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Advanced Nursing Ethics and Values

¶ … Nursing Ethics and Values Advanced Nursing Ethics and Values The application of the concept of care ethics presented to assist registered nurses identify if they are practicing its use efficiently. Following a fundamental meaning of caring, consisting of Watson's caring concept, the advancement of the concept of principles/ethics of care will be outlined in brief. A study will…

Pages: 5  |  Term Paper  |  Style: n/a  |  Sources: 5


Physicians and Registered Nurses Is

Furthermore, the difference between nurses and GP in diagnosis was mostly in diseases where doctors themselves may also face diagnostic difficulties (Al-Almaei et al. 2000)." The level of communication and the relationship between the doctors and the nurses was good. This also contributed to the agreement amongst the nurses and physicians because the nurses felt comfortable giving a diagnosis and suggesting treatment (Al-Almaei et al. 2000). Exploring this relationship is important in third world countries where there is a shortage of both doctors and nurses (Al-Almaei et al. 2000). Having the two work together and learn form one another improves the quality of healthcare that the patient receives. In addition, such an environment provides nurses with positive outcomes. They learned new skill sets and interacted with physicians in a relaxed atmosphere because the physicians were unaware of the study. Overall, this particular study encourages nurses to get additional education so that they can better serve patients and assist doctors in a more effective manner. The study concluded that the project reinforces 'the role of the nurse practitioners as health care providers with limited resources, able to help people, but who must refer to the local health center for guidance and medical expertise. With organized training, none of the nurses missed any life-threatening conditions (Al-Almaei et al. 2000)." Discussion and Conclusion The purpose of this discussion was to provide a description of current research, synthesis, demonstrations and other projects that have resulted in positive nurse physician relationships. More specifically the discussion focused on the relationship between the two as it relates to increases in nurse satisfaction, decreases in nurse turnover, better working environment, and better patient outcomes with an emphasis on patient safety. Our research found two descriptions of the relationship between nurses in physicians. The first report discussed the relationship between RNs and physicians on a setting where they are collaborating and consulting. We found that in an ideal situation the nurse and the collaborating doctor work in the same facility. The research also suggests that the physician view the nurse as an associate rather than a subordinate. The findings reveal that the physician should also have an understanding of the types of responsibilities the RN is ailing and able to handle. When these issues are addressed appropriately, the outcome is positive for the nurse and physician. In addition, the quality of care the patient receives is improved. In the…

Pages: 8  |  Term Paper  |  Style: n/a  |  Sources: 0


Nursing Is Changing. Recent Healthcare

I witnessed this fact firsthand during my own pregnancy, an arduous ordeal that left me bedridden for the duration of the three trimesters. I have rarely been in the position in which I have had to depend on the help of others for an extended period of time. However, it was my nurse practitioner, not my obstetrician, who continually worked with me to aid in the successful delivery of my daughter. She was instrumental in exemplifying the role of nurse practitioners, who are charged with not only determining a course of action to assist a patient, but also with partnering them in a way so that they deal with the individual vicissitudes that accompany most treatments. I felt very fortunate to have a nurse practitioner to assist me in overcoming a difficult pregnancy, and was inspired to attempt to aid others with their treatment by becoming one of these professionals. Therefore, I am extremely excited to pursue the remaining two years of my studies, especially since they focus on varying aspects of the care of a nurse practitioner. I have dedicated my life to helping people: in addition to having worked as a pharmaceutical sales consultant I also perform volunteer work raising funds for a non-profit organization and working with people at a homeless shelter. I truly believe the best way I can have the most meaningful, direct impact on people's lives is as a family nurse practitioner. This position would allow me to reach a wide range of people with varying treatment needs, and suitably prepare me for forming a partnership with them that allows a holistic form of healing that encompasses the physical, mental and spiritual -- the type of care……

Pages: 2  |  Essay  |  Style: n/a  |  Sources: 0


Doctor's Clinic Description: Doctor's Clinic the Description

Doctor's Clinic DESCRIPTION: DOCTOR'S CLINIC The description of a Doctor's Clinic and the people who work there depends on the type of illnesses and conditions, the clinic specializes in. Let us assume that we are talking about doctor's clinic where sports injuries and related problems are treated. Most Doctors' clinics are fully functional units where more than one doctor/physician specializing in the field is available for consultation. A group of physicians belonging to the same field with ample experience join hands and offer complete one-stop service in their related field. Or example Doctor's Clinic in Vero Beach, Fl, is a 40-physician multi-specialty unit. Since sports related injuries are now common, in a clinic that deals with it, you will find sports psychologist and therapist along with specialists who deal with the physical aspect of the condition. It is usually a walk-in facility because some people may encounter sports related injuries on the field and may not have time to get an appointment. For this reason, doctor's clinic always offers some walk-in facility. While some physicians are available only through appointments, other specialists can be consulted on first come first serve basis. This is how most doctor's clinics operate in the country regardless of the number of physicians they have working for them. Even with first come first serve basis practice method, there are times when some patients are given preference and this is mainly due to the nature and seriousness of their problems. In many clinics, you will notice a sign politely requesting your cooperation in special cases. These cases are either emergency related ones or those connected with children. Since children must be treated immediately, doctors will usually request your understanding and attend to a child in distressful condition first. Similarly emergency cases are given preference over normal outpatient problems. Despite their best intention, doctors at a clinic might not always be prepared to deal with your condition as it may seem too serious for them to handle. In this case, you will be referred to a specialist in some well-known hospital. It must be borne in mind that a doctor's clinic is always comprised on a group of……

