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Practicum eport on the Current Practices and Educational Needs on the Use of Computerized Provider Order Entry (CPOE)
This practicum focused on analysing the current practice of a nursing home care setting by analyzing the current practice and educational needs of nurses at the initial use of the Computerized Provider Order Entry (CPOE), in addition to developing, implementing and evaluating evidence-based practice for staff development. The main participants in the program were nurses with BSN who were using the technology for the first time. The core principle used during the six months training program was the change theory formulated by Kurtz Lewin.
The main activities during the program constituted evaluation of the knowledge level of the nurses with regards to health informatics, their capacity to use the technology in a home setting and the education need in enhancing their capacity for handling the CPOE capabilities. In accordance with…… [Read More]
1c) Evidence of Accomplishments: A multi-page literature review is a written text that serves as evidence of completion of the literature review. This will outline the work reviewed, where it was published, who wrote it, what the contents of this work were, and how they were relevant to this study. The literature review will be presented as part of the practicum journal. There should be evidence that the literature review was thorough, covering the current academic thought on the subject.
2c) Evidence of Accomplishments: There should be a copy of the interview texts, in full, providing evidence that the interview was conducted. There may also be notes that accompany the interview to provide some context and understanding of the interview itself. Further, this learning objective highlighted the need to gather admissions records from the triage nurse. If that is possible, then that should also be submitted here as…… [Read More]
According to Ho et al. (2015), statistics indicate that approximately 20% to 40% of health care associated infections have been linked to cross-infection through the hands of health care workers. Efficacious hand hygiene is imperative to prevent communication of healthcare associated pathogens. A great deal of hand hygiene programs in healthcare settings lay emphasis on compliance of healthcare personnel, for the reason that transitory contamination of their hands is deemed to be the key basis for transmission of pathogens (Kundrapu et al., 2014). The use of alcohol-founded hand sanitizers in health units has become prevalent since their recommendation by the Centers for Disease Control and Prevention (CDC) during 2002. This was acclaimed due to patient interaction especially in case hands are soiled, physically. However, alcohol-based hand sanitizers are not efficacious against some classifications of pathogens (Carter, 2013). The problem identified is in healthcare settings; are the use of…… [Read More]
I had to roaden my understanding on medication and diagnostics test in order to treat and diagnose patient with CHF. This insight not only helped me etter design my EBP clinical pathway, ut taught me much in the way of pedagogical instruction vis-a-vis other RNS, and will help me listen etter to patients/family memers who have questions.
I gained valuale knowledge as I met my intended accomplishments y learning a variety of strategies for planning and reviewing my work. I learned that you are your greatest critic.
My research and preparation also infused me with the knowledge and understanding that optimal patient care requires the nurses to understand the importance of proper documentation. I learned that well-documented discharge instructions that meet all CHF core measures could ensure the hospital's crediility, as well as, providing patients with asic quality care.
Based on the diversity of nurses' skills, I concluded that an…… [Read More]
Nursing Checklist Assessment Tool -- by Ivy Amoranto
Did They Include?
Pros and Cons: No -- not explicitly.
Feasibility of the project: No -- not explicitly
Viability of Implementation in Another Environment: No
Pros and cons: No explicit pros and cons present
Feasibility of the project: No explicit feasibility items mentioned
Viability of implementation in another environment: Not explicity covered but the totality of the data reflects an assessment tool and a covering thereof that is rather solid.
Three Questions: 1) Will you revisit and revise the tool as needed if it becomes apparent that something is missing, not needed or perhaps worded/displayed wrongly? 2) Do you think any single assessment tool can be properly exhaustive without being too verbose, wordy or long. 3) Are you concerned that some of the symptoms to check off are up to the subjectivity or objectivity of the patient that is…… [Read More]
We also learned that as managers, one shoulder's particular moral tasks that are dependant on the anticipation of current or potential clients. The nurse manager has to aim to guarantee that the capabilities of employees are utilized ably. Functioning with the accessible assets, the manager should aim to guarantee the well-being of clients. When capable care is endangered because of insufficient assets, the manager should perform to lessen the present danger and to prevent future harm (ickel 1991).
Another aspect of nursing that was brought to our attention during MSN was the undergraduate -- customer interactions. This interaction, we were told, has to be performed in harmony with moral nursing traditions, with particular concentration given to the self-esteem of the consumer. The nurse-teachers had been compelled to guarantee that nursing undergraduates (we the students) are familiar with and obey the requirements of the Code (ickel 1991).
We, in addition were…… [Read More]
Summary of evidence based on nursing seizure disorder assessment skills
Murray, J. (1996). The enevolent Overreaction. Journal of Neuroscience Nursing 28 (4), 252 -- 258.
The article from Murray (1996), discusses how many family members of epileptics will often engage in overreactions to patients suffering from the disease (the benevolent overreaction). This is when the family will try to show increased amounts of sympathy for the patient (which could affect their ability to function). Where, they are no longer responsible for many different daily activities because of the illness. In this case, the nurse must be able to intervene and encourage family members to push epileptics to try to live normal lives. This is information is important, because it shows how the trained nurse must be able to identify the symptoms and reactions that family members could have towards the patients. As they want to ensure, that they…… [Read More]
Under this standard, looking inside the medical record without a legitimate healthcare need, as determined by my supervisor, would be illegal (HHS, 2003). If I'm so concerned about my neighbor's health, I should just knock on their door and express my concern.
