NESA, Inc.’s Post

Professional goals or personal goals - which is more important to you right now? At TNN we want to help you achieve the best of both! Nursing is a profession brimming with opportunities, both at the bedside and in nontraditional roles. For those who find their passion in direct patient care, bedside nursing is a rewarding path. It allows you to build strong connections with patients and their families, offering comfort and care during some of their most vulnerable moments. The hands-on experience and personal interactions can be deeply fulfilling. However, nursing isn’t limited to bedside care alone. There are countless nontraditional roles that leverage your skills and knowledge in diverse ways. When considering your next nursing job, whether bedside or beyond, there are many factors to consider when thinking about your next career move. Take a look at some considerations below keeping in mind that your priorities can shift throughout your career! 1. Work Schedule: -Bedside Nursing: Often involves 12-hour shifts with a rotating schedule, which can include nights, weekends, and holidays. This setup can offer more days off during the week, which some find beneficial for work-life balance. -Nontraditional Roles: Many nontraditional roles, such as nurse educators or administrators, follow a more standard 9-5 schedule, providing consistency and regularity. 2. Direct Patient Care vs. Indirect Roles: -Bedside Nursing: Emphasizes direct patient care, requiring strong clinical skills and a compassionate approach. -Nontraditional Roles: Opportunities like informatics, consulting, or public health nursing may involve less direct patient interaction but utilize your nursing expertise in other impactful ways. 3. Remote Work: -Bedside Nursing: Typically requires being physically present in healthcare settings. -Nontraditional Roles: Many nontraditional positions, such as telehealth nursing, account management, or case management, offer remote work options, providing flexibility and the convenience of working from home. 4. Specialization and Career Growth: -Bedside Nursing: Specializing in areas like critical care, pediatrics, or oncology can provide a deeply rewarding career path with opportunities for advanced practice roles. -Nontraditional Roles: Fields like nurse entrepreneurship, legal consulting, or health policy allow for innovative career paths that utilize nursing knowledge in diverse industries. 5. Impact and Job Satisfaction: -Both bedside and nontraditional roles offer unique ways to make a difference. Consider what aspects of nursing bring you the most satisfaction! Exploring these considerations can help you find the right fit and achieve a fulfilling career in nursing. What factors are most important to you when considering a new role? Share your thoughts in the comments! #Nursing #CareerDevelopment #TheNontraditionalNurse #NurseLife #BedsideNursing #NontraditionalNursing #CareerGrowth

Global Health Nursing   Nursing in Low-Resource Settings: Global Health Initiatives   Nursing in Low-Resource Settings: Challenges and Innovations   Nursing in low-resource settings presents unique challenges and requires innovative solutions to provide effective care. These environments often lack the necessary infrastructure, medical supplies, and workforce to meet the healthcare needs of the population. Despite these obstacles, nurses play a crucial role in delivering care and improving health outcomes.   Challenges:   Limited Resources: One of the most significant challenges is the scarcity of medical supplies and equipment. Nurses often have to work with outdated or insufficient tools, making it difficult to provide optimal care.   Workforce Shortages: There is often a shortage of healthcare professionals in low-resource settings. Nurses frequently have to manage large patient loads, leading to burnout and reduced quality of care.   Inadequate Training: Continuous professional development opportunities are limited, which can hinder nurses’ ability to stay updated with the latest medical practices and technologies.   Poor Infrastructure: Many low-resource settings lack basic infrastructure, such as reliable electricity, clean water, and sanitation facilities, which are essential for maintaining a safe and hygienic healthcare environment.   High Disease Burden: These areas often face a high prevalence of infectious diseases, malnutrition, and chronic conditions, adding to the complexity of care delivery.   Innovations:   Task Shifting: To address workforce shortages, nurses train community health workers to perform basic medical tasks. This approach expands the healthcare workforce and ensures that more people receive care.   Telehealth and mHealth: The use of telehealth and mobile health (mHealth) technologies allows nurses to provide remote consultations, monitor patient health, and deliver health education. These technologies are particularly useful in reaching remote and underserved populations.   Emergency Response: In times of crisis, such as natural disasters or disease outbreaks, nurses are often among the first responders. They provide critical care, support vaccination campaigns, and help manage public health responses.   Innovative Training Programs: Online courses and mobile apps offer continuous education and training for nurses, helping them stay updated with the latest medical practices and improve their skills.   Community Engagement: Nurses engage with communities to build trust and encourage participation in health initiatives. This approach helps in the successful implementation of public health programs and improves health outcomes.   Despite the challenges, nurses in low-resource settings continue to make a significant impact through their dedication and innovative approaches. Their ability to adapt and find creative solutions ensures that even the most underserved populations receive the care they need.

