DOCSLIB.ORG

34 L Nursing2021 L Volume 51, Number 5

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
34 L Nursing2021 L Volume 51, Number 5 34 l Nursing2021 l Volume 51, Number 5 www.Nursing2021.com Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved. 2.0 ANCC CONTACT HOURS Preparing for the new nursing licensure exam: The next-generation NCLEX BY DONNA D. IGNATAVICIUS, MS, RN, CNE, CNEcl, ANEF Abstract: The National Council of State Boards of Nursing is changing its licensure exam to focus on a clinical judgment model. This article describes the current National Council Licen- sure Exam (NCLEX), the shift in focus from the nursing process to clinical judgment, and the intended emphasis of the next-generation NCLEX. Keywords: National Council Licensure Exam, National Council of State Boards of Nursing, NCLEX, NCSBN, next-generation NCLEX, NGN, nursing process, Tanner’s Clinical Judgment Model TO BECOME A LICENSED RN, ter prepare new nursing graduates to LPN, or LVN, the board of nursing enter healthcare. in each state, commonwealth, or territory requires qualified nursing NCLEX basics program graduates, or candidates, to The National Council of State Boards pass standardized National Council of Nursing (NCSBN) develops licen- Licensure Exams for RNs and LPNs sure exams consistent with current and LVNs (NCLEX-RN or NCLEX- nursing practice. The organization PN) to measure competencies for surveys a large sample of new gradu- safe practice in entry-level nursing ates every 3 years to determine roles.1,2 In terms of format and con- which skills and competencies are tent, these electronic exams have vital for nursing practice. These data not changed in more than 15 years. become the basis of the test plans for This article discusses the planned the NCLEX-RN and NCLEX-PN and STOCK transition from the current NCLEX, guide the development of the exams. /i AB L formerly “the boards,” to a next- The test plans include five inte- AUDI G generation NCLEX (NGN) to bet- grated processes (IPs) for nursing www.Nursing2021.com May l Nursing2021 l 35 Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved. practice.1,2 One IP for the NCLEX- provided, and keywords are bolded RN is the nursing process, which to reduce potential reading errors. is defined as “a scientific, clinical The exam measures content knowl- reasoning approach to client care edge as right or wrong, and candi- that includes assessment, analysis, dates select one or more correct planning, implementation, and eval- answers for these items. (See Current uation.”2 Nursing diagnosis, which NCLEX multiple-choice test items.)4 includes the NANDA International The remainder of the NCLEX in- (NANDA-I) classification system, cludes fill-in-the-blank items that is not included in this IP because typically require drug dosage or I.V. NANDA-I is not used by all nurses calculations, drag-and-drop items or clinical agencies. NANDA-I de- that require prioritization, items that velops and promotes standardized require data collection from the med- terminology to improve healthcare ical record, and hot spot items in and ensure patient safety through which participants select a focused evidence-based care.3 Although the area of an image to demonstrate NCSBN does not address NANDA-I Today, many nursing technical or assessment skills. Most nursing diagnoses on the NCLEX, candidates are provided with only a many prelicensure programs include educators teach the few of these item types during the these in their curricula. The other steps of the nursing NCLEX.5 four IPs, which are integrated into process as a tool for both NCLEX exams, are caring, critical thinking and Evolution of the nursing teaching and learning, communica- process tion and documentation, and culture clinical decision-making. Introduced in 1967, the nursing and spirituality. process was originally a four-step The current NCLEX is adminis- problem-solving method that in- tered as a secure, adaptive electronic cluded assessment, planning, imple- test. The total number of items (or that-apply) questions. These items mentation, and evaluation.6 Analysis, questions) a candidate receives de- present a brief patient (or client) sit- sometimes called nursing diagnosis, pends on how well he or she answers uation and a question, followed by was added as an additional step other items of varying levels