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Nursing esearch and Evidence-Based Practice
I requesting username BOLAVENS work. If, . These questions related NUSING ESEACH AND EVIDENCE-BASED PACTICE. refer book titled Nursing esearch: Generating assessing evidence nursing, IBM# 9781605477084 answers.
Discuss the differences between research, research utilization, and evidence-based practice. you may want to link this to the historical evolution of research in nursing.
esearch refers to the systematic process of searching and generating knowledge about a particular topic in order to reach conclusions. esearch utilization, on the other hand, is the process by which findings from research are used to guide practice. esearch utilization should, however, not be confused with evidence-based practice. Evidence-based practice is an extension of research utilization. It involves finding evidence of practice, considering patient and practitioner preferences, differences and values, and then making informed practice decisions. esearch utilization only involves applying findings of research to clinical practice. Evidence-based practice is built on research…
Banks, J., Cramer, H., Sharp, D.J., Shield, J.P., & Turner, K.M. (2013). Identifying families' reasons for engaging or not engaging with childhood obesity services: A qualitative study. Journal of Child Health Care. doi: 10.1177/1367493512473854
Banks, J., Sharp, D.J., Hunt, L.P., & Shield, J.P. (2012). Evaluating the transferability of a hospital-based childhood obesity clinic to primary care: a randomised controlled trial. Br J. Gen Pract, 62(594), e6-12. doi: 10.3399/bjgp12X616319
Brewer, M. (2000). Research Design and Issues of Validity. In H. Reis & C. Judd (Eds.), Handbook of Research Methods in Social and Personality Psychology. Cambridge: Cambridge University Press.
Creswell, J.W. (2007). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Thousand Oaks, California: SAGE Publications.
Nursing Research and EVP
Nursing Research & Evidenced-ased Practice
The objective of this study is to examine how evidence-based practice and nursing research are supported and implemented throughout the organization. Secondly, this study will examine the nurses' role in research and evidence-based practice, the steps sued for research and evidence-based practice and the model for evidence-based practice.
Role of Nurse in Research and Evidence-ased Practice
Evidence-based practice is a term that is used to define the "conscientious use of current best evidence in making decisions about patient care." (auer, 2010, p.1) Evidence-based practice is an approach for problem solving that incorporates the following:
(1) A systematic search for and critical appraisal of the most relevant evidence to answer a burning clinical question;
(2) One's own clinical expertise; and (3) Patient preferences and values (auer, 2010, p.1)
There are several steps involved in the evidence-based practice including: (1) examination of the…
Bauer, C. (2010) Evidence-Based Practice: Demystifying the Iowa Model. Oncology Nursing Society. Metro Detroit Chapter. Vol. XXV. Issue 2. Spring 2010. Retrieved from: http://metrodetroit.vc.ons.org/file_depot/0-10000000/0-10000/8013/folder/62252/Spring%202010%20Volume%20XXV%20Issue%202.pdf
Evidence-Based Nursing (nd) Nurse Groups. Retrieved from: http://i.nursegroups.com/nursing-article/evidence-based-nursing.html
Evidence-Based Nursing Position Statement (2012) Sigma Theta Tau International. Retrieved from: http://www.nursingsociety.org/aboutus/PositionPapers/Pages/EBN_positionpaper.aspx
In some cases there are administrative issues that are insurmountable and stand on the way of implementation of major researches in the nursing quarters (WHO egional Office for South-East Asia, 2006).
In some cases there are problems with the research itself and the suggested innovations. This can be in the form of inability to replicate the research findings, the methodologies used could be inadequate, availing results that are grossly conflicting and lack of justification of the results.
In other cases, the findings could be shelved due to the lack of proper communication to the targeted nurses or institutions. The communication could be too complicated and hence blurring the readability and clarity of the intention of the research.
Measures that have been taken to facilitate nursing research utilization
The measures that have been taken to ensure that the final outcome of the research is implementable and is implemented starts from the…
Current Nursing, (2011). Application of Theory in Nursing Process. Retrieved May 23, 2011
Macguire J.M., (2006). Putting Nursing Research Findings Into Practice:
Research Utilization as an Aspect of the Management of Change. Retrieved May 23, 2011 from http://www.journalofadvancednursing.com/docs/jan_1989.pdf
The study is divided in three parts. The first part identifies the palliative care as an area of nursing research that has improved the patient's outcome. The second part discusses the difference and similarities between nursing process and research process. The final part reviews three articles that focus on the palliative care, nursing and research process, and the paper reviews the abstract of each article.
Identification of area of Nursing esearch that has Improved Patient Outcomes.
An area of nursing research that has improved patient's outcome in the United States is a palliative care. Palliative care is a specialized healthcare segment that prevents and minimizes the patients' suffering and pain. Patients suffering from end of life, curable and chronic illness can be placed under the palliative care to improve patient's quality of life. Moreover, the palliative care assists patients to integrate spiritual and psychological aspect of patient care.…
Akinsanya, J.A. (1988). Nursing Research -a demystifying Process. Nurse Education Today. 8( 5): 284 -- 288.
Klick, J.C. & Hauer, J. (2010). Pediatric Palliative Care. Current Problems in Pediatric and Adolescent Health Care. 40 (6): 120 -151.
Lauri, S. (1982). Development of the Nursing Process through Action Research.
Journal of Advanced Nursing. 7( 4): 301-307.
5 million U.S. patients develop HCS's that result in $5billion in costs and almost 00,000 deaths. It is amazing that in one of the most technologically advanced societies ever, 00,000 individuals lose their lives based on increased microbial and invasive infectious agents -- and that most of those affected (68%) are those that have been successfully treated for cancer (Siegel and Korniewica, 2007).
Transcultural and diversity in nursing is another topic that has been studied by working nurses. The need for study dealing with issues centering around multicultural issues within nursing is presented by authors Upvall and Bost based on the increase in the globalization of society, and its impact in the medical field. Healthcare, as well as other social service branches, are seeing a dramatic increase in the number of foreign and immigrant populations. Culture is an important factor that can make the greatest difference in promoting wellness, preventing…
11 (5): 643.
Upvall, M. And M. Bost. (2007). "Developing Cultural Competence in Nursing Students
Through Their Experiences With a Refugee Population." Journal of Nursing Education. 46(8):380.
Nurses in advanced roles -- practitioners, educators, and administrators -- have a 'professional and moral imperative' to conduct and/or promote ethically- and culturally-sound nursing research. One of the challenges presented to nurses is how research results are translated into practice, specifically, how reliable or applicable these results are when applied to a specific group or population with different views about medical/health care? It is in this kind of cases that a culturally-sound nursing research is critical and necessary. Deliberate consideration for a culturally-sound or -- applicable results or evidence would result to greater appreciation and support for nursing research, not to mention the benefits for nurses and patients alike as results/evidence are applied in practice to develop responsive and appropriate healthcare interventions (Kitson, 2008:2).
Inevitably, conducting nursing research also requires adherence to not only ethical research, but also to the Code of Ethics which nurses are professionally and morally beholden…
Douglas, M. (2009). "Standards of practice for culturally competent nursing care: a request for comments." Journal of Transcultural Nursing, Vol. 20, No. 3.
Kitson, a. (2008). "Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges." Implementation Science, Vol. 3, No. 1.
Nursing esearch Problem
esearch in nursing
A research problem in nursing is normally referred to as the discrepancy between the knowledge that one has and the knowledge that one ought to know in order to solve a given nursing problem. Nursing research is central in the profession since it helps in forming the basis for the continued practice of the profession. This is because nursing research is predominantly focused on understanding as well as assessing the symptoms of acute and chronic illness, delayed onset of disability or diseases, trying to get the most sustainable approach to achieving optimal health as well as constant improvement of the clinical setting under which health care is provided (National Institute of Nursing esearch, 2003).
To this end therefore, there are various research problem sources that one can identify within the nursing fraternity or profession. These include experience of an individual or another's within the…
National Institute of Nursing Research. (2003). Making a Difference, NINR Research Results. Available from: http://ninr.nih.gov/ninr/news-info/Rudyshow2.pdf
Develop a nursing research question
Does participation in an online community enhance compliance for type II diabetics?
Describe how the nursing research question addresses evidence-based practice.
