"Nursing / Doctor / Physician" Essays

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Surgical Clinical Experience With a Cardiac Patient and His Nurse Essay

Essay  |  2 pages (726 words)
Bibliography Sources: 1+

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Cardiac nursing can be a frenzied experience with doctors sometimes losing their cool and harried nurses overreacting, under reacting, or, due to the stress and demands of the occupation, experiencing burnout that may often consequent in job attrition.

This, it seems to me, may particularly be the case with cardiac nursing where it is reported that approximately more than 300,000 Americans undergo coronary bypass surgery each year with another 920,000 suffering their first or subsequent heart attack and 80 million people having some sort of cardiovascular disease (Salmon, 20008). This can make the ICU a harried, stress-driven place for any nurse where the patient's needs can easily be overlooked.

I work at MGH as a perioperative nurse (surgical) in the cardiac service.My duties range from responsibilities for assuring competent, compassionate nursing care for my specific patients and families to technical aspects.I can perform the role as a circulator nurse or scrub nurse in various cardiac procedures.I take care of many cardiac MIS/Robotics patients. The surgeon that performs this type of surgery is Dr. Agnihotri.

The term 'competent, compassionate nursing' can be an oxymoron in terms, for 'competent' nursing often entails saving the patient no matter the degree of discomfort involved (although we attempt to attenuate that degree of discomfort) and this level of competence can, obviously, therefore often conflict with 'compassion'.

Dr.Agnihotri is a big stickler of compassion and his conduct is reminiscent of the American Association of Critical-Care Nurses (AACN) Synergy Model which maintains that nursing should be based on meeting the patient's needs and on qualitative care rather than on following a set of rigidly delineated methods (Hardin, 2005). Although he has never defined his conduct as following that method, I have time and again paralleled his actions with that nursing orientation and considered myself fortunate to be his assistant and thus able to observe and learn from his compassionate approach that places people before medicine.

The AACN synergy model states that the patient possesses eight characteristics (resiliency, vulnerability, stability, complexity, resource availability, participation in care, participation in decision making, and predictability), and that the nurse possesses a corresponding eight skills (clinical judgment, advocacy and moral agency, caring practices, collaboration, systems…… [read more]


Physician Induced Demand Essay

Essay  |  2 pages (553 words)
Bibliography Sources: 2

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Physician-Induced Demand: An Overview

On the most basic level, physician-induced demand would seem to reflect the inherent inequities of knowledge in the patient-physician relationship. The physician presumably possesses more medical expertise than the person he or she is treating and theoretically has a strong incentive to prescribe more intensive treatment to increase his or her revenue, rather than to administer the least intensive treatment. Additionally, healthcare consumers may associate more care with better care.

The idea that physicians over-prescribe to please healthcare consumers is supported by strong correlations between physician density in areas and increased levels of treatment. While it is true that it can be difficult to compare different areas, given "potential confounders, particularly possible differences in the health status of diverse populations…to "eliminate that problem" in one study "physicians were presented with identical, hypothetical medical cases. Actual physician density was significantly and positively correlated with the aggressiveness of proposed treatment, holding constant other physician characteristics" (Fallon 1984). This result lends support for the hypothesis of demand-inducement in the sense that physicians may overprescribe treatments and medications to ensure a loyal patient base.

The market-based tendency towards over-treatment and over-prescription supports the logic of managed care, as administered through Health Management Organizations (HMO)s. Theoretically these models reduce costs by rationing care and requiring approval for services that can be abused by physicians to increase costs, like potentially unnecessary medical tests. For physician-induced demand to not exist in the absence of HMOs and other forms of rationing, physicians would have to put the ethics of medical care and even their desire to increase their patient base ahead of their own financial interests. However, it would seem…… [read more]


Personal Philosophy of Nursing -- Cultural Understanding Essay

Essay  |  2 pages (565 words)
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Personal Philosophy of Nursing -- Cultural Understanding

As professional nurses, we have varied obligations that include clinical responsibilities as well as non-clinical responsibilities in connection with counseling and educating patients. Especially in the contemporary era of health management organizations, nurses must devote specific efforts to the patient counseling and education role because physicians are working under such time pressure that it is simply no longer possible for many of them to fulfill these roles the way their predecessors may have previously. Today, patients may spend only a few minutes with their physicians and most of that time is, necessarily, spent by the physician soliciting information about symptoms rather than dispensing healthcare information or instructions to patients.

That dynamic shifts the burden of ensuring that patients understand medical instructions and that they receive informative answers to their questions from nurses rather than from their physicians. As professional nurses, we have traditionally spent the majority of our educational and career development focus on clinical aspects of patient care. Modern healthcare in the United States now requires that nurses shoulder the bulk of the responsibility to counsel and educate patients and to respond to their questions and concerns.

Within that framework, it becomes more important for nurses to recognize the importance of cultural differences. That is because the cultural influences of environment and experience of patients and their families typically plays a significant role in determining how (and whether) patients receive and respond to medical instructions dispensed by their healthcare professionals. In that regard, even the best clinical instructions and the best counseling information is useless to whatever extent patients reject it because it conflicts with their cultural perspective and their worldview. Therefore, fulfilling the…… [read more]


Wide Neighborhoods a Story of the Frontier Nursing Service Book Report

Book Report  |  3 pages (914 words)
Bibliography Sources: 1

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¶ … Neighborhoods

Breckenridge, Mary. (1981). Wide neighborhoods: A story of the frontier nursing service.

Mary Breckenridge was born to a privileged family, and grew up amongst European aristocracy. Yet much like nursing founder Florence Nightingale, Breckenridge rejected a life of comfort for the rigors of medicine. As Florence Nightingale was drawn to serve soldiers during the Crimean War, Breckenridge felt compelled to bring healthcare services to rural communities in the American South. Wide neighborhoods: A story of the frontier nursing service is Breckenridge's 1954 autobiography and the story of her mission. It is compelling reading, partially because of the author's considerable accomplishments but also because it is rare to read firsthand soul-searching examinations, written by nurses in their own words.

Breckenridge clearly had a kind of calling: she could recall nursing a sick baby when she was still a child herself (Breckenridge 1954, p. 16). This event would later be a harbinger of her field of specialty, that of pediatrics and midwifery. She also spent time amongst the Native American population, which solidified her passion to help the underprivileged (Breckenridge 1954, p. 43). However, according to Mary, she was not born with a desire to become a nurse. Not until her husband died an untimely death did she put aside her old dreams of becoming an explorer, and instead became interested in the career of nursing (Breckenridge 1954, p. 51).

Because of her spotty education and her footloose childhood which lead her from Russia America, Breckenridge did not even have a high school education. It is a testimony to how far nursing has evolved as a scientific profession that a woman with little education in arithmetic could reach Breckenridge's level in the healthcare field! Even during her training, however, she was an advocate for the ailing and disabled children on the ward where she served, in an era where their needs were often ignored. After World War I, she worked to give aid to the people of France, particularly the children, who were often emotionally and physically shell-shocked because of what they had witnessed. This hardened her to living in difficult conditions. Even after she suffered a broken back, she was still determined to realize her goal of improving healthcare for the nation's poorest.

Breckenridge founded the Frontier Nursing Service in Kentucky. Previously, poor, rural women giving birth often had no skilled assistance whatsoever. Breckenridge reached women on horseback, and later in jeeps, because many of her patients did not live near paved roads. She established both a hospital and a school of midwifery, as well as worked as a trained nurse, often in harrowing conditions. She pioneered the concept of the 'nurse-midwife' -- a nurse who was trained in both medical science and in the…… [read more]


Personal Advanced Nursing Practice Framework Term Paper

Term Paper  |  5 pages (1,847 words)
Bibliography Sources: 3

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Personal Advanced Nursing Practice Framework

Nursing paradigm of cultural dialogue and change

Like so many nurses today, I find myself practicing in a culturally diverse environment. Earlier theories of nursing tended to view the patient in the abstract, as an autonomous individual to be helped by the nurse. However, some models, such as Dorothy Orem's, gradually took a broader view… [read more]


Nursing Theory Essay

Essay  |  2 pages (652 words)
Bibliography Sources: 2

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¶ … nursing theory is that it allows a nurse to balance the very different components of the nursing profession. A nurse is supposed to be caring and compassionate, yet also use empirical evidence when making decisions. A nurse is supposed to be a medical practitioner, yet also take into consideration the various social forces affecting the patient's life and his or her environmental and familial context. Theories provide ways for nurses to fulfill their medical obligations and to view the patient in an objective fashion, yet still treat aspects of patient care that are unique to nursing, such as remedying self-care deficits and addressing the need for cultural sensitivity. Practice should not be subsumed to theory, but theory can be a valuable tool to guide practice. Theory enables nurses to be mindful of the holistic demands of the profession (Cody 2006).

I have always found that using a variety of middle-range theories to be the most effective way to deal with the challenges of nursing. While broad-range theories can be interesting, middle-range theories provide a more structured approach to patient care. Middle-range theories are more often tailored to the needs of specific categories of patients, such as the elderly, young, or patients of a different culture than the practitioner who is treating them (Smith & Liehr 2004: 4). The approach to health maintenance of a nurse may be very different when responding to the needs of an overweight adolescent who has lived in the United States all of his or her life vs. someone who is middle-aged and has recently immigrated to the U.S. A DNP is uniquely positioned to make use of a variety of theories and to use the theory that suits the patient's experience best. The DNP is able to use theories in a flexible fashion, as a means of guidance rather than in a doctrinaire fashion.

1C. Orem was 'ahead of her time' in her stress upon the psychologically healing effects…… [read more]


Patient Experience Nurse Thesis

Thesis  |  2 pages (700 words)
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Patient Experience/Nurse

Nursing personal statement

In my field of specialty as a perioperative cardiothoracic nurse, I encounter many frightened patients dealing with the prospect of surgery upon one of the most vital organs in the human body -- the heart. Patients often feel out of control in the hospital environment, and helpless in the face of what they will endure in the operating room. For many, it is their first major surgery. However, even as a recent graduate, I was able to provide some comfort to one middle-aged gentleman who was coming in for vascular surgery. For many years, he had been told to improve his diet and exercise patterns, but he always abandoned any program after a few weeks. He said he was a man who "loved life" -- food and drink. Unfortunately, his ways had 'caught up with him.' Now his love of life was putting his life, including his life with his beloved wife and grandchildren, in great jeopardy.

At first, he believed that statin drugs could control 'make up' for his refusal to manage his diet. However, these drugs did not, because he relied upon the drugs alone, rather than combined them with a changed lifestyle, as his doctor had intended. Now, as someone who had always resisted going to the doctor, and taking care of his health, the patient was forced to have major surgery.

I tried to talk with this man about his feelings about being in the hospital, and open up an honest line of dialogue. I did not judge him, merely listened to him at first. I could tell that he was accustomed to being defensive around doctors. I shared some personal experiences from my own family of members who, like himself, had struggled to eat a healthier diet -- but had succeeded. I also stressed that improving his health could not come with taking a pill, and that he had the responsibility after surgery for making and keeping himself well. The doctors and surgeons at the hospital were powerful and skilled, but only he could change his habits. Although this was…… [read more]


Nursing Theory the Ethical Implications of Improving Thesis

Thesis  |  3 pages (1,012 words)
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Nursing Theory

The Ethical Implications of Improving the Kidney Donor Pool

Stemming from economic problems, industry shortcomings and educational stagnation, the healthcare industry is due for serious reformation. One of its greatest points of failure is in its concurrence with meaningful ethical standards for nurse practitioners. While there are clearly defined standards for legal treatment and patient's rights, quite often under the duress of the daunting hospital workload, ethical concerns may be relegated behind expedience, convenience or outright misappropriate of practice. Especially in the emergency room where pressure is at its highest, an often shorthanded nursing staff will be forced to overcome myriad physical and emotional limitations. Thus, it is extremely important for a medical facility to retain a lucid and clearly defined code of ethics, behavior and penalties to which nurses can refer in pressurized situations.

Exploring the bioethical theories endorsed by both the American Nursing Association and by the World Health Organization, as well as the applicable effects of ethical practitioner conditions in the emergency room, it is clear that various medical and bioethical deficiencies in a nursing staff will be interrelated. This is to argue that the ethical disposition of the emergency room staff will be directly correlated to the competence of said staff. In most medical settings, this distinction can have a determinant impact on the ability of the staff to preserve life and diminish pain and suffering. However, this is an issue which takes on added dimensions when discussion organ donation and transplant, which require a sensitivity to the needs of both the donor and the patient. By extension, both parties will also typically come with support networks of families, friends and personal physicians, all of which may be impacted by or may impact the demands placed upon a medical staff. For the nursing staff, then, there is a direct ethical imperative to prepare for the specific humanitarian implications of conducting such a transplant.

As this study will be dedicated to finding ways to increase the number of kidney donors entered into the donor pool, it will be important to remain abreast of all due ethical considerations in doing so appropriately. The International Review Board will play a direct part in this process, providing a set of reference points for determining ethical compliance before proceeding with certain campaign methods. In attempting to increase the pool of available donors, it will be necessary to ensure that the modes of achieving this increase are restrained by acknowledgement of bioethical parameters and legal issues specific to organ donation.

