Personal Philosophy of Nursing Paper

Write your personal philosophy of nursing. The paper should be three typewritten double spaced pages following APA style guidelines. The paper should address the following:

1. Introduction that includes who you are and where you practice nursing

2. Definition of Nursing

3. Assumptions or underlying beliefs

4. Definitions and examples of the major domains (person, health, and environment) of nursing

5. Summary that includes:

a. How are the domains connected?

b. What is your vision of nursing for the future?

c. What are the challenges that you will face as a nurse?

d. What are your goals for professional development?

Your paper must be written in APA style. 

The paper will be checked for plagiarism.

Comment1

The Centers for Medicare and Medicaid Services (CMS) implemented a non-reimbursement policy for certain never events(serious hospital acquired conditions) to encourage hospitals to fast track improvements of patient’s safety by applying standardized protocols.  The newly defined never events limits the hospitals to bill Medicare for adverse events and complications that are deemed reasonably preventable using evidence-based guidelines (Lembitz & Clarke, 2009).

CMS adopted the non-reimbursement policy for certain “never events” – defined as “non-reimbursable serious hospital-acquired conditions” – in order to motivate hospitals to accelerate improvement of patient safety by implementation of standardized protocols. These newly defined “never events” limit the ability of the hospitals to bill Medicare for adverse events and complications. The non-reimbursable conditions apply only to those events deemed “reasonably preventable” through the use of evidence-based guidelines (Lembitz & Clarke, 2009).

The Centers for Medicare and Medicaid Services (CMS) implemented never events in 2008 as non-reimbursable hospital acquired conditions to create motivation for hospitals to improve patient safety.  Never events are medical errors that should never happen to a patient.  The list includes events which are chiefly avoidable and are obvious negligence.  The Centers for Medicare and Medicaid Services (CMS) adopted never events in 2008 as non-reimbursable hospital-acquired conditions in to create motivation for hospitals to improve patient safety (Votroubek, 2018).

Comment2

Patients have turned to hospitals, especially via emergency departments, as a result of lack of access to health care at a much higher cost than primary care. This has forced hospitals to provide care at a portion of the expense used to being the safety net of health care. In the beginning of this surge, organizations could not foreseen the financial brunt this would cost. Patients went from wanting to be cared for at home by loved ones, to expecting end all care at the hospitals taking a toll on such organizations. Many providers loathe and accept the endless cycle of patients returning to the hospital for care. The U.S Centers for Medicare & Medicare recognized that many of these return visits in short time frames, less than a month, are a reflection of lack of adequate care, education, and resources, so they created policies that hinder repayment for the diagnosis that were recently treated. “These patient safety policies are part of CMS’ efforts to promote higher quality, more efficient health care through value-based purchasing, which are initiatives use performance-based financial incentives and public reporting of quality information to encourage improvement in all aspects of quality, including patient safety” (CMS, 2008). These new reimbursement rules guide providers towards holistic patient care, driving them to decrease readmission rates, diagnostic imaging rates, and focusing on closing the loop in health care.

reply to  other students and include a reference that justifies your post.  Your reply must be at least 3 paragraphs. 

Below is the DQ answer from another student to wish i have to react. 

Week Discussion

1. Applications which incorporate the design of safety and quality, which plays a role in the knowledge of theirs of their responsibility and contribution in meeting international standards of quality andsafety are needed by Health person energy education institutions. In this feeling, the instruction of nursing professionals is regarded as a crucial component, their permanence and presence in overall health services place nurses in a crucial condition, both due to the threat of errors as well as their potential and ability to market patient safety (Cantiello, Kitsantas, Moncada, & Abdul, 2016). His involvement in most care processes, as well as his involvement throughout the health team, requires that his training ensure his ability to develop an active role in promoting quality and safety in care.

Lastly, with regard to the range of the receiver of care, promoting citizen participation for quality as well as safety issues is crucial to the improvement of more secure health methods. Patient empowerment is viewed as an important measure, Who defines empowerment as the task by which individuals take control of decisions plus actions affecting the health of theirs (Masters, 2015). It’s related to improving the patient ‘s comprehension of his or maybe the own role of her in marketing, maintaining, restoring and monitoring his or maybe the health of her, in addition to the data as well as abilities adequate to have the ability to participate in boosting the health of his; along with the above mentioned, the existence of a facilitation atmosphere for the participation of its is important.

To meet the task of safety and quality of care needs institutional, multidisciplinary, individual and interdisciplinary engagement on the part of the suppliers as well as the receiver of the care itself. The contribution of each party active in the well being area is going to ensure the care provided meets quality standards and it is totally free for those users; everybody’s duty is important. There’s proof of several improvement in the area, international and national levels; however, the differences in quality and protection offered in the different institutions stay obvious, extra energy must be created tosharpenthe notice which is provided to every person, no matter the institution type to which he or maybe she requests treatment, is of quality that is high and secure (Cantiello, Kitsantas, Moncada, & Abdul, 2016).

2. General, the biggest occupational set of the workforce is represented by nursing professionals. Offering the greatest portion of attention in all levels of continuing care, representing a major proportion of the operational expenses of the respective health treatment facilities. The healthcare team contains the best involvement of overall health procedures, enabling these professionals, due to their better proximity to individuals, to play a pertinent part in their quality and safety of care, but additionally, they’re important agents in minimizing the result ofadverse occasions (Dufour, Duhoux, & Contandriopoulos, 2020).

