Reflecting On Nursing Care Plans And Integrity In The Profession

Driscoll Model Of Reflection In Nursing
INTRODUCTION The professional value that I have chosen to reflect on from my practice is
based on privacy and dignity for a patient admitted in the hospital. To enhance my reflection
development, Driscoll (2007) model of reflection; What? So what? Now what? will be apply.
According to (Lowenstein, Bradshaw, and Fuszard, 2004), reflection is the method of analysing and
reviewing one's practice as a nurse, with the aim of improving one's interactive skills with both
patient and colleagues. Reflection is a method of re–evaluating practice accounts and providing
substitute tactics to doing things (Howatson–Jones, 2016). Reflection is a vital learning tools which
can progress on innovative knowledge (O'Carroll, Park and Nicol, 2007) and enables the nurses
to mirror on their practice effectively (Johns and Freshwater, 2009). The name used throughout
this reflective assignment will be considered as pseudonyms to maintain confidentiality and to
conform with the Nursing and Midwifery Code of Conduct (NMC) (2015). WHAT On one of the
placement on the ward, the student nurse was assigned to assist a patient. Alfred is a 65 years
old man and was admitted with diarrhoea and generally unwell to the hospital. In the process of
his admission he was isolated in a side room to prevent and reduce any risk of spreading infection.
Alfred was a barrier nursed because he had clostridium difficile. He was isolated to lessen the
hazard of spread of infections to other patients, visitors, and
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Reflection On Nursing Care Plans
Reflecting on experiences and composing nursing care plans are just two of the many fundamental
skills involved in nursing (Day, Trotter, Hill, Haines & Thompson, 2014). This essay will include
four nursing care plans, two related to actual nursing problems, and two related to potential nursing
problems. Additionally, included within this essay, using Gibbs reflective cycle (Gibbs, 1988), will
be a reflection recounting a situation the writer experienced while on practical placement in a local
rest home.
On my third day of practical placement I was asked to answer a call bell that was activated from Mrs
Bee's bedroom, when I approached her door I gently knocked and waited for an answer. When Mrs
Bee answered and gave permission for me to...show more content...
I also felt scared and very worried about Mrs Bee, however, I mentally told myself to remain calm
and composed, and gently support Mrs Bee through whatever she was experiencing. Concerns arose
as I thought about what may have happened had I panicked externally, distressing Mrs Bee or had
she fallen as a result of her tremor. After speaking to the registerednurse I felt a bit incompetent for
not being able to identify the condition or symptoms, nevertheless I felt as though I handled the
situation well and by remaining calm this eased Mrs Bee through her tremor. Lastly, I felt intrigued
and curious about the cause, symptoms, and treatment options for essential tremors, and wanted to
research this further.
The experience was positive as it extended my learning surrounding the medical condition, although
it subjected me to an encounter I was not expecting, and had never experienced before. Additionally
this experience made me realise the significance of being familiar with the residents and their
medical conditions. Most importantly, this experience ended positively as the patient was assisted to
the toilet safely as requested, and did not obtain any injuries or experience anything unusual.
I believe by conducting myself the way I did, I was able to show composure in unfamiliar
situations, and increased my confidence in my coping abilities moving forward. I also believe given
my limited experience and

