Nurse Burnout and the Work Environment Effects Essay Example

Nurse Burnout and the Work Environment: Effects Paper However, there has been many researches done on Magnet hospitals being able to decrease their nurse burnout rates and job satisfaction, but there hasnt been a study done on emergency nurses in Ireland on nurse burnout and their working environment (Mahoney, 2011). A review of research study published by Inurn Mahoney (201 1) is able to provide insight by data from a group of Emergency Room nurses in Ireland. This paper will provide information reviewing the background of the issue, the methods used, the researchers findings, ethical considerations, and the impact this study may have on urging practices in hospitals around the world. Background This research study focused determining if nurse burnout and the characteristics of the work environments of emergency nurses in Ireland went hand in hand. The researchers identified that previous research focused on hospitals that held Magnet Status attracted and retained nurses better that others (Mahoney, 201 1, p. 0). Its important to determine the relationship between burnout in emergency nurses and emergency department working environments due to the increase in nurse turnover and poor job satisfaction cores. (Mahoney, 2011). Methods Mahoney (2011) utilized literature and quantitative reviews to describe the relationship between nurse burnout and the work environment of the emergency nurses at Cork University Hospital Emergency Department. Wi th the recent nurse turnover rate being 40 percent the research study was limited. We will write a custom essay sample on Nurse Burnout and the Work Environment: Effects specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Nurse Burnout and the Work Environment: Effects specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Nurse Burnout and the Work Environment: Effects specifically for you FOR ONLY $16.38 $13.9/page Hire Writer There were 86 studies sent out to the emergency nurses. Both men and women participated in the study but the majority was women with experience between 6 and 10 years of service. The ages of the respondents averaged between 30 and 40 years of age. The literature review consisted of retrieving multiple articles pertaining to emergency room nurses burnout and contributing factors (Mahoney, 2011, p. 31 Multiple databases were explored by using key terms related to emergency nurse, stress, work environments and many more. There were 21 articles used. The researcher used The Mammals Burnout Inventory (MBA) Manual created by Mismatch and Jackson to identify three dimensions of burnout, they were: emotional exhaustion (E), diversification (DIP), and reduced personal accomplishment (as cited by Mahoney, 2011 Out of the three dimensions f burnout Mahoney (2011) kept emotional exhaustion and diversification because they related more to nurse burnout and the work environment. The second part used was the quantitative method which consisted Of using a form with two series of 22 statements about nurse burnout and 30 statements about the working environment. The MBA pertained to burnout and the statements about the working environment came from a 31- item from Lakes (2002) Nursing Work Index Practice Environment Scale (NNW-PEES) (as cited by Mahoney, 2011). The respondents, which completed the MBA, were able to indicate how often each of the 22 statements best matched their individual beliefs (Mahoney, 2011). The respondents that completed the 30 statements of the NNW-PEES were broken down into subcategories including adequate staffing nurse-physician relationship, leadership support, and nurse participating in hospital affairs (Mahoney, 2011, p. 1 Analysis Mahoganys (201 1) research shown that emergency departments nurses in Ireland were overburdened, ignored, undervalued by administration and that nurse burnout is somewhat related to nursing work environment. Respondents involved in hospital affairs went coincidentally with emotional exhaustion, which meant that participation in hospital affairs were less likely going to happen. The re lationships respondents had with physicians that were perceived as collegial were shown to be less emotionally exhausted and less dependencies. Mahoney, 201 1, p. 34). Increase teamwork, collaborate and reduce levels of burnout by encouraging and developing good relationship skills between nurses, leaders, and physicians. Teamwork was also part of the study but wasnt of any concern between the exponents and physicians. One of the last major items from the working environments was if administration listens to and responds to their employees gained a negative response of 89 percent of respondents (Mahoney, 201 1). The respondents results also shown to be overburdened, ignored inadequately staffed, undervalued by administration, but yet are expected to provide quality care to patients (Mahoney, 201 1). Respondents also noted that administration was punitive with learning from mistakes and lacked in recognizing nurse (Mahoney, 2011). Emotional exhaustion and personalization was significantly associated with the working environments suggesting that the better the nurses working environment the less likely they would suffer from nurse burnout (Mahoney, 2011 , p. 5). Nurses are vulnerable to physical, interpersonal, and social effects of burnout that could have serious implications for the nurse and the patient. It is the duty of health care organizations to maintain a healthy work environment for all healthcare professionals including nurses, to minimize the risk of burnout , provide quality care to patients, and ensure patient safety (Ballard, 2003). Nurse burnout and the work environment impact all areas of nursing so if there isnt a solution then organizations will always have a problem. Ethical Considerations Cork University clinical research ethics committee gave ethical approval regarding the research. A letter describing the purpose, duration and method of research accompanied each copy of the form. Respondents received information, which made them aware that their consent to participate in the study implies consent. This study was coded using Statistical Package for the Social Science Software to ensure their privacy was protected. Conclusion This research study implies that with an overall burnout level of 60. Percent is worrisome and could be closely tied to the work environment (Mahoney, 2011 This writer suggests that organizations including nurse administration can benefit from this information and should listening to their nurses frequently. Administrators need to be encouraged to work toward developing systems supporting nurses ability to experience and manage emotion in ways that improve the quality of patient care and reduce the possibility of burnout (E rickson Grove, 2007). Administration should make sure that when an issue is addressed or a concern is brought up that they truly follow through. If nurses fail to achieve providing quality care to their patients with excessive workloads it will lead to exhaustion, diversification, and demutualization and will most likely increase nurse turnover reducing the organizations capacity to meet the needs of the patients by providing quality care (Mahoney, 201 1 , p. 36). This writer sees the benefit of future studies of obtaining Magnet Status Hospitals in Ireland to see if the percentage of emotional exhaustion will drop from the reported rate of 67 percent.

