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hile developing classes and teaching classes to expectant mothers, the community nurse in this paper is made aware of the fact that many women in the class are over 30 years of age and are going through their first pregnancy. In addition, some (if not many) of the attendees are having a struggle over their commitments to their careers because they would like to stay home and raise the child rather than use day care and let someone else care for their very young child. hat kind of class would be appropriate to relate to those concerns? This paper delves into that topic and other issues regarding the choices that a new mother has available.
The Literature on Stay-at-Home Mothers vs. Continuing One's Career
Understanding the Transition from Career to Motherhood
In The American Journal of Family Therapy the authors suggest that there has not been sufficient research…
Al-Shab, B., Saqib, M., Hauser, G., and Tamim, H. (2010). Epidemiology of smoking during pregnancy among Canadian women. BMC Pregnancy and Childbirth. Retrieved September 11, 2013, from http://www.rdc-cdr.ca .
Fell, D.B., Joseph, K.S., Dodds, L., Allen, A.C., Jangaard, K., and Ven den Hof, M. (2005).
Changes in Maternal Characteristics in Nova Scotia Canada from 1988 to 2001. Canadian
Journal of Public Health, 96(3), 234-238.
Virginia Whooping Cough Epidemic
Community and nursing course employ an epidemiological approach to population-based nursing through assessment and evaluation on the effects of contemporary or health issues and health policies in public health. Many institutions have found it hard to place students for appropriate clinical courses that focus on populations. Nursing courses need appropriate training in order to handle health situations associated with populations. The training should aim at preparing all involved students by having many placement projects that will help improve future public health nurse (Moon, Henry, Connelly & Kirsch, 2005).
Whooping cough is a respiratory disease caused by bacteria known as Bordetella pertussis. A human disease transmitted from person to person through contact with the breathing system. Mostly the transmission happens through sneezing or coughing. The code of Virginia mandates the Health bodies to list diseases, which needs urgent intervention reported in an event of an…
HCPPTF Report, (2012). Virginia Health Commissioner's Pertussis Prevention Task Force.
Retrieved from http://www.vdh.virginia.gov/epidemiology/Immunization/documents/Pertussis/Reportofthe
Moon, W.M., Henry, K.J., Connelly, K. & Kirsch, P. (2005). Public Health Nurses for Virginia's
Generally, in any Hospital or Health Care Center, the patient would be looked after and taken care of by the Primary Care team, comprised of General Practitioners, Health Visitors, Practice Nurses, Physiotherapists, Podiatrists, Dieticians, and a team of Nurses, of which District Nurses or Community Nurses play a major part. Community Nurses or District Nurses usually work in a partnership with Acute Trusts, Hospices, as well as with Social Services, in order to provide a complete package of Health Care for those patients who would want to or prefer to stay at home and avail of these services. The so-called 'Joint Futures Agenda' is responsible for promoting a sort of collaborative working within the health care sector and thereby dramatically improve the service so that there may be a more holistic type of care given to the patients of today. Community Nurses provide highly skilled health care for…
Adibi, Jennifer. (February 6, 2001) "Urban Restoration Ecology: the Fresh Kills Experiment." Retrieved From http://www.gsb.columbia.edu/research/sdi/minutes0102.doc Accessed on 16 March, 2005
"Air Quality" NYC Citizen's Guide to Government and the Urban Environment. Retrieved From http://www.nylcv.org/guide/issues/airqsource.html Accessed on 16 March, 2005
Baran, Linda. M. (April, 2004) "Chamber Setting Up Transportation Agenda" The Staten Island Chamber of Commerce Newsletter. Retrieved From
http://www.sichamber.com/pdfs/0404Focus.pdf Accessed on 16 March, 2005
The United States today represents not only wealth and opportunity for those within its borders, but also for those who enter it as immigrants. At least, this is the ideal. The unfortunate reality is that, more often than not, those seeking refuge from the conditions in their home countries often come into the states with very little. Many come in without even so much as the ability to speak English, which makes it even more difficult to secure an income and a future in their new country. It is, however, also fortunate that the United States government has implemented laws and measures to assist legal immigrants in their journey towards a better life for their families. This is also the case in my work as community health nurse with a family of four, including a pregnant mother. In Chicago, Illinois, there are local and state laws that protect…
Aunt Martha's Youth Service Center and Health Center. (2012). Cook County. Retrieved from: http://www.auntmarthas.org
CCH (2013, Aug. 22). CCH Hosts Bill-Signing As Illinois Becomes 2nd State to Enact a Homeless Bill of Rights. Retrieved from: http://www.chicagohomeless.org/illinois-becomes-2nd-state-to-enact-a-homeless-bill-of-rights/
Illinois State Board of Education (2013). Homeless Education. Retrieved from: http://www.isbe.state.il.us/homeless/
Mayo Clinic (2013). COPD. Retrieved from: http://www.mayoclinic.com/health/copd/DS00916
The service learning project planned to address the issue of workplace violence is Workplace Violence Prevention to take place at large tertiary care hospital in North Philadelphia. After reviewing current policies and procedures (regarding workplace violence, interviewing and collaborating with those responsible for the implementation of those policies and procedures (e.g. administration, security, and human resource staff)) a poster presentation as well as an employee questionnaire will be designed, titled "Preventing Workplace Violence." This will include:
-Defining the types of workplace violence,
-Statistics regarding the incidences of workplace violence,
-Identifying jobs or locations with the greatest risk of violence as well as processes and procedures that put employees at risk of assault.
-Also, a screening tool will be used to get employees' ideas on the potential for violent incidents to help identify or confirm the need for improved security measures.
The goal of service learning project is to:…
Bouma, G.D. (2004). The research process. 5th ed. Melbourne: Oxford University Press.
Bowie V. (1996). Coping with Violence - A Guide for the Human Services Melbourne: Karibuni Press.
Cherry, D., and Upston, B. (1997). Managing Violent and Potentially Violent Situations: A Guide for Workers and Organisations. Melbourne: Centre for Social Health.
