Controversy in Nursing Profession Assignment Paper

Choose a controversy in the nursing profession for Essay 3. You may choose a controversy from one of our discussion boards, or another controversial nursing issue.

this is the improvement on this essay from the instructor:
Check spelling/grammar. Ensure there is no passive voice. Sentences should vary in set up and length.
Work on building the topic sentences of each paragraph. Be sure the topic sentences go back to the thesis and support it. Ensure that all points in the paragraphs are directly related to the topic sentence they are under.
Focus on support. The multiple sources required should be used throughout the paper and cited using APA formatting

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The shortage of registered nurse (RNs), and its impact on patient care as the need for healthcare grows. “According to the American nurse association, two to three million additional patients will enter into the Medicare system each year”. As the need for more registered Nurses continues to grow they are an increase in hospital-associated infections in the intensive care units (ICU). Results are due to nursing overload with the low nurse to patient ratio. Hospitals requiring nurses to have a baccalaureate degree to work in the intensive care units, in which adds to the shortage, but necessary.
With not enough RN’s working in the hospital practically ICU, less time is spent in the patient’s room due to increase in nurse workload. Therefore, pathogens are transferred among patients, due to less quality of nursing care. Based on the evidence provided by the American Association of Colleges of Nurses (AACN) a national survey on consumers’ experience with patient’s safety and quality information was done. “Results from this survey found that 40% of Americans think the quality of healthcare has worsened in the last 5 years”. (Media relations, American Association of College of Nursing). Along with increased workload comes less than effective nursing care. In addition, the quality of work life for Registered Nurses have created a decrease in job satisfaction for Registered Nurses.
According to the American Association of Colleges of Nursing, the need for more RN with a baccalaureate is needed in the Intensive care units, among other healthcare settings. Studies done in ICU on nurses with a two-year degree shows patient mortality and nurse outcomes were shortened by a greater percentage. From these studies, the numbers were lower for a 30-day mortality rate for acute patients. And with the projected RNs shortage hospitals are projected to be understaffed. Nurses are more likely to stay in the nursing profession and advance to a degree with more hospitals offering competitive rates and better incentives.

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Along with Registered Nurse shortage results in increase nurse workload, which directly effects nurse performance and increase nurse errors. Nurses will experience increased stress and fatigue on the job. Job satisfaction rate decreases as a result of the low nurse to patient ratio. With nurses required to do mandatory overtime, again introduce a risk of nurse errors and increase stress and fatigue.
Among the Registered Nurse shortage, the nursing field shows not enough nurses with a baccalaureate degree. Studies conducted in the ICU shows less patient mortality rates with nurses having a four-year degree, comes more education and training according to an article, (Journal of the American Medical Association, AASN). Studies also show more patient outcomes with RNs with a Bachelor’s degree compared to a Registered Nurse with a two-year associate degree (ASN), the mortality rate was significantly less.
Hospitals do offer employees tuition reimbursement for 2-year RN degree to advance to a baccalaureate degree. Some hospitals remain extremely competitive with concerns to pay and benefits. Experience nurses make up more than half the working population of nurses and once retired the supply will not be there to meet the demands of nursing care. Reports from the AACN shows the number of Registered Nurses with a two-year nursing degree advancing to a baccalaureate degree. In which Registered Nurses with higher level of education will promote better patient outcomes.
Hospital stay are lessening, which results in more patients in ambulatory care clinic and home care settings. This demand will increase resulting in the need for more Registered Nurses. Reports shows the need for more experienced and skilled nurses will not be met, and will continues to decrease.
Nursing schools are having turn away nursing student applicants again due to the shortage of Registered Nurses. School and training facilities does not have enough Registered Nurses to teach in the classrooms, and in the hospital settings. Nursing schools are continuing to be understaffed and training facilities are not equipped to train the amount of new nurses. This remains an issue of understaffed of Registered Nurse instructors, which ultimately affects patient care.

Assignment:Controversy in Nursing Profession

Assignment:Controversy in Nursing Profession
“According to the 2013 data from the bureau of labor and statistic it is anticipated that by 2020 there will be a need for 1.05 million RN in the US” due to the growing need for healthcare. The nursing shortage projection estimate that Registered Nurse shortage will likely surpass 500,000 by the year 2025.
Once the baby boomers retire the replacements of Registered Nurses will not be met, this is based on projections of nursing shortage and new graduates. Studies show the shortage has impact the effects on patient mortality and nurse outcome. With retaining experienced nurses this would help to lessen the nursing shortage and transfer knowledge to new nurses. This in return would increase patient quality of care and better patient outcomes. New graduates are not given enough training to perform their duties to meet patient satisfaction. With a good mentoring program and in depth orientation for new nurses entering the profession, would aid in the nursing shortage.

Assignment:Controversy in Nursing Profession

Assignment:Controversy in Nursing Profession

With a leadership program in place for new graduates’ nurses job satisfaction and work life would positively impact the nursing profession.
With aging population comes the increase for nurses, and the demand is reported to be unmet. Some areas that are expected to have a greater demand for RNs as the aging population increases is the oncology specialty. Clinical Nurse specialist will be in more demand in all aspects of oncology as ambulatory care and a variety of oncology settings increase.
In conclusion, all hospitals and health care facilities that employ Registered Nurses should stay competitive with rates and incentives. They should offer healthcare and retirement packages to keep Registered Nurses until they retire. More funding needs to be in place and available for nursing school and training facilities to increase the number of Registered Nurses, which will aid in the nursing shortage. All healthcare facilities and hospitals should only require nurses with their four-year degree. This change would steer nursing students to go higher in their studies. Nursing schools should only offer 4 years or higher of an education degree. The result would be the demand for Nurses with a higher degree would stay competitive, consistent and ultimately increase patient outcome.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

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Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.