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Great Accomplishments in Nursing

Over the past 25 years, nursing has seen so much change—from technology to research to education to changes in healthcare policies.

Local nurses were asked what the biggest changes in their practice in the past 25 years were. Here is what they said!

Rosanne Greenan, RN, CEN: Stroke Coordinator, Northern Westchester Hospital, Mount Kisco, New York, USA.

Nurses are no longer seen as the caretakers to the healthcare team, carrying out tasks ordered by physicians.

Now, we are leaders of the team, as well as patient advocates and educators. We ensures patients and families have the information and tools they need to make the right decisions about their care.

In the ED where I work, nurses are the first to assess patients. They often establish the goals for their hospital stay. Physicians view nurses as colleagues who make concrete observations and offer valuable suggestions.

A nurse’s knowledge base has grown as the demands of our professional responsibilities have increased. The use of evidence-based practice and the acceptance of credentialing in the specialty have raised the bar for nurses everywhere, which is immensely positive.

As much as nursing practice has changed, our primary goal remains to take care of our patients in the best way we know how, and I am sure that will continue far into the future.

Ruth Atienza, RN, MSN, APN-BC: Staff Nurse, PACU, Saint Clare’s Health System, Denville, New Jersey, USA

As a nurse for more than 25 years, I am a living witness to the changes and advancements made in nursing, and medicine!

When I started my career on a med/surg unit, patients had invasive surgeries requiring drains and tubes. Today, patients are able to return home faster, some even the same day due to magnificent minimally invasive surgeries.

Advancements in technology have also changed nursing documentation. The electronic medical record with drug-to-drug interactions and electronic signing of medications after scanning a patient’s identification bar code bracelet increases efficiency, as well as the safety for our patients.

Continuing education allows nurses to advance the care provided as well as to grow in their own nursing career. As a former ED staff nurse, I returned to school for my adult nurse practitioner degree and I now apply what I learned every day.

In addition to a significant increase in the number of nurses becoming certified in various specialties, there is a gradual shift toward nurses seeking higher education—often master’s and doctoral degrees.

Paula Augustyniak, RN, ED: Staff nurse, Somerset Medical Center, Somerville, New Jersey, USA

Although documentation remains a priority in good nursing care, it has evolved to a level I don’t think anyone could have imagined at the beginning.

Technology has changed so much in the last 25 years. It’s changed even more so in the last 10 years, with the coming of age of the electronic medical record. Many nurses who were not familiar with computers have added these new skills to their repertoire, and just when they mastered one, a new program is rolled out or the computer system changes.

The long-standing principle of nurses adjusting their method of practice to meet the needs of patients and ensure quality care has never budged an inch. During National Nurses Week, many of us seasoned RNs look back and remember when we would walk the unit with physicians as they rounded on their patients, and reminisce about the days of metal bed pans, hoppers and other funny instruments we no longer have any need for.

In many ways, technology has vastly improved patient care and resulted in better patient outcomes across the board; yet when I think back on the days of making rounds with physicians and carrying the patients’ charts and taking notes for them, I realize the most important way nursing has changed is the communication and respect between physicians and nurses.

In the ED where I work, it is clearly evident that our opinions are not only valued, but also sought after when caring for patients. We function independently and collaboratively in achieving the highest standards of care and the best outcomes for our patients and will continue to do so.

Edna Cadmus, RN, PhD, NEA-BC, FAAN: Clinical Professor, Specialty Director-Leadership Tracks, Rutgers University, College of Nursing, Newark, New Jersey, USA

During the past 25 years, there have been major milestones where nurses became more visible and demonstrated leadership abilities. The American Nurses Credentialing Center began to offer certification for hospitals to become Magnet facilities in 1993.

These standards have evolved from structure and process standards to empirical outcomes. In 1999, the IOM report called “Crossing the Quality Chasm” was released. It identified issues around quality and safety in hospitals.

The focus continues today and is even more intense. Nursing is responsible and accountable for outcomes now linked to payment. The 2010 IOM report “The Future of Nursing: Leading Change and Advancing Health” has set into motion a galvanizing direction for nurses. I believe history will show how nurses led this effort and changed healthcare greatly during this time.

Maureen Schneider, RN, PhD(c), MSN, MBA, NEA-BC, CPHQ, FACHE: Senior Vice President Clinical Program Development and CNO, Somerset Medical Center, Somerville, New Jersey, USA

The last 25 years demonstrated extensive transformation in healthcare and nursing practice: there was the introduction of the electronic health record and technological numerous advances in medicine.

One area continuing to move forward is nursing research; more than ever, nurses are increasingly becoming skilled in conducting research and changing nursing practice based on research outcomes.

As healthcare technology advances, our nurses are well positioned to pursue newly-designed clinical practices and new ideas that provide extensive opportunities to create and move forward progressive nursing practice, and as nurses showcase meaningful outcomes, patients benefit from their care.

Nurses are also recognized in their professional practice much more than in the past. In fact, the new healthcare dynamic is requiring and seeking nursing research inquiry for new methods to deliver care in a more efficient way.

What does the next quarter century have in store for us? Who can tell? We hope that the nurses of the future accomplish all their hearts desire. But what about you? Can we help you on your journey to success? 

