Health Care Delivery Models and Nursing PracticeExamine changeJeanmarieColbert3
Health Care Delivery Models and Nursing Practice
Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.
Include the following:
1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse's role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.The role of the health care professional includes being a moral agent or a person whose actions affect themselves and others at a moral level. It is important to have a personal ethic or moral framework in which you ground your practice and professional relationships. The purpose of this writing is to explore and create a foundation for leadership and ethics in your professional practice.
Write a reflection on the nature, sources, and implications of your values, beliefs, and ethical perspectives that guide your personal life and nursing practice. Please note, grading is based on the clarity and depth of your writing and the apparent effort given the assignment, not on the rightness or wrongness of your position. You are encouraged to be honest in your self-assessments and conclusions.
Each of the following points must be addressed in your essay:
· Primary influences (childhood and adult)
· Ethical principles that influence you personally and professionally
· Ethical practice of professional nursing
· ORDER NURSING COURSE WORKS HERE
· Ethical leadership and professional development plan. Include both positive and negative aspects of your character that emerge when you are in a position of authority.
References
Delhove, J., Osenk, I., Prichard, I., & ...
Nursing Assignment Taking a StandTaking a StandEffective leader.docxIlonaThornburg83
Nursing Assignment: Taking a Stand
Taking a Stand
Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.
As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.
At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.
For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.
To prepare:
·
Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.
·
To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.
·
Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).
·
What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between
ethical, moral, and legal leadership.
·
Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?
To complete:
Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:
1.
Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
2.
Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
3.
Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
4.
Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitatio.
The Nurse Leader as Knowledge WorkerHenry Ehizokhale.docxarnoldmeredith47041
The Nurse Leader as Knowledge Worker
Henry Ehizokhale
Walden University
Transforming Nursing And Health Through Technology
NURS 6051
Nov 27, 2019
1
The Nurse Leader as Knowledge Worker
2
Purpose
Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
The concept of a knowledge worker
The term “knowledge worker” was first coined by Peter Drucker. Ducker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services (CFI, 2019). He emphasized that due to the high level of productivity and creativity of knowledge worker, that they would be the most valuable assets in the 21st century organization. Professionals that can be referred to as knowledge worker includes engineers, pharmacists, architects, financial analysts, public accountants, physicians, scientists, design thinkers, and lawyers. Furthermore, knowledge workers have a high degree of expertise, experience, education and the primary purpose of their jobs involve the distribution, creation and application of knowledge.
3
Definition of a knowledge worker by Peter Drucker
Professional that are referred to as knowledge worker
Nursing Informatics
Nursing Informatics is a subset of informatics, specific to the nursing field and the role of the nurse in the healthcare setting. There has been several interpretation of nursing informatics. The American Nurses Association (ANA), identified nursing informatics as a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice (ANA, 2001, pg.17).
4
Nurse leader as a knowledge worker.
A nurse leader is one who inspire others to work together to achieve a common goal, for instance enhanced patient care or satisfaction. All nurses are called to nurse leadership, however there are different levels of nurse leadership. Nurse leaders are expected to help the organization to fulfill the organization’s mission, vision, values, and strategies to achieve long-range plans. Nurse leaders part take in policy setting, overseeing quality measures are carried out, accountability for overall quality of patient care delivery, staff satisfaction and organizational outcomes. For a nurse leader as a knowledge worker to be productive in an organization, the nurse leader must understand that knowledge work requires continuous learning on the part of the knowledge worker, but equally continuous teaching on the part of the knowledge worker. Having said that, a knowledge worker nurse leader will depend hugely on evidenced based practice to be productive in a healthcare organization. The use of EBP by knowledge worker nurse leader will require learning and teaching. Most healthcare organizations or hospitals rely on evidenced based.
EXECUTIVE SUMMARYClient’s requirement Panion Project seeks to aBetseyCalderon89
EXECUTIVE SUMMARY
Client’s requirement: Panion Project seeks to address the optimal performance of care workers in Canada and the USA by ensuring better access to quality care. ………………………………
Introduction
Healthcare happens to be the concern of every facet of humanity and for this reason, the Panion project is of great interest and relevance to every community where it exists. At some point in our lives, we have found ourselves, or a family member, or a colleague, or friends needing medical attention, and we all desire that this health/medical situation be treated with the utmost care, skill, professionalism, and acceptable standard.
It would therefore be interesting to render our professional knowledge towards providing valuable information, analyzing potential challenges and opportunities, improving the system and methods to optimize the desired outcome of the Panion project.
