• Subject Name : Nursing

Impact of The Role of Doctor of Nursing Practice Nurses

Answer 1 Earning DNP contribute to the personnel and professional goals of the individual. With the DNP degree one can emphasise on clinical practice-oriented leadership training with the focus of advanced specialist skills. The DNP education help the person to adapt the knowledge and initiate in healthcare development through organizational leadership, health policy implementation, and direct patient care. Professionally, the DNP practitioners received exceptional leadership and growth in the domain as these professionals are at well positioned to meet the institute of medicine mandate for all the medical nurses and responsible to add unique perspectives to their interpersonal efforts to improve the health care (Edward et al., 2018). The DNP are evolved and prepared to meet the cost-effective patient are strategies and influence health policies at various level.

The earning of DNP offers various opportunities for the future advancement as the DNP has the responsibility to prepare nurses for the clinical practices, clinical leadership, restructuring or recriminating the health care system and also responsible for translation of the recent research into clinical setting. The DNP have the opportunity to work in different domains of health care system such as health care policy health economy, health insurance, health information technology, health administration, and health academia (Ketefian, & Redman, 2015).

The DNP practitioner offers the flexibility to work in different area such as it offers role in quality improvement as organisational system leader, effective opportunities in public health department, acute care, ambulatory surgery centres, urgent care facilitates, insurance companies, and in community based care network. Within the healthcare workforce, DNP also play role as nurse midwifery, nurse anaesthetist, and nurse practitioner. Moreover, DNP education and experience help the person to assess the population and promote the innovation development so as to bring the practical and impactful changes with the hope of improving patient care, patient outcome, and patient development (Edward et al., 2018).

Answer 2 I have a good experience as the staff nurse and a valuable position in my health care organisation. I am also the member of different councils such as unit practice council & professional practice council. While working in these units, I usually thought of gaining more knowledge so that it can be useful in implementing the health care improvements and up gradation. With the concept of patient-centric approach, health improvements, standard refurbishment, organisation development, I set my mind to study DNP education. I also consider DNP as the recoverable investment through I can develop nursing educator skills and can conduct research in any field of medial. My experience ensures that DDNP would be the great opportunity for me so that I can focus on research application, effective healthcare delivery, implementing improvements to counter the loopholes in the health care sector, ensure the timely and safe health deliverables. Along with my nursing experience, DNP woul help e to transform my passion into expertise as it help in to become fluent in lates tand updated research with wide view of consideration and perspectives. According to Glas, (2015), institutional, legal, economic, administrative, and health rules and law are some of the considerable factors that are responsible for determining the professional identity. I believe that these factors and in compliance with law, person can develop trust, mutual respect, interpersonal relationship, professional attitude and patient-centric approach. Moreover, DNP education aligned me to lead the inter professional healthcare team with the incorporation of patient health outcomes. In any organisation which are in relation to health care and management, there are some of the parameters which need to followed. This factor includes excellence, altruism, compassion, duty, accountability, respect, empathy, honour, integrity, and ethics (Vivanco& Bolton, 2015) I believe with adoption of these parameters and my professional identity, I can prove myself a good DNP professional. Because of these stated factors, I chose DNP as my carrier. DNP help me to be engaged, idependent, and a committed learner with the focus of the health care goals.

Answer 3 Fall is the hospital setting are the most serious threat toward the patient safety and care. These accidental fall could result in injury, fractures, and other complications. The hospital based falls usually occurs due to lack of adequate assistance, lack of knowledge, work load, and lack of resources. These factors cause the patient to fall from bed, chair, toilet, wheelchair, or any other supportive material. Thus, it is recommended that bed alarm system could be the opportunistic approach in reducing the physical restraints and also help in mangling the patient mobility under the medical supervision. However with the adoption of sensor-based bed alarms beneath the patient back could result in reducing the fall rate. The sensor based bed alarm provide a realistic approach in fall prevention, as when the patient is on the bed, the alarm is in silenced, this is due to the pressure imposed by the body of patient on the bed alarm. However, when the patient moves or tries to move, the two-side panel will result in the triggering of the alarm and hence will come under notification by the duty-nurse. Along with this, the nurse can also administer the true and false alarms easily and can work accordingly. These sensor-based bed-alarms prove to be the effective strategy in reducing the fall rate as it alert the nurse potentially and effectively. Moreover, the wireless bed-alarms help the patient to call for assistance and ensures the additional safety of the patient (Subermanian et al., 2016).

Restrains have the beneficial effect on the health of the patient in the hospital setting. There is the increased usage of the direct and indirect restraints to ensure the patient safety and care. The common restrains used in the health care organisation includes bed railing, table, bed rolling, bed linen, restraints belts, bed blockers, and many others that ensure the prevention of falls¸ injuries, and patient self-harm (Gunawrdena & Smithard, 2019). It was found that the restraints help in preventing the patient falls, decrease the patient problems, such as pressure sore, self-harm and injury. However in the case of psychology patient, the retrains could be the result of mental detrimental problem. T o reduce the detrimental effect on patient, the nursing staff require proper training, education, open communication strategies to ensure the effective patient learning. However, the use of restraint must be effectively evaluated before implementing the on the patient as they cause some detrimental effect on them.

References for Leadership for Non-Advanced Practice Nurses

Edwards, N., Coddington, J., Erler, C., & Kirkpatrick, J. (2018). The impact of the role of doctor of nursing practice nurses on health care and leadership. Medical Research Archives, 6, 1-11.

Ketefian, S. & Redman, W. (2015). A critical examination of developments in nursing doctoral education in the United states. Revita Latino Americana de Enfermagem, 23, 363-371. doi: 10.1590/0104-1169.0797.2566

Glas, G. (2015). On the existential core of professionalism in mental health care.Journal of Mental Health, 20, 536-543.

Vivanco, L. and Bolton, R. (2015).Professionalism.Springer, 1, 1-6. DOI: 10.1007/978-3-319-05544-2_353-1 ·

Subermaniam, K., Welfred, R., Subramaniam, P., Chinna, K., Ibrahim, F., Mohktar, M., Tan, M. (2016). The effectiveness of wireless modular bed absence sensor device for fall prevention among older inpatients. Front Public Health, 4, 1-19. doi: 10.3389/fpubh.2016.00292

Gundawardena, S. & Smithard, D. (2019).The attitudes towards the use of restraint and restrictive intervention amongst healthcare staff on acute medical and fraility wards – A brief literature review. Geriatrics, 4, 1-22. doi: 10.3390/geriatrics4030050

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