A BSN refers to a bachelor of science on nursing while ADN refers to an associate degree in nursing. The difference between them is in duration and the amount of credits that are required to complete within a program. Research shows that BSN graduates bring unique skills as nursing clinicians and play an important role in delivery of safe patient care. Patient safety refers to prevention of harm. Moreover, patient safety is used in order to reduce the risk of adverse events related to exposure of medical care across a range of diagnoses or conditions. Research shows that level of education has outcomes on the safety of patient. BSN graduates notably have fewer risks when they are compared to their ADN holders’ counterparts. Daly notes that research show that hospitals that prepare nurses with baccalaureates tended to have lower mortality rates (2005).
Difference between a DNP and a PhD in Nursing
DNP stands for Doctor of Nursing Practice while PHD is the doctoral degree in nursing. The DNP is a practice that is focused on doctorate, which as the American Nurses Association cited that the expansion of scientific knowledge which is necessary for safe nursing practice to be assured. This is due to the increasingly complex health care system thus offers knowledge in order to improve the nursing practice and also the outcomes of patient safety. The PHD in nursing is the research in doctorate in nursing. Its basic focus is on research that prepares scientists, nurses and scholars. It mainly comprises research methodology and scientific content. The two differ in that one, PHD in nursing is meant for research that is designed practice focused doctorial. Furthermore, it is meant to prepare experts who are specialized in nursing practices. It focus on clinical as a practice that is innovative and evidenced-based, reflecting the application of credible research findings. On the other hand, DNP is the practice application approach oriented. They thus differ on their goals and competencies of their graduates based on their course work.
A legislator on the state or federal level who is also a nurse
Nursing practice is in trouble and nurses are well aware of the change that is needed. The experiences nursing have motivated nurses to take an active role in advocacy so as to influence the change of policy in laws and regulations that govern the healthcare system. The legislator who is a registered nurse is Representative Donna Howard from D-48th District, a former RN (Registered Nurse) has worked in the Texas House of Representatives for six years. She is credited in revamping the Board of Nursing and Nursing Education system. “It was intended in order to get rid of bureaucratic procedures and open more opportunities in nursing. She sponsored the HB 1209 in 2009, which removed the board’s authority in providing standards for approval of nursing programs and specifies programs deemed approved if the board does not act within prescribed timeframe. Since the passing of the bill, the board has approved 111 nursing education programs, moreover the number of students has risen by 47 % and a further 14% rise in the number of students graduating from Florida nursing schools 14%”.
Reimbursement rules for never events
The CMS is the Centre of Medicare and Medicaid services. The never events are those serious outcomes that happen sometimes in hospitals. Medicare has since pointed out that there will be no payments to doctors and hospitals where any of three never events occur; in the event of wrong surgery on a patient, where surgery is performed on a wrong patient and the thirdly where surgery is performed on the wrong body part. Notably, to ensure there is a decrease in the occurrence of the never events, there is a need to increase awareness on the hospitals’ acquired conditions. The CMS rulings aimed to limit payments for never events that may have effect on expanding medical effect from negligence to liability standards. Fortunately the rulings have kept reimbursement for intended purposes only.
Educational preparation and role(s) of the Clinical Nurse Leader (CNL) designation
The America Association of Colleges of Nursing has proposed the educational preparation and role(s) of Clinical Nurse Leader (CNL) that is designated to address the change in the present health care system. The CNL’s education preparation should be holders of Masters Degree. On one hand, graduate education assists in equipping the CNL in order to attain an advanced stage of clinical competence that is to be attained up to the point of care as well as to serve up to a point of resource to the nursing team. On the other hand, the masters offer the graduates with generalist roles. The role of CNL is to oversee the care coordination of a distinct group of patients and actively provide direct patient care in complex situations. The clinical leader ensures patients with benefits from latest innovations care delivery. CNL do not bear the role of administration but rather of being a leader within the health care delivery system. The CNL influences the direct patient care whether in a hospital or out in a community by influencing other professions including, physician, pharmacist, social workers, clinical nurse specialists and practitioners in delivery health care to patients or in out in the community.
Advocacy strategies that create change in the current workplace
Advocacy refers to a strategy that is used to influence policies. It means to address the problems in order to solve through programming strategies. The strategies used in advocacy to influence change in the workplace includes using the law and partnership power. Using the law involves legislation and legal defense of nurses. Partnership power involves using nursing organizations and broad coalitions to maximize workplace protection.