NR 393 Nursing History Week 7 Discussion Impact in the 21st Century
NR 393 Nursing History Week 7 Discussion Impact in the 21st Century
I have been at my current place of employment for 4 1/2 years. When I started working there, I was surprised to learn of a device called a telesitter. I had not heard of this before. Telesitters watch patients from a remote area. They watch patients for safety reasons such as confused, unsteady patients getting out of bed alone, pulling on lines such as IV lines, removing oxygen, or any other reasons that leaving the patient alone can be unsafe. I remember being told for the first time to get a telesitter for a patient I had, and I had no idea what that was. This is a piece of technology that can be helpful to patient safety, with a watchful eye on the patient, as the nurse cannot remain in just one patient’s room. Besides watching the patient, the telesitter can talk to the patient.
The telesitter is a helpful device, however, if the person in the remote area is not paying attention to the patient, accidents can still happen. Usually, when something is going on in the patient’s room that the nurse needs to address quickly, the telesitter will alarm, or the person watching the patient will call the nurse’s station. There have been incidents where patients have fallen and no warning was given ahead of time. Did the telesitter step away? Did the telesitter look away? Is one person watching too many patients? Was the patient too quick for a warning? But, patients have fallen and no after warning even occurred. Telesitters are a good tool, as long as the patient is always being viewed. I do not know if also having a picture of the patient at the nurse’s station is feasible or not, for more sets of eyes on the patient for safety.
Purpose:
The purpose of this discussion is for learners to consider one 21st century person or event significantly impacted nursing and healthcare.
Course Outcomes:
This discussion enables the student to meet the following course outcome:
CO3: Identify persons and events in nursing history impacting evidence-based practice from the 20th century and 21st century. (PO8)
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NR 393 Nursing History Week 8 Discussion From the Past to the Future
Directions:
Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:
Demonstrate understanding of concepts for the week
Integrate scholarly resources
Engage in meaningful dialogue with classmates
Express opinions clearly and logically, in a professional manner
Use the rubric on this page as you compose your answers.
Discussion
Select one person or event in 21st century nursing that had the greatest impact on evidence in professional nursing practice. Explain your choice and the impact on healthcare.
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Through the Institute of Medicine, a gathering of leadership in nursing, we seek to improve the nursing field and care of patients. Part of the research shown by IOM is that Bachelor prepared nurses yielded greater patient care (Glasglow, Dunphy, and Mainous, 2010). My employer will still begin nurses at an Associate degree level but require that within 5 years that nurses obtain a BSN. Nursing continues in the 21st century to establish entry level education requirements as well as revising requirements for nursing educators and higher practice nurses (Glasglow, Dunphy, and Mainous, 2010).
Nursing as a discipline aims to better educate those who wish to become nurses as a second career in accelerated Bachelor’s programs and promotes the support of Master’s and Doctorate prepared nurse (Glasglor, Dunphy, and Mainous, 2010). Nursing really is our own discipline and we have to promote it, make ourselves known, and justify our field now and in the future.
Reference
Glasgow MES, Dunphy LM, Mainous RO. (2010). Innovative nursing educational curriculum for the 21st century. Nursing Education Perspectives. 31(6):355-7.
Registered Nurses today make up the single largest segment of the healthcare workforce at more than 3 million in number, therefore nurses have valuable insights and the ability to contribute as partners with other healthcare professionals to improve the overall quality and safety of care to patients (IOM, 2011). Although nurses have a long history of being subservient to the doctors or healthcare systems under which they work, advanced practice nurses have a chance to break this glass ceiling and become significantly more autonomous in their scope of practice and their ability to rely on their own knowledge to make decisions about patient health. Furthering degrees help to ensure nurses are well prepared to fully engage with other healthcare professionals and assume leadership roles.
The 21st-century nurse that I selected is Miss Eva who is an Assistant Professor at a local University and is a Ph.D. prepared Family Nurse Practitioner currently practicing in the Emergency department and family medicine department. She has already made nursing history in all that she has accomplished in the past 12 years. She has published articles with some more in the works along with many presentations under her belt. Miss Eva is one of the Chair Board Member at her job and heads the department which brings about awareness of patient safety issues through symposiums and public charity events. She has also developed classroom simulations for NP students to practice managing the side effects of medications. I have by far learned so much from my Miss Eva and am in awe of her desire to learn and teach others, she makes me want to teach others the way she does. Miss Eva started her nursing career in 2008, She said she worked with many nurses who helped her navigate her way in those early stages of her professional career one of them they still work together till today and is also her mentor in the field. As for me, am not sure I have made history even tho has been a nurse for 10years, 5 years in Nigeria, and barely 3years in the USA. I feel am still new in the system and I still need to learn more even tho I precept new nurses to the medical/surgical unit at my current place of employment. I feel I have made an impact on those nurses I have precepted and continue to precept to this day. Through encouragement and constant support, I feel confidence is needed to build their clinical and communication skills to become a member of the interdisciplinary team to provide the overall safety of our patients. I try to instill in my orientees that we are our patient’s advocate and we do what is best for them.
As nurses, we are clinicians, educators, teachers, and advocates who have endured many challenges throughout the centuries and we are still enduring due to the pandemic going on, but the rewards are well worth the demands that this profession has bestowed upon us. I am proud to be a nurse and even more proud that I am here today finally getting the education needed to obtain my bachelor’s degree. Especially at this trying time, I am glad am a frontline helping people at this time, the joy I get from treating a patient watching them from worse to better and they get discharged is what I cannot trade for anything. I love my job and am glad am on the war front at this time, saving lives and impacting nursing in the little way I can. We are superheroes and will continue to be heroes.
References:
Judd, D., & Sitzman, K. (2014). A History of American nursing: Trends and eras (2nd ed.). Burlington, MA: Jones & Bartlett
http://ohiohistorycentral.org/w/Mary_Ann_Bickerdyke. Retrieved March, 2017
Chamberlain College of Nursing (2017): NR 390 Nursing History, Week 7 Lesson : 21st Century Nursing History.
Institute of Medicine (US) Committee of the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. Washington (DC); National Academies Press (US); 2011. Retrieved from : https://www.ncbi.nlm.nih.gov/books/NBK209880/doi:10.17226/12956
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.