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Clinical esearch Administration
Embracing the scholar-practitioner (SP) model in clinical research represents a critical responsibility to improve, to inform, and to inspire the lives of others: improve through scholarly research, inform through practical application, and inspire through leadership. During the semester, awareness was heightened as to the importance of scholarly writing, theory implementation, and leadership influence. Being charged with such responsibilities is not for the faint of heart. Becoming independent scholars and critical thinkers who are ready to forge ahead in making valuable contributions to one's fields of expertise requires a great deal of dedication, tenacity, and vision to cultivate a new body of knowledge (Dietzmann, 2005). To become successful, one will need to engage in scholarly writing, which is the basis for the SP model. Without academic integrity, effective writing skills, and synergistic teamwork communicating new knowledge and influencing implementation will not be possible in clinical research.
Diezmann, C.M. (2005). Supervision and scholarly writing: writing to learn -- learning to write. Reflective Practice, 6(4), 443-457. doi:10.1080/14623940500300491
Girard, N.J. (July 2004). Plagiarism: an ethical problem in the writing world. AORN Journal, 80(1), 13-15. Retrieved from Gale.
Hatcher, T. (2011). Becoming an ethical scholarly writer. Journal of Scholarly Publishing, 42(2), 142-159. Retrieved from EBSCOhost.
Lunenburg, F.C. (2010). Creating a professional learning community. National Forum of Educational Administration & Supervision Journal, 28(1), 1-7. Retrieved from EBSCOhost.
Clinical esearch Ethics
Medical research is the most sensitive field of research in the entire field of academia. It is governed by several rules, regulations, and ethical standards. For instance, no research endeavor is allowed in case it hurts the life of any human being whether directly or indirectly. Secondly, any research that is to be done must meet environmental conservation measures and should not deride or harm human dignity in any way. Besides, no research in the medical field is allowed in case it results in the extinction of an entire species of the sample used be it plants or animals. easonably, this ensures that there is no or little alteration to the ecosystem (Kapp, 2006). The environment that species live in is also guarded against any negative effects of the research. In this regard, any research that is deemed to have harmful effects on the entire, or a…
Ethics in International Research. (1999). The Debate Over Clinical Trials of AZT to Prevent Mother-to-Infant Transmission of HIV in Developing Nations. Ethics in International Research
Kapp, M.B., (2006). Ethical And Legal Issues In Research Involving Human Subjects: Do You Want A Piece Of Me? J. Clin Pathol. Apr 2006; 59(4): 335 -- 339.
Maschke, K.J. (2008). Human Research Protections: Time for Regulatory Reform? Hastings Cent Rep. 2008 Mar-Apr;38(2):19-22.
Perrone M. (11/16/2014). Ebola Drug Testing Sparks Ethics Debate: Medical views diverge on how to ethically test Ebola drugs in Africa. The Associated Press
Nurse led clinical research: neonatal nurses' perceptions and experiences
The aims of the study are to understand the experiences of clinical nurses in conducting and utilizing clinical research within their neonatal setting.
This is a qualitative study of five neonatal nurses who were interviewed using semi-structured, face-to-face interviews to obtain the study data. This was a phenomenology-based study, which means it was meant to study the overall structure of the nurses experiences (Husserl 1962).
This study explored and examined the presuppositions of the nurses being interviewed. Specifically, the researcher wanted to probe for attitude and barriers to research participation within the neonatal setting. The second key feature was the researchers intentional selection of nurses for the study. The research chose nurses from two designated neonatal metropolitan nurseries. The final key feature was that nurses were interviewed away from their work setting and open ended questions were used for the interview.…
Moustakas, Clark (1994). Phenomenological Research Methods. California: Sage Publications.
Husserl, Edmund (1962). Ideas: General Introduction to Pure Phenomenology, Translated by W.R. Boyce Gibson. London, New York: Collier, Macmillan.
Russell, Cynthia & Gregory David (2003). Evaluation of qualitative research studies. Evidence-Based Nursing, 6, 36-40.
Strauss, Anselm & Corbin, Juliet (1990). Basics of Qualitative Research: Grounded Theory Procedures and Techniques. New York: Sage Publications.
oles of Clinical esearch Team Members
The relevance of a competently constituted clinical research team cannot be overstated when it comes to the success of clinical trials. This is true for both a site-based clinical research team and a sponsor-based clinical research team.
Sponsor-Based Clinical esearch Team
According to obinson (2009, p. 9), "the primary role of a data coordinator is to ensure that the clinical trial database is accurate and complete, ready for data analysis."
A degree in a biological science (obinson, 2009)
Some of the most important professional skills a data coordinator ought to possess are "an eye for detail and methodical approach" (obinson, 2009, p. 9).
Like any other key role in clinical research, experience in this case does matter. In most cases, 2-3 years worth of experience is deemed sufficient.
Interpersonal Skill equirements
According to obinson (2009), of…
Fedor, C.A., Cola, P.A. & Pierre, C. (2006). Responsible Research: A Guide for Coordinators. Remedica.
Robinson, M. (2009). How to get a Job and Manage your Career in Clinical Research. Institute of Clinical Research.
Stakeholders in Clinical esearch Trials
There are various stakeholders involved in clinical trials. These include, but they are not limited to, funding agencies, the patient, the government, regulatory and oversight boards, the general public, insurers (if any), and the industry. In essence, these stakeholders not only influence, but also contribute to the process as well as outcome of clinical trials in a variety of ways. Below, I concern myself with three key stakeholders: the government, industry, and the subject.
Government: the government is actively involved in the regulation of clinical trials. It is important to note that typically, the government plays the regulatory role through various federal agencies such as the Food and Drug Administration - FDA. FDA, for instance, plays an active role in trials that involve "new drugs or significant new uses for already-approved drugs, through the Investigation New Drug (IND) Application process" (Institute of Medicine, 1999, p.…
Gelband, H. (1999). A Report on the Sponsors of Cancer Treatment Clinical Trials and Their Approval and Monitoring Mechanisms. Washington, DC: National Academies Press.
Kutz, G.D. (2009). Human Subjects Research: Undercover Tests Show the Institutional Review Board System Is Vulnerable to Unethical Manipulation: Congressional Testimony. Darby, PA: Diane Publishing Co.
National Institutes of Health -- NIH. (2014). FAQs About Clinical Studies. Retrieved from http://clinicalcenter.nih.gov/participate/faqaboutcs.shtml
Volunteering for a Clinical esearch Trial
People accept to participate in clinical trials as volunteers for a number of reasons. In addition to fulfilling that inherent desire to help others, most people feel that participating in such trials helps move science forward (National Institutes of Health - NIH, 2014). Clinical trials, in essence, "look at new ways to prevent, detect, or treat disease" (NIH, 2014). Personally, I have never participated in a clinical trial. Neither has any member of my family, or friend to whom I'm closely acquainted.
It is important to note, from the onset, that if I met the criteria for a future trial, I would most definitely participate in the same. I would volunteer because deep inside, I feel that this would be good for humanity. Diseases bring about a great deal of misery and suffering to people, confining some to their beds forever, causing others to…
Fitzpatrick, S. (Ed.). (2005). The Clinical Trial Protocol. Marlow, Buckinghamshire: Institute of Clinical Research.
National Institutes of Health -- NIH. (2014). NIH Clinical Research Trials and You. Retrieved from http://www.nih.gov/health/clinicaltrials/basics.htm#3
monitoring and the role of clinical monitor have become the focus of a growing amount of attention in recent years due to the centrality of these functions to the success of research studies. This paper reviews the literature to determine why the clinical research associate (CA)/clinical monitor is the most important contact that a site has with a sponsor, how the monitoring function can contribute to the success or failure of a study and what CAs can do to maximize the effective of their monitoring strategy. Finally, a summary of the research and important findings concerning these issues are presented in the conclusion.
