Fitting Myself into the IOM Future of Nursing Recommendations

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Running head: REFLECTION PAPER 1

 

 

2

REFLECTION PAPER

 

 

 

 

 

 

 

Reflection Paper

 

Reflection Paper

The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) started a two-year program in 2008 to generate a report which would assessed and make recommendations for the betterment of future nursing profession. This paper discusses my reflection on those three IOM recommendations, how my education level affects job market, and how it affects the role in the future of nursing.

Fitting Myself into the IOM Future of Nursing Recommendations

According to the recommendation 4 of IOM report; The Future of Nursing: Leading Change, Advancing Health; the nurse workforce should be increased with a baccalaureate degree to 80 percent by 2020. In accordance to the recommendation, all the academic nurse leaders throughout the country should work together and associate with the various organizations and people to make the diversified group of nursing students that helps to fulfill the demands of the different people throughout the life. Moreover, different private and government educational bodies, funders and people should be associated to ensure the funding and record the progress of the program (IOM, 2010).

Recommendation 5 focuses on doubling the number of nurses with doctorate degrees by 2020 with aim of achieving the need of research to ensure the quality and safe health care in correspondence to the changing healthcare system. Therefore, with the support of different healthcare organizations and universities, funders and accrediting bodies the schools of nursing should look upon the need of the diversification in nursing faculty and researchers. Also, recommendation 6 mentioned that the nurses, nursing students and faculty should be provided the resources and promotes a culture of lifelong learning to enhance their capabilities that helps them to provide the necessary care for the different people through their lifetime.

Being a nurse, I am very much excited and agree about the recommendations made by IOM about enhancing the nursing education system, achieving increase number of nurses with baccalaureate degrees through a number of different programs and promoting lifelong learning. At the same time, I feel very happy and proud about my decision of enrolling in RN to BSN program. I am going to finish my BSN degree soon and I found myself to be fit in the IOM Future of Nursing recommendations. From the BSN course, I feel myself acquainted with a broad area of healthcare environment including community health settings. This will help to develop my readiness of working in any healthcare settings including primary and preventive care. Also the education regarding the patient safety, policy development, leadership, evolving nursing practice, trends and issues in nursing, faith diversity etc enhances my ability to work more effectively in this changing healthcare environment. Moreover, I am now capable of working collaboratively with other health care provider and manage the care of patients and their families and encourage patients to manage their own chronic conditions.

Doctorate degrees in nursing is the attainment of highest level of scientific knowledge and practice that maintain the equilibrium between altering demands of complex healthcare system and the quality healthcare (Nursingcenter.com, n.d.). I am very much aware of the need of increment in nurses with doctorate degree. Therefore, I want to pursue this degree and would encourage my friends to get enroll in the doctorate program. Also, I would like to continue the education and earn the advanced degrees in order to enhance my abilities to fulfill my job as a healthcare provider. On getting an opportunity, I will always come forward for the lifelong learning and keep up to date with technologies and knowledge.

 

 

Job Market Based on my Educational Level

I am confident that increasing the level of education (RN to BSN) will help me to become competent enough in the current job market. “An RN with a BSN has the foundation to perform every task and responsibility of an Associate Degree Nursing (AND) with greater opportunity for upward mobility. A BSN RN, however, also has the prospect to work in public health, become a nurse educator, nurse practitioner, pediatric nurse, neurosurgical nurse, or a nurse anesthetist” (Schreiner.edu, n.d.). Also, I will be paid more with this degree. In accordance to American Nurse Today, “The bottom line is that nurses need to look in new directions for employment, must learn new ways to find and get those jobs, and will have to take steps to get and stay competitive in a new job market” (American Nurse Today, 2012). The health system is changing from an acute care model to a preventive and maintenance care model. Therefore, I have to advance my education and ensure the lifelong learning to cope up with the changing healthcare system.

Conclusion

To conclude, the recommendations given by the IOM Future of Nursing enhance the role and need of nurses in this changing healthcare system. And I can reflect myself fitting to these recommendations that will greatly affect my career and future plan.