Juvenile Justice in Australiaa essays

Juvenile Justice in Australiaa essays The Juvenile Justice Act 1992 (QLD) defines a juvenile as a young person under the age of 17 years. It maintains that a child under the age of 10 years is not considered criminally responsible, and is incapable of forming 'criminal intent'. Similarly, a child under the age of 14 years is not considered criminally responsible, unless it is proven that the child understood the offence was morally wrong. The extent of Police Powers over juveniles, the efficiency of the juvenile justice system, and possible solutions to the problems arising from these systems, need to be addressed in order to reduce the high rate of youth crime. Queensland police have insufficient powers over juveniles, due to the introduction of the Police Powers and Responsibilities Act, which commenced on 6th April 1998. Police have the authority to stop a juvenile, search, question and detain them for questioning without arrest if the officer reasonably believes that juvenile was or will be involved in criminal activity. Cautions can be issued to juveniles as an informal means of addressing a matter, as arrests are only encouraged in exceptional cases. Police can question, fingerprint, photograph and take bodily samples from a juvenile, on the condition that a parent or guardian is present. All other police procedures involving juveniles are uniform to those of adults. The current juvenile justice system is ineffective in dealing with young offenders. For a simple offence such as stealing, the most a child can expect as a means of punishment is a caution, which is not revealed in a further court action concerning the child, or a good behaviour order. It is thought that punishments such as these do little in preventing juveniles from reoffending. The Queensland Police Service Statistical Review for 1996-7 revels that 25% of all offences, 66% of break and enters, 61% of motor vehicle thefts, 44% of robberies and 41% of stealing offences ...

