Foundation of Nursing Education(ADN program and BSN program)

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IntroductionThe rapidly developing era of the 21st century has marked new beginnings in different fields of the education. It is in fact, opportunities, availabilities and the broad-based challenges to the various segments of the society. It includes the advancement of the technology and the changing environment of the globalized world. Similarly, education became highly sensible for all the learners, which directly or indirectly attached to the concept of gaining knowledge. This also includes professionals and non- professional learners of the community, who are trying to understand the concepts and the theories, which might be helpful for them in their futures or their carriers. In the same way, educational institutions and the academic circles also require going through a comprehensive review of the courses and syllabus, to make it in conformity with the present day challenges and evolving structure of the society.DiscussionChange from an ADN program to a BSN program  Same is the case with the education of nursing. It requires highly motivated and professional skills to take care of those patients, who are increasingly adopting the characteristics of approaching the hospital and the daycare units. These people are also exceeding in numbers while having their age of above sixty. They need to be taken into the calm atmosphere, where they could find to meet all the necessaries of their life. Similarly, as nursing is the sensitive profession, it always needs transformation and inclusion of the changing trends that are overwhelming its courses with the due passage of time.According to Van & Townsend (2000), many of the socio-economic factors influence the working of the nursing. The phenomena of revolution always cover issues like that of development in health care delivery and the related problems that are primarily connected with this field. As the time passes, it provides undoubtedly the number of the changes in different aspects of the same areas concerning the subject of nursing. In this regard, the programme of the nursing education that is running by the universities of the united state requires the overhauling and further extension to comply following the needs and the demands of the socio-economic context. Before, deciding the curriculum we must have a careful look at the issues and aspects that might affect our profession of nursing, directly or indirectly  (Einhellig, Gryskiewicz & Hummel, 2016).Increasing trends of the explosion of the population and shifts in the US has challenged the preferences and the practices of the Nursing profession. More than twenty percent of the people are having their age exceeding sixty years, and older while providing many of the others that are of the age of eighty-five  (Nguyen et al., 2018). These statistics unfolded that before the years of two thousand and twenty, these are the rapidly enhancing group of the people present in the community. Similarly, advancement in the health of the public and the care provided in the clinics also has increased the demands of each life cycle.Life expectations of an individual with chronic and the acute condition have also challenged the clinical care system. Providence of effective and efficient care to these people placed hospital staff in difficulty as for how to deal with the patients of these kinds, and how the people could get satisfied with their services. There is a significant division in the types and stages of the diseases as the concept of diversity, and the population increased  (Van & Townsend, 2000). In the same way nature and forms of the disease also change the routine process of dealing with the respective patients. Mortality rates and the kind of the morbidity disperse and hence provided increased access to the large segments of the population towards caring measures.Research and the knowledge of the nursing staff and the community must engage these issues of taking care of these changing types of ailments. In this regard, the team of the concerned sections has to maintain the spiritual, physical and the psychological care the more significant part of the population. It is because the majority of the people are excessively indulging in such kinds of diseases (Kostiainen et al., 2018). These are demographics that are modifying as with the passage of speed change in time of the modern world. In the same way, students getting admissions in the respective schools, colleges or nursing departments are increasingly expecting much more than that of the existing system available to the community.Implications of learning theory over BSN ProgramAccording to  Einhellig, Gryskiewicz & Hummel (2016), the productive cultural environment has also provided much more regarding the processes and the style of learning education in the school. This is in fact, due to the racial and the ethnic diversity available in a single college or the unit of one academy of nursing education. Most of the student are getting admission in these schools are coming with the mature age, and with the rich experience of college or the college life, expecting high for their careers are also a problem for these educational sectors of the nursing  (MacLean et al., 2018). Challenges of dealing with these types of the students get enrolled in the college, have sparked much for the academics to provide efficient and reform system. In the policy design, adopting the methods for education, and the case materials must also address the issue sof these students. Similarly, setting for the clinical practicing and the preferences chosen by the department must engulf with the diversity of student body and mind.Other than these students, the excessive advancement in the technological accessories has the profound impact on the services and the education provided to the nursing staff of the hospitals. Affordability to the personal computers, face shaping, and the technology transfer has given much more to the explosion of speed and procession of the system, which ultimately has affected the educational and related branches of the nursing. Progress in the scientific research has developed the technological instruments like that of nanotechnology, which could check the very small kinds of the diseases found in the body of the individual  (Van & Townsend, 2000). At this stage of the development diagnosing a disease would cost less expensive and speedy clinical processes. That’s how the world is evolving, and how the super creatures are advancing in this mortal world. The method of documentation in making the profiles and the records of the respective patients is no more of helpful, as all the data would be shared with electronic devices and the machines working in the clinics. Those types of the data that was previously available only to the staff and related people could now easily be seen by the customer or the patient.How nursing research is conducted in this post-modern world, would be a serious question of consideration. In the clinics, they had to skill and learned the advanced methods of computer technology, to get through the analysis and observation processes. In the same way, those laboratories that are engaged with high technological machines could easily enhance the critical thinking and the cognition style of learning specific skills power of the nursing staff  (Carabez et al., 2015). Conducting the research would not serve the purpose unless it is engaged following the advanced forms of using mechanical methodologies.Development of New BSN CurriculumAs the world became globalized, internationalize, and the cultures of the cross-border are meeting with each other, the profession of nursing could not let to be distancing itself from experiencing the multi-cultural health care problems. Other than professional doctors or the physicians, this class of medical faculty must have to learn and to observe that what is happening in the other parts of the world or the regions. How people and the experts of a specific country are dealing with the disease or what are the changes happened to advance or to develop the faculty of medicine would be the questions addressed directly to the nursing staff and its profession directly  (MacLean et al., 2018).For example, as the society of US is diverse in its culture and those people that are regularly visiting, are bringing new infections and diseases like that to the local population. These types of problems must be addressed, and nurses must also get information, that which country has the emerging disease, that might be spread to their state. Similarly how to tackle the issue or the multicultural illness, and how they could eliminate such types of problems related to the public health care of the people. Mostly poor class of the Asian or the Africa region possessed such kinds of health issues, and while traveling to the other parts of the world, like that of US they spread diseases and make people weak, and infection got the transfer from one body to other bodies  (Kardong et al., 2012). This should be considered seriously while designing new curriculum or while extending the already running programme of the education for the nurses. These kinds of information and experiences would be fruitful in enhancing the existing knowledge of the trained or untrained working medical class.Certain multinational corporations are working in the various parts of the US. Those who are interacting and experiencing their dealings and communications must also realize their disadvantages theirs. Because of the fact, the worker from various parts of the world and the regions came and communicated individual behaviors and health-related issues. They also left their good or bad activities there which might affect the healthcare problems. Everything requires attention and the care to go through, before moving to set the criteria and the formulation of the policy for the course of the said work  (Hayden et al., 2014).In a way, well sourced and knowledgeable patients of this modernized world often expecting from the service staff or the doctors, that they must be taken into the consideration while deciding the health of the patient. Sometimes it also happens that patient asked to play an active role in the process of tackling the specific issue that is mostly concerned with the operating staff working in the hospital including doctors and the nurses  (Carabez et al., 2015). In the same way, old agers are having severe concerns regarding their health, but they could not be told by the nurse to avoid any mishap or psychological disorder because they might fall into the fear of the disease that is of the highly reasonable level.Engulfed by the demands of the consumers and facilitation of information provided to them by the media and the attached facilitators, patients sometimes require alternative therapies. In the present time, it became influential on the medications to use alternative treatments in a way that might not harm the request of these consumers. Several academic circles of the medical faculty have started reviewing these issues in the light of advance practices that are now added to the clinical diagnosing. It is now imminent that consumer should be given the option to choose the complementary style of recovering from the particular type of healing and illness. Serving staff should be accomplished with the training and the skills of these models so that they could be able to handle any severe problem facing the person.Justification for BSN ProgramThe traditional way of dealing and diagnosing problems and issues of the consumer is no more applicable to this developed society. In this regard a flourished research must be done on the part of nurses, that could end the existing gap between a doctor or day carer and the consumer. Mostly in the present scenario of healing and dealing with the therapies might spur consumer not to comply all the instructions or the advice of the staff. There is then the strict need to enhance the knowledge through nursing research that how we should manage the new developing therapies available in different hospitals and clinics  (Hayden et al., 2014). Conventional style of recovering any disease would not work unless new things that are added to our society via technological advancement used to eliminate the pain faced by the client. To tackle with such kind of the development, it is essential to add new educational extended and progressive system of education.Science has given much more to our community and this world with the progress; it has got right from the emergence of enlightenment period during the era of middle ages. Ideas regarding the death and life