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Depending on whether your interest is the Army, the Navy, or the Air Force, a military nursing career can offer the opportunity to gain valuable experience while receiving financial assistance. For example, in the Army ROTC the student will gain military science as well as the option to take an elective that includes a unique summer training experience along with the regular nursing training program. The Navy as a choice affords the student of working on land or on the sea. Nursing roles can consist of family practice, advanced surgery, or even specializing in aerospace medicine. Finally, the Air Force option can lead to leadership and management roles. Specialties include Anesthesia, Coronary Care, Family Practice, Intensive Care, Medical/Surgical, Mental Health, Midwifery, O/GYN, Operating Room, and Pediatrics. The military nursing career is a rapidly changing atmosphere that needs to learn new aspects of health care and medicines as new developments are…
Carruthers, Evalyn P. Nursing. History of Nursing. Microsoft Encarta Encyclopedia Standard 2004.
Clifford, Major Kerry. (2002, 7-8 November). Abstract for Nurses ADF Forum. The Future for a Flight Nurse Specialisation in the ADF. http://www.google.com/url?sa=t&ct=res&cd=2&url=http%3A//www.defence.gov.au/dpe/dhs/adfnursingofficers/forum/2002/Flight_Nursing_ADF.doc&ei=hLgoQ8euJ7O4aqTKkK8H
Military Nursing. Retrieved September 14, 2005 from the World Wide Web: http://www.nursenc.org/recruitmentandretention/youth/roles/militarynursing.htm
PayScale - Bachelor of Science in Nursing (BSN) Salary Survey, Salaries, Wages, Compensation. Retrieved September 14, 2005 from the World Wide Web: http://www.payscale.com/salary-survey/aid-20153/rid-79/fid-6886/RANAME-SALARY
Nursing Roles in Primary Health are
The nurses play a vital role within the Primary Health are system (PH) given that they are part of the multidisciplinary team. Apparently, these nurses possess registration with advanced education and training that helps in the provision of additional primary health care functions in promoting health, injury and disease prevention, cure, rehabilitation among other services (Walker, 2012). The work also focuses on the roles that other five different health care workers play, including how they relate with the nurses in their day-to-day activities. The other five health care workers include the indigenous health care workers, medical practitioners, pharmacists, physiotherapists and social workers. The entire health care fraternity under PH system strives to ensure all citizens of a country stay healthy, getting better, and able to cope and live with diseases till the end of life.
The multidisciplinary team comprises of professionals mainly in the…
Cody, W.K., & Kenney, J.W. (2006). Philosophical and theoretical perspectives for advanced nursing practice. Sudbury, Mass, Jones and Bartlett Publishers.
J. 2012, 'The Changing Role Of NURSES', H&HN: Hospitals & Health Networks, 86, 3, pp. 36-49, CINAHL Plus with Full Text, EBSCOhost, viewed 17 May 2012.
Sutton, G, Liao, J, Jimmieson, N, & D. 2011, 'Measuring Multidisciplinary Team Effectiveness in a Ward-Based Healthcare Setting: Development of the Team Functioning Assessment Tool', Journal For Healthcare Quality: Promoting Excellence In Healthcare, 33, 3, pp. 10-24, CINAHL Plus with Full Text, EBSCOhost, viewed 17 May 2012.
They must experience these values and behaviors with autonomy and dignity in long-term care. ut focus group participants said that these facilities were few and far between for African-Americans. Their comment was also that they did not know they had dignity until someone imparted the idea to them by speaking and acting. It was not inherent in them. The elements of dignity included self-respect vs. shame, honor vs. humiliation, decorum vs. inappropriate behavior, privacy vs. exposure, power vs. vulnerability, equality vs. favoritism, adulthood vs. infantilization, ego integrity vs. despair, individuation vs. objectification and autonomy vs. dependency. Older African-Americans experience being addressed in demeaning ways by caregivers. On the whole, the lack community did not trust or want their family members put into a home, having seen or heard about the abuse, which goes on there, and would rather rely on some other facility.
Nurses and other health care professionals…
1. Arino-Blasco, S. (2005). Dignity and Older People: the Voice of Professionals. Quality Ageing: Pavilion Publishing Ltd.
2. Johnson, M.E. (2005). The Ultimate Advocacy Role. AAACN Viewpoint: American Academy of Ambulatory Care Nursing
3. New Mexico Nurse (2005). Code of Ethics with Interpretive Statements. New Mexico Nurses Association
4. Turner, W.L. (2004). The Last Mile of the Way: Understanding Caregiving in African-American Families at the End-of-Life. Journal of Marital and Family Therapy: American Association for Marriage and Family Therapy
Nurses have a direct personal responsibility to help, serve, and care for others. This is true especially for nurses working in underdeveloped nations or with underserved, politically disenfranchised, or vulnerable communities. Yet nurses must take care not to generalize about working in underserved communities, because regardless of the socioeconomic factors, there will be significant cultural dimensions that need to be taken into account. Language, customs, and communication styles are all factors that will impact the delivery of care.
For example, a nation like India is itself a vast and diverse country with dozens of different languages and cultural groups represented. A nurse working in India must learn about the specific community. Mother Theresa, for instance, worked in Bengal, in the city of Calcutta. A nurse working in south India might encounter the Tamil people, who speak a language not even related to Bengali or even Hindi. Therefore, the nurse…
Mallick, K. (n.d.). Common Ground of Feminism and Cultural Relativism in Human Rights Discourse: The Case of Sex-determination Test in India. Philosophy and Gender. Retrieved online: http://www.bu.edu/wcp/Papers/Gend/GendMall.htm
Middleton, J. (2012). It has always been my dream to nurse in a developing country. Nursing Times. Retrieved online: http://www.nursingtimes.net/ nursing-practice/clinical-zones/management/it-has-always-been-my-dream-to-nurse-in-a-developing-country/5042257.article
Theoretical Foundations for Nursing oles and Practice
Nurses interview guideline
It is imperative to have specific markers that will aid in executing an interview for an applicant wishing to be employed as a nurse. This will aid in getting the right person for the job, such that the individual will perform above and beyond the duties assigned to him/her. Education competency is the most vital marker, which should be supplemented by other sources that extend beyond the realm of academia (Gary, 2007). Through out this guide, an example is the interview conducted for a nurse fresh out of college. A point to note is that when hiring a primary care giver in the role of a nurse, experience is a necessity born out of the fear that handing responsibilities to someone fresh from school is seen as a liability than an asset (Foster, 2001).
Interviewee X attended her pre-graduate education…
Banker, t M. (2010), A watchful Eye, A history of America's Nurses. New York: Continium Publishing Company
Foster, V. (2001). Role of mental. Health.Philadelphia: JB Lippincotcompany
Gary R. (2007). Advanced Nursing Practice. Butterworth: Heinnemann Limited
Thatcher V. (2002). History of Nursing Education: Philadelphia: JB Lippincot company
Advanced Practice oles in Nursing
oles of the Nurse Practitioner, Nurse Educator, Nurse Informatics, and Nurse Administrator
The Nurse Practitioner, Nurse Educator, Nurse Informatics, and Nurse Administrator provide health care services although the requirements and restrictions in each field vary. Anyone interested or who enjoys caring for other people can serve well in the career fields. The four fields of nursing provide numerous specialization opportunities. The four fields play a crucial role in the overall functioning of the healthcare industry enhancing growth and development.
NEs may be discovered in various educational settings including four-year and two-year schools, and colleges, technical universities, health care centers, and hospital sponsored nursing institutions, regional and local health agencies, and long-term healthcare facilities. NPs practice their specialization in primary care facilities, clinic divisions including critical care units and emergency room, nursing institutions, doctors' work places, public health branches and nurturing homes and hospices. A few…
Dreher, H. & Glasgow, M. (2011). Role development for doctoral advanced nursing practice. New York: Springer Pub. Co.
Finkelman, A. & Kenner, C. (2010). Professional nursing concepts: Competencies for quality leadership. Sudbury, Mass: Jones and Bartlett Publishers.
Hamric, A. Spross, J. & Hanson, C. (2009). Advanced practice nursing: an integrative approach (4 ed.). New Delhi: Gennext Publication.
