NURS 6351 – Role of the Nurse Educator Research Paper

NURS 6351 – Role of the Nurse Educator Research Paper NURS 6351 – Role of the Nurse Educator Research Paper A nurse educator is a nurse who teaches and prepares licensed practical nurses (LPN) and registered nurses (RN) for entry into practice positions. They can also teach in various patient care settings to provide continuing education to licensed nursing staff. Nurse Educators teach in graduate programs at Master’s and doctoral level which prepare advanced practice nurses, nurse educators, nurse administrators, nurse researchers, and leaders in complex healthcare and educational organizations.NURS 6351 – Role of the Nurse Educator Research Paper Permalink: nurs-6351-role-o…r-research-paper / ? The type of degree required for a nurse educator may be dependent upon the governing nurse practice act or upon the regulatory agencies that define the practice of nursing. In the United States, one such agency is the National Council of State Boards of Nursing.[1] For instance, faculty in the U.S. may be able to teach in an LPN program with an associate degree in nursing. Most baccalaureate and higher degree programs require a minimum of a graduate degree and prefer the doctorate for full-time teaching positions. Many nurse educators have a clinical specialty background blended with coursework in education. Many schools offer the Nurse Educator track which focuses on educating nurses going into any type setting. Individuals may complete a post-Master’s certificate in education to complement their clinical expertise if they choose to enter a faculty role. Nurse educators can choose to teach in a specialized field of their choosing. There is not extra degree needed to be earned other than a Master’s degree in nursing. Most schools will only hire a nurse to teach a class if they have had experience in that area. This is so the students can have a better understanding of the current subject being taught.NURS 6351 – Role of the Nurse Educator Research Paper In Australia, Nurse Educators must be Registered Nurses (RNs/Division 1 Nurses). The Nurse Educator role is not available to Enrolled Nurses (ENs/Division 2 Nurses). Nurse Educators require a minimum of a Certificate IV in Training and Assessment to teach the Diploma of Nursing in both the classroom and clinical placement settings. Bachelor of Nursing Educators do not technically require this qualification, but it is generally favored. A Nurse Educator may also complete post-graduate university study in Nursing or Clinical Education, which may lead to an academic career including research, lecturing or doctoral study. To become a Clinical Nurse Educator in a healthcare setting (e.g on an acute care ward), Registered Nurses are generally required to have 5-10 years clinical experience and 6-8 years of study (a bachelor degree plus post-graduate certificate or diploma).NURS 6351 – Role of the Nurse Educator Research Paper Nurse educators combine clinical expertise and a passion for teaching into rich and rewarding careers. These professionals, who work in the classroom and the practice setting, are responsible for preparing and mentoring current and future generations of nurses. Nurse educators play a pivotal role in strengthening the nursing workforce, serving as role models and providing the leadership needed to implement evidence-based practice. Nurse educators are responsible for designing, implementing, evaluating and revising academic and continuing education programs for nurses. These include formal academic programs that lead to a degree or certificate, or more informal continuing education programs designed to meet individual learning needs. Nurse educators are critical players in assuring quality educational experiences that prepare the nursing workforce for a diverse, ever-changing health care environment. They are the leaders who document the outcomes of educational programs and guide students through the learning process.NURS 6351 – Role of the Nurse Educator Research Paper Nurse educators are prepared at the master’s or doctoral level and practice as faculty in colleges, universities, hospital-based schools of nursing or technical schools, or as staff development educators in health care facilities. They work with recent high school graduates studying nursing for the first time, nurses pursuing advanced degrees and practicing nurses interested in expanding their knowledge and skills related to care of individuals, families and communities. Nurse educators often express a high degree of satisfaction with their work. They typically cite interaction with students and watching future nurses grow in confidence and skill as the most rewarding aspects of their jobs. Other benefits of careers in nursing education include access to cutting-edge knowledge and research, opportunities to collaborate with health professionals, an intellectually stimulating workplace and flexible work scheduling.NURS 6351 – Role of the Nurse Educator Research Paper Given the growing shortage of nurse educators, the career outlook is strong for nurses interested in teaching careers. Nursing schools nationwide are struggling to find new faculty to accommodate the rising interest in nursing among new students. The shortage of nurse educators may actually enhance career prospects since it affords a high level of job security and provides opportunities for nurses to maintain dual roles