Tag Archive for 'nursing education'

Nursing Attire and Patient Perception

Nursing Attire and Patient PerceptionNursing has long been a female-dominated field, and it has undergone drastic changes in the past 100 years. However, images of those early nursing days (young women in white dresses and hats) have remained, whether as part of society’s tendency toward sexual objectification or by patients who actually remember a time when nurses were portrayed a certain way.

These days, nurses are often indistinguishable from other medical professionals—and researchers have yet to determine whether this is a good thing or a bad thing. Almost all care providers wear the same kind of colorful scrubs, which are built around comfort, and there are no differences for men and women. This can be difficult on some patients, since they might have a difficult time determining if they are being approached by a college-educated professional or by a supplementary staff member.

Several studies have been done to look at how nursing attire affects patient perception (and therefore patient care), most notably in the 2006 Journal of Nursing Administration and a 2008 Applied Nursing Research report.

Some of their key findings include:

  • Scrubs tend to make nurses appear less professional but more approachable.
  • Almost all generations prefer simple white uniforms to indicate nursing staff; this is especially true for elderly patients.
  • Pediatric nurses are the exception; on them, colorful uniforms are considered ideal.

For nursing students and new nurses, these findings might not seem conclusive enough to make a wardrobe decision, especially since you may be required to purchase and wear uniforms in keeping with the workplace dress code. You might not have the option of white scrubs, and you may be required to wear bright colors every day of the week.

However, what you can do is realize that your patients are affected by the way you look, regardless of whether you chose the outfit or not. Fun, whimsical scrubs might make you more appealing to younger generations, but older patients might not see you as the professional you really are. Plain scrubs are more likely to earn you respect, even if you’re a CNA on the first day of the job. And across the board, sexually ambiguous attire is best, as it takes an important step away from the early 20th century stereotypes that placed women in a less than professional role.

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Term Papers and Projects to Expect in Nursing School

Nursing School ProjectsFrom the moment you start doing your undergraduate coursework to the time you apply to nursing school, there is a heavy emphasis on the sciences and on math. Starting with the very first day you decide to be a nurse, you’ll learn biology, chemistry, anatomy, statistics, and physics—and all with hands-on laboratory work like dissecting frogs and cow eyes.

Although this can seem overwhelming, it’s something most nursing students are prepared for, and the hard work is just part of the challenge of reaching your professional goals. What many students aren’t prepared for, however, is the other kind of work that you’ll be taking home: term papers and group projects.

Depending on where you are in your education, you might end a quarter of nursing ethics with a ten-page research paper, or spend an entire nursing theory course working with a team to create posterboard presentations, power points, and other large projects. These can be time-consuming and work-intensive, but a passing score here is just as important as it is during your clinical rotations.

Why Nursing Schools Include Papers and Projects

It might seem unfair to spend most of your time writing a paper when you’ll never be asked to write again, or to work with a team of nursing students who might not be willing to pull their own weight for a group presentation. However, these are common parts of the nursing curriculum. The reasons for this vary, but typically include:

  • Group Challenges: Being a nurse is very much a team effort. You’ll be working with doctors, therapists, nursing aides, and other nurses to provide a high quality of care. Some of these team members will be great; others will not. Getting used to working in a team setting—with all its challenges and setbacks—starts in nursing school.
  • Critical Thinking: Writing a ten-page report or paper requires quite a bit of planning, research, organization, and dedication. The focus here is not so much on how well you write or how good your grammar is—it’s on seeing whether or not you can pull together several different components to reach a whole.
  • Academic Learning: If you’re going to nursing school to get an MSN or even a BSN, you are going to be entrenched in the academic setting whether you like it or not. In many cases, you might even wish to go on to be a nursing instructor, nursing administrator, or research nurse. Having a background of academic learning and scientific documentation will really help boost this part of your career.

As is the case with any academic challenge, the key to writing successful term papers and doing well on your nursing group projects is to plan ahead and get the work done before the last minute. Nursing school is still very much a school, and although you’ll be drawing blood and seeing patients fairly early on in your education, you still need to focus on the textbooks and papers that will provide the foundation for learning for the rest of your life.