Ivanov, L. & Blue, C. (2007). Public health nursing: Leadership, policy, & practice. Australia: Delmar Cengage Delmar.
Current needs in healthcare are rapidly changing as a result of technological advances, cultural transformations, economic and social deterioration, and other variables that are impacting the modern world in the 21st century. Yet, adequate services are not always available via the current roles in nursing. For instance, the demand for telehealth and eHealth is growing in the Digital Era and can be an effective means of overcoming obstacles of time and distance -- yet there are few infrastructures in place to actually assist this type of service or provide nurses with the support system needed to make this type of care possible and effective. For this reason, the roles of the NP, CNS, CNM, CNA, nurse educator (NE), nursing informaticist (NI) and nurse administrator (NA) are not reflective of our current needs in healthcare.
While the APN Consensus Model (2008) indicates that nurses have "expanded in numbers and capabilities…
APRN Consensus Model. (2008). NCSBN. Retrieved from https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf
Although nurse anesthetists began providing extensive health care in the United States 100 years ago, they only recently received due recognition. Each year they administer about 65% of the 26 million anesthetics given to patients nationwide. his number is as high as 85% in rural areas. Many hospitals that do not have anesthesiologists rely totally on these professionals. Men make up 42% of America's 28,000 nurse anesthetists, compared to approximately 5% of the total nursing profession.
Nurse anesthetists practice in numerous environments. hese include traditional surgical suites and obstetrical delivery rooms; doctors' offices; ambulatory surgical centers; and U.S. Military and Veteran hospitals.
o become a nurse anesthetist, students must have a Bachelor's in Nursing, current license as a registered nurse, at least one year's experience in an acute care nursing setting and graduate degree from an accredited school of nurse anesthesia. hey must then become pass a test…
To become a nurse anesthetist, students must have a Bachelor's in Nursing, current license as a registered nurse, at least one year's experience in an acute care nursing setting and graduate degree from an accredited school of nurse anesthesia. They must then become pass a test to become a certified registered nurse anesthetist (CNRA).
CNRAs normally rank higher in title and salary than many other nurses. Beginning salaries can be as low as $50,000 to $70,000, but the average was about was $118,000 in 2001. Salaries are expected to increase because the number of CRNAs is not keeping pace with need and this field is one of the top 10 recruited healthcare specialties. According to Allied Consulting, these professionals can even earn more than some physicians or about $180,000. Shortages are greatest in U.S. locations with large populations of seniors and aging patients and in those states having more stringent laws for CRNAs. In some places, for example, they cannot perform specific duties without an anesthesiologist being present. Some states such as Florida want to license anesthesiologist assistants (AAs) to do some of the CRNAs' tasks due to the employment shortage. Many of the CRNAs are naturally against such legislature and may consider leaving the state if the law passes.
CRNAs make high salaries because they have a number of major challenges. "A person needs a shift in mindset when moving from a staff nurse position upward to this advanced, autonomous role," says a CRNA from Mt. Sinai Hospital in Miami Beach. "Nurses frequently rely on a doctor to give orders and assume ultimate responsibility. As a nurse anesthetist, I write orders for other people to implement and determine that an intervention is necessary. When something goes wrong, it's a matter of life or death." Another CRNA challenge is explaining the risks of anesthesia. Although the practice is almost 50 times safer today than 20 years ago, there are still some risks that the nurse anesthetists must communicate to patients while still putting them at ease.
[Roberta S. Rehm]. Thus, the need for nurses to upgrade their skills in handling assistive technical gadgets becomes more pronounced. The most frustrating and stressful situation for parents is when school authorities fail to show an active interest in the needs and care requirements of the technologically dependent children. Here again, school nurses, as health care deliverers in the school, can exhibit a proactive approach. Increased parent- nurse rapport is one way to reduce the parental concern for children with special needs. Clearly, nurses are central in delivering quality medicare for dependant children and in promoting it in the school setting. They have to play a coordinated role with parents and school administration to ensure that required level of care is delivered to the dependent children. [Roberta S. Rehm]
It needs to be highlighted here that schools nurses may not be always available as in many cases they are entrusted…
Barbara A Montagnino, Rizalina V Mauricio, "The Child with a Tracheostomy and Gastrostomy: Parental Stress and Coping in the Home -- A Pilot Study," Pediatric Nursing, Sept 2004 v30, p373
Roberta S. Rehm, "Creating a Context of Safety and Achievement at School for Children who are Medically Fragile / Technology dependant," Advances in Nursing Science, March 2002, v24, p71
3) Louis Dixon, "Tracheostomy: Easing The Transition From Hospital to Home," Accessed on 23rd Oct 2005, available at http://www.perspectivesinnursing.org/v1n3/dixon.html
Evolution of Nursing oles in an Enlarged National Health Care System
The Affordable Care Act enables the provision of health insurance to 30 million people above the coverage figures prior to the enactment of the law. Because of this precipitous rise in the number of health insurance members, access to care as a function of the availability of primary care providers has been a leading issue in the transition to the nation-wide system of health care insurance. Public health models and nursing practice arrangements are changing in order to meet the immediate and anticipated care needs that have been brought to bear on the health care systems.
Public Health and Nurse Managed Health Centers (NMHCs)
From the earliest days of public health, the roles of nurses have been embedded in the social, educational, and political needs of communities. Health education has functioned as a springboard to community organizing, patient advocacy,…
Centers for Medicare & Medicaid Services. (2005, January). CMS.gov. Retrieved from http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html
Kulbok, P.A., Thatcher, E., Park, E., & Meszaros, P.S. (2012, May). Evolving public health nursing roles: Focus on community participatory health promotion and prevention. The Online Journal of Issues in Nursing (OJIN), 17(2). DOI: 10.3912/OJIN.Vol17No02Man01. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Evolving-Public-Health-Nursing-Roles.html
National Conference of State Legislatures. (2012, September). The Medical Home Model of Care. Retrieved from http://www.ncsl.org/research/health/the-medical-home-model-of-care.aspx
Reid, R., Haggerty, J., & McKendry, R. (2002, March). Final Report. Defusing the confusion: Concepts and measures of continuity of healthcare. Canadian Health Services Research Foundation, the Canadian Institute for Health Information, and the Advisory Committee on Health Services of the Federal/Provincial/Territorial Deputy Ministers of Health. Retrieved from http://www.hpm.org/Downloads/Bellagio/Articles/Continuity/cr_contcare_e.pdf
Masters-prepared Nurse's Role: Questions
Describe the masters-prepared nurse's role as advocate for the nursing profession.
Historically, nursing has seldom garnered the respect it deserves as a profession. A masters-prepared nurse is capable of performing many of the functions of a physician. The technical preparation and level of specialty confounds stereotypes of the nursing profession as merely a 'helper' to doctors.
Describe the masters-prepared nurse's role and responsibility in professional activities.
As well as technical duties, APNs are often called upon to act in managerial capacities. The nurse must balance the needs of the organization with the demands of patients and the role of the nurse-practitioner. The masters-prepared nurse has a responsibility to stay on the cutting edge of professional literature, including updating his or her credentials; reading publications; and becoming a member of professional organizations.
713.1.2-03: Describe the masters-prepared nurse's role in maintaining continued competence.
Healthcare is a constantly-changing field.…
Nurse's ole As esearcher
The nurse plays a unique role as a researcher. This involves them focusing on the latest treatment options, how they affect patients and the best times specific techniques should be utilized. Moreover, they must understand the numerous side effects of different therapies and how this will affect the patients they are working with. These areas help them to serve as confidant in comprehending how and when to apply certain procedures. (Allan, 2005)
At the same time, the nurse will understand the psychology, customs, behavior and biological factors which are contributing to a host of conditions. This enables them to comprehend the challenges patients are going through and the lasting impact this is having on them. When this happens, they can reduce suffering and improve their ability to cope with the issues they are facing. These insights will help patients to make a full recovery with reduced…
Allan, J. (2004). Clinical prevention and population health. American Journal of Preventive Medicine, 27(5), 470-481.
Allan, J. (2005). Clinical prevention and population health curriculum framework: The nursing perspective.
Allen, D. (2002). The Changing Shape of Nursing Practice. New York, NY: Routledge.
