Clinical Practice Essays (Examples)

Clinical Practice With Individuals Critique

I just tend to go down on myself more. I've been very stressed out lately even though stress is not something I generally have a problem with. I don't know what's wrong.

W: Well, fear can make one uneasy and act differently from what one is used to. Do you think that there was something around you, a situation a symbol a person that made you feel even more fearful?

I wanted to know what kind of situations made her fearful or uneasy

I had an idea that perhaps what made her fearful was the possibility of loneliness for life.

C: I really have no idea & #8230; there just seems to be a lot more for me to do than the people around me and it's just that I can't seem to bring myself up to where there are. I don't know if I ever will, you know.

W:…… [Read More]

Application and Integration of Aacn Synergy Care Model in Clinical Practice

Application and Integration of AACN Synergy Care

Model In Clinical Practice

Application and Integration of AACN Synergy Care model in Clinical Practice

Objective of this paper is to discuss the integration and application of AACN Synergy Care model in Clinical Practice. The paper discusses the background of the model, philosophical underpinning the model is based and strategic knowledge used to formulate the model to enhance greater understanding on the application of the model in clinical practice.

Synopsis of the Theory's Background

American Association of Critical Care's (AACN) is based on the mutual advantages that patients and families would drive from the nurse's competencies. The core concept of AACN is that the needs and characteristics of patients and the family will be influenced by the competencies and characteristics of nurses. In early 1990s, leaders of AACN embarked on journey to define a new model that would guide nursing practice and ultimately…… [Read More]

Good Clinical Practice and the ICH

GCP Laws

The author of this report shall be comparing and contrasting the differences in laws relating to global clinical practice (GCP) around the world in addition to any regulations, guidance and standard operation procedures (SOP's) that relate to the same. Finally, there will be an explanation of how they all reflect the influence of the ICH's Guideline for Good Clinical Practice E6. While different countries and cultures tend to do things a bit differently, the overall international guidelines of good clinical practice are usually reflected regardless of where one goes and what culture or country one is talking about.

One agency that is certainly focused and centered on good clinical practice would be the Food and Drug Administration (FDA) in the United States. One example of the Food and Drug Administration's adherence to good clinical practice is that they will update their rules and regulations to reflect any changes…… [Read More]

Good Clinical Practice Around the World

Clinical Practice

The general topic to be covered in this brief response is good clinical practice (GCP). Specifically, there will be a focus on how clinical practice can be the same when it comes to comparing country to country or culture to culture. There should also be a focus on how different cultures and countries can be different. There can even be variances and outliers within a singular culture rather than the disparities being between only different systems altogether. The author of this report will answer to whether good clinical practice is equally rigorous and advanced in all countries or whether there are variances from area to area as one travels around the world. Further, the author will explain why or why not that rigor exists. Examples will be provided to justify the answers given. While the rigor applies to good clinical practice does indeed vary from area to area,…… [Read More]

Reflections on the Evolution of Nursing Knowledge for clinical Practice

Evolution of Nursing Knowledge

Virginia Henderson made the point that the unique function of the nurse is to be able to help the individual, sick or not, in the routine of those activities donating to health or its recovery that he would perform unassisted if he had the necessary knowledge strength, or will. And to have it done this in such a way as to aid him in getting independence as fast as likely. It can be said that the Nursing profession tries their best.

Henderson wanted nursing research to emphasize in clinical practice. Clinical Practice Guidelines (CPGs) are evidence-based brochures that enable the submission of present evidence into regular emergency nursing training. CP cover recommendations founded on a systematic review and critical examination of the literature in regards to a clinical question. This is done in evidence-based nursing practice which involves the integration of a problem-solving method inside the…… [Read More]

Using Orem S Self Care Theory in Clinical Practice

Dorothea Orem Self-Care Theory

What is state of nursing during Dorothea Orem's time?

Dorothea Orem is one of the foremost theorists in the field of nursing in the United States who developed the self-care theory between 1949 and 1957. Orem developed this theory at a time when nursing was characterized by deficits in the training of practical nurses (Basavanthappa, 2007, p.72). During this period, there was a huge need to upgrade practical nursing training and determine the subject of nursing as a profession and practice. Nurses not only knew how to talk about nursing but also struggled with the practical aspects of this profession. As a result, the quality of nursing in general hospitals was relatively low and need significant upgrade.

What are her motivating factors for her theory?

Orem was motivated by various factors to develop her theory including the state of nursing during that period. Due to the…… [Read More]

Applying and Sharing Clinical Evidence

Question 1
In contemporary times, there has been an increase in the development and advancement of technology for utilization in clinical practice. I would apply the evidence found in the article by Pals et al. (2015). As a physician in healthcare I would ensure that the patients I provide healthcare to are able to comprehend the new form of technology being used. This would take into account being able to properly communicate and interpret to the patient the importance and benefits to the clients. As outlined by Pals et al. (2015), health professionals as well as patients may deem and perceive new technologies as beneficial components facilitating both patients as well as health professionals in making decisions within the clinical practice. Nonetheless, it is noted that such professionals consider it challenging to assimilate such technology into their clinical work practices, and more so if there is a disparity between the…… [Read More]

EBP initiatives and Research

Research and EBP initiatives
Change in practice depends on the environment in which practice has to take place along with the strength and nature of the research evidence. It also relies on the method by which the process in being carried out. No emphasis has been laid on the effect of cultural factors or existing workplace environment in the original EBP models (Kueny, Mackin & Titler, 2015).
It can be made sure that the appropriate audience receives information about research and EBP initiatives by process of knowledge translation. The process which involves the formation, circulation and adoption of research knowledge into clinical practice is known as knowledge translation. This term has different names around the globe. For instance, in UK and Europe analogous processes are known as research utilization. Researchers in USA know these processes as research diffusion, knowledge uptake and research dissemination. Knowledge-to-action and knowledge translation are common terms…… [Read More]

Clinical Supervision the Distribution of

Clinical supervision provides a mechanism of data collection and the information reclamation in support to the recent projects and the programmatic developments.

