"Nursing / Doctor / Physician" Essays

123. . .Last ›
X Filters 

Advanced Nursing Ethics and Values Term Paper

Term Paper  |  5 pages (1,651 words)
Bibliography Sources: 5


¶ … 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… [read more]

Physicians and Registered Nurses Term Paper

Term Paper  |  8 pages (2,059 words)
Bibliography Sources: 1+


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 next description, we focused on the comprehensive healthcare project conducted in Pakistan amongst patients who were Afghan refugees. The research was designed to assess the differences in diagnosis and treatment among nurses, general practitioners and consulting physicians. The study revealed that the relationship between the nurses and the doctors was relaxed because the doctors were not aware of the study. The relaxed atmosphere between the healthcare professionals created an environment in which the nurses felt comfortable making diagnosis and prescribing treatment. This resulted in a greater level of confidence amongst the nurses and better patient care.


The working relationship… [read more]

Nursing Is Changing. Recent Healthcare Essay

Essay  |  2 pages (585 words)
Bibliography Sources: 0


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…… [read more]

Doctor's Clinic Description Essay

Essay  |  3 pages (721 words)
Bibliography Sources: 0


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…… [read more]

Nursing Leadership Term Paper

Term Paper  |  3 pages (889 words)
Bibliography Sources: 3


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)).


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 . (2013, June). Critical Thinking and Nursing. Retrieved from criticalthinking.org: https://www.criticalthinking.org/pages/critical-thinking-and-nursing/834

Hamric, A., et al. (2009). Advanced Practice Nursing: An Integrative Approach. St. Louis, MO: Elsevier.

McAllister, M. (2005). Transformative Teaching…… [read more]

Managing Futility in Oncology Settings Partnerships in Peril Research Proposal

Research Proposal  |  10 pages (2,900 words)
Style: Harvard  |  Bibliography Sources: 10




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… [read more]

Nursing Epistemology: Personal and Kinesthetic Knowledge Richard Thesis

Thesis  |  2 pages (760 words)
Style: APA  |  Bibliography Sources: 2


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…… [read more]

From RN to Nurse Practitioner Term Paper

Term Paper  |  10 pages (3,164 words)
Bibliography Sources: 10


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… [read more]

Nursing Education Level Term Paper

Term Paper  |  1 pages (344 words)
Bibliography Sources: 1


¶ … 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…… [read more]

Promoting Dignity in Individual Care Essay

Essay  |  8 pages (2,303 words)
Style: Harvard  |  Bibliography Sources: 15


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… [read more]

Actinic Keratoses (Aks) Are Pre-Cancerous Article Review

Article Review  |  2 pages (524 words)
Bibliography Sources: 0


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.


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.


Hepplewhite, A. (2012). Management of patients with actinic keratosis. British Journal

of Nursing. 21…… [read more]

Standardized Coding Systems Essay

Essay  |  2 pages (666 words)
Bibliography Sources: 3


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…… [read more]

Advanced Practice Nurses and Prescriptive Term Paper

Term Paper  |  15 pages (3,917 words)
Bibliography Sources: 20


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… [read more]

Adult Nurse Practitioner Marketing Portfolio Essay

Essay  |  7 pages (2,020 words)
Bibliography Sources: 5


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


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:


Average Earnings by Job Title (adapted from IOM Institute of Medicine, 2011, p. 4-20).


Average Earnings

Staff Nurse




Nurse Anesthetist


Clinical nurse specialist


Nurse Midwife


Nurse Practitioner


Patient Educator


Patient coordinator


Informatics nurse


Marketing Plan

To market one's self as an adult NP, the NP could benefit from using a selection of promotional tools from the following list that Egidio (2008) suggests in the book, A Nurse Practitioner's Complete Guide to a Successful Medical House Call.

Phone books, including literal Yellow Pages as well as online listings

Radio Spots

Direct Mail


A Web Site or Social Network

Health Fairs

Health Lectures

Business Cards


Buppert, C. (2007). Nurse practitioner: Business practice and legal guide. Sudbury, MA: Jones & Bartlett Learning. ____. (2011). Nurse practitioner's business practice and legal guide (4th ed.). Sudbury MA: Jones & Bartlett Publishers. Egidio, J. (2008). A nurse practitioner's complete guide to a successful medical house call. San Diego… [read more]

ADN to Bsn: Nursing Term Paper

Term Paper  |  4 pages (1,384 words)
Bibliography Sources: 1+


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 be notified that different state governments have been trying to increase the educational requirements for registered nurses to at least a bachelor's degree level. As soon as any such legislation will be passed, BSN will become the only educational path to obtain an RN license. Even today a number of advanced career opportunities in nursing are open only for BSN graduates. Moreover, managerial positions in healthcare are only available to bachelors or advanced degree holders. A bachelor's degree is also necessary for getting enrolled in other areas of specializations.

In conclusion, firm devotion, sound knowledge, considerable experience and good performance… [read more]

Tele Nursing Research Paper

Research Paper  |  5 pages (1,655 words)
Bibliography Sources: 7



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… [read more]

Ethics of Reporting Child Abuse Term Paper

Term Paper  |  2 pages (770 words)
Style: APA  |  Bibliography Sources: 1


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…… [read more]

Self-Concept Individual Project Term Paper

Term Paper  |  5 pages (1,518 words)
Style: APA  |  Bibliography Sources: 0


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… [read more]

Coronary Artery Bypass Graft Surgery Term Paper

Term Paper  |  6 pages (1,776 words)
Bibliography Sources: 5


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… [read more]

Theatre Nurses Equipped Term Paper

Term Paper  |  25 pages (7,009 words)
Bibliography Sources: 1+


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… [read more]

System Analysis of T Term Paper

Term Paper  |  10 pages (3,124 words)
Bibliography Sources: 3


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… [read more]

Respondeat Superior Article Review

Article Review  |  10 pages (2,917 words)
Bibliography Sources: 2


¶ … 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… [read more]

Mercy Hospital, the Vice President of Nursing Case Study

Case Study  |  6 pages (1,795 words)
Style: APA  |  Bibliography Sources: 3


¶ … 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… [read more]

Anesthesiologist Assistant Subspecialty Postgraduate Fellowship Term Paper

Term Paper  |  6 pages (1,837 words)
Style: APA  |  Bibliography Sources: 8


¶ … 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… [read more]

Role Modeling in Nursing Case Study

Case Study  |  2 pages (710 words)
Bibliography Sources: 0


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…… [read more]

Sexual Harassment in Hospitals Existence Term Paper

Term Paper  |  7 pages (1,810 words)
Bibliography Sources: 1+


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.


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.… [read more]

Problem Statement of Graft Documentation and Coding Research Term Paper

Term Paper  |  2 pages (617 words)
Bibliography Sources: 4


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.


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…… [read more]

Intravenous Therapy or IV Fluids Essay

Essay  |  2 pages (644 words)
Bibliography Sources: 1


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). #


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… [read more]

APRN Prescriptive Authority for Two New England States: A Comparison Research Paper

Research Paper  |  4 pages (1,479 words)
Bibliography Sources: 4



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… [read more]

Nurse Practitioners' Autonomy the Current Role Term Paper

Term Paper  |  6 pages (2,015 words)
Bibliography Sources: 6


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… [read more]

Nursing Research Paper

Research Paper  |  12 pages (4,387 words)
Bibliography Sources: 6



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… [read more]

Nursing Personal Statement Choosing Admission Essay

Admission Essay  |  2 pages (838 words)
Bibliography Sources: 0


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…… [read more]

Malpractice in Advanced Nursing Practice Essay

Essay  |  10 pages (3,418 words)
Bibliography Sources: 8


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… [read more]

Licensing as a Family Nurse Research Paper

Research Paper  |  3 pages (954 words)
Bibliography Sources: 3


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.


