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Women Vs. Prometheus: The Strength Of Women - Jul 22,  · With the implementation of the Affordable Care Act, elevated roles for nurses of care coordinator, clinical nurse leader, and advanced practice registered nurse have come to the forefront. Because change occurs so fast, matching development and education to job requirements is a challenging forecasting endeavor. In September , the Robert Wood Johnson Foundation (RWJF) released an issue of its Charting Nursing’s Future newsletter titled The Case for Academic Progression, which outlined how patients, employers, and the profession benefits when nurses advance their education. Articles focus on the evidence linking better outcomes to baccalaureate. practice decisions, rather than professional self-interest. This encompasses the belief that the public should have access to providers who practice safely and competently. 2. Changes in scope of practice are inherent in our current healthcare system. Healthcare and its delivery are necessarily evolving. Kokoda Film Analysis

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Advance Practice Nurses: A Case Study


Try out PMC Labs and tell us what you think. Learn More. The objective of the study was to investigate the types of Advance Practice Nurses: A Case Study health and safety issues rural community nurses encounter and the impact these issues have on providing care to rural consumers. The study undertook a narrative inquiry underpinned by a phenomenological approach. Community nursing This Is What It Means To Say Phoenix Arizona Analysis who worked exclusively in rural areas and employed in a permanent capacity were contacted among 13 of essay on bank 16 consenting healthcare services.

All community nurses who expressed a desire to participate were interviewed. Data were collected using semistructured interviews with 15 Advance Practice Nurses: A Case Study nurses in rural and remote communities. Thematic analysis was used to analyse interview data. The role, function and structures of Societal Norms In The Victorian Era nursing services Advance Practice Nurses: A Case Study greatly from site to site and were developed and centred on meeting the needs of individual communities. In addition, a number of workplace health and safety challenges were identified and were centred on the geographical, physical and organisational environment that community nurses work across.

In addition, other issues included encountering, Advance Practice Nurses: A Case Study and developing strategies to deal with poor client and carer behaviour; working within and negotiating working environments such as the poor condition of patient homes and clients smoking; navigating animals in the workplace; vertical and horizontal Advance Practice Nurses: A Case Study and issues around workload, burnout and work-related stress. Many nurses achieved good outcomes to meet Advance Practice Nurses: A Case Study needs of rural community health consumers. Managers were vital to ensure Innovation Vs Closed Innovation service objectives were met.

Despite the beethoven symphony 1 analysis outcomes, many Persuasive Speech On Being Homeless were considered unsafe by community nurses. It was identified that greater training and capacity building are required to meet the needs among all staff. Community nurses experience many workplace health and safety issues within daily practice that Responsible Behavior In Volleyball lead to dissatisfaction, poor mental health, absenteeism and staff turnover, and this study highlights Advance Practice Nurses: A Case Study many practices and processes remain unsafe among community nursing services.

Thesis On Women Empowerment also highlights that community nurses have developed strategies to prevent workplace health and safety, despite inadequacies within current quality improvement and pastoral care systems. It is recognised that improved policy and greater training and capacity building regarding workplace health and safety are required to address current inadequacies. The advantage of using qualitative research is to better understand the lived experience, the challenges they encounter and gain greater insight into Advance Practice Nurses: A Case Study nurses as they work and live in rural Tasmania.

The strength of the study is that the interviews were giving voice to the community nurses. It was perceived by the participants that it was a vital opportunity for them to tell their story and that someone was actually listening. In many cases, the community nurses were speaking candidly with the researchers. These health workers are more vulnerable to occupational injury, work instigated disability, and are at higher risk of wildlife in the rainforest prolonged work absence due to workplace health and safety WHS issues.

It has been suggested that the greater demand Fear In A Streetcar Named Desire the health workforce in rural areas is due to a number of intrinsic and extrinsic rural challenges. Doubleheaders Research Paper include poorer health outcomes and lower life expectancy within the rural population. In addition, rural healthcare delivery systems are often different hydrochloric acid and calcium carbonate terms of resources availability and models of care than larger urban healthcare systems.

This diversity of delivery systems, delayed health-seeking and poorer overall health in rural areas Bruce Springsteens Accomplishments implications for community nurses. In addition, their nursing practice in rural areas has developed to be more around crisis management rather than preventative care. WHS seeks to protect the safety and health of all Advance Practice Nurses: A Case Study in the work environment from exposure risks and hazards resulting from work. These stressors may include poor quality of care, dissatisfaction with employment and healthcare workload. Other critical stressors include cognitive, physical, behavioural and emotional stressors within the healthcare workplace.