Management of the high number of complex mental health caseloads

These implementations occur under the influence of the Workplace Implementation Committees (WIC) that were established to the oversee agreement by the CMS at the local levels. The CMS is supposed to accompany the implementation of the policies that clearly outline the expectations and responsibilities based on periods and review methods (Cogan 1972). The implementations are expected to be transparent in the process of the WIC members and the staff groups. This includes the clear articulate mechanism for regular workload assessment, management and review.

I. egularly collect the workload from all the executives to make the caseload management process easier.

II. Use the caseload information to make the staff allocation of the resources while measuring their performances.

The workforce…… [Read More]

Clinical Supervision the Subject Supervisor

In certain countries, an effective supervisor possesses basic teaching skills, facilitation skills, negotiation and assertiveness skills, counseling and appraisal skills, mentoring skills, and knowledge of learning resources and certification requirements (Kilminster).

The most important aspect of the role of an effective supervisor is giving supervisee responsibility and the opportunity to practice it (Kilminster, 2000). Supervisees come to view the supervisor as a colleague and this leads them to become self-directed. Some supervisees consider teaching skills and techniques, interpersonal style and professional competence the most important characteristics of an effective supervisor. An effective supervisor shows empathy, is supportive, and exhibits flexibility, instruction, knowledge, interest in supervision and good tracking of supervisees. He is interpretative, respectful, focused ad practical. In contrast, an ineffective supervisor is rigid, shows little empathy and provides low support. He fails to consistently track supervisee concerns, teach or instruct. He is indirect and intolerant. He is close-minded. He…… [Read More]

Clinical Assessment of Learners Clinical Assessment Involves

Clinical Assessment of Learners

Clinical assessment involves the evaluation of technical skills, communication skills, professionalism, knowledge base, and teaching skills, where applicable, of students who are about to enter independent practice. Technological changes have made it possible to assess clinical performance in ways that are far more advanced than pencil and paper tests relied on in the past (Dauphinee, 1995). In the late 1970s, clinical training programs utilized continuous practical assessments to evaluate learner competencies and as means of providing formative assessment feedback. These continuous practical assessments were considered to be "a much more valid, reliable, and realistic method of assessment" (Quinn, 1989). As clinical placements grew shorter and the number of staff, including those with "supernumerary status" grew larger, the quality of continuous practical assessments was substantively impaired (Girot, 1993). The goal of assessment has always been to identify a "competent practitioner" and to support the educational efforts required…… [Read More]

Clinical Theory Practice of the

Concisely, Comfort results when an individual keeps of negative or unhealthy living and sticks to positive and healthy living. Comfort has been associated with positive institutional outcomes that include patient satisfaction. The outcome of Comfort is therefore one of the most important indicator of measuring success in nursing practice particularly for patients and families going through some tough or stressful healthcare conditions.

Benefits of the Comfort theory to the Clinical Nurses of the 21st Century

Comfort theory is an important theory that is applicable to the 21st Century clinical practice because of its many inherent benefits or advantages. This theory defines the working environment for healthcare practitioners while at the same time it charts the direction for improving the services offered by the clinical nurses. The universality of the language and concepts used in presenting the theory also promotes its wide acceptance. The simplicity of the tenets of the Comfort…… [Read More]

Clinical Disorder Clinical Psychology and

This leaves many veterans prone to the condition known as Post-Traumatic Stress Disorder (PTSD). This may be characterized as "an anxiety disorder that can develop after exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened. Traumatic events that may trigger PTSD include violent personal assaults, natural or human-caused disasters, accidents, or military combat." (NIMH, 1) in the particular case of this discussion, military combat is a cause of PTSD that can have devastating long-term outcomes. Indeed, "studies estimate that as many as 500,000 troops serving in Iraq and Afghanistan will suffer from some form of psychological injury, with PTSD being the most common." (Eliscu, 58) the outcomes of this condition will run a wide range of symptoms that impact the ability of individuals to cope with the pressures of everyday life, to relate to those who have not experienced the traumas of war,…… [Read More]

Clinical Supervision Is a Phenomenon

In clinical situations, for example, problem-solving techniques are often required to ensure best practice. According to Lyth, some authors argue that a balance between roles should be maintained in order to optimize both clinical practice and theoretical knowledge.

Generally, it appears to be agreed among theorists that the focus of clinical supervision should be professional development and self-actualization. In addition, an inter-disciplinary approach to supervisory practice will also provide a platform for emerging best practice among the various professions, and ultimately benefit the practice in nursing. Although it appears that the theory on clinical supervision is often arbitrary and little researched, it is also true that the phenomenon has been in effect of many years, decades, and even centuries. For midwives, for example, supervision has been part of their profession since 1902, being a statutory requirement.

One problem with clinical supervision, according to Lyth (2000, p. 276), is the fact…… [Read More]

Clinical Nursing Practice for a

27).

The proficient nurses perceive situations as wholes rather than in terms of distinct aspects, and performance is determined by maxims. Perceive or perception is the main word: The perspective is not thought out but presents itself based on experience and earlier events. Proficient nurses understand a situation because they perceive its meaning in regard to long-term goals. Because of their experience, proficient nurses can recognize when the expected normal picture does not materialize, which can considerably improve decision making (Benner, 1984, p. 27-29.)

Lastly, the expert performers do not have to count on an analytic principle, such as a rule, guideline or maxim, to connect their understanding of a situation to an appropriate action. Because of their strong background with an intuitive grasp of situations, they can zero in on the accurate region of the problem without trying unfruitful alternative solutions.

Benner's model of skill acquisition is based on…… [Read More]

Clinical Psychology Psyd vs PhD

Thus, PysD programs prove beneficial in terms of professional expectations.

This more practice-orientated path goes beyond research. PsyD programs offer a "Comprehensive, carefully supervised training for practice and thorough training for research cannot both be accomplished in the time allowed," (Walfish & Hess 2001:54).

