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Nursing Shortage Resources

Nursing Shortage Resources

Nursing shortage is where the demand for nursing professionals exceeds their supply which can be in a given healthcare facility that is a local scenario or either nationally or globally. This can be measured through the number of job openings that calls high number of nurses that are working in the healthcare than the ones who are available or even the ration between nurses and population. This is a problem that has become rampant in both developing and developed countries all over the world. From the Second World War, hospitals in the U.S have had to deal with a cyclical shortage of nurses. The national supply of nurses cannot meet the high demand nationally. With this recurrent shortage in nurses in the U.S means that the quality of patient care will go down. This is a complex issue that is multifaceted and the causes are very many.

The shortage that has been observed recently is due to multiple factors that are cumulative this includes the population growth that has been observed recently and it is very steep. This means that the number of people in need of care from nurses is increasing at an alarming rate but the number of nurses is not increasing to meet the high population. The other cause of the shortage is a continuing diminishing number of new students who enroll into nursing. This means that the inflow of new nurses into the healthcare industry to replace the nurses who are retiring. A decline in the RN earning which is relative to other careers that are available is yet another reason. Nurses opt to switch to other careers that attract better pay and hence leave gaps in hospitals. An aging workforce is also another reason, just like other careers the nursing profession is affected by the aging population meaning that nurses continue to retire and with no fresh graduates to take up the positions of this retired nurses translates to an inevitable shortage. There is also the fact that there is an overall rise in the aging population which requires a lot of healthcare services. This calls for great attention that may even mean personal nurses meaning the patient nurse ration has be balanced. This however is not possible as the available nurses are few hence the nursing shortage. All this issues are taking place just when the job opportunities that are found within the healthcare industry are expanding at the same time a large number of nurses are retiring (KaiserEDU.org, 2012).

The issue of nursing shortage is a very serious one that needs to be looked into very urgently. The magnitude of the shortage can be seen for instance in 2002, it was estimated that the shortage of the estimated nurses was 125,000 which can be translated to 65% of the full-time equivalence. This shortage is expected to go higher by 2020 ranging from 400,000-808,000 due to the fact that there is a limited entry of new nurses into the profession. According to reports by American Health Care Association that was released in July 2008 shows that there are more than 19,400 opportunities in the nursing industry and at the same time additional 116,000 positions were open in 2007 according to the same association. This means that the total opportunities are 135,000 an approximate vacancy of 8.15%.this is a very high percentage meaning that the healthcare industry is seriously in need of nurses. It is also speculated that there are over 900,000 nurses that are aged above 50 years and are on their way to retirement, which means that a huge gap will be left with this nurses upon their retirement.

This means that the issue of nursing shortage has to be looked at if not then it means that there will be a negative impact on the patient outcomes which will eventually contribute to errors in the medical field. Furthermore a lower-nurse patient ratio that is in the surgical and medical teams means that there will be low mortality of patients. Therefore if the nursing shortage is not looked into it means that the patient mortality rate will go up and at the same time the low rates of nurse’s retention will lead to patients’ deaths that can be prevented.

Therefore there are strategies that can be implemented so as to deal with this issue; solutions should focus on increasing wages and recruitment of the nurses even if it means outsourcing from other countries such as Canada, Great Britain, India, African countries and so on. Focus should be on retaining the nurses who are currently in job positions and encouraging the people who left the nursing career to get back .the primary retention strategies are the improvement of their working conditions and enhance education and professional development (KaiserEDU.org, 2012).

These solutions require solutions require economic investments as well as contribution from the lay public. When addressing this issue there is requirement of efforts that aim to recruit as well as retain nurses and at the same time strengthen the capacity of nursing schools. These strategies call for the supply of educational facilities with ample faculty and funding, improvement of aid in terms of finances to students such as scholarship that target groups that are underrepresented like minorities and even men. Therefore many stakeholders as well as the government should invest financially in to ensure that these strategies are a reality. The lay public should be involved with these efforts since they are the ones who feel the impact of nursing shortage.

Reference

KaiserEDU.org. (2012).Nursing Workforce. Retrieved February 25, 2013 from http://www.kaiseredu.org/Issue-Modules/Nursing-Workforce/Background-Brief.aspx

Nursing Shortage And Nurse Turnover

Nursing Shortage And Nurse Turnover

Introduction

The ongoing instability in the nursing workforce has raised many questions about the issue of nursing shortage and nurse turnover (Gates & Jones, 2007). A compressive paper below will discuss the issues of nursing shortage and nurse turnover. The paper will also describe how leaders as well as nurse managers and leaders can resolve those problems effectively and the different applicable principles, skills, roles of the leader, and theories of leadership and management.

There are various factors that are contributing to the current nursing shortage and turnover; some of the factors include poor nursing staff retention, poor working conditions, and nurse burn-out due to working short-staffed, a critical nursing faculty shortage, an aging nursing workforce and greater career choices for women.   Additionally, there is inadequate funding from the federal government for nursing education which in turn has created long waitlists and the turning away of applicants for entry.