of dif- answer choices. Each client situation in the early 1970s. The American ficulty. The licensure exams consist is specific, focusing on one aspect of Nurses Association outlines the five of two types of multiple-choice test nursing care rather than a complex steps as:7 items: single-response and multiple- clinical situation. Only information • assessment response (also known as select-all- needed to answer the question is • diagnosis • outcomes or planning • implementation Current NCLEX multiple-choice test items • evaluation. Single-response multiple-choice test item: Today, many nursing educators A nurse is caring for a client receiving amlodipine for hypertension. What should the teach the steps of the nursing process nurse’s priority assessment be before administering this medication? as a tool for critical thinking and Check liver enzyme values. clinical decision-making. However, Check serum electrolyte values. the nursing process is a basic, linear ; Obtain apical pulse and BP measurements. sequential approach with narrow Weigh the client before breakfast. definitions for each step. For exam- Select-all-that-apply test item: ple, some authors state that ongoing A nurse assesses a client with early-stage rheumatoid arthritis. Which assessment patient monitoring cannot be a nurs- finding(s) should the nurse anticipate? Select all that apply. ing intervention because monitoring subcutaneous nodules near the elbow is an assessment. ; swollen, red, and painful small joints Although not widely accepted in ; weakness and fatigue the US, Tanner’s Clinical Judgment joint deformities Model has been adopted in some vasculitic lesions nursing programs as an approach to 36 l Nursing2021 l Volume 51, Number 5 www.Nursing2021.com Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved. clinical decision-making instead of solutions in order to deliver safe the nursing process. It was devel- client care.”10 oped based on an analysis of the lit- Additionally, the NCSBN created erature regarding how nurses think the National Clinical Judgment and function in practice. This model Measurement Model (NCJMM). identifies four phases of clinical Although it was originally created judgment:8 to provide guidance and direction • noticing the client’s condition and on how to measure clinical judg- clinical situation ment using test items, the NCJMM is • interpreting the data to determine also considered an action model. the clinical problem or issue Action models reflect actual practice • responding to the clinical situation to achieve positive patient outcomes as needed in nursing clinical judgments. As • reflecting on both the client’s such, the NCJMM may be relevant response and the nurse’s clinical in both academic nursing education actions to determine the effectiveness and clinical practice. of care. Although not widely The NCJMM identifies six cogni- tive (thinking) skills or processes, A basis in clinical judgment accepted in the US, also known as clinical reasoning In 2020, the first-time pass rate for Tanner’s Clinical skills, needed for safe and appropri- candidates taking the NCLEX-RN Judgment Model has ate clinical judgments, including:12,13 was approximately 87%.9 For those been adopted in some • recognizing cues (what matters taking the NCLEX-PN, this figure most?): Cues are elements of the as- was approximately 83%.9 Despite the nursing programs as sessment data that provide important high NCLEX pass rates when the another approach to information for nurses as they make nursing process is the primary focus clinical decision-making. clinical decisions. Assessment data of education initiatives, instances of are collected from clients, families, practice errors and missed care have among entry-level nurses. Following other healthcare professionals, clini- been increasing.9,10 These errors sug- a thorough review of clinical judg- cal environments, or the electronic gest that the current NCLEX may not ment approaches, a comprehensive health record. Nurses should deter- be an accurate assessment of clinical definition and model for clinical mine which data are relevant or competence. judgment was developed with input directly related to client outcomes A recent NCSBN systematic review from community stakeholders and or the priority of care, and which found that 50% of practicing nurses nursing experts. The