Why is the clinical research associate (CA)/clinical monitor the most important contact that the site has with the sponsor?
Although every study setting is unique, CAs are generally tasked with the supervision and support of the administration of a clinical trial and monitoring its progress for a…
CRA certification. (2015). Association of Clinical Research Professionals. Retrieved from http://www.acrpnet.org/MainMenuCategory/Certification/CRACertification.aspx .
Hurst, C. & Dennis, B. P. (2013, Fall). Developing a clinical research associate training program at Dillard University: The impact of collaboration. ABNF Journal, 24(4), 104-109.
Thank you in advance for your consideration of my application to become a scholar-practitioner at alden University. My goals dovetail ideally with alden's mission statement and I have always been an eager, quick learner thirsty for opportunities to help other people while bettering and challenging myself. I know that the alden experience will challenge me and that is exactly what I expect and look forward to.
I pursue the field of clinical research because I know I am competent to work in this field and moreover, I consider the opportunity to participate in research that can potentially improve the lives of millions of people an exciting and wholly worthwhile endeavor. Helping to transform our society, which faces so many health-related issues, is a goal I approach with clarity and deep concern. hether it is finding remedies and solutions for heart disease, for breast cancer, or genetic disorders -- or,…
Walden University. (2014). M.S. In Clinical Research Administration. Retrieved November 3
2014, from http://info-waldenu.edu.
At ____, I served for a year as Editor in Chief for the North American Students Association (NASA), two years as NASA Vice-President for the UAG Student Body, and three years as class president. I was also elected by university officials to represent the UAG at the National AMSA Conventions in Washington DC, and Chicago, IL. I was fortunate enough to receive medical accreditation at the federal level and to be awarded the certificate as best Medical Pasante in the ____ Region.
In ____, I managed to acquire the donation of an ambulance [for/from] the ____ [from/for] the City of Laredo, Texas. Finally, some of the work from which I derived the most personal satisfaction was in connection with teaching 5th and 8th Grade Spanish at the University of Incarnate Word, in Guangzhou, China.
I have developed an in-depth knowledge of medical treatment processes and terminologies and possess…
Participation in Clinical esearch Trial: Strategies esearchers Use to Increase ecruitment for the Studies
Strategies esearchers use to Increase ecruitment for their Studies
In order to conduct successful qualitative research, researchers need to recruit the right participants for clinical trials. However, there are many setbacks when it comes to identification and recruitment of these participants due to various problems, such as differing personal preferences, ineffectiveness of the research methods used, demographics, and character traits of the target population. According to Funa and colleagues (2014), one effective strategy that can be used to increase research participants is to fully understand the target population. They state that differences in cultures, education levels, and values may discourage the participants, and researchers need to take time to discover the topics they are sensitive to, what they believe in, and the level of education they have attained. However, the effectiveness of this strategy is not…
Funa, N.A., Rimando, M., B, Christiana, A.M., Fowles, R.W., Davis, T.L., Martinez, L.M., & Sealy, D. (2014). Recruitment in qualitative public health research: Lessons learned during dissertation sample recruitment. The Qualitative Report, 19(1), 1-17. Retrieved 13 March 2015 from http://www.nova.edu/ssss/QR/QR19/namageyo-funa1.pdf
Insight Medical Publishing Limited (2012). World Health Report 2012: No Health Without Research. Thematic Collections. Vol. 2(1) 113-126
Purdue University (2014). Recruitment of Human Participants. The Purdue University Library. Retrieved 14 March 2015 from https://www.irb.purdue.edu/docs/Guidance_Recruitment_of_Human_Participants.pdf
Contract esearch Organizations eality
There are numerous reasons that can explicate the fact that contract research organizations or COs have become so popular of late in the conduct of clinical trials. Some of these pertain to basic financial necessities. The prices of materials used in clinical trials and in the pharmaceutical business in general are increasing. According to Forbes (2011), "A survey by W Baird analyst Eric Coldwell found 42% of this year's drugmakers say prices rose in this year's second quarter, up from one-third in the first quarter." Thus, because the basic materials involved in testing for pharmaceuticals has increased, outsourcing this process has become a much more viable option for those looking to conduct clinical trials.
Additionally, it is critical to note that in certain instances organizations are cutting back on their expenses. Such a statement certainly applies to pivotal aspects of research and development. In fact, there…
Silverman, E. (2011). Why contract research organizations are so hot. Forbes. Retrieved from http://www.forbes.com/sites/edsilverman/2011/10/04/why-contract-research-organizations-are-so-hot/
Silverman, E. (2013). What contract research organizations are doing to keep employees. Forbes. Retrieved from http://www.forbes.com/sites/edsilverman/2013/08/19/what-contract-research-organizations-are-doing-to-keep-employees/
Prison Condition in USA vs. ussia
In assessing the human rights conditions of maximum security facilities, human rights groups look into 3 main areas: the duration of confinement; the conditions of confinement, and the criteria of eligibility. Each of these areas must be looked into individually and then considered in the context of the entire situation (Human ights Watch). Quite a number of concerns have been raised about the human rights conditions of the individuals held in prisons including: mistreatment of inmates / detainees by prison officials; unsafe conditions; and lack of sufficient legal protection (United States Department of State, n.d.). This paper also compares the situation of prison facilities in the United States and ussia.
The Standard Minimum ules, or the SMs for the Treatment of Prisoners are one of the most important international agreements on how prisoners should be handled. The SMs were adopted in 1955 by…
Hounshell, B. (2010). What are Russian prisons like? Retrieved March 15, 2016 from http://foreignpolicy.com/2010/12/28/what-are-russian-prisons-like/
Human Rights Watch (n.d.). Supermax Prisons: an overview. Retrieved March 15, 2016 from https://www.hrw.org/reports/2000/supermax/Sprmx002.htm#TopOfPage
Markovic, V. (2000). Maximum Security Prisons: A Comparative Analysis. CRIME AND JUSTICE INTERNATIONAL, 16(39), 9-10.
Rosen, A. (2012). Inside Russia's Prison System. Retrieved March 15, 2016 from http://www.theatlantic.com/international/archive/2012/10/inside-russias-prison-system/263806/
Patent Protection on Clinical esearch: The Primary Sources of Innovation in the Drug and Device Development Process
When it comes to biopharmaceutical research, the United States is the best country in the world and it is currently the largest pharmaceutical market. It has invested immensely in research and development, especially in the biopharmaceutical sector, and it holds numerous intellectual property rights for a majority of the drugs developed. According to the U.S. Food and Drug Administration, FDA (2014), all drug companies have to seek the organization's approval before they sell new drugs, and these drugs have to be tested accordingly to guarantee the safety of the public. Adherence to these requirements often makes markets increasingly competitive and in the recent past, the increasing demand for innovation in pharmaceutical companies has necessitated new approaches to be applied in the drug and device development process. This is particularly because pharmaceutical companies have…
Gold, R, E., Kaplan, W., Orbinski, J., Logan, S.H., & Marandi, S.N. (2009). Are Patents Impeding Medical Care and Innovation? PLoS Medicine Vol. (7)1 e1000208. Retrieved 13 March 2015 from http://www.plosmedicine.org/article/fetchObject.action?uri=info:doi/10.1371/journal.pmed.1000208&representation=PDF
The United States Food and Drugs Administration (2014). FDA Basics. About FDA. Retrieved 13 March 2015 from http://www.fda.gov/AboutFDA/Transparency/Basics/ucm194949.htm
The authors of the article determined that by directing children into a specific line of questioning regraind a certain action "gives the child material that might appear in subsequent play or narrative" (Gilstrap and Cici, 2001).
