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Influencing health policy related to Diabetes
Words: 463 Length: 2 Pages Document Type: Essay Paper #: 92134173
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How the nurses can become involved to influence health policy related to Diabetes
The ability of nurses to influence the policy espoused in healthcare is fundamental for the protection of care quality through access to necessary opportunities and recourses (Arabi et al., 2014). The ability of a nurse to influence health policy relating to diabetes is a new concept although there has not been enough research on policy influence by nurses. According to Arabi et al. (2014) there is no conceptual comprehension of what policy influence by nurses entails. Through research Arabi et al. (2014) attempts to clarify the policy influence by nurses concept and proposes a definition for the concept. From the research Arabi et al. (2014) finds that nurses’ policy influence is the nurses’ ability to influence affairs and decisions on matter health through effective communication, collaboration with other health team members, and knowledge. On matters related to…

References
Arabi, A., Rafii, F., Cheraghi, M. A., & Ghiyasvandian, S. (2014). Nurses’ policy influence: A concept analysis. Iran J Nurs Midwifery Res, 19(1735–9066 (Print)), 315–322.
PHE. (2016). Public health is every nurse’s responsibility. Nursing Times, 109(24), 12–3. https://doi.org/JST.JSTAGE/bpb/31.1086

The Role of Staffing in Care
Words: 1566 Length: 5 Pages Document Type: Essay Paper #: 14939921
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Critical Review
The article by Swickard et al considers the role of the American Association of Critical-Care Nurses Synergy Model for Patient Care in relation to transporting patients between hospital settings for increased levels of care. It reveals the fact that the aforementioned synergy model is a patient-centric one in which providers attempt to match a patient’s characteristics with a particular nurse’s competency to achieve patient goals (Swickard et al, 2014, p. 16). The article was insightful because it demonstrated the need for such an approach in situations in which the care provider may or may not be aware of each of the factors influencing how successful transporting the patient is.
The article by Montgomery et al focuses on the applicability of the synergy model of care in rural settings. It deconstructs the theory behind this care model, rural theory, and rural nursing practices. Analysis of “the four major concepts…

References
Driscoll, A., Grant, M.J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., Astin, F. (2018). European Journal of Cardiovascular Nursing. 17(1), 6-22.
Montgomery, S.R., Sutton, A.L., Pare, J. (2017). Online Journal of Rural Nursing and Health Care. 17(1), 87-99.
Stimpfel, A.W., Sloane, D.M., Aiken, L.H. (2012). The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Affairs (Millwood). 31(11), 2501-2509.
Shearer, T. (2013). Getting the mix right: assistants in nursing and skill mix. Australian Nursing & Midwifery Journal. 21(5), 24-27.
Swickard, S., Swickard, W., Remier, A., Lindell, D., Winkelman, C. (2014). Adaptation of the AACN synergy model for patient care to critical care transport. Critical Care Nurse. 34(1), 16-28.

Evolving Practice of Nursing and Patient Care Delivery Models
Words: 1436 Length: 5 Pages Document Type: Essay Paper #: 47408299
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1
The Institute of Medicine (IOM) in its Future of Nursing report stated that there is a need for nurses to be able to practice to the full extent and scope of their education and training (IOM, 2010). In doing so, the belief was that this would increase access to care and provide nurses with the opportunity to practice as they were trained. O’Brien (2003) notes, after all, that the whole reason APRNs began being trained in the latter half of the 20th century was to fill the gap being left behind by primary care physicians as they left their primary care practice to go work for specialized medicine. Today, however, nurses are still bound by regulations that require them in many states to work under the supervision of physicians even though the nurses have the training to treat patients independently of doctors.
Still, the recommendations of the IOM are…

holistic care complementary care nursing practice
Words: 1580 Length: 5 Pages Document Type: Research Paper Paper #: 11671176
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Introduction: Synopsis and Theme
In “A Patient’s Story,” Kenneth Schwartz provides a personal biopsychosocial narrative about his experiences undergoing treatment for cancer. Himself a physician, Schwartz finds himself adopting a new role as patient, seeing for the first time in his career the medical system from the patient’s point of view. The healthcare system that he had for so long contributed to as a doctor seemed suddenly limited, painfully bereft of the human factors that Schwartz claims would have enhanced his healing process.
Factors Schwartz never considered relevant or meaningful within the realm of healthcare service delivery—from eye contact and touch to the use of prayer—suddenly became central to his ability to build psychological and spiritual resilience during the toughest times of his life. Some nurses were “cool and brusque,” which promoted the already intense feelings of agitation, apprehension, anger, and fear burgeoning within Schwartz and his family members (p.…