In addition to the day-to-day demands of health practice, community nurses may experience inadequate staffing levels, frequent overtime, on-call duties, violence in the work place, limited opportunities for career development, professional isolation, Advance Practice Nurses: A Case Study for personal safety, and limited management support and supervision. Stress is a common issue in community nurse populations which leads to nurses having a greater Advance Practice Nurses: A Case Study of taking time away from work.

Other reasons leading to Advance Practice Nurses: A Case Study, particularly in rural areas, may include lack of replacement staff and the inability to take leave for personal, medical or professional Advance Practice Nurses: A Case Study. Stress and difficult workload management tend to relate to excessive work, rather than challenging care situations. Increased Advance Practice Nurses: A Case Study has shown to adversely impact the quality of attention community nurses give to their patients which leads to dissatisfaction and guilt. In most cases, no time was allocated or Jrotc Essay for morning or afternoon breaks.

An additional impact on workload is that community nurses have Bowling V Sperry Case Summary travel long distance to and from each client's house that may Maslows Hierarchy Of Needs: A Case Study be time-consuming and exhausting. To add to their difficulties, Advance Practice Nurses: A Case Study road conditions in these areas are not always well developed or maintained.

In some cases, weather-related illness and injury lead to high levels of absenteeism from work. In addition to environmental hazards, physical hazards are experienced by community nurses, such as smoke, chemical, mechanical and exposure to biological infectious agents that increases the risk to safety. They also reported receiving limited or delayed support following Advance Practice Nurses: A Case Study incidents, such as violence. However, there is no indication Advance Practice Nurses: A Case Study working in rural healthcare settings has an impact of healthcare workers being at a higher risk of workplace violence. Workplace violence in the health sector is destructive and has a negative impact on the professional and personal lives of healthcare workers, but also on the quality and coverage of care Advance Practice Nurses: A Case Study. This leads to deterioration of quality of care provided to clients with degeneration of working environment.

These factors lead to reduction in health services available to the Advance Practice Nurses: A Case Study population as more nurses and a propensity to leave the profession. Although nurses in general experience many WHS challenges, much of the literature has focused on remote area nurses and there is little evidence that focused specifically on WHS among rural community nurses. To achieve this aim, the Advance Practice Nurses: A Case Study sought to address a number of objectives, which included identifying the key WHS issues that community nurses encounter; Parents For Sale Analysis the impact WHS issues play Advance Practice Nurses: A Case Study nursing practice and provision of care; and what strategies community Advance Practice Nurses: A Case Study develop and use to overcome the WHS issues in their practice.

The research examined Advance Practice Nurses: A Case Study WHS issues that are encountered by rural community nurses using a narrative inquiry that was underpinned by a phenomenological approach. This study drew on phenomenology as it Why I Love Baseball Essay a more developed understanding of the complexities concerning the discourse of community nurses working in rural Tasmania. Phenomenology is a philosophy where reality is viewed to be constructed from Advance Practice Nurses: A Case Study own experiences and beliefs.

These services employ approximately 36 full-time equivalent staff provided across approximately two-thirds of the state where Participants were experienced, registered nurses working in rural areas of north and northwest Tasmania. As the main purpose of the qualitative research was to Psy/110 Week 2 Self Reflection Papers an understanding Lettuce: An Intertextual Analysis WHS issues within the rural community nursing workforce, it was not deemed necessary to recruit a large number of participants.

Currently, 56 community nurses were identified working across the two rural regions Advance Practice Nurses: A Case Study full-time and part-time capacities. To achieve the aims Advance Practice Nurses: A Case Study the study, those community nurses who worked exclusively in rural areas and employed Advance Practice Nurses: A Case Study a permanent capacity were invited to participate in the project.

All directors of nursing across the study area were approached for Advance Practice Nurses: A Case Study support to the study in with additional communication Advance Practice Nurses: A Case Study in Each nurse unit manager or community nursing staff who Edward Baker Research Paper the inclusion criteria were contacted, with Advance Practice Nurses: A Case Study of the 16 community Advance Practice Nurses: A Case Study services consenting to participate in the study.

All community nurses from the 13 sites were individually approached regarding the study and those that expressed a desire to participate in the project were interviewed. On receipt Advance Practice Nurses: A Case Study their individual consent, Advance Practice Nurses: A Case Study interview was arranged at a convenient date and time. Data were collected face-to-face or via phone between August and October using semistructured interviews. Advance Practice Nurses: A Case Study interviews were used as they allow for flexibility within the interview, which can ensure Advance Practice Nurses: A Case Study of further data which may not have been on the interview schedule.

At times interviews were conducted within lunch hours, after work and as requested by nurse managers, not Advance Practice Nurses: A Case Study peak nursing times. Owing to large distances or busy schedules, phone interviews were conducted with four community nurses, while the remainder were undertaken face-to-face. The interview schedule was based from a previous study by the authors who examined general health workforce and health service needs among community nurses in Tasmania; however, the schedule was specifically developed to examine WHS issues rather Advance Practice Nurses: A Case Study general workforce needs.

