Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry

Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry

Access The Future of Nursing: Leading Change, Advancing Health. Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Provide rationale based on your experience in practice. Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving. Why or why not?

Re: Topic 1 DQ 2
Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Provide rationale based on your experience in practice. Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving. Why or why not?The first recommendation would be a continuum in education. Many hospitals in the industry are preparing to be Magnet. This involves a certain percentage of Nurses to have or obtain within 1 year of accreditation at minimum Bachelors in Nursing Degree. It also requires a certain amount of nurses to be certified in their area of nursing. This initiative all boils down to a higher quality of health care provided to the community. In order to provide better outcomes in patient care, clear care plans, and achieving discharge goals, the highest level of leadership, care and education is required. I agree with this. I believe the nurse should continue to evolve in the profession and expand his or her skill set. So much is involved with the daily care of our patients. We must become culturally sensitive, as well as socially sensitive. There is always an opportunity to become a better care giver. Excellence in nursing should have no limit, nor should it be stagnant.

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Secondly, is to obtain culturally and socially sensitivity training. This needs no further explanation. But, I want to share an example of how higher level of education and socilly and culturally sensitivty training helped me maintain the trust and respect of my patient and upheld the patient and caregiver relationship. I live in Texas, and In the county I live in there are over 240 cultures and nationalities living just in Southwest, Houston alone! I had a patient come in for a breast augmentation with implants. As I prepared to interview the patient, I checked the chart. I verified the name, the history and lab work. The patient was Female, so I was looking for a UPT (urine pregnancy test). I could not find one. So I decided to just interview the patient to ask if they had been seen by the lab tech for blood draw. As I pulled the curtain back, I saw a man. I asked for the patient to see if she had gone to the rest room and if the man I saw was a family member or spouse. The young man said that he was the patient and that he was Transgendered without sex change. So this meant legally he was still a man but he could identify as female. He was the patient having breast implants. Now to be honest I was not ready for this. I had never encountered this type of situation. But because I was educated about this in my Bachelor Degree program (BSN), I recall studying about how my patient population is becoming more diverse. I remembered the skills I was given on how to communicate with my patient so that I am sensitive and respectful. As an LVN or ADN educated nurse, I was taught how to communicate with different nationalities, cultures, age groups and genders. There was nothing about the LGBTQ community in those books back then. If it was not for this higher level of education I received in 2017 when I obtained my BSN, I would have failed my patient by saying something insulting or insensitive. I would have diminished my goal to provide excellent, culturally and socially sensitive health care. We must continue to learn and be informed about the changes in our community. This means a continuum of education and training is required.

References

http://www.nationalacademies.org/hmd/Activities/Workforce/futureofnursing2030.aspx

https://www.truthaboutnursing.org/faq/magnet.html#gsc.tab=0

Re: Topic 1 DQ 2

The two recommendations for nursing that I feel will be most effective in creating within the industry are advances in the education of nurses and Funding.  Firstly, Advancing the education for nursing, will have nurses more prepared and update with the technology, updated on new guidelines/protocol in providing care, and will be focused more on patient-centered care in which the industry is focusing more on patient’s needs, preferences, and beliefs. I have experienced some difficulty when I first started working in the nursing field with being so focused on what I have learned from the textbook and not being focused on my surroundings, the real world, and my patient’s need.  Secondly, Funding, I feel that if nurses had more options to receive more benefits and assistance when trying to further their education that the shortage in nurses would decrease. My experience in being a nurse and wanting to go back to school to obtain more education was I chose to wait because I know I would have to come out of pocket or pay back a loan which would be another monthly bill.  So, I feel if I would have had some assistance I would have gone back sooner. Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry

Yes, I do agree with the institute of medicine (IOM) on how they describe the Advance Registered nurse evolving. Once regulatory reforms allow nurses to expand their scope of practice, the IOM states that Medicare and private insurers should authorize nurse practitioners to provide patient care and make clinical decisions and should reimburse then directly for their services (Sentinel, 2010).  In my opinion, Advanced Registered nurses/NP’s will have more opportunities to expand their skills and knowledge and will be able to have a voice without being micromanaged by a physician and they will have an advantage in more income directly.

Reference

Denisco, S. M., and Barker, A. M. Advanced Practice Nursing Essentials Knowledge for the Profession (3rd ed.). Burlington, MA:  Jones and Bartlett

Sentinel (December 29,2010).  IDM Issues Recommendations for Transforming Nursing Practice. Retrieved from https://www.americansentinel.edu/blog/2010/12/29/iom-issues-recommendations-for-transforming-Nursing-practice/

According to the consensus report of the National Academies of Sciences, Engineering, and Medicine, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, “The authoring committee produced a set of recommendations for the field of nursing and it provided a blueprint for improving nurse education; ensuring that nurses can practice to the full extent of their education and training; providing opportunities for nurses to assume leadership positions; and improving data collection for policymaking and workforce planning.” Out of the nine key recommendations the consensus report has addressed, the two main ones that I consider to be on the top level of importance within my community and organizations involve the nurse’s health and wellbeing and the inequities surrounding public health emergencies.

Recommendation 3: By 2021, nursing education programs, employers, nursing leaders, licensing boards, and nursing organizations should initiate the implementation of structures, systems, and evidence-based interventions to promote nurses’ health and well-being, especially as they take on new roles to advance health equity.

Recommendation 8: To enable nurses to address inequities within communities, federal agencies and other key stakeholders within and outside the nursing profession should strengthen and protect the nursing workforce during the response to such public health emergencies as the COVID-19 pandemic and natural disasters, including those related to climate change.

Recommendation 8 hits close to home on so many levels. I have been a nurse for 3 years, and the pandemic took me by surprise. I had been working as a nurse for about a year when Covid started. The amount of stress and distrust myself and my coworkers felt navigating around the everchanging policies and procedures associated with the pandemics CDC instruction was unnecessary. Unfortunately, I experienced the blatant disregard our organization had for our health and wellbeing by withholding and rationing vitally needed supplies when they were readily available for us to use. It was infuriating at the time, because this was a whole new ballgame for even the most seasoned nurses, and it caused a significant number of employees to resign. Management never came on the unit anymore like they used too and we felt abandoned. Bringing up the concerns with our director and management at staff meetings was futile and our concerns would be triumphed over with CDC recommendations and the organizations rationales based on fear and lack of knowledge. The COVID pandemic was an eyeopener to the world in terms of high-level planning and preparation for patient and provider safety.

I agree with how the report describes the evolution of the advanced practice registered nurse role. The solution the report proposes states, “The committee recommends that all relevant state, federal and private organizations enable nurses to practice to the full extent of their education and training by removing practice barriers that prevent them from more fully addressing social needs and social determinants of health and improve health care access, quality, and value.” Advanced practice nurses can help curb disparities and positively influence communities’ health and wellbeing by letting the ever evolving career of nursing take the front seat with the physicians and other specialty roles. As nurses we are in the frontlines and are the eyes and ears for our physicians. We may not be as educated in medicine as the physicians are but we are strong in our assessment, implementation and evaluation skills. We are a golden asset to the care team and as APNs, we can have a deeper impact within our patients lives and communities with the right education and support.

National Academies of Sciences, Engineering, and Medicine. 2021. The future of nursing 2020–2030: Charting a path to achieve health equity. Washington, DC: The National Academies Press. https://doi.org/10.17226/25982