Kemmis, S., and McTaggart, R. (1988). Introduction: the nature of action research. Chapter 1 In The action research planner. 3rd ed., eds. S. Kemmis and R. McTaggart, 5-28.: Deakin University.
Community Health Nursing
Community Nursing in Baltimore, MD
Providing care to a few individuals in a hospital setting is a controlled environment that can be difficult but ends at a prescribed time. On the other hand community-based nursing "focuses on individuals and families in their natural settings within communities" (Sanger, 2000). Both types of nursing focus on the individual, but community-based care also requires that a nurse understands the issues that his or her patients are facing on a daily basis. A Nurse whose primary job is within a community setting must be able to survey the area for health dangers, conduct outreach with individuals and community organizations, manage cases, teach proper health techniques to a diverse group of people, mobilize resources, and assist community leaders with health policy development (allings, 2009). Although all of these skills may not be required by every community-based professional, this types of…
Census Bureau. (2012). State and county quick facts. Retrieved from http://quickfacts.census.gov/qfd/states/24/24510.html
Cohn, M. (2011, May 10). Baltimore launches effort to improve worst health problems: City sets out goals for 10 health issues. The Baltimore Sun. Retrieved from http://articles.baltimoresun.com/2011-05-10/health/bs-hs-healthy-baltimore- 20110510_1_oxiris-barbot-health-department-health-issues
Health Department Baltimore Maryland. (2009). Baltimore City community health survey: Summary results report. Retrieved from http://www.baltimorehealth.org/info/2010_03_26_CHS_Summary_Results_Repor t.pdf
Rallings, J. (2009). Community health nursing: Competency and skills. Institute of Primary Health & Ambulatory Care. Retrieved from http://www.health.qld.gov.au/townsville/Community/iphac_chn_comp_skls.pdf
That approach was innovative in that it reflected a recognition of how much nutritional support in infancy reduces the subsequent need for medical services such as those that are largely attributable to problems linked to poor nutrition in infancy and early childhood. In the long run, program funds spent on those types of programs may be some of the best types of preventative medicine. Therefore, I would suggest developing similar programs at the state level.
Barriers for such programs might come from individuals who are concerned with fiscal responsibility at a time when state governments are under pressure to conserve funds. Necessary support would come from healthcare providers and experts capable of explaining that every dollar spent on these types of preventative programs likely saves considerably more on future costs that would typically be borne by the state budget. A research project could consist of empirical evidence documenting the link…
Family Nursing Diagnoses
Family nursing diagnosis
The family in this case study is depicted as one of middle income capacity with the man of the house being the main provider of the house and the rest of the family being dependent on the father. The family is composed of children and the grand mother, a sign that they value the unity and living together as a social and communal responsibility to each other. The family also displays several signs of financial and communal pressures from the coping habits that they adopt like the father of the house smoking marijuana and resorting to alcoholism to cope with the pressure that the family needs predispose him to. This is a fairly young family and several needs are evident within the house like the schooling needs and the medical care since David and Charles are young children and suffer conditions that need constant…
Healthy people (2020). Environmental Quality. Retrieved May 6, 2014 from http://healthypeople.gov/2020/LHI/environmentalQuality.aspx
Wagner A.L.(2010). Core Concepts of Jean Watson's Theory of Human Caring/Caring Science. Watson Caring Science Institute. Retrieved May 6, 2014 from http://watsoncaringscience.org/files/Cohort%206/watsons-theory-of-human-caring-core-concepts-and-evolution-to-caritas-processes-handout.pdf
" (Marshall et al., S365) This means that the role of the nurse as a direct line of contact to members of the community must be seen as a way to make actionable what at this juncture is empty policy. Community nurses should fulfill the role of medical consultant concerning treatment of the condition while regarding all cases as indicative of wider community patterns. This can be a crucial line of information to governments attempting to curb viral spreading.
This speaks to a second influence shaping the role of the community nurse, who must be an educator on the subjects both of the pandemic and of the true risks associated with the contraction of such viruses. This means that the nurse will use his or her discretion in order to evaluate those who are most in need of anti-viral drug treatment such as the young or the elderly. Uncertainties over…
Marshall, H.; Ryan, P.; Roberton, D.; Street, J. & Watson, M. (2009). Pandemic Influenza and Community Preparedness. American Journal of Public Health, 99(S2).
Public Health and Community Nursing Issue
The exploitation of farm workers in California during the Great Depression was so heart-rending and outrageous that two powerful works of literature came out in the same year to expose it. John Steinbeck, in his novel, "The Grapes of Wrath," and Carey McWilliams, in his book, "Factories in the Field," both published in 1939, graphically revealed the inhuman working conditions of migrants who were prey to corporate greed and cruelty. Just last August, Occidental College Professor of Politics Peter Dreier, came out with a follow-up on the persistently inhuman conditions of these workers, published in the Huffington Post. He revealed how more than 400,000 farm workers, migrant and seasonal ones in particular, in more than 35,000 farms in California labor in conditions of extreme heat and conditions for 8- 12 continuous hours every day without water, shade or provision for health care. In the…
Alderete, E., et al. (2000). Lifetime prevalence of, and risk factors for, psychiatric disorders among Mexican migrant farm workers in California. Vol 90 # 4 American
Journal of Public Health: PubMed. Retrieved on November 6, 2012 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446794
Clark, P.A., et al. (2009). Health care access for migrant farm workers: a paradigm for better health. Vol 8 # 2 The Internet Journal of Health: Internet Scientific Publications
LLC. Retrieved on November 6, 2012 from http://www.ispub.com/journal/the-internet-journal-of-health/volume-8-number-2/health-care-access-for-migrant-farmworkers-a-paradigm-for-better-health.html#sthash.PcBYG43Z.dpbs
Type I diabetes is usually diagnosed in children and young adults and results from the body's failure to produce insulin. Type 1 account for 5% to 10% of all diagnosed cases of diabetes (Centers for Disease Control, National Diabetes Fact Sheet, www.cdc.gov/diabetes/pubs/pdf/ndfs_2003.pdf). The most common form of diabetes is Type II, which accounts for about 90 to 95% of all diagnosed cases of diabetes (Centers for Disease Control, National Diabetes Fact Sheet, www.cdc.gov/diabetes/pubs/pdf/ndfs_2003.pdf). Pre- diabetes is a condition often present prior to the development of Type II diabetes. In pre-diabetes, blood glucose levels are higher than normal, but not high enough to be considered diabetic.