NCSBN de- data are irrelevant, or unrelated to are involved in patient errors and fined clinical judgment as “an itera- client outcomes or priority of care. 65% of those errors are due to poor tive process that uses nursing From there, they should determine clinical judgment. In addition, only knowledge to observe and assess which assessment data are most im- 20% of nursing employers are satis- presenting situations, identify a pri- portant and of immediate concern. fied with newly graduated nurses’ oritized client concern, and generate • analyzing cues (what could it clinical decision-making skills.10 Sim- the best possible evidence-based mean?): Nurses should consider ilarly, a large 2017 study demonstrat- ed that only 23% of 5,000 newly graduated nurses hired over a 5-year Comparing the nursing process with common period demonstrated clinical judg- clinical judgment models ment skills. Although many nursing Nursing process Tanner’s Clinical Judgment
Load more

Recommended publications
  • Nursing 1 Nursing
    Nursing 1 Nursing For other uses, see Nursing (disambiguation). "Nurse" redirects here. For other uses, see Nurse (disambiguation). Nurse A British nurse caring for a baby in 2006 Occupation Names Nurse Occupation type Healthcare professional Activity sectors Nursing, Health care Description Competencies Caring for general well-being of patients Education required Qualifications in terms of statutory regulations according to national, state, or provincial legislation in each country Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice. Nurses practice in a wide diversity of practice areas with a different scope of practice and level of prescriber authority in each. Many nurses provide care within the ordering scope of physicians, and this traditional role has come to shape the historic public image of nurses as care providers. However, nurses are permitted by most jurisdictions to practice independently in a variety of settings depending on training level. In the postwar period, nurse education has undergone a process of diversification towards advanced and specialized credentials, and many of the traditional regulations and provider roles are changing. Nurses develop a plan of care, working collaboratively with physicians, therapists, the patient, the patient's family and other team members, that focuses on treating illness to improve quality of life. In the U.S. (and increasingly the United Kingdom), advanced practice nurses, such as clinical nurse specialists and nurse practitioners, diagnose health problems and prescribe medications and other therapies, depending on individual state regulations.
    [Show full text]
  • Customer Service Skills: an Essential Tool for Every Nurse
    July 2019 • Volume 23 • Number 3 • www.arsbn.org Have You Considered Serving on the State Board of Nursing? Customer Service Skills: An Essential Tool for Every Nurse Publication of the Arkansas State Board of Nursing 2 501.686.2700 The ASBN Contents Update circulation PUBLISHED BY includes Arkansas State Board of Nursing Director’s Message • University Tower Building 4 over 57,000 1123 S. University, Suite 800 licensed nurses Little Rock, Arkansas 72204 Telephone: 501.686.2700 and student Fax: 501.686.2714 nurses in www.arsbn.org President’s Message — Never Forget • 6 Arkansas. BOARD MEMBERS PRESIDENT Ramonda Housh, APRN VICE PRESIDENT Lance Lindow, RN SECRETARY Kaci Bohn, Consumer Rep. Board Business • 9 TREASURER Janice Ivers, RN Mike Burdine, RN Neldia Dycus, RN Jasper Fultz, LPN Melanie Garner, LPN Customer Service Skills: Yolanda Green, LPN An Essential Tool for Every Nurse • Stacie Hipp, APRN 10 Pamela Leal, Rep. of the Older Population Renee Mihalko-Corbitt, APRN Rachel Sims, RN APRN Corner: National Certification, Renewals and Pharmacotherapeutics The mission of the Arkansas State Board of Nursing is to protect the public and act Continuing Education •12 as their advocate by effectively regulating the practice of nursing. DIRECTOR Sue A. Tedford, MNSc, APRN I Think My Coworker EDITOR LouAnn Walker Is Impaired –What Do I Do? •14 Information published in the ASBN Update is not copyrighted and may be reproduced. The Board would appreciate credit for the material used. Have You Considered Direct ASBN Update questions or comments to: Editor, Arkansas State Board of Nursing, Serving on the State 1123 S.
