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Health - Nursing
Healthcare and Nursing
The most important characteristics and attributes a person must have to be successful in patient care are empathy, the ability to listen and communicate with the patient, kindness, patience and clinical expertise. I believe that the ability to identify with someone in their current situation, even if it means sharing a cup of tea and letting them "remember when" before helping them perform ADL's they are no longer capable of, is crucial to creating a feeling of trust. It is important to validate a person's humanity. This enables their willingness to work with you to determine and achieve goals they may have concerning their health care. Kindness in caring and patience in listening is at times, all a patient needs. Having excellent clinical skills is equally as important. Loving kindness does a nurse no good if they injure their patient through lazy practice and…
A healthy community needs to be built from the bottom up. Those things that affect the children need to be addressed so that the children can have a better shot at growing up into healthy adults. Low birth weights, poor nutrition and a lack of physical exercise are all major contributors to the incidences of childhood illness and disease. Children can not control the environments that they are born into so everyone needs to work together in order to make sure that all environments are healthy so that the kids stand a shot of first off making it to adult hood and then being healthy when they get there.
The health of the community in Duval County, Florida seems to very cyclical. There is a high incidence of poverty and unemployment rates that usually lead to high degrees of crime and drug use. Those that live in these poorer neighborhoods…
Crimes reported in Duval County Florida Crime 2000. (2007). Retrieved February 23, 2010,
from FedStats Web site: http://www.fedstats.gov/mapstats/crime/county/12031.html
Duval County, Florida (FL). (2010). Retrieved February 23, 2010, from City Data Web site:
When left untreated, mental health conditions can lead to school failure, family conflicts, drug abuse, violence, and even suicide. Untreated mental health disorders can be very expensive for families, communities, and the health care system. Teens in rural areas in particular face many challenges for which there are not enough resources available. They face problems such as: isolation, loneliness, and poor access to transportation, increased economic conflict, unemployment, poor housing, divorced families, and a lack of specialized mental health services (Weiss, Battagilia, and Epstein, n.d). Teens often turn toward risk taking behaviors such as alcohol and drug abuse as well as sexual activity when they have no other way to deal with their problems (Child and Adolescent Mental Health, 2003).
Providing a help center for these teens is one way to try and help the youth in these areas. The teen center would be beneficial by providing opportunities for mental…
Johnson, MPH, CFNP. Rhonda M. (2000). Rural Health Response to Domestic Violence: Policy
and Practice Issues Emerging Public Policy Issues and Best Practices.
Retrieved March 30, 2009, from U.S. Department of Health and Human Services
Web site: http://ruralhealth.hrsa.gov/pub/domviol.htm
career of Home Health Nursing. With the baby boomer generation aging quickly, there will be an increased need for in home health care and home health nurses. This is a career with a future, since many aging and disabled patients want to remain in their own homes, rather than a nursing or retirement home, for as long as possible.
Home health nurses perform nursing functions inside the patient's home. They can be all the functions of a traditional nurse in a healthcare facility; they are simply performed on site, instead of in the hospital. One real element of the home health nurse is interacting with a variety of patients. They often see several patients each day, and they have to get from one patient's house quickly and effectively, so they need to be organized, efficient, and still compassionate and understanding with each patient. A Web site notes, "apport is evident…
Editors. (2009). How to become a home health nurse. Retrieved 7 Nov. 2009 from the Mynursingdegree.com Web site:
Editors. (2009). Home Healthcare Nurses Association. Retrieved 7 Nov. 2009 from the Home Healthcare Nurses Association Web site: http://www.hhna.org.
Editors (2009). National Association for Home Care & Hospice. Retrieved 7 Nov. 2009 from the National Association for Home Care & Hospice Web site: http://nahc.org/.
Disaster in Franklin County
Emergency Management is the organizational protocol that prepares for disaster response, supporting and rebuilding systems and society after natural of human disasters occur, and a continuous process in which groups from the community level up manage potential hazards and the impact of any possible trauma. EM is visible when events occur (hurricanes, flooding, bombs, etc.) but is really only as powerful and effect as its pre-Crisis planning and risk reduction management allows (Haddow, 2004, 2-4). Nursing response to emergencies will then, take two forms; the emergency room nurse manager who deals with tactical emergencies on a regular basis and the strategic nurse manager who prepares for uncommon and rare emergencies, and interfaces with the appropriate levels of community disaster preparedness groups. The manner in which nurses can interface well with emergency management comes partly through knowledge and participation in policy development -- working with their own…
Diaster in Franklin County: A Public Health Similation. (2012). University of Minnesota Centers for Public Health Education and Outreach. Retrieved from: http://ustar.ahc.umn.edu/cpheo/catalog/main.cfm?event_id=4516&activity_id=7594
Berbarie, T. (2010). Charge Nurse Program Builder. Marblehead, MA: HCPro.
