Scope of nursing Essay Example for Free

Scope of nursing Essay Expanding o r E panding your Scope of N rsing Nursing Practice – a practical g p guide Leanne Boase Deborah Pedron The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Scope of Nursing and p g Midwifery Practice What is it? Why Wh is it so important? Why is everyone y y talking about it? Who manages it? Who is responsible? The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Aims of this Presentation 1. To define what Scope of Practice means for Nurses and Midwives Midwives. 2. To present different concepts around Scope of p p p Practice 3. T 3 To report on findings of a small survey of t fi di f ll f nurses and Scope of Practice 4. To discuss expanding Scope of Practice and provide a framework 5. To relate these concepts to ‘real life’ nursing roles. o es. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre According to our nurses, Scope Of Practice P ti (SOP) is: i SO SOP is Guidelines G and Frameworks we need to abide and work within SOP relates to what I am allowed and not allowed to do within my profession SOP relates to codes of conduct, ethics and professional conduct SOP relates to what a nurse can do within their skill base Area of tasks, procedures and actions a nurse can legally and safely undertake according to their training and education The scope of which p my role as a RN, specialist or credentialed DNE can work within Maintaining knowledge base and competency through constant learning and professional development The Northern Hospital Panch Health Service Something which I am taught, qualified, taught qualified or competent to do Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre What is Scope of Practice? p â€Å"That which Nurses and â€Å"the range of roles, functions, functions responsibilities activities, which a registered nurse or a registered midwife is educated, competent, and has the authority to perform † perform. (An Bord Altranais p1) Midwives are educated, competent and authorised to perform. † (QNC p3) Scope of p p practice is not defined in many places. We should define nursing practice and outline principles to assist with the expansion of one’s scope p p of practice And/ Or Require the health professional to identify restricted activities. ( (DEST) ) The Northern Hospital Panch Health Service â€Å"What health care workers actually do in the course of their employment which encompasses the full range of nursing activities. † An individuals scope refers to â€Å"the activities which that nurse is educated and authorised to perform. † (NSWNA p1) â€Å"A professions scope of practice is the full spectrum of roles, functions, responsibilities, activities and decision-making capacity which i di id l within th profession are it hi h individuals ithi the f i educated, competent and authorised to perform†. â€Å"The scope of practice of an individual nurse or midwife may be more specifically defined than the scope of practice of their profession. † ti f th i f i † (ANMC 2007 p2;23) Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre What is Scope of Practice? p †¢ Our definition: Full range of activities that we (nurses and midwives) have been educated, deemed competent, and are authorised to do. It is t t d th i d t d i not just a list of activities and j tasks, or a role description. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre What Evidence supports your SOP? †¢ From our nurses: – Continuing Professional Development (CPD) – Number of hours per week working – Certificates registration Certificates, – Reflection – Document everything y g †¢ From the literature: – Maintaining records of:  » Reviewing journal articles  » In service education In-service  » Conferences  » Informal or formal discussions  » Accredited educational programs The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Who determines Scope Of Practice? p Is it the clinician the employer, the profession, the clinician, employer profession client, the registering body, the area of practice or specialty, the legislation, codes of conduct IT IS ALL OF THESE!! The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Who determines Scope Of Practice? p From the literature, there are several common themes: The primary determinant of scope of practice for all nurses and midwives is the enhancement of outcomes d id i i th h t f t for patients, and meeting consumer needs. Nurses and Midwives are responsible for their own decisions around scope of practice There are many factors that influence and contribute to scope of practice (Nurses Board Western Australia, Nurses Board of Victoria, Australian Nursing Federation, Ohio Nurses Board, Australian Nursing and Midwifery Council) The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Who determines Scope Of Practice? p Employers, Employers Organisations ; their Policies Patient ; Consumer Needs ; Outcomes O t Professional Bodies SOP Individual Scope of Practice Nurse Or Midwife – You! Regulatory Authorities The Northern Hospital Panch Health Service Law Craigieburn Health Service Professional P f i l Scope of Practice Broadmeadows Health Service Bundoora Extended Care Centre Why do we need to expand SOP? Nursing d Mid if N i and Midwifery experience and knowledge are i dk l d invaluable resources. It is natural for a Nurse or Midwife to evolve from being a novice, to an expert, and even further towards expanding their scope of p p g p practice, as they y continually learn and adapt to the needs of their clients Again, i A i primarily, expanding scope of practice must il di f ti t be driven by the need to provide improved outcomes and meet the needs of consumers. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Why do we need to expand SOP? The Health Care Landscape is changing! y Think about the shift to community based and outpatient care, higher acuity patients, technological advances, etc. advances etc The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Why do we need to expand SOP? Nursing and Midwifery evolves along with the i d id if l l ih h health care sector. Nurses and Midwives are: †¢ Participating more and more in evaluation, g patient care assessment and decision making in p †¢ Professional – educated, competent, authorised and registered †¢ Participating in the growth and evolution th d l ti of health care The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Expanding Scope of Practice p g p †¢ How our nurses and midwives have d id i h maintained/expanded theirs: – Conferences/workshops/courses – Self-directed learning i. e. research on-line, journal g ,j reading – In-service education †¢ How they plan to expand in the future: – As above – Presenting in-services in area of expertise The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Expanding Scope of Practice p g p The key concepts for Expanding Scope of Practice found in the literature include: 1. The primary motivation of any expansion to scope of practice is to meet needs of the client or improve outcomes and access 2. The competency or task must be well defined and understood 3. Any expansion must enhance the existing aspects of professional practice 4. The expansion to scope is lawful, appropriate for the context, consistent with relevant standards, acceptable to the profession, consistent with the relevant profession organisations’ policies and consultation and planning has occurred. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Expanding Scope of Practice p g p Key concepts of Expanding Scope of Practice – continued: 5. The registered nurse/midwife expanding their practice is already practising at an advanced level and has the education p p , p p and competence to perform the task, and is prepared to be accountable. They have been assessed by a competent health professional. 6. Nurses and midwives are accountable for making professional 6 N d id i t bl f ki f i l judgements when an activity is beyond their capacity and to initiate consultation/referral 7. Nursing and midwifery decisions are best made in a collaborative context, with ongoing risk assessment, planning, planning evaluation and support Always discuss expanding your scope with your peers, employers, professional organisations and your registering body. d i i b d The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Expanding Scope of Practice p g p There should be no artificial barriers to Scope Of Practice or expanding SOP such as: †¢ Ambiguous or inconsistent policy †¢ Overly specific or restrictive policy †¢ Inconsistent guidelines and frameworks eg. differences between States and regions †¢ Turf wars or uninformed attitudes The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Expanding Scope of Practice p g p When developing policy and planning for expansion consider: †¢ Permissive versus restrictive approaches – do you want to specifically restrict practice, or allow expansion to proceed within the broader guidelines? †¢ Profession versus client focussed approaches – it is best to be responsive to the needs of the client – ‘nurses will do what nurses needs to be done, providing he or she is competent to do it’. †¢ Competency standards should recognise the characteristics of nursing as well as the broader attributes or potential and i ll h b d ib i l d evolving roles. †¢ Overarching or broad statements are more effective than detailed or overly-specific statements when defining or expanding scope of practice. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre SOP Expansion Framework Self-inquiry Define the task or activity you wish to add to your role, then ask: Is it legal? No STOP No Yes STOP Am I covered by Hospital Policy? Yes Yes Am I competent? Do I have relevant knowledge and confidence? Yes Am I willing to accept . accountability? Yes PROCEED The Northern Hospital Do you need to develop policy in line with the evidence base? Will this improves outcomes for the patient/consumer and will it improve access to services? Panch Health Service No STOP No STOP Can you access relevant education, education are you willing? NO STOP Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Key Take Home Messages y g †¢ This is relevant to all nurses and midwives. †¢ Not one single factor determines Scope Of Practice. †¢ Scope o p act ce should be shaped to benefit the of practice s ou d s aped be e t t e patient, and improve outcomes, as should any expansions to SOP. †¢ Governance of SOP is complex, but is essentially the responsibility of the nurse or midwife . †¢ Use this frame ork and information in conj nction framework conjunction with NMBA/AHPRA guidelines, relevant State or Federal Legislation, and your g , y employing organisation and it’s policies. The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre Questions The Northern Hospital Panch Health Service Craigieburn Health Service Broadmeadows Health Service Bundoora Extended Care Centre

