“Employment of registered nurses is
projected to grow 15 percent from 2016 to 2026, much faster than the average
for all occupations.” (United States). WHY DO I WANT TO BECOME A NURSE??? I chose to research nursing mainly because
nursing is the profession that I am going into, but also because I think that
all aspects of nursing are interesting. I wanted to show my readers all the
different jobs in nursing, all the different ways to become a nurse, what a job
as a nurse is like, and much more.
I learned so much that I didn’t
know about nurses while researching. One really interesting job in nursing that
is up and coming is forensic nursing. This is not a new profession, but since
rape and physical abuse has become more of a spoken topic, the jobs for
forensic nurses have exploded. I found that, forensic nurses collect evidence
and give expert witness testimonies with their findings (Villanova University).
They also provide a support system for victims of mental and physical abuse.
The field of nursing is expanding
more and more by the year. Nursing has gone through a huge shortage, the Great Recession,
the health reform with the Affordable Care Act, and much more. Over the last
fifteen years the nursing industry has skyrocketed, increasing by over one
million new nurses with full-time work. In an article “State of the Registered
Nurse Workforce as a New Era of Health Reform Emerges” a table, “indicates the total number of RNs grew substantially,
increasing from 2.1 million in 2001 to 3.2 million in 2015” (Buerhaus). There
are also projections that indicate major growth in the nursing field in the
next 15 years too.
Nursing is an occupation based on
patient health problems and needs. introduce source There are a few different
methods to become a nurse. There are licensed practical nurses who are
entry-level nurses. They usually have completed either certain certifications
or an associate’s degree. Licensed practical nurses can feed, bathe, check
vitals, apply bandages, and administered certain mild medicines (“Nursing
Programs & Careers”). Registered nurses, also known as RNs, are the most
popular type of nurse. “Board certification allows RNs to become highly
specialized in areas like critical care, oncology, geriatrics, neurology and
other key health disciplines. All states require RNs to earn at least an
associate degree, but some employers prefer candidates with bachelor’s degrees”
(“Learn How to Become”). Nursing specialties are the specialty areas in nursing
that a nurse can practice. A registered nurse can go back to school to get
board certified in a specific specialty. There are so many opportunities in
nursing that with any interest, there will be a job for it. Some specialties
are cardiac nursing, geriatric nursing, holistic nursing, midwifery, oncology
nursing, and ostomy nursing. Each specialty requires different certification or
schooling. Nurse practitioners are some of the top nursing professionals. “Nurse
practitioners typically earn a Master of Science in Nursing (MSN) or, increasingly,
a Doctor of Nursing Practice (DNP). They also earn additional certifications in
specialized disciplines such as critical care, family medicine and pediatrics”
(Learn How to Become). Nurse practitioners are able to make decisions on exams
and treatments which Licensed practical nurses and RN’s cannot do.
Many colleges have a 4 or 5-year
program to become a registered nurse. introduce interview and informant here –
before you quote the person – contextualize how you are using the information
here, too? “York College of Pennsylvania is where I attained my RN. I then was
offered a job at WellSpan Ephrata Community Hospital, where I spent the next 4
years” (Baronsky). After a graduate secures a job, many hospitals will actually
pay for certifications and continued schooling. Mrs. Baronsky worked at Ephrata
while competing her MSN online. After four years at Ephrata, she now works at Nemours
Alfred I. duPont Hospital for Children. She plans on furthering her education
by attending West Chester University to get her Doctor in Nursing Practice.
This will increase her salary by $20,000 a year (Baronsky).