Pre-diabetes does not have to lead to the development of diabetes if a person diagnosed with this condition: Patients who work to control their weight and increase their physical activity can often prevent or delay the onset of diabetes. There are 41 million Americans…
American Diabetics Association. Retrieved 22 March 2010 from http://www.diabetes.org/diabetes-basics/diabetes-statistics/
Centers for Disease Control, National Diabetes Fact Sheet.Retrieved 18 March 2010 from www.cdc.gov/diabetes/pubs/pdf/ndfs_2003.pdf
Technology-based teaching strategies can greatly accelerate the how both teaching and learning occur and therefore often reduce traditional issues and concerns faced by students and instructors. This approach changes the conventional way of thinking about how quality nursing programs are assessed and changes the levels of requirements to better suit student learning with better access to libraries, counseling and tutoring services, computing equipment, tuition, and financial aid to name a few.
But where this Associates Degree approach will benefit the profession most is in the healthcare system where it is needed most. New nurses will be better acclimated to the needs of sophisticated logging processes, medical billing and inventory as well as scheduling and other tasks now all handled via digital processing and computer. A modern day nurses are more technologically sophisticated, the overall patient care process also gets better as more available free time is offered back to the…
As to catheter straps, if fastened too tightly they can act as tourniquets, cutting off the needed flow of blood and presenting. And at least theoretically, use of straps brings about a risk of increasing the complications such as "…deep vein thrombosis and pulmonary embolism" in those patients with "impaired lower extremity circulation" (Billington 504). Research presented in this article shows that the problem of infection due to poorly attached catheters can be reduced significantly through the use of a product called "Bard StatLock" -- which, the authors insist, is an effective stabilization device because it allows movement (through a swivel clip), because it is a "sterile latex-free, tug-resistant product" (Billington 504). An article in the journal RN, incidentally, states that treating "hemodialysis catheter-related bacteremia" can cost a hospital up to $45,000.
ashing "Bloody Hands": An article in the Australian Nursing Journal asserts, "…hand hygiene is the single most effective…
Aziz, a.M., Ashton, H., Pagett, a., Mathieson, K., Jones, S., & Mullin, B. (2009).
Sharps management in hospital: an audit of equipment, practice and awareness.
British Journal of Nursing, 18(2), 92-98.
Billington, a., Crane, C., Jownally, S., Kirkwood, L., & Roodhouse, a. (2008).
Nursing Problem: Shortage of Nurses in Healthcare
The researcher works at Phoebe Memorial Hospital, where there is an extreme nursing shortage. Without an adequate amount of nurses, patient care and safety may turn out to be compromised, while nurses themselves may be stunned, upset, and dissatisfied. At the researcher's workplace, high patient-to-nurse ratios has been displaying that there is a lot of frustration and job burnout, which is linked to higher yield. At Phoebe, there is an inadequately staffed nursing force which has been discovered to play a negative part in patient results. In difference, studies have confirmed that hospitals like Phoebe Memorial Hospital with low nurse turnover are the ones that have the lowest rates of risk-adjusted death and severity-adjusted span of stay.
There is no very exact way of describing the concept of nursing shortage at the Phoebe Memorial Hospital Phoebe, but a report of this…
NURSING PROBLEM: SHORTAGE OF NURSES
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
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…
nursing is in a unique position to take on the challenge of the public's health. hat more could we do? How does nursing implement the Core Functions of Public Health?
Nursing is an integral part of the nursing profession. Even more so than doctors, the nurses will be in direct contact with patients. They are the first people that a patient sees when he or she seeks out treatment. In this, the nurses are able to see exactly what is affecting humanity on a larger scale and are able to interpret that to those in higher positions in the health industry. More could always be done. Often nurses are so harried with a large amount of patients, particularly in heavily populated areas of the world, that they do not take account of larger health trends. More attention and an inclination to create change will inherently help in policy creation and…
ASTDN (2003). Quad council PHN competencies.
Center for Disease Control (2012). Core functions of public health and how they relate to the 10
essential services. CDC: Atlanta, GA. Retrieved from http://www.cdc.gov/nceh/ehs/ephli/core_ess.htm
Definitions for population-based health care vs. community-based health care (2012). Retrieved
he Neuman Model is appropriate for senior care.
Studies necessary with other models.
Penrod, et.al.; Reframing Person Centered Care for Persons with Dementia
Research and heory for Nursing Practice
Lit. Review, discussion
Research shows individual personhood approach has positive effects on care.
Biomedical and psychological models must be merged for persons with dementia.
Further study using different integration modeling.
Rajapaksa and Rothstein; Factors hat Influence the Decisions of Men and Women Nurses to Leave Nursing.
Qualitative, some quantitative analysis
For men, compensation largest barrier to remaining in nursing; for women dissatisfaction with career goals
Barriers to entry in profession for men and still social stigma
It is possible for hospitals and care centers to develop program to retain more nurses
Needs more demographic and psychographic variation.
Gillespie and Peterson; Helping Novice Nurses Make Effective Clinical Decisions
Their Experiences With a Refugee Population." Journal of Nursing Education.
Watson, J. (2008). "Social Justice and Human Caring." Creative Nursing. 14 (2): 54+.
Nurse-Care Analysis of Sheepshead Bay
The area is 4,074 square miles. Its population is 123,178. The people density of people who live in Sheepshead Bay compared to general inhabitants of Brooklyn of people per square mile is 30,233 to 34,917 (City-data.com; web).
On my visits there, I was astounded by the mass of people rubbing shoulders one with the other. The streets seemed dense and crowded with a great number of apartment buildings, more than those in the more laid back areas such as Flatbush and Queens, and also more than those in the vicinity of Coney Island. There were also a lot of immigrant offices and lawyers specializing in immigration services that was telling of the area.