Cancer: The Costs, Causes, And Cures Essay -- essays research papers

Cancer: The Costs, Causes, and Cures Cancer is a major killer of people all around the globe. We do not have a definite cure, but the amount of research done on this one disease costs on the average of $1.2 billion dollars annually, and $20 billion annually in care of cancer patients. What is Cancer? Cancer is a broad ranging term that is used by many people, including medical professionals such as doctors. Cancer, in its most fatal and aggressive form, is of a larger class of diseases known as neoplasms. There are two forms of a neoplasm: benign or malignant. A benign neoplasm is encapsulated, or surrounded, so that it's growth is restricted, whereas a malignant neoplasm is not closed in. Malignant tumors grow much more quickly than benign forms and spread into the surrounding normal tissue, and virtually destroy it, (Grolier Electronic Encyclopedia, Cancer). The question is, what exactly is cancer? Cancer, is the break down and mutation of the cells of the body, when the DNA (Deoxyribonucleic Acid) sequences in those molecules are disrupted and errors form in the structures, (Grolier, Genetic Code). This mutation spreads through surrounding tissue until it disrupts major systems in the body (such as respiratory, digestive and waste management) cause that system to fail. What causes Cancer to become active? Since it is believed that almost all people have some type of cancer in their body, (although benign), any person that comes in contact with a carcinogen, (any cancer-causing agent), will cause these benign cells to become malignant. It is when the cells become malignant, that cancer actually occurs. Cancer, in this context, can be caused by many different agents; chemical, biological or physical. Chemical Agents Chemicals that can cause a benign cell to become active include things such as complex hydrocarbons, aromatic amines, certain metals, drugs, hormones, and naturally occurring chemicals in plants and molds. Hydrocarbons and nitrosamines can be found in cigarette smoke and may contribute to the condition called "lung cancer". Other chemicals that seem to cause incidents of "bladder cancer", such as 2-naphthylamine, were used in the dye industry for dyeing cloth, but when a number of cases of cancer turned up, its use was discontinued. Vinyl Chloride, a chemical gas, has also appeared, seeming to cause "liver can... ...ct the end of most major diseases early in the next century. Once we are able to read and modify the data and instructions found in our own DNA, we can directly access the way we as living beings will grow and evolve. However, we will have another problem, and that is of population. If there are no diseases to disrupt the growth of our population on this planet, we will soon overcrowd, and we may not yet have the technology to leave this world. However, I think we will still be better off without cancer. References Tetzeli, R. (1990). Can Power Lines Give You Cancer? FORTLINE Magazine, 49, 80- 85 Pitot, H.C. M.D. et al. (1992) Cancer. Grolier Electronic Encyclopedia,1992 ed. Search phrases: CANCER, GENETIC CODE, DNA, RNA Clarke, D. & Dartford, M. ( 1992). Cancer Treatment. How It Works: The New Illustrated Science and Invention Encyclopedia, 414-418 Abeloff, M.D. et al (1991) Cancer. Encyclopedia Britannica: Macropedia, 534-542 Drill, V.A. et al (1991) Drugs and Drug Action - Chemotherapy. Encyclopedia Britannica: Macropedia, 553-560 American Cancer Society et al (1992) Cancer. Compton's Multimedia Encyclopedia,1992 ed. Search phrases: CANCER, CHEMOTHERAPY, GENETICS

Concepts in Biology: Syllabus Essay

ATTENDANCE – It is important that you make every effort to attend all of the lectures. There is a high correlation between higher test grades and attendance. Please arrive on time and avoid leaving early. You are responsible for all lecture material and the assigned material in the text that is relevant to the topics covered in class. Preview the text before coming to class and have a framework for understanding the lecture material. After lecture read the parts of the text directly relating to lecture and review your notes before studying. You should study – at least – 3 hours for each 75 minute lecture. Attendance will be  taken – unannounced – throughout the semester. CELL PHONES AND TEXTING is a distraction to you, your neighbors and to the lecturer. Please turn off your cell phone before entering room 404E. Talking on your cell phone or text messaging during class is inappropriate behavior. LAPTOP COMPUTERS are also a distraction to others in the class. Please put your laptop away during lecture. You learn best by creating your own handwritten notes. EXAMINATIONS will be machine graded. YOU WILL NEED A #2 PENCIL for filling out the ScanTron forms. Exam scores will be reported to you on eLC. If you have any questions about your test  scores, check with Ms. Davis in the Biology Office (room 403). You should have a #2 pencil with you for every class! (attendance/ exams). Memorize your 810 number – you will need it for quizzes, exams and attendance checks. ACADEMIC HONESTY: â€Å"Whatever form it takes, academic dishonesty hurts everyone: It is unfair to other students, it diminishes the reputation of the University and the value of the degree it confers, and it can result in serious disciplinary action† (Dr. Robert Kirkman, Georgia Tech). As a student of the University of Georgia, it is your responsibility to become familiar with, understand,  and abide by the standards contained in â€Å"A Culture of Honesty†. Any person appearing to be academically dishonest will be reported to the office of the Vice President for Instruction. For more information regarding academic dishonesty, please consult â€Å"A Culture of Honesty† available on the web at www. uga. edu/ovpi/academic_honesty. htm. Ignorance of these regulations is not a defense in cases of infringement. The penalties for academic dishonesty can be severe. So, JUST DON’T DO IT! GRADES: There are four (4) fifty (50) question exams and a comprehensive final exam. Each correct  exam question is 2 points (100 points/exam). Exams will have a total value of 400 points. The final exam will have 100 questions worth 200 points. Total points for the semester are 600. 20 or more extra credit points will be available through unannounced attendance checks and quizzes. Final grades are based on your total accumulated points and will be awarded as listed below: Possible Points for the Semester Exams – 4 exams x 100 points / exam 400 points Final Exam 200 points Total 600 points Grade % Total points A 93 -100 558 A- 90 – 92 540 B+ 87 – 89 522 B 83 – 86 498 B-80 – 82 480 C+ 77 – 79 462 C 73 – 76 438. C- 70 – 72 420 D 60 – 69 360 F

Briggs Myers Personality Type - Essay - 1605 Words

Strategic Human Resources Briggs Myer’s Personality Type TABLE OF CONTENTS Introduction 3 I. What is the Briggs Myer’s Personality Type test? 4 II. BMPT in today’s mission of Human Resources 5 Conclusion 7 Recommendations 7 Bibliography 8 Websites 8 Books 8 Introduction â€Å"What appears to be random behavior is actually the result of differences in the way people prefer to use their mental capacities† Carl G. Jung (1875 - 1961) Psychiatrist Myers Briggs Type Indicator is based on the theory of psychological Type thought by C. G. Jung and published in the 1920’s. According to this Swiss Psychiatrist, each person has a psychological type. A person is either taking information (perceiving) or†¦show more content†¦Some tests indicate the percentage of each psychological preference making the test more accurate. II. BMPT in today’s mission of Human Resources Nowadays, the MBTI is widely used, according to the Center for Applications of Psychological Type, approximately two million people take this test every year. It is widely used in Anglo-Saxon countries to assist students in their career, in relationships†¦ However, it is important to underline the fact that the MBTI does not identify an individual’s skills in a specific area. It only allows to understand how this individuals works. Regarding Human Resources, it can be a valuable ally to deal with employees from recruitments and throughout their entire careers until they live the company. When it comes to hiring, one might think that the test enables the employer to hire the candidate according to his/her ability to fit in the team less than his/her skills and knowledge. However it appears to be necessary to have a qualified individual on the MBTI to conduct the test and inform the human resources department on the results and on the advantages and