Pages: 3  |  Essay  |  Style: n/a  |  Sources: 0


Nursing Leadership Regardless of the

One of the more pivotal theories in pedagogy holds that one cannot expect learners to understand concepts if they are not modeled by others. Similarly, within the critical educational field of nursing, encouraging critical thinking, the use of evidence-based practice, communication and dialog about subject matter, and turning into a lifelong learner that also expects this type of learning from others is a way to move beyond the abstract and showing that it is possible within a healthcare model, to use transformative teaching models to move the practice ahead while still encouraging greater communication and empathy (McAllister, 2005). Asking pertinent questions -- Sometimes asking questions can help busy professionals (specialists or physicians) just slow down a bit to re-explain their logic -- which is both a learning and teaching role. Sometimes, asking questions provide more of a direction to a learning situation than providing answers. A nurse does not need to be in a leadership role to ask questions, or to help guide the discussion in a more formative manner that allows for not only more clarification from the leader or the speaker, but ways to push learning issues to ensure that the majority of the group is understanding and getting the required level of expertise from the event (Critical Thinking Company, 2013). Giving constructive clarification -- Depending on the situation, it is often an effective leadership role to give constructive clarification when performing a procedure or witnessing someone else -- more like a debrief after the event so that everyone can learn. In a similar fashion then, to critical thinking, giving constructive clarification or asking more about "what if," "how," and the relationship of the issue to specific nursing issues, the covert leader will be able to find ways to increase understanding within the group without adopting a formal, leadership role (Critical). Servant leadership -- Servant leadership, in brief, is a way to provide opportunities for others to succeed through allowing them making situations easier -- finding ways for others to succeed by helping to prevent previous mistakes or errors you might have made, etc. (nursetogether.com; Clark, 2009)). References Borkowski, N. (2011). Organizational Behavior in Health Care. Sudbury, MA: Jones and Bartlett. Chang, W., et al. (2009). Job Satisfaction and Perceptions of Quality of Patient Care. Journal of Advanced Nursing, 65(9), 1946-55. Clark, C. (2009). Creating Nursing Leadership and Management. Sudbury, MA: Jones and Bartlett. Critical Thinking Company .…

Pages: 3  |  Term Paper  |  Style: n/a  |  Sources: 3


Managing Futility in Oncology Settings Partnerships in Peril

MANAGING FUTILITY IN ONCOLOGY SETTINGS; PARTNERSHIPS IN PERIL ABSTRACT Ideally, doctors and nurses work as a team to try to achieve a similar, overall goal: Contribute treatment to foster improvement in patients' health. In consideration of contemporary concerns in this area, this proposed study primarily aims to examine an aspect of the medical professional that requires a partnership approach, the…

Pages: 10  |  Research Proposal  |  Style: Harvard  |  Sources: 10


Nursing Epistemology: Personal and Kinesthetic Knowledge Richard

Nursing Epistemology: Personal and Kinesthetic Knowledge Richard Noss, Stefano Pozzi, Celia Hoyles begin their article "Meanings of average and variation in nursing practice" with the central question: "what mathematics -- if any -- do people do in their working lives?" (Noss, Pozzi, Hoyles, 1999, p.25). In short, how is the pragmatic deployment of mathematics in one's working life different from the way that the use of mathematics is taught in textbooks? The focus of their article Educational Studies in Mathematics is how individuals can be error-prone on tests of empirical knowledge, yet be mostly error-free in practical contexts. They studied pediatric nurses and asked them to determine a hypothetical patient's blood pressure based upon a chart, as a way of testing the nurse's conceptions and mental images of average and variation (Noss, Pozzi, Hoyles, 1999, p.27). Nurses were chosen for these mathematicians's research because nursing practice has always involved making sense of quantitative information through the measurement, recording and interpretation of patient data (Noss, Pozzi, Hoyles, 1999, p.29). The researchers were surprised to discover that even when determining a patient's blood pressure, nurses were more apt to use intuition than mathematically certain methods. The nurses were more inclined to rely upon their past experience: "The nurses used a variety of strategies, almost all of which would be judged 'wrong' on the straightforward criteria of general mathematical correctness, e.g. 'I looked at the chart and judged which was the middle range' or 'At a glance, all the systolic pressures are on or around 110 mm Hg'. Yet they made perfect sense and were correct as estimates of the child's blood pressure -- a kind of everyday average" (Noss, Pozzi, Hoyles, 1999, p.35). "Another feature common to all the interviews was that the nurses tended to superimpose on the BP chart a personal narrative of what the baby might have been doing, as illustrated by Abigail, when asked to compare the average systolic blood pressure before and after midday" (Noss, Pozzi, Hoyles, 1999, p.37). It was not enough or meaningful to determine hypothetical blood pressure based upon statistics, a relevant patient history had to be constructed, even though the patient was not 'real.' This shows that 'ways of knowing' for nurses in practice, even regarding something as directly calculable as blood pressure……

Pages: 2  |  Thesis  |  Style: APA  |  Sources: 2


From RN to Nurse Practitioner

Nurse Practitioner R.N. From R.N. To Nurse Practitioner Summary of Research & Clinical Problem Analysis of Literature on Nursing Practice - Use of Self-Report Tools Nurse Practitioner vs. Registered Nurse Reasons for Transfer Gaps in Research Strengths & Weaknesses of the Concept Summary of Overall State of Knowledge of the Concept & Related Problem Discussions & Summary Conclusions This paper…

