Nursing Practice
Fiscal constraints are increasingly driving health care reforms, often resulting in rapid and sweeping changes for nursing teams. The purpose of research by Eagar, Cowin, Gregory and Firtko was to identify the problems with inter-professional communications within health care teams.

A review of the literature indicates there is considerable evidence of inter-professional rivalry in the workplace, role confusion and even bullying. New nurses have reported being ignored, intimidated and belittled, while nurses at all stages of their professional careers discussed the power struggle between doctors and nurses and instances of passive-aggressive communication and subversive behavior. Nurses who work in negative environments have higher job stress, which can transfer to home life. Patient care can be compromised when too much attention is devoted to poor inter-professional relationships. Nurses' longevity in their field can also be impacted. The researchers formed their hypothesis based on a literature review.

For the study, six focus groups…...

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Reference

Eagar, S.C., Cowin, L.S., Gregory, L., and Firtko, A. (2010). Scope of practice conflict in nursing: A new war or just the same battle? Contemporary Nurse 36(1 -- 2), pp. 86-95.

Section 1. Introduction
Today, nurse administrators are playing an increasingly important role in a wide range of health care settings, and there has been a corresponding increase in interest in understanding the relevant competencies, scope and standards of practice for this profession in recent years. To this end, this paper reviews the relevant literature to identify the scope and standards for nursing administrators, followed by a description of the profession’s general characteristics. Finally, a summary of the research together with two insights that were learned from this assignment concludes the paper

Section 2. Identification of the scope and standards of a nurse administrator

Although every nurse administrator position is unique in some way with respect to scope, they all typically follow the 17 competency-based standards of practice set forth in the American Nursing Association’s (ANA’s) text, Nursing Administration: Scope and Standards of Practice (2nd ed.) as well as relevant standards promulgated by nursing…...

Temporary Reassignment
Patient reassignment is the temporary change in the employee's assignment in the sense that he or she holds a position that has a higher salary or responsibility for a short period. The duties conducted by the nurse at this point are higher than the one that he or she held earlier. Although this change is for a short period, it can change some of the things in an employee especially in the acquisition of competencies in regards to the whole process of nursing.

Importance

Temporary reassignment ensures that one is able to enjoy working in different departments in a hospital setting. Working in different department allows the employees to enjoy a different environment from the one that they are used to in their environment. On the same note, temporary reassignment is important as it helps in filling the gaps found in the hospital in case a member of a certain department…...

inconsistencies among states regarding to APN restrictions on scope of practice
The state of Utah gives APNs a great deal of leeway regarding the provision of primary care. APNs can function as primary care providers in autonomous practice settings. APNs are also authorized to prescribe medications and offer physical therapy independent of physician collaboration, delegation, or supervision. APNs can sign death certificates, issue handicap parking permits, and oversee worker compensation claims. From the point-of-view of the profession, APNs are increasingly being called upon to fulfill the roles of physicians: this is a cost-effective approach to care and also an acknowledgement of the additional training that APNs go through. However, from the point-of-view of other healthcare providers, such as physicians and licensed and registered nurses, there may be tensions because of a perception that APNs are 'straddling the line' between the different professional boundaries of medicine and blending two different approaches.…...

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References

APRNs a "big part of the solution" to the primary care provider shortage. (2011). RWJF.

Retrieved:

 http://www.rwjf.org/en/about-rwjf/newsroom/newsroom-content/2011/08/aprns-a-big-part-of-the-solution-to-the-primary-care-provider-sh.html 

The new APRN regulatory model: Defining the future of Advanced Practice Nursing. (2013).

NY Scope of Practice for Nurses
The scope of nursing for nurses is largely similar but differs across states because of different practice environments. The variance is nursing scope of practice across states is also attributable to the differences in nurse practice laws and regulations. Actually, each state has established specific laws and regulations that govern practice within the state. These laws incorporate different licensure and regulatory requirements as well as details regarding nursing practice environment. Some examples of states with different scope of practice for nurses are New York and California. The differences in the scope of practices in these states are evident in definition of some aspects of nursing such as definition of standing orders, developing workflows in electronic health records, and what nurses can order in the EH.

Definition of Standing Orders

One of the major ways in which nursing practice differs between New York and California is definition of…...

