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Not only do they treat patients, they also connect them with other necessary health services they may require (Become a Public Health Nurse, 2010).
A community health nurse can work in many different settings. These include working in patient's homes along with community centers. There are occasions to use a nursing degree in facilities that treat patients 24 hours a day, along with schools and businesses (Become a Public Health Nurse, 2010).
Nurses who work in this type of work often work in government along with private agencies and clinics. They concentrate on working with individuals, groups, and families in order to advance the overall health of the community. They educate about health care issues such as tobacco use, disease prevention such as H1N1, nutrition including obesity, and childcare. They also work with leaders in the community such as teachers, parents, and physicians (Community Health Nursing, 2009).
Despite the extent…
Become a Public Health Nurse. (2010). Retrieved April 16, 2010, from All Nursing Schools
Web site: http://www.allnursingschools.com/faqs/community-health-nurse.php
Community Health Nursing. (2009). Retrieved April 16, 2010, from Discover Nursing Web site:
Preventing Childhood Obesity
Nina Davuluri of Syracuse, New York met with several dozen students at the Bell Elementary School in Tulsa, Oklahoma on June 6 to discuss her experiences with childhood obesity (Eger, 2014). This was particularly poignant because Miss Davuluri is the reigning Miss America. A steady diet of white rice, naan bread, soda, sugary cereals, and cookies during her childhood had led the family physician to warn her parents that Nina and her sister were borderline obese. Her parents responded appropriately and eliminated or restricted many of the offending foods and encouraged engagement in strenuous physical activity. Although this strategy was successful, Miss Davuluri relapsed in college and developed bulimia. Since then she has created a personalized approach to managing her diet, which helped her to lose close to 60 pounds shortly before the Miss America pageant.
According to the U.S. Centers for Disease Control and Prevention…
CDC. (2014). Childhood Obesity Facts. Retrieved from http://www.cdc.gov/healthyyouth/obesity/facts.htm .
Eger, A. (2014, June 7). Miss America visits Tulsa school to raise awareness about childhood obesity. Retrieved from http://www.tulsaworld.com/news/education/miss-america-visits-tulsa-school-to-raise-awareness-about-childhood/article_753215cd-8a1e-52cb-9470-948618bd7bc8.html.
Hoelscher, D.M., Kirk, S., Ritchie, L., Cunningham-Sabo, L., & Academy Positions Committee. (2013). Position of the Academy of Nutrition and Dietetics: Interventions for the prevention and treatment of pediatric overweight and obesity. Journal of the Academy of Nutrition and Dietetics, 113(10), 1375-94.
Turnock, B.J. (2012). Essentials of Public Health (2nd ed.). Burlington, MA: Jones & Bartlett Learning.
Windshield Survey on Community Health Nursing
This survey is out of San Jose, California to define 3 out of 5 aspects (mental, emotional, physical, social, and spiritual health) of a community that could affect health. These communities are based out of specific groups in the San Jose neighborhoods who reside in close areas and sometimes even share the same cultural and historical backgrounds. In the public health sector of this area, we are concerned with the evaluation and enhancement of the well-being of the population, as well as, its application and community health nursing education and practices. One main health indicator that we have observed is the responsibility of sexual behavior. Therefore, this windshield survey below will address each of the components we have listed as they relate to the people of San Jose, California.
Housing & Zoning:
Notes: new homes constructed in 2010 were 74 built with avg. cost…
As a result, it becomes more difficult to ascertain exactly what mode of intervention would best be suited for helping children overcome health matters that are at least to some degree beyond their control.
That said, a defining strength of the research is its chosen method of intervention. The perspective that the health of the children at the center of this study cannot be improved without effectively improving the health habits of their respective families is a centering position and one that endows the study with a significant value to the public health. As the study finds in its conclusion, "social and structural environments in which Hispanic children are reared may play an important role in determining their risk for obesity and related behaviors." (Arredondo et al., p. 30) Even lacking any empirical validity and lacking the capacity to be replicated, it does offer an array of correlations that can…
Arredondo, E.M.; Elder, J.P.; Campbell, N.; Baquero, B.; Duerksen, S.; Ayala, G.; Crespo, MPH, Slymen, D. & McKenzie, T. (2010). Individual, Family, and Community Environmental Correlates of Obesity in Latino Elementary School Children. Journal of School Health, 80, No.1, pp. 20-30.
Josephine Lawrence (name changed to protect anonymity) has been a community health nurse employed by the city for almost five years. Working in the public sector is radically different from working in a private healthcare institution, notes Lawrence, who had practiced as an RN for ten years prior to her career change. When asked what precipitated the change. Lawrence said that a lot of it had to do with the way her mind works. She always preferred “big picture” issues, as she put it, recognizing the need for greater community activism, empowerment, and advocacy.
Changes to the Profession
According to Lawrence, the profession has not changed appreciably over the past four to five years. The most important changes to healthcare in general have been due to legislation and policy, with the Affordable Care Act having less of a bearing on community health operations than on the budgets and management…
Community Health Project for Pregnant Women
Healthcare is the fundamental necessity for every individual living in any state, regardless of religion, race, sex, color, etc. The population chosen for this paper is that of JMJ Pregnancy Center, which is a catholic pro-life crisis pregnancy management base. The reason for selecting this center is that it often resides with low socio-economic status women without health insurance. This paper aims to identify and prioritize community diagnosis for the women of this center so that a plan is developed to address their healthcare needs.
Part 1: Literature Review
Crisis pregnancy centers (CPCs) are pro-life organizations that are non-profit and work for women who experience unplanned pregnancies and are considering abortions (Holtzman, 2017). These centers are more religious to mentor and convince pregnant women to reconsider their abortion and contemplate adoption or parenting. Unwanted pregnancies are most commonly seen among adolescents, and that too…
Brown, T.R. (2018). Crisis at the pregnancy center: Regulating pseudo-clinics and reclaiming informed consent. Yale Journal of Law and Feminism, 30(2), 221-274.
Esquillo, J. (2017, January 19). NCLEX: Health promotion and maintenance, nursing care of the childbearing family. Brilliant Nurse. Retrieved from https://brilliantnurse.com/nclex-health-promotion-and-maintenance-nursing-care-of-the-childbearing-family-iv/
Holtzman, B. (2017). Have crisis pregnancy centers finally met their match: California’s Reproductive FACT Act. Northwestern Journal of Law and Social Policy, 12(3), 78-110.
Iseyemi, A., Zhao, Q., McNicholas, C. & Peipert, J.F. (2018). Socio-economic status as a risk factor for unintended pregnancy in the contraceptive CHOICE project. Obstetrics and gynecology, 130(3), 609-615. DOI: 10.1097/AOG.0000000000002189
Medoff, M.H. (2012). Unintended pregnancy and abortion access in the United States. Hindawi: International Journal of Population Research, 2012, 254315. https://doi.org/10.1155/2012/254315
Rosen, J.D. (2012). The public health risks of crisis pregnancy centers. Perspectives on Sexual and Reproductive Health: A Journal of Peer-Reviewed Research, 44(3), 201-205. DOI: https://doi.org/10.1363/4420112
Society for Adolescent Health and Medicine (SAHM) and North American Society for Pediatric and Adolescent Gynecology (NASPAG). (2019). Crisis pregnancy centers in the US: Lack of adherence to medical and ethical practice standards. Journal of Adolescent Health, 65, 821-824. https://doi.org/10.1016/j.jadohealth.2019.08.008
Taylor, D. & James, E.A. (2012). An evidence-based guideline for unintended pregnancy prevention. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN, 40(6), 782-793. DOI: 10.1111/j.1552-6909.2011.01296.x
Community Health Scenario
Death is an inevitable destiny of life. It is essential to be able to provide the best care that a patient may need during his last days, when all medical treatment fails. Frequently, the battle of life and death leads one to formulate a concept or an analogy of these two processes. This concept is bound to interfere with what one does in life. As a nurse, my idea of death and dying has an impact on the quality of care I provide to patients undergoing this process.
The ideal attitude of a nurse's care for terminally ill patients involves the criteria of flexibility in interpersonal relations, effective communication about critical issues, such as in Mrs. Thomas's case, and psychological stability and mindedness in relation to dying patients their families. (A oberta and A. olland. Nurses' attitudes about end-of-life referrals. 2009).
According to the Journal of Medicine…
Bottarf, JL. (1995). Comforting: exploring the work of cancer nurses. School Of Nursing. 22(6), 1077-84.
Dunn, K.S., Cecilia, O. & Stephans, E. (2005). Nursing experience and the care of dying patients. Oncology Nursing Forum. 32(1), 97-104.