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Critical Care Nursing

Critical Care NurseIf you are the type of individual who can think on your feet and deal with life-and-death situations every day, a career in critical care nursing might be for you. This nursing specialty places professionals in a hospital setting to oversee the care of patients who are in critical conditions, typically in an intensive care unit, an emergency room setting, or in post-operative recovery rooms. Whether they are dealing with a catastrophic accident or a prognosis that isn’t very positive, these patients and their families require a special kind of health care provider.

What Does a Critical Care Nurse Do?

Like many types of nurses, critical care providers act as the bridge between the patient and the larger health care setting. Vigilant daily care, medication dispensation, monitoring vitals, and charting make up the bulk of the day’s activities. They are complimented by patient advocacy, support to family members, and patient education—especially regarding end-of-life, living will, and organ donation issues. These professionals might also be called on to participate in a team setting to make decisions regarding the patient’s options and outcomes.

Critical Care Nursing Education

At the basic level, critical care nurses must be licensed RNs with either an Associate degree or a Bachelors degree. Further certification in critical care nursing isn’t required, but it can boost your career and open more employment doors.

Certification in critical care nursing is offered through the American Association of Critical-Care Nurses, which requires two years of direct experience working in a critical care capacity as well as a passing score on the exam and regular continuing education credits.

Additional opportunities exist for nurses who are willing to return to school to get a Master’s degree in nursing or attend a BSN-to-MSN program. With this higher level of education, the nurse can become a clinical nurse specialist and take on a more supervisory and case management role for patients in critical care conditions.

Nursing Specialties for the Future

Because of the nature of the job and the job setting, critical care nurses work with some of the most advanced technology available in the hospital setting—and for good reason. Patients who might not have survived their injuries and illnesses even five years ago now have more options for both short- and long-term care thanks to medical advances.

That’s why any nurse or nursing student interested in this field should always be looking ahead. If you can handle the stress of critically care patients and their families, and you’re excited about health care technology and what it means for the future, critical care nursing and advocacy could be a perfect fit.

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Attending Nursing Conferences

i_nursing_jobsOne of the best ways to get the nursing continuing education credits you need while also doing a bit of networking (and having some fun) is to attend nursing conferences. Professional nursing conferences are most commonly offered by hospitals, nursing specialization boards, the American Nurses Association, and the National League for Nursing. Providing education, conference speakers, and the chance to develop new skills, these conferences run the range of week-long affairs to an afternoon or two a few times per year.

Why Attend a Nursing Conference?

For many nurses, conferences aren’t optional. Whether you are in need of continuing education credits, or if your place of employment requires it, some nurses might be required to attend a certain number of conference hours each year. Local or national nursing associations might also require members to attend once or twice in order to keep the membership current.

Not everyone who goes to a conference has to be there; in fact, for many working professionals and student nurses, this is a unique chance to meet others in the field and to develop contacts and relationships for the future. The chance to boost your education is a great draw, as well, since part of being a great nurse is always growing and developing within the profession. In some cases, attending conferences can help boost you toward a goal of a specialty certification.

How Much Do Nursing Conferences Cost?

Because these are highly organized events, often including famous educators and speakers, there is almost always a registration cost associated with a conference. Additional considerations include travel and hotel costs, meals, and time spent away from work—all of which can add up to a large investment. For some nurses, these costs are covered by a hospital or other place of employment; for everyone else, it is a tax-deductible purchase.

Depending on how far you travel and what type of conference it is, you can pay anywhere from a few hundred dollars to a few thousand. Some local nursing associations offer scholarships to help pay for the trip, and even the conferences themselves might have discounts or payment waivers for those unable to cover the whole costs.

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How to Succeed in Nursing School

i_student_2With a heavy science basis and clinicals that require a long and grueling commitment, nursing school is not an easy task.

Yet in recent years, nursing school has gotten a bit of a reputation as being nothing more than an assembly line for creating professionals to replace the large number of retiring nurses and to fill the nursing shortages all over the country. While it’s true that recruitment methods urge students to consider nursing school, and that you can earn an RN license in as little as two years, don’t expect an easy time of it. Nursing school is a challenge—both to get in and to get through.

If you’re one of the students who got all the prerequisite classes completed, gained entrance to an accredited nursing program, and are working hard to keep up, here are a few tips for finding success.

Establish a Good Relationship with Your Instructors: You don’t necessarily have to stay late every day to chat up the teachers or sit in the front row and have all the answers. But you should do your best to respect the instructors and the curriculum they have set out. Unlike many types of educators, nursing instructors are all nurses first, and instructors second. They have the hands-on skills you’ll need to develop over the next few years, and their experience should become your own. Do the work that is required of you, and take any feedback you get and put it to good use. Making allies of your professors can really boost both your professional success and your entire college experience.

Ask For Help: Nursing is one of those professions where just one mistake could cost you your job—and someone their life. Get in the habit now of asking questions and asking for help when you need it. Working as part of team is always going to be present in the nursing profession, and it’s okay to lean on your coworkers (and co-students) from time to time. It’s better to take the time to learn things now, even if it is difficult, rather than to learn the hard way later that you aren’t prepared to do your job well.

Pitch In and Help Others: At the same time, you want to be the type of nurse others are comfortable approaching for help, as well. A student who demonstrates responsibility and accountability, and who goes above and beyond to contribute to the whole team, is going to be better equipped to succeed in a real world setting.

Be a Caring Professional: Nursing is one of those careers that has a big scientific foundation—but just as important is a solid base of caring. Nurses are often the people families and patients see and talk to the most in a formal care setting, and they rely on nurses to be their advocates within the health care system. Use your nursing school time to develop compassion, empathy, and respect for your patients and the profession as a whole.

Of course, if you want to succeed at nursing school, you’ll also need to set up a good study schedule, spend a lot of time pouring over textbooks, and show up to class every day. As is the case with any medical profession, nursing school prepares you for the real world of nursing, and your commitment to your education will reflect in your job skills.

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What is the National Student Nurses Association?

i_nurses_4The National Student Nurses Association (NSNA) is an organization created to improve nursing education and support nursing students as they begin their entrance into the nursing profession. This takes the shape of a nursing journal released five times annually, career workshops, employment resources, NCLEX study resources, and nursing scholarships.

There are currently over 56,000 members in the NSNA. It was founded in 1952 to foster the professional growth of students enrolled in all types of nursing programs (from Associate degree and diploma programs to post-graduate work). Since then, additional services have helped to launch the organization into the national spotlight, and even those who don’t qualify for or are granted the scholarships can benefit from membership and the opportunities in educational development.

National Student Nurses Association Scholarships

The NSNA scholarships are among the best opportunities in the country for nursing students to get access to financial support. Few foundations focus as much on nursing as the NSNA, and $125,000 in awards are offered in increments of $1,000 and $2,500 each year.

In order to apply for the scholarships, individuals must be U.S. citizens (or students with alien registration numbers) currently enrolled in a state-approved nursing program. Graduate-level scholarships are only offered if it is the student’s first degree in nursing (such as going from an undergraduate degree in biology to a graduate degree in nursing).

The scholarship board looks at factors like academics, financial need, and the student’s involvement in community activities, volunteering, and nursing-related issues.

National Student Nurses Association Annual Convention

Nursing students can also take advantage of the annual convention put out by the NSNA. Students can obtain career counseling advice, attend workshops on certification opportunities, attend job recruitment fairs, learn about and participate in nursing advocacy at the legislative level, and even learn more about becoming a part of the NSNA leadership board.

The location, times, and costs of attendance vary. The convention typically takes place in the spring and you can book hotels and even flights through their package options.

To Learn More about the National Student Nurses Association

If you’d like to learn more about the organization and how you can get involved, visit the NSNA on the web at http://www.nsna.org/. Many of the features are Internet-based only, so even if you can’t travel to the conventions or participate in live courses, you can still benefit from the services and resources offered here.