Haddow, George. (2007). Introduction to Emergency Management, 3rd ed. Butterworth.
Veenema, T., ed. (2007). Disaster Nursing and Emergency Preparedness. New York:
Community Nursing Reflection #5
Reading through Chapters 21-24 and 30-32 allowed me to have a more comprehensive view of nursing as my chosen profession and vocation. In these chapters, I learned about the different facets of nursing, which could be dependent on the people that nurses work with or the environment or settings they work in. For example, nurses could work with people of different socio-demographic profiles. Most evident was the different kinds of work that nurses do depending on the "developmental progression of individuals." Nurses might focus their work with toddlers and young children, school-age children and adolescents, adult men and women, and/or the elderly. Further, nurses could also work in different settings, such as schools, communities, and private institutions or organizations (e.g. nursing homes). This range of people to work with and places to work in for nurses demonstrate not only the nurse's wide scope of work, but…
Clinical reasoning is linked to sound and evidence-based clinical judgment, to problem solving and decision-making, and to critical thinking. Critical thinking in the nursing profession is in turn defined as the “purposeful, self-regulatory judgment that uses cognitive tools such as interpretation, analysis, evaluation, inference, and explanation” of contextual variables (Benner, Hughes & Sutphen, 2008, p. 1). Therefore, clinical reasoning is central to promoting a high quality of patient care and in ensuring positive and goal-driven patient outcomes.
The clinical reasoning cycle provides a standard framework for critical thought in healthcare, and can be used by nurses in every patient sector. This current case study illustrates the importance of taking into account a multitude of variables, in order to achieve patient outcomes in a holistic manner. The clinical reasoning cycle minimizes biases, assumptions, and prejudices, allowing healthcare providers to remain open to a number of different options and possibilities. Description…
Benner, P., Hughes, R.G. & Sutphen, M. (2008). Clinical reasoning, decision making, and action. Rockville, MD: Agency for Healthcare Research and Quality.
Happell, B., Conwin, L., Roper, C., Lakeman, R. & Cox, L. (2013). Introducing mental health Nursing : A service user approach. 2nd ed. Allen & Unwin, Crows Nest.
Howe, D., Batchelor, S., Coates, D. & Cashman, E. (2013). Nine key principles to guide youth mental health. Early Intervention in Psychiatry 8(2): 190-197.
Kidd, S., Kenny, A. & McKinstry, C. (2014). From experience to action in recovery-oriented mental health practice: A first person inquiry. Action Research 12i(4): 357-373.
Kidd, S.A., McKenzie, K.J. & Virdee, G. (2014). Mental health reform at a systems level. The Canadian Journal of Psychiatry 59(5): 243-249.
McCloughen, A., Foster, K., Kerley, D. et al (2016). Physical health and well-being: Experiences and perspectives of young adult mental health consumers. International Journal of Mental Health Nursing 25(4): 299-307.
Rickwood, D., Van Dyke, N. & Telford, N. (2013). Innovation in youth mental health services in Australia: common characteristics across the first headspace centres. Early Intervention in Psychiatry 9(1): 29-37.
Psychosocial Care in Mental Health Nursing
The study conducted by MacNeela, Clinton, Place, Scott, Treacy, Hyde, and Dowd (2010) dealt with the issue of psychosocial care in mental health nursing. Discussed here will be the method and presentation used in the study, along with the relevance and significance of the findings, the evidence that was offered, and whether that evidence was the most appropriate when contrasted with other evidence. The method and presentation use in the study involved 37 nurses who worked exclusively in the mental health field. They were asked to respond to a case (simulated) in which a person had a chronic and enduring problem with his or her mental health (MacNeela, et al., 2010). Both acute hospital nurses and those recruited from the community were asked to participate. There were two tasks to which these nurses were asked to respond: determining the person's problem, and making a…
MacNeela, P., Clinton, G., Place, C., Scott, A., Treacy, P., Hyde, A. And Dowd, H. (2010), Psychosocial care in mental health nursing: a think aloud study. Journal of Advanced Nursing, 66: 1297 -- 1307.