There is no such thing as a “typical”
day for most nurses. In a doctor’s office, nurses will have a sort of typical
day. Typical work days of a doctor’s office nurse works from about 8:30 AM – 5
PM every weekday and possibly a morning shift on Saturdays. These shifts
consist of measuring height and weight, checking blood pressure, giving
immunizations, and more. Every day is different patients, but it is mostly
going room to room doing those specific duties mentioned in the last sentence. When
hospital nurses first starts their shifts, they have to talk with the nurses
before them to get updated on patients. Reading medical records cannot compare
to face-to-face conversation about how patients are emotionally and physically
doing. For a nurse working in a hospital every shift will be completely
different. definitely re-introduce informant here: “I have to have absolutely
no expectations going in to work because my day could range from wrapping a
little boys arm, after needing surgery from falling off his bike, to losing a
patient after a four-hour heart transplant surgery” (Baronsky). Recovery nurses,
like Mrs. Baronsky, see a wide range of patients with completely different traumas.
They assist patients before and after surgery, making sure the patients are
stabilized. One of her Mrs. Baronsky’s main jobs is “to aid and assist patients
as they come off of anesthesia; usually they are scared and sometimes cry. I
need to assure them that everything is okay and make sure their parents are
notified that they are awake” (J. Baronsky). She explains that since she works
at a children’s hospital, her job is very important overseeing and even
administering anesthesia (she is a certified nurse anesthetist).
Nurses have many tasks and jobs to
do while working; including maintaining detailed reports, administering
medications, monitoring their patients, consulting with other team members, and
so much more (O*Net).
Mrs. Baronsky also works long,
twelve hour shifts, three days a week. Nurses work around the clock and usually
either work three, twelve-hour shifts or five, eight-hour shift. This just
depends on the hospital. One downfall to working in a hospital is, “having to
work on holidays, missing out on holidays that mean a lot to my family. I’ve
learned to schedule family time around working, but sometimes I do miss out on
important events in my children’s life” (J. Baronsky). Being a nurse has its
positives and negatives.
On November 13th, 2017, the
American College of Cardiology and the American Heart Association updated the
blood pressure guidelines. Now people who were not in the “risk zone” for heart
disease, chronic kidney disease, and diabetes are now seen to have the risk of
getting these diseases. The target systolic blood pressure has changed from 140
to 130 millimeters of mercury and the diastolic blood pressure has changed from
90 to 80 millimeters of mercury. This change will make many more people to be
considered to have hypertension, and they might get the recommendation to start
drug treatment to reduce their blood pressure. This decision was made to help
reduce all high blood pressure related diseases and attacks (citation).
My colleagues and I conducted an
analysis to estimate how many people would be affected. We determined that
among those ages 45 to 75, an additional 15 million more people are now
considered to have hypertension. Overall, a majority of people — 63 percent —
in this age group would now be said to have hypertension. Among all Americans,
another analysis suggests that more than 100 million have it (Krumholz).
100 million people are now considered at-risk
for heart attack, stroke, kidney disease, heart disease, diabetes, and more
related diseases. “In 2010, hypertension was the leading cause of death and
disability-adjusted life-years worldwide” (Whelton). Hypertension is a large
obstacle that the United States needs to get over. Our country over the years
has become filled with obesity, high blood pressure, high cholesterol, diabetes,
heart attacks, and more that has led to health problems and even death if not
taken care of.
This “hot topic” is affecting
nurses everywhere. If a nurse works in a doctor’s office or hospital they need
to know these new standards to check if their patient is considered “high-risk”.
The patients’ blood pressure has to be checked two or more times to be
confident that they have hypertension. If the patient has hypertension, then
steps need to be taken to address the problem. “It is important to screen for
and manage other CVD Cardiovascular Disease risk factors in adults with
hypertension: smoking, diabetes, dyslipidemia, excessive weight, low fitness,
unhealthy diet, psychosocial stress, and sleep apnea” (Whelton). Doctors and
nurses should suggest to patients with hypertension to quit smoking, workout
more, eat healthy, find good ways to cope with stress, and get enough sleep. All
these lifestyle changes along with blood pressure medication, if taking pills
is okay with you, can help reduce high blood pressures.
The nursing profession is expanding
rapidly, with a huge nursing shortage by the year 2025, nursing fields are
going to need as many nurses as possible (Buerhaus). I am so excited to be part
of the nursing field as it expands more and more. Nursing is a very challenging
and emotion consuming occupation, but so extremely rewarding.