5. Patient's rights invariably come before my right as a student to observe and participate in any medical procedures being performed (Austin, 2012). The procedure being performed could be personally embarrassing or traumatic for the patient, especially in front of other care providers whose presence is not required. The patient may have an established long-term trusting relationship with their doctor, which does not extend to other personnel at the healthcare facility. Even if there is the chance that the patient will not remember the procedure or my presence in the room, the patient should have ultimate control over their personal privacy even when under general anesthesia.
6. Taking…… [Read More]
DRNC Leadership Practicum
One of the most controversial political conventions is coming to the streets of Miami. The Democratic Republican Convention will surely bring its fair share of political controversy, including clear public protests and signs of civil dissatisfaction with the very politicians that the convention are honoring. As the Incident Commander, it is my job to take a long, reflective look at the capacities of the City of Miami and improve how it deals with security issues based on comparisons of past security issues.
Miami has long been a hotbed for civil concerns to breach the forefront. When politics comes to the Miami Dade area, there are often a number of citizens who are right there to show their own opinion on the matter, and often times that can lead to a potential security situation. Throughout the past few decades, the City of Miami has had to deal with…… [Read More]
Advance Practice Nursing
Advance Practice Nurses Defined
Throughout history nursing has been defined in many ways. In recent years the field of advance practice nursing has emerged as nurses are taking on more challenging and comprehensive roles within the health care field. One may define an advance practice nurse in many ways. According to the Department of egulation and Licensing in Wisconsin, and advanced practice nurse is a registered nurse with the following credentials: (1) holds a professional nursing license within the state, (2) is certified by a national certifying authority as a nurse practitioners, registered nurse anesthetist, clinical nurse specialist or other nursing specialist and (3) a registered nurse who holds a graduate degree by an accredited university (DL, 2004). This definition is fairly standard among most other nursing institutions.
In most cases advanced practice nurses may not prescribe medications, though there is now a certification APN's can get…… [Read More]
Practicum Report: Assessment of Fair Housing Act using a Normative Policy Evaluation Method
I considered this as a great opportunity for exploring the role played by the public policy practitioner in the Public Housing sector. I got to assess the Fair Housing Act, via a normative policy evaluation methodology. Collection of data was achieved through observation and literature review of materials that included policy guidelines as well as records for the housing agency. It is clear from the assessment of programs and processes that XXXX Housing Agency obeys all the state and federal conditions on housing, such as the Fair Housing Act. Nonetheless, in order to improve the Act and make it even more accommodating for the smaller groups, the following recommendations are suggested; (1) HUD should supervise and impose grantee’s jurisdiction-wide favorable fair housing responsibilities via a reviewed Analysis of Impediments procedure. (2) The HUD needs fund beneficiaries…… [Read More]
Describe how health care is organized and financed, including the implications of business principles, such as patient and systems cost factor while examining the roles and responsibilities of regulatory agencies and their effect on patient care, workplace safety, and the scope of practice.
egardless of the country or situation, healthcare is generally some sort of blend of public and private sourcing and personnel. Depending on who is asking or answering the question, one or both can be seen as a pariah and one or both can be seen as saint. Publicly funded healthcare is financed by taxpayer dollars in large part (if not entirely) and thus is subject to oversight and regulation on a level that is much higher than in the private sector. Even so, government agencies and groups are often seen as being inept and lumbering and funding cuts and mismanagement are often seen as issues…… [Read More]
There is a high degree of interrelation between theory, practice and research. esearch is the starting point. It involves the gathering of knowledge, and then this knowledge is used to build theories. The theories are then put to the test, first in the research process and then if that is successful theories are put into practice in the real world. eal world practice then becomes the basis for the next round of observation, theory development and is also utilized for research. The three end up being something of a cycle, where each of the three elements supports the others, in the next iteration of the cycle. The relationship is not linear, but more circular, and the different elements feed back into each other, and can do so at any time. Practice can reference research, which turns into theory, and that theory can be tested either with practice or…… [Read More]
The American Nurses Association (2008) define nursing informatics as the mixture of computer and information science and nursing towards improving healthcare delivery and patient outcomes. Nursing informatics is a career that has developed from the evolution of health informatics, which involves the use of knowledge to examine and translate health data into useful information that can be utilized in enhancing patient outcomes through improved processes. As the healthcare field continues to adopt technology rapidly, nursing informatics is one of the educational programs that has emerged to prepare the workforce towards effective use of health information technology to enhance patient care delivery (Dalrymple, 2011). Nursing informatics education include formal graduate programs that provide both theoretical and practical training (which includes working with an already practicing preceptor). The ANA Scope and Standards of Nursing Informatics Practice requires students in this profession to complete a formal practicum as part of practical…… [Read More]
nurses play a very important role in the emotional, spiritual, and physical care of the patient with different illness. When it comes to nursing homes, nurses are responsible for the well-being of the individuals there. Even though majority of the persons there are not critically there, they still depend on nurses for their care both medically and emotionally.
Sanghine (2013) reported that two nursing home nurses managed to turn off the alarms of nineteen patients at night so they would not be disturbed during their sleep. They were caught when the care home manager checked up on them in the middle of the night. IT was reported that elderly patients in ages 75 to 100 were not able to call for help. Not only that, they also reported ill treatment to the persons only because they preferred their own comfort and sleep before their duty at the nursing home.
