NRS-440VN -O500 Trends and Issues in Today’s Healthcare

NRS-440VN -O500 Trends and Issues in Today’s Healthcare

Topic 1 DQ 1

Discuss the events that have contributed (or will continue to contribute) to the nursing shortage, or that contribute to a shortage in a region or specialty. Discuss at least one way that the nursing profession is currently working toward a resolution of this problem. In replies to peers, offer different examples of how the nursing shortage has been addressed in your state, community, or specialty area.

Topic 1 DQ 1
The nursing shortage is current and will continue to increase in the near future. A major event contributing to the shortage is the aging baby boom generating aging and reaching retirement age (AACN, 2020). Additionally, the Institute of Medicine has forecasted that the future is calling for 80% of nurses to be prepared at the baccalaureate level, whereas the current population of nurses only holds a 64.2% baccalaureate or greater level of education (AACN, 2020). There are currently more qualified nursing school candidates than exists faculty members that are able to provide education in nursing programs currently, resulting in qualified candidates who seek to enter the nursing profession being turned away due to lack of sufficient educational resources and programs (AACN, 2020). With the aging baby boom generation causing a shift in demographics in the United States, the need for more nurses exists as a result of the increase in geriatric population (AACN, 2020). The shortage of nursing staff and projected future requirements of nursing staff contribute to increased nurse patient ratios which has been found to increase job dissatisfaction as well as drive nurses out of the profession (AACN, 2020). These factors together combine to a current and increasing nursing shortage. Anecdotally, I have found that nursing units in two hospitals that I have worked in often times require nurses to take one or two extra patients during a shift, above the unit’s recommended nurse patient ratios, in order to accommodate the unit’s patient needs. NRS-440VN -O500 Trends and Issues in Today’s Healthcare. This has personally led me and fellow staff members to remain extremely busy during work, cutting time spent with patients down to a minimum, and increases both patient and nursing staff dissatisfaction. This further causes issues for hospitals and inpatient units as many patients utilize Medicare and medicaid which are government subsidized and only provide hospitals reimbursement based on patient satisfaction scores on post hospital admission surveys.One way the nursing profession is working on a resolution by recruiting more males into the field. Males currently constitute approximately 9.6% of the nursing workforce and often face various forms of discrimination in the field (Kronsberg, Bouret, & Brett, 2018). By reducing gender discrimination and lateral violence towards males in the field, the nursing profession can begin to address the nursing shortage by allowing a large recruitment of male nurses into the nursing profession (Kronsberg, Bouret, & Brett, 2018). This is a massive means to combat the nursing shortage, as the nursing profession is heavily viewed as a culturally female profession which contributes to a smaller participation of eligible males joining the nursing profession.

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American Association of Colleges of Nursing (AACN) (2020). Nursing Shortage. Retrieved from https://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Shortage

Kronsberg, S., Bouret, J. R., & Brett, A. L. (2018). Lived experiences of male nurses: Dire consequences for the nursing profession. Journal of Nursing Education and Practice, 8(1), 46-53.

Whitney, S. (2018). The future of nursing in an evolving health care system. Grand Canyon University (Ed). Trends in Heath Care: A Nursing Perspective. Retrieved from https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/#/chapter/1

Topic 1 DQ 1

Nursing is a trusted profession, known for health care professionals that are close to the patient, advocate for patient safety and care, but not a job for everyone. Nursing shortages are caused by an array of issues, to include a decrease in nursing school enrollments, the aging nurses for retirement, and most of all high nurse stress levels have led to overturn (Whitney, 2018). Currently, we are living through a pandemic which has not only led to increased nurse shortage due to a lack of sufficient nurses, but an increase in nurse retirements, and many leaving the profession due to stress. I currently live in El Paso, Texas which in recent weeks has had a surge of covid positive cases, lack of nurses and lack of hospital beds, all of which has led to high nurse shortage and stress. Currently, we are working towards improving these shortages as the Governor has brought in over 1000 medical personnel and travel nurses to aid in the nurse shortage. In addition, our hospital has increased our bonuses if we work additional days per week as incentive. Lastly, the city is attempting to implement direction and recommendations to stop the curve of cases. We are working towards better standards and safety for the nurses and patients.

Whitney, S. (2018). The Future of Nursing in an Evolving Health Care System. In Trends in Health Care: A Nursing Perspective, (chapter 1). Retrieved on November 5, 2020, from https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/#/chapter/1 NRS-440VN -O500 Trends and Issues in Today’s Healthcare

IOM Future of Nursing Report and Nursing

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Refer to the LopesWrite Technical Support articles for assistance.

Topic 2 DQ 1

Explain how interprofessional collaboration will help reduce errors, provide higher-quality care, and increase safety. Provide an example of a current or emerging trend that will require more, or change the nature of, interprofessional collaboration.