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 of Registration in Nursing (1994). Registered nurse and licensed practical nurse. www.massnurses.org. Retrieved from http://www.massnurses.org/files/file/Legislation-and-Politics/np_act.pdf

Hamric, A.B., Spross, J.A., & Hanson, C.M. (2009). Advanced Practice Nursing: an Integrative Approach (4 ed.). Philadelphia: Saunders Publishing.… [read more]

Nursing Education Admission Essay

Admission Essay  |  2 pages (648 words)
Bibliography Sources: 0


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.… [read more]

Nursing Education Does Essay

Essay  |  10 pages (4,005 words)
Style: APA  |  Bibliography Sources: 10


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… [read more]

Barriers to Independent Practice and the Nurse Practitioner Research Proposal

Research Proposal  |  10 pages (3,822 words)
Bibliography Sources: 5


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… [read more]

Nursing Law and Ethics Term Paper

Term Paper  |  6 pages (1,913 words)
Style: APA  |  Bibliography Sources: 4


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.… [read more]

Physician Shortages Identify Essay

Essay  |  3 pages (1,302 words)
Bibliography Sources: 4


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 (Public Health, 2011).

4. Identify and describe at least three roles that a health service administrator has in the health care system.

The health service administrator has professions in the public and also in the private segment of society. Jobs range from local governmental and civil office to the state or federal level (Public Health, 2011). Some of the roles include the public school system in positions such as a K-12 food safety inspector. A second role is at the university level health service administrators could take on the role of a researcher in defining programs that lead to sleep… [read more]

Nurse Violence Workplace Research Paper

Research Paper  |  5 pages (1,812 words)
Bibliography Sources: 5


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 .… [read more]

Nursing Research Paper

Research Paper  |  5 pages (1,657 words)
Style: APA  |  Bibliography Sources: 4


Internationally, I would like to join Peace Corps and possibly work in an African country providing healthcare to its citizens. After working on a local and national scale, I feel it would be good for me to put the skills that I will have learned throughout my career to use on an international level. By doing this, I will become not only a well-rounded nurse, but a well-rounded individual as well.

Having all of these rich experiences will place me in a position to pursue a doctorate degree in nursing and share my experiences with future nurses. I want them to know that as a nurse, we have an opportunity to provide quality healthcare worldwide. The field of nursing has evolved and will continue to do so in the years to come. In order to resolve the nursing shortage, potential nurses should have a clear understanding of the history of nursing, the benefits of getting BSN and career advancement as well as future trends in nursing. Once they begin to understand all of the factors involved in making a great nurse, they can begin to have a clear understanding of how their career choice will impact the profession locally and globally.


Delaney, C., & Piscopo, B. (2007). There really is a difference: Nurses' experiences with transitioning from RNs to BSNs. Journal of Professional Nursing, 23(3), 167-173. Retrieved May 3, 2012, from the ScienceDirect database.

Franklin, P.D., Archbold, P.D., Fagin, C.M., Galik, E., Siegal, E., Sofaer, S., et al. (2011). Building academic geriatric nursing capacity: Results after the first 10 years and implications for the future. Nursing Outlook, 59(4), 198-206. Retrieved May 3, 2012, from the ScienceDirect database.

Ozbolt, J.G., & Saba, V.K. (2008). A brief history of nursing informatics in the United States of America. Nursing Outlook, 56(5), 199-205. Retrieved May 3, 2012, from the ScienceDirect database.

Wildman, S., & Hewiston, A. (2009). Rediscovering a history of nursing management: From Nightingale to the modern…… [read more]

Watson's Caring Theory of Nursing Term Paper

Term Paper  |  7 pages (2,441 words)
Bibliography Sources: 8


Watson Theory of Nursing

Background and Fundamental Concepts of Watson's Caring Theory of Nursing

Jean Watson conceptualized and operationalized a notion that had always been fundamentally important as a defining purpose within the nursing field: caring. Generally, empathy and genuine concern for the welfare and health of others has always been a common motivating force of nurses. Watson introduced her… [read more]

Nursing Management Relating to Communication and Staff Case Study

Case Study  |  20 pages (5,097 words)
Bibliography Sources: 1+


¶ … Nursing Management Relating to Communication and Staff Welfare: A Case Study

Facts Of The Case Study

The fact of this case include a transfer for Senior Public Health Nurse Comrie which was initially communicated to her indirectly and informally and through an individual other than her supervisor with the decision making capacity. Six weeks prior to Senior Public… [read more]

Nursing, Leadership and Management Case Term Paper

Term Paper  |  3 pages (1,306 words)
Bibliography Sources: 8


McClinton, 2012). This is a measure to ensure that the patient takes the required drugs only and if there is any change in prescription, then it is adhered to.

5. Communicating with your staff -- Holiday scenario

The best way to communicate with the staff about the change in the manner in which they sign up for they holiday time would be through an internal memo which could be pinned on the staff only notice boards as well as sent through mail. This method would ensure the communication has an official approach as well as ensuring no one from outside the organization comes to learn of it. The email supplement will ensure each person intended for the message gets it and keeps it as a reminder incase of future referencing.

6. HIPAA and the privacy of patients' information

The case given here is a complex one since the subject of the circumstance is an employee within the medical institution. However, my analysis pints towards a violation of the HIPAA guidelines since the nurse must be treated as an independent entity when it comes to the medial records and not as a prisoner of the institution. If there was any doubt to the call details as the supervisor had suspected, the best thing was to ask the nurse to forward the evidence to support her call of absence for more than a day in advance. By the supervisor taking up the file from the E.R it means he was privy to accessing even other unintended information.

7. The nurse leader's role in financial considerations

The nurse has a more hands on approach to healthcare than any other person within the health institution. This means they are able to advice the management on a variety of issues concerning the budgeting and procurement of hospital implements. They will advice on the products that are best for the patients and those that are effective in enabling then do their work effectively. This will save the finances of the institution in that they will avoid buying equipments that will be of no use to the institution. With sufficient mentoring and the hands on experience in using the implements, the nurses will be able to guide the management in the financial decisions that are to be made.

8. The nurse leader's role in cost reduction

In the process of cost reduction, the hospital must involve the nurse since they will guide in eliminating unnecessary purchases, they will then complementary products as well as the substitute products (hence no need to buy both), they will also advice on the duration a given quantity can help in the works, they will also ensure the re-usable implements are brought back to the cycle hence cutting down on costs immensely.

The nurses need to be fully engaged in the budgeting of the hospital, other wise they would not be held accountable if the budget and subsequent purchases go wrong. There is need to ensure the nurses are consulted on the… [read more]

Nurse Practitioner Specialty Certifications Assessment

Assessment  |  7 pages (2,435 words)
Bibliography Sources: 7


Nurse Practitioner Specialty Certifications

An adult nurse practitioner is far more specialized than a "standard" nurse (i.e. An LPN or an RN). Nurse practitioners are also called Advanced Practice Registered Nurses (APRN), and have completed nursing education at a graduate level (International, 2012). They have either Masters or Doctorate degrees in their field and often treat both physical and mental… [read more]

Family Nurse Practioner Term Paper

Term Paper  |  10 pages (2,780 words)
Bibliography Sources: 8


These agencies impact this role positively if properly followed since their work complete the ethics and rules that inform the procedure.

CRAN's role in the medical field is aided by the fact that there are now many institutions that offer the course. FNPs; gain from the fact that they can access school materials online or on part-time basis. This has… [read more]

Ethical-Legal Nursing Discussions Research Paper

Research Paper  |  8 pages (3,541 words)
Bibliography Sources: 24


Communication must be repeatedly absorbed on moral distress instead of expanding into more general self-exploration; the tradeoff cannot be permitted to go beyond limits that stop relaxed working together between sessions. Also, the individual cannot be a member of the administrative chain of command and must have an honest understanding of the issue. The individual should aid to expand viewpoints… [read more]

Masters-Prepared Nurse's Role: Questions Essay

Essay  |  3 pages (870 words)
Bibliography Sources: 0


713.2.2-03: Recognize the role of emotions in ethical decisions.