American Academy of Nurses. (2009). Nurses transforming health care using genetics and Genomics. Washington, DC: Author.
Americans who eat a healthful diet consume a variety of nutrient-dense foods within and across the food groups, especially whole grains, fruits, vegetables, low-fat or fat-free milk or milk products, and lean meats and other protein sources and limit the intake of saturated and trans-fats, cholesterol, added sugars, sodium, and alcohol. They balance caloric intake and caloric needs ("Nutrition and Weight Status," 2012).
Obesity has detrimental effects on the healthcare system and the quality of life for many obese individuals. It is important to develop policies and promote a social awareness that no longer sanctions discrimination of the obese while responsibly promoting behavior modification to improve health. Stokes (2004) notes that, "not everyone can or should look like supermodels, and no one should obsess over his or her body size; however, being overweight or obese is directly linked to development of chronic disease, and it is second only to smoking…
Casey, D. (2007, June). Nurses' perceptions, understanding and experiences of health promotion. Journal of clinical nursing, Vol. 16, Issue 6, 1039-1049. Retrieved January 30, 2012, http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=032d861b-476c-40e7-976f-e57fd3dc06b8%40sessionmgr12&vid=4&hid=19
"Nutrition and weight status ." (2012, January 10). Healthy people 2020. Retrieved January 30, 2012, from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=29
Ogden, C.L., Carroll, M.D., McDowell, M.A. & Flegal, K.M. (2007, November). Obesity among adults in the United States -- no statistically significant change since 2003-2004. Center for Disease Control. U.S. Department of Health and Human Services. Retrieved January 30, 2012 from http://www.cdc.gov/nchs/data/databriefs/db01.pdf
Spurlock, M. (2005) Don't eat this book: fast food and the supersizing of America. New York: Penguin Group.
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.
Nurse ole Specialization
Becoming credentialed as a nurse practitioner (NP) for a hospital clinic is a process that demands a lot from recent graduates. Depending on the hospital, recent NP hires may or may not have restricted privileges until full credentialing has been completed, or may even be barred completely from practicing until the process is done. The credentialing process includes completing a criminal background check, submitting official transcripts documenting completion of an advanced nursing academic program, professional references, and completing the regulatory paperwork required by the state boards and federal agencies. Delays and inefficiencies in the credentialing process can prevent a newly hired NP from getting full privileges.
Waiting for a DEA number took up to three months, yet hospitals expect NPs to contribute in a meaningful way. Without privileges to write prescriptions the NP cannot function autonomously and delays in patient care occurs. Thus the credentialing…
ANA (American Nurses Association). (2013). Advanced Practice Nurses. NursingWorld.org. Retrieved 15 Sep. 2013 from http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses .
Cassidy, Amanda. (2013, May 15). Nurse practitioners and primary care (updated). Health Affairs. Retrieved 15 Sep. 2013 from http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=92 .
Federal Trade Commission. (2003). American Nurses Association testimony before the Federal Trade Commission and Department of Justice on perspectives on competition policy and the health care marketplace. Federal Trade Commission. Retrieved 15 Sep. 2013 from www.ftc.gov/ogc/healthcarehearings/docs/030227carsonwinifredy.pdf.
Institute of Medicine. (2000). To Err is Human: Building a Safer Health System. Online: National Academy Press. Retrieved 15 Sep. 2013 from http://www.iom.edu/Reports/1999/To-Err-is-Human-Building-A-Safer-Health-System.aspx.
Nursing Problem: Shortage of Nurses in Healthcare
The researcher works at Phoebe Memorial Hospital, where there is an extreme nursing shortage. Without an adequate amount of nurses, patient care and safety may turn out to be compromised, while nurses themselves may be stunned, upset, and dissatisfied. At the researcher's workplace, high patient-to-nurse ratios has been displaying that there is a lot of frustration and job burnout, which is linked to higher yield. At Phoebe, there is an inadequately staffed nursing force which has been discovered to play a negative part in patient results. In difference, studies have confirmed that hospitals like Phoebe Memorial Hospital with low nurse turnover are the ones that have the lowest rates of risk-adjusted death and severity-adjusted span of stay.
There is no very exact way of describing the concept of nursing shortage at the Phoebe Memorial Hospital Phoebe, but a report of this…
NURSING PROBLEM: SHORTAGE OF NURSES
133). This informal power is quite significant when it comes to patient decisions and as such doctors need to appreciate and understand this power nurses wield.
Due to the unique information nurses have about patients, nurses have considerable decision-making responsibilities concerning patients. For this reason, many medical schools have implemented programs, in their curriculum, to teach medical student how important it is to listen to the advice of their nurses. Innovative universities like the University of Kentucky Medical Center actually encouraged their residents to develop a collaborative partnerships with the nurses with which they worked. Paynton (2009) notes that outcomes of patient care improve when collaboration increases and the role of nurses is valued. However, regretfully, this collaboration does not always take place.
Although there is a shift in trends towards more collaboration between doctors and nurses, giving nurses more formal power in advocating for patients, the narratives collected by…
Goodman, B. (Nov 2003). Ms. B and legal competence: Examining the role of nurses in difficult ethico-legal decision-making. Nursing in Critical Care, 8(2). Retrieved April 22, 2009, from CINAHL Plus.
Keatley, V. (2008). Identifying and Articulating the Characteristics of Nursing Agency: BSN Students' Perspective. Self-Care, Dependent-Care & Nursing, 16(2). Retrieved April 22, 2009, from CINAHL Plus.
Lawson, L. (2008). Person-centered forensic nursing. Journal of Forensic Nursing, 4(3). Retrieved April 22, 2009, from CINAHL Plus.
McCarthy, V. & Freeman, L. (Fall-Winter 2008). A multidisciplinary concept analysis of empowerment: Implications for nursing. Journal of Theory Construction & Testing, 12(2). Retrieved April 22, 2009, from CINAHL Plus.
Nursing Timeline Week 2 • Create a 700- 1,050-word timeline paper historical development nursing science, starting Florence Nightingale continuing present. • Format timeline, word count assignment requirements met
Historical development of nursing timeline
The foundation of modern nursing. Before, nursing was largely the profession of disreputable people and not exclusively female. Based on her experiences during the Crimean War, Florence Nightingale strove to make it a respectable profession with uniform, professional standards. Her approach reduced the death toll in hospitals by 2/3rds during the Crimean War (Florence Nightingale, 2012, Biography: 1). She established the Nightingale Training School and wrote her foundational Notes on Nursing (Florence Nightingale, 2012, Biography: 2-3). Nightingale's canons of nursing compromised everything from an emphasis on proper sanitation to how the nurse should socially interact with the patient.
1880: Famed Civil War nurse Clara Barton founds the American ed Cross.
1909. Hildegard Peplau is born. Heavily influenced…
Betty Neuman's Systems Theory, 2012, Current Nursing. Retrieved:
Clara Barton. (2012). The Civil War. Retrieved: http://www.civilwarhome.com/bartonbio.htm
Doctor of Philosophy. (2012). School of Nursing. Retrieved:
It is important to understand nursing theory for a couple of reasons. The first is that nursing theory forms the basis for how the nursing role has evolved in health care today. There is a saying that in order to understand where one is going, it is necessary to understand where one has been. For this reason alone, it is important to understand how nursing theory has evolved over time, and how nurses today see their roles, and how those roles fit within the greater context of the health care system. If we look at seminal works like Jacox (1974) we can get a pretty good picture of how nursing was viewed up until the modern age, but then we need to see how the profession has evolved in the information age as well. The sorts of philosophical debates about what nursing is and what it should be form the…
Putting Conflict Management Into Practice: A Nursing Case Study
The healthcare industry is paramount to both economic growth and societal well-being. In the United States nearly 17% of GDP comes from the healthcare sector. Nurses in particular plan a critical role in the delivery of products and services to society. Newly issued legislation regarding treatment, health insurance, and overall healthcare coverage, has exacerbated the importance of the nursing role. This role, as many are aware, can be particularly stressful. Aspects such as illness, customer service, treatment errors, and more, can occur on a daily basis. As a result, conflict within the healthcare facility is likely to occur. Power conflicts can also occur within the nursing unit itself as individuals attempt to achieve status and wage increases. C.G. Vivar in an April 2012 issue of the Journal of Nursing Management outlines steps to help avoid and mitigate conflict within the work…
1) Bullough, Vern L. And Bonnie Bullough. The Emergence of Modern Nursing (2nd ed. 1972)
2) VIVAR, C.G. (2012), Putting conflict management into practice: a nursing case study. Journal of Nursing Management, 14: 201 -- 206. doi: 10.1111/j.1365-2934.2006.00554.x
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).