This will also be guided by the principles of humanitarian medical attention accorded by our chosen theoretical framework. In such theories as Margaret Newman's "Health as Expanding Consciousness" model, it is clear that the decisions which a nurse must make regarding which information to apply and which to disregard will be founded on the intercession between a complete understanding of the bases for such theories and the particulars of a patient in question. Conjecturing that a nurse will provide a… [read more]


Nursing Leadership and Management Research Proposal

Research Proposal  |  4 pages (1,572 words)
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Nursing Leadership and Management

A nurse manager's main role is that of leadership. The role of a nurse manger demands a lot of responsibility. A person must be able to recognize this challenge and all the duties and responsibilities that come with this skilled, professional line of work and be prepared for them. The duties of a nurse manager ultimately… [read more]


Clinical Residency Research Proposal

Research Proposal  |  6 pages (1,740 words)
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Clinical Residency for a Family Nurse Practitioner Program

Despite the growing demand for family nurse practitioners today, there is no clinical/practicum component offered as part of that degree. Therefore, the proposed study seeks to identify what is required in order to create a clinical component in the form of a clinical residency with specialty rotation within the clinic setting for… [read more]


How Being Involved With Professional Nursing Organizations Benefits the Nurse Leader Essay

Essay  |  16 pages (4,670 words)
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Nursing Associations

The Benefits of Professional Associations in Nurse Education, Practice and Leadership

The nursing profession is profoundly challenging. Characterized by long hours, high levels of workplace stress and the need to make crucial decisions the implications of which will have significant bearings on the well-being of others, nursing requires a great deal of individual skill and organizational dexterity. This… [read more]


Philippine Nursing Licensure Examination in June 2006 Research Proposal

Research Proposal  |  10 pages (3,107 words)
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Philippine Nursing Licensure Examination in June 2006

REPUTATION AND THE FUTURE AT STAKE

The Philippine Nursing Law

Republic Act 9173, or the Philippine Nursing Act of 2002, provides for a more responsive nursing profession. Article IV on examination and registration states that all applicants for license to pass nursing are required to pass a written examination (Congress of the Philippines,… [read more]


Nursing Faculty Shortages Thesis

Thesis  |  5 pages (1,410 words)
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Nursing Shortage

Nursing Faculty Shortage

The Bureau of Labor Statistics reports that in 2006, the 2.5 million jobs of registered nurses in the United States constitute the largest health care occupation in the country. About 59% of these are in the hospitals and the other 41% are distributed in the following industries: offices of Physicians, home health care, employment, outpatient… [read more]


Why Be a Nurse Research Proposal

Research Proposal  |  2 pages (568 words)
Bibliography Sources: 0

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Nursing

I want to be a nurse for the reason that being a nurse is a very gratifying career. What profession lets you to be the person in charge, a team player, a caregiver, a mother, a sister, a daughter, a friend, a listener, a learner, an educator, a campaigner, a representative and at times an artiste all in one 12-hour shift? By being a nurse in the future, I can have the privilege to work with people from all walks of life and provide them with care that will have impact to them in ways that they will remember for a lifetime. Each day I will have a lasting impact on patients' lives, and I might have the opportunity to save someone's life and for me there is no reward greater than this. While working as a future nurse, I will see people at their worst and also at their best.

To be an effective nurse means that I need to be caring, understanding, non-judgmental, and have a strong ability to empathize with patients from all walks of life. Exemplifying a very good communication and listening skills are extremely important for a nurse if I want to become one. I will have to be able to communicate with doctors, patients, and my coworkers in a very fast paced environment and I should be able to listen to doctor's orders and take perfect notes when needed. As a nurse, I need to be able to spot anything out of the ordinary which may includes wounds, strange behavior, or anything that just doesn't seem right. Patients might not know why or where the problem is so it will be up to me to find out.…… [read more]


Nursing History Sixties All the Way to the Seventies Essay

Essay  |  2 pages (685 words)
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Nursing History Of the 1960s and 1970s

Nursing History of the 1960's and 1970's: Setting Solid Foundations

The roles nurses play in modern care is integral to the quality of care experience by patients today. However, the nursing practice and education was once not as strong and empowered as we find it in the modern era. Earlier generations saw gender discrimination and a lack of importance placed within the role of the nurse in terms of the routine of care. Much of these practices continue into the 1960's. However, the era of great social upheaval also began bringing changes to the field of nursing. Nurses began to establish themselves as truly knowledgeable professionals who received high quality advanced educations. This trend continued into the 1970's, and fortunately helped changed the face of nursing to closer as it is experienced today.

The 1960s brought great changes within the field of nursing, yet still held a tight grasp onto the more degrading methods of past generations. Even as late as the 1960s, it was common practice to expect the nursing staff to stand up when a physician entered into the room (Carter 2009). Many nurses during this time period still felt the notion that they were not part of the team which actually gave good care and made important decisions. Gender discrimination was still a powerful force within policies and practices. Many nurses found themselves as mere servants to their male physicians, unable to truly make an impact in serious decisions regarding care of clients. Unfortunately many female nurses and nursing students continued to be subjugated by their male physician counterparts. Nursing as a fully accredited education program was still developing. The first male student was enrolled within a nursing program in 1965 (Kalisch). With this slow development came promise for a more empowering future for both nurses and nursing students everywhere. Study became much more specified and technical within the 1960's generation (Carter 2009). With more rigorous work put into a nursing degree came better pay, although many nurses were still crippled by…… [read more]


Nursing Shortage This Work in Writing Research Proposal

Research Proposal  |  7 pages (2,268 words)
Bibliography Sources: 5

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Nursing Shortage

This work in writing will take under consideration the fact that there has been a nursing shortage and will attempt to answer the question of whether nursing has been positively or negatively affected by this shortage of nurses. This work will also examine the changes needed in the future to deal with or alleviate the shortage of nursing… [read more]


Florence Nightingale's Philosophy of Nursing Essay

Essay  |  4 pages (1,095 words)
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Florence Nightingale's Philosophy Of Nursing

Florence Nightingale was born in May 12, 1820 to a wealthy family in Great Britain. She grew up being part of the upper class and enjoyed the privileges available only to those belonging to her social standing. While most of the ladies at that time may be dreaming about marrying well, Florence dreamed of becoming a Nurse.

The Nursing profession now, with all its technological advancements, is not easy. At that time, it must have been daunting. However, Florence flew past all the obstacles just to achieve her dream. Even if the obstacle itself included her family, friends and the social circle she was in. Her decision to be a nurse was very brave considering that she would have to give up so much comfort just to follow her wishes.

Florence's commitment and dedication to the Nursing profession became very evident during the Crimean War. She was deployed in a foreign place where so many wounded soldiers were being neglected to death. She and the other 40 Nurses must have looked God-sent but the Physicians who they were supposed to work with did not believe they were needed when they arrived. Even the supplies she sent for her patients were lost at the sea because the ship that contained them sunk. At these conditions, Florence rose and saved so many lives.

Her service intensified after the war. She revolutionized what was then a not respected profession and established standards that became the foundation of the present Nursing profession. She holistically tackled health issues that sector by sector she was able to prompt not just health but social change itself. Her notes, studies and essays proved that her life was spent taking care of all of those whom her influence can reach.

Florence's approach corresponded to the metaparadigm of Nursing. This framework includes the person, his environment, health and the nursing profession itself. Below are descriptions of Florence's philosophy of Nursing in this metaparadigm.

Florence Nightingale's Nursing Philosophy on the Person

Florence saw that the person plays a crucial role in the Nursing profession. The needs of the person that she responded to were that of the patient himself, the nurse and the members of the community. During the Crimean War, Florence collected patient data to track treatment outcomes. She took note of nursing care deficiencies and made sure that improvements will be done to address it. After the War, she promoted women's, patient's and nurse's rights. She advocated for training of women who later on became nurses in their area. She distinguished the nurse from the other profession. Even the nurses themselves were categorized into those working in the infirmary and those stationed in the district.

Florence paved the way for research in nursing. Because of her health statistics and its analysis, patient care became scientific and methodical and made it a lot better. Later in her career, she even saw poverty as not just a state of scarcity but a state of the patient's… [read more]


Nursing Nurse Attitude and Perception on Children Thesis

Thesis  |  7 pages (1,750 words)
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¶ … Nursing

Nurse Attitude and Perception on Children's Pain

The purpose of this study made by Griffin, Polit, & Byrne (2008) was to illustrate pediatric nurses' projected responses to children's pain as described in vignettes of hospitalized children and to find out the characteristics of nurses that may possibly have an effect on those responses.

Griffin and company (2008)… [read more]


Hourly Rate for Nursing Was &Pound;12 Research Proposal

Research Proposal  |  3 pages (872 words)
Style: Harvard  |  Bibliography Sources: 1

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¶ … hourly rate for nursing was £12. The actual average rate was £15.95. This represents a variance of 32.917%. For the number of hours, the variance was 9.474%. For the total cost of nursing the variance was 45.526%.

The spending variance for the supplies/other variables category was 7.053%. The budgeted rate of efficiency for supplies was £10 per nursing hour. The actual was £9.77 per nursing hour, a variance of -2.21%. This can also be equated in terms of output. The budgeted rate of supplies per patient served was £5. The actual rate was £5.085, a variance of 1.7%.

In this memo, I will attempt to explain the cause of the variances, and recommend solutions to eliminate not only the variances but the overspending. Last year, the emergency room ran into serious cost overruns. Some of the additional costs were attributable to a higher patient volume, but most were not. When we examine the efficiency measures, we can see that the emergency room lost control of costs. For example, nursing costs were 45.5% higher than expected, despite patient visits being only 5.2% higher than expected. The overrun on nursing costs comes from two sources - nursing hours and nursing wages. The hours overran 9.4%, but the price went over by 32.9%. If these costs were controlled, they should only have risen in line with the increase in demand.

I would recommend that the following steps be taken to eliminate these variances and control costs. The most significant problem is that of the price of nursing. We have a target of £12 per hour for nurses, yet the pay rates vary between £7 and £28. We originally schedule with the £12 target in mind, but two things compromise this. One is overtime, which results from a greater patient volume than expected and the other is the use of older nurses. To address this issue, I recommend the emergency room examine variance information regarding patient visits for the past several years, and extrapolate an expected variance. Scheduling should then be conducted with the expected variance in mind, rather than simply the budgeted variance.

Another recommendation is to build more flexibility into the scheduling by keeping more nurses on part-time, and utilizing more younger nurses that command rates below the £12 average. Currently, we are meeting excess demand with nurses on overtime - we should be meeting that demand with increased hours to part-timers. Moreover, we are filling extra hours with more experienced nurses who cost more. We should use cheaper nurses to meet excess demand.

Supplies costs had a higher variance level than did patients. Currently, we…… [read more]


Nursing Risks When Dealing With Advocacy Thesis

Thesis  |  2 pages (759 words)
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Nursing Risks When Dealing With Advocacy

When nurses become advocates for their patients they risk a lot. They can alienate the family, the doctors, and other members of the staff by pushing too hard to keep a dying patient alive, to get tests that are not really needed, or to have others do more than they are obligated and required to do simply because the nurse is not ready to 'let go' of that patient or thinks that he or she is not receiving enough care. There can be an emotional attachment that forms, and while nurses are supposed to care for their patients, caring too deeply does not solve any problems and may actually create more difficulties for the patient and his or her family, as well as other people in the hospital. It is unfortunate that this happens, but it is part of the equation when people are in professions where they see sick and dying children, elderly people wasting away who have no families to come and say goodbye to them, and people of all ages who cannot get what they really need because they have no insurance.

Despite the risks, though, there are times when a nurse can benefit from acting as an advocate where a patient is concerned. A sense that one has really helped a person out is important, as is the praise and the thanks that a nurse might receive from the patient, the family members who wanted to be there but could not, and the doctors or other hospital staff who are very busy and might have otherwise overlooked something important had the nurse not pointed it out. Whether or not to be an advocate for a patient is tricky, and it is something that nurses must weight carefully. They definitely want to do all that they can for their patients but they also have to recognize that the patient may have different wishes - such as an elderly patient who wants to be able to die with dignity instead of being attached to machines. In cases like that there are benefits for nurses who are able to help these people get directives signed that will allow them to do just that. Helping people in life and in death is the…… [read more]


Nursing Education Level and Negative Patient Outcomes Thesis

Thesis  |  4 pages (1,222 words)
Bibliography Sources: 7

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Nursing Education Level and Negative Patient Outcomes

The main research question was whether the educational level of nurses was related to the mortality rate of surgical patients in their care, and whether this was significant regardless of the amount of staffing that the hospital had. The hypothesis was that the education of a nurse would make a difference because they have more problem solving skills and other abilities that can only come from more time in the classroom. For this particular study of the authors revisited 168 hospitals in Pennsylvania that they have used in a previous study. Because there were many variations in how many nurses in each hospital held a baccalaureate degree or higher the hospitals in question provided a good opportunity to conduct the study discussed here and examined whether there is an association between the education found in a hospitals nursing staff and the mortality rate of surgical patients. They sent out surveys to nurses in the area and got a great deal of responses. The response rate of over 50% was also in line with other surveys that have been taken of health-care professionals, and therefore was likely to be an accurate representation of what the researchers were desirous of finding out. In the course of the study the researchers found that many hospitals had disproportionate numbers of nurses who had a baccalaureate degree or higher. Some hospitals had no nurses with this qualification while others had more than 75% of their nurses meeting this qualification. It was found that there was a 5% decrease in the mortality rate of patients within 30 days of admission for every 10% increase in the amount of nurses who had a baccalaureate degree or higher. This was also true of the mortality rates of failure-to-rescue individuals. Source: Linda H. Aiken, PhD, RN; Sean P. Clarke, PhD, RN; Robyn B. Cheung, PhD, RN; Douglas M. Sloane, PhD; Jeffrey H. Silber, MD, PhD. Educational Levels of Hospital Nurses and Surgical Patient Mortality. JAMA. 2003; 290(12), 1617-1623.