Preparation for the student within a PsyD program comes from actual practice, rather than simple observation. It is within this scope of practice which allows for more thorough preparation for clinical practice. According to the research, "The PsyD students were to have class work as rigorous as that of their fellow students who were working for a PhD, but instead of doing research-based dissertations, they spent more time in practicum work and submitted a final document focusing more on a clinical demonstration project instead," (Walfish & Hess 2001:48). Students are allowed to go beyond the classroom and experience the reality of clinical practice within a psychology…… [Read More]

Clinical Auditing and Governance

Clinical Governance and Auditing

Throughout this paper, an attempt has been made to demonstrate an understanding of the procedure of Clinical Audit (CA). The focus of this CA is the high risk area of patient safety, and with regard to how this is linked to patient safety, hand hygiene has been selected. The findings and the recommendations that follow combined with the CA tool and the selection criteria will be outlined in form of a Clinical Audit. For the purposes of improving clinical practice, CAs forms an integral aspect of clinical governance. It is indeed notable that CAs encapsulates practice which through analysis can result to quality enhancement, particularly for the patients. Various definitions of the term which are invariably the same and which tend towards verbosity exist, but a terse and precise definition is given by Coffey (2009) who puts forth that a CA is a systematic evaluation of…… [Read More]

Practice Extrapolate Strategies Propose Close Theory-Practice Gap

Practice

Extrapolate strategies propose close theory-practice gap nursing. Must 3 specific articles 2 choosing a total 5 references. This master's degree Nursing Theory Course. The paper 3-5 pages length APA format.

The theory-practice gap in nursing:

Different perspectives and strategies to close the 'gap'

According to many nurses, there exists a "gap between nursing theory and practice. In order to improve the integration of theory and practice, a high standard of clinical practice is necessary" so that nursing students can see the relevance of what they learn in the classroom to the field (Ming-Tien & Ling-Long 2004). ona Levin writes that one important step in closing the theory-practice gap in nursing education is taking a constructivist approach to nursing education. "Within the constructivist theory, the learner is able to gain meaning from past and current learning experiences. This experience assists the learner to construct new knowledge…The constructivist facilitates experiential learning…… [Read More]

Clinical Education the Objective of This Study

Clinical Education

The objective of this study is to conduct a critical analysis of issues in clinical education. Toward this end, this study will conduct a review of literature in this area of inquiry.

The work of Strohschein, Hagler and May (2002) entitled 'Assessing the Need for Changes in Clinical Education Practice' reports a study that identifies areas of need within clinical education and well as describing "…various models and tools that are proposed and utilized in clinical education, as well as the exploration of the extent to which these models and tools might meet the identified needs of the clinical education process in physical therapy." (p.1) Physical therapists are reported as working in a health care climate "of increasing complexity and rapid change, of fiscal restraint and demands for accountability, of scrutiny from both internal and external sources. In such a climate, the ability to respond appropriately to these…… [Read More]

Clinical Educators Who Prepare the Students for

Clinical educators who prepare the students for enhancing knowledge and skills. They typically build the competent and provide quality clinical education. Many universities are offering these types of programmes to help students and prepare them for professional development of clinical educators. The educators develop themselves and their company for prospect healthcare challenges, this primarily help them in achieving their targets, and fulfill organization's need. It broad the horizon of student and give them inspiration to move ahead. We will also discuss the self-assessment criteria and other components of clinical education.

Goals of each workshop

In general the goal of each workshop was to learn, explore, and develop the phenomena of self-awareness. In the first module we have learned about the basic techniques of manipulating an optimal learning environment. The second module has demonstrated the abilities of learners to corroborate multiple skills throughout the framework to maximize value for patient care…… [Read More]

Clinical Psychology the Field of Clinical Psychology

Clinical Psychology

The field of clinical psychology emerged as a viable method through which the theoretical foundations of cognitive studies could be effectively applied within the clinical setting to prevent and treat psychological syndromes. Derived from the first clinical psychology work conducted by Lightner Witmer in the late 19th century, and expanding throughout the 20th century as diagnostic tools were refined and classification systems for mental disorders were standardized, modern clinical psychology has been adapted to fulfill a niche within a whole host of divergent fields, including criminal justice, the social sciences and gender relations. Clinical psychologists premise their work on the use of empirical analysis to accurately investigate matters of cognitive processing, psychological assessment and mental illness, with the administration of personality tests, neurological scans and clinical interviews the most frequently utilized diagnostic resources. As clinical psychology expanded the base of knowledge pertaining to the human brain's highly refined…… [Read More]

Clinical Nurse Specialist's Practice-Specific Concepts

Practice-Specific Concepts

The nursing practice is a profession that is based on conceptual and theoretical models that help in guiding patient safety and quality initiatives. The use of conceptual and theoretical models is an important part in nursing practice that is applied across the various disciplines in this profession. As a clinical nurse specialist, nursing conceptual and theoretical models play a crucial role in achieving the specific goal of identifying, recognizing, treating, and monitoring illnesses or diseases. The process of using nursing conceptual and theoretical models involves developing practice-specific concepts relating to the specific professional practice and creating a personal philosophy and practice guideline. The practice-specific concepts should incorporate the four basic metaparadigms of nursing theory and be supported by research and concepts.

Overview of My Professional Practice and Four Metaparadigms

A clinical nurse specialist is a nurse professional or practitioner who provides a crucial link with regards to detecting,…… [Read More]

Clinical Psychology

Deam Content as a Theapeutic Appoach: Ego Gatification vs. Repessed Feelings

An Abstact of a Dissetation

This study sets out to detemine how deams can be used in a theapeutic envionment to discuss feelings fom a deam, and how the theapist should engage the patient to discuss them to eveal the elevance of those feelings, in thei pesent, waking life. It also discusses the meaning of epetitious deams, how medication affects the content of a deame's deams, and if theapists actually "guide" thei clients in what to say. This "guidance" might be the theapist "suggesting" to thei clients that they had suffeed some type of ealy childhood tauma, when in fact, thee wee no taumas in thei ealy childhoods. The oigin of psychiaty is not, as it would have people believe, medicine, theapy o any othe even faintly scientific endeavo. Its oiginal pupose was not even to cue mental affliction.…… [Read More]

Clinical Staging of Psychiatric Disorders

DSM diagnostic criteria have long been a source of criticism. McGorry, Hickie, Yung, Pantelis, and Jackson (2006) point out some basic deficiencies of the DSM diagnostic system. First the authors state that the function of a diagnosis is to state what treatment should be applied or predict the prognosis of the condition. These are certainly functions of a diagnosis, but a diagnosis has broader implications. First and foremost the idea of having a diagnosis is to take a series of related signs and symptoms that hang together consistently and label them so as to facilitate communication between health care professionals. A diagnosis alone is useless unless it allows professionals to communicate about the same entity. Then descriptions of course, treatment, and prognosis can follow.

