RESUMO
This article discusses the past, present and future of Clinical Nurse Specialist (CNS) practice and education and identifies how 4 major shifts will impact CNS practice: 1) the APRN Consensus Paper, 2) the Affordable Care Act, 3) the Institute of Medicine's 'Future of Nursing' paper, and finally 4) the journey to Magnet status for many institutions. Each of these documents and/or themes has had, and will continue to have, a major impact on the future of CNS practice. The future is bright for CNSs as the role has an extremely important part to play in ensuring high quality patient outcomes.
Assuntos
Especialidades de Enfermagem/tendências , National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division , Estados UnidosRESUMO
A collaborative team developed a year long residency experience for a staff nurse transitioning to a nurse practitioner role in the Veterans Affairs system. To assist others desiring to provide support, networking, and infrastructure to those transitioning into new roles, the authors discuss strengths and weaknesses of the pilot and lessons learned related to defining trainee versus resident, credentialing and privileging, and specific mentoring needed for the role of the nurse practitioner.
Assuntos
Internato não Médico/organização & administração , Profissionais de Enfermagem/educação , Preceptoria/organização & administração , Adulto , Avaliação Educacional/métodos , Hospitais de Veteranos , Humanos , Mentores , Projetos Piloto , Avaliação de Programas e Projetos de Saúde , Estados UnidosAssuntos
Supervisão de Enfermagem , Humanos , Liderança , Especialidades de Enfermagem , Recursos HumanosRESUMO
Within the practice environment there are many demands to meet and many conflicting perspectives. The most recent example of this conflict is the polarity caused by the confusion and overlap between the established role of the clinical nurse specialist and the emerging role of the clinical nurse leader. The issues surrounding the confusion, concern, and potential for complimentary function are explored. The intent is to inform nursing leaders and provide points to use in making decisions regarding the roles and the focus on patient outcomes.
Assuntos
Enfermeiros Administradores , Enfermeiros Clínicos , Papel do Profissional de Enfermagem , Análise e Desempenho de Tarefas , Competência Clínica , Humanos , Relações Interprofissionais , Liderança , Resultado do Tratamento , Estados UnidosRESUMO
This article will provide a brief overview of the concepts of credentialing and certification and will identify some of the issues around certification and credentialing for clinical nurse specialists (CNSs). The article will also describe some of the misconceptions about certification and licensure that cause problems to CNSs, identify the current questions on the debated regulation of CNSs, and outline some of the proactive steps that can be taken to stay ahead of the current wave of change anticipated with the suggested changes in the forthcoming regulation of CNSs. Information provided is pertinent for new graduates and seasoned CNSs and provides an opportunity for both to gain a better understanding of certification and credentialing.
Assuntos
Certificação , Credenciamento , Especialidades de Enfermagem , Estados UnidosRESUMO
With an increasing number of veterans seeking care, it becomes imperative that the resources within the system are used efficiently and effectively and in a manner that maintains access, safety, and quality of care. Veterans who are able to manage their own care may utilize provider services less frequently, thereby increasing access for others who require more care. The objective of this quality improvement study was to determine the effectiveness of providing a standardized self-management textbook of health information with the intent that it would decrease demand on primary care providers' time for minor health care issues. This initial quality improvement study clearly demonstrated the potential of the return on investment and the subsequent potential for increased access for veteran patients, appropriate use of limited resources, and improved patient outcomes. It also clearly demonstrated the value of interaction with the veterans to educate them about their care and the increased satisfaction individualized attention to their needs creates. That finding alone has a greater value than just economics.
Assuntos
Educação de Pacientes como Assunto/economia , Ensino/normas , Veteranos , Ética , Humanos , Educação de Pacientes como Assunto/métodos , Estudos ProspectivosAssuntos
Certificação/tendências , Educação de Pós-Graduação em Enfermagem/tendências , Enfermeiros Clínicos , Papel do Profissional de Enfermagem , Sociedades de Enfermagem/tendências , Currículo/tendências , Previsões , Objetivos , Guias como Assunto , Diretrizes para o Planejamento em Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Descrição de Cargo , Licenciamento em Enfermagem/tendências , Enfermeiros Clínicos/educação , Enfermeiros Clínicos/tendências , Objetivos Organizacionais , Guias de Prática Clínica como Assunto , Autonomia Profissional , Estados UnidosAssuntos
Enfermeiros Clínicos , Papel do Profissional de Enfermagem , Sociedades de Enfermagem/organização & administração , United States Government Agencies , Guias como Assunto , Humanos , Descrição de Cargo , Enfermeiros Clínicos/classificação , Enfermeiros Clínicos/organização & administração , Ocupações/classificação , Ocupações/estatística & dados numéricos , Estados UnidosRESUMO
The authors present a framework for a succession planning and individual development initiative implemented in a Veterans Health Administration facility. Foundational strategic goals and a conceptual framework in the Veterans Affairs system provide the structure for the 3 facility-level succession planning and individual development programs. Outcomes of the programs are promising with 2 of 3 programs demonstrating clear succession planning outcomes and the other one showing positive preliminary results.
Assuntos
Mobilidade Ocupacional , Enfermeiros Administradores/organização & administração , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Seleção de Pessoal/organização & administração , Competência Profissional/normas , Desenvolvimento de Pessoal/organização & administração , Educação Continuada em Enfermagem/organização & administração , Hospitais de Veteranos , Humanos , Capacitação em Serviço/organização & administração , Liderança , Modelos de Enfermagem , Modelos Organizacionais , Enfermeiros Administradores/educação , Pesquisa em Administração de Enfermagem , Pesquisa em Educação em Enfermagem , Recursos Humanos de Enfermagem Hospitalar/educação , Oregon , Objetivos Organizacionais , Avaliação de Resultados em Cuidados de Saúde , Técnicas de Planejamento , Avaliação de Programas e Projetos de Saúde , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Estados Unidos , United States Department of Veterans AffairsRESUMO
Nursing faculty members should be aware that they are at risk for litigation if found negligent in failing to protect students from injury. Although student contributory negligence and willing assumption of risk are frequent defenses against negligence, the courts have determined that educators have a responsibility to determine foreseeable risks and to instruct students on how to maintain safety. The purpose of this article is to describe legal cases involving negligence in education and to discuss ways educators can reduce the risk of injury to students and potential litigation charging educational negligence
