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The school nurse checks the hearing and vision of all the children in a Head Start classroom.
- The teacher uses a checklist to observe a child's play skills.
Based on family concerns, a kindergarten student is tested by the speech language pathologist and school psychologist.
The scenarios described in the preceding statements represent the diverse array of assessment methodologies used to measure, record, and interpret vital information about children within the school environment. The systemized administration of standardized tests, annual physical examinations, and teacher-guided assessment of individual students and their abilities is used to refine the educational process and ensure the efficient and effective delivery of instructional goals. The characteristics of particular learners should dictate the direction of instruction design. Knowing how to create immersive, integrated lesson plans is of no use to instructors who are not capable of recognizing their learner's individual abilities and applying lessons…
Allen, E.K., & Cowdery, G.E. (2011). The exceptional child: Inclusion in early childhood education. Wadsworth Publishing Company.
Emirson, F. (2011). What is the difference between an ifsp and an iep?. Pacer Center Action Information Sheets, Retrieved from http://www.pacer.org/parent/php/PHP-c59.pdf
For most students who grew up during more prosperous economic times, the school nurse held a position of almost mythical stature, dispensing colorful cough drops and bandaging scraped knees. This matronly figure was a gatekeeper of sorts, holding in her hands the ability to send a child home sick for the afternoon, and in the process fulfilling every little boy or girl's secret wish of a personal day off. Of course, school nurses were also responsible for far more serious duties during the school day, such as monitoring the health plans of at-risk students and administering annual hearing and eyesight exams. Today's generation of elementary and high school students, however, are increasingly faced with the worrisome task of attending a full day of schooling without the safety net provided by a trained school nurse. Due to a confluence of factors, the most devastating of which is…
Mithers, Carol. "Are School Nurses Disappearing?." Parenting.com 04 Apr 2011: Web. 24 Apr 2011. .
e: Bill 672, Public and Nonpublic schools -- Student Diabetes Management Program
My name is ____ ____ and I am writing to ask that you vote in support of Bill 672, which would authorize the Student Diabetes Management Program in Maryland public and nonpublic schools. As a nurse, I have a lot of experience with diabetes patients, and pediatric patients. I have seen in my career a dramatic increase in recent years of pediatric diabetes patients, and this trend has reached alarming levels.
As you may be aware, childhood diabetes comes with a whole host of negative health outcomes. Type 1 diabetes, or juvenile insulin-dependent diabetes, in a genetic condition requiring constant care, which poses significant challenges to our educational system. Our educators are trained to educate, but must also play the role of safeguarding the health of our children, a role that is challenged by…
Mayo Clinic. (2015). Type 1 diabetes in children. Mayo Clinic Staff. Retrieved March 11, 2015 from http://www.mayoclinic.org/diseases-conditions/type-1-diabetes-in-children/basics/definition/con-20029197
Berhan, Y., Eliasson, M., Mollsten, A., Waernbaum, I., Dahlquist, G.. (2015). Impact of parental socioeconomic status on excess mortality in a population-based cohort of subjects with childhood-onset Type 1 diabetes. Diabetes Care.
Lyons, S., Becker, D. & Helgeson, V. (2014). Transfer from pediatric to adult health care: Effects on diabetes outcomes. Pediatric Diabetes. Vol. 15 (1) 10-17.
Guttu, M., Engelke, M. & Swanson, M. (2004). Does the school nurse -- student ratio make a difference? Journal of School Health. . Vol. 74 (1) 6-9
A nurse must weigh these variables, physical, mental, and spiritual, when advising a course of treatment and deciding how to approach a patient or patient's family. An adolescent who is an injured athlete envisioning a lucrative college scholarship might demand and be able to physically and mentally withstand a more aggressive form of treatment, due to psychological and developmental and goal-related visions (spiritual) factors than might a less motivated elderly patient.
A nurse who is training other nurses can instill consideration for all such variables in her various trainees -- and encourage nurses to engage in self-care as well as patient care on spiritual, preventative physical health care, and mental levels. Additionally, in a work environment with many diverse cultures, remind other nurses that Neuman's model has also been modified slightly to take into consideration culture as well as mind, body, and spirit -- although culture and spiritual values are…
Neuman, B.M. (1990). The Neuman systems model: A theory for practice. In M.E. Parker (Ed.), Nursing theories in practice (pp. 241-261). New York: National League for Nursing.
Neuman, B.M. (Ed.). (1995). The Neuman systems model (3rd ed.). Norwalk, CT: Appleton & Lange.
Pierce, J.D., & Hutton, E. (1992). Applying the new concepts of the Neuman systems model. Nursing Forum, 27(1), 15-18.
Utilization of the data and collection of the data should be one of the main aims of the policy makers. The data can be used by the policymakers in order to develop the policies and implement these in order to make sure that improvement can be ensured (Basch, 2011, p. 9).
3. One of the main roles that can be played by the policy makers includes reviewing the policies that have already been designed for the schools. How these previous policies have played roles in an improvement of academics of the children, their environments and their health are important parts of the review by the policymakers. It is important that funding is collected for the issues that affect health and academics of children.
4. The policymakers should make sure that the importance of school-based health clinics that can play roles in looking after the needs of the students.
Basch, C. (2011). Executive Summary: Healthier Students Are Better Learners. Journal of School Health 81, pp. 4-107.
Bruzzese, J., Sheares, B.J., Vincent, E.J., Du, Y., Sadeghi, H., Levison, M.J., Mellins, B.R., and Evans, D. (2011). Effects of a School-based Intervention for Urban Adolescents with Asthma: A Controlled Trial. Am. J. Respir. Crit. Care Med. April 15, 2011 183, pp. 998-1006.
Gall, G., Pagano, M.E., Desmond, S., Perrin, J.M., and Murphy, J.M. (2000). Utility of Psychosocial Screening at a School-based Health Center. Journal of School Health 70, pages 292 -- 298.
Geierstanger, P.S., Amaral, G., Mansour, M., and Walters, R.S. (2004). School-Based Health Centers and Academic Performance: Research, Challenges, and Recommendations. Journal of School Health 74, pages 347 -- 352.
Developmental perspective was the concept that the nursing students participating in this study were typically younger than they patients they were caring for. This made it difficult for them to ask the "older" patient questions about a lifestyle they had been practicing for many years.
Environmental constraints were noted that prevented the participants in the study from fully implementing best practice guidelines. The primary of which was time. They noted that because of other duties and paper keeping requirements, they had little time to properly present the best practice guidelines. Some noted that they had little time to do expected things such as breathing, much less introduce the patient properly to best practice guidelines.
During their third year of training the nurses were introduced to a comprehensive program concerning cigarettes and cessation programs. In addition they had already been taught more efficient time management training. With these new tools they…
10) Sanders, D., Fowler, G., Mant, D., Fuller, a., Jones, L., & Marziller, j.
Randomized controlled trial of anti-smoking advice by nurses in General practice. Journal of the Royal College of General
Practitioners, 1989, 39, pp 273-276.
Globally, a nursing shortage is impeding the advancement of healthcare systems around the world. The nursing shortage refers to any situation in which the labor market cannot keep up with patient demands. Causes of the nursing shortage include poor working conditions leading to high turnover rates, insufficient nursing education programs, and lack of incentives for nurses to work in areas of critical concern. Effects of the nursing shortage include further staff shortages due to high stress environments and poor patient care—including higher rates of mortality and morbidity. Nursing shortages have affected almost every region of the world, and may become worse unless concerted efforts are made to remedy the problem.
