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PowerNotes PowerNotes Presentation Transcript

  • Nursing Leadership & Management Patricia Kelly-Heidenthal 0-7668-2508-6
  • Chapter 27 Emerging Opportunities
  • Objectives
    • Upon completion of this chapter, the reader should be able to: 
      • Discuss the many nursing opportunities available upon graduation.
      • Discuss advanced nursing practice and other nontraditional nursing roles.
      • Identify various opportunities for certification.
      • Review hospital and nonhospital based nursing practice.
      • Identify directions for the future.
    View slide
  • Nontraditional Emerging Opportunities
    • For nurses who remain in traditional settings, opportunities exist to receive certification in specialized areas. 
    • Certification is the process by which a nongovernmental agency or association certifies that an individual licensed to practice a profession has met certain predetermined standards specified by that profession for practice.
    View slide
  • Sample List of Certifying Organizations
    • ANCC
      • American Nurses Association Credentialing Center
    • NAPNAP
      • National Association of Pediatric Nurse Associates and Practitioners
    • ACCN
      • Association of Critical Care Nurses
    • AWONN
      • Association of Women's Health Obstetrics and Neonatal Nurse
  • Sample List of Certifying Organizations
    • NANN
      • National Association of Neonatal Nurses
    • WOCN
      • Wound, Ostomy, and Continence Nurses Society
    • AANA
      • American Association of Nurse Anesthetists
  • Possible Areas of Specialization
    • Neonatal
    • Pediatric
    • Adult medical/surgical
    • Women's health
    • Obstetrics/gynecology
    • Psychiatry
    • Dermatology
    • Case management
    • Renal
    • Critical care
    • Emergency room
    • Clinical nurse specialist
    • Nurse practitioner
    • Nurse anesthetist
    • Nurse midwife
    • Nursing informatics
  • Traveling Nurse
    • Travels to various locations throughout the United States
    • Usually works in 3-month assignments on the same unit
    • May receive a similar or higher salary compared to salaries of fellow employees
    • Needs to be aware of differing nursing methodologies and licensure requirements from state to state
  • Traveling Nurse
    • Requires a license for each state in which he or she will practice
    • Should ensure that contract says exactly what the assignment will be regarding expectations of the institution and agency
  • Representative for Pharmaceutical Company, Home Care, or Nursing Agency
    • Affords the nurse a perspective on corporate America and the workings of the business world
    • Often involves salary enhancements or perks
    • Allows for a certain level of independence
    • May present difficulties in meeting sales quotas, providing for customers, or surviving the ups and downs of the business world
  • Case Manager
    • This new delivery of care method includes providing and coordinating care across the continuum of prevention, wellness, acute care, rehabilitation, long-term, hospice, and respite care.
    • The nurse case manager should have at least a baccalaureate degree and expert clinical skills; should possess knowledge of the health care system, health care finances, and legal issues; and should be an effective communicator.
  • Nurse Entrepreneur
    • Many nurses are becoming entrepreneurs in a variety of consultative, educational, and technical areas.
    • Advantages:
      • Independence
      • Job satisfaction
      • Flexibility
      • Choice 
  • Nurse Entrepreneur
    • Disadvantages:
      • Competition
      • Volatility
      • Lack of provided benefits
      • Must learn to develop and follow a business plan
  • Advanced Practice/Expanded Role Emerging Opportunities
    • Advanced practice nursing builds on the foundation of professional nursing practice and responds to the developing health care needs of the United States. 
    • In advanced practice nursing, the nurse may:
      • Assess patients, synthesize and analyze data, and understand and apply nursing principles at an advanced level
      • Provide expert guidance and teaching
      • Work effectively with patients, families, and other members of the health care team
      • Manage patient's physical and psychosocial health-illness status
  • Advanced Practice/Expanded Role Emerging Opportunities
      • Use research skills
      • Analyze multiple sources of data, identify alternative possibilities as to the nature of a health care problem, and select appropriate treatment
      • Make independent decisions in solving complex patient care problems
      • Perform acts of diagnosis and prescribe therapeutic measures consistent with the area of practice
      • Recognize limits of knowledge and experience, plan for situations beyond expertise, and consult with or refer patients to other health care providers as appropriate
  • Advanced Practice Nursing: Types of Expanded Roles
    • Wound, ostomy, continence nurse specialist
      • Clinical expert in managing patients with ostomies, alterations in skin integrity, and wounds
    • Flight nurse
      • Provides care to infants, children, and adult patients while performing a variety of therapeutic interventions requiring independent decisions; also provides education to outlying communities and serves as a volunteer in emergency situations
  • Advanced Practice Nursing: Types of Expanded Roles
    • Nurse anesthetist: certified registered nurse anesthetist (CRNA)
      • Takes care of the patient’s anesthesia needs before, during, and after surgery and other procedures, either alone or in conjunction with other health care professionals
    • Certified nurse midwife (CNM)
      • Delivers newborns; also provides health education, including teaching of self-care skills and preparation for childbirth and childrearing
  • Advanced Practice Nursing: Types of Expanded Roles
    • Clinical nurse specialist (CNS)
      • A registered nurse with an advanced nursing degree, master’s degree, or doctorate who is an expert in a specialized area of clinical practice 
    • Nurse practitioner (NP)
      • An advanced practice nurse who has education beyond the bachelor’s degree in a clinical specialty area strongly focused on primary care, though some subspecialties are hospital-based 
    • Clinical nurse specialist/nurse practitioner (CNS/NP)
      • Combines qualities of both specialties