DESCIPTIVE EPIDEMIOLOGY IN NUSING PACTICE
Descriptive Epidemiology in Nursing Science
The genesis for the disease control involves summarizing the different conditions using the variables such as place, time, and person to analyze the disease outbreak, patterns, and the outcomes. Often, sound decisions regarding the outbreak of an epidemic require data collections, hypothesizing the possible causes of diseases outbreak, and using effective strategies for evaluation of the program to understand the health status in the population (Lithovius et al. 2015). The desire of public health professionals in an epidemiological study is to understand the determinants of the disease and its distribution. The distribution and the patterns of a disease are important in determining the intervention programs and evaluations strategies to counter the disease outbreak.
In nursing practices, the descriptive epidemiology is one of the sources of information about the health status of the population. It helps give a picture…
Assiri, A., Al-Tawfiq, J. A., Al-Rabeeah, A. A., Al-Rabiah, F. A., Al-Hajjar, S., Al-Barrak, A.,. .. & Makhdoom, H. Q. (2013). Epidemiological, demographic, and clinical characteristics of 47 cases of Middle East respiratory syndrome coronavirus disease from Saudi Arabia: a descriptive study. The Lancet infectious diseases, 13(9), 752-761.
Ausserhofer, D., Zander, B., Busse, R., Schubert, M., De Geest, S., Rafferty, A. M.,. .. & Sjetne, I. S. (2014). Prevalence, patterns, and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. BMJ quality & safety, 23(2), 126-135.
Canadas-De la Fuente, G. A., Vargas, C., San Luis, C., Garcia, I., Canadas, G. R., & Emilia, I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International journal of nursing studies, 52(1), 240-249.
Lithovius, R. H., Ylikontiola, L. P., Harila, V., & Sandor, G. K. (2014). A descriptive epidemiology study of cleft lip and palate in Northern Finland. Acta Odontologica Scandinavica, 72(5), 372-375.
Mental Health Nursing
Communication plays an imperative role in building and maintaining any relationship. However, a positive and safe environment is essential to obtain the real benefits of communication. This refers to an environment where people communicate for positive goals and aims. Besides this, people in this environment feel free to communicate with others and share their views. This type of environment always results in achieving goals, making appropriate decisions, understanding the ideas of others etc. In contrast to this, an environment where people do not feel free to communicate always results in misunderstanding and conflicts (Thayer, pg. 20, 2009). A safe and positive communication environment is always good for individuals as well as for the society.
As far as the professional relationships are concerned, they cannot be maintained without effective communication between the service provider and the client. It is because of the fact that the service provider…
Grimshaw, C., & Hussain, I. 1997. Communication. Chicago: World Book in association with Two-Can Pub.
Thayer, L. 2009. Communication. [S.l.]: Xlibris.
Epidemiology in Public Health Nursing
When a disease is described as endemic, it usually refers to the expected or normal prevalence of an infectious agent for a specific group or region (Beaglehole, Bonita, and Kjellstrom, 1993). The cause of malaria, the parasite Plasmodium faciparum, is limited to tropical and subtropical regions of the world, including Central and South America, Central and South East Asia, and Sub-Saharan Africa (Hay et al., 2009). Malaria is therefore endemic to these regions.
The definition of pandemic varies depending on which international or national health agency or organization is referred to (Doshi, 2011), but generally speaking, a pandemic represents at least two epidemics of a single novel infectious agent, occurring at the same time in at least two distinct populations or geographic regions. While many health organizations include widespread morbidity and mortality in the definition of pandemic, the recent global 2009 H1N1 influenza outbreak was…
Joint United Nations Programme on HIV / AIDS. (2010). Global Report: UNAIDS report on the global AIDs epidemic -- 2010. Retrieved October 3, 2011 from http://www.unaids.org/globalreport/documents/20101123_GlobalReport_full_en.pdf
Blood tests are done to look for signs of inflammation which can suggest inflamed arteries. Certain blood proteins are tested that can increase the chance of stroke by thickening the blood" (Definition, 2009, Medicine net). ith a carotid ultrasound a transducer can send high-frequency sound waves into the patient's neck to look for narrowing of the carotid arteries. In arteriography, a catheter is manipulated through the patient's major arteries to examine them after the arteries are injected with dye (Tests and diagnosis, 2009, Mayo Clinic).
hat medicines, treatments, and/or surgeries are used for a patient who has had a CVA?