Even the most advanced healthcare systems in the world are short on nursing staff. As a result, existing nurses are working longer hours under high duress, and are more prone to making errors or experiencing workplace violence and…
My life has centered upon answering a central question. This question has been a in my mind since I was 10 years old. At that age, my first image of medicine was largely influenced by the doctors and nurses who were always helping my grandfather battle a rare form of brain cancer. His illness was a life changing experience for me, as, at that age, I watched his condition gradually deteriorate over a period of three months, and I detested I could do nothing to help. This thought, however painful then, has motivated my entire life, and has led to my choosing of nursing as a profession,
Though some did not approve of this particular career path, I never gave up my dreams. For this reason, I began studying and volunteering so as to combine education in theory with education in practice. Giving back to…
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 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.
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 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.
Nursing means working one on one with individuals who may be bogged down will all manner of physical or mental pain and suffering or who may even be on the brink of death. Because nurses work so closely with the most delicate matters of human existence: pain, suffering, and death, ours is a difficult job.
Nursing is but one of many healthcare professions and involves unique and specific work. For instance, nurses work directly with the patient by touch and voice. Nurses listen to people's complaints and address them immediately; we massage, we empty bed pans, we bandage bruises and poke people with needles and stick tubes down their throats. Not everyone wants to deal so intimately with patients but would rather remain in the lab. Nurses usually have more direct contact with patients than doctors do, for instance. Nurses must possess a full understanding of the profession and what…
Bolton, Zoe. "Is nursing a profession in crisis?" Daily Mail. 12 May 2004. Online at http://www.dailymail.co.uk/pages/live/articles/health/healthmain.html?in_article_id=302561&in_page_id=1774 .
Virginia Avernal Henderson." Nurses.info. http://www.nurses.info/nursing_theory_person_henderson_virginia_.htm.
One need only read the newspaper "Classified" ads to realize that employers are trying many clever marketing tactics to attract prospective nurses into their organizations. Many are offering sign-on bonuses, extra benefits and other amenities to attract a limited supply of nurses. As both the general population and the elderly population grow, the number of nurses needed to care for them increases proportionally as well. The number of people choosing to pursue nursing as a career has been on the decline, mainly due to long working hours, low pay, high job stress and other factors. These factors will not resolve themselves if the nursing deficit continues to increase. In addition, graduate nurses find it difficult to enter the workforce due to their lack of experience and a shortage of mentors to teach them. The solution is simple, more nurses are needed, and soon. Novice nurses are fresh graduates who…
Durkin, Barbara.(2002) Reliving Hospital Mistake: Mom recalls overdose case February
24, 2002. Newsday, Inc.
Lang, Susan. (1996) Lack of nursing assistants is an impending crisis, says Cornell gerontologist. Cornell University. Cornell University. http://www.news.cornell.edu/releases/May96/nursingassistants.ssl.html . Accessed June, 2002.
National League for Nursing (NLN). (2000). Unpublished Data. New York, NY. http://nursing.about.com/gi/dynamic/offsite.htm?site=http%3A%2F%2Fwww.nln.org%2Faboutnln%2Fnews_tricouncil2.htm. Accessed June, 2002.
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 .
Technology-based teaching strategies can greatly accelerate the how both teaching and learning occur and therefore often reduce traditional issues and concerns faced by students and instructors. This approach changes the conventional way of thinking about how quality nursing programs are assessed and changes the levels of requirements to better suit student learning with better access to libraries, counseling and tutoring services, computing equipment, tuition, and financial aid to name a few.
But where this Associates Degree approach will benefit the profession most is in the healthcare system where it is needed most. New nurses will be better acclimated to the needs of sophisticated logging processes, medical billing and inventory as well as scheduling and other tasks now all handled via digital processing and computer. A modern day nurses are more technologically sophisticated, the overall patient care process also gets better as more available free time is offered back to the…
Nursing: Personal Statement
For my entire life, acting as a caregiver has been an integral part of my identity. I come from Cuba, and caring for the old and sick is considered to be a very important obligation. I was the child who took care of the needs of my grandmother and grandfather as they aged, as well as my father who died all too young of cancer. As emotionally difficult as these experiences were, I felt privileged to be able to do something for the people who had given so much to me. I also learned how gratifying it was to nurse someone and to provide them with a sense of self-worth and empowerment, even when they were facing their own mortality. To make this my career would be my dream come true.
I wanted to become a nurse while still living in Cuba but unfortunately Cuban nursing schools…
" Nurses in Indiana are also represented by the American Nurses Association, headquartered in Washington, D.C. And the International Council of Nurses, based in Geneva, Switzerland. These organizations now investigate health facilities and help control the wages of nurses.
Governments can sometimes improve market outcomes, according to the 7th principle of economics. The state government is busy helping improve the shortage situation in the state of Indiana. The Indiana Department of Workforce Development has recently developed something called the Strategic Skills Initiative (SSI), which has identified three occupations which may develop shortages. The three occupations include registered nurses; the other two are pharmacists and pharmacist technicians. If it follows national trends, the largest shortage is expected to be in nursing, where there is a desperate need for 250 more workers in the state. Because of this, SSI is giving funds for adding faculty to the schools of nursing at Purdue…
Allen, D.E. (1950). History of nursing in Indiana. Indianapolis: Wolfe Publishing Company.
Bendul, B.F. (2006). Vital signs strong for vital industry: Health Services in Northwest Indiana. In Context. Vol. 8, No. 8. Retrieved January 10, 2008 at http://www.incontext.indiana.edu/2007/august/1.html .
Buerhaus, P.I., Staiger, D.O. And Auerbach, D.I. (2004). New signs of a strengthening U.S. nurse labor market? "Health Affairs Journal. 17 Nov 2004. Retrieved January 12, 2008 at http://content.healthaffairs.org/cgi/content/full/hlthaff.w4.526/DC1 .
Greenhouse, S. (2005) Lagging wages amid growth puzzles economists. San Francisco Chronicle. 12 Apr 2005. Retrieved January 10, 2008 at http://www.sfgate.com/cgi-bin/article.cgi?file=/chronicle/archive/2005/04/12/BUGCUC6H4K1.DTL&type=business
The nursing coursework I have taken so far focuses in particular on the second and fifth competencies, regarding information and technology. Courses like anatomy and physiology are fundamental information-gathering classes that provide a firm foundation for aspiring nurses. Thorough knowledge of the human body, its functions, and its diseases, plus knowledge of medicine are imparted through nursing classes. Furthermore, nursing instructors also demonstrate how technology plays a role in the profession. We use computers to access medical databases, for example. Therefore, the second and fifth competencies are related to one another. In addition to their use as information technology, computers also provide the backbone of almost all electronic medical equipment. Nursing courses also show how sophisticated machines such as CAT scans are implemented in hospitals.
I am particularly weak in particularly those competency areas that the nursing courses cover: information and technology. Regarding resource allocation, interpersonal skills, and systems understanding,…
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'>
Charity, selflessness, altruism and entrepreneurship are, therefore, not contradictory. It is well-known that the well-paid traditional nurse is likely to be a better worker better able to devote more attention to her patient (Hardin & . Kaplow, 2001). Deductively, therefore, the independent nurse who is motivated to work well in order to be successfully self-employed would likely (although not necessarily) be a better nurse in terms of the intrinsic nursing characteristics than those employed by institutions.