Global Health Nursing   Nursing in Low-Resource Settings: Global Health Initiatives   Nursing in Low-Resource Settings: Challenges and Innovations Nursing in low-resource settings presents unique challenges and requires innovative solutions to provide effective care. These environments often lack the necessary infrastructure, medical supplies, and workforce to meet the healthcare needs of the population. Despite these obstacles, nurses play a crucial role in delivering care and improving health outcomes. Challenges: Limited Resources: One of the most significant challenges is the scarcity of medical supplies and equipment. Nurses often have to work with outdated or insufficient tools, making it difficult to provide optimal care. Workforce Shortages: There is often a shortage of healthcare professionals in low-resource settings. Nurses frequently have to manage large patient loads, leading to burnout and reduced quality of care. Inadequate Training: Continuous professional development opportunities are limited, which can hinder nurses’ ability to stay updated with the latest medical practices and technologies. Poor Infrastructure: Many low-resource settings lack basic infrastructure, such as reliable electricity, clean water, and sanitation facilities, which are essential for maintaining a safe and hygienic healthcare environment. High Disease Burden: These areas often face a high prevalence of infectious diseases, malnutrition, and chronic conditions, adding to the complexity of care delivery. Innovations: Task Shifting: To address workforce shortages, nurses train community health workers to perform basic medical tasks. This approach expands the healthcare workforce and ensures that more people receive care. Telehealth and mHealth: The use of telehealth and mobile health (mHealth) technologies allows nurses to provide remote consultations, monitor patient health, and deliver health education. These technologies are particularly useful in reaching remote and underserved populations. Emergency Response: In times of crisis, such as natural disasters or disease outbreaks, nurses are often among the first responders. They provide critical care, support vaccination campaigns, and help manage public health responses. Innovative Training Programs: Online courses and mobile apps offer continuous education and training for nurses, helping them stay updated with the latest medical practices and improve their skills. Community Engagement: Nurses engage with communities to build trust and encourage participation in health initiatives. This approach helps in the successful implementation of public health programs and improves health outcomes. Despite the challenges, nurses in low-resource settings continue to make a significant impact through their dedication and innovative approaches. Their ability to adapt and find creative solutions ensures that even the most underserved populations receive the care they need.

The Positive Impact of Technology on Nursing Care Nursing care is a blend of art and science, requiring skilled professionals to provide care based on each patient's unique needs. A nursing care plan is a vital tool that guides nurses in delivering high-quality, patient-centered care. It acts as a roadmap, documenting the patient's condition, diagnosis, treatment goals, progress, and response to interventions. Challenges of Traditional Nursing Methods: Limited Resources: In areas with weak infrastructure, nurses may lack proper facilities and resources, hindering care quality and potentially leading to preventable deaths. Manual Documentation: Time-consuming paperwork, understaffing, and lack of clear policies can lead to stress and burnout for nurses. How Technology Improves Nursing Care: Technology offers solutions to these challenges and plays a crucial role in enhancing patient care: Improved Communication: Tools like recorded messages and secure messaging platforms facilitate communication between nurses, patients, and healthcare teams, reducing errors and delays. Increased Efficiency: Automated systems for patient monitoring, medication administration, and documentation save valuable time, allowing nurses to focus on direct patient care. Data-Driven Decisions: Analytics and data visualization tools help nurses identify potential issues and make informed decisions quickly. Reduced Medication Errors: Electronic medication management systems minimize the risk of administering incorrect medication dosages. Examples of Technology in Nursing: Electronic Health Records (EHR): EHRs replace paper charts, allowing nurses to easily access patient information, reducing errors, and improving communication among healthcare teams. Portable Diagnostic Devices: These devices empower nurses to perform basic diagnostics and assessments in patients' homes, improving care coordination and communication. By embracing technology, nurses can improve patient care, reduce errors, and work more efficiently. This allows them to focus on what matters most: providing compassionate and effective care to their patients. Dr Deji West is the chairman of PlateauMed. PlateauMed is a leading digital health technology company focused on revolutionizing healthcare delivery across Nigeria. We empower stakeholders in the healthcare industry with innovative solutions designed to improve patient care, optimize workflows, and enhance medical outcomes.