Gloria, W. (2004). Basic geriatric nursing. Philadelphia: Library of Congress.
Matzo, M. And Witt Sherman, D. (2010). Palliative care nursing: quality care to the end of life. Springer Publishing Company: New York.
Watson's origin of human life is tied to notions that one's soul possesses a body that is not restricted by objective space and time. The lived world of the experiencing person is not well-known by external and internal notions of time and space, but shapes its own time and space. "Nursing is a human science of persons and human health-illness experiences that are mediated by professional, personal, scientific, esthetic, and ethical human care transactions. The process of nursing is human care" (Fawcett, 2002).
The main concept of Watson's theory is transpersonal human caring which is best understood within the concepts of three subsidiary concepts: life, illness and health.
Human life is defined as spiritual, mental and physical being which is continuous in time and space.
Illness is not automatically a disease. Illness is turmoil or disharmony with a person's inner self or soul at some level or disharmony within the…
Fawcett, Jacqueline. (2002). Jean Watson's Theory of Human Caring. Retrieved July 28, 2009,
from DeSales University Web site: http://www4.desales.edu/~sey0/watson.html
Obesity. (2009). Retrieved July 28, 2009, from MedicineNet.com Web site:
The company's board believed they could not find a replacement for Chaney by the date of his intended departure, and so the directors put the company up for sale. In March 1996, the New York-based investment banking firm Merrill Lynch was hired to generate interest in the company, and a suitable buyer was found, a New York-based private investment firm named Forstmann Little & Co. This company was headed by Theodore Forstmann, a leveraged buyout specialist. Forstmann's firm had more than $20 billion invested in 20 companies and made its living by acquiring companies and selling them for a profit. Forstmann Little acquired Community Health in 1996, and this was the firm's first purchase of a healthcare company. The firm paid $1 billion for Community Health, which at the time operated 38 hospitals in 18 states, and this change in ownership made Community Health a privately held company. In January…
Adams, D. (1996, March 20). Buy materials management systems, or pray you can swim. Health Management Technology, 63-65.
Community Health Systems Inc. scales back on risk (2004, November 23). Ioma.com, retrieved May 30, 2007 at http://galenet.galegroup.com/servlet/BCRC?vrsn=157&locID=longbeach&ste=5&n=25&docNum=A131272544 .
Community Health may seek other deals (2001, February 2). Philadelphia Business Journal, v19 i51, 10.
Career opportunities (2007), retrieved May 29, 2007 at http://www.chs.net/career_openings/corporate.html .
Elderly individuals are also "more likely to take prescription medicines that impair the body's ability to regulate its temperature or that inhibit perspiration" (Heat stress in the elderly, 2009, CDC).
hat levels of prevention are warranted in the situation? hat might a community health nurse do to intervene?
The immediate concern is removing the residents to a safer area during oppressively hot days with bad air quality. For residents who wish to exercise, arranging for transport to a local cooling center where they can exercise is one option. For round-the-clock care, however, the unit overall must be maintained with a proper air conditioning and ventilation unit. The community health nurse must stress that this is to be done ASAP, otherwise the nurse will report the facility for health code violations. Until the unit is repaired, the nurse can provide supportive instruction to help residents deal with the heat, such as…
Asthma and the elderly. (2009). therubins.com. Retrieved March 24, 2009 at http://www.therubins.com/illness/asthma.htm
Heat stress in the elderly. (2009). Center for Disease Control (CDC). Retrieved March 24, 2009 at http://www.bt.cdc.gov/disasters/extremeheat/elderlyheat.asp
Heatstroke and the elderly. (2009). North Shore - Long Island Jewish Health System.
Retrieved March 24, 2009 at http://www.nslij.com/body.cfm?id=1231
" (Rosen, 1) in a regard, community health falls within this purview and is a subset to the broader topic of public health.
c. Differences in roles of public and community health nurse and nurse in an acute care setting
The role which is given to the nurse in the public or community health context should be essentially similar to that which is seen in an acute care context. Ethical, practical and medical conditions remain unchanged from one context to the next. However, the nurse will be required to prepare for certain distinctions which do denote a difference. Particularly, nurses in public health settings are less likely to possess the resources and facilities which are afforded those in the acute care setting. This means that in many instances, public health nurses can only function as the front line for consultation, diagnosis and basic treatment. here more serious concerns become apparent,…
Health Disaster OC. (HDOC). (2008). Health Disaster Management Division. Oraange County Health Care Agency.
Orange County Health Care Agency (OCHCA). (2009). Epidemiology & Assessment. County of Orange California. Online at http://ochealthinfo.com/epi/
Rosen, G. (1993). A History of Public Health. JHU Press.
Encouraging people to report violations for the sake of their health is a final service that nurses can perform to support the ban. People often do not like to report violations, because they feel like 'busybodies' but there is no way that state health inspectors alone can constantly police restaurant owners who illegally look the other way when customers light up. Nurses can remind the public that this legislation was the result of a voter-generated, rather than a politician-generated effort. It must be supported by the public to succeed.
One final criticism of the bill was that smokers will simply go across the border to smoke (Steinberg, 2007). However, proponents point out that, for smokers, there are other options, like patios, personal residences, and other places where they can smoke and not put hospitality workers' lives at risk. And once again, nurses can act as advocates, asking smokers to ask…
The Basics: Smoke Free Arizona" (2007). Smoke Free Arizona. Retrieved 19 May 2007 at: http://www.smokefreearizona.org/
Exemptions." (2007). Smoke Free Arizona. Smoke Free Arizona. Retrieved 19 May, 2007 at
Nursing Intervention in Disaster
The possibility of occurrence of disasters is a reality. With this in mind there should be efforts made to prevent any upcoming or potentially disastrous events. These efforts are what are known as disaster prevention. Disaster prevention therefore refers to efforts put in place to ensure that adverse effects of events that are potentially disastrous are prevented even when the disaster cannot be controlled. Disaster prevention is done at various levels of the society and is undertaken so as to prevent all types of disasters. Nurses are involved to a large extent when it comes to the prevention and mitigation of disasters. Nurses are involved in institutions that can influence change and due to the unique skills that they posses they can make interventions in disasters. To perform efficiently, a nurse must be always prepared to make changes in plan actions at any time and at…
Harden, E.G., (2004). The role of nursing in disasters. Retrieved march 22, 2013 from http://helid.digicollection.org/en/d/Jdi018e/2.html
Rittenmeyer, L., (2007). Disaster preparedness: Are you ready? Retrieved march 22,2013 from http://www.nursingcenter.com/prodev/ce_article.asp?tid=726331
Wolters Kluwer Health, (2007). LWW Journals - Beginning with A. Retrieved March 22, 2013, from http://journals.lww.com/smajournalonline/fulltext/2007/09000/spiritual_issues_in_the_aftermath_of_disaster.32.aspx
Nursing Concepts and Theory
Conceptual-Theoretical Structure paper
Personal belief about nursing theory and knowledge development process for nursing practice
All nursing theories play an important role in defining nursing and giving the roles that nurses need to play. Originally, the role of nurses was simply to carry out activities as instructed by doctors, however, over the years, this role has been changed to include more responsibilities as the nursing world has evolved. Nursing theories describe, predict and explain the various phenomena in nursing practice and thus create foundations for nursing practice. They also help to generate knowledge in the field of nursing and to point the direction which the field should develop in future. This view is supported by Carper (1978)
who states that nursing theories elaborate nursing practice and create professional boundaries for the profession. Nursing knowledge comes from research that has been conducted on nursing which forms scientific…
Anderson, A.M. (2005). Nursing Leadership, Management, and Professional Practice for the LPN/LVN (3rd ed.). Philadelphia: F.A. Davis Company.
Carper, B. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13-23.
Clark, M.J. (2003). Community health nursing: Caring for populations (Fourth ed.). Upper Saddle River, NJ: Prentice Hall.
Dayer-Berenson, L. (2010). Cultural Competencies for Nurses: Impact on Health and Illness. Burlington, Massachusetts: Jones & Bartlett Learning.
Nursing Case Study
Family nursing diagnosis is a holistic process that involves a thorough and complete family assessment to establish both curative and preventive concerns in a given family. The assessment from the participating family established a number of diagnostic issues. One of the family members suffers from obesity. D.K. who is ten years old and in second grade took two years to complete first grade. Obesity is a condition whereby the Body Mass Index (BM1) is over 30kg/m2. This is because of excess fat accumulation in a person's body. The Body Mass Index BM1, is the measure for obesity, and it is calculated by dividing a person's weight in kilograms by his/her height in square meters.