The cause of the stroke will determine the patient's course of treatment. For patients with strokes due to coronary factors, anticoagulants are often used to minimize blood clotting. Drugs that can dissolve blood clots may be useful in some patients, as can the administration of oxygen and medications that can…
Definition of Cerebrovascular accident. (2009, September 5). Medicine Net. Last editorial review 1998. Retrieved September 5, 2009 at http://www.medterms.com/script/main/art.asp?articlekey=2676
Diagnosis and treatment. (2009). Mayo Clinic. Stroke. Retrieved September 5, 2009 at http://www.mayoclinic.org/stroke/
Tests and diagnosis. (2009). Treatment and drugs. (2009). Mayo Clinic. Retrieved September 5,
2009 at http://www.mayoclinic.com/health/stroke/DS00150/DSECTION=treatments-and-drugs
These spots, called petechiae, are caused by bleeding under the skin. Patients often suffer from paleness or jaundice accompanied by fatigue and fever. They often have a quickened heart rate and shortness of breath. Symptoms often include a headache, speech changes, confusion, coma, stroke, or seizure. There is sometimes found to be a protein or blood in the urine (What Are the Signs and Symptoms of Thrombotic Thrombocytopenic Purpura, 2009).
Although most people will only have one episode of TTP in their lifetime, a small percentage of people have repeated episodes. Some research has shown that during a 10-year period from the initial onset of the disease about a third of patients will have at least one relapse. A relapse can occur up to eight years after the initial episode. Currently there is no way to identify those who might relapse. Doctors often recommend long-term preventative measures that include low…
Allford, Sarah. (2009). Thrombotic thrombocytopenic purpura (TTP). Retrieved December 7,
2009, from Net Doctor Web site: http://www.netdoctor.co.uk/diseases/facts/ttp.htm
Thrombotic Thrombocytopenic Purpura. (2006). Retrieved December 7, 2009, from University
of Missouri-Columbia Web site: http://www.vhct.org/case2300/etiology.htm
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…
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…
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.
The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and how this connection can utilized in the clinical practice setting. T The nurse patient connection, according to a study done by Press Gamey Associates Inc., creates the quality of the care experience and generates an influential influence on patient gratification. Nurses will a lot of their time with patients. Patients see nurses' relations with people among the care team and make their own conclusions about the hospital founded on what they are observing. Furthermore, nurses' approaches toward their vocation,…
Berdes, C. & . (2001). Race relations and caregiving relationships: A qualitative examination of perspectives from residents and nurses aides in three nursing homes. Research on Aging, 23(1), 109-126.
Biering, P. (2002). Caring for the involuntarily hospitalized adolescent: The issue of power in the nurse-patient relationship. Journal of Child and Adolescent Psychiatric Nursing, 16(2), 65-74.
Heijkenskjold, K.B. (2010). The patients dignity from the nurses perspective. Nursing Ethics, 6(3), 313-24.
LaSala, C.A.-B. (2007). The role of the clinical nurse specialist in promoting evidence-based practice and effecting positive patient outcomes. The Journal of Continuing Education in Nursing, 38(6), 262-70.
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
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.
"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
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
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.
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
The pathways scheme aims to offer opportunities for every grade of practitioner. This is part of a national process that anticipates quality improvement as a continuously evolving process.
Achieving fair and equal access to professional development for nurses and healthcare providers in the private sector has been difficult in the past. Education has sometimes been viewed as expensive and time-consuming, with staff release for learning difficult to achieve especially acute staff shortages are a definable obstacle already to effective treatment provision. However, it is vital to the principle of performance improvement and the pursuit of standardizing quality outcomes that healthcare provision be based on the active pursuit of staff excellence. This is to be seen as a far more desirable approach to personnel orientation than the imposition of sanctions for poor performance. Central to this is the need for improvement of the local facility's knowledge economy. To this extent, knowledge…
Burgess, M.M. (2003). What difference does public consultation make to ethics? Electronic Working Papers Series. W. Maurice Young Centre for Applied Ethics, University of British Columbia.
Cho, I. & Park, H. (2003). Development and evaluation of a terminology-based electronic nursing record system. Journal of Biomedical Informatics, 36(4), 304-312.
Cooymans, M.P.M. And Hintzen, E.F.M. (2000) Winst en Waarden. Deventer and Den Bosch: Samson.
DoH. (2004) Quality Standards. The Department of Health.
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:
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 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.
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:
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.
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.
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
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.
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.
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.
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/
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
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
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
Verbal intervention is the first thing to try, and can often be effective for many standard situations if it is approached with patience and true compassion and understanding (Mohr 2008). At the same time, keeping space between the person intervening and the aggressive client/patient is important in order to ensure everyone's safety as the situation progresses (Nursing Planet 2010). Verbal intervention is not always effective, however, and drug and physical interventions might be necessary for everyone's safety (Mohr 2008; Nursing Planet 2010).
