Showing posts with label nursing profession. Show all posts
Showing posts with label nursing profession. Show all posts

Tuesday, 18 February 2020

Winning at Student Retention: How to Succeed as a Nontraditional Nursing Student

Winning at Student Retention: How to Succeed as a Nontraditional Nursing Student


Nursing student retention is a major question at nursing school programs across the US. What factors help a student stay in or drop out of a program, and how can you stay on the winning side of the retention statistics?

The Surge in Nontraditional Nursing Students

If you’re not coming to nursing school straight out of high school, join the club! The nursing student body is attracting a growing number of what are referred to as “nontraditional students.” According to Marianne R. Jeffreys, author of Nursing Student Retention: Understanding the Process and Making a Difference, nontraditional students tend to fall into one or more of the following categories:
  • Age 25 years of age or older
  • First-generation college students
  • Attend school on a part-time basis
  • Members of ethnic or racial minority group
  • Speak English as a second language
  • Have dependent children
  • Have a GED
  • Commutes to campus
  • Changing to nursing from a former career
  • Taking remedial, refresher, or update courses
  • Male students
Despite the need for nurses from varied backgrounds to treat an increasingly diverse patient population, nontraditional students face a number of challenges. Quite often, a nontraditional student is driven to drop out owing to time and/or financial constraints, family/childcare responsibilities, work commitments, and other conflicts that interfere with their ability to fulfill course work requirements and achieve academic success.
However, there are a variety of options available to students in such situations. Many programs seek to reactivate lapsed students by offering tuition waivers and make use of special grants to increase student retention and head off the drop-out process. Look for a school that is making use of such grants to create peer-mentoring networks, test prep workshops, and other special activities—measures that have been proven to enhance your experience and increase your chances of success in the program. Taking advantage of these opportunities can help you to meet the challenges of your course-load, reduce stress, give you greater confidence, and increase your chances of passing the NCLEX.

Get the Support You Need—and Deserve

If you are a nontraditional student, keep in mind that your background and situation make you very attractive to the nursing profession! Nontraditional students are in great demand at all levels of nursing education; with your background and abilities you can make a unique and vital contribution.
According to a recent CUNY study, “support by faculty, friends, and family was the key determinant of first semester nursing students’ ability to remain in the nursing course.” Keeping this in mind, take confidence in your value to the profession, don’t be shy, and put yourself out there:
  • Make an effort to ask questions in classes and go to faculty for help: it is always better to ask a question than to leave it unasked! If there is something you don’t understand, speak up in class—and if you have more questions than can be managed during a lesson, schedule time to meet with your instructors for help after class.
  • Worried about financing your degree? Talk to your financial aid advisor to apply and negotiate for student loans—they’re not just for recent high-school grads. And, if you’re in a BSN program, don’t forget that a nurse externship enables you to collect a salary while gaining hands-on experience with patients—and will also hone your competitive edge in the job market.
  • If your school offers a peer mentoring program, take advantage of it. According to the journal Nursing 2020, “students who are peer mentored have better rates of retention and are more successful.” Connecting with a peer mentor can help you to master a challenging course, develop better study habits, bring you closer to your classmates, and increase your self-confidence—all of which can lead to a higher GPA and NCLEX score!
  • Make the most of your school’s academic support services. Keep in mind: regular meetings with your faculty advisor can make an enormous difference—for instance, did you know that counseled students have higher retention rates than non-counseled students?

Pursue Success in Your Classes

Nursing is a demanding, rigorous discipline, but those demands can be met. Here are some basic steps you can take toward success in obtaining your degree and license:
  • Practice self-efficacy: Self-efficacy reflects confidence in the ability to exert control over one’s own motivation, behavior, and social environment. Stanford University’s Albert Bandura says of self-efficacy, “After people become convinced they have what it takes to succeed, they persevere in the face of adversity and quickly rebound from setbacks. By sticking it out through tough times, they emerge stronger from adversity.” Push negative thoughts out of your head and motivate yourself to succeed; form targets and commit to meeting them; be persistent—approach hardships and setbacks as challenges to be overcome with increased energy and efforts.
  • Double down on your studying skills (check out the University of North Carolina’s helpful guide, Study Smarter Not Harder). Did you know that time management, organizing, and planning are better indicators of academic success than your total number of study hours? Using your time effectively is the key.
  • Attendance is vital. Did you know that your nursing program’s attendance policies may be stricter than the policy of your parent institution? You also need to take into consideration that in a nursing program, in addition to your classroom hours, attendance requirements also include specific nursing course components such as skills laboratory and/or clinical hours.
  •  “Attending” while you attend class and read your textbooks and notes is also essential: how involved are you during class and when reading? Speaking of notes, have you developed good note-taking skills? Did you know that most studies indicate it is more effective to take notes by hand instead of using a laptop?
  • If you have outside obligations that are making it hard for you to focus, talk to a peer mentor or a faculty advisor—sooner rather than later—about adjustments you can make that will help you to concentrate and remain alert.