Obesity may be associated with the several of medical conditions like heart attack, type 2 diabetes, osteoarthritis and some types of cancer (Domino, 2007). Major causes of obesity are lack of physical exercises…
Domino, Frank J, (2007). 5-Minute Clinical Consult. Lippincott Williams & Wilkins
Karch. A.M. (2007). Lippincott's Nursing Drug Guide. Philadelphia: New York: Lippincott Williams & Wilkins
Katz, David L.; Friedman, Rachel S.C. (2008). Nutrition in Clinical Practice: A Comprehensive, Evidence-Based Manual for the Practitioner. 2nd ed. Lippincott Williams & Wilkins
Nurse Case Manager:
Case management in the nursing field is basically described as the functions and activities carried out by the nurse case manager within a specific care setting. In some cases, these functions and activities are usually performed by a self-governing practitioner, especially in private case management practices and community nursing facilities (Cohen & Cesta, 2005, p.278). Generally case management responsibilities are provided by the nurse case manager in acute care, primary care, home care, and managed care organizations. Nonetheless, these activities may be offered to particular patient populations and communities like the elderly. Some of the most case management activities include patient identification and intake, problem identification and assessment, patient outreach, development and implementation of plan of care, and coordination of care.
oles and Functions of Nurse Case Manager:
In acute care organizations, the roles and functions of the nurse case manager includes coordinating the care provided to…
Blancett, S.S. & Flarey, D.L. (2006). Case studies in nursing case management: health care delivery in a world of managed care. Gaithersburg, MD: Aspen Publishers, Inc.
Cohen, E.L. & Cesta, T.G. (2005). Nursing case management: from essentials to advanced practice applications (4th ed.). St. Louis, MO: Elsevier Health Sciences.
Meadows, P. (2009, January). Community Health Nursing. American Journal of Nursing,
109(19). Retrieved from http://journals.lww.com/ajnonline/fulltext/2009/01001/community_health_nursing.5.aspx
"From an historical standpoint, her concept of nursing enhanced nursing science this has been particularly important in the area of nursing education." ("Virginia Henderson's Need...," 2008) Principles of Henderson's theory, published in numerous primary nursing textbooks utilized from the 1930s through the 1960s, along with principles embodied by the 14 activities continue to prove vital in evaluating nursing care in thee21st century, not only in cases such as Keri's, but in a myriad of others benefiting from nursing.
Kearney, Kathleen M., the Nurse's Duty to eport Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. etrieved September 25, 2007, at http://ssrn.com/abstract=1256366.
esuggan, ay N;PN;MN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. etrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within…
Kearney, Kathleen M., the Nurse's Duty to Report Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. Retrieved September 25, 2007, at http://ssrn.com/abstract=1256366 .
Resuggan, Ray RN;RPN;MRN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. Retrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within a long-term care facility," Rehabilitation Nursing, January 1, 2000. Retrieved September 25, 2007, from: http://www.highbeam.com/doc/1P348282208.html .
Trail Ross, Mary Ellen. (1993). "Linking Ethical Principles With Community Practice." Journal of Community Health Nursing, Vol. 10. Retrieved September 25, 2007, at http://www.questia.com/read/95780716?title=Linking%20Ethical%20Principles%20W%20Community%20Practice .
Autonomy in the nursing profession states the importance of the client's role in making decisions that reflect advocacy for the client (Wade, 1999, p.310). Ultimately, this includes taking care of the patient physically as well as mentally and emotionally, developing a relationship with the patient that is beneficial to his care and actively advocating for the patient's rights and care. This type of autonomy, it is important to note, is not the same as individual or work autonomy, yet it must be considered that empowerment in nursing autonomy will inevitably lead to better professional and personal autonomy and should also lead to increased job satisfaction (Wade, 1999, p.310).
Typical definitions of autonomy would include the idea of complete independence for the person making the decisions. However, in the case of the nursing profession, the client's needs and desires must be heavily weighed and, in fact, become central…
Wade, G.H. (1999). Professional nurse autonomy: Concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-8.
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics, 2(1),
White, L. (2004). Foundations of nursing: Second edition. Clifton Park, NY: Delmar Learning.
Nursing BA vs. Associates
Nursing Competencies -- Associates vs. Baccalaureates
The difference competencies between nurses prepared at the associate-degree level nursing vs. The baccalaureate-degree level are significantly different on many levels. Today's nurses work in a healthcare environment that is undergoing a constant evolution at a speed never before imagined (NLN Board of Governers, 2011). Patient needs have become more complicated; nurses must implement requisite competencies in leadership, health policy, system improvement, research, evidence-based practice, and teamwork and collaboration in order to deliver high-quality care. Furthermore, nurses are also required to master different technologies that are also evolving extremely rapidly.
There are basically three different alternative paths to becoming a registered nurse. Some hospitals offer a three-year program that is administered in the hospital setting. Another option is a two to three-year program in which graduates receive an associate's degree and can be administered at a community college or any…
Mahaffey, E. (2002, May 2). The Online Journal of Issues in Nursing. Retrieved from The Relevance of Associate Degree Nursing Education: Past, Present, Future: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume72002/No2May2002/RelevanceofAssociateDegree.aspx
Moltz, D. (2010, January 7). Nursing Tug of War. Retrieved from Inside Higher Ed: http://www.insidehighered.com/news/2010/01/07/nursing
NLN Board of Governers. (2011, January). Transforming Nursing Education: Leading the Call to Reform. Retrieved from NLN Vision: http://www.nln.org/aboutnln/livingdocuments/pdf/nlnvision_1.pdf
Rosseter, R. (2012, April 2). The Impact of Education on Nursing Practice. Retrieved from American Association of Colleges of Nursing: http://www.aacn.nche.edu/media-relations/fact-sheets/impact-of-education
Studies suggest that more computerized order entry of medications helps reduce errors by limiting interpretation errors due to handwriting (Meadows, 2003). Thus more order entry is involving computers to protect patients. A culture that supports safety and safe practices has also been adopted to provide nursing staff and patients information about drug therapy and medication to ensure that everyone is aware of the need for safe practices when utilizing and dispensing medications.
Describe the strategies used to ensure nursing practice is performed within legal requirements and ethical frameworks
Nurses now "live and work in a world where there is no single reality but many coexisting realities among which they must choose" (Johnston, 1999:1). Given that through more and more nurses are forced to make legal and ethical decisions and take steps that will determine the best processes to adopt to ensure that moral and legal processes are adopted and followed.…
Campbell, D.W. & Sigsby, L.M. (1995). "Nursing interventions classification: A content analysis of nursing activities in public schools." Journal of Community Health Nursing, 12(4): 229.
Caretto, V.A. & McCormick, C.S. (1991). "Community as Client: A Hand's on experience for baccalaureate nursing students." Journal of Community Health Nursing, 8(3): 179.
Johnston, M.J. (1999). Bioethics: A nursing perspective. Sydney: Harcourt Saunders.
Lumby, J. & Picone, D. (2000). Clinical challenges: Focus on nursing. St. Leanords:
Healthcare: Social Vulnerability to Disease
Health care has as its immediate concern the welfare of clients and patients. However this pressing concern is often influenced by multiple factors many of which have a distinct social dimension. Consequently, care of individuals and the delivery of quality care is not only a medical problem but also a social problem. Vulnerable populations generally require direct external interventions to assist in the reduction of the levels of risk the group experiences.
There is a fundamental difference between at risk groups and vulnerable populations. The difference is as a result of the role of political, environmental and other social factors in amplifying an already existing risk. At risk groups are populations for whom the relative risk of acquiring a disease is increased beyond that of the general population. There are groups who have a higher probability of contracting malaria and dying from this disease. An…
Weiss, Helen A.; Quigley, Maria A.; Hayes, Richard J. Male circumcision and risk of HIV
infection in sub-Saharan Africa: a systematic review and meta-analysis. AIDS 14(15):
World Health Organization: High Risk Groups (2002) Retrieved from http://www.who.int/malaria/high_risk_groups/en/
Healthcare Disparity in Georgia
HIV infection continues to be a substantial trouble in Bibb County, Georgia. This illness substantially impacts lots of areas and Bibb County shares among the greatest HIV rates in America. One reason Bibb County deals with greater rates of infection is due to the high minority populace. Likewise, high levels of poverty and joblessness can make it tough for an individual to keep his/her health plan and access their primary-care service provider and acquire the required therapy for HIV. Social preconception likewise extends unfavorable mindsets of the community and can force the individual from looking for therapy or even testing for HIV.