The concept that "physicians are revenue-generators while nursing is a cost-centre" has been a longstanding issue in healthcare systems. Let's explore: 1. Fee-for-Service (FFS) Model: - Many healthcare centers in the U.S. still use the outdated "fee-for-service" (FFS) model. In this system, every service that a doctor orders (such as tests, scans, surgeries, and prescriptions) translates into a profit for the facility. - Physicians, who can write prescriptions and order procedures, are seen as the cash cows in FFS systems. Their services are directly tied to generating income for the hospital. - Nurses, on the other hand, are often categorized as a cost rather than an asset. Their contributions, such as educating patients and providing emotional support, are more challenging to attach a monetary value to. - Hospitals driven by profit margins tend to view nurses as a labor expense rather than recognizing their critical role in patient care. 2. Nurses as Cost-Centers: - Because it's harder to quantify the financial impact of nursing services, hospitals sometimes perceive nurses as a line item in the budget rather than a revenue generator. - Nurses provide 95% of the care that patients receive, yet their contributions are often undervalued. Services like patient education, emotional support, and bedside care don't directly translate into profits. - The presence of capitalism in healthcare creates a conflict of interest. Hospitals prioritize profit margins, which can lead to artificially high costs for patients and low pay for healthcare workers. - The average cost of turnover for a bedside nurse is approximately $46,000, and hospitals lose significant amounts due to turnover alone. 3. Nurse Practitioners (NPs) and Revenue: - Nurse practitioners (NPs) play a crucial role in healthcare delivery. They can diagnose, treat, and manage patients independently. - While NPs generate revenue through patient visits, ancillary services (such as labs and X-rays) also contribute to the overall reimbursement for their services. - NPs and other advanced practice nurses (such as clinical nurse specialists and nurse anesthetists) are paid a percentage of customary physician reimbursement for the same services. 4. Comparison of Costs: - Comparing payments to primary care physicians (PCPs) and NPs: - Inpatient services: -11% - Part B services: -18% - Outpatient evaluation and management: -29% 5. The Bigger Picture: - The healthcare system's focus on profit can lead to problems staffing hospitals, affecting patient care. - Efforts to shift hospitals toward new healthcare models are ongoing, but significant change remains elusive. - The COVID-19 pandemic highlighted vulnerabilities in our healthcare system, emphasizing the need for reform. In summary, recognizing the value of nursing services and addressing the disparity between physician and nurse compensation is essential for improving patient outcomes.

