Skin breakdown and wound development are one of the issues that are affecting the cost of health care. The hospital is not reimbursed for the treatment of hospital-acquired wounds. Hospitals are losing much money due to wounds, resources that could be used to improve care in other areas. Wounds can develop due to long hours of staying in one position, poor nutrition, and disease process, and we need to prevent them from developing. Turning patients every 2 hours and as needed can help prevent wound development. Assessing the skin daily, padding bonny prominences, and good nutrition can help prevent wounds from developing. However, when wounds develop, we need to learn how to care for them. This article has presented a fascinating way to treat and care for wounds. The author Kathleen states that assessing the patient, their medications, nutrition, hydration, psychosocial, and the environment is essential for proper wound healing. Assessing the etiology of the wound can help us develop treatment plans using various technologies to help faster-wound healing. For example, my employment organization asks us to assess all bonny prominences at admission using thermal camera technology. This thermal sensing camera technology can provide data on the status of the skin even before the wound develops by assessing and comparing the temperature of healthy skin and that of vulnerable skin. This data helps us to identify skin at risk for developing a wound 72 hours before it breaks down. We take thermal pictures of heels and sacrum at each admission and primarily use the thermal data difference to correlate with the breakdown. Using this data, my institution is unreliable in case a wound develops after admission because there was damage already to the skin even though it was not visible at the moment. Deep tissue injuries always do not show the depth of the wound until after the skin breaks. Thorough assessment and teaching nurses how to treat these wounds and assess skin is essential.

View this article published by the AANP at THIS LINK.

Academia has always been at the forefront of not just advanced nursing practice, but nursing science as a whole. Some hospitals participate in the pursuit to reach Magnet Status- which is a status that indicates that nursing staff provide initiatives to create change within the hospital. To achieve Magnet status, nursing staff are required to have a BSN in nursing to qualify, providing that nursing staff have the education to participate in the changes needed to create a better work environment, for the current, and future of the hospital. This initiative relates to advanced practice nurses obtaining the DNP degree versus the MSN. It prepares the advanced practice practitioner to be a change agent in an ever-changing field of nursing. Transformational leadership has been described as has been described as a “style of leadership in which the leader identifies the needed change, creates vision to guide change through inspiration, and executes the change with the commitment of the members of the group” (Marshall, 2011, p. 3). DNP prepared nurses may find this style of leadership powerful because they may have opportunities to identify areas that need change by working alongside their colleagues (Chism, 2019). Having advance practice nurses obtain a DNP versus a MSN degree affords the practitioner to be the change agent to create a brighter future for nursing.

Chism, L.A. (2019) The Doctor of Nursing Practice: A Guidebook for Role Development and Professional Issues (4the ed). Burlington, MA: Jones & Bartlett Learning. ISBN 13: 978-1284141856.

We just covered this issue of how DNP graduates can fill the nursing faculty gap in my advanced role and collaboration class. After reading this article, I agree with the issue of making a doctorate in nursing, the main entry level in nursing advanced practice.
The roles of Nurse practitioners(NP) have increased in the past years, and it is advisable to attain a doctorate so that more improved care based on evidence-based practices is provided. DNP graduates can use their knowledge, highest education, expertise, and background to fill all the complicated roles of the increasing demand in advanced nursing care. DNP graduates are qualified to help decrease this gap due to the knowledge and skills we have in research. Research is vital in furthering nursing and advanced science inquiry. A doctorate graduate is qualified, and I agree to educate all the NP to the doctorate level. It will be challenging to convince all NP to attain more education by 2025; however, this will be an outstanding achievement in the nursing community. Transitioning the current working nurse practitioners to a DNP entry level can be done by working collaboratively with states, national educational institutes, and health care systems. Financial resources can also help boost NP to attain their degrees. More faculties are needed that can teach NP to DNP. However, there is a shortage of nursing educators due to less pay and a large workload. Financial incentives should be provided to entice more nurses to enter the education field to help educate more nurses.