No matter how scientific in nature the nursing profession might be, the nurse will be affected by emotions. Given that caring and caritas is a critical component of nursing, this is only natural. Nursing requires a balance of emotions and empathy for the patient with the technical demands of the profession and the higher ethical code of the profession.

713.2.2-04: Identify the importance of personal values and patient values.

The nurse may have certain personal values based upon professional concepts of health as well as personal values based in anecdotal experience. The patient's view of health may conflict with these. The nurse can act as an educator but should not dismiss the views of the patient: rather she must try to understand them and create middle ground.

713.2.2-05: Identify the implications for nursing care of values conflict.

Because of the diversity of society, values will often conflict and nursing is never a value-free profession. There are always implications in the act of nursing -- what constitutes health; what constitutes a worthy life. Different cultures have different values regarding how children should be raised and how the elderly are viewed which have a direct impact upon nursing approaches. Nurses must have the professional skills to negotiate such a values conflict.

713.1.1-01: Describe the master's prepared nurse's role as researcher.

APNs, unlike some other types of NPs, have the ability to conduct independent research (What is APN, 2013, Vanderbilt University). This research may be an extension of the APN's academic or clinical experience. It may be primarily from a nursing paradigm or it may also bridge other healthcare perspectives.

713.1.1-02: Describe the master's prepared nurse's role as collaborator.

The master's prepared nurse can work as a collaborator with other colleagues on a patient's case or in research. The nursing perspective is unique. However, advanced academic preparation enables the nurse to become more fluent in the discourses of other professions.

713.1.1-03: Describe the master's prepared nurse's role as clinician.

Although the master's prepared nurse has grounding in theoretical aspects of the discipline, ultimately it is in the field of practice where nursing knowledge is tested. The master's prepared nurse will have clinical experience to inform her academic knowledge. Real, lived experience is not discounted simply because it does not conform to preexisting theories. The nurse fulfills many of the functions as a clinician once assumed by physicians.

713.1.1-04: Describe the master's prepared nurse's role… [read more]

Advanced Practice Roles in Nursing Research Paper

Research Paper  |  8 pages (2,598 words)
Bibliography Sources: 8


This was a viable lesson in community health nursing for me as the treatment of choice tends to be limited by a patient's economic condition (Mason, 2013).

Leadership attributes you currently possess, and attributes you may need to develop

I am a team builder; a participative climate is defined by collaborative efforts. As a leader, I tend to guide my… [read more]

Advanced Practice Nurse Research Paper

Research Paper  |  5 pages (1,329 words)
Bibliography Sources: 5


Advanced Practice Nurse

The RN that wishes to go deeper into the field and point towards a career as an advanced practice nurse (APRN) must first have the aptitude and motivation, and more importantly he or she must also have the knowledge of the educational requirements and professional components that are part of achieving the APRN license. The educational requirements and professional components involved in becoming an APRN will be presented in this paper, along with the emerging roles of the Advanced Practice Nurse, the theoretical perspectives of advanced practice nursing, and a global perspective of the field of advanced nursing.

Emerging Roles of the Advance Practice Nurse

Essayist Michaelene Jansen explains that many APRNs have difficulties simply working from the standard model for nursing; part of their frustration lies in the fact that they have been "…forced to launch their practice within the medical model…due to medical diagnoses used for billing and coding" (Jansen, 2010, 33). The advanced practice nurses today are involved in the identification and validation of "nursing diagnoses" -- and the revisions of existing diagnoses -- in order to follow through with nine "functional patters": exchanging, communicating, relating, valuing, choosing, moving, perceiving, knowing, and feeling" (Jansen, 35). Another role of the APRN is to "…develop skills to capitalize on the chaos in the healthcare system" and also to "create opportunities for the advantage of the profession rather than fear the future" (DeNisco, et al., 2012, 254). Moreover, the APRN must be able to help shape public policy -- by working with and leading other nurses -- and he or she must understand how to navigate the regulatory process (DeNisco, 254).

Professional Components in California & Florida

In Florida and in California, there are many pages (single-spaced) identifying the requirements for being licensed as an APRN (too many to list here). Some of the key requirements include: having a Master's degree in advanced nursing; paying up to $100 for the licensing process; passing state, and regional (or national) examination; have fingerprints recorded and accept a background check; applicants that fail the exam three times in a row (no matter which state they are in or where the examination was taken) are required to complete "a board-approved remedial course" prior to applying for another exam.

In both states, prior convictions must be reported. Even a misdemeanor that has been "…dismissed, or expunged" or otherwise wiped from the official records, must be reported to the licensing board (along with copies of the arrest paperwork); also, in both states any previous discipline / sanction that a nurse received in any context within the field must be reported. Failure to report either an arrest or a disciplinary action will result in disqualification as an APRN (Board of Registered Nursing).

Educational Requirements

The American Association of Colleges of Nursing (AACN) published a report consisting of all the educational requirements that an RN must successfully complete in order to qualify to obtain a license to practice as an advanced practice nurse. Called "The… [read more]

Staffing in Nursing Capstone Project

Capstone Project  |  15 pages (4,391 words)
Bibliography Sources: 1+


After some five years of the placement of California law, nurses were very optimistic regarding their ratios. According to an analyst, the ratio law was a success and it was commonly witnessed that there was an increment in the total amount of RNs licensed in the state of California after the implementation of the law, also there was a decrement… [read more]

Employment Agreement Nurse Practitioner Essay

Essay  |  5 pages (1,307 words)
Bibliography Sources: 0



First year of employment two weeks of vacation will be included in the salaried employee benefits plan.

The salary will include the vacation benefit and no additional monetary benefit will be paid.

Third year of employment the addition of a third week of vacation will accrue.

Fifth year of employment the addition of a fourth week of vacation will accrue.

Vacation time will be scheduled with a minimum notice of 6 weeks, the more notice given to the designee of the corporation will be greatly appreciated for the adjustment of patient and physician schedules. The vacation times request should be made in writing to the corporation and include the complete dates of your request including weekday and weekend dates.


Current New York License is required prior to employment and will be verified by the Management. It is the responsibility of the employee to maintain his/her current License and submit a copy of the document prior to gainful employment. Failure to maintain this documentation as current will necessarily result in immediate cessation of salary and benefits until corrections are made.


Transportation will be the responsibility of the employee. Transportation will only be provided when the employee is out of town for the purpose of attending a meeting, conference, and/or education offering required by the Corporation. All receipts of the transportation will be required for reimbursement by the Corporation. Transportation should be arranged prior to the travel and an estimation of the cost and duration made at that time. When at all possible the Corporation will make these reservations and provide the information concerning the transportation prior to departure to the traveling parties.


Medical Insurance:

The employee within the financial parameters defined by the Corporation may determine the type of plan selected. The plan identified by the employee should be submitted to the Corporation for review.

The information to be submitted to the Corporation should include type of plan, cost, and a contact person with the said insurance company.

Malpractice Insurance:

The employee will be carried on the primary physician's Medical Malpractice Insurance for the duration of their employment. It is the option of the NP to purchase persona; separate malpractice coverage.


The primary physician of the practice or any designated legal physician agent of the corporation, will execute a cooperative agreement for the purpose of satisfying legal requirements for the continuing practice of the NP.


MD Date ARNP Date


1. The Nurse Practitioner shall provide clinical and professional medical services to patients aged 12 and above within the scope of Nurse Practitioner's qualifications and consistent with accepted standards of medical practice and consistent with the reasonable productivity standards adopted by the Corporation and the Nurse Practitioner.