Topic 2 DQ 1

Interprofessional collaboration is a critical aspect of providing safe, efficient, and improved care. Some areas that nurses collaborate with are physicians, colleagues, techs, leaders, administrators, and community liaisons. Nurses that practice interprofessional collaboration in their day-to-day functions influence patient care, outcomes, and savings across the health care platform. To promote future practice and growth, nursing educators can adopt nursing program curriculums that includes collaborative environment demands so nursing students understand the importance and how to develop and practice an interprofessional collaboration (Prentice et al., 2015). Clarifying role responsibility provides opportunity for decreased errors and allows overlap of skills when in the best interest of a patient. All team members should be prepared to contribute and focus as a team to provide the highest quality of care, reduce gaps in care and transitions in care. Sometimes doing what is in the best interests of the patient most efficiently will require team members to step outside their traditional professional role (Bosch & Mansell, 2015). Nurses that work in interprofessional teams can offer additional opportunities and to lead and influence outcomes, savings, and process improvement.

Bosch, B., & Mansell, H. (2015). Interprofessional collaboration in health care: Lessons to be learned from competitive sports. Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC, 148(4), 176–179. https://doi.org/10.1177/1715163515588106

Prentice, D., Engel, J., Taplay, K., & Stobbe, K. (2015). Interprofessional Collaboration: The Experience of Nursing and Medical Students’ Interprofessional Education. Global qualitative nursing research, 2, 2333393614560566. https://doi.org/10.1177/2333393614560566

Topic 2 DQ 1

Interprofessional collaboration leads to higher quality of care, fewer errors and greater safety in many ways, and for varying reasons (Grand Canyon University [GCU], 2018). When different members of the healthcare team collaborate, more communication takes place, which is especially important with complex patient cases (Didier et al, 2020). The coordination of care is more seamless when applicable disciplines meet at the table, and when the patient is involved. Patients want to know about the plan of care and the path on which they must travel. Interprofessional collaboration, when carried out well, is evident to the patient. This gives the patient more confidence in their healthcare team, which leads to better outcomes and fewer errors (Reeves et al, 2017).

The Patient Protection and Affordable Care Act (PPACA) has opened the gate for better interprofessional collaboration by creating Accountable Care Organizations (ACOs). An ACO is a group of healthcare providers, facilities, clinics, and healthcare service providers who come together to provide a coordinated approach for patient care (Centers for Medicare and Medicaid [CMS], 2020). In return, CMS offers savings and financial incentives for multidisciplinary care coordination across the continuum. An example is a hospital discharge summary note being electronically sent to a patient’s primary care physician (PCP) when time to leave the facility. The PCP’s office will know to reach out to the patient if the patient does not show up for a follow-up visit after a new diagnosis of type 2 diabetes, for example. The PCP also has a complete, accurate list of medications that the patient is on, which improves the safety of care and reduces medication errors.

Centers for Medicare and Medicaid (CMS). (2020). Accountable care organizations (ACOs). Retrieved from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO

Didier, A., Dzemaili, S., Perrenoud, B., Campbell, J., Gachoud, D., Serex, M., Staffoni-Donadini, L., Franco, L., Benaroyo, L., Maya, Z. (2020). Patients’ perspectives on interprofessional collaboration between health care professionals during hospitalization: a qualitative systematic review, JBI Evidence Synthesis, June 2020; 18(6): 1208-1270. https://doi.org/10.11124/JBISRIR-D-19-00121

Grand Canyon University (Ed). (2018). Trends in health care: A nursing perspective. Retrieved from https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.2/

Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. The Cochrane database of systematic reviews, 6(6), CD000072. https://doi.org/10.1002/14651858.CD000072.pub3

Professional Development in Nursing

Reflection Paper

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.

Include the following:

Discuss your options in the job market based on your educational level.
Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.
Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing. NRS-440VN -O500 Trends and Issues in Today’s Healthcare
Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.
Discuss whether continuing nursing education should be mandatory. Provide support for your response.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Refer to the LopesWrite Technical Support articles for assistance.

Topic 3 DQ 1

Discuss the correlation between nursing education and positive patient outcomes. Include current research that links patient safety outcomes to advanced degrees in nursing. Based on some real-life experiences, explain whether you agree or disagree with this research.

Topic 3 DQ 1
Nurses who graduate from a BSN program receive a comprehensive education. They are prepared to apply essential competencies such as critical thinking, problem-solving, and attention to detail for a broader scope of practice. In addition, they learn clinical, leadership, and case management skills. Nurses who have the expertise and preparation that enables them to provide optimal patient care leading to fewer clinical errors and fatalities (UWF,2018).Research has linked registered nurses with higher education to having fewer medication errors, positive patient outcomes, and lower patient mortality rates. In an article published in the March 2013 issue of Health Affairs, nurse researcher Ann Kutney-Lee and colleagues found that a 10-point increase in the percentage of nurses holding a BSN within a hospital was associated with an average reduction of 2.12 deaths for every 1,000 patients and for a subset of patients with complications, an average reduction of 7.47 deaths per 1,000 patients. In the February 2013 issue of the Journal of Nursing Administration, Mary Blegen and colleagues published findings from a cross-sectional study of 21 University Health system Consortium hospitals which found that hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay (Registerednursing.org,2020). NRS-440VN -O500 Trends and Issues in Today’s Healthcare. Reference:UWF(2018)Patient Outcomes Improve with BSN Nurses. Retrieved from: https://getonline.uwf.edu/articles/nursing/patient-outcomes-improves-bsn.aspx

Registerednursing.org(2020) Do BSN Educated Nurses Provide Better Patient Care? Retrieved from: https://www.registerednursing.org/answers/do-bsn-educated-nurses-provide-better-patient-care/

What is the difference?

