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Describe - choose something you learned from chapter 1-5- "What did I do, read, see, hear?
One concept that will be instrumental in my development is the nightingale model. This model provides insights into proper service to both clients and patients. Both of which will be needing in a changing health care landscape. Aspects such as the Affordable Care Act have provided expanding coverage to millions of Americans nationwide. As such, the need to provide individualized, premium service will be become paramount. Three aspects that I read about, that I believe, will be essential are:
Environment of patients
Need for keen observation
Focus on the whole patient rather than the disease
Reading these three concepts in particular provided insights into the supervision of nurses and the overall profession as it relates to a changing healthcare dynamic. The final concept of focusing on the patient rather than the disease…… [Read More]
" (Meade, nd) The studies were conducted in various medical settings and with various patient-types and as well some were "very scientific designs assigning patients to control and intervention study groups, while others were less scientific and more qualitative." (Meade, nd)
The report of Meade states that: "it is clear the findings reveal that discharge follow-up phone calls provide an invaluable opportunity to evaluate patient education, identify trends that may require improvements in practice, improve patient quality of care, determine patient's compliance with discharge instructions and access overall impressions of hospital performance." (Meade, nd) In fact many of the studies show that discharge phone calls."..significantly increase patient satisfaction when compared to those not receiving discharge phone calls." (Ibid)
In the study of Ahrens, et al. (2003 in the work entitled: "Improving Family Communication at the End of Life: Implication for Length of Stay in the Intensive Care Unit and Resources…… [Read More]
"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…… [Read More]
Nursing Future in 2021
Nursing has not changed greatly for decades. Nurses now have more freedom than they did two decades ago, but nurses still provide the same care they have for the past century. This has been changing with the advent of nursing master's programs that are allowing registered nurses the opportunity to become more specialized in fields of their choice. A nurse can choose from many different nurse practitioner specialties to become more engaged in their field. Nurse practitioner programs allow nurses to be more involved in decisions that are made regarding patient care, so that the nurse becomes more responsible. The position of neonatal nurse practitioner is explained more fully in the following essay.
Neonatal care refers to the hospital department that takes care of an infant at the earliest stages of life. A neonatal nurse practitioner "frequently reports directly to a neonatologist or other specialists who…… [Read More]
Ethical Compassion in Nursing
hat personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
The role played by the nurse professional is highly consequential to the health outcomes experiences by patients. This means that the nursing profession must be highly regulated by clearly defined and positively reinforced ethical provisions. These provisions are given by the ANA Nursing Code of Ethics and, in my personal experiences, are imperative as a way of dictating how we, as professionals, are expected to engage patients, required to relate to colleagues and trained to respect human dignity. This connection between ethicality and treatment quality contributes both to my personal worldview and to the broader field of nursing. ith specific reference to my experiences in the NICU and maternity wards, this connection takes on particular importance. Here, quality outcomes mean sound,…… [Read More]
Nursing Theory Application
Case Study Overview from the viewpoint of a new EMT -- Patient was a 78-year-old mail presenting breathing difficulties. Patient had early stage cancer with a DRN bracelet and note. Patient's wife was aware of the DNR, but her natural reaction was to try to save her husband. The call, then, was more to assure the wife than the husband, who accepted the situation but was still distressed.
Nursing Theory Applied -- "Nursing as Caring" was developed by Boykin and Schoenhofer in the 1980s when looking at the dimensions of caring and how it applied to the overall patient/health care paradigm. In general, the theory is a framework that guides and acts as a tool box when dealing with common issues in modern health care. The central dimensions of the theory is that caring is what makes humans 'human,' that caring is a moment to moment and…… [Read More]
The modern nurse must then be willing to move beyond a simple catch-all of medical jargon and bureaucracy and become someone who is both supportive and critical of the system. This may seem dichotomous, but in reality is not. The system is designed with beneficence in mind -- to help the patient at all costs. It is thus up to the nurse advocate to ensure that that actually happens (Sheldon, 2009).
Undertake assessments which are sensitive to the needs of the patient- Assessment is one of the key factors in management of clinical medicine. The nurse is often at the forefront of that process simply due to the logistical nature of the situation -- taking vitals, preparing the patient for blood work, etc. However, it is in two particular areas that the nurse can be most effective when assessing the actual needs of the patient; culturally and when questions are…… [Read More]
What are the core concept definitions of each nursing model? Are there commonalities between the models? If so, what are they? What are the differences, if any?
The core concepts of each nursing model is of course care for the patient as well as improvement of nurse.
Evidence-Based nursing for instance tries to better the nurse by placing review and analysis of research material and critical thinking as base.
Jane Watson's model too, calls for greater motivation and vigor in nurse's practice by using a spiritual approach where nurses see patients as per a holistic whole. Neuman (1995) used systems theories in arguing that people are a system that strives for stability whilst the most influential model in the UK based on Roper at al (1990) describes the person as functioning along an independence/dependence continuum throughout his lifespan
At base, all the nursing models have the following commonalities:
A…… [Read More]
Nursing Knowledge: A Controversy
The scope of the nursing profession has increased dramatically over the last thirty years. The demarcation between medical and nursing tasks is quickly dissolving as the nursing profession is becoming increasingly multidisciplinary and complex. In 1996, nurse practitioners were mandated to obtain master's degrees to address their changing role in medical care (Nicoteri & Andrews, 2003). In this multidisciplinary and evolving healthcare environment, adaptation is paramount to providing effective patient care. Currently, there is a controversy in nursing regarding the direction that the development of nursing knowledge should take. There are many critics who believe that developing new nursing theories is an effective way to promote this development. However, theories are often abstract and not adaptable to specific healthcare settings. The belief that the knowledge base for nursing should evolve entirely from theory has important implications for nursing as an academic discipline and by extension the…… [Read More]
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
Case…… [Read More]
ange Theory in Nursing
The credibility of a profession is mainly based on the professional's ability to create and apply the appropriate theory. Theories are notions or concepts used for inferring observations, elucidating experiences, and unfolding relationships of project results. Theories are derived from conceptual models. The main function of a theory is to narrow and fully specify the phenomena that is contained in the conceptual model. The theory should also provide a relatively concrete and specific structure for interpreting the initially puzzling situations, behavior, and events. A nursing theory is defined as a set of concepts, relationships, definitions, and assumptions that are derived from nursing models and project a systematic view of phenomena by designing particular inter-relationships among concepts with the purpose of explaining, describing, predicting, and prescribing. Theories are derived using either deductive reasoning or inductive reasoning (Smith & Liehr, 2013). Nurses make use of various theories in…… [Read More]
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…… [Read More]
MAKETING VS. CS
Henderson Nursing Philosophy
classification of theories Grid
She graduated from her first nursing program in 1921 and her career was at its apex in the 1970's as she was one of the more prominent authors of nursing textbooks through the 1970's (and before that dating back to the late 1950's). She was a research associated at Yale until she died in 1996. She died that same year at the age of 1998. Basically, her career was active in some form for nearly seven decades but it was highest in the middle part from the 1950's to 1970's.
Virginia Henderson started her medicine career after she graduated from the United States Army School of Nursing in about 1921. She later received her bachelor's degree in 1931 and her master's degree. Her Bachelor of Science as well as her master's from…… [Read More]
Polypharmacy Low Income Elderly
Poly-Pharmacy Low Income Elderly
The author of this report will offer a brief treatise on several social theories, one relating to nursing and one of them not related to nursing, and how they related to poly-pharmacy low income elderly patients. After describing the low income elderly group and what makes the vulnerable, there will be a description, compare and contrast of the theories. The theories that shall be covered are the Imogene King theory and the Erikson theory. While painting with too broad a brush as it relates to the vulnerability of low income elderly patients or social and cultural theories in general is unwise, some general trends and outcomes are fairly consistent and easy to spot with a little observation and analysis.
The group up for analysis in this report is poly-pharmacy low-income elderly patients. Poly-pharmacy is typically defined as a patient that takes…… [Read More]
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,…… [Read More]
Nursing Administration -- Controlling
The FOCUS model requires the nursing administrator to find out what the main problem is, obtain information about this problem, communicate effectively with the nurses and patient, understand the needs of the nurses and the patient, and finally summarize these findings for the patient and nurses Dlugacz, 2009.
In this scenario, the process to be improved is responsiveness and willingness of the nurses to help the patient's situation.
Using the FOCUS model, the nursing leader should identify and clearly define the problem. To do this, they must recognize the role of the patient and the nurses in the situation and prioritize the potential improvements in the process Kreitner, 2008.
They also need to draft this problem statement in a clear way. The problem statement for this scenario is that the nurses feel inadequate in responding to the situation where the patient needs…… [Read More]
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…… [Read More]
(Newman, 1) Here, it can be evidenced that the empathy accorded by the theoretical framework will provide an ideological umbrella for how best to address one's condition while simultaneously abiding the regulatory medical requirements common to most forms of modern treatment.
This means possessing a degree of pertinent information where nursing theory is concerned that will allow for such pragmatism and a firm understanding of the practices pertinent to kidney donation as denoted in the annotated bibliography provided here below.
Cohen, E. & Pifer-Bixler, J. (2009). Surgeons Remove Health Kidney Through Donor's Vagina. CNN. Online at http://www.cnn.com/2009/HEALTH/02/03/kidney.vagina.surgery/index.html
The article here described a first-ever successful procedure in which a healthy kidney was removed through a donor's vagina rather than through traditionally employed and far more invasive surgical procedures. This is useful to our discussion because it reduces the strain and cosmetic impact of making a kidney donation. The article cites the…… [Read More]
Nursing profession is among the oldest in history. Currently, there is much debate that surrounds the profession because of the need for more trained nurses. In recent years the nursing shortage has become a major problem for the medical profession and has resulted in poor patient care and slower patient recover. The purpose of this discussion is to provide an in depth examination of the nursing profession. We will discuss the current state of the nursing profession, including the causes for the shortage and the solution. We will also explore the status of the nursing profession in Australia. Let us begin our discussion by providing a comprehensive definition of what is means to be a nurse.
Definition of a nurse
According to the American Heritage Dictionary, a nurse is defined as " a person trained to care for the sick or disabled under the supervision of a physician." (American Heritage…… [Read More]
Throughout my life, I have exemplified core Christian values like faith and temperance. Christian role models have helped me to shape a character and identity that is conducive to a life of selfless service, which I view the nursing profession to be. I want nothing more than to participate in a Christian nursing community, with the goals of making the world a better place one patient, and one community, at a time. Effective nurse education will allow me to develop my skills in all areas of nursing: from leadership to bedside practice. The Mark and Huldah Buntain School of Nursing is unique in that it offers a perfect fusion of Christian values with cross-cultural awareness, and correspondingly, cultural sensitivity.
I have always valued my spiritual health every bit as much as my physical and psychological health. This is why I gravitated towards the Mark and Huldah Buntain School…… [Read More]
Nursing Theorist: Sr. oy Adaptation Model
The oy Adaptation model for Nursing had its beginning when Sister Callista oy happened to get admitted in the Masters Program of pediatric nursing in the University of California, Los Angeles, in the year 1964. At that time, Sr. Callista was familiar with the idea of 'adaptation' in nursing, and it must be mentioned that Sr. Callista's adviser at that time was Dorothy E. Johnson, who believed firmly in the need to define nursing as a means of focusing the development of knowledge, for the practice of nursing. When Sr. Callista oy started working with children in the pediatric ward of the hospital, she was quite impressed with the basic resiliency of the small children who had been admitted into the wards for treatment. This was why when the first seminar in pediatric nursing was called for; Sr. Callista oy proposed that the basic…… [Read More]
A nurse must weigh these variables, physical, mental, and spiritual, when advising a course of treatment and deciding how to approach a patient or patient's family. An adolescent who is an injured athlete envisioning a lucrative college scholarship might demand and be able to physically and mentally withstand a more aggressive form of treatment, due to psychological and developmental and goal-related visions (spiritual) factors than might a less motivated elderly patient.
A nurse who is training other nurses can instill consideration for all such variables in her various trainees -- and encourage nurses to engage in self-care as well as patient care on spiritual, preventative physical health care, and mental levels. Additionally, in a work environment with many diverse cultures, remind other nurses that Neuman's model has also been modified slightly to take into consideration culture as well as mind, body, and spirit -- although culture and spiritual values are…… [Read More]
Nurse Implementation Plan
It is important to understand that plans do not simply manifest themselves into existence and a specific implementation effort is needed to ensure that the evidence presented in research efforts can be used to practical ends. Although the solution appears to be clear and succinct, putting into this plan into action requires a plan of its own. To do this effectively, Lewin's model of change theory can assist in describing "how" this plan will be put into action and significantly complement "what" needs to be done in order to realize success.
The plan itself is simple and revolves around and addresses Lewin's trinity of components in his change Model. Lewin essentially proposed that change occurs in three distinct stages where an old idea is "unfrozen," then processed and eventually "refrozen." This simple model of understanding the mental processes apply both at a collective level and…… [Read More]
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…… [Read More]
Charity, selflessness, altruism and entrepreneurship are, therefore, not contradictory. It is well-known that the well-paid traditional nurse is likely to be a better worker better able to devote more attention to her patient (Hardin & . Kaplow, 2001). Deductively, therefore, the independent nurse who is motivated to work well in order to be successfully self-employed would likely (although not necessarily) be a better nurse in terms of the intrinsic nursing characteristics than those employed by institutions.
Ironically, entrepreneur nursing can potentially make one into a better nurse, for aside from being motivated to perform excellently, the entrepreneur nurse can adopt her own style and afford to conduct thorough research into nursing theories and models that culminate in enhanced nursing.
The institutional nurse is classically overworked and, therefore, has little time for arbitrary activities; the entrepreneur nurse, on the other hand, can adequately fulfill the expectations of evidence-based nursing where she…… [Read More]
The nursing coursework I have taken so far focuses in particular on the second and fifth competencies, regarding information and technology. Courses like anatomy and physiology are fundamental information-gathering classes that provide a firm foundation for aspiring nurses. Thorough knowledge of the human body, its functions, and its diseases, plus knowledge of medicine are imparted through nursing classes. Furthermore, nursing instructors also demonstrate how technology plays a role in the profession. We use computers to access medical databases, for example. Therefore, the second and fifth competencies are related to one another. In addition to their use as information technology, computers also provide the backbone of almost all electronic medical equipment. Nursing courses also show how sophisticated machines such as CAT scans are implemented in hospitals.
I am particularly weak in particularly those competency areas that the nursing courses cover: information and technology. Regarding resource allocation, interpersonal skills, and systems understanding,…… [Read More]
In interacting, factors may also modify each other:
nurse who might return to work for a higher salary might decide to do so only later when her children are older. The incentive of salary is therefore modified by the factor of young children.
The table is significantly complicated by the inclusion of more than two factors:
Any combination of the factors could result in the majority of nurses returning to work. Individually, each nurse has his or her own motivations for doing so.
The iterative proportional fitting procedure can be used to calculate expected frequencies.
Note: pecifically, the indication of this study is that nurses would return to work were certain factors in the work situation to change. pecifically, the highest frequencies are assigned to work load and hours. These are also the two most common factors in causing burnout and stress in the profession. Concomitantly, if inactive nurses were…… [Read More]
Research and Nursing Questions
Research is a complex and nuanced concept which means that one approach might not, in and of itself, answer the full scope of one's research questions. This is why it can sometimes be useful to combine Quantitative and Qualitative research strategies. This can help to provide a multidimensional perspective on a given research problem. The text by Bennett & Braumoller (2006) refers to the combination of these approaches as a Mixed Methods research strategy.
The use of Mixed Method research strategies is based on the view that researcher can produce greater on a subject by varying the approaches which are used to collect data. The idea that both qualitative and quantitative data gathering processes can produce a more expansive data set is driven by the understanding that there are often distinct limitations in the conclusions we can make from narrowly framed research investigations. (Bennett…… [Read More]
The author quotes Gary Zukav as emphasizing that if a nurse perceives herself as powerless and her image as negative, the idea can sink to the subconscious level and realize itself. She will be drawn to those who will reinforce the idea. Practitioner Pauline Robitaille's stresses impact each nurse has on others. Her influence on people she comes in contact at the peri-operative setting cannot be overstated. She found the published feedbacks of registered nurses in nursing journals as very positive while others were very negative. Those who gave positive feedbacks described the efforts of preceptors to teach and support them. Thus the intended learning flowed smoothly. However, other nurses reported the negative, punitive and critical behavior of their preceptors. The nurses described the difficulty of working with these preceptors. Hence, the nurses did not benefit from their experience with the preceptors.
Ulmer emphasizes that those in the profession must…… [Read More]
For example, although many nurses were taught to place infants in the prone sleeping position to prevent aspiration, there is now persuasive evidence that supine (back) sleeping position decreases the risk for sudden infant death syndrome." (p. 28)
This also implicates the practice dimensions of nursing. According to the primary text, evidence-based practice is particularly important as a way to dissuade against poorly informed or assumption-driven decision-making. here non-evidence-based practice is in place, the risk is higher that error or unwanted health consequences may result from treatment approaches. By contrast, the use of evidence-base practice provides the nurse with a set of empirically formed guidelines on how to approach each patient. Instinct such as that often relied upon so heavily in non-evidence-based practice, should be integrated with the understanding afforded by comprehensive research. Only then can the practicing nurse apply practical treatment decisions without falling into otherwise discredited customs or…… [Read More]
Technology-based teaching strategies can greatly accelerate the how both teaching and learning occur and therefore often reduce traditional issues and concerns faced by students and instructors. This approach changes the conventional way of thinking about how quality nursing programs are assessed and changes the levels of requirements to better suit student learning with better access to libraries, counseling and tutoring services, computing equipment, tuition, and financial aid to name a few.
But where this Associates Degree approach will benefit the profession most is in the healthcare system where it is needed most. New nurses will be better acclimated to the needs of sophisticated logging processes, medical billing and inventory as well as scheduling and other tasks now all handled via digital processing and computer. A modern day nurses are more technologically sophisticated, the overall patient care process also gets better as more available free time is offered back to the…… [Read More]
Fatigue and Compassion as Functions of Ethical Nursing
The American Nursing Association's Scope and Standards of Practice are designed to provide a blueprint for preempting and addressing the various challenges, pitfalls and procedurals norms of the profession. These help to draw a professional, ethical and practical connection that offers a basic outline for that which is expected of the registered nurse. Indeed, it is of critical benefit to the nursing professional and to the patient community that there exist some clearly elaborated set of ethical standards that pertains directly to sometimes difficult to identify challenges such as bedside manner and fatigue. The American Nursing Association (ANA) provides just such standards, and these function to significantly aid in the decision-making, workplace culture and treatment processes undertaken by nurse professionals.
Ethical orientation is an important feature of a nursing team, particularly as it impacts the morale of nurses and the treatment…… [Read More]
Nurse Staffing Shortage Issue
Nursing Staffing Shortage
One of the greatest challenges to the continued development of a high quality health care delivery system is the continued and frequently increasing shortage of qualified nurses active in the profession of nursing. The nursing shortage has waxed and waned for decades but seems to currently be in a state of constant shortage (Fox & Abrahamson, 2009, pp.235-236). In addition the research associated with low levels of staffing and increased adverse patient outcomes has also increased, stating rather starkly that staffing shortages increase the odds that poor patient outcomes are a more frequent result, worse in some settings than others and also dependent on skill mix (Clarke, 2008, p.8). The consensus has and will likely remain that the system must learn to utilize existing practicing nurses in a smarter way by adjusting policy and practice to the situation at hand, i.e. there is…… [Read More]
One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of…… [Read More]
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…… [Read More]
Nursing theory chosen, which best aligns with my personal theory of nursing, is Neuman's System Model. This model was created by Betty Neuman, and designed to be holistic in nature (Memmott, et al., 2000). The focus of the model is on the whole person (patient), the environment surrounding that person, the overall health of the person, and the nursing care that person is provided with during his or her illness. While it might seem obvious that all of these areas should be considered, many models of nursing practice today ignore too many important factors regarding a person and why he or she may be ill (Barnum, 1998). With that in mind, it is very important to use a theory like Neuman's Systems Model in order to address more than just a set of symptoms (Memmott, et al., 2000). When nurses and other medical professionals take a look at a chart…… [Read More]
In what ways did the wave of the nursing shortage in the 1980's and in 2000 support or constrain theoretical thinking? Why? Are there ways to influence the cycle of shortage and theoretical thinking? Identify one nursing theorist that would support your discussion/views. Provide rationale for selection of theorist.
Nursing shortages have been a problem in this country for a long time. It has been found that because of these shortages there needed to be a better way to incorporate theoretical thinking into nursing education so that nurses are better prepared to be the best that they can be. The accomplishment of critical thinking abilities has been recognized as an essential product of undergraduate nursing teaching. It has been found that nursing scholars learn best by way of experiential education. Kolb's experiential learning theory is the basis for a practice incorporation technique intended to offer critical thinking skills in undergraduate…… [Read More]
Batcheller, J.A. (2011). On-boarding and enculturation of new chief nursing officers.
Journal of Nursing Administration, 41(5), 235-239.
This article examines the on-boarding process for new chief nursing officers by examining the onboarding process for 6 new chief nursing officers. The examination is aimed at determining what type of support leaders new to an executive role requires and how to on-board leaders who are experienced, but who are new to a particular organization. The possible implications of this research is that if the on-boarding process is insufficient, then it may contribute to high turnover rates and the short length of chief nursing officer positions.
Carlson, C.L. & Plonczynski, D. (2008). Has the BARRIER cale changed nursing practice? An integrative review. Journal of Advanced Nursing, 63(4), 322-333.
This article examines whether the BARRIER cale, which identifies nurses' barriers to using evidence-based practice, contributed to an increase in the use of…… [Read More]
Perhaps a nurse must also be given a say in the way in which the entire healthcare system is being run today, especially since it is a nurse who is the closest to the patient, and who is completely responsible for the daily care of the patient, and it is a nurse who would put the patient on the road to recovery. A nurse would then be allowed and be given a chance to make use of her education, her leadership training, her skills in mass communication and her management skills in order to further the interest of the patient. The International Council of Nurses in Geneva, Switzerland has summarized the various duties of nurses today, as they increasingly take part in important decision making processes, as follows: 'strategic planning, budgeting, efficient resource planning and utilization, and the planning, management and evaluation of programs and services'. (Akinci, 2007) it can…… [Read More]
Other sources will include data from educational institutions and healthcare facilities identifying the percentage of students that benefited from other educational models compared with the results of students participating in the Elsevier Reach standardized case studies
Primary sources that may be available for contemplation will include actual test results, graduation rates and successful placement of nursing candidates at healthcare facilities. These resources may be available through testing and educational centers and from employers including health facilities that hired a percentage of nursing graduates in any given year in the years proceeding use of the Elsevier Reach standardized cases. Primary sources may also come from personal testimonials from nurses in contemporary society as well as nurses that worked previous to the inception of the standardized case studies. These interviews can be conducted using questionnaires or during focus groups where nurses are provided the opportunity to share their experiences and successes or…… [Read More]
The procedure itself and the hospital stay associated with it is only one small chapter in the patient's life. They will eventually go home and will have many years after the procedure. It is important for the nursing staff to make a positive impact on how they feel about the procedure. The procedure will represent a lasting memory to the patient. If the patient perceives this to be a time of strength and care from nurturing individuals then it will help them to be able to develop the coping mechanisms necessary to learn to live with the after-effects of the procedure.
If the patient sees this as a negative experience, then it could produce unwanted effects such as depression, post-traumatic stress disorder, or other emotional problems that could have an effect on their ability to cope with the life changes. Those that develop appropriate coping mechanisms will be more likely…… [Read More]
Nursing: Today and Throughout History
The occupation of nursing has been around for almost all of history in some form or another. In the ancient Roman Empire are found records of the nursing practice, where nurses provided care to in-patients at local Roman hospitals. In Constantinople—the Rome of the East—nurses were “known as hypourgoi” (Kourkouta, 1998). These nurses (both male and female) were tasked with jobs much like today’s nurses: they provided a wide variety of services to patients. Kourkouta (1998) states that the main tasks of the hypourgoi (male nurses) and hypourgisses (female nurses) were to give “psychological support of patients, everyday care of patients’ bodily needs and elementary comfort, cleaning of patients and providing them with proper food, the administration of medicines according to a doctor’s instructions, supervising wards when the physicians were not present, the performance of enemas, cuppings and bloodletting, the main therapeutic means used at…… [Read More]
Do you believe that nurse licensure (and scope of practice) should be controlled at the state or federal level?
The NLC (Nurse Licensure Compact) is a mutual acknowledgement licensure model. Many states have thought of authorizing it. Nonetheless, there were various factors that either terminated the bill while it was being processed or had it cancelled after adjournment. National licensure involves setting of criteria for universal licensing nationally, and administering it per state. It relinquishes, to some level, state authority over criteria for licensing and would expect states to bargain and agree on a complicated chain of regulatory factors including discipline and investigations. National licensure would bring about one license for every registered nurse, which would be administered and granted by the national government. The fact that this model completely takes away state authority makes it special. Most of the issues raised on national licensure are also applicable…… [Read More]
According to the research, it "is defined as a practice-based ethic that is patient centered, It is an individualistic ethic that unites the reason why a decision is made with the action itself and the foreseeable consequences of that action," (Brown, 2010). In this the theory also shares with Parse's theory the importance of individual decision making and choices. One of the main differences is the notion of how we relate to one another. We have a freedom from aggression, known as negative right, based on this relationship, where we are not scared of others acting out irrationally against us. As such, the health care professionals do not act to harm the patients, but the patients also have the strict role of being the patients, thus "to fulfill his responsibilities in the treatment plan and not to place any unreasonable demands on the healthcare professional" (Brown, 2010). This is different…… [Read More]
Resources needed include manpower and positional aids mentioned previously in this report. Evaluation of the effectiveness of the change would be accomplished through data collection related to the frequency of pressure ulcer occurrence in patients and nurse compliance in the four hours supine positional rotation of patients. Questionnaires will also be administered to nursing staff in order to gain insight as to their attitudes, behaviors and perceived barriers to pressure ulcer prevention.
Phase V: Transplantation and Application
This study concludes that positional rotations of every four hours has been shown to be the most effective prevention of pressure ulcer formation in older patients in elderly care homes and further that that attitudes, behaviors and perceptions of barriers in the view of staff nurses predicts the effectiveness of the implementation of such a prevention program for pressure ulcer care. (Moore and Price, 2006)
Exact Nature of Practice Implications
____ Change the…… [Read More]
Nursing: Estella Case Study
Which models of health are most applicable to Estella and his family? Why?
It appears that the action model is the model for health that is most applicable to Estella's family, largely due to the comprehensive nature of this model. It includes assessment, interventions, and dissemination of information that can actuate these people to make changes in their health and in their lives to greater ensure their wellness.
Which Healthy People 2020 (website) Objectives are of greatest importance to Estella's family? All of the objectives that pertain to weight loss and a reduction in the rate of obesity for children and adults pertain to Estella and her family. So do all of the ones that encourage a diversified diet in which fruits and vegetables are encouraged. The two related to a reduction in solid fats and saturated fats applies as well.
What effect do the leading…… [Read More]
While most hospitals seem to be well-run and most situations and scenarios are planned for in advance when it comes to what nurses should be doing, should not be doing and why, this is not always the case. Just one example of this would be situations where palliative care is probably or definitely called for in a given situation but there is not a defined or clear protocol as to when the palliative path should be started and what criteria should be used. Indeed, patients that are facing such a situation are typically terminal or they at least cannot be treated for what is ailing them. An easy example to point to would be a cancer patient whose disease is beyond what medicine can do for them. When there is an absence of leadership when it comes to palliative care protocols, it falls to nurses to collaborate, work…… [Read More]
The Shared Governance arrangement:
offers an apparatus for registered nurses to show guidance in the development of practice decisions authorizes all nursing staff to add to work redesign advances the quality of patient and family outcomes.
In the shared governance arrangement, the staff nurses are a big piece of the course, designated and chosen from their units to stand for an area of practice on one of many councils. it's all about shared choice making and authorizing staff nurses to affect their practice atmosphere and have a say in unit choices (Shared Governance at Henry Ford Hospital, 2011).
A new nursing deficiency is revitalizing shared governance. This pioneering organizational model gives staff nurses power over their practice and can expand their affect into administrative areas formerly controlled solely by managers. But nursing shared governance is tough to describe. Its configurations and procedures are dissimilar in every business. Shared governance, is…… [Read More]
Perceptual and attitudinal changes are needed to motivate readiness to learn. Self-directed education is key to adult learning and especially to continuing education in the health professions (McClaran et. al, 1999, p. 184). Studies show that nurses will identify their specific needs for training and education and seek them out. They are also able to learn from previous experiences and build upon them to expand their proficiency of management skills. They seek personal mastery, vision, and team learning in order to grow as individuals and team members. These adult learners, as Knowles expressed, are motivated to learn and seek out the information they need. With education to understand the realities of healthcare management and a chance to develop management skills, nurses have both expanded opportunities and responsibilities that can impact the world of healthcare and provide safer and more satisfactory patient care.
Goddard NL. Financial management. (1987).
In Vestal…… [Read More]
Nurse Patient atios and Quality of Care
This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there remains an issue about hiring more nurses -- where will these nurses come from if the nursing schools do not increase their recruitment efforts and broaden their curriculum. In addition, we note that the large majority of patients and stakeholders primarily want two things when admitted to a healthcare facility: better paid nurses and more highly-trained professionals who are satisfied with their vocation.
Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures…… [Read More]
Taking the history of a patient is a crucial aspect of patient assessment and treatment. A good history can mean the difference between a successful patient outcome and unsatisfactory outcomes. However, taking a complete and useful history is a skill that is developed by means of training and practice; it is not some talent that is innate (Bickley & Szilagyi, 2007; McKenna et al., 2011). According to Craig (2007) nurses are increasingly being asked to take patient histories. Given these growing responsibilities nurses need training and guidelines to taking an adequate patient history. The following is a summary and critique of Craig, L. H, (2007), A "Guide to Taking a Patient's History" in Nursing Standard, volume 22, issue 13, pages 42-48.
Craig (2007) takes a comprehensive approach to explaining the interview and history taking process. This approach is applicable for most any patient population; however, Craig does not…… [Read More]
Though I have never had the opportunity to truly work with a data expert on a specific piece of nursing research, one of my colleagues that I was able to interview has worked on a variety of research projects and has a strong knowledge both of statistical models and practices as well as specific nursing research practices, theoretical constructs, and validity measures. The insights that this individual shared did not provide complete clarity on the subject -- far from it, in fact -- but rather opened up many new areas of questions and considerations that I had not previously even known to ask or consider. It is in this area that human research resources, i.e. nurses that have been there before, are especially important, as they can provide new avenues of thinking and investigation in a way that research articles, textbooks, and other similar pieces of knowledge and literature simply…… [Read More]
Even under the best of circumstances, nurses are regularly exposed to patients experiencing pain and they routinely encounter grief in situations involving disability and death. All of those environmental factors can be the source of emotional stress that can also present significant challenges in terms of maintaining a grounded spirituality. If nurses hope to be able to cope with all of those stresses over the long-term, they must develop stress-reduction strategies, relaxation techniques, and supportive human relationships to maintain their emotional and spiritual health.
Contemporary healthcare is becoming more and more open to the holistic perspective (Tong, 2007). As part of the patient-education and counseling role of nurses, they should be prepared to help patients understand the many complex ways that various life issues relate to their health and the general interconnectedness of their physical, emotional, and spiritual integrity. Naturally, nurses should pay attention to all of those interrelated issues…… [Read More]
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…… [Read More]
" (Allen 2008) This means that nursing educators are also a key stakeholder.
Other stakeholders include healthcare facility administrators, corporate trustees and public office holders, who will often have entangled or competing interests relating to the profitability of operations and the political expediency of policy orientation. This will also be true of the various professional advocacy groups, nursing associations and lobby groups that will vie for influence in the discussion on any legislation relating to the nursing shortage.
A primary policy objective is to endorse any legislation that would aggressively enforce better recruitment of nursing students, better training of existing nurses, improvements in working conditions for nurses and mandated nurse-to-patient ratios. These objectives are underscored by evidence of the opportunities to save lives facilitated by mandated ratios. According to the text by Health Services Research (HSR) (2010), "key findings of the study reportedly include that 10-13% 'fewer surgical…… [Read More]
Nursing theory, research, and practice
Scenario in which theory, research, and practice interact to create good patient outcomes
Imogene King’s theory
Using the Imogene King’s theory to enhance Nurse-Patient Relationship
Enhanced Patient care
narrative explanation of your visual representation following the diagram.
Nursing theories have been developed as a way of trying to explain the fundamental importance of clinical practice (INSCOL, 2014). Even though these theories are used to guide practice, it is true to claim that most of them have not been put to the test as a way of determining whether the proposed nursing actions produce the claimed effects. If nursing asserts itself as the professional practice it is a professional practice environment must be supported and practiced. In order to enhance the outcome of patients and nursing staff then the professional nursing practice must be supported (INSCOL, 2014). There exist several nursing theories…… [Read More]
For the past several decades, nursing theory has evolved with considerable considerations towards transcultural care. The concept of culture was derived from anthropology and the concept of care was derived from nursing. When one understands the derivative of nursing knowledge and the basis for cultural sensitivity, one may tailor and provide the best nursing care for diverse groups. Each group may have specific needs that may help or hinder healthcare delivery. Hence, if one fully understands the meanings, patterns, and processes, one can explain and predict health and well-being. Although many nursing theories exist, a closer evaluation will be given to Cultural Care Diversity & Universality and Purnell Model for Cultural Competence.
Cultural Competence & Influence
Cultural competence is deemed as essential component in providing healthcare today. Healthcare professionals in healthcare organizations are addressing multicultural diversity and ethnic disparities in health (Wilson, 2004). To better serve…… [Read More]
The authors describe findings from a survey designed to gather baseline data about changes organizations experience after implementing the Clinical Practice Model framework, and report how the Clinical Practice Model Resource Center staff used the survey findings to build the capacity of individuals accountable for implementing this integrated, interdisciplinary professional practice framework into the organization's operations." (2002) The following model has been created for monitoring the progress of the nursing staff at the MD Anderson Cancer Center MEDVACM specifically checking progress in Years 1,3, and 5.
MD ANDERSON CANCER CENTER MEDVAMC
Job Performance Review Guide
PERFORMANCE GOALS AND OJECTIVES
ecome familiar with your department's business goals.
Work with your manager to define and document your goals. Include what you are expected to produce by your first review, activities needed to accomplish results, and success criteria.
Make certain…… [Read More]
Nursing Theory Framework
ecognizing Addiction through Attachment Theory
Affect egulation and Addiction
Handling Addiction as an Attachment Disorder
The First Phase of Therapy
Nursing Theory Framework
The misappropriation of prescription drugs by teens in the United States is a growing public health issue. Using a nursing theory framework, the scope of the problem of prescription drug use among teens is reviewed. Equal in variety to manifestations of addiction are sundry psychological theories that attempt to explain and treat the problem. Hardy (2011) was able to look into four traditional models for recognizing alcoholism (social learning theory, tension reduction theory, personality theory, and interactional theory,) in addition to five theoretical models that were developing at the time of their writing.
An approach to treating and understanding addiction that has created a huge amount of research in current decades, and which displays big promise for effective…… [Read More]
Nursing profession is a complex and important field of human care. In addition to the challenge of high workloads and long hours, nurses are also faced with the challenge of caring for persons who are often hostile or otherwise difficult to handle as a result of the conditions they suffer from. In such cases, nurses must provide care with professionalism and friendliness, regardless of their personal feelings. To be able to perform their work effectively over the long-term, it is vital for nurses to receive as much support as possible from their leaders and peers. In addition to leadership systems such as the transformational paradigm and the synergy model, there are also technical support systems that nurses can benefit most profoundly from.
The nurse's relationship to the information systems and technology department, for example, is of optimal importance. According to the Biohealthmatics.com Website (2010), this relationship is currently tragically underutilized…… [Read More]