Ironically, entrepreneur nursing can potentially make one into a better nurse, for aside from being motivated to perform excellently, the entrepreneur nurse can adopt her own style and afford to conduct thorough research into nursing theories and models that culminate in enhanced nursing.
The institutional nurse is classically overworked and, therefore, has little time for arbitrary activities; the entrepreneur nurse, on the other hand, can adequately fulfill the expectations of evidence-based nursing where she…
Hanink, E. (n.d.). Nurse Entrepreneurs. Working Nurse.
Hardin, D. & R. Kaplow (Eds.) (2001), Synergy for clinical excellence: The AACN Synergy Model for Patient Care. Sudbury, MA: Jones and Bartlett Publishers.
Johnson, P. (1977). Enemies of society. NY. Etheneum
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 .
Grayce Sills and Nursing Leadership
Grayce Sills dedicated her life's work to improving conditions for psychiatric health patients, both through reforms in the area of psychiatric nursing and through education of future generations of nurses. During the era succeeding orld ar II, the psychiatric nursing profession was making its first forays into mainstream treatment orientation. Grayce Sills would emerge into the profession during this time and, in the late 1950s and 1960s, would observe that the conditions to which psychiatric patients were often treated at this juncture were abhorrent, inhumane and inconsistent with the standards otherwise sought in general patient treatment. As a student of Hildegard Peplau, whom she refers to as the mother of psychiatric nursing, Sills would come to appreciate the need for greater demonstration of caring and compassion in this subsection of the nursing profession. (Barker, p. 79) Earning a Bachelor's Degree from…
Barker, P.J. (1999). The Philosophy and Practice of Psychiatric Nursing. Elsevier Health Sciences.
Fitzpatrick, J.J.; Shultz, C.M. & Aiken, T.D. (2010). Giving Through Teaching: How Nurse Educators Are Changing the World. Springer Publishing Company.
Houser, B. & Player, K. (2007). Pivotal Moments in Nursing: Leaders Who Changed the Path of a Profession. Sigma Theta Tau International; 1st edition.
Murray, A. (1995). OHIO STATE HONORS NURSING PROFESSOR AT WINTER COMMENCEMENT. Ohiostate.edu.
Nursing Mentor Scenario
Introduction- Just as the theoretical and practical backgrounds of nursing have changed over the past several decades, so has the nursing education environment itself. . Students now entering the field are diverse in culture, educational background, and most especially age and experience. Traditional undergraduates coming directly from High School or Junior College often interact with more mature and experienced students. In addition, nursing instructors remain challenged to recognize different learning needs and styles, and respect that adaptive scenarios might be necessary to further the learning opportunities for many students. e thus see that the most effective way of teaching in the modern nursing classroom is to adjust one's pedagogical paradigm outward and to actively find new and innovative ways of reaching each student, rather than expecting each student to completely bend to the tried and true curriculum of previous generations (Young, L., Petson, B., eds., 2006). Too,…
Bradshaw, M., & Lowenstein, A. (Eds.). (2011). Innovative Teaching Strategies in Nursing and Related Health Professions. Sudbury, MA: Jones and Bartlett.
Bulman, C. And Schutz, S. (1998). Reflective Practices in nursing. Sudbury, MA: Jones
And Barlett Publishers.Epp, A., & Price, L. (2011). Designing Solutions Around Customer Network Identity Goals. Journal of Marketing, 75(1), 36-54.
Cramer, C., Davidhizar, R. (2008). Helping At-Risk Nursing Students Succeed on the National Council Licensure Examination-Registered Nurse. The Health Care Manager.27 (3): 269-76.
Nursing BA vs. Associates
Nursing Competencies -- Associates vs. Baccalaureates
The difference competencies between nurses prepared at the associate-degree level nursing vs. The baccalaureate-degree level are significantly different on many levels. Today's nurses work in a healthcare environment that is undergoing a constant evolution at a speed never before imagined (NLN Board of Governers, 2011). Patient needs have become more complicated; nurses must implement requisite competencies in leadership, health policy, system improvement, research, evidence-based practice, and teamwork and collaboration in order to deliver high-quality care. Furthermore, nurses are also required to master different technologies that are also evolving extremely rapidly.
There are basically three different alternative paths to becoming a registered nurse. Some hospitals offer a three-year program that is administered in the hospital setting. Another option is a two to three-year program in which graduates receive an associate's degree and can be administered at a community college or any…
Mahaffey, E. (2002, May 2). The Online Journal of Issues in Nursing. Retrieved from The Relevance of Associate Degree Nursing Education: Past, Present, Future: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume72002/No2May2002/RelevanceofAssociateDegree.aspx
Moltz, D. (2010, January 7). Nursing Tug of War. Retrieved from Inside Higher Ed: http://www.insidehighered.com/news/2010/01/07/nursing
NLN Board of Governers. (2011, January). Transforming Nursing Education: Leading the Call to Reform. Retrieved from NLN Vision: http://www.nln.org/aboutnln/livingdocuments/pdf/nlnvision_1.pdf
Rosseter, R. (2012, April 2). The Impact of Education on Nursing Practice. Retrieved from American Association of Colleges of Nursing: http://www.aacn.nche.edu/media-relations/fact-sheets/impact-of-education
My attitude has changed resulting from the information I learned about business communications quite dramatically. Business communication in my opinion was always something that was important to people working as managers or administrators, but I never fully understood how critical business communication is to all people regardless of the field they work in. The components of business communication most important to my field include learning how to translate one's thoughts into oral and written communication in multiple forms.
Nurses have to document all interactions, whether with patients or with other healthcare professional (Riley, 2000). hile many are provided with charts they can use to fill in information, it is also important for nurses to know how to create strong narratives and oral presentations when providing information to others. Multicultural communication is essential in nursing today because of the diversity present among the patients treated and the doctors, administrators and other…
Fitzgerald, J. (2001) Better-Paid Caregivers, Better Care, the American Prospect, 12.9, p.30.
Johnstone, M.J. (1999) Bioethics: A Nursing Perspective. Sydney: Harcourt Saunders.
Locker, K.O. (2006) Business and Administrative Communication, New York: McGraw-
Nursing is one of the most important professions in the world today. It involves not only physical healing, but also healing on a deeper level, where the care giving extends to the patient's environment and relationships to speed the healing process. The nursing environment then often also concerns politics and political involvement. As caregivers who operate in an inclusive environment and relationships, it is often necessary for nurses to be aware of political processes and policies. In this way, nurses can ensure an optimal environment for their patients and the healing process in general.
Des Jardin (2001) defines politics as "a means to an end." Nurses who are concerned with policy formation outcomes must involve themselves in politics. There are a number of ways in which this can be accomplished. Mainly, the author notes that nurses can affect the development of institutional policies by becoming involved in politics…
Des Jardin, K.E. (2001, Oct.). Political involvement in nursing education and empowerment. AORN Journal. Retrieved from: http://findarticles.com/p/articles/mi_m0FSL/is_4_74/ai_80159541/
As a future nurse educator, using technology to gather and disseminate healthcare information will become even more critical for me in the future. Students and patients alike will expect that their teachers will have a broad, in-depth range of knowledge about new technology in the field of heath informatics.