References
Booth, L., & Kaylor, S. (2018). Teaching Spiritual Care Within Nursing Education. Holistic Nursing Practice, 32(4), 177–181. doi:10.1097/hnp.0000000000000271
Gallison, B. & Kester, T. (2018). Connecting holistic nursing practice with relation-based care. Nurse Leader 16(3): 181-185. doi:10.1016/j.mnl.2018.03.007
Schwartz, K.B. (1995). A patient’s story. The Boston Globe Magazine. 15 July, 1995. http://www.theschwartzcenter.org/media/patient_story.pdf
Timmins, F., Murphy, M., Neill, F., et al. (2015). An exploration of the extent of inclusion of spirituality and spiritual care concepts in core nursing textbooks. Nurse Education Today 35(1): 277-282. doi:10.1016/j.nedt.2014.05.008

DNP Assessment
Words: 1306 Length: 4 Pages Document Type: Term Paper Paper #: 51754038
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DNP Assessment: A Self-Reflective Overview
Q1: Integration and Application
In terms of the direct application of what I have learned over the course of my DNP studies, I feel I have grown in my ability to systematically apply nursing theory to my everyday practice. A good example of this is the concept of self-care. Like many nurses, encouraging patient self-care has been a priority, given there is a limited extent to which patients, even patients with chronic illnesses, can be maintained within a hospital setting. Orem’s self-care deficit theory suggests that nurses should intervene to rectify self-care deficits of patients when and if needed. This may be as minor as reinforcing wellness patterns for the young and healthy, as well as providing direct assistance to individuals who need medical care. Evidence-based research suggests that using Orem’s theory enhances clinical performance due to its clarity and wide applicability and also enhances…

References
Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O\\\\'Connor, D. B. (2016). Healthcare staff wellbeing, burnout, and patient safety: A systematic review. PloS One, 11(7), e0159015. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4938539/pdf/pone.0159015.pdf
Inpatient quality indicators overview. (2018). Agency for Healthcare Research and Quality. Retrieved from: https://www.qualityindicators.ahrq.gov/modules/iqi_overview.aspx
Joseph, M. L., & Huber, D. L. (2015). Clinical leadership development and education for nurses: Prospects and opportunities. Journal of Healthcare Leadership, 7, 55-64. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5740995/
Malekzadeh, J., Amouzeshi, Z., & Mazlom, S. R. (2018). A quasi-experimental study of the effect of teaching Orem\\\\'s self-care model on nursing students\\\\' clinical performance and patient satisfaction. Nursing Open, 5(3), 370-375. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6056447/

Qualitative Research Critique
Words: 1144 Length: 4 Pages Document Type: Article Critique Paper #: 75222655
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Article: Van Oostveen, C. J., Mathijssen, E., & Vermeulen, H. (2015). Nurse Staffing Issues are Just the tip of the Iceberg: A Qualitative Study About Nurses’ Perceptions of Nurse Staffing. International Journal of Nursing Studies, 52(8), 1300-1309. http://daneshyari.com/article/preview/1076172.pdf
According to Polit & Beck (2017), the primary parameters of evaluating a qualitative research article include the research methods, the research design and its tradition, the setting and sampling methods, data collection and measurement, procedures, and ethics and protections of human rights. The Van Oostveen, Mathijssen & Vermeulen (2015) study uses qualitative methodology to examine the Dutch nurses’ perceptions of staff-to-patient ratio, staffing levels, and also the patient classification system. The research was motivated by preliminary studies showing that staffing levels have become low enough to potentially endanger patient safety. Ultimately, the researchers found that nurses perceive their role in the hospital as being subordinate, which is exacerbating existing tensions and staffing…