as educators and direct patient care providers. Roles: A nurse educator is a registered nurse who has advanced education, including advanced clinical training in a health care specialty. Nurse educators serve in a variety of roles that range from adjunct (part-time) clinical faculty to dean of a college of nursing. Professional titles include Instructional or Administrative Nurse Faculty, Clinical Nurse Educator, Staff Development Officer and Continuing Education Specialist among others. NURS 6351 – Role of the Nurse Educator Research Paper Nurse educators combine their clinical abilities with responsibilities related to: Designing curricula Developing courses/programs of study Teaching and guiding learners Evaluating learning Documenting the outcomes of the educational process. Nurse educators also help students and practicing nurses identify their learning needs, strengths and limitations, and they select learning opportunities that will build on strengths and overcome limitations. In addition to teaching, nurse educators who work in academic settings have responsibilities consistent with faculty in other disciplines, including: Advising students Engaging in scholarly work (e.g., research) Participating in professional associations Speaking/presenting at nursing conferences Contributing to the academic community through leadership roles Engaging in peer review Maintaining clinical competence Writing grant proposals A growing number of nurse educators teach part-time while working in a clinical setting. This gives them the opportunity to maintain a high degree of clinical competence while sharing their expertise with novice nurses. Nurse educators who work in practice settings assess the abilities of nurses in practice and collaborate with them and their nurse managers to design learning experiences that will continually strengthen those abilities. NURS 6351 – Role of the Nurse Educator Research Paper Specialties: In most instances, nurse educators teach clinical courses that correspond with their area(s) of clinical expertise and the concentration area of their graduate nursing education program. Those considering a teaching career may choose from dozens of specialty areas, including acute care, cardiology, family health, oncology, pediatrics and psychiatric/mental health. In addition, nurse educators teach in areas that have evolved as “specialties” through personal experience or personal study, such as leadership or assessment. The true specialty of a nurse educator is his or her expertise in teaching/learning, outcomes assessment, curriculum development and advisement/guidance of the learner. Qualifications: Nurse educators need to have excellent communication skills, be creative, have a solid clinical background, be flexible and possess excellent critical thinking skills. They also need to have a substantive knowledge base in their area(s) of instruction and have the skills to convey that knowledge in a variety of ways to those who are less expert. NURS 6351 – Role of the Nurse Educator Research Paper Nurse educators need to display a commitment to lifelong learning, exercise leadership and be concerned with the scholarly development of the discipline. They should have a strong knowledge base in theories of teaching, learning and evaluation; be able to design curricula and programs that reflect sound educational principles; be able to assess learner needs; be innovative; and enjoy teaching. Those who practice in academic settings also need to be future-oriented so they can anticipate the role of the nurse in the future and adapt curriculum and teaching methods in response to innovations in nursing science and ongoing changes in the practice environment. They need advisement and counseling skills, research and other scholarly skills, and an ability to collaborate with other disciplines to plan and deliver a sound educational program. Nurse educators who practice in clinical settings need to anticipate changes and expectations so they can design programs to prepare nurses to meet those challenges. They need to be able to plan educational programs for staff with various levels of ability, develop and manage budgets, and argue for resources and support in an environment where education is not the primary mission. Practice Settings: While nurses who care for patients in any setting engage in patient teaching, nurse educators typically practice in the following settings: Senior colleges and universities Junior or community colleges Hospital-based schools of nursing Technical colleges Hospitals Community health agencies Home care agencies Long-term care facilities Online using distance learning technology. Within the school setting, there are as many options as there are schools. Educators may teach on a rural, suburban or urban campus; at a major private university or local community college; as part of a certificate program in a teaching hospital; or as a research coordinator in a doctoral program. NURS 6351 – Role of the Nurse Educator Research Paper What Is the Nurse’s Role in Patient Education? Effective patient education starts from the time patients are admitted to the hospital and continues until they are discharged. Nurses should take advantage of any appropriate opportunity throughout a patient’s stay to teach the patient about self-care. The self-care instruction may include teaching patients how to inject insulin, bathe an infant or change a