The organization offers information about 'best practices' in healthcare technology, such as how to protect patient privacy in the online age. Medical ethics and best practices will no doubt be a topic of debate in many of the classes I will teach in the future, whether I am educating future nurses or patients.
The organization offers continuing education resources in the field of health technology. Keeping one's education current is essential, as healthcare computer systems are constantly changing and improving.
Members can attend conferences, and interact with nurses from a wide variety of backgrounds, thus broadening my framework of knowledge…
In the emergency room, this distinction can have a determinant impact on the ability of the staff to preserve life and diminish pain and suffering.
The introduction of a bioethical perspective into this dialogue invokes a question as to the primacy of an interest in pursuing to the utmost the well-being of the patient. This speaks to one of the core values associating the principles of the ANA with the treatment outcomes desired in patiences. An examination of the ANA's Code of Ethics reveals that a theoretical basis exists to contend a direct correlation between the nurse's self-interest and that which is best for any given patient. There exists an essential obligation for such healthcare practitioners to "examine the conflicts arising between their own personal and professional values, the values and interests of others who are responsible for patient care and health care decisions, as well as those of the…
American Nurse's Association (ANA). (2004). The Nurses Code of Ethics. The Center for Ethics and Human Rights. Online at .
The American Organization of Nurse Executives (AONE). (2009). AONE Resource Center. www.aone.org.
Dimaria, R.A. & Ostrow, L. (2004). West Virginia University School of Nursing Makes the Move to Web-Based Learning. Technological Horizons in Education Journal, 31.
Emergency Nurses Association (ENA). (2008). Vision/Mission Statements and Code of Ethics. www.ena.org.
Concept Synthesis on Personal Nursing Philosophy
My interest in nursing peaked at an early age when I attended Clara Barton High School for health professions in Brooklyn NY and graduated in 1991. I first worked as a nurse's aide and home health aide for about two years and found this position to be quite rewarding. I subsequently moved to North Carolina where I took the CNA course in 1995 and began working as a CNA at various nursing homes and hospitals in the regional area. My experience as a CNA certainly helped me in my journey and provided the foundation for the later developments in my career.
Later I moved to Las Vegas in 1997 where I got married in 1998. After forming this union I went back to school for my BSN in 2002 while working as a CNA. I finished my BSN from Nevada…
Andrews, H., & Roy, C. (1991). The Adaptive Model. Norwalk: Appleton and Lange.
Denler, H., Wolters, C., & Benzon, M. (2013). Social Cognitive Theory. Retrieved from Education: http://www.education.com/reference/article/social-cognitive-theory/
Farlex. (2011). The Medical Dictionary. Retrieved from Farlex: http://medical-dictionary.thefreedictionary.com/adaptation+model
Nursing Theory. (2011). Sister Callista Roy. Retrieved from Nursing Theory: http://nursing-theory.org/nursing-theorists/Sister-Callista-Roy.php
I feel I would especially like to work with children in a hospital setting in my chosen profession, and help them cope with their diseases and illnesses in a positive way. I feel I can connect with ill children and their families in a positive and empathetic way.
I am applying for this scholarship because it will enable me to further my education at a crucial time in my life. Education is a major concern to me, since I view education as the key to success in the future. Education is the tool for learning, growing, broadening the mind, and becoming more productive in society. ithout this education, I feel as though my life is stagnant - at a standstill. That is why it is my goal to further my education by obtaining the Associate degree in nursing. Eventually, I hope to work in a hospital setting where I can…
Why I Chose Nursing as a Career have chosen nursing as my second career for a number of reasons. First, my goal has always been to help people in some form. I have a B.S. degree in biology, and I feel nursing will complement these skills, while allowing me to be a caregiver rather than a scientist. I feel the timing is now right for me to pursue this career as my life's profession. Furthermore, it would be a great privilege to earn my nursing degree in your institution. I know the education I receive there will fulfill my goal of becoming a nurse, and well prepare me for my future career.
A also feel I have a deep inner commitment to bring to my profession. I am a member of the Sinai Seventh Day Adventist Church, and have offered my services there for many years. I have taught Sabbath School and am an active member of the adult choir, as well. As an involved member of the church, I feel a genuine concern and responsibility for our youth. During 1998, I served on the Administrative Board and was the Chairperson for the Council of Children's Ministries, coordinating all children's programs for the year. I feel I would especially like to work with children in a hospital setting in my chosen profession, and help them cope with their diseases and illnesses in a positive way. I feel I can connect with ill children and their families in a positive and empathetic way.
I am applying for this scholarship because it will enable me to further my education at a crucial time in my life. Education is a major concern to me, since I view education as the key to success in the future. Education is the tool for learning, growing, broadening the mind, and becoming more productive in society. Without this education, I feel as though my life is stagnant - at a standstill. That is why it is my goal to further my education by obtaining the Associate degree in nursing. Eventually, I hope to work in a hospital setting where I can provide aid to patients and their families.
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…
Akinci, Ugur. (2007, Jun) "More nurses in decision making roles, prospects and challenges" Retrieved 16 November, 2007 at http://www.nurse-recruiter.com/articles/misc/more_nurses_in_decision_making_roles.html
Allen, Davina. (2001) "The changing shape of nursing practice"
Beaulieu, Elise M. (2002) "A guide for nursing home social workers." Springer
Other sources will include data from educational institutions and healthcare facilities identifying the percentage of students that benefited from other educational models compared with the results of students participating in the Elsevier Reach standardized case studies
Primary sources that may be available for contemplation will include actual test results, graduation rates and successful placement of nursing candidates at healthcare facilities. These resources may be available through testing and educational centers and from employers including health facilities that hired a percentage of nursing graduates in any given year in the years proceeding use of the Elsevier Reach standardized cases. Primary sources may also come from personal testimonials from nurses in contemporary society as well as nurses that worked previous to the inception of the standardized case studies. These interviews can be conducted using questionnaires or during focus groups where nurses are provided the opportunity to share their experiences and successes or…
Why should nurses recognize nursing expertise varies with education, experience and context of practice?
Nurses should recognize nursing expertise differs from person to person because of varying experience levels, forms of education, and context of practice. This is substantial knowledge for nurses to remember for several reasons. For one, it will help nurses better understand their colleagues (Husted, 2008). For example, a nurse who attended a better school than their colleague, will be more understanding if their colleague under performs or is hesitant in comparison because he or she had a higher quality education (Husted, 2008). Conflicts between colleagues are less likely to arrive when there is an understanding that performance among each other may differ due to varying circumstances. (Benner, 2009).
In addition, nurses should retain that their coworkers expertise will most likely not be the same due to the varying routes everyone takes to the medical field and…
Apker J., Propp K.M., Ford W.S.Z., Wallac N., Serbenski M., & Hofmeister N. (2006).
Collaboration, Credibility, Compassion, and Coordination: Professional Nurse
Communication Skill Sets in Health Care Team Interactions. Journal of Professional Nursing 22 (3), 180-189.