The…… [Read More]
Sunrise Clinical System Version 6.1
The Emergency Room: Hybrid System
Meetings and Collaborative Care Councils
orkflow of the EMR
The KBC ( Knowledge Bas Charting) 3.4 Upgrade 6
The Role of the Nurse Informaticist
Comprehensive Analysis of my Clinical Experience
After completing 100 hours of practicum in informatics, the following will show the time at the site with my preceptor. The practicum took place at Franklin Hospital - North Shore Long Island. North Shore-LIJ which is an award-winning health system that consist of world-class tertiary hospitals, a nationally well-known children's hospital, a notorious mental facility and an assortment of community hospitals, in addition to a range of wellness and health programs. North Shore-LIJ Health System consist of 16 award-winning hospitals and approximately 400 physician practice locations all through New York, as well as Long Island, Manhattan, Queens and Staten Island. North Shore-LIJ Proudly serving an area of seven…… [Read More]
Academic Profile of Home Schooling - a Case Study
Home Schooling vs. Traditional Educational Methods
Home Schooling Methodology
Focus of the Practicum
Area of Inquiry
Home Schooling as an Alternative
Curricula and Materials Used for Home Schooling
The Success of Home Schooling
Conditions for Change
Maryland: A Legal Analysis
State Laws and Regulations - Maryland
Goulart and Travers vs. Calvert County
Home-schooled Kids Find Social Growth"
Home Schoolers in the Trenches"
Home School Academic Advantage Increases Over Time"
Home Schooling." ERIC Digest, Number 95.
The Academic Profile of Home Schoolers
The focus of this applied dissertation proposal is to examine and analyze home school families' academic environment, the institutional materials they use, and to gain an understanding of their academic success.
Prince George's County Public School System is the nineteenth largest school system in the nation with a…… [Read More]
EDITING STUDENT'S ORIGINAL CORRESPONDENCE
Please consider this respectful appeal of the decision of the Department of Student Progress Committee resulting in my dismissal from the Masters program in Communicative Sciences and Disorders. That decision was the result of difficulties that I experienced completing an off-campus practicum at Eger Healthcare Center during the all of 2010 which resulted in my receiving a grade of "" for the course E34.2118.
Originally, I took on my four-day-per-week off-campus practicum at Eger Health Care Center in Staten Island and my second one-day-per-week off-campus practicum site at Terence Cardinal Cooke Health Care Center in Manhattan during my last scheduled semester at NYU prior to my anticipated graduation in January 2011. Unfortunately my family experienced unexpected financial difficulties after my husband's untimely loss of his employment in early October of 2010. The resulting financial hardship affected my academic performance tremendously because my husband's job had been…… [Read More]
.....career through a greater understanding of the day-to-day operations of counselors and some of the procedural and formal issues that need to be thoroughly mastered prior to certification. With this practicum, I have engaged in 63 direct practice hours (130 nondirect), and this time has provided me with substantial real world experience that will prove invaluable in the future. The exposure to different counseling philosophies and approaches has opened my mind, and I intend to incorporate what I have learned in the practicum to my future practice. Direct client contact involved intake, group sessions, and a number of interactions that were rooted in what I have been learning previously in school. However, I also found that the indirect practice hours were helpful in showing me how counselors protect their clients, ensuring their information is kept private and confidential as well as accurate.
Eager to gain more knowledge, I believe that…… [Read More]
Patient safety is a very important element with the overall healthcare system. egulations and new initiatives set forth by the Affordable Care Act have created much elevated culture of safety. As a result, facilities must now alter the manner in which they deliver and administer treatment to patients. A culture that once focused on transactions and bloated costs has now been replaced with one predicated on safety. Creating a culture of safety is no easy task however. In fact, it can be particularly difficult when older employee habits have been deeply engrained in the daily processes of work. To create a culture of safety, management must first communicate its expectations to all stakeholders involved. Communication is an integral aspect of patient safety. Communication is important because it sets the overall tone within the organization. Communication regarding expectations is particularly potent when top-level management is heavily involved. Consistent emphasis on quality…… [Read More]
SWOT analysis can help to identify internal and external factors that can foster or hinder organization or program success. A SWOT analysis organizes the Strengths, Weaknesses, Opportunities, and Threats of an organization or program. The identification of weaknesses and threats indicates factors that have a negative impact on the organization or program and need to be addressed. Strengths and opportunities are factors that have a positive impact on the organization or program and should be maintained. This knowledge is important for strategic planning (Hill & Jones, 2012). This paper provides a SWOT analysis of the author's practicum organisation, an urgent care clinic. The clinic mainly treats a wide variety of medical conditions requiring immediate attention, including minor injuries, coughs and colds, breathing difficulties, eye and ear problems, fever, headaches and migraines, uncontrollable bleeding, stomach problems, skin problems, poisonings, and seizures.
• Wide variety of…… [Read More]
The assumption here is that ounselor burnout may be heightened as a result of the diversity of students who attend post seondary eduational institutions, and the variety of servies the 2-year postseondary ounselors must provide to these students. This assumption is ongruent with the findings of a study by Wilkerson and Bellini (2006) who advise, "Professional shool ounselors are asked to perform multiple duties as part of their daily work. Some of these duties math the desriptions set forth by national standards for shool ounseling programs, whereas others do not" (p. 440).