    [Show full text]
  • What Nurses Need to Know About Informatics, Social Media and Security! – Page 6
    FALL 2017 VOLUME 14 {NO1} EDITION 40 www.ncbon.com NURSING BBULLETINULLETIN What Nurses Need to Know about Informatics, Social Media and Security! – page 6 Publication of the North Carolina State Board of Nursing . FALL. 2017 . BULLETIN. N NC BOARD OF NURSING Nursing Bulletin is the official C publication of the North Table of Carolina Board of Nursing. Office Location CONTENTS 4516 Lake Boone Trail Raleigh, NC 27607 VOLUME 14 {NO 1} EDITION 40 Mailing Address P.O. Box 2129 6 What Nurses Need to Know about Raleigh, NC 27602 Informatics, Social Media, and Security! Telephone (919) 782-3211 Substance Use Disorder: Fax 12 (919) 781-9461 Timely Information for Your Practice Website www.ncbon.com 14 Updated Legislation Provides Benefit to Active Duty Office Hours Military & Spouses 8 a.m. to 5 p.m., Monday through Friday 15 NCBON Staff Nationally & Regionally Recognized Board Chair Pat Campbell The Enhanced Nurse Licensure Compact (eNLC): Chief Executive Officer 16 Julia L. George, RN, MSN, FRE Unlocking Access to Nursing Care Across the Nation Editor David Kalbacker 20 Role of the Registered Nurse in North Carolina— Managing Editor Is It Limited? Elizabeth Langdon Mission Statement 26 NCBON Nurse Gateway—Update Your Information The mission of the North Carolina Board of Nursing is to protect the public by regulating the 27 Tribute to Duke Life Flight Team practice of nursing. 28 CE Opportunities 2018 Advertisements contained herein are not necessarily endorsed by the North Carolina Board of 29 Nomination Form Nursing. The publisher reserves the right to accept or reject advertise- ments for the Nursing Bulletin.
    [Show full text]
  • Click Here to View State Boards of Nursing Licensure Requirements
    As of July 1, 2020, the U.S. Department of Education will implement new regulations that professional nursing programs (RN and APRN) must adhere to. Regulation 34 CFR 668.43 (a) (5) (v) will require the nursing program to provide: a list of all states/jurisdictions where the institution's curriculum meets state educational requirements for professional licensure or certification, a list of all states/jurisdictions where the institution's curriculum does not meet state educational requirements for professional licensure or certification, and a list of all states/jurisdictions where the institution has not made a determination of whether the curriculum meets educational requirements. Additionally, a direct disclosure to the student in writing is required in regulation 34 CFR 668.43(c) by the education institution if the program leading to professional licensure or certification falls in one of the latter two categories above. The baccalaureate degree programs in nursing, master's degree programs in nursing, and Doctor of Nursing Practice program at Mount St. Joseph University are accredited by the Commission on Collegiate Nursing Education 655 K Street NW, Suite 750, Washington, DC 20001, 202-887-6791. http://www.ccneaccreditation.org Upon successful completion of the BSN or MSN-MAGELIN program, a graduate will seek application for initial Registered Nurse (RN) licensure by examination. This process varies for each state and U.S. territory. Contact information (link or address and phone number) is provided for each US state or territory below. Graduates requesting first time nursing licensure application must complete several steps. To begin the licensure application process, search the particular state board of nursing website for the application.
    [Show full text]
  • JNR0120SE Globalprofile.Pdf
    JOURNAL OF NURSING REGULATION VOLUME 10 · SPECIAL ISSUE · JANUARY 2020 THE OFFICIAL JOURNAL OF THE NATIONAL COUNCIL OF STATE BOARDS OF NURSING JOURNAL Volume 10 Volume OF • Special Issue Issue Special NURSING • January 2020 January REGULATION Advancing Nursing Excellence for Public Protection A Global Profile of Nursing Regulation, Education, and Practice National Council of State Boards of Nursing Pages 1–116 Pages JOURNAL OFNURSING REGULATION Official publication of the National Council of State Boards of Nursing Editor-in-Chief Editorial Advisory Board Maryann Alexander, PhD, RN, FAAN Mohammed Arsiwala, MD MT Meadows, DNP, RN, MS, MBA Chief Officer, Nursing Regulation President Director of Professional Practice, AONE National Council of State Boards of Nursing Michigan Urgent Care Executive Director, AONE Foundation Chicago, Illinois Livonia, Michigan Chicago, Illinois Chief Executive Officer Kathy Bettinardi-Angres, Paula R. Meyer, MSN, RN David C. Benton, RGN, PhD, FFNF, FRCN, APN-BC, MS, RN, CADC Executive Director FAAN Professional Assessment Coordinator, Washington State Department of Research Editors Positive Sobriety Institute Health Nursing Care Quality Allison Squires, PhD, RN, FAAN Adjunct Faculty, Rush University Assurance Commission Brendan Martin, PhD Department of Nursing Olympia, Washington Chicago, Illinois NCSBN Board of Directors Barbara Morvant, MN, RN President Shirley A. Brekken, MS, RN, FAAN Regulatory Policy Consultant Julia George, MSN, RN, FRE Executive Director Baton Rouge, Louisiana President-elect Minnesota Board of Nursing Jim Cleghorn, MA Minneapolis, Minnesota Ann L. O’Sullivan, PhD, CRNP, FAAN Treasurer Professor of Primary Care Nursing Adrian Guerrero, CPM Nancy J. Brent, MS, JD, RN Dr. Hildegarde Reynolds Endowed Term Area I Director Attorney At Law Professor of Primary Care Nursing Cynthia LaBonde, MN, RN Wilmette, Illinois University of Pennsylvania Area II Director Philadelphia, Pennsylvania Lori Scheidt, MBA-HCM Sean Clarke, RN, PhD, FAAN Area III Director Executive Vice Dean and Professor Pamela J.