The very best protection against HIV is enlightening the general public about the illness. outine testing for HIV is vital too. The first intervention would be to associate with a regional testing center and have the ability to check people as well as inform…
Centers for Disease Control and Prevention (CDC). (2008). HIV / AIDS among youth. Centers for Disease Control and Prevention. Retrieved July 24, 2011, from http://www.cdc.gov/hiv/resources/factsheets/PDF/youth.pdf
Hamilton, D. (2011). What constitutes best practice in healthcare design? The Health Environments Research and Design Journal 4(2), 121-126. Retrieved from http://www.herdjournal.com/ME2/Default.asp
Maurer, F.A., & Smith, C.M. (2009). Community/public health nursing practice: Health for families and populations (4th ed.). St. Louis: Elsevier Saunders.
Bachanas, P., Morris, M., Lewis-Gess, J., Sarett-Cuasay, E., Flores, A., Sirl, K., et al. (2002). Psychological adjustment, substance use, HIV knowledge, and risky sexual behavior in at-risk minority females: developmental differences during adolescence. Journal Of Pediatric Psychology, 27(4), 373-384. Retrieved from MEDLINE with Full Text Database.
Caregivers of Alzheimer's Patients
Community Health Promotion Project Design
As we have discovered in the first part of the study, Alzheimer's is a major health issue for the population of seniors 65 years and older. Alzheimers costs taxpayers and individuals billions of dollars for the provision of care for those who can no longer care for themselves. Alzheimer's is an expensive disease and many times it is the family who must bear much of the expense. We found that the financial strain of caring for someone who has Alzheimer's creates an incredible amount of stress on family members. However, we also found that perhaps even greater than the financial strain, Alzheimer's places in incredible load on the family as they are usually the ones who must care for their family member.
The aggregate for this study consists of family members who must care for other members of the family who…
Belle SH, Czaja SJ, & Schulz R, (2003). "Using a new taxonomy to combine the uncombinable: Integrating results across diverse interventions." Psychology and Aging. 18:396 -- 405
Gitlin LN, Belle SH, & Burgio LD, et al. (2003). "Effect of multicomponent interventions on caregiver burden and depression: The REACH multisite initiative at 6-month follow-up." Psychology and Aging. 2003;18:361 -- 374.
Wisniewski, S., Belle, S. & Marcus, S. et al. (2003). The resources for enhancing old climbers caregiver health (REACH): project design and baseline characteristics. Psychological Aging. 18 (3), 375-384.
Healthy People 2020
The author of this report is asked to offer a brief summary of the role of a community nurse and the interventions that are meant to meet or exceed the four main goals of the Healthy People 2020 initiative. For each of the four main goals, the author of this report will describe at least one intervention that meets the goal in question. After that, the author will offer an example of an intervention that is already in full swing in the community of the author. While the goals of the Healthy People 2020 initiative are lofty and far-reaching, they are noble and just goals and should be achieved in any reasonable and ethical way possible.
The first goal of the Healthy People 2020 initiative is to "attain high-quality, longer lives free of preventable disease, disability, injury and premature death" (Healthy People 2020, 2015). Of course, the…
Brown, E., & Shapiro, T. (2015). Schools face new challenges as poverty grows in inner suburbs. Washington Post. Retrieved 20 June 2015, from http://www.washingtonpost.com/local/education/as-poverty-shifts-to-the-suburbs-schools-face-new-challenges/2015/02/27/e1900cd4-bdef-11e4-8668-4e7ba8439ca6_story.html
CDC. (2015). CDC | Aging | Healthy Aging for Older Adults. CDC.gov. Retrieved 20 June 2015, from http://www.cdc.gov/aging/index.html
Healthcare.gov. (2015). Where to Receive Low Cost Health Care in Your Community. HealthCare.gov. Retrieved 20 June 2015, from https://www.healthcare.gov/lower-costs/low-cost-community-care/
Healthy People 2020. (2015). Healthy People 2020. Healthypeople.gov. Retrieved 20 June 2015, from http://www.healthypeople.gov/
nursing client relationships and how the study is a valid research for practitioners. It has 26 sources in Harvard Style.
esearch titles must be limited to fifteen words. In this case the author has exceeded the limitation by one count which is negligible. The importance of relevance of the title to the body of the research is that it must collaborate with the core study area. In the first line the author has already specified the relationship of the nurse-client at the beginning and categorizes it as a "partnership" whereas the title of the study must not reveal the results or even the anticipated results.
Authors and Abstracts
The authors T. Hostick and F. McClelland both the authors indicate in their abstract that the article aim in establishing nursing behavior when they are engaged in a nurse-client relationship. The abstract though is limited in expressing the content of the study…
Hostick, T. & McClelland, F. 2002, Partnership: a co-operative inquiry between Community Mental Health Nurses and their clients. 2. The nurse-client relationship. Journal of Psychiatry and Mental Health Nursing 9, 111-117.
Beyea, S.C. 1997, Research utilization begins with learning to read research reports, Research Corner, AORN, February. Accessed on 29-9-2003 at http://www.aorn.org/journal/research/rc297.htm
Author not available, 2003, Reading Nursing Research to Critique a Study and to Summarize Findings for Use in Practice, Available at http://classes.kumc.edu/son/NURS460smith/460critiquingreseach.html
Forchuk, C. 1989, Establishing a Nurse-Client Relationship. Journal of Psychosocial Nursing vol.27,no.2. Available at http://willmar.ridgewater.mnscu.edu/library/338271.htm
Health [...] importance of health and exercise, and where people can find assistance in California. Exercise is an important deterrent to many diseases, including obesity, a plague on the nation. Getting Americans to exercise may be difficult, but the benefits of exercise are clear. People who exercise tend to live longer, have better overall health, and feel better about themselves. In California, many programs are available that will help people develop and maintain healthy lifestyles that include exercise. Education is the key to helping people understand the benefits of exercise, and that education must begin early in life for exercise to become a daily habit. For America to become a healthy country again, people must understand the importance of exercise and good health, and that begins with education and assistance to help people create better, more healthful lives for themselves.
Exercise and good health go hand-in-hand, and yet, in our…
Akande, A., Van Wyk, C.D., & Osagie, J. (2000). Importance of exercise and nutrition in the prevention of illness and the enhancement of health. Education, 120(4), 758.
Author not Available. (1999). Physical activity and health. Retrieved from the Center for Disease Control Web site: http://www.cdc.gov/nccdphp/sgr/intro.htm18 June 2004.
Editors. (2004). Leading health indicators. Retrieved from the HealthyPeople.gov Web site:
Moreover, nurses are in a position to identify cases of poor oral health among patients visiting the primary care unit of a healthcare center. For this reason, Kaylor et al. (2011) recommend nurses as an intervention measure in improving oral health in the community, since they can identify women at risk of poor oral health. They identify that nurses can work with low-income women in the community and educate the population on oral health. The review of literature advocates that oral health can be improved in the community by mobilizing community resources like local government, healthcare providers, and primary care providers like nurses in educating the population on the importance of oral health. This is through making contact with at risk populations in the healthcare set up and providing education on oral health. Nurses also can reach out to at risk populations through community-based programs that promote public health. Lastly,…
Formicola, a.J., Ro, M., Marshall, S., Derksen, D., Powell, W., Hartsock, L., & Treadwell, H.M. (2004). Strengthening the Oral Health Safety Net: Delivery Models That Improve Access to Oral Health Care for Uninsured and Underserved Populations. American Journal of Public Health, 94(5), 702-704.
Kaylor, M., Polivka, B.J., Chaudry, R., Salsberry, P., & Wee, a.G. (2011). Dental Insurance and Dental Service Use by U.S. Women of Childbearing Age. Public Health Nursing, 28(3), 213-222.
Krisberg, K. (2004). Prevention key to rural oral health outreach programs. Nation's Health, 34(4), 11-12.
Zabos, G.P., Northridge, M.E., Ro, M.J., Trinh, C., Vaughan, R., Howard, J., & ... Cohall, a.T. (2008). Lack of Oral Health Care for Adults in Harlem: A Hidden Crisis. American Journal of Public Health, 98, S102-S105.
Client Autonomy in Community Health & Nurse Safety in Community Practice
Nurses involved in community nursing often face ethical and practical dilemmas, particularly with regard to the issue of patient autonomy. Community practice differs for nursing in more formal settings in that there are many complex variables that can intervene in nursing care.
they are made more complex because of the influence of the setting (isolation from nursing colleagues, role ambiguity, the shift in control, family dynamics, and the increased need to collaborate). Even something as simple as access to patients in the community cannot be assumed in the same way it can be in acute care.