McGorry et al. charge that in the DSM system the clinical features that occur early in the course of the disorder are not distinguished from those…… [Read More]

Using Formal Guidelines to Establish Nursing Practice

Clinical Guidelines

The methods used to assess the quality and strength of the evidence by the National Guidelines Clearinghouse include expert consensus (alone and through committee and/or Delphi methods), subjective review, and weighting according to a rating scheme (in which the scheme may be give or not given). The methods use to collect and/or select the evidence that will be evaluated include the following: Hand-searches of published literature (primary sources and secondary sources), searches of electronic databases, and searches of patient registry data. The methods used to create, formulate, or establish the recommendations include: Informal expert consensus, expert consensus (alone, and through Delphi methods, nominal group technique, and/or consensus development conference), and balance sheets.

The guidelines comparisons of the National Guidelines Clearinghouse indicate that the rating schemes for the strength of the recommendations are derived from the weighted scheme used the developer of the guideline. These rating schemes are used…… [Read More]

Clinical Psychology Why I Chose Clinical Psychology

Clinical Psychology

Why I Chose Clinical Psychology as a Profession

Clinical psychology was not an immediately clear academic or career path for me, not that it was unappealing in any regard but simply that it took some time to come to my attention as an area of focus that was particularly interesting. Studying psychology as an undergraduate definitely piqued my curiosity and engaged a passion for application and interpersonal engagement with what I had learned and had started to experience, yet it still took several years following my undergraduate studies for me to develop a true understanding of what clinical psychology involved as both an academic and a practical/professional discipline. Several more years of semi-professional inquiry found me increasingly drawn to clinical psychology largely because I enjoyed the challenges presented in terms of interpersonal skills and especially in terms of the mental puzzles one was routinely confronted with in anything…… [Read More]

Clinical Supervision and Peer Coaching

Clinical Supervision and its Strengths and eaknesses

Annie Pettifer and colleague Lynn Clouder explain in the peer-reviewed journal Learning in Health and Social Care that clinical supervision is commonly used in professional contexts as a way to "guide reflection with the purpose of advancing practice" (Pettifer, 2008, 169). Clinical supervision "…enables critical practice and development of personal knowledge, professional expertise and competence" (Pettifer, 169).

Pettifer mentions that there is no hard and fast rule as to how the clinical supervision model should be presented. There are many interpretations, the author explains, and there is "conceptual ambiguity" as well; but the ambiguity can be explained because there can be no single model that meets all the professional needs of principals. But that said, there is a basic definition of clinical supervision that is presented by the authors:

"…[clinical supervision] is a formal process of support and learning which enables individual practitioners…… [Read More]

Clinical Decision Making Guide Subjective

A level of 126 mg/dL or above, confirmed by repeating the test on another day, means that you have diabetes.

An oral glucose tolerance test measures your blood glucose after you have gone at least 8 hours without eating and 2 hours after you drink a glucose-containing beverage. This test can be used to diagnose diabetes or pre-diabetes. OGTT is more sensitive than the FPG test for diagnosing pre-diabetes, but it is less convenient to administer. The OGTT requires you to fast for at least 8 hours before the test. Your plasma glucose is measured immediately before and 2 hours after you drink a liquid containing 75 grams of glucose dissolved in water.

If your blood glucose level is between 140 and 199 mg/dL 2 hours after drinking the liquid, you have a form of pre-diabetes called impaired glucose tolerance or IGT, meaning that you are more likely to develop…… [Read More]

Clinical Residency for a Family

According to the AACN's report, "Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women's Health" (2002), "Competencies are the domain or body of knowledge and skills that essentially define a profession or discipline. This domain of competencies guides training programs, provides expectations for employers, and drives the nature of assessment instruments and performance standards for credentialing institutions, certifying agencies, and accrediting organizations" (p. 14).

The core competencies for nurse practitioner graduates are intended to help candidates used what they have already learned and require a graduate-level education in order to attain certification as an APN and the AACN has developed this graduate curriculum as the basis for advanced practice nursing. As described by AACN, advanced practice nursing preparation includes ". . . graduate nursing core content (e.g., research, health policy, ethics, and more) and advanced nursing practice content (e.g., advanced health assessment, advanced physiology and…… [Read More]

Clinical Nurse Specialists and Nurse

Since modern medicine can sustain patients with proper medical follow-up for years, it becomes incumbent on the profession to follow the patients and provide them with the knowledge and tracking to insure that they are observing the procedures and medications which prolong their quality of life. Given hospitals' short-term orientation with the patients, there is a need to bridge patient care before, during and after acute-care visits.

While there are some nursing specialties which can be regarded as solely hospital- or community-based, many of the specialties call for a more holistic notion of patient care. y combining the CNS and NP specialties, this profession has a better chance of assuring better patient outcomes, and a better quality of life for the patient.

ibliography

ennett, .J. (1998). Psychiatric mental health nursing: thriving in a changing environment through outcomes-based measurements. Semin. Nurse Manage., 144-148.

erger, a.M.-F. (1996). Advanced practice roles for nurses…… [Read More]

Clinical Learning

Clinical Learning Outcomes

Interaction of Variables.

