Posts Tagged ‘Direct Patient Care’

Attention Registered Nurses- Nursing Schools Need You!

Friday, April 30th, 2010

Nursing is the nation’s largest health care profession, with more than 2.7 million registered nurses nationwide, and nursing students account for more than half of all health professions students in the United States. Applications to attend nursing schools continue to increase nicely but did you know that thousands of students are being turned away because of an acute shortage of Nursing Educators?


A study done by the U.S. Bureau of Health Professions indicates that by 2020, the U.S. nursing shortage will grow to more than 800,000 registered nurses. How can we put a serious dent in stemming this dangerous tide unless nurses take an active role in educating the nurses of tomorrow?


Becoming a Nurse Educator is a wonderful career step


Registered nurses ARE teachers! RNs teach patients and their families how to manage their illness or injury, including post-treatment home care needs, diet and exercise programs, and self-administration of medication and physical therapy. RNs mentor and precept new graduates and new hire staff as well as develop and implement ongoing continuing education activities within clinical settings. RNs combine their clinical expertise and passion for teaching others in thousands of ways every time they work.


Nurse Educators make use of that same clinical expertise and passion for teaching to guide and shape the future of the nursing profession- one student at a time!


Do you want to be doing direct patient care when you’re 63 and still waiting to be old enough to retire? I say leave bedside nursing to the younger nurses, give your sore back a rest, and turn your talents towards building the next generation of nurses instead!


Some RNs choose to advance their nursing career by moving into administrative or management positions, but the responsibilities and stress of management isn’t for everyone. For those RNs who would enjoy keeping in touch with direct patient care and in shaping the future of nursing the best career path to think about is becoming a nurse educator!


Given the growing shortage of nurse educators, the career outlook is strong for nurses interested in teaching careers. Nursing schools nationwide are struggling to find new faculty to accommodate the rising interest in nursing among new students.


Career Flexibility


Most nurse educators work in colleges and universities that offer associate and baccalaureate programs in nursing, and some work as instructors for LPN courses while educators involved in clinical education also work at collaborating health care facilities. A Master’s degree in nursing is typically required to become a faculty member at a university but RNs with a Bachelors degree in nursing and clinical experience are the minimum basic requirements for clinical instructors.


Nurse educators can work as full time faculty with all the benefits including tenure and retirement, or may choose to work as part time faculty while still continuing clinical employment and direct patient care. Nurse educators play a vital role in preparing and shaping future generations of nurses!


Earn an NLN accredited Master’s in Nursing Education Degree While You Work


You can earn an accredited Master’s Degree in Nursing with a specialization in education or in health education online while maintaining your current job by investing just a few hours of study time per week through several schools.


Don’t have a BSN Degree?


There’s a fully accredited RN to MS in Nursing program that allows busy nurses to take the fast track to earning their Masters in Nursing. Students earn both degrees in a fraction of the time at 1/2 the cost of traditional programs and don’t have to give up their job to do it.


Make a difference today that will impact the entire profession for years to come. Become a Nurse Educator!


For Additional Information about NLN Accredited Online Nursing Degrees and programs including LPN to RN/BSN, RN – BSN Degrees, Specialty Nursing Certification in Forensic Nursing, Legal Nurse Consulting, and Advanced Practice Nursing visit Medi-Smart’s Online Nursing School Directory.


Copyright 2006 Medi-Smart.com. Permission to reprint is granted as long as the article is published in its entirety with all hyperlinked text intact.

Continuing Nursing Competency

Saturday, April 3rd, 2010

For those student nurses who are about to graduate, their main priority is to pass the NCLEX-RN examination. The practice of nursing is regulated according to licensing authorities in each state jurisdiction.

Each jurisdiction must ensure that each nurse has the minimum competency to practice nursing in their state. In order to ensure such requirements, the National Council of State Boards of Nurses, Inc.