(Ethical Awareness for Community Care Nurses)
Examples of this complexity are cases where access is refused by the client, even when the client is in need of urgent assistance. This presents an acute problem on an ethical level for the community nurse. As…
Aulisio M. The Home Setting: Posing Ethical Challenges to Clients and Caregivers. Retrieved may 16, 2005 fropm Community Ethics. Web site:
Ellis. J. ( 2003) The Client's Right to Know Their Nurse and Question Care vs. The Nurse's Right to be Protected from Harm. Retrieved May 15, 2005 from RNABC. Web site: http://www.rnabc.bc.ca/registrants/nursing_practice/articles/Client_Right_to_Know.htm
Ethical Awareness for Community. Retrieved 15 May 2005 from Care Nurses. Volume 3, Issue 11 - January 2001 web site: http://www.phen.ab.ca/materials/intouch/vol3/intouch3-11.html
Flyer for Community-Based Nurse
Nurses are very important health personnel to the whole community. They assist in the promotion of good health practices and general advice on health matters within a community. A nurse in a community can therefore identify problems that are health related in the community and attempt to find solutions to these problems (Tornyay, 2012).
This paper therefore summarizes on a flyer that is created by a community-based nurse who aims at getting information from the community on a specific problem they identified through their assessment and measures that they may take in finding a solution to the problem.
A community-based nurse working in the health department specifically the STD clinic department decides to design a flyer. The decision is aimed at getting as much information as possible on HIV which is the most rampant STD in the community. The nurse aims at getting information and tries…
Briney, A. (2008). Millennium Development Goals. http://geography.about.com/od/politicalgeography/a/millenniumgoals.htm . Retrieved September 27, 2012, from
New-Hire orientation process for a home health agency in La Mesa. CA
A needs assessment survey is "a way of asking group or community members what they see as the most important needs of that group or community" ("Section 7," 2015). The purpose of my needs assessment is to improve the screening process required for new hires at my home health agency. I want to know what skills and professional qualifications are required to function at an optimal level. I also would like to know what aspects of the training and orientation process were most useful for current nurses and what need to be improved.
I will submit a questionnaire to the registered nurses currently working at the organization to determine the proficiencies they deem to be most useful on a day-to-day basis. The assessment will be quantitative in nature and include a checklist of different specific tangible skills, like…
Section 7: Conducting needs assessment surveys. (2015). Community Tool Box. Retrieved from:
Stoto, M. (2013). Community health needs assessment. improvingpopulationhealth.org.
Retrieved from: http://www.improvingpopulationhealth.org/blog/2013/04/community-health-needs-assessments-an-opportunity-to-bring-public-health-and-the-healthcare-delivery.html
Things like the Health eform Bill are designed to support organizations like Mental Health America, and if repealed it may prevent many people from getting the help they so desperately need. By raising awareness about various political agendas, politicians and newsworthy events that impact the health of Mental Health America, they help to maintain and increase their funding. Through making awareness of things like the Health eform Bill, Mental Health America also puts their own name out there, making it easier than ever before for them to raise the money they need to continue operations.
There are so many benefits to having an organization of this caliber in the United States. People don't realize how important mental health is until it hits close to home. The Mental Health America website defines mental health as a person's ability to cope with whatever life brings their way (2010). For some people, the…
Mental Health America, . (2010). Mental health america -- about us. Retrieved from http://www.nmha.org/go/about-us
Nursing Health Care Informatics
"…At the beginning of the 21st century, nursing informatics has become a part of our professional activities…[and has] advanced the field of nursing by bridging the gap from nursing as an art to nursing as a science…" (Saba, 2001, 177).
Nursing Health Care informatics relate to and address technology and other cutting edge issues of great interest in the healthcare field. According to the AMIA, Nursing Informatics is the "…science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide." New and relevant knowledge presented in the genre of informatics helps to empower nurses and other healthcare practitioners to deliver the most effective patient-center care possible. This paper presents several informatics in the belief that applying healthcare technologies and practices that are genuinely progressive and helpful to today's nurse is…
AMIA (2009) Working Group Nursing Informatics. Retrieved March 9, 2014, from http://www.amia.org .
An, J.Y., Hayman, L.L., Panniers, T., and Carty, B. (2007). Theory Development in Nursing
And Healthcare Informatics. A Model explaining and Predicting Information and Communication Technology Acceptance by Healthcare Consumers. Advances in Nursing Science, 30(3), E37-E49.
Cipriano, P.F. (2011). The Future of Nursing and Health IT. Nursing Economics, 29(5).
Nursing in the Rural Area
A WELL-DESERVED SECOND LOOK
Rural nurses are particularly endangered by the current and worsening shortage in nurses. As it is, rural nursing is already beset with issues that range from a lack of professional practice system, the need for larger incentives for nurses to work in the rural areas, a general unwillingness to live in these areas among the nurses and the foreseen depletion of the supply of rural nurses. Possible solutions and approaches have been proposed.
Approximately 20% or 54 million U.S. residents live in locations categorized as rural (ushy, 2006). These residents are distributed across 80% of the nation's total land area. About 99 or fewer residents occupy every square mile in these areas and experience the shortage of nurses more acutely than in urban areas. Moreover, they have generally lower annual income, less education and poorer health status than urban residents. Local…
Arnaert, A. et al. (2009). Homecare nurses' attitudes towards palliative care in a rural community in western Quebec. 11 (4) Journal of Hospice and Palliative Nursing:
Medscape. Retrieved on October 17, 2011 from http://www.medscape.com/viewarticle/715133
Blaauw, D. et al. (2010). Policy interventions. World Health Organization. Retrieved on October 18, 2011 from http://www.who.int/bulletin/volumes/88/5/09-072918/en
Bushy, A (2006). Nursing in rural and frontier areas: issues, challenges and opportunities. Vol 7 # 1 Harvard Health Policy Review: University of Harvard.
According to the Joint Statement on Delegation produced by the American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN) "the N assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient's condition, complexity of the task, predictability of the outcomes, abilities of the staff to who the task is delegated, and the context of other patient needs" (Joint Statement).
In this particular case, it is easy to determine the frustrating aspects affecting Ms. W. It can also be a relatively simple matter to correct the situation in order to ensure effective care for Ms. . The nursing supervisor in this case would sit down with Ms. W. And map out a strategy for the patient's care, remembering of course that the key to successful delegation "depends on the quality of N and NAP working…
Joint Statement on Delegation, American Nurses Association and the National Council of State Boards of Nursing (NCSBN).
Potter, P.; Deshields, T.; & Kuhrik, M.; (2010) Delegation practices between registered nurses and nursing assistive personnel, Journal of Nursing Management, Vol. 18, Issue 2, pp. 157-165
Nurse Eduactor Strategic Plan
Nurse educator strategic plan
A strategic plan for a nurse educator
At present, I would say that my greatest strength as a nurse educator is my willingness to challenge myself in the pursuit of excellence. Within the next year, I will obtain my MSN with a specific concentration in education. Previously, I obtained certification as a Basic Life Support instructor (BLS). Also within the next year I intend to seek out certification in Advance Cardiac Live Support (ACLS) and Pediatric Life Support Instructor (PAL) with the intention of becoming both an ACLS and PALS instructor. These will enhance my capabilities as a nurse educator and provide greater specificity in the range and types of teaching I will be able to convey.
My second great strength as a nurse educator is the compassion I have for my patients and my genuine love of teaching. A nurse is…
Covey, S. (2012). 7 habits of highly effective people. Franklin Covey.
Gardner, H. (2007). Frames of mind: The theory of multiple intelligences. New York: Basic
Professional Nurse Educator's Group. (2013). Official Website. Retrieved from:
Health Promotion Lesson Plan
The concept of health promotion is thought of as "the science and art of helping people change their lifestyle to move toward a state of optimal health" (Dunphy et al., 2011, p 25). Serious heart conditions can be prevented, which is why it is so important to utilize community education techniques in order to help try to warn community members of the complications before they occur. This current lesson plan works to create three separate community lesson plans, based on specific age ranges. The age 18-29 focuses primarily on the use of social media and health advocacy efforts in association with the American Heart Association. For ages 30-49, there is also a focus on these two, combined with more community oriented issues, and for 50-60, there is much more of a focus on financial training along with community organized workshops.