There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies…
Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87
Advisory Board Web site. (2004). Available at: http://www.advisory.com .
Ales, B.J. (1995). Mastering the art of delegation. Nurs Manage. August; 26: 32A, 32E.
American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.
Nursing Doctoral Business Proposal
The benefits of staffing Advanced Nurse Practitioners (ANP) as ANP Case Managers
A Nurse Practitioner (NP) is a registered nurse educated and certified to operate autonomously and collaboratively in an advanced and comprehensive medical responsibility. The practitioner has several additional roles under which they are to conduct diagnostic investigations, prescribe medications and undertake referrals to specialist clinical medications. esearch suggests that when nurses undertake prescription roles, it can result to increased efficiency, maximization of resources, and improve patient access to medicines and enable nurses to provide timely and extensive care packages (Cashin, Buckley, Newman & Dunn, 2009). In the advanced practitioner context, the roles that exist include the Clinical Nurse Specialist, the Certified Nurse Midwife, the Nurse Anesthetist and the Nurse Practitioner.
On the other hand, an Advanced egistered Nurse Practitioner (ANP) is also a registered nurse who possesses professional knowledge base, intricate decision-making skills and…
Cashin, J.A., Buckley, T., Newman, C., & Dunn, V.S. (2009). Nurse practitioner provision of patient education related to medicine. Australian journal of advanced nursing, 27(2), 12-
Carter, N. et al. (2010). The role of nursing leadership in integrating clinical nurse specialists and nurse practitioners in healthcare delivery in Canada. Nursing leadership, 167-185, doi:
Role Modeling in Nursing
Role Modeling Assessment Tool
John is 70 years old and is spending way too much time in hospital facilities, being known as a regular among the nursing staff. Utilizing the Role Modeling Assessment Tool, a proper evaluation of his condition and the potential dangers that threaten care strategies can be explored.
His problems breathing are one major immediate stressor. He has issues breathing, and so has limited his physical activity severely. He admits to not doing much, which is a negative contributor to his body's ability to recover and repair years of damage being done. John also sounds like he is a little depressed. He admits that he wishes more people would care about him. This is a dangerous stressor because it could impact his body's natural ability to heal. When the mind is depressed, the body also suffers.
There are also a number of…
Nursing Students Attitude Towards the Elderly: Literature Review
The changing demographics in many of the populations in industrialized countries has changed the aggregate needs of the nursing workforce and this trend is expected to continue into the future as the population continues to age. One issue that has arisen is that the younger generation of nurses have demonstrated through various means that their preference for their nursing roles within organizations is not for working with the elderly patients. Therefore, a gap exists between the demand for nursing jobs that deal with elderly patients and the supply of nursing students that are willing to fill these positions. This article will look at two research efforts that try to focus on this precise trend and provide information about how this trend could possibly be reversed and finding a more optimal point in the supply and demand for nursing positions in the future.…
Bleijenberg, N., Jansen, M., & Schuurmans, M. (2012). Dutch nursing students' knowledge and attitudes towards older people - A longitudinal cohort study. Journal of Nursing Education and Practice, 1-8.
Haron, Y., Levy, S., Albagli, M., Rotstein, R., & Riba, S. (2013). Why do nursing students not want to work in geriatric care? A national questionnaire survey. International Journal of Nursing Studies, 1558-1565.
Nursing Leadership Portfolio
Education And Experience
My nursing education includes attaining my Associate Degree in Nursing (AND) at Florida State College at Jacksonville and my Bachelors of Science in Nursing (BSN) at the University of North Florida.
My Professional Nursing oles include UF Health Jacksonville as a egistered Nurse in Trauma/Surgery Progressive Care, egistered Nurse at Brooks ehabilitation Hospital in the Cardiac/Stroke Unit and egistered Nurse at St. Vincent's Medical Center in the Medical/Surgical GI Department. My duties at UF Health included caring for post-intensive medical/surgical patients in a progressive care environment and performing duties including medication administration utilizing EPIC EMA server, PICC line care, IV insertion, PEG tube feedings, TPN/Lipid Management, chest tube care, tracheotomy care, PCA assessment/management, catheter insertion, wound vac care, pulmonary, cardiac, neurological and GI assessment and management. At Brooks ehabilitation Hospital as a egistered Nurse in the Cardiac Stroke Unit I conducted care for post-surgical…
Harper, DC, et al. (2013) Leadership Lessons in Global Nursing and Health From the Nightingale Letter Collection at the University of Alabama at Birmingham. Journal of Holistic Nursing 2014 32: 44. 7 Aug 2013.
Healthcare Leadership Model: The Nine Dimensions of Leadership Behavior. (2013 NHS Leadership Academy.
The Future of Nursing: Leading Change, Advancing health (nd) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine.
Overview of the Four Temperaments (2014) Kiersey.com. Retrieved from: http://www.keirsey.com/4temps/overview_temperaments.asp
Josephine Lawrence (name changed to protect anonymity) has been a community health nurse employed by the city for almost five years. Working in the public sector is radically different from working in a private healthcare institution, notes Lawrence, who had practiced as an RN for ten years prior to her career change. When asked what precipitated the change. Lawrence said that a lot of it had to do with the way her mind works. She always preferred “big picture” issues, as she put it, recognizing the need for greater community activism, empowerment, and advocacy.
Changes to the Profession
According to Lawrence, the profession has not changed appreciably over the past four to five years. The most important changes to healthcare in general have been due to legislation and policy, with the Affordable Care Act having less of a bearing on community health operations than on the budgets and management…
Laura Polk's theory of resilience holds that an individual has the ability to rise above adversity. There are a number of factors that contribute to how this occurs -- dispositional, relational, situational and philosophical factors all play into this ability to be resilient (Jackson, 2015). This theory has significant implications for nursing practice, and can be evaluated through the lens of evidence-based practice.
Polk's Theory of esilience
Individuals rise above adversity
Dispositional, relational, situational, philosophical
Can be evaluated through evidence-based practice
Nurses can influence the different factors that contribute to resilience. The theory was developed on the basis of Polk's own real-life experience. She recognized that nurses can put themselves in the position of the patient, at least to some extent, and by doing this can empathize with the patient. This empathy allows the nurse to see the treatment through the eyes of the patient. Nurses can then…
Jackson, J. (2015). Nursing paradigms and theories: A primer. Athabasca University. Retrieved July 23, 2015 from https://www.nursinglibrary.org/vhl/bitstream/10755/338888/1/Nursing%20Paradigms%20and%20Theories,%20A%20Primer.pdf
Polk, L. (1997). Toward a middle-range theory of resilience. Advances in Nursing Science. Vol. 19 (3) 1-13.
OLE OF GOVENMENT IN CEATING A HEALTHFUL ENVIONMENT
ecent data show that Americans consume, on average, more than three times the recommended level of sodium per day in their food and beverages. High salt intake contributes to high blood pressure and its complications -- stroke, heart attack, congestive heart failure, and kidney failure (Gulis? et al., 2014). In fact, thousands of lives could be saved if sodium consumption could be lowered in people with hypertension (high blood pressure).
The government has the sole purpose of providing safe and healthy environments to its citizens at all times. A healthy environment is beneficial directly to the people, and indirectly to the government. The safety of the environment is dependent on the legislative, social, and commercial actions that are taken by the individual people within and without governments. For instance, the world climate is largely dependent on the sole contributions of each…
Gulis?, G., Mekel, O., A-da-m, B., & Cori, L. (2014). Assessment of Population Health Risks of Policies: [delta]. New York, NY: Springer New York.
International Conference of the Asia-Pacific Society for Agricultural and Food Ethics, & In Soraj, H. (2015). Food security and food safety for the Twenty-first century: Proceedings of APSAFE2013.