Nursing : The Core Value Of Integrity In Nursing
Nurses follow the morals of acting honestly, fairly, and ethically while caring for the needy. They
must hold colleagues to the highest standards of ethical conduct and professionalism. Additionally,
nurses must show accountability in providing quality, safe care towards their patients. This is the
core value of integrity, which nurses should uphold at all times. This paper will discuss the value
of integrity in nursing and describe examples of the use and lack of integrity. Integrity is being
honest and exhibiting a professional code of ethics (Shaw &Degazon, 2008). Additionally,
integrity is simply doing what is right. It is the quality of being honest and having strong moral
principle (American Nurses Association, 2015). Florence Nightingale stated, "Be everyday more
and more real, honest, and thorough in your nursing work" (Dossey, 56). Nightingale is a model of
integrity in the nursing profession. She stood up and did what needed to be done for her patients,
despite opposition from others (Dossey, 2005). Nurses have topped the Gallup's annual polls on
honesty and ethics for the past fifteen years (Norman, 2016). Trust is a key component of
relationships and certainly involves honesty. This Gallup pole indicates the importance of the
nursing profession to healthcare. Nurses are patient advocates and at the bedside on a consistent
basis. Likewise, they are the ones caring for patients in their most vulnerable states. Therefore, nurses
must display integrity at all times. In a profession that relies on honesty and trust, it is important for
nurses to regularly evaluate their integrity and look for ways to improve it. Integrity is crucial to the
nursing profession because it creates trust with others. This sense of trust facilitates open
communication with patients and colleagues (Ridge, 2015). For proper communication to occur
between a nurse and patient, honesty and sincerity are required. Good communication improves the
quality of care provided to patients. Integrity driven nurses, possess a strong sense of themselves
and act in ways of doing what is right consistently. Consequently, healthcare focuses on holistic care,
meaning all aspects of a patient's life must be considered, and the only way this

A Career as a Registered Nurse Essay
A Registered Nurse is a person who enjoys helping other people. They practically have the
responsibility for many peoples lives. What's interesting about a Registered Nurse is that they get
to learn about all the parts of the human body. A Registered Nurse works in the medical field and
needs to be ready with anything that comes their way. There could be a sudden death, some kind
of medical issue that pops up, and even a patient just falls over and hurt themselves. As a
Registered Nurse they need to be able to deal with blood, snot, vomit etc. The main thing a
Registered Nurse has to be good at is being able, and wanting to help people in need. A Registered
Nurse typically tends to work in a clean and healthy work environment ("Registered...show more
content...
para. 1). Registered Nurses should be emotionally stable, so they can help the families through
rough times ("Registered Nurses" U.S. para. 47). An RN also needs to be organized, and to make
sure the patient gets what they need when needed ("Registered Nurses" U.S. para. 48). All RN's
will need to have the patients medical issues, and problems handy and to give the patients, and
their medicines when the patients need it ("Registered Nurses" U.S. para. 8). An RN will usually
records what the patient is doing, sometimes work with medical machinery, talk to doctors about
the patient, and help the patient and the patient's family on how to deal with their medical
problems ("Registered Nurses" U.S. para. 8). Another important thing that an RN will need is to
have the physical stamina and to be ready to lift or transfer patients ("Registered Nurses" U.S.
para. 49). An RN will have to be able to lift at least 10 pounds, maybe even 20 pounds ("Registered
Nurse" para. 4). A person in this career should have an energy level that is somewhat high, has a
skill that is interpersonal, and a knowledge that is a little scientific ("Career" para. 6). If you
happen to be an RN in a nursing home, an RN will watch over the LPN's and CNA's, may start
fluids for the patient, make plans for treatments, and manage the patients health