have also been changed. Scholars and the scientist are of the view that an individual possessed the specific power to save his/her life, by following the most recent developments happened, in the field of science. They are in a way challenging the traditional and ethical value regarding the concept of death and dying. New models are in preparation and also completed to tackle the most severe illness which might be caused death. Even new types of sets are arranged for the people, who are not interested in visiting daycare centers  (Einhellig, Gryskiewicz & Hummel, 2016). They included hospice that would be home-based, the addition of spiritual practicing treatment in caring for the consumer. They also added groups bereavement counseling to the developed caring support center. Those who are graduating from the concerned school or the college must be given these types of the area for research, and these should be added to the coursework. An essential role of the nurses must be here in above mention areas to make the profession more valuable and reliable.Patients are now more involved in their nature and habits. As the sensitivity instigates inside the minds of almost every member of the community, necessary steps are required to handle the situation carefully. Among all of the others, this was also progress made by humans to sensitize people in every walk of life. Gone were the days when simple consumer approach to the care centers for their welfare and well being. Sophistications added with a person (s) of every age, period or time. Therefore, issues like that of epidemiology, behavioral sciences and the application of the these on the patients demand acute skills and training. Among all of the factors, the mostly complaint one might be behavioral, which has a direct connection with the man who is in the process of care  (Nguyen et al., 2018). If we could elaborate this care itself defines proper behavior towards the specific person, so that he could be able to live a happy and comfortable life. Here psychology automatically added to the field of nurses. Demonstration of these types of skills or the dealing that could manage these issues must be added to the course of nursing graduates. It also shows that how important is the subject of nursing along with other areas of medical science in this era, that it touches and appeals every issue in one or the other way.There is also a problem that created new debate among the policy circles and scholars of subject dealing with nursing. They are concerned with the report made by the Pew Commission that is an independent body of researchers, having a good reputation all around, their report expounded that most of the nurses are careless regarding the care of the patient. A survey has been conducted to look into the matter of those people that are placed in the care centers for some recovery from healing or related issues (Kostiainen et al., 2018). It shows the non-seriousness of the caring staff and those coming from these associate programmes of nursing are having no interest in caring and dealing with these aging and dying people. It also shows that how the students and the research have work in their due course of time, most of them even not fair with their work both at universities and at working place.Another problem that was also unfolded by the research organization and the writer of social context, that shortage of staff I nursing is also a big problem. Most of the serving people are of higher age. There is a severe shortage of the personnel required for sharing and serving to the old agers. Why students and learners are not interested in coming to the programme cited for the education of nursing. According to MacLean et al. (2018), only academics, concerned universities, and schools could have the answer to this and those who are by any mean engage with the research focused on the subject mention above. New and younger student is coming to this field. Present class of the workforce comprises of the nurses, students and the teachers are of higher age, that does not happen before.Similarly, inefficient staff working in the clinics of caring for the older people also caused by low-quality training and the lapses that are overwhelming the field of the caring. That also shows that these people that are working in the clinics are not professionally supervised or having lesser chances of learning, during the time of their education. This was also the issue concerned with the nursing staff that many of the members of the workforce have their other assignment as a part-time job. They got appointed elsewhere with other private agencies or organization. In this way, they cannot perform their duties and services, and hence they are playing with the most concerned profession. They are also violating rules and the regulation designed for their functions and responsibilities.Incorporation of ANA Code of Ethics in BSN programIn this regard, the code of ethics designed for the profession of nursing must be taken into consideration. The said code was developed to make it convenient that nurses should perform their due responsibilities in such a manner that their professionalism and the quality in caring of the nursing services must be accomplished  (Nguyen et al., 2018). The purpose of this ethical code is to bound the workforce of nursing staff to be careful while having protection and dignity for the patients. According to the rules of ANA code of nursing guide, they are restricted to create an environment of mutual trust between themselves and the patients residing under their care.Five core areas are discussed for the professionals of nursing. Other than these sites of the rules that are recognized by the international council of the nursing, an individual could not be described as a professional or motivated staff member of the community. Those include human dignity, which is the primary responsibilities of the individual to be given and to be followed. The concept of human dignity must incorporate with all those ideas that are meant to safe and qualifies the dignity of old agers or the person in care. This core value is most important than any other thing which describes the concept of values.Integrity has also been installed on the five core concepts regarding the profession of the nursing. It qualifies its meaning when the functional relationship is