Article Two:

This study looked at surgical patients who had problems with mental illness vs. those who did not, the staffing ratio of nurses, and the education that the nurses had. These were all examined in relation to length of stay, failure to rescue, and death within thirty days of admission. Cross-sectional data from a survey of the nurses and from the administrative and patient records was linked up and compiled. There were almost ten thousand nurses and more than two hundred and twenty-five thousand patients who were discharged from one hundred and fifty-seven hospitals in Pennsylvania that were used for this study. Generalized estimating equations were used for the analysis. According to the records, 4.7% of the patients in the study were diagnosed with a serious mental illness, and higher staffing of nurses had a higher ability to prevent death among these patients. In hospitals where there were more nurses with higher degrees, the length of stay was shorter for patients with mental… [read more]


Pediatric Nurse Practititioner Research Proposal

Research Proposal  |  4 pages (1,286 words)
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Pediatric Nurse Practititioner

It comes as no surprise that healthcare facilities across the country continue to look for experienced and high-quality nurses. Over the past decade, medical professionals have warned that with the changing demographics and increasing emphasis on health, the early 21st century would see a quickly growing requirement for nursing care. I have long been interested in the field of medicine, so am pleased that in the near future I will be able to play my part in meeting this need.

Even before I went to elementary school in Virginia, I used to go to work with my mother, a pheblotomist. I would watch her draw blood and ready it to go to the laboratory for testing. Whether due to this early experience with healthcare or because I already had an innate interest -- back to the nurture or nature question -- I took as many mathematics and science courses as I could during my junior- and senior-high school curriculum. These included gross anatomy and physiology and AP physics and calculus. My interest in the medical field was further encouraged by experiences with my pediatric dentist. I remember thinking that it was "cool" that a dentist could work only with children. He (she?) could focus on children's unique dental problems and spend time with each patient to explain what needed to be done in order to prevent more problems in the future or to eliminate the present issues. Children would feel less anxious about going to a dentist that catered directly to them, rather than to a regular adult dentist that could be intimidating.

Someone else may have been upset by being nicknamed "Effervescent Elfie," but I wasn't, because I knew from an early age that I enjoyed achieving high personal expectations (I believe that the term "overachiever" is negative). Actually, I was pleased that my involvement was being recognized. In high school, I was president for all four years of a class with approximately 400 students. I also played tennis and was on the varsity team, as well as being a cheerleader. For the last eight years, I have been playing the cello in addition to continuing my tennis playing on a regular basis.

I attended University of Maryland -- College Park, expecting that I would go to dental school when completing undergraduate school. Naturally, I took a heavy load of science courses, including biology, chemistry and organic chemistry and physics, for a joint degree in communication and dentistry. However, as graduation came closer, I realized that the cost of dental school would not be practical at that time. I decided to go into real estate to build up my money and thoroughly enjoyed my consulting, especially working closely with the homeowners and buyers and helping them with their personal real estate and financial questions and needs.

As I saw the real estate market falling, I decided to reassess my short- and long-term goals. The aim was to find a field in medicine where I could make… [read more]


Nursing Education in He USA Research Proposal

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Nursing Education in the United States of America

The objective of this work is to answer the question of whether the national professional organizations, such as the American Association of Colleges of Nurses, the American Nurses Association, the American Organization of Nurse Executives and the National League for Nursing, advanced or hindered attempted to unify the educational system? This work… [read more]


Nursing Shortage: An Economic Thesis

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Nursing Shortage: An Economic Overview

Despite the dire warnings about the rapidly-contracting U.S. economy, one profession has a serious deficit of individuals needed to satisfy the demand for workers, that of the nursing profession. The shortage of registered nurses (RNs) in the U.S. could reach as high as 500,000 by 2025 according to a report entitled the Future of the Nursing Workforce in the United States: Data, Trends and Implications. The report found that the demand for RNs is expected to grow by 2% to 3% each year, but the nursing profession is rapidly aging, and numbers of nursing graduates are on the decline (Rosseter 2008). The population of the United States is also aging, and the need for nurses to provide care for a national population with expanded medical needs is unlikely to go away, and may even exceed projected demand. Cost-cutting has also shifted more healthcare activities to the shoulders of nurses rather than doctors, again increasing demand upon nurses in most healthcare settings.

Not only is there a serious shortage of nurses, but also a shortage of nursing faculty. Nursing schools must turn qualified applicants away, simply because of a shortage of resources and fewer numbers of slots in nursing graduate and undergraduate programs. This also reduces the overall supply of nurses, even if hospitals provide financial incentives for new graduates and transfers. Additionally, the lack of higher education is also troubling for the profession, given that higher-quality graduate education can improve the quality of care for patients. Higher levels of nursing education and better patient outcomes are linked, given that patients have a "substantial survival advantage if treated in hospitals with higher proportions of nurses educated at the baccalaureate or higher degree level. In hospitals, a 10% increase in the proportion of nurses holding BSN degrees decreased the risk of patient death and failure to rescue by 5%" (Rosseter 2008).

The nursing shortage is exacerbated by the flight of more and more nurses from the profession. As the shortage grows, the nurses that remain find themselves increasingly beset by the stresses of the shortage at work. "Almost all surveyed nurses see the shortage in the future as a catalyst for increasing stress on nurses (98%), lowering patient care quality (93%) and causing nurses to leave the profession (93%)"(Rosseter 2008). Nurses must work longer hours, and compensation for overtime is clearly not enough to make up for the burden this is placing upon them. The economic law of marginal utility suggests that every new item or unit is valued slightly less than the unit before it, thus after a certain point the value of accumulated overtime hours, no matter how high the pay, does not compensate for the loss of personal time, and the costs of the stress of working in an overburdened workplace. The first principle of economics, that people face tradeoffs, is manifest in the fact that the trade-off of more money is not enough to compensate for poor…… [read more]


Nursing Model Theory Application Research Proposal

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Nursing Model/Theory Application

A nurse's role, according to Virginia Henderson's Nursing Theory, which she wrote prior to the development of theoretical nursing, is to help a person, whether he/she is sick or well, to complete activities, contributing to his/her recovery process (or peaceful death). As the quote introducing this paper notes, the activities a nurse helps an individual perform include… [read more]


Personal Nursing Philosophy Essay

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Nursing - Nursing Philosophy

NURSING PHILOSOPHY and PROFESSIONAL PERSPECTIVE

Without a doubt, the first extraordinarily important new era of medicine began shortly after the close of the American Civil War, with Joseph Lister's introduction of the Germ Theory of disease, because it led directly to the understanding of the critical importance of asepsis in patient morbidity and mortality. However, increasingly aseptic hospital environments had already saved hundreds of thousands of lives in hospitals receiving battlefield casualties toward the end of the war, a full two years before Lister's historic announcement in 1867 (Starr, 1984).

Purely by coincidence, Florence Nightingale had stumbled into dramatically reducing the incidence of morbidity and mortality attributable to secondary infection - which on the scale experienced in battlefield injuries, almost invariably led to systemic collapse from septic infection and death - through one of history's best documented origins of holistic nursing in its purest form. In 1864, Florence Nightingale had absolutely no idea that the fundamental key to saving the lives of patients who survived their initial injuries in battle was to reduce their exposure to bacterial infection. She simply could not tolerate the squalor that characterized the hospital environment and the filthy conditions to which patients were exposed, even in the biggest hospitals in the post- war United States.

She implemented wide-scale hygienic improvements motivated exclusively by her conviction that the deplorable conditions in hospital wards of her era were undignified living conditions, especially from patients already ailing and in physical pain. Thanks to Nightingale's holistic approach to nursing, the protocols for cleanliness and improved hygiene, Union Army hospitals reduced their mortality rate among as many as one million casualties from approximately fifty percent to below ten percent before Joseph Lister ever established a scientific explanation for the mechanism through which Nightingale's holistic perspective saved so many lives. In her mind, she was doing nothing more than attending to the basic human dignity of her patients. The Personal Commitment to Quality Patient Care and Excellence in Holistic Nursing: Ironically, in some of the most modern medical institutions responsible for patients in the U.S., aseptic protocols are violated routinely by medical professional, including RNs, who allow lackadaisical loss of professional focus to jeopardize patient health and welfare. Specifically, it is widely acknowledged that clinical evidence suggests that the rate of morbidity and mortality caused by hospital acquired infections is unacceptably high and result in tens of thousands of deaths annually in the U.S. from hospital acquired infections unrelated to the initial hospitalization (Tong, 2007).

Anecdotal evidence, to a large extent, implicates hospital staff (including RNs as well as physicians) in breakdowns in basic hygienic protocols and common sense (Stanhope & Lancaster, 2004). In my view, this is unacceptable in modern medicine but resolution requires individuals within the field to take on unofficial patient advocacy responsibilities, in some respects, emulating the courage and concern for patient dignity exemplified by Florence Nightingale.

Specifically, that means addressing unacceptable situations and practices even in a professional environment where they have… [read more]


Nursing in "Bisphosphonate Therapy for Metastatic Bone Research Proposal

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Nursing

In "Bisphosphonate therapy for metastatic bone disease: the pivotal role of nurses in patient education," authors Fitch & Maxwell (2008) focus on the importance of nurse awareness of oncology treatments. Nurse awareness of existing and cutting-edge oncology treatments fosters deeper patient trust and understanding. The more comfortable nurses are with their knowledge of bisphosphonates, the better their patients can understand the drugs as a part of their treatment. Fitch & Maxwell (2008) outline the different types of bisphosphonates, various methods of administration, and also detail their role in treating metastatic bone diseases and cancer with the ultimate objective of creating a more well-informed nursing and patient community.

The Fitch & Maxwell (2008) article is not an experiment related to bisphosphonates or bone disease. Rather, the article is a meta-analysis, a summary of existing and prior research on how bisphosphonates can help patients with metastatic bone diseases. The authors explain the use of bisphosphonates and their role in aiding recovery. Most importantly, Fitch & Maxwell…… [read more]


Role of the Nurse Manger in the Clinical Outcome of Dialysis Patients Term Paper

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¶ … Nurse Manger in the Clinical Outcome of Dialysis Patients

The objective of this research is to investigate how the manager 'nurse leadership' effect patients in terms of clinical outcomes in regards to dialysis patients. This role is one that is critically important specifically relating to medications given during dialysis and in monitoring lab values.

The work of Karen… [read more]


Nursing Research Evidence-Based vs. Research Utilization Term Paper

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Nursing Research

Evidence-based vs. research utilization in nursing practice

The development of evidence-based practice in nursing was an attempt to make nursing theory more practical and applicable to the day-to-day life of a healthcare provider. It is defined as "the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients," in a clinical setting (Sackett et al. 1996). It strives to merge the nurse's past experience with the nurse's present, trained skills in observation, and "the best available external clinical evidence" available from current systematic research (Sackett et al. 1996). Evidence-based nursing's definition of medical expertise is quite specific, namely "the more thoughtful identification and compassionate use of individual patients' predicaments, rights, and preferences" when making decisions, in the context of current research (Sackett et al. 1996). It attempts to use the best available external clinical evidence "especially from patient-centered clinical research and stresses therapeutic, rehabilitative, and preventive regimens" validated in medical literature (Sackett et al. 1996). However, evidence-based health care had its critics, particularly by clinicians who are concerned that it undervalues the importance of tacit clinical knowledge. Critics say encourages "cookbook" medicine, through the injection of shortcuts known as "scripts" into the clinical decision-making process (Gabbay & le May 2004).

Research utilization, like the philosophical rubric of evidence-based practice, also strives to be practical, as reflected in its name -- it strives to use the most contemporary research available from the scientific community in a clinical setting. It emphasizes the need for clinicians keep abreast of new research developments, given that clinician's instinctual and compassionate responses, observations, and past experiences can be insufficiently informed by current research. It was formed in acknowledgement of that a what nurse may think of as the top standard of quality care become go out-of-date quite quickly in the ever-changing field of medicine. For example, recent data has come out in the popular press regarding the possible concealment of data by drug companies regarding the effectiveness and side effects of antidepressants, the safety of newly developed pain medications, and even apparently evidence-based questions like risks for coronary heart disease.

