![]() ![]() The AMSNs third strategic goal encourages nurses to pursue professional development as a way to thrive in todays demanding workplace. Grindel Evidence-Based Practice Award last year to support nurses who are doing research. The organization also established the Cecelia G. She encourages nurses to stay current with practices by reading nursing journals and visiting the AMSNs website, which offers a resource library with access to presentations, articles and convention information. It has that element now, but it will increase in the future. In the future, reimbursement will be based more on quality patient outcomes. ![]() It is important for nurses to be aware of research about outcomes that can be reported and benchmarked, Singleton says. Well Read = Well Prepared The AMSNs second goal is designed to support nurses in a healthcare environment that is increasingly placing value on evidence-based practice. This online toolkit will give nurses an outside perspective. Sometimes we work in an unhealthy environment, but we dont know it is unhealthy because we are used to it, Singleton says. Nurses from different institutions also will be able to use the AMSNs website to network with one another. The challenges are mounting, but best practices are continuing to develop at different institutions, so the AMSN is developing a resource toolkit that will give RNs a chance to learn from hospitals that are maintaining healthy work environments in spite of the increasing demand by highlighting best practices. People who did not have resources in the past to seek regular medical care can be discovered to be more compromised in their health when they start pursuing care, she says. Singleton predicts med/surg nurses also will feel the impact of the additional 30 million Americans who are expected to gain health insurance because of healthcare reforms. ∺nd we are taking care of more acutely ill patients. People who have chronic illnesses are also living longer, and this increases the complexity of caring for these patients, Singleton says. The average number of prescriptions per capita also increased from 7.9 to 12.3 during those years, according to the report. population growth of only 9% during that same time period, according to data from the Kaiser Family Foundation. jumped 71% between 19, compared to a U.S. The number of prescriptions purchased in the U.S. Singleton says, for example, it is not uncommon for each patient to need 10 to 12 medications a day. More Patients, More Prescriptions The first goal is aimed at giving nurses tools to manage rapidly escalating demands on med/surg nurses. Using survey results, the academys leaders created a strategic plan that focuses on five goals aimed at helping nurses survive and thrive in the ever-changing world of healthcare. ![]() It came across in the data from the survey that it was important to have a healthy workplace to be able to deliver best practices and manage patients well in todays complex care setting, Singleton says. The academy then conducted an in-depth analysis of members feedback. To understand how to best support the modern med/surg nurse, the AMSN conducted a survey of its members, for which it had 674 respondents, and conducted member interviews. All of these factors contribute to the increased demands on nurses, says Singleton, who also is president of the Academy of Medical-Surgical Nurses. Nurses are working in a world in which patients have more co-morbidities and chronic illnesses, use more medications and have shorter hospital stays. Singleton has witnessed the trend that patients in todays med/surg units typically have more complex medical issues than a decade ago. He was one of five patients she was caring for that day. To further complicate the case, the man had residual effects from a stroke three years earlier. Kathleen Singleton, RN, MSN, CNS, CMSRN, a clinical nurse specialist for med/surg nursing at Fairview Hospital in Cleveland, remembers treating a patient who had been transferred from the ICU to the med/surg unit after suffering from a massive gastrointestinal bleed. ![]()
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