NURSING AND HEALTHCARE ADMINISTRATION
Health care administration is a wide field that integrates management, stewardship and general administration systems related to the public health sector. Nursing is a health care composite profession (Basavanthappa, 2003). It’s focused on ensuring optimal health by providing the care services to the aggregates of the communities with an eventual aim facilitating good life. The field of the nursing practitioners is diverse and is characterized by different scope of prescription and practices (Dewitt & Susan, 2009). The following is a review on nursing and health care administration, with a stress on nursing professionalism and certification, legal requirements and divisions.
First, understanding the legal scope of nurse has a lot of significance to the patient and the nurse alike. The understanding of the extent of the penalties that one risks facing due to some behavior is a means of ensuring that the nurse do not act in a way that will put them in jeopardy. It also safeguards the patients from being under the care of people that are not genuine. The other issue that the practice of rigorous nursing is that the training allows people to perform at their optimum level of training this is important in ensuring that the practitioners in the respective fields work in accordance to the training, which in turn presents the patients with a chance of obtaining the best care (Wilkinson & Treas, 2012). The regulations also look at modes of ensuring that the nurses do not enter into practice without proper licensing. The legal framework also seeks to defend the occurrence of a scenario where another persons’ mistake is leveled against the other person that is in the same working environment with the nurse. The most common victim of shifted blame is a physician (Wilkinson 2011). The regulations also seek to attract the reactions on the patients to treatment and care on the nurse. This applies to all sorts of reactions whether positive or negative.
Certification and professionalism;
All types of nurse receive their certification from the board of nursing (Radicliffe & Mark, 2000). They are also under the regulations stipulated in chapter 456 and 464 of the statues of Florida State. The legislation goes beyond the scope of practice (Wilkinson & Treas 2012). They state the protocol that a nurse has to follow in the daily life while in the profession. Among the things that stand out is that the laws prohibit the prescription of much substance that can be termed as illegal in the society (Wilkinson, Nursing process: a critical thinking approach, 1996) (Wilkinson 2011). In the event that the nurse goes against the statutes, he/she is liable to a legal procedure.
The nurses have to stick to their scope at work as stipulated in the statutes, specifically in the roles of a registered nurse practitioner, and an Adult Nurse Practitioners(ANP) are monitoring and altering the drug therapies that are to be followed (Guido, 2009). The nurses can also initiate appropriate therapies for some of the conditions. Registered nurses can also perform any addition procedures in accordance to the law or as stipulated in any other law of the land. Finally, the nurses have the role of ordering that there be taken diagnostics test on the patient as well as physical and occupational therapies (Wilkinson & Treas 2012). These rules do not act in solution. This is because, at the time of adopting the rules, there were some other rules that the statutes adopted that were pursuant thereto.
The rules that apply in Florida allow the nurse to initiate drug programs and alter them if it is necessary. However, some of the drugs are to be administered by a physician since the practice is that the nurses operate under the watch of a physician. This is because of the fact that the statutes allow for prescription of drugs by a nurse while he or she is under the strict supervision of a practitioner (Wilkinson & Treas 2012). The statute goes ahead to define the ‘practitioner’ as a physician who has the license. This could also include a dentist, a vet, an osteopathic, or a naturopath. The condition for the prescription to be legal is that the doctor must be in position of a valid license from the federal government.
Divisions and relation to medical practitioners;
A comparison between the scopes of a medical doctor and a nursing practitioner indicate that there is a slight or not difference between the scope of a doctor and that of a nurse. The law in Florida indicates that the nurse has the roles of diagnosing treating and prescribing drugs. The physician does the same thing (Guido, 2009). However, some of the practitioners in the physician associations attempt at differentiating the medical practitioner from the nurses. This motive comes out in the statutes of Florida (Wilkinson 2011). The statutes indicate that the physicians made a move that ensured that there is a difference between the medical practitioners and the ANPs. This is a classic example of a fight for superiority.
All the medical personnel practicing in accordance to the Florida statutes have the responsibility of reporting to the authorities in the event that they witness a practitioner violating the statues. In the event that the practitioner does not report the issue, the later realization of knowledge of the misconduct makes him or her prosecutable (Wilkinson & Treas 2012). After a report on the misconduct is filed in the department of health, hearings on the proceedings get started.
Professionalism and certification;
There are different levels of qualifications that an ANP has to meet. In general, the nurse ought to have some experience in the nursing field having worked the way up from the registered nurse practitioner level to the ANP. The other competitiveness that the nurse should have is a specialization in a certain area of nursing. Some of the areas that one should look into include aesthetics or midwifery. The nurses also have the power of performing some procedures that are more advanced compared to the registered nurses. However, whenever the ANP nurse is performing the procedures, they must be under the supervision of a registered medical practitioner (Wilkinson & Treas 2012). However, sometimes the nurses do not have to stick to the rule since some of the procedures that they carry out may be carried out in the absence of the medical practitioners. The procedures that can go on in the absence of the practitioner are stipulated in the protocol agreement that is drawn between the nurses and their supervising practitioners.
The ascertaining of the nurses competitiveness in their respective fields of specialization is under the domain of the department of health. The laws cater for this in section 494 of the statutes that apply to the nurses (Wilkinson 2011). The process of certification includes an application by the interested party to the department (Guido, 2009). The other step that is conducted by the department is cross checks on whether the interested candidate has the interest is a certified and licensed nurse in the country. The certificate must also be valid since some of the certifications are not recognized by the law. The applicant must also have the requisites credentials after having completed at minimum one year of formal nursing training in another environment apart from the schooling (Wilkinson 2011). The applicant must also have finished basic training in the educational background. The one-year course has the main goal being ensuring that the patient has a foundation on the area of specialization (Guido, 2009). The person must also include a completion and graduation from a master’s degree program. The completion of a master’s degree is a compulsory bit for the people that wish to specialize in aesthetics.
In general, the nursing field entails a procession and composite requirement that one is expected to conform to. This enables one to perform his/her duty well without contravening the statutory laws and expected code of conduct. Ultimately, this culminates in optimal provision of healthcare and smooth administration of the various processes.
Basavanthappa. (2003). Nursing Administration. New Delhi: Jaypee Brothers Publishers.
Dewitt, & Susan, c. (2009). Fundamental Concepts And Skills for Nursing. Saunders Elsevier,Missouri , 964.
Guido, G. W. (2009). Legal and Ethical Issues in Nursing. Boston: Pearson Education.
Radicliffe, & Mark. (2000). Saunders Elsevier. British Medical Journal , 1085.
Wilkinson, J. M. (1996). Nursing process: a critical thinking approach. Boston: Pearson.
Wilkinson, J. M., & Treas, L. S. (2012). Pocket Nursing Skills: What You Need to Know Now. Philadelphia, Pennsylvania: F.A. Davis.
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