    [Show full text]
  • Bullying in the Workplace Procedures Already Done; Input
    Texas Board of Nursing Bulletin A Quarterly Publication of the Texas Board of Nursing The mission of the Texas Board of Nursing is to protect and promote the welfare of the people of Texas by ensuring that each person holding a license as a nurse in the State of Texas is competent to practice safely. The Board fulfills its mission through the regulation of the practice of nursing and the approval of nursing education programs. This mission, derived from the Nursing Practice Act, January 2016 supersedes the interest of any individual, the nursing profession, or any special interest group. Texas Nurses Selected Texas Board of Nursing to Undergo Review by the to Pilot Choosing Texas Sunset Advisory Commission Wisely® Campaign The Texas Board of Nursing (BON) will Texas Sunset Advisory Commission Nursing is consistently rated as the undergo review by the Texas Sunset website at: https://www.sunset.texas. most trusted profession and nurses Advisory Commission during the 2016- gov/ . The Commission meets following 2017 review cycle for the 85th Legislative the public hearing to consider and vote are one of the largest providers of Session. The Texas Sunset Advisory on which changes will be recommended patient care. For that reason, it is im- Commission was established by the to the full Texas Legislature during the perative that nursing practice be evi- Texas Legislature following passage of 85th Legislative Session. dence-based. The Choosing Wisely® the Texas Sunset Act in 1977. The Sunset campaign has an identified goal of Advisory Commission performs periodic The third and final phase of the Sunset facilitating wise decision making assessments of state agencies to answer review process entails legislative action.
    [Show full text]
  • Nurse Practice Act
    Georgia Board of Nursing O.C.G.A. § 43-26 Nurse Practice Act Revised July 2019 Table of Contents Article One Registered Nurses Page Title Code Section Number Short Title O.C.G.A. § 43-26-1 Page 5 Legislative Intent O.C.G.A. § 43-26-2 Page 5 Definitions O.C.G.A. § 43-26-3 Page 5 Georgia Board of Nursing; Membership; Meetings; Officers O.C.G.A. § 43-26-4 Page 8 General Powers and Responsibilities of the Board O.C.G.A. § 43-26-5 Page 9 Use of Certain Titles and Abbreviations by Licensed Nurses O.C.G.A. § 43-26-6 Page 11 Requirements for Licensure as a Registered Professional Nurse O.C.G.A. § 43-26-7 Page 12 Temporary Permits O.C.G.A. § 43-26-8 Page 16 Biennial Renewal of Licenses; Continuing Competency O.C.G.A. § 43-26-9 Page 17 Requirements Inactive Status O.C.G.A. § 43-26-9.1 Page 18 Practicing as a Registered Professional Nurse Without a License O.C.G.A. § 43-26-10 Page 18 Prohibited Denial or Revocation of Licenses; Other Discipline O.C.G.A. § 43-26-11 Page 19 Administration of Anesthesia By Certified Registered Nurse O.C.G.A. § 43-26-11.1 Page 20 Anesthetist Exceptions to Licensure O.C.G.A. § 43-26-12 Page 20 Certain Information Given to the Board by Licensees O.C.G.A. § 43-26-13 Page 23 Article Two Licensed Practical Nurses Page Title Code Section Number Short Title O.C.G.A.
