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Exploring the Role of Emergency Room Nursing Term Paper

… Emergency Room Nursing

Exploring the role of emergency room nursing

Introduction of emergency room nursing in Canada and the rationale for choice:

The emergency room nursing is governed under the aegis of Emergency Nursing Association -- ENA which is the national association for professional nurses committed to the development of emergency nursing practice. The ENA caters to its members through some of the objectives like (i) promoting excellence for emergency nursing, (ii) promoting quality emergency care (iii) acting as resource for emergency nursing practice, professionalism, education, research and consultation (iv) work closely with other health-associated organization in the direction of improvement of emergency care. The rationale for my choice of nurse as emergency nursing is because of the diversity of career choices it offers such…. [read more]

Nurse Health Habits Effect Hospital Environment Research Paper

… Nursing

This study has the following limitations; the chosen location, the chosen industries, the population, environmental factors and several uncontrollable variables; which are briefly outlined below. The chosen location is Houston, Texas United States. Since the hypothesis is the measurement of nurses' health habits, the population is near 120 RNs, all are females, 85% of them are Caucasians, with their ages ranging between 22 to 47-year. Another limiting factor is the collection of the needed data all at once. Still, another limiting factor is the chosen location as the study cannot be carried out across different locations due to the short time frame allocated to the study.

Major Generalizations of the study

There is an assumption that nurses'…. [read more]

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

… 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 is the reason for the development of the multitude of professional organizations which function as a centering point for the nursing field as a whole. Such groups as the American Nurses Association (ANA) and the American Organization of Nurse Executives (AONE) help to provide support, networking accessibility, information and continuing professional development to those already in the nursing field, at the practitioner and administrative level…. [read more]

Nursing Theory the Ethical Implications of Improving Thesis

… 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…. [read more]

Patient's History the Expanding Roles Essay

… What is important for the nurse taking the patient's history is to "…concentrate on symptoms and not on diagnosis," that way it can be certain the "no information is missed" (Craig, 44). In fact it is not the nurse's job to provide diagnosis. But when the patient says there are "palpitations," that gives the nurse the clue to proceed with specifics. Questions about the frequency of chest pains, about any trouble breathing the patient may have had, and questions about possible swelling and pain in the patient's lower legs are all relevant and should be addressed.

Regarding the palpitations, a question that has good value might be, "Was it sudden, or has it developed gradually?" Another might be, "How long does the sensation last… minutes,…. [read more]

Theory Application and My Philosophy Term Paper

… Philosophy of Nursing with an Emphasis on Labor & Delivery

Theory, Application, & My Philosophy

This paper is an insight into some philosophies of nursing with an emphasis on the process of Labor and Delivery. I believe the research was thorough and is well supported because I attempted to use relevant materials from several nursing theorists. I relied heavily on the Internet and other nursing journals and from other professional domains. The main objective of this report was to consider nursing, the future of nursing and the impact that I will have in the healthcare spectrum over the course of my career. I tried to identify my values and beliefs regarding the established metaparadigms and metatheories of nursing and the more succinct processes involved in…. [read more]

Inpatient Ratio and Morale ER Research Proposal

… For instance, the situation and patient-level areas are embedded within the job-level and the job-level workload can be categorized under the unit-level. Thus, the unit-level would be the macro-level, whereas situation and patient levels could be thought of as micro-levels (Carayon & Gurses, 2005).

The workload at the unit-level one of the most common factors of concern regarding morale and burnout in ER nurses is the nurse-patient ratio. There has been quite a bit of research that has suggested that reductions in the nurse-patient ratio can clear up major issues with nurse morale, patient care, and patient satisfaction (Aiken et al., 2002; Lang et al., 2004). Most often it appears that optimum recommendations for the nurse to patient ratio is 1:5 (Aiken et al., 2002);…. [read more]

Leadership Ethical Essay

… If indeed, there is a direct connection between the establishment of a positive healthcare environment and the ethical orientation of this environment, the change must be realized through the retention of caring and qualified nurses.