According to Paller (2012), the nursing shortage in different countries for example the United States tends not to be the only growing problem, but has also become a complex one. Nursing shortage and nurse’s turnover has become the worsening predicament in the health care industry in the United States. Several studies carried out show that in 2020, the problem may get to worsen more than it is today if no measures are taken in resolving the problem.

For a proper functioning of the hospital facilities, each hospital must have their own managers and leaders who will be responsible of day to day of running activities in that organization. The future and the success of the hospitals can only be decided by the long term strategy that is implemented by the leaders and an overall management. Poor management and effective leadership in the hospitals usually put the life of people in danger. It is true that, when there are shortages in nurses, the nursing turnover rate will on the other hand increase this is because most employees prefer working in an environment where they are esteemed as well as less stress at the workplace (Gates & Jones, 2007). For that case, managers and leaders in the hospitals are placing greater emphasis on how to retain the current staffs instead of hiring new staffs given that workplace learning is essential to staffs and managers allowing managers to know how they can handle every individual in the workplace. Nurses are able to perform well and meet the organization goals if only they can see support from the leadership as well as management. Managers should understand their staffs and know what inspire them so as to stick on to their facility. According to Northeastern University, College of Business Administration (2012), provision of a good working environment with great opportunities for the professional growth and support on personal for the staffs encourages workers retention.

A good leader should ensure that they have a well established leadership skill by having a clear plan of what they should do and a vision, they should also have a good understanding on how the vision and plans should be achieved, however vision only cannot be sufficient enough. The managers should therefore share the vision with their subordinates and find ways of acting upon it as they should try to have excellent interpersonal formal as well as informal relationship skills in solving the problems. According to Wong (2003), effective communication between the managers and staffs in organization is significant since it allows the managers to perform their basic functions which involve planning, organizing, controlling as well as leading making them to perform their jobs and responsibilities. Similarly leaders and managers must communicate effectively with their staffs to achieve the set goals since the success of the organization may not be possible without proper communication.

The approach that best fits my personal and professional philosophy of nursing is the critical thinking. Critical thinking displays how an individual has an intellectual skills and ability towards a certain task assigned; it is also an approach that suits an individual personal leadership style. Nursing work requires proper critical thinking that enables one to apply skilful reasoning for guiding action. Critical thinking in nursing provides clinical decision making of systematic thinking which reflects reasoning process to be used so as to ensure safe nursing practices as well as quality care. According to Heaslip (2008), “Critical thinking when developed in the practitioner includes adherence to intellectual standards, proficiency in using reasoning, a commitment to develop and maintain intellectual traits of the mind and habits of thought and the competent use of thinking skills and abilities for sound clinical judgments and safe decision-making”.

The practitioners in nursing who happen to be critical in their thinking in most cases adhere to the intellectual standards given that they try very hard to strive for their clarity, a complete logicality and to be fair while they listen to their clients. Nurses should eliminate illogical thoughts by not being imprecise, unclear and vague when reasoning about the client care. Nurses who are critical thinkers tend to hold all their views as well as reasoning to these standards ( Heaslip, 2008). The approach of critical thinking in the philosophy of nursing suits my personal leadership skills in various ways, firstly it helps me explore the talents and skills that I have in attending to the clients and secondly it makes me achieve the goals set by the organization.

References

Paller, D. A. (2012). Rx for the Nursing Shortage. Gallup Business Journal. Retrieved November 6, 2012, from http://businessjournal.gallup.com/content/13603/nursing-shortage.aspx

Northeastern University, College of Business Administration. (2012). Northeastern University, College of Business Administration. Retrieved November 6, 2012, from web.archive.org/web/20080211140854/http://web.cba.neu.edu/~ewertheim/skills/writovv.htm

Gates, M., & Jones, C. B. (2007). The Costs and Benefits of Nurse Turnover: A Business Case for Nurse Retention. American Nurses Association. Retrieved November 7, 2012, from http://www.nursingworld.org/mainmenucategories/anamarketplace/anaperiodicals/ojin/tableofcontents/volume122007/no3sept07/nurseretention.aspx

Heaslip, P. (2008). Critical Thinking and Nursing. Critical Thinking. Retrieved November 7, 2012, from http://www.criticalthinking.org/pages/critical-thinking-and-nursing/834

Wong, A. S. (2003). Verbal Communication Model. Retrieved November 7, 2012, from http://www.vtaide.com/lifeskills/verbalC.htm

Why I Chose to Pursue Nursing Degree

Nursing Program Application Essay

Why I Chose to Pursue Nursing Degree

My desire to pursue a nursing degree stems from my inborn empathy, the need to be helpful to others, and a clear vision of what I can do to improve people’s well-being. From an incredibly tender age, I knew I wanted to be part of the medical professionals to render quality healthcare and touch many people’s lives globally. I want to pursue a nursing degree to develop myself and develop a set of skills for serving the patient population. I also want to become a nurse since this will mark the start of my long and successful career in serving in the most challenging and rewarding medical career that grows continually with its endless opportunities in practice. Also, with the increasing co-morbid conditions, there is an increased demand for disease prevention, health awareness, and promotion. I want to become a nurse and join the medical staff dealing with the same. I want to be remembered as one of the medical professionals who worked tirelessly and did their best to improve patient outcomes during these challenging times. I believe a nursing degree program will be a crucial underpinning to realizing my ambitions.