Evaluating clinical learning outcomes

Describe the skill and the learner you intend to teach and evaluate

Because of cutbacks in the number of days new patients are allotted to spend in the hospital, patients and their families are increasingly responsible for more of the patient's care, even immediately following a diagnosis of a serious illness such as type I, or juvenile, insulin-dependent diabetes. Teaching patients to correctly monitor their blood sugar and self-administer insulin is essential, but it requires a high level of patient compliance and willingness to learn. It is essential that young patients and their parents have a thorough understanding of the process.

Briefly describe how you would design the learning experience

Learning is a step-by-step process. It is important not to bombard patients with knowledge right away, when they are still frightened and confused. Also, although there are real risks with…… [Read More]

Clinical Risk Management Hospitals Are One of

Clinical isk Management

Hospitals are one of the top listed high-risk places of work. Just like any high-risk workplaces, Clinical isk Management (CM) procedures are formulated to enable hospitals in identifying, containing, as well as manage work related risks such as injuries, which are bound within the facilities. Implementation of element contained in risk management procedures in any hospital setting should be effected in order to ensure for the safety of both patients and workers accommodated in the facility.

isk Management

isk management is highly prioritized in most high-risk organizations. Technological advances have been realized in modern medicine progressively resulting to more complex care and treatment processes. Despite the positive result of leveraging care opportunities, such advancements may result in adversities that might in turn affect patients and staff working in hospital environments. Since it is far from possible to eradicate such risks completely, clinical risk management procedures are there…… [Read More]

Clinical Psychology Approaches of the

In contrast to dynamic or behavioral models, humanistic therapy places the patient (or "client") in the center of the session. This often relegates the therapist to a coaching role or, even more passively, to serve as an example of sincere interest in the client's chosen direction. Since the goal is often to build self-esteem (Branden, 1994, p. 1), this gives the client (for example, a timid child or neglected widow) experience with supportive, open relationships that may have been absent from prior life.

With its roots in intervention-oriented social work, family systems therapy has evolved into a sophisticated theoretical approach in its own right. By seeking the source of disturbances in the relationships between family members and other individuals, family therapists often derive insight from studying how two or more people -- any one of whom may be the putative "patient" (Barnhill, 1979, p. 94) -- transmit information and emotional…… [Read More]

Clinical Nurse Leader Cnl Is a Relatively

Clinical nurse leader (CNL) is a relatively new designation in the nursing profession. It is designed to take nurses that are already highly skilled and help them focus on safety and quality outcomes for their patient populations (American, 2013). In order to be a CNL, one must be a registered nurse and have a Master's Degree in the Science of Nursing (American, 2013). Additionally, the nurse must complete advanced coursework. This includes classes in pharmacology, pathophysiology, and clinical assessment (American, 2013). Those who work as CNLs have a very important job in that they oversee the coordination of patient care, develop strategies to improve quality, and assess any health risks that have to be dealt with (Institute, 2000). They also must focus on communication among their nursing team and solutions to problems that are evidence-based and created for their particular unit (Institute, 2001). To become certified as a CNL, one…… [Read More]

Clinical Psychology Many People E G Researchers Graduate

Clinical Psychology

Many people (e.g., researchers, graduate students) can benefited from compulsive traits. What are some likely personality characteristics of such persons? What would such people NOT be like?

Compulsive individuals are likely also to be anxious, competent, deliberative, goal oriented, and dutiful.

Define "personality" and "trait."

Personality is enduring, creating the cohesive self that we recognize when we look inward. It comprises a number of different mechanisms and properties. One's personality mediates that individual's interactions with every level of the environment from internal to dyadic to social and cultural. A trait is a distinguishing feature and personality comprises all of an individual's traits.

According to Kuyken et al. (2003) what predicts worse psychological adaptation over the course of training for clinical psychology students? What predicts better adjustment over time?

Kuyken et al. (2003) found that trainees who felt that demands on them were reasonable, who reported having a good…… [Read More]

Clinical Goal Course

Clinical Goals

During this health assessment class I aim to close the gaps I currently have when considering experience in realistic clinical situations. An activity such as having to perform CPR on a patient can represent an important factor in making it possible for a student to gain a complex understanding of the domain. The class is going to provide me with the opportunity to assess the way that concepts such as cultural values, health notions, and caring practices performed in a particular institution work together in assisting people in need of health care.

I would apply theory in cases when laboratory results are either inconclusive or they are abnormal. This would mean that I would have to find a way to determine why these respective results are in this condition and get actively involved in trying to provide patients with solutions or with the ability to access treatment they…… [Read More]

Clinical Interviewing Skills and Techniques in Social Work

Clinical Interviewing as a Social Worker
Part A
The importance of effective clinical interviewing revolves around being able to establish a certain level of trust with the client. Essentially, the goal of the social worker is to get to the heart of the problem and to elucidate truth. It’s very difficult to get people to share honestly if they feel guarded or feel as though they are being judged. A presentation given at Minnesota State University at Moorhead found that the following personality traits are most crucial to clients when it comes to having a social worker: understanding, compassionate, pleasant, and possessing the ability to put others at ease (Bitfocus.com, 2016). Being able to embody these traits means that one is able to convey very aptly how much one is interested in one’s client and that one has kind intentions, as a safe person.
Maintaining confidentiality consistently is another vital…… [Read More]

Clinical Nurse Leader Role Implementing

The American Association of Colleges of Nursing (AACN) and the Council on Graduate Education for Administration in Nursing (AACN, 1996; Dienemann & Aroian, 1995) operationally define the professional nurse as one who has been prepared with a minimum of a baccalaureate or higher degree in nursing. (Feldman & Greenberg, 2005, p. 219)

These were necessary requirement in the 90's. Now in an ever increasing age of need for more highly educated professional, the Clinical Nurse Leader armed with a Master's degree or better, is more adapted to handle a wide range of situations and create a fulcrum from which to balance all the staff in a given unit.

Literature eview

Clinical Nurse Leader

Kennedy, M.S.. (2004) Introducing the Clinical Nurse Leader. American Journal of Nursing, 104 (10), 22.