The true relationship between both of these issues is that ultimately, Hewitt also engaged in leading children through the use of imagery, by asking them to draw how they would feel if something sexual did happen to them. Finally, the last problem identified with using clinical techniques in a forensic setting is related to relying on aspects of behavior as being congruous with abuse. Without properly attributing for the base rate of sexual abuse in the world or the population in which the children are, the propensity for gaining false positives is very real -- and problematic.
Thus, there are many different important concepts a forensic psychologist could take away form this particular article.…
Gilstrap, L.L., Ceci, S.J. (2001). "Difficulties inherent in integrating clinical wisdom with empirical research in forensic interview." PsycCRITIQUES. 46 (2). Retrieved from http://ehis.ebscohost.com.ezp.waldenulibrary.org/eds/detail?vid=6&sid=e8439b61-401f-4d44-b03d-9552b26c9259%40sessionmgr115&hid=107&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#db=pvh&an=cnt-46-2-159
Litwack, T.R. (2001). "Actuarial vs. clinical assessments of dangerousness." Psychology, Public Policy, and Law, 7(2), 409-443. Retrieved from http://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?sid=87617533-0386-4c21-a27f-bfc6df2dbdb5%40sessionmgr104&vid=1&hid=122&bdata=JnNjb3BlPXNpdGU%3d#db=pdh&an=2001-17852-005
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…
Borders, L.D. (1994). The good supervisor. ERIC Digests: ERIC Clearinghouse on Counseling and Student Services. Retrieved on October 28, 2011 from http://www.ericdigest.org/1995-1/good.htm
Joslin, v. (2008). Ten traits of a good supervisor. Associated Content: Yahoo. Inc. Shine.
Retrieved on October 28, 2011 from http://www.associatedcontent.com/article/969660/ten_traits_of_a_good_supervisor.html
Kilminster, S.M. (2000). Effective supervision in clinical practice settings. Vol 34
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…
Kolcaba, K. (2003) Comfort Theory and Practice: A Vision for Holistic Health Care and Kolcaba, K.Y. (1994). A theory of holistic Comfort for nursing. Journal of Advanced Nursing, 19(6), 1178-1184.
Kolcaba, K., & DiMarco, M.A. (2005). Comfort Theory and its application to pediatric nursing. Pediatric Nursing. New York, NY: Springer Publishing Company, Inc.
Magyrary, D. (2002) Positive mental health: a turn of the century perspective. Issues of Mental Health Nursing, 23, 331-349
Malinowski, a., & Stamler, L.L. (2002). Comfort: exploration of the concept in nursing. Journal of Advanced Nursing, 39(6), 599-606.
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…
Braunald, Eugene., Fauci, Anthony S., Kasper, Dennis L., Hauser, Stephen L., Longo, Dan L., Jameson, J. Larry. 2001. Harrison's Principle of Internal Medicine, 15th ed. New York: McGraw-Hill Medical Publishing Division.
The Merck Manual (16th ed.). (1995). Portland, Oregon: Merck & Co., Inc.
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…
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.
Cogan, M.L. (1972). Clinical supervision. Boston: Houghton Mifflin.
ERIC Clearinghouse on Educational Management., & National Institute of Education (U.S.). (1984). Clinical supervision. Eugene, or: ERIC Clearinghouse on Educational Management, College of Education, University of Oregon.
Powell, D.J. (1980). Clinical supervision: . New York: Human Science Pr.
Bernard, J.M., & Goodyear, R.K. (1998). Fundamentals of clinical supervision. Boston: Allyn and Bacon.
Clinical Problem of Interest
Anabolic Steroids and Their Effects on the Body
Even though governing bodies and media reports may have a person thinking otherwise, the use of anabolic steroids by athletes is nothing new or unique. The use of these drugs has been going on for some time throughout many different kinds of sports, and there is no reason to think that it will stop, despite the illegality of it and the dangers that are seen when athletes engage in the use of anabolic steroids and other drugs believed to enhance performance. The biological and psychological effects can be very strong, and can include an increase in desire for sex, aggressiveness, and an increase in behaviors that are typically considered to be masculine (Graham, et al., 2008). These behaviors can also include sleep disorders, paranoia, euphoria, confusion, hallucinations, and anxiety (Graham, et al., 2008). Naturally, these are the kinds…
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…
Andrews, M. And Chilton, F. (2000) Student and mentor perceptions of mentoring effectiveness, Nurse Education Today, 20 (7), 555-562.
Atkins, S. And Williams, A. (1995) Registered nurses' experiences of mentoring undergraduate nursing students, Journal of Advanced Nursing, 21, 1006-1015.
Cahill, H.A. (1996) A qualitative analysis of student nurses' experiences of mentorship,
Journal of Advanced Nursing, 24(4), 791-799.
Clinical coding specialists may work in hospitals, clinics, ambulatory, long-term and mental health care facilities, physicians' offices and government agencies that need coding expertise. (Western Kentucky University Website "Clinical Coding Specialist," 2003, NP)
American Health Information Management Association
233 N. Michigan Ave. Suite 2150
Western Kentucky University Website "Clinical Coding Specialist," 2003, NP)
According to an interview I conducted with a CCS, the traditional route to becoming a CCS has been to learn the systems on the job, especially with regard to institution specific computer coding systems, with minimal additional facility sponsored continuing education credit hours per year, yet as the job becomes increasingly important, with regard to accountancy and cost containment in medical care more and more institutions are requiring certification and therefore prior education with regard to clinical coding. The professional noted that when she began her job 15 years prior it was…
Johns, M.L. (2007) Information Management for Health Professionals Second Edition. AHIMA.
Tinsley, R. (1993). Engagements for Medical Professionals. Journal of Accountancy, 175(4), 34.
Western Kentucky University Website (2003) "Clinical Coding Specialist" Accessed September 8, 2008 http://www.wku.edu/Dept/Academic/chhs/scahec/clinicalcoding.htm
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…
Ward, H. & Barratt, J. "Passing Your Advanced Nursing Osce: A Guide to Success in Advanced Clinical Skills Assessment." "Radcliffe Publishing, 2009"
Zuzelo, P.R. "The Clinical Nurse Specialist Handbook," (Jones & Bartlett Publishers, 15 Oct 2010)
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.
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…
Dalton, B., & Wright, L. (1999). Using Community Input for the Curriculum Review Process. Journal of Social Work Education, 35(2), 275.
Feldman, H.R. & Greenberg, M.J. (Eds.). (2005). Educating Nurses for Leadership. New York: Springer.
Kennedy, M.S.. (2004) Introducing the Clinical Nurse Leader. American Journal of Nursing, 104 (10), 22.
Knorr, R.S., Condon, S.K., Dwyer, F.M., & Hoffman, D.F. (2004). Tracking Pediatric Asthma: The Massachusetts Experience Using School Health Records. Environmental Health Perspectives, 112(14), 1424-1439.
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.
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…
Bennett, B.J. (1998). Psychiatric mental health nursing: thriving in a changing environment through outcomes-based measurements. Semin. Nurse Manage., 144-148.
Berger, a.M.-F. (1996). Advanced practice roles for nurses in tomorrow's healthcare systems. Clinical Nurse Specialist, 250-255.
Chaska, N.L. (2001). The Nursing Profession Tomorrow and Beyond. Thousand Oaks: Sage.