Rn to Bsn Essay
Competencies between BSN and ADN, RN Nurses There are numerous differences in
competencies between BSN and ADN. Nursing is a dynamic profession and life long learning is
essential for nurses to stay current with the increased complexity of the healthcare needs of today
and into the future. In other words, the needs of our patients are changing, as we must change in
order to be prepared to better serve that need. Nursing has a long history of formal education which
moved out of hospitals and into colleges and universities early last century. The associate degree
level of nursing was developed out of a need to produce nurses in response to a shortage during and
...show more content...
As cited the report When Care Becomes a Burden released by the Milbank Memorial fund in 2001,
two separate studies conducted in 1996– one by the state of New York and one by the state of Texas
–clearly show that significantly higher levels of medication errors and procedural violations are
committed by nurses prepared at the associate degree and diploma levels as compared with
baccalaureate level. ASSOCIATE DEGREE IN NURSING The ADN program require about 2 yrs
for the student to complete. The Adn nurses are associate degree in nursing, ADN nurses have
clinical skills and hands on basic skills but they lack both management and leadership skills with
in the nursing field. Additionally they lack research skills used in nursing as well as knowledge on
informatics the use of technological advances in enhancing quality medical delivery. ADN is
shortened program time and reduced tuition rates. This program is more concise which focuses on
the clinical skills and more tasks oriented. It lacks the theory and science behind nursing as a
profession.ADN nurses are educated to provide nursing are to persons with similar alterations in
structured setting.ADN degree graduates to meet the needs of the pt. ADN gives you the
fundamentals of nursing practices. They basic theory, skills, competencies knowledge of scope of
practice and legalities for licensure and the essential general education core that is necessary as a
foundation [English, psychology, biology chemistry,

Examples Of Nursing Application Essay
Greetings and salutations fellow virtual aviator!
I'd first like to thank you for your interest in the team. We are always excited when we receive
applications. Our application process may span the course of multiple months. It is this span of time
that helps us determine whether or not an applicant is the right fit for the team. It is important that you
fill out our application with detail and honesty.
As an applicant of our team, we expect that you understand and emulate the four core values that
allow are our team remain successful and reputable.
Precision
Our demonstration is not easy––for any position on the team. Every flight, practice, performance, or
otherwise that we carry out requires a remarkable amount of accuracy and a keen sense for detail.
Every member of the team trains for hours in an effort to make our display appear the best that it
can be.
Dedication...show more content...
It requires hundreds of hours of studying, practicing, and refining the demonstration. Sometimes it
gets difficult and to a point where it doesn't seem worth it. Being able to push through the hard
times and keep a focus on the end goal of the team is something we look for in all of our team
members.
Professionalism
Every member of the team is part of different organizations in the flight simulation community, such
as The Sky Lounge, msFlights, MaldAir, and beyond. Being in the public eye quite often, it is
expected that our members all display themselves in a professional and mature manner. It is one
thing to have fun, but it is quite another to display yourself as immature.
Discipline
Being able to take and learn from criticism is what allows the team to progress and succeed in the
long run. Taking the time to understand how the demonstration works, what you are doing
incorrectly, and taking the steps to fix it is imperative to making the team's demonstration appear as
flawlessly as

Essay on Nursing Care Plan
Introduction: A nursing diagnosis identifies an actual or potential response of a patient to a health
problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the
selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial
care plan that identified nursing diagnoses and goals with the aim of promoting the holistic
wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home
from hospital after experiencing a stroke. Particular emphasis will be placed on proposed
interventions to achieve Mr. Bertoli's healthcare goals and the provision of rationales. This is
important to justify the significance of the interventions and indicate...show more content...
However collaboration between a professional interpreter and a family member can be beneficial
when dealing with the older person. This is because family member can assist in the provision of
physician–to–patient information after the conclusion of the encounter (Rosenberg, Seller & Leanza
2008). Intervention 1b: The provision of written information in the patient's primary language
containing the purpose and side effects of the patient's medications (Aboul–Enein & Ahmed 2006).
Rationale 1b: The provision of written medication information given to the patient helps significantly
in cases of medication non compliance (McGraw & Drennan 2004). This is because it aids in
memory retention and presents patients with access to a reliable source of concise medication
information, particularly if the patient needs to be reminded of certain aspects (Gorgos 2006). These
written medication information sheets need to be provided in the patients primary, dominant
language because it reduces the difficulty and limits barriers to patient understanding (Gorgos
2006).This is important because this intervention aims to increase a patient's understanding of their
medications, and when a patient feels more competent with the use of their medications, reduced