Consequently, shool ounselors are required to formulate deisions on a daily basis onerning the best way to perform their jobs (Wilkerson & Bellini). Not surprisingly, many shool ounselors are overwhelmed by these onstantly hanging working onditions and requirements, and a number of ounselors experiene high levels of stress as a result. Beause the onnetion between high levels of…… [Read More]
According to the AACN's report, "Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women's Health" (2002), "Competencies are the domain or body of knowledge and skills that essentially define a profession or discipline. This domain of competencies guides training programs, provides expectations for employers, and drives the nature of assessment instruments and performance standards for credentialing institutions, certifying agencies, and accrediting organizations" (p. 14).
The core competencies for nurse practitioner graduates are intended to help candidates used what they have already learned and require a graduate-level education in order to attain certification as an APN and the AACN has developed this graduate curriculum as the basis for advanced practice nursing. As described by AACN, advanced practice nursing preparation includes ". . . graduate nursing core content (e.g., research, health policy, ethics, and more) and advanced nursing practice content (e.g., advanced health assessment, advanced physiology and…… [Read More]
EBP Project: Will Every Two Hour Turning and Positioning Decrease Pressure Ulcers in the Eldery Bed Bound Population in Nursing Homes?
Practicum: Clinical rotations with preceptor; serving patients with acute, chronic and new medical issues.
One of the things I have discovered during my recent experiences with both academic and clinical education and an EBP project is that there are numerous and effective ways of learning, presenting, and communicating. Each method, however, has one critical thing in common -- it must be a two-way path and none are effective unless there is clear communicative understanding on the part of the receipient, patient, family or colleague. Aristotle, for instance, once commented that "For the things we have to learn before we can do them, we learn by doing them." Experiential learning targets certain brain chemicals and allows a more personal approach to the individual's own particular brain chemistry. Because the individual…… [Read More]
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…… [Read More]
Goals Related to This Course:
The baccalaureate nurse leader should be proficient in current leadership and management techniques, as well as developing an awareness of his or her strengths and weaknesses as a leader. Managerial tools such as change theory, quality improvement processes, budget analyses, strategic planning and performance appraisal are crucial to the baccalaureate educational experience. It is the purpose of this assignment to evaluate how knowledge of Leadership and Management in the Changing Healthcare Environment relates to the achievement of my professional goal
Investigation into recent requirements on patient care delivery and the role of the professional nurse shows me the extent to which critical thinking tools have become a core requirement of nurse practicum (as evidence, for instance, in the extremely popular approach called 'evidence-based nursing). Contemporary nursing has changed diametrically from that that it was, a half a century ago. Nurses then were expected to follow…… [Read More]
Action Research Project -- Cardiac Rhythm Interpretation
he purpose of this paper is to discuss the possible outcomes of the proposed solution to the project. In particular, the discussion will focus on outcomes that might occur if the solution is not effective in the manner intended. he preparation for the project has focused on pre- and post-tests of the use of ECG flashcards. he literature has shaped the conceptualization of desirable outcomes for the project and enabled the project to assume the structure of an action research project (Lewin, 1951). he project has been guided and defined by the dynamics inherent in change processes, which are supported by change theory and the literature on transfer of training (Bridges, 2003).
he action research problem, which was identified during the practicum experience, is the need for ongoing education of CLC nurses on cardiac rhythm interpretation (Finkelman & Kenner, 2010). he significance of…… [Read More]
My work as a research assistant in a cognitive psychology lab added to my theoretical knowledge by giving me practical experience in encoding and analyzing data. This experience provided me with the opportunity to use analytical tests and interpret statistical data. Bookkeeping of participants' demographic information also further developed my organizational skills. Having been a research assistant, I have gained a reasonable understanding of research design and the statistics needed to conduct research. For my senior major project, I wrote a research paper on an empirical study that investigated the role of change detection in studies of visual attention in the field of cognitive psychology. This paper was awarded the Sharon Borine award for the best major project in Psychology because of its successful presentation of research and adherence to American Psychology Association guidelines. I strongly believe my research experience will help me attain success in conducting graduate research as…… [Read More]
13. I also think that field experiences in the community are extremely necessary for success.
14. I don't think enough teachers complete their practicum or student teach in minority schools, and I think this area is underserved and not supported enough by administration and community in many areas.
15. I don't think many teachers would want immersion, living and teaching in a minority community, and I think this is far underserved in the educational community.
16. The group-setting model is very prevalent, and it does make for more challenge and support throughout college.
Almost all of these elements are extremely relevant to the 21st century learner, teacher, and total school environment. As classrooms become more diversified and unique, today's teachers must make more attempts to understand the different blends of students and cultures that fill their classroom, and educational curriculum is key to this basic understanding. Classrooms are not going…… [Read More]
deeply moved by an event that transpired during the course of my nursing practicum that stressed to me that nurses are healers who, in their finest form, approach helping patients holistically, addressing the socioeconomic, cultural, and emotional aspects of their patients as well. During the course of my internship, a homeless patient (we can call him Mr. E) was admitted to the hospital and was subjected to a significant amount of stigma and bias in his treatment from his medical providers due to his housing status. The stigma that homeless persons endure in medical settings as well as in the world at large has been well-documented, but witnessing the experience of Mr. E provided a harsh real-world example of this stigma in action. The response of my preceptor provided a complimentary example of ways in which nurses can directly confront this stigma and act as advocates for patient's rights.