Cukr, P.L. (1997). The psychiatric clinical nurse specialist/nurse practitioner: an example of a combined role. Arch Psychiatr Nurs, 2-12.
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…
Lyth, Gordon M. (2000). Clinical supervision: a concept analysis. Jounral of Advanced Nursing, Vol 31, No. 3.
Macdonald, Joanna. (2002, Feb). Clinical Supervision: a review of underlying concepts and developments. Australian and New Aealand Journal of Psychiatry, Vol. 35, Iss 1. Retrieved from http://www.informaworld.com/smpp/content~db=all~content=a772090191
McLean, Duncan (1996). Clinical Supervision. Psychiatric Bulletin, Vol. 20. Retrieved from http://pb.rcpsych.org/cgi/reprint/20/1/1.pdf
Todd, C. & O'Connor, J. (2005). Clinical Supervision. In N. Skinner, a.M. Roche, J. O'Connor, Y. Pollard, & C. Todd (Eds.), Workforce Development TIPS (Theory Into Practice Strategies): A Resource Kit for the Alcohol and Other Drugs Field. National Centre for Education and Training on Addiction (NCETA), Flinders University, Adelaide, Australia. Retrieved from http://www.unodc.org/ddt-training/treatment/VOLUME%20D/Topic%202/8.Workforce%20Development%20TIPS.pdf
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…
Hart T. (2013).Promoting hand hygiene in clinical practice. Nursing Times; 109: 38, 14-15.
Tollefson, J. (2011). Clinical skills for enrolled/division 2 nurses. South Melbourne, Vic, Cengage Learning.
Scott, H.R., Blyth, K.G., & Jones, J.B. (2009).Davidson's Foundations of Clinical Practice. London, Elsevier Health Sciences UK..
Wilson, J. (2006). Infection control in clinical practice. Edinburgh, Elsevier, Baillie're Tindall.
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…
Communicability: It is almost impossible for intuitive models to communicate something that is intangible and which the practitioner is unable to express. Given that Benner's model relies on experimental knowledge as the basis of "knowing" as opposed to the science of communicable research, it is difficult to think of a situation where nursing's knowledge base becomes a shared resource open equally to all practitioners.
Similarly, systematic-rational models may promote communicability, but the process itself may not be that relevant if it does not fit with reality of clinical practice (Thompson, 1999, p.1225).
Simplification: If the information processing model does not capture all variables in decision making and clinical diagnosis, and also communicating this incomplete picture to other practitioners in the form of scientific evidence, then nursing's knowledge base will continue to develop in an ad hoc manner with major holes in the complete picture. The intuitive model at least permits the complexity of decisions akin to healthcare provision and sees that health is more than the sum of its parts. Also,
Clinical Learning Points
Clinical Case Study Key Learning Points
Given the patient's history with angina and cardiac conditions, there is a clear need to ensure that he does not allow bad habits to continue in addition to the careful management and monitoring of his health. The patient's medical history also includes known diagnoses for diabetes, hypertension, and obesity. His father had also passed from heart disease, indicating a genetic predisposition to cardiac problems. The patient recently was discharged just a few days prior for a stent placement. He returned for an evaluation, claiming that his major cardiac symptoms, including crushing chest pain, shortness of breath and diaphoretic had subsided dramatically. Still, there is thought to be a high risk of future complications in regards to his cardiac health because of the fact that he has a very minimal support system in order to help him change his dietary and lifestyle…
American Heart Association. (2007). Patient-teaching for cardiac nurses. Nursing, 37(10), 14-16.
Centers for Disease Control and Prevention (2012). Preventing High Blood Pressure: Healthy Living Habits. Retrieved from http://www.cdc.gov/ bloodpressure/healthy_living.htm' target='_blank' REL='NOFOLLOW'>
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,…
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…
Clinical supervision 'can inoculate staff against stress'. (2010). Mental Health Practice. 13(7),
Clinical Supervision. (2009). Retrieved June 27, 2010, Australian College of Mental Health
Nurses Web site: http://www.acmhn.org/career-resources/clinical-supervision.html
National Institute of Nursing esearch (NIN)
History of the organization
The National Institute of Nursing esearch is a body mandated with the principal responsibility of carrying out research that relates to the nursing and medical field in general. The institution dedicates its effort to improving the health and health care of Americans through funding of nursing research and research training. The involvement of the federal government led to the formation of the research institute as early as 1946. The federal government established a division of nursing within the office of the Surgeon General, Public Health Service. The NIN commenced its activities in 1955 when the institute established a Nursing esearch Study section, which was within the Division of esearch Grants. The purpose of this Study Section was to conduct a scientific review of the growing volume of applications in the nursing sector.
In 1960, a consolidation of the public health…
Fitzpatrick, J.J & Kazer, M. (2011). Encyclopedia of Nursing Research. 3rd edition. New York:
Springer Publishing Company.
Miller, A.C. (2009). Nursing for Wellness in Older Adults. Printed in China: Lippincott Williams
St. Jude Children's Research Hospital
Founded by entertainer Danny Thomas, St. Jude Children's Research Hospital is celebrating its fiftieth year of operation; in that time the hospital has conducted important research and cured / saved the lives of numerous children with cancer and other diseases. This paper reviews the organization from a number of important perspectives.
Board of Directors and Governors
The chairman / president of St. Jude's Board of Directors is Camille Sarrouf, who is an attorney in Boston with the law practice, Sarrouf Law. The First Vice Chair is Richard "Rich" M. Unes, from Memphis, Tennessee. Second Vice Chair is Paul Ayoub and the Secretary of St. Jude's Fred R. Harris. As to the Board of Governors for St. Jude's, Robert Breit is the chairman and president and Terry Burman is the First Vice Chair. Martha Perine Beard is the Second Vice Chair for the Board of Governors…
St. Jude Children's Research Hospital. "50 Years / Finding Cures / Saving Children." Retrieved
November 26, 2012, from http://www.stjude.org .
Ethical Aspects in esearch Studies
The essential aspects of research are the concern and respect that the researchers offer to the participants. esearch is aimed at producing insights that are beneficial to the society. However, the research should be conducted ethically. The ethical concern in research adduces that it should not advance a society at the detriment of others especially the participants in the research. Ethics in research is vital because it guides the working principles of the researcher for the research to conform to the required standards. This is the case especially when research subjects in health or medical research are often human beings. Therefore, it is vital to respect these individuals. The guiding principles in research ethics focus on preserving the rights and dignity of the research participants. In this regard, ethics focus on ensuring consent is obtained, no harm is done, the participant's privacy is respected, and…
Austin, W. (2007). The Ethics of Everyday Practice: Healthcare Environments as Moral Communities. Advances in Nursing Science, Volume 30 - Issue 1 - p 81-88.
Bernadette M.M. & Ellen F.O. (2011). Evidence-based practice in nursing and health care: a guide to best practice. Lippincott Williams & Wilkins.
Carol J.H. (2013). Professional Issues in Nursing: Challenges and Opportunities. Lippincott Williams & Wilkins.
Corey-L., Patricia M., Anita J., Marlene Z., & Alison M. (1999). Healthcare Reform: Its Effects on Nurses. Journal of Nursing Administration, Volume 29 - Issue 3 - pp 30-37.