there between the staff and the patient. Integration if as its value or by any mean taken up by the employer to the employee or by the team to the patient, provides fruitful and admirable relations  (Hayden et al., 2014). It also gave the person under caring a sense of protection which might not be there if mutual trust area got carelessness. Similarly, the idea of the integration could be best applied if the patient or the family of the person that is under care will cooperate with the working staff.Autonomy of the authority given to the staff or the center must be taken into consideration. There should not be any influence on the respective center. It will have adverse effects both for the carer and for those who are under care. Sometimes or mostly it happens that the free position of the center got challenged by those who are using unfair means to get into the services and facilitation, provided to the average or ordinary people. It also explains that the staff or the nurse have the right to choose what is best or not fair for the patient. The latter could give advice could add his/her comments in the due process, but no authority should be provided to them for influencing the decision sof the nursing staff, or those who are caring.Among those core areas that are defined by the international council of nursing, altruism possessed a vital place. Just to explain this, we have an idea that helping others freely or without any profit would be the purpose of humanity. In case of the professional manners, this could be applied to the person under caring, and it will give much more to both the stakeholders, worker and the one which is worked by. In the same way, the concept of altruism defined that in the matter of serving to others one must not hesitate to take the front positions  (Carabez et al., 2015). It will enhance the respect and the dignity of nurses if they could follow it systematically. Without having the intentions of any profit from the patient, a nurse could be adequately explained under the concept of altruism phenomena. Service without benefit must be followed to make this profession an enormous and excellent unit of our social system.Social justice or the justice that penetrates in the society explains that the concept of equality could not be completed unless equal and the due rights of each member of the community must be completed. In the case of departmental services or the organizational working, the concept of merit would not serve the meaning before giving or describing duties of staff members according to the rules and regulation of the concerned organization. In this way, when we talk of social justice under the terms of public health caring, everyone should be given each and all the rights that are necessary for his/her living. Checking, diagnosing in the same way, with the charge of same fee or free of costs rules should be applied to all. And when we concerned with the relation of the patient and the caring nurse, it would be defined as both are performing their duties in an accurate manner  (Kardong et al, 2012). The patient is cooperating, while the nursing staff is looking after of all about the old-age, that is placed under his supervision. Supervising his client in the best possible way would provide the team an exemplary worker for all those who are not serving people and negating their duties.Analysis of  FERPA            The federal law that was enacted to save the record of the student getting the education in various institutes. Privacy to the compliance of this document must be made ensured. These terms could efficiently provide the basic requirements for most the parents, who wanted to keep the check on their child activities.Analysis of HIPPA             Standard security services have been provided to the department of health, and human services have maintained that the data of all the patients must be made protect regarding their health problems. The data has been implied through electronic measures and especially through housed safeguards measures. This is in fact, dominating factor in ensuring the very important requirement of the patients.             Regardless of these core areas defined and explained for the best services of the nurses to the peoples, there also are six Cs, for the midwives and nurses. They are designed to facilitate and to provide services to the people, which are having issues of caring of the public health. These are including the compassion as first, and others are in a sequence, which came later. To talk and to behave with the patient respectfully and politely. This area of above mention rules has the potential to provide a very kind atmosphere to the person that requires attention and rehabilitation. Care is also among the Cc that describes the reaction of staff towards a client. It is, in fact, unfolding the real meaning of protection. The overall phenomena of the subject revolve around this concept  (Van & Townsend, 2000).Formative and Summative Assessments Benefits and Limitations With the help of summative assessments that students nurses will be able to learn an instructional unit through comparison of some benchmark or standard that is required to accomplish quality nursing practice. On the other hand, formative assessments are those exams in which students are assessed on how they are progressing in the program in which they are enrolled and are they able to accomplish the learning goals or not. The summative assessments are taken in the form of midterms or final projects. While formative assessments are not for grading purpose; those are to check the learning strength of the class or students. Therefore, both formative and summative assessments will be considered in the new BSN program.In the same way, competence has also been placed in the core area for the patients that have required due attention and preferences. However the definition of ability because of keeping one in center’s custody it would be as that how the person has got the care in the respective place. It is up to the competence of the worker to place or to demonstrate herself adequately. Which will also show her operating style in the hospitals. Those member s who are serious in their profession cering might have severe lapses in working hours or the daycare centers, as they would not be able to do something for the patient. Skills and competence