It…… [Read More]
.....neuroscience is one of the most common scientific field of study that basically involves study of the nervous system. Most of the jobs in neuroscience involves dealing with some problems that do not necessarily involve working in the lab. An example of such jobs that interests me is neuropsychology, which is an area in neuroscience that focuses on the science of brain-behavior relationships. I find clinical neuropsychology as an interesting field of neuroscience since it combines concepts of psychology in the study of the nervous system, particularly brain-behavior relationships. Given the combination of neuroscience and psychology, clinical neuropsychology will enable me to feel empathy for my patients/clients when addressing their issues (Ogden, 2012). In light of my passion for this field, brain functions and neuroscience that I find interesting are neurobiological theories that explain dysfunctions in language, behavior networks, vision, memory, and emotion. These brain functions and neuroscience are interesting…… [Read More]
(a) provides an account of your observations on the management of peripheral intravascular devices from your clinical practicum in NMIH202;
Clinical practicum NM1H202 introduces nurses to the management of peripheral devices via scholarly inquiry and clinical practice. The practicum includes a thorough training in handling, inserting, replacing, and dressing peripheral intravascular devices including peripheral venous catheters. Because the primary risk associated with peripheral intravascular devices is infection, proper management of the devices is crucial. Bloodstream infections can cause patient casualties, leading not just to humanitarian disasters but also financial ones as well.
Hand washing vigilance is a primary part of the introduction to peripheral intravascular device management. While it may seem like an abundance of common sense, hand washing and aseptic techniques themselves depend on continued knowledge acquisition and training. Nurses must stay abreast of latest products and tools that promote hygiene in relation to the management of peripheral…… [Read More]
successes in the MSN program
The MSN program has been both a rewarding and challenging experience for me. My professional development has vastly improved over the course of the program. In particular my proficiency with Needs Assessment Tools, Lean Six Sigma, and SMART action plans, has improved. What I appreciate the most about these successes within the program is that each of these concepts can is applicable to both my professional and personal life as well. From a professional development perspective, being about to develop and implement SMART action plans will be critical to corporate success. In many instances, healthcare firms are looking to make an adequate profit relative to the resources invested in the project. With SMART goals, I will be better able to help direct a firm to the projects that help serve clients and the firm better. Through the MSN program, I have also become a more…… [Read More]
The primary objectives of the training seminar are as follows:
To assist the trainee in developing a content knowledge base of counseling theory, research and practice from a multicultural point-of-view.
To assist the trainee in defining their professional identity and knowlegde and adherence to ehtical practice.
For the trainee to receive monitoring of their strengths and weaknesses as a counselor.
To acquire new skills in counseling.
To be able to identify personal issues involved with being a counselor.
To learn to develop and write case studies in a professional manner.
To be able to have a comfortable and supportive environment wherein sharing information, reactions and concerns can take place.
Knowing that individual, group, and seminar situations are important in providing a student optimal training it is also important to be able to recommend new situations wherein counselor training can be brought about. To this end, an area that has been…… [Read More]
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…… [Read More]
In addition the effect of bill has changed the documentation awarded through the state as of a certificate toward a license and authorizes a doctor to pass on duties to a PA with the purpose of managing physician's scope of performance however Another effect of bill has enabled Indiana's doctor assistants to widen their area of the health care services and also provided an innovative average of patient care (Stephanie, Matlock (27 April, 2007). Health care bills gives right to patient to know what health care should be known by the plan as well as several limits on care, kinds of health care be not enclosed, any treatment diagram required to endorse in advance. Yearly planning about on disburse to physician and health providers, file a complaint regarding any, disagreement between patient and the plan, and also procedure to make complaint, allowance to access emergency room twenty four hours a…… [Read More]
Early Child Learning
What is the basic meaning of the term data-supported (or data driven) instruction?
The basic meaning of the term data-supported instruction is that individuals should utilize practices that are supported by data as the foundation for their teaching methods to use with students. There are a number of different teaching methodologies that one can employ that are either corroborated or unsubstantiated by quantifiable data. Data-driven instruction is largely based on analytics and various forms of analyzing data. Many of these different forms are based on statistics. However, the point of these analytics is that instructors can actually determine -- in advance to using them in their own classrooms -- best practices for teaching that are demonstrable due to findings that are rooted in data. As such, there is less need to rely on instinct and it is becoming mor readily available to utilize data to influence any…… [Read More]
The author of this report has been asked to offer a review of the graduate program that is in the process of being completed by the author. The author is to reflect on the "nature and extent of their professional growth and development." This is to include development when it comes to philosophies about education. There was also some observations to be made about the practicum that was undertaken. There was skill-building and strengthening of teaching skills as well as work with children. As part of this analysis the author will consult at least five scholarly journals and use them as a reference point that new teachers might face in the current culture, society and overall teaching paradigm. In particular, there will be a focus on data-supported instruction with children. While some people may think it is easy, learning to become a teacher and then actually starting to…… [Read More]
Halcomb, Peters, and Mclennes (2015) aims at examining pre-registration nurses' experiences in community clinic assignments as well as the effect such assignment has on their education. The authors have determined that clinical assignments to community facilities may offer nursing undergraduates important opportunities for learning. The research was conducted using a qualitative study design.