Millon Clinical Multiaxial Inventory-III (MCMI_III):
This individual was administered the Millon Clinical Multiaxial Inventory-III (MCMI-III) to assist with the current diagnostic impressions. The pattern of response produced by this person indicates that the resulting clinical profile is a valid profile. There is no evidence that individual attempted to portray themselves in an excessively positive manner (Scale Y) or to present as being excessively distressed such as observed in a "cry for help" profile (Scale Z; Jankowski, 2002). Inspection of the profile indicates that the individual did not approach the questions with an overly defensive style or in an overly guarded manner that would invalidate the profile; however, there is reason to believe that this individual might be minimizing some of their distress (Scale X = 41; Jankowski, 2002). The clinical profile indicates a 2B/8A profile with moderate elevations on scales A, D, and CC.
There is no evidence that this…
Craig, R. J. (Ed.). (2013). The Millon clinical multiaxial inventory: A clinical research information synthesis. New York: Routledge.
Jankowski, D. (2002). A beginner's guide to the MCMI-III. Washington DC: American
Millon, T., Millon, C. M., Meagher, S., Grossman, S., & Ramnath, R. (2012). Personality disorders in modern life. New York: John Wiley & Sons.
Experimental esearch and eport Writing
esearch has shown that organizational strategies aid in memorization tasks such as word recall. Several studies have shown the effectiveness of using organizational strategies such as hierarchical categorization in aiding in word recall. Our experiment, a partial replication of the study conducted by Bower et al. (1969), examined the impacts of hierarchical word lists on word recall. College students were presented with word lists that were arranged either randomly or in categories. The number of words correctly recalled was measured for each participant. While our results were not as definitive as Bower et al. (1969) study, they do yield implications for further research for additional age groups.
The Impact of Categorization on Word ecall
esearch has shown that organizational strategies aid in memorization tasks such as word recall. Matlin (2002) presents four such organizational strategies: chunking, first-letter technique, narrative technique, and hierarchy technique. In…
Bower, G.H., Clark, M.C., Lesgold, A.M., Winzenz, D. (1969). Hierarchical retrieval schemes in recall of categorized word lists. Journal of Verbal Learning and Verbal Behavior, 8, 323-343.
Cohen, B.H. (1963). Recall of categorized words lists. Journal of Experimental Psychology, 66(3), 227-234. doi:10.1037/h0048846
Longenecker, J., Kohn, P., Liu, S., Zoltick, B., Weinberger, D.R., & Elvevag, B. (2010). Data-driven methodology illustrating mechanisms underlying word list recall: Applications to clinical research. Neuropsychology, 24(5), 625-636. doi:10.1037/a0019368
Marzano, R.J. (2009). Setting the record straight on "high-yield" strategies. Phi Delta Kappan, 91(1), 30-37. Retrieved from EBSCOhost.
Being able to merge the resources of a variety of different specialists is one strength of the Memorial Herman approach. In the future, as the interrelationship between the body and the brain, and psychological disorders and overall functioning has become an accepted part of mainstream science: studies such as these will be even more important for research institutes. Memorial Herman is clearly on the cutting-edge of the field in this regard.
Because of its impressive outreach, the hospital is also able to draw upon a wide array of specific populations, as in the case of studies such as the "Evaluation of cardiovascular effects of smoking cessation in HIV-infected patients" (Bell 2009). Few other hospitals would be able to draw from a large amount of HIV-positive patients who were smokers and willing to participate in research studies. The study may prove beneficial to the research subjects as well as to the…
About us. (2009). Memorial Hermann. Retrieved November 12, 2009 at http://www.memorialhermann.org/aboutus/
Bell, Tanvir. (2009). Evaluation of cardiovascular effects of smoking cessation in HIV-infected patients. Memorial Herman. Retrieved November 12, 2009 at http://www.memorialhermann.org/locations/texasmedicalcenter/heartandvascularinstitute/content.aspx?id=5772
Frazier, Lorraine. (2009). Interactions among depressive symptoms and genetic influences on cardiac outcomes. Memorial Herman. Retrieved November 12, 2009
Do patients understand what it means to donate tissue to science? Not only that, but use of EG cells confuses stem cell research with the debate over abortion, bring up the risk of biasing emotions (McDonald 7).
So, while stem cell research is an exciting new field that holds much promise, ethical problems arise to delay research, discovery of benefits or dangers, and involve many who have no knowledge of the complexities of the field. Though controversies usually accompany new discoveries in science, this biotechnological process involves manipulating the basis of life itself in embryonic stem cells. But the field is rapidly changing. hat is true today may be outmoded tomorrow. A neutral substitute for stem cells may be discovered that will prove to be the answer to these ethical questions.
Ethics Committee of the American Society for Reproductive Medicine. "Financial incentives in recruitment of oocyte donors." Fertil…
Ethics Committee of the American Society for Reproductive Medicine. "Financial incentives in recruitment of oocyte donors." Fertil Steril 2004; 82:Suppl 1:S240-S244.
Hwang, W.S., Roh, S.I., Lee, B.C., et al. -- Patient-specific embryonic stem cells derived from human SNCT blastocysts." Science 2005;308.
Magnus, David and Cho, Mildred K. "Issues in oocyte donation for stem cell research." Science Express Magazine, Stanford Center for Biomedical Ethics and Department of Pediatrics, Vol. 308. no. 5729, June 2005. http://www.sciencemag.org/cgi/content/summary/308/5729/1747 .
McDonald, Chris. "Stem cells: a pluripotent challenge." BioScan Vol. 13, Iss. 4, (Toronto Biotechnology Initiative.) Fall 2001.
Declaration of Helsinki
In this article the author emphasizes that having a code of ethics is still as important as it has always been but this new code includes the idea of informed consent and how to deal with those that are unable to provide it. The author goes on to address how important human subjects are to the area of medical research but stresses that this importance does not outweigh the adherence to a code of ethics when conducting research.
The Declaration of Helsinki has a lot in common with the Nuremberg Code but really expands the code to include more things in greater detail. The code now contains a section that deals with informed consent. Although the code does not address research on those subjects who are unable to provide informed consent, the code does address such research, asserting the ethical acceptability under certain circumstances of what is…
Clinical and Safety Databases
Clinical databases and safety databases are some of the most common types of databases utilized by clinical and drugs safety organizations to comply with different data standards. These databases differ significantly in various ways including the fact that safety databases have much more strict requirements for quality and safety. While safety databases are derived from clinical databases, they vary in relation to the kinds of data included in them, their maintenance, and how and when they are used in data management. Despite their differences, an important aspect of clinical data management process is reconciling the two databases. Clinical esearch Associates (CAs) play an important role in reconciling clinical and safety databases. However, CAs role in this process may be influenced by the nature of adverse events, progress of the clinical trial, and the use of coding dictionaries.
CA ole in econciling these Databases
As previously indicated,…
Krishnankutty et al. (2012, March-April). Data Management in Clinical Research: An Overview. Indian Journal of Pharmacology, 44(2), 168-172.
Ruiter, G. (n.d.). Handling and Reconciliation of SAE Data: A CRO Perspective. Retrieved February 24, 2016, from http://www.psdm.eu/media/Previous%20events/SAE/17478_20080522_SAE_Recon_GR.ppt
Technology in Managing Data in Clinical Trials
Even a casual observer will undoubtedly make note of the range of high-tech solutions that are causing disruptive change in the process of clinical trials. From webinars and multi-day meetings to an expanding pool of literature, technology has been establishing itself as the key to an era fixated on measurable improvements like accelerating the research start-up phase, restructuring clinical trial information transmission, and overhauling research monitoring. And the issue is no longer a distinct solution to apparently intractable glitches; instead, it revolves around sharing real-time information captured by these solutions for facilitating strategic decision-making by collaborators, with regard to a research's status as it is actually progressing. This constitutes a drastic change from the conventional paper-based techniques that underlie the industry's costly and time-consuming methods of carrying out international clinical research, in which data quality assessment depended on near-database locking or onsite monitoring,…
Morrison, R. (2015). Technology's Role in Clinical Trials. Retrieved May 13, 2016, from http://www.appliedclinicaltrialsonline.com/technology-s-role-clinical-trials
Weisfeld, N., English, R. A., & Claiborne, A. B. (Eds.). (2012). Envisioning a Transformed Clinical Trials Enterprise in the United States: Establishing an Agenda for 2020: Workshop Summary. National Academies Press.