Furthermore, I want to pursue a nursing program since I want to take on the challenges that come with the nursing job. While I know nursing is a challenging career, I firmly believe I possess the ability to significantly contribute to the stability and success of healthcare institutions and patients by helping them during their vulnerable times. I am a passionate, compassionate, persistent, and emotionally stable individual. I believe these values will serve me incredibly well in the nursing profession. I also wish to become a nurse due to the amazing rewards of this profession. One of the enormous benefits of selecting nursing as a specialty is the wide range of occupations available under the various categories of the nursing profession.

Why I would Like to Participate in the Baptism Health Nurse Scholars Program (BHNSP)

I wish to participate in the BHNSP so as to partake in clinical experiences with Baptism Health facilities. This experience will improve my skills to serve the patient population better and improve the patient quality of life. Through the experience, I will learn skills such as the ability to monitor and recognize changes in patient signs and symptoms and intervene in emergent circumstances, differentiate between abnormal and normal physical conditions, insights into analyzing the situation, foreseeing pathophysiological problems, and detecting status changes. Also, participating in the BHNSP will allow me to improve my knowledge and skills in managing and caring for patients with critical health conditions. Furthermore, I wish to participate in the baptism health nurse scholars’ program to be able to access free tutoring and lectures each month. This will allow me to focus on a specific subject and gain experience with a different kind of learning to potentially gain new skills and reach new confidence levels. Lastly, I wish to participate in the BHNSP so as to secure an employment opportunity with the Baptist Health facilities to help me reach the lives of as many people as possible and achieve my career goal of positively impacting lives.

Nursing Processes Assessment

Nursing Processes

Student’s Name

Institution

Nursing Process

Nurses use a scientific procedure called the nursing process to ensure patients get quality medical care (Capernito, 2005). The process entails a five-step progression as discussed below.

Assessment

A dynamic and systematic way is used in this phase during collection of data regarding the patient. The data collected from the patient analyzes the spiritual, psychological, sociological and physiological position of the patient (Gardner, 2003).The data collection has several steps to be followed. Such are interviews, finding out a lot of the history of the patient and history of the family of the patient, examination and observation of the patient generally. This helps determine both the manifestation and the physical causes of the patient’s disease. The interaction of the patient with a nurse will assist the nurse know what the patient suffers from. Such manifestations will be portrayed through lack of eating due to loss of appetite, withdrawal from both the staff and family members (Gardner, 2003).

Diagnosis

The second phase entails an agreement between the patient and a nurse to conduct a judgment that is clinical on the health condition of the patient. Reflection of the diagnosis on a patient will show all the sufferings a patient goes through. For instance, all causes of pain that arises as a result of pain (Gardner, 2003). Such may include family conflicts, nutrition that is poor and anxiety. Improvements in health and any kind of syndrome development are assessed through diagnosis (Gardner, 2003).

Intervention

It involves implementing the plan in the nursing care that will help reduce the effect of illness the patient has (Capernito, 2005). Intervention may be in the form of medication or treatment or physical therapy in support of the patient. It is more of counseling to a patient that is on a short term basis that will help the patient be in the state he was in before the casualty. Nurses perform intervention treatment to help patients reach the medical set goals that would aid in their quick recovery.It is for a nurse to have the knowledge of the procedure that is best for the patient to recover. A nurse educates a patient on the importance and side effects of not taking the medication. Nursing intervention is classified into three categories that include dependence, interdependence, and independence (Gardner, 2003).

Planning

A plan of action is developed ones the patient and the nurse reach an agreement when the diagnosis process is complete (Capernito, 2005). Achievable and measurable long term and short term objectives are set by the nurse. The patient moves from always sleeping on a bed to sitting in a chair and also having a walk. He might start eating much frequently than before. Classification of Nursing Outcome is always used in this phase by nurses to assess the progress of the patient. Terms that are standardized and a set of measurements are relied on to check on the patient’s health progress (Gardner, 2003).

Outcome

The result phase is all about the effects of the nursing process. The patient’s health status is evaluated as per the indications of the day by day progress. Outcomes for a patient are always documented so as to follow a patient in some stipulated period of time. It is always based on the intervention of the nursing process and developed to be used in any kind of an environment setting. Basically, patient’s health status is described in the outcome process. Moreover, their usefulness is relevant in other disciplines during the evaluation process (Capernito, 2005).

Allie’s Pre-Surgery Preparation

The nurse must ensure that Allie understands the importance and the process of operation as it is key to the role of nursing. This will help Allie get prepared both psychologically and to assist reduce anxiety as he gets ready for the surgery process (Capernito, 2005).