In fact, involvement with immigrants who had been seeking service with bureaucracy involved with obtaining a Green card revealed that many of them, although living in other parts of Brooklyn (sometimes far…
Berke, N. (2009). Crime Prevention and Safety Workshop. Sheepshead Bites. Retrieved on 3/6/2011 from: http://www.sheepsheadbites.com/2009/06/crime-prevention-and-safety-workshop/#
Chan, S. (2006). Fatal Construction Accidents in the City Rise Sharply Over 12 Months New York Times. p. C13.
Chiswick, Barry R., (1991). Speaking, Reading and Earnings among Low-Skilled Immigrants, Journal of Labor Economics, 9, 149-170.
City-data.com. Sheepshead Bay. Retrieved on 3/6/2011 from: http://www.city-data.com/neighborhood/Sheepshead-Bay-Brooklyn-NY.html )
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/
My life has centered upon answering a central question. This question has been a in my mind since I was 10 years old. At that age, my first image of medicine was largely influenced by the doctors and nurses who were always helping my grandfather battle a rare form of brain cancer. His illness was a life changing experience for me, as, at that age, I watched his condition gradually deteriorate over a period of three months, and I detested I could do nothing to help. This thought, however painful then, has motivated my entire life, and has led to my choosing of nursing as a profession,
Though some did not approve of this particular career path, I never gave up my dreams. For this reason, I began studying and volunteering so as to combine education in theory with education in practice. Giving back to…
A brief review of Dr. Patricia Benner's theory on the transition from novice nurse to expert nurse will provide the grounding for the three resources selected for the reference list. Brenner held strong beliefs about the validity of skills and knowledge gained through experience, and introduced the idea that an expert level of nursing is achieved as patient care is provided over time -- and as that knowledge is folded into the formal training that nurses receive when they earn a degree in nursing. Benner is famously known for asserting that a nurse could "gain knowledge and skills (knowing how) without ever learning the theory (knowing that). Dr. Benner posited a three-pronged approach to knowledge in the applied disciplines of nursing specifically -- and medicine in general -- that entails extending practical knowledge through research and clinical experience. Dr. Benner asserted that a nurse could not truly achieve…
Community Analysis: Columbus, Ohio - Hilltop Area/Franklinton
Identification and History
The Franklinton/Hilltop area of Columbus, Ohio is located on the west side of the greater metropolitan area. Franklinton is in a river valley next to the Scioto iver and the Hilltop area is just west of that on a rise. The Hilltop area is defined as the area between I-70 on the north, the B & O. railway to the east and south, and the I-270 outerbelt to the south and west (Greater Hilltop Area Commission, 2011). Its main street is West Broadstreet, otherwise known as U.S. route 40. There are welcome signs to the area near Mound Street and Hague Avenue. Franklinton is bordered by the Scioto iver on the north and east, Hague Avenue on the east, Stimmel oad and Greenlawn Avenue on the South, and I-70 on the West. The main street in this area is also…
Bush, Bill (2011). Census shows Columbus' growth was uneven. February 11, 2011. The Columbus Dispatch. Retrieved from http://www.dispatch.com/content/stories/local/2011/03/11/census-shows-columbus-growth-was-uneven.html
City-data.com (2011a). Franklinton neighborhood in Columbus, Ohio. Retrieved from http://www.city-data.com/neighborhood/Franklinton-Columbus-OH.html
City-data.com (2011b). Greater Hilltop neighborhood in Columbus, Ohio. Retrieved from http://www.city-data.com/neighborhood/Greater-Hilltop-Columbus-OH.html
City of Columbus (2003, July). The Franklinton Plan. Department of Development, Planning Division. Retrieved from http://development.columbus.gov/UploadedFiles/Development/Planning_Division/Document_Library/Plans_and_Overlays_Imported_Content/franklinton.pdf
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.
Throughout my life, I have exemplified core Christian values like faith and temperance. Christian role models have helped me to shape a character and identity that is conducive to a life of selfless service, which I view the nursing profession to be. I want nothing more than to participate in a Christian nursing community, with the goals of making the world a better place one patient, and one community, at a time. Effective nurse education will allow me to develop my skills in all areas of nursing: from leadership to bedside practice. The Mark and Huldah Buntain School of Nursing is unique in that it offers a perfect fusion of Christian values with cross-cultural awareness, and correspondingly, cultural sensitivity.
I have always valued my spiritual health every bit as much as my physical and psychological health. This is why I gravitated towards the Mark and Huldah Buntain School…
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.
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:
Nurse's ole As esearcher
The nurse plays a unique role as a researcher. This involves them focusing on the latest treatment options, how they affect patients and the best times specific techniques should be utilized. Moreover, they must understand the numerous side effects of different therapies and how this will affect the patients they are working with. These areas help them to serve as confidant in comprehending how and when to apply certain procedures. (Allan, 2005)
At the same time, the nurse will understand the psychology, customs, behavior and biological factors which are contributing to a host of conditions. This enables them to comprehend the challenges patients are going through and the lasting impact this is having on them. When this happens, they can reduce suffering and improve their ability to cope with the issues they are facing. These insights will help patients to make a full recovery with reduced…
Allan, J. (2004). Clinical prevention and population health. American Journal of Preventive Medicine, 27(5), 470-481.
Allan, J. (2005). Clinical prevention and population health curriculum framework: The nursing perspective.
Allen, D. (2002). The Changing Shape of Nursing Practice. New York, NY: Routledge.
American Academy of Nurses. (2009). Nurses transforming health care using genetics and Genomics. Washington, DC: Author.
" (1) What does the phrase "concept inventing" mean to you?
2) Does the process of concept inventing add clarity to a unique lived experience that aides in individualizing patient care? - or - Does the process of concept inventing add unnecessary jargon to the profession of nursing which creates barriers in collaboration with other disciplines? (3) State your stance on this issue and create a logical argument to defend your thoughts.