Benner P.E., Tanner C.A., Chelsa C.A. (2009). Expertise in Nursing Practice: Caring,
Nursing theory chosen, which best aligns with my personal theory of nursing, is Neuman's System Model. This model was created by Betty Neuman, and designed to be holistic in nature (Memmott, et al., 2000). The focus of the model is on the whole person (patient), the environment surrounding that person, the overall health of the person, and the nursing care that person is provided with during his or her illness. While it might seem obvious that all of these areas should be considered, many models of nursing practice today ignore too many important factors regarding a person and why he or she may be ill (Barnum, 1998). With that in mind, it is very important to use a theory like Neuman's Systems Model in order to address more than just a set of symptoms (Memmott, et al., 2000). When nurses and other medical professionals take a look at a chart…
Barnum, B. (1998). Nursing theory: Analysis, application, evaluation. NY: Lippincott Williams & Wilkins.
Memmott, R.J. Marett, K.M. Bott, R.L. & Duke, L. (2000). Use of the Neuman Systems Model for interdisciplinary teams. Online Journal of Rural Nursing and Health Care, 1(2).
The procedure itself and the hospital stay associated with it is only one small chapter in the patient's life. They will eventually go home and will have many years after the procedure. It is important for the nursing staff to make a positive impact on how they feel about the procedure. The procedure will represent a lasting memory to the patient. If the patient perceives this to be a time of strength and care from nurturing individuals then it will help them to be able to develop the coping mechanisms necessary to learn to live with the after-effects of the procedure.
If the patient sees this as a negative experience, then it could produce unwanted effects such as depression, post-traumatic stress disorder, or other emotional problems that could have an effect on their ability to cope with the life changes. Those that develop appropriate coping mechanisms will be more likely…
Knoll, N., Rieckmann, N., & Schwarzer, R. (2005). Coping as a mediator between personality and stress outcomes: A longitudinal study with cataract surgery patients. European Journal of Personality, 19, 229-247.
Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2004). Initiation and maintenance of physical exercise: Stage-specific effects of a planning intervention. Research in Sports Medicine, 12, 221-240.
Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2004). Behavioral intentions and action plans promote physical exercise: A longitudinal study with orthopedic rehabilitation patients. Journal of Sport & Exercise Psychology, 26, 470-483.
Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2005). Stage-specific adoption and maintenance of physical activity: Testing a three-stage model. Psychology of Sport & Exercise, 6, 585-603.
Nurse Patient atios and Quality of Care
This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there remains an issue about hiring more nurses -- where will these nurses come from if the nursing schools do not increase their recruitment efforts and broaden their curriculum. In addition, we note that the large majority of patients and stakeholders primarily want two things when admitted to a healthcare facility: better paid nurses and more highly-trained professionals who are satisfied with their vocation.
Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures…
More Nurses Make the Difference. (February 2012). The Lamp. 69 (1): Retrieved from: http://search.informit.com/au/documentSummary;dn=045435426132502;res=IELHEA
Safe Nurse Staffing: Looking Beyond the Numbers. (2009). Vantage Point, CNA. Retrieved from: https://www.nso.com/pdfs/db/newsletters/Safe_Nurse_Staffing_-_Looking_Beyond_the_Raw_Numbers_20094.pdf?fileName=Safe_Nurse_Staffing_ -_Looking_Beyond_the_Raw_Numbers_2009-pdf&folder=pdfs/db/newsletters
Aiken, L. (2001). The Hospital Nurse Workforce: Problems and Prospects."Draft
For the Council on the Economic Impact of Health System Change. Retrieved from: http://council.brandeis.edu/pubs/hospstruct / Council-Dec-14-2001-Aiken-paper.pdf
Behavioral approaches alone or combined cognitive behavior therapy may be used. Behavioral techniques might include simply not buying trigger foods or avoiding certain shops; that is, building up new habits to replace existing ones. Another example would be modifying eating behavior such as eating in the same place each day, or concentrating solely on eating and not watching television at the same time (Fiona Mantle, 2003)."
It is worth noting here that research has shown that people will change and transform their eating habits, once they learn the advantages and disadvantages of their eating behavioral patterns. However, at the same time, it is also worth noting here that since eating habits can be transformed through learning, they can also be unlearned, however, the process of unlearning may take place through a lengthy passage of time. As Fiona Mantle (2003) writes, "Eating behaviors are learned behaviors therefore they can be unlearned,…
Abraham S, Llewellyn-Jones D (2001) Eating Disorders: the facts. Oxford, Oxford University Press.
Bruch H (1973) Eating Disorders: Obesity, Anorexia Nervosa and the Person Within. New York, Basic Books.
Bunnell, D.W., Shenker, I.R., Nussbaum, M.P., Jacobson, M.S., & Cooper, P. (1990). Sub-clinical vs. formal eating disorders. International Journal of Eating Disorders, 9, 357-362.
Cathie E. Guzzetta. (2001). Developing and implementing a comprehensive program for children and adolescents with eating disorders. Journal of Child and Adolescent Psychiatric Nursing.
Studies suggest that more computerized order entry of medications helps reduce errors by limiting interpretation errors due to handwriting (Meadows, 2003). Thus more order entry is involving computers to protect patients. A culture that supports safety and safe practices has also been adopted to provide nursing staff and patients information about drug therapy and medication to ensure that everyone is aware of the need for safe practices when utilizing and dispensing medications.
Describe the strategies used to ensure nursing practice is performed within legal requirements and ethical frameworks
Nurses now "live and work in a world where there is no single reality but many coexisting realities among which they must choose" (Johnston, 1999:1). Given that through more and more nurses are forced to make legal and ethical decisions and take steps that will determine the best processes to adopt to ensure that moral and legal processes are adopted and followed.…
Campbell, D.W. & Sigsby, L.M. (1995). "Nursing interventions classification: A content analysis of nursing activities in public schools." Journal of Community Health Nursing, 12(4): 229.
Caretto, V.A. & McCormick, C.S. (1991). "Community as Client: A Hand's on experience for baccalaureate nursing students." Journal of Community Health Nursing, 8(3): 179.
Johnston, M.J. (1999). Bioethics: A nursing perspective. Sydney: Harcourt Saunders.
Lumby, J. & Picone, D. (2000). Clinical challenges: Focus on nursing. St. Leanords:
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
Nursing Case Study
Family nursing diagnosis is a holistic process that involves a thorough and complete family assessment to establish both curative and preventive concerns in a given family. The assessment from the participating family established a number of diagnostic issues. One of the family members suffers from obesity. D.K. who is ten years old and in second grade took two years to complete first grade. Obesity is a condition whereby the Body Mass Index (BM1) is over 30kg/m2. This is because of excess fat accumulation in a person's body. The Body Mass Index BM1, is the measure for obesity, and it is calculated by dividing a person's weight in kilograms by his/her height in square meters.
Obesity may be associated with the several of medical conditions like heart attack, type 2 diabetes, osteoarthritis and some types of cancer (Domino, 2007). Major causes of obesity are lack of physical exercises…
Domino, Frank J, (2007). 5-Minute Clinical Consult. Lippincott Williams & Wilkins
Karch. A.M. (2007). Lippincott's Nursing Drug Guide. Philadelphia: New York: Lippincott Williams & Wilkins
Katz, David L.; Friedman, Rachel S.C. (2008). Nutrition in Clinical Practice: A Comprehensive, Evidence-Based Manual for the Practitioner. 2nd ed. Lippincott Williams & Wilkins
" (Allen 2008) This means that nursing educators are also a key stakeholder.
