Needfor Continued Education for Nurses
Needfor Continued Education for Nurses
Thispaper seek present an assessment of the importance of having thelocal nurses in the local community health facilities goes through acontinuing education system. The article will be comprised of anevaluation of how continued education will be of influence to boththe nursing fraternity and the general community members. As thechairperson, I will have to present the final detailed proposal onthe new policy to the relevant authorities so as they may consideradopting the policy. In the process of analyzing the impacts of thenew policy, there will be a need for carrying out an evaluation andanalysis. The evaluation and the analysis will be on the ethicalconsiderations for the implementation of the proposed policy ofcontinued education for the nurses. To assess the approaches forimplementation of the suggested policy, we will analyze both thetop-bottom and bottom-up approaches for our union members to get thebest mode of application of the recommended policies. We will examinethe strengths and weaknesses of the both the methods and make acomparison to choose a method that will be most preferred. We willthen conclude on our preferred method as a union that we would wantthe relative authorities to adopt as they implement the proposedstrategy.
A1.Continued Education for Nurses
Asthe executives of the union of nurses within our local community, wedecided to suggest the idea of the need for continued education toour nurses. It has been realized that most of the nurses that aredeployed in our local health centers are not updated about thecurrent changes in some of the nursing practices and method ofpatient’s diagnosis. There are lots of changes in the field ofnursing as there is increased innovations and invention that comewith modernity in the area of nursing (Forsetlund et al., 2004). Themachines and equipment used in the health facilities are alsoinvented and introduced to our nurses in the health centers tooperate them. The general community members do expect that nurseswill attend to them in the best way possible and more so withmodernity when there is a need. Some of the complaints that we gotwere from some of the patients that were not amused by the level ofservices that they were getting from some of our nurses.
Incase we will remain adamant on the complaints that are raised by thegeneral public and other stakeholders, we may end up losing the trustof our community members who we are supposed to serve. When patientslose confidence on the medics that attend to them, they may fail tofollow instruction on the diagnosis process hence endangering theirlives (Alanazi, 2012). As a result of the problems, we decided togive our nurses a second chance for them so that they could be givenan opportunity to seek education. The education process will be inthe new areas that they were not conversant with that would affecttheir service delivery to the patients. We suggested that ouremployer would fund the studies for our nurses.
A1a.Preferred Need for Continued Education
Theimmerging renovations and in every field that requires the use of newtechnological knowledge is becoming common in almost all the fields.The nursing department is an area that largely depends on innovationand modernity on the equipment that they use (Randall & McKeown,2014, p. 766-767). Therefore, nurses will need to be kept up to dateto match the skills required for the new health equipment. Aftermaking our observations on the nurses who are our union members, someof them looked happy about the idea while others felt that it will bea task that they will not be ready to undertake. What we areconfident of is that in as long as the idea will be implemented, ournurses will be more informed and the patients will also be assured ofquality services. The suggestion we had on the proposed policy aboutour employer paying the fees for our local nurses is also a matterthat could create a controversy, as our employer could not be readyto pay for costs. However, the ethical bit of the whole issue is thatour nurses are expected to be completely competent as they deal withthe precious lives of the patients.
Froma general point of view, it is certain that there are federal lawsthat reformulate the funding of the health sector for all theactivities that goes on in the whole country. The rules dictate everyaspect of financing in the health sector, and they make sure thatevery dollar spent on anything in the field of health contributes toa significant effect on the United States healthcare system.Therefore, there are a lot of analysis and evaluations that will beneeded to the proposed policy of need for continued education for thenurses in our local health facilities. The analysis and appraisalwill be useful in providing oversight into the matter and draw alogical conclusion about relevant and significant elements and of theaspects of the need for continued education for the nurses. Onewould, therefore, argue that it will be important to identify theimpacts of the need for continued education to the nurses on thenurses, the general community, and even the health facilities.
A1b.The Relevance of Continued Education for Nurses
Researchhas it that therapeutic intervention is used in hospital-basedprograms that are innovative to address the psychological issues inadolescent and children that may exist from hospitalization andillness (Education, 2010). The research was conducted in fivehospitals in the Chicago Metropolitan Area. When it comes to ourlocal community, most of old school nurses would not in a position touse the innovative hospital base programs within our local healthfacilities. Patients would have an experience of a reduced level ofmortality and failure to rescue rates in the health facilities wherethe nurses providing patient care are highly educated (Huston, 2013).Huston also reported that nurses who are more educated showed animproved work experience and had little or no difficulties in runningtheir activities in the improved care environments. Some of our localnurses experience problems in managing some of the improvedhealthcare equipment because their levels of education do not matchthe expertise needed by such machines. Allowing the nurses go for acontinued learning process will be a great help to our nurses andeven the patients who will then be sure of getting quality services.