Prevention has become a major issue…
References McLeod, Saul. (2010). Erik Erikson. Developmental Psychology. Simply Psychology. Web. http://www.simplypsychology.org/Erik-Erikson.html
Nursing homes, residential care facilities, and home health care will be core issues on the agenda for representatives in that area. In areas with substantial populations of non-native English speakers, a nurse might need to lobby for a greater wealth of bilingual health care services.
Community nurses are also becoming increasingly aware of the issues related to health care access including the growing number of underinsured or underinsured citizens. When communicating with lawmakers who have little first-hand knowledge of what health care costs are like or how health care integrates with the community, nurses need to focus on the issues that legislators understand. Policies related to access to health care can be framed in ways that achieve direct and immediate results. For example, a nurse might propose a strong network of community health and outreach centers that provide information on preventative care in multiple languages. Similarly, a nurse might work…
Health of Indigenous Australian Using Ecological and Holistic Health Paradigm
Patterns of health and illness
Impact of Broader Environments
Health is a basic component of human life that comprises of multiple facets. The description of health has witnessed dramatic change during past few years, as it has become a holistic phenomenon. Previously, it was considered that a healthy person is the one who does not suffer from any ailment or illness. However in recent times, the physical, psychological and communal aspects of human life have been amalgamated to give a broader perspective to human health which is identical to the concept of indigenous communities (Hjelm, 2010).
Numerous organizations are working extensively for providing adequate health care to the world population since many decades. However, it is appalling to notice that discrimination on social, economic and…
Australian Institute of Health and Welfare 2012, Australia's health 2012, AIHW, Australia.
Biddle, N & Yap, M 2010, Demographic and Socioeconomic Outcomes Across the Indigenous Australian Lifecourse: Evidence from the 2006 Census, ANU E. Press, Australia.
Caltabiano, ML & Ricciardelli, L 2012, Applied Topics in Health Psychology, John Wiley & Sons, Great Britain.
Carson, B, Dunbar, T & Chenhall, RD 2007, Social Determinants of Indigenous Health, Allen & Unwin, Singapore.
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).
Identify the milestone you chose in the history of quality improvement in…
1) Draper, Elaine, Joseph LaDou, and Dan J. Tennenhouse. 2011. "Occupational Health Nursing and the Quest for Professional Authority," New Solutions 21, 47 -- 81
2) Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.
3) Kelly, D.L. (2011). Applying quality management in healthcare: A systems approach (3rd ed.). Chicago, IL: Health Administration Press
4) Lucia, Patricia R.; Otto, Tammy E.; Palmier, Patrick A. (2009). "Chapter 1
In the emergency room, this distinction can have a determinant impact on the ability of the staff to preserve life and diminish pain and suffering.
The introduction of a bioethical perspective into this dialogue invokes a question as to the primacy of an interest in pursuing to the utmost the well-being of the patient. This speaks to one of the core values associating the principles of the ANA with the treatment outcomes desired in patiences. An examination of the ANA's Code of Ethics reveals that a theoretical basis exists to contend a direct correlation between the nurse's self-interest and that which is best for any given patient. There exists an essential obligation for such healthcare practitioners to "examine the conflicts arising between their own personal and professional values, the values and interests of others who are responsible for patient care and health care decisions, as well as those of the…
American Nurse's Association (ANA). (2004). The Nurses Code of Ethics. The Center for Ethics and Human Rights. Online at .
The American Organization of Nurse Executives (AONE). (2009). AONE Resource Center. www.aone.org.
Dimaria, R.A. & Ostrow, L. (2004). West Virginia University School of Nursing Makes the Move to Web-Based Learning. Technological Horizons in Education Journal, 31.
Emergency Nurses Association (ENA). (2008). Vision/Mission Statements and Code of Ethics. www.ena.org.
Community Teaching Proposal for Primary Prevention/Health Promotion
The objective of this study is to create a community teaching proposal for primary prevention and health promotion. The work of Kulbok, wet al (2012) reports that public health nursing practice is "population focused and requires unique knowledge, competencies, and skills." (p.1) Public health nursing makes the requirement of working with communities and populations "as equal partner and focusing on primary prevention and health promotion." (Kulbok, et al., 2012, p.1)
Community teaching for primary prevention and health promotion involves educating community members about what is required to address primary prevention and promotion of health. This can be accomplished through community-wide meetings held at a central location in the community. As noted by Kulbok et al. (2012) "In the 21st century, public health nurses practice in diverse settings including, but not limited to, community nursing centers; home health agencies; housing developments; local…
Anderson, DR, et al. (2012) Primary Care Nursing Role and Care Coordination: An Observational Study of Nursing Work in a Community Health Center, The Online Journal of Issues in Nursing. Vol. 17 No. 2. Retrieved from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Primary-Care-Nursing-Role-and-Care-Coordination.html
Connor, N. et al. (2012) Healthy People 2020 from Theory to Practice in a Nursing Program. The University of Central Florida. Retrieved from: http://c.ymcdn.com/sites/www.aptrweb.org/resource/resmgr/tp2012_presentations/conner_aptr_tp12.pdf
Kulbock, PA, et al. (2012) Evolving Public Health Nursing Roles: Focus on Community Participatory Health Promotion and Prevention. The Online Journal of Issues in Nursing. Vol. 17. No. 2. Retrieved from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Evolving-Public-Health-Nursing-Roles.html
working of operating room nurses as a result of the nursing shortage and the general strain and intensity of the health care arena in general. Nurses in general fulfill a truly crucial role within the arena of patient care, these are the individuals who engage with patients and their relatives for the longest amounts of time, and are the ones who detect and evaluate all changes in their health status: this means that nurses are generally the ones who are the first to react to such changes and the first to initiate dialogue with other medical team members on the necessary intervention that needs to be made. The nurses are the ones who are capable of delivering the bulk of the pharmacological, physical and emotional interventions: thus, if they're fatigued or unable to work at the highest level of their abilities because of exhaustion, in the integrity of the healthcare…
McMillan, D. (2011, November). Benefits of napping . Retrieved from nursingtimes.net:
Rogers, A. (2008). Chapter 40 The Effects of Fatigue and Sleepiness on Nurse Performance and Patient Safety. Retrieved from nih.gov: http://www.ncbi.nlm.nih.gov/books/NBK2645/
In addition to lecture-based introduction to religious differences, video and/or live presentations from religious leaders and clergy from different faiths and role play exercises, the proposed implementation of training in this area should also include presentations from more experienced nurses who have already successfully negotiated the delicate issues involved.
Spiritual support undoubtedly provides measurable benefits in the hospital environment where it is well received by patients. In American society, religious pluralism requires the exercise of extreme sensitivity when it comes to offering patients spiritual support. While it is certainly possible to provide beneficial spiritual support such as prayer even where nurse and patient do not share the same religious beliefs, doing so dramatically increases the possibility of offending patients rather than benefiting them.
Maximizing the potential benefit of spiritual support while minimizing negative consequences requires vocational training designed to increase awareness of the full variety of religious belief systems…
Campbell CL, Reed-Ash C. (2007). "Keeping Faith." Journal of Hospice and Palliative Nursing. Vol. 9, No. 1.
Cavendish R, Konecny L, Krayuyak-Luis B, Lanza M. (2004). "Nurses Enhance Performance Through Prayer." Holistic Nursing Practice. Vol. 18, No. 1.
Galek K, Flannelly KJ, Vane a, Galek RM. (2005). "Assessing a Patient's Spiritual Needs: A Comprehensive Instrument." Holistic Nursing Practice. Vol. 19, No. 2. Grant D. (2004). "Spiritual Interventions: How, When, and Why Nurses Use Them."
Holistic Nursing Practice. Vol. 18, No. 1. Johnston-Taylor E. (2003). "Prayer's Clinical Issues and Implications." Holistic Nursing Practice. Vol. 17, No. 4. Nuss-Kotecki C. (2002). "Developing a Health Promotion Program for Faith-Based Communities." Holistic Nursing Practice. Vol. 16, No. 3.
Nursing: Health Promotion Across the Lifespan
Which model or models of health are most applicable to Mr. And Mrs. Arahan and their family? Why?
Since Mr. And Mrs. Arahan seem to be well-assimilated within the American environment and also appear to be of good health, the initial model that appears to be applicable is one of self-care as well as community care. Community members in the church, for example, can help them dealing with minor concerns and give advice regarding more serious intervention should this become necessary. As they age, the couple might choose to use a combination of professional health care and community care, since their relative wealth will most likely support professional interventions over the long-term.
Which "Healthy People 2020" (web site) objectives are of greatest importance to the Arahan family?