Other stakeholders include healthcare facility administrators, corporate trustees and public office holders, who will often have entangled or competing interests relating to the profitability of operations and the political expediency of policy orientation. This will also be true of the various professional advocacy groups, nursing associations and lobby groups that will vie for influence in the discussion on any legislation relating to the nursing shortage.
A primary policy objective is to endorse any legislation that would aggressively enforce better recruitment of nursing students, better training of existing nurses, improvements in working conditions for nurses and mandated nurse-to-patient ratios. These objectives are underscored by evidence of the opportunities to save lives facilitated by mandated ratios. According to the text by Health Services Research (HSR) (2010), "key findings of the study reportedly include that 10-13% 'fewer surgical…
Allan, L. (2008). The nursing shortage continues as faculty shortage grows. Nursing Economics, 26(1), 35-40.
Berkowitz, B. (2012). The Policy Process. .
Cullen, E.; Ranji, U. & Salganicoff, A. (2010). Addressing the Nursing Shortage. Kaiseredu.org.
GovTrack. (2010). S. 1031: National Nursing Shortage Reform and Patient Advocacy Act. govTrack.us.
Obesity prevalence is alarmingly high in the United States, especially among young people. About 20% of American youth are obese (Ogden, Carroll, Kit, & Flegal, 2014). Being overweight or obese in childhood has been shown in empirical studies to lead to premature death and physical morbidity in adulthood (eilly & Kelly, 2011). Therefore, it is critical to prepare a health plan of lifelong learning for this population. A health care intervention program targeting young people in America will include schools and other stakeholders, who can participate in broad public awareness and intervention campaigns. This is because schools play an integral role in the lives of children, and can help parents and communities make choices that support health and a lifetime of learning about healthy eating and lifestyle factors.
The risk factors associated with childhood obesity include parental obesity, early body mass index rebound, more than eight hours per week…
"Guidelines for School Health Programs to Promote Lifelong Healthy Eating," (1996). CDC. June 14, 1996.
Ogden, C.L., Carroll, M.D., Kit, B.K. & Flegal, K.M. (2014). Prevalence of childhood and adult obesity in the United States, 2011-2012. Journal of the American Medical Association 311(8): 806-814.
Reilly, J.J., Armstrong, J., Dorosty, A.R., Emmett, P.M., Ness, A, Rogers, I, Steer, C & Sheriff, A. (2005). Early life risk factors for obesity in childhood: cohort study. BMJ 2005(330): 1357.
Reilly, J.J. & Kelly, J. (2011). Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. International Journal of Obesity (2011) 35, 891 -- 898.
Specifically, deficient cae may esult in a child's being vulneable as a consequence of a low intinsic level of self-esteem and self-woth (Pake, Baett, and Hickie, 1992). It is clea that a numbe of factos ae likely to affect the teenaged individual esulting in depession and it is citically noted that this depession must necessaily be addessed, teated and esolved. The client in this instance has bodeline low blood pessue which should be monitoed seveal times each week and futhemoe the body mass index (BMI) of this individual is excessively low indicating that this patient needs to be counseled in egads to thei diet both in tems of quality and quantity of foods consumed.
Logsdon, Cynthia J.(nd) Depession in Adolescent Gils: Sceening and Teatment Stategies fo Pimay Cae Povides Jounal of the Ameican Medical Women's Association Volume 59, No 2.
Lemay, Edwad P. And Ashmoe, Richad D. (2005) the…
reference: Studies of occupational and recreational choice. Social Psychology Quarterly, 49, 11-18.
As a result, it becomes more difficult to ascertain exactly what mode of intervention would best be suited for helping children overcome health matters that are at least to some degree beyond their control.
That said, a defining strength of the research is its chosen method of intervention. The perspective that the health of the children at the center of this study cannot be improved without effectively improving the health habits of their respective families is a centering position and one that endows the study with a significant value to the public health. As the study finds in its conclusion, "social and structural environments in which Hispanic children are reared may play an important role in determining their risk for obesity and related behaviors." (Arredondo et al., p. 30) Even lacking any empirical validity and lacking the capacity to be replicated, it does offer an array of correlations that can…
Arredondo, E.M.; Elder, J.P.; Campbell, N.; Baquero, B.; Duerksen, S.; Ayala, G.; Crespo, MPH, Slymen, D. & McKenzie, T. (2010). Individual, Family, and Community Environmental Correlates of Obesity in Latino Elementary School Children. Journal of School Health, 80, No.1, pp. 20-30.
Besides facing stress, and having easy access to medications, critical care and emergency nurses may use recreational drugs more often because they are more likely to have a sensation-seeking personality trait (www.nurseweek.com/news/98-5/25e.html)."
Getting treatment for chemical dependency will help the nurse get back to his or her daily life, however the nurse will have to address concerns and/or consequences related to the addiction. He or she faces a "multitude of traumatic experiences both potential and real, such as arrest, license suspension/revocation; negative publicity; reactions of family, friends and co-workers; fines; board and legal hearings; inability to secure work other than nursing; physical illness; and possible lack of health insurance. In the treatment setting, issues such as these add complexity to the nurse's recovery (Anderson)."
There are other complications which must be addressed during treatment of the impaired nurses. These issues include being considered a role model by everyone,…
Anderson, Jenny Lynn. "Treatment considerations for the addicted nurse." Behavioral Health
Management. (1994): 01 September.
(Substance abuse in nurses varies by specialty. (accessed 15 November, 2004).
In essence, the authors are forcing all nursing students and those who practice nursing today to understand that because of overblown "materialistic values, environmental sustainability, technology, clashes between societies" and global conflicts, the role of nurses has changed drastically, thus requiring some type of instruction on these and other topics (2005, pg. 153).
In addition, the authors maintain that nursing students of today and in the near future must extend their empathy "from a relatively passive, cognitive level to one of active, affective engagement" which in the end will result in engendered caring and move "the consideration of global conflict and war into a personal, relational context" (2005, pg. 154). One important way to accomplish this goal in relation to a classroom setting would be to compose a personal narrative on the events of September 11, 2001, when the World Trade Center was destroyed by an alleged terrorist organization, being…
Johnston, Nancy, Rogers, Martha, Cross, Nadine & Anne Sochan. (May/June 2005). "Global and Planetary Health: Teaching as if the Future Matters." Nursing Education
Perspectives. Vol. 26 no. 3. 152-56.
Nursing Culture: Overcoming Barriers to Change
Introduction and Theoretical Framework
This program of study continues personal research and professional practice in the field of nursing within the area of public and private health systems. In an era characterized by increasing calls for more efficient approaches to healthcare delivery and accountability on the part of healthcare providers, there is a growing need for identifying opportunities to overcome organizational barriers to change that facilitate the implementation and sustainment of evidence-based practices over time. In order to accomplish this challenging enterprise, the nature of existing organizational barriers must be better understood, an issue that directly relates to the problem to be considered by the study proposed herein and which is discussed further below.
Statement of the Problem
According to Mannion, Davies and Marshall et al. (2005), the results of much of the research to date have identified a relationship between nursing culture and…
Banyard, V.L., & Miller, K.E. (1998). The powerful potential of qualitative research for community psychology. American Journal of Community Psychology, 26(4), 485.
Burton, S., & Steane, P. (2004). Surviving your thesis. New York: Routledge.