A1c.The Financial Impacts of the Need for Continued Education
Asof the moment, our employers only pay for other services for ouremployees including their healthcare needs. There are some portion ofthe community members that have the believe that enactment of acontinued need for education for the nurses will cost the employers alot of money yet some nurses won’t be willing to accept the offer.Some portion of our nurses that looked incompetence in the face ofthe modern equipment complaints that they a lot of things to attendto and would not get time to attend a class and work at the sametime. It is a typical scenario for a change such as continuededucation for nurses to get both the acceptance and disapproval fromthe relevant stakeholders.
Thefact is that when the policy will be implemented, we as the unionexecutives will get fewer complaints from the general public membersin relation to the quality of services that they will be getting fromour nurses. The reason we decided to push for the implementation ofthe continued education for our nurses is that we had carried out ourresearch as the unions heads and came to a consensus decision that itwas the only way to address the challenges that we were facing in thenursing department.
Financially,the continued education will change the way will be redistributed.More money will be spent on modern equipment and training of thenurses to keep the up to date with their services requirements.Improved quality of services and modernity in our health facilitieswill reduce chances of deaths and failure to rescue cases that mayarise from the lack of qualifications or competency from our localcommunity nurses. When the machines will be purchased, and“incompetence” nurses taken to school, the federal governmentwill be forced to raise the taxes to cater for the financial needs ofthe new program. Some of the financial investments will be directedto more modern ways of healthcare services such as nutritionists andgyms to help improve the quality of healthcare services to our localcommunity members. Such improvements will later on be effected inother communities and finally move to impact on the lives of thepeople of America.
A2.Personal Values on a Continued Education for Our Nurses
Inthe last periods, we have been receiving complaints from somestakeholders in the health facilities including the general publicthat some of our nurses have not been giving them quality servicesthat they would desire to have. Having been chosen as the chairpersonof the nurses unions within our local communities and being one ofthe nurses, I saw the necessity for pushing for the implementation ofthe proposed policy on nurses education. We will get many benefitsfrom the program of continued education for nurses within ourcommunity. The nurses that will be lucky to get a chance to get acontinued education will earn more knowledge. When the health workersseek more knowledge, they will improve the lives of their patients ona daily basis. There are medical advancements and new infectiousillnesses that are continually discovered and updating the techniquesfor treatment and new medications (Hogston,1995).Therefore, the improvements in the healthcare services will requirean improved awareness on how to handle the invented machines andtreat upcoming infectious illnesses.
Improvedlevel of education will also give room for our nurses to broadentheir career opportunities. For example, in case one of our nurseswould acquire an education and attain an MSN degree, he/she wouldquickly move from a nursing job to a research job. It is obvious thatmost nurses would prefer getting a promotion. The future licensinglaws may also require degrees in the field of nursing. Our governmentneeds Registered Nurses (RNs) to renew their nursing licenses forthem to stay certified. The renewal of the certifications may meanthat the nurses will be expected to complete their continued classes.Therefore, continued education will be importance to us as the nursesin assuring us of our job security. Due to the emergence ofmodernization in every aspect of nursing and the level of healthcareservices needed by the patients, employers and hospitals may chooseto employ nurses that have a BSN. The idea that could be behind suchmovement will be that nurses with degrees do have an in-depthknowledge of their profession.
A2a.Ethical Principles facilitating the Need for Continued Education
Theprofessionalism of nursing requires our union members to comply withthe policies and guidelines that govern the nursing fraternity inAmerica. One of the policy requirements for the nursing profession isa continuous auditing process on our facilities (American NursesAssociation, 2010). The Board members have been conducting a randomaudit for them to determine the compliance with the continuingcompetency requirement in the field of nursing. We are alwaysprovided with a written notice through emails in the nurses’ emailaddresses. In most occasions, those staff members that do have afeeling of incompetency with modernity in the health services do feeldisturbed and do lack confidence to face the auditors. Having thesenurses go for continued education will save them from the mess offeeling uneasy whenever there is a routine audit check.
Anotherethical requirement for the nursing profession is a high level ofcompetency. With the changes in the field of nursing, competency alsokeeps on changing to match the demands of the job. The competencyrequires a continuing renewal of nursing licenses that would requirenurses to complete their continued education requirements. Theprofessionalism of nursing also requires our nurses to take commandof their area of practice. A nurse area of practice may be anyactivity, task or an assignment in which a nurse uses his/herknowledge, skills or judgment during the licensure renewal cycle. Anurse may be transferred from one area of practice to another.Attending continuing nursing education will be of help as mosteducation topics in these programs apply to all spheres of nursingpractice including the modernized areas of practice (Griscti &Jacono, 2006, p. 449-456).