colostomy pouching system. Without proper education, a patient may go home and resume unhealthy habits or ignore the management of their medical condition. These actions may lead to a relapse and a return to the hospital. To educate patients, nurses may instruct patients about the following: Self-care steps they need to take. Why they need to maintain self-care. How to recognize warning signs. What to do if a problem occurs. Who to contact if they have questions. How Can Nurses Ensure Patient Comprehension? Many patients lack knowledge about healthcare. Nurses must assess their patients to pinpoint the best way to educate them about their health and determine how much they already know about their medical condition. They need to build a rapport with patients by asking questions to zero in on concerns. Nurses may have to adjust their teaching strategies to fit the patient’s preferences. Many patients want detailed information, though some may request only a checklist. Once nurses complete the patient assessment, they can provide instruction by using the following:NURS 6351 – Role of the Nurse Educator Research Paper Common words and phrases. Reading materials written at a sixth-grade level. Video. Audio. A hands-on approach is instrumental in guaranteeing that a patient understands medical requirements. Nurses should perform a demonstration and have patients repeat back the information or carry out the procedure themselves. Nurses should also teach the patient’s family members, friends or caregivers at home. How Are Patients Different? Not every patient has the same learning ability. Patients may have developmental disorders or literacy limitations. Some patients may respond better to visual content than to plain text. Others may have hearing or vision impairment. Nurses may encounter language or cultural barriers. Consider the following questions when assessing patients. What level of education do they have? Can they read and comprehend directions for medications, diet, procedures and treatments? What is the best teaching method? Reading, viewing or participating in a demonstration? What language does the patient speak? Does the patient want basic information or in-depth instruction? How well does the patient see and hear? In order to create an environment that is conducive to patient education, nurses should develop a supportive relationship with their patients. Patients equipped with knowledge can make lifestyle changes and remain self-sufficient even if they have a chronic medical condition. Education can increase the likelihood of successful outcomes and improve patient safety and satisfaction.NURS 6351 – Role of the Nurse Educator Research Paper In 2008, the Institute of Medicine released a report recommending that 80 percent of the registered nurse (RN) workforce have a bachelor’s degree in nursing (BSN) by 2020, causing many hospitals to reevaluate their criteria for hiring new nurses. Additionally, hospitals aspiring to Magnet status are likely to hire more BSN-prepared nurses, due to better expected patient outcomes. That’s why many hospitals are looking to work with educational institutions such as Herzing University to meet the rising demand of BSN degrees, such as through an online RN-BSN program. As registered nurses return to school and new students seek entry to BSN programs, colleges and universities are under increased pressure to find qualified faculty to educate and train future nurses. Thus, nurse educators’ skills and experience are continually in demand, and essential for expanding the RN workforce to meet the healthcare needs of current and future generations. How are nurse educators preparing nurses for the future? Nurse educators are instrumental in shaping the future of healthcare by providing their students not only with the technical skills that they need to be successful in their field, but also the refined skills and depth of knowledge that will help advance quality of patient care. • The importance of community nursing: As the focus of patient care shifts from acute care to prevention models, a nurse’s role expands to health education and advocacy, community care, agency collaboration and political and social reform. Today’s nurses need to understand their evolving role in the community and how to provide holistic care for patients. As a nurse educator, you help nurses understand the principles behind the work that they do and how they can proactively contribute to the health and well-being of the communities they serve. • Essential leadership skills: Good leaders aren’t born—they’re made! Nurse educators help prepare today’s nurses for future leadership roles by introducing management and organizational theories that will allow nurses to take initiative in a variety of roles. In addition, nurse educators help students learn how to improve patient-care quality, how to make cost-effective decisions and how to evaluate patient outcomes to improve future practice. • How to implement evidence-based practice: Nurse educators can also help nurses learn how to critically evaluate new research. This is an important skill that allows nurses to become more effective decision-makers and problem-solvers and help improve patients’ health and well-being. Becoming a nurse educator: Becoming a nurse educator doesn’t mean that you have to forgo your clinical work; many nurse educators continue to care for patients in addition to their teaching