NURSING SPECIALTIES PART 2!! There are a number of nursing specialties that most nurses might not be aware of but yea they do exist and I will be exploring some of them here and being opportuned to have colleagues that work in some of this areas makes it more relatable and exciting so let’s dive into it🌚🌚 🔶Care Coordination Nursing ensure that patients receive comprehensive and continuous care, especially during transitions between different healthcare settings or services. 🔷Skills Needed include ability to manage multiple patient care plans and coordinate with various healthcare providers, assessment and triaging skills, communication, advocacy, clinical knowledge and problem solving skills. 🔶Occupational Health Nursing focus on the health and safety of workers of a particular organisation or institution, promoting wellness and preventing work-related injuries and illnesses. 🔷Skills Needed involves Identifying potential hazards in the workplace and evaluating risks, health promotion, emergency response. 🔶Digital Nursing uses technology to deliver healthcare services, often through telehealth platforms, electronic health records, and other digital tools. 🔷Skills Needed includes familiarity with telehealth systems, electronic health records, and other healthcare technology, communication skills, data management, adaptability to evolving technologies. 🔶Nurse Practitioners (NPs) provide advanced clinical care, often serving as primary or specialty care providers. They can diagnose and treat medical conditions, prescribe medications, and manage patient care. 🔷Skills Needed include advanced clinical skills patient management, knowledge of pharmacology and ability to prescribe medications, make independent clinical decisions and specialization in areas. 🔶Practice Education Facilitators (PEFs) support nursing students and new nurses in clinical settings, ensuring they gain the necessary skills and knowledge for their roles. 🔷Skills Needed involves teaching and mentoring, clinical expertise, good communication skills, assess and evaluate competencies, provide constructive feedback and fostering a positive learning environment. 🔶Travel Nursing involves working on short term assignments to fill temporary staffing issues at various healthcare facilities. 🔷Skills Needed include adaptability, cultural competence, flexibility, strong clinical skills, ability to quickly learn new protocols and procedures, and excellent communication and organizational skills. 🔶Telenursing/Virtual Nursing involves providing nursing care and consultation through telecommunications technology which includes phone calls, video conferencing, emails, and other digital communication methods to deliver healthcare services remotely. 🔷Skills Needed include proficiency with technology, excellent communication and assessment skills, ability to provide care and guidance remotely, problem-solving skills, and knowledge of best practices. #nursingcareers

Introduction            Based on the healthcare program in the nursing process, it is necessary to have the logic model as it is involved in bringing the process to drive finance and growth in the organization (Smith et al., 2020). The investment that is used in the health care programs drives the key results for people’s better health. The patient-center nursing logic is conceded here to develop some key skills, tools, and techniques for better results in the nursing process and through that, it can be possible to maintain the key aspects based on that, it has been identified that there are some key areas are included and it can bring the efficiency and betterment. In addition, it is going to explore the analysis process through the key aspects such as input, activities, output, and short-term, intermediate, and long-term outcomes. Logic model Logic model Input Activities Output Short-term outcomes Intermediate outcomes Long-term outcomes Definition There are some key programs, infrastructure and resources that are necessary for nursing. The main requirements are nurses or staff, funding, time, and IT-based health practices. In this case, training and technical programs can be included based on the requirements of patients. The key activities in nursing are using the care terms and conditions, care plans to maintain time and technology, tracking of referrals, providing mental health and others. Nurses can provide patient-centered care to improve the patient by providing communication, providing patient education. Nurses can be involved in coordination care through care transitions and patient education. All the accessible care is required including developing new models of patient interactions, expanding the working hours, and bringing quality by improving activities and building quality improvement capability. The result can come with comprehensive care that is regular and the communication can come with the care team. The patient-centred care can increase the understanding of patient with their needs and preferences accordingly. It can increase the patient and family contribution and engagement in the overall treatment. Coordinated care through nurses with less duplication and redundancy (Sutherland et al., 2022). The labs and other services can increase the linkage between the practices and services for the community. Nurses can access same-day appointments for long hour working schedules and an increase in patient mail. Specific interventions are the key aspects here. Primary care with nursing can be provided which is all about coordination, safety high quality and other key aspects. It is all about quality improvement and bringing the nursing process with care and it helps the nurses to drive more preventive care. It can be better planned and clinical outcomes. Another outcome is all about decreasing the health care cost by providing effective nursing work. Patient experiences and power