Evidence-based practice requires treatment to be based upon rigorous, scientifically-validated tests. It also requires nursing treatment to be administered in a clinically appropriate, cost-effective manner (Pollit & Beck 2008: 4). This study would divide a study sample of recently-diagnosed type II diabetes into two groups, one of which would participate in a supportive online community for diabetics, the other of which would not. Glucose management, weight loss, and compliance with dietary modifications would be assessed at the end of the study. If the experimental group exhibited better outcomes, encouraging participation in such communities would be warranted.
Describe the differences between world-view paradigms and naturalistic paradigms.
Nursing paradigms are designed to improve the treatment for patients in the real world. For much of…
The specific tile of the article is as follows: Zahr, Lina Kurdali (1998). Therapeutic play for hospitalized preschoolers in Lebanon. Pediatric Nursing. 24(5), 449.
Research Question. One of the most important tenets of quantitative research is to present a well developed research question followed by a testable null hypothesis. Unfortunately the author of this particular article did not present the reader with a research question. Had the research investigator presented a research question it would have been similar to the following: To what extent does there exist statistically significant differences in anxiety levels between pre-school children receiving surgery as a result of therapeutic play intervention before surgery compared to those pre-school children who do not receive therapeutic play intervention? However, the author did inform the reader of a testable hypothesis but the hypothesis statement was not in keeping with best-fit research practice as it is not stated in null form…
Nursing esearch Utilization Project Proposal: Hospital Noise
The level of noise in a hospital is a serious issue for the nurses and the patients. Surveys have been created in an effort to determine if the noise is bothersome, what kinds of problems it causes, and whether there is anything that can be done about the noise levels. It is important not only to identify the problem, but to determine what can be done so that the problem is mitigated as much as possible. Here, the problem of noise in the hospital is discussed, and from that point the issue of how to address and correct it is brought into play. There are many ways in which noise in a hospital can be reduced, including better and heavier screens for patient privacy, signs and warnings for people to keep quiet, machines that alert in other ways as opposed to noise, and…
Anderson, F.W., & Hardley, L. (2009). Guidelines for Setting Measurable Public Relations Objective. Retrieved from http://www.instituteforpr.org/wp-content/uploads/Settings_PR_Objectives.pdf
Mazer, S. (March-April, 2006). Stop the Noise: Reduce Errors by Creating A Quieter Hospital, Environment. Biomedical Instrumentation & Technology, 40(2): 145-6
Miller, H. (2006). Sound Practices Research Summary. Retrieved from http://www.hermanmiller.com/content/dam/hermanmiller/documents/research
Reiling, J., Huges, R.G., & Murphy, M.R. (2008, April). The Impact of Facility Design on Patient Safety. An Evidence-Based Handbook for Nurses, 28(4).
ATA ANALYSIS PROCEURES
ata analysis involved "immediate debriefing after each focus group with the observer" and during this time, debriefing notes were recorded containing comments related to the process of the focus group and the data's significance. Secondly, the tape was listened to and the content of the tape transcribed. Third stated is that the tape's content was check and non-verbal behavior given consideration by the researchers. Stated as benefits in this type of analysis was the observer having noted: (1) parts of words; and (2) non-verbal communications, gestures and behavior. (Sharif and Masoumi, 2005; p.5) ata gathered in the study was coded and categorized in cohesion with the qualitative content analysis stated by Grangheim and Lundman as well as focus group data analysis of Stewart and Shamdasani. Three levels of coding were selected an appropriate method of coding the data in this study. Level one coding was…
Data analysis involved "immediate debriefing after each focus group with the observer" and during this time, debriefing notes were recorded containing comments related to the process of the focus group and the data's significance. Secondly, the tape was listened to and the content of the tape transcribed. Third stated is that the tape's content was check and non-verbal behavior given consideration by the researchers. Stated as benefits in this type of analysis was the observer having noted: (1) parts of words; and (2) non-verbal communications, gestures and behavior. (Sharif and Masoumi, 2005; p.5) Data gathered in the study was coded and categorized in cohesion with the qualitative content analysis stated by Grangheim and Lundman as well as focus group data analysis of Stewart and Shamdasani. Three levels of coding were selected an appropriate method of coding the data in this study. Level one coding was utilized in making an examination of the data "line by line" and coding the language. Level two coding made a comparison of coded data with other data and is used in the process of categorization of the data. Level 3 coding provides a description of the Basic Social Psychological Process, which is used to refer to the primary themes arising from the categories. The next step was submission of the information to two assessors/validators, which determined the coding reliability.
The strength of this study is the identification of factors by students that affect their "professional socialization" as "professional role and hierarchy of occupation were factors which were frequently expressed by the students." (Sharif and Masoumi, 2005; p.7) Additionally, the students's conduction of self-evaluation of their own professional knowledge and the values and skills that contribute to the self-concept of a professional was an important gain in this study. The limitations of this study are the gender-specific nature of this study in that 94% of participants were female.
The deployment of evidence-based practice that makes use of cutting-edge research is perhaps most obviously manifest in the greater knowledge research has given about demographic shifts as to who may or may not be vulnerable to particular diseases or conditions. Many years ago, Type II Diabetes was known as adult-onset diabetes, as insulin resistance was associated with obesity, sedentary behavior and other factors assumed to be prevalent amongst adults, not children. Now a child exhibiting the common symptoms of excessive thirst, weakness, dizziness will likely be tested for this condition, because obesity has become more prevalent amongst the young.
A research utilization model might provide, however, additional counseling to the nurse practitioner as to what course of treatment to prescribe. A child with more ample family and social support to lose weight, for example, and exercise, might, according to clinical data, be able to reverse the progress of the disease…
Gabbay, John & Andree le May. (30 Oct 2004). "Evidence-based guidelines or collectively constructed 'mindlines?' Ethnographic study of knowledge management in primary care."
BMJ. 329:1013. http://www.bmj.com/cgi/content/abridged/329/7473/1013?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=research+based+nursing+practice&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT
McManus, J., J. Mant, C.FM. Meulendijks, R.A. Salter, H.M. Pattison, a.K. Roalfe, & F.D.R Hobbs (23 Feb 2002). "Comparison of estimates and calculations of risk of coronary heart disease by doctors and nurses using different calculation tools in general practice: cross sectional study." BMJ. 324:459-464. Retrieved 20 Jan 2008 at http://www.bmj.com/cgi/content/full/324/7335/459?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=research+based+nursing+practice&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT
Sackett, D.L., William MC Rosenberg, J.A. Muir Gray, R. Brian Haynes, & W. Scott
Analyzing Qualitative Data
Qualitative data, which usually consists of narrative materials (Polit & Beck, 2008, p. 507), is analyzed by three major styles. Template analysis involves development of a guide to which gathered data is applied and adjustment of the guide as more data is applied. This method tends to be interpretive rather than statistical. Editing analysis involves interpretation of data for "meaningful segments," then development of a category scheme with codes according to those segments, then a search for patterns that may connect the categories. Immersion/crystallization analysis is a reflective, subjective interpretation of data by the researcher's immersion in the data, and is rarely used in nursing research (Polit & Beck, 2008, p. 508).
Quality and integrity in qualitative studies are significant issues for the health care industry and have been addressed by numerous theorists. One synthesized method to probe quality and integrity employs primary and secondary…
Multivariate Statistics is an area of statistics concerned with the collection, analysis and interpretation of several statistical variables at once. While statistics may be artificially confined for convenience sake, health care actually involves complex relationships of variables for patients themselves, within a single health care institution, within a group of health care institutions, and within the entire health care system. Multivariate statistics observes and analyzes several of these variables at once using several types of tests for various purposes.
Multivariate Statistics analysis is integrated in quantitative analysis through a number of tests to compare a number of variables in complex relationships. Tests used in multivariate statistics include: multiple regression/correlation tests, used to understand the effects of at least 2 independent variables on one continuous dependent variable (Polit & Beck, 2008, p. 614); analysis of covariance (ANCOVA), which compares the means of at least two groups with a single central question (Polit & Beck, 2008, p. 624); multivariate analysis of covariance (MANCOVA), which involves controlling covariates -- or extraneous variables -- when the analysis involves at least two dependent variables (Polit & Beck, 2008, p. 627); discriminant function analysis, which involves using a known group to predict an unknown group with independent variables (Polit & Beck, 2008, p. 628); canonical correlation, which involves testing one or more relationships between two sets of variables (Polit & Beck, 2008, p. 638); logistic regression, which predicts the probability of an outcome based on an odds ratio (Polit & Beck, 2008, p. 640).