A lot of factors that undermine the performance of care workers as identified by the client are but are not limited to;
· The mismatch between job specification and care worker’s attributes.
· The huge commission charged by health care agencies.
· Poor compensation and benefits packages,
· Long distances are often required to deliver service to health-seeker,
· Absence of incentives for skill enhancement and career development.
Scope: Having identified the problems that increased employee turnover in health care services, the Panion project seeks to address these problems and also increase employee retention by using employees retention strategies and tools like training, employee engagement, and development, benefits, and other employee capacity building skills.
Speak up…
• If you don’t understand something or if something doesn’t seem right.
• If you speak or read another language and would like an interpreter or translated materials.
• If you need medical forms explained.
• If you think you’re being confused with another patient.
• If you don’t recognize a medicine or think you’re about to get the wrong medicine.
• If you are not getting your medicine or treatment when you should.
• About your allergies and reactions you’ve had to medicines.
Pay attention…
• Check identification (ID) badges worn by doctors, nurses and other staff.
• Check the ID badge of anyone who asks to take your newborn baby.
• Don’t be afraid to remind doctors and nurses to wash their hands.
Educate yourself…
• So you can make well-informed decisions about your care.
• Ask doctors and nurses about their training and experience treating your condition.
• Ask for written information about your condition.
• Find out how long treatment should last, and how you should feel during treatment.
• Ask for instruction on how to use your medical equipment.
Advocates (family members and friends) can help…
• Give advice and support — but they should respect your decisions about the care you want.
• Ask questions, and write down important information and instructi ...
Health Care Delivery Models and Nursing PracticeExamine changeJeanmarieColbert3
Health Care Delivery Models and Nursing Practice
Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.
Include the following:
1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse's role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.The role of the health care professional includes being a moral agent or a person whose actions affect themselves and others at a moral level. It is important to have a personal ethic or moral framework in which you ground your practice and professional relationships. The purpose of this writing is to explore and create a foundation for leadership and ethics in your professional practice.
Write a reflection on the nature, sources, and implications of your values, beliefs, and ethical perspectives that guide your personal life and nursing practice. Please note, grading is based on the clarity and depth of your writing and the apparent effort given the assignment, not on the rightness or wrongness of your position. You are encouraged to be honest in your self-assessments and conclusions.
Each of the following points must be addressed in your essay:
· Primary influences (childhood and adult)
· Ethical principles that influence you personally and professionally
· Ethical practice of professional nursing
· ORDER NURSING COURSE WORKS HERE
· Ethical leadership and professional development plan. Include both positive and negative aspects of your character that emerge when you are in a position of authority.
References
Delhove, J., Osenk, I., Prichard, I., & ...
Nursing Assignment Taking a StandTaking a StandEffective leader.docxIlonaThornburg83
Nursing Assignment: Taking a Stand
Taking a Stand
Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.
As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.
At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.
For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.
To prepare:
·
Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.
·
To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.
·
Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).
·
What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between
ethical, moral, and legal leadership.
·
Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?
To complete:
Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:
1.
Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
2.
Consider an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
3.
Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
4.
Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitatio.
The Nurse Leader as Knowledge WorkerHenry Ehizokhale.docxarnoldmeredith47041
The Nurse Leader as Knowledge Worker
Henry Ehizokhale
Walden University
Transforming Nursing And Health Through Technology
NURS 6051
Nov 27, 2019
1
The Nurse Leader as Knowledge Worker
2
Purpose
Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
The concept of a knowledge worker
The term “knowledge worker” was first coined by Peter Drucker. Ducker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services (CFI, 2019). He emphasized that due to the high level of productivity and creativity of knowledge worker, that they would be the most valuable assets in the 21st century organization. Professionals that can be referred to as knowledge worker includes engineers, pharmacists, architects, financial analysts, public accountants, physicians, scientists, design thinkers, and lawyers. Furthermore, knowledge workers have a high degree of expertise, experience, education and the primary purpose of their jobs involve the distribution, creation and application of knowledge.
3
Definition of a knowledge worker by Peter Drucker
Professional that are referred to as knowledge worker
Nursing Informatics
Nursing Informatics is a subset of informatics, specific to the nursing field and the role of the nurse in the healthcare setting. There has been several interpretation of nursing informatics. The American Nurses Association (ANA), identified nursing informatics as a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice (ANA, 2001, pg.17).
4
Nurse leader as a knowledge worker.