Attitudes Towards Abusers and Victims
It is very tempting to have feelings of nothing but anger, resentment, and disgust towards people who abuse others regardless of the situation, and in fact it can be very difficult to develop any other feelings towards such persons. I have attempted to cultivate some measure of compassion for these people, as it is almost certain that their lives and specific experiences have…
Mohr, W. (2008). Psychiatric-Mental Health Nursing. New York: Lippincott Williams & Wilkins.
Nursing Planet. (2010). "Nursing Management of Aggression." Psychiatric nursing.
Accessed 15 November 2010.
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+.
A prediction of the outcomes is not made in the initial development of the research. ather, this appears to be an exploratory study to better understand the issue.
eview of the Literature
The literature included in the review is relevant and recent. The data demonstrates the need for understanding the problem and the importance of the issue to the health and safety of healthcare workers. Although the initial literature review is quite brief, the literature is expanded in the discussion of the results.
The research design is a quantitative methodology utilizing a survey to collect data. Information collected was appropriate given the overall scope and focus of the research -- i.e. exploratory. Although the results provide some insight into the specific survey that was used, pertinent information about the survey has been omitted from the study. This may make replication of the study difficult.
Examining the target…
Ozkan, O., & Gokdogan, F. (2003). The prevalence of latex allergy among health care workers in Bolu (Turkey). Dermatology Nursing, 15(6), 543-548.
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 the trust of the public and individual families; and keeps the flow of information consistent and accurate, thus averting potential external problems. Based on my current experience in the nursing field, I realize that to advance my professional goals, as well as contribute soundly to the profession, I must expand my educational experience and am therefore seeking entrance into the Doctor of Nursing Practice (DNP) in Psychiatric Mental Health Nursing.
I believe I am well-qualified and motivated to undergo this program. Currently, I am a master's prepared Neonatal Nurse Practitioner…
1997, the average pass rate for first time test takers on the NCLEX-RN was 93%. Since 1997, the national average pass rate on the NCLEX-RN has declined to 83.8% (National Organization for Associate Degree Nursing, 2002). The pass rate for the state of North Carolina and many other states has also declined in recent years.
Community colleges are the prime educators of new registered nurses in the United States. In 1997, 701 community colleges awarded 41,258 associate degrees in nursing (National Center for Education Statistics 1997). The combined ADN graduate pool constituted 60% of the U.S. graduates who took the NCLEX-RN exam in 2000,and these graduates represent the largest group of nurses entering the profession (National Council of State oards of Nursing 2001). On the other hand, baccalaureate programs graduated 37% of the total; and diploma or hospital-based educational programs, graduated 3%.(Teich, et al.)
In addition to educating the majority…
Adams, Carolyn, Valiaga, Theresa, Murdock, Jane. McGinnis, Susan & Wolfertz, Joanne (2002). Trends in Registered Nurse Education Programs: A Comparison Across Three Points in Time. In National League for Nursing (Ed.), pp. 1-10).:.
American Association of Colleges of Nursing (1999). Temporary Nurses Called A Serious Risk Threat At Hospitals. In (Ed.), p.).: American Association of Colleges of Nursing.
American Health Care Association.(1999).Facts and Trends, The Nursing Facility Sourcebook.Washington, D.C.:American Health Care Association.
American Hospital Association.1999.Trendwatch:RN Shortages in Hospitals. Washington, D.C.: American Hospital Association.
autobiography of the author of this report. The remainder of the report will mostly focus on the four meta-paradigms of nursing. Of course, those meta-paradigms are patient, nurse, health and environment. The author will also offer two practice-specific concepts from the scholarly literature that can be applied to the career and environment of the author of this report. Next up will be a list of propositions that will number five in total. As suggested and required by the assignment, the paper will integrate these discrete elements and in a way that connects to the concepts described. While analysis of the nursing professional can get a little silly and/or delve too much into a bit of navel-gazing, the profession is indeed noble and deep and is thus worthy of the proper full analysis.