Inferential Statistics assists in
Clinical narratives are used for the articulation and sharing of knowledge and experience which has been acquired over time and through experiential learning and is a way of enabling nurses to "tap into the thought processes and best practices of expert clinicians" through sharing of stories based on experience. Professional conferences involve the attending of conferences, which expose nurses to ideas that are new and best practices of other institutions than the one in which they work. Finally, formal education addressed "technical excellence and an over-arching understanding of the art and science of professional practice..." (Massachusetts General Hospital Patient Care Services, 2002) a very important aspect of the program is "collaborative decision-making" which involves: (1) Quality committees; (2) Ethics in Clinical Practice Committee; (3) Nursing Research Committees; (4) staff nurse advisory committees; and (5) professional development committees. Quality Committees. It is related that the 'Ethics in Clinical Practice Committee' has…
Bellack, J.P. (2000)Leadership Initiative in Nursing Education: A Collection of Case Studies Leadership Initiative for Nursing Education. San Francisco, CA: UCSF Center for the Health Professions. December 2000. Online available at http://www.futurehealth.ucsf.edu/pdf_files/Monograph1.pdf
Common Denominators: Shared Governance and Workplace Advocacy (2004)
Conflict Resolution Model (nd) Texas Board of Nursing. Online available at http://bon.state.tx.us/practice/conflict.html
Hodge, M. et al. (2002) Developing Indicators of Nursing Quality to Evaluate Nurse Staffing Ratios. Academy of Health Services Res Health Policy Meet. 2002; 19: 20:. Abstract online available at http://gateway.nlm.nih.gov/MeetingAbstracts/102274217.html
Nursing esearch eport
The structure of a research report is simple. It is almost the same as the structure of the research itself: the problem, the methodology, the results, the conclusions, and the interpretations. The purpose of the research report is to inform readers about the problem investigated, the methods used to solve the problem, the results of the investigation, and the conclusions inferred from the results (Polit & Beck, 2004). The function of the research report is not, however, to convince the reader of the virtue of the research previously conducted. At all times the report is to be so written that the reader can reach their own conclusions as to the adequacy of the research and the validity of the reported results and conclusions. esearch reports must strive to be succinct, objective, and crystalline. The ultimate test of an excellent research report is in its ability to be…
Ingersoll, G.L., et al. (1996). "The effect of a professional practice model on staff nurse perception of work groups and nurse leaders." The Journal of Nursing administration, 26(5).
Ohlson, E.L. (1998). Best-Fit Statistical Procedures and Research Designs. Chicago: ACTS Testing Lab.
Polit, D.F. & Beck, C.T. (2004). Nursing Research: Principles and Methods (7th ed., Chapter 26). Philadelphia: Lippincott Williams and Wilkins.
8% of the patients and was resolved or improved in 86% (Buchwald H, Avidor Y, Braunwald et al. 2004). This need for such extreme measures underlines the difficulty of patients to alter their entrenched lifestyle patterns. The sooner these patterns can be altered, the better.
orking with younger patients to modify their diets, setting realistic weight-loss and exercise goals, and creating a home and school environment where weight loss is rewarded are all important in lessening the chance that obesity will lead to long-term complications and require surgery. Nurses must take a multifaceted approach to treatment that accounts for: the biological, behavioral, and environmental influences that contribute to diabetes and obesity. The nurse must acknowledge that modern society often makes it easier to be obese than to be slim. Cheap calorie-concentrated foods seem attractive and it is easy to avoid physical exercise. Empowering the patient to show how they have…
Behr, Mary. (2007, Apr). "Diabetes."
MedSurg Nursing. Retrieved 1 Feb 2008 at http://findarticles.com/p/articles/mi_m0FSS/is_2_16/ai_n19295822
Buchwald H, Avidor Y, Braunwald E, et al. (2004). "Bariatric surgery: a systematic review and meta-analysis." JAMA 292:1724-1737.
Latner, Janet D. (2007, Mar/Apr). Self-help for Obesity and Binge Eating. Nutrition Today. 42.2: 81-85. Retrieved 1 Feb 2008 at http://www.nursingcenter.com/prodev/ce_article.asp?tid=717760
Therefore information on previous mental health history will be sought from patients. An assessment of the presence of other mental health issues at the present time will also be conducted to allow for incorporation of this data into analysis.
VII. Statistical Issues
A. Sample Size
To detect an effect with a power of 0.95 at a 0.05 level of significance, given the size of the study population, a sample size of 385 participants would be required. Given the sampling techniques which were discussed earlier the study will therefore aim to sample at least 250 past or present inpatients of the psychiatric unit and 250 control participants. This will account for rejection of participation by 25% of those approached to participate.
B. Approach to Analysis
Chi-squared tests will be used to determine whether there are different rates of discharge for mental health between the different groups identified. Chi-squared testing and other…
Bisson, J. (2006). Adjustment disorders. Psychiatry, 5(7): 240-242.
Brosschot, J.F., Pieper, S. & Thayer, J.F. (2005). Expanding stress theory: Prolonged activation and preservative cognition. Psychoneuroendocrinology, 30(10): 1043-1049.
Elonheimo, H., Niemla, S., Parkkola, K., Multimaki, P., Helenius, H., Nuutila, a.-M. & Sourander, a. (2007). Police-registered offenses and psychiatric disorders among young males. Social Psychiatry and Psychiatric Epidemiology, 42(6): 477-484.
Hoge, C.W., Castro, C.A., Messer, S.C., McGurk, D., Cotting, D.I. & Koffman, R.L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine, 351: 13-22.
In order to better understand women's understanding of unforeseen and upsetting indications in the time after dynamic cancer management, this qualitative secondary examination looked at how women looked at unforeseen and upsetting indication practices. e-examination of phenomenological statistics from the first author's investigation on survivor loneliness exposed adequate knowledge in order to conduct this secondary data analysis.
9) How was the sample selected? What are the strengths and weaknesses of this sampling strategy?
Subjects were enlisted from a list of volunteers at each for ecovery, a cancer survivors' system supported by the American Cancer Society (ACS). The study consisted of 13 English-speaking women, who were 33 -- 74 years of age, who had finished vigorous care for breast cancer in the previous 18 years prior to the study. Safety of human being subjects as well as model explanation was detailed in the original article
10) Were the subjects in this…
McMillan, S.C., & Small, B.J. (2007). Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients. Oncology Nursing Forum, 34(2), 313-
Rosedale, M., & Fu, M.R. (2010). Confronting the unexpected: Temporal, situational, and attributive dimensions of distressing symptom experience for breast cancer survivors.
Oncology Nursing Forum, 37(1), 28-33.
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…
Polit, D.F., & Beck, C.T. (2008). Nursing Research: Generating and Assessing Evidence for Nursing Practice, (8th ed.).
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…
This is because "genetic, hormonal, and nutritional factors play a significant role in the development of stress fractures....Female runners with a history of stress fracture are more likely to have a history of irregular periods or lack of periods. A low body mass index is also a predictor of reduced bone mineral density in adolescents" ("Stress Fractures," 2006, Mass General Hospital for Children).
To gain a sense of the relative the bone density of the participants a DEXA bone scan pre -- and post-season will be required. (Pipenberg, 2005: 1). Athletes will be screened and questioned weekly regarding pain, performance, and to see if they exhibit other common symptoms of stress fractures.
Anticipated benefits and risks of taking part in the study
Low bone density and stress fractures, combined with irregular menstruation have long been the bane of long-distance runners, especially females. "The teenage years are the most important ones…
Calcium, vitamin D may reduce stress fracture risk." (2007). NutraIngredients. Retrieved 19 Feb 2007. http://www.nutraingredients-usa.com/news/ng.asp?n=74103-calcium-vitamin-d-fracture
DeNoon, Daniel. (2006). "Weight Loss Can Mean Bone Loss: Dieters Who Don't
Exercise at Risk for Weaker Bones." WebMD Medical News Reviewed by Louise Chang 11 Dec 2006. Retrieved 19 Feb 2007 at http://aolsvc.health.webmd.aol.com/content/article/130/117776.htm?src=AOLConditionWidget&ncid=cDaKHfNCCG
Pipenberg, Claudia. (Nov 2005). "Thin, Light... And Fragile: What all runners should know about bone health." The Running Times. Retrieved 19 Feb 2007 at http://runningtimes.com/rt/articles/?id=7376&c=375
Nursing Research in Future
Hallberg, I.R. (2006). Challenges for future nursing research: Providing evidence for health-care practice. International Journal of Nursing Studies. 43: 923-927
Nursing research has become a question of practicality. Is it prudent for funding to go into Nursing research when there is so much funding getting cut from everything and anything that is involved in health care. This article goes into the usage of nursing research and examines its need for society, from both a sociological perspective, as well as a medical and health perspective. The idea is to get nursing research into a more mainstream type of environment in which its practicality is more valued and it can be seen as something that can be used in future studies outside of nursing.