Nestle, M. (2007). Food Politics: How the Food Industry Influences Nutrition and Health. Berkeley: University of California Press.
Pinstrup-Andersen, P., & Watson, D. D. (2011). Food policy for developing countries: The role of government in global, national, and local food systems. Ithaca, N.Y: Cornell University Press.
Nursing Practice Expected to Grow and Change
Ageing of population and healthcare providers, coupled with reforms to healthcare, will raise demands for professionals in the field, also expanding existing professionals' required skill sets and roles. Physicians, physician assistants, nurse practitioners, nurses, and medical assistants are included in this growth area. Fortunately, healthcare is characterized by a swiftly expanding and large workforce (with 23000 new entrants every month, nationally); this sector progressed even in recent economic recessions (Survey, 2013). Registered Nursing (RN) is one of the leading U.S. occupations which is projected to grow 26% and add the highest number of jobs by 2020 (an estimated 1.2 million RNs overall), as per U.S. ureau of Labor Statistics (Survey, 2013). This stems from a projected rise in demand, as well as a need for replacing the current ageing RNs. Nursing careers are being pursued in America increasingly; the number of students enrolled…
Buerhaus, P., DesRoches, C., Applebaum, S., Hess, R., Norman, L., & Donelan, K. (2012). Are Nurses Ready for Health Care Reform? A Decade of Survey Research. Nursing Economics, 329.
Dunbar-Jacob, J. (2011). The Changing Role of Nursing in Health Care Reform. Pittsburgh: Pitt Nurse. Institute for Nursing Centers Survey (2008). Retrieved from http://nursingcenters.org/PDFs/INC%20Highlight%20Report%2010_6_08.pdf.
NURSE-MANAGED HEALTH CENTERS. (2011). Retrieved from: http://www.nncc.us/pdf/NMHC_Quality_Standards.pdf
Pohl, J.M., Tanner, C., Barkauskas, V.H., Gans, D., Nagelkerk, J., & Fiandt, K. (2010). Nurse-managed health centers' national survey: Three years of data. Nursing Outlook, 58(2), 97-103
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.).
What is the most valuable lesson you've learned as a nurse that you've tried to impart to your students?
Get to know your patients. You can make a valuable human connection with any of your patients, if you just put in the attempt. Their care will be so much more effective and your time at work will be all the more richer.
How do you build awareness of the personal attributes of your students (Clark, 2008)?
I try and see my students outside the classroom to get to know them. I need to be aware of their personal attributes and how those can benefit them as nurses to be. Thus, I try to arrange picnics, pizza parties and other outings with my students so that we can all relax and get to know each other better.
How do you make some of the more intricate educational theories more attainable for…
Bastable, S.B. (2008). Nurse as educator: Principles of teaching and learning for nursing practice. Sudbury: Jones and Bartlett Publishers.
Clark, C.C. (2008). Classroom skills for nurse educators. Sudbury: Jones and Bartlett
Utley, R.A. (2011). Theory and research for academic nurse educators: Application to practice.
Nursing Concepts and Theory
Conceptual-Theoretical Structure paper
Personal belief about nursing theory and knowledge development process for nursing practice
All nursing theories play an important role in defining nursing and giving the roles that nurses need to play. Originally, the role of nurses was simply to carry out activities as instructed by doctors, however, over the years, this role has been changed to include more responsibilities as the nursing world has evolved. Nursing theories describe, predict and explain the various phenomena in nursing practice and thus create foundations for nursing practice. They also help to generate knowledge in the field of nursing and to point the direction which the field should develop in future. This view is supported by Carper (1978)
who states that nursing theories elaborate nursing practice and create professional boundaries for the profession. Nursing knowledge comes from research that has been conducted on nursing which forms scientific…
Anderson, A.M. (2005). Nursing Leadership, Management, and Professional Practice for the LPN/LVN (3rd ed.). Philadelphia: F.A. Davis Company.
Carper, B. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13-23.
Clark, M.J. (2003). Community health nursing: Caring for populations (Fourth ed.). Upper Saddle River, NJ: Prentice Hall.
Dayer-Berenson, L. (2010). Cultural Competencies for Nurses: Impact on Health and Illness. Burlington, Massachusetts: Jones & Bartlett Learning.
There are several pros and cons to requiring a nurse to have a BSN to enter nursing practice. The most obvious advantage is that it would standardize practice and ensure excellence. Today, healthcare has been under the spotlight for potential pitfalls and difficulties in areas of care and excellence. If nurses have the same or similar qualifications before entering practice, there is less potential for error (Santina, 2012).
Furthermore, the course requires three years of not only theory, but also of hands-on practice, both in the classroom and in real-time environments such as clinics and hospitals. There are few teaching methods that offer as much in terms of personal and educational development as practical experience. This is particularly true of nursing and other healthcare practice arenas. Hence, more years of hands-on experience is a major advantage of requiring this kind of qualification before allowing nurses to enter practice (Santina,…
Miller, C.D. (2007). A Comparison of Skill Perofrmance of the and BSN Prepared Nurse at Three and Four-Year Post-Graduate Level. Retrieved from: http://gradworks.umi.com/1446281.pdf
MomMD (2012). How to become an advanced practice nurse. Retrieved from: http://www.mommd.com/advanced-practice-nursing.shtml
Orsolini-Hain, L. (2008). What's all the Fuss? Working Towards a Baccalaureate or Graduate Degree in Nursing. NSNA. Retrieved from: http://www.nsna.org/careercenter/fuss.aspx
Santina, J. (2012). The BSN: A Higher Degree of Nursing Care. Health Care Career. Retrieved from: http://www.worldwidelearn.com/healthcare/healthcare/the-bsn-a-higher-degree-of-nursing-care.php
Is there a limit to one's professional obligation to the patient? Is that the same as advocacy?
Advocacy can be construed as a professional obligation to the patient, especially when advocacy is framed as an ethical obligation. There are therefore few limits to a nurse's ethical responsibilities to the patients, even though some situations may seem morally ambiguous. Many nursing researchers promote the concept of patient advocacy as "an ethic of practice," one that is an immutable part of the professional responsibilities of the nurse. (Gaylord & Grace, 1995, p. 11).
Are the characteristics of caring relevant to 2010?
The characteristics of caring are more relevant in 2011 than they were in 2010 or have ever been before, in part because of increasing patient diversity. Knowledge of the different concepts of health, healing, illness, and the role of the doctor helps make nurses more accountable to patient needs. Viewing…
Beyea, S.C. (2005). Patient advocacy: nurses keeping patients safe. AORN Journal. On FindArticles. Retrieved online: http://findarticles.com/p/articles/mi_m0FSL/is_5_81/ai_n13793213/
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics 2(1): 11-18.
Hanks, R.G. (2008). The lived experience of nursing advocacy. Nursing Ethics 15(4): 468-477
Vaartio, H., Leino-Kilpi, H., Salantera, S. And Suominen, T. (2006), Nursing advocacy: how is it defined by patients and nurses, what does it involve and how is it experienced?. Scandinavian Journal of Caring Sciences, 20: 282 -- 292. doi: 10.1111/j.1471-6712.2006.00406.x
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.
Nurse Eduactor Strategic Plan
Nurse educator strategic plan
A strategic plan for a nurse educator
At present, I would say that my greatest strength as a nurse educator is my willingness to challenge myself in the pursuit of excellence. Within the next year, I will obtain my MSN with a specific concentration in education. Previously, I obtained certification as a Basic Life Support instructor (BLS). Also within the next year I intend to seek out certification in Advance Cardiac Live Support (ACLS) and Pediatric Life Support Instructor (PAL) with the intention of becoming both an ACLS and PALS instructor. These will enhance my capabilities as a nurse educator and provide greater specificity in the range and types of teaching I will be able to convey.
My second great strength as a nurse educator is the compassion I have for my patients and my genuine love of teaching. A nurse is…
Covey, S. (2012). 7 habits of highly effective people. Franklin Covey.