 

 

 

 

 

 

References

 

American Nurse Today,. (2012). The times—and the nursing job market—they are a changin’ – American Nurse Today. Retrieved 4 March 2016, from http://www.americannursetoday.com/blog/the-times-and-the-nursing-job-market-they-are-a-changin/

Institute of Medicine(IOM). (2010). The Future of Nursing Focus on Education. Retrieved from https://iom.nationalacademies.org/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Nursing%20Education%202010%20Brief.pdf

Nursingcenter.com,. (n.d.). Nursing Journals | NursingCenter. Retrieved 3 March 2016, from http://www.nursingcenter.com/journalarticle?Article_ID=1150962

Schreiner.edu,. (n.d.). Resources: RN to BSN Occupational Outlook. Retrieved 3 March 2016, from http://www.schreiner.edu/online/resources/rn-to-bsn-occupational-outlook.aspx

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Mr. Y is a 47 year old, mixed race [Asian/African ethnicity], male patient who presented to your office with severe right great toe pain.

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Mr. Y is a 47 year old, mixed race [Asian/African ethnicity], male patient who presented to your office with severe right great toe pain.  Onset of the pain was 2 days ago.  Mr. Y denies any known trauma to his right foot or his great toe on that foot.  His right great toe is red and became so swollen in the last day that he cannot put on his shoe.

Mr. Y has a history of hypertension for which he is taking HCTZ 25mg daily, Metopralol 50 mg twice daily, and Lisinopril 10 mg daily.  He denies any other medical problems.

Results of the lab tests that were ordered:

Sed rate – 93; Glucose, random – 117 mg/dl; Hgb – 13.4 gm/dl; WBC – 8200/ccm with normal diff; Serum uric acid – 10.9 mg/dl; Serum creatinine – 1.2 mg/dl

Assignment Questions

  1. Based on presenting symptoms and lab findings, what is most likely diagnosis that will be made for Mr. Y?
  2. What is the anticipated pharmacologic plan for managing Mr. Y’s acute pain?  Provide a justification for the plan including a citation from a peer-reviewed source.
  3. What is the anticipated pharmacologic plan for long-term management of Mr. Y’s diagnosis?  Provide a justification for the plan including a citation from a peer-reviewed source.
  4. Identify the key elements of the education plan that would be appropriate for the patient about the acute and chronic pharmacologic plans you identified above.

Instructions 

  • Prepare and submit a 3-4 page paper [total] in length (not including APA format).
  • Answer all the questions above.
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:

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The use of models in nursing provides nurses to focus on the role of nursing and its applications rather than medical practice

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Module 5: Roy Adaption Model Lynessa Somuah

 

 

 

 

 

 

 

 

 

 

Karen Grueninger (KG) – Add course name and number, Aspen’s University, date, and instructor’s name.

Introduction

 

The use of models in nursing provides nurses to focus on the role of nursing and its applications rather than medical practice. In addition, it helps patient care to be systematic, purposeful, controlled and effective. (Philips et al. 2014)

 

According to Chen, one of the commonly used models in nursing is Roy Adaptation Model (Chen et al. 2017).

 

According to Roy adaptation model, the aim of nursing is to increase compliance and life expectancy. (DeSanto-Madeya et al. 2016).

 

Roy Adaptation Model evaluates the patient in physiologic mode, self-concept mode, role function mode and interdependence mode aiming to provide holistic care. (DeSanto-Madeya et al. 2016).

 

Patient data was evaluated in the four modes of Roy adaptation model (physiologic, self-concept, role function, and interdependence modes) and the nursing process was applied.

 

 

 

 

 

 

The use of models in nursing provides nurses to focus on the role of nursing and its applications rather than medical practice. In addition, it helps patient care to be systematic, purposeful, controlled and effective.

One of the commonly used models in nursing is Roy Adaptation Model. According to Roy adaptation model, the aim of nursing is to increase compliance and life expectancy. Roy Adaptation Model evaluates the patient in physiologic mode, self-concept mode, role function mode and interdependence mode aiming to provide holistic care. Patient data was evaluated in the four modes of Roy adaptation model (physiologic, self-concept, role function, and interdependence modes) and the nursing process was applied.