Nursing research tends to lean more towards the qualitative side of research. Although this in itself has brought plenty of contribution into the medical…
Macnee, C.L. & McCabe, S. (2008). The role of research in nursing. In Understanding nursing research in evidence-based practice. Philadelphia, PA: Lippincott Williams, & Wilkens. 271-286.
Knowing the history of nursing research allows one to know that the challenges that currently faces it now have always been present. Its role within the health field has always been questionable because of its believed lack of applicability and practicality, and the use of it has always been determined practically non-existent. Having all this in mind, the future of this discipline in greatly discussed in this section and it is this that brings to mind its usefulness. If nursing research is compared head to that of a more scientific nature, or research conducted by medical doctors, than it could be viewed as coming in second, or lacking importance, but when reviewed by itself and broken down in terms of what it actually covers, nursing research can be as useful in any health discipline.
The challenges of nursing research in the future still does involve its lack of practicality and applicability, but since it is now shifting more towards health policy nature and it seems to have more practicality in the politics behind health care, that in itself has become the new challenge. Nursing research is being redefined to the point that it has lost what it once was. The way in which the nursing research being done now is conducted, its human side is being lost and more administrative applications are being put forth upon it. This is a challenge that has been overwhelming the discipline and having veterans of nursing research come face-to-face with what nursing research is slowly becoming. Having to enable this part of nursing research in order to redefine an entire concept has become something of concern that will only keep growing in the future. The challenges of nursing research can be defined as one of a constant battle.
Nursing esearch Critique
Provision of acute nursing care is impacted by complex needs of hospitalized patients suffering from dementia. Despite of the gains that have been made in the realms of medical care, older adults have had to contend with progressive cognitive decline, functional decline, and challenging behaviors that impact the quality of their lives. Quality of life of patients suffering from dementia is further eroded by suboptimal healthcare. Elderly patients suffering from dementia are at risk group because the healthcare providers lack understanding of the etiology of the cognitive impairment and misrepresentation of the condition (Joosse, Palmer & Lang, 2013).
The purpose for carrying out the research is explicitly stated. The research seeks to address the challenges in providing care to hospitalized patients suffering dementia and delirium superimposed on dementia. The research also seeks to outline nursing assessments, problem identification, and interventions for dementia and delirium that can promote…
Joosse, L.L., Palmer, D. & Lang, N.M. (2013). Caring for the Elderly Patients with Dementia:
Nursing Interventions. Nursing: Nursing Research Reviews, 3, 107-117.
DNP has been a relatively new one for the nursing profession. Today, "there are many enthusiasts toward the DNP. Seen by some as a symbol of social progressivism, the endorsement of doctoral education for advanced practice nursing has many potentially positive outcomes. Among them, better parity with other practice disciplines" (Bellini 2012: 6). However, there have also been many naysayers about the degree. They "strongly argue for the retention of MS-level preparation for APNs based on economic and workforce issues… [they argue that the DNP is] detrimental to society, as the projected number of APNs needed is expected to rise in the years to come, The authors argue that this is unlikely to occur if the DNP-mandate deters potential APN students from pursuing graduate study" (Bellini 2012: 6). This reflects the idea that nursing, however much theory might inform the teaching of nursing, is ultimately always a practical discipline.
Bellini, S. (2014). The doctor of nursing for entry into advanced practice. Medscape.
esearch opportunities are afforded for projects on and off the NIH campus.
Funds for training and research are provided by NIN. Fellowships enable scientists to be trained to conduct independent nursing research and to collaborate in interdisciplinary research through individual and institutional pre-doctoral, post-doctoral, and senior awards. Grants enable schools of nursing with research programs to provide full-time pre-doctoral and post-doctoral research training. NIN also provides Career Development Awards, Mentor esearch Scientist Development Awards (to promote diversity), and Career Training Awards as well as numerous other training and research opportunities both on and off the NIH campus.
The office of Extramural Activities is made up of the Office of Extramural Programs (OEP), the Office of Grants Management (OCGM), and the Office of eview (O). The OEP manages the funding activities of NIN that occur outside of NIH. The NIN OEP is organized into four sections: Neuroscience, Genetics, & Symptom Management;…
The NIH Almanic. (2011, October12). National institute of nursing research. U.S. department of health & human services. Retrieved October 18, 2011, from http://www.nih.gov/about/almanac/organization/NINR.htm
National institute of nursing research. (2011). National institute of health. Department of Health and Human Services. Retrieved October 18, 2011, from http://www.ninr.nih.gov/ResearchAndFunding/
National Institute of Nursing esearch (NIN)
History of the organization
The National Institute of Nursing esearch is a body mandated with the principal responsibility of carrying out research that relates to the nursing and medical field in general. The institution dedicates its effort to improving the health and health care of Americans through funding of nursing research and research training. The involvement of the federal government led to the formation of the research institute as early as 1946. The federal government established a division of nursing within the office of the Surgeon General, Public Health Service. The NIN commenced its activities in 1955 when the institute established a Nursing esearch Study section, which was within the Division of esearch Grants. The purpose of this Study Section was to conduct a scientific review of the growing volume of applications in the nursing sector.
In 1960, a consolidation of the public health…
Fitzpatrick, J.J & Kazer, M. (2011). Encyclopedia of Nursing Research. 3rd edition. New York:
Springer Publishing Company.
Miller, A.C. (2009). Nursing for Wellness in Older Adults. Printed in China: Lippincott Williams
esearch is based on evidence and I agree that implementation of a program requires a lot of data collection and evidence-based research. A researcher also has to take decisions along with the research he is doing and base his decisions on the evidence he finds. For example, nurses make clinical decisions based on information and practice and there are certain knowledge and evidences that are superior as compared to the others; so the sources of information vary accordingly (Polit & Beck, 2008).
More practice and study creates opportunities for the researcher to capture information and that requires follow-ups. A follow-up of a certain study would open new directions as well as let the researcher know if the study is still successful a decade later. Qualitative research is mostly based on the naturalist evidence of the topic and quantitative research is linked with a positivist ritual (Polit & Beck, 2008).…
Polit, D., & Beck, C. T. (2008). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Lippincott Williams & Wilkins: Philadelphia
In many clinical practice situations, research and use of current evidence is neither prized nor supported as part of the nursing culture. One of the earliest and best-known nursing research utilization activities was the Conduct and Utilization esearch in Nursing project, awarded to the Michigan Nurses' Association by the Division of Nursing in the 1970s for a five-year study. The major objective of the project was to increase the use of research findings in the daily practice of registered nurses by disseminating research findings, facilitating organizational changes needed to implement innovations and encouraging collaborative clinical research (Polit, 2004, p. 676).
Many models for nursing research utilization have emerged since the 1970s. These various models developed from efforts to use or disseminate nursing research and ultimately improve patient outcomes. The first research utilization model was developed in the 1970s with the Western Interstate Commission for Higher Education in Nursing egional Program…
Cormack, D. (2006) Research Process in Nursing. New York: Blackwell
Ervin, N.E. (2002). Evidence-based nursing practice: Are we there yet? The Journal of the New York State Nurses' Association, 33(2), 11-16.
Fitzpatrick, J. (Editor) (2005) Encyclopedia of Nursing Research. New York: Springer
Using the COPE Intervention for Family Caregivers to Improve Symptoms of Hospice Homecare Patients: A Clinical Trial
This study was designed to test an intervention for hospice caregivers in order to help them better manage symptoms experienced by patients with cancer. The authors maintain that research indicates caregivers are unable to accurately assess and report the intensity of symptoms and overall quality of life (QOL) of patients with cancer and patients in hospice care.
Three symptoms, pain, dyspnea, and constipation, are commonly are seen in patients with advanced cancer. However, the author's site research that asserts that these symptoms are assessed inadequately and managed poorly in many patients. Pain and dyspnea have been found to create symptom distress, significantly affecting patient QOL.