My Experiences in a Nursing Career Essay
Nursing
"Nursing is an art: and if it is to be made an art, It requires an exclusive devotion as hard a
preparation, as any painterВґs or sculptorВґs work; for what is the having to do with dead canvas or
dead marble, compared with having to do with the living body, the temple of GodВґs spirit? It is one
of the Fine Arts: I had almost said, the finest of Fine Arts." Spoken by a true nurse, Florence
Nightingale; a pioneer of nursing and a reformer of hospital sanitation methods. I have many goals
in life such as to have a good strong career and family. What is important to me is graduating
Central high school and go on to UND. While at UND I plan to get my nursing degree and
specialize in pediatrics and truama. I have...show more content...
My sights have changed as I have gotten older. I no longer want to become a medical doctor. I may in
the far future decide to become a doctor but I would rather be a registered nurse because they deal
with the patients more. I also prefer working with pediatric or gereatric patients. Whatever way
that I decide to go I will always be helping someone, somewhere. I have looked at many colleges. I
find myself lucky to be in Grand Forks, North Dakota. UND is an amazing school, with a highly
recommended nursing program. North Dakota is one of the only states left that require a four
year nursing degree. I looked in to going to the tech but decided that it was not the right choice for
me since I am planning to stay in North Dakota. This would mean I would have to work in
minnesota or take a job in North Dakota and work under a different title with less pay and
benefits. Another benefit that accompanies going to a four year nursing program is if i wanted to
higher my education it would be in my best interest to have the extra two years behind me. My
next step in becomming a registered nursing is a little sidetracked. I want to be come a CMA. A
CMA is a certified medical assistant. Once I become a CMA I will have more responsibility but it
will be worth it. Becomming a CMA will help me in future classes at UND. I will have the
backround of medications as well as a better understanding of patients.
Going to

Nursing Exemplar
Katherine Gallagher NU 310 Exemplar 2/21/2012 I arrived to work well rested and ready to start
the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7
East to find that the assortment of patients was not familiar at all. As I began getting reports on
my patients, one in particular I started to feel a little anxious and stressed. At first glance I could
tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted
almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with
laryngeal cancer with already having several other diagnoses including: seizure disorders, mild
mental retardation, behavioral issues, and was legally...show more content...
The look on Lynda's face was that of incredible confidence, I was truly impressed with her. By the
end of our second twelve hour shift, Lynda had learned how to suction herself. It was passed
along in report to simply encourage her independence in suctioning herself. Day three, my
mission was to teach Lynda the proper care of her PEG tube, and to continue with the
encouragement of her suctioning herself. After walking her though a bolus feeding in the
morning, she agreed to do the next one. Lunch time came around and sure enough, she was able
to complete the bolus feeding with minimum assistance. By the time came for the next feeding
she was going to get the can of food to do it herself when I had walked in the room. She laughed
and told me I was right that the PEG tube was a lot easier than suctioning. At this point in Lynda's
stay I knew that she would be going home soon. Later that evening, while discussing Lynda's
progress over the last few days with the physicians I asked them what the plan was and instructed
them that we needed to get nutrition, social work, and case management involved so that she could
go home. The physicians stated that they would place the consults that I requested but as for
discharge they were unsure about when this would happen because Lynda's brother doesn't think she
can care for herself on her own. I was shocked to hear this, the brother who I had not

My Reflection On My Nursing Journey
My Nursing Journey I once heard someone say, "Find something you love to do and you'll always
be successful." If you want to be in a field where you are continually learning, nursing would be
the top pick. This paper will reflect the journey I have taken from Registered Nurse (RN) to
Bachelor of Science in Nursing (BSN) with the incorporation of my learning objectives from my
clinical course.
Although, I've been in healthcare for over 20 years, working as a medical assistant, I believe my
journey truly began with nursing school. It is one thing to do a job that you have been shown to do,
but it becomes different as I now understand why these processes are done as well as the
physiological implications. The journey to get to this point had felt like a lifelong one with many
disappointments and struggles along the way. However because of the knowledge I now have, I
wouldn't change a thing as I consider it extremely valuable.
My clinical experience for this semester was an opportunity to follow the house supervisor at Trios
Healthcare in Kennewick, WA. The courses at Washington State University (WSU) consisting of
leadership and management have taught me the value of collaboration as well as communication.
With the opportunity to follow the house supervisor I was able to apply this knowledge to my
clinical experience. This was especially good because one of my learning objectives was to
participate in the management of admissions and transferring patients in the