 

2

Karen Grueninger (KG) – Not cited. Information that is not your own personal thought or knowledge must be cited.

Use of the Roy adaptation model

 

Nurses’ providing holistic care in the care of the injured is very important.

 

According to Alimohammadi, nurses can achieve in providing holistic care only with the use of nursing models (Alimohammadi et al. 2015).

 

By using these models, nursing activities shift away from being service-centered to serving in a patient-focused manner. (Alimohammadi et al. 2015).

 

 

In addition, basic concepts and relationships between concepts are determined, problems are identified and solutions can be developed. In this way, nurses focus on the role of nursing and its applications rather than medical practice. (Alimohammadi et al. 2015).

 

Models not only ensure purposeful, systematic, controlled and effective patient care but also create a common language.

 

 

 

 

 

Nurses’ providing holistic care in the care of the injured is very important. Nurses can achieve in providing holistic care only with the use of nursing models. By using these models, nursing activities shift away from being service-centered to serving in a patient-focused manner. In addition, basic concepts and relationships between concepts are determined, problems are identified and solutions can be developed. In this way, nurses focus on the role of nursing and its applications rather than medical practice. Models not only ensure purposeful, systematic, controlled and effective patient care but also create a common language.

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Karen Grueninger (KG) – Not cited properly. Media should be in references with [Image] after title.

Karen Grueninger (KG) – Information that is not your own personal thought or knowledge must be cited.

Continuation

 

In addition, by helping nurses to organize daily care it creates the opportunity to give high quality care with less labor. Despite the increase in the interest in models, use of these models in nursing practice is not common. (Chen et al. 2017).

 

 

According to Chen, the most important reasons for this is not emphasizing models as part of basic nursing education and most models having a complex structure including abstract concepts (Chen et al. 2017).

 

For this reason, understanding and applying models by clinical nurses can be time-consuming.

 

One of the widely used models in nursing is Roy Adaptation Model (RAM).

 

RAM has been contributing to nursing practice, research, education and management and has been providing model-based information for the last 35 years. (Medeiros, 2015)

 

 

 

 

 

 

In addition, by helping nurses to organize daily care it creates the opportunity to give high quality care with less labor. Despite the increase in the interest in models, use of these models in nursing practice is not common. The most important reasons for this is not emphasizing models as part of basic nursing education and most models having a complex structure including abstract concepts. For this reason, understanding and applying models by clinical nurses can be time-consuming. One of the widely used models in nursing is Roy Adaptation Model (RAM). RAM has been contributing to nursing practice, research, education and management and has been providing model-based information for the last 35 years.

 

 

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Karen Grueninger (KG) – Information that is not your own personal thought or knowledge must be cited.

Influence of Roy’s theory in guiding the nurse’s actions in promoting sgt. Johns adjusted self-concept

 

According to DeSanto-Madeya there are four modes of adaptation defined in Roy Adaptation Model are physiologic, self-concept, role function and interdependence modes (DeSanto-Madeya et al. 2016).

 

Nurses help to meet the needs of individuals in these modes of adaptation.

 

The physiologic mode is associated with the physical answers of the person, given to stimuli from the environment. It includes the physical and chemical processes within an individual’s life and activities. (DeSanto-Madeya et al. 2016).

 

 

The role function mode covers the individual’s role in society for social integrity. The roles described herein are divided in three: Primary roles; the role of gender (female, male), secondary roles; different roles (mother, father, teacher, etc.), and tertiary roles (president of an association,

 

 

 

 

 

The four modes of adaptation defined in Roy Adaptation Model are physiologic, self-concept, role function and interdependence modes. Nurses help to meet the needs of individuals in these modes of adaptation. The physiologic mode is associated with the physical answers of the person, given to stimuli from the environment. It includes the physical and chemical processes within an individual’s life and activities.

 

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Karen Grueninger (KG) – Not cited properly. All media, including figures, photographs, graphs, flowcharts, maps, drawings, etc. must be cited in text and on reference slide. See APA for PPT video under News section of course. Citation should start with “Figure 1:”.