“You only know what you know”! No matter what position you fill or hold as an ADN vs. BSN, there is a ceiling. The following article provides an excellent rationale.

As patients, we all want the best possible outcomes for our health. If one thing could significantly improve the quality and safety of care, we would want to be sure we had access to it. This is what the push to hire more BSN nurses is all about.

Hospitals are hiring more BSN nurses based on research that links higher levels of nurse education to better patient outcomes. With the increasing demand for BSN-prepared nurses, now is the time for RNs with an associate degree or diploma to take the next step in their education. NRS-440VN -O500 Trends and Issues in Today’s Healthcare.

Why the Push for BSN-Prepared Nurses?

Aspiring RNs have more than one way to go after their career goals. If both BSN and associate-degree graduates take the same licensure exam, does the degree really make a difference? Studies show that it does. As a result, a growing number of hospitals now prefer or require their nurses to have a BSN.

Change is happening at the state level as well. New York State signed the “BSN in 10” law into effect in 2017. RNs graduating from an associate degree or diploma program in the state must earn their BSN within 10 years of initial licensure. More states are moving toward similar legislation.

Dr. Linda Aiken, Ph.D., RN, FAAN has spent plenty of time researching the link between nurse education and patient outcomes. A 2003 study found that a 10% increase in the proportion of nurses with BSNs decreased the risk of patient death and failure to rescue by 5%.

In a fact sheet on the impact of nursing education, the American Association of Colleges of Nursing (AACN) sums up similar findings from studies that link nurses with a bachelor’s degree to better patient outcomes:

Increasing the proportion of BSN-prepared nurses on hospital units by 10% was linked to a nearly 11% reduction in the risk of patient mortality.

For patients with complications, a 10-point increase in the percentage of RNs with BSNs was associated with 7.47 fewer deaths per 1,000 patients. NRS-440VN -O500 Trends and Issues in Today’s Healthcare.

Hospitals with a greater percentage of nurses with BSNs or higher had lower rates of congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis. They also had shorter stays.

Increasing care provided by BSNs to 80% significantly lowered readmission rates and reduced the length of stay, which in turn resulted in cost savings.

How Can a BSN Education Prepare Nurses Make a Difference?

All new nurses take the NCLEX-RN licensing examination. As the AACN points out, this multiple-choice test measures the minimum technical competency for entry into the nursing profession. What the exam does not show are the differences in preparation between the types of entry-level nursing programs.

Associate nursing programs tend to focus on clinical skills. But a BSN education places an emphasis on topics such as evidence-based practice and nursing leadership and management.

One way to assess the benefits of a BSN is to ask nurses directly about their educational preparedness. Dr. Maja Djukic and her colleagues did just that to identify quality and safety educational gaps between ADN and BSN graduates.

The study looked at 16 quality and safety topics with two cohorts of new nurses (2007–2008 and 2014–2015). In each cohort, BSN graduates reported being significantly better prepared than their associate degree counterparts. Findings include:

In the 2007–2008 cohort, BSN graduates reported being significantly better prepared than ADN grads in five of 16 topics.

In the 2014–2015 cohort, the number of educational gaps more than doubled, with BSN grads significantly better prepared than ADNs in 12 of 16 topics.

Topics that BSNs reported significantly better levels of preparedness include:

Evidence-based practice (EBP) NRS-440VN -O500 Trends and Issues in Today’s Healthcare.

Data analysis

Use of quality improvement (QI)

EBP and QI, the authors note, are particularly important when it comes to reducing health disparities in certain groups, such as rural populations.

An earlier study showed similar differences in BSN and ADN programs. Led by nursing professor Sharon Kumm, MN, RN, CNE, this study found that only 42 of 109 BSN outcomes were met in ADN programs. Evidence-based practice was among the 67 outcomes not met in ADN programs.

As the largest segment of the healthcare workforce, nurses have an unmatched opportunity to play a powerful role in reforming healthcare. To keep up with changing healthcare systems and more complex patient needs, RNs need to achieve higher levels of education. As the research shows, BSN-prepared nurses benefit patients, hospitals, and their profession.

References

Retrieved from: What Is The Link Between BSN Nurses And Patient Outcomes? January 10, 2020

https://nursingonline.nsuok.edu/articles/rnbsn/link-between-bsn-nurses-patient-outcomes.aspx

Topic 3 DQ 2

Discuss the difference between a DNP and a PhD in nursing. Discuss which of these you would choose to pursue if you decide to continue your education to the doctoral level and explain why. NRS-440VN -O500 Trends and Issues in Today’s Healthcare