The nursing process Essay
The standards of practice describe a competent level of nursing care as exhibited by the critical
thinking model known as the nursing process. This practice includes the areas of assessment,
diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process
includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse's
decision–making ("American Nurses Association," 2010). Assessment is the accurate collection of
comprehensive data pertinent to the patient's health or the situation ("American Nurses Association,"
2010). Assessment is the first step in the nursing process and the most important. Assessment is the
accurate collection of the patient's health date...show more content...
It is during the second phase that the nurse must establish a nursing diagnosis. Only diagnosis
approved and listed through The North American Nursing Diagnosis Association (NANDA) may be
used. Ineffective airway clearance, risk for impaired skin integrity, risk for infection and ineffective
coping are just a few examples of NANDA approved diagnosis. A nursing diagnosis is a clinical
judgment about actual or potential individual, family, or community experiences/responses to health
problems/life processes. A nursing diagnosis provides the basis for selection of nursing interventions
to achieve outcomes for which the nurse has accountability (Defining the Knowledge," 2012). The
third standard of practice is outcomes identification. During this phase, the registered nurse identifies
expected outcomes for a plan individualized to the patient or the situation ("American Nurses
Association," 2010). During this step outcomes must be derived from the nursing diagnosis and must
be measurable, realistic and attainable by the patient. The registered nurse involves the patient,
family, heath care providers, and others in formulating expected outcomes when possible and
appropriate. The registered nurse must also consider associated risks, benefits, costs, current
scientific evidence, expected trajectory of the condition, and clinical expertise when formulating
outcomes ("American Nurses Association," 2010). Example of an

A Career in Nursing Essay example
Nursing is defined as "as an application of scientific knowledge enhanced by artful practice in a
socially responsible manner." (Gregory 5). Nurses provide leadership as members of interdisciplinary
teams, provide client centered care to promote health, prevent disease, and restore and maintain
client integrity throughout the life span. (Krannich 71). This makes it one of the most interesting
professions, in my opinion.
General Qualifications for becoming a nurse, according to Regina Ranburn, include: "Compassion,
caring for others, selflessness, love for humanity, and desire to help others" (1). These qualities are
vital to a career in nursing because most fields require direct patient care. Dealing with patients
one–on–one every day...show more content...
A "cast–iron stomach" is essential because of the previous trauma situations. This is where good
assessment skills are very crucial. Being in the Emergency Room, especially, the ability to access a
situation and act quickly is vital to the patient's survival rate.
In order to acquire a degree in nursing, the steps required are having a high school diploma and
some form of formal education post high school. There are three different paths available: a
Bachelor of Science Degree in Nursing (BSN), an Associate Degree in Nursing (ADN), or a
hospital diploma of nursing (Krannich 72). A BSN program includes four years in college with the
curriculum consisting of "assessment, disease management, decision making, health promotion and
prevention, health care technology and policy, research, quality assurance, leadership, and
management." (Gregory 5). You are also required to complete clinical training, meaning working in
a hospital for experience in the field with real people and situations. The ADN program only
requires two to three years of education (Gregory 5). However, the ADN program had the most
educational opportunities, or universities offering the program. The hospital diploma career path is
not offered by every hospital, but only by seventy. The ADN programs available in