A nurse leader is one who inspire others to work together to achieve a common goal, for instance enhanced patient care or satisfaction. All nurses are called to nurse leadership, however there are different levels of nurse leadership. Nurse leaders are expected to help the organization to fulfill the organization’s mission, vision, values, and strategies to achieve long-range plans. Nurse leaders part take in policy setting, overseeing quality measures are carried out, accountability for overall quality of patient care delivery, staff satisfaction and organizational outcomes. For a nurse leader as a knowledge worker to be productive in an organization, the nurse leader must understand that knowledge work requires continuous learning on the part of the knowledge worker, but equally continuous teaching on the part of the knowledge worker. Having said that, a knowledge worker nurse leader will depend hugely on evidenced based practice to be productive in a healthcare organization. The use of EBP by knowledge worker nurse leader will require learning and teaching. Most healthcare organizations or hospitals rely on evidenced based.
EXECUTIVE SUMMARYClient’s requirement Panion Project seeks to aBetseyCalderon89
EXECUTIVE SUMMARY
Client’s requirement: Panion Project seeks to address the optimal performance of care workers in Canada and the USA by ensuring better access to quality care. ………………………………
Introduction
Healthcare happens to be the concern of every facet of humanity and for this reason, the Panion project is of great interest and relevance to every community where it exists. At some point in our lives, we have found ourselves, or a family member, or a colleague, or friends needing medical attention, and we all desire that this health/medical situation be treated with the utmost care, skill, professionalism, and acceptable standard.
It would therefore be interesting to render our professional knowledge towards providing valuable information, analyzing potential challenges and opportunities, improving the system and methods to optimize the desired outcome of the Panion project.
A lot of factors that undermine the performance of care workers as identified by the client are but are not limited to;
· The mismatch between job specification and care worker’s attributes.
· The huge commission charged by health care agencies.
· Poor compensation and benefits packages,
· Long distances are often required to deliver service to health-seeker,
· Absence of incentives for skill enhancement and career development.
Scope: Having identified the problems that increased employee turnover in health care services, the Panion project seeks to address these problems and also increase employee retention by using employees retention strategies and tools like training, employee engagement, and development, benefits, and other employee capacity building skills.
Speak up…
• If you don’t understand something or if something doesn’t seem right.
• If you speak or read another language and would like an interpreter or translated materials.
• If you need medical forms explained.
• If you think you’re being confused with another patient.
• If you don’t recognize a medicine or think you’re about to get the wrong medicine.
• If you are not getting your medicine or treatment when you should.
• About your allergies and reactions you’ve had to medicines.
Pay attention…
• Check identification (ID) badges worn by doctors, nurses and other staff.
• Check the ID badge of anyone who asks to take your newborn baby.
• Don’t be afraid to remind doctors and nurses to wash their hands.
Educate yourself…
• So you can make well-informed decisions about your care.
• Ask doctors and nurses about their training and experience treating your condition.
• Ask for written information about your condition.
• Find out how long treatment should last, and how you should feel during treatment.
• Ask for instruction on how to use your medical equipment.
Advocates (family members and friends) can help…
• Give advice and support — but they should respect your decisions about the care you want.
• Ask questions, and write down important information and instructi ...
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3. Conclusion References 3 6 8 9 10 13 22 23 25 27 28 39 40 41 43 Frameworks for
Professional Nursing Practice 49 Kathleen Masters Overview of Selected Nursing Theories
Nurse of the Future: Nursing Core Competencies Overview of Selected Non-Nursing
Theories Relationship of Theory to Professional Nursing Practice Conclusion References 51
84 87 88 89 92 X 3 4 5 6 CONTENTS Philosophy of Nursing 99 Mary W. Stewart Philosophy
Early Philosophy Paradigms Beliefs Values Developing a Personal Philosophy of Nursing
Conclusion References 100 101 103 104 106 110 112 114 Foundations of Ethical Nursing
Practice 117 Janie B. Butts and Karen L. Rich Ethics Ethical Theories and Approaches
Professional Ethics and Codes Ethical Analysis and Decision Making in Nursing Conclusion
References 118 121 126 129 134 135 Social Context of Professional Nursing 137 Mary W.