are always required for everyone to serve others.Communication is also part of the rules designed to organize the profession of nursing. If you shout, cry or get angry, you will not be able to serve the person that is designated before your administration. In the same way, those old agers that are having the habit of unusual behavior must also be documented by the nursing staff. Because those people are having an old age, which has no control over their personalities. They could be convinced with the attractive style of communication and with the talk that must involve some joyful conversation.Words are more important than actions. These could be applied to the defected person make them happy and more comfortable.Incorporation and application of nursing methods in the new BSN programAccreditation Methods  The methods given by Accreditation Commission for Education in Nursing must be incorporated within the new BSN program, as it will help the student nurses as well as the on-job nurses in understanding the essential duties and responsibilities that they have to follow during their job. Courage and the commitment also have the worth of the patients, if the members of the daycare community could appropriately use them. The brevity or bravery must be the quality of a staff member, that provide him to handle all the matters and issues, relating to the person or his/her disease. Sometimes, there might have been some unusual condition, or the patient may have some severe illness containing the provision of death would not be placed supervisor to be fear, but he/she must care his problem dedicatedly and wisely. While one has the potential if it is given to someone or he/she has developed in personality, to make porn proud in the group of other peoples. Those individuals having strong willpower could efficiently tackle any situation, whether dealt with the diseased person or the matter pertaining towards administrative duties  (Nguyen et al., 2018). One must try to develop the committed ideas in mind so that any unusual condition might not affect his/her temperament. In hospitals, it is noted that many of the nurses sometimes not stand with those patients or persons having the severe illness. Professional training is thus intimidated in this regard to counter such types of lapses. Morale of the other members also gets encouraged through the committed actions and deeds of an individual.Method Analysis Assesment Other than these values and the core areas that are defined, explain and describes by various institutes and organization including hospitals, for the enhancement in progress of the nursing services and a whole profession. There are specific methodologies which could be applied to the new programme that is under the rule of change from two years associate degree to the full honorary curriculum as a Bachelor of science in nursing  (Van & Townsend, 2000). These methods are used and have been tried before, for the same purpose of development in the field of nursing. In this regard, the council of the state of boards of nursing has unfolded specific points that could be fixed in new plan programme.ConclusionQuality & Safety initiatives in the new BSN Program The new BSN, programme could be entitled to the characteristics of rigorous research that must cover all the related areas. It must also be engulfed by the interviews and the visit of different daycare centers and the hospitals. There must be proper funding, and the state exchequer should not have the hindrance in the issuance of the money for the projects, that would work under new BSN programme. An attractive package and the fruits of this business must be provided to encourage learners. The proper communication between the old agers and the students. Without giving due weight to the programme, it must not be possible for the student serve those old people in an accurate, efficient manner. Regular practice and the assignments of the student teacher and patient talk and conversation could also get the positive response, and counseling training at this level f education is essential for the students. In the same way, during time student of BSN programme must be incorporated with the knowledge that must involve the community. That would be very helpful for the students in enhancing their professional skills and standard of the nursing education. This types of learning to the graduates of college would not only serve the real purpose of learning, but it would also benefit the society at large. Last but the least, nursing education should be given particular preferences, to make it useful for the community.ReferencesCarabez, R., Pellegrini, M., Mankovitz, A., Eliason, M. J., & Dariotis, W. M. (2015). Nursing Students Perceptions of their Knowledge of Lesbian, Gay, Bisexual, and Transgender Issues: Effectiveness of a Multi-Purpose Assignment in a Public Health Nursing Class. Journal of Nursing Education.Einhellig, K., Gryskiewicz, C., & Hummel, F. (2016). Social Justice in Nursing Education: Leap into Action.Hayden, J. K., Smiley, R. A., Alexander, M., Kardong-Edgren, S., & Jeffries, P. R. (2014). Supplement: The NCSBN National Simulation Study: A longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. Journal of Nursing Regulation, 5(2), C1-S64.Kardong-Edgren, S., Willhaus, J., Bennett, D., & Hayden, J. (2012). Results of the National Council of State Boards of Nursing National Simulation Survey: Part II. Clinical Simulation In Nursing, 8(4), e117-e123. doi:10.1016/j.ecns.2012.01.003Kostiainen, E., Ukskoski, T., Ruohotie-Lyhty, M., Kauppinen, M., Kainulainen, J., & Mäkinen, T. (2018). Meaningful learning in teacher education. Teaching and Teacher Education, 71, 66-77.MacLean, S., Geddes, F., Kelly, M., & Della, P. (2018). Simulated patient training: Using inter-rater reliability to evaluate simulated patient consistency in nursing education. Nurse education today, 62, 85-90.Nguyen-Truong, C. K. Y., Davis, A., Spencer, C., Rasmor, M., & Dekker, L. (2018). Techniques to Promote Reflective Practice and Empowered Learning. Journal of Nursing Education, 57(2), 115-120.Van Ort, S., & Townsend, J. (2000). Community-based nursing education and nursing accreditation by the commission on collegiate nursing education. Journal Of Professional Nursing, 16(6), 330-335. doi:10.1053/jpnu.2000.18176

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