This article is a report regarding the decisions calling for a new role for nurses. The American Association of Colleges of Nursing…… [Read More]

Role of Advanced Practice Nurse

ole of Advanced Practice Nurse

Framework for Clinical Practice

Person/Client/Client System

Environment

Health

Nursing/APN (Factors Effecting APN's Practice and Implementation of the APN

Nursing Process)

Interrelationships of Client System, Environment, Health, and Nursing/APN

ole of Advanced Practice Nurse

esearch shows that an advanced practice nurse (APN) is first of all a nurse that has been recognized as a person that has advanced education. This person is also known t knowledge and skills prepared at the masters or doctorate level. It advanced practice nurse have a broader scope of practice than egistered Nurses (N) often performing the same duties as those that are doctors. Their primary care duties involve things such as diagnosing and managing the treatment of chronic and acute illnesses. Advanced practice nurses are the ones that keep the emphasis on advanced practice nurse and health promotion, with a stress on wellness. Advanced practice nurses may choose to work…… [Read More]

Students in a Clinical Setting Evaluating Student

Students in a Clinical Setting

Evaluating student performance of any kind is always a controversial issue. However, assessing nursing skills is a particularly serious and controversial subject, given that if assessment is inadequate, the consequences for patients can be dire. It is essential that the evaluation of new nurses be accurate, particularly given the hope that many new nurses will be entering the profession, the result of new initiatives designed to cope with the pending nursing shortage due to the retirement of the current generation of older nurses. A review of existing literature indicates that the evaluation of nurses' competency is deemed to be problematic world-wide. Various strategies to remedy this have been suggested, including more rigorous training of and support for mentors who grade student nurses as well as the use of more objective assessment instruments.

According to Gopee (2008) in her article "Assessing student nurses' clinical skills: the…… [Read More]

International Clinical Harmonisation Proper Systems in Place

International Clinical Harmonisation

PROPER SYSTEMS IN PLACE

The International Congress Harmonisation

WHO Principles of Good Clinical Practice

Clinical research is conducted to insure the safety and efficacy of health and medical products and practices (WHO 2002). In the past, randomized controlled trials gave most of the information about the safety and efficacy of these products and treatments. Randomized clinical trials were considered the foundation of evidence-based medicine but reliably only when conducted according to principles and standards. These principles and standards comprise good clinical research or GCP. The guidelines were created to help national regulatory authorities, sponsors, investigators and ethics committees to implement GCP for overall clinical research. These were based on the guidelines provided by major international organizations, such as the International Conference on Harmonization or ICH GCP, and used as reference (WHO).

GCP incorporates accepted and established ethical and scientific quality standards complied with for the design, conduct,…… [Read More]

Excellence in Clinical Nursing

clinical nursing professionals require self knowledge as well as expertise in order to be successful in their field using Patricia Benner's book as a background. It has one source.

Clinical professions today require experts. In a clinical setting both nurses and doctor are equipped with information which will validate their presence for patient care. A critical understanding of the processes of diagnosis, treatment and monitoring of the patient is imperative as they are responsible for the patient care outcomes. Nurses today are playing a critical role as intermediaries, more knowledgeable than an attendant but with less expertise than the physicians themselves. Nursing is no longer a comparatively inferior career but a highly sophisticated field requiring clinical expert skills to carry out patient care duties. They are responsible for making on the spot decisions; act as coaches for aspiring nurses; specialize in certain areas such as rehabilitation, injuries, administrative nurses etc.…… [Read More]

Masters in Nursing for Clinical Teaching the

Masters in Nursing for Clinical Teaching

The objective of this study is to examine the importance of a Masters in Nursing for the Nurse in Clinical Teaching endeavors.

The work of Orton (2007) entitled "Nurses As Clinical Teachers" Variables Affecting Teaching Comfort and Self-Efficacy" reports a descriptive correlations study that examined whether there was a "common understanding of a good clinical teacher among nursing students and faculty." (p.ix) Stated as a secondary purpose was the validation of a tool for development of individual prescriptions for improvement of the clinical teaching of nursing instructors.

Common Assumptions

A third stated purpose was testing for common assumptions about good teaching:

(1) if experience in clinical teaching leads to a better praxis;

(2) if educational training (the most common intervention) leads to better teaching;

(3) if experience in teaching (other than nursing) leads to better clinical teaching;

(4) if the education degree status has…… [Read More]

Mobility Evidence-Based Practice Progressive Mobility Protocol This

Mobility

Evidence-based Practice

Progressive Mobility Protocol

This paper is a project based on PICO. The clinical question that serves as the foundation for this data-based design is; for immobile critical care patients, does the use of a nurse driven progressive mobility protocol reduce ICU LOS compared to every hour of repositioning? In this paper, the adult patients admitted to an ICU represent the population (P) of interest. The nurse driven progressive mobility represents the intervention (I), the comparison (C) is the critical care patients repositioned every two hours, and the reduction in LOS represents the result.

Most hospitals place critically ill patients on bed rest and reposition them every two hours in the intensive care unit. Some literature reviews provide evidence in favor of progressive mobility protocols. In addition, the paper also reviews the safety of mobilization of the critical patients and the negative effects bed rest may have on…… [Read More]

Evidence Base Practiced Reseach Evidence Base Practiced

Evidence Base Practiced eseach

Evidence Base Practiced esearch

Evidence-based practice is considered to be a combination of the best practice gotten from patient care data, research study, and expert opinion so as to identify dissimilar approaches of improvement in providing high quality care that reflects things such as needs, values, interest and selections of the patient. Skills and Knowledge gained in the procedure of evidence-based practice assist health care workers to bring about reforms in healthcare and raises individual responsibility of practice. Comparing evidence-based practice, getting comprehending of why things are done the way they are done and establishing actions that endorse evidence-based practice with the purpose of providing care that is better. With that said, this essay will argue why Evidenced-based practice is important to nursing practice.

One reason why evidenced-based practice is important to nursing practice is for the reason that Evidence-based practice is a key approach to…… [Read More]

Standards of Practice on Diabetes

diabetes.org/news-research/research/).

17) Can the outcomes be measured through standard care? Yes, qualitative and quantitative measurements are standard and needed based on the increasing number of Type II diabetes patients. This increase is primarily cultural, and due to obesity and an unhealthy diet.