The most important objectives for the family include maintaining healthy nutrition for the older couple, including foods…
Concept Synthesis on Personal Nursing Philosophy
My interest in nursing peaked at an early age when I attended Clara Barton High School for health professions in Brooklyn NY and graduated in 1991. I first worked as a nurse's aide and home health aide for about two years and found this position to be quite rewarding. I subsequently moved to North Carolina where I took the CNA course in 1995 and began working as a CNA at various nursing homes and hospitals in the regional area. My experience as a CNA certainly helped me in my journey and provided the foundation for the later developments in my career.
Later I moved to Las Vegas in 1997 where I got married in 1998. After forming this union I went back to school for my BSN in 2002 while working as a CNA. I finished my BSN from Nevada…
Andrews, H., & Roy, C. (1991). The Adaptive Model. Norwalk: Appleton and Lange.
Denler, H., Wolters, C., & Benzon, M. (2013). Social Cognitive Theory. Retrieved from Education: http://www.education.com/reference/article/social-cognitive-theory/
Farlex. (2011). The Medical Dictionary. Retrieved from Farlex: http://medical-dictionary.thefreedictionary.com/adaptation+model
Nursing Theory. (2011). Sister Callista Roy. Retrieved from Nursing Theory: http://nursing-theory.org/nursing-theorists/Sister-Callista-Roy.php
Batcheller, J.A. (2011). On-boarding and enculturation of new chief nursing officers.
Journal of Nursing Administration, 41(5), 235-239.
This article examines the on-boarding process for new chief nursing officers by examining the onboarding process for 6 new chief nursing officers. The examination is aimed at determining what type of support leaders new to an executive role requires and how to on-board leaders who are experienced, but who are new to a particular organization. The possible implications of this research is that if the on-boarding process is insufficient, then it may contribute to high turnover rates and the short length of chief nursing officer positions.
Carlson, C.L. & Plonczynski, D. (2008). Has the BARRIER cale changed nursing practice? An integrative review. Journal of Advanced Nursing, 63(4), 322-333.
This article examines whether the BARRIER cale, which identifies nurses' barriers to using evidence-based practice, contributed to an increase in the use of…
Storch, J., Rodney, P., Pauly, B., & Fulton, T.R., Stevenson, L., Newton, L., & Makaroff,
K. (2009). Enhancing ethical climates in nursing work environments. Retrieved September 27, 2014 from Canadian Nurse website: http://www.canadian-nurse.com/en/articles/issues/2009/march-2009/enhancing-ethical-climates-in-nursing-work-environments
The article examines the outcomes of the Leadership for Ethical Policy and Practice, which was a three-year participatory action research survey aimed at nurses, managers, and other team members. The respondents found that nurse leader support was a critical component when enacting ethical leadership initiatives. They also found that an ethical leadership model resulted in higher levels of job-related satisfaction at all levels of the healthcare management team.
Nursing Case Study and Theoretical Knowledge of Healthcare System
Significant evidence shows that the responsibilities of the primary and acute care nurses vary significantly. The variation creates differences in the scope of work for the nurses, as they are engaged in different job perspectives. Primary and acute care nurses provide an array of services that aim at promoting health, preventing the occurrence of diseases, treating the sick, and providing the e clients with services, meeting their needs alongside creating public awareness to issues that affect their health and well-being. The difference of the services provided by the two becomes evident by the fact that the acute care nurses provide their services to patients who are critically sick, creating continuum variation in the services provided. In addition, nurses involved in the provision of nursing care services in the acute setups require specialized knowledge, skills, and expertise that allows them to provide…
Brown, L., Burton, R., Hixon, B., Kakade, M., Bhagalia, P., Vick, C., et al. (2011). Factors Influencing Emergency Department Preference for Access to Healthcare. Western Journal of Emergency Medicine, 13(5), 410-415.
Brown, S., & Stenner, P. (2009). Psychology without foundations history, philosophy and psychosocial theory. London: Sage Publications.
Crowe, M., & Carlyle, D. (2003). Deconstructing risk assessment and management in mental health nursing. Journal of Advanced Nursing, 43(1), 19-27.
DiClemente, R.J., Crosby, R.A., & Kegler, M.C. (2002). Emerging theories in health promotion practice and research strategies for improving public health. San Francisco: Jossey-Bass.
Healthcare Partnership in the Community
Discuss an example of healthcare partnership in your community and specifically cite examples that show how nurses, both individually and collectively, influenced the care provided. What obstacles were confronted and what strategies were employed in order to effectively overcome them.
One community healthcare partnership that is salient in my mind is Texas Department of State Health Services' program on tuberculosis or TB. This group of projects is specifically handled by the Office of Border Health, specifically because communicable diseases transmitted over the Texas-Mexico border will inadvertently affect the state of community health of both countries (i.e., the U.S. And Mexico). Under the program, two projects have been successful and known for its accomplishment in helping decrease TB prevalence in communities near the Texas-Mexico border: Proyecto Juntos and TBNet.
Proyecto Juntos specifically centers on "bilateral TB control," centering its efforts to curbing TB prevalence by monitoring…
Texas Department of Health Services, Office of Border Health. Available at: http://www.dshs.state.tx.us/borderhealth/
Texas Organization of Nurse Executives. Available at: http://www.texasnurse.org/
Health Care Communication
Background- Within the modern nursing paradigm, there must be a clear link between a health outcome and the process that helps ensure those outcomes. Typically, outcomes are classified in terms of preventability, impact, severity and an overall holistic view of the client's safety issues. Positive behaviors that impact individuals either rescue or protect patients from potential or actual events. This is also part of the issue with modern communication and dissemination of information to patients, stakeholders, and the community (Burns and Grove, 2005).
At the heart of healthcare as an institution is, of course, the need to care for the sick and the injured. However, in the contemporary model of healthcare, effective communication during a crisis is not only important, but also vital. Communication by healthcare professionals takes the concern and worry out of the situation; offers a quicker resolution, makes better control of information possible, earns…
Alligood, et.al. (2002). Nursing Theorists and their Work. Philadelphia: Mosby.
Burns, N. And Grove, S. (2004). The Practice of Nursing Research. St. Louis:
D'Antonio, P., et al., eds., (2007). Nurses Work: Issues Across Time and Place. New York:
Furthermore, and despite its popularity as a tourist destination because of its natural beauty, the Appalachians are not a sterile environment by any means and the people who live there have higher risks for certain types of conditions than their counterparts elsewhere. According to Bauer and Growick (2003), "Americans who live in Appalachia experience unique and different ways of life than most Americans. Appalachian culture runs from the bottom half of the State of New York through the mountains of West Virginia and Southeast Ohio to the flatlands of Alabama. This area of the country offers different perspectives and challenges to life. Because of the geographical vastness and uniqueness of the Appalachian culture, many people with disabilities who live in Appalachia are unable to access rehabilitative services and agencies" (emphasis added) (p. 18).
Likewise, many rural residents throughout Appalachia may have septic tanks and will lack access to other…
Anguiano, R.P., & Harrison, S.M. (2002). Teaching cultural diversity to college students majoring in helping professions: The use of an eco-strengths perspective. College Student Journal, 36(1), 152.
Barrett, E., Hackler, R., Highfill, K.A., Huang, P., Jiang, X., Monti, M.M., & Peipins, Lucy. (2002). A Norwalk-like virus outbreak on the Appalachian Trail. Journal of Environmental Health, 64(9), 18.
Bauer, W., & Growick, B.M. (2003). Rehabilitation counseling in Appalachian America. The Journal of Rehabilitation, 69(3), 18.
Brown, J.W., & May, B.A. (2005, April). Rural Appalachian women's formal patterns of care. Southern Online Journal of Nursing Research, (2)6, 1-21.
Health Care Access Ethical Dilemma
Access to health care services is not equitable in the United States. The 15% of Americans without health insurance coverage find it extremely difficult to access health care services (Trotochaud, 2006). This is an injustice that should be addressed. Patients going to rural health care facilities face myriad challenges that are occasioned by stigmatization. Stigmatization of illnesses that patients grapple with occasions ethical conflicts. In the process, patients' right to privacy and confidentiality are often violated. There are practical guidelines that can be used to minimize ethical conflicts. It is imperative that confidentiality and trust be made paramount under circumstances where healthcare professionals deal with patients with stigmatizing illnesses.
A typical example of confidentiality, overlapping relationships and lack of willingness to seek care can be attested to in a situation where a woman working at a local store finds out that her partner is HIV-positive…
Trotochaud, K. (2006). Ethical Issues and Access to Healthcare. Journal of Infusion Nursing,
Tummala, A. & Roberts, L.W., (2009). Ethics Conflicts in Rural Communities: Stigma and Illness. Hanover, NH: University Press of New England.