2. The Nurse Practitioner shall provide general patient care at the site specified by performance of accepted procedures and commonly used therapies and provision of appropriate support services. The Nurse Practitioner shall do all things reasonably desirable to maintain and improve her professional… [read more]

Nursing Theorists Research Paper

Research Paper  |  7 pages (1,888 words)
Bibliography Sources: 6


Orem's theory of 'Self-Care Deficit' specifies when intervention from nursing is a requirement due to the limitations of the patient to participate in self-care that is effective in nature. The priorities in this case study are those of: (1) pain reduction; (2) developmental self-requisites; and (3) universal self-requisites. This case involves the investigation of functional patterns including: (1) activities and exercise (not being met as the patient is bedridden and elderly); (2) nutrition and metabolism (bedridden and cannot prepare meals that are well balanced; and (3) sleep and rest (poor sleep due to ongoing pain); (4) elimination (constipation due to inactivity; and (5) coping and tolerance to stress (inability to patient to cope with their disability. (Iglesias et al.) The requiremens of the nursing professional in this scenario include: (1) self-awareness enhancement; (2) Adaption to physical disability; (3) self-care assistance IADL's; (4) Intervention to self-status; and (5) pain management/control. (Iglesias et al., nd)

Summary and Conclusion

Dorothea Orem's 'Self-Care and Self-Deficit' Theories are such that serve the nursing professional in providing the precise levels of care required in meeting the needs of patients while enabling them to provide effective self-care. The role of the nurse in view of Orem's theory is to pick up in providing care where the ability of the patient leaves off.


Dorothea Elizabeth Orem made nursing theory "exciting, realistic and usable (2007) Southern Cross, Page 3. Retrieved from: Thursday, July 19, 2007

Dorothea Orem's Self-Care Theory 2012) Dorothea Orem's Self-Care Theory. Retrieved from: http://currentnursing.com/nursing_theory/self_care_deficit_theory.htmlIglesias, M. et al. (nd) Case Study Application info Dorthea Orem's Nursing Theory. Retrieved from Scribd at: http://www.scribd.com/doc/20791871/Case-Study-Application-of-Dorothea-Orem-s-Nursing-Theory

George B. Julia, Nursing Theories- The base for professional Nursing Practice, 3rd ed. Norwalk, Appleton & Lange.

Integration of Dorothea Orem's Nursing Theoretical Framework (nd)Williams & Lippincot / http://www.scribd.com/doc/20791871/Case-Study-Application-of-Dorothea-Orem-s-Nursing-Theory

Meleis Ibrahim Afaf (1997), Theoretical Nursing: Development & Progress 3rd ed. Philadelphia, Lippincott.

Orem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc.

Potter A Patricia, Perry G. Anne (1992) Fundamentals Of Nursing -- Concepts Process & Practice 3rd ed. London Mosby Year Book.

Taylor Carol, Lillis Carol (2001)The Art & Science Of Nursing Care 4th ed. Philadelphia, Lippincott.

Taylor, S.G. (2006). Dorthea E. Orem: Self-care deficit theory of nursing. In A.M.

Tomey, A. & Alligood, M. (2002).…… [read more]

Nursing Professional Boundaries Essay

Essay  |  8 pages (2,992 words)
Style: Harvard  |  Bibliography Sources: 20


Role Development and Role Boundaries

The nurse leaders draw professionals from the best utilizing the most appropriate management theories to develop an individual management style and performance. In addition, the nurse leader will act with the assumption that nurses and other professionals wish to attain competence, which if they receive the motivation, they will achieve it, in addition to higher… [read more]

Advanced Practice Nursing Compare Essay

Essay  |  2 pages (623 words)
Bibliography Sources: 2


Whereas APRNs; are strictly limited to specific kinds facilities, duties and as a gatekeeper in controlling costs. ("American Nursing Association," 2010) ("Louisiana State Board of Nursing Guidelines," 2011)

Part 2: Under SB 192, Louisiana would be the only state in the nation with such a regulatory structure. How would this affect current APN practice? Is this a step backwards in the progress we've made?

The new regulatory structure is streamlining the responsibilities of nurses. This is taking place with physician oversight boards regulating the industry and their responsibilities. These shifts are different from other states, by combing the APN responsibilities with those of MDs. This is a step forward by acknowledging how the discipline is contributing significantly to the quality of healthcare provided and its costs. However, these changes are ignoring the established practices of nursing industry boards. This is problematic, as they feel that there is reduced levels control by effectively transferring oversight to physicians' organizations. In this aspect, the changes are either a step forward or backwards depending upon the perspective which is taken. ("Removing Healthcare Barriers," 2010)

Name some regulatory barriers that currently exist for APNs? Where has progress been made? What remains to be done?

State laws are the biggest barriers for APNs. This is because they require that at least one MD be available inside any healthcare unit. These requirements; reduce the level of control and responsibilities of APNs by effectively passing them off onto the doctor. To address these challenges, many of these guidelines have been diminished. However, more needs to be done, as there are still strict rules limiting the roles and responsibilities of APNs. ("Removing Healthcare Barriers," 2010)


American Nursing Association. (2010). Nursing World. Retrieved from:



Louisiana State Board of Nursing Guidelines. (2011). LSBN. Retrieved from:


Removing Healthcare Barriers. (2010). Campaign for Action. Retrieved…… [read more]

Nursing Administration Specialist Dr. M Research Proposal

Research Proposal  |  3 pages (850 words)
Style: APA  |  Bibliography Sources: 1


2. There is likely to be profound resistance to the push to discontinuing unionization amongst the nursing staff, who are very loyal to their union ties.

3. Staff members are profoundly resistant to change, given that they have been working there for decades and are resent an outsider like Dr. M giving them advice.

4. Nurses have relatively low levels of education -- most have AAs and only a quarter have BSNs.

5. There is also tremendous friction between doctors and nurses, perhaps because of this educational discrepancy.


In terms of the hospital's strengths, there is profound community goodwill and a desire for it to succeed, as well as new-found institutional support from the university system that has acquired it. However, hospital has many weaknesses. Some of these are administrative, such as the inefficiencies of patient transport from the ED and the ways in which patients are overseen in terms of their care. This exacerbates the unavoidable societal problem of uninsured people using the ED as a site of primary care. There is also a great deal of animosity amongst the staff members on every level. There are opportunities to bring in new nurses and improve nurses' existing credentials as well as a change of leadership, which can be a harbinger of creative, out-of-the-box thinking. However threats remain -- it is uncertain if the hospital can remain solvent and compete with more efficient entities in the wake of the staff's change resistance. Also, introducing new staff will take time and may be resisted by the still-unionized nurses who may fear losing their jobs.

The problem of escalating healthcare costs and a lack of insured patients are endemic to all hospitals. These chronic conditions cannot be solved by the hospital alone. However, in the short-term, new standard operating procedures can improve productivity, including mandating physicians discharge patients within a specific timeframe and creating a day as well as a night shift transport from the ED, to reduce the amount of work at night and paperwork at night. Although improving the credentials of the nurses is not something that can be done immediately, shifting to a 24-hour model with the existing staff is one possibility, as well as giving nurses greater authority over patients. This could also increase the perceived respect of nurses in the eyes of physicians, given that all nurses would have greater responsibility on an individual basis for patient care, increasing their sphere…… [read more]

Nursing Doctoral Business Proposal Business Proposal

Business Proposal  |  5 pages (1,498 words)
Bibliography Sources: 5


Owing to this, it is evident that hiring ARNPs as Case Managers will lead to positive changes in the organization.

