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RNs may also pursue different roles as advanced practice nurses. Nurses are not doctors' assistants. This is possible in certain situations, but nurses more often are independently caring for their patients or assisting other nurses.

Nurses also help doctors perform diagnostic tests. Nurses are almost always working on their own or with other nurses. Nurses will assist doctors in the emergency room or in trauma care when help is needed.

Despite equal opportunity legislation, nursing has continued to be a female-dominated profession. In the United States, female nurses are more common, while male nurses receive more pay on average.

Nursing practice is the actual provision of nursing care. In providing care, nurses implement the nursing care plan using the nursing process.

This is based around a specific nursing theory which is selected in consideration with the care setting and the population served.

In providing nursing care, the nurse uses both nursing theory and best practice derived from nursing research. In general terms, the nursing process is the method used to assess and diagnose needs, plan outcomes and interventions, implement interventions, and evaluate the outcomes of the care provided.

Like other disciplines, the profession has developed different theories derived from sometimes diverse philosophical beliefs and paradigms or worldviews to help nurses direct their activities to accomplish specific goals.

Assisting in activities of daily living ADL are skills required in nursing as well as other professions such as nursing assistants.

This includes assisting in patient mobility, such as moving an activity intolerant patient within bed.

For hygiene, this often involves bed baths and assisting with urinary and bowel elimination. Medication management and administration are part of most hospital nursing roles, however, prescribing authority varies between jurisdictions.

In many areas, registered nurses administer and manage medications prescribed by a professional with full prescribing authority such as a nurse practitioner or physician.

As nurses are responsible for evaluating patients throughout their care - including before and after medication administration - adjustments to medications are often made through a collaborative effort between the prescriber and the nurse.

Regardless of the prescriber, nurses are legally responsible for the drugs they administer. There may be legal implications when there is an error in a prescription, and the nurse could be expected to have noted and reported the error.

In the United States, nurses have the right to refuse any medication administration that they deem to be potentially harmful to the patient.

The patient's family is often involved in the education. Effective patient education leads to fewer complications and hospital visits.

Nursing is the most diverse of all health care professions. Nurses practice in a wide range of settings but generally nursing is divided depending on the needs of the person being nursed.

There are also specialist areas such as cardiac nursing , orthopedic nursing , palliative care , perioperative nursing , obstetrical nursing , oncology nursing , nursing informatics , telenursing , radiology, and emergency nursing.

Nurses practice in a wide range of settings, including hospitals, private homes , schools , and pharmaceutical companies.

Nurses work in occupational health settings [53] also called industrial health settings , free-standing clinics and physician offices, nurse-led clinics , long-term care facilities and camps.

They also work on cruise ships and in military service. Nurses act as advisers and consultants to the health care and insurance industries.

Many nurses also work in the health advocacy and patient advocacy fields at companies such as Health Advocate , Inc.

Nurses can work on a temporary basis, which involves doing shifts without a contract in a variety of settings, sometimes known as per diem nursing , agency nursing or travel nursing.

Nurses work as researchers in laboratories, universities, and research institutions. Nurses have also been delving into the world of informatics, acting as consultants to the creation of computerized charting programs and other software.

Nurse authors publish articles and books to provide essential reference materials. Internationally, there is a serious shortage of nurses.

In a recent review of the empirical human factors and ergonomic literature specific to nursing performance, nurses were found to work in generally poor environmental conditions.

Some countries and states have passed legislation regarding acceptable nurse-to-patient ratios. The fast-paced and unpredictable nature of health care places nurses at risk for injuries and illnesses, including high occupational stress.

Nursing is a particularly stressful profession, and nurses consistently identify stress as a major work-related concern and have among the highest levels of occupational stress when compared to other professions.

This stress is caused by the environment, psychosocial stressors, and the demands of nursing, including new technology that must be mastered, the emotional labor involved in nursing, physical labor, shift work , and high workload.

This stress puts nurses at risk for short-term and long-term health problems, including sleep disorders , depression , mortality , psychiatric disorders, stress-related illnesses, and illness in general.

Nurses are at risk of developing compassion fatigue and moral distress , which can worsen mental health. Burnout and exhaustion increase the risk for illness, medical error, and suboptimal care provision.