2002 study noted that clinician's ability to effectively diagnose coronary conditions could vary wildly. "Routine calculation of the risk of coronary heart disease in primary care is hampered by poor availability of data on risk factors. General practitioners and practice nurses are able to evaluate the risk of coronary heart disease with only moderate accuracy. Data about risk factors need to be collected systematically, to allow the use of the most appropriate calculation tools" (McManus 2002). Ideally, it offers greater flexibility than…… [read more]


Adult Nurse Practitioner Term Paper

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Adult Nurse Practitioner

Recent trend in medical care have brought the adult nurse practitioner into a position of not only support but primary care of psychiatric as well as other patients. The role of the adult nurse practitioner in the specialty of psychiatric care generates significant opportunity and can produce significant conflicts as traditional general practitioner roles are transcended, requiring… [read more]


Nursing in the Media Term Paper

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Nursing in the Media

NOT MISSING in ACTION

Nursing and the Media

Harris survey of 1,000 respondents in July 1999 revealed that 92% trusted the health care provided by registered nurses (Ulmer 2000). Eighty-five percent also said that they would be pleased if their son or daughter would become a registered nurse or RN. Positive feedbacks and positive stories about… [read more]


Face of Nursing Term Paper

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Nursing

Nurse has traditionally been a person who is in charge of taking care of a sick person who needs her services in order to get better and get back on the road to recovery. Through the years, there have been examples of nurses who have sacrificed a great deal of their personal life to be of service to humanity,… [read more]


Management: Nursing Leadership Overview: Using Orlando's Theory Term Paper

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Management: Nursing

Nursing leadership overview: using Orlando's theory in nursing practice, leadership, and management today

For the purposes of this assignment, I conducted a phone interview with Nurse B, a registered nurse in charge of managing and training several nurses on staff (personal communication, Oct 11, 2007). Her official title was that of a RN Clinical Manager responsible for Community Care. She was responsible for the leadership of her fellow nurses and other healthcare professionals, such as physician's assistants, and showing leadership in the community as an educator. She was involved in a hospital outreach treatment program, specifically developed to address issues of diabetes, inactivity, and obesity in the community.

According to Nurse B, RNs like herself are increasingly called upon to be both practitioners and leaders. Nurses must give quality care, yet give advice to patients on how to manage their treatment upon discharge, and help fellow nurses work at their maximum level of efficiency. Her experiences and outlook reflect some of the observations noted by Susan Valentine, professor of nursing theory at the University of Arizona. Valentine states that the nursing leadership paradigm most applicable to nurses called upon to fulfill a leadership role today is that of Ida J. Orlando's nursing middle-range theory. Orlando "concentrates on the process nurses' use to identify a patient's distress and immediate needs" (Valentine 2002). According to Orlando, whom Nurse B. had studied during her education an RN, nursing leaders must identify areas of organizational distress and patient distress, and strive to treat these areas in a way to enable patients to help themselves later on, and monitor and reduce their own distress.

For nurse leaders, Orlando's theory provides "a dynamic leader-follower relationship model. The theory is that the leader and follower exchanges are interactive. Both parties are vital to the success of the unit," and "the leader provides direction to the employee, not control, allowing for maximum participation by the employee or a dynamic relationship" (Valentine, 2002). Leadership is a dialogue, like a conversation. A nurse, for example, listens to a patient talk about his difficulty managing his diet because of his love of sugary foods that he cannot have because he has diabetes, and she can give suggestions for substitutes that are still affordable, and palatable given the man's tastes and the food culture. Giving every patient a standardized meal plan does not address the patient's in an interactive fashion and is thus ineffective.

A nurse cannot micromanage patients or staff, because she cannot be there when they make every decision that affects patient wellness. Rather, the nurse must give the tools of empowerment to other actors within and outside of the hospital environment and to the patients to implement quality care and self-care. Wellness promotion involves patient empowerment, as well as advocating and promoting wellness. It requires encouraging patients to make different lifestyle choices and to modify negative behaviors that reduce wellness and overall health.

One of the reasons community health programs such as the one she is involved… [read more]


Nurse Practitioner Interview Term Paper

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Nurse Practitioner Interview

According to the Nurse Practitioner that I interviewed, there are many pros and cons to working as a nurse today. Nursing is not an easy job, she told me. This was something that I already knew about, but I did not have a complete understanding of how serious some of the problems with nursing had become until I talked with her at length about the issue. Being a Nurse Practitioner today brings with it a lot of different pressures to take care of patients, be able to spend time with family, and train others that are just new to the profession and are 'learning the ropes.' The issues that these Nurse Practitioners must deal with are enormous, but most people do not realize how much these people must endure, and often for very little recognition. When lives are saved, it is usually the doctor that gets the credit instead of the nurse or team of nurses that provide care to the patient. This is not because the patient does not care about the work of the nurse, but often because the patient does not realize how much of a role in his or her care the nurse actually has. While nursing has changed a great deal in recent years, the perception of what a nurse does has not, and most of the beliefs about what nurses do and what they are capable of are outdated. They can handle much more than just taking temperature and patting a patient's hand to make them feel better. They are medical professionals who work very hard at their jobs.

The main goal of nursing, and therefore the main pro-of doing so, is to provide patients with high-quality care and ensure that they are treated the best way possible within the limits of the time that is available and the finances that a hospital has. Nurses that are dedicated to their jobs strive to ensure that their patients have all of the comforts that they need and that they are treated with the utmost respect and dignity. People are in the hospital because they need help, and nurses are around to provide that help much more frequently than…… [read more]


Nursing Summaries Ember Benson, Bn, RN; Catherine Term Paper

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Nursing Summaries

Ember Benson, BN, RN; Catherine Rippin-Sisler, MN, RN;

Kimberly Jabusch, MN, RN; Shelley Keast, MN, RN

Improving Nursing Shift-to-Shift Report" Journal of Nursing Care Quality 22 (2007):

This article pertains to a study commissioned in 2002 by the Winnipeg Regional Health Authority. Upon project completion, its findings prompted recommendations for improving interdisciplinary communication in nursing shift-to-shift reports.

The fundamental goal for this project was to design a nursing report that would improve patient care. The shift-to-shift principals and guidelines outlined in this report are useful to nursing in that they provide a framework for the organization, focus, and uniformity of shift-to-shift reports.

Mark Broom RGN, RSCN, DN, MN "Exploring the Assessment Process" Pediatric

Nursing 19 (2007)

This article explores the assessment process in pediatric nursing. Carper's (1978) four "patterns of knowing in nursing" illustration demonstrates how assessment could be expanded to improve nurses' decision making to foster more authentic child and family-centered care.

Carper's four "patterns of knowing in nursing" are empirics, aesthetic, personal, and ethics. When these four patterns are fully integrated qualitative and quantitative data begin to take shape. Upon analyzing the information, the nurse can obtain a better understanding…… [read more]


Florence Nightingale's Notes on Nursing Term Paper

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Florence Nightingale's Notes On Nursing

Florence Nightingale begins with her beliefs: that disease is the reparative process of Nature (p. 8). Disease is the natural processes of a human being hindered by lack of knowledge or neglect, the need for fresh air, light, warmth, quiet or cleanliness. Disease, she says, may also be due to lack of punctuality and care in administering the patient's diet, or a combination of some of each of these.

Therefore the nurse's job is to administer not only medicines or "poultices," but to provide all of the above necessary elements for a healthy life at the least expense of the patient's energy. Nightingale also says that pain and suffering is usually a symptom of the absence of good environmental surroundings, including the care given by the nurse. She puts little emphasis on remedies and medicine, though she asks that the nurse carefully administer them in helping the patient repair to natural health.

Nursing, according to Nightingale, is also extended to the well, providing clean, healthy surroundings for children (of whom half died before they were five years old, in her day). Accordingly, she specifies that the following be provided to both families and to sick patients in hospitals:

Ventilation and Warmth: Nightingale is an advocate of fresh air in every room at all times, along with warmth when one goes to bed with the windows open. Breathing one's own "putrefying" air is unhealthy, she says. She recommends testing the air and exchanging it so that it will not be foul. Keeping the patient's body warm and away from "night air" with warm bedclothes, a fire in the fireplace and hot drinks is vital to health. The smoke must not enter, the bedclothes should be aired and the chamber pot (toilet) smells should be contained. It is up to the nurse to clean utensils, close lids, open windows or clean a room for a patient.

Health of Houses: Nightingale said that houses must have:

Pure air

Pure water

Efficient drainage

Cleanliness, and Light.

The concept of houses built to allow light and air into every corner seems to be in favor these days, as Nightingale recommended. To raise children in this environment, she says, one would save money on doctor's bills. She believed that if one kept children in a clean place with proper diet and ventilation, that they would not even catch the measles.

Petty Management. Nightingale says that one's efforts, household items and even houses should be efficient, well-organized and clear to everyone, because the nurse may not always be with the patient and others will deal with the patient when she is not there. Nightingale talks about how the nurse's responsibility, as she is "in charge" is supremely important, and that means knowing what everything and everyone is doing and keeping everything about the house in order and functioning as it should.

Noise is the bane of a patient's existence and unnecessary noise is never to be allowed. People should whisper and the… [read more]


Nursing Theorists Term Paper

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Nursing Theories

Comparative Analysis of Nursing Theories by Ida Jean Orlando and Imogene King

The field of nursing as a practice encompasses the field of medical care, going so far to include providing health service for patients and the civil society in general. On the issue of nursing as a healthcare practice, theories abound that offer either supplementary or complementary ideas about how nursing practice should be done and ideally viewed at.

Among the contemporary theories that has been considered as relevant to the current practice of nursing are Ida Jean Orlando's theory of functional nursing, and Imogene King's goal attainment theory. These two theories were developed almost a decade apart, wherein King developed hers during the late 1940s, and Orlando's theory during the early 1950s. In the case of Orlando and King, it can be said that the theories that they proposed are supplementary to each other, which means that they have similarities in concepts and philosophy. However, there are also differences that make Orlando's and King's theories distinct from each other.

Thus, this paper provides a comparative analysis of the theories presented by the two nurses. King's goal attainment theory acts as an umbrella theory through which Orlando's theory is considered to be part of. These theories supplement each other because King provides a general look at nursing as a practice, while Orlando's theory provides a detailed overview of one aspect enumerated by King as vital in the development of the goal attainment theory.

This supplementary relationship between the two nursing theories is captured in King's theory, which posits that goal attainment in interpersonal relationships (which was the focus of her study) contains ten major concepts, which stemmed from both personal and interpersonal relationships. These concepts are enumerated as follows: human interaction, perception, communication, role, stress, time, space, growth and development, and transactions. This theory has been utilized to…… [read more]


Community Health Issue Nursing and Pollutants Term Paper

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Community Health Issue

Nursing and Pollutants -- Increasing Community Awareness of Environmental Risks

According to the International Council of Nurses' position statement on "The Nurse's Role in Safeguarding the Human Environment," (1986) a nurse always has a professional duty to apply his or her trained observational skills to detect the ill effects of the environment on the patient, observe individuals in all settings for the possible negative effects of environmental pollutants, and record and analyze his or her observations about the ill effects on environment and/or pollutants on individuals. This is not simply to provide better care, but in keeping with Orem's model of self-care, to facilitate the patient's own sense of competence and to advise the patient on protective and curative measures to mitigate his or her exposure to dangerous substances. Note the stress upon all environments -- it is not enough to make sure that the patient is safe in the hospital or doctor's office. The nurse must provide advice on how to make the acts of daily self-care as free from risk as possible, in the patient's home, work, and leisure environment.

Orem described the patient's environment as a combination of the physical, chemical, biologic, and social conditions relevant to self-care requisites and basic conditioning factors of patient health (Green, et al., 2003: 3). As the chance of exposure to chemical and environmental toxins increases, so must nurse's vigilance and awareness about these toxins, so they can better inform their patient of the risks, and so patients can deploy appropriate risk-mitigation strategies. Environmental diseases may be traced to such factors such as the patient's occupation, ambient air pollution, indoor air pollution, exposure to chemicals, radiation, climate change, noise, solid waste, and contaminated water and food (Green, et al. 2003:1).

Toxic risks may come from unexpected, seemingly harmless sources, such as gardening supplies, food, and the air itself. According to Barbara a. Sattler of Georgia Nursing: "many commonly used pesticides in agriculture, and even those used for homes and gardens, have not been sufficiently evaluated for their effects on human health-carcinogenicity, reproductive or neurological risks.... Dioxins are a family of highly toxic chemical compounds that are created when we combust chlorine compounds: Dioxins mimic human hormones and thus can create a range of potential dysfunctions in the human body-reproductive, neurological, immunologic [system]. They are also carcinogenic. Consumer Reports has tested baby food meat products and found them to have dioxin levels 100 times the Environmental Protection Agencies allowable amount" (Sattler, 2004-2005: 1).

The National Research Council (NRC) estimates that by age 12, in the U.S., most children will already have been exposed to 50% of their lifetime's exposure to pesticides. Using organic products can minimize such exposure, as can limiting the consumption of antibiotic-containing animal meats" (Sattler, 2004-2005: 1). During its 2004 (June) convention, the ANA passed a resolution was passed "calling for the cessation of non-therapeutic antibiotics in animal production and demanding that producers disclose when antibiotics are used" (Sattler, 2004-2005: 2).Unfortunately, the nurse must be aware… [read more]


Role Analysis of Certified Nurse Anesthetists Term Paper

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Role Analysis of Certified Nurse Anesthetists

If one considers the historical development of nursing and particularly advanced nursing practices, it becomes evident that until fairly recently nursing was considered more as an adjunct to the medical profession and an extension of the healthcare environment than an independent profession. However the concept and reality of the nursing profession has undergone radical… [read more]


Nursing Philosophy and Theory Term Paper

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Nursing

Most scholars are in agreement that art is a component of nursing. However, there is a vast difference between Appleton's (1993) account of art as a unitary experience and Carper's (1978) reductionist approach to conceptualizing nursing art.