Role of therapist in serving the old population Research Paper

Role of therapist in serving the old population - Research Paper Example The growth in the aging population in developed countries like United States of America has rendered due complexity to the treatment of complex diseases and chronic illnesses. The treatment of chronic illnesses in case of aging population demands the enhanced involvement of the human factor. The traditional systems of providing healthcare services to the aging population requires a sea change with the incorporation of a team of medical professionals operating in various medical fields. Further the modern health care system focused at elderly population must also encompass a larger network of specialized hospitals and nursing homes. Moreover more effective concepts promoting the development of rehabilitation centers along with home care systems pave the goal to health care success for the old people. This integrated model of modern healthcare is considered to be the most effective in providing proper medical services to the growing ageing population in United States. The aging people tend to become weak and frail to continue with their daily functions. Thus physicians largely relate moderate walking exercises and conducting of other activities where the elderly people can better communicate with themselves as potential instruments to help the elderly population regain confidence. Thus hospitals and nursing homes providing healthcare services to the old population must perform in an integrated network with also assisting collaboration from social and rehabilitation bodies. This will entail success to the treatment offered (Cassel, Fleece, & Reddy, 2009, pp. 47, 52-54). Role of Therapist in serving the old population Family Therapy The increase in the level of life expectancy in the United States is contributing a growth in the elderly population in United States. Further the mass of the elderly population in United States owes its origin to the baby boomer effect in the country. The elderly population in these countries largely feels unsecured about the changes h appening in the society. They feel traumatized about the various events happening around their surroundings. Hence elderly people suffering from chronic diseases often feel themselves to have become burdens on their family members and hence suffer from acute depression. In addition to the above effects the elderly people tend to take a lot of medicines by themselves without adhering to prescriptions. This leads to increased complications. Thus therapists taking care of the old population must endeavor to understand the complex family relationships of the elderly people with other factors like loneliness for having lost their spouses. This reflects the pressing need for a proper psychotherapy treatment to be offered to the elderly patients to help revive their condition. However, research shows that only a small fraction of the old population has proper access to this type of treatment. The main causes attributed behind such are lack of proper awareness about the treatment type. Ther apists’ failure to convince the old people to take resort to such treatments to cultivate their well-being has resulted into the development of negative mindsets about such treatment. Further the treatment type require high amount of expenditure often not met by the insurance companies thus culminating to their refraining to take resort to such treatments. The therapists providing health care services are also found to ignore the needs for providing psychotherapy to the elderly population. Therapists are often found stating that elderly people are stubborn by nature and hence do not feel the need to change. These medical professionals suffer from lack of training and lack of interest in their endeavor to serve the old population. The therapists tend to draw a stereotypic mindset that the elderly people are tough patients to be treated and hence must be left at their own plight. Thus healthy care bodies have come up in America, which is endeavoring to create mass awareness amo ng the elderly popul

World Wide Web Essay Example | Topics and Well Written Essays - 1250 words

World Wide Web - Essay Example In a distributed system, interconnections between the systems are in a client-server model. The client uses a web browser, which is the tool that provides universal access to the large collection of materials made available in the WWW and internet to connect with a server. The internet, the network of networks, has a network of connections between computers containing hypertext/hypermedia files or documents. Web documents contain information and are also linked to other related sources in the web. Another important reason for the use of WWW Browsers is that they have the capability to handle all other forms of internet protocols (Gopher, WAIS, FTP, Telnet etc.). The transferring of hypertext/hypermedia materials from web server to browser is based on certain network architectures. There are two types of computer network architectures used in Internet - The OSI Reference Model and the TCP/IP Reference Model. Each model has its own protocols. After the implementation of satellite and radio networks TCP/IP Reference Model became popular. The main ability of TCP/IP is to connect networks in a faultless manner. Different layers of TCP/IP Reference Model (Application layer, Transport layer, Network layer etc.) comprise different protocols, to control and coordinate the format of packets and messages that are exchanged among different computers within a layer. These protocols are used by the entities to implement service definitions. The application layer contains various purpose protocols as shown below: The Client or the web browser contacts a server through the establishment of connection to port 80 on the server’s machine. Each request from client consists of one or more lines of ASCII text. The first word on the first line is the method name. GET: The GET method is used to make a request to the server for send a page and this page is suitably encoded by MIME. Majority of requests from web browsers to web