ARPNs have prior interaction with both their colleagues, or fellow practitioners and patients. Therefore, this means that they have an understanding of what will promote job satisfaction. For instance, because of their predisposition, of having worked as nurses, they know… [read more]

Clinical Framework for Advanced Practice Nurse Essay

Essay  |  11 pages (3,341 words)
Bibliography Sources: 5


By highlighting the use of master's-equipped nurses to oversee care from the hospital to within the home, this model has been able to reduce re-hospitalizations for elderly patients with multiple chronic conditions. Research shows that using the Transitional Care Model aids patients attain better long-term health results and evade repeat hospitalizations, all at a cheap cost. Experts agree the program… [read more]

Nursing Profession Term Paper

Term Paper  |  6 pages (1,719 words)
Bibliography Sources: 1+



American Heritage Dictionary. (1982) Second Edition.

A www.questia.com/PM.qst?action=openPageViewer&docId=5000534396

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. http://www.questia.com/PM.qst?action=openPageViewer&docId=5001774259

Caines, E. (1999, September 6). How to end the nursing shortage. New Statesman, 128, 23. Retrieved August 24, 2003, from Questia database, http://www.questia.com. http://www.questia.com/PM.qst?action=openPageViewer&docId=5000779782

Dworkin, R.W. (2002, Summer). Where have all the nurses gone?. Public Interest, 23+. Retrieved August 24, 2003, from Questia database, http://www.questia.com. http://www.questia.com/PM.qst?action=openPageViewer&docId=5000843053

Goodwin, K. (2002, October/November). States tackle the nursing shortage: the lack of qualified nurses is reaching epidemic proportions. States, universities and hospitals all are trying to do something about it. State Legislatures, 28, 20+. Retrieved August 24, 2003, from Questia database, http://www.questia.com. http://www.questia.com/PM.qst?action=openPageViewer&docId=5000770255

Lin, C. (2002). The shortage of registered nurses in monopsony: a new view from efficiency wage and job-hour models. American Economist, 46(1), 29+. Retrieved August 24, 2003, from Questia database, http://www.questia.com.

Jardin Karen Des. (2001) Political involvement in nursing -- politics, ethics, and strategic action.

Hamilton, H. Percival, E. (1996) Nurses in Australia: their role today and tomorrow. Medical Journal of Australia. volume 164. pg. 520-521… [read more]

Bioethical Issues in Nursing and Health Care Case Study

Case Study  |  2 pages (565 words)
Bibliography Sources: 3


Bioethics and Nursing

Patient is a 59-year-old man, overweight and hypertensive, with a history of alcoholism. Patient has been diagnosed with end-stage renal disease, but refuses to adhere to diet, medication, and abstinence from alcohol. Jane Martin, APRN, is concerned about her roles and responsibilities concerning Patient.

What are Jane's professional responsibilities to Mr. Tate?

As a licensed professional, Jane's responsibilities are to use her skills and to the best of her ability do whatever is necessary to assist in Patient's continued treatment. Under NRS 632005, the State of Nevada specifically indicates that nurses should assist in maintaining the health, safety, and welfare of their patients. Further, the practice of professional nursing 632.017-18, indicates care of the ill, injured or infirm. As a nurse, Jane is responsible for carrying out the doctor's orders to the best of her ability. She is not responsible for Patient's adherence to protocol or instructions, but she is responsible for informing (even if on a continual basis) Patient of best practice instructions, and letting him know that she is also responsible for notifying her superiors that he is not participating appropriately in his care.

Jane's role is, however, not as a diagnostician. Her role within the care system is to assist and provide professional care for the patient. It is also not her role or responsibility to introduce her own sense of morality or justice in determining what the best use of advanced care, medications, or procedures might be. Since Patient is "of sound mind," and mobile, it is her responsibility to take her concerns over the Patient's health to the proper authority.

With whom could Jane Martin discuss her ethical concerns regarding Mr. Tate?

Jane should…… [read more]

Nursing With the Intention Essay

Essay  |  2 pages (602 words)
Bibliography Sources: 0



With the intention of providing a wider scope of health care services to a more diverse group of patients, I seek admission to the Post Masters Nurse Practitioner Program. The extensive clinical experience the program offers will perfectly supplement my current professional position, optimizing my talents and expanding my expertise within the field of psychiatric nursing. Applying nursing theory to practice, I will work within the optimal professional parameters that will promote my career goals. Those goals include both short-term and long-range plans that involve improving quality of care within my community.

The ability to work within my home community is critical for me on a personal level, as I am already knowledgeable about the local resources available. As I work in the rigorous Post Masters Nurse Practitioner Program I will be developing a more in-depth understanding of the unique needs of the community, its demographics, and its health care resources and personnel.

During the course of the program period, I hope to develop the professional contacts that will improve my ability to help community members in need. I intend to work with team members on improving quality of care and access to care. The program will help me become familiar not just with the practical daily application of nursing theory to practice; I will also become more aware of the community resources available to patients.

Therefore, I will be able to provide the best possible outreach consultation and help my clients achieve optimal health within the local system. Knowing the limits and potential of that system is critical to being able to aid patients. I want to be able to help patients who may be destitute or in need of ancillary services to know how and where to apply for that aid. Similarly, I want to be able to…… [read more]

Nursing Research There Is a Certain Expectation Essay

Essay  |  3 pages (1,226 words)
Bibliography Sources: 0


Nursing Research

There is a certain expectation within any academic field that there will be continuous research and development in order to keep the scholarship and acumen up-to-date within that discipline. This is especially true in the medical field, where sometimes the research is far away from the actual practical needs of the staff and patients. In this case, the modern nurse performs a very critical role -- that of helping drive the intellectual development of the medical field forward while, at the same time, focusing on the more practical and implementable aspects of research and development.

The idea of research can be daunting to anyone, and the idea of taking courses on research methodologies even more so. Nursing research is a two-way academic communication -- it results from data that comes from the ground up (the egg), but it must be processed by those who have the expertise and time to perform the proper steps within acceptable methodology (the chicken). In the field of contemporary medical care, particularly physician and nursing, there are five major reasons why more than a cursory knowledge of research and research methodology is essential for a professional career: expectation of a level of academic proficiency, ability to understand and communicate complex terminology to multiple stakeholders, an understanding of the research process so that as materials become available they are understandable, the possibility of conducting research and/or further interest in specific subject matter, and finally, the essential need to remain cognizant of contemporary medical developments.

Research and the Contemporary Nursing Model- the modern nurse is expected to have a certain level of medical expertise that is beyond simple care and advocacy. The nurse is expected to understand complex physiological relationships, pharmacology, and have a certain academic expertise that sets the field to a higher plane. As the medical world becomes more complex, the bar rises throughout the pyramid, and as the level just below the physician, the nurse must exert a higher level of cerebral knowledge in balance with compassionate care.

As the complex nature of the medical world continues to expound -- there must be a level within personalized medical care that has the time and ability to explain the complex nature to the patient and patient's family. Without an exposure to research and research methodologies, the contemporary nurse would be unable to meet that standard of academic excellence. This is especially true in that the nurse must be conversant with the doctor, the specialist, and still understand the overall medical paradigm to the point they can communicate to all levels of stakeholders.

Since new materials are produced faster than anyone could possibly keep up (via journals, the Internet, conferences, etc.) an ability to quickly scan and glean information from complex materials is essential. Without a background in research this would be cumbersome and take far more time than the beneficial outcome would require.