(NCSBN) has developed a comprehensive examination entitled, National Council Licensure Examination for Registered Nurses (NCLEX-RN). The NCLEX test plan occurs in several steps. The first step is to conduct a practice analysis. This is used to collect data on the practice of entry level nurses. By collecting this data the board can design NCLEX test questions that will be applicable to the majority of graduate nurses.

For instance, it has been found that the majority of new graduate nurses find work on medical/surgical units. The majority of the new graduates surveyed also indicated their primary responsibility was in the delivery of direct patient care. (1) Therefore, questions regarding the care of patients on medical/surgical units is pertinent and important for graduate nurses to know. Although some graduate nurses will tell you that they had more questions on psychiatric nursing or maternity nursing on the NCLEX, this is not the norm.

Six thousand or more newly licensed registered nurses are asked about the frequency and priority of performing more than one hundred and fifty care activities. These activities are analyzed in relation to the impact on patient care, safety and client settings where they are performed. It is in this framework that NCLEX test questions are designed to be applicable in real world settings, thus requiring graduate nurses to be knowledgeable of such practices.

The second step in the NCLEX test plan is to develop a method to test behaviors regarding the content formed in step one. The NCLEX-RN, Test Plan, provides a focused summary of the concepts to be tested. It serves not only to delineate what content to cover and the method of presenting the test questions but also serves to assist in developing a study guide in preparing those who will take the test. The NCLEX assesses the graduate nurse’s knowledge of required skills to practice nursing safely and competently.

Beliefs about people and nursing underlie the NCLEX-RN test plan. People are finite beings with varying capacities to function in society. (2) Each person is a unique and special individual existing in a system that they exert some control over, such as their beliefs, social systems, family systems, health customs. It is in this underlying theory of each individuals beliefs that the nursing process guides in the intervention to promote psychological and physical wellness.

Nursing is an art as much as it is a science, founded on a scientific body of knowledge that has been tested and proven effective in meeting the goals of each individual. The cognitive learning domain is a integral part of the NCLEX test plan. The use of Bloom’s taxonomy is the basis for writing and coding items (Bloom,e tal.,1956: Anderson & Krathwohl, 2001) Since the practice of nursing requires application or higher levels of cognitive ability, it becomes imperative to test graduate nurses complex and abstract reasoning.

The framework of Client Needs was selected for the NCLEX due to its all encompassing body of nursing knowledge that must be applied to successfully meet these needs. There are four distinct categories of Client Needs that are integrated into the exam, with two of the four categories subdivided to more adequately cover all subject matter. The categories are as follows:

A. Safe and Effective Care Environment

1. Management of Care

2. Safety and infection control

B. Promotion and Maintenance

C. Psychosocial Integrity

D. Physiological Integrity

1. Basic Care and Comfort

2. Pharmacological and Parenteral Therapies 3. Reduction of Risk Potential 4. Physiological Adaptation

Integrated concepts and processes are fundamental to the nursing practice and are applied to the various and categories of client needs.

These integrated concepts are as follows:

A. The nursing process- a scientific problem solving approach to client care that includes, assessment, analysis, planning, implementation and evaluation.

B. Caring- interaction between the nurse and client that provides for a nurturing, positive, and helpful environment whereby the client feels special and important knowing that the relationship that develops between themselves and the nurse will provide the needed assistance in their achieving a higher level of psychological and physical wellness.

C. Communication and Documentation- verbal and or nonverbal interactions between the nurse and client, significant others and multidisciplinary health teams. Validation either through written and or electronic entry which reflects that what has been done is documented and is within the scope of the nurses educational and licensure level as well as meeting the policies of the hospital or other client care environment.

D. Teaching-Learning- facilitating the acquirement of further knowledge which will lead to a more informed and skilled nurse with the application of the newly learned material.

The distribution of content and the percentage of test questions assigned to each Client Needs subcategory in the NCLEX test plan is based on the results of the Report of Finding from the 2005 RN Practice

Learn how you can pass the NET the first time the the Nursing Entrance Test Study Guide.