Pages: 10  |  Term Paper  |  Style: n/a  |  Sources: 10


Nursing Education Level

¶ … Baccalaureate Nursing Students Better? Being a nurse in the twenty first century has become more complex and demanding than in preceding decades. With the advent of greater technology the nursing community requires an immediate infusion of interest with respect to the training and education nurses receive in order to meet the challenges of the new healthcare millennium. The focus of this report is on an article authored by Aiken, et al. (2003) wherein the authors address the issue of nursing education and patient outcome effectiveness. No only did the authors very clearly present to the reader a well-defined study purpose (i.e., surgical patient risk adjustment mortality and failure to rescue and level of nurse education) their investigative conclusions clearly emphasize the positive influence of nurse education on medical consumer surgical healthcare wellness. According to the authors improved patient surgical outcomes are better when direct care RNs are trained at the baccalaureate level, or above, and when the medical facility has a higher number of BSN nurses over non-BSN nurses. What……

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Promoting Dignity in Individual Care

Prone individuals are worthy of to be treated with dignity, regard, humanity and compassion (Help the Aged, 2007 and 2008). These values stress the significance of permitting a specific goal or keep control over their day-to-day tasks and in certain, their individual care. If we fall short to do this, some individuals end up being scared, bored, frequently more baffled…

Pages: 8  |  Essay  |  Style: Harvard  |  Sources: 15


Actinic Keratoses (Aks) Are Pre-Cancerous

Recurring AKs may also require a treatment originally used for serious wart infections, Imiquimod (Aldera). This treatment often causes increased inflammation, and patients should be educated about reasonable expectations prior to the Rx. Cryotherapy or cauterization may be used to treat isolated cases of AK. These therapies may be initial painful for a few days and may result in some scaring, but are a quicker treatment with fewer side effects appropriate for patients who do not wish to wait 2-3 months for relief. Photodynamic therapy can be used with hyper-resistant AKs. This treatment works at a cellular level to create a cytotoxic effect on both cancerous and pre-cancerous cells. Use in Practice: The article under review would be excellent within a NP clinic or practice. It is valuable because it provides a logical and cogent treatment protocol for AK. As an outline for treatment, these various protocols give both a starting point, reasonable expectations, and an access point for educating clients on AK. In addition, the information is presented in a clear manner, outlined for easy access, appropriate visuals, and for further reading and/or reference, a well-researched list of alternative sources. Recommendation: This article would be appropriate for the nurse, nurse practitioner, physician or anyone involved in the clinical environment in which AK might be prevalent; particularly in areas with high penetration of UV rays, or a population (farmers, construction workers, etc.) who spend a large amount of time in the sun. Source: Hepplewhite, A. (2012). Management of patients with actinic keratosis. British Journal of Nursing. 21……

Pages: 2  |  Article Review  |  Style: n/a  |  Sources: 0


Standardized Coding Systems

Standardized Coding Systems and Nursing Informatics As the pace of technological progression increases at a seemingly exponential rate, with the introduction of computer mainframes in the 1980's having paved the way for cloud-based data storage and retrieval today, the field of nursing informatics has emerged in response to the flood of medication guidelines, patient histories, and diagnostic codes that a nurse must decipher during the course of their duties. A significant transformation is currently occurring within hospitals, community clinics, and pharmacies throughout the nation, as the healthcare delivery model shifts from traditional paper filing systems and handwritten medical charts to the implementation of the electronic health record (EHR), using electronic documentation (ED) to record patient interactions. In an article published in 2008 by the Online Journal of Issues in Nursing, Marjorie a. Rutherford applies her expertise with Nursing Intervention Classification (NIC) systems and the Nursing Outcome Classification (NOC) system to examine both the need for a standardized nursing language, and the ramifications that various coding and classification systems can have on the effectiveness of nursing practice. According to the central premise of Rutherford's work, "it is impossible for medicine, nursing, or any health care-related discipline to implement the use of ED without having a standardized language or vocabulary to describe key components of the care process" (2008), and by examining the systemic structure of various nursing languages in use today, an accurate measurement of their relative efficacy can be obtained. The use of standardized language to document care has been recognized by physicians since 1893, when the system that would eventually become the International Classification of Diseases (ICD-10) today was first instituted. While the benefits of a universal healthcare language, through which medical diagnoses and treatments can be communicated and comprehended across national borders, have been clearly established, it was not until 1973 that a standardized nursing language was first developed. Since that time several proposed coding systems for nurses have been proposed, including the Nursing Minimum Data Set (NMDS) in 1988, the……

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Advanced Practice Nurses and Prescriptive

Political issues involving physicians, in general, also pose significant issues for the modern Nurse Practitioner. The dramatic increase in Nurse Practitioners has given rise to questions about their impact on the incomes of other health providers, including physicians. Researchers have found that in areas with greater numbers of nurse practitioners, nurse practitioner incomes are higher while the incomes of physicians…

