Monday, July 4, 2011

Impact of Master's of Science on Nursing


According to Rosseter, the American Association of Colleges of Nursing is creating a curriculum for master's level nurses in order for them to be more effective teachers. This curriculum is referred to as the Master's Essentials includes classes on "sciences and humanities, organizational and systems leadership, quality improvement and safety, translating and integrating scholarship into practice, informatics and healthcare technologies, health policy and advocacy, interprofessional collaboration for improving outcomes, clinical prevention and population Health" (Rosseter, 2011).

According to Blanche, nurses today are performing tasks that were once only performed by doctors. Nurses are also becoming more specialized in their career such as organ transplant nurse, ICU nurse, the psychiatric nurse. Nurses are more of an advocate for patients rather than simply caretakers. Many hospitals offer employee tuition assistance to encourage their nurses to return to school to get their master's or BSN (Blanche, 2010).

In conclusion, because nursing graduate programs are creating higher standards of education for their programs, nurses are becoming more educated than ever before. Nurses, who plan to teach nursing, must become well developed in their studies which they pass onto their students. Nurses are given more opportunities to return to school to get their master's degree which helps raise the level of education of today's nurse.

References

Rosster, R. (2011). U.S. nursing schools transform master’s education by adopting new standards reflecting contemporary nursing practice. Retrieved from http://www.aacn.nche.edu/media/newsreleases/2011/essentials.html

Blanche, J. (2010, November 2). Nursing 50 years back and today: how the nursing field has changed over the last 50 years. Retrieved from http://www.healthecareers.com/article/nursing-50-years-back-and-today-how-the-nursing-field-has-changed

Changes in nursing since the age of Florence Nightingale





Today's nurse is a leader and an active participant in patient care. According to Rosseter, "Today’s nurse practices in a variety of new and different capacities given the rise of accountable care organizations, primary care health homes (medical homes), nurse managed health centers, retail clinics, community health centers, and in other care models. Preparing nurses with the skills needed to provide leadership in adapting to these new systems is critical to meeting the needs of a diverse patient population” (Rosseter, 2011).

The various functions the nurse serves today are numerous. Nurses treat patient conditions. Nurses educate patients and families about illnesses and preventive medicine. Nurses are responsible for gathering patient history. Nurses perform diagnostic tests and must be able to interpret these results. Nurses give medication. Nurses are responsible for giving treatments ordered by the physician. Nurses must know how to work medical equipment in order to help treat their patients (United States Department, 2011).

In Florence's era, nurses were considered to be of a lower statue than prostitutes. Nurses had no formal training. Florence helped to change the nursing profession by creating training schools for nurses. She made changes in sanitary conditions that lowered the death rate from disease during the Crimean War (Bloy, 2010).


References

Bloy, M. (2010, June 10). The victorian web: florence nightingale. Retrieved from http://www.victorianweb.org/history/crimea/florrie.html

Rosster, R. (2011). U.S. nursing schools transform master’s education by adopting new standards reflecting contemporary nursing practice. Retrieved from http://www.aacn.nche.edu/media/newsreleases/2011/essentials.html

United States Department of Labor, Occupational Outlook Handbook 2011. (2009). Registered nurses Washington, DC: Retrieved from http://www.bls.gov/oco/ocos083.htm

Saturday, July 2, 2011

Florence Nightinglale-Pioneer of Nursing



Florence Nightingale was born in Florence, Italy in 1820. Her parents named her Florence after the city of her birth. She grew up in England. As she matured, she became distraught over the lack of opportunities for women. As a young woman, she would visit the poor and grew increasingly interested in caring for the sick. In 1844, she went to various English hospitals to investigate opportunities career opportunities for women. In the 1800's, nursing was considered one of the lowest jobs for women. It was believed that to be a nurse, one needed neither education nor skill. Being a nurse was lower than being a prostitute (Bloy, 2010).

Florence traveled to Paris, France where she met two sisters from St. Vincent du Paul, who introduced Florence to different techniques in nursing which was far more advanced that England. Florence decided to train as a nurse for four months in 1851. She then went back to England and inspected various hospitals. In 1853, she became the supertindent for the Hospital of Invalid Gentlewomen (Bloy, 2010).

March of 1854, the Crimean War began which created many opportunities for Florence to advance nursing. The English people were upset about the lack of care for the sick and wounded in Crimea. Florence traveled to Crimea in October of 1854 with thirty eight nurses. When the nurses arrived at Scruti, they were aghast at the conditions. No soap, towels, hospital clothes, water "vessels", sour milk and bread, and old meat were what the nurses encountered. The nurses also were shocked at the condition of the soldiers which were lying in their uniforms and dirty beyond recognition (Bloy, 2010).

When the nurse first arrived, many were very inexperienced, but as 1854 drew to a close, the nurses made improvements at Scruti. Funding was given to the Florence and her nurses which she used to create a laundry and kitchen. Florence was the only nurse allowed to take care of the soldiers after 8 PM. The orderlies took the other nurses' places at night. Florence would wander throughout the hospital with her lamp to check on the patients which thus coined her title "Lady of the Lamp". The nurses, as well as Florence, were overworked. Forty-six more nurses came to Scruti at the end of 1854 to help ease the hard working nurses (Bloy, 2010).

By 1855, the rise of cholera and typhus among the patients was increasing due to lack of any type of sanitation system. Many nurses and doctors died and there were up to 2000 patients being seen as the hospital at Scruti. The English War Office demanded improvements to the sanitation system and the death rate dropped from 42% to 2%. Florence, herself, was sick with the Crimean fever for 12 days. After she recovered, she continued to nurse the sick at Scruti. She created reading and recreation rooms for the soldiers as well as their families. She returned to England in 1856 (Bloy, 2010).

Florence was deeply impacted by what she saw in Crimea. A fund was created in 1855 to help train nurses. She went to visit Queen Victoria in 1856 to inform her of the horrible conditions she witnessed in Scruti. The school that was founded grew and Florence used her experiences from the Crimea to help with the training. Due to her poor health, she had to advise how to run the school rather than teach (Bloy, 2010).

Due to her health problems, Florence lived the rest of her life offering advice about training nurses instead of actually training them. In the late 1850's she wrote a book entitled Notes on Matters affecting the Health, Efficiency and Hospital Administration of the British Army. The book influenced the creation of an English commission on the "sanitary conditions in the -army". Florence offered her advice to American nurses during the American Civil War. She helped create the East London Nursing Society in 1868 and the National Society for providing Trained Nurses to the Poor (Bloy, 2010).

The Indian Mutiny in the 1870's allowed for Florence to offer advice on how creating a sanitary department within the Indian Government. She took a great interest in India and was deeply concerned about the welfare of the Indian people. Florence penned several papers about famine, sanitation, and irrigation needs of the Indian people (Bloy, 2010).

Before she died in 1910, Florence received many honors including the Order of Merit, the Freedom of the city of London, German order of the Cross of Merit, and the badge of honor of the Norwegian Red Cross Society. The English Government offered to have Florence's burial at Westminster Abbey, but her family refused. She was instead buried near her family home (Bloy, 2010).

Bloy, M. (2010, June 10). The victorian web: florence nightingale. Retrieved from http://www.victorianweb.org/history/crimea/florrie.html