Dennis, C., & Harris, L. (2002). Marketing the e-business. London: Routledge.
Department of Health. (2000). The NHS plan: A plan for investment, a plan for reform. London:
Nursing & Humanities, Alice Munro
SLIDES FOR A PRESENTATION OF HUMANTIES AND NURSING: CHRONIC AND TERMINAL CARE ISSUES PRESENTED IN ALICE MUNRO'S "THE DAY OF THE BUTTERFLY," BELLE & SEBASTIAN'S "IT COULD HAVE BEEN A BRILLIANT CAREER," AND TONY KUSHNER'S "ANGELS IN AMERICA"
"The Day of the Butterfly" by Alice Munro is a quiet portrayal of elementary schoolgirls in 1950s Canada learning one of their classmates has a terminal illness.
"It Could Have Been A Brilliant Career" performed by Belle and Sebastian is a song about a young stroke victim and his caregiver.
"Angels in America" is a television-film adaptation of the Pulitzer-Prize-winning play by Tony Kushner, and depicts the AIDS epidemic in 1986 before any cure or medication had been discovered.
From the standpoint of a professional Nurse, these artistic depictions of terminal and end-of-life illness teach us emotional lessons about the experience of survivors -- they ask…
Comparison of the Effect of isk and Protective Factors on Suicide Attempts in a Group of Triethnic Adolescents Divided According to ace, Gender and Age.
This is an critique on a research paper about self-reported suicide attempts in a triethnic group of adolescents. 2 references are given.
The purpose of the following paper is to evaluate and critique a study performed on a group of students pertaining to adolescent suicide. This study attempts to examine the multiple factors affecting recent suicide attempts in adolescents from three different ethnic backgrounds. The resilience model is used to describe and analyze the relationships between these variables categorized according to sex, age and race. A group of 10,059 school children from the 7th, 9th, and 11th grade in Connecticut were surveyed in 1996 and data from the African-American, Hispanic Latino and American Caucasian respondents was analyzed using bi -- and multivariate methods.…
1. Rew et al., 2001, Correlates of Recent Suicide Attempts in a Triethnic Group of Adolescents, Journal of Nursing Scholarship.
2.Oquendo MA, Ellis SP, Greenwald S, Malone KM, Weissman MM, Mann JJ, 2001.: Ethnic and sex differences in suicide rates relative to major depression in the United States, Am J. Psychiatry 158(10): 1652-1658
The authors describe findings from a survey designed to gather baseline data about changes organizations experience after implementing the Clinical Practice Model framework, and report how the Clinical Practice Model Resource Center staff used the survey findings to build the capacity of individuals accountable for implementing this integrated, interdisciplinary professional practice framework into the organization's operations." (2002) The following model has been created for monitoring the progress of the nursing staff at the MD Anderson Cancer Center MEDVACM specifically checking progress in Years 1,3, and 5.
MD ANDERSON CANCER CENTER MEDVAMC
Job Performance Review Guide
PERFORMANCE GOALS AND OJECTIVES
ecome familiar with your department's business goals.
Work with your manager to define and document your goals. Include what you are expected to produce by your first review, activities needed to accomplish results, and success criteria.
Magnet Designation (2006) Inside UVA Online Vol. 36, Issue 14 August 26, 2006. Available at http://www.virginia.edu/insideuva/nursing_excellence.html .
Bailey, F. Amos (2000) Balm of Gilead Center, Cooper Green Hospital Pioneer Programs in Palliative Care: Nine Case Studies - Robert Wood Johnson Foundation - Milbank Memorial Fund October 2000. Online available at http://www.milbank.org/pppc/0011pppc.html#foreword .
Forrow, Lachlan (2000) Palliative Care Program, Beth Israel Deaconess Medical Center/CareGroupPioneer Programs in Palliative Care: Nine Case Studies - Robert Wood Johnson Foundation - Milbank Memorial Fund October 2000. Online available at
Nursing in 2021
Over the next decade, and for years to come afterwards, the expected growth in the older adult population will have a significant impact on the healthcare system. The baby boom generation, individuals born between 1946 and 1964, began turning 65 in 2011. By 2020 the number of Americans age 65 and older is expected to rise to 54 million. Furthermore, as a result of better nutrition, safety and health care the number of individuals who reach the age of 85 or older will grow even more dramatically ("The Impact of Aging Population on the Health Workforce in the United States," 2006).
This will precipitate a greater demand for health care in general and will also affect the nature of the skills and services the health care workforce must be equipped to provide, and the settings in which this care is provided. As a person ages, their immune…
ACNP. (2010). Numbers of nurse practitioners in U.S. American college of nurse practitioners. Retrieved February 1, 2012, from http://www.acnpweb.org/i4a/pages/index.cfm?pageid=3353
"The impact of aging population on the health workforce in the United States: summary of key findings." (2006, March) Center for health workforce studies, School of Public Health, University of Albany. Retrieved January 31, 2012, from http://www.albany.edu/news/pdf_files/impact_of_aging_excerpt.pdf
Cronenwett, L.R. (Ed.). (2011). The future of nursing education. In The Future of Nursing: Leading Change, Advancing Health. Institute of Medicine. Retrieved February 1, 2012, from http://www.iom.edu/~/media/Files/Activity%20Files/Workforce/Nursing/Future%20of%20Nursing%20Education.pdf
Nursing Personal Improvement Plans
Learning is an essential part of nursing in modern practice. As such, it is important even to keep learning while working within the professional field. Planning for particular stages in one's career and breaking down a realistic time model for strategies to meet those goals help fuels a career that is ripe with development and success.
Personal improvement objectives are a crucial part to any nursing position, whether it is from a brand new employee, to one that is working towards a future advancement in his or her career. The professional development portfolio can help secure that a strong strategic solution is reached to fulfill future objectives. The research states that "since a portfolio is developed over time, it is also provides a way of monitoring professional development" (Oermann, 2002, p 73). The nursing professional gets to continue learning from their actual clinical practice, just as…
Cerbin, W. (1994). The course portfolio as a tool for continuous improvement of teaching and learning. Journal on Excellence in College Teaching, 5(1), 95-105.
Feldman, Harriet. (2005). Educating Nurses for Leadership. Springer Publishing Company.
Oermann, Marilyn H. (2002). Developing a professional portfolio in nursing. Orthopedic Nursing, 21(2), 73-80.