Pages: 15  |  Term Paper  |  Style: n/a  |  Sources: 20


Adult Nurse Practitioner Marketing Portfolio

NPs bring in income on a fee-for-service basis or a per-member-per-month basis. Figuring an NP's share of income for a fee-for-service practice is done by multiplying the number of visits by the collected fee per visit. . . . Until NPs no longer need a physician on written agreement, all NPs should expect in pay something for physician consultation. Experienced NPs often pay physician employers/consultants 10 to 15% of their net income brought to the practice. Most employers will want a percentage of an NP'S earnings as profit. (Buppert, 2007, pp. 315-316). Buppert (2007) recommends that NPs who believe they deserve higher salaries than surveys indicate should present their rationale for requesting a higher figure during salary negotiations. The following three points prove worth not only considering but remembering and implementing the concepts: 1. A nurse practitioner who does not ask for a higher salary figure will not receive one. 2. A nurse practitioner who does not deserve a higher salary figure will not receive it. 3. Even when a nurse practitioner asks for and may actually deserve a higher salary figure; that NP will need to "sell" the rationale to receive a higher salary figure to secure it (Buppert, 2007). The NP will also need to negotiate benefits. The package may vary according to the following three measures: 1. What benefits best match the needs of the NP? 2. What benefits appear most reasonable? 3. What specific benefits are other NPs routinely receiving? (Buppert, 2007). Numbers 1 and 2, however, depict the only considerations that matter. The NP also needs to consider whether the employer pays for continuing education. Additional concerns that need to be addressed that affect the bottom line of the NP's revenue potential include: A retirement plan Job-related expenses like a cellular telephone, beeper, and travel Vacation Sick leave Malpractice insurance Relocation expenses Any sign-on bonus Professional dues Reference books and/or subscriptions to professional publications The following table relates a comparisonof salaries relating to nurse practitioners a 2010 survey indicates: TABLE Average Earnings by Job Title (adapted from IOM Institute of Medicine, 2011, p. 4-20). Position Average Earnings Staff Nurse $61,706 Management/Administration $78,356 Nurse Anesthetist $154,221 Clinical nurse specialist $72.856 Nurse Midwife $82,111 Nurse Practitioner $85,025 Patient Educator $59.421 Patient coordinator $62,978 Informatics nurse $75.242 Marketing Plan To market one's self as an adult NP, the NP could benefit from using a selection of promotional tools…

Pages: 7  |  Essay  |  Style: n/a  |  Sources: 5


ADN to Bsn: Nursing Is

The primary reason for this increased inclination towards BSN is because of broader career opportunities available to BSN graduates. The Bachelor of Science in Nursing (BSN): Pros and Cons: BSN graduates also start their careers in nursing from entry-level positions. However, they have more advancement opportunities and are assigned more responsible and challenging positions as compared to the ADN graduates. It is one of the lengthiest paths to become a registered nurse but also the most prosperous because of the numerous advancement opportunities available to BSN graduates. They work not only as promoters of health but also perform as educators for patients, assist physicians during treatments, treat the patients in the absence of a physician or other senior staff and administer medications. They are assigned more challenging tasks as compared to the ADN degree holders. They are also responsible for developing health plans for patients, instruct the patients and assist the community members in maintaining good health. They are mostly placed in hospitals, where they are responsible for the supervision of junior nursing staff and other support staff. BSN degree holders also assist physicians and surgeons in their private practices and sometimes independently treat the patients in the absence of the physician or surgeon. They are also involved in providing assistance during surgeries, administering medications and maintaining patient's health record. In most of the cases, they are expected to independently perform their job and work as a substitute of the physician. This implies the importance of BSN graduates in the nursing profession. BSN graduates are also widely accepted as public health nurses in the government sector. They are sent to different public as well as private health agencies to work with the community on different health issues. They work with different communities to initiate different health improvement programs and to educate the families and individuals about different health concerns. Most of these opportunities are either not available to ADN graduates. Even if such opportunities are available to ADN graduates, they are expected to have considerable experience as a registered nurse. Another promising opportunity available to BSN graduates is that they can join different pharmaceutical or healthcare companies as business consultants. Career growth of business professionals in heath care industry is reasonably impressive and this opportunity is mostly available to BSN degree holders. They can perform in the areas of marketing, quality assurance and product development. At this point, it should…

Pages: 4  |  Term Paper  |  Style: n/a  |  Sources: 0


Tele Nursing

Tele-Nursing Annotated Bibliography Abbot, P. And Coenen, a. (2008). Globalization and advances in information and communication technologies: The impact on nursing and health, Nursing Outlook, 56(5), 238-246. Both authors are RNs and hold Ph.D.'s and give their input on how advances in technology have made the nursing field more global and has increased and improved communications. They describe telenursing as…

Pages: 5  |  Research Paper  |  Style: n/a  |  Sources: 7


Ethics of Reporting Child Abuse in Most

Ethics of Reporting Child Abuse In most states, nurses and doctors are required by the law to report suspected child abuse. For example, in California, nurses are warned: "Registered nurses must also be aware that failure to report as required is also considered unprofessional conduct and can result in disciplinary action against the RN's license" (Terry, 2004). However, in this case, the RN's opinion conflicts with the presiding physician's opinion although the doctor is also required to report suspected abuse. The two health care professionals are in conflict about the right way to read the scenario. The abuse case is ambiguous, as it is not clear if the mother or a day care worker is the perpetrator or if abuse is taking place at all. The fact that the child is in the ER makes the case even more difficult to interpret, as neither the nurse nor the doctor knows the child well. The child may have a medical condition that makes him or her vulnerable to injury, and it is not clear from the facts if this is the first time the child has been injured, if this reflects a pattern of injuries, or if the nurse has access to the child's complete medical history. However, if abuse it taking place at the day care center, other children may be at risk if the child's case is not reported. The mother may also take the child back and put the child in harm's way at the center. Reporting the case as abuse may put the mother under scrutiny in a way that is unfair, and may not reflect the full facts of the case, but to do nothing is not a feasible alternative, either. There is always a fear of misreporting abuse. According to the Journal of Advanced Nursing, 60 per cent of healthcare professionals have seen a child they suspect was being physically abused, but only 48 per cent reported it to the authorities, Over a fifth "said they were worried about getting it wrong" ("Child Physical Abuse Under-Reported by Healthcare Staff and 1 in 5 Worry About Getting it Wrong," 2006, Medical News Today). Interestingly, amongst medical professionals, of the 74 per cent who were aware of the mechanisms for reporting, community nurses showing the highest levels of awareness, followed by doctors……

Pages: 2  |  Term Paper  |  Style: APA  |  Sources: 1


Self-Concept Individual Project

Self-Concept Individual Project How do you see the role of the nurse? Discuss functions of nursing and how it differs from the role of the physician? Nurses are responsible for the health and management of the patients. They are trained to be the working partners of physicians, surgeons, anesthesiologists, physiotherapists, midwifes, and all other professions whose main role is to…

Pages: 5  |  Term Paper  |  Style: APA  |  Sources: 0


Coronary Artery Bypass Graft Surgery

Coronary Bypass Nurse Training for Support in Coronary Artery Bypass Graft Surgery (CABG) The purpose of the account that follows is to propose a course design for nurse training specific to the tasks and responsibilities relating to the treatment of Coronary Artery Bypass Graft Surgery. All preliminary research is intended to serve a set of learning objectives to be instilled…

Pages: 6  |  Term Paper  |  Style: n/a  |  Sources: 5


Theatre Nurses Equipped With the

Communicate approximate length of operation, any requirement and essential resources to the waiting list office, bed management, operating theatre department and/.or theatre scheduler. Contact all patients failing to attend pre-operative assessment to identify the reason. Act on the reason, following local protocols for the management of DNAs in pre-operative assessment." (NHS, 2005) Role of Nursing Team in Pre-operative Assessment Further…

Pages: 25  |  Term Paper  |  Style: n/a  |  Sources: 0


System Analysis of T-System Because

According to Ms. Small, the server for the T-SYSTEM is located in Massachusetts. The go-live date was set for one month in advance while preparations such as training nurses, doctors and all others was performed in two hour sessions arranged by the director of nursing for the emergency room and the medical director for doctors. At the end of the…

Pages: 10  |  Term Paper  |  Style: n/a  |  Sources: 3


Respondeat Superior

¶ … Medical Malpractice and Respondeat Superior (by Judith J. Regan and William M. Regan) According to Judith and William (2002), the legal concept of vicarious liability and the doctrine of Respondeat Superior occur when an employee commits a tort or element of civil wrong with reference to the employment scope and employer thus holding the master liable. This occurs…

Pages: 10  |  Article Review  |  Style: n/a  |  Sources: 2


Mercy Hospital, the Vice President of Nursing

¶ … Mercy Hospital, the Vice President of Nursing Services, Helene Swenson, is driven to such distraction by her conflict with two colleagues that she believes there is no alternative but to resign. Not wanting to accept this, the President has asked her for a chance to remedy the situation. The conflict is the main cause for the persistence of…

Pages: 6  |  Case Study  |  Style: APA  |  Sources: 3


Anesthesiologist Assistant Subspecialty Postgraduate Fellowship

¶ … Subspecialty postgrad pain As most of us are aware the U.S. population is aging at a never before seen rate, based on the availability of good medical care, proper nutrition and other positive aspects that increase longevity. (Takamura, 1999, p. 232) Yet, with age often come health tradeoffs, and especially those that are specific to chronic diseases that…

Pages: 6  |  Term Paper  |  Style: APA  |  Sources: 8


Role Modeling in Nursing Role

John has some strengths, but also some unfortunate weaknesses. First, he is very relaxed and easy to teat and work with from a nurse's perspective. This makes diagnosis and involvement with the patient much easier and simplified. He is able to help support nursing and physician staff requests. Still, he has some serious weaknesses that also threaten potential care strategies. One of his major weaknesses is his affinity for smoking and drinking. He often smokes right after he is stabilized and nurses have reported that he comes in drunk often as well. This is a clear issue that is undoubtedly affecting his health and recovery, but John does not seem to want to change his behaviors and adapt to his new way of life that requires greater attention to his health and well being. He has been to the facility 16 times in a year and a half, showing a clear inability to adapt thus far which is concerning for future health care goals. 3. Goals / Life Tasks John's current goal is to simply ease the immediate symptoms he is experiencing in his visits to the hospital. When he arrives, he is just looking to ease his immediate pain. It is important for the nursing staff to encourage a broader view of his health concerns to influence him to better internalize why prevention methods would help him feel better in the long run. This would help him adapt to certain treatment strategies and suggestions. Another long-term goal would be to connect John in social groups and organizations that will help him make more meaningful connections with others. Right now he is lonely, and that can be a negative factor in his health. Increasing his positive relationships through more social engagement would be a huge benefit. Nursing staff can ask to speak with his daughter, but also recommend joining social meet up groups that include members in his same age group with the same interests. This will help him find some of the social interaction he is missing and give him a stronger……