References
Allen, B. C., Holland, P., & Reynolds, R. (2015). The Effect of Bullying on Burnout in Nurses: The Moderating Role of Psychological Detachment. Journal of Advanced Nursing, 71(2), 381-390. https://pdfs.semanticscholar.org/bfa0/a66f81e5930599df9391ccdf504c3cf1aac2.pdf
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Van Oostveen, C. J., Mathijssen, E., & Vermeulen, H. (2015). Nurse Staffing Issues are Just the tip of the Iceberg: A Qualitative Study About Nurses’ Perceptions of Nurse Staffing. International Journal of Nursing Studies, 52(8), 1300-1309. http://daneshyari.com/article/preview/1076172.pdf

The Role of APRN in Policy Making
Words: 724 Length: 2 Pages Document Type: Essay Paper #: 24966629
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Introduction
Nurses are professionals and experts with the capability and responsibility to have an influence not only in the prevailing but also future healthcare delivery systems. Imperatively, the nursing line of work is founded on the skill of human health and caring. It functions from a structure that values all persons in a holistic manner and endeavours to cultivate and progress persons’ health all the way through their life expectancy and across all societal levels. Through policy work, nurses have the ability and ought to influence practice standards as well as procedures to guarantee quality of care. More than ever, nurses ought to be incorporated in every healthcare environment and also are set in a unique role in the formulation of policy (Burke, 2016).
Opportunities for APRN Participation in Policy Making
There are numerous prospects for APRNs in policy making. The nurse practitioners have the ability to influence numerous individuals…

Evidence Based Practice Project Implementation
Words: 501 Length: 2 Pages Document Type: Essay Paper #: 42646849
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Implementation of Evidence-Based Practice Project
Stakeholder Barriers
The use and promotion of evidence-based healthcare is faced with resistance. Nurses across the globe have continually faced obstacles to their effort to universally embrace the approach. The key players in the implementation of evidence-based practice include staff in hospitals. There are two major barriers that continue to impede the effort to change to the new healthcare practice. Cultural barriers alone, or accompanied with red tape in institutions, and the poor knowledge were picked out as the main stumbling blocks (Tacia, Biskupski, Pheley & Lehto, 2015). The willingness of the staff to embrace care tasks and roles that are meant for intervention determines the level and magnitude of the barriers. If the staffs are reluctant to accept such roles and duties, it would undermine the implementation of the intervention measures (Hanson et al., 2017).
Institutional and/or cultural barriers: Cultural issues in institutions and…

References
Hanson, H., Warkentin, L., Wilson, R., Sandhu, N., Slaughter, S., &Khadaroo, R. (2017).Facilitators and barriers of change toward an elder-friendly surgical environment: perspectives of clinician stakeholder groups. BMC Health Serv Res, 17, 596.doi:  10.1186/s12913-017-2481-z
Jackson, G., Roumie, C., Rakley, S., Kravetz, J., Krishner, M., Monte, P.,… Bosworth, H. (2016). Linkage between theory?based measurement of organizational readiness for change and lessons learned conducting quality improvement–focused research. Learning Health Systems, 1(2). Retrieved from https://onlinelibrary.wiley.com/doi/full/10.1002/lrh2.10013
Tacia, L., Biskupski, K., Pheley, A., &Lehto, R. (2015).Identifying barriers to evidence-based practice adoption: A focus group study.Clinical Nursing Studies, 3(2).doi: 10.5430/cns.v3n2p90

Applying Nursing Theory at Work
Words: 319 Length: 1 Pages Document Type: Essay Paper #: 83980719
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Nursing Theory
In a hospital setting, nurses are likely to come across many diverse patients of various backgrounds and populations. In order to treat them effectively and provide high quality care, it is important for the nurse to understand them and to be able to communicate with them. Leininger’s (2008) theory of transcultural nursing is a very helpful theory that nurses can apply to ensure that the proper cultural approach to care is provided to all patients. The basic idea behind Leininger’s theory is that the culture, values, beliefs and expectations of the patient should be considered from the cultural perspective—which means that nurses have to develop a high level of cultural competence.
This nursing theory can have the greatest impact on nurses in a hospital setting primarily because it allows the nurse to recognize the different cultural approaches to care that can make patients feel most comfortable during their…

References
Leininger, M. (2008). Transcultural nursing: Its importance in nursing practice. Journal of Cultural Diversity, 15(1), 37.