In your own words, define the terms "unitary" and "reductionist" as they relate to premise of this article. (2) Based on your… [read more]


Neonatal Nurse Practitioner Term Paper

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Neonatal Nurse Practitioner

Historical Background. Neonatal refers to the first six weeks after birth (Jones 2004, Nursing 2000). Neonatology or neonatal care is, thus, the medical specialty in taking care of newborns, sick and premature babies. Neonatal nurses specialize in helping these babies survive and successfully live through the first 28 days of life. This kind of care requires the… [read more]


Recruitment of Men Into Nursing Term Paper

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Recruitment of Men Into Nursing

Date, Month and Year

The role of nurses in health sector is very crucial. The nursing profession day by day is ranking high as a trusted profession above physicians and other healthcare. The nursing workforce presently suffers from acute shortage of nurses. The studies have been found that the aging workforce, low unemployment and global… [read more]


Nurse Practitioner Analysis Essay

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Given that nurses are relied upon more and more to provide primary care to their patients in a variety of settings, electronic document systems have become especially useful due to their portability -- with appropriate technology and the proper security measures in place, documents can be accessed and added to from a variety of settings, which also eases the transfer of records between facilities (Harris 2010).

Evidence-Based Practice

The term "evidence-based practice" has become a watchword in nursing education and practice over the past decade. At first glance this term might seem fairly simplistic and not worthy of special mention: of course practice should be evidence based, otherwise why has it become practice in the first place? In reality, however, determining and implementing the best evidence-based practices for a given scenario is something that requires a great deal of study and dedication, and is far more complex an undertaking than might be assumed.

For Adult Nurse Practitioners, evidence-based practice must begin with a critical appraisal of the quantitative data that exists for a given symptom, disorder, scenario, etc. (Melnyk & Fineout-Overholt 2010). That is, evidence-based practice must begin with evidence, in the form of empirical data derived through research. This research can be conducted by the nurse seeking to change practices, but is best supported when rooted in outside research that is then conducted by the nurse again in some limited fashion (Melnyk & Fineout-Overholt 2010). Once a best practice has been identified via such research, the next task is successfully implementing the change; in most situations, not only would an individual nurse not be able to unilaterally change the way in which he or she approaches a specific issue, but doing so would also create an imbalance in the care different patients received. Truly incorporating evidence-based practices means educating others, including nursing supervisors and administrators, about the evidence and the practices it supports, in order to lead to wider institution- and eventually industry-wide changes (Melnyk & Fineout-Overholt 2010).

Conclusion

The issues examined above -- compensation, electronic document systems, and evidence-based practice -- are only three of a myriad of considerations for nurse practitioners. Adult Nurse Practitioners have these general considerations as well as other more specific considerations to take into account when making professional decisions. All nurse practitioners must continue learning in these and other areas to remain effective nurses.

References

Buppert, C. (2008). Nurse Practitioner: Business Practice and Legal Guide. Sudbury, MA: Jones & Bartlett.

Goroll, A., Berenson, R., Schoenbaum, S. & Gardner, L. (2007). Fundamental Reform of Payment for Adult Primary Care: Comprehensive Payment for Comprehensive Care. Journal of General Internal Medicine 22(3): 410-5.

Grossman, S. & O'Brien, M. (2010). How to Run Your Own Nurse Practitioner Business: A Guide for Success. New York: Springer.

Harris, M. (2010). Handbook of Home Health Care Administration. Sudbury, MA: Jones & Bartlett.

Melnyk, B. & Fineout-Overholt, E. (2010).…… [read more]


Intravenous Nursing Implementation of an Intravenous Medication Research Paper

Research Paper  |  10 pages (2,934 words)
Style: APA  |  Bibliography Sources: 2

SAMPLE TEXT:

¶ … Intravenous

Nursing

Implementation of an Intravenous Medication Infusion Pump System: Implications for Nursing

The journal article title is, Implementation of an Intravenous Medication Infusion Pump System: Implications for Nursing. The title immediately makes one think that this article will discuss intravenous medication pumps in regards to nurses. Even though the title is clear, it does not offer the… [read more]


Trail Lake Nursing & Rehabilitation Essay

Essay  |  3 pages (888 words)
Bibliography Sources: 1

SAMPLE TEXT:

Its overall rating from the CMS of the Dpt of Health and Human Services on May 6th 2010 was average in its receipt of 3 out of 5 stars. Based on health inspection, nursing home staffing, and quality measures, the Nursing Home achieved median status.

Its strengths are that it possesses an above average registered nurse per resident per day of 26 minutes compared to the Texas state nursing home average of minutes. Also positive is the fact that they had eight deficits in the past two inspections compared to the Texas average of 13 deficits. On the other hand, they had six complaints lodged against them compared to the Texas average of four. They also had 12 fire safety deficiencies in the past two state inspections, and this exceeds the Texas state nursing home average of 11.

These blots on its record may impede it from attracting a wider clientele, but with word-of-mouth reputation -- and this it can only gain by devoted, dedicated, and consistent customer service, it may be enabled to attract despite its detrimental. Extra care must be taken to ensure that potential fire hazards are take care of. Focus can also be placed on its merits -- such as its skilled and dedicated nursing service -- rather than on its demerits. Once having done so, and accruing more capital, the nursing home can then turn to polishing its image, and to settling itself more securely as a reputable and well-respected place that would be ideal for placing one's beloved in hen they reach a certain age.

On the whole, however, my impressions were favorable. Significant is their clean and friendly atmosphere, along with their empathetic and caring staff, which are both practical and down-to-earth as well as nonsensical and friendly in their approach. Assistance with minutia of daily activity is offered and care is taken to address every small detail so that patients are made to feel comfortable and at ease. It is remarkable that the home can afford to do this with the small staff that they have. Their staff must feel quite stressed out particularly since the working load for a Home is not light. Yet, Trail Lake Nursing & Rehabilitation seems to manage. Their clients seem satisfied and content.

Ultimately, therefore, the Home's most valuable resource is their skilled and caring persona. Customers are willing to overlook a lot if they feel that the place and its workers really are for them, and this Lake Nursing & Rehabilitation seems to supply a plenty.

References

Trail Lake. Home. http://www.traillakenursing.com/

Trail Lake Nursing & Rehabilitation. Ucompare Health Care.

http://www.ucomparehealthcare.com/nhs/texas/trail_lake_nursing__rehabilitation.html… [read more]


Practice Focus Essay

Essay  |  2 pages (615 words)
Bibliography Sources: 2

SAMPLE TEXT:

Threaded Discussion #1

It seems to me that the core component here is lack of communicaiton that seems to causing many difficulties both between nurses and patients, between nurses and doctors, and between nurses and each other.

In order to improve comunication, the nurse can use SBAR as tool to do so (NHS. Quality and Service Improvement Tool; web) by concisely informing colleagues of the patient's Situation; medical Background; providing an Assessment; and giving her Recommendations. When done in a certain manner, communication can be improved.

SBAR helps present critical recommendations to the clinician and encourages the nurse to articulate recommendations. Most importantly, it helps develop an atmosphere of teamwork, thereby, augmenting patient safety by ensuring that communication between staff is focused, effective, and consistent and that repletion or need for repetition is abrogated. Information is provided with the right level of detail and the results of the SBAR can be disseminated throughout the medical institution from patient's entry, to communication between consultant and colleagues, to eventual discharge.

The participant also mentions that she is going in for her certification in advanced practice nursing. Advanced practice nursing is conceptualized as a concept that embraces three dynamics: 1. The specialization or provision of care for a specific population of patients with complex and usually unpredictable health needs; 2. The possession of knowledge, skills, and research that exceeds the traditional scope of nursing practice and particularly nursing practice in this specific field; and 3, advancement, which includes specialization and expansion in the field (Joel, 2009).

According to Jennings and Loan (2001), EBN has caused a paradigmatic shift in the field because, instead of nurses following authority opinion, as was previously the case, the caregiver now bases his or her practice on database evidence, using research skills to collect and appraise the evidence. This will also help commucnaiton because evidence…… [read more]


Critical Thinking in Nursing Term Paper

Term Paper  |  2 pages (811 words)
Bibliography Sources: 3

SAMPLE TEXT:

Critical Nursing

I recently witnessed a medical decision that will weigh heavily upon my psyche for a long time. Having learned to critically ponder, analyze and think about such scenarios really has no effective bearing until undergoing a situation such as the one just past. The experience involved a woman in her early 50's who spent the greatest part of the last 18 months in the hospital. Her maladies stemmed from diabetes, and included such illnesses as gastoparesis, uncontrolled blood sugar levels, high blood pressure, osteoporosis, broken wrist, broken hip, daily peritoneal dialysis (after a failed regime of hemodialysis), heart attacks, blood clots, peritonitis, and a number of staph infections.

This lady was taken off all forms of dialysis due to the number of infections contracted, at that time she was told that her kidneys seemed to have enough residual strength left to carry on for a while, but that her numbers would be monitored closely and if they began to deteriorate, she would once again be placed on dialysis. During the following month her numbers remained fairly steady and she was allowed to go home. Shortly thereafter she slipped and fell, breaking her hip. After surgery to repair the hip, her numbers began to fall once again. The nephrologist informed her and her family that she would have to begin dialysis treatments once again; after much discussion she made the decision to forgo such treatments. Even after being told that she would likely die, she stilled refused the doctor's recommendations. After failing to change her decision, the doctor expedited her release from the hospital. Shortly thereafter she passed away.

One recent study determined that graduates from Masters Nursing programs "make statistically significant gains in critical thinking" (Drennan, 2010, p. 423) and I can hope that it is true because what I found was that one nurse who was working with the patient (after the doctor had left the room) told the woman that she had made the right choice, and that sometimes doctors were the last ones to let go. One statement she made bore the entire gist of the scenario 'doctors are so sure that they can save lives, they don't like it when they are not given the chance to do so'. Yet in thinking about this situation, one could say that is true of most professionals. However, the question still remains as to whether this was the correct decision, and more…… [read more]


Future of Nursing Essay

Essay  |  2 pages (647 words)
Bibliography Sources: 2

SAMPLE TEXT:

Nursing

Future of Nursing

From reading the Report Brief which one of the 4 key messages speak to you and WHY?

The key message that I see as being very important is that of nurses being full partners, with physicians and other health care professionals, in redesigning health care in the United States. I believe that when redesigning any business process it is very important to include those who work on the front line and truly understand what is needed in order to be successful. When looking to redesign health care, who better to ask what works and what doesn't than those nurses who work with the patients on a daily basis. It is these people who are closely attuned with what it takes to get the job done and these are the being that need to be contributing the most.

From Chapter 3: Transforming Practice, list one of the Barriers to Transforming Practice as identified in the reading.

One barrier that is listed in the Barrier to Transforming Practice is that of an aging workforce.

3. After identifying the one Barrier, describe a strategy, that you have seen implemented in your work setting or you have seen implemented in the media, to address your identified Barrier.

By the year 2020 there is expected to be more than one billion people who are aged sixty or older in the world. Within the nursing professing it is believed that over the next ten to fifteen years there will be a large exit of nurses from the nursing workforce as they retire just at a time when demand for nursing and health care is going to be on the rise due to the ever ageing population. Older nurses are a rich source of valuable information. Their early or compulsory exit from the workforce means a loss of many desirable and experienced nurses to care for patients. When they retire, their knowledge, understanding and clinical know-how…… [read more]


Nursing Shortage Issues Surrounding Research Paper

Research Paper  |  8 pages (2,586 words)
Bibliography Sources: 4

SAMPLE TEXT:

Present Impact

Baccalaureate programs are offered at approximately 606 four-year colleges and universities. The Bachelor of Science Nursing (BSN) program prepares graduates to practice across all healthcare setting and take on the widest assortment of healthcare roles. BSN programs include all of the course work taught in ADN and diploma programs plus a more in-depth treatment of the physical and… [read more]


Chief Nursing Officer Term Paper

Term Paper  |  5 pages (1,695 words)
Bibliography Sources: 5

SAMPLE TEXT:

In other words, the CNO is not stuck in an office glued to paperwork, he or she is making rounds, serving, as Mastal writes, as a "role model of professional nursing and nursing quality" (324). If the CNO provides "elevating" or "inspiring" leadership -- in effect "raising the level of human conduct as well as the aspirations of all involved" -- that CNO is promoting a cohesive environment.

Moreover, Mastal insists that although hospital board members are not always fully aware of what goes on in the workplace they oversee, the CNO can help produce a positive, uplifting environment by helping to educate board members with quality and safety issues. The more the board knows and understands, the less time the CNO has to spend educating the board and hence the more time he or she spends working to inspire staff. The CNO can also use "evidence-based, nursing-sensitive quality measure" that fully reveal the value that nursing offers society (Mastal, 325).

In conclusion, the role of the CNO is vitally important even though hospital bureaucracies are not up to speed on the value of a CNO. Also, the turnover of CNOs, and the rate of dissatisfaction found in the field, is disturbing and must be addressed by the competent and responsible oversight organizations. It is known that nurses and other staff serving under the CNO prefer that person embrace the transformational leadership style, and so there should be emphasis place on transformational leadership during the training period that a CNO goes through in order to achieve that level of nursing leadership.

Works Cited

Casida, Jesus M. (2007). The Relationship of Nurse Managers' Leadership Styles and Nursing

Unit Organizational Culture in Acute Care Hospitals in New Jersey. Dissertation for Doctor of Philosophy in Health Sciences, Seton Hall University. Retrieved December 5,

2011, from http://domapp01.shu.edu.