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What is the National League for Nursing Accrediting Commission?

i_nurses_3If you are a prospective student looking for the the right nursing school, you should become familiar with the various accrediting organizations. These groups, which range in background and mission, are your source for finding schools that meet national standards in education and allow graduates to sit for the NCLEX exam.

Of these accrediting organizations, one of the most important is the National League for Nursing Accrediting Commission. This national organization is devoted to promoting excellence in nursing education. The organization looks at individual nursing instructors, providing opportunities for them to build their skills and network with others in the field, as well as offers accreditation for NCLEX readiness.

What Does the NLNAC Do?

The National League for Nursing Accrediting Commission (NLNAC) is responsible for accrediting specialized nursing education programs, including:

  • Clinical Doctorates
  • Master’s Programs
  • Bachelor’s Programs
  • Associate Programs
  • Nursing Diplomas
  • Practical Nursing Programs

In this capacity, the NLNAC is a great source for finding programs that will train nurses to sit for the NCLEX exam and to enter the field of nursing once they successfully graduate and get licensed.

NLNAC is also important in ensuring that nursing schools are eligible to receive federal funding via student grants or loans; for example, unless a nursing program is recognized by the NLNAC or the Commission on Collegiate Nursing Education, you may not be able to use FAFSA to help pay for your education.

The NLNAC goes one step further, as well, by offering assistance to students beyond the financial level. Schools can turn to the NLNAC for help with student counseling and recruitment, while students can learn more about transferring their credits from one school to another.

Why NLNAC Accreditation Matters

The primary difference between the NLNAC and other accrediting bodies is that the NLNAC is more comprehensive when it comes to LPN, Diploma, and Certificate programs. It is the primary seal of approval for these lower-level nursing degrees, and you should always look for it if you are considering a degree at the Associate or Diploma level.

If you are considering a higher-level nursing program, it isn’t necessary for the NLNAC to be involved, but you should look for other accrediting credentials (especially the Commission on Collegiate Nursing Education) to be sure it meets the national requirements for nursing education.

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Is Nursing School Debt Worth It?

i_student_2One of the more common ways in which to finance a nursing education is to tap into the nursing student loans available from both the federal government and private providers. Depending on where you go to school and what degree you’re after, nursing school can cost between $10,000 and $100,000 in all – especially when you factor in things like books, supplies, uniforms, room, and board. While this cost is no more or no less than you would expect from similar degrees in other fields, it can become quite a burden once you first enter the working world.

Types of Student Loan Debt

Federal student loan debt is unique in that it almost never goes away until it is paid off. Unlike other loans, which are wiped away if you declare bankruptcy or pass away, student loans have a tendency to linger…and the government retains the right to deduct your wages if you aren’t staying current on your payments.

On the plus side, federal student loans don’t take your credit score into account, they tend to have a fairly low interest rate, and in some instances, you can take up to twenty years to pay them back. You can also defer your loans for a few months right after you graduate, so you have time to get a job and establish yourself before you actually start making payments.

Private loans don’t work quite the same way; depending on the terms of the loan, you might have a few years to pay them back, or they might be tied into your home loan or other personal property. Interest rates will vary, and the loan will be tied up in your personal credit score.

Graduating with Debt

The real challenge regarding nursing school debt comes into play a few years down the road. If, for some reason, you find that the job isn’t right for you, or if you burn out of the career due to emotional or physical pain, you will still be responsible for paying back the money you borrowed. Some of the best ways to avoid this include:

  • Job shadowing to be sure the career is right for you
  • Exploring other nursing options like nurse-instruction or insurance work
  • Going to school part time and working part time to defray costs
  • Applying for scholarships and grants in addition to loans
  • Working as a CNA or LPN before going all the way in your schooling
  • Considering a reimbursement program that places nurses in high-need areas

Graduating from nursing school with student loan debt can be difficult – but it’s not all bad news. The health care field is one of the only ones right now experiencing growth and salary increases, and job security is only expected to increase even more over the next ten to twenty years. And because you can start earning between $30,000 and $40,000 your first year as a nurse, you should be able to cover those initial student loan payments without too much of a problem.

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Top-Ranked Nursing Schools in the United States

i_nurse_female_2If you want a top-notch nursing education from a highly ranked school, you can expect a pretty stringent admissions process. Although the nursing shortage continues to increase, the best schools have no shortage of applicants—and for good reason. Nationally recognized as the best of the best, these are the nursing schools that will provide an excellent education and place you at the top of the field for practicing, research, and administrative nurses.

Note: These schools are ranked for their nursing programs at the Bachelor’s, Master’s and Doctorate level.

University of Pennsylvania: This Ivy League school is considered one of the best colleges in the United States, period. Their nursing school is no different, with undergraduate programs, fast-track programs, a Ph.D program, and over 20 specialty certificates.

University of California, Los Angeles: Considered one of the best colleges on the West Coast, UCLA is known for its great science programs—including nursing. Students can work on pre-graduate work and post-graduate work here.

University of Texas: Located in Austin, this school offers nursing programs at all levels. Many students return to advance their education to the Master’s or Doctorate level.

University of Washington: This Seattle-based university has a long waiting list for nurses and a very competitive program. Many nurses who graduate here go on to work at research hospitals around the country.

Johns Hopkins University: Known the world over as one of the best medical training centers and care facilities, John Hopkins sees a large number of doctors and nurses pass through its doors. Many graduates of the Johns Hopkins nursing program go on to do research in the field or become nursing instructors.

Other contenders for the top nursing school title include:

  • Boston College
  • Columbia University
  • Yale University
  • University of Maryland
  • University of Colorado
  • Purdue University
  • University of Michigan

If you aren’t fortunate enough to get in to one of these nursing programs, or if your location makes it difficult to attend, there is no need to worry. University, community college, and private nursing programs continue to provide excellent training opportunities for the next wave of professional nurses. As long as you do your research and ensure that the school you’re attending is right for you, you should be able to succeed as a nurse for decades to come.

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How to Become a Nurse-Midwife

Midwives are one of the oldest, most recognized medical professionals. Long before there were doctors with medical degrees and medicine that didn’t come from apothecaries, there were midwives, working hard to ensure that women safely delivered their babies.

While we’ve all certainly come a long way since then, nurse-midwives continue to be one of the most trusted resources for gynecological and childbirth care. With the right training and background, certified nurse-midwives (or CNMs) can do everything from prescribing contraception and other medications to delivering babies and providing the full range of after care—and oftentimes without any need for a hospital or doctor.

Nurse-Midwife Education

If you want to become a nurse-midwife, expect to get more education and training than traditional RNs or LPNs, usually at the Master’s degree level or higher. Most nurse-midwives are actually advanced nurse practitioners (NPs) with a specialization in pregnancy, childbirth, and postpartum care. This qualifies them to run their own practices, work as part of a team with other doctors and health care providers, and prescribe some types of medicine.

However, they are not doctors, and cannot perform many types of activities, including surgery. That’s why the best nurse-midwives are trained to know when childbirth becomes dangerous, and therefore refer patients to a hospital or higher-level medical professional.

Getting this training requires that you first have a BSN in nursing, acquired in 3 or 4 years through an accredited university or college. From there, you must apply (and be accepted) to a program offering a Master’s degree for nurse practitioners, with further specialization in nurse midwifery.

In order to work in the field, you must have an active registered nurse license in your state as well as the Certified Nurse Midwife designation, which requires that you pass a written exam (and stay up-to-date with licensure and continuing education credits) through the American College of Nurse Midwives.

Entering a nurse-midwife program can be difficult, since there are such stringent academic and professional requirements. In most cases, you’ll need:

  • A Bachelor’s degree in nursing
  • A current registered nurse license
  • One to two years nursing experience
  • A minimum GPA of 3.0

Nurse-Midwife Alternatives

Not all the midwives you see practicing today have a degree in nurse midwifery or even nursing itself. Lay midwives (also known as doulas) are sometimes hired to play a supportive role in the care of women during pregnancy and the birthing process. In some cases, these professionals may have graduated from a school accredited by the American College of Nurse Midwives and be trained to work at a basic level. However, they are not nurses, and are therefore limited in the care they can legally provide.

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