Pages: 2  |  Case Study  |  Style: n/a  |  Sources: 0


Sexual Harassment in Hospitals Existence

Negligent attitude from the supervisory officials or human resource department will definitely post a wrong sign and encourage opportunistic individuals to get on with their misbehavior with impunity. The onus lies with the human resource professionals to ensure that work ethics are not compromised in any way and that professional stature of the person or other individual reasons do not interfere in an impartial hearing of the reported abuses. The hospital management must encourage an open atmosphere where employees can apprise them of their concerns without any hesitation and promote an impartial discussion pertaining to any reported misbehavior. It certainly takes a combined effort on the part of the human resource professionals and the employees to create a congenial working climate and to prune up the weeds that in any way threaten to destroy the positive, hope giving, and curative hospital ambience. Bibliography 1) Anita Hoffman, Louis Hamlin, 'Perioperative Nurses and Sexual Harassment', Retrieved on February 16th 2004, from http://www.findarticles.com/cf_0/m0FSL/5_76/94538204/p1/article.jhtml?term= 2) Michele T. Pathe, "Patients who stalk doctors: their motives and management," Retrieved on February 16th 2004, from, http://www.mja.com.au/public/issues/176_07_010402/pat10750_fm.html 3) Phoebe Dey, "Nurses Face High Rate of Workplace Violence," Retrieved on February 17th 2004, from, http://www.expressnews.ualberta.ca/expressnews/articles/news.cfm?p_ID=4063& s=a 4) Gilbert A. Bouchard, " Nurses Place Violent Workplace: Study" Retrieved on February 17th, 2004, from http://www.expressnews.ualberta.ca/expressnews/articles/news.cfm?p_ID=651& s=a 5) Susan P. Phillips, and Margaret S. Schneider, "Sexual harassment of Female doctors by patients," The New England Journal Of Medicine, Volume 329:1936-1939, December 23, 1993, Retrieved on February 17th, 2004 from, http://content.nejm.org/cgi/content/full/329/26/1936 6) Church of Scientology, "Psychiatrists and Sexual Abuse," Retrieved on February 17th 2004, from, http://www.scientology.org/reform/new/75psych.htm 7) Henry R. Fenton, "Physicians and Sexual Misconduct, retrieved on February 16th 2004, from, http://www.millerhealthlaw.com/publications/pdfs/physicians_misconduct.pdf.…

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Problem Statement of Graft Documentation and Coding Research

Coding labels would ultimately help automate the process further, removing potential for human error in the manual documentation of various allografts. This demands much more complex data structures to store and categorize all data, but ultimately has proven far more successful as a strategy by recent research (Edgerton, Grizzle, & Washington, 2010). By eliminating the search for the binders, the nurses will be able to complete their required paperwork in a timely fashion. This new system will prevent the nurse from failing to complete the appropriate paperwork by oversight or on purpose. If the procedure of biological allograft tracking and documentation was adjusted to make it easier and more efficient for the circulating nurse, the chance of this process/procedure being overlooked would be reduced. By increasing compliance of graft tracking, we comply better with The Joint Commission's requirements, hospital policy, and increase patient safety. Still, the research documents clear resistance to change in the field (Edgerton, Grizzle, & Washington, 2010). For example, there are clear concerns regarding the high investment costs of such technologies. Thus, there is an additional problem in being able to justify the costs of such technology. It is important to explore the potential increase in quality of care provided in order to therefore justify such high initial expenditures. References Bren, Linda. (2005). Keeping the human tissue transplants safe. FDA Consumer. Brubaker, Wilson D. (2010). Coding and traceability: Cells and tissues in North America. Cell Tissue Bank, 11(4), 379-389. Edgerton, Mary E., Grizzle, William E., & Washington, M.K. (2010). The development of a tissue request tracking system for the CHTN: A case study in managing change in informatics for biobanking operations. BMC Medical Informatics and Decision Making, 10(32), 1-7. Zabel, Karen. (2009). Allograft safety initiative is granted……

Pages: 2  |  Term Paper  |  Style: n/a  |  Sources: 4


Intravenous Therapy or IV Fluids

A medical assistant in an outpatient department of a hospital or another health facility may be permitted to perform other tasks surrounding IV therapy (Keir 2006). She may be asked to set up the IV therapy equipment, initiate it, monitor the patient on the therapy, discontinue it, or teach the patient about the therapy. In the interest of her profession, she should be updated with State laws and facility protocol about her role. In setting the equipment up, she should make sure that the drug and dosage and the equipment are correct. When she inserts an IV, she must observe stringent hygienic measures. She should perform the procedure competently before she actually carries it out. She should review the signs and symptoms of complications when monitoring another patient on the therapy. If she is ordered to discontinue the therapy, she should make sure she applies pressure to stop the bleeding and apply standard precautionary measures. She should be knowledgeable about the reasons for therapy in transmitting that knowledge to the patient about IV therapy and the procedure involved. She must remember that the patient is a human being with psychosocial needs. In addition to her skills and tasks, she should be able to educate and comfort the person according to his or her personal and special circumstances and needs, such as those of older persons and children (Keir). Statistics show that employment for medical assistants is predicted to increase faster and is the fastest growing occupation (Keir 2006). # BIBLIOGRAPHY BLS. Medical Assistants. Bureau of Labor Statistics: U.S. Department of Labor, 2009. Retrieved on February 23, 2012 from http://www.bls.gov/oco/ocos164.htm Keir, Lucile et al. Medical Assisting 5th edition, Thomson Delmar Learning: Thomson Corporation, 2006. Retrieved on February 22, 2012 from http://www.delmarlearning.com/companions/content/0766841464/curriclum/KeirSetUpdate.pdf Pearson. Intravenous Therapy. Pearson Education: Prentice Hall, 2010. Retrieved on http://www.wps.prenhall.com/wps/media/objects/3535/3620697/Intravenous_Therapy_p1071.pdf…

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APRN Prescriptive Authority for Two New England States: A Comparison

APRN PRESCRIPTIVE AUTHORITY: NH VS Massachusetts APRN Prescriptive Authority APRN Prescriptive Authority: New Hampshire vs. Massachusetts APRN Prescriptive Authority: New Hampshire vs. Massachusetts Massachusetts is the 44th largest state in the United States with 7,838 square miles of land (Netstate.com, 2014). By comparison, New Hampshire (NH) is the 45th largest state with 8,969 square miles of land. These statistics reveal…