The modern nurse may, in the course of a career, find an area of interest or need that is so… [read more]

Nursing Philosophy a Philosophy Essay

Essay  |  10 pages (2,764 words)
Bibliography Sources: 10


Nursing Philosophy

A Philosophy of Nursing

Like every profession, nursing is both a commonly shared calling and a very personal one. Every nurse shares certain professional standards with all of his or her colleagues, has in common a large number of experiences, has been educated and certified through similar processes. but, despite these many concurrent aspects of the lives of… [read more]

Cultural Diversity and Nursing Care Plan Term Paper

Term Paper  |  2 pages (653 words)
Bibliography Sources: 2


Cultural Diversity and Nursing Care Plan

A culturally diverse population, like in Hawaii, lends itself to unique problems for healthcare professionals. Culture shapes perceptions, expectations, and behavior (Taylor, Lillis, LeMone, & Lynn, 2008). When different cultures are involved, the perceptions, expectations, and behavior that come with each can impact the effectiveness of care. Consequently, to offer the best nursing care possible, it is imperative to alter a nursing care plan to fit the needs of a culturally diverse population.

Nursing diagnoses have been accused of being culturally insensitive, with terminology including ineffective coping and noncompliance, but those diagnoses may be linked to cultural beliefs and behavior (Walsh, 2004). In addressing these diagnoses, a nursing care plan should take into account the cultural factors that may have brought it about. The care plan should incorporate learning about the cultures, gathering relevant information, and using the information to tailor the care delivered to patients in a manner that works within the patients' culture.

The first step to take in creating a care plan for the culturally diverse is to become familiar with the cultures' beliefs. Some cultures believe in alternative sources of medical treatment. For example, a patient may be seeing an herbalist in conjunction with a physician and may be received an herbal remedy and a pharmaceutical that, together, cause the patient to be overmedicated (Taylor et al., 2008). By being aware that a patient may be seeking complementary or alternative forms of care, the nurse knows what information should be collected in order to provide better care.

It is also important to understand different cultures' opinions on aspects of medicine. A cultural perception about a certain medical practice may cause a patient to be noncompliant with the prescribed treatment (Walsh, 2004). For example, if a culture believes that meditation or prayer should be used over drugs, a patient may choose to forego medicine provided by the doctor, which would appear noncompliant. A nursing care plan could…… [read more]

Introduce Pre-Nursing Students to Nursing Later in Their Education Book Report

Book Report  |  4 pages (1,153 words)
Bibliography Sources: 5


¶ … nursing is a rewarding, but challenging, career choice. The modern nurse's role is not limited only to assist the doctor in procedures, however. Instead, the contemporary nursing professional takes on a partnership role with both the doctor and patient functioning as an instructor, individual counselor, caregiver, medical researcher, emotional and psychological counselor, and personal case manager. As an amalgamation of these roles, a nurse must assist the client in all physical, mental, and psychological roles that advocate proper medical care and maintain the dignity of the client. In the contemporary world, it is important to note that a more holistic approach is preferable, seeing the patient as more than their disease, and advocating for that patient's proper care and assistance when they are unable (Koenig-Blais, 2010, intro). This role has become even more complex as technology evolves in conjunction with the fiscal issues faced globally in the healthcare industry.

Because of this increased complexity, students of nursing require a far more advanced set of preliminary core courses in order to be fluent within the field. Without a grounding in these courses, some of the more advanced and complex issues fall by the wayside and are left untouched until practicum -- a time that is too late for remedial catch-up and produces far more stress upon both the student nurse and instructor that necessary. Medicine, in fact, is not becoming less complex -- quite the contrary, it is becoming more complex. When one adds to this to the sociological and cultural changes in the modern environment, one finds that it would be more prudent, and certainly more efficient, to introduce the actual practice of nursing a bit later in the curriculum cycle; once the basics have been presented, absorbed, and at least the basic vocabulary is fluent (Speziale and Jacobson, 2009). In fact, the ten major transformations in the healthcare industry have specific relevance to modern nursing:


Relevance to Nursing

Changing Demographics

The modern population is far more ethnically diverse; both the nursing population and the client population. Each demographic and psychographic change requires a different approach to teaching nursing.

Technological Explosion

Advances in technology mean more information at a quicker pace; greater accessibility to clinical data, resulting in more efficient case management. This also means the modern nurse must be adept in using this technology.


Globalism changes the amount and accessibility of information, as well as the universe of opportunities for the modern nurse.

Educated Consumer

The consumer is far more educated in medicine, alternative therapies, and their perceptions though the media which increases their expectations from the healthcare system.

Complexities of Care

Medical advances create a more complex system of care protocol.

Fiscal Issues

While organizations struggle to make ends meet, there is increasing pressure for nurse managers to be fluent in business speak and techniques.

Bureaucratic Issues

With increasing bureaucratization comes the requirement of a greater understanding of legal and social policy issues.

Interdisciplinary Issues

The truth is -- a modern nurse now needs… [read more]

Art of Nursing Research Paper

Research Paper  |  5 pages (1,537 words)
Bibliography Sources: 5


Synopsis of the theorist's view

Even though Henderson's theory has some limitations, it has proven over time to portray some values in the nursing science. More so to the nursing education part, Virginia Henderson's concept has been critical from the historical perspective. The theorist's view and contribution to the nursing literature extending from back in the early 18th century has had a tremendous impact on the nursing research by strengthening the focus on the nursing practice and confirming the value of the tested interventions in assisting individuals to recover (Henderson, 1991).


Henderson, V. (1955). Harmer and Henderson's Textbook of the principles and practice of nursing. New York: Macmillan

Henderson, V. (1956). Research in nursing practice: when? Nursing research, 4 (3), 99

Henderson, V. (1960). International council of nurses basic principles of nursing care ICN,


Henderson, V. (1966). The nature of nursing. New York: Macmillan

Henderson, V. (1982). The nursing process. Journal of advanced nursing, 7 (4), 103-109.

Henderson, V. (1991). The nature of nursing reflections after 25 years. New York: National

League for Nursing.

Hesook, K & Kollak, I. (2005). Nursing theories: conceptual and philosophical foundation.

California: Springer Publishing Company.

Mariner-Tomey, A. & Alligod, M. (2005). Nursing theorist and their work. St. Louis: Mosby,


Nursing Theory and Theorists. (2008). The signature of…… [read more]

Nursing Care Plan Essay

Essay  |  3 pages (961 words)
Bibliography Sources: 1+


Nursing Care Planning

Background- In contemporary nursing an issue comprising three essential attributes, respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine becomes the template for patient care planning. During the diagnosis and initial opinion period, there are several events that will necessitate the nurse acting on behalf of the patient because of the patient's inability to either act or understand the procedure. (Burkhard, et.al., 2007). Thus, the nurses' role as an advocate is to facilitate, encourage or to enable patients to be involved in all aspects of their healthcare, and when unable to do so, act in their stead. The modern nurse's role is not limited only to assist the doctor in procedures, however. Instead, the contemporary nursing professional takes on a partnership role with both the doctor and patient as advocate caregiver, teacher, researcher, counselor, and case manager. Under the paradigm of quality health care, modern nurses should interpret this as "quality patient care" -- which comprises three important factors -- sound theoretical knowledge of the latest medical procedures, information and innovations; superior communication skills that are multi-culturally based; and the ability to empathize appropriately with the patient and family to buttress the role of caregiver. The necessity for modern nurses is to be far more than ever -- more of a multitasking professional with superior communication and organization skills -- and even more focused on the holistic model of the patient and the manner in which they, the nurse, affects the outcome of the patient's care experience (Brown, 2007). One of the major tools nurses use to adapt these various skills and responsibilities to individual patients is the nursing care plan.