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References

Buppert, C. (2012, December 7). Are Standing Orders Legal? Retrieved April 8, 2016, from  http://www.medscape.com/viewarticle/775617 

Coffman, J.M. (2012, June 14). California Physicians Unprepared for Electronic Health Record Regulations, According to UCSF Report. Retrieved from University of California San Francisco website:  https://www.ucsf.edu/news/2012/06/12174/california-physicians-unprepared-electronic-health-record-regulations-according 

Doolan, D.F. & Bates, D.W. (2002, July/August). Computerized Physician Order Entry Systems in Hospitals: Mandates and Incentives. Health Affairs, 21(4), 180-188.

New York State Education Department. (2009, April). Nursing Guide to Practice. Retrieved from Office of the Professions -- The State Education Department website:  http://www.op.nysed.gov/prof/nurse/nurse-guide-april09.pdf

Standing Orders, Computerized Order Entry, & Admission Pressure Ulcers
Standing orders are non-patient specific orders written by a physician or a nurse practitioner (Primer on standing orders for immunizations and emergency treatment of anaphylaxis, n.d.). New York RNs can administer certain immunizations with a standing order and protocols. Implications have come from designing workflows in the computerized order entry systems if not properly fitted with the existing information systems. Physicians are now responsible to assess, document, and treat present on admission pressure ulcers.

In the state of New York, RNs must be CPR certified with American Red Cross, American Heart Association, or other equivalent organization to administer immunization agents with a standing order and protocol. For adults, 18 or older, authorized agents include Hepatitis A, Hepatitis , Influenza, Pneumococcus, Meningococcus, Diphtheria, Tetanus, Measles, Mumps, Rubella, Varicella, Inactivated Polio, and any additional approved by the oard of Regents. For children, under 18 years,…...

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Bibliography

Campbell, E. e. (2009). Computerized Provider Order Entry Adoption: Implications of Clinical Workflow. J Gen Intern Med, 24(1) doi:10.1007/s11606-008-0857-9, 21-26.

Lyder, C. & . (Oct 2009). Annual Checkup: The CMS Pressure Ulcer Present-on Admission Indicator. Advances in Skin and Wound Care, 22(10) doi:10.1097/01.ASW.0000361385.97489.51, 476-484.

Primer on standing orders for immunizations and emergency treatment of anaphylaxis. (n.d.). Retrieved from NYSNA:  http://www.nysna.org/practice/scope/primer.htm 

(2001). The BRN Report, 14(1). California Board of Nursing.

Practice riting
Students are being constantly judged and analyzed based upon their academic achievements. The texts presented question the validity of assessment and question how and why students are limited in their ambitions. Emphasis is put on certain aspects of academia but others are overlooked entirely. There is a decided need for reevaluation of what should be expected of students and how they are judged by those in positions of authority over them.

Students who attend Ivy League schools are supposed to be somehow more intelligent or more capable than students who go to public schools (Easterbook). However, research indicates that the only thing that matters is that a student attends some college. People who go to college will generally earn more money than those that do not, but the type of school does not necessarily impact the income level of the person.

Research conducted by Catherine Rampell found that in private institutions…...

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Works Cited:

Average grade awarded Fall term, 1993-2006. CSU Sacramento Factbook. Office of Institutional

Research. Web. 2012. http://www.oir.csus.edu/factbook/

Average grade awarded for academic year, 1917-1948. Annual Report of the President of Stanford University. Web. 2012. http://collections.stanford.edu/university

Easterbrook, Gregg. "Who Needs Harvard?" Atlantic Magazine. Oct. 2004. Print.

Summarize Complementary Therapies and the APNs ole in guiding their Inclusion in Treatment Plans.

Complimentary therapies are a part of the practices which are utilized to help patients to improve their underlying state of health and reduce the need for long periods of hospitalization. In most cases, this allows them to receive continuous treatment on an outpatient basis. Some of the most notable include: chemotherapy, kinesiology, nutrition / diet, focusing on the mind / body connection and psychological treatment options. These different areas are important, as they will help patients to understand other tools they can utilize in dealing with their condition. This is giving them a sense of empowerment by comprehending what is occurring and the best approaches for addressing these challenges over the long-term. (Mezey, 2003) (Naylor, 2010)

The APNs role is to suggest other therapies they can use during the process and help to supervise the patient. This means…...