The author of this report started as an electrocardiogram (EKG) technician and nursing assistant while the author…
Lee, R.C., & Fawcett, J. (2013). The Influence of the Metaparadigm of Nursing on Professional Identity Development Among RN-BSN Students. Nursing Science
Quarterly, 26(1), 96-98. doi:10.1177/0894318412466734
Schim, S.M., Benkert, R., Bell, S.E., Walker, D.S., & Danford, C.A. (2007). Social
Justice: Added Metaparadigm Concept for Urban Health Nursing. Public Health
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
A good example of this can be seen with popular Chinese talk show host Yang Lang donating $72 million, to start his own foundation to: help support and develop the health care system. This is important, because it shows how both international and domestic-based non-profits are addressing these underlying problems facing the health care sector. (Dobryzski, 2010)
Clearly, the biggest challenges facing the health care systems in the United States and China are vastly different. Yet, they are also wrestling with similar problems, as they face the issue of increasing numbers in the elderly population. In the case of the United States, this is challenging because there are a variety of disadvantages that must be addressed to include: they have access to some of the most cutting edge procedures, there is large number of choices about health care providers and the elderly can be able to receive effective treatment for…
Advanced Practice Nurses. (2010). Bukisa. Retrieved from: http://www.bukisa.com/articles/352958_advanced-practice-nurses-a-global-role
Health Systems. (n.d.). WHO. Retrieved from: gis.emro.who.int/HealthSystemObservatory/.../Conceptual%20frameworks. Ppt Health Care in China. (2006). IBM. Retrieved from: http://www-05.ibm.com/de/healthcare/downloads/healthcare_china.pdf
More About RN's. (2011). ANA. Retrieved from: http://www.nursingworld.org/especiallyforyou/studentnurses/rnsapns.aspx
Opportunities in the Health Care Sector. (2006). Grail Research. Retrieved from: http://www.grailresearch.com/pdf/ContenPodsPdf/Opportunities_in_the_China_Healthcare_Sector.pdf
One of the major theoretical models for healthcare delivery is the Parse theory of human becoming, created by Rosemarie Rizzo Parse—originally titled the man-living-health theory (2011). This theory focuses on healthcare and the human through the lens of quality of life. This theoretical premise for delivering and receiving healthcare was able to gain steam as a result of its alternative to the more standard bio-medical method and the biological-psychological-social and spiritual method contained in the bulk of other theories of nursing. This theory has enjoyed much attention and use when delivering healthcare as a result of the fact that it views quality of life as all relative to a person’s viewpoint.
Main assumptions of Human Becoming Theory
Human becoming allows one to select specific meaning in situations within the realm of human experience. Reality is the culmination of lived experiences. A sometimes nebulous process of co-creation occurs via…
Evolution of Nursing oles in an Enlarged National Health Care System
The Affordable Care Act enables the provision of health insurance to 30 million people above the coverage figures prior to the enactment of the law. Because of this precipitous rise in the number of health insurance members, access to care as a function of the availability of primary care providers has been a leading issue in the transition to the nation-wide system of health care insurance. Public health models and nursing practice arrangements are changing in order to meet the immediate and anticipated care needs that have been brought to bear on the health care systems.
Public Health and Nurse Managed Health Centers (NMHCs)
From the earliest days of public health, the roles of nurses have been embedded in the social, educational, and political needs of communities. Health education has functioned as a springboard to community organizing, patient advocacy,…
Centers for Medicare & Medicaid Services. (2005, January). CMS.gov. Retrieved from http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html
Kulbok, P.A., Thatcher, E., Park, E., & Meszaros, P.S. (2012, May). Evolving public health nursing roles: Focus on community participatory health promotion and prevention. The Online Journal of Issues in Nursing (OJIN), 17(2). DOI: 10.3912/OJIN.Vol17No02Man01. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Evolving-Public-Health-Nursing-Roles.html
National Conference of State Legislatures. (2012, September). The Medical Home Model of Care. Retrieved from http://www.ncsl.org/research/health/the-medical-home-model-of-care.aspx
Reid, R., Haggerty, J., & McKendry, R. (2002, March). Final Report. Defusing the confusion: Concepts and measures of continuity of healthcare. Canadian Health Services Research Foundation, the Canadian Institute for Health Information, and the Advisory Committee on Health Services of the Federal/Provincial/Territorial Deputy Ministers of Health. Retrieved from http://www.hpm.org/Downloads/Bellagio/Articles/Continuity/cr_contcare_e.pdf
Migrant Health Problem
Presently, access to social and health services for most migrants is determined by their legal status. Undocumented migrants have least possible access to health services. Legal status is one of the preconditions for ability involved in receiving adequate care. Further, the availability, acceptability, quality and accessibility of such services is dependent on different influences such as cultural, social, linguistic, structural, gender, geographical and financial factors. From this, different knowledge and beliefs about ill health and healthy status deter migrants from engaging national health services.