C. (1). "Concept inventing" can be thought of as a way to analyze situations in such a way as to contemplate their meaning to create understanding. Using both the aspects of science, including logic, rationality, and empirical analysis, and art, including intuition, emotion, integrity, honor, and compassion, nurses can process information in such a way as to create a complete conceptual picture of both the abstract aspects and concrete facts of a situation. In doing so, nurses can…
Chen, K.M. (2000, January.) The focus of the discipline of nursing: Caring in the holistic human health experience. Nursing (Graduate Research), 2(1). Retrieved Dec 3, 2006 from Graduate Research. Website: http://www.graduateresearch.com/kueimin2.htm.
Nagai-Jacobson, M.G., & Burkhardt, M.A. (1996). Viewing persons as stories: A perspective for holistic care. Alternative Therapies, 2(4), 54-58.
Rogers, M.E. (1990). Nursing: Science of unitary, irreducible, human beings: In E.A.M. Barrett (Ed.), Rogers' Science-Based Nursing. New York, NY: National League for Nursing.
Wainwright, P. (1999). The art of nursing. International Journal of Nursing Studies, 36, 379-385.
The author quotes Gary Zukav as emphasizing that if a nurse perceives herself as powerless and her image as negative, the idea can sink to the subconscious level and realize itself. She will be drawn to those who will reinforce the idea. Practitioner Pauline Robitaille's stresses impact each nurse has on others. Her influence on people she comes in contact at the peri-operative setting cannot be overstated. She found the published feedbacks of registered nurses in nursing journals as very positive while others were very negative. Those who gave positive feedbacks described the efforts of preceptors to teach and support them. Thus the intended learning flowed smoothly. However, other nurses reported the negative, punitive and critical behavior of their preceptors. The nurses described the difficulty of working with these preceptors. Hence, the nurses did not benefit from their experience with the preceptors.
Ulmer emphasizes that those in the profession must…
Gonzales, L. (2005). A mission for the center for nursing advocacy. 3 pages. Nevada RN Foundation: Nevada Nurses Association
Nursing BC (2002). How to create community media coverage for nursing. 2 pages. Registered Nurses Association of British Columbia: ProQuest Information and Learning Company
Ulmer, B.C. (2000). The image of nursing. 4 pages. AORN Journal: Association of Operating Room Nurses, Inc.
Willging, P (2005). it's time to take the politics out of nursing home quality. 5 pages. Nursing Homes: Medquest Communications, LLC
This is one of the many reasons I look forward to being able to work within my own community. Nurses are at the forefront of community outreach and community betterment. As I get to know the local physicians, administrators, and program leaders, I can become a more effective member of the health care community.
In the future I intend to serve my community in a position of leadership, as a coordinator for healthcare services. I want to apply family systems theory to my nursing practice, because I see a growing demand for more collaborative methods of intervention that support rather than deny the role of family systems. With a great sensitivity to diversity in terms of religion and culture, I will be of great service to the local patient population.
While with the Post Masters Nurse Practitioner Program, I will improve my communications and networking skills because I believe in…
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
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
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…
About ENA. (2010, January). Retrieved October 2010, from Emergency Nurses Association: http://www.ena.org/about/Pages/Default.aspx
About the ACNM. (2010, February). Retrieved from American College of Nurse-Midwives: http://www.midwife.org/members.cfm
CNS - Who We Are and What We Do. (2010, January). Retrieved October 2010, from National Association of Clinical Nurse Specialists: http://www.nacns.org/AboutNACNS/MissionStatement/tabid/57/Default.aspx
Kozier, B., Erb, G. & Blais, K. (1997), Professional nursing practice (3rd edition),
Nursing means working one on one with individuals who may be bogged down will all manner of physical or mental pain and suffering or who may even be on the brink of death. Because nurses work so closely with the most delicate matters of human existence: pain, suffering, and death, ours is a difficult job.
Nursing is but one of many healthcare professions and involves unique and specific work. For instance, nurses work directly with the patient by touch and voice. Nurses listen to people's complaints and address them immediately; we massage, we empty bed pans, we bandage bruises and poke people with needles and stick tubes down their throats. Not everyone wants to deal so intimately with patients but would rather remain in the lab. Nurses usually have more direct contact with patients than doctors do, for instance. Nurses must possess a full understanding of the profession and what…
Bolton, Zoe. "Is nursing a profession in crisis?" Daily Mail. 12 May 2004. Online at http://www.dailymail.co.uk/pages/live/articles/health/healthmain.html?in_article_id=302561&in_page_id=1774 .
Virginia Avernal Henderson." Nurses.info. http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
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.
(2008). The study measures public opinion concerning two scenarios: one in which the kidney donor is given a fixed financial compensation; and one in which the donor is provided with health insurance coverage for life. According to the findings of the study, "although almost half of the respondents (46%) were reluctant towards introducing a system with fixed compensation to increase the number of living kidney donors, still 25% of the general public reacted positively." (Kranenburg, 1039) This study would conduct a similar comparative discussion, but would expand the number of available options discussed and would use a different sample population, as discussed in the subsequent section.
Subjects and Sampling Technique:
The subjects will be drawn from amongst nursing professionals working in randomly selected renal specialty facilities and wards. Initial contact will be made by phone with a Director of Nursing at selected facilities requesting participation. Those that agree will receive…
Conesa, C.; Rios, a.; Ramirez, P.; Sanchez, J.; Sanchez, E.; Rodriguez, M.; Martinez, L.; Ramos, F. & Parrilla, P. (2009). Attitude of Primary Care Nurses Toward Living Kidney Donation. Transplantation Proceedings, 37(9), 3626-3630.
Kranenburg, L.; Schram, a.; Zuidema, W.; Weimar, W.; Hilhorst, M.; Hessing, J. & Busschbach, J. (2008). Public Survey of Financial Incentives for Kidney Donation. Nephrology Dialysis Transplantation, 23(3), 1039-1042.
Neyhart, C. & Colaneri, J. (2004). Living Anonymous kidney donation: A solution to the organ donor shortage? Nephrology Nursing Journal. Online at http://findarticles.com/p/articles/mi_m0ICF/is_3_31/ai_n17207253/
Watson, J. (2007). Theory of Human Caring: Theory Evolution. University of Colorado at Denver. Online at http://www.nursing.ucdenver.edu/faculty/jw_evolution.htm
"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
Nursing is one of the most important professions in the world today. It involves not only physical healing, but also healing on a deeper level, where the care giving extends to the patient's environment and relationships to speed the healing process. The nursing environment then often also concerns politics and political involvement. As caregivers who operate in an inclusive environment and relationships, it is often necessary for nurses to be aware of political processes and policies. In this way, nurses can ensure an optimal environment for their patients and the healing process in general.
Des Jardin (2001) defines politics as "a means to an end." Nurses who are concerned with policy formation outcomes must involve themselves in politics. There are a number of ways in which this can be accomplished. Mainly, the author notes that nurses can affect the development of institutional policies by becoming involved in politics…
Des Jardin, K.E. (2001, Oct.). Political involvement in nursing education and empowerment. AORN Journal. Retrieved from: http://findarticles.com/p/articles/mi_m0FSL/is_4_74/ai_80159541/
According to the South Carolina Nurse Practice Act, the practice of nursing includes "the provision of services for compensation," and the use of "nursing judgment." Nursing judgment is clearly defined as "the logical and systematic cognitive process of identifying pertinent information and evaluating data in the clinical context in order to produce informed decisions." The South Carolina Nurse Practice Act is lengthier than either of the other two definitions provided here. It deals directly with practical and mundane matters related to the profession such as monetary reward for the practice of nursing; the different classes of nurses, "commensurate with the educational preparation," and other official areas of interest: "Nursing practice occurs in the state in which the recipient of nursing services is located." While this definition lacks the inclusion of terms like "compassion," nurses must be firmly grounded in the practical matters of the profession as outlined by the Nurse…
Nursing Theorist: Sr. oy Adaptation Model
The oy Adaptation model for Nursing had its beginning when Sister Callista oy happened to get admitted in the Masters Program of pediatric nursing in the University of California, Los Angeles, in the year 1964. At that time, Sr. Callista was familiar with the idea of 'adaptation' in nursing, and it must be mentioned that Sr. Callista's adviser at that time was Dorothy E. Johnson, who believed firmly in the need to define nursing as a means of focusing the development of knowledge, for the practice of nursing. When Sr. Callista oy started working with children in the pediatric ward of the hospital, she was quite impressed with the basic resiliency of the small children who had been admitted into the wards for treatment. This was why when the first seminar in pediatric nursing was called for; Sr. Callista oy proposed that the basic…
"Callista Roy's Adaptation Model" Retrieved From
http://www.geocities.com/ninquiry2002/callistaroy Accessed 28 October, 2005
'Case Study" Retrieved From
http://www.geocities.com/ninquiry2002/casestudy.html Accessed 28 October, 2005
Nursing: Personal Statement
For my entire life, acting as a caregiver has been an integral part of my identity. I come from Cuba, and caring for the old and sick is considered to be a very important obligation. I was the child who took care of the needs of my grandmother and grandfather as they aged, as well as my father who died all too young of cancer. As emotionally difficult as these experiences were, I felt privileged to be able to do something for the people who had given so much to me. I also learned how gratifying it was to nurse someone and to provide them with a sense of self-worth and empowerment, even when they were facing their own mortality. To make this my career would be my dream come true.
I wanted to become a nurse while still living in Cuba but unfortunately Cuban nursing schools…
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 profession is among the oldest in history. Currently, there is much debate that surrounds the profession because of the need for more trained nurses. In recent years the nursing shortage has become a major problem for the medical profession and has resulted in poor patient care and slower patient recover. The purpose of this discussion is to provide an in depth examination of the nursing profession. We will discuss the current state of the nursing profession, including the causes for the shortage and the solution. We will also explore the status of the nursing profession in Australia. Let us begin our discussion by providing a comprehensive definition of what is means to be a nurse.
Definition of a nurse
According to the American Heritage Dictionary, a nurse is defined as " a person trained to care for the sick or disabled under the supervision of a physician." (American Heritage…
American Heritage Dictionary. (1982) Second Edition.
Bashford, A. (1997). Starch on the collar and sweat on the brow: self sacrifice and the status of work for nurses. Journal of Australian Studies, (52), 67+. Retrieved August 24, 2003, from Questia database, http://www.questia.com .
Nursing is one of those professions that provides the opportunity not only to further oneself on a professional level, but also on a personal level. It provides the individual with the opportunity to connect with others by providing a platform of health care, while also providing a helping hand that promotes not only short-term healing, but also long-term well-being. This makes nursing one of the most caring professions, as it provides the nurse with the opportunity to use his or her skills, and also to lend a hand above the duties of simple physical health care. In this way, nursing extends to caring for the whole person rather than the physical being alone. This is one of the major factors that has attracted me to the profession throughout my life.
According to Limon (2001), there are four central concepts that are central to the metaparadigm of nursing, including the person…
Kocisko, D. (2010, Jan 23). Counselor, patient advocate, researcher, teacher -- and nurse: A Nurse's Journal. Retrieved from: http://www.cleveland.com/healthfit/index.ssf/2010/01/counselor_patient_advocate_res.html
Limon, C. (2007). The Components of the Metaparadigm for Nursing. Nutrition and Health Hub. Retrieved from: http://smalldogs2.com/NutritionHealthHub/The_Components_of_the_Metaparadigm_for_Nursing.html
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
The Nurse as Learner and Teacher
Nursing is truly a lifelong study. While in school, a future nurse learns the tactics and the theory of the profession, and while in practice, he or she learns the social part of the profession, including interaction with patients, and difficulties relating to the workplace, and how to solve the latter. Due to these reasons, nursing is not a "one track" career, and involves constant adaptation and learning. Yet nurses are also teachers, and they fulfill that role every day, from the very first time that they step into the workplace. This paper will aim to present the nurse as both a learner and a teacher, and relate this to personal learning abilities.
From a new graduate to chief nurse, an individual embarking upon this career may very well see it in stages, but what is certain is that a nurse is often…
Greer, A.G. (2010). Learner-centered characteristics of nurse educators. International journal of nursing education scholarship. 7(1).