duties. In order to become a nurse educator, you must obtain your MSN. Educational opportunities such as Herzing’s MSN-Nurse Educator program empower students to fulfill the ongoing and vital need for quality instructors in the field.NURS 6351 – Role of the Nurse Educator Research Paper Helping to shape the future generation of nurses is a truly rewarding career, and one that is essential to ensuring quality healthcare for our nation. By choosing to pursue a career in nursing education, today’s nurses can help pave the way for a healthier future. What exactly does a nurse do? This lesson explores some of the different roles a nurse plays in patient care, including caregiver, decision maker, communicator, manager of care, patient advocate, and teacher. Roles and Functions of the Nurse What exactly does a nurse do? Your answer probably depends on the experiences that you have had in the past. Most people think a nurse is someone who gives a shot at the doctor’s office – or simply is a doctor’s assistant. Furthermore, images of nurses in the media also paint a different picture of who a nurse really is. However, a nurse has a number of roles that he or she performs, often at the same time, depending on a patient’s needs. With all of the changes in healthcare over the last few decades, that role has expanded even more. Let’s explore a few of these roles.NURS 6351 – Role of the Nurse Educator Research Paper Caregiver As a caregiver, a nurse provides hands-on care to patients in a variety of settings. This includes physical needs, which can range from total care (doing everything for someone) to helping a patient with illness prevention. The nurse maintains a patient’s dignity while providing knowledgeable, skilled care. In addition, nurses care holistically for a patient. Holistic care emphasizes that the whole person is greater than the sum of their parts. This means that nurses also address psychosocial, developmental, cultural, and spiritual needs. The role of caregiver includes all of the tasks and skills that we associate with nursing care, but also includes the other elements that make up the whole person. Decision Maker Another role of the nurse, as a decision maker, is to use critical thinking skills to make decisions, set goals, and promote outcomes for a patient. These critical thinking skills include assessing the patient, identifying the problem, planning and implementing interventions, and evaluating the outcomes. A nurse uses clinical judgment – his or her ability to discern what is best for the patient – to determine the best course of action for the patient. Communicator As a communicator, the nurse understands that effective communication techniques can help improve the healthcare environment. Barriers to effective communication can inhibit the healing process. The nurse has to communicate effectively with the patient and family members as well as other members of the healthcare team. In addition, the nurse is responsible for written communication, or patient charting, which is a key component to continuity of care.NURS 6351 – Role of the Nurse Educator Research Paper Manager of Care The nurse works with other healthcare workers as the manager of care and ensures that the patient’s care is cohesive. The nurse directs and coordinates care by both professionals and nonprofessionals to confirm that a patient’s goals are being met. The nurse is also responsible for continuity from the moment a patient enters the hospital setting to the time they are discharged home and beyond. This may even include overseeing home care instructions. For nurses in the hospital setting, the nurse is responsible for prioritizing and managing the care of multiple patients at the same time, which adds another dimension to this process. Patient Advocate Being a patient advocate may be the most important of all nursing roles. As a patient advocate, the nurse’s responsibility is to protect a patient’s rights. When a person is sick, they are unable to act as they might when they are well. The nurse acts on the patient’s behalf and supports their decisions, standing up for his or her best interests at all times. This can empower a patient while recognizing that a patient’s values supersede the health care providers’.NURS 6351 – Role of the Nurse Educator Research Paper The Role of the 21st Century School Nurse SUMMARYIt is the position of the National Association of School Nurses (NASN) that every child has access all day, every day to a full time registered professional school nurse (hereinafter referred to as school nurse). The school nurse serves in a pivotal role that bridges health care and education. Grounded by standards of practice, services provided by the school nurse include leadership, community/public health, care coordination, and quality improvement (NASN, 2016a) BACKGROUND The practice of school nursing began in the United States on October 1, 1902, when Lina Rogers, the first school nurse, was hired to reduce absenteeism by intervening with students and families regarding healthcare needs related to communicable diseases. After one month of successful nursing interventions in the New York City schools, she led the implementation of evidence-based nursing care across the city (Struthers, 1917). Since that time, school nurses continue to provide communicable disease management, but their role has expanded and is increasingly diverse.NURS 6351 – Role of the Nurse