Statements of Excellence in Nursing

I have been drafting statements on behalf of nurses now for 15 years. Writing statements is not always fun, and the older I get the more mental and emotional energy it takes for me to do a good job. This is one of the reasons why I have developed a priority focus on nurses, writing more statements in this area than any other, because I admire the dedication of nurses, their orientation of service and giving. Nurses are generally among the finest people on the planet, on human and emotional levels, because of their ethic of service. Thus, when I help a nurse succeed, I am inspired by her/his story.

Let me know if you would like a request for payment on PayPal.com!

I draft several eloquent and concise statements for admission to nursing school each week; and it is something that I have come to enjoy very much, take very seriously, and have gotten especially good at doing. In fact, I have spent many years investigating what makes a Statement for admission to nursing school as effective as possible, what programs and institutions in the area of nursing are looking for in applicants: specific qualities, interests, and characteristics--all of which we will emphasize in your essay. Character is especially critical and I will paint a truly eloquent portrait of who you are. It is all in the wording and I like to think I have a natural gift for statement expression. My own special strength is in the emotional eloquence of nursing. I admit that on a few occasions, tears have welled up in my eyes while drafting a statement for nursing school; it is a most enriching experience.

 Since my son Davy was born on November 5, 2011, this toddler has become the total center of my world. He is all that I have, my only family. This is why I get especially excited by the opportunity to draft a model personal statement in the area of Nursing, because of the importance of family to us all, our futures, the future of the human race, our planet, etc.: it all depends on our children who in turn depend on their families. While I live back in Bolivia where Davy’s mother is a professor who teaches sustainable architecture, we went back to my home in the USA to have our baby. There was not a kinder more attentive nursing team in the world than those who cared for the three of us. My wife had an extremely difficult delivery and we were in the hospital for almost one week. It is for this reason that helping nurses to prepare successful personal, statements, statements of intent, goal letters, etc., so that they will be admitted to both undergraduate and graduate programs, helps me to stay engaged with this exciting area of health care, and to give something back in exchange for the wonderful treatment we were given, to say thank you one more time for my gift, Davy.

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I help as many people as I can free of charge, by drafting a model first paragraph on their behalf. In many if not most cases, I also offer to finish the document on their behalf at this price. I am limited in how many clients I am able to assist primarily by the fact that I have half custody of my baby boy Davy, every 24 hours he is mine for 24 hours, and he does not let me work unless he is asleep. This is also why it sometimes takes me a couple of days to finish your statement once you have made your payment. In short, I only offer to draft complete statements for people whose story excites me, people who I feel strongly are in a unique position to give something of importance to their respective professions. And I only do my best, taking the time to reflect on your story as well, usually doing some internet research on your behalf.

I help applicants to university and graduate school from all over the world. I would be honored to draft a model first paragraph for your Statement at no obligation in order to promote my service. Rapid Document Evaluation! I especially enjoy working on behalf of those clients whose stated long term goals represent a significant contribution to the progressive enrichment of humanity, particularly with respect to the Developing World, where I live with my only child Davy, and the cause to which I dedicated my life.

1.) Fill Out Online Interview Form. 

2.) send resume/CV and/or rough draft to drrobertedinger@gmail.com

An old wise man and creative writer,  I draft a model first paragraph for your Statement free of charge to promote my service:  Many of my clients Add Me as a Contact! on Skype. ID: DrRobertEdinger so that we can chat. Please note that I am not usually able to talk and I need your information in text form.

I work very hard on each statement that I produce because  I trust you as well to recommend me to your friends and colleagues if you are very pleased with your statement. 

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My service is quite different from other statement writing services on the Internet for several reasons. I am the little guy on the web, not a big business like most of my competitors. You deal directly with me. I answer all of your questions completely free of charge and I am solely responsible for producing a statement that you are very pleased with.

With My Son Davy Dylan

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 If you want your Statement of Purpose or Personal Statement to be successful, you have to write it in such a way as to make those in charge of the selection process curious about you and to look forward to meeting you. You need to portray yourself in your statement as the kind of person that they want to have in their program. I am a practiced master at drafting your story in the best, most eloquent fashion possible, in the way that is most appealing to those who make the selection. I am so certain of my ability that I draft the first paragraph of your statement free of charge and at no further obligation.  If you really like the first paragraph that I produce, then I would then be honored to finish the statement on your behalf. 

Sample 1st 2 Paragraphs for the Masters Degree in Nursing, Adult Primary Care Nurse Practitioner

Now 28 years old, I came to America 11 years ago from my native country, Ethiopia. Since my arrival in the USA at the age of 17, I have been working extremely hard towards my goal of becoming the most efficient and compassionate nurse possible. I think my very high level of motivation is due primarily to where I came from, growing up in a society where I constantly witnessed neighbors, peers, family members of friends, and also members of my own family, die of curable diseases as a result of almost non-existent medical care for most people—excluding the very rich.

I earned my BSN 2 years ago and I have been working as an RN since then at George Washington University Hospital in Washington, DC in the Neuro Science and Spine Surgery Unit. I now feel that I have enough experience so that I could excel in your distinguished program at XXXX University and I ask for admission to that I might achieve my long term dream of becoming an Adult Primary Care Nurse Practitioner providing holistic, front-line care to Americans in inner-city neighborhoods of our capital city.
 

Degree sought, field, or place of origin!