One of the more serious aspects of type II diabetes is the new prevalence of onset during later teen years, most likely completely due to rising obesity patterns in children. Symptoms for both children and adults range from chronic fatigue, general weakness and malaise to excessive thirst, blurred vision, lethargy, and more serious internal dysfunction. There also appears to be a strong connection in type II diabetes to a genetic predisposition -- which is ironically a similar predisposition to hypertension, cholesterol issues and obesity. Clearly, the epidemic proportions of the disease have increased due to a rapidly aging population, high-fat diets, and a far less active lifestyle (Zimmer,…… [Read More]

Different Nurse Practice Specialties

Nurse Practice Specialties

The objective of this study is to locate four evidence-based research articles in nursing peer-reviewed journal. Specialty nursing includes various areas of nursing practice, which are examined in this study. Articles reviewed in this study include those related to emerging specialties and opportunities for nurses, Advanced Practice Registered Nursing, Nurse Practitioner Primary Care in Competencies in Specialty Areas, and the Specialty Practice of Nursing Informatics.

The first article examined in this study is the work of Cruz (2012) who reports that Advanced Practice Registered Nurses (APRN) "arose out of the trailblazing efforts of nurses from four separate nursing specialties whose individual histories were shaped by a common threat: the answer the call to deliver a high level of healthcare to individuals and groups in an area of clinical practice where a need for such level of healthcare existed." (p.1) Cruz (2012) additionally reports four areas of concern…… [Read More]

Social Work Supervision of Clinical

By improving their self knowledge, leaders can change and develop as leaders of people. Clinical supervision for leaders is sometimes called administrative clinical supervision. This is managerial clinical supervision with a focus on problems related to leadership and organization of work, particularly human relations issues. Administrative clinical supervision makes use of experiential learning focused on oneself and one's work (Sirola-Karvinen and Hyrkas, 2008).

Administrative clinical supervision means clinical supervision for leaders that address leadership issues in order to achieve set goals. Supervision promotes cohesion within the organization and is directed at change. Administrative clinical supervision is the examination of leadership in which leaders have the chance to reflect upon the quality of their decisions and share their feelings. In terms of action, administrative clinical supervision involves process-like support and mentoring, which boost the leader's confidence in coping with leadership duties and changes associated with it. Administrative clinical supervision addresses issues…… [Read More]

Leading and Managing a Change in Clinical

Leading and Managing a Change in Clinical Practice: Patient on Ventilator and the Usage of Saline in Performing Suctioning

Organizational direction depends on many factors. Most of them were an integral part of clinical practice for a while, but until the latter part of the 20th century has been so prominent in the organizational structure. This paper will explore the four factors that influence the management of clinic and are characterized by efficient designs. This paper will discuss about the leadership and management in relation to improving quality, change, care management, values and results. We will also present integration and possible implementation concepts, tools and strategies.

Discussion

Suctioning the patient on ventilator pose a unique challenge in following a clinical pathway or case management model of care. Our patient is on ventilator and we are performing suctioning by the usage of saline solution. Multiple decisions need to be made when…… [Read More]

Forensic and Clinical Roles and Assessment While

Forensic and Clinical oles and Assessment

While psychologists and psychiatrists may engage in both clinical and forensic practice, it important to recognize that clinical and forensic practice are distinct areas of practice. This means that the role of the forensic and clinical practitioner differs in several ways: "who the client of the psychologist is the nature of the relationship between the psychologist and the individual being evaluated, and the psychologist's approach to the material provided by the individual" (Packer, 2008). Moreover, it also means that the professional assesses the individual differently. These differences include: the purpose of the assessment, the goal of the intervention, and psycho-legal vs. psychological assessment. While the differences may seem clear, the reality is that even forensic evaluations can lead to the establishment of the type of relationships that develop in clinical practice, making it difficult for health care professionals and for their clients to differentiate…… [Read More]

Advance Nursing Practices in the

This help in solving conflicts between patients in a hospital.

In nursing practice, there are quite different in between clinical nursing specialist and nurse practitioner in the scope of operation. Therefore, a clinic nurse specialist works under the legislated scope of practice for a registered nurse but has advanced education. While nurse practitioner works under a separate scope of practice and can perform certain functions and tasks that are outside of the scope of practice of registered nurse, including clinical nurse specialist. However, nurse practitioner generally provide primary care, and clinical nurse specialists act more a s consultants in their roles as expert clinicians, clinical leader, educators, collaborators and researchers.

Many researches have written that emotions sometimes can influence ethical decision making in a health care system. Therefore, nurses are equipped with knowledge to make decision without any kind of influence. The model demonstrates that certain emotional states influence the…… [Read More]

Should Clinicians Use Evidence based Practice

Evidence-Based Practices When Working With Clients

Evidence-based practice is a concept that emerged in the field of medicine to help lessen mistakes or errors during treatment. This concept seeks to do so through ensuring clinical decisions are grounded on the best available research evidence. Since its emergence, the concept of evidence-based practice has become common in the medical field and is constantly used to help improve patient outcomes. The tremendous success of this concept in medicine is attributable to its integration of the best available research evidence, clinical judgment and expertise, and patient preferences and values.