Gardner, H. (2007). Frames of mind: The theory of multiple intelligences. New York: Basic
Professional Nurse Educator's Group. (2013). Official Website. Retrieved from:
Nursing in the Rural Area
A WELL-DESERVED SECOND LOOK
Rural nurses are particularly endangered by the current and worsening shortage in nurses. As it is, rural nursing is already beset with issues that range from a lack of professional practice system, the need for larger incentives for nurses to work in the rural areas, a general unwillingness to live in these areas among the nurses and the foreseen depletion of the supply of rural nurses. Possible solutions and approaches have been proposed.
Approximately 20% or 54 million U.S. residents live in locations categorized as rural (ushy, 2006). These residents are distributed across 80% of the nation's total land area. About 99 or fewer residents occupy every square mile in these areas and experience the shortage of nurses more acutely than in urban areas. Moreover, they have generally lower annual income, less education and poorer health status than urban residents. Local…
Arnaert, A. et al. (2009). Homecare nurses' attitudes towards palliative care in a rural community in western Quebec. 11 (4) Journal of Hospice and Palliative Nursing:
Medscape. Retrieved on October 17, 2011 from http://www.medscape.com/viewarticle/715133
Blaauw, D. et al. (2010). Policy interventions. World Health Organization. Retrieved on October 18, 2011 from http://www.who.int/bulletin/volumes/88/5/09-072918/en
Bushy, A (2006). Nursing in rural and frontier areas: issues, challenges and opportunities. Vol 7 # 1 Harvard Health Policy Review: University of Harvard.
eview On Nurses Shortage
The supply of professional nurses relative to the increase in demand for their services has been on a general decline over the years. As a career choice, nursing has been facing perennial shortage of professionals. Most healthcare organizations will affirm that their daunting tasks were recruiting fresh nurses and retaining the ones already in practice. The 2008 projections from the Bureau of Labor Statistics showed that the demand for professional nurses would increase from the then two million to three million, which represents sixty percent increment. In ideal situations, the number of those who have enrolled in nursing will be sufficient to supply the rise in their number. Nevertheless, this would not be the case if nothing were done to salvage the worrying trend of most students not graduating or resorting to other careers. According to Benjamin Isgur of PWHC Health and esearch Institute,…
American Association of Colleges of Nursing. (2009, September, 28). Nursing Shortage Fact Sheet. USA: AACN.
Buerhaus, P.I., Staiger, D., & Auerbach, D.I. (2009). The future of the nursing workforce in the United States: Data, trends, and implications. Boston: Jones and Bartlett Publishers.
Blakeley, J., & Ribeiro, V. (2008). Early Retirement among Registered Nurses: Contributing Factors. Journal of Nursing Management, 16(1), 29 -- 37
Cummings, G., et al. (2008). The Relationship between Nursing Leadership and Nurses' Job Satisfaction in Canadian Oncology Work Environments. Journal of Nursing Management, 16(5), 508 -- 518.
Nursing Intervention in Disaster
The possibility of occurrence of disasters is a reality. With this in mind there should be efforts made to prevent any upcoming or potentially disastrous events. These efforts are what are known as disaster prevention. Disaster prevention therefore refers to efforts put in place to ensure that adverse effects of events that are potentially disastrous are prevented even when the disaster cannot be controlled. Disaster prevention is done at various levels of the society and is undertaken so as to prevent all types of disasters. Nurses are involved to a large extent when it comes to the prevention and mitigation of disasters. Nurses are involved in institutions that can influence change and due to the unique skills that they posses they can make interventions in disasters. To perform efficiently, a nurse must be always prepared to make changes in plan actions at any time and at…
Harden, E.G., (2004). The role of nursing in disasters. Retrieved march 22, 2013 from http://helid.digicollection.org/en/d/Jdi018e/2.html
Rittenmeyer, L., (2007). Disaster preparedness: Are you ready? Retrieved march 22,2013 from http://www.nursingcenter.com/prodev/ce_article.asp?tid=726331
Wolters Kluwer Health, (2007). LWW Journals - Beginning with A. Retrieved March 22, 2013, from http://journals.lww.com/smajournalonline/fulltext/2007/09000/spiritual_issues_in_the_aftermath_of_disaster.32.aspx
Throughout my life, I have exemplified core Christian values like faith and temperance. Christian role models have helped me to shape a character and identity that is conducive to a life of selfless service, which I view the nursing profession to be. I want nothing more than to participate in a Christian nursing community, with the goals of making the world a better place one patient, and one community, at a time. Effective nurse education will allow me to develop my skills in all areas of nursing: from leadership to bedside practice. The Mark and Huldah Buntain School of Nursing is unique in that it offers a perfect fusion of Christian values with cross-cultural awareness, and correspondingly, cultural sensitivity.
I have always valued my spiritual health every bit as much as my physical and psychological health. This is why I gravitated towards the Mark and Huldah Buntain School…
The Politics of Nurse Jackie
Kathleen McHugh's 2012 article entitled "Nurse Jackie and the Politics of Care" offers an analytical discussion on the portrayal of nurses and the nursing profession in popular culture. The discursive assessment of nursing as seen in mass media centers less on the content of the media itself than on the sociological implications of common portrayals in relation to such critical issues as prescribed gender roles and the dynamics of care. The discussion here provides a deconstruction of the McHugh article, identifying its perspective, its primary arguments and the approach taken to delivering said argument. Specifically, the discussion will focus on the ways that the complex portrayal of the title character in the television series Nurse Jackie casts distinction in a way that the author considers positive to the public image of the profession.
McHugh composes this article for members of the nursing profession…
McHugh, K. (2012). Nurse Jackie and the Politics of Care. Nursing Outlook, 60, 12-18.
"(History of Nurse Anesthesia Practice)
Among the earlier formal programs for nurse anesthesia were those established at Johns Hopkins Hospital in Baltimore, the University Hospital of the University of Michigan in Ann Arbor, Charity Hospital in New Orleans, Barnes Hospital in St. Louis, and Presbyterian Hospital in Chicago. (History of Nurse Anesthesia Practice) Another important historical event which shows the acceptance and advancement of nurse anesthetists was the invitation of Alice Hunt, a nurse anesthetist, to join the Yale Medical School faculty as an instructor of anesthesia in 1922.
The American Association of Nurse Anesthetists was founded in 1931 and today is a professional organization which represents more than 35,000 Certified egistered Nurse Anesthetists (CNAs) and student nurse anesthetists. (AANA Overview)
Furthermore the AANA, promulgates education, and practice standards and guidelines, and affords consultation to both private and governmental entities regarding nurse anesthetists and their practice. The AANA Foundation supports…
47TH LEGISLATURE - STATE of NEW MEXICO - SECOND SESSION. Retrieved Jan 13, 2007, at http://legis.state.nm.us/Sessions/06%20Regular/memorials/house/HM033.pdf.
AANA Overview. Retrieved Jan 13, 2007, at http://www.aana.com/aboutaana.aspx?ucNavMenu_TSMenuTargetID=15&ucNavMenu_TSMenuTargetType=4&ucNavMenu_TSMenuID=6&id=100
America's Nurse Anesthetists Commend Bush Administration for Tripling Nurse Anesthetist Traineeship Funding Today. Retrieved Jan 13, 2006, at http://www.aana.com/news.aspx?ucNavMenu_TSMenuTargetID=171&ucNavMenu_TSMenuTargetType=4&ucNavMenu_TSMenuID=6&id=1615&terms=CRNA+shortage&searchtype=1&fragment=True www.questia.com/PM.qst?a=o&d=104802739
Donahue, M.P. (1996). Nursing, the Finest Art: An Illustrated History. St. Louis, MO: Mosby.
Autonomy in the nursing profession states the importance of the client's role in making decisions that reflect advocacy for the client (Wade, 1999, p.310). Ultimately, this includes taking care of the patient physically as well as mentally and emotionally, developing a relationship with the patient that is beneficial to his care and actively advocating for the patient's rights and care. This type of autonomy, it is important to note, is not the same as individual or work autonomy, yet it must be considered that empowerment in nursing autonomy will inevitably lead to better professional and personal autonomy and should also lead to increased job satisfaction (Wade, 1999, p.310).
Typical definitions of autonomy would include the idea of complete independence for the person making the decisions. However, in the case of the nursing profession, the client's needs and desires must be heavily weighed and, in fact, become central…
Wade, G.H. (1999). Professional nurse autonomy: Concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-8.