Kelly, C. (2006). Student's perceptions of effective clinical teaching revisited. Thompson Rivers University. Retrieved from < http://ezproxy.library.nyu.edu:2111/science/article/pii/S0260691707000135>.
Advance Perspectives: Nurses The Role of the Nurse as Learner & Teacher. (2011). Advance Web. Retrieved October 1, from .
The death of a child is significant and in this case avoidable and a plaintiff has the right to seek compensatory damages as is allowed by law.
Case Study 1 Part B
At the end of the night shift, Nurse Brown took a verbal handover and then noticed the observation chart had not been filled in. To assist her friend, Nurse Harvey, whom she knew had a busy night, filled in the observation chart and fluid balance chart for the hours from 0200-0600 hrs.
Overcome by the events of the last 24 hrs, Nurse Harvey and Nurse Brown go to the local tavern for a few drinks before Nurse Harvey goes on duty. They discussed Mr. Spencer and his son. John, a friend of Mr. Spencer, overheard the conversation and joined them. He was also upset by the events of the day and was most keen to discuss the accident…
Hall, J. (1960). General Principles of Criminal Law (2nd ed.). Indianapolis: Bobbs-Merrill.
Markesinis, B.S., & Deakin, S.F. (1999). Tort Law (4th ed.). Oxford: Clarendon Press.
ANCI Competency Standards for the Enrolled Nurse at http://www.anmc.org.au/docs/Publications/Competency%20standards%20EN.pdf
Scope of Nursing Practice Decision Making Framework, 2006 at http://www.nursingboardtas.org.au/nbtonline.nsf/attachment/SoPDMFFinal/$File/Scope%20of%20Nursing%20Practice%20Decision%20Making%20Framework.pdf
FCER Points Out Error to erck; erck Confirms Change"
This commentary illustrates the issue of problematic wording within the medical community. A Doctor of Chiropractic expressed concern to the Foundation for Chiropractic Education and Research over improper phrasing written in the erck anual.
The bothersome statement written in the erck anual was thought to have originated from medical data derived over 30 years ago. This article points the importance of knowing one's own specialty, and having a thorough knowledge of medical terminology so as to correct and prevent medical mishaps.
ackechnie C, Simpson, R (2006) "Traceable Calibration for Blood Pressure and Temperature onitoring" Nursing Standard 21, 11, (2006): 42-47
Correct diagnosis and monitoring largely depend on accurate pulse, respiration, blood pressure, and body temperature measurements. any measurement errors can be minimized by confirming that instruments are calibrated. This article emphasizes to need for instruments to be traceably calibrated to national…
Mackechnie C, Simpson, R (2006) "Traceable Calibration for Blood Pressure and Temperature Monitoring" Nursing Standard 21, 11, (2006): 42-47
Correct diagnosis and monitoring largely depend on accurate pulse, respiration, blood pressure, and body temperature measurements. Many measurement errors can be minimized by confirming that instruments are calibrated. This article emphasizes to need for instruments to be traceably calibrated to national standards.
Nurses are responsible for taking measurements, so it is imperative that nurses be aware of the issues of measurement precision. Unreliable instruments (due to lack of traceable calibration) can lead to inaccurate measurements resulting in misdiagnosis and poor patient care.
Fatigue and Compassion as Functions of Ethical Nursing
The American Nursing Association's Scope and Standards of Practice are designed to provide a blueprint for preempting and addressing the various challenges, pitfalls and procedurals norms of the profession. These help to draw a professional, ethical and practical connection that offers a basic outline for that which is expected of the registered nurse. Indeed, it is of critical benefit to the nursing professional and to the patient community that there exist some clearly elaborated set of ethical standards that pertains directly to sometimes difficult to identify challenges such as bedside manner and fatigue. The American Nursing Association (ANA) provides just such standards, and these function to significantly aid in the decision-making, workplace culture and treatment processes undertaken by nurse professionals.
Ethical orientation is an important feature of a nursing team, particularly as it impacts the morale of nurses and the treatment…
AIPPG. (2010). Betty Neuman's System Model. Nursing Theories.
American Nursing Association (ANA). (2004). Nursing: Scope and Standards of Practice. Nursingbooks.
Nursing Educator and the AED
Personal Experience of Teaching and Helping Other Nurses to be More Ready in the Use of a Phillips Heart Start Defibrillator (AED)
Children and young adults as well as other adults can and do have cardiac arrest. Estimations state that undiagnosed heart conditions cause the deaths of one individual every three days in organized youth sports in the United States. (AED Universe, 2012, paraphrased) The Survivor's Foundation states that 460,000 deaths occur each year in the U.S. from sudden cardiac arrest. Sudden cardiac arrest (SCA) is reported to occur "when the lower chambers of the heart (the ventricles) suddenly stop beating normally and develop what is called ventricular fibrillation (VF). VF is a chaotic heart rhythm that is similar where the heart muscle begins quivering which prevents the heart from effectively pumping blood. If this condition is not corrected immediately, death will follow within ten…
Automated External Defibrillators Reviewed (2003) Survivor's Foundation. Retrieved from: http://firstaidcoach.com/AED_comparison.pdf
Deakin C. et al. (2010) European Resuscitation Council Guidelines for Resuscitation 2010. Section 3. Electrical therapies: Automated external defibrillators, defibrillation, cardioversion and pacing. Resuscitation; 81: 1293-1304.