Source Analysis:

As to the ethical connection between healthcare outcomes and nursing orientation noted here above, the discussion refers to a pair of valuable sources. Firs, an examination of the nurse's Code of Ethics reveals that a theoretical basis exists to contend a direct correlation between the nurse's self-interest and that which is best for any given patient. There exists an essential obligation for such healthcare practitioners to "examine the conflicts arising between their own personal and professional values, the values and interests of others who are responsible for patient…. [read more]

End-Of-Life Health Care Imagine Essay

… Honoring the patient's wishes, withdrawing care, withholding care, or choosing long-term care facilities are all decisions with difficult ethical implications. Someone who is elderly or terminally ill can make these decisions easier for his or her loved ones by creating an advance directive, also known as a living will, that specifies what he or she wants.

To prevent conflicts between families and health care providers at the end of a person's life, families should discuss their issues and create an advance directive, also known as a living will. Once the advance directive is completed, the patient should discuss his or her wishes with the family and primary physician to let them know that the document exists and what it includes. Advance directives inform family members…. [read more]

Difficult Patients Mitigating Risks Research Paper

… Research Methodology

It is essential to precede any planned review with a search to establish the existence of extant reviews. Such a search will typically identify both quantitative and qualitative systematic reviews. In formulating a review question an existing qualitative systematic review is a helpful starting point because:

1. It may help in identifying key issues that have a bearing on the acceptability or effectiveness of a programme or intervention;

2. It may help in identifying barriers or facilitators to the implementation of a programme or intervention.

3. It may help in identifying important perceptions of the experience of the condition that may help in either the selection or targeting of a candidate intervention.

In identifying related nursing studies an existing qualitative systematic review is…. [read more]

Applicability of Having One Universal Triage System in Emergency Nursing Research Proposal

… ¶ … Universal Triage System in Emergency Nursing

The word "triage" has its origin traced from "trier" a French word meaning sort, classify or choose (Williams,1992). The triage system of prioritizing the way care is dispensed to a large number of patients has been adapted from its earlier origin which was military to fit into civilian context as the very first step in the process of handling medical/clinical emergencies. The context of triage in the emergency department (ED) is considered a rather formal process that has to be performed in order to immediately assess all the patients who are in need of emergency clinical care (Mallett & Woolwich, 1990).The finding an obtained from the triage assessment are then utilized in prioritizing or rather classifying the…. [read more]

Death Linda Wertheimer and Robert Term Paper

… She discovered that there were several forms of leukemia, some more serious than others. This was a systematically logical approach. However, even though she could see that her grandmother's symptoms pointed toward a very deadly form of the disease, she became angry at the doctor when he told the family that Payne's form was aggressive and would be fatal. Even though Crabbe had figured this out for herself, she had counted on the doctor to prove her wrong. The doctor did not do that.

By contrast, Payne accepted her diagnosis with equanimity. Payne herself attributed this to her age -- at eighty-one it was not unreasonable to die -- and her religious faith, which gave her a positive perspective on death. In fact, she started…. [read more]

Environmental Genetic Factors That Influence Essay

… Asthma attacks reportedly result in the deaths of 5,000 individuals each year in the U.S. alone (NRDC, 2005). Those figures have slightly improved, as in 2009 it was reported that nearly 3,500 people died of asthma, which is roughly equal to nine people dying a day from this disease (CDC, 2010). Approximately 1 in every 12 adults has been diagnosed with asthma, while 1 in 11 children is known to have this disease (CDC, 2010).

In terms of health disparities per populations, it is a known fact that individuals living in major metropolises areas are more exposed to bad air quality, and to air pollution which causes asthma. The inner cities of such metropolises are largely populated by historic minority groups -- specifically African-Americans and…. [read more]

Strategic Management Systems to Increase Healthcare Performance Thesis

… ¶ … Strategic Management Systems to Increase healthcare performance

Results of Assessing Strategic Management Systems' Influence on Increasing Healthcare's Organizational Performance

For many healthcare providers their effectiveness is limited by the lack of system integration in their it, patient monitoring, and management systems. This lack of system integration severely limits their ability to align processes to patients' changing needs. The intent of this proposed research is to provide insights into how healthcare providers can achieve higher levels of effectiveness in diagnosing, treating and ensuring the long-term health and satisfaction of patients by researching the correlation between investments in strategic management systems and healthcare organization effectiveness and performance. Healthcare providers rely extensively on content management systems that include patient history, medical reference and treatment program success…. [read more]

Health Maintenance Organization Impact on the Minorities Thesis


The focus of this research study is the health maintenance organization impact on the minorities' community and specifically the communities of Hispanics, African-American and Latinos in the locations of New York City, New Jersey, Connecticut and Chicago. In recent years it has become increasingly clear that the U.S. .healthcare system is failing in making the same quality of care provision for ethnic minority populations as are made for the majority white population and the racial and ethnic disparities in accessing quality healthcare have been documented in research studies. It is reported that African-Americans experience the highest rates of mortality from heart disease, cancer, cerebrovascular disease and HIV / AIDS than any other U.S.…. [read more]

Best Practice to Isolate MRSA Essay

… , 2006) of isolation from a third of the studies. Concerning these inadequate or lacking conclusions, the evidence provided was weak due to poor design, major confounders, or systematic bias with regression to the evidence of average (Cooper et al., 2003; Allen 2006 and Blumeberg et al. 2006). However, this review chose some studies that offered stronger evidence. In three studies, the use of isolation and other interventions was conflicting (Carrbone et al. 2002; Charlebois 2002; Cohen 2005), one showed reduced infection (Cohen, 2005; Curran et al. 2005), while another showed no infection and another managing infection for some years until the number (Robert et. al., 2006) of colonized patients on admission overwhelmed the hospital (Gbanguide-Haore et al., 2008).

However, another study provided evidence that…. [read more]

Different Preferences in Learning Between American and French Learners in a Multinational Corporate Setting Dissertation

… ¶ … Preferences in Learning between American and French Learners in a Multinational Corporate Setting

The way training is delivered in a corporate environment has a tremendous effect on results. This study investigates the role of culture in the learning styles of adult French and American students enrolled in online training programs at an international university. Using Kolb's learning style inventory, the learning style preferences of respondents in both cultural groups will be classified as divergers, convergers, accommodators, and assimilators, reflecting their general tendencies toward learning environments as conceptualized by Kolb (1985). The assumption is that Americans prefer to learn from action-oriented methods and are more comfortable learning from activities that are not job related, such as role plays and games, than do their French…. [read more]

No-Fault Compensation in UK Medical Malpractice Thesis

… 2 The survey tried to quantify the frequency and/or severity of adverse effects through a population sampling experienced as a result of their medical treatment. The respondent sample consisted of 3638 men and 4568 women, or a total population of 8,206.

395, or 4.8% (4.8 in every 100) patients felt that they had suffered some illness, injury or impairment, which directly resulted from their medical treatment or care. This figure is slightly higher than the estimates derived using the methodology from the Harvard Medical Malpractice Study, which estimated that 3.7 in every 100 patients suffered "adverse effect." The report noted that the proportion responding "positively declined with increasing age and was inversely associated with social grade." Further, the report stated, "there was…. [read more]

Mental Healthcare Services for Uninsured Children Case Study

… Fulfilling these duties and obligations as an adult with serious mental health problems can be a challenge.

Summary of the case

In summary, mental healthcare has become a serious concern. Statistics show that up to 1 in 5 children and adolescents have mental health issues. The fact that mental health issues affect so many children and adolescents worries pediatrics practitioners. It is a serious concern given the fact that the problems may continue into adulthood and affect the welfare of those affected. Today, the problems children and adolescents face are two-fold: lack of access to healthcare and insufficient healthcare. The number of professionals available in the field cannot adequately cater to the needs of the over 15 million children and adolescents who need…. [read more]

Aftermath of not Expanding Medicaid Capstone Project

… Furthermore, the expansion slightly reduced the private insurance revenue for hospitals through raising the lower caps for financial eligibility for subsidies from the Marketplace from the previous 100 to 138% FPL. That notwithstanