NUR 531 Influencing the future of Nursing and Health Care
Bill S.58 Registered Nurse Safe Staffing Act 1. Bill Overview a. Registered Nurse Safe Staffing Act of 2011 (H.R. 876 is identical)
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b. Purpose is to amend title XVIII of the Social Security Act (Govtrack.com) i. “Research shows that patient safety in hospitals is directly proportionate to the number of registered nurses working in the hospital.
Higher staffing levels by experienced registered nurses are related to lower rates of negative patient outcomes, including falls, infections, medication errors, and even death” (Govtrack, 2013).
c. “Legislation that would hold hospitals accountable for the development and implementation of valid, reliable nurse staffing plans based on each unit’s unique characteristics and needs” (2011).
d. A nurse wide staffing plan will be implemented to reflect the needs of the given unit. This plan will ensure there is an adequate nurse-patient ratio.
2. Senator or Congressperson sponsor a. Sen. Daniel Inouye (S.58): D-Hawaii b. Reps. Lois Capps (H.R. 876): D-California c. Steven LaTourette (H.R. 876): R-Ohio
3. Advocates for the bill (Pro): Proponents’ opinions are based on patient safety and care quality (White, 2006). Committee approach empowers nurses to be able to reflect those differences and adjust staffing levels accordingly (Chwedyk, 2012).
a. Stakeholders: Nurses and Administrators i. Hospital committees comprised of executives and staff nurses (“Divergent agendas create turmoil among nurses unions,” 2008) ii. Takes into account patient acuity, hospital facility specifics, nursing specific info (Chwedyk, 2012)
iii. Nurses are empowered with ability for input in unit dependent, facility determined ratios (Ch…………………
Emerging Standards of Care
Cultural competence is fast becoming the center of a bigger role to minimize health care disparities and improve quality and access of health care. Currently, they are strategies in place that define and implement the specific principles of cultural competence. Diversity is the hub (and sometimes the bane) of existence, especially in the world of nursing.
The idea of trans- cultural nursing was established by Madeleine Leininger. Her thoughts behind the creation of this particular theory were fueled by the realization that nurses are not only required to have a deep understanding and respect for a person’s life but for their ethical/cultural values that make their patient a person.
In order for a nurse to provide holistic care she must be sensitive to all aspects of that patients life and require the capacity to effectively communicate with them. “Intercultural communication occurs when each person attempts to understand the other’s point of view from his or her own cultural frame of reference” (Tourville & Ingalls, 2003).
Chinn and Kramer believe that effective intercultural communication is achieved by the nurse when she is able to identify and address these cultural needs when facilitating the nursing process (1991)
. Nursing focuses primarily on who the recipient of nursing care is.
Leininger’s theory doesn’t have an easily accessible definition for what a client is; instead she says “nurses who use Leininger’s theory of cultural care in their practices view patients in the context of their cultures” (Chitty & Black, 2007).
This is important since Leininger realizes that culture determines how people make choices in their lives. Health should be the main goal in a nurse’s practice. It also seems like this is universal across most of the healthcare models in the nursing metaparadigm.
Leininger takes health as “a state of well-being that is culturally constituted, defined, valued, and practiced by individuals or groups that enables them to function in their daily life” (Tourville &
RUNNING HEAD: EMERGING STANDARDS Ingalls, 2003).
Leininger defines nursing as “a learned humanistic and scientific profession and discipline that is focused on human caring” (Tourville & Ingalls, 2003). Overview Texas Oncology – Round Rock (TXO-RR) is a for-profit company that provides a variety of oncological and hematological health care services to communities throughout the state of Texas.
“Texas Oncology is how Texans fight Cancer” (Texas Oncology, 2013). Texas Oncology provides high quality, up-to-date oncological and hematological care delivered in a sensitive and compassionate, and patient-oriented environment.
TXO takes pride in providing excellent patient education, communication, and is known for some of the most advanced treatment plans for cancer and hematology patients. They specialize in conditions such as sickle c
