There are many issues that the nursing profession is currently facing including practice barriers that prevent nurses from utilizing their full set of skills and knowledge (National Academies, 2015). A report from the National Academies (2015) shares that “States, federal agencies, and health care organizations should remove scope of practice barriers that hinder nurses from practicing to the full extent of their education and training,…” Considering the barriers that currently exist, or might exit in the future, think of one barrier in particular and please respond to the following prompts:How you can make an impact on this issue in your workplace or future workplace. What challenges will this present and what steps you will take, and the outcome you hope to achieve?What changes to the profession, which would remove barriers, would you like to see on a local level, in your workplace, or on a regional or national level?What is currently being done about this, according to the literature, or according to your organization?
Question
There are many issues that the nursing profession is currently facing including practice barriers that prevent nurses from utilizing their full set of skills and knowledge (National Academies, 2015). A report from the National Academies (2015) shares that “States, federal agencies, and health care organizations should remove scope of practice barriers that hinder nurses from practicing to the full extent of their education and training,…” Considering the barriers that currently exist, or might exit in the future, think of one barrier in particular and please respond to the following prompts:How you can make an impact on this issue in your workplace or future workplace. What challenges will this present and what steps you will take, and the outcome you hope to achieve?What changes to the profession, which would remove barriers, would you like to see on a local level, in your workplace, or on a regional or national level?What is currently being done about this, according to the literature, or according to your organization?
Solution
One significant barrier that nurses often face is the lack of autonomy in their practice. This is particularly prevalent in settings where there is a hierarchical structure that places physicians at the top, often limiting the decision-making abilities of nurses.
To make an impact on this issue in my future workplace, I would advocate for a more collaborative approach to healthcare. This would involve promoting open communication and mutual respect among all healthcare professionals, regardless of their role. The challenge here would be changing the existing culture and mindset, which often takes time and requires buy-in from all parties involved. To address this, I would initiate conversations about the value that each professional brings to the team and the importance of leveraging everyone's expertise for the benefit of the patients. The outcome I hope to achieve is a more inclusive and efficient healthcare system where nurses are empowered to contribute fully to patient care.
On a local level, I would like to see policies that explicitly support the autonomy of nurses in their practice. This could include guidelines that allow nurses to make certain decisions independently or protocols that require physicians to consult with nurses before making major decisions. On a regional or national level, I would advocate for legislation that recognizes and protects the role of nurses as key players in the healthcare system.
According to the literature, there are ongoing efforts to address this issue. For instance, the American Nurses Association has been actively advocating for full practice authority for nurses. Additionally, some healthcare organizations are implementing team-based care models that emphasize collaboration and shared decision-making. However, there is still much work to be done to ensure that nurses are able to practice to the full extent of their education and training.
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The scope and standards of practice guide the nursing profession in competence and performance expectations. The scope of practice for nursing defines the activities that a person licensed as a nurse is permitted to perform while the standards of practice delineate performance expectations for all registered nurses. Review Chapter 3, "The Nursing Workforce," of The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, located in the Topic 2 Resources, and compare the scope of practice and differentiated practice competencies of licensed practical nurses (LPNs), registered nurses (RNs), and advanced practice registered nurses (APRNs). Review "Scope of Nursing Practice" from Nursing: Scope and Standards of Practice, located in the Topic 2 Resources. Standard 12 of the standards of practice describes the nurse's role related to education. Explain the role of professional development (life-long learning) in the context of this standard.
Impact of technology in nursing practice.
The purpose of this assignment is to identify a problem or concern in your organization, local community, or state in which change can occur through advocacy and legislation.Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.Identify a problem or concern in your organization, local community, or state. Examples of problems relevant to nursing include, but are not limited to, title "nurse" protection, sharps injury prevention, nursing shortage, nurse well-being, valuation of nursing services, etc.
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