Comment1

The nursing shortage causes nurses to have to take on larger caseloads, work longer hours and overtime, creates nurse fatigue and ultimately lends way to burnout, injury and medical errors. The impact of reimbursement, legislation, regulation and technological advances must also be considered. A failure to consider the relationships among all these aspects limits the full appreciation of the complexity of the nursing shortage today (ANA, n.d.).

                Some of the ways specifically the nursing shortage is impacting the public are higher mortality rates, increased hospital acquired infections, higher medication errors,  patients being diverted to facilities farther away from their families, surgeries being postponed longer than they should be and longer wait times (ANA, n.d.).

                To facilitate improvements in nurse staffing, now and in the future, healthcare organizations must focus on recruitment, maintenance, and retention. In an attempt to address nurse burnout and shortage healthcare institutions are offering incentives  such as providing sign on bonuses, offering competitive wages, providing tuition reimbursement; implementing nurse patient ratios protocols and providing ongoing training and CE’s for their employees. Nurses in general can help work toward the shortage by providing appropriate and thorough education to their patients, decreasing hospital admissions and office visits (Minority Nurse Staff, 2013).

Coment2

The nurse shortage almost seems to be used to promote many other issues besides nursing.  In my previous places of employment, I have felt that the nursing shortage was more of an issue of a short staffing pattern, not that nurses were not available.  And I also think that phasing out the LPN/LVN is a mistake.  Many nurses that are LPN/LVN do not want to advance to being and RN and many cannot.  I have talked to many LPN’s who do not want the added responsibility and I understand that too.  I believe there will always be a need for LPN/LVN and I love working with them.  I have often thought that in hospitals there should be teams consisting of three-member teams; a RN, a LVN/LPN and a CNA. I do realize that this is not needed everywhere but our profession is continuously being burdened with added responsibilities.  If you supply a RN with these qualified positions, the RN can handle more cases while learning gaining experience in leadership and educating.  What are your thoughts with your experiences thus far as a RN?

Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10-15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

1. Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.
2. Explain how the nursing theory incorporates the four metaparadigm concepts.
3. Provide three evidence-based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

one-two paragraphs, apa , please include reference

(1)Based on your understanding of nursing today, discuss how the Healthy People 2020 initiative could be used by you, as a nurse, to make a difference in the health and wellness of people in your area.

http://www.healthypeople.gov/

(2)Using one of the theories, explain the importance of health and wellness models to professional nursing practice and the impact it has on individual nurses.

I’ve attached the different model theories below.

• models.pdf

Part I – Describe the pathophysiology, signs and symptoms, and predisposition(s) of an Abdominal Aortic Aneurysm 

Part II – Why were an MRI and CTA scan used as diagnostic tests for this patient? How do they differ? What other diagnostic tests/laboratory tests would be indicated if a AAA is suspected? 

Part III – Discuss pre-surgical medications and the surgical intervention for AAA. If left untreated what are the risks? 

Part IV – What patient education is necessary and what are the implications for family members?

Compare the physical assessment of a child to that of an adult. In   addition to describing the similar/different aspects of the physical   assessment, explain how the nurse would offer instruction during the   assessment, how communication would be adapted to offer explanations,   and what strategies the nurse would use to encourage engagement.