    [Show full text]
  • Promoting Nursing Leadership in the Transition to Value-Based Care
    2019 Promoting Nursing Leadership in the Transition to Value-Based Care Fifteenth Report to the Secretary of Health and Human Services and the U.S. Congress National Advisory Council on Nurse Education and Practice (NACNEP) Based on the 134th and 135th Meetings of NACNEP The views expressed in this document are solely those of the National Advisory Council on Nurse Education and Practice and do not necessarily represent the views of the U.S. Government. Table of Contents The National Advisory Council on Nurse Education and Practice ................................................. 1 Authority ..................................................................................................................................... 1 Function ....................................................................................................................................... 1 NACNEP Membership ................................................................................................................... 2 Executive Summary ........................................................................................................................ 4 Introduction ..................................................................................................................................... 6 Some Definitions of Value-Based Care ...................................................................................... 6 VBC and Nursing .......................................................................................................................
    [Show full text]
  • THE BALANCING ACT Page 8
    WINTER 2021 VOLUME 17 {NO 1} EDITION 50 www.ncbon.com PATIENT CARE AND DOCUMENTATION: THE BALANCING ACT page 8 IssueIssue PATIENT CARE AND DOCUMENTATION: THE BALANCING ACT page 8 Publication of the North Carolina State Board of Nursing Leading our Community To Outstanding Health NHRMC offers employees an inspiring work environment, an opportunity to influence change and room for advancement. Outside of work, NHRMC encourages its employees to embrace opportunities to live a fulfilling, active and healthy lifestyle. Now Hiring NHRMC Offers • Women’s & Children’s • Tuition Reimbursement • Cardiac • Clinical Ladder • Surgical Services • Education Resource Fund • Behavioral Health • Preceptor Program • Rehab Services • Nursing Congress • Oncology • Certification Reimbursement • Medical Surgical • Shared Governance Model • Critical Care • Emergency WINTER 2021 . BULLETIN N NC BOARD OF NURSING C Nursing Bulletin is the Table of official publication of the North Carolina ontents Board of Nursing. C O VOLUME 17 {N 1} EDITION 50 Office Location 4516 Lake Boone Trail Raleigh, NC 27607 Mailing Address P.O. Box 2129 Raleigh, NC 27602 6 Letter from the Editor Telephone (919) 782-3211 8 Patient Care and Documentation: The Balancing Act Fax (919) 781-9461 Website 16 APRN Volunteer Opportunity www.ncbon.com Office Hours 18 Dr. Pam Edwards, NCBON Chair, Administers 8 a.m. to 5 p.m., Monday through Friday COVID-19 Vaccine Board Chair Pam Edwards, EdD, MSN, 19 Year in Review RN-BC, CNE, CENP Chief Executive Officer Crystal Tillman, DNP, RN, 22 Newly Revised NCBON and NC SOTA CNP, FRE Joint Position Statement Editor David Kalbacker 24 Nomination Form for 2021 Election Mission Statement Protect the public by regulating the practice of nursing.
    [Show full text]
  • NURSER E G U L at I O N E D U C at I O N P R a C T I C E
    VOLUME 9 NUMBER 2 DISTRICTDISTRICT OFOF COLUMBIACOLUMBIA MAY 2012 NURSER EGULATION E DUCATION P R ACTICE Happy National Nurses Week! RN/APRN Renewals Have Begun (page 8) Government of the District of Columbia Licensed Practical Nurse Forum (pages 6) Vincent C. Gray, Mayor Two DC Nurses in Africa (pages 20-26) e-mail:OFFICIAL [email protected] PUBLICATI • O web:N of www.hpla.doh.dc.gov the District OF Columbia Board OF NursinG1 Kids will be kids at home again, thanks to you. The HSC Health Care System — through The HSC The HSC Pediatric Center Pediatric Center, Health Services for Children We provide rehabilitative and transitional care to children and with Special Needs, Inc., and HSC Home teens within a nurturing environment of family-centered Care, LLC — provides exceptional care and delivers care. The HSC Pediatric Center is accredited by The Joint remarkable services to kids and families with special Commission© (TJC), and CARF (The Commission on Accreditation of Rehabilitation Facilities). medical needs. Join our associated organizations For immediate consideration, apply on-online or e-mail your resume throughout the where you will Washington, DC area, to: [email protected] enjoy the extraordinary rewards of our important work. • Charge Nurse We offer competitive salaries and a complete benefits • RNs, Full-time & PRN package including medical, dental, 403(b) retirement savings plan, and more! Health Services for Children To apply online, visit us at: with Special Needs, Inc. Our innovative, NCQA-certified care management plan www.hschealthcarecareers.org coordinates health, social, and education services for special We are an Equal Opportunity Employer needs children and young adults.