Dissemination of esearch
A Brief Description of your Capstone Project
A phase that is very important in clinical research, Clinical Data Management (CDM), is a process through which reliable, high-quality and statistically accurate data is generated from clinical trials. This drastically reduces the time taken by the process, from when drugs are developed to the time they are marketed. The CDM team members play an active role throughout the process, from the beginning to the end. They are required to have sufficient knowledge about the maintenance of CDM processes quality standards. There are several procedures in the process such as Case eport Form (CF) and its annotation, data entry, designing a database, validation of data, management of discrepancies, medical coding, extraction of data and data locking. During a trial, these procedures are assessed regularly to ensure that they meet high standards. Currently, there is increasing pressure to improve the standards…
Block, S. M. (1996). Do's and don'ts of poster presentation. Biophysical Journal, 71(6), 3527.
Gerrish, K. (2005). Getting published: practicalities, pitfalls and plagiarism. Journal of Community Nursing, 19:8 13-15
Krishnankutty, B., Bellary, S., Kumar, N. B. R., & Moodahadu, L. S. (2012). Data management in clinical research: An overview. Indian Journal of Pharmacology, 44(2), 168-172. doi. 10.4103/0253-7613.93842
Miracle, V. A., & King, K. C. (1994). Presenting research: Effective paper presentations and impressive poster presentations. Applied Nursing Research, 7(3), 147-151.
In many clinical practice situations, research and use of current evidence is neither prized nor supported as part of the nursing culture. One of the earliest and best-known nursing research utilization activities was the Conduct and Utilization esearch in Nursing project, awarded to the Michigan Nurses' Association by the Division of Nursing in the 1970s for a five-year study. The major objective of the project was to increase the use of research findings in the daily practice of registered nurses by disseminating research findings, facilitating organizational changes needed to implement innovations and encouraging collaborative clinical research (Polit, 2004, p. 676).
Many models for nursing research utilization have emerged since the 1970s. These various models developed from efforts to use or disseminate nursing research and ultimately improve patient outcomes. The first research utilization model was developed in the 1970s with the Western Interstate Commission for Higher Education in Nursing egional Program…
Cormack, D. (2006) Research Process in Nursing. New York: Blackwell
Ervin, N.E. (2002). Evidence-based nursing practice: Are we there yet? The Journal of the New York State Nurses' Association, 33(2), 11-16.
Fitzpatrick, J. (Editor) (2005) Encyclopedia of Nursing Research. New York: Springer
infer an answer to a particular section, then you must so state and JUSTIFY your statement.
DO NOT LEAVE ANY SECTION BLANK.
Do not provide a "Yes" or "no" answer without an EXPLANATION. YOU MUST JUSTIFY ALL YOUR RESPONSES
ALL responses must be written in YOUR OWN WORDS. Do NOT use quotes.
Full and Complete Reference for the Article: Hagan, Teresa L, BSN, RN., B.A., & Donovan, Heidi M, Phd., R.N. (2013). Ovarian cancer survivor's experiences of self-advocacy: A focus group study. Oncology Nursing Forum, 40(2), 140-7. Retrieved from http://searchproquest.com/docview/1325739253?accountid-35812
You must submit the full article in PDF form. Critiques submitted without the PDF will not be accepted.
What is the problem the study was conducted to address? (1)
Response: The problem this study was conducted to address was self-advocacy in clinical research as well as practice. Despite self-advocacy being cited as a trait desirable among…
In spite of research gaps, medical robotics is a growing trend in the United States.
Advances in Medical Robotics (Diana, 2011)
Hybrid Assistive Limb 5 (HAL5) is an artificially powered ecoskeleton that helps double the amount of weight someone can carry unaided.
DaVinci Si HD Surgical System performs minimally invasive surgery through superior visualization and greater precision, with incisions of one to two centimeters causing less pain and speedier recovery. It reduces the hospital stay to one half and costs one third less.
Sofie incorporates force feedback allowing a surgeon to feel the pressure they apply making sutures and pushing tissue aside. Sofie is expected to develop in five years.
Cyberknife Robotic Radiosurgery System is a non-invasive alternative to surgery for treatment of cancerous and non-cancerous tumors.
Nursebot is designed to specifically help elderly deal with daily activities allowing them to live at home.
RIA is designed to…
Davies, B. (2006). Essay: Medical robotics -- a bright future. The Lancet, vol 368, doi:10.1016/S0140-6736(06)69929-7, S53-S54.
Diana, a. (2011, Jan 29). 12 Advances in Medical Robotics. Retrieved from InformationWeek Healthcare: http://www.informationweek.com/healthcare/patient/12-advances-in-medical-robotics/229100383
Huang, G.P. (2006). Robotics and clinical research: Collaborating to epand the evidence-based for rehabilitation. JRRD, 43(5), xiii-xvi.
Seaman, a. (2013, Jan 4). Racial gaps in access to robotic prostrate surgery. Retrieved from Yahoo Health: http://health.yahoo.net/news/s/nm/racial-gaps-in-access-to-robotic-prostrate-surgery
Nurses' Work Schedule Characteristics, Nurse Staffing, and Patient Mortality" (Trinkoff, et al. 2011 p 1). The authors argue that lower nursing staff level can lead to poor patients' outcome and poor care, however, higher nursing skills mix can assist in recording lower mortality rates. In overall, increase in a number of nursing staff is associated with improving patient outcome. The authors use the quantitative technique to collect data from 633 nurses working in different 71 acute non-federal hospitals in Illinois and North Carolina. The study also uses a generalized estimating equation to examine the hypothesis. The research examines whether the authors explicitly states the research questions or hypothesis.
Hypotheses or esearch Questions
Analysis of the research reveals that the authors do not explicitly state the research questions, and the absence of the research questions is not justified because one of the main features of quality quantitative research is to state…
Trinkoff, A. M., Johantgen, M., Storr, C. L., Gurses, A. P., Liang, Y., & Han, K. (2011). Nurses' work schedule characteristics, nurse staffing, and patient mortality. Nursing research, 60(1), 1-8.
University Doctor of Nursing Practice Program?
The Doctor of Nursing Practice is a unique degree in that it prepares nurses with the research skills to work more effectively in clinical settings. Unlike a purely academic degree, it is designed to prepare nurses to become leaders in the field, rather than work primarily in a university. But it still demands a rigorous understanding of evidence-based practice. The DNP reflects the fact that research can be critical in improving the quality of medicine while still ensuring that the research has a practical focus and can be used in a meaningful way to better the lives of patients and providers alike.
The increased complexity of healthcare regulation, the sophistication of medical technology, and the growing diversity of the patient population all reflect the need for leaders in the nursing field to pursue advanced degrees. To have the necessary background to act as an…
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…
Blackburn, R. (1993). The psychology of criminal conduct: Theory, research and practice. John Wiley & Sons.