Nurse Interview Essay
Master's–Prepared Nurse Interview Grand Canyon University Theoretical Foundation for Nursing
Roles and Practice NUR–502 May 23, 2012 Master's–Prepared Nurse Interview With the rapid
growth in the implementation and use of electronic medical records, there is an increase in how we
define the role of nurses and other team member's (Deese & Stien, 2004). Along with providing
optimal care, nurses are also responsible for interpreting and accurately documenting large amounts
of information. According to, (Ericksen, 2009) nursing informatics is defined as the integration of
nursing, its information, and information management with information processing and
communication technology to support the health of people worldwide. In this...show more content...
Present Position What she likes most about her job is that there aren't any typical days. Primarily
she is responsible for obtaining data such as: patient demographics, laboratory work, radiology, and
appointment utilization, from multiple data banks within the military hospital. Shadow her for a
week and you will see her in a variety of roles. Some days she may present a brief to the executive
team; another day you may find her mentoring a nurse on how to build a disease management
database ("Nursing Informatics as a Career," 2011). On another day she might be evaluating a
consumer–based web education program. The following is one example of what at typical project
for her may look like, Dr. A may request information on clinical outcomes on diabetes care for the
patients on their panel. After extracting the data, she then transforms it in to information that is
useful for example, one list may show all diabetic patients that are missing annual eye exams.
Another example may include helping a provider examine new cost–effective technologies like hand
held devices. Pearls of Wisdom In the interview the question about any advice she wanted to offer
was asked, with a big smile on her face, I am sure, she responded that the field is "wide open"
("Nursing Informatics as a Career," 2011) she continued on to say, if you are a self–starter it

Community Health Nursing Reflection Essay
Community Health Nursing Reflection
NUR/405
2012
Diane Schlicke RN MSN
Community Health Nursing Reflection
The role of the community health nurse in the participating family's community is to focus on the
health needs of the aggregate or group. Community health nursing refers to a systematic,
comprehensive focus on wellness, health protection, and disease, and injury prevention for the
population residing in a specific area. The nurse functions as advocate, case manager, consultant,
health care provider, educator, and collaborator with other agencies for healthy outcomes of the
entire community. Nurses involved in the health of a specific community such as the family
participating will assess the members living in the demographic...show more content...
Education of the population is important. Developing and providing instructions to reframe from
outdoor activities during the peak hours of traffic in the neighborhood will minimize exposure.
Effective health seeking behaviors related to the expressed desire for a higher level of wellness,
evidenced by, involvement in physical/recreational activity in the community. The nurse may assist
the members of the community to explore motivations, behaviors, and feelings regarding their
determination to increase their level of wellness. In response to the person's self– awareness for the
desired elevation of maximum health, the nurse may reinforce the need to modify and plan more
achievable personal goals.
Due to long working hours, sedentary activity levels, and other personal responsibilities the nurse
may assess some community members display a nutrition imbalance related to excessive caloric
intake in comparison to expenditure of calories, evidenced by, weight gain of more than 20% over
ideal for height and frame. Interventions provided by the community nurse may include education of
a balanced healthy dietary regimen that include foods frequently eaten but prepared with less fat and
calories for the targeted population. The nurse will weigh each