Nurses, who have first hand knowledge and understanding of how to live healthy and how to take proper care of themselves, are far better equipped to teach others about these concepts. Certain populations can benefit greatly from prevention, especially those who are prone to specific types of diseases or conditions.
One of the most common behaviors that leads to many chronic and often very damaging health conditions is smoking. Smoking can cause a multitude of diseases and conditions from emphysema to heart disease to lung cancer (Chapman, 2007). The list goes on and on. But smoking is 100% preventable and nurses need to understand not only how to treat these smoking-related diseases but how to more importantly discourage and prevent people from smoking in the first place. Many nurses agree that this behavior leads to many of the worst case scenarios for people with pre-existing chronic conditions. It is therefore…
Chapman, Simon. (2007). Public Health Advocacy and Tobacco Control: Making Smoking
History. Blackwell Publishing, New York, NY. Pp. 55-56.
Chung, Daniel C. (2008). "Stool DNA Testing and Colon Cancer Prevention: Another Step
Forward." Annals of Internal Medicine, Vol. 149, No. 7. pp. 509-510.
COPD and the Elderly Population
Although discussions about death and dying can be uncomfortable for patients, family members, and healthcare providers, the subject is important - especially for people with severe chronic illnesses (Covinsky, et al., 1994; Schiff, et al., 2000). The issue of a living will is particularly important for people with COPD, who are at risk for being placed on a ventilator (breathing machine) when they are very ill (Schiff, et al., 2000). As a home health nurse, it is easy to discover that many COPD patients do not have living wills and have not made final decisions and arrangements with their families. While it is natural to want to put off the inevitable decline and demise as long as possible, there is no substitute for making appropriate plans in order to determine what will take place in the future (Covinsky, et al., 1994). For purposes…
Covinsky, K.E., Goldman, L., & Cook, E.F., et al. (1994). The impact of serious illness on patient's families. Journal of the American Medical Association, 272(23):1839-1844.
Schiff, R., Rajkumar, C., & Bulpitt, C. (2000). Views of elderly people on living wills: Interview study. British Medical Journal, 320(7250): 1640-1641.
" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)
One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was…
Principles for Improving Cultural Proficiency and Care to Minority and Medically-Underserved Communities (Position Paper) (2008) AAFP -- American Academy of Family Physicians http://www.aafp.org/online/en/home/policy/policies/p/princcultuproficcare.html
Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at: http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512
Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html
In the current era of managed care in medicine, physicians and other healthcare providers and institutions have been under tremendous pressure to reduce costs. In that regard, avoiding unnecessary hospitalization is one of the most important goals of lowering the costs of healthcare delivery (Stanhope & Lancaster, 2004). Toward that end, diverse strategies have evolved to provide as many healthcare services as possible on an ambulatory basis.
Hospitals and insurance companies now encourage patients to participate in preventative medicine and routine testing intended to lower the costs associated with hospitalization over the long-term. The strategy is simply to reduce the incidence of serious illnesses, particularly those that typically develop over many years and which are capable of prevention through behavior modification and early detection through diagnostic testing (Stanhope & Lancaster, 2004).
Because state and federal governments must absorb much of the costs of uncompensated medical services, the many administrative agencies…
References Stanhope, M., Lancaster, J. (2004) Community and Public Health Nursing (6th ed.) St. Louis: Mosby.
The modern nurse must then be willing to move beyond a simple catch-all of medical jargon and bureaucracy and become someone who is both supportive and critical of the system. This may seem dichotomous, but in reality is not. The system is designed with beneficence in mind -- to help the patient at all costs. It is thus up to the nurse advocate to ensure that that actually happens (Sheldon, 2009).
Undertake assessments which are sensitive to the needs of the patient- Assessment is one of the key factors in management of clinical medicine. The nurse is often at the forefront of that process simply due to the logistical nature of the situation -- taking vitals, preparing the patient for blood work, etc. However, it is in two particular areas that the nurse can be most effective when assessing the actual needs of the patient; culturally and when questions are…
Edwards, N., et.al. (2003). Aging, Heart Disease, and Its Management. Humana Press.
Lundy, K. And Janes, S. (2003). Essentials of Community-Based Nursing. Sudbury, MA:
Jones and Bartlett.
Miller, C. (2009). Nursing for Wellness in Older Adults. Philadelphia, PA:
Nursing and eligion Practice
ELIGION AND NUSING PACTICE
Nursing success depends on the ability to put the patient in a state of rest and comfort as much as it is about administering the prescriptions of the doctor. To secure the rest of the patient, nurses need to understand their needs and show respect to their beliefs and values. This requires courteous and open communication with the patient and adopting a patient-centric orientation. Along with other factors, the religious background of the patient makes a lot of difference to their values and expectations. eligious doctrines and practices may differ across religions and denominations such as Jehovah's Witnesses, Muslims, Seventh Day Adventists and Scientologists and may impose restrictions on certain kinds of interaction between nurse and patient or on certain forms of treatment. Moreover, people with a different religious background are not usually aware of such differences. Therefore, it is necessary for…
Banja, J.D. (2010). Overriding the Jehovah's Witness patient's refusal of blood: A reply to Cahana, Weibel, and Hurst. Pain Medicine, 10(5), 878-882. doi: 10.1111/j.1526-4637.2009.00648.x.
Charles, C.E., & Daroszewski, E.B. (2012). Culturally competent nursing care of the Muslim patient, Issues in Mental Health Nursing. 33(1), 61-63. doi: 10.3109/01612840.2011.596613.
Cort, M., & Cort, D. (2008). Willingness to participate in organ donation among Black Seventh-Day Adventist college students. Journal of American College Health, 56(6), p. 691-697. Retrieved from EBSCO Academic Search Primer.
Effa-Heap, G. (2009). Blood transfusion: Implications of treating a Jehovah's Witness patient. British journal of nursing, 18(3), 174-177.
That nurse must go deeper than the superficiality of "nursing helps people maintain health (Nursing Philosophy it Matters, 2012).
"The fight against post-operative wound infections has long been undertaken by practitioners. We appreciate that surgical site infections (SSIs) are frequently caused by bacteria commonly found on the skin. Therefore, reducing the number of bacteria on the skin has been a common preoperative practice. Standards and recommended practices from the Association of periOperative egistered Nurses (AON) state preoperative skin preparation of surgical patients should include little or no hair removal, cleansing of the area around the surgical site, and use of an antiseptic agent immediately before the surgical incision" (amsey, 2012).
The clinical implications of this practice might be to shave or clip the hair before surgery but there is no evidence that it does or does not reduce infections. It is done to make sure there are no possible infections…
Finkelstein, D.K. (2012, November 28). Surgical Shaving.
Ramsey, C.A. (2012). Preoperative Measures to Prevent Surgical Site Infections. Retrieved November 28, 2012, from Preoperative Measures to Prevent Surgical Site Infections
Shaving the Surgical Area. (n.d.). Retrieved November 28, 2012, from http://micro-reversals.com/shaving-the-scrotum/
Tanner J, N.P. (2011). No evidence that routine preoperative hair removal reduces surgical site infection. Retrieved November 28, 2012, from http://summaries.cochrane.org/CD004122/no-evidence-that-routine-preoperative-hair-removal-reduces-surgical-site-infection
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland…
Potter, S. (2002) Doing Postgraduate Research. London: Sage.
Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629
Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
Based upon the fact the baby boomers are all approaching retirement age, it would be a good idea for the organization to pursue programs that are geared towards seniors. Programs that are geared towards seniors are a great way to produce quality comprehensive health care for those in the community that need it. The organization might pursue the idea of opening a PACE program. " The Program of All-Inclusive Care for the Elderly (PACE) is a capitated benefit authorized by the Balanced Budget Act of 1997 (BBA) that features a comprehensive service delivery system and integrated Medicare and Medicaid financing" (Program of All Inclusive Care for the Elderly (PACE), 2009). The PACE program features complete medical and social services that rely on an interdisciplinary team approach in an adult day health center that includes in-home and referral services depending on the person's needs (Program of All Inclusive Care for the…
Baker, J. Judith & Baker, R.W. (2006). Healthcare Finance, Basic Tools for Nonfinancial
Managers. Maryland: Aspen Publications, Inc.
Bury, Elizabeth, Carter, Kara S., Feigelman, Masha and Grant, Jennifer M. (n.d.). Retrieved June
2, 2009, from Web site: