" (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 Use" published…...
Nightingale Model
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 is vital in regards to proper…...
"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.
eferences
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 a long-term care…...
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References
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 .
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 .
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 may be…...
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, healthy births, the…...
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Works Cited:
Allen, D.E., & Vitale-Nolen, R.A. (2005). Patient care delivery model improves nurse job satisfaction. Journal of Continuing Education in Nursing, 36(6), 277-282.
ANA. (2004). The Nurses Code of Ethics. The Center for Ethics and Human Rights.
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 uniquely individual…...
Kubler-Ross, E. (2007). On Grief and Grieving. New York: Scribner.
Kubler-Ross, E. (2007, April). The Kubler-Ross Grief Cycle. Retrieved from Changing Minds:: / change_management/kubler_ross/kubler_ros s.htmhttp://changingminds.org/disciplines
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…...
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REFERENCES
Edwards, N., et.al. (2003). Aging, Heart Disease, and Its Management. Humana Press.
Lundy, K. And Janes, S. (2003). Essentials of Community-Based Nursing. Sudbury, MA:
Jones and Bartlett.
Miller, C. (2009). Nursing for Wellness in Older Adults. Philadelphia, PA:
Nursing
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 set of beliefs and values;
A…...
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Sources
Fawcett J (1995) Analysis and Evaluation of Conceptual Models of Nursing. Philadelphia, PA: FA Davis Co.
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 of…...
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Bibliography
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.
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.
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 four or more medications…...
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References
Allen, K.R., Hazelett, S.E., Jarjoura, D., Wright, K., Fosnight, S.M., Kropp, D.J., & ...
Pfister, E.W. (2011). The after-discharge care management of low income frail elderly (AD-LIFE) randomized trial: Theoretical framework and study
Design. Population Health Management, 14(3), 137-142.
Nurse-Patient Relations
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, those…...
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Works Cited
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.
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 complex psychological, medical and social care.…...
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References
Dlugacz, Y.D. (2009). Value-Based Health Care: Linking Finance and Quality. New York: Wiley.
Kleespies, P.M., & Association, A.P. (2009). Behavioral Emergencies: An Evidence-Based Resource for Evaluating and Managing Risk of Suicide, Violence, and Victimization. Washington, D.C., DC: American Psychological Association.
Kreitner, R. (2008). Management. Mason, OH: Houghton Mifflin Company.
Zun, L.S., Chepenik, L.G., & Mallory, M.N.S. (2013). Behavioral Emergencies for the Emergency Physician. Cambridge, United Kingdom: Cambridge University Press.
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 knowledge and experience gained…...
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References
Anderson, A.M. (2005). Nursing Leadership, Management, and Professional Practice for the LPN/LVN (3rd ed.). Philadelphia: F.A. Davis Company.
Carper, B. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13-23.
Clark, M.J. (2003). Community health nursing: Caring for populations (Fourth ed.). Upper Saddle River, NJ: Prentice Hall.
Dayer-Berenson, L. (2010). Cultural Competencies for Nurses: Impact on Health and Illness. Burlington, Massachusetts: Jones & Bartlett Learning.
Nursing 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 goal…...
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