Hydrochloric acid Essay Example for Free

Hydrochloric acid Essay Introduction: We are trying to find out how the rate of reaction is affected by the concentration of one of the reactants. We are investigating this with sodium thiosulphate and hydrochloric acid. We will use different strengths of HCI acid and record the results. Method:   Collect the apparatus.   Make up different concentrations of hydrochloric acid using table 1.   Measure 20cm3 of sodium thiosulphate and pour into conical flask   Draw X on paper and place under conical flask. Carefully pour hydrochloric acid into burette using funnel.    Remove funnel. Turn the tap on the burette and start the stop-clock   Stop the clock when the X is no longer visible.   Record the results and repeat x5. Repeat for 0. 5m and 1. 0m. How to make up the different concentrations of hydrochloric acid. Apparatus Conical flask 6 beakers Clamp stand Burette Stop clocks Sodium Thiosulphate Different concentrations of HCI acid. Table 2 Concentration of acid (M) Volume of water (ml) Volume of HCI acid (ml)0 What is a reaction? A reaction occurs when two reactants successfully react together to form a new product. This is called the collision theory. There is many different ways to measure the rate of reaction.   These include: Measuring the amount of gas produced   Weighing before and after the experiment Draw an X on a piece of paper and measure how long it takes for the substance to turn cloudy enough so that the X is no longer visible   Using sensors to detect the loss of the starting material or the formation of the product Variables: Temperature: If the temperature is high, the particles have more energy. As a result of them having more energy they move a lot faster. Therefore the particles collide a lot faster increasing the rate of reaction and making a new product. Examples of reactions: An example of a reaction is when water and iron combine together to form iron oxide (H2O) (Fe 3) (Fe2 O3) Another example of a reaction is when zinc and oxygen combine together to form zinc oxide (Zn) (O2) (Zn O2) Concentration: If the concentration is greater so to is the number of particles. When you increase the number of particles you increase the chance of a collision, and the chance of them reacting to form a new product. Surface area: The smaller the particles the greater the surface area. Therefore there is a greater chance of them colliding as there is more area for them to hit off. Therefore the smaller the particles the greater the rate of reaction. Catalyst: A catalyst is a substance, which speeds up the rate of a reaction, without being used up itself. Catalysts work better when the particles are smaller because the surface area is greater. Prediction: I think that the high the concentration the faster the rate of reaction. This is because there is more H+ ions so the higher the chance of colliding. Therefore the quicker the reaction. Diagram These are the results I recorded: Concentration of acid (M)   Conclusion: From my results I can conclude that concentration does affect the rate dramatically. For example if we compare strongest strength of acid (1 molar) to the weakest (0.2 molar), there is a difference of nearly 14 seconds between the averages. This is because in the 0. 2 molar acid there is only a small amount of h+ ions where as in the 1 molar acid there is a lot more. Therefore the collisions occur a lot faster and the rate of reaction is increased as illustrated in the diagram above. Science coursework Stephen bannon Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Patterns of Behaviour section.

Repressed Memory Essay -- Psychology Essays Memory Neurology

Repressed Memory If someone asks me, "Where were you on September 11, 2001?" I would be able to give that person an accurate answer. It seems impossible to ever forget the events of that day. How could one forget such a traumatic day? It seems like life changing events would stay with a person forever. However, there are many victims of, let's say, child abuse that cannot remember the actual abuse. The memories of such horrors have been erased so there is no recollection of the events. Being a skeptic, I am not sure if I would be able to forget such horrific events. Repressed memories can also be recovered, through therapeutic treatment. It seems odd how people can forget certain traumas, but still able to remember others. How does memory actually work, and how can one selectively repress certain memories? Memory and the I-function seem to be closely related. Memory allows individuals to store and retrieve information gained from previous experience. It can then be used to predict human response to certain stimuli. Optic neurons often "make things up as it goes along". The I-function relies on memory in order to do this. Memory is used to perform tasks such as comprehension and production of language, reasoning, and recognition of declarative. Memory is also necessary for skill acquisition. Different models of memory have been proposed. One is that there is a limited capacity for the amount of information that can be stored. Memory can decay, and the longer a memory has been stored and not used, the less available it will be. As new information enters the memory, it may be harder to access other information and cognitive system seems to be less efficient (2). Memory consists of three basic functions: enco... ...althier than repressing them. I do not quite fully understand why the brain would repress memories in order to protect the person. The mind is a web of mysteries, and memory repression is just on thread of the web. References 1)Elizabeth Loftus, http://serendip.brynmawr.edu/bb/neuro/neuro02/web3/www.muskingum.edu/psychology/psyweb/history/loftus.htm 2)About Memory, http://serendip.brynmawr.edu/bb/neuro/neuro02/web3/www.acm.org/sigchi/chi96/proceedings/doctoral/Bryne/mbd_txt.htm 3)Mechanim of Memory http://www.wm.edu/psych/psy201efr/intro_72.htm 4)Encoding memory, http://serendip.brynmawr.edu/bb/neuro/neuro02/web3/www.brainchannel.com/Memory/encoding/encoding.html 5)Skeptic's Dictionary, http://skepdic.com/repressedmemory.html 6)Process Healing, http://serendip.brynmawr.edu/bb/neuro/neuro02/web3/www.process-healing.com/description.htm