    [Show full text]
  • Solving the Nursing Shortage in Delaware
    DELAWARE HEALTH CARE COMMISSION COMMITTEE ON NURSING WORKFORCE SUPPLY SOLVING THE NURSING SHORTAGE IN DELAWARE KEY FINDINGS AND RECOMMENDATIONS March 2002 DELAWARE’S NURSING SHORTAGE What: The nursing shortage threatens the stability and quality of the health care system for Delawareans. When: Delaware health care organizations are feeling the shortage now. Why: There are a multitude of factors contributing to the shortage. Causes include a poor image of careers in nursing; a tighter labor market that puts nursing in competition with other professions; an aging population that needs more care and produces fewer young people to work in nursing; and work climates that hamper nurse recruitment and retention. Who: The greatest concern is the shortage of Registered Nurses. However, there are also shortages of Licensed Practical Nurses, Certified Nursing Assistants and nurse educators. Where: The shortages in Delaware are most severe in hospitals and long-term care facilities. Please refer to Chapter 2 for supporting detail. SOLVING THE NURSING SHORTAGE IN DELAWARE TABLE OF CONTENTS INTRODUCTION AND ACKNOWLEGMENTS EXECUTIVE SUMMARY 1 Overview of the Nursing Shortage and This Report 1 Recommendations At A Glance 2 CHAPTER 1 – PROJECT BACKGROUND 4 Study Purposes 4 Study Methodology 4 CHAPTER 2 -- THE NURSING SHORTAGE 6 Magnitude of the Shortage 6 Causes of the Shortage 10 Impact of the Shortage on Health Care Access, Quality and Cost 13 Strategies Underway to Address the Shortage 20 CHAPTER 3 – THE NURSING PROFESSION: AN ENVIRONMENTAL SCAN 23
    [Show full text]
  • Nevada State Board of Nursing, 5011 Meadowood Mall Way, Suite 300
    Nevada State Board of Nursing, 5011 Meadowood Mall Way, Suite 300, Reno, NV 89502-6547 Fax: (775) 687-7707 or (702) 486-4803, Email: [email protected] www.nevadanursingboard.org; Toll Free (888) 590-6726 To practice as nurse in Nevada, you must hold an active Nevada license. Registered Nurse/License Practical Nurse Exam Requirements You must submit items 1-4 1. A completed signed application submitted via the Nevada Nurse Portal, including a fee of $100 (RN) or $90 (LPN). MasterCard™, Visa™, Discover™, or American Express™ debit or credit cards accepted. Fees are not refundable. 2. Order an official transcript of your nursing education program be sent to the Board directly from the school. The transcript must have your degree posted and graduation date. Your nursing program may send official transcripts to the address above or email electronic transcripts to [email protected]. i. Nevada graduates: This requirement is fulfilled in two steps: 1) Your school will send the Board an affidavit of graduation, which will make you eligible to receive an Interim Permit, if you choose; and 2) You must order an official transcript, which must indicate a nursing degree and graduation date, sent to the Board directly from your school to be eligible to receive a permanent license. ii. Out-of-state graduates: Order an official transcript, which must indicate a nursing degree and graduation date, sent to the Board directly from the school. iii. Graduates of international nursing programs: All international graduates are required to complete a CGFNS/CES Professional Report or IERF evaluation.
    [Show full text]