The authors claim that caregivers must develop the skills needed to function effectively as part of the healthcare team. Building the knowledge base and teaching…
McMillan, S.C. & Small, B.J. (2007, March). Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients: A clinical trial. Oncology nursing forum, Vol. 34, Issue 2, 313-321. Retrieved January 20, 2012, from http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=3&hid=14&sid=b3e07ee7-388a-4d19-97ef-163b481297fd%40sessionmgr15
"From an historical standpoint, her concept of nursing enhanced nursing science this has been particularly important in the area of nursing education." ("Virginia Henderson's Need...," 2008) Principles of Henderson's theory, published in numerous primary nursing textbooks utilized from the 1930s through the 1960s, along with principles embodied by the 14 activities continue to prove vital in evaluating nursing care in thee21st century, not only in cases such as Keri's, but in a myriad of others benefiting from nursing.
Kearney, Kathleen M., the Nurse's Duty to eport Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. etrieved September 25, 2007, at http://ssrn.com/abstract=1256366.
esuggan, ay N;PN;MN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. etrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within…
Kearney, Kathleen M., the Nurse's Duty to Report Child Abuse vs. The Attorney's Duty of Confidentiality: The Nurse Attorney's Dilemma Journal of Nursing Law. Social Science Electronic Publishing, Inc.; January 25, 2007. Retrieved September 25, 2007, at http://ssrn.com/abstract=1256366 .
Resuggan, Ray RN;RPN;MRN. (Last Modified: August 17, 2008). "Virginia Avernal Henderson." Nurses.info. Retrieved September 25, 2007, from: http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
Singleton, Joanne K. "Nurses' perspectives of encouraging clients' care-of-self in a short-term rehabilitation unit within a long-term care facility," Rehabilitation Nursing, January 1, 2000. Retrieved September 25, 2007, from: http://www.highbeam.com/doc/1P348282208.html .
Trail Ross, Mary Ellen. (1993). "Linking Ethical Principles With Community Practice." Journal of Community Health Nursing, Vol. 10. Retrieved September 25, 2007, at http://www.questia.com/read/95780716?title=Linking%20Ethical%20Principles%20W%20Community%20Practice .
The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and how this connection can utilized in the clinical practice setting. T The nurse patient connection, according to a study done by Press Gamey Associates Inc., creates the quality of the care experience and generates an influential influence on patient gratification. Nurses will a lot of their time with patients. Patients see nurses' relations with people among the care team and make their own conclusions about the hospital founded on what they are observing. Furthermore, nurses' approaches toward their vocation,…
Berdes, C. & . (2001). Race relations and caregiving relationships: A qualitative examination of perspectives from residents and nurses aides in three nursing homes. Research on Aging, 23(1), 109-126.
Biering, P. (2002). Caring for the involuntarily hospitalized adolescent: The issue of power in the nurse-patient relationship. Journal of Child and Adolescent Psychiatric Nursing, 16(2), 65-74.
Heijkenskjold, K.B. (2010). The patients dignity from the nurses perspective. Nursing Ethics, 6(3), 313-24.
LaSala, C.A.-B. (2007). The role of the clinical nurse specialist in promoting evidence-based practice and effecting positive patient outcomes. The Journal of Continuing Education in Nursing, 38(6), 262-70.
During this era, however, nurses continued to gain a foothold within the field of care as important elements to patient recovery and success.
This was further echoed in the era directly following such a tumultuous times as the 1960s. During the 1970s, the idea of a much more solid and accredited education began to pick up further speed (Burns 2004:19). Schools were now responsible to the State and national standards, such as the ones put forth by the National League for Nursing. Another major improvement seen in nursing education was the creation of specified nursing programs which offered advanced degrees within specialized fields of nursing. It opened up the opportunity for many nursing students to gain an unprecedented expertise on various specialties not seen before in earlier generations. In the professional field, the implementation of "participatory nursing" which allowed for nurses to embody greater roles within the context of care…
Burns, Nancy. (2004). The practice of nursing research. Elsevier Health Sciences.
Carter, Laura Stephenson. (2009). Beyond nightingale. Dartmouth Medicine. Retrieved April 9, 2009 at http://dartmed.dartmouth.edu/fall05/html/beyond_nightingale.php .
Kalisch, Philip a. (1995). The advance of American nursing. 3rd ed. Lippincott Williams & Wilkins.
Kirkpatrick, S.M. (1990). Participatory nursing research: a promise in third world countries. Western Journal of Nursing Research. Jun; 12(3):282-92.
Nursing BA vs. Associates
Nursing Competencies -- Associates vs. Baccalaureates
The difference competencies between nurses prepared at the associate-degree level nursing vs. The baccalaureate-degree level are significantly different on many levels. Today's nurses work in a healthcare environment that is undergoing a constant evolution at a speed never before imagined (NLN Board of Governers, 2011). Patient needs have become more complicated; nurses must implement requisite competencies in leadership, health policy, system improvement, research, evidence-based practice, and teamwork and collaboration in order to deliver high-quality care. Furthermore, nurses are also required to master different technologies that are also evolving extremely rapidly.
There are basically three different alternative paths to becoming a registered nurse. Some hospitals offer a three-year program that is administered in the hospital setting. Another option is a two to three-year program in which graduates receive an associate's degree and can be administered at a community college or any…
Mahaffey, E. (2002, May 2). The Online Journal of Issues in Nursing. Retrieved from The Relevance of Associate Degree Nursing Education: Past, Present, Future: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume72002/No2May2002/RelevanceofAssociateDegree.aspx
Moltz, D. (2010, January 7). Nursing Tug of War. Retrieved from Inside Higher Ed: http://www.insidehighered.com/news/2010/01/07/nursing
NLN Board of Governers. (2011, January). Transforming Nursing Education: Leading the Call to Reform. Retrieved from NLN Vision: http://www.nln.org/aboutnln/livingdocuments/pdf/nlnvision_1.pdf
Rosseter, R. (2012, April 2). The Impact of Education on Nursing Practice. Retrieved from American Association of Colleges of Nursing: http://www.aacn.nche.edu/media-relations/fact-sheets/impact-of-education
Types of Reasoning
One of the main types of reasoning discussed in the readings is logical reasoning. This type of reasoning features the use of inferences in order to come into knowledge about a certain experience or phenomenon. Essentially, inferences are the way that conclusions are drawn after systematically examining observations and external phenomenon. It is close to the style of scientific inquiry which is also a very logic-oriented methodology. The primary idea behind inferences is that an individual sees or witnesses some stimuli or phenomena. From this event, that individual can then make their own conclusions as to why or how that particular stimuli or phenomena occurred, making an assumption based on external observations combined with prior knowledge of similar events and circumstances.
A second type of reasoning discussed in the reading is the use of deduction. Logical reasoning uses deduction, or the process of concluding an assumption…
As a future nurse educator, using technology to gather and disseminate healthcare information will become even more critical for me in the future. Students and patients alike will expect that their teachers will have a broad, in-depth range of knowledge about new technology in the field of heath informatics.
The organization offers information about 'best practices' in healthcare technology, such as how to protect patient privacy in the online age. Medical ethics and best practices will no doubt be a topic of debate in many of the classes I will teach in the future, whether I am educating future nurses or patients.
The organization offers continuing education resources in the field of health technology. Keeping one's education current is essential, as healthcare computer systems are constantly changing and improving.
Members can attend conferences, and interact with nurses from a wide variety of backgrounds, thus broadening my framework of knowledge…
Nurses are well positioned to identify clinical problems and use existing evidence to improve practice and make care more effective (eyea, 2006). Evidence-based practices enables nurses to provide high quality care based on current evidence. The potential impact includes better patient outcomes, contributions to the science of nursing, keeps practice current and relevant, increases confidence in decision making, and keeps policies and procedures current, supporting JACHO readiness.
Some common practices in disseminating to a broader audience includes poster presentations, presentations, such as paper presentation, speaking, and presenting to the organization (Mauk). Other ways can include presenting to nursing journals for publication. Still another way is to implement a nursing research council that shares in the processes of researching current research studies, collecting evidence, and sharing at their individual organizations.
To implement a strategy for developing a collegiate EP network, goals and mission first need to be defined. Processes, then, need…
Beyea, S. & . (2006). Evidence-Based Practice in Nursing. Retrieved from hcmarketplace.com: http://www.hcmarketplace.com/supplemental/3737_browse.pdf
Mauk, K. (n.d.). Essentials of Evidence-Based Practice Disseminating Findings Program.