As a healthcare provider, I was quick to realize the need for adequate patient safety measures to uphold the values of care and ensure safe nursing practice. “ The World Health Organization defines patient safety as the absence of preventable harm to patients and prevention of unnecessary harm by healthcare professionals. It has been reported that unsafe care is responsible for the loss of 64 million disability-adjusted life years each year across the globe. Patient harm during the provision of healthcare is recognized as one of the top 10 causes of disability and death in the world.” (Vaismoradi et al., 2020) This means that we need to do a better job not only as individual providers but in unison as an entire nation and on a global level. In order to make an impact, nurses need to have good overall adherence to the principles of patient safety to achieve both patient and interventional success. By doing so, this will aim towards enhancing safer care and healthcare systems. “Nurses are expected to adhere to organizational strategies for identifying harms and risks through assessing the patient, planning for care, monitoring and surveillance activities, double-checking, offering assistance, and communicating with other healthcare providers.” (Vaismoradi et al., 2020) As a leader in healthcare, I will advocate for these changes by enforcing the need for successful strategies for organization in order to prevent further errors and disabilities. Being able to advocate for my patients is one of the most rewarding parts of my practice. Being able to recognize and adapt to different measures of patient safety will help increase the likelihood of reducing patient harm and the influx of disability. “The effect of personal and professional values and attitudes on the consistency of adherence to patient safety by nurses has been shown to be more important than the effect of their workloads.” (Vaismoradi et al., 2020) By upholding a positive attitude and approaching care through a clinical mindset, I can uphold the values of my patients and educate them on the importance of safety practices. Being able to take the time to sit down and properly educate my patients will aid in reducing my risk for errors and ensure safe nursing practice. Vaismoradi M, Tella S, A Logan P, Khakurel J, Vizcaya-Moreno F. Nurses' Adherence to Patient Safety Principles: A Systematic Review. Int J Environ Res Public Health. 2020 Mar 19;17(6):2028. doi: 10.3390/ijerph17062028. PMID: 32204403; PMCID: PMC7142993.

Virtual nursing offers a strategic solution to address the critical nursing shortage in the U.S. by supplementing on-site nursing teams and enhancing patient care. Virtual nurses operate remotely, using advanced audiovisual technologies to monitor patients, communicate with them, and assist in care coordination. This model allows healthcare providers to tap into a broader pool of nursing talent without geographical constraints, filling staffing gaps effectively. Virtual nursing helps prevent patient health setbacks by enabling proactive monitoring, which reduces incidents like falls and early signs of health deterioration. This proactive approach not only improves patient safety but also reduces the costs associated with adverse events. Additionally, virtual nursing alleviates the burden on on-site nurses, preventing burnout and extending career longevity for experienced nurses. However, successful implementation requires careful consideration of trust, financial investment, staff training, and patient-centered design, ensuring that the system enhances overall healthcare delivery. Our team of professionals aids in implementing virtual nursing programs by offering expert guidance on technology integration, providing comprehensive training for staff, ensuring compliance with regulations, and customizing solutions to fit specific practice needs. We streamline the transition to virtual nursing, enhancing efficiency and improving patient care outcomes. We are the One! #revenuecycle #revenuecyclemanagement #priorauthorization #medicalbilling #medicalcoding #healthcare #healthcaretechnology #accountsreceivables #denialmanagement #consulting #management #implementationpartner Medical Economics

Recent Trends in the Nursing Industry: Shaping the Future. The nursing industry is experiencing significant transformations driven by advancements in technology, shifts in healthcare delivery models, and evolving patient needs. One of the most impactful trends is the integration of telehealth services. Telehealth has become a vital tool for nurses, enabling remote care, particularly in underserved and rural areas. This trend is likely to continue, offering greater accessibility and convenience for patients while allowing nurses to reach a broader population. Another notable trend is the increasing use of electronic health records (EHRs) and data analytics. These technologies streamline documentation, improve communication among healthcare providers, and enhance patient care by providing real-time access to comprehensive medical histories. As EHR systems become more sophisticated, nurses can leverage data analytics to identify patterns, predict patient outcomes, and tailor interventions more effectively. Moreover, the focus on holistic and patient-centered care is gaining momentum. Nurses are at the forefront of this movement, emphasizing the importance of addressing not only the physical but also the emotional, social, and psychological aspects of health. This approach enhances patient satisfaction and outcomes, fostering a more compassionate and comprehensive healthcare environment. The industry is also witnessing a shift towards advanced practice nursing roles. Nurse practitioners, nurse anesthetists, and clinical nurse specialists are taking on more responsibilities, filling gaps in primary care, and offering specialized services. This expansion of roles is crucial in addressing the growing demand for healthcare services and improving access to high-quality care. In conclusion, these trends signify a dynamic and evolving nursing profession. The integration of telehealth, advancements in EHRs and data analytics, the emphasis on holistic care, and the expansion of advanced practice roles are reshaping the future of nursing. Embracing these changes will be essential for nurses to continue delivering exceptional care and meeting the diverse needs of their patients.