How Family, Children, and Work Affect Student Retention

Marianne Jeffreys remarks, “People have lives that constitute more than nursing school. The reality is that environmental factors can influence student retention, persistence, and success more than academic factors.” When it comes to academic success, personal “environment” plays a key role in student retention. For example, are you living with family or raising children? Working a full- or part-time job? Do you have a long commute to and from school? For the traditional student, college adjustment and social integration into the college residential life-environment play a substantial role in academic success. For the nontraditional student, “environment” is largely composed of off-campus life: where you live (and with whom), the financial constraints you live under, family/work obligations, transportation issues, and other factors that affect your life both on- and off-campus.
One hurdle to look out for is the late-semester crunch. Studies have found that the challenges a nontraditional student faces on a day-to-day basis can be lighter or heavier depending on the time of year. Earlier in the semester, for instance, family, relationship, and work responsibilities can exert a moderate, but manageable pressure on the demands of school. Later in a semester, though—for example, when exams are pending—those same responsibilities can feel a lot more burdensome. This is a good time to seek out faculty and peer mentor guidance for help managing time and juggling the various “hats” you wear while fulfilling responsibilities at home, work, and school.
And what about children? An increasing number of students have dependent children; how do they manage? Research has shown that even single parents are more resilient than might be expected. In one study, almost 60% of students with children reported that they found child care to be supportive of their goals and aspirations in nursing, while others stated that their child-care arrangements did not influence course retention at all. As Jeffreys adds, “notably, all of these students remained in nursing courses throughout the semester and successfully passed the course.”
Working while attending school is becoming a fact of life for both traditional and nontraditional students. Even traditional students now often work 30 hours a week or more. And, once again, the perceived impact of employment responsibilities on schooling can be subject to that late-semester crunch. What may seem manageable earlier in the semester can start to feel increasingly restrictive later on. When setting your hours of employment, also keep in mind that the number of hours you work can have a significant impact on academic achievement and student retention: a 40-hour work week can make school substantially harder than a 30-hour work week. Plan out your budget, and don’t take on more hours than you absolutely need.

The Role of Encouragement and Emotional Support

Families can offer forms of support that can compensate for lack of financial wherewithal. Emotional support and expressions of pride and encouragement regarding your educational and career goals can make all of the hardships worthwhile. In her book, Marianne Jeffreys cites a study of over 1100 culturally and generationally diverse undergraduate commuter nursing students that showed family emotional support was one of the most powerful influences on their ability to remain in a nursing course. If you feel that your family or significant other could be more supportive of your efforts, supplement your own inner resources by talking to your advisor or peer mentor. And remember your friends: the support of good friends can give you a boost during crucial moments.
As nursing schools are becoming increasingly reliant on nontraditional students, the issues such students face are attracting ever more attention from administrators and faculty. In addition to the student retention measures already in place, programs will continue to seek out ways to attract—and retain—nontraditional students and support them in their progress toward their degrees. And, whether you are a nontraditional or a traditional student, make your voice heard! Talk to faculty, administrators, and peer mentors to contribute your own suggestions about ways to pave the path to success to graduation.

Thursday, 26 December 2019

Nursing Facts: 8 Things You Should Know About the Nursing Profession


Did you know that nursing students account for over half of all health care students? Nursing is not only an important job, but also a booming profession. And those who earn a degree from a nursing program are not only learning valuable skills that can help them make a difference in the lives of others, but they are also entering an evolving and expanding profession with the necessary tools to succeed. Discover more about the profession with these nine interesting nursing facts.

Intriguing and Useful Nursing Facts
If you are interested in studying to become a nurse, these eight nursing facts cover not only the current state of nursing in the U.S., but also its projected future in years to come.

The Beginnings of the Nursing Profession
The history of professional nursing traditionally begins with Florence Nightingale, the well-educated daughter of wealthy British parents who defied social convention by deciding to become a nurse, then considered a low-status profession. She tended to injured soldiers in the Crimean War in the 1850s and played a significant role in changing the nature of the nursing profession in the 19th century. She opened the first professional nursing school in 1855 at St. Thomas Hospital in London.

Candidates Can Choose from More Than One Hundred Nursing Professions
An article in Medical News Today notes more than one hundred nursing professions. Specialties include ambulatory, geriatrics, hospice, nephrology, neuroscience, pediatrics, radiology, rheumatology, telemetry, transplant, and trauma. According to an article on Gap Medics, the following are some of the most popular specialties or professions within the nursing field: nurse midwife, ICU, nurse practitioner, neonatal intensive care unit (NICU), medical surgery, and oncology.