Donohue, J., & Levitt, S. (2001). The impact of race on policing and arrests. Journal of Law and Economics, 44, 367-394. Retrieved from http://pricetheory.uchicago.edu/levitt/Papers/LevittDonohueTheImpactOfRace2001.pdf
Fite, P.J., Wynn, P., & Pardini, D.A. (2009). Explaining discrepancies in arrest rates between
Black and White male juveniles. Journal of consulting and clinical psychology, 77(5), 916. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2981137/ >.
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…
Benner, P, Sutphen, M., Leonard, V., & Day, L. (2010).Educating nurses. A call for tramsformation. San Francisco: Jossey-Bass.
Benner, P. (1984). From novice to expert: Excellent and power in clinical nursing practice. Menlo Park, Calif: Addison-Wesley
Bransford, J. (2000). How people learn: Brain, Mind, Experience, and School. Washington, DC: National Research Council
Chabel, MM. (2001). A model to facilitate reflective thinking in clinical nursing education.
Tony Bush wrote an article regarding overcoming the hindrances to effective clinical supervision, which was published in Nursing Times website. Bush's publication was influenced by the fact that clinical supervision is one of the most commonly misunderstood practices in contemporary nursing. However, clinical supervision provides a supportive and nurturing service to nurse practitioners by assisting them to critically reflect on the actions during the delivery of patient care. As a result, the author seeks to examine and explore the existing role and status of clinical supervision in the Nursing Health Service.
Clinical supervision is basically described as a complex activity with multi-faceted functions that seeks to provide emotional support to counselors receiving supervision and providing them with extra education. This concept can also be described as a means of evaluating and monitoring counselors' professional performance and enhancing the quality of their respective duties. In the nursing field, clinical…
Bush, T. (2005, January). Overcoming the Barriers to Effective Clinical Supervision. Nursing Times, 101(2), 38-41. Retrieved from http://www.nursingtimes.net/Journals/2013/02/15/j/v/s/050111GLsupervision.pdf
Guindon, M.H. (2002). Toward Accountability in the Use of the Self-Esteem Construct. Journal of Counseling & Development, 80, 204-215.
Marley, E. (2011, December). Self-help Strategies to Reduce Emotional Distress: What Do
People Do and Why? A Qualitative Study. Counseling and Psychotherapy Research, 11(4), 317-324.
During this period, there was a rather dramatic paradigm shift from the rather "mechanistic-deterministic" philosophy of psychoanalysis and behaviorism to the "self-deterministism" of the humanistic philosophy that is envisioned in by Carl odgers as noted by Aubrey (1983).odger's impact on counseling as a profession, pragmatically and philosophically was great. This is because his work is what led to the birth of counseling as a separate professional entity from psychology, guidance as well as psychiatry. Therefore, the philosophical underpinnings of counseling as a profession can be traced and acknowledged on the work of odgers. Later on, the need for training professional counselors became important and then in 1958, the National Defense Education Act (NDEA) was formed. This act was created in order to prepare thousands of counselors (Aubrey,1983,p.79).later on, various professional accreditation bodies were created for the counseling profession. One such kind is the Council for the Accredition for Counseling and…
Aubrey, R.F. (1983). The Odyssey of counseling and images of the future. Personnel and Guidance Journal, 62, 78-8
Smith, HB., Robinson, GP (1995).Mental Health Counseling: Past, Present, and Future. Journal of Counseling & Development Vol.74 (2) pages 158 -- 162, November-December 1995
Myers, J.E. & Sweeney, T.J. (2001). Specialties in counseling. In D.C. Locke, J.E. Myers, & E.L. Herr (Eds.), the Handbook of Counseling, pp. 43-54. Thousand Oaks, CA: Sage.
Palmo, AJ., Weikel, WJ.,Borsos, DP (2006).Foundations of Mental Health Counseling. Charles C. Thomas Publisher.
Healthcare: Clinical Integration
What is clinical integration
History of clinical integration
Goals of clinical integration
Importance of clinical integration
New payment models
Barriers to clinical integration
Lack of practitioner alignment
Lack of interoperability
How to achieve success in clinical integration
The future of health care systems
Physician acquisitions vs. clinical integration
HIEs -- solution to clinical integration?
Policy makers are beginning to appreciate the fact that only systemic change can effectively change, for the better, the manner of health care delivery in the U.S.; and that anything less would only alter the system's edges - with little or no substantial effect on cost-control, innovation-promotion, effectiveness of reward incentive schemes, coordination and coverage (AHA, 2010). Clinical integration has been found to be crucial to the change needed for the achievement of the aforementioned goals (AHA, 2010). Despite…
AHA. Clinical Integration -- the Key to Real Reform. Trend Watch. Retrieved from [HIDDEN]
Athena Health. (2014). History of the Clinical Integration Model. Athena Health. Retrieved from https://www.athenahealth.com/knowledge-hub/clinical-integration/clinical-integration-model.php
eHealth Initiative. (2012). The Rise of the Private Health Information Exchange and Changing Role of Public Exchanges. eHealth Initiative. Retrieved from [HIDDEN]
Fridsma, D. (2013). Interoperability Vs Health Information Exchange: Setting the Record Straight. Health IT Buzz. Retrieved from http://www.healthit.gov/buzz-blog/meaningful-use/interoperability-health-information-exchange-setting-record-straight/
Also known as person-centered or client-centered, Rogerian therapy, it "places much of the responsibility for the treatment process on the client, with the therapist taking a nondirective role" Person-centered therapy, 2009, Mind disorders). However, although effective with some clients: "Person-centered therapy, however, appears to be slightly less effective than other forms of humanistic therapy in which therapists offer more advice to clients and suggest topics to explore," as the client may use the therapy sessions more to complain or go over old grievances, than use the therapy to move forward in his or her life (Person-centered therapy, 2009, Mind disorders).
Another type of therapy that has radically escalated in popularity is that of family or marital therapy, which, like cognitive-behavioral therapy, tends to be focused on specific problems and of a fairly short duration. "Marriage and family therapists regularly practice short-term therapy; 12 sessions on average" FAQs, 2009, AAMFT). The…
FAQs about marriage and family therapy. (2009). American Association for Marriage and Family Therapy (AAMFT). Retrieved February 28, 2009 at http://www.aamft.org/faqs/index_nm.asp
Mulhauser, Greg. (2009). An introduction to cognitive therapy and cognitive-behavioral approaches. Counseling Resource. Retrieved February 28, 2009 at http://counsellingresource.com/types/cognitive-therapy/
Park, C. (2006, October 18). Best evidence summaries of topics in mental healthcare.
BEST in MH clinical question-answering service.
service cost, Devices, and Cost per bed
Qualitative research design model
Secondary Data Collection
esearch Validity and eliability
Across the U.S., hospitals are overspending millions each year on mobile assets that are not utilized effectively. Despite more than adequate inventories, equipment often is not available when needed. As a result, more units are bought, leased, or rented. And those units, in turn, get lost in the system and therefore, underutilized. In fact, the number of mobile devices per U.S. hospital bed has increased 60% in the past 15 years while costs have doubled. Yet in most hospitals, the device utilization is approximately 45%. In the present study, the need for optimization and efficiency methods with clinical assets is investigated.
Hospitals in U.S. have to incur increased expenses for acquisition of medical equipment utilized for their normal operations. The cost of equipment purchased is high and hospitals are required to…
Baretich, M. (2004). Equipment Control and Asset Management. The Clinical Engineering Handbook, 1, 122.
Castro, L., Lefebvre, E., & Lefebvre, L.A. (2013). Adding Intelligence to Mobile Asset Management in Hospitals: The True Value of RFID. Journal of medical systems, 37(5), 1-17.