The research work attempts at examining pre-registration nurses' experiences in community clinic assignments as well as the effect such assignment has on their education.
Statement of Purpose
For promoting the profession of primary healthcare, comprehending pre-registration pupils' experiences within primary care contexts at the time of clinical assignment is vital.
In spite of the observable advantages such assignment have for pupils, poor supervisor-student relationships, work climates that do not foster a sense of belonging, and the absence of adequate guidance and monitoring are proven to have strong links to exacerbated anxiety and stress levels, greater pupil attrition…… [Read More]
Professional Development Plan
Attaining a Master’s degree in Nursing requires a great deal of focus and coordinated effort. It also requires that the student’s personal and professional goals be aligned, as the Master’s degree in Nursing is really the ultimate expression of this alignment: a student whose personal values and aims do not reflect the professional aims represented by the Master’s in Nursing is a student who is likely to be pulled in two different directions at once. Unless the ultimate aims converge, divergence will result—and that is why it is so important that a nursing student reflect upon how his or her personal and professional goals correlate. This paper will serve as a professional development plan: it will give some background on my personal history, my professional accomplishments, my future aspirations, while also identifying my academic interests and my goals for my Walden educational experience.
Personal and Professional Goals…… [Read More]
Moreover, all psychological problems are based on dysfunctional relationships; therefore, change must occur in the arena of personal connections (the William Glasser Institute, 2010).
g. What is the role of cognitions or thoughts?
According to Glasser, thoughts are just one aspect of "Total Behavior," which includes "acting, thinking, feeling, and physiology" (the William Glasser Institute, 2010). All human behavior is Total Behavior, and all human behavior is chosen. However, acting and thinking are the only two components of behavior a person can directly control. Therefore, a patient must indirectly control their feelings and physiology by directly controlling their thoughts and behaviors (Glasser & Glasser, 2010).
IV. What specific techniques are used in this theory?
Choice theory is based primarily on "Seven Caring Habits" and "Ten Axioms" (the William Glasser Institute, 2010). The Seven Caring Habits are: "supporting, encouraging, listening, accepting, trusting, respecting, and negotiating differences" with creativity (the William Glasser…… [Read More]
" (Halpin and urt, 1998) Duois states: "The history of the American Negro is the history of this strife -- this longing to attain self-conscious manhood, to merge his double self into a better and truer self. In this merging he wishes neither of the older selves to be lost. He would not Africanize America, for America has too much to teach the world and Africa. He would not bleach his Negro soul in a flood of White Americanism, for he knows that Negro blood has a message for the world. He simply wishes to make it possible for a man to be both a Negro and an American, without being cursed and spit upon by his fellows, without having the doors of Opportunity closed roughly in his face. (Duois, 1903)
The work of Pope (1998) conducted a study to make examination of the relationship between psychosocial development and racial…… [Read More]
Although supervisors have an obligation to foster an atmosphere in which supervisees feel capable of being forthcoming with important information, we must also be concerned with the possibility that trainees may have predispositions toward nondisclosure, as well as the risk of liability associated with certain types of nondisclosure.
Ellis & Douce (1994) believe that there are eight supervisory themes and issues tend to recur in-group supervisor supervision (i.e., supervisor anxiety, intervention choices, group cohesion, responsibility, parallel process, power struggles, individual differences, and sexual attraction). Given the importance of supervisory issues in counselor supervision (Ellis, 1991), it is reasonable to expect that the eight issues may be important for effective supervisor supervision. In fact, our experience suggests that assessing and confronting these supervisory issues successfully is an integral part of supervisor supervision. Therefore, in the next section we discuss the eight issues and suggest intervention strategies to address them.
The eight…… [Read More]
SPECIAL EDUCATION GRADES 8 -- 12
The objective of this study is to interview a teacher and have them review their experiences in a graduate program and discuss components of the program that have been of particular value to them and why these program components have been of value. This study will have the teacher discuss their practicum or field work, observation lessons, including strengths and limitations of the lessons, what areas were discussed during post-observation conference with the observing professor, including recommendations for strengthening teaching skills and building positive relationships with students on the high school level. This study will additionally review five articles that address the problems facing new teachers (in both general and special education) and the kinds of documented supports that have been found to help new teachers effectively respond to such problems.
The work of Stansbury and Zimmerman (2000) reports that one-third…… [Read More]
Definition and Meaning
Data-driven instruction is a type of instruction where the teacher uses student performance as the benchmark for planning their instruction. Student performance in this case is defined in terms of their result or scores in various assessments. The teacher uses these results to identify those areas that students were able to grasp effectively and those in which they are still encountering difficulty; and then structures their subsequent instruction in such a way that it focuses more on the latter (Thompson, 2008). Data-driven instruction, therefore, basically has three fundamental elements -- baseline data (where the students are currently), clear goals (where they ought to be in a pre-determined period), and regular assessments (a mode of benchmarking their performance in relation to the set goals over time) (Thompson, 2008). esearch has shown data-based instruction to be an effective way of improving student performance (Thompson 2008).
What I…… [Read More]
Counselling Certificate in Florida
In the following article, the certification rules or a school counsellor in Florida have been discussed in detail.