The Nursing Care Plan- A typical nursing care plan outlines the actions, medications, and medical plans that the nurse will use to provide appropriate patient care. It is an intermediate stage of the nursing process, and focuses on guiding the ongoing and fluid process of nursing care and evaluation. The idea nursing care plan has six major parts: 1) It focuses on actions which are designed to solve or minimize the existing problem; 2) It is a product of a deliberate systematic process; 3) It relates to the future; 4) It is based upon identifiable health and nursing problems; 5) Its focus is holistic, and 6) It focuses to meet all the needs of the service user (Barrett, et.al., 2009). Essentially, the plan allows a nurse to individualize appropriate care procedures that prevent overlap, omissions, and allow the nurse to assume the hub role of care when there are multiple physicians involved (Doenges, et.al. 2002). The plans have one primary purpose, though. That is to provide cogent and appropriate directions for the nursing staff surrounding an individual's care. To accomplish this, there are essentially 10 steps to the care plan:



Identify Strengths

Identify Risks…… [read more]

Doctor of Nursing Practice Essay

Essay  |  3 pages (880 words)
Bibliography Sources: 1+


¶ … DNP program is different from a traditional PhD program.

One of the distinguishing features of the advanced practice nursing discipline is the emphasis which is placed on clinical proficiency. This differs from many of the medical disciplines where educational and professional development center more directly on research aspects of any particular field. This principle has seen an elevation in importance with the 2004 initiation of the process by which Advance Practice Nursing (APN) programs begin their evolution into Doctor of Nursing Practice (DNP) programs. According to the American Association of Colleges of Nursing (AACN), "On October 25, 2004, the member schools affiliated with the American Association of Colleges of Nursing (AACN) voted to endorse the Position Statement on the Practice Doctorate in Nursing. This decision called for moving the current level of preparation necessary for advanced nursing practice from the master's degree to the doctorate-level by the year 2015." (AACN 2010)

The result would be the creation of a new doctorate program for the nursing profession that in some ways parallels aspects of the PhD program for nursing and which, in other ways, differs considerably. Perhaps the most significant difference between them is the capacity in which the DNP program projects itself for continuing professional development and education. Its emphasis on the practical aspects of engaging clinical nursing make it an approach particularly well-suited to ongoing improvement and expansion of professional qualifications. By contrast, the PhD functions more in the formative capacity, helping individuals to establish core mentor-mentee relationships and to gain in the fundamental knowledge specific to one's intended area of study and work. So denotes Cramp (2005), who reports that a PhD program "prepares nurse scientists with focused areas of research expertise and is designed to allow students to work one on one with experienced senior researchers. Students are matched based on research interest on admission with a College of Nursing professor who is a graduate faculty fellow." (p. 1)

The DNP, instead, reflects the rising prominence of clinical nurses who are equipped with advanced skill and knowledge sets. Quite to the point, Cramp makes the case that while these aims reflect a core difference between nursing PhDs and nursing DNPs, both subsets of the nursing profession are likely to possess greater and more extensive education than is the traditional Medical Doctor (MD). That said, all indications are that the nursing profession is coming increasingly to demand a level of educational development and practical qualification that converge in the Doctor of Nursing Practice initiative.

2. Discuss your educational and professional goals, short-term and long-term, and address how earning the Doctor of Nursing Practice (DNP) will help…… [read more]

Nurse Practitioner Women's Health Term Paper

Term Paper  |  2 pages (631 words)
Bibliography Sources: 1


Nurse Practitioner -- Women's Health

The nursing profession has steadily grown throughout the years. Nurses have gone from providing basic patient care under the supervision of a physician to being able to diagnose and prescribe medications to treat certain illnesses independent of supervision. Nurses that practice without the supervision of a physician are usually nurse practitioners. They treat acute and chronic illnesses such as hypertension, flu, coughs and colds, and other healthcare issues. They can also specialize in a field of medicine such as women's health. Women make up half of the population and studies have shown that women seek healthcare at a higher rate than men do and respond differently to treatments as well as providers ("Women's Health," 2009). As such, the Women's Health Nurse Practitioner (WHNP) is an important and growing field. WHNPs provide basic healthcare to women who may otherwise not have insurance or are underinsured. They also provide services to patients who are fully insured but cannot afford to take time off of work because of the limited office hours of their primary care physician, or they do not have the time to wait for long periods of time just to get in to see their doctor.

The WHNP plays an important role in the healthcare issues that women may face. Not only does this profession require specific training, it also requires a certain skill set. The WHNP must be a person that not only possesses the clinical training necessary, but she must also be able to relate to the patient on a personal and social level. Women are now at a high risk for heart disease, thyroid problems, gynecological problems and other health issues and these health concerns are growing at an alarming rate. Women need to be able to discuss their healthcare issues and concerns with someone who is knowledgeable and supportive. In many instances the WHNP is their…… [read more]

Definition and Role of the Advance Practice Nurse Essay

Essay  |  2 pages (504 words)
Bibliography Sources: 3


¶ … Advanced Nursing Practice

Defining Advanced Practice Nursing

Advanced Practice Nurses (APRNs) and are licensed Registered Nurses (RNs) who have pursued advanced educational degrees, typically master's level degrees in specialized areas of nursing. Generally, APRNs are more thoroughly prepared than RNs to provide for the comprehensive care of patients across a broader range of needs arising from disease and illness as well as in connection to supporting wellness and general health. The route to becoming a Nurse Practitioner requires first achieving a bachelor's degree and then a subsequent master's degree in Nursing, followed by achieving national certification and demonstrating professional competencies. In principle, the defining characteristic that distinguishes the APRN from the RN is that APRNs are better qualified to provide nursing services autonomously and with less direction from physicians (NCBON, 2011).

The Advanced Practice Nursing Role in Healthcare

Generally, advanced practice nursing comprises four specific roles or sub-specialties: Nurse Practitioner, Clinical Nurse Specialist, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife (Hamric, Spross, & Hanson, 2009). In principle, advanced practice nursing differs from traditional nursing by virtue of the degree that advanced nursing practice emphasizes nursing theory, and the practical application of evidence-based research knowledge directly to the clinical setting (Hamric, Spross, & Hanson, 2009). One of the most significant roles of advanced practice nurses is their responsibilities as liaisons between physicians and patients. In contemporary clinical medicine, patients actually interact with nurses much more than with physicians and rely on them tremendously to inform and educate them. The continual…… [read more]

Motivation of Becoming a Physician Assistant Admission Essay

Admission Essay  |  2 pages (566 words)
Bibliography Sources: 0


Physician Assistant

My original motivation for pursuing a medical career goes back to the unexpected loss of my mother in 1995. She was the victim of medical malpractice due to the errors of her physician. Prior to that, I had never realized how vulnerable ailing patients are to mistakes in the medical field. A few years later, I had a comprehensive annual medical checkup that was conducted by a physician assistant. During our conversation, I inquired into the nature of that occupation and into the specific requirements for qualification for employment in the field.

My physician assistant explained that in many ways the profession provides many of the same rewards as those associated with employment as a physician; on the other hand, it requires considerably less sacrifice of the grueling schedules and responsibilities that are typically the most difficult aspect of becoming a physician. Because the training is so much shorter than the training to become a physician, the path to becoming a licensed physician assistant is not as expensive and does not necessarily entail a substantial financial investment and all of the subsequent obligations with respect to paying for it over time. My understanding is that new physicians routinely take on debt greater than their first several years of salary just to finance their pre-requisite academic training.

In my case, some of the most important benefits of the opportunity to enter the medical field as a physician assistant include the shortening of the amount of time between the initial decision and my actual ability to contribute to the medical welfare of patients and other healthcare beneficiaries. In particular, I am extremely motivated to bring quality medical services to rural areas of the…… [read more]

AHRQ Accountability of Nursing Professionals Paper: Select Thesis

Thesis  |  3 pages (1,007 words)
Style: APA  |  Bibliography Sources: 3



Accountability of Nursing Professionals Paper: Select one patient safety practice from the AHRQ resource, and identify and explain how the nursing professional is accountable in relationship to implementing change based on the evidence for practice. Include a patient care situation and how you would change your practice to meet the requirements.