Gaylord, N. & Grace, P. (1995). Nursing advocacy: An ethic of practice. Nursing Ethics, 2(1),
White, L. (2004). Foundations of nursing: Second edition. Clifton Park, NY: Delmar Learning.
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…
About ENA. (2010, January). Retrieved October 2010, from Emergency Nurses Association: http://www.ena.org/about/Pages/Default.aspx
About the ACNM. (2010, February). Retrieved from American College of Nurse-Midwives: http://www.midwife.org/members.cfm
CNS - Who We Are and What We Do. (2010, January). Retrieved October 2010, from National Association of Clinical Nurse Specialists: http://www.nacns.org/AboutNACNS/MissionStatement/tabid/57/Default.aspx
Kozier, B., Erb, G. & Blais, K. (1997), Professional nursing practice (3rd edition),
As such, a nurse is primarily to recognize herself as an individual in the world, with certain responses to this world. When a patient enters the hospital, such a patient is also to be seen as a unique individual who responds to the world and his or her environment in a certain way.
Humanistic nursing is then primarily experiential rather than experimental. This means that new knowledge is gained with every new patient that arrives for treatment. In giving treatment, responses are observed and noted for future reference in similar situations. It is not however assumed that a treatment will work because it did in the past and in similar conditions. Instead, hypotheses are based upon experiences of the past. The recognition that hypotheses may prove incorrect helps the nurse to be open to new experiences. Each human being is then seen as a "world," as it were, with the…
Cody, William K. & Kenney, Janet W. (2006). Philosophical and Theoretical Perspectives for Advanced Nursing Practice. Jones & Bartlett.
Collaboration for Academic Education in Nursing. (2009). Foundational Perspectives. http://www.caen.ca/content/view/46/133/
Current Nursing (2009, March 16). Nursing Theories. http://currentnursing.com/nursing_theory/development_of_nursing_theories.htm
Kleinman, Susan (2009). Humanistic Nursing Theory. http://www.humanistic-nursing.com/faq.htm
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…
"Callista Roy's Adaptation Model" Retrieved From
http://www.geocities.com/ninquiry2002/callistaroy Accessed 28 October, 2005
'Case Study" Retrieved From
http://www.geocities.com/ninquiry2002/casestudy.html Accessed 28 October, 2005
The Nurse as Learner and Teacher
Nursing is truly a lifelong study. While in school, a future nurse learns the tactics and the theory of the profession, and while in practice, he or she learns the social part of the profession, including interaction with patients, and difficulties relating to the workplace, and how to solve the latter. Due to these reasons, nursing is not a "one track" career, and involves constant adaptation and learning. Yet nurses are also teachers, and they fulfill that role every day, from the very first time that they step into the workplace. This paper will aim to present the nurse as both a learner and a teacher, and relate this to personal learning abilities.
From a new graduate to chief nurse, an individual embarking upon this career may very well see it in stages, but what is certain is that a nurse is often…
Greer, A.G. (2010). Learner-centered characteristics of nurse educators. International journal of nursing education scholarship. 7(1).
Kelly, C. (2006). Student's perceptions of effective clinical teaching revisited. Thompson Rivers University. Retrieved from < http://ezproxy.library.nyu.edu:2111/science/article/pii/S0260691707000135>.
Advance Perspectives: Nurses The Role of the Nurse as Learner & Teacher. (2011). Advance Web. Retrieved October 1, from .
Nursing profession is among the oldest in history. Currently, there is much debate that surrounds the profession because of the need for more trained nurses. In recent years the nursing shortage has become a major problem for the medical profession and has resulted in poor patient care and slower patient recover. The purpose of this discussion is to provide an in depth examination of the nursing profession. We will discuss the current state of the nursing profession, including the causes for the shortage and the solution. We will also explore the status of the nursing profession in Australia. Let us begin our discussion by providing a comprehensive definition of what is means to be a nurse.
Definition of a nurse
According to the American Heritage Dictionary, a nurse is defined as " a person trained to care for the sick or disabled under the supervision of a physician." (American Heritage…
American Heritage Dictionary. (1982) Second Edition.
Bashford, A. (1997). Starch on the collar and sweat on the brow: self sacrifice and the status of work for nurses. Journal of Australian Studies, (52), 67+. Retrieved August 24, 2003, from Questia database, http://www.questia.com .
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.
"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' target='_blank' REL='NOFOLLOW'>
The author quotes Gary Zukav as emphasizing that if a nurse perceives herself as powerless and her image as negative, the idea can sink to the subconscious level and realize itself. She will be drawn to those who will reinforce the idea. Practitioner Pauline Robitaille's stresses impact each nurse has on others. Her influence on people she comes in contact at the peri-operative setting cannot be overstated. She found the published feedbacks of registered nurses in nursing journals as very positive while others were very negative. Those who gave positive feedbacks described the efforts of preceptors to teach and support them. Thus the intended learning flowed smoothly. However, other nurses reported the negative, punitive and critical behavior of their preceptors. The nurses described the difficulty of working with these preceptors. Hence, the nurses did not benefit from their experience with the preceptors.
Ulmer emphasizes that those in the profession must…
Gonzales, L. (2005). A mission for the center for nursing advocacy. 3 pages. Nevada RN Foundation: Nevada Nurses Association
Nursing BC (2002). How to create community media coverage for nursing. 2 pages. Registered Nurses Association of British Columbia: ProQuest Information and Learning Company
Ulmer, B.C. (2000). The image of nursing. 4 pages. AORN Journal: Association of Operating Room Nurses, Inc.
Willging, P (2005). it's time to take the politics out of nursing home quality. 5 pages. Nursing Homes: Medquest Communications, LLC
Nursing - Discharge planning
Discharge Planning in Nursing
Mr. Trosack's Case
The three main health issues include movement hindrance where by Mr. Trosack will move with the help of a walker. Mr. Trosack diabetic condition is main health issue. Mr. Trosack is depressed and lonely and requires a special care and assistance. Mr. Trosack lives in a crowded apartment located at a second floor in a 3-storey building. The building does not have an elevator and thus Mr. Trosack has to use the stairs to reach to his apartment. The house has furniture and personal valuables and thus making it hard for him to use his walker once inside the room. e takes the garbage by himself since he lives alone because his wife died two years ago. e fears climbing up the stairs because of pain that emanate from the strain. is family works for 60 hours a week…
Hip fracture is a main health issue that happens in the United States. This study uses the baseline (1993) and data collected in 2006 in order to evaluate the aftermath of hip placement discharge. Patient discharge depends on the status code from the Medicare inpatient claim. They categorize discharge status depending on the condition of the patient. Mr. Trosack would fall for nursing facility because he would not get the required professional assistance from his family. In this study, most of the hip fracture patients went to a nursing facility.
An evaluation in this study reveals that at the time of placement, the patients had gone home for 90 days, and 180 days for patients discharged at a nursing facility. The evaluation of the care of hip placement patients needs consideration when choosing a discharge placement for them. Mr. Trosack, in addition to the surgery, is diagnosed with diabetes, hypertension, and obesity. The family, despite knowing all this, does not provide or hire a medical officer for a regular check up on him.
In order for Mr. Trosack to get well, it is crucial to refer him to a nursing facility. In this study, the home and rehabilitation discharge seems to decline while many people opt for the nursing placement, which increased. In these nursing facilities, patients are not likely to report any health issue compared to those placed at their homes. In addition, these nursing facilities offer functional needs to patients and may reduce hip fractures in elderly people.
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…
Ellis-Christensen, T. (2011). What is a neonatal nurse practitioner? Retrieved from http://www.wisegeek.com/what-is-a-neonatal-nurse-practitioner.htm
According to the Joint Statement on Delegation produced by the American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN) "the N assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient's condition, complexity of the task, predictability of the outcomes, abilities of the staff to who the task is delegated, and the context of other patient needs" (Joint Statement).
In this particular case, it is easy to determine the frustrating aspects affecting Ms. W. It can also be a relatively simple matter to correct the situation in order to ensure effective care for Ms. . The nursing supervisor in this case would sit down with Ms. W. And map out a strategy for the patient's care, remembering of course that the key to successful delegation "depends on the quality of N and NAP working…
Joint Statement on Delegation, American Nurses Association and the National Council of State Boards of Nursing (NCSBN).