Pages: 4  |  Research Paper  |  Style: n/a  |  Sources: 4


Nurse Practitioners' Autonomy the Current Role of

Nurse Practitioners' Autonomy The current role of nurse practitioners in the United States will need to be upgraded significantly in the near future for two important reasons. For one, as components of the new Affordable Care Act (ACA) become law, and the Act covers an additional 32 million Americans who will need healthcare, there will be a critical shortage of…

Pages: 6  |  Term Paper  |  Style: n/a  |  Sources: 6


Nursing This Study Has the

Nursing This study has the following limitations; the chosen location, the chosen industries, the population, environmental factors and several uncontrollable variables; which are briefly outlined below. The chosen location is Houston, Texas United States. Since the hypothesis is the measurement of nurses' health habits, the population is near 120 RNs, all are females, 85% of them are Caucasians, with their…

Pages: 12  |  Research Paper  |  Style: n/a  |  Sources: 6


Nursing Personal Statement Choosing Nursing

I worked on numerous units such as the medical, surgical, and mental health units. I also worked with an organization called PARTY (Prevent Alcohol and Risk-related Trauma in Youth) which focuses on youth between the ages of fourteen and eighteen at various high schools within the greater Toronto area (GTA) in bring awareness to the consequences of the use of drugs. I finished at the top of my nursing program and graduated with a Cum Laude distinction as a result of my dedication, determination, hard work, discipline, and perseverance. As a registered nurse, currently working in the community, I care for various clients with different health issues. My job as a community nurse relies on making sound judgments, trusting one's gut feelings as well as relying on one's ingenuity, critical thinking, and problem solving skills. Community nursing has been very educational, and fast paced, exposing me to the realities of medicine. Whether as a nurse or as a volunteer, I try as much as possible to respect my clients and treat them as a sum of their parts, and not just a disease or situation. To further explore my interest in medicine, I volunteered as a Physician Assistant with Dr. Fashoranti at North Cumberland Memorial Hospital and also at Safe Care Medical where I worked with Dr. Ajisafe's. Working with Dr. Ajisafe opened my eyes to the various possibilities medicine had to offer. Despite the fact that I was an observer for the most part, I certainly had some hands-on experience using my nursing background. I was able to interact with the patients whom I came in contact with regarding their medical issues. I observed how Dr. Ajisafe respected his clients' space; he attended to them as humans but not as a disease and gave optimum care every single time. Working with Dr. Ajisafe has given me a wealth of knowledge about medicine as a career and my passion for medicine has grown much more. Goucher College stands out and I have indeed chosen to apply to this remarkable institution based on its comprehensive curriculum, its small class size and more teacher-student interaction. The school also has a 99.6% success rate in getting its students into medical schools. Due to my background and my focus both in the past and for the future, as well as with regards to the above-metioned statistics, I am convinced that Goucher's program is right……

Pages: 2  |  Admission Essay  |  Style: n/a  |  Sources: 0


Malpractice in Advanced Nursing Practice

If a nurse specialist, her conduct should be compared with the reasonable practice of a similar or equivalent specialist. In addition, the courts recognized the extent of her role in patient care. While she may not modify the course of treatment set by the physician, she may consult nurse supervisors or other physicians to discuss her difference in view from…

Pages: 10  |  Essay  |  Style: n/a  |  Sources: 8


Licensing as a Family Nurse

In the section of this document dedicated to practical nurses, the author explicitly states that "It is the responsibility of the qualified license nurse to promote patient/client education and to involve the patient/client and, when appropriate, significant others in the establishment and implementation of health goals" (CMR Board, 1994, p. 12). This passage is important because not only does it outline this specific duty for family nurse practitioners, but also it denotes the fact that these professionals will be involved with other practitioners (such as physicians) to help patients achieve optimal health status. In addition to the aforementioned responsibilities of family nurse practitioners in settings such as doctor's offices, their collaborative approach to assisting patients also includes disseminating orders to other health care personnel. Therefore, not only will these professionals work under the supervision of physicians, but they will also have health care professionals working under their supervision. The Nurse Practice Act contains specific guidelines to what sorts of responsibilities nurse practitioners can delegate to their subordinates, which includes administrative and basic tasks related to patient welfare such as mobilization or the obtaining of blood pressure and other sorts of data (CMR Board, 1994, 11). This fact confirms the notion that family nurse practitioners can work in doctor's offices, where oftentimes physicians have minor health care workers such as physician's assistants who perform these menial tasks for them. Family nurse practitioners will suitably fit in such an environment, because they will not only be able to work under the supervision of a physician as needed, but will also be able to supervise other workers such as physician's assistants as needed. Family nurse practitioners are advanced practice nurses who have advanced training and experience. Oftentimes, these professionals may have a graduate level degree. Due to the fact that there is an impending shortage of health care professionals, one of the most viable places for a family nurse practitioner to work is in a doctor's office. In this type of setting such a professional can actually aid physicians and their work load considerably by performing primary care service on a variety of individuals of virtually all ages and walks of life. As such, working in this type of organization is extremely likely for a family nurse practitioner and a clear career path to steady work. References Britt, D. (2012). Family nurse practitioner's role in primary care. www.southuniversity.edu. Retrieved from http://source.southuniversity.edu/family-nurse-practitioners-role-in-primary-care-110820.aspx CMR Board…

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Nursing Education Has Come a

