Question Answered step-by-step John had been working as an LPN for 8 years before enrolling in the… John had been working as an LPN for 8 years before enrolling in the local diploma school. John’s employer was supportive of John’s return to school and even offered tuition reimbursement in exchange for employment. For each year of tuition support, John signed a contract to provide 1 year of employment. John was able to complete the diploma program within 2 years.Shortly after John completed the diploma program, the company he worked for began the Magnet Recognition process. As a result, John was encouraged to return to school to obtain his BSN degree. John found a program that offered RN to BSN classes one night per week. He was able to complete the degree in 16 months.The transition to a Magnet facility in combination with John’s BSN credentials offered greater challenges and introduced John to other elements of nursing, including nursing research and evidence-based practices. As a result, John recognized the need to obtain his master’s degree in nursing (MSN).John was able to apply for a “traineeship” that paid for his tuition and fees, allowing John to take a year off from work to complete the program. After earning his MSN, John was hired as a senior nurse research coordinator at a large hospital facility. John worked in this position for several years but had a desire to play a leading role in nursing research, so he enrolled in a doctoral program. After 6 years of part-time study, John earned his PhD.John’s transition from LPN to PhD was shaped by personal desires as well as changes in practice expectations and demands. John met the challenges by searching out opportunities to advance within his profession.1. What are the various levels of nursing education? Describe the level of schooling needed for each level of schooling2. Think of ways that exist to advance education beyond the current degree students are seeking?3. What barriers exist that may interfere with education endeavors? Joe Martinez and Cathy Singer were delegates to their state nurses’ convention. They were prepared to discuss the issue of continuing competency during the convention. Before the House of Delegates session, Joe and Cathy were debating this issue. Joe stated, “I really believe that our state should require mandatory continuing education units for RNs to demonstrate continued competency.” Cathy responded, “I disagree. It is too difficult for some nurses in the rural end of the state to get time off from work to attend continuing education events. In addition, they cost a lot of money, and who would monitor this for nurses in our state? Our state board of nursing is already understaffed.” Joe said, “Well, I don’t know the logistics of the whole process, but I think that, as professionals, we should be held to the same standards as other professional groups.” Cathy replied, “I think we should be held to professional standards also, but maybe there is another way to demonstrate continued competency. I have heard that some states are requiring nurses to keep professional portfolios for this purpose.” 1. What is competency? Is competency mandatory?2. How can professional nurses demonstrate competency?3. How can nurses demonstrate competency through the certification process? Bryan Jones, an 11-year-old African American male, was recently referred to the pediatric gastroenterologist research center to participate in an ulcerative colitis research trial. Bryan was just 6 years old when he developed severe bouts of diarrhea that continued to worsen over a 3-year period. Despite 2 years of treatment by the local pediatric gastroenterologist Bryan’s symptoms continued to worsen. As a result, Bryan’s gastroenterologist referred him to the pediatric gastroenterologist research center to determine Bryan’s eligibility to participate in an ulcerative colitis clinical drug trial.On receiving the referral, the nurse research coordinator in collaboration with the physician reviews Bryan’s medical history to ensure he fits the inclusion/exclusion criteria specific to the trial. Satisfied that he’s eligible, the nurse researcher coordinates a meeting with Bryan and his mother to discuss participation. On arrival the nurse research coordinator meets with Bryan and his mother to discuss the purpose of the clinical trial and explains why Bryan is a candidate for the study. The nurse research coordinator explains the drug under investigation, how it’s administered, its possible risks and benefits, alternative treatments available, and what it means to participate in a clinical drug trial. The nurse emphasizes that participation in the research project is voluntary and that although preliminary studies show the drug to be relatively safe and possibly effective in reducing the GI symptoms associated with Bryan’s condition, it’s not without risks. Additionally, the nurse explains that one in three patients will receive a placebo; therefore, Bryan will only have two out of three chances of actually receiving the study medication. The nurse pauses and offers to answer any questions. Bryan’s mother, Michelle, asks how much the drug will cost and whether Bryan will be able to stop once the study begins. The nurse researcher explains that the drug is free of charge and that Michelle will incur no extra charges with her son’s participation. She adds that Bryan has the right to refuse participation and may withdraw from the research study at any time. The nurse further explains that he will be followed closely to determine the efficacy and safety of the medication.Bryan and his mother are provided the opportunity to read the consent form and ask additional questions of the research coordinator and physician. Both read the consent form and ask several additional questions. Once all questions have been addressed and the nurse research coordinator and physician are ensured that both Bryan and his mother understand the consequences, the consent and assent forms are signed. 1. What role did the nurse play in the research process? 2. Discuss strategies implemented to protect Bryan’s ethical rights. 3. Describe the role that evidence based practice plays in nursing. Describe the difference between a quantitative and qualitative study. Health Science Science Nursing NURN 129 Share QuestionEmailCopy link Comments (0)
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