Educator Research Paper A student’s health is directly related to his or her ability to learn. Children with unmet health needs have a difficult time engaging in the educational process. The school nurse supports student success by providing health care through assessment, intervention, and follow-up for all children within the school setting. The school nurse addresses the physical, mental, emotional, and social health needs of students and supports their achievement in the learning process. Students who are medically fragile or who deal with chronic health issues are coming to school in increasing numbers and with increasingly complex medical problems that require complicated treatments commonly provided by the school nurse (Lineberry & Ikes, 2015). Chronic conditions such as asthma, anaphylaxis, type 1 and type 2 diabetes, epilepsy, obesity, and mental health concerns may affect the student’s ability to be in school and ready to learn. The National Survey of Children with Special Healthcare Needs has determined that 11.2 million U.S. children are at risk for chronic physical, developmental, behavioral, or emotional conditions. These students may require health related services in schools (U.S. Department of Health and Human Services, Maternal and Child Health Bureau, 2013). School nurses address the social determinants of health, such as income, housing, transportation, employment, access to health insurance, and environmental health. Social determinants are identified to be the cause of 80% of health concerns (Booske, Athens, Kindig, Park, & Remington, 2010). In the United States, nearly one quarter of children attending school live in households below the federal poverty level (United States Census Bureau, 2014). Children from lower income families have a more difficult time accessing medical treatment for chronic diseases (Perrin, 2014).NURS 6351 – Role of the Nurse Educator Research Paper RATIONALE School nursing is a specialized practice of nursing that advances the well-being, academic success, and lifelong achievement and health of students. Keeping children healthy, safe, in school, and ready to learn should be a top priority for both healthcare and educational systems. With approximately 55.9 million students in public and private elementary and secondary schools, educational institutions are excellent locations to promote health in children (National Center for Education Statistics, n.d.) and the school nurse is uniquely positioned to meet student health needs. LEADERSHIP School nurses lead in the development of policies, programs, and procedures for the provision of school health services at an individual or district level (NASN, 2016a), relying on student-centered, evidence-based practice and performance data to inform care (Robert Wood Johnson Foundation, 2009). Integrating ethical provisions into all areas of practice, the school nurse leads in delivery of care that preserves and protects student and family autonomy, dignity, privacy, and other rights sensitive to diversity in the school setting (American Nurses Association [ANA] & NASN, 2011). As an advocate for the individual student, the school nurse provides skills and education that encourage self-empowerment, problem solving, effective communication, and collaboration with others (ANA, 2015a). Promoting the concept of self-management is an important aspect of the school nurse role and enables the student to manage his/her condition and to make life decisions (Tengland, 2012). The school nurse advocates for safety by participating in the development of school safety plans to address bullying, school violence, and the full range of emergency incidents that may occur at school (Wolfe, 2013).NURS 6351 – Role of the Nurse Educator Research Paper At the policy development and implementation level, school nurses provide system?level leadership and act as change agents, promoting education and healthcare reform. According to the ANA (2015b), registered nurses believe that it is their obligation to help improve issues related to health care, consumer care, health, and wellness. Educational preparation for the school nurse should be at the baccalaureate level (NASN, 2016b), and school nurses should continue to pursue professional development and continuing nursing education throughout their careers (Wolfe, 2013). COMMUNITY/PUBLIC HEALTH School nursing is grounded in community/public health (Schaffer, Anderson, & Rising, 2015). The goal of community/public health moves beyond the individual to focus on community health promotion and disease prevention and is one of the primary roles of the school nurse (Wold & Selekman, 2013). School nurses employ cultural competency in delivering effective care in culturally diverse communities (Office of Minority Health, 2013).NURS 6351 – Role of the Nurse Educator Research Paper The school nurse employs primary prevention by providing health education that promotes physical and mental health and informs healthcare decisions, prevents disease, and enhances school performance. Addressing such topics as healthy lifestyles, risk?reducing behaviors, developmental needs, activities of daily living, and preventive self?care, and the school nurse uses teaching methods that are appropriate to the student’s developmental level, learning needs, readiness, and ability to learn. Screenings, referrals, and follow?up are secondary prevention strategies that school nurses