Karen Grueninger (KG) – Information that is not your own personal thought or knowledge must be cited.

Karen Grueninger (KG) – Information that is not your own personal thought or knowledge must be cited.

Self-concept Mode

The self-concept mode is defined as the individual’s mixture of beliefs and feelings about himself or others at a certain time.

 

The self-concept mode consists of the physical self and personal identity ((Phillips et al. 2014).

 

 

Physical self contains body image and body sense. Personal identity is formed by their thoughts, moral-ethics and spirituality. (Phillips et al. 2014).

 

 

The classification of the individual’s positive self-concept mode adaptation indicators includes;

 

Positive body image, effective sexual function

 

Spiritual integrity in physical growth

 

Sufficient compensation for body changes

 

Sufficient coping methods in loss

(Phillips et al. 2014).

 

 

 

 

 

 

The self-concept mode is defined as the individual’s mixture of beliefs and feelings about himself or others at a certain time. The self-concept mode consists of the physical self and personal identity. Physical self contains body image and body sense. Personal identity is formed by their thoughts, moral-ethics and spirituality.

 

 

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Continuation

 

Efficient period in end-of-life

 

Sufficient integration of own ideas

 

Balanced consistency

 

Efficient period in moral-ethic and spiritual development (Chenu et al. 2017)

 

Functional self respect

 

Efficient coping methods in threat against oneself

 

 

 

 

 

 

Efficient period in end-of-life

Sufficient integration of own ideas

Balanced consistency

Efficient period in moral-ethic and spiritual development

Functional self respect

 

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Karen Grueninger (KG) – Not cited properly.

The importance for the nurse to listen to Sgt. Johns’ “story” in his own words

 

 

Modern medicine’s healing potential depends on a resource that is being systematically depleted: the time and capacity to truly listen to patients. trust (Phillips et al. 2014).

 

Some health professionals claim that workload and other factors have compressed medical encounters to a point that genuine conversation with patients is no longer possible or practical. trust (Phillips et al. 2014).

 

According to Philips, actively listening to patients conveys respect for their self-knowledge and builds trust. It allows physicians to assume the role of the trusted intermediary. It is only through shared knowledge that physicians and patients can co-create an authentic, viable care plan. trust (Phillips et al. 2014).

 

 

 

 

 

 

 

Modern medicine’s healing potential depends on a resource that is being systematically depleted: the time and capacity to truly listen to patients. Some health professionals claim that workload and other factors have compressed medical encounters to a point that genuine conversation with patients is no longer possible or practical. We disagree. Actively listening to patients conveys respect for their self-knowledge and builds trust. It allows physicians to assume the role of the trusted intermediary. It is only through shared knowledge that physicians and patients can co-create an authentic, viable care plan.

 

 

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Continuation

 

It is important for the nurse to listen to Stg. John’s story so as to have complete information on his current conditions.

 

Information directly from a patient is usually not biased because others might exaggerate the information due to sympathy with the patient (Alimohammadi et al. 2015).

 

When getting information from others clinicians, this may mistakenly provide ineffective or undesired treatment, or miss pertinent information. All of this serves to diminish the joy of serving patients, thereby contributing to high rates of physician burnout. These consequences have clear human and financial costs. (Alimohammadi et al. 2015).

 

 

 

 

 

 

 

It is important for the nurse to listen to Stg. John’s story so as to have complete information on his current conditions. Information directly from a patient is usually not biased because others might exaggerate the information due to sympathy with the patient. When getting information from others clinicians may mistakenly provide ineffective or undesired treatment, or miss pertinent information. of this serves to diminish the joy of serving patients, thereby contributing to high rates of physician burnout. These consequences have clear human and financial costs.

 

9

Karen Grueninger (KG) – Not cited properly,

Stressors based on Neuman System’s Model

 

 

The Neuman Systems Model looks at the impact of stressors on health and addresses stress and the reduction of stress.