Jones, Cheryl B., Havens, Donna S., and Thompson, Pamela A. (2008). Chief Nursing Officer

Retention and Turnover: A Crisis Brewing? Results of a National Survey. Journal of Healthcare Management, 53(2), 89-104.

Mastal, Margaret Fisk, Joshi, Maulik, and Schulke, Kathryn. (2007). Nursing Leadership:

Championing Quality and Patient Safety in the Boardroom.…… [read more]


Florence Nightingale -- Nurse Theorist Research Paper

Research Paper  |  2 pages (695 words)
Bibliography Sources: 2

SAMPLE TEXT:

Florence Nightingale -- Nurse Theorist

The nurse theorist that likely had the most influence on the institution of nursing was Florence Nightingale. This paper reviews her nursing innovations and points to her viewpoints and definitions as well.

Nightingale

Nightingale struggled to get into the career she desired against her wealthy parents, who believed she should do what upper class women were typically supposed to do in the 19th century, stay at home, marry, and have children while keeping the house neat and clean. But Nightingale dove into health issues notwithstanding her parents' wishes -- against "strenuous family opposition," is how Alex Attewell explained it in a UNESCO article.

Nightingale's view of humanity is to be found in the approach she took to her work and her passion to contribute to the health of those who were sick. "Trials must be made, efforts ventured -- some bodies must fall in the breach for others to step upon," she wrote in 1846, to her father. Clearly she was seeing that new theories must be applied and new procedures must be embraced for healthcare to advance beyond the primitive state that it was in at that time (Attewell, 1998, p. 3). Women long for an education, Nightingale explained, in her chapter "Cassandra" (1860); women long for "…education to teach them to teach, to teach them the laws of the human mind and how to apply them," Attewell quotes from Nightingale's book.

Nightingale believed that God created "miasmatic disease in order that Man should learn its causes through observation," Attewell explains; and after Man learns was causes disease, Man should then "prevent its recurrence through management of the environment" (Attewell, 4). The way that God had set about to help humanity, Nightingale believed, was that nurses, with their obligation to understand and carry through procedures that promote hygiene, "…had a unique opportunity for spiritual advancement" (Attewell, 4). Nurses could then discover "the nature of God by learning his 'laws of health'" she wrote in 1873 (quoted by Attewell, 4).

So it is clear that Nightingale's views of man, the environment, health…… [read more]


Nursing Law Dissertation

Dissertation  |  30 pages (9,400 words)
Bibliography Sources: 1+

SAMPLE TEXT:

Critical Care Nursing

Regarding Legal Liability

the critical care nursing regarding legal liability issues

Definition of key concepts

Introduction to the history of forensic nursing

Interaction with patients with legal liability issues

The critical care unit as forensic domain

Recognizing patients with legal liability issues

Wound characteristics

Recognition of evidence

Evidence collection and preservation

Integrating ethical and medico-legal considerations

Negligence… [read more]


Men in Nursing the History Term Paper

Term Paper  |  5 pages (1,704 words)
Bibliography Sources: 4

SAMPLE TEXT:

In the present, discrimination against men in nursing exists in more subtle forms. Biased language is one type of discrimination, as the use of the female pronoun in nursing texts and the distinction of "male nurse" assumes that men in nursing is not normal (Wolfenden, 2011). Gender assumptions and stereotypes suggest that only females have the ability to empathize and be nurturing enough to serve patients (Meadus, 2000). The combination of gender assumptions, role strain, and gender bias language has culminated in recruitment barriers for men into the nursing field. The failure to recruit men into nursing only perpetuates the cycle and sustains nursing as a single-sex occupation. Recruiting high school males into baccalaureate programs has the potential to adjust stereotypes and address a forthcoming nursing shortage that would eventually compromise the quality of patient care.

References

Brown, B. (2009). Men in nursing: Re-evaluating masculinities, re-evaluating gender. Contemporary Nurse, 33(2), 120-129. Retrieved from https://www.dora.dmu.ac.uk/bitstream/handle/2086/3029/men in nursing.pdf?sequence=4

Meadus, R. (2000). Men in nursing: Barriers to recruitment. Nursing Forum, 35(3), 5-12. Retrieved from: http://folk.uio.no/olegmo/Men in Nursing/Meadus, R.J. 2000.pdf

O'Lynn, C., & Tranbarger, R. (2007). Men in nursing history, challenges, and opportunities. (1st ed.). New York, NY: Springer Publishing Company.…… [read more]


Autonomy and Nursing Essay

Essay  |  2 pages (931 words)
Bibliography Sources: 4

SAMPLE TEXT:

Autonomy and Nursing

One of the more important parts of contemporary nursing revolves around the philosophical combination of ethical behavior and patient advocacy in a busy healthcare environment. We know there is a shortage of trained nurses and sometimes even physicians; we know that there are rising costs both internally and externally for healthcare organizations; and we know that a great number of Americans are under insured, or not insured at all. Still, we are in nursing because we wish to be a part of a caring profession; one that makes a real difference in a person's life and contributes to the overall welfare of society.

It seems, in fact, that due to a number of social and cultural factors within our society, the role of the modern nurse has become increasingly complex, often requiring the help of the philosophical discipline of ethics. Nursing ethics, while similar to medical ethics, seems also to take on more of a predominance of relationships, maintaining patient dignity, advocating for the patient, and collaborative care. In essence, nursing ethics uses the model of caring rather than curing, and surrounds the relationship between the client and the nurse (Galadher, 2003).

The overall trend in nursing ethics is more of one that asks that the means to the end are just as important, if not more important, than the results. This is quite apparent in the ethical maxim of autonomy. This is a moral and bioethical idea that indicates a rational individual (client) should be allowed to make un-coerced and informed decisions on their one. An individual must be responsible for their own actions, and their decisions on healthcare must reflect that they are a partner in their healing program, as well as any decisions made about their help. In the modern world, this is really exemplified by the process of patient consent; but instead of simply asking for permission to perform x, y or z, the healthcare professional must ensure that the patient has a complete understanding of the tests, the drugs, and even the procedures that the physician feels are in the best interest of the patient. This also includes a patient refusing treatment if they are cogent and informed; the physician may disagree, but the issues of quality of life or decisions about the side-effects or potential consequences of treatment must, in the long run, be decided by the patient (Rai, 2009).

Part 2 -- One superb example of a nursing theorist who epitomizes both human caring and autonomy is Jean Watson in her Theory of Human Caring. For Watson, one cannot view nursing as just a science, but a combination of art and science that uses the process of caring to increase the ability of the healthcare profession to understand and mitigate disease. Caring, though, is really…… [read more]


Healthcare Practices and History Research Paper

Research Paper  |  3 pages (913 words)
Bibliography Sources: 2

SAMPLE TEXT:

Relates how the Jewish culture has or could potentially influence world nursing culture and American culture, supported by the chosen transcultural model. (Leininger)

The Jewish culture is noted by several scholars to have a very strong influence on the nursing as well as American culture. This is due to the manner in which several nursing practices, ethics in nursing and pioneers of these practices subscribe to the Jewish way of life.

A review of statistics on medical practitioner's achievements reveals that Jews are prominent medical practitioners, teachers as well as researchers. This is supported by the fact that close to 28% of the Nobel Prize Winners for Medicine/Physiology is Jewish, a number that constitutes 40% of the American winners (Temple Shalom,2011). These statistics clearly indicates the strong influence that the Jewish culture has in the nursing and American culture as a whole. The fact that the Jewish nursing/medical culture can find a place in the global nursing/medical practice is a true example of how transcultural nursing can be put in action and practice. This is an envisioned in the Culture Care Theory, where Leininger noted that caring is the real essence of the nursing profession and is in itself unique to the concept of nursing (Leininger,1991;Reynolds,1995).

Draws conclusions about the overall role the Jewish culture has had, or could have, in the future of nursing as a profession.

The overall role that the Jewish culture could have in the medical profession is evident from their heavy influence of modern medical discoveries as well as medical ethics. This means that the nursing profession will in the future rely on several methods and practices that are pegged on the Jewish way of life.

References

Gesundheit, B., Hada, E (2005).Maimonides (1138-1204): Rabbi, Physician and Philosopher*. IMAJ 2005;7:547-553

Illievitz, AB (1935).Maimonides the Physician. Can Med Assoc J. 1935 April; 32(4): 440-442.

Leininger MM (1997) Overview and Reflection of the Theory of Culture Care and the Ethnonursing Method. Journal of Transcultural Nursing, 8:2, 32.52.

Leininger MM (1991) Culture Care Diversity and Universality: A Theory of Nursing. National League for Nursing Press, New York.

MyJewishLerning (2011).Jewish Health & Healing Practices.Available online at http://www.myjewishlearning.com/practices/Ethics/Our_Bodies/Health_and_Healing.shtml. Accessed on 15/4/2012

Reynolds C. (1995) The Theory of Culture Care: Implications for Nursing. In: Metzger McQuiston C. & Webb AA (eds) Foundations of Nursing Theory. Contributions of 12 Key Theorists, 369.414. Sage Publications, Thousand Oaks, California

Shalom Temple (2011). President's Message.Bulletin of Shalom Temple. Available online at http://www.newjewishcongregation.org/Shalom%20June%202011.pdf Accessed on 15/4/2012… [read more]


Interviews on Nursing I Interviewed Term Paper

Term Paper  |  2 pages (622 words)
Bibliography Sources: 0

SAMPLE TEXT:

For instance, if a nurse takes a child's temperature and the child has a fever, she tells the doctor. She doesn't just note it on the chart. She makes sure the doctor has any important information she's gathered.

Have you had any previous experiences with a nurse? Can you discuss the experience?

Lucile: I had a lot of nurses when my hip was replaced. Most of them were nice, but sometimes they were pretty bossy! I guess they were sure I was supposed to do what they wanted but I'm stubborn and I didn't like it much!

Roberta: I have had good and bad experiences with nurses. Some communicated well with me but others tried to keep me from talking to my doctor sometimes. I have diabetes, and there were times I really wanted to discuss what was going on with the doctor, not the nurse. I think nurses should respect that.

Robert: Not really, just the nurse at my pediatrician's office when I was younger. She was nice enough.

How do you feel about males entering the nursing field?

Lucile: So many people helped me through my surgery and rehab. Some were male and some were female, and it didn't matter to me what sex they were. They knew what they were doing, and I can walk again because of their help. Competence counts, not gender.

Roberta: Forty years ago it would have been hard for me to become an engineer. I think people should just go into whatever field they want to. It's far more important to love your job than to worry about what strangers think of you.

Robert: I think it's fine, but honestly I think they'll have to take a little ribbing. If that's what they want to do, they should go…… [read more]


Interview Nurse Interviewing a Registered Term Paper

Term Paper  |  6 pages (1,685 words)
Bibliography Sources: 1

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Interview Nurse

Interviewing a registered nurse and how her profession relates to topics covered in business law.

There are many legal and ethical issues facing registered nurses in today's society. I interviewed a registered nurse that works in the OB/GYN department of a major medical provider. She has worked in this position for the last five years, thus is well… [read more]


Effects of Nursing Shortage on Nurse Retention and Patient Care Delivery Term Paper

Term Paper  |  2 pages (724 words)
Bibliography Sources: 3

SAMPLE TEXT:

Nurse Summaries

Effects of Nursing Shortage on Nurse Retention and Patient Care Delivery: A Review of Current Literature

Hayes, B. & Bonnet, a. (2010). Job satisfaction, stress and burnout associated with haemodialysis nursing: a review of literature. Journal of Renal Care 36(4): 174-9.

This study consisted of a meta analysis of nine primary studies conducted in the area of nephrology/renal-specialized nursing that focused on factors of job perception, performance, and burnout amongst nurses. While not focused on the precise question of the nursing shortage that is guiding this review, it is significant that this research noted a strong correlation between job stress/burnout and lower levels of quality in care provision, suggesting that anything that leads to decreased nursing satisfaction would contribute to a decrease in the quality of care provided. A nursing shortage adds to both the workload of nurses -- an identified factor in the creation of job stress -- and also increases overall organizational strain, which further degrades nursing job satisfaction and contributes to job stress, according to the study. It is not clear that any practical decisions leading to evidence-based change can be made based on these research findings; certainly organizations would be advised to avoid nursing shortages in order to mitigate the risks to nursing satisfaction and job stress, however the essential problem of the nursing shortage is that there simply aren't enough nurses in the industry as a whole, rendering individual organizations helpless.

Buerhaus, P., Donelan, K., Ulrich, B., Norman, L., DesRoches, C. & Dittus, R. (2007).

Impact of the Nurse Shortage on Hospital Patient Care: Comparative

Perspectives. Health Affairs 26(3): 853-62.

A national survey and analysis of responses was conducted by the authors in this direct qualitative analysis, measuring the perceptions of the degree of the nursing shortage facing the United States, the effects of this nursing shortage as they are predicted to occur by various stakeholders, and the effects of the nursing shortage as they currently exist and as it is currently being experienced. This directly addressed the research question identified as the primary focus of the present review, examining the effects of the nursing shortage on both nursing retention and patient care in terms…… [read more]


Motivation to Become a Physician Assistant Term Paper

Term Paper  |  1 pages (307 words)
Bibliography Sources: 0

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Motivation to Become a Physician Assistant

The first and foremost thing that motivated me to become a Physician Assistant is my wide experience in medical service. Being able to provide services to sick people always gives me a sense of achievement.