Given its success in the field of medicine, evidence-based practice is being imported into the field of psychology (Lilienfeld, 2014). This trend emerges from the need for clinicians to utilize the most suitable and effective mechanisms to improve their clients' outcomes. Current evidence postulates that utilizing interventions that have been shown to work with…… [Read More]

Integration Evidence-Based Practice Professional Nursing Practice the

Integration Evidence-Based Practice Professional Nursing Practice

The concept of evidence-based practice -- EBP is becoming growingly significant in the sphere of nursing. (Stiffler; Cullen, 2010) Evidence-based practice is not entirely a novel concept; it is the manner in which nurses cater to the norms of care and practice efficiently. (Nysna, 2006) According to Linda Burnes Bolton, DrPH, N, FAAN, vice president and chief nursing officer in the Cedars-Sinai Medical Center in Los Angeles, evidence-based practice -- EBP in reality it is only an alternative mode of viewing the conventional theme of the nurses maintaining their sanctified reliability with society. (Wessling, 2008) David Sackett, MD, a Canadian physician, is regarded the father of evidence-based practice. According to Sackett, "evidence-based practice is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. . .[by] integrating individual clinical expertise with the best available external…… [Read More]

Enhancing Best Clinical and Business Best Practices

Healthcare Management (Discussion questions)

Healthcare organizations must always strive to provide quality care to their patients. This empowers them to be ahead of their competition and in line with the various rules set by healthcare bodies and the government. As such, companies often try to adopt best practices have been proven to be successful in other institutions. A best practice refers to a technique or method that has consistently shown or proved results superior to those attained by other means. Best practices can also be defined as methods used by organizations as benchmarks. According to Bogan and English (1994), benchmarks are used to uphold quality as an alternate solution to the enacted standards. The diversities within societies in terms of ethnicity, race, and religion calls for the importance of adopting affordable and quality care within the health care organizations.

According to Chin et al. (2012), the obert Wood Johnson Foundation…… [Read More]

Learners a Clinical Setting --Desirable Staff Role

learners a clinical setting --Desirable staff role models? What risks mitigated?

Discuss three assessment strategies you would use to evaluate the effectiveness of a clinical instructor

In-class, scheduled observations are one of the most common methods used to assess the effectiveness of instructors. Of course, this method is not foolproof -- an instructor will likely show off the class at its best, when he or she is anticipating a visit from an evaluator. However, even a planned visit at least demonstrates to the evaluator what the teacher believes are his or her strengths. The teacher's method of interacting with the class, the classes' responsiveness to the teacher's demeanor and the teacher's method of structuring the lesson plan can all be reviewed.

Unplanned observations, of course, take away the ability of the teacher to prepare for a visitor (although the teacher can be warned that unplanned assessments will occur throughout the…… [Read More]

Ethical Theory and Moral Practice

Ethical Theory & Moral Practice

Debates about theory and practice are ancient. Each generation considers the dynamics that surround issues about the interdependency of theory and praxis to be uniquely challenging. Complexity is a variable closely linked with knowledge. As science has added layer upon layer of knowledge, decision-making dilemmas have been confounded by new and staggering concomitant factors. In concert, theoretical frameworks for social science disciplines have been adapted to accept newly identified moral imperatives and ethical considerations.

This paper offers a discussion about the nexus of epistemology, ethics / morality, and praxis. An examination of the historical development of the paradigm and the assumptions of post-positivism is presented as an introductory foundation for the discussion. Next, is a discussion about ethical theory, followed by an exploration of the increasing division between philosophical frameworks and evolving modern science. Particular note is made of the theory-practice gap in healthcare, which…… [Read More]

Medication Reconciliation Evidence-Based Practice and the Procedural

Medication econciliation

Evidence-Based Practice and the Procedural Education of Nurses

Medication reconciliation is a critical issue in healthcare reform. Today, improvement in this area of treatment could have a transformative effect on the current practices of nursing and medicine administration. The discussion, literature review and research tests that are conducted hereafter will outline the implications of medication reconciliation; justify the call for improvement in this treatment area; and offer support for the resultant recommendations using the Quality and Safety Education for Nurses (QSEN) template as a guide. The discussion will provide a background discussion on the three primary procedural steps by which medication reconciliation is defined: Verifying Medications by Collecting an Accurate Medication History; Clarifying Information by Ensuring Medications and Doses Are Appropriate, and; econciling and Documenting Change. Additionally, the discussion will offer a literature review as a means of providing some comprehensive knowledge of current practices in the field.…… [Read More]

Evidence-Based Nursing Practice Evidence-Based Nursing

The evidence base suggests that approaches such as exercise, screening for treatable risk factors, energy conservation and activity management, progressive muscle relaxation, and education and anticipatory guidance are likely to be effective in reducing fatigue. Anticipating which interventions are likely to be effective can assist clinicians in the design of a multi-component fatigue treatment approaches. Clinicians also can use these results to examine their own practices, identifying intervention strategies such as complementary therapies that may be recommended only infrequently for fatigue but still hold the potential to be effective (Mitchell, Beck, Edwards Hood, Moore, and Tanner, 2006).

Evidence-based practice was adopted in a similar format to the Grove's model in the fact that it was developed by studying what works and what doesn't. In order to produce the best outcome for patients it is important to not waste time trying several treatment options unless these options have been studied and…… [Read More]

Management Issues and Practices James Strong the

Management Issues and Practices

James Strong, the former CEO and managing director of Qantas Airlines, twice sat on the panel convened at the Sydney office of CPA Australia to select those who would be recognized for the annual 40 Young Business Leaders list. Strong believed in the importance of nurturing young talent and threw himself wholeheartedly into leading much of the discussion among prominent leaders from all over the globe. Criteria for entrants included "the ability to land a top job, develop others and get the most from a team, and leading by example was also a must-have attribute" ("CPA Australia," 2014). To provide the scope and depth of the list-building endeavor, it is informative to explore the names of other participants on the panel, and to match them to the criteria they articulated for entrant evaluation. Here is a quick run down: James Strong looked for entrants who had…… [Read More]

Change Framework to Lateral Violence in Nursing Practice

Introduction

Lateral violence includes all acts of intimidation, humiliation bullying, unwarranted criticism and angry outbursts among other forms from a worker directed to another working (Clarke, 2014). In my current practice, most experienced nurses often feel superior to their inexperienced junior nurses. Therefore, they treat them with contempt as they feel they are more knowledgeable than them. For instance, one nurse may respond with an outburst on anyone enquiring of something that a colleague may have already have explained or considered it a too obvious. In some instances, one nurse may be disrespectful to others and refuse to engage another nurse in sharing patient information or other information that is pertinent to the nursing practice. If no one is willing to talk about and to address lateral violence, it will become a culture in nursing practice that will hinder teamwork and information sharing thereby hampering the overall quality of service.…… [Read More]