Stewart, Katherine Elizabeth Nugent, Rowena W. Elliott, and Kathleen Masters Nursing’s
Social Contract with Society Public Image of Nursing The Gender Gap Changing
Demographics and Cultural Competence Access to Health Care Societal Trends Trends in
Nursing Conclusion References 138 139 143 146 148 151 156 166 166 Education and
Socialization to the Professional Nursing Role 173 Kathleen Masters and Melanie Gilmore
Jones & Bartlett Learning: Philosophy in Nursing DiscussionProfessional Nursing Roles and
Values The Socialization (or Formation) Process Facilitating the Transition to Professional
Practice Conclusion References 174 176 180 181 183 CONTENTS 7 Advancing and
Managing Your Professional Nursing Career UNIT II: PROFESSIONAL NURSING PRACTICE
AND THE MANAGEMENT OF PATIENT CARE Patient Safety and Professional Nursing
Practice 185 187 190 193 194 197 198 199 201 202 205 207 Jill Rushing and Kathleen
Masters Patient Safety Critical Thinking, Clinical Judgment, and Clinical Reasoning in
Nursing Practice Conclusion References 9 185 Mary Louise Coyne and Cynthia Chatham
Nursing: A Job or a Career? Trends That Impact Nursing Career Decisions Showcasing Your
Professional Self Mentoring Education and Lifelong Learning Professional Engagement
Expectations for Your Performance Taking Care of Self Conclusion References 8 XI Quality
Improvement and Professional Nursing Practice 207 216 231 233 237 Kathleen Masters
Healthcare Quality Measurement of Quality The Role of the Nurse in Quality Improvement
Conclusion References 237 240 249 251 253 Professional Nursing Practice 10 Evidence-
Based Kathleen Masters 255 Evidence-Based Practice: What Is It? Barriers to Evidence-
Based Practice Promoting Evidence-Based Practice Searching for Evidence Evaluating the
Evidence Implementation Models for Evidence-Based Practice Conclusion References 255
257 258 259 262 265 268 270 XII 11 CONTENTS Patient-Centered Care and Professional
Nursing Practice 273 Kathleen Masters Dimensions of Patient-Centered Care
Communication as a Strategy to Patient-Centered Care Patient Education as a Strategy to
Patient-Centered Care Evaluation of Patient-Centered Care Conclusion References in
Professional Nursing Practice 12 Informatics Kathleen Masters and Cathy K. Hughes
Informatics: What Is It? The Impact of Legislation on Health Informatics Nursing
Informatics Competencies Basic Computer Competencies Information Literacy Information
Management Current and Future Trends Conclusion References and Collaboration in
Professional Nursing Practice 13 Teamwork Sharon Vincent and Kathleen Masters
Healthcare Delivery System Nursing Models of Patient Care Roles of the Professional Nurse
Interprofessional Teams and Healthcare Quality and Safety Interprofessional Collaborative
4. Practice Domains Interprofessional Team Performance and Communication Conclusion
References Issues in Professional Nursing Practice 14 Ethical Janie B. Butts and Karen L.
Rich Relationships in Professional Practice Moral Rights and Autonomy Social Justice Death
and End-of-Life Care Conclusion References 274 276 278 293 294 295 301 301 302 304
307 311 314 319 320 321 325 326 328 332 335 338 339 343 344 347 348 353 355 360
370 371 CONTENTS and the Professional Nurse 15 Law Kathleen Driscoll, Kathleen
Masters, and Evadna Lyons XIII 375 The Sources of Law Classification and Enforcement of
the Law Nursing Scope and Standards Malpractice and Negligence Nursing Licensure
Professional Accountability Conclusion References 376 378 381 384 387 392 400 402
Appendix A Standards of Professional Nursing Practice Appendix B Provisions of Code of
Ethics for Nurses Appendix C The ICN Code of Ethics for Nurses Glossary Index 405 407 409
411 429 PrefaCe Although the process of professional development is a lifelong journey, it is
a journey that begins in earnest during the time of initial academic preparation. The goal of
this book is to provide nursing students with a road map to help guide them along their
journey as a professional nurse. Jones & Bartlett Learning: Philosophy in Nursing
DiscussionThis book is organized into two units. The chapters in the first unit focus on the
foundational concepts that are essential to the development of the individual professional
nurse. The chapters in Unit II address issues related to professional nursing practice and the
management of patient care, specifically in the context of quality and safety. In the fourth
edition, the chapter content is conceptualized, when applicable, around nursing
competencies, professional standards, and recommendations from national groups, such as
Institute of Medicine reports. The chapters included in Unit I provide the student nurse with
a basic foundation in areas such as nursing history, theory, philosophy, ethics, socialization
into the nursing role, and the social context of nursing. All chapters have been updated, and
several chapters in Unit I have been expanded in this edition. Revisions to the chapter on
nursing history include the addition of contributions of prominent nurses and achievements
related to nursing in the United Kingdom, Canada, and Australia. The theory chapter now
includes additional nursing theorists as well as a brief overview of several non-nursing
theories frequently used in nursing research and practice. The social context of nursing
chapter now incorporates not only societal trends, but also trends in nursing practice and
education. The chapter related to professional career development in nursing has been
completely rewritten for this edition. The chapters in Unit II are more directly related to
patient care management. In the fourth edition, Unit II chapter topics are presented in the
context of quality and safety. Chapter topics include the role of the nurse in patient safety,
the role of the nurse in quality improvement, evidence-based nursing practice, the role of
the nurse in patient-centered care, informatics in nursing practice, the role of the nurse
related to teamwork and collaboration, ethical issues in nursing practice, and the law as it
relates to patient care and nursing. Most Unit II chapters have undergone major revisions
with a refocus of the content on recommended nursing and healthcare competencies.