A enjoy being in the medical service. In fact, I have been in quite a number of jobs and missions that focus in medical service. I had been a member of Therapeutic Recreation Society that focuses on the importance of recreational activities for people with disabilities. I also joined an organization that sit with children and burn victims at the children hospital who do not have family members, or have families that are not able to make it due to distance, employment situations, or because they are children of the state. I had also volunteered my time at a women's clinic, the E.R., and the Special Olympics.

I am a graduate of…… [read more]


Role of Nurse as Patient Advocate Term Paper

Term Paper  |  3 pages (960 words)
Bibliography Sources: 1+

SAMPLE TEXT:

¶ … Role of Nurse as Patient Advocate

The role of nurses has dramatically changed even in the last twenty years. The nurse is increasingly seen as a professional who acts as an advocate for patients. Within the filed of nursing, standards, language and expectations have evolved to help better meet the needs of patients and to better utilize the unique role of the nurse as a clients medical and psychosocial confidant. As the individual who is likely to spend the greatest amount of one on one time with the patient the nurse is important in the whole delivery system, as a source of advocacy and voice for patient impaired by disease or treatment. In this work the role of the nurse as the patient advocate in the field of psychology treatment is explored through two seminal works on the role of the nurse as advocate for the mentally ill patient.

The nurse-client-relationship has for some decades been considered the cornerstone of psychiatric nursing (Peplau, 1952; Tudor, 1970; Lego, 1980; Lego, 1996; Hummelvoll, 1984; Hummelvoll, Nordby, & Sundmoen, 1988). In nursing research and practice the nurse-client relationship is a central theme (Kim, 1987). Peplau (1962) argues that the nurse-patient relationship is the crux of psychiatric nursing. (Hummelvoll, 1996, p. 12)

It seems that within he field of medicine there is no greater need for advocacy for the patient than when their disease process impairs their ability to advocate for themselves.

The nurse is in the best position to act in this role, helping patients with impaired cognitive abilities to express their needs and feelings to better adapt care to a holistic model. A nurse may be able to find out, long before a physician, when and why a patient is or is not compliant with care models. The patient may have personal complaints about the side effects of medications or other treatments which might be expressed to a nurse, through either symptom observance or direct communication.

The nurse-client-alliance model (NCA), based on a humanistic-existential view, can stimulate insight and understanding of people with psychiatric sufferings, through a specific nursing care plan. NCA is necessary for a holistic-existential approach to most clients. (Hummelvoll, 1996, p. 12)

In psychiatric care the nurse client relationship has often been thought of as the most beneficial to successful care, as the nurse and client discuss and interact during periods of everyday living which might hinder or enhance the life of the patient.

A the nurse-patient relationship as the specific interpersonal relationship that evolves between a nurse and a patient. This is a relation.".. In which recurring difficulties of everyday life arise" (1952, p. xi). The nurse uses knowledge and the nurse-patient relationship as a therapeutic tool, to promote the growth and well-being of the client. Peplau holds that this relationship "is both educative and therapeutic" (p. 9); and it evolves through a process with interlocking…… [read more]


Nursing Career Term Paper

Term Paper  |  3 pages (954 words)
Bibliography Sources: 0

SAMPLE TEXT:

Nursing is a challenging profession, one that tests the limits of patience and tolerance of pressure. However, all nurses can rely on their inner sources of inspiration: the compassion we feel for patients and our determination to do whatever we can to help those in need. As an aspiring nurse, I realize that examining my personal potential through the five competencies can help me to better understand what a nursing profession will entail. I will therefore be better prepared to meet all the challenges that arise during the course of the daily job and throughout a lifetime career. For now, I can improve the quality of my preparatory education by analyzing how my current coursework fits in with my career goals. Looking at nursing coursework in light of the competencies will help me determine which courses I might benefit by taking in the future. Furthermore, a thorough and honest self-appraisal will shed light on my weaknesses, revealing areas that I can focus on for improving my prospects as a successful nurse. While a career in nursing will involve all five of the competencies, my nursing courses have focused most on the second and fifth competencies, which are both areas in which I need to improve the most.

Nursing entails all five competencies: resource allocation, information acquisition, interpersonal skills, system operations, and technology know-how. Resources that a nurse has to properly allocate include mainly time and materials, as hospital administrative staff deals more with finances. Nurses work under tight, rigorous schedules: each day includes paying attention to the needs of many different patients, who receive batteries of tests, meals at certain times, operations, and other medical procedures. Therefore, nurses need to rank tasks in order of their importance, and avoid wasting time. Moreover, nurses have to deal with and economically administer materials such as medication, medical supplies, and toiletries. We need to make sure the hospital keeps track of inventory properly. Head nurses will also be responsible for human resources, as they will have to asses the knowledge and skill set of nurses in their staff, evaluate their performance, and provide constructive feedback. Regarding the second competency, nurses continually deal with date about patients. Because of the sensitive nature of patient data, nurses must know how to read charts, interpret them, organize the information, and process it properly. Working in tight quarters with coworkers makes the third competency particularly relevant in the nursing profession. Staff needs to cooperate with doctors and head nurses, who also need to demonstrate clear and balanced leadership skills. Communication is essential to the effective functioning of any hospital. Moreover, because hospitals function as organic systems, nursing need to be keenly aware of how the fourth competency pertains to the profession. A hospital is a system that involves social, organizational, and technological elements. Finally, the fifth competency regarding technology is integral to nursing. Mechanized…… [read more]


Nursing What Effect Does Simulation Lab Literature Review Chapter

Literature Review Chapter  |  13 pages (4,035 words)
Bibliography Sources: 10

SAMPLE TEXT:

Nursing

What Effect Does Simulation Lab have on the Confidence and Critical Thinking of Nursing Students as Licensed Practical Nurses?

Nursing graduates must have self-confidence and critical thinking capabilities in order to resolve multifaceted patient care issues. The use of human patient simulators to supplement teaching in schools of nursing is rising; however, further research is needed in order to… [read more]


Nursing Researchers This Is a Pilot Study Term Paper

Term Paper  |  5 pages (1,733 words)
Style: APA  |  Bibliography Sources: 7

SAMPLE TEXT:

¶ … Nursing Researchers

This is a pilot study intended for forming a test on the larger and more rigorous study of the experiences of nursing researchers. Reliability is the measure of consistency and accuracy within research methods for measuring research variables in a study. Reliability helps in the interpretation of statistical analysis results to find out the reliability of… [read more]


Role of the Vocational Nurse in the Palliative Care Team Term Paper

Term Paper  |  2 pages (516 words)
Bibliography Sources: 0

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¶ … Vocational Nurse in Multi-Disciplinary Palliative Care

The purpose of hospice or palliative care is to ease patients into dying. Palliative care providers promote quality of life during the process of dying. Furthermore, the goal or palliative or hospice care is to provide care for patients at home as long as possible. In addition, palliative care aims to ease patient suffering, control symptoms, and to restore functional capacity.

In the context of palliative care, vocational nurses work as part of an interdisciplinary team. One of the things that distinguish nurses in palliative care from other nurses is the focus on end-of-life care, while other nurses are focused on extending life. Therefore, the role of the vocational nurse in a palliative care team is sometimes less about medicine and more about providing emotional support.

Vocational nurses in palliative care environments need exemplary listening and counseling skills. Additionally, vocational nurses need to be part of an around-the-clock medical team, which provides pain and symptom management.

Another difference between vocational nursing in a hospice or palliative care environment and other environments is that palliative care nurses treat the entire family. They are trained to deal with end-of-life issues and to provide culturally sensitive care. In addition, the role of palliative care nurses does not end at the patient's bedside. Palliative care nurses are involved in community education and end-of-life medical research. In addition, with more and more medical advances, the right to die is becoming increasingly threatened. Therefore, palliative care nurses are called upon to advocate for the terminally ill…… [read more]


Nursing for an Associate Degree Term Paper

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Nursing

For an Associate Degree in Nursing

This essay focuses on the current educational levels available in the professional nursing arena. This work therefore focuses on proposing a minimal level offering that should be required to be taken for the Registered Nurse boards for an associate degree level. The essay should be considered as a recommendation to the State of… [read more]


Nursing Personal Philosophy Term Paper

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Nursing

Personal philosophy of nursing as it integrates faith to the discipline of nursing and statement of my professional goal

As a Christian, I see my faith as critically integrated to my goal of becoming a nurse anesthesiologist. While I do not believe that a nurse should ever impose his or her faith upon patients, I have always seen my deeply felt vocation of caring for the sick and wounded as one of the critical pillars of my personal creed and religious orientation. I also believe that facilitating the healing process of the currently well and able bodied to be a part of my same faith-based vocation of nursing as well. Christianity in its purest form promotes respect for the human body and soul. A Christian nurse must treat the 'whole' person, body, mind, and soul of every patient.

More than dispensing technical nursing care, I believe that a nurse anesthetist must also provide spiritual and psychological comfort and counseling to patients about to go through the surgical process. Surgery can be traumatizing, even when the surgery is necessary and sought upon the part of the patient. A nurse must be a Samaritan in the truest sense of the world -- a nurse must dispense care equally and impartially to all in need of and in desire of healing from the health care system and community.

Specifically, a nurse anesthetist provides a kind of bridge between consciousness and unconsciousness. In many ways, a nurse involved in the field of anesthesia is always engaged in the act of helping to create a sense of peace in the patient before the patient goes into another, temporary state of mind and being, before being made whole again. Being sensitive to the need of the patient for calm or talk is almost as critical for the nurse anesthetist as well as being technically competent in her or his work. Perhaps this is why, when looking into the history of the profession I wished to embark upon, I was not surprised to find that the first officially recorded, trained nurse anesthetist was Sister Mary Bernard, a Catholic nun who practiced in 1878 at…… [read more]


Vital Role of Professional Nursing Term Paper

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" (RNABC, 2003, p.6) The thus, the nurse must strives to teach and treat the whole patient, not merely assess the relative sickness of the patient.

But how does this mission and statement of core competencies affect ordinary nurses in the field, one might ask? According to the journal British Columbia Nursing, one nurse, under the supervision and training of… [read more]


Nursing Is "A Profession Concerned Term Paper

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In fact, in some countries babies are more likely to be delivered by a Midwifery Nurse rather than a Medical Doctor. "Midwives in Ireland, Scotland, and England deliver more than 65% of all babies." (www.medterms.com) They provide care for the newborn as well as for the mother. Midwifery Nurses usually care for adult mothers, but may also be required to care for very young mothers who are only children themselves. According to the U.S. Census Bureau, "about 425,000...teens ages 15 to 19" give birth each year in the United States. Midwifery Nurses are Adult Nurses and Children's Nurses at the same time. Even when the mother is an adult, once the baby is born, the Midwifery Nurse becomes a Children's Nurse.

Children's Nurses care for sick children, from newborns to teenagers, and provide support to their families. Children have different health needs than adults because they are still growing. The impact of their treatment on their development must be taken into consideration when caring for a sick child. In addition, they may be more scared or confused than an adult would be in the same situation. Children's Nurses are by necessity Mental Health Nurses when comforting a frightened child or a worried parent. Additionally, since most Learning Disabilities are onset in childhood, the Children's Nurse must be able to recognize the signs of a Learning Disability and must know what to do about the discovery.

Adult Nurses are primarily concerned with nursing sick and injured adults back to health. However, that is not the only function of an Adult Nurse. They need to be able to address not only the physical condition of their patients, but also the mental states of those patients, and their families, concerning the patients' illness. It is in this sense that they act as Mental Health Nurses. Adult Nurses may also be required to act as Children's Nurses, when their primary patient is a parent with a frightened child in tow. Adult Nurses may have to deliver a baby at some point, thus performing the role of a Midwifery Nurse. If the patient requires special consideration because of a Learning Disability, the Adult Nurse will need to be able to handle the situation.

It would be impossible for an Adult Nurse to make it through his or her career without knowing anything about the other branches of nursing. Each of the five branches of nursing relies on the other four branches at some point, and no where is this more obvious than in the branch of Adult Nursing. Mental Health Nursing, Learning Disability Nursing, Children's Nursing, and Midwifery Nursing are not only of great value and relevancy to Adult Nursing, but also inseparable from it. Each branch is specialized, but they are all branches of the same tree. Human Beings are extremely complex, and so are their illnesses. An Adult Nurse must be at least familiar with the other branches of nursing if they are to provide the complex kind of care that Human Beings… [read more]


Total I Have 13 Years Term Paper

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Though there are similarities between the two, the differences are prevalent. It is so important to me to be able to have a more significant role in the treatment and care of patients.

Sometimes it is so easy to go through life not really knowing the impact that certain things have on people's lives. This was me until about five years ago. I had never really understood how the family members and loved ones of patients felt about their sick family member or friend. My father was diagnosed with cancer of the liver. As you can imagine this was extremely devastating to all of us. For a year and a half I had to sit by and watch him transform into totally different person and there was nothing that I could do. Three years ago my 37-year-old brother was diagnosed with kidney failure. His third time going to dialysis air got into his catheter causing air bubbles in his brain and spine. My brother was rushed to the hospital and placed in a hyperbolic chamber. He came out paralyzed on his left side, and thankfully I was able to nurse him back to health. I have been able to get him back to at lease 95%. I have come to a cross roads where I would like to advance and move forward, it would mean a great deal fore me to be able to help a higher volume of people. There have been many situations where I have settled. This is not one of them. I want the best possible education to be able to give the best level of care possible. I believe at Hopkins I will be able to do what I have always wanted to do. That is care for patients and helps them to get healthier and stronger and hopefully get well enough to go home to their family and/or loved ones.