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References

Cronenwett, L. (2009). Quality and Safety Education. Nursing Outlook, 57 (6), 338 -- 348.

Fitzpatrick, J. (2003). Managing Your Practice. New York, NY: Springer.

Hughes, R. (2008). Patient Safety and Quality. Rockville, MD: Agency for Research and Health Care Quality.

Jansen, M. (2010). Advanced Practice Nursing. New York, NY: Springer.

Nursing Practice Act of Virginia:
The scope of practice in medicine, nursing, law, dentistry, and various other disciplines are usually established and regulated at the state level. This implies that the legislative body in every state establishes practice law and allocates authority for the implementation of the law to suitable regulatory agencies and boards. In relation to the nursing field, the established laws are usually in the form of professional practice acts that act as the basis for licensing standards. Licensing is in turn geared towards the protection of public health and well-being, safety, and welfare. Generally, the statute that defines and manages the nursing profession and practice is known as a nurse practice act. There are four major objectives of the nurse practice act in each state including defining the nursing professional practice, establishing the minimum academic qualifications and requirements for licensing, defining the legal titles and abbreviations that nurses…...

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References:

Black, B.P. (2013). Professional nursing: concepts & challenges (7th ed.). St. Louis, MO:

Elsevier Saunders.

"Complaints Against Licensees." (2012, October). A Public Information Brochure. Retrieved from West Virginia State Board of Examiners for Licensed Practical Nurses website:  http://www.lpnboard.state.wv.us/Disbro3pub1.PDF 

"Regulations Governing the Practice of Nursing." (2014, February 27). Virginia Board of Nursing. Retrieved from Virginia Department of Health Professions website:  http://www.dhp.virginia.gov/nursing/leg/Nursing_02272014.doc

Standards of Nursing Practice
Nursing Scope and Standards of Practice

Scope and Standards of Nursing Practice in Ohio

Scope and Standards of Nursing Practice in Ohio

As a pediatric hematology registered nurse (N) practicing in the state of Ohio I am licensed through the Ohio Board of Nursing (2013). The Ohio Board of Nursing determines licensure criteria by relying those established by national certifying organizations and in Ohio this is the National Council of State Boards of Nursing. The scope of practice for Ns in Ohio is determined by Chapter 4723 of the Ohio evised Code (OC), in addition to the administrative rules developed under this Chapter (Ohio Board of Nursing, 2011).

Scope of Practice Considerations

Under Chapter 4723 OC an N is authorized to evaluate a patient's health, develop a nursing regimen to restore health, prevent disease, and promote health, provide health counseling and teaching, and under the authorization of a doctor or nurse…...

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References

ANA (American Nurses Association). (2011). Code of Ethics. American Nurses Association. Retrieved 11 Oct. 2013 from  http://www.nursingworld.org/Mobile/Code-of-Ethics .

Fowler, Martha D.M. (ed.) (2008). Guide to the Code of Ethics for Nurses: Interpretation and Application [2010 Reissue]. Silver Spring, MD: American Nurses Association.

Hennessy, Jane. (2009). Pediatric Hematology Nursing: Scope and Standards of Practice. Association of Pediatric Hematology/Oncology Nurses (APHON). Retrieved 11 Oct. 2013 from www.aphon.org/members/documents/Hematology%20scope%20and%20Standards.pdf.

Kurtz, Pat and Burr, Ronald L. (2009). Chapter 11: Ethics and Health. In K.S. Lundy and S. Janes Community Health Nursing, 2nd Edition. Sudbury, MA: Jones and Bartlett Publishers.

Advanced Practice Nursing
Compare and Contrast the APN and MDs scope of practice.

The scope of practices for APNs is to focus on specific areas of medicine which can be transferred from the hospital to a clinic, skilled nursing facility or outpatient care center. The basic idea is that an N with several years of experience and advanced training can offer effective health care solutions for families / children. Some of the different areas they are practicing in include: adult / family / pediatric, / gerontological care, psychiatry and mental health. This means that they have a number of duties they will perform to provide primary care to patients. The most notable include: taking / evaluating health histories, conducting physical exams, diagnosing / treating common acute illnesses, giving immunizations, managing high blood pressure / diabetes, ordering / interpreting X-rays / other laboratory tests, counseling on disease prevention / healthy lifestyles and referring…...