Nurses are also at risk for violence and abuse in the workplace. There are a number of interventions that can mitigate the occupational hazards of nursing.

They can be individual-focused or organization-focused. Individual-focused interventions include stress management programs, which can be customized to individuals.

Stress management programs can reduce anxiety, sleep disorders, and other symptoms of stress. Organizational interventions focus on reducing stressful aspects of the work environment by defining stressful characteristics and developing solutions to them.

Using organizational and individual interventions together is most effective at reducing stress on nurses. In the US, scope of practice is determined by the state or territory in which a nurse is licensed.

Each state has its own laws, rules, and regulations governing nursing care. Usually the making of such rules and regulations is delegated to a state board of nursing , which performs day-to-day administration of these rules, licenses for nurses and nursing assistants, and makes decisions on nursing issues.

In the hospital setting, registered nurses often delegate tasks to LPNs and unlicensed assistive personnel. RNs are not limited to employment as bedside nurses.

Some registered nurses are independent consultants who work for themselves , while others work for large manufacturers or chemical companies.

Research nurses conduct or assist in the conduct of research or evaluation outcome and process in many areas such as biology, psychology, human development, and health care systems.

Many employers offer flexible work schedules, child care, educational benefits, and bonuses. About 21 percent of registered nurses are union members or covered by union contract.

Nursing is the nation's largest health care profession. In , there were more than 4,, registered nurses and , licensed practical nurses nationwide.

Nurses comprise the largest single component of hospital staff, are the primary providers of hospital patient care, and deliver most of the nation's long-term care.

The primary pathway to professional nursing, as compared to technical-level practice, is the four-year Bachelor of Science in Nursing BSN degree.

Registered nurses are prepared either through a BSN program; a three-year associate degree in nursing; or a three-year hospital training program, receiving a hospital diploma.

All take the same state licensing exam. The number of diploma programs has declined steadily—to less than 10 percent of all basic RN education programs—as nursing education has shifted from hospital-operated instruction into the college and university system.

The oldest method of nursing education is the hospital-based diploma program, which lasts approximately three years. Students take between 30 and 60 credit hours in anatomy , physiology , microbiology , nutrition , chemistry , and other subjects at a college or university, then move on to intensive nursing classes.

Until , most RNs in the US were initially educated in nursing by diploma programs. Some four-year colleges and universities also offer the ADN.

Associate degree nursing programs have prerequisite and corequisite courses which may include English, Math and Human Anatomy and Physiology and ultimately stretch out the degree-acquiring process to about three years or greater.

The third method is to obtain a Bachelor of Science in Nursing BSN , a four-year degree that also prepares nurses for graduate-level education.

For the first two years in a BSN program, students usually obtain general education requirements and spend the remaining time in nursing courses.

In some new programs the first two years can be substituted for an active LPN license along with the required general studies. Advocates for the ADN and diploma programs state that such programs have an on the job training approach to educating students, while the BSN is an academic degree that emphasizes research and nursing theory.

A BSN degree qualifies its holder for administrative, research, consulting and teaching positions that would not usually be available to those with an ADN, but is not necessary for most patient care functions.

Advanced education in nursing is done at the master's and doctoral levels. It prepares the graduate for specialization as an advanced practice registered nurse APRN or for advanced roles in leadership, management, or education.

The clinical nurse leader CNL is an advanced generalist who focuses on the improvement of quality and safety outcomes for patients or patient populations from an administrative and staff management focus.

Doctoral programs in nursing prepare the student for work in nursing education, health care administration, clinical research, public policy, or advanced clinical practice.

Advanced practice registered nurse APRN. Completion of any one of these three educational routes allows a graduate nurse to take the NCLEX-RN , the test for licensure as a registered nurse, and is accepted by every state as an adequate indicator of minimum competency for a new graduate.

However, controversy exists over the appropriate entry-level preparation of RNs. Others feel the on-the-job experiences of diploma and ADN graduates makes up for any deficiency in theoretical preparation.

RNs are the largest group of health care workers in the United States, with about 2. There are data to support the idea that the nursing shortage is a voluntary shortage.

In it was estimated that approximately 1. RNs make up the majority of the healthcare work force, therefore these positions will be filled primarily by nurses.

The BLS also states that by , there will be 1. The International Council of Nursing ICN , the largest international health professional organization in the world, recognizes the shortage of nurses as a growing crisis in the world.

This shortage impacts the healthcare of everyone worldwide. One of the many reasons is that nurses who pursue to become nurses do so very late in their lives.

This leads to a non-lengthy employment time. A national survey prepared by the Federation of Nurses and Health Professionals in found that one in five nurses plans to leave the profession within five years because of unsatisfactory working conditions, including low pay, severe under staffing, high stress, physical demands, mandatory overtime, and irregular hours.

Approximately Employment in home care and nursing homes is expected [ by whom? Though more people are living well into their 80s and 90s, many need the kind of long-term care available at a nursing home.

Many nurses will also be needed to help staff the growing number of out-patient facilities, such as HMOs Health Maintenance Organizations , group medical practices, and ambulatory surgery centers.

Nursing specialties will be in great demand. There are, in addition, many part-time employment possibilities. Furthermore, there is a shortage of academically qualified instructors to teach at schools of nursing worldwide.

The serious need for educational capacity is not being met, which is the underlying most important preparation resource for the nurses of tomorrow.

The decrease in faculty everywhere is due to many factors including decrease in satisfaction with the workforce, poor salaries, and reduction in full-time equivalent.

Throughout the span of 6 years the nursing faculty shortage has been written about an increasing amount. There is no clear consensus or an organized plan on how to fix the ongoing issue.

With health care knowledge growing steadily, nurses can stay ahead of the curve through continuing education.

Continuing education classes and programs enable nurses to provide the best possible care to patients, advance nursing careers, and keep up with Board of Nursing requirements.

The American Nurses Association and the American Nursing Credentialing Center are devoted to ensuring nurses have access to quality continuing education offerings.

Continuing education classes are calibrated to provide enhanced learning for all levels of nurses. Many States also regulate Continuing Nursing Education.

Nursing licensing boards requiring Continuing Nursing Education CNE as a condition for licensure, either initial or renewal, accept courses provided by organizations that are accredited by other state licensing boards, by the American Nursing Credentialing Center ANCC , or by organizations that have been designated as an approver of continuing nursing education by ANCC.

National Healthcare Institute [72] has created a list to assist nurses in determining their CNE credit hours requirements.

While this list is not all inclusive, it offers details on how to contact nursing licensing boards directly. Professional nursing organizations, through their certification boards, have voluntary certification exams to demonstrate clinical competency in their particular specialty.

Completion of the prerequisite work experience allows an RN to register for an examination, and passage gives an RN permission to use a professional designation after their name.

For example, passage of the American Association of Critical-care Nurses specialty exam allows a nurse to use the initials 'CCRN' after his or her name.

Other organizations and societies have similar procedures. The American Nurses Credentialing Center , the credentialing arm of the American Nurses Association , is the largest nursing credentialing organization and administers more than 30 specialty examinations.

Due to its large prison population , the United States needs many correctional nurses to help inmates receive proper health-care, including mental health treatments for prisoners with psychological issues.

Canadian nursing dates back to in Quebec with the Augustine nuns. The establishment of this mission created the first nursing apprenticeship training in North America.

Most nurses were female and only had an occasional consultation with a physician. Towards the end of the nineteenth century, hospital care and medical services had been improved and expanded.

Much of this was due to Nightingale's influence. In the first formal nursing training program was started at the General and Marine Hospital in St.

Catharines in Ontario. All Canadian nurses and prospective nurses are heavily encouraged by the Canadian Nurses Association to continue their education to receive a bachelor's degree.

This degree may result in better patient outcomes. However, some Canadian universities offer a condensed program that is two years in length.

Nursing specialty certification is available through the Canadian Nurses Association in 22 practice areas, [76] including:. Nursing specialty certification generally requires practice experience and passing a test that is based on competencies for that specific medical or surgical domain in which nursing care is provided.

The certification in gerontological nursing, which involves providing care to the elderly, is offered to not only RNs and NPs but also LPNs.

These principles underpin transformative education modalities such as critical and complex thinking development, problem-solving, evidence-based clinical decision-making, and lifelong learning.

To practice lawfully as a registered nurse in the United Kingdom, the practitioner must hold a current and valid registration with the Nursing and Midwifery Council.

The title "Registered Nurse" can only be granted to those holding such registration. First-level nurses make up the bulk of the registered nurses in the UK.

Second-level nurse training is no longer provided; however, they are still legally able to practice in the United Kingdom as a registered nurse.

Many have now either retired or undertaken conversion courses to become first-level nurses. Many nurses who have worked in clinical settings for a long time choose to leave clinical nursing and join the ranks of the NHS management.

This used to be seen as a natural career progression for those who had reached ward management positions, however with the advent of specialist nursing roles see above , this has become a less attractive option.

Nonetheless, many nurses fill positions in the senior management structure of NHS organizations, some even as board members. Others choose to stay a little closer to their clinical roots by becoming clinical nurse managers or modern matrons.

Currently, this involves completing a degree , available from a range of universities offering these courses , in the chosen branch specialty see below , leading to both an academic award and professional registration as a 1st level registered nurse.

These courses are three occasionally four years' long. The first year is known as the common foundation program CFP , and teaches the basic knowledge and skills required of all nurses.

Skills included in the CFP may include communication, taking observations, administering medication and providing personal care to patients.

The remainder of the program consists of training specific to the student's chosen branch of nursing. These are:.

As of , the Nursing and Midwifery Council will require all new nurses qualifying in the UK to hold a degree qualification.

Midwifery training is similar in length and structure, but is sufficiently different that it is not considered a branch of nursing.

There are shortened 18 month programs to allow nurses already qualified in the adult branch to hold dual registration as a nurse and a midwife.

Shortened courses lasting 2 years also exist for graduates of other disciplines to train as nurses. This is achieved by more intense study and a shortening of the common foundation program.

As of [update] student nurses in England and Wales can apply for a bursary from the government to support them during their nurse training, and may also be eligible for a student loan, although there has been speculation that this will not be available in the future.

Before Project , nurse education was the responsibility of hospitals and was not based in universities; hence many nurses who qualified prior to these reforms do not hold an academic award.

After the point of initial registration, there is an expectation that all qualified nurses will continue to update their skills and knowledge.

The Nursing and Midwifery Council insists on a minimum of 35 hours of education every three years, as part of its post registration education and practice PREP requirements.

There are also opportunities for many nurses to gain additional clinical skills after qualification. Cannulation , venipuncture , intravenous drug therapy and male catheterization are the most common, although there are many others such as advanced life support , which some nurses undertake.

Many nurses who qualified with a diploma choose to upgrade their qualification to a degree by studying part-time.

Many nurses prefer this option to gaining a degree initially, as there is often an opportunity to study in a specialist field as a part of this upgrading.

Financially, in England, it was also much more lucrative, as diploma students get the full bursary during their initial training, and employers often pay for the degree course as well as the nurse's salary.

To become specialist nurses such as nurse consultants, nurse practitioners etc. Master's degrees exist in various healthcare related topics, and some nurses choose to study for PhDs or other higher academic awards.

District nurses and health visitors are also considered specialist nurses, and to become such they must undertake specialist training.

This is a one-year full-time degree. All newly qualifying district nurses and health visitors are trained to prescribe from the Nurse Prescribers' Formulary, a list of medications and dressings typically useful to those carrying out these roles.

Many of these and other nurses will also undertake training in independent and supplementary prescribing, which allows them as of 1 May to prescribe almost any drug in the British National Formulary.

This has been the cause of a great deal of debate in both medical and nursing circles. In the European Union, the profession of nurse is regulated.

A profession is said to be regulated when access and exercise is subject to the possession of a specific professional qualification.

Nurses in Israel have a wide variety of responsibilities, including hospital care, patient education, wound care, prenatal and other monitoring, midwifery, and well-baby clinics.

Nursing in Israeli culture begins with Shifra and Puah, the two Jewish midwives who helped the Jewish women in ancient Egypt give birth. Modern-day nursing was established with through the nurses sent to Israel by the Haddassah organization, as well as a nursing school founded by Henrietta Szold in During those times, the United Kingdom regulated midwifery in Israel, but the nurses were not mentioned in the regulation decree.