By 2020, More Than 800,000 RN Positions Are Expected to Go Unfilled Nationwide
According to the American Nurses Association, there will be “far more registered nurse jobs available than any other profession, at more than 100,000 per year.” Yet, many of those jobs are set to remain unfilled due to a combination of open positions and nurse retirement. More than 200,000 nursing positions are expected to remain unfilled by 2026.

Nearly 3 Million Nurses Are Employed in the United States
Registered nurse positions are opening up as demand for health care services expands along with the aging U.S. population. In fact, according to the U.S. Bureau of Labor Statistics (BLS), registered nurses held just under 3 million jobs in 2016 — 2,955,200 positions. The BLS projects 3,393,200 open positions by 2026, an increase of 15% in a 10-year period. In fact, an American Nurse Today (ANT) article notes 3.1 million to 3.6 million registered nurses already work in the U.S. today, meaning the projection has almost or already been met. These nursing facts bode well for future job hunters in the nursing profession.

Nurses Deliver Most of the Nation’s Long-Term Care
An ANT article notes that nurses handle the majority of our nation’s long-term medical care — care provided over a long period of time for people with chronic illness or disability, delivered at home or in health care spaces. According to LongTermCare.gov, a division of the U.S. Department of Health and Human Services, people turning 65 have a 70% chance of needing a long-term care service, with 20% needing care for more than five years. With hundreds of thousands of elderly people needing long-term care, nurses play a critical role in enabling more people to receive it.

Up to 62.2% of all Employed RNs Work in Hospitals
Hospitals are always a hive of activity. Nurses, physicians, technicians, therapists, medical assistants, patients, and their loved ones all have someplace to be or someone to talk to. That means many people may not realize just how strong the presence of nurses really is in an active hospital. For instance, according to an article in ANT, nurses are the largest group of hospital staff. Throughout a hospital, most health-care-related tasks are carried out by dedicated nurses. In fact, according to the same ANT article, 62.2% of all registered nurses work in hospitals.

Demand Is High for Home Health Care Nurses
As many hospitals shift focus to acute and specific care, many private health care options — such as home health care, outpatient centers, and neighborhood clinics — are expanding, opening up job opportunities for registered nurses. According to a 2014 report from the Centers for Disease Control and Prevention, 12,400 home health agencies served up to 4.9 million patients who received care at home. With so many people already using home health care, as well as more people aging into care in the future, nurses capable of working in home health care may find that there is no shortage of job opportunities.

General Nursing Practices Are Typically the Same the World Over
No matter where you go in the world, general nursing practices are typically pretty similar. According to an article published in the Online Journal of Issues in Nursing (OJIN), common universal themes include the different education levels for nurses moving up into more complex roles, credentialing standards to create a level of safety, nursing positions being held mostly by women, nursing occurring within a medical structure, and the existence of nurse shortages.

Monday, 16 December 2019

 What is Nursing?


21st Century nursing is the glue that holds a patient’s health care journey together. Across the entire patient experience, and wherever there is someone in need of care, nurses work tirelessly to identify and protect the needs of the individual.  

Beyond the time-honored reputation for compassion and dedication lies a highly specialized profession, which is constantly evolving to address the needs of society. From ensuring the most accurate diagnoses to the ongoing education of the public about critical health issues; nurses are indispensable in safeguarding public health.

Nursing can be described as both an art and a science; a heart and a mind. At its heart, lies a fundamental respect for human dignity and an intuition for a patient’s needs. This is supported by the mind, in the form of rigorous core learning. Due to the vast range of specialisms and complex skills in the nursing profession, each nurse will have specific strengths, passions, and expertise.

However, nursing has a unifying ethos:  In assessing a patient, nurses do not just consider test results. Through the critical thinking exemplified in the nursing process (see below), nurses use their judgment to integrate objective data with subjective experience of a patient’s biological, physical and behavioral needs. This ensures that every patient, from city hospital to community health center; state prison to summer camp, receives the best possible care regardless of who they are, or where they may be.

What exactly do nurses do?

In a field as varied as nursing, there is no typical answer. Responsibilities can range from making acute treatment decisions to providing inoculations in schools. The key unifying characteristic in every role is the skill and drive that it takes to be a nurse. Through long-term monitoring of patients’ behavior and knowledge-based expertise, nurses are best placed to take an all-encompassing view of a patient’s wellbeing.

What types of nurses are there?

All nurses complete a rigorous program of extensive education and study, and work directly with patients, families, and communities using the core values of the nursing process. In the United States today, nursing roles can be divided into three categories by the specific responsibilities they undertake.

Registered nurses (RN) form the backbone of health care provision in the United States. RNs provide critical health care to the public wherever it is needed.