Christe, B., Rogers, R., & Cooney, E. (2010). Analysis of the impact of a radiofrequency identification asset-tracking system in the healthcare setting. Journal of Clinical Engineering, 35(1), 49-55.
DeGraff, B. (2013). As medical devices proliferate, asset management is key. Biomedical Instrumentation & Technology, 47(2), 123-7. Retrieved from http://search.proquest.com/docview/1363268371?accountid=34741
There are many aspects to the nursing profession, but before a person becomes a nurse he or she has to focus on the clinical education it takes to become one. In other words, one cannot just study from books and pass tests to graduate to working with patients. He or she has to be able to demonstrate through clinical evaluation methods that he or she is capable of doing what is necessary to handle patients properly. Addressed here will be reasons behind the methods used. The humanistic and transformative learning theories will be discussed. Then the paper will move into the specific methods used for clinical evaluation, what those methods are, and why they are important. Overall, it is highly significant to have different kinds of methods, because everyone learns a little differently. When evaluations measure the same kinds of skills in different ways, they are more likely…
Bendeck S.S. ed. (2013). Psychology and the perennial philosophy: Studies in comparative peligion. Bloomington, IN: World Wisdom.
Billings & Halstead (2012). Teaching in nursing. A guide for faculty. (4th ed) NY: Saunders.
Cranton, P. (2006) Understanding and promoting transformative learning: A guide for educators of adults (2nd ed.). San Francisco, CA: John Wiley & Sons, Inc.
D'Antonio, P. (2010). American nursing: A history of knowledge, authority, and the meaning of work. NY: John Hopkins University Press.
Write a summary of this interview. Do not submit a transcript of the interview.
5. Using the information from your reading, this interview and any journal articles that you find, discuss the impact that public policies have on the roles and responsibilities of clinical mental health counselors working in diverse communities. Be sure to discuss the roles and responsibilities of counselors providing services to clients of diverse ages, backgrounds, and exceptional abilities, including strategies for differentiated interventions. (How do counselors ensure that interventions "fit" for diverse clients?)
6. Discuss how the policies of professional, governmental, and accrediting organizations have impacted the practice of this counselor.
. Share your impressions of the information that the counselor shared, anything that you found particularly interesting, surprising, or that you expected to hear. Discuss the impact that the interview had on your beliefs, expectations, and goals related to becoming a clinical mental health counselor…
7. Share your impressions of the information that the counselor shared, anything that you found particularly interesting, surprising, or that you expected to hear. Discuss the impact that the interview had on your beliefs, expectations, and goals related to becoming a clinical mental health counselor working in this setting.
Summary of the interview
The ability of a clinical mental health counselor to work with a socially and culturally diverse population (e.g race, gender, ethnicity, sexual orientation, economic status) is noted by the American Mental Health Association (AMHA, 2011) to be an important quality of all professional clinical mental health counselors. The work of Patterson (1996) indicated that multicultural counseling is important in order for the inadequacies of the mental health services targeting the minority groups to be eliminated. Such inadequacies include the lack of bilingual counselors, discrimination, and the lack of counselors who are members of the minority groups as well as prejudice in counselors. In this paper we discuss the impact that public policies have on the roles and responsibilities of clinical mental health counselors working in diverse
Nursing research is one of the most important components in answering a clinical question through an investigation process. The research or investigation process involves a series of steps that are geared towards identifying suitable evidence that can be utilized in answering the research question. This process requires narrowing down the research topic, which helps in obtaining information that is applied to develop knowledge, which generates wisdom if applied in meaningful ways. In this case, the research process entails the use of a data, information, knowledge and wisdom continuum. This paper examines how nursing informatics through this continuum can be utilized to gain wisdom on a clinical issue in the field of psychiatric nursing.
Clinical Issue and Question
Psychiatric nursing practice entails the provision of comprehensive, patient-centered psychiatric care to patients with psychiatric or mental health problems. This nursing practice is considered as an integral component of the continuum of nursing…
Halcomb, Peters, and Mclennes (2015) aims at examining pre-registration nurses' experiences in community clinic assignments as well as the effect such assignment has on their education. The authors have determined that clinical assignments to community facilities may offer nursing undergraduates important opportunities for learning. The research was conducted using a qualitative study design.
The research work attempts at examining pre-registration nurses' experiences in community clinic assignments as well as the effect such assignment has on their education.
Statement of Purpose
For promoting the profession of primary healthcare, comprehending pre-registration pupils' experiences within primary care contexts at the time of clinical assignment is vital.
In spite of the observable advantages such assignment have for pupils, poor supervisor-student relationships, work climates that do not foster a sense of belonging, and the absence of adequate guidance and monitoring are proven to have strong links to exacerbated anxiety and stress levels, greater pupil attrition…
Reduced treatment mistakes and patient falls, together with patient perceptions of being better informed during shift change, was witnessed by researchers. The intervention incorporated a 3-hour nursing pupil handoff practicum, 2-hour clinical staff training, and a formative student assessment and feedback in the course of clinical experiences all through the 3rd semester. The pupil practicum was integrated into clinical orientation and clinical lab experience. Best practices in bedside hand-offs were addressed as well. All through the course of the practicum, emphasis was placed on the handoff receiver's active participation in safety communication (Avallone & Weideman, 2015). Numerous favorable results were recorded with regard to combined bedside nurse shift reporting practice, with a small number of downsides. Nursing outlook towards reporting during final data acquisition proved to be more favorable as compared to their outlook at the start of program implementation. If put into proper practice, bedside nurse reporting may improve patient safety results and nurse and patient satisfaction. But it is imperative to ensure nurse involvement in practice implementation and to continually check both report format uniformity and process support on nurses' and patients' part (Jecklin-Sand & Sherman, 2014).
Avallone, M., & Weideman, Y. (2015). Evaluation of a nursing handoff educational bundle to improve nursing student handoff communications: A Pilot Study. Journal of Nursing Education and Practice, 65 - 75.
Jecklin-Sand, K., & Sherman, J. (2014). A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation. Journal of Clinical Nursing, 2854 - 63.
DIT and Healthcare delivery - Modern healthcare is quite complex, as are the relationships etween various stakeholders within the system -- patients, family, specialists, staff, administration, medical personnel, regulatory odies, insurance, pulic and private health personnel and even the political sphere. DIT heals measure the readth and numer of organizational units affected, the amount of communication across organizational lines, and the manner in which individual groups interact proactively. Innovation theory in health organizations often induces two cycles: 1) poorly performing organizations that respond with rule ound ehaviors and indeed perpetuates poor performance and; 2) eneficent responses in which etter performing organizations have autonomy which reinforces their stronger performance (Lundlad, 2003). For organizations to remain competitive, they must adopt the more proactive stance from DIT and find ways to oth streamline and self-critique.
DIT and Current Nursing Practice -- Because of the complex nature of nursing practice, comined with new expectations…
bibliography and focus upon how Von Berthalanffy strove to take complex situations in the natural world and help to simplify them theoretically.
Mammals will evolve (to choose an analogy) but they do not revert to being reptiles. If the subjects of this research had simply disagreed about the exact biographical dates of the model this would not have been problematic. If research subjects, for example, had argued to extend the period of middle adulthood to fifty rather than forty-five, for example, as people work until they are older than had been the case when Levinson was working, this would have in general supported his findings.
The validity of his model is not dependent on being absolutely precise in his age-related break-points and while Levinson himself might not have acknowledged this, it makes sense that details of the different stages should have to be shifted to meet changes in society. Such an acknowledgement is in fact missing from Levinson's model (as well as from the models of Erikson and Piaget) and must be…