utilize to detect and treat health-related issues in their early stage (NASN, 2016a). School nurses provide tertiary prevention by addressing diagnosed health conditions and concerns.NURS 6351 – Role of the Nurse Educator Research Paper Student absences due to infectious disease cause the loss of millions of school days each year (Centers for Disease Control and Prevention, 2011). Based on standards of practice and community health perspective, the school nurse provides a safe and healthy school environment through control of infectious disease, which includes promotion of vaccines, utilization of school-wide infection control measures, and disease surveillance and reporting. Immunization compliance is much greater in schools with school nurses (Baisch, Lundeen, & Murphy, 2011). The school nurse strives to promote health equity, assisting students and families in connecting with healthcare services, financial resources, shelter, food, and health promotion. This role encompasses responsibility for all students within the school community, and the school nurse is often the only healthcare professional aware of all the services and agencies involved in a student’s care. NURS 6351 – Role of the Nurse Educator Research Paper CARE COORDINATION School nurses are members of two divergent communities (educational and medical/nursing), and as such are able to communicate fluently and actively collaborate with practitioners from both fields (Wolfe, 2013). As a case manager, the school nurse coordinates student health care between the medical home, family, and school. The school nurse is an essential member of interdisciplinary teams, bringing the health expertise necessary to develop a student’s Individualized Education Plan or Section 504 plan designed to reduce health related barriers to learning (Zimmerman, 2013). Creating, updating, and implementing Individualized Healthcare Plans are fundamental to the school nurse role (McClanahan & Weismuller, 2015). School nurses deliver quality health care and nursing intervention for actual and potential health problems. They provide for the direct care needs of the student, including medication administration and routine treatments and procedures (Lineberry & Ickes, 2015). Education of school staff by the school nurse is imperative to the successful management of a child with a chronic condition or special healthcare need and is codified as a role of the school nurse in the Every Student Succeeds Act (2015).NURS 6351 – Role of the Nurse Educator Research Paper Current school health practice models and school nurse workloads may require school nurses to delegate healthcare tasks to unlicensed assistive personnel in order to support the health and safety needs of students (Shannon & Kubelka, 2013). However, the availability of school nurses to work directly with students to assess symptoms and provide treatment increases students’ time in the classroom and parents’ time at work (Lineberry & Ickes, 2015). QUALITY IMPROVEMENT Quality improvement is a continuous and systematic process that leads to measurable improvements and outcomes (Health Resources and Services Administration, 2011) and is integral to healthcare reform and standards of practice (Agency for Healthcare Research and Quality, 2011). Continuous quality improvement is the nursing process in action: assessment, identification of the issue, development of a plan of action, implementation of the plan, and evaluation of the outcome. Data collection through this process is a necessary role of the school nurse.NURS 6351 – Role of the Nurse Educator Research Paper Formal school nursing research is needed to ensure that delivery of care to students and school communities by the school nurse is based on current evidence. School nurses utilize research data as they advocate and illustrate the impact of their role on meaningful health and academic outcomes (NASN, 2016a). CONCLUSION It is the position of NASN that school nurses play an essential role in keeping children healthy, safe, and ready to learn. The school nurse is a member of a unique discipline of professional nursing and is often the sole healthcare provider in an academic setting. Twenty?first century school nursing practice is student?centered, occurring within the context of the student’s family and school community (NASN, 2016a). It is essential that all students have access to a full time school nurse all day, every day (American Academy of Pediatrics, 2016). Duties of a Nurse Educator Nurse educators teach and mentor the next generation of nurses. They are the role models for nursing students, guiding students through the challenges of learning what it means to be a nurse. Prepared at the master’s or doctoral level, they are the faculty at colleges, universities, vocational/technical schools and hospital-based diploma programs. Master’s prepared nurse educators earned an average annual salary of $72,028 in 2011, according to the American Association of Colleges of Nursing.NURS 6351 – Role of the Nurse Educator Research Paper Academic Programs Nurse educators ensure that students who pass through their hands are prepared for a constantly changing health care environment. They design the academic programs at their institutions in accordance with the state regulations regarding nursing instruction. In addition to teaching the courses, nurse educators evaluat

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