Potter, P.; Deshields, T.; & Kuhrik, M.; (2010) Delegation practices between registered nurses and nursing assistive personnel, Journal of Nursing Management, Vol. 18, Issue 2, pp. 157-165
Nurse etention Capacity
Standards & Analysis on Nurse etention
The demand for nursing staff in the United States has significantly increased and according to the Center for American Nurses, employment in these positions have increased to an amazing 83% which is now at the highest it has been since 1980, and considering that this role is the biggest job in healthcare offering over 2.6 million jobs, the problem in hospitals, healthcare facilities, and in home care is the lack of nurses (Bureau of Labor Statistics, 2011). Furthermore, there are many reasons as to why experts and the healthcare facilities are unable to hire enough people to fulfill the positions within their establishments, and most research has determined that the main reasons there is such a shortage in nursing jobs is because of the poor management and leadership within the nursing work environment, the increased amount of responsibility and work load…
Bureau of Labor Statistics. U.S. Department of Labor, Office of Occupational Statistics and Employment Projections. (2011). Occupational outlook handbook 2010-2011 edition, registered nurses on the internet Washington, DC: Retrieved from http://www.bls.gov/oco/ocos083.htm
Chart Your Course International (2011). Nursing shortage. Retrieved from http://www.highretention.com/nursing_research.html
Monaghan, H.M. (2009). Effective leadership + nurse retention. Retrieved from http://www.visioninghealthcare.com/pdf/Article-Effective-Leadership-Nurse-Retention.pdf
Runy, A. (2006, January). Nurse retention. H&HN Magazine, Retrieved from http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/PubsNewsArticle/data/0601HHN_FEA_Gatefold&domain=HHNMAG
Moreover, recent legislation such as the Affordable Care Act is expected to create an even greater need for nurses who can take on more advanced responsibilities. As one nurse stated on National Public adio: "…with the passage of the Affordable Care Act, which was passed in March, we're going to see 32 million new patients accessing the health care delivery system which previously weren't accessing this system. And currently, we don't have the capacity to provide high-quality, patient-centered care for this new expanded population" (NP, 2010)
Careers in nursing have become vast and varied, particularly for the highly educated, and pay for many of these careers is above $60,000 annually. While a nurse with a BSN who becomes an N can still advance in her career, enter management, or become a nursing professor, an MSN is necessary for nurses to enter one of the more prestigious and specialized subfields (Sacks,…
AACN. (2010, 10). The Impact of Education on Nursing Practice. Retrieved 02-14, 2011, from AACN: http://www.aacn.nche.edu/media/factsheets/impactednp.htm
Allen, J. (1988). Health Care Workers and the Risk of HIV Transmission. The Hastings Center Report, 18 (2), 2+.
NPR. (2010). Talk of the Nation: Role of Nurses in Primary Care May Expand. Retrieved 02-14, 2011, from NPR: http://www.npr.org/2010/11/16/131361359/role-of-nurses-in-primary-care-may-expand
OSHA. (2011). Bloodborne Pathogens and Needlestick Prevention. Retrieved 02-14, 2011, from OSHA.gov: http://www.osha.gov/SLTC/bloodbornepathogens/index.html
The death of a child is significant and in this case avoidable and a plaintiff has the right to seek compensatory damages as is allowed by law.
Case Study 1 Part B
At the end of the night shift, Nurse Brown took a verbal handover and then noticed the observation chart had not been filled in. To assist her friend, Nurse Harvey, whom she knew had a busy night, filled in the observation chart and fluid balance chart for the hours from 0200-0600 hrs.
Overcome by the events of the last 24 hrs, Nurse Harvey and Nurse Brown go to the local tavern for a few drinks before Nurse Harvey goes on duty. They discussed Mr. Spencer and his son. John, a friend of Mr. Spencer, overheard the conversation and joined them. He was also upset by the events of the day and was most keen to discuss the accident…
Hall, J. (1960). General Principles of Criminal Law (2nd ed.). Indianapolis: Bobbs-Merrill.
Markesinis, B.S., & Deakin, S.F. (1999). Tort Law (4th ed.). Oxford: Clarendon Press.
ANCI Competency Standards for the Enrolled Nurse at http://www.anmc.org.au/docs/Publications/Competency%20standards%20EN.pdf
Scope of Nursing Practice Decision Making Framework, 2006 at http://www.nursingboardtas.org.au/nbtonline.nsf/attachment/SoPDMFFinal/$File/Scope%20of%20Nursing%20Practice%20Decision%20Making%20Framework.pdf
" (1) What does the phrase "concept inventing" mean to you?
2) Does the process of concept inventing add clarity to a unique lived experience that aides in individualizing patient care? - or - Does the process of concept inventing add unnecessary jargon to the profession of nursing which creates barriers in collaboration with other disciplines? (3) State your stance on this issue and create a logical argument to defend your thoughts.
C. (1). "Concept inventing" can be thought of as a way to analyze situations in such a way as to contemplate their meaning to create understanding. Using both the aspects of science, including logic, rationality, and empirical analysis, and art, including intuition, emotion, integrity, honor, and compassion, nurses can process information in such a way as to create a complete conceptual picture of both the abstract aspects and concrete facts of a situation. In doing so, nurses can…
Chen, K.M. (2000, January.) The focus of the discipline of nursing: Caring in the holistic human health experience. Nursing (Graduate Research), 2(1). Retrieved Dec 3, 2006 from Graduate Research. Website: http://www.graduateresearch.com/kueimin2.htm.
Nagai-Jacobson, M.G., & Burkhardt, M.A. (1996). Viewing persons as stories: A perspective for holistic care. Alternative Therapies, 2(4), 54-58.
Rogers, M.E. (1990). Nursing: Science of unitary, irreducible, human beings: In E.A.M. Barrett (Ed.), Rogers' Science-Based Nursing. New York, NY: National League for Nursing.
Wainwright, P. (1999). The art of nursing. International Journal of Nursing Studies, 36, 379-385.
It is critical that NHAs are first qualified nurses, as their ability to relate to other nurses is essential to the organizational success of the nursing home ("Nursing home administrator jobs," 2011). Career paths for an NHA are rooted with education background and nursing experience. Although experience is necessary for being a successful NHA, a career path at minimum requires clinical licensing (Decker, & Castle, 2009).
The NHA is the management body over the facility, and their positions are in high demand. In the U.S. In 2008, approximately 17,000 nursing home administrators were responsible for the oversight of care for 1 million elderly adults and 1.3 million employees (Leister, 2009). Overseeing a large nursing staff, as well as vulnerable residents, are the daily demands of the NHA. The future of NHA field is concerning to researchers and professionals, as the number of licensed NHAs is on the decline. In Maryland,…
Decker, F, and Castle, N. (2009). The relationship of education level to the job tenure of nursing home administrators and directors of nursing. Health Care Management, 34(2), 152-160.
Leister, D. (2009). The vanishing nursing home administrator: stress and intent to leave.
Informally published manuscript, Capella University, Minneapolis, MI. Retrieved from http://gradworks.umi.com/3359575.pdf
Nursing home administrator jobs. (2011). Retrieved from http://www.nursinghomesjobs.org/nursing-home-administrator-jobs/
eport on Conditions at Brighton and Sussex University Hospitals NHS Trust
The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The conditions were especially distressing given that in general they could be fixed or at least ameliorated relatively easily. Not all of the ills of old age or disability can be remedied, of course. Pain and fear will be present even with the best possible care. Given that this is true, all possible efforts must be made to reduce fear, anxiety, and pain to the greatest degree possible.
The facts that this report is based on were documented by…
Grant, P. (2010). Ethical lessons from the 'undercover nurse': implications for practice and leadership. Medical Ethics 36: 469-472.
Margaret Haywood's diary. Retrieved from http://news.bbc.co.uk/2/hi/programmes/panorama/4701651.stm .
Online bulletin. Retrieved from http://www.southerneditorial.co.uk/bulletin/july05/breaknews.htm.
Reasons for the substantive hearing of the Conduct and Competence. Retrieved from http://www.nursingtimes.net/ Journals/1/Files/2009/4/17/haywood_NMCruling.pdf