 

According to Medeiros, the stressors that affect the system are capable of producing a positive or negative effect and can constitute any environmental force that can affect the system (Medeiros et al. 2015).

 

Thus a stressor is any environmental force which can potentially affect the stability of the system. A person’s response to these stressors depends on the strength of the lines of defense. Stressors includes: Intrapersonal  which occur within a person for example the person’s emotions and feelings. Interpersonal  occur between individuals for example role expectations. Extra personal  occur outside the individual for example the person’s job or financial pressures. (Medeiros et al. 2015).

 

 

 

 

 

 

 

 

The Neuman Systems Model looks at the impact of stressors on health and addresses stress and the reduction of stress.

The stressors that affect the system are capable of producing a positive or negative effect and can constitute any environmental force that can affect the system. Thus a stressor is any environmental force which can potentially affect the stability of the system.

A person’s response to these stressors depends on the strength of the lines of defense.

Stressors includes: Intrapersonal  which occur within a person for example the person’s emotions and feelings.

Interpersonal  occur between individuals for example role expectations.

Extrapersonal  occur outside the individual for example the person’s job or financial pressures.

 

 

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Karen Grueninger (KG) – Information that is not your own personal thought or knowledge must be cited.

A plan of care based on Neumann systems model for Sgt. Johns.

 

NSM practitioners believe clients possess several layers.

 

According to NSM theory, these layers each have five dimensions .

 

According to Medeiros, the physiological client dimension encompasses body chemistry state, and the client’s psychological dimension involves their mental health (Medeiros et al. 2015).

 

The socio-cultural dimension concerns clients’ relationships and cultural belief systems.

 

NSM practitioners also consider clients’ spiritual beliefs.

 

The fifth NSM dimension takes into account clients’ development throughout their lifespan.

 

 

 

 

 

NSM practitioners believe clients possess several layers. According to NSM theory, these layers each have five dimensions. The physiological client dimension encompasses body chemistry state, and the client’s psychological dimension involves their mental health. The socio-cultural dimension concerns clients’ relationships and cultural belief systems. NSM practitioners also consider clients’ spiritual beliefs. The fifth NSM dimension takes into account clients’ development throughout their lifespan.

11

Karen Grueninger (KG) – Not cited properly.

Karen Grueninger (KG) –

Karen Grueninger (KG) – Information that is not your own personal thought or knowledge must be cited.

Karen Grueninger (KG) – Information that is not your own personal thought or knowledge must be cited.

References

 

Alimohammadi, N., Maleki, B., Shahriari, M., & Chitsaz, A. (2015). Effect of a care plan based on Roy adaptation model biological dimension on stroke patients’ physiologic adaptation level. Iranian journal of nursing and midwifery research, 20(2), 275.

Chen, P., Dai, F., Zhang, N., & Wang, L. (2017). Application status and enlightenment of the Roy adaptation model in nursing care of patients with cancer. Chinese Journal of Practical Nursing, 33(1), 73-76.

Chenu, K., Porter, J. R., Martre, P., Basso, B., Chapman, S. C., Ewert, F., … & Asseng, S. (2017). Contribution of crop models to adaptation in wheat. Trends in plant science, 22(6), 472-490.

DeSanto-Madeya, S., & Fawcett, J. (2016). Healing and transcendence: A Roy adaptation model-guided comparison. Nursing science quarterly, 29(3), 219-226.

Medeiros, L. P. D., Souza, M. B. D. C., Sena, J. F. D., Melo, M. D. M., Costa, J. W. S., & Costa, I. K. F. (2015). Roy Adaptation Model: integrative review of studies conducted in the light of the theory. Northeast Network Nursing Journal, 16(1).

Phillips, K. D., & Harris, R. (2014). Roy’s adaptation model in nursing practice. MR Alligood (Ed) Nursing Theory Utilization and Application, 263-284.

 

 

 

 

 

 

Karen Grueninger (KG) – Media should be in references with [Image] after title.

Karen Grueninger (KG) – Capitalize each major word in journal title.

Karen Grueninger (KG) – Capitalize the first word and first word after colon; also proper nouns.