Worral, P.L. (Fall/Winter 2009-2010). Documenting and EBP Project: Guidelines for What to Include and Why. Jouranl of the New York State Nurses Association.
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…
Experiential Learning (Kolb). (2008). Retrieved September 30, 2010, from Web site:
Kim, Hesook Suzie. (2010). The Nature of Theoretical Thinking in Nursing. Retrieved September 29, 2010, from Web site:
Mendes, IA, Trevizan, MA, Noqueira, MS, Mayashida, M. (2000) Humanistic Approach to Nursing Communication: The Case of hospitalized Adolescent Female.
Rev ras Enferm (2000) Jan-Mar, 53(1):7-13.
Williams, Carol A. & Gossett, Monette T. (2001) Nursing Communication: Advocacy for the Patient or Physician" Clinical Nursing Research Vol. 10 No. 3 332-340 (2001) Online available at http://cnr.sagepub.com/cgi/content/abstract/10/3/332.
Colon-Emeric, Cathleen (2006) Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity Science. Qualitative Health Research Vol. 16 NO. 2, 1713-188 (2006)
Vaartio, H. et al. (2006)Nursing Advocacy: How is it Defined by Patients and Nurses, What does it Involve and How is it Experienced? Scand J. Caring Sci 2006 S. ept;20(3):282-92.
Tfouni, LV; de Carvalho, EC; Scochi, CG (1991) Discourse, institution, power: an analysis of the nurse patient interaction 0 Rev Gaucha Enferm 1991 Jan;12(1):20-5.
Jarrett, N. And Payne, S. (1995) A Selective Review of the Literature…
Mendes, IA, Trevizan, MA, Noqueira, MS, Mayashida, M. (2000) Humanistic Approach to Nursing Communication: The Case of hospitalized Adolescent Female.
Rev Bras Enferm (2000) Jan-Mar, 53(1):7-13.
Williams, Carol A. & Gossett, Monette T. (2001) Nursing Communication: Advocacy for the Patient or Physician" Clinical Nursing Research Vol. 10 No. 3 332-340 (2001) Online available at http://cnr.sagepub.com/cgi/content/abstract/10/3/332 .
Colon-Emeric, Cathleen (2006) Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity Science. Qualitative Health Research Vol. 16 NO. 2, 1713-188 (2006)
Nursing Schedules, Patient Outcomes
The title of this article suffices, although it could stand some improvement to make it even better. It certainly identifies the pivotal variables elucidated within this study, which include nursing scheduling, staffing, and patient morality. It is succinct enough. However, it does not allude to the study population at all. There is also a slight degree of redundancy in the title, as the focus of the research is more on the schedule concerns for nurses than for staffing in general.
The abstract is probably one of the better features of this research study and its ensuing write-up. It certainly is concise in its summary of the primary features of the report. It is also detailed in that it provides the problem, methods used, results, and conclusions -- although it does not not necessarily deploy those particular terms in doing so. It provides a high level synthesis…
Trinkoff, A.M., Johantgen, M., Storr, C.L., Gurses, A.P., Liang, Y., Han, K. (2011). Nurses work schedule characteristics, nurse staffing, and patient morality. Nursing Research. 60(1), 1-8.
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…
David Gorski. (2014, January 6). Expanding the scope of practice of advanced practice nurses will not endanger patients. Science-Based Medicine.
(2013). Nursing Licensure Portability. American Nurses Association.
Sarah Robinson, & Peter Griffiths. (2007). Nursing education and regulation: international profiles and perspectives. National Nursing Research Unit - King's College London.
Nurse Study eview
Vahey et al. (2004) research indicated the importance of investigating the role of environment and clinical situation for both nurse performance and patient satisfaction. This study is a quantitative approach to investigating these topics as it sought to find correlations between these variables.
The article is premised on the idea that nurses employed in hospitals are experiencing greater workloads resulting in career fatigue and burnout. The article incorporated past research on these topics and suggested that "Indeed, more than 40% of hospital staff nurses score in the high range for job-related burnout, and more than 1 in 5 hospital staff nurses say they intend to leave their hospital jobs within 1 year. The understaffing of nurses and the overwork of health professionals in hospitals are ranked by consumers as major threats to patient safety, and more patients are bringing their own caregivers to the hospital with them."…
Vahey, D.C., Aiken, L.H., Sloane, D.M., Clarke, S.P., & Vargas, D. (2004). Nurse burnout and patient satisfaction. Medical care, 42(2 Suppl), II57.
This is one of the most common forms of research and, for some research questions is clearly a strong design (Ethics in Critical Care Nursing Research, 2005).
The research that was done in this article would be considered a non-experimental type. There were two types of observation that were conducted. The first type was that of focus groups and the second being the file audit, both of which are observational in nature. In this case this was the most appropriate type of research design to use. Since they were simply trying to see what was actually going on in this area and how that was affecting patients the only real way to tot this was by observation. From this article a nursing care issue that can be raised is that of how palliative care nurses manage family involvement with end of life issues. Are there any standard procedures that are…
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).
Goddard NL. Financial management. (1987).
In Vestal KW. Management concepts for the new nurse. Philadelphia: JB Lippincott, 127-152
Gotoh H. Continuing education changes nursing. Japanese Journal of Nursing Administration. 1992, 2 (1) 62-69.
Hiemstra, R., and Sisco, B. (1990) Individualizing Instruction: Making Learning Personal, Empowering, and Successful. San Francisco: Jossey-Bass.
The data gathered is subjected to statistical analysis using statistical methods of linear regression and chi square testing.
The main purpose of the study was to confirm the hypothesis that consultation with CNS or RN in a drug-monitoring clinic has a significant positive impact on the well being of patients with rheumatoid arthritis. The study involved a single blinded randomized controlled trial over a period of three years. Subjects were chosen from the rheumatology out patient setting in a district general hospital with a drug monitoring service. A total of 71 subjects who were starting out on anti-rheumatic therapy were randomly assigned to either the interventional or the control group. While the interventional group was supervised by the CNS to assess patient needs (using Pendelton's framework) alongside drug safety evaluation, the control group was seen by an outpatient staff nurse purely for drug safety concerns. oth the groups were assessed…
Teri Britt Pipe; Kay E. Wellik; Vicki L. Buchda; Carol M. Hansen; Dana R. Martyn, 2005, "Implementing Evidence-Based Nursing Practice," Urol Nurs. 25(5): 365-370, Available at, http://www.medscape.com/viewarticle/514532
Ryan, S, Hassell, a.B, Lewis, M, & Farrell, a. (2006). Impact of a Rheumatology Expert Nurse on the well-being of patients attending a drug monitoring clinic. Journal of Advanced Nursing, 53(3), 277 -286.
Considine, J. & Botti, M. (2004) Who, when and where? Identification of patients at risk of an in-hospital adverse event: Implications for nursing practice. International Journal of Nursing Practice. 10: pp. 21-31
However, when ad-hoc methods meant to maintain the former conflict with protocols necessary to ensure the latter, the consequences can be compounded by the anaerobic environment under the dressing that promotes more rapid bacterial infection instead of protecting the wound site from external bacterial contamination (Fitzpatrick 1997).
Protocol Compliance Issues in Antisepsis of Intravenous Dressings: Wound dressings are provided in sterile packages and when applied with proper care and adherence to antisepsis protocol, help ensure that wound sites are protected from bacterial infection. However, when protocols are violated, whether accidentally, through oversight, or negligently, wound dressings represent significant vulnerabilities to infection via external contamination. Sometimes, techniques and procedures that are meant to solve other problems introduce increased risks to the antiseptic integrity of the wound site. For example, it is common practice to increase the absorbency of sterile gauze pads by simply doubling them over in half. While this does…
Fitzpatrick, J. (1997) Annual Review of Nursing Research. New York: Springer Publishing Co.
Nursing Link: The Nation's Nursing Community Online Library; (2007) Intravenous Therapy - Tips and Techniques. Retrieved February 26, 2008 from NursingLink website, at http://www.nursinglink.com/training/articles/350-iv-therapy-tips-techniques
Starr, P. (1982) the Social Transformation of American Medicine. New York: Basic Books.