A Look at the Certification Process
According to the School Counselling Program, there are certain courses and experiences that a student requires to be eligible for Florida State Certification, and if these requirements are not already met, the courses are included in the student's planned program. Students must at least do one internship in a public or private school in the field of School Counselling to complete six credit hours. Moreover, they should sit in the Florida State Certification Examination for School Counsellors and get passing scores. Uncertified teachers must also pass the CLAST Basic Proficiency Exam, the Florida Teacher Certification Professional Skills Exam and the General Knowledge Test (only if CLAST exam was given after July 1, 2002). Florida is one among few states that…… [Read More]
Practicum Project in Health Informatics
• This practicum thesis allows the student to work on developing informatics-based applications while also applying informatics science and skills.
• Uses technology to help streamline processes that ultimately aid in the patient experience
• Lowers costs while increasing efficiency
• Does not focus on the "human component" of technology
• Focuses on the benefits of informatics but does not take into account the costs as it relates to onboarding. People must be training on the technology; stakeholders must know how to fix problems that arise. All employees must be willing to adopt the technology.
• Does not properly take into account the threat of cyber security and its implications on training nurses. A hack may disrupt the overall application of the technology
"Preceptor Training and Nurse etention"
• Strong emphasis on a team approach as it relates to training and retention…… [Read More]
Foundations of Mental Health Counseling
Dr. Mary Owens
My Personal Licensure Plan
The process of obtaining licensure as a Mental Health Counselor begins with attending and graduating from an approved NY State Education Department (SED) Master's Program. Having stated that, I am a step in the right direction by attending LIU's Clinical Mental Health Counseling program at the moment. While that is the case, my plan is to further my education by obtaining a Psyd immediately after graduation and then get licensed as a psychologist. I do not believe it makes sense to do the 3,000 hours of supervision and take the NCMHCE and then take the EPPP exam and do another 3,500 hours. To graduate from the MHC program, you need a total of 60 credit hours, which also includes 100 hours of practicum and 600 hours of internship. I am currently enrolled in four…… [Read More]
Nursing is a tough profession to perform well. There are constant innovations and changes in healthcare that make research and education a top priority among nurses to achieve the goal of providing high quality care. Evidence-based practice offers nurses a way to use the research continuously developed to create strategies and techniques that better suit the needs of patients. However, it is a daunting task that many nurses have not successfully accomplished. From problems with nursing leaders to an inability to apply knowledge learned, evidence-based practice has not caught on in nursing practice as desired.
To create strategies to better foster evidence-based nursing practice, it is important first to understand competencies and identify which competencies can lead to successful implementation of evidence-based practice. A 2014 article defined competencies and provided core competencies that may foster evidence-based nursing practice. "Competencies are a mechanism that supports health professionals in providing high-quality, safe…… [Read More]
It does not happen overnight; 3) eflective practice occurs best when learners work with role models; 4) as noted by Fink, instruction needs to be learner-centered, of interest to the learners and long-lasting; 5) the institution in which the nurses learn must be supportive of reflective learning.
The PICOT is a useful format for developing a clinical research question. It helps to answer questions and decrease uncertainty and determine the appropriate choice of action. In this case, the PICOT is the following:
Nursing student population
Provide long-term knowledge to make reflective decisions
Traditional learning situations
eflective practice offers several benefits over traditional learning
Time frame (optional)
Fink, L.D. (2003). Creating significant learning experiences: An integrated approach to designing college courses. San Francisco: Jossey-Bass
Loughran, J. John (2002) "Effective reflective practice: in search of meaning in learning about teaching." Journal of Teacher Education 53(1): 33+.
Osterman, K. (1998) Using…… [Read More]
Good researchers tend to pull methods out of a tool kit as they are needed" (2006, p. 54). Notwithstanding these criticisms and constraints, though, most social researchers seem to agree that classification by some type of research paradigm is a useful approach based on the need to determine which approach is best suited for a given research enterprise. In this regard, Corby concludes that, "The contested nature of research makes it impossible and unhelpful to ignore the different aims and purposes of various research projects and the methods and approaches being used to carry them out" (2006, p. 54). Therefore, the different aims and purposes of the positivist research paradigm, the constructivist research paradigm and the pragmatic research paradigm are discussed further below.
Positivist Research Paradigm
The positivist research paradigm is a quantitative-based approach that generally seeks to identify trends and patterns that can be used to formulate predictions concerning…… [Read More]
esearch Caveat - esearch surrounding undocumented workers can often be problematic and unreliable. Primarily this is due to the nature of the subject matter -- individual on both sides of the issue are unwilling to talk because of the volaltility of the subject, language barriers, legal issues, access issues, fear of anything that even remotely feels governmental, and the validity of responses. Briefly, we can view these issues and the mitigating circumstances:
Language barriers -- Any viable research study will need to be dual language based; therefore it must be translated into the appropriate lanage and level (typically Spanish), with an emphasis on clarity, removal of hidden meanings or linguistic variations. In addition, the person or persons administering any research questionnaire would likewise need to be bilingual.
Mistrust -- Undocumented workers are often reluctant to particpate in any project that has a written component; they are mistrustful of the system,…… [Read More]
Supplement Application for Pharmacy
Have you considered the ramifications of relocating and/or living in Hilo, HI for the duration of your pharmacy academic career? If so, does the possibility of living in Hawaii appeal to you? If so, why? Do you have any concerns? If so, what are they?