Acute Care Nursing Essay
The aim of this assignment is to critically discuss the nursing assessment individualised care and
nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to
a urinary tract infection and her condition deteriorated during the recovery process in the nurse's
care. Lovick (2009) defines sepsis 'as a known or suspected infection accompanied by evidence of
two or more of the SIRS criteria'. SIRS is outlined as a 'systemic inflammatory response' consisting
of two or more of the following symptoms 'temperature >38 degrees Celsius or 90 beats per minute,
respiratory rates greater than 20 breaths per minute and white blood count higher than 12,000 cells
per microliter or lower than 4000 cells per...show more content...
The nurse found Mrs Smith to be tachypnoeic, her respirations were recorded as 24 breaths per
minute it was observed as being fast and it appeared that her accessory muscles were being used.
Mrs Smith's pallor also appeared flushed and her saturations were documented as 93%. The nurse
used the stethoscope to check for wheeze the patient's lungs were clear and chest rise was
symmetrical. Mrs Smith was commenced on 100% oxygen through a non–rebreathe mask, oxygen as
an intervention is necessary as Creed & Spiers (2010) highlight 'metabolic demand for oxygen
throughout the body is hugely increased by sepsis and is essential to ensure the supply of oxygen is
maximized' .The nurse monitored the patient closely because in her confused state the patient may
try to remove the oxygen mask.
An evaluation of Mrs Smith circulation was the next step carried out by the nurse, as in the
breathing assessment Mrs Smith pallor was noted as being flushed and the patient appeared
confused this could be associated with poor cardiac output. The nurse recorded the patient's blood
pressure using a dinamap it was measured at 88/50, it was then rechecked manually to ensure
accuracy. The pulse was checked manually for rate and rhythm it was recorded as 98 beats per
minute. Capillary refill was checked, was found to be normal.
The next step of the framework is disability. Mrs Smith's conscious level was measured

Nursing Scholarship Essay Sample
After graduating Anacortes High school I plan on attending a four year private liberal arts
university. I will be pursing a Bachelors of Science in Nursing leading to a career as a Registered
Nurse. My main interest is a specialty in pediatrics. Following a month stay at Children's Hospital
after enduring emergency surgery and a difficult recovery I decided nursing is what I'm meant to
do. The nurses inspired me, and I hope that I can help a family and child in the same way that they
helped

Advanced Practice Nursing Essay examples
My own perspective on Advanced Practice Nursing
ABSTRACT:
The need for continuing education in nursing has been accentuated in response to rapidly changing
health care environment. Expanding knowledge by pursuing higher education allows nurses to
enlarge one's practice. Furthermore, higher education in nursing has been shown that a nurse's level
of education can become a critical factor to the patient–centered quality of care. This essay describes
increased demand for higher education in nursing and emphasizes the necessity of continuing
education to provide optimum patient care in various setting.
Techniques and technologies in the medical field constantly evolve and change. With such a huge
increase in information, there is...show more content...
As people's life expectancy increases, the nursing field needs to keep pace with the rapid
changes. There's increased needs for nurses in many different field as well such as nursing home,
hospitals, ambulatory cares, palliative care, and hospices. Therefore, an expectation of a role as a
nurse has been rise. Nursing skills and knowledge cannot remain limited, but need to utilize in
more various setting. In order to provide better care in various nursing field, continuing education
is essential. For example, as population and their lifespan increases there's also new diseases and
new treatment has been developed. A competence nurse must embrace old and new skills and
thorough knowledge to achieve best quality of care and optimum patient's overall outcome. The
quality of patient care heavily depends on nurses' level of education. One research proves that
nurses who received higher level of education showed lower mortality rate, less medical errors, and
higher patient satisfaction. This outcome is related to higher education which prepared nurses to
handle various circumstances with appropriate answers. Nurses are people who spend most of time
with ill individuals at the bed side. Nursing education will provide new demanding roles of nurses'
requirement such as seeing the patient as a whole, providing appropriate response to patient's
condition, and integrating knowledge and skills accordingly.

The U.S. nursing shortage had been a serious issue for quite sometime now and continues to
escalate. As the nursing workforce continues to age, nurses leave the profession faster than they can
be replaced and the crisis continues to grow. Nurses are leaving for different reasons. What is being
done to solve the nursing shortage here in the United States? Nursing recruitment and retention is
one of many solutions that can alleviate this problem. "Nurses are privileged to belong to a
profession that commands a level of credibility and respect that few others in health care or any
other field can claim. According to the Gallup Organization's 2005 annual poll on professional
honesty and ethical standards ranked nurses number one. With one...show more content...
This legislation has a great impact for me as a nurse. The place where I work provides educational
incentives that include tuition reimbursement for nurses who wanted to continue their education.
They have education opportunities given to nursing assistants who wants to go back to school to
get their license as a registered nurse or licensed vocational nurse, an ADN nursing graduate who
wants to advance their education and go for the BSN, and BSN graduates who want to go for their
Master's degree and many more. They also provide training programs for nurses such as lengthy
orientation programs and preceptorships for new nursing graduates and new hires that require more
intense orientation. There are legal responsibilities that we have as professional nurses. Because of
the nursing shortage, one of the major issues of concern is staffing. Inappropriate staffing can
threaten patient's safety. Inadequate staffing can also affect the nurse's health,