Taylor, C., Lillis, C., LeMone, P. (2005) Fundamentals of Nursing: The Art and Science of Nursing Care. Philadelphia: Lippincott, Williams, and Wilkins.
eliability was tested using the internal consistency measure. Cronbach's alpha test conducted showed that the esourcefulness scale has an internal consistency of ? = 0.78, a value which is well within the acceptable range of values for this kind of test. esults of the test also showed that even if one of the eight (8) items in the esourcefulness Scale, the Scale would still yield the same test value, proving that indeed, the Scale is reliable when tested on an inter-item or per-item level (Zauszniewski, 2010:12).
esults and values yielded from the validity and reliability tests generally prove that the esourcefulness Scale is a good quantitative measure of resourcefulness. However, it is just as important to note that in addition to the significant relationships generated between the resourcefulness construct and its measures, the secondary analysis itself is a challenge for the authors who conducted the study. This is because an…
Burns, N. And S. Grove. (2005). The Practice of Nursing Research (6th ed.). St. Louis: Saunders Elsevier.
Hansen, C. (2005). Experimental Psychology (5th ed.). CA: Wadsworth.
Zauszniewski, J. And a. Bekhet. (2010). Psychometric testing of the "Children's Resourcefulness Scale." Journal of Child and Adolescent Psychiatric Nursing, 23 (3).
Third, lack of attention to evidence-based practice can lead to inconsistent delivery of care services.
Evidence-based practice relates to almost every aspect of health care at every stage of a client's relationship with the institution. For example, evidence-based practice informs the types of questions asked during the diagnostic procedures and might even impact the diagnosis itself (Bennett & Bennett, 2000). Evidence-based practice impacts the methods by which infections are prevented (Cantrell, 2009). Evidence-based practices impact the extent to which nurses are empowered to make sound, safe, and effective decisions (Scott & Pollock 2008). Evidence-based practice has the potential to transform the structure of a health care organization like MMH. This is because evidence-based practice changes the hierarchical structure in the organization due to the increased responsibility of nurses for conducting their own research. Alternatively, evidence-based practice can be an extension of organizational change. Health care organizations reducing the hierarchical nature…
Artinian, B.M., West, K.S., & Conger, M.M. (2011). The Artinian Intersystem Model. New York: Springer.
Bennett, S. & Bennett, J. (2000). The process of evidence-based practice in occupational therapy: Informing clinical decisions. Australian Occupational Therapy Journal (2000), 47, 171-180.
Burns, N. & Grove, S.K. (2009). The Practice of Nursing Research. St. Louis, MO: Saunders.
Cantrell, S. (2009). Performing under pressure: Caring for decubitus ulcers. Healthcare Purchasing News. Aug 2009.
By synthesizing knowledge from the natural and behavioral sciences, as well as the humanities, into nursing practice, a nurse can provide much more value when it comes to the proper level of care for all patients (Fitzpatrick & Kazer, 2011). In order for nurses to synthesize the knowledge from all of these areas, though, nurses must first obtain this knowledge. One of the best ways to do that is through continuing education. Nurses who go back to school to obtain bachelor's degrees and higher are helping themselves, but they are also helping their current and future patients (Judd, 2009). It is generally never a bad thing to gain knowledge, and being good at nursing is more than just focusing on the physical aspects of patient care. There is also a significant mental aspect of the career.
With that in mind, nurses must learn more than just nursing skills.…
Fitzpatrick, J.J. & Kazer, M. (eds.). (2011). Encyclopedia of nursing research (3rd ed). NY: MacMillan.
Longe, J. (ed.). (2013). Gale Encyclopedia of Nursing and Allied Health. NY: Gale Group.
D'Antonio, P. (2010). American nursing: A history of knowledge, authority, and the meaning of work. NY: Penguin.
Judd, D. (2009). A history of American nursing: Trends and eras. NY: Macmillan.
Nursing Practicum: Learning Objectives and Timeline
As a future primary care provider seeking NP board certification, one of my primary areas of focus will be how to enhance my patients' understanding of preventative medicine. This directly relates to DNP Essential VII: of "Clinical Prevention and Population Health for Improving the Nation's Health" (The Essentials, 20016, p.15). The United States has seen a dramatic rise in chronic illnesses rooted in poor lifestyle choices such as diabetes and heart disease. Through my practicum experience, my first learning objective is the ability to more effectively engage with patients and express the need to achieve health-related goals in layperson's terms. I also seek to work with patients to create a plan for healthy living that they view as reasonable and achievable, given that patients are often intimidated by the need for lifestyle changes.
This also related to my Evidence-Based Practice (EBP) Project which specifically…
The essentials of doctoral education for advanced nursing practice. (2006). AACN. Retrieved
High blood pressure educational materials for patients. (2015). CDC. Retrieved from:
The trust from volunteers on the research is set to bring about an understanding of the relevance of the study to the nursing environment. The participants will have a certificate of confidentiality, so they can have their identities and input towards the research concealed throughout the study period and after (Schelbred & Nord, 2007).
Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008). In Kozier & Erb's Fundamentals of Nursing (8th ed.). Upper Saddle iver, NJ: Prentice Hall (Publishing Co.)
Black, N., (2009). N, Obstetrics Department, Mat Su egional Medical Center, Personal
interview conducted and recorded via telephone on September 12, 2009. Free dictionary.
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Law, M., Stewart, D., Letts, L., Pollack, N., Bosch, J., & Westmorland, M. (1998) Guidelines for Critical Form -- Qualitative Studies, etrieved September 23, 2009 from the World Wide
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interview conducted and recorded via telephone on September 12, 2009. Free dictionary.
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In the previous section, Estabrooks raised the question of the ability of the EP framework to provide the "best evidence" in nursing practice and the danger of excluding nurses in decision-making tasks as a result of EP prevalence and dominance.
Rolfe, while he analyzed the empirical foundations of EP, also looked at it from a practical perspective, or how EP is applied in the current practice of nursing. Identifying the problem of EP as the question of its "technical rationality," Rolfe uncovered an important issue that best describes also Estabrooks' contentions in her article: the "theory-practice" gap in nursing practice.
In thoroughly discussing this phenomenon in nursing, Rolfe illustrated how theory-practice gap occurs in the practice scenario (39):
First, that nurses rarely read research reports; second, that when they do read them, they rarely understand them; and third, even when they do read and understand research reports, they are reluctant…
Avis, M. (Oct 2006). "Evidence for practice, epistemology, and critical reflection." Nursing Philosophy, Vol. 7, Issue 4.
Estabrooks, C. (1998). "Will evidence-based nursing practice make practice perfect?" Canadian Journal of Nursing Research, Vol. 30, No. 1.
McCormack, B. (2006). "Evidence-based practice and the potential for transformation." Journal of Research in Nursing, Vol. 11, No. 2.
Rolfe, G. (Jan 2006). "Nursing praxis and the science of the unique." Nursing Science, Vol. 19, No. 1.
This process does not just help to gain complete understanding of the tasks in hand but also to regularly serve as a reminder of all the legal processes which guide appropriate nursing documentation.
The documentation characteristics which are spread all over the nursing field properly addresses the need to efficiently communicate through written methods. One of the main property of proper documentation is that the ability of a nurse to document legibly. This might look like an easy process to carry on but the fact is that many nurses, medical doctors or any other personnel associated with the nursing field do not follow a single standard of legibility.
Documentation in nursing field should also achieve the factor of being accurate and based on facts, by giving actual data, the process of care and appropriate channel of communication is maintained as this documentation can be used by the nurses in the…
Finally, let's have an example of a current nursing research (childhood obesity) in general practice and analyze the findings, this research was conducted in 2007, Obesity in children has come to huge proportions especially in the developed world, in the U.S. It is almost tripled in 35 years from 1970 to 2005, this rate is found higher in male as compared to females, this study suggests that some twenty five million American children are obese. This study also suggests that the main causes of obesity are many such as metabolic syndrome, hypertension, sleep disorders or liver related diseases. It is also because of some psychological effects like trauma, any sort of discrimination or depression which may force the child to eat more.
Those adults which were overweight in their childhood poses a bigger risk of heart disease, developing hypertension, diabetes and other diseases as compared to those individuals who were not overweight. This factor also puts a huge cost on the health care services a nation provides, in U.S. It costs some seventy five billion dollars to the government annually.
There have been many theoretical models which are used to prevent this problem from escalation such as the Transtheoretical model, the social cognitive model and others. These models give the bases for assessment which intervene on selected variables. The environmental factor also has a huge influence in a child's life (places such as home, school, and community), study suggests children's eating activity is cross-sectional to the environment which it lives in.
The respondents who step out to be part of the research process should be protected from any unwanted intrusion or any other form of personal or group harassment (Smith & Liehr, 2008).