Ageism its Impact and Proposed Interventions
Words: 692 Length: 2 Pages Document Type: Essay Paper #: 14345207
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Ageism, its Impact, and Proposed Interventions
Issue or concern common to my future practice setting: clarifying the proven myths amongst nurses and nursing students regarding geriatric patients
In this case, I would be seeking to further expand the knowledge of nursing care, with specific reference to geriatric residents (the vulnerable population), so as to decrease the myths amongst nurses and nursing students about geriatric patients. My specialty track is nursing education. It is important to note that the concern highlighted above impacts the system at not only the micro, but also the meso and macro levels.
At the micro level (i.e. individual level), myths amongst nurses and nursing students regarding geriatric patients impact patient general health and wellbeing. This is more so the case when it comes to their physical and mental health. As Lagana, Gavrilova, Carter, and Ainsworth (2017) point out, ageism could have extremely negative impact for seniors.…

References
Ben-Harush, A., Shiovitz-Ezra, S., Doron, I., Alon, S., Leibovitz, A., Golander, H., Haron, Y. & Ayalon, L. (2017). Ageism among Physicians, Nurses, and Social Workers: Findings from A Qualitative Study. Eur J Ageing, 14(1), 39-48.
Lagana, L., Gavrilova, L., Carter, D.B., & Ainsworth, A.T. (2017). A Randomized Controlled Study on the Effects of a Documentary on Students’ Empathy and Attitudes towards Older Adults. Psychol Cogn Sci, 3(3), 79-88.

Qualitative Design
Words: 653 Length: 2 Pages Document Type: Research Paper Paper #: 70090451
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Qualitative Design
The qualitative design of the study conducted by Van Oostveen, Mathijssen and Vermeulen (2015) entitled “Nurse Staffing Issues are Just the tip of the Iceberg: A Qualitative Study About Nurses’ Perceptions of Nurse Staffing” published in the International Journal of Nursing Studies is based on the descriptive phenomenological design in which data was obtained from four focus groups consisting of 44 nurses and 27 in-depth interviews of head nurses, nurse directors and advisors. As Van Oostveen et al. (2015) indicate, “the focus groups and interviews were audiotaped, transcribed and subjected to thematic analysis,” which is consistent with the phenomenological method (Lewis, 2015). The design aimed to obtain insight from nurses and nurse managers on how staff levels impact the nursing experience and nurses’ overall ability to provide quality care.
The strengths of this design are that deeper understanding of the factors at play in a particular phenomenon can…

References
Lewis, S. (2015). Qualitative inquiry and research design: Choosing among five approaches. Health Promotion Practice, 16(4), 473-475.
Lin, C. (2013). Revealing the “Essence” of Things: Using Phenomenology in LIS Research. Qualitative and Quantitative Methods in Libraries (QQML), 4, 469-478.
Van Oostveen, C. J., Mathijssen, E., & Vermeulen, H. (2015). Nurse Staffing Issues are Just the tip of the Iceberg: A Qualitative Study About Nurses’ Perceptions of Nurse Staffing. International Journal of Nursing Studies, 52(8), 1300-1309. http://daneshyari.com/article/preview/1076172.pdf

Diagnosing Hearing Problem in Elderly Patient
Words: 1897 Length: 6 Pages Document Type: Research Paper Paper #: 95661483
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Management of Patients with Multiple Sensory Deficits
Identify three initial nursing diagnoses for Mrs. Henson and list the defining characteristics that would support each of your identified nursing diagnoses.
The three initial diagnoses for Mrs. Henson would be to observe her responses when initiating conversation or talking to her, determine if the patient has cerumen impaction, and performing a whisper test. These diagnoses are aimed at determining the patient’s ability to hear and respond to the nurse and others. Observing the patient when having a conversation will allow the nurse to gauge the patient’s facial expression and attention. The patient could be getting distracted due to her other ailments and conditions and this might be the reason she is not able to hear instructions being given. Nurses are trained to be more patient with patients with hearing aids because they might lose attention. Observing the patient when talking to her…