Health literacy within such awareness senses entitlements individuals to availability and care services that pose barriers to using similar services (Becker, 2003). The situation also shows dependence on various migrants irrespective of the existing legal or socio-economic statuses. The nature of mobility makes it difficult to establish the available providers of health care service. Temporary and seasonal workers prefer delaying care until there…
Becker, G. (2003). Socioeconomic Status and Dissatisfaction with Health Care among Chronically Ill African-Americans. American Journal of Public Health, 93(5), 742.
Carrasquillo, O., Carrasquillo, A. & Shea, S. (2000). Health Insurance Coverage of Immigrants Living in the United States: Differences by Citizenship Status and Country of Origin. American Journal of Public Health 90 (6): 917 -- 923.
Huang, J., Yu, S. & Ledsky, R. (2006). Health Status and Health Service Access and Use among Children in U.S. Immigrant Families. American Journal of Public Health 96 (4): 634 -- 640.
Okie, S. (2007). Immigrants and Health Care -- At the Intersection of Two broken Systems. The New England Journal of Medicine: 525 -- 529.
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: http://www.healthypeople.gov/Document/html/uih/uih_bw/uih_4.htm18 June 2004.
Field, T., Diego, M., & Sanders, C.E. (2001). Exercise is positively related to adolescents' relationships and academics. Adolescence, 36(141), 105.
The Grade Experience of Online Nurse Practitioner Students Who Took More Than One Clinical Course Per Quarter
The shortage in primary care physicians has increased the demand for nurse practitioners (NPs). Online NP programs are of interest to working students with other personal and professional life demands. This study examines grade experience differences for students of an online NP program who took more than one clinical course per quarter (OCCPQ) as compared to those who did not take more than OCCPQ. This retrospective study consisted of 3,760 NP students who graduated between fall 2013 through spring 2016. Those who took more than OCCPQ had a greater percentage of clinical course failures at first attempt as compared to those who did not take more than OCCPQ (2.1% versus 0.8%, p=0.001). Multivariate logistic regression adjusting for relevant covariates maintained these results with increased odds for clinical course failures for those…
Human Services Intervention for the Homeless
Working with homeless people is one of the challenging tasks in the social sector. Similar to other social worker position, supporting homeless people can be very difficult and challenging because most of the homeless people are a drug addict, jobless, and suffer from mental disorders. Homelessness is a condition without having access to a regular dwelling. Thus, homeless are people who are unable to acquire safe, regular, and secure housing units. Thus, anybody cannot just work with this set of the population, social workers or other professionals ready to work with this set of people should possess interpersonal skills to work successfully with them.
The objective of this paper is to address the interpersonal skills to work homeless.
Interpersonal skills to work with Homeless
A strong communication skill is one of the interpersonal skills needed to work with homeless people. A social or health…
Finfgeld-Connett, D. Bloom, T.L. & Johnson, E.D. (2012). Perceived Competency and Resolution of Homelessness Among Women With Substance Abuse Problems. Qualitative Health Research
Finfgeld-Connett, D. (2010). Becoming homeless, being homeless, and resolving homelessness among women. Issues in Mental Health Nursing, 31, 461-469.
Nursing is "a profession concerned with the provision of services essential to the maintenance and restoration of health by attending the needs of sick persons." (www.medterms.com) Famous nurse, Florence Nightingale's, greatest achievement was to raise nursing to the level of a respectable profession for women. In 1860, with the public subscriptions of the Nightingale Fund, she established the Nightingale Training School for nurses at St. Thomas' Hospital. Things have changed a great deal since 1860. In the United States, for example, Nursing has become highly specialized and there are many categories of Nursing. In the United Kingdom, there are five categories of Nursing. As defined by the Nursing and Midwifery Council, these categories are: Mental Health Nursing, Learning Disability Nursing, Children's Nursing, Midwifery Nursing, and Adult Nursing. (www.nmc-uk.org) Mental Health Nurses, Learning Disability Nurses, and Midwifery Nurses are all either Adult Nurses or Children's Nurses depending on the age of…
Bibliography www.census.gov, Newsroom Releases, Facts for Features, May 2, 2005
www.florence-nightingale.co.uk/flo2.htm www.learndirect-advice.co.uk, Website of Learn Direct www.medterms.com, Medterm Medical Dictionary www.nmc-uk.org, Website of Nursing and Midwifery Council www.surgeongeneral.gov, Mental Health: A Report of the Surgeon General, Chapter 6
Racial Diversity in Rural Nursing
Describe the problems associated with Racial Difference in rural health care nursing and what successful strategies can be made where racial and cultural differences are apparent factors. What rational to supported their behaviors? What could be done differently today?