I have always felt a true calling to the nursing profession. It will always be my aspiration to be the best in my field and to grow and learn everything I can in the nursing field. I can only hope that I an afforded the opportunity to advance my career through an education at Hopkins. This is my hope because I want to be able to provide the best possible care and I know that is possible with the best possible education. If given the opportunity to prove what an asset I truly can be you will not be disappointed. Thank you for taking the time to learn a little about me and what experience and passion I hope I am allowed to bring to Hopkins with me. It would be an honor to be one of the chosen few to receive such a degree from such a prestigious school. Once again I would like to thank you for your time and I look forward to talking with you in the near future.

References

Greensboro AHEC Kids (2005). Nurse practitioner. Retrieved 09/23/05, from www.aheckids.com/nurprac.htm… [read more]


Advance Practice Nursing Term Paper

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The author also points out that all nurses "are practitioners of nursing" regardless of their skills or expertise (Lumby, 40). The author challenges the profession of nursing to focus on key issues, which she defines as "developing the capacity to research and articulate the evolution going on within the profession" (Lumby, 41). Among the current issues facing advance practice nurses and the nursing profession in general include finding methods to delivery "consumer focused quality health services" and shift individuals way of thinking from a "provider driven system to a consumer driven system" that enables consumers to make informed choices regarding their healthcare (Lumby, 41).

Issues and Discussion of Advance Practice Nursing

Lumby makes a good point. It is not nearly as important to define an advance practice nurse as it is to define what techniques, methods and practices nurses will need to adopt in the future to drive health care in a consumer oriented direction. The health care industry has long faced many crises none the least of which is providing adequate health care to an increasingly diverse population. Advanced practice nurses, with additional training and more specialized care, are interacting even more than RN's with patients on a daily basis. They are playing key roles in the health outcomes of patients in the short- and long-term in many instances. Many APN are also making decisions that ultimately will affect a patient's long-term health and well-being.

It is important as Lumby points out that APN's focus their attention on enabling or empowering consumers to make independent choices regarding their health care. Consumers want to feel they are taking an active role in the decision making process when it comes to their health and well being. APNs can help facilitate this process by informing patients and apprising them of their choices in a health care setting.

Much like a physician most APN conduct autonomous decisions when diagnosing and treating complex symptoms in patients. APN's must not only be clinically skilled at diagnosing and assessing but also integrate important skills such as education, communication and leadership and brings these factors into the patient nurse relationship.

The role of the APN will likely continue to change with time as the health care standards within the nation and across the globe continue to change. New roles and specialties within the field of advance practice nursing will also emerge as healthcare evolves and changes in the upcoming years. Hopefully these changes will ultimately result in better health care services and better defined roles for both caregivers and patients in a healthcare setting.

In addition APN's will likely continue to face ongoing challenges in the healthcare arena, including challenges presented by working under a managed care system that doesn't afford equal access to health care to all people in the states. APN's should continue to collaborate closely not only with colleagues and physicians but also with members of the community and patients to broaden their experience and develop new methods for meeting consumers needs in as… [read more]


Nursing Research Benefits Term Paper

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While the principal investigator is ultimately responsible for the health and welfare of the study participants, the research nurse manages the logistical and clinical details of the study (Sauers, & Grofsik, 2000). There are three major areas that the research nurse is typically responsible for when assigned to managing a study; clinical practice, financial and administrative. Although, some research nurses will become involved early, when the protocol concept is being created, and will be ask by the principal investigator to provide input from a nursing perspective during the writing process. While other research nurses will become involved later, once the study has been approved and is ready to accrue patients. Overall, the primary focus and responsibility of the research nurse is to conduct and manage the clinical trial. There are three distinct stages of a clinical trial that requires the research nurses involvement; (1) pre-study, (2) study implementation, and (3) post-study.

Pre-study: These are some of the research nurses' initial responsibilities for pre-study preparation phase; review the protocol for clarity and consistency, identify study collaborators and sponsors, coordinate protocol-related activities (special labs, specimen/s, treatments), develop pre-printed protocol materials, teaching materials, patient calendars, in/out patients orders, prescriptions, special lab requests, diagnostic imaging requests, verifies all regulatory forms and documents are completed; Form 1572 (agreement between the investigator and the Food and Drug Administration (FDA), Financial Disclosure Form, Investigator Agreement Form, Investigator Confidentiality Form, Supplemental Data Form, CV's signed and dated, Medical License of research personnel involved in the study; writes informed consent, study abstract, processes all study documents and submits to the Institutional Review Board (IRB) for approval, development, design, and negotiates the budget issues, in collaboration with the principal investigator or study drug sponsor.

Study implementation: Once the study is approved by the IRB the research nurse will work very autonomously to conduct daily "hands-on" work of the assigned study, which involves the following; recruiting and screening potential participants, reviews medical record to ensure the patient is eligible, obtains the informed consent (reviews the content of the informed consent with the patient and obtains signatures), coordinate, evaluate and follow patient participation in the clinical trial, document the informed consent process and study entry, order pertinent tests, schedules procedures, collect specimens, monitor responses, administer medications, provides ongoing education to the patient and family, enters, reviews and performs basic statistics on study data, plans, designs, and provides professional and ancillary staff in-services on the study overview. If a study sponsor is involved either financing the study, providing drug, or a device there are usually case report forms that must be completed… [read more]


Nature of Health Information Term Paper

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Nature of Health Information

The information needs of both physicians and nurses compare as well as contrast each other in a number of ways. Information access may take many forms ranging from looking up information on a computer or in a textbook, to formal subspecialty consults, to informal dialogues between healthcare professionals (McKnight, Stetson, Bakken, Curran, & Cimino, 2002, p.64).

The main question that the research set out to determine is the best way to deliver and retrieve data, that would be effective, contain less errors, and timely in nature (how long it takes to retrieve information and input information).Analysis has been done on several areas dealing within information. These areas of analysis include information need: satisfaction, communication, collaboration, and selected quality indicators. Physicians as well as nurses both reported relatively high satisfaction with Internet access and retrieval, as well as comfort of accessing Online resources in general. (McKnight et al., p. 64).

McKnight et al. also recorded information that revealed that most of the other online sources used were not comparable when considering percentages of usage between physicians and nurses. Ninety-two percent of physicians reported looking up information concerning Endoscopy and Cardiac imaging, while only 35% of nurses reported retrieving the same information. On the other hand, fewer physicians reported needing the following information: diagnoses systems (42%), alert systems (23%), or info buttons (15%) (McKnight et al., p.65). Both groups reported having similar difficulties with information retrieval including but not limited to: difficulty in locating necessary information, finding inaccurate or outdated information, and limited time to access needed information or use data retrieval equipment (McKnight et al., p.64). Both physicians and nurses also agreed on the difficulty of contacting other healthcare providers. Nursing staff did not yield a high percentage rate on the effectiveness of using a paging system (50%), where physicians stated this was their most favored paging source (93%) (McKnight et al., p.66). Regarding information needs, both nurses and physicians emphasize that the time to look up information was limited, and that quick, relevant information sources were most useful (McKnight et al., p. 67).

Most of the specific information needs on the part of physicians as well as nurses includes mostly Web based applications. The programs mentioned in the study included WebCIS and MD Consult. MD Consult was actually highly favored for the ability of physicians to access everything in one place (McKnight et al., 2002, p. 67). A considerably large problem appears to be the length of time that it takes to retrieve information at any given time. This is evidenced by the research that was conducted by McKnight et al., where participants mentioned that this was the number one problem that was faced when dealing with the retrieval of information.

A considerable problem to consider is the lack of information technology in healthcare. Detmer discussed in his findings the fact that quality…… [read more]


Nursing Roles Term Paper

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Nursing Roles

Wherever you find a Registered Nurse, you encounter a person that plays a significant role in helping Doctors care for patients. After World War I, modern nursing began with Nightingale training schools. After both World War I and World War II, there was a greater need for both military and civilian nurses. Established in 1943, The Nurse Cadet Corps subsidized educating young nurses by the thousands for people who agreed to fulfill their completed education, nursing for the remainder of the war. Currently there are around 11,000 nurses in military services. Since this field is so demanding and it is common for personnel to change from place to place and position to position, there are many opportunities to make a successful career in military nursing. See the chart below detailing salary ranges from various states.

Median Salary By State

For School:Degree=Bachelor of Science in Nursing (BSN)

Narrow in by:

Company Type,

Size,

City,

Experience,

Skills,

Gender,

Degrees,

Texas (79)

California (65)

Florida (56)

Pennsylvania (56)

New York (55)

Ohio (47)

Georgia (46)

Illinois (41)

Compare your own State in your Personal PayScale Report

More States:

Most Popular

Highest / Lowest Pay

Currency: U.S. Dollar (USD), # reporting: 998. -2000-2005 PayScale, Inc.

Comparing the above statistics nationally, the average salary range is around $40,000.

A typical development for a new military nurse begins under close supervision, but once the nurse has experience he or she can expect to climb the corporate ladder to becoming a nurse supervisor, specialize as a Patient Care Coordinator, a Charge Nurse, or a Staff Nurse. Other avenues of career development that can open up for a military nurse may be a choice to be a director of nurses within a hospital (a Director of Nurses manages all nursing services; they advise hospital staff and administration on nursing services. Part of their directorship includes nursing orientation and training programs) or even advance to senior health service management positions.

Part of a nurse's role is to be great care coordinators -- he or she directs, administers, and cares for their patients. This position is also a teaching position since a Registered Nurse is also expected to teach a patient how to care for themselves during and after their visit. A registered nurse's information comes directly from a doctor and/or other health care providers, and the complex set of instructions is handed down for the patient's care. A nurse is placed where he or she is able to keep close supervision on a patient -- in order to follow-up on their care to ensure their speedy recovery.

Nursing roles whether in the military or in civilian life are quite similar, some of the major differences would be, in the military, the ability to receive financial assistance while training and then choosing specific job placements after successful completion of the course. A BSN nursing degree can take from two to four years to complete. Another difference is that to join the military you are often required to pass… [read more]


Doctor Patient Relationship Impact in Medical Practice Term Paper

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Doctor/Patient Relationship Impact in Medical Practice

Patients always desire to have a competent physician that treats them with dignity and respect. Patients are always curious enough to hear and aware about the sickness they suffer from and the way it affects their lives. They desire that the physician should concentrate on their pain, physical uneasiness and behavioral problems. Physicians therefore… [read more]


Growing as a Nurse Through Education Term Paper

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BSN

Growing as a Nurse Through Education

Many registered nurses (RNs) make the important decision to enroll in a Bachelor of Science in Nursing (BSN) degree program. These "RN to BSN" programs improve the skills and experience of an RN in many ways. As a result, RN to BSN degree holders qualify for some of the best jobs in the… [read more]


Teaching Theories and an Ethical Nursing Situation Term Paper

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Teaching Theories and an Ethical Nursing Situation

The purpose of this paper is to apply a learning theory to an actual educational case study and scenario. The situation must be seen from the point-of-view of the nursing student scenario. The situation must be challenging to handle. This includes being able to identify events and critical indicators of the scenario that… [read more]


Buddhism and Nursing Term Paper

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Buddhism and Nursing

The authors stated that "the focus of Logical Positivism... has led societies into a form of scientific ethnocentrism, with Western science serving as the standard against which all other knowledge forms are compared. What is meant by scientific ethnocentrism? Do you agree or disagree with the statement? Why?

Scientific ethnocentrism essentially creates a view of knowledge with… [read more]


Why Want to Be a Doctor Term Paper

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Doctor

Why do I want to be a physician? What I can bring to the world of medical health in today's multicultural society?

Working in the field of medicine is like running a marathon. Finally, at age thirty-seven, I am confident that I have the necessary self-confidence and sense of purpose to enter medical school and become a doctor. Although I have always believed that the field of medicine would be my final occupational destination, it has taken my own kind of life marathon to arrive at this point, simply to embark upon the application process to medical school. I left my premedical studies in college to enter the family business during the 1980s. Now, I would like to think that my age, experience, and accumulated wisdom will all prove an asset rather than a detriment to my success in my future, chosen profession.

At present, I am running my own construction company, an occupation that has given me considerable…… [read more]


Improving Compliance Patient and Nurse With Scd Orders to Improve Patient Safety Term Paper

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patient nurse compliance with SCD - Deep Vein Thrombosis

IMPROVING COMPLIANCE AMONG PATIENTS and the NURSE

WITH SCD ORDERS to IMPROVE PATIENT SAFETY

The objective of this work is to focus on a clinical hospital-based problem that was encountered first in making identification of the problem and secondly to assess and analyze that which has caused the problem. Finally this… [read more]


Nursing Philosophy Term Paper

Term Paper  |  14 pages (3,953 words)
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¶ … Nursing

Reflective Practice as Applied in Nursing Practice: Consensus between Nursing Experience and Scientific Inquiry in Evidence-Based Practice (EBP)

Nursing as both a profession and vocation in the field of medical science is considered both professionally- and emotionally-gratifying, in that the nurse, as a medical practitioner, is able to provide invaluable service not only to their profession, but… [read more]

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