Nursing knows the wellness of the public and also the inequalities it’s are conceptualized in a type of systems that are complex, with interdependent components at levels that are different inside a connected whole. That several health consequences, like socio economic, cultural, environmental, social, biological and behavioural elements, interact in the development of public overall health results is implied by this perspective. In order to enhance these outcomes, the behaviour of people must be recognized as an important component and also, consequently, interventions without an extensive comprehension of this particular complexity would suggest ignoring an essential component of the science of Care.

The matter for quality treatment isn’t a recently available problem for nursing, as it’s grounded in expert process. The safety and quality of nursing care is viewed as a unifying component because: the improvement of self-discipline is enabled by them, demand professionals to handle a technique of systematic analysis of attention as well as placing experts as an immensely important component of the group. It’s vital to realizerecognise that patient quality plus safety have to be viewed as a continuing process, enabling steps which lead to substantial improvements (Masters, 2015). Among the crucial issues of the 21st century is understanding what nursing is now operating as well as changing, to incorporate quality as a crucial target in nursing procedures.

3. Enhancing the quality of nursing products by defining criteria which change into measurement equipment , and that guarantee the important problems for the proper care provided by nursing staff being supplied with possibilities, in a secure, humane and efficient surroundings throughout the unified health program. The individual that goes into a clinic is weak in hisphysical planet and animosity. During hospitalization, a number of incidents are able to happen which cause pain and quite often escape sequencles boosting the length of morbidity or maybe hospitalization mortality (Dufour, Duhoux, & Contandriopoulos, 2020). Human error is a determining factor in serious events and the event, that could be connected with different causes: perilous actions, procedural violations, fatigue, anxiety, haste, inattention, neglect, inadequate specialized knowledge, insufficient staff amongst others

The nursing quality market possesses a process of info in put that processes information from nurses’ documents as well as inspection results. The organization of its in organized databases for yearly periods offered real time info on the content of its which was used-to illustrate the reports that the nursing quality area occasionally printed because of the dissemination of the outcomes. Automation of nursing data in directories is a hospital based assessment as well as advancement approach which identifies the likelihood of negative health consequences, helps with the detection of the follow-up and at-risk patients of the IEA process (Dufour, Duhoux, & Contandriopoulos, 2020). The nursing objective assessment verification system continues to be established as a good tool to enhance the quality of work in nursing products.

Health methods must also provide proper therapy to owners of clinic services, i.e. offer health services in a framework which respects the dignity of people, the autonomy of theirs and also the confidentiality ofinformation. This is applicable to both curative and wellness promotion strategies. Treatment that is appropriate additionally means to choose the therapy physician or maybe the original contact clinic that you want to receive therapy. Have presentable overall services in overall health services, hold out a fair length of time for intervention or consultation, and also obtain social support networks, particularly during hospital admissions.

References

Cantiello, J., Kitsantas, P., Moncada, S., & Abdul, S. (2016). The evolution of quality improvement in healthcare: patient-centered care and health information technology applications. J Hosp Admin, 5, 62-8.

Dufour, É., Duhoux, A., & Contandriopoulos, D. (2020). Measurement and Validation of Primary Care Nursing Indicators Based on a Wound Care Tracer Condition. Journal of nursing care quality, 35(1), 63-69.

 Masters, K. (2015). Role Development in Professional Nursing Practice. Edition: 4th. Jones & Bartlett Learning, LLC. ISBN 13: 9781284078329

WK3/kmc 

To be a change agent means to transform the environment that needs to be worked upon. “Being a change agent is a major function for nurses. Nurses are on the floor seeing the effects medicine and the health care system is having on the patient” (Keyes, 2017). I personally have yet to act as a change agent, but I have witnessed it in my own facility. Just recently we switched how we handle wound care. The hospital went years without a hospital-acquired wound, and sadly they had 14. Due to the reoccurring issues, a team of nurses, physicians, CNAs, CNO, etc. all gather together to come up with a plan and implement it. Included in this plan was: a turn schedule, inquiring more/better air mattresses, and wound care education for everyone. With the new plan in place, the wounds have decreased and the existing wounds have healed better as well.

In just the last month, our charting system has been updated. Our old system had many complaints, issues, too many steps and overall just wasn’t the best. The new charting is more efficient for the medical staff in that it takes less amount of time to chart. Also, steps and certain things like IVs, wounds don’t have to be re-charted unless there was a change. In addition, with the old charting, the same questions and answers would have to be re-charted when the ER admitted a patient. With the new charting in place, admissions to the floor take half the time than before. Nurses were definitely on the list when implementing this change. It took some years to come up with a plan and put it into place, but it happened and it works. We use the system probably more than anyone else and voiced our concerns for a change. Nurses “play a critical role in shaping the health care system of the future” (Keyes, 2017) someday I too hope to become a change agent.

Present your assignment in an APA format, word document, Arial 12 font

1.  Define and discuss in your own words the definitions and models for disability.

2.  Discuss the difference between illness and disability.

3.  Compare and contrast the characteristics of rural and urban communities.

4.  Discuss the impact of structural and personal barriers on the health of rural aggregates.