N138 Week 1 and 2 Study Guide Samuel Merritt University
What are the the primary work setting for RN's
○ Hospitals 63.2% (where most nurses work!),
○ Ambulatory care (physician-based practices, nurse-based
practices, free-standing emergency and surgical centers) 10.5%,
○ Public and community health 7.8%,
○ Home health 6.4%,
○ Extended care facilities 5.3%,
○ Others ~6.8%
Understand trends in nursing education
BSN are becoming more prominent, most ADN go back for
BSN
"According to the Robert Wood Johnson Foundation, the
number of diploma programs has steadily declined, educating
only 4% of all new RNs in 2013 as nursing education has shifted
to colleges and universities. The majority of nurses (53%) in the
United States get their initial nursing education in ADN
programs; in the NCSBN/FSNWC (2013) survey, 39% of the
,41,823 respondents reported having an ADN as their first degree
or credential, and 36% reported having a BSN as their first
degree or credential. Many ADN prepared RN's eventually
return to school to complete a BSN degree" (Black, 4).
Brainpower
Read More
How do BSN nurses affect outcomes to patients in hospitals
Patients on surgical units with more BSN-prepared nurses had
fewer complications than patients on units with fewer BSN
nurses.
Research has demonstrated that patient outcomes are more
positive for patients care for by RNs with a bachelor's degree or
higher
What are the variety of practice settings for nurses
Hospitals
Communities
Medical Offices
Workplace (occupational nurse)
Armed forces
Schools
Palliative Care & End of life settings
Telehealth
Faith Community
,Informatics
Entrepreneurs
What is the Hospitals related practice styles, philosophies,
benefits and challenges for nurses
○ Hospitals:
■ Practice styles: medical center(many speciality units) or
community based hospital (less severe)
■ Philosophies: direct patient care
■ Benefits: direct patient care, management roles, clinical
ladders
■ Challenges: patient quality and safety
What is the Communities related practice styles, philosophies,
benefits and challenges for nurses
○ Communities:
■ Practice styles: work in ambulatory clinics, health department,
hospices, homes and a variety of other settings. Provide
educational programs in health maintenance
■ Philosophy: focus on improving the overall health of
communities
■ Benefits: variety of care settings, cost-effective for patients
(home health)
■ Challenges: for home health, patients needs may be out of
scope of abilities
What are Medical Offices related practice styles, philosophies,
benefits and challenges for nurses
, ○ Medical Offices: nurses work in tandem with physicians, NPs
and their patients
■ Practice styles: performing health assessments, reviewing
medications, draw blood, give immunizations, administer
medications, health teaching
■ Philosophies:
■ Benefits: predictable daily schedule, you get to know your
patients well
■ Challenges: roles and responsibilities change and can be
challenging
What is the Workplace's related practice styles, philosophies,
benefits and challenges for nurses
○ Workplace (occupational nurses)
■ Style: prove basic health care services, health education,
screenings and emergency treatment to employees in the
workplace
■ Philosophies:
■ Benefits: help company reduce absenteeism, insurance costs,
worker errors, and improve profitability
■ Challenges: requires special training and knowledge
What is the Armed Forces related practice styles, philosophies,
benefits and challenges for nurses
○ Armed forces:
■ Styles: peacetime and war settings
■ Philosophies: