Regulations For Nursing Practice: Staff Development Meeting Free Sample

Introduction

The U.S consists of the state boards and the national nursing board (NCSBN). The State Boards of Nursing (BON), develop and enforce nursing practice laws. Professional Nurse Associations (PNA) advocate for nurses during the development of these laws. The law development process allows nursing organizations to influence the outcome. PNAs ensure nurses’ and patients’ needs and interests are protected.

The Board of Nursing

  • Performs criminal background checks;
  • Imposes disciplinary actions;
  • Setting licensure fees;
  • Oversees the nursing licensure training procedure;
  • PNAs are committed to their members and the nursing profession’s advancement;
  • Guides the legal nursing practice scope;
  • Upholds nursing education standards;
  • Oversees advanced nursing practice;
  • Accredits nursing education program;
  • Contrarily, PNAs set the quality standards of practice and ethical guidelines;
  • BON is public-based while PNAs are privatized.

Description of the Ohio Board of Nursing

It consists of ten board members appointed by the state’s governor. Members: 8 RNs, 2 LPNs, 1 advanced practice nurse, and 1 consumer member. The president and vice-president lead the board (“About the board,” n.d.). The board implements and enforces Chapter 4723 of the Ohio Revised Code (“About the board,” n.d.). The board reviews the code at least once every five years. The code delineates the basic practice standards for all nurses.

How to Become a Board Member

  • Be a U.S citizen;
  • Graduate from an approved education program;
  • Have an active license to practice in Ohio;
  • Being an active practicing nurse in the last five years

State Regulation of General Nurse Scope of Practice

RNs in Ohio have independent authority to engage in all licensed practice aspects with minor exceptions (“Scope of practice,” 2018). RNs can delegate, supervise, and evaluate LPNs’ nursing practice.

Influence on Nurses’ Role

This particular restriction limits their capacity to work to the full extent of their education. Their supervisory role facilitates the delivery of quality care (MacKinnon et al., 2018). APRNs can diagnose, treat, and prescribe medications for their patients (4-19y/o) (“Scope of practice,” 2018). However, they can only perform these roles in collaboration with a physician. Care delivery under physicians’ supervision exacerbates perceptions of APRNs incompetency. This, in turn, promotes role ambiguity and incongruence.

Influence on Delivery, Cost, and Access to Healthcare

Restricting RNs’ practice scope limit primary care services’ access. RNs’ full practice can help address the shortage of primary care services (MacKinnon et al., 2018). When allowed to practice to their education’s full extent, RNs’ can create and implement affordable care plans. This approach will help reduce healthcare costs. A newly-introduced house bill in Ohio expanded Aprn’s practice scope in Ohio.

Supervisory approaches during care delivery can fragmented care, inadequate access, and high healthcare costs (Bosse et al., 2017). Cooperative practice agreement: Each party operates within the defined legal boundaries. APRNs cannot perform a physician’s role despite their qualifications. Consequently, this treatment approach encourages fragmentation. Fragmentation, in turn, increases healthcare costs.

State Regulations for APRNs

Several reimbursement programs do not compensate APRNs for their services. APRNs authorized to perform to their practice’s full extent are denied reimbursements (Bosse et al., 2017). This may increase out-of-pocket expenses and deter patients from accessing healthcare. The limited practice also increases commuter time (Neff et al., 2018). It also reduces the number of available primary care providers (Neff et al., 2018).

References

About the board/contact: What we do. (n.d.). Ohio Board of Nursing. Web.

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. 

MacKinnon, K., Butcher, D. L., & Bruce, A. (2018). Working to full scope: The reorganization of nursing work in two Canadian Community hospitals. Global Qualitative Nursing Research, 5, 1–14. 

Neff, D. F., Yoon, S. H., Steiner, R. L., Bejleri, I., Bumbach, M. D., Everhart, D., & Harman, J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. Web.

Scope of practice. (n.d.). American Nurses Association. Web.

Scopes of practice: Registered nurses (RNs) and licensed practical nurses (LPNs). (2018). State of Ohio Board of Nursing. 

The world leader in nursing regulatory knowledge. (n.d.). National Council of State Boards of Nursing. Web.

The Role Of Storytelling In Effective Leadership

Leadership and Storytelling

Engaging and inspiring are two of the most prominent and challenging leaders’ responsibilities. Although leadership is far from being a new concept, it gained considerable interest among researchers relatively late. As a result, tools, and strategies that help leaders perform the functions came into focus. Storytelling is a universal tool that generally facilitates leadership with the same qualities that make it indispensable for social existence. This communal and cultural activity constitutes a cornerstone of communication – from the beginning of human civilization, myths and legends served to make sense of ourselves, others, and the universe around (Snyder et al., 2017). In the same way, leaders need to make sense of their ideas and persuade team members to believe in them, which requires both logical and emotional narrative.

Storytelling and Team Building

Given the ubiquity of storytelling in everyday existence and its ability to influence, the method’s incorporation into the art of motivating seems instrumental. The advantage of stories is their memorability with which emotional response is strongly linked – they address people’s both sentimental and rational sides (Snyder et al., 2017). Furthermore, being an element of organizational communication, stories unite around one objective and entail sensemaking, allowing team members to perceive meaning in their activities, which motivates and, potentially, increases performance (Snyder et al., 2017). Telling a story requires vulnerability, which can help team members perceive their leader from a new perspective, a more humanistic one, increasing their trust (Hastings et al., 2018). Nonetheless, besides storytelling, team building activities that are directly aimed at collaboration and increasing confidence also exist. Not limited to trust falls, team building includes an array of individual tools promoting an acceptable level of personal familiarity, partnership, and mutual reliability (Hastings et al., 2018). Team building activities encourage individuals to communicate openly and rely on their colleagues to achieve a common goal.

Elements of Storytelling

A multitude of highly inspirational stories to encourage team members exists, varying from personal to ones based on the success of others. These stories can be about an organization’s origin, benefits of teamwork, individual lessons, or turning points in one’s career (Snyder et al., 2017). Nevertheless, they need to contain crucial elements: exposition, inciting incident, complication, climax, and resolution. An example of such a story would be Arianna Huffington’s career, the co-founder of HuffPost, – being an immigrant from Greece and not knowing English, she eventually established one of the country’s principal media outlets (Freedman, 2017). Lack of motivation and low morale frequently prevent team members from improving their performance. In such instances, when a problem may seem insurmountable, it is up to a leader to avoid further demotivation and create an inspiring ambiance. Therefore, a story about an entrepreneur raised in an orphanage who later established a famous clothing brand seems appropriate.

The Story

The story that is about to be told proves the necessity of perseverance. Although luck is instrumental for success, persistence in difficulties plays no lesser role. At a very young age, Gabrielle, born in a low-income rural household, was left without parents, resulting in life in an orphanage. In the institution, sewing lessons were obligatory and taught by strict Roman Catholic nuns. Nonetheless, they provided Gabrielle with a sense of relief and helped to distract her from painful thoughts and nostalgia; latter, the occupation became her source of living. After leaving the orphanage, the young woman, with the help of one of her friends, opened a tiny sewing workshop, where she repaired cloth and created her own models. Gabrielle did her job so well that wealthier clients noticed her and bought her work. Years afterward, the woman possessed her own apparel brand.

The Story and the Problem

The story reminds the importance of putting problems in perspective and using even limited resources to their fullest capacity. Even though Gabrielle could not predict her future success, at every stage of her life, from living in an orphanage to opening a small sewing workshop, the woman used and relied on what was available to her to improve it and secure growth. This attitude demonstrates resilience and willingness to persevere in attaining one’s goal.

References

Freedman, J. (2017). Arianna Huffington: Media mogul and Internet news pioneer. Cavendish Square Publishing.

Hastings, E. M., Jahanbakhsh, F., Karahalios, K., Marinov, D., & Bailey, B. P. (2018). Structure or nurture? The effects of team-building activities and team composition on team outcomes. Proceedings of the ACM on Human-Computer Interaction, 2(CSCW), 1–21. Web.

Snyder, K., Hedlund, C., Ingelsson, P., & Bäckström, I. (2017). Storytelling: A co-creative process to support value-based leadership. International Journal of Quality and Service Sciences, 9(3/4), 484–497. Web.

Wittbrodt, S. (2016). The power of storytelling as a marketing tool. Kinesis. Web.

Sherman Alexie’s Book The Absolutely True Diary Of A Part-Time Indian Review

Sherman Alexie’s book The Absolutely True Diary of a Part-Time Indian is a narration about a 14-year-old Arnold Spirit Jr., called Junior in his family and community. The subject of the book is interesting and edifying because it focuses on the coming-of-age story and the feeling of belonging and community. The sense of belonging is one of the central and most important subjects in the book. To express this theme, the author uses two different settings, relationships with community members, and identity conflict in the novel.

Alexie sets the story in two contrasting locations, creating a gap between two racial groups to emphasize the sense of belonging. The first location is Wellpinit, the home of “the poor-ass Spokane Indian Reservation” where the protagonist resides with his family (Alexie 12). Here, all people call him Junior, which symbolizes the boy’s close connection to the tribe and his household. Spokane is a poor and rough place, where Junior is often bullied and humiliated. He says, “poverty doesn’t give you strength or teach you lessons about perseverance. [It] only teaches you how to be poor” (Alexie 18). For this reason, Junior is trying to escape from the reservation, transferring to the high school in a mostly-white town Reardan, in which the kids are “the smartest and most athletic kids anywhere” (Alexie 38). In this place, Junior is known as Arnold, which means that his connections to the local people are not as close as in Spokane. These diverse settings help comprehend a sense of belonging and community better.

The author uses direct and indirect characterization and Junior’s relationships with his tribe members to strengthen the sense of identity and belonging. At the beginning of the novel, Junior is described as a person with a sense of humor and an ability to self-criticize. He narrates, “my head was so big that little Indian skulls orbited around it” (Alexie 9). The boy understands and accepts all his physical defects and even draws cartoons of himself and other people. These cartoons help the readers better comprehend the narrator’s place in his native community: he is an outcast, but he is still a part of his tribe. The relationships with Reardan students, however, demonstrate that Junior is not a part of their tribe: “Most of the white boys ignored me” (Alexie 50). The word ‘white’ accentuates the character’s difference, reminding the readers that he was Indian even though he strived to live like white people. These and other examples of characterization express the theme of belonging and community.

Moreover, the author uses the protagonist’s identity conflict to demonstrate the importance of family and community. Junior is living between two cultures and cannot choose which of them is closer to him. The moment when he beats his best friend Rowdy during the final game and celebrates his new team’s victory is the climax of the story where Junior reveals his split identity. He realizes that he is a part of Goliath, but he is “ashamed that [he] wanted so badly to take revenge on” Wellpinit team (Alexie 138). This inner conflict makes Junior understand that he belongs to different tribes, and he has to learn to find his place in each of them: “I might be a lonely Indian boy, but I was not alone in my loneliness” (Alexie 150). Millions of people who moved from their land in search of better life experienced the same struggle, but the sense of community had never left them. Finally, Junior feels that he belongs to many tribes.

Having analyzed the book, one can conclude that people may have to leave their birthplaces and try something new to comprehend that their happiness does not depend on their tribe. Junior dreamed that he would have a better life if he attended Reardan school, but the local students ignored him because of his race. The story teaches that a person should try to develop their best qualities and skills and live a worthy life in any place, irrespective of their origin and culture.

Work Cited

Alexie, Sherman. The Absolutely True Diary of a Part-Time Indian. Adobe Digital Editions, 2007.

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