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References

American Nursing Association. (2010). Nursing World. Retrieved from:

 http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/MediaBackgrounders/APRN-A -

New-Age-in-Health-Care.pdf

Louisiana State Board of Nursing Guidelines. (2011). LSBN. Retrieved from:

Nurse Practice Specialties
The objective of this study is to locate four evidence-based research articles in nursing peer-reviewed journal. Specialty nursing includes various areas of nursing practice, which are examined in this study. Articles reviewed in this study include those related to emerging specialties and opportunities for nurses, Advanced Practice Registered Nursing, Nurse Practitioner Primary Care in Competencies in Specialty Areas, and the Specialty Practice of Nursing Informatics.

The first article examined in this study is the work of Cruz (2012) who reports that Advanced Practice Registered Nurses (APRN) "arose out of the trailblazing efforts of nurses from four separate nursing specialties whose individual histories were shaped by a common threat: the answer the call to deliver a high level of healthcare to individuals and groups in an area of clinical practice where a need for such level of healthcare existed." (p.1) Cruz (2012) additionally reports four areas of concern that…...

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Bibliography

Beattle, L. (2010) Emerging Specialties, and Opportunities for Nurses. NurseZone. 11 Jun 2010. Retrieved from:  http://www.nursezone.com/nursing-news-events/more-features.aspx?articleid=34360 

Bickford, CJ and Lewis, D (2007) ANI Connection: The Specialty of Nursing Informatics. CIN Computers, Informatics, Nursing, Vol. 25, No. 6, Dec 2007. Retrieved from:  http://www.nursingcenter.com/lnc/journalarticle?article_id=753408 

Cruz, J. (2012) Whose Consensus Is It Anyway? All Nurses. 1 Sept 2012. Retrieved from:  http://allnurses.com/nurse-practitioners-np/whose-consensus-anyway-779977.html 

Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women's Health (2002) U.S. Department of Health and Human Services, Health Resources and Service Administration, Bureau of Health Professions, Division of Nursing, April 2002. Retrieved from:  http://www.aacn.nche.edu/education-resources/npcompetencies.pdf

Nurses in New York State Verses Nevada
Nurses in different states often have varying scopes of practice in as much as there are some basic nursing standards that are universally adhered to across the globe and the U.S. in general. The state specific practices are meant to help in moderating the health r provision and also to enable an environment where the most relevant nursing care is provided in line with the specific environment where the infection may occur or that the patient may find themselves in.

In New York State (NYS) there are regulations that are specific to the nurses and some which are specific to the physicians, both in line with their professional training and the expected duties. In NYS the nurses are expected to have patient specific orders for the medications and tests that they conduct. This however exempts certain immunizations, HIV testing, anaphylaxis treatment agents and purified…...

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References

Agency for Healthcare Research and Quality, (2013). Electronic Health Records and Meaningful Use. Retrieved April 22, 2016 from  http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod17.html 

Education Career Articles, (2013). Nevada: Nurse Practitioner Rules and Regulations. Retrieved April 22, 2016 from  http://educationcareerarticles.com/career-information/career-news/nevada-nurse-practitioner-rules-regulations/ 

Health IT, (2013). What is Workflow Redesign? Why is it Important? Retrieved April 22, 2016 from https://www.healthit.gov/providers-professionals/faqs/ehr-workflow-redesign

Miller R.H. & Sim I., (2016). Physician's Use of Electronic medical Records: Barriers and Solutions. Retrieved April 22, 2016 from  http://content.healthaffairs.org/content/23/2/116.full

This help in solving conflicts between patients in a hospital.
In nursing practice, there are quite different in between clinical nursing specialist and nurse practitioner in the scope of operation. Therefore, a clinic nurse specialist works under the legislated scope of practice for a registered nurse but has advanced education. While nurse practitioner works under a separate scope of practice and can perform certain functions and tasks that are outside of the scope of practice of registered nurse, including clinical nurse specialist. However, nurse practitioner generally provide primary care, and clinical nurse specialists act more a s consultants in their roles as expert clinicians, clinical leader, educators, collaborators and researchers.

Many researches have written that emotions sometimes can influence ethical decision making in a health care system. Therefore, nurses are equipped with knowledge to make decision without any kind of influence. The model demonstrates that certain emotional states influence the individual's…...

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References

Royal of nursing college (2010). Advanced nurse practitioners, an RCN guide to the advanced

Nurse, Practitioner role, competences and program accreditation

Marie-Laure Delamaire, Gaetan Lafortune (2010). Nurses in Advanced Roles

A description and evaluation of experiences in 12 developed countries

How can nurses recognize their own accountabilities and responsibilities when delegating aspects of care to others?
It is a difficult task for nurse to understand precisely what to do in the delegation process as there are many conflicting guidelines and opinions on the subject. The only sure way for registered nurses to properly fulfill their responsibilities of delegation, is to maintain a relationship with the nurses they delegated and be available for them when necessary. At the same time, nurses need to be sure to give trainees space in order for them to learn independently. Patience, observance, and guidance are the techniques essential to registered nurses attempting to provide quality delegation.
How can nurses delegate and supervise others consistent with legislation and organizational policy?
In order to delegate and supervise their trainees, registered nurses need to strictly comply with the current legislation and organizational policies existing in their place of work. That being…...

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Reference List

Corazzini K. N., Anderson R. A., Rapp C. G., Mueller C., McConnell E. S., & Lekan D. (2010). Delegation in Long-term Care: Scope of Practice or Job Description? The Online Journal of Issues in Nursing, 15.

Australian Nursing and Midwifery Council (2007). National framework for the development of decision-making tools for nursing and midwifery practice. Australian Nursing and Midwifery Council.

I. Introduction
A. Definition of physical therapy
B. Role of the physical therapist
C. Types of physical therapy

II. History of Physical Therapy
A. Ancient origins
B. Development in the 19th and 20th centuries
C. Modern advances

III. Education and Training
A. Educational requirements
B. Clinical experiences
C. Continuing education

IV. Physical Examination
A. Subjective examination
B. Objective examination
C. Special tests

V. Treatment Planning
A. Goals of treatment
B. Development of a treatment plan
C. Collaboration with other healthcare professionals

VI. Treatment Techniques
A. Exercise therapy
B. Manual therapy
C. Electrophysical agents
D. Assistive devices

VII. Patient Education
A. Importance of patient involvement
B. Home....

1. The Role of Nature and Nurture in Speech and Language Development

Discuss the genetic and environmental factors that contribute to speech and language skills.
Explore the interplay between innate abilities, parental input, and sociocultural influences.
Examine how early experiences can shape language development and academic success.

2. The Importance of Parent-Child Interactions for Speech and Language

Describe how parental speech, singing, and reading foster language development.
Analyze the role of scaffolding, imitation, and feedback in language acquisition.
Discuss the challenges and strategies for supporting language development in homes with limited English proficiency.

3. The Use of Technology to Promote Speech and....

Enhancing Ethical Conduct in Marriage and Family Therapy: The AMMFT Code of Ethics

The American Association for Marriage and Family Therapy (AAMFT) Code of Ethics serves as a comprehensive framework to guide ethical behavior and establish professional standards within the field of marriage and family therapy (MFT). It provides a set of principles and guidelines that MFT professionals must adhere to, ensuring the well-being of clients, the integrity of the profession, and the broader society.

Principles Underlying the Code of Ethics

The AMMFT Code of Ethics is grounded on fundamental principles that define the ethical responsibilities of MFT professionals. These principles include:

Respect....

Advanced practice nurses (APNs) play a crucial role in improving patient outcomes in healthcare settings through several key contributions:

1. Expanded scope of practice: APNs have advanced training and education that allows them to provide a wide range of healthcare services, such as diagnosing and treating illnesses, prescribing medications, and performing procedures. This expanded scope of practice enables APNs to deliver high-quality, efficient care to patients, leading to improved outcomes.

2. Patient education and counseling: APNs are well-equipped to educate and counsel patients on various health issues, treatment options, and self-care practices. By providing patients with the necessary information and resources, APNs....