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Determine the mortality rate of the health issue using the data from the research study to perform the appropriate calculations

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IHP 330 Milestone One Guidelines and Rubric

Overview: For your final project, you will complete an epidemiological research study report based on the provided research study, “Salmonella in the Caribbean.” Throughout the course, you will complete milestone assignments that are drafts of specific sections of the final project. Because these milestone assignments are drafts of the final project, you will notice that some critical elements in the rubric are identical to those in the Final Project Rubric. Tips for tackling each critical element are in italics throughout the document.

 

In your first milestone, you will review the research study and analyze the health issue at its core. Use the research you conducted in your Module One journal assignment to help you analyze the health issue.

Prompt: To begin, review the final project research study, “Salmonella in the Caribbean.” Then, address the following critical elements in your short paper:

 

II. Health Issue: In this section of your final project, you will analyze the health issue in focus in the research study. A. Describe the risk factors associated with the public health issue. Support your description with evidence from the research study and

your independent research. B. Describe the mode of transmission of the public health issue. Support your description with evidence from the research study and your

independent research. C. Determine the incidence and prevalence of the health issue using the data from the research study to perform the appropriate calculations. Tip:

Use the data in Table 1 of the final project research study to calculate the incidence of the Total of Serotypes. Also, use the incidence to help you determine the prevalence of the disease.

D. Determine the mortality rate of the health issue using the data from the research study to perform the appropriate calculations. E. Interpret the odds ratio to determine the strength of association between the potential sources of exposure and the disease. Tip: Use the data in

Table 2 of the final project research study to calculate the odds ratio.

Rubric Guidelines for Submission: Your paper should be a 1- to 2-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and APA formatting and citations.

 

https://snhu-media.snhu.edu/files/course_repository/undergraduate/ihp/ihp330/ihp330_final_project_research_study.pdf
https://snhu-media.snhu.edu/files/course_repository/undergraduate/ihp/ihp330/ihp330_final_project_research_study.pdf

 

 

Critical Elements Proficient (100%) Needs Improvement (70%) Not Evident (0%) Value

Health Issue: Risk Describes the risk factors Describes the risk factors Does not describe the risk 18 Factors associated with the public associated with the public factors associated with the

health issue, supporting health issue, supporting public health issue description with evidence from description with evidence from the research study and from the research study and from independent research independent research, but response has gaps in detail, clarity, accuracy, or support

Health Issue: Mode Describes the mode of Describes the mode of Does not describe the mode of 18 of Transmission transmission of the public transmission of the public transmission of the public

health issue, supporting health issue, supporting health issue description with evidence from description with evidence from the research study and from the research study and from independent research independent research, but response has gaps in detail, clarity, accuracy, or support

Health Issue: Determines the incidence and Determines the incidence and Does not determine the 18 Incidence and prevalence of the health issue prevalence of the health issue incidence and prevalence of the

Prevalence using the data from the using the data from the health issue using the data research study and performing research study and performing from the research study the appropriate calculations calculations, but calculations are inappropriate, or determination has gaps in detail, clarity, or logic

Health Issue: Determines the mortality rate Determines the mortality rate Does not determine the 18 Mortality of the health issue using the of the health issue using the mortality rate of the health

data from the research study data from the research study issue using the data from the and performing the appropriate and performing calculations, research study calculations but calculations are inappropriate, or determination has gaps in detail, clarity, or

logic

Health Issue: Odds Interprets the odds ratio to Interprets the odds ratio to Does not interpret the odds 18 Ratio determine the strength of determine the strength of ratio to determine the strength

association between the association between the of association between the potential sources of exposure potential sources of exposure potential sources of exposure and the disease and the disease, but response and the disease has gaps in detail, clarity, or accuracy

 

 

 

Articulation of Submission has no major errors Submission has major errors Submission has critical errors 10 Response related to citations, grammar, related to citations, grammar, related to citations, grammar,

spelling, syntax, or organization spelling, syntax, or organization spelling, syntax, or organization that negatively impact that prevent understanding of readability and articulation of ideas main ideas

Total 100%

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