B1.The Decision Maker on Continued Education for Nurses
Afteradvocating for the inclusion of continued education for our nurses inthe local community health facilities, we will present our proposedpolicy to the decision makers. I will present the document of theproposed policy to the City Chief Medical Officer for cross checking.In case the chief medical officer is certified with the provisions inour proposed policy, he will have it implemented. However, in case,there will be any area that will need a revision we will be given achance to review it and re-submit it for consideration. However, ifthe chief medical officer will not be certified, he would have theauthority to stop the idea of implementing the proposed policy.
Asa union, we can only present our views on things that we feelimportant in our area of work to our bosses who have the authority tohave them implemented or not. However, after research that our teamdid, we have a feeling that our proposed policy will be given achance. Some of our nurses lack the competency that is needed toaddress modern health issues. Nursing Professionalism also requiresnurses to be updated to the modernization in the health sector (Burns& Grove, 2010). It only through a continued education programthat will help our nurses cope with the requirements of theirprofession. Some scholars also argue that the department of nursingis an area that largely depends on innovation and modernity on thetypes of equipment used in carrying out their duties (Randall &McKeown, 2014, p. 766-767). It is bosses that provide our localhealth centers with the modern machines therefore, it will be properfor them to listen to our request and equip our nurses with thecompetency that those devices require.
B2.Challenges of Addressing the Proposed Policy
Anumber of difficulties that we might face in the implementation ofthe proposed policy are a lack of cooperation from relevantstakeholders (Ansell & Gash, 2008, p. 543-571). Some nurses maysee a push for them to attend a continued education program as awaste of time on their side as they may be approaching retirementages. The chief medical officer may also deliberately fail tocooperate with our union as they may see the implementation of theproposed policy as quite expensive. The government may also fail theprogram by failing to give assistance in the financing of the programafter approval for implementation.
B3.Interventions of the Decision Maker
TheCity Chief Medical Officer is the head of all the health facilitieswithin our community. After we shall have presented the document ofthe proposed policy for consideration, he will do a cross-examinationon matters of concern in the document. The chief medical will havethe mandate to either include or exclude any provision in theproposed policy. The decision of the officer will be of importance ashe an expert in the field nursing and will have a clear knowledge ofwhat is necessary for the field of nursing. In case the officer isnot satisfied, he will have the authority to turn down the wholeprocess. However, it is our prayer that after a research that weconducted on the need for the proposed policy, the chief officer willalso see the need for the policy to our nurses.
B4.Course of Action
Thecomplaints that reached our offices were from the key stakeholders inthe health department. The general public was complaining that someof our nurses were not attending to them in a preferred way. In casethese matter is not addressed as early as possible, the complaintswill spread throughout the country and the general public could losetrust on our health facilities. For example, when such complaintswill reach media houses, they may go an extent that will leave thereputation of our health facilities pulled to the ground. We willmake sure that we sensitize our nurses accept the idea and may decideto exempt the old age that are nearing retirement age.
B5.Evaluation of the Success of the Policy Brief
Mypolicy brief will be successful in case the chief medical officerwill fully accept the proposed policy and promise to take action in atop-bottom approach. If he recommends some revision for the policyfor reconsideration, we will also have some faith in having the ideaimplemented after revision. However, whenever the chief officerrecommends that our policy will not of sense to him, and then we willhave no option but comply with his wish.
C1.Identified Community Interested in the Proposed Policy
Thegeneral community members have an interest in having more competentnurses, most the patients that visited our facilities and were notserved to their satisfaction. Some of our nurses are also alreadywaiting for the program as they feel that it will be importance totheir profession need.
C1a.Summary of Expressed Interest
Thelocal community members, more so the patients, who visited our healthfacilities, did raise several complaints about “incompetency” ofour nurses. I remember one of them was an educated man that demandedthat we sack some of health officers and bring them a more qualifiedperson. As a union boss, I understood that it was not our officer’sfault, but it was the issue of old school and modernity. Some of ournurses who have been feeling uneasy during any audit process are alsowilling to adopt the policy.
Thereis the need for the application to the Community Based ParticipatoryResearch for the success of our proposed policy. There will be a needfor engagement, and we will require elements of Unity Principle,Collaborative Partnership and Cyclical and Iterative Processes.
C2a.Approach and Collaboration
Theunity principles require that we provide quality healthcare servicesto our clients. It will be upon our nurses who feel incompetent insome area of practice to seek a remedy when they are given a chance.We have also been collaborating with the local community member byinviting them to seminars where we get their views of the kind ofservices they get from our health facilities. We will use suchseminars to assure them that we have come up a policy that will helpin solving most of the problems in the level of our services.
Ourmain target is to offer quality health services to the localcommunity members and be the best in healthcare services. For us tobe the best, we have to equip our staff members fully to be updatedwith modernization. The local community members’ goals have alwaysbeen to get the preferred quality of services whenever they visit ourfacilities. When we have more competent nurses, the community memberswill get the quality services they deserve.
Afterpresenting our proposed policy, we expect that it will be implementedthen we will first start by giving chances to the willing nurses togo for the classes. The classes will be evening based as nurses willbe working as they attend the classes. The nurses will only be givena chance to attend classes where they lacked competency.
C2d.Roles of the Community Members
Thelocal community members are our main clients, and they are the oneswho would grade our services and tell whether they are of quality ornot. When we shall have adopted the new policy, we will still callfor seminars with the community members to gauge our performance. Inthe seminars, we will inform the locals on the advancements we shallhave made and the kind of services we will be offering.
C2e.Key Elements of Evaluation Plan
Thecommunity partnership in seminars will have to work together with ourunion to set metrics and standards that will be presented indifferent units. The metrics shall have to be accepted by all thestakeholders and applied in evaluating the success of the proposedpolicy.
C2f.Community Plan Evaluation
Sincewe will be meeting most of our local community members in theseminars, we will evaluate our success from the responses that wewill be getting from them. We are certain of getting a response fromthe community members as we always give a conducive environment forthe locals to air out their views in a bottom-up approach.
D1.Strengths of Each Approach
Thetop-bottom approach will involve relying on the decision made by ourboss who is the chief medical officer. The strength of this approachis the fact that the boss is an expert in the field of nursing, andhis opinion will be of great importance. The chief officer is alsothe decision maker and is the one who will decide on whether ourpolicy will be implemented. The bottom approach is essential asnurses as seeking to satisfy the needs of the local community membersby giving them quality services. The locals are the ones to determinewhat is of quality them therefore, their views and critics in theseminars will be importance to the nursing fraternity.
D2.Challenges of Each Approach
Thetop-bottom approach may turn disadvantageous in case the boss willfail to consider the proposed policy without taking intoconsideration the views of the locals (Burns & Grove, 2010, p.1137-161). The chief officer may either decline to approve orimplement the proposed policy on grounds known to him. On the otherhand, the bottom-up approach may be full of witch-hunt based onpersonal indifferences where a local community member may insist uponhaving a nurse fired for disagreements that they had while he visitedour facility.
D3.Most Effective Approach
Themost effective approach for implementation of the proposed policywill be to allow our nurses make a voluntary choice on whether theywill require continued education. Any view from our local communitymembers will also be investigated before any action is taken againstany nurse.
Alanazi,A. F. (2012). Emergency medical services in Saudi Arabia: A study onthe significance of paramedics and their experiences on barriers asinhibitors of their efficiency. International Journal of Applied andBasic Medical Research, 2(1), 34.
AmericanNurses Association. (2010). Nursing`s social policy statement: Theessence of the profession. Nursesbooks. org.
Ansell,C., & Gash, A. (2008). Collaborative governance in theory andpractice. Journal of public administration research and theory,18(4), 543-571.
Burns,N., & Grove, S. K. (2010). Understanding nursing research:Building an evidence-based practice. Elsevier Health Sciences. Alles,M., Brennan, G., Kogan, A., & Vasarhelyi, M. A. (2006).Continuous monitoring of business process controls: A pilotimplementation of a continuous auditing system at Siemens.International Journal of Accounting Information Systems, 7(2),137-161.
Education,C. N. (2010). Magic as a therapeutic intervention to promote copingin hospitalized pediatric patients. Pediatric nursing, 36(1), 11.
Forsetlund,L., Bjorndal, A., Rashidian, A., Jamtvedt, G., O’Brien, M. A.,Wolf, F., … & Oxman, A. D. (2009). Continuing educationmeetings and workshops: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev, 2(2).
Griscti,O., & Jacono, J. (2006). Effectiveness of continuing educationprogrammes in nursing: literature review. Journal of AdvancedNursing, 55(4), 449-456.
Hogston,R. (1995). Nurses’ perceptions of the impact of continuingprofessional education on the quality of nursing care*. Journalof advanced nursing, 22(3),586-593.
Huston,C. J. (2013). Professional issues in nursing: Challenges andopportunities. Lippincott Williams & Wilkins.
Randall,D., & McKeown, M. (2014). Editorial: Failure to care: nursing ina state of liquid modernity?. Journal of clinical nursing, 23(5-6),766-767.