Nursing Essay: Patient Assessment
This piece of work will be based on the pre–assessment process that patients go through on arrival to
an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing.
I will explore one patient's holistic needs, identifying the priorities of care that the patient requires; I
will then highlight a particular priority and give a rational behind this. During an admission I
completed under the supervision of my mentor I was pre–assessing a 37 year old lady who had
arrived to the unit for an upper gastrointestinal endoscopy. During the pre–assessment it was
important that a holistic assessment is performed as every patient is an individual with unique care
needs as the patient outline in this piece of work has...show more content...
In accordance with the NMC 2008 where it states that nurses must protect and promote dignity all
pre–assessments are carried out in a private room (NMC 2008). My mentor and I were made aware
by the reception staff before that the patient has learning disabilities. I ensured that I used short
sentences and the appropriate language. I also ensured that the patient was given the time to process
what was being said to her. During the assessment I was keen to make sure that the patient was clear
about what the procedure involves and the routine of the day, throughout the assessment I was
concerned that while I believe the patient did understand the Procedure, I was concerned as to
whether all the possible complications and post procedure instructions were fully understood, I was
also concerned as to whether the patient had the ability to communicate any concerns she may have,
the patient also has hypertension. The priorities of care with this patient is monitoring her blood
pressure throughout her time within the unit, the ability to understand the procedure and capacity to
consent, also communication barriers both of which relate to her learning disabilities. I believe that
the key priority for this patient is her learning disabilities and communication barriers, as it is vital
that the patient is entirely aware of the procedure. Carrying out nursing assessment is an essential
part of every nurse's

New Graduate Nurses Essay
Transitioning from nursing school to working in a hospital setting can be a challenging time for a
new graduate. Due to the nursing shortage, new graduate nurses are being hired with little to no
experience. This is overwhelming for new nurses, especially when they are not getting adequate
support or training from the hospital. The amount of stress, pressure, and lack of training is leading
to a high turnover rate for new graduate nurses. With patient acuity on the rise, new graduate nurses
that are filling these vacancies in the hospitals, need to be competent nurses to provide proper and
safe care to the patients. This article researched the competency of new graduate nurses. "Nursing
competence is not only a professional standard...show more content...
Communication includes verbal and written, as well as the ability to document data. One of the
most difficult transitions, and a main stress factor, is the new graduates' ability to communicate
with the physicians. Having the ability to be a leader is a key to success. "To be an effective leader, a
nurse must show collaborative teamwork, which is consistent with AACN core competencies. To
fulfill this competency, new graduates must be able to delegate to others to promote patient safety
and health" (Theisen & Sandau, 2013). Conflict resolution with team members and patients was a
noted as a skill that new graduates lacked. "Several new graduates expressed concern that they were
unprepared to deal with conflict appropriately and professionally" (Theisen & Sandau, 2013). Due to
the lack of experience, new graduates are unfamiliar with the proper ways to deal with conflict
successfully. Mentorship has been an effective way in improving new graduates confidence in
dealing with conflict, because they were guided through real situations. Organization, prioritization,
and time management was another identified problem. The ability to prioritize patient care, which
has a direct effect on patient safety, is a critical component of nursing. "Both new graduates and
employers have

Reflecting On Nursing Care Plans And Integrity In The Profession

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