PrEfaCE The fourth edition continues to incorporate the Nurse of the Future: Nursing Core
Competencies throughout each chapter. The Nurse of the Future: Nursing Core
Competencies “emanate from the foundation of nursing knowledge” (Massachusetts
Department of Higher Education, 2010, p. 4) and are based on the American Association of
5. Colleges of Nursing’s Essentials of Baccalaureate Education for Professional Nursing
Practice, National League for Nursing Council of Associate Degree Nursing competencies,
Institute of Medicine recommendations, Quality and Safety Education for Nurses (QSEN)
competencies, and American Nurses Association standards, as well as other professional
organization standards and recommendations. Jones & Bartlett Learning: Philosophy in
Nursing DiscussionThe 10 competencies included in the model are patient-centered care,
professionalism, informatics and technology, evidence-based practice, leadership, systems-
based practice, safety, communication, teamwork and collaboration, and quality
improvement. Essential knowledge, skills, and attitudes (KSA) BOARD OF HIGHER
EDUCATION NURSING INITIATIVE NURSING CORE COMPETENCIES im Qu pr alit ov y em en
t Safety s Leade rship Nursing knowledge d ication Commun ali sio n PR A CT IC E ofe s
Team w colla ork and bora tion ed as -b e em tic st ac Sy pr sm re nte -ce t n ie are Pat c Pr d
e bas ce- e n e tic id Ev prac ENVIRONMENT TICE AC PR ic at rm fo In PR AC TI CE The
science and practice of nursing PRACTICE ENVIRO NM EN T XVI K-Knowledge S-Skills A-
Attitudes Source: Modified from Massachusetts Department of Higher Education. (2010).
Nurse of the future: Nursing core competencies (p. 5). Retrieved from
http://www.mass.edu/currentinit /documents/NursingCoreCompetencies.pdf PrEfaCE
reflecting cognitive, psychomotor, and affective learning domains are specified for each
competency. The KSA identified in the model reflect the expectations for initial nursing
practice following the completion of a prelicensure professional nursing education program
(Massachusetts Department of Higher Education, 2010, p. 4). The Nurse of the Future:
Nursing Core Competencies graphic illustrates through the use of broken lines the
reciprocal and continuous relationship between each of the competencies and nursing
knowledge, that the competencies can overlap and are not mutually exclusive, and that all
competencies are of equal importance. In addition, nursing knowledge is placed as the core
in the graphic to illustrate that nursing knowledge reflects the overarching art and science
of professional nursing practice (Massachusetts Department of Higher Education, 2010, p.
4). This new edition has competency boxes throughout the chapters that link examples of
the KSA appropriate to the chapter content to Nurse of the Future: Nursing Core
Competencies required of entry-level professional nurses. The competency model in its
entirety is available online at www.mass
.edu/currentinit/documents/NursingCoreCompetencies.pdf. This new edition continues to
use case studies, congruent with Benner, Sutphen, Leonard, and Day’s (2010) Carnegie
Report recommendations that nursing educators teach for “situated cognition” using
narrative strategies to lead to “situated action,” thus increasing the clinical connection in
our teaching or that we teach for “clinical salience.” In addition, critical thinking questions
are included throughout each chapter to promote student reflection on the chapter
concepts. Classroom activities are also provided based on chapter content. Additional
resources not connected to this text, but applicable to the content herein, include a toolkit
focused on the nursing core competencies available at
www.mass.edu/nahi/documents/Toolkit-First%20Edition -May%202014-r1.pdf and
teaching activities related to nursing competencies available on the QSEN website at
www.qsen.org/teaching-strategies/. Although the topics included in this textbook are not