Degree Level in Nursing Versus the Baccalaureate

The Associate-Degree Level in Nursing Versus the Baccalaureate-Degree Level in Nursing The Associate-Degree Level of Nursing Versus the Baccalaureate-Degree Level in Nursing Multiple pathways exist today for an individual deciding to seek a career in the nursing profession. It can be intimidating to an individual trying to decipher the various educational programs and the relationship of each program to the future nursing practice (Creasia, J. L. & Friberg, E. , 2011). Programs at all levels provide these multiple pathways that can lead an individual to one or more nursing credentials (Creasia, J. L. & Friberg, E. , 2011).The historical overview of the various programs available can help in building a greater understanding of the factors that are influencing nursing education (Creasia, J. L. & Friberg, E. , 2011). The associate-degree and the baccalaureate-degree levels of nursing both provide contributions towards the contemporary health care system, advancement of the nursing profe ssion, and promotion of a profession dedicated to lifelong learning. In 1965, the educational entry point into the professional practice of nursing was designated to be the baccalaureate degree by the American Nurses Association (ANA) (Creasia, J. L. & Friberg, E. 2011). Three educational pathways for the registered nurse (RN) still exist more than 45 years later. These educational pathways include the diploma programs, associate degree, and baccalaureate. For an individual trying to choose the best pathway to enter the nursing profession, it can be confusing with the existence of the various program types that still exist today. Associate-Degree Level of Nursing In 1952, the Associate Degree in Nursing was designed by Mildred Montag in to assist in the shortage of nurses caused by World War II. These programs were an alternative to the collegiate preparation of technical nurses (Creasia, J. L. amp; Friberg, E. , 2011). A pilot project funded by the W. K. Kellogg Foundation in 1958 successfully led to a large increase in the numbers of associate degree programs in the United States (Creasia, J. L. & Friberg, E. , 2011). Community colleges started offering the associate degree programs, along with four-year colleges and the universities. By 1973, approximately 600 associate degree programs existed in the United States (Creasia, J. L. & Friberg, E. , 2011). Nearly 1,000 state-approved associate-degree nursing programs now exist today according to the National League for Nursing Accrediting Commission (NLNAC) (Creasia, J.L. & Friberg, E. , 2011). Out of these 1,000 programs, 652 of them are accredited (Creasia, J. L. & Friberg, E. , 2011). Designed to be two years in length, the associate degree programs provide academic credit and consist of a balance between general education and courses in clinical nursing (Creasia, J. L. & Friberg, E. , 2011). The purposes of the ADN programs are to prepare competent technical bedside nurses for care settings that included co mmunity hospitals and long-term health-care facilities (Creasia, J. L. & Friberg, E. , 2011).The intent Montag had towards associate degrees was that the ADN nurse would work under the direction of a baccalaureate level registered professional (Creasia, J. L. & Friberg, E. , 2011). This caused some confusion about the roles and relationships among the levels of nursing. According to the Maricopa Community Colleges in Arizona, their Associate in Applied Science (AAS) Degree in Nursing programs educate the registered nurse (RN) as a generalist who provides health care to clients and family groups. Their competencies relate to the art and science of nursing (Maricopa Community Colleges, 2011).Graduates from the Maricopa Community Colleges are able to utilizing therapeutic communication and caring to create an environment that achieves desired client outcomes, demonstrate verbal, behavior, and written communication skills that are effective with health team member, and can care to a div erse population because they are culturally competent (Maricopa Community Colleges, 2011). They gain competencies to be able to utilize research and recommend evidence-based nursing care to meet individualized needs across the care continuum (Maricopa Community Colleges, 2011).An