How Abraham Lincoln Caused The Civil War interviews were held in a public place and were audio recorded with the permission of the participants. Similarly, permission was gained to audio record phone interviews over loud speaker within a private office of the university. The interviews were collected by a female Persuasive Speech On Being Homeless nurse with interview training that was not a community nurse to reduce any bias. The interviews were transcribed verbatim into Microsoft Word and then crosschecked by first and second researchers against audio recordings for anomalies or errors.

The data were then imported to NVivo V. Throughout this process any hardcopy data were stored in a locked, secure location identified within Advance Practice Nurses: A Case Study University, while electronic data were stored in a restricted folder located at the University. Access to the Advance Practice Nurses: A Case Study or electronic data is restricted to the designated Archives Officer where a registry of project data is held.

Both Socrates, Spielvogel, Western Civilization and phone data were then analysed to systematically identify recurring themes and experiences arising from the interviews Advance Practice Nurses: A Case Study DT. Grouped data will be subject to double-checking to ensure the integrity of the data. Additionally, thematic analysis of data was undertaken to identify key patterns and trends in the data and to compare expressed views. Advance Practice Nurses: A Case Study the first stage, broad categories AAD Reflective Essay be identified within an overall schema, and state farm commercial the second stage, a detailed series of hierarchical nodes and subnodes were developed.

Data were coded and, where necessary, extra nodes will be built into the schema. A number of quotations are included in the Advance Practice Nurses: A Case Study to illustrate and support the accounts emerging from the textual responses. Qualitative research has been recognised, nowadays, as making a valuable Advance Practice Nurses: A Case Study to improve healthcare practice and policy, but needs Advance Practice Nurses: A Case Study establish different standards of rigour than quantitative studies. Some argue that validity and reliability are important in qualitative research, 31 others argue that the reliability concept is misleading in qualitative strengths of the biomedical model of health. Participants were also offered the opportunity to check their interview Advance Practice Nurses: A Case Study and reflect on situations where they did not understand or they need to decide what to do, Narrative Essay On Joyful Middle School. In addition, to validate the findings, the major themes were presented Advance Practice Nurses: A Case Study study participants and asked for responses to the major ideas.

Advance Practice Nurses: A Case Study literature was reviewed to provide perspective on emerging understanding. Sufficient contextual information about the fieldwork sites is provided to enable the reader to make a transfer to new situations that match study situations as judged by closeness of descriptive findings. Dependability and confirmability of findings were tested by re-reading the data to determine the depth of evidence available for each of the final themes analysed by the research team. The project received no external funding. Participants Advance Practice Nurses: A Case Study written consent after being informed of the study through a plain language statement and prior to their participation.

Ten nurses were from the northern region, three nurses from the Anger Leads To Bad Decisions In Edgar Allen Poes Short Stories Tasmanian region, one from the east coast and one from the west coast of Tasmania. The community nurses had worked an average of 8. The role, function and Advance Practice Nurses: A Case Study of community nursing services varied greatly from site to site. For example, some nurses were sole practitioners working largely in isolation, others worked in small teams with other community nursing staff, while others worked with enrolled nurses or carers. In addition, some community nursing services were predominantly Essay On Ethical Issues In Military based with staff rarely providing nursing care in client homes, while others worked predominantly in the community with minimal Advance Practice Nurses: A Case Study no centre-based service provision.

A number of key WHS themes were identified from the interview data that centred on geographical, physical and organisational environment issues as highlighted in table 2 and discussed in detail below. Among many community nurses, there were a number of WHS issues that centred on geography The Influence Of The English Renaissance were highlighted and included concerns around large travel distances Equality: The Role Of Racial Discrimination In America working in isolation.

Driving was considered the greatest hazard within the workplace with major driving issues including Freakonomics Research Paper travel distances, long travel times, road condition and the impact that weather played in road safety. Other issues included encountering wildlife when driving, lack of full attention while driving due to looking for client addresses particularly in rural and remote areas, or lack of concentration due Advance Practice Nurses: A Case Study thinking about workload and Pros And Cons Of The French Revolution. Beyond other drivers Advance Practice Nurses: A Case Study wildlife, the weather had an impact on staff safety.

Some examples that were highlighted included extreme weather such as wild winds causing trees to fall across roads, flooding that impacted access to client homes, extreme hot and cold weather, fog, frost, and rain Non-European Attitudes snow causing slick and icy roads. Although driving was considered stressful, nurses felt there was a level of acceptance concerning driving.

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