Why? And with these difference how can one incorporate strategy for providing culturally competent care?
In rural communities that once lacked a long-standing tradition of racial diversity, but that have now become increasingly diverse, it can be difficult to broach issues of health and wellness if the nurse feels that there are strong tensions within the larger environment between his or her own ethnic group and the ethnic group of his or her patient. But regardless of the cultural divide that exists between patient and nurse, the hospital must improve upon rather than simply reflect society.
True, quite often, a nurse may experience difficulty discussing a…
Nursing Theories Practices
Sister Callista oy initiated the Adaptation Model of Nursing in 1976. The theory has since then evolved to be one of the prominent nursing theories. The nursing theory defines and explains the nursing care provisions. The model by oy sees an individual as a composite of systems with an interrelationship (including biological, social, and psychological). According to Haaf (2008), a person strives towards retaining a balance across the systems and the outside world, although absolute balance levels do not exist. Individuals work towards living in unique bands that they can adequately cope. The model has four major concepts of environment, person, nursing, and health and its application has six steps.
According to Kraszeski & McEwen (2010), a person is a representation of societal standards, principles, or focus. oy's model positions the individual as the bio-psychosocial being throughout a continually changing environment. The person allows for…
Butts, J.B., & Rich, K., (2012). Nursing Ethics: Across the Curriculum and Into Practice. New York: Jones & Bartlett Publishers
Clark, C., (2008). Creative Nursing Leadership and Management. New York: Jones & Bartlett Learning
Clarke, V., & Walsh, A., (eds) (2009). Fundamentals of mental health nursing. Maidenhead: Open University Press.
Cowen, M. Maier, P. Price, G. (2009). Study skills for nursing and healthcare students. Harlow: Pearson Longman.
One of the features of patient-centered care in which the patients are thought to be partners is when the patients are handed over with the help of their participation. It is very important for the nurses to understand the thinking and perspectives of their patients as this can help them in adjusting their bedside manner to suit the expectations and needs of the patients. This involvement can also enable the patients to get more involved in the decision-making process. There is very little detailed evaluation of the bedside manner present in the literature particularly from the perspective of nursing practice. There are particular provider behaviors that have been noticed to be taken as positive or negative on a continuous basis according to the concept analysis. Compassion, care, warmth and support are some of the positive behaviors while disrespect, arrogance and indifference are some of the negative behaviors. The…
Bedside manner (n.d.). The American Heritage® Stedman's Medical Dictionary. Retrieved from Dictionary.com website: http://dictionary.reference.com/browse/bedside-manner
Finch, L. (2008). Bedside Manner: Concept Analysis and Impact on Advanced Nursing Practice. The Internet Journal of Advanced Nursing Practice. 10(1).
Gilbert, P. (2010) The Compassionate Mind: A New Approach to Life's Challenges. Constable. London.
McMurray, A., Chaboyer, W., Wallis. M., & Johnson. J. (2010). Patients' Perspectives of Bedside Nursing Handover. Retrieved from http://www98.griffith.edu.au/dspace/bitstream/handle/10072/40081/68872_1.pdf;jsessionid=3089DAF1AC9C366501436C4A0ABA2C05?sequence=1
Nursing Practice Act of Virginia:
The scope of practice in medicine, nursing, law, dentistry, and various other disciplines are usually established and regulated at the state level. This implies that the legislative body in every state establishes practice law and allocates authority for the implementation of the law to suitable regulatory agencies and boards. In relation to the nursing field, the established laws are usually in the form of professional practice acts that act as the basis for licensing standards. Licensing is in turn geared towards the protection of public health and well-being, safety, and welfare. Generally, the statute that defines and manages the nursing profession and practice is known as a nurse practice act. There are four major objectives of the nurse practice act in each state including defining the nursing professional practice, establishing the minimum academic qualifications and requirements for licensing, defining the legal titles and abbreviations that…
Black, B.P. (2013). Professional nursing: concepts & challenges (7th ed.). St. Louis, MO:
"Complaints Against Licensees." (2012, October). A Public Information Brochure. Retrieved from West Virginia State Board of Examiners for Licensed Practical Nurses website: http://www.lpnboard.state.wv.us/Disbro3pub1.PDF
"Regulations Governing the Practice of Nursing." (2014, February 27). Virginia Board of Nursing. Retrieved from Virginia Department of Health Professions website: http://www.dhp.virginia.gov/nursing/leg/Nursing_02272014.doc