Sean Whitfield - NURS 1000 - Active Learning Guide - Module 9 - Backgrounds in Nursing - Educational Pathways - Complete.pdf

NURS 1000 - Introduction to Nursing Educational Pathways Educational Pathways Module 9: Backgrounds in Nursing Active Learning Guide 1. Of the trends impacting nursing education described in this chapter of the textbook, which one(s) do you think have had the most impact on nursing education? Increa...

NURS 1000 - Introduction to Nursing Educational Pathways Educational Pathways Module 9: Backgrounds in Nursing Active Learning Guide 1. Of the trends impacting nursing education described in this chapter of the textbook, which one(s) do you think have had the most impact on nursing education? Increasing shortage of nurses and facutly. Rapid knowledge expansion; increasing use of technology and informatics in education and practice. Performance-based competency, learning and objective assessment methods. 2. With whom/where did formal nursing education begin? Florence Nightingale started the first formal school of nursing in 1860. 3. Explain how degrees, licenses, and certifications are different from each other by completing the table below. -Degree 4. License Who gives it? University/College/Academic Institution A governing body Certification Professional Organization What does it represent? Academic Achievement Completed appropriate educational program. Completion of an educational program Compare and contrast the training and scope of practice for LPNs and RNs. (Consider the length of training, the typical contexts of employment, and the limitation in scope of practice.) LPN Training Length 12 – 18 month program. Certificate (Not Degree) program. Training offered by hospitals, vocational schools, community colleges or adult education programs. Contexts of employment – Require RN or MD supervision to practice. Limitation in scope of practice – Most restricted nursing practice role. In general, LPNs are trained to provide nursing care for patients who are considered stable, although they can and do work in hospital settings. It's common to find LPNs practicing in settings where patients are generally considered stable, like home health, assisted living, long-term care facilities, or clinics. RN Training Length Contexts of employment Limitation in scope of practice 5. Name the three educational pathways for RNS, and differentiate between them. NURS 1000 - Introduction to Nursing Educational Pathways Hospital Diploma Program → 2 – 3 year program. Focus on basic RN position, technical skills and apprentice style learning. Training tailored to fit the organizations structure and preference. However, nurses trained in diploma programs may be unable to advance to leadership or administrative roles; they may be excluded from specialty areas, and they will require additional education before entering graduate educational programs. Associate Degree Program → were introduced as expedited educational preparation for nurses, as a way of addressing the post-World War 2 nursing shortage. Community colleges, which offered affordable tuition and flexible scheduling were booming, and most ADN programs could be completed in two years. ADN Programs include all the clinical education and some of the liberal arts, though to a lesser degree than thec BSN programs. In general, these nurses do not hold leadership or administrative roles. Baccalaureate Program → BSN education includes all of the clinical training that you'll find in hospital diploma programs and associate's degree programs, but also includes additional education in nursing research and theory. Perhaps the most notable difference in baccalaureate education are the liberal arts. As it turns out, the reading and writing and learning that you did as part of your general education makes a difference in the way that you think about problems, respond to challenges, and encounter people from different cultures and backgrounds. That background can really impact the kind of care you provide your patients. BSN Prepared nurses have more job opportunities than any of the other educational pathways to becoming an RN. 6. What do the three educational pathways for RNs have in common? Graduates from all three of the primary pathways, and the master-s entry pathway, take the same licensing exam the NCLEX-RN. 7. Based on your understanding of the readings from the AACN documents, what are some reasons that baccalaureate preparation has been recommended as the minimal educational preparation for entry into professional nursing practice (give at least 2)? BSN prepared nurses is associated with better patient outcomes, fewer patient deaths, fewer complications, and fewer re-admissions following hospitalization. 8. Which state passed legislation requiring nurses to obtain a BSN to be eligible for an RN license and when did the law take effect? New York state. NURS 1000 - Introduction to Nursing Educational Pathways 9. What are the four advanced practice nursing roles and what do they do? Nurse Practitioners (Nps) Most MSN programs are designed to prepare advanced nurse practitioners and clinical specialists in various specialty areas. The extraordinary and rapid changes in health care since the early 1990s highlighted the cost-effective and quality care benefits of using advanced practice nurses in primary health care and other specialty areas. With intensive and persistent legal activities, nurses won battles to change state laws to permit nurse practitioners to write prescriptions, receive reimbursement for care, and operate independent nurse practices and health centers. As a result of this expanded scope of practice, a rising number of nurses have obtained MSN degrees and advanced practice certification. Nurse Midwife (CNM) Nurse-midwives offer women a more holistic approach to childbirth than modern gynecologists and obstetricians do. This approach calls for little or no technology involved in birth. However, a nurse-midwife is trained to know which situations may call for the help of an obstetrician during birth. Nurse Anesthetist (CRNA) A certified registered nurse anesthetist (CRNA) is an advanced practice registered nurse (APRN) who administers anesthesia during procedures. CRNAs also assist patients with pain management. Clinical Nurse Specialist (CNS) A clinical nurse specialist (CNS) is a type of healthcare provider who is an advanced practice registered nurse (APRN). A CNS has a master’s degree or doctoral degree in nursing. The CNS provides advanced nursing care to patients, families, and communities, and serves as a clinical expert, consultant, educator, and researcher. They collaborate with healthcare professionals, including physicians, nurses, social workers, and other healthcare providers, to develop and implement evidence-based interventions and quality improvement initiatives. CNSs are trained to analyze complex patient data, assess patient outcomes, and evaluate the effectiveness of healthcare interventions. They also contribute to the development of policies and procedures, the management of healthcare resources, and the improvement of healthcare outcomes. 10. What are the minimum educational requirements (degrees) for each of the four advanced practice roles? Currently a masters degree is the minimum education requirement. By 2025 CRNA’s must be DNP prepared. 11. Define accreditation → Accreditation is the action or process of officially recognizing someone as having a particular status or being qualified to perform a particular activity. 12. Distinguish between and PhD and a DNP. A Ph.D. in nursing is considered a "research" degree. Ph.D. students would focus on generating new evidence through research to support and expand nursing knowledge. NURS 1000 - Introduction to Nursing Educational Pathways A doctor of nursing practice, on the other hand, is a practice doctorate. By practice doctorate, we mean that the degree focuses on clinical practice. So instead of designing and conducting research to generate new knowledge, the DNP-prepared nurse is especially equipped to put the best available evidence into clinical practice and to help their colleagues and organizations do the same.