ADN RN can demonstrate coordination of nursing care for multiple clients in collaboration with health team members (Maricopa Community Colleges, 2011). They demonstrate legal and ethical behaviors in all nursing activities, along with behaviors that promote the image and integrity of the nursing profession (Maricopa Community Colleges, 2011). The ADN RN will competently apply the nursing process to provide safe client care and produce positive client outcomes through the use of teaching and learning activities (Maricopa Community Colleges, 2011).Maricopa Community Colleges nursing programs allow the RN to be able to safely provide evidence-based clinically competent care within the current healthcare enviro nment by applying clinical reasoning and scientific principles (Maricopa Community Colleges, 2011). Last, but not least, the ADN graduate can demonstrate accountability for quality improvement in the health care system and provide safe, effective client care by integrating technology (Maricopa Community Colleges, 2011).Graduates of the AAS Degree in Nursing programs are provided with an educational foundation for delivery into the university setting (Maricopa Community Colleges, 2011). I am an ADN graduate from the Maricopa Community Colleges. Baccalaureate-Degree Level of Nursing The University of Michigan established the first baccalaureate of science in nursing program in the United States in 1909 (Creasia, J. L. & Friberg, E. , 2011). Baccalaureate programs consisted of five years of education until the mid-1950s (Creasia, J. L. & Friberg, E. 2011). Today, most baccalaureate programs are now four years in length (Creasia, J. L. & Friberg, E. , 2011). Compared to the ADN graduate s who are educated as generalists delivering health care to clients and family groups and their competencies are related to the art and science of nursing, baccalaureate graduates are â€Å"prepared as generalists to practice nursing in beginning leadership positions in a variety of settings† (Creasia, J. L. & Friberg, E. , 2011). Several components are essential to prepare nurses for this complex role.Quality and patient safety, liberal education, information management, evidence-based practice, communication/collaboration, health care policy and finance, professional values, and clinical prevention/population health are all essential components for all baccalaureate programs (Creasia, J. L. & Friberg, E. , 2011). According to Grand Canyon University College of Nursing’s philosophy, â€Å"the nursing programs prepare graduates to provide excellent, holistic care while encouraging a passion for achievement, a lifelong curiosity for knowledge, and pursuit of advanced p rofessional degree† (GCU, 2011).Transitioning to the Baccalaureate-Degree Level of Nursing The movement to increase the number of baccalaureate-prepared nurses in the workforce is accelerating due to the release of landmark reports from the Carnegie Foundation for the Advancement of Teaching (2009) and the Institute of Medicine (2011) (AACN, 2013). These reports have linked nursing education to enhanced patient outcomes. The need to advance education is also being recognized by registered nurses.In order to transition nurses to the baccalaureate level of proficiency, competencies must include the several essential components as listed in the baccalaureate-degree level of nursing section (AACN, 2013). The AACN Essentials of Baccalaureate Education for Professional Nursing Practice guides the curriculum for Grand Canyon University’s College of Nursing (GCU, 2011). Three dimensions of nursing education and formation were examined in the Carnegie National Nursing Education Study (Carnegie Foundation for the Advancement of Teaching, 2009).The study showed a major finding that due to the demands of nursing practice, today’s nurses are undereducated (Carnegie Foundation for the Advancement of Teaching, 2009). â€Å"To meet the demands of an evolving health care system and meet the changing needs of patients, nurses must achieve higher level of education,† states the expert committee charged with preparing the evidence-based recommendations contained in the landmark report on The Future of Nursing released by the Institute of Medicine (IOM) in October 2010 (AACN, 2013).Education has strongly impacted a nurse’s