The prospect of completing my degree in pharmacy at the University of Hawaii at Hilo in the College of Pharmacy is very exciting and quite appealing. Although Hawaii is a significant distance from the mainland of the U.S.A., and the costs of travel between Hawaii and the mainland are significant, I have taken the time to review my personal budget and have no concerns about studying such a distance from home. In my previous studies I have often spent long periods of time away from my family, often only visiting once or twice per year over the holidays. My…… [Read More]
By improving their self knowledge, leaders can change and develop as leaders of people. Clinical supervision for leaders is sometimes called administrative clinical supervision. This is managerial clinical supervision with a focus on problems related to leadership and organization of work, particularly human relations issues. Administrative clinical supervision makes use of experiential learning focused on oneself and one's work (Sirola-Karvinen and Hyrkas, 2008).
Administrative clinical supervision means clinical supervision for leaders that address leadership issues in order to achieve set goals. Supervision promotes cohesion within the organization and is directed at change. Administrative clinical supervision is the examination of leadership in which leaders have the chance to reflect upon the quality of their decisions and share their feelings. In terms of action, administrative clinical supervision involves process-like support and mentoring, which boost the leader's confidence in coping with leadership duties and changes associated with it. Administrative clinical supervision addresses issues…… [Read More]
Teaching the Skill of Listening to Children
This short essay aims to discuss the process of teaching listening skills to children. The main focus is to describe problems that may arise and then to suggest some possible solutions for each in terms of the learning process in general. Listening as a skill set is one of the more critical skills needed by young learners. To show how difficult attaining listening is, consider this from a non-native speaker. "A common complaint from learners on first visiting an English-speaking country is that their listening skills cannot cope with fast spontaneous speech." (Cauldwell) It is believed that of the group of four skills humans use most often, listening should be considered to be by far one of the most frequently used. Consider how in the United States speaking and listening are usually taught in tandem, but from the teaching perspective, speaking…… [Read More]
This program experience, concurrent with my faith-based experience developing an additional residential treatment program provided the core of my personal and professional learning of both direct patient care and cemented my belief in the need for such programs to exists and grow to better meet the needs of the growing drug problem in my community and many others.
Upon completion of the position of Director of Residential Programs for the Jefferson County Council on Alcohol and Drug Abuse, I sought out in 2006 another position that would further my learning as a community service provider. My new task would be based around not the management of one county facility but the development of regional programming needs in the are as a member of the Southeast Texas Regional Planning Commission -- Quality Management-Substance Abuse Division. I currently hold this position which includes a variety of tasks and learning opportunities: Conducting organizational…… [Read More]
" (p.1) It is reported that a study was conducted in what was a "…small pilot study…at a large research university, the initial facilitation team reviewed several synchronous software products available on the market to determine if each met general. After eliminating from further analysis those that did not meet the criteria, the remaining products were reviewed from an administrative perspective." (p.1) tated as being particularly important were "…compatibility with existing infrastructure for proper support and integration." (chullo, Hilbelink, Venable, and Barron, 2007, p.1) Two systems which were evaluated "for usability and ability to enhance online teaching" were those of Elluminate Live and HorizonLive." (chullo, Hilbelink, Venable, and Barron, 2007, p.1) The study was reported to have been conducted through interviews and focus groups. Primary goals that were expressed by faculty included those of: (1) providing clearer instruction on difficult concepts, (2) allowing students time to practice these concepts while…… [Read More]
Roles can be rotated regularly to give all team members experience; and 5) Task or sequence interdependence
This occurs when one group member must first complete his/her task before the next task can be completed. For example, collecting water samples might be assigned to two group members, while research on how to collect samples is done by two other group members. (Foundation Coalition, 2009)
Cooperative learning according to the University of Wisconsin cooperative learning group is stated to be structures that "...generate ideas for open-ended questions or problems. The instructor poses an open-ended question and asks groups of students to generate multiple responses. Groups then summarize their responses and report in one of several ways: in writing, random calling, groups reporting to each other, etc. A faculty member might apply one of these structures at the beginning of a new topic by briefly describing the topic and then asking groups…… [Read More]
Perhaps a nurse must also be given a say in the way in which the entire healthcare system is being run today, especially since it is a nurse who is the closest to the patient, and who is completely responsible for the daily care of the patient, and it is a nurse who would put the patient on the road to recovery. A nurse would then be allowed and be given a chance to make use of her education, her leadership training, her skills in mass communication and her management skills in order to further the interest of the patient. The International Council of Nurses in Geneva, Switzerland has summarized the various duties of nurses today, as they increasingly take part in important decision making processes, as follows: 'strategic planning, budgeting, efficient resource planning and utilization, and the planning, management and evaluation of programs and services'. (Akinci, 2007) it can…… [Read More]
Teachers at all levels need to be able to expand their understanding and use through professional development and grant opportunities, as well as be given time to attend trainings and conferences. They need to be encouraged to assume a leadership role and be asked to share their ideas about instruction with their peers at educational meetings and state conferences. When teachers have a positive attitude and believe technology is useful, are personally interested, and offered support and training, they get excited and, as a result, motivate their students, and use technology successfully to promote learning and achievement.
Active involvement in technology-supported innovations was a source of inspiration and professional renewal for these teachers. This points to the need for active training within all the school systems on a continual basis.
Similarly, Fleming, Motamedi, and May (2007) found that pre-service teachers who had experience with technology in college would more likely…… [Read More]