Jevon, Phil (2011) Defibrillation 1: Using an AED Outside Hospital. Nursing Times. 23 Sept 2011. Retrieved from: http://www.nursingtimes.net/ 5035495.article
Philips Announces 8-year warranty on Heartstart Onsite and FRx AED's (2012) AED Universe. Retrieved from: http://aeduniverse.blogspot.com/
Nursing Jobs History
Nursing has changed much since the time before 1945 to now. In the Middle Ages, nursing duties and hospital jobs were sponsored by the Catholic Church, which was popular throughout all Europe and which supported the building of hospitals and the care of the sick in communities. This support fell apart during the Protestant eformation. Monasteries, hospitals and inns were taken from the Church. Also, the study and technique of developing and applying medicine were removed from monasteries and placed in Universities. The art of nursing which had been passed on for centuries in the monasteries was now cut off from the nurses who had practiced it. Protestant society considered nurses to be among "the lowest level of human society" (Sundstrom, 1998). Over the course of the next 200 years, the public approach to nursing changed. A charitable institution in the Middle Ages, suppressed under the Protestants,…
BMJ Quality and Safety. (2013). Registered nurses often lack time for nursing care activities. News Medical. Retrieved from http://www.news-medical.net/news/20131111/Registered-nurses-often-lack-time-for-nursing-care-activities.aspx
Rinehart, M. (1931). Beyond Bed Pans. History Matters. Retrieved from http://historymatters.gmu.edu/d/60/
Sundstrom, A., H. (1998). From the Decline/Dark Ages to the Rebirth/Renaissance of Nursing. Angelfire. Retrieved from http://www.angelfire.com/fl/EeirensFaerieTales/NursingDeclineHistory.html
Research and Nursing Questions
Research is a complex and nuanced concept which means that one approach might not, in and of itself, answer the full scope of one's research questions. This is why it can sometimes be useful to combine Quantitative and Qualitative research strategies. This can help to provide a multidimensional perspective on a given research problem. The text by Bennett & Braumoller (2006) refers to the combination of these approaches as a Mixed Methods research strategy.
The use of Mixed Method research strategies is based on the view that researcher can produce greater on a subject by varying the approaches which are used to collect data. The idea that both qualitative and quantitative data gathering processes can produce a more expansive data set is driven by the understanding that there are often distinct limitations in the conclusions we can make from narrowly framed research investigations. (Bennett…
Bennett, A. & Braumoller, B. (2006). Where the Model Frequently Meets the Road: Combining Statistic [al,] Formal and Case Study Methods. APSA manuscript.
Media Relations. (2004). Nursing Shortage Fact Sheet. American Association of Colleges of Nursing
The overall health care profession is undergoing fundamental change due in part to new laws and regulations. These laws and regulations, although well intended may result in unintended consequences for the nursing profession overall. Turnover, in particular is a critical aspect of the health care profession. Turnover creates added costs to the firm, while also sacrificing both care and service. In the future, the role of a nurse will be fundamentally altered. For one, regulation such as the Affordable Care Act will result in an entire population of insured patients needing care. As such, the role of a nurse will ultimately be predicated on a more individualized basis with specialization in certain aspects. Reducing turnover therefore will now become paramount to overall viability of the healthcare firm. The population at risk, due in part to regulation, is now society as a whole. Nurses due in part to this…
One of the primary role of the nurse, notes the authors, is to help educate the patient about the parameters of his or her disease. Part of the education process is teaching patients about the drugs recommended to them by their doctors or the pharmaceuticals they are already taking to alleviate symptoms. urses can use their knowledge to make patients feel more comfortable about their treatments, more well-informed, and therefore more in control of their course of treatment. Patients who are cognizant of the possible side-effects and benefits of the drugs they take to manage their disease are more likely to comply with guidelines for treatment because they understand the motives behind them. The authors also claim that patient education is an integral part of healing. The article's impact on the nursing profession is broad and extends beyond the limited subject matter they address in "Bisphosphonate therapy for metastatic bone…
In "Bisphosphonate therapy for metastatic bone disease: the pivotal role of nurses in patient education," authors Fitch & Maxwell (2008) focus on the importance of nurse awareness of oncology treatments. Nurse awareness of existing and cutting-edge oncology treatments fosters deeper patient trust and understanding. The more comfortable nurses are with their knowledge of bisphosphonates, the better their patients can understand the drugs as a part of their treatment. Fitch & Maxwell (2008) outline the different types of bisphosphonates, various methods of administration, and also detail their role in treating metastatic bone diseases and cancer with the ultimate objective of creating a more well-informed nursing and patient community.
The Fitch & Maxwell (2008) article is not an experiment related to bisphosphonates or bone disease. Rather, the article is a meta-analysis, a summary of existing and prior research on how bisphosphonates can help patients with metastatic bone diseases. The authors explain the use of bisphosphonates and their role in aiding recovery. Most importantly, Fitch & Maxwell (2008) urge nursing professionals to learn about and understand bisphosphonates. One of the primary role of the nurse, notes the authors, is to help educate the patient about the parameters of his or her disease. Part of the education process is teaching patients about the drugs recommended to them by their doctors or the pharmaceuticals they are already taking to alleviate symptoms. Nurses can use their knowledge to make patients feel more comfortable about their treatments, more well-informed, and therefore more in control of their course of treatment. Patients who are cognizant of the possible side-effects and benefits of the drugs they take to manage their disease are more likely to comply with guidelines for treatment because they understand the motives behind them. The authors also claim that patient education is an integral part of healing. The article's impact on the nursing profession is broad and extends beyond the limited subject matter they address in "Bisphosphonate therapy for metastatic bone disease: the pivotal role of nurses in patient education."
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.
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.
A person's health is an ever-changing state of being resulting from the interaction with the environment. Optimum health is the actualization of both innate and obtained human potential gained through rewarding relationships with others, obtaining goals and maintaining expert personal care. Adaptations can be made as required to maintain stability and structural integrity. A person's state of health can vary from wellness to illness, disease, or dysfunction. Professional nursing is founded on the need to promote wellness practices, the attentive treatment of persons who are acutely or chronically ill or dying, and restorative care of patients during convalescence and rehabilitation. It also includes the education and measurement of those who perform or are learning to perform nursing responsibilities, the support and communication of research to enhance knowledge and practice, and the management of nursing in healthcare delivery systems. Nursing practice centers on the application of a body of knowledge in…
Johnston, N., Rogers, M., Cross, N. And Sochan, a.(2007) Global and planetary health:
teaching as if the future matters. Nursing Education Perspectives 26(3), 152
Nyatanga, L. (2005) Nursing and the philosophy of science. Nurse Education Today 25(8), 670-675
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.
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…
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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