A band for identity will be placed on Allie’s arm with information printed on it as per the requirement by the National Patient safety Agency. All the assessments pertaining to risk are indicated as required by the local policy. The nurse will record Allie’s health status such as blood pressure, content of the glucose in the blood, his respiration among others.

A definitive observation unit is where patients are moved to from care (Capernito, 2005). It entails highly trained nurses and medical staff with medical facilities to provide intensive care to patients who are extremely sick.

The nurse would console Allie and her parent by offering counseling to them to minimize the anxiety and give them some hope. He will as well tell them after surgery effects and duration expected for recovery (Gardner, 2003).

The nurse will use his knowledge and thinking ability to assess Allie’s recovery process. Both the oral and physical therapy will be given to the patient to help her recover speedy. Allie should be told the importance and side effects of medication and how long she will be under medication. Her parents are the best advisors to be by her side during this difficult time (Gardner, 2003).

To prevent boredom, ones Allie is on the right track to recovery, lots of bed rest will be useless. As a matter of fact, lots of physical therapies will help her health status improve. Walking around and stories of encouragement will be vital to her recovery (Capernito, 2005).

Taking of Allie’s photos by the nurse during her admission and after she is discharged would be an encouragement to Allie and her parents. Gifts to early and always checking on her progress will be a positive recovery impact on Allie’s family.

References

Carpenito-Moyet, . (n.d.). Nursing process made easy. Lippincott Williams & wilkins, 2005.

Gardner, P. (2003). Nursing process in action. Australia: Thomson, Delmar Learning

NURSING PROCESS TEMPLATE

NURSING PROCESS TEMPLATE:

Assessment (Recognizing Cues)

Which patient information is relevant? What patient data is most important? Which patient information is of immediate concern? Consider signs and symptoms, lab work, patient statements, H & P, and others. Consider subjective and objective data.

47456318800

Analysis (Analyzing Cues)

Which patient conditions are consistent with the cues? Do the cues support a particular patient condition? What cues are a cause for concern? What other information would help to establish the significance of a cue?

-38827046100

Analysis (Prioritizing Hypotheses)

What explanations are most likely? What is the most serious explanation? What is the priority order for safe and effective care?

47456444700

Planning (Generate Solutions)

What are the desirable outcomes? What interventions can achieve these outcomes? What should be avoided? (SMART Planning- specific, measurable, attainable, realistic/relevant, time-restricted- Goal setting)

47458364000

Implementation (Take actions)

How should the intervention or combination of interventions be performed, requested, communicated, taught, etc.? What are the priority interventions? (Mark with asterisk)

47455973800

Evaluation (Evaluating Outcomes)

What signs point to improving/declining/unchanged status? What interventions were effective? Are there other interventions that could be more effective? Did the patient’s care outlook or status improve?

47456201400

CONCEPT MAP TEMPLATE:

Recognizing Cues, (S&S)Disease Process/Pathophysiology/Risk Factors

350202510186400428091017080034333134176500-25879245130

68694319016900301752056922

199263048524

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2.

3.

001.

2.

3.

Analyzing Cues/ConcernsPrioritizing Hypotheses

37266119365700left35980Supporting

Concerning

00Supporting

Concerning

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307100444809

94615989600

2941224458900

37266123067890034290002421991.

2.

3.

4.

5.

001.

2.

3.

4.

5.

Generate Solutions/Outcomes/Interventions Taking Action – (How To)SMART Planning

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2.

3.

4.

5.

001.

2.

3.

4.

5.

3053344106045

409754735476

left1848331.

2.

3.

4.

5.

001.

2.

3.

4.

5.

Evaluating Outcomes

2932987269000

Nursing paper

Nursing paper

Student’s name

Affiliation

Course

Date

Introduction

There are various fields of medicine that provide different types of nursing. In this course I choose to be an (ER) Emergency Room nurse that provides first care and assesses patients before they are admitted with different conditions.

An ER Nurses provides emergency first aid care to patients in diversity. The Nurse needs to have dedication and commitment to help patients and families. Mostly the patients will in shock, confusion, disorientation and some unconscious. The nurse has to work at close with the doctor as well as with the health care professionals in order to advocate and serve families and patients. The nurse aims at dealing with the person who may be the patient, the families and friends to feel they are cared for. The nurse nurtures the patient and empowers them to manage their health. As an ER one is responsible to administer medication, track critical signs and keep family members informed as well as assist the doctors while doing the ER process. Those Patients found to having serious or life threatening conditions will need more attention so one has to be in a position to realize in time. It is crucial to note that the term health and wellness is a relative term when it comes to assessing a patient’s health. The nurse differentiates a patient with critical conditions from minor injuries. The nurse defines a person’s health thus the patient’s genetic factors, emotional, spiritual and intellectual wellness. As an ER nurse one deals with biological, psychosocial and cultural needs of a patient to provide an environment that impacts the patient’s illness and recovery. It is crucial for a patient to be in an environment that promotes his recovery. An ER nurse makes differences in a patient’s life through provision of hand care and assistance to bring about a healthy life. As an Emergency room nurse one works at flexible hours, mostly on weekends and at night. In addition one should always be ready to perform with perfection even under stressful conditions.

Conclusion

ER nursing is a very rewarding career that gives nurses the opportunity to employ what they learn in school and also advance their career. An ER should always have the right character traits of caring, listening, empathetic, organizing, helping, thinking, leading and having great communication skills. When done appropriately, the ER nurse is certain she/he is providing the best care.

NURSING META-PARADIGMS

NURSING META-PARADIGMS

Student’s name

Instructor

Department of affiliation

Course

Date

Nursing meta-paradigms

Nursing is a very crucial area of study in treating, taking care of, and maintaining the health of humanity. This is a field that is very important in the manner in which human beings get to heal faster. This is because it is a field that combines several practices all aimed at making a sick person or even the one who is not sick but in need of attention feel better faster. On the other hand, a meta-paradigm is a set of ideas and theories on how a certain discipline should be functioning. Therefore the meta-paradigms within the nursing act provide a structure of how nursing should be practiced and the tenets to be emphasized. Therefore within nursing, the meta-paradigm involves 4 concepts that are very essential in making sure that nursing is done in the perfect and the desired manner for the best results which generally are to alleviate the pain of the patient and aid in their healing. Therefore herein this paper discusses the four concepts of the meta-paradigm of nursing which are the person, the environment, health, and nursing along with their importance and effect on the general nursing field.

The concept of environment is important as it directly affects the ease of patient recovery as well as how easy it gets for the people around the person to provide the necessary care. Therefore the environment can be healing in itself or it can even devastate the effects of the disease or illness which afflicts the person who is ill (Hegge, 2013). For example, if a person receiving treatment at home whereby they have the love and the care for those people who are beloved it becomes easy for them to heal faster than if left in a hospital whereby it is very lonely and the nurse or the doctor only comes to administer the nurses with medicine. Watson was a major proponent of this concept of nursing meta-paradigm (Watson, & Woodward, 2020).

The patient is the main focus and the most important aspect of the healthcare system. Jean Watson, Dorothea Orem, and Florence nightingale all had different perspectives when it comes to patients. However, they shared a common aspect which is the definition that each of all the patients treated is unique and has to be cared for as an individual. Health is also a very important concept which is a part of the nursing meta-paradigm and therefore very important. Different theorists like Watson believed that the health of an individual included not just the physiological process but even more aspects like mind, soul, body, spirits and so much more (Watson, 2007). Nursing is defined as the caregiving process which aids in the healing of the individual and it is very important as it provides the patient with all the necessary conditions for him/her to regain the health which had existed before.

The definition of nursing from my perspective is caregiving whereby it does not always have to be at the hospital. Even those caregivers who are at home like parents when a child is sick can be referred to as nurses. The patient can be said to be anyone in need of nursing services and who through the care and being looked after is likely to regain their health status. Health is the state of a person’s condition concerning illnesses and diseases and therefore this is what determines if that person needs nursing services. The environment is a very important aspect of nursing since it is the environment that determines how the nursing will work and be effective on the person to whom it is being administered to.

The University of Miami health facility has a philosophy that states that the basic thing about nursing is caring along with other philosophies believed and trusted to be the best major practices within the nursing field. This can be compared to the Benjamín León School of Nursing philosophy which states that the instruction and formation of nurse determine how effective they are in the job market and therefore this explains that their main goal and objective is to make sure that the formation of nurses is apt for the sake of making sure their productivity is also very high. These two philosophies are important since their goal and aim is to make sure that the patients receive the best nursing services through the formation as well as caring as a basic concept of nursing.

In this paper, therefore, focusing on the basic concept of nursing which is caring for the patients we look closely into Miami Dade college school of nursing’s major philosophy which is formed as a backbone to nursing. Therefore it is true that these two are very crucial and very important when it comes to nursing as they culminate into the delivery and service productivity of the nursing field.

In conclusion therefore I can say that through this paper I have been able to experience satisfaction by learning and knowing about the different philosophies and how they apply to different times and practices within the nursing field. I also learned about what I value most in the meta-paradigms and what the environment is. The concept of a caring nature and is formed in the best manner possible culminates into my understanding of nursing and how I will be able to practice what I learn. Therefore I have been able to connect with both philosophies however the one from the University of Miami health facility connects with me more easily as it teaches me that formation is important but caring nature is more important.

References

Hegge, M. (2013). Nightingale’s environmental theory. Nursing science quarterly, 26(3), 211-219.

University of Miami health system, philosophy statement (2021) https://umiamihealth.org/en/healthcare-professionals/nursing/about-umhc-nursing/our-mission,-vision,-values-and-philosophy#:~:text=We%20seek%20to%20provide%20excellence,innovative%20research%2C%20education%20and%20prevention. Accessed March 28th, 2021

Watson, J. (2007). Watson s theory of human caring and subjective living experiences: carative factors/Caritas processes as a disciplinary guide to the professional nursing practice. Texto & Contexto-Enfermagem, 16(1), 129-135.

Watson, J., & Woodward, T. K. (2020). Jean Watson’s theory of human caring. SAGE Publications Limited.

Nursing Manager Skill Inventory

Nursing Manager Skills Inventory

Name

Institution

Nursing Manager Skill Inventory

Introduction

Nurse Managers use inventory tools as a way of rating and reviewing themselves in all areas of content by using relevant scales. The same procedures of rating are used by nurse manager supervisors to grade the nurse managers in their relevant duties. The two then meet to review their analysis and any difference in perception or views are talked about and recommendations and changes made whenever necessary. In this understanding the inventory tool has become essential for analyzing both professional targets and nursing career planning. In this regard this article seeks to identify weaknesses and strengths associated to the four areas of content.it also addresses how the workplace can effectively utilize the skills to promote change in the institutions.

Professional and personal accountability

This involves personal development analysis through career planning, educational training and self-assessment and action plans. Nursing practices and Ethical behaviors that sustain nursing standards are evaluated as professional association’s involvement and suitable field specification and certification. In terms of professional and personal accountability, have high ratings which show competence in the nursing management.in addition involvement in other related trainings and career advancement have impact in enhancing career competence in many levels. Being a member of professional body and practicing nursing ethics adherence most of the time help enhance individual’s career development.

Career Planning

Re-evaluation of a nurse manager’s role is entailed in the career planning; both requirements and job description are effectively compared with the current nursing practices levels in order to establish elaborate plans. Future planning is also involved in the planning mainly to determine the management’s direction in terms of resources needed in career targets, career growth and general development. The planning also involves analysis of the position of the nursing managers in the aspect of flexibility in career path and any unforeseen changes in the future. From the view point of a nursing manager, understanding these nursing managers roles helps not only in identifying them as strengths but also facilitate effectively in achieving planned targets. Even though in nursing planning has always been conducted, the main obstacle has always been on absence of key resources (NMLC, 2004).

Personal journal disciples

The knowledge and skills relevant for council’s management in order to facilitate shared leadership is what is referred to as personal journal disciples. It also entails skills for making appropriate decisions, techniques for solving problems and reflective performance which involve active use of reflection as a leadership skill. In this aspect it can be viewed as strength since in any organization problem solving skills are essential for effective management. Shared leadership engagement maximizes an organizations human resource potential mainly through promoting and empowering the workers (NMLC, 2004).

Reflective practice reference behavior

These are established guidelines and tenets that are used in providing guidelines for an individual’s analysis on their leadership skills. They are qualities of leadership that is effective example it exhibits attributes of appreciation and integrity of environmental ambiguity and diversity. A leader has to be able to work with people of all religions, races, genders and sexual orientations as well as differences in all kinds and dissenting voices. Discovery of business potential and employee and holding different stakeholder views for making decisions is needed for any leader in this unique environment. Keeping commitment, creating a conducive learning environment, using reflective learning in available work, and nurturing the intellectual to enhance knowledge can be used to facilitate reflective practice in the profession and in addition facilitate reforms in the nursing environs.

Application of skills to advocate for change

In an organization the change agents need to have several skills in order to effectively facilitate the programs that enhance change. Some of these key skills include leadership skills, tolerance and networking skills to ambiguity in uncertain environment, planning skills, negotiation skills, excellent communication skills, leadership skills, flexibility in responding to changes, and interpersonal skills. A strategic plan that entails good communication skills is necessary to guide the change process. This helps to place the needed strategies and objectives of the plan and the needed resources to implement the process.

In order to rally the workers towards the change processes being enacted leadership skills play an essential part. In that an effective leader can influence people to embrace the change through counting on their support and commitment on its implementation. To relay and pass the message of change to both subordinates and colleagues an efficient communication skill is needed (Moss, M.T, 2005).

In order for the organization to effectively manage selling of their change plans to others they need to implement effective negotiation skills. The negotiating skills can be used on key players for procedures and resources required for implementing methods for resolving conflicts and implement change. Networking is necessary in maintaining and developing relevant contacts both in the external environment and organization (June Kaminski, 2011).

Conclusion

Rating and reviewing of nurse managers is important since it facilitates the enhancement of competence in the profession. In this understanding a competent nurse manager has to poses essential management skills in order to be successful in the profession. The frequent changes in the nursing environment dictate that the organization and the relevant leadership have to be equipped with necessary skills to bring the necessary changes in the organization.in addition career growth activities are essential in facilitating the productivity of the workers in the profession.

Reference

June Kaminski. (2011)Leadership and change management, navigating the turbulent frontier,

www.nursing-informatics.com

Moss, M.T,(2005) the emotionally intelligent nursing leader. San Francisco: Josey-Bass

Nurse Manager Leadership Collaborative, NMLC, (2004) Methodology of How to Use the Inventory Tool, www.aone.orgETHODOLOGY FOR HOW TO USE

THE INVENTORY TOOL

Nursing Intervention In Disaster

Nursing Intervention In Disaster

Contents

TOC o “1-3” h z u Primary intervention PAGEREF _Toc381075344 h 1Secondary intervention PAGEREF _Toc381075345 h 2Tertiary intervention PAGEREF _Toc381075346 h 3Spiritual Issues surrounding disasters PAGEREF _Toc381075347 h 4

The possibility of occurrence of disasters is a reality. With this in mind there should be efforts made to prevent any upcoming or potentially disastrous events. These efforts are what are known as disaster prevention. Disaster prevention therefore refers to efforts put in place to ensure that adverse effects of events that are potentially disastrous are prevented even when the disaster can not be controlled. Disaster prevention is done at various levels of the society and is undertaken so as to prevent all types of disasters. Nurses are involved to a large extent when it comes to the prevention and mitigation of disasters. Nurses are involved in institutions that can influence change and due to the unique skills that they posses they can make interventions in disasters. To perform efficiently, a nurse must be always prepared to make changes in plan actions at any time and at the same time adopt to new situations. Nurses are expected to be health educators, administrators, care providers and intervene in crises .There are various nursing interventions that are related to disasters this can be in three levels; primary intervention, secondary intervention and tertiary intervention.

Primary interventionPrevention includes identifying hazards, assessing threats to life and property and taking measures that help in disaster mitigation. Nurses are better placed when it comes to educating the public, they should therefore teach people on how to find out what can happen to them .This can be done through helping them get information on the disaster types that are likely to occur and how they can prepare for each. They should also be informed on community warning systems; what they should sound like and how they should respond to them when they hear them. Nurses should ensure that there is a disaster plan which is comprehensive (Harden, 2004 ).The aim of the plan should be providing prompt and effective medical care to as many people as possible so as to minimize mortality and morbidity. They should teach people to discuss with family members on the need for preparing for disasters and why it is necessary to work as a team (Rittenmeyer, 2007).

Secondary interventionSecondary prevention interventions occur during acute stages of a disaster. They can differ depending on type and scope of disasters. The aim of secondary interventions is decreasing effects of disasters on individuals and the community in general. Some nursing interventions in secondary intervention involve the giving of first aid to the injured at the sites of disaster. They should ensure that they pass a message to nearby hospitals on the disaster that has occurred so as to prepare them for casualties that will be taken there. They ensure that the casualties get immediate basic care before they get to the hospital. They also ensure that the casualties are taken to the hospital as soon as possible so that they can get further treatment. There are also people that are not physically injured from the disaster and they should also be taken care of by the nurses. (Rittenmeyer, 2007).Their provision of psychological support requires that they identify the group of people that needs the intervention immediately. The people who are considered to be at a high risk and need immediate intervention are those who are related to the primary victims, those that were there at the actual site of the disaster but were not hurt physically and first respondents. They can hold talks with the people on how to deal with emotions such as sadness, anger, fear and irritability .this will help them deal with trauma from the disaster.

Tertiary interventionTertiary prevention strategies are those that are meant for the meeting of long-term needs of people after resolving the disaster. Nurses have a role to play when it comes to tertiary interventions this include implementations of programs that foster the healing process after a disaster. The nurses will therefore be in charge of programs that educate people on stress responses and when and how they should seek help. (Rittenmeyer, 2007).The interventions that are chosen fall under the three phases of disaster prevention. This is because all these are important phases of a disaster. Therefore the interventions should involve all the three phases because one phase leads to another.

The most favorable people or agencies I would work in facilitating the above proposed interventions are the state agencies and local governments; I chose on these agencies because they might be the same people being affected disaster but still fail to create awareness to the community, individuals and health care providers. Whenever there are disasters, these groups of people should be the first in quickly responding to the emergency whether it occurred naturally or not. The state agency and the local government should help in preparing and maintaining the current state emergency operations by providing for the prevention and minimizing the injuries that might have been caused by the disaster. The state agencies and local governments will help in educating the community or the public on the signs of disaster and how to be prepared when the disaster is occurring. This will help in creating awareness to the whole community to get prepared whenever a disaster strikes them and ways they can approach that tragedy. In this case, preparedness mainly focuses on preparation of the equipments and procedures to be used when a disaster occurs, for example planning and other equipments that can be used by health care providers in carrying out first aid.

Facilitation of the proposed intervention will require a well developed disaster plan by the state agencies since disasters are unpredictable and the responses that might be needed will require the local governments and the state agencies to stretch to the limit (Wolters Kluwer Health, 2007). Therefore, the disaster plan will majorly aim in reducing the occurrence of the disasters as well as reducing the impact of those other tragedies that cannot be prevented. It will also help in creating awareness to the community to be ready for anything that might happen which might cause destruction to their properties.

Spiritual Issues surrounding disastersPeople have been reacting differently to the issue of disaster, even in their spiritual lives. Disaster whether manmade or natural can affect the entire communities, health care providers and individuals that existed prior to the event. When disaster occurs, some people will be overwhelmed, and can cause traumatic stress among them. However others would be affected in their spiritual lives while some may be energized reporting that they feel more alive and well connected to the divine during and immediately after a disaster than ever before. There are various spiritual issues that can arise for individuals, communities, and health care providers when strike by disasters. For instance, the issues of wounding of the spirits, the wounding of the spirits can results when people are apt to make sense out of tragic events appearing to be senseless and unjust. Spirituality and religious faith normally assures the victims of disasters with a sense of order and security, but if the spiritual belief is lost entirely, then this will result to disillusionment, anger and anxiety (Developing Cultural Competence in Disaster Mental Health Programs, 2010)

Natural and manmade disaster losses in most cases happen to bring to the forefront the nature of the relationship of people to their spiritual beliefs. The experience may challenge them to start viewing something like prayers to be the only thing that could solve their problems. A community health nurse can assist in the spiritual care for the individuals, communities and colleagues by providing some assurance of divine protections. The community health nurse can also assist in congregating, sharing prayers and comforting the beliefs of people that their request for divine assistance will be answered and therefore, it is important for all people to come together for support when strike by disasters in the community.

References

Developing Cultural Competence in Disaster Mental Health Programs: Guiding Principles and Recommendations – Medpedia. (2010). All Articles – Medpedia. Retrieved March 22, 2013, from http://wiki.medpedia.com/Developing_Cultural_Competence_in_Disaster_Mental_Health_Programs:_Guiding_Principles_and_Recommendations

Harden, E.G. (2004). The role of nursing in disasters. Retrieved march 22, 2013 from http://helid.digicollection.org/en/d/Jdi018e/2.htmlRittenmeyer,L.(2007). Disaster preparedness: Are you ready? Retrieved march 22,2013 from http://www.nursingcenter.com/prodev/ce_article.asp?tid=726331Wolters Kluwer Health. (2007). LWW Journals – Beginning with A. Retrieved March 22, 2013, from http://journals.lww.com/smajournalonline/fulltext/2007/09000/spiritual_issues_in_the_aftermath_of_disaster.32.aspx

Parts of the counseling clinics’ program evaluation

Nursing homes

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Parts of the counseling clinics’ program evaluation

There are various parts of the program evaluation in the counseling clinic. The people employed to work in the program will have to ensure that those individuals selected fully participate. They will also carry out extensive follow-ups. Issues like stress management, health care and housing should be discussed during the actual program evaluation. The first step would be to identify the various categories of evaluation activities. The concerns and constraints will also be taken into consideration. Program evaluation will also be carried out through proper planning and evaluation of the program performance. When assessing the performance the goals and objectives of the program will be identified. The other important part in the program evaluation is the data collection (Stufflebeam & Shinkfield, 2007). For instance, both the old and present data will be taken into consideration. After obtaining relevant data, findings will be taken for review by the stakeholders.

Steps of program evaluation

The first step during program evaluation is the explanation of the evaluation questions. This involved the explanation of the expected audience for the assessment findings, the required information and when. The questions determine the types of evaluation to be selected. Questions like; did the program have its proposed affects? Who was assisted? and what features of the program created the impact?, should be asked. Performance supervision gives data on important aspects on the way a program should be carried out (Grinnell, Gabor & Unrau, 2012). It also provides important information on how particular program objectives are being achieved. Process evaluation provides information on how a program is supposed to be carried out. The second step would be the development a logic model. Logic models would be used to provide a less complicated description of the program. Is can also be used to provide a less complicated explanation on the intended outputs and outcomes respectively.

The program features will include the number of people to be reached, amount of materials to be used, and the recognition of the types and stages of service elements. The output of the program is considered to be the products of the internal activities of the program. For instance, the output can be the number of people counseled, home visits by the counselors or the number of people finishing their job training program (National Research Council & National Research Council, 2006). Consequently, the above program output would be used to come up with the preferred program outcomes. For instance, increase in the number of people being counseled reduces the rate of stress. The third step is the review of the readiness for evaluation. This is important because it helps in identifying whether the program assessment is reasonable, practicable, and likely to provide important data.

What the program evaluator would want to measure

The program evaluator would always want to evaluate the available information against the logic form to ensure that enough information on the major variables is already inclusive or to start gathering more information items if required. They would also want to measure the level of satisfaction of the clients. Evaluators will have to measure the amount of effort and money needed to come up with each measure. Moreover, they would also wand to measure the amount of money to be spent on performance monitoring. Client satisfaction is also some of the things a program evaluator would want to measure.

References

Grinnell, R. M., Gabor, P., & Unrau, Y. A. (2012). Program evaluation for social workers: Foundations of evidence-based programs. New York: Oxford University Press.

National Research Council (U.S.)., & National Research Council (U.S.). (2006). Evaluation of the Sea Grant Program review process. Washington, D.C: National Academies Press.

Stufflebeam, D. L., & Shinkfield, A. J. (2007). Evaluation theory, models, and applications. San Francisco, Calif: Jossey-Bass.