During my course of study, I intend to familiarize myself with two areas of research that interest me the most: anesthesia and midwifery. I do not currently intend to specialize, but may later choose to do so if I feel my skills would be developed best by focusing in one of these core areas of research. There are several important issues in contemporary nursing that affect all nurse practitioners, and ultimately all patients. The issue that has weighed most heavily on my mind lately is the relatively slow process of transitioning towards electronic medical records. I understand this is largely a regulatory and administrative issue, but as a nurse practitioner, I will also be impacted by the choices made my institution. In the future, I expect that there will be more uniformity in the use of electronic medical records. Right now, I fear that electronic medical records are not being used to their fullest potential to prevent patient error and facilitate our practice as nurses. While there are federal guidelines and new regulations related to the use of medical records, there has been much reluctance among health care practitioners to embrace information technology. Much of the resistance comes from physicians, but I have also witnessed my colleagues in nursing view electronic medical records with suspicion. Some administrators have expressed concern that they cannot make the transition to electronic medical records because they have yet to receive adequate guidance and the ability to train employees. The expense of training employees, and the time we need to take from our daily practice also merits concern. However, I think it is important to make the transition soon. I am certain that electronic medical records and their implications for health care will be addressed during the Doctor of Nursing Practice program of study, as it will become a major clinical methodology shift. Thank you for your consideration.…

Pages: 2  |  Admission Essay  |  Style: n/a  |  Sources: 0


Nursing Education Does Nursing Have

The article gave several different evidence-based practices that could be used to further diversity in nursing education. 2. Assess instructional materials given to patients or students. Is it appropriate for a multicultural curriculum/audience? To what extent to instructional materials support inclusiveness. Are materials reflective of diversity? Are materials free of gender, culture, religious and ethnic bias? Can hospital/academic policies be…

Pages: 10  |  Essay  |  Style: APA  |  Sources: 10


Barriers to Independent Practice and the Nurse Practitioner

Np Barriers Proposal Nurse Practitioner personal professional practice barriers proposal Legally, NPs possess the authority to practice independently. Non-recognition of the NPs authority, however, routinely hinders their ability to put that authority into practice. During the proposed *** study, "Nurse Practitioner Personal Professional Practice Barriers," the researcher will examine a number of existing barriers that may challenge and prevent the…

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Nursing Law and Ethics

Nursing Law and Ethics Name two (2) functions of the Nurses Board that are relevant to you as an Enrolled Nurse. 1.Centralized and universal licensure. 2.development and enforcements of legal responsibilities and practice rule of nurses. State two (2) contributions Florence Nightingale made to healthcare. The development of nursing as educated role. 2. Establishment and precedence of professionalism in nursing.…

Pages: 6  |  Term Paper  |  Style: APA  |  Sources: 4


Physician Shortages Identify and Describe

The type of care needed by patients require graduate level nurse training. Yet the number of Bachelors of Science degreed nurses are unable to get the additional training due to lack of instructors holding a graduate degree. A requirement to teach Advanced Nursing Practice (Miller & McIntyre, 2011). This creates a catch 22 of sorts as the number of nurses is due to a shortage of teachers with the Graduate level degree to train the upcoming undergrads in the field (Miller & McIntyre, 2011). The Association of Colleges of Nursing has reported that 30,000 applicants who were qualified to pursue BSNs were 'turned away' due to shortages in Nursing available to teach at the graduate level (Miller & McIntyre, 2011). Up to 61% of nursing colleges have adequate faculty reports the AACN. A Third factor for nursing shortage is cuts in funding nurse staffing by hospitals and managed care plans. The monies to reimburse for certain types of nursing care were cut or decreased to the point that the strain on the hospital became to great. Therefore hospital policymakers chose to restructure workloads of nurses in order to compensate for additional insurance monies. This led to overloading the nurses to the point of RN burnout according to Dana Weinberg of Cornell Press (2003). It is also reported that the nursing profession is often misrepresented and misunderstood in terms of importance to patient care. Leading to as many as 250,000 nurses leaving the workforce as of 2005(AACN, 2007). 3. Identify and describe at least three roles the public health professional has in the health care system. One role of the public health professional is to find ways of making it easier to access health care. There are so many agencies offering alternative health services such as mobile services for dental, seasonal vaccinations, and even lab services. Another role is that of social worker for those with backgrounds in psychology to investigate incidents of troubled youth and teens (Public Health, 2011). A third would for be for health professionals with backgrounds in counseling and substance abuse care to educate the public and provide outpatient services to communities. With public health becoming more diverse in the 21st century there are opportunities for all types of professionals from different backgrounds to open up community practices. Some of the fields in public health include social work as mentioned, nutritionists, researchers, environmental studies, and fitness professionals…

Pages: 3  |  Essay  |  Style: n/a  |  Sources: 4


Nurse Violence Workplace Violence: A

Online Journal of Issues in Nursing. Retrieved January 19, from . Occupational Safety and Health Administration. (2011). U.S. Department of Labor. Retrieved January 18, from . Occupational Safety and Health Administration, p.1. Garelick, A. & Fagin, L. (2004). The doctor -- nurse relationship. Advances in Psychiatric Treatment (10). Pp. 277 -- 286. Sirota, T. (2007). Nurse-physician relationships: Improving or not? . Lippincott Nursing Center. Retrieved January 19, from . No Author. (2008). Lateral Violence and Bullying in the Workplace. Center for America Nurses. Retrieved January 19, from . Brown, T. (2010). When the Nurse is a Bully. New York Times. Retrieved January 19, from . Longo, J. (2010). Combating Disruptive Behaviors: Strategies to Promote a Healthy Work Environment. Online Journal of Issues in Nursing. Retrieved January 19, from .…

Pages: 5  |  Research Paper  |  Style: n/a  |  Sources: 5

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