Key Responsibilities
  • Perform physical exams and health histories before making critical decisions
  • Provide health promotion, counseling and education
  • Administer medications and other personalized interventions
  • Coordinate care, in collaboration with a wide array of health care professionals
Advanced Practice Registered Nurses

Advance Practice Registered Nurses (APRN) hold at least a Master’s degree, in addition to the initial nursing education and licensing required for all RNs. The responsibilities of an APRN include, but are not limited to, providing invaluable primary and preventative health care to the public. APRNs treat and diagnose illnesses, advise the public on health issues, manage chronic disease and engage in continuous education to remain at the very forefront of any technological, methodological, or other developments in the field.

APRNs Practice Specialist Roles


Licensed Practical Nurses (LPN), also known as Licensed Vocational Nurses (LVNs), support the core health care team and work under the supervision of an RN, APRN or MD. By providing basic and routine care, they ensure the wellbeing of patients throughout the whole of the health care journey

Key Responsibilities
  • Check vital signs and look for signs that health is deteriorating or improving
  • Perform basic nursing functions such as changing bandages and wound dressings
  • Ensure patients are comfortable, well-fed and hydrated
  • May administer medications in some settings
What is the nursing process?
No matter what their field or specialty, all nurses utilize the same nursing process; a scientific method designed to deliver the very best in patient care, through five simple steps.

  • Assessment – Nurses assess patients on an in-depth physiological, economic, social and lifestyle basis.
  • Diagnosis – Through careful consideration of both physical symptoms and patient behavior, the nurse forms a diagnosis.
  • Outcomes / Planning – The nurse uses their expertise to set realistic goals for the patient’s recovery. These objectives are then closely monitored.
  • Implementation – By accurately implementing the care plan, nurses guarantee consistency of care for the patient whilst meticulously documenting their progress.
  • Evaluation – By closely analyzing the effectiveness of the care plan and studying patient response, the nurse hones the plan to achieve the very best patient outcomes. 

Nurses are Key to the Health of the Nation

  • There are over 4 million registered nurses in the United States today.
  • That means that one in every 100 people is a registered nurse.
  • Nurses are in every community – large and small – providing expert care from birth to the end of life.
  • According to the January 2012 “United States Registered Nurse Workforce Report Card and Shortage Forecast” in the American Journal of Medical Quality, a shortage of registered nurses is projected to spread across the country between 2009 and 2030. In this state-by-state analysis, the authors forecast the RN shortage to be most intense in the South and the West
  • Nurses' roles range from direct patient care and case management to establishing nursing practice standards, developing quality assurance procedures, and directing complex nursing care systems.

Thursday, 31 October 2019

Could you be the RCN Nurse of the Year in the year of the nurse?


Could you be the RCN Nurse of the Year in the international year of the nurse?

The search for the RCN Nurse of the Year 2020 has begun with the launch of the profession’s most prestigious annual awards.

Awards open to nursing professionals across the UK

The RCNi Nurse Awards invites nurses, students and nursing support workers from across the UK to share their innovations and expertise and celebrate their contributions to improving patient care and outcomes.

Entries are open to individuals and teams in 11 categories that cover the diversity of nursing. Next year's awards coincide with the World Health Organization's international year of the nurse and midwife, which will put the nursing profession in the global spotlight.

RCNi Nurse Awards 2020: the categories


Recognising the Patient’s Choice

The Patient’s Choice category, which gives patients an opportunity to nominate a nurse or healthcare assistant who has made a difference to their lives, is decided by a public vote.

The RCN Nurse of the Year 2020 will be announced at the awards ceremony in London on July 8, having been chosen from the category winners.

RCN Nurse of the Year 2019 Taurai Matare transformed her ophthalmology unit at Whipps Cross Hospital in London, creating a one-stop eye centre, developing her nursing team and eradicating four-hour waiting time breeches.

Ms Matare said: ‘I’ve done things I never would have dreamed of and had amazing opportunities to network with nurses nationally and internationally. When the prime minister Boris Johnson came to visit me for a one-to-one meeting, that was something else.’

Highlight the work of your team, colleagues and specialty 


  • The accolade has raised her profile at her trust, Barts Health, and further afield.
  • ‘When I won, I didn’t realise how big it was,’ she said. ‘I am being flown to Australia to speak at a conference and next year have an invitation to speak in Singapore.
  • ‘I now have a waiting list of nurses and healthcare assistants from all over London who want to join my team. Winning this award has made so many nurses interested in ophthalmology, my passion, as a career.’


‘2020 awards will be even more special’

RCNi managing director Rachel Armitage said: ‘We are always passionate about celebrating nursing excellence, but the 2020 international year of the nurse makes the RCNi Nurse Awards even more special this year.

‘We hope nurses from all specialties and backgrounds throughout the UK will enter to help us shine a light on the outstanding care delivered to patients day in and day out in these challenging times.’

The deadline for entries is January 17 2020.