AHRQ article: Patient safety and nurse advocacy

Medical errors are a fact of life: they are the eighth leading cause of death in the U.S., and an estimated 44,000 to 98,000 people die in hospitals each year as the result of medical errors (Medical errors, 2009, AHRQ). That figure is not even including the many patients who do not die, but whose quality of care is severely and needlessly compromised. The causes of medical error are many -- incompetence, overtired nurses, and miscommunication are some of the most common culprits. To reduce error, nurses must work with both patients and other healthcare professionals to minimize the causes of errors, as well as to increase organizational vigilance and fail-safe mechanisms to better guard against errors. The greatest patient safety practice is for the nurse to assume the role of advocate for his or her patients.

For example, one common error according to an Agency for Healthcare Research and Quality (AHRQ) article entitled "Medical errors: the scope of the problem" is that of diagnostic errors: "diagnostic error, such as misdiagnosis leading to an incorrect choice of therapy, failure to use an indicated diagnostic test, misinterpretation of test results, and failure to act on abnormal results" (Medical errors, 2009, AHRQ). Asking patients about their full medical history, encouraging patients to ask questions, and using electronic record-keeping to ensure that comprehensive information is maintained about patients from facility to facility are all ways to reduce error. Nurses must be fluent in culturally sensitive communication strategies to use with their patients to engage in effective fact-finding and interviewing. They must demand that efficient record-keeping is deployed within their organization, to reduce complaints such as negative drug interactions on the ward and misdiagnoses of conditions because symptoms were not transferred on the records from doctor to doctor. For the nurse to take on a role as advocate in favor of more throughout record keeping would also result in fewer errors such as "blood transfusion-related injuries…giving a patient the blood of the incorrect type," and "misinterpretation of other medical orders, such as failing to give a patient a salt-free meal, as ordered by a physician" (Medical errors, 2009, AHRQ).

Another common source of errors is "equipment failure, such as defibrillators with dead batteries or intravenous pumps whose valves are easily dislodged or bumped, causing increased doses of medication over too short a period" (Medical errors, 2009, AHRQ). Although the nurse cannot guard against every technological malfunction, keeping abreast of how to use equipment and keeping a watchful eye on how to maintain new technologies is essential. New technology is dependant upon nurses using their role as advocates to truly work for the patient. Also, if… [read more]

Job Performance of a Nurse Research Proposal

Research Proposal  |  2 pages (580 words)
Style: APA  |  Bibliography Sources: 3


¶ … Nursing is undergoing continuous and significant change. The changes are the result of economic, psychosocial, educational, and psychological factors that have forced these changes and applied pressure to the health profession. With all this change and the prospect of universal health care, the cornerstone of proper patient care will be the nurse. What role will the nurse play in the future and what will his or her job responsibilities be?

This study is needed to answer the problem of what that role of the nurse will be in this future "unknown" program of "healthcare for all" and what importance the nurse does and will play. Will the nurse be "lost" in the bureaucracy of a giant machine?


This study will review the important role the nurse has played in our private healthcare system to this day, the job responsibilities and discuss why it is so important that this significant role continue in the future. It will also review the nursing process and discuss its impact on patient care and the crucial role it must continue to play.


What must be accomplished is the establishment of proof of the significance of the nurse's role through research, example, and hypotheses. This study must examine the evidence of the past to show that the future, though changed in structure has no less a need for the important function and expanding job responsibilities of the nurse.

Review of Literature

The areas of literature surveyed will be the importance of nursing and some of the past history of the profession, the key ingredient of why nurses are so important in any health system -- patient care and communication, the "nursing process," nursing theory and practice, current job responsibilities of the nurse,…… [read more]

Nursing Conceptual Model Develop Your Own Research Proposal

Research Proposal  |  4 pages (1,343 words)
Style: APA  |  Bibliography Sources: 3


Nursing Conceptual Model

Develop your own conceptual model

Nurse conceptual model: Nurse 'burnout'

The most common reason nurses cite for entering the profession is their desire to help others. However, because nurses are often placed in the position of caretakers, they seldom have the ability to engage in positive self-care, especially under highly stressful situations when a patient's life is at risk, or when the organization for which they work is understaffed yet depends upon split-second, accurate reactions by the nurse. The result of these pressures is the phenomena of nurse burnout, a state of being which manifests itself in physical, emotional, and behavioral symptoms and, if left untreated and ignored, can result in the nurse leaving his or her current position and even the profession of nursing entirely (Burnout: Warning signs, 2009). Nurse burnout is a serious issue, given the increasingly critical shortages of nurses across the nation. To reduce the rate of burnout amongst nurses, it is important to define its core features, which contain physical, emotional, and behavioral manifestations.

Physical symptoms

Physical symptoms of burnout are manifestations of burnout that affect the physical body or person of the nurse. Nursing is a demanding profession, mentally, emotionally, and physically. Because of the lack of nurses at many facilities, "many nurses work 12-hour shifts and have more schedules during which they work on their feet all day, lifting, rolling, and moving equipment and patients" (Gelinas 2003). A nurse can never simply 'coast' through her day: unlike an office worker, he or she must be 'on' every second of a shift. The physical demands may manifest themselves in back pain, swollen feet, or other occupational injuries. Also, the mental and intellectual demands put upon the person of the nurse may result in physical symptoms, such as high blood pressure, nausea, a craving for high-carbohydrate food or an inability to eat, and other manifestations of a high-stress response.

Additionally, like many shift workers, particularly those who do not see a great deal of daylight because of their eccentric hours, nurses may find it difficult to eat and sleep properly simply due to their schedule. This is how the nurse's 'environment' may predispose the nurse to an unhealthy physical state. A poor diet, addiction to caffeine or nicotine, and even prescription and non-prescription stimulants are ways that nurses may self-medicate to get through a difficult day, ironically sacrificing their own health while they take care of the health their patients. "Fewer nurses mean more work for all. Inadequate staffing results in a tailspin of events that is ultimately doomed to failure, resulting not only in loss of energy, burnout and disengagement, but also eventual loss of nurses. Many nurses feel overburdened by heavy patient loads and the increasing intensity of service that sicker patients require. They'll work a double shift today when asked, but leave tomorrow" when the demands become too great, and the nurse simply breaks down from the pressure (Gelinas 2003).

Physical stresses upon nurse demonstrate how health is holistic… [read more]

Philosophy of Nursing Has Undergone Many Changes Essay

Essay  |  6 pages (1,826 words)
Style: APA  |  Bibliography Sources: 4


Philosophy of nursing has undergone many changes since its early beginnings. Nurses are known for their desire to help and serve humanity by helping to alleviate their suffering. Selflessness and a commitment to others is a key characteristic of the nurse, who often works long hours to help those in need. These basic tenets of the nursing profession have not… [read more]

Nursing Leader's Perceived Role in Nurse Recruitment Research Proposal

Research Proposal  |  30 pages (8,934 words)
Bibliography Sources: 25


LR Explor/The nurse leader role in recruit.

Nurse Leaders as Recruiters

Nurse leaders serve an integral role in the field to demonstrate skill in recruitment of future nurses. To do this they must work within existing systems as well as advocate for the expansion of other recruitment essential systems and system change need awareness. Nurse leaders must work collaboratively with… [read more]

Implementing the Clinical Nurse Leader Role in the Women's and Children's Department Research Paper

Research Paper  |  16 pages (4,307 words)
Style: APA  |  Bibliography Sources: 1


Clinical Nurse Leader Role

Implementing the Clinical Nurse Leader Role in the Women's and Children's Department

The recently emerging role of Clinical Nurse Leader has come under extreme scrutinty by both the promoters of the position and the detractors. Developed as a further educational and training program to Clinical Nurse Specialist, Clinical Nurse Leader has the fundamental duty of coordinating… [read more]

123. . .Last ›
NOTE:  We can write a brand new paper on your exact topic!  More info.