy and persevere (Laureate Education, 2018). This has always been my guiding principle for progressing in my work. The first ten years of my career were a time of transition. I investigated various aspects of the nursing profession in search of the subspecialty that I am most interested in. Examining Nursing Specialties Discussion NURS 6003

Challenges. My career advancement journey has been long and interesting. It took me nearly a decade to figure out what field of study I wanted to pursue. I began my career in the Philippines, and I can say that the working conditions made my decision difficult. There was a staffing shortage, and the workload was enormous. Because of the poor working conditions, the nurse turnover rate was high. My career took a turn for the better when I became involved in nursing organizations. According to Echevarria (2018), professional organizations promote professional advancement and increase the interest of the members they serve. When I worked in the operating room, the surgical organization I was a part of provided me with numerous opportunities to learn and grow in that field. It was then that I realized how important it was to join nursing organizations in order to further my knowledge and skills. Cherry et al. (2019) backed up this claim by emphasizing how professional organizations help nurses practice by improving nursing values and encouraging self-regulation. According to the article, membership in an organization is an investment in professional development. My membership in professional organizations has indeed propelled my career to new heights, focusing on the field of specialty in which I am most interested. NURS 6003 Examining Nursing Specialties Discussion

Throughout my career, I had numerous opportunities to educate students and colleagues. I quickly realized that teaching and education were the areas of nursing in which I was most interested. This motivated me to work as a clinical instructor in a local nursing school, which was the pinnacle of my nursing education specialty. One organization that fully supports my field of interest in nursing education is the National League for Nursing (NLN). The National League for Nursing seeks to improve nursing education by focusing on professional development activities, research, certification, and networking (National League for Nursing, 2019). The second half of my career has been spent specializing in baccalaureate and graduate level teaching. NLN’s mission and vision completely support my personal goal of improving my teaching strategies. Currently, the organization has 40,000 individual members and 1,200 institutional members from various nursing programs across the country. This will allow me to network with colleagues in the field of nursing education. Individual membership opportunities are available on the NLN website for a very low fee. Membership benefits promote excellence in nursing education and provide opportunities for growth. I plan to join this organization in order to advance my specialty in nursing education.

References

Cherry, B., Caramanica, L, Everett, L. Q., Fennimore, L., & Elaine, S. (2019). Leveraging the power of board leadership in professional nursing organizations. JONA: The Journal of Nursing Administration, 49(11), 517-519.

Echevarria, I. M. (2018). Make connections by joining a professional nursing organization. Nursing, 48(12), 35–38.

Laureate Education (Producer). (2018). The Walden Journey to a Masters in Nursing: Standards of Practice [Video file]. Baltimore, MD: Author.

National League for Nursing. (2019). Nurse educator core competency. Retrieved from http://www.nln.org/professional-development-programs/competencies-for-nursing-education/nurse-educator-core-competency

RE: Discussion – Week 10

Online learning program for MSN is designed to assist students in the nursing profession make a difference in the field of health care. When selecting a profession, it is crucial to first consider the passion towards the course. It is also important to reassess your strengths, where you would like to see yourself in the next 5 years, and the group you prefer working with (Alquwez, 2020). In the discussion post written by Romeo, the author has made it clear the type of work setting he prefers. At Walden University, there are about eight distinct specializations. A practitioner can either work as a specialty nurse or nurse practitioner.

The desire to offer better care to family and patients is indeed a good mantra to start with. However, many people believe that nurse practitioners are limited to family practice only. That is not always the case with nursing profession (Vos, Boonstra, Kooistra, Seelen & Offenbeek, 2020). The university offers different nurse specializations. Each specialty offers the student an opportunity to take on extra responsibilities including examining patients, diagnosing illness, providing treatment, and prescribing medications. By choosing one of the specialty, Romeo has demonstrated the wish to focus on nursing education.

Regardless of the choice a person takes, specialization in the nursing profession is crucial as it helps to differentiate a practitioner in the field and aligns one’s interests with career goals. NLN is one organization that supports strategies for improving patient outcomes through effective collaboration and communication. The organization provides students with the opportunity to explore the most current health topics in collaboration with experts who serve as leaders in the healthcare system. Discussion Examining Nursing Specialties NURS 6003

References

Alquwez, N. (2020). Examining the Influence of Workplace Incivility on Nurses’ Patient Safety Competence. Journal of Nursing Scholarship, 52, 3, 292-300.

Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. Bmc Health Services Research, 20, 1, 1-11.

Peer Response

Hello O…, I agree with your response to Romeo with the increased demand for primary care services across the country and the number of new primary care graduates dwindling. States may need to look for an alternative supply of primary care providers especially in rural and underserved inner city areas. The demographics and economics of these locations present exacerbating challenges like accessibility, quality, and cost to the U.S. healthcare system. (Barnes et al., 2018) To overcome the short supply of many locals want to utilize nurse practitioners (NP) as one method to alleviate these challenges. Evidence supports the notion that nurse practitioners provide care comparable to physicians in terms of quality, utilization, and satisfaction metrics.

One particular specialty where the implementation of a (NP) could make immediate impact to the area is home-based primary care practices. Some research data shows approximately 93% of Medicare spending is for beneficiaries with multiple chronic conditions (Poghosyan et al., 2019). Costs of poorly coordinated or delayed care for this vulnerable population are staggering—not just measured in dollars and cents but overall psychosocial burdens of poor health and diminished quality of life. A key to solve this dilemma is offering to fill Home-based primary care (HBPC) practices with (NP) which can offer an effective way to meet the needs of older adults who find it difficult, if not impossible, to leave home for medical care with an overall cost saving to Medicare. According to
(Wolff-Baker & Ordona, 2019) Nurse practitioners (NPs) provide more than 825,000 HBPC visits per year.

References

Barnes, H., Richards, M. R., McHugh, M. D., & Martsolf, G. (2018). Rural and nonrural primary care physician practices increasingly rely on nurse practitioners. Health Affairs, 37(6), 908–914. https://doi.org/10.1377/hlthaff.2017.1158

Poghosyan, L., Timmons, E. J., Abraham, C. M., & Martsolf, G. R. (2019). The economic impact of the expansion of nurse practitioner scope of practice for Medicaid. Journal of Nursing Regulation, 10(1), 15–20. https://doi.org/10.1016/s2155-8256(19)30078-x

Wolff-Baker, D., & Ordona, R. (2019). The expanding role of nurse practitioners in home-based primary care: Opportunities and challenges. Journal of Gerontological Nursing, 45(6), 9–14. https://doi.org/10.3928/00989134-20190422-01