Nursing - Asthma
The limitation of airflow in asthma is reported as "recurrent and caused by a variety of changes in the airway." (Expert Panel eport 3, National Heart, Lung, and Blood Institute, 2007, p.1) Those changes include: (1) bronchoconstriction; (2) airway edema; (3) airway hyperresponsiveness; and (4) airway remodeling. Expert Panel eport 3, National Heart, Lung, and Blood Institute, 2007, p.1) Airway edema occurs with the progression of the disease and the inflammation is more progressive and exacerbated by "edema, inflammation, mucus hypersecretion and the formation of inspissated mucus plugs as well as structural changes including hypertrophy and hyperplasia of the airway smooth muscle." (Expert Panel eport 3, National Heart, Lung, and Blood Institute, 2007, p.1) Airway hyperresponsivenss is reported to be "an exaggerated bronchoconstrictor response to a wide variety of stimuli. Airway modeling speaks of the permanent structural changes in the airway reported to be associated with "loss…
Asthma (2013) The Merck Manual. Retrieved from: http://www.merckmanuals.com/professional/pulmonary_disorders/asthma_and_related_disorders/asthma.html
National Asthma Education and Prevention Program, Third Expert Panel on the Diagnosis and Management of Asthma. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Bethesda (MD): National Heart, Lung, and Blood Institute (U.S.); 2007 Aug. Section 2, Definition, Pathophysiology and Pathogenesis of Asthma, and Natural History of Asthma. Available from: http://www.ncbi.nlm.nih.gov/books/NBK7223/
Thomas J. Morrow, MD J (2007) Implications of Pharmacogenomics in the Current and Future Treatment of Asthma. Manag Care Pharm. 2007;13(6):497-505. Retrieved from: http://www.amcp.org/data/jmcp/pages%20497-505.pdf
cute care facilities try to maintain low costs and employ quality nurses. Within this statement is a double standard. How can we have quality nurses and cut costs at the same time? This is where the skill mix comes into play. In the skill mix, there are Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and unlicensed staff. If the lesser skilled staff free RNs they can be better able to perform their nursing duties and assessments. If acute care facilities can agree on an appropriate number of each type of staff member within the facility, they might be better able to accomplish safe patient outcomes while keeping costs down.
Determining nurse-to-patient ratios is a complex issue where one solution is not sufficient to cover all circumstances. The merican Nurses ssociation assembled a panel of nursing and health professionals to research appropriate staffing levels. The panel developed the following Matrix for…
Aiken and colleagues have been pioneers in studying nurse patient ratios and their relationship to patient outcomes.
Aiken, Sochalski, and Lake (1997) demonstrated that nursing presence, whether measured as RN ratios or as RN hours relative to other nursing personnel hours, is significantly correlated to mortality. When studying patient outcomes in specialized AIDS units,
Aiken, Sloan, Lake, Sochalski, and Weber (1999) found that at 30 days post admission, mortality rates were 60% lower in magnet hospitals, and 40% lower in dedicated AIDS units than in conventional scattered bed units. The researchers concluded that higher nurse patient ratios were a major factor in these lower
y Nursing Ethic
PASSION: Why am I here?
I am here to learn and become a better person through the service and love of others. I am here because I need to earn money to stay alive and nursing provides that type of material sustenance. I am passionate about many things, and I like to accomplish goals that are challenging and transformative in nature. There are many aspects to nursing and nursing school that provide the necessary components to the things that can make me a better person, in mind body and soul.
I am also here because I love to serve others to satisfy my own personal needs. I feel better about myself when I am helping others. This may seem selfish in some ways, but those that need my help will surely welcome it if they are willing. I am passionate about making this world a…
My personal background is one of Christian faith where I strongly believe that my salvation and destiny is determined through the understanding of my Lord and Savior Jesus Christ. This philosophic stance is common in my area where I grew up and my family traditions are strongly rooted in this religious stance. My morals, ethics and spiritual values all arise out of this Christian ideal where love, forgiveness and service are emphasized as important factors in life and death.
While there are many problems with organized religion, I have found that a simple Christian attitude based on loving principles are the best means of achieving peace of mind through the exploration of personal ethics and morals. Used as a practical tool, Christianity can serve many in the medical profession when applied in the correct frame of reference.
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When looking at this book in relation to The Wounded Storyteller Christopher tells his story by writing this book. It allows him to explore the world around him in regards to his illness and how it affects him and his family. He so wants to have more control of his life, illness and all. By way of telling his story he figures out that he can do a lot of things that he never thought that he could before. He gains self-confidence and thus gains independence. In many ways Christopher is a typical teenager that strives to gain independence by pushing the envelope as far as he can. But for him he has his illness to deal with which makes it even harder. In the end Christopher discovers himself by writing this book, which allowed him to tell his story his way and not by way of anyone else. Christopher…
O'Connor, Michael. (2010). The Curious Incident of the Dog in the Night-Time. Retrieved November 4, 2010, from About Web site:
Spark Notes Editors. (2010). Spark Note on The Curious Incident of the Dog in the Night-time.
Retrieved November 4, 2010, from http://www.sparknotes.com/lit/the-curious-incident -
ecent research shows that mental health problems can manifest in early childhood. As many as one in ten Australian children under five exhibit symptoms of social, emotional, and mental disorders including temper tantrums, difficulty adapting to new surroundings, problems relating to peers, and hyperactivity (Edwards & Martin, 2012). Although psychological diagnoses like clinical anxiety or depression are not typically made on populations under five, researchers do identify early childhood behaviors as risk factors for developing mental health disorders later in life. Thus, being withdrawn or inhibited has been identified as "one of the best identified risk factors for later anxiety disorders," (apee, Kennedy, Ingram, Edwards & Sweeney, 2005, p. 488). Early childhood behaviors can reveal to parents and counselors the warning signs of childhood and adolescent psychiatric problems such as Depressive Disorder, Conduct Disorder and Attention Deficit Hyperactivity Disorder (Sawyer, Arney, Baghurst, et al., 2008). It is important to…
Bakermans-Kranenburg, M.J.; van IJzendoorn, M.H. & Juffer, F. (2003). Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood. Psychological Bulletin, Vol 129(2), Mar 2003, 195-215.
Duncan, G.J., Brooks-Gunn, J. & Kato Klebanov, P. (2008). Economic deprivation and early childhood development. Child Development 65(2): 296-318.
Edwards, V. & Martin, S. (2012). Preschool mental health toll at 10pc. The Australian. 24 Dec, 2012.
Felner, R.D.; Stolberg, A. & Cowen, E.L. (1975). Crisis events and school mental health referral patterns of young children. Journal of Consulting and Clinical Psychology, Vol 43(3), Jun 1975, 305-310.
This is because "genetic, hormonal, and nutritional factors play a significant role in the development of stress fractures....Female runners with a history of stress fracture are more likely to have a history of irregular periods or lack of periods. A low body mass index is also a predictor of reduced bone mineral density in adolescents" ("Stress Fractures," 2006, Mass General Hospital for Children).
To gain a sense of the relative the bone density of the participants a DEXA bone scan pre -- and post-season will be required. (Pipenberg, 2005: 1). Athletes will be screened and questioned weekly regarding pain, performance, and to see if they exhibit other common symptoms of stress fractures.
Anticipated benefits and risks of taking part in the study
Low bone density and stress fractures, combined with irregular menstruation have long been the bane of long-distance runners, especially females. "The teenage years are the most important ones…
Calcium, vitamin D may reduce stress fracture risk." (2007). NutraIngredients. Retrieved 19 Feb 2007. http://www.nutraingredients-usa.com/news/ng.asp?n=74103-calcium-vitamin-d-fracture
DeNoon, Daniel. (2006). "Weight Loss Can Mean Bone Loss: Dieters Who Don't
Exercise at Risk for Weaker Bones." WebMD Medical News Reviewed by Louise Chang 11 Dec 2006. Retrieved 19 Feb 2007 at http://aolsvc.health.webmd.aol.com/content/article/130/117776.htm?src=AOLConditionWidget&ncid=cDaKHfNCCG
Pipenberg, Claudia. (Nov 2005). "Thin, Light... And Fragile: What all runners should know about bone health." The Running Times. Retrieved 19 Feb 2007 at http://runningtimes.com/rt/articles/?id=7376&c=375