It is formal to have and conduct nursing research according to the set ethical frameworks where the entire review of the proposal will be undertaken. Whether to be undertaken by the staff or students, this research should be subjected to ethical approvals, which will make sure that the research, proposal is directed at serving the nursing school dream and intentions. Using the Middle range theory, the nursing problems and challenges will be solved in various ways as follows (Smith & Liehr, 2003).
All the nursing researchers and educators, being the staff members, must have respect upon the dignity, interests, and rights of the nursing students and other staff members related and participating in practical and theoretical learning.
Basford, L., & Slevin, O. (2003). Theory and practice of nursing: An integrated approach to patient care. Cheltenham, U.K: Nelson Thornes.
Fitzpatrick, J.J., & Kazer, M.W. (2012). Encyclopedia of nursing research. New York:
Meleis, a.I. (2011). Theoretical nursing: Development and progress. Philadelphia: Wolters
nursing client relationships and how the study is a valid research for practitioners. It has 26 sources in Harvard Style.
esearch titles must be limited to fifteen words. In this case the author has exceeded the limitation by one count which is negligible. The importance of relevance of the title to the body of the research is that it must collaborate with the core study area. In the first line the author has already specified the relationship of the nurse-client at the beginning and categorizes it as a "partnership" whereas the title of the study must not reveal the results or even the anticipated results.
Authors and Abstracts
The authors T. Hostick and F. McClelland both the authors indicate in their abstract that the article aim in establishing nursing behavior when they are engaged in a nurse-client relationship. The abstract though is limited in expressing the content of the study…
Hostick, T. & McClelland, F. 2002, Partnership: a co-operative inquiry between Community Mental Health Nurses and their clients. 2. The nurse-client relationship. Journal of Psychiatry and Mental Health Nursing 9, 111-117.
Beyea, S.C. 1997, Research utilization begins with learning to read research reports, Research Corner, AORN, February. Accessed on 29-9-2003 at http://www.aorn.org/journal/research/rc297.htm
Author not available, 2003, Reading Nursing Research to Critique a Study and to Summarize Findings for Use in Practice, Available at http://classes.kumc.edu/son/NURS460smith/460critiquingreseach.html
Forchuk, C. 1989, Establishing a Nurse-Client Relationship. Journal of Psychosocial Nursing vol.27,no.2. Available at http://willmar.ridgewater.mnscu.edu/library/338271.htm
If nursing students are being asked to absorb 30-40% more information during undergraduate years, it is logical to see that they do so early in their academic career -- almost as a prerequisite for more advanced practicum.
Then, of course, there is the matter of the learning curve in professional education. If one compares schooling for registered nurses with that of physician's assistants or physicians, one often sees a growing gap between the clinical abilities of nursing staff and actual patient care needs. This cause has been attributed to deficiencies in some skill sets of new graduates -- which has the effect of pushing nursing schools and curriculum toward more robust materials (Berkow, Virkstsis, Sewart, and Conway, 2008). However, is the solution simply adding more materials to memorize and read, or might it be more efficient to take a look at the time frame of the educational experience and ask…
Berkow, Virkstsis, Sewart, and Conway. (2008). Assessing New Graduate Nurse Performance. Journal of Nursing Administration, 38(11), 468-74.
Burritt and Steckel. (2009). Supporting the Learning Curve for Contemporary Nursing Practice. Journal of Nursing Administration, 39(11), 479-84.
Heller, Oros, and Durney-Crowley. (2009, July 30). The Future of Nursing Education: Ten Trends to Watch. Retrieved September 20, 2010, from http://www.nln.org/nlnjournal/infotrends.htm
Holzmer, W. (2006). Quality in Graduate Nursing Education. Nursing Education Perspectives, 26(4), 236-43.
ecause this is true, it is critically clear that the nursing leadership manager's role is one of a vital nature and that support for nurses in their role is the primary component that must necessarily be integral to leadership in nursing in dialysis units if the turnover of nurses is reduced to the lowest possible level. The nursing leadership manager's role is one that must proactively deal with burnout of these dialysis unit nurses instead of attempting to address these as they occur. Prevention is 'key' toward this end. As the demands grow for quality and competent nursing staff so does the need grow for competency in leadership nursing manager roles. ecause the dialysis unit nurse is very closely involved in their patient's care and because these patients are required to report for treatment several days a week for several hours a day the nurse's mental, physical and emotional state…
Aiken, L.H., & Patrician, P. (2000). Measuring organizational traits of hospitals: The Revised Nursing Work Index. Nursing Research, 49, 146-153.
Aiken, L.H., & Sloane, D.M. (1997). Effects of organization innovation in AIDS care on burnout among urban hospital nurses. Work Occupation, 42, 453-477.
Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J., & Silber, J.H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [Electronic version]. JAMA, 288, 1987-1993.
Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J.A., Busse, R.A., Clarke, H., Giovanetti, P., Hunt, J., Rafferty, a.M., & Shamian, J. (2001). Nurses' reports on hospital care in five countries [Electronic version]. Health Affairs, 20, 43-53.
Importance of the Issue
Nurse need to keep the records and specific information about their patients. The services in the hospitals require that every detail of the patients be kept in the records. For patients whose conditions recur, record helps the medical practitioners understand the health history of the patient. Proper records in the hospital are helpful in patient transfers (Voyer et al. 2014). Often, patient referrals are common in hospitals and thus records help the doctors in the new hospital to attend to the needs of the patient. The family members of the patients require the health records of their patients to arrange for better treatments. The law requires the nurses to keep records of the nature of services they offer to the patients. Often, the records of each patient are permanents in the hospital where they are kept physically or electronically. Records are essential because they…
What causes staffing shortages in the field of nursing? Staffing shortages can be the result of many variables—turnover, unmet demand for services due to a lack of RNs, overwork (nurses calling in sick), and so on. Buchan (2002) identified the problem of staffing shortages in nursing as having an underlying cause in the nature of the health system itself as well as a social one: “Nursing in many countries continues to be undervalued as women’s work, and nurses are given only limited access to resources to make them effective in their jobs and careers” (p. 751). This is especially true in countries like Saudi Arabia, where nursing is viewed as woman’s work but is not valued highly by society—though it is recognized as being highly needed (Alyami & Watson, 2014). To address the issue of staffing shortages, the Institute of Medicine (IOM, 2012) has called for more nurses to…
Perhaps the most fundamental tenet of my nursing philosophy is the administration of care in an intrinsically empathetic manner which benefits the patient. I unequivocally believe in patient-centered care and that nurses who are able to maintain this component of their practice as their primary goal are able to produce the greatest efficacy in administering to patients. Moreover, with all of the concerns of the contemporary healthcare market, including various facets of financial and technological concern, the shortage of various practitioners, and innovations in precision medicine, it is easy to forget that the most vital component of the health care industry is the patients themselves. Quite simply, patients have the most to gain and lose from the health care system. Therefore, I readily believe that keeping those patients as the center of the care delivered by me and others within my profession is the best way we can…
Andrist, C., Nicholas, P. and Wolf, K. (2006). The Evolution of the Environment Paradigm in Nursing. A history of nursing ideas (pp. 97- 108). Sudbury, MA: Jones and Bartlett.
Bourdeau, M. Auguste Comte. The Stanford Encyclopedia of Philosophy. https://plato.stanford.edu/archives/win2015/entries/comte/
McEvoy, L., Duffy, A. (2008). Holistic practice -- a concept analysis. Nurse Education in Practice. 8, 412-419.
Zborowsky, T. (2014). The legacy of Florence Nightingale's environmental theory: nursing research focusing on the impact of healthcare environments. Health Environments Research & Design Journal. 7(4), 19-34.
Nursing Leadership Priorities and Challenges
The priorities for nursing and nursing leadership are, on some levels, fundamentally simple. Nurses are simply tasked with providing the most effective care for their patient populations. This goal becomes much more nuanced when one begins thinking about how to properly achieve this goal. There is a considerable amount of research emerging in recent years surrounding this field which supports the notion that evidence-based practice is one of the efficient ways (Stevens, 2013) to improve patient outcomes. Therefore, in alignment with the chief priority of providing the best care to patients as possible, nurses must also prioritize how to do so utilizing evidence-based measures with a demonstrated efficacy in both clinical and outpatient settings.
However, justifying these two priorities creates an inherent challenge for nursing on a multiplicity of levels including those pertaining to organizations, roles, and individuals. Specifically, the difficulty lies in introducing new…