Nursing was not an established part of Japan's healthcare system until with the Midwives Ordinance. This established a legal substantiation to registered nurses all over Japan.

There has been a continued effort to improve nursing in Japan. In the Nursing Human Resource Law was passed.

Those programs were designed to raise the education level of the nurses so that they could be better suited for taking care of the public. This type of nursing is designed to help the public and is also driven by the public's needs.

The goals of public health nurses are to monitor the spread of disease, keep vigilant watch for environmental hazards, educate the community on how to care for and treat themselves, and train for community disasters.

Nurses that are involved with midwifery are independent of any organization. A midwife takes care of a pregnant woman during labour and postpartum.

They assist with things like breastfeeding and caring for the child. Individuals who are assistant nurses follow orders from a registered nurse.

They report back to the licensed nurse about a patient's condition. Assistant nurses are always supervised by a licensed registered nurse. In Japan established the first nursing university in the country.

Soon people began to want nursing degrees at a higher level of education. Currently, Japan offers doctorate -level degrees of nursing in a good number of its universities.

There are three ways that an individual could become a registered nurse in Japan. After obtaining a high school degree the person could go to a nursing university for four years and earn a bachelor's degree, go to a junior nursing college for three years or go to a nursing school for three years.

Those who attended a nursing university have a bit of an advantage over those who went to a nursing school. They can take the national exam to be a registered nurse, public health nurse or midwife.

In the cases of becoming a midwife or a public health nurse, the student must take a one-year course in their desired field after attending a nursing university and passing the national exam to become a registered nurse.

The nursing universities are the best route for someone who wants to become a nurse in Japan. These nursing universities train their students to be able to make critical and educated decisions when they are out in the field.

Physicians are the ones who are teaching the potential nurses because there are not enough available nurses to teach students.

This increases the dominance that physicians have over nurses. Students that attend a nursing college or just a nursing school receive the same degree as one who graduated from a nursing university would, but they do not have the same educational background.

The classes offered at nursing colleges and nursing schools are focused on more practical aspects of nursing. These institutions do not offer many general education classes, so students who attend these schools will solely be focusing on their nursing educations while they are in school.

The now-married Drain credits hard work to her lifestyle change, hoping to inspire others as she moves forward.

She said, "After eight years in professional healthcare, I have never seen a natural athlete stuck in a terrible health crisis.

There's a reason for that: fit, active lifestyles reduce the risk of disease and promote overall wellness," maintained The Sun.

But her life wasn't all that easy. Drain grew up in "the most hated cult in America," the Westboro Baptist Church.

She was later ex-communicated from her family and siblings because of nonconformance. Sent to a motel room with nothing more than a suitcase, I was forbidden from all forms of communication with my siblings and family members.

We have not spoken since. I've had to rebuild my entire life while looking through the hourglass at the family and friends I once had," she explained on her website at www.

Self love is so much more than just looks, it's how you are as a person, how you act towards other people, how you treat other people and how you live your life.

Are you happy with the choices you make? Are you healthy? Do you take care of yourself? Do you LOVE yourself? I don't need to be the prettiest, smartest or strongest in the world.

That's not my goal. My goal is to be a kind person, to inspire people to love themselves, my goal is to be happy, healthy and to live the life I want.

Thank you for all the nice comments and messages, they always makes me smile! Det vil eg bare avkrefte med et stort NEI!

Sand below. This is my job and I'm so proud of that. Because this job didn't come easy. I worked so hard for this. It took sweat, tears and dedication to reach this goal.

Years of studying, training and preparation. I could have given up, I could have listen to the people who told me I couldn't.

But I didn't quit. I believed in myself and my inner strength. Then chase it! More from AOL. If you change your mind, here's how to allow notifications:.

Stay in the loop! Get breaking news and big stories on your desktop. Notify Me. When prompted, click "Allow" you can always change your mind later.

Search The Web Search Aol. Follow my 2nd account laurendrainfitness. Be your own best version of you. Rarely post selfies but loved this soft glam by mua jessicakeehus here in Los Angeles.

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