ability to practice (AACN, 2013). AACN also believes that patients deserve the nursing workforce to be the highest educated possible and the nursing profession should strive to be able to give that to their patients. Research reinforces these beliefs. For example, Dr. Linda Aiken and her colleagues at the University of Pennsylva nia showed a clear link between higher levels of nursing education and better patient outcomes in their study published in the Journal of the American Medical Association in 2003 (AACN, 2013).It was an extensive study on surgical patients and how their survival rate advantage was substantial if treated at a hospital with higher percentage of nurses with degrees at a baccalaureate level or higher (AACN, 2013). The study showed that â€Å"a 10% increase in the proportion of nurses holding BSN degrees decreased the risk of patient death and failure to rescue by 5% (AACN, 2013). † The IOM is recommending that by 2020, the workforce should contain 80% baccalaureate prepared RNs (AACN, 2013). The educational preparation of a BSN nurse versus a diploma or and ADN degree does improve patient care.An example of a patient situation I have experienced that supports this statement is when I witnessed my preceptor who is a BSN nurse educate a family on their child’s condition and h ospital care. Having the background of performing evidence-based research, the BSN RN understood the reasoning behind current practices and was able to educate the family on the patient's plan of care. Being a recent ADN graduate nurse, I felt undereducated and knew that my preceptor was better educated to assist the family with this task.I know my clinical skills, but I am continuing my education to be able to understand the reasons behind our nursing practices. BSN nurses also tend to take a step back and look at the whole picture of patient care before jumping into a situation. This is extremely important when it comes to being on a Rapid Response Team or a Trauma Team. In these situations, I have seen the difference in approach with ADN nurses versus the BSN nurses. I look forward to continuing my education to becoming a baccalaureate-degree nursing professional and providing an even higher level of care to my patients.According to Conceptual Foundations: The Bridge to Professio nal Nursing Practice, â€Å"the demands placed on nursing in the emerging health care system are likely to require a greater proportion of RNs who are prepared beyond the associate degree or diploma level† no matter which type of pathway one takes in the field of nursing (Creasia, J. L. ; Friberg, E. , 2011). I look at the pathway I have chosen in the nursing field and I feel that â€Å"it’s not where you start, but where you finish that counts (Dr.Tim Porter-O’Grady). † References American Association of College of Nursing (AACN). (2013). Creating a More Highly Qualified Nursing Workforce. Retrieved on February 15, 2013 from http://www. aacn. nche. edu/media-relations/fact-sheets/nursing-worforce American Association of College of Nursing (AACN). (2013). White Paper on Expectations for Practice Experiences in the RN to Baccalaureate Curriculum. Retrieved on February 15, 2013 from http://www. aacn. nche. edu Carnegie Foundation for the Advancement of Teac hing. 2009). Book Highlights from Educating Nurses: A Call for Radical Transformation. Retrieved on February 15, 2013 from www. carnegiefoundation. org/elibrary/educating-nurses-highlights Creasia, J. L. ; Friberg, E. (2011). Conceptual Foundations: The Bridge to Professional Nursing (5th Ed. ). St. Louis, MO: Mosby, Inc. Grand Canyon University (GCU). (2011). Grand Canyon University College of Nursing Philosophy. Retrieved on February 15, 2013 from https://lc. gcu. edu/learningPlatform/user/users. html? oken=oxZQCy8VMjQpm14sIn3jTa0SXVNp6bLCdTzhVnvsNXrt%2bE4%2fDNAR1q2VJGlolDMG;operation=home;classId=707215#/learningPlatform/loudBooks/loudbooks. html? operation=landingPage; Institute of Medicine (IOM). (2011). The Future of Nursing: Leading Change, Advancing Health. Retrieved on February 15, 2013 from http://www. iom. edu/~/media/Files/Activity%20Files/Workforce/Nursing/Future%20of%20Nursing%20Education. pdf Maricopa Community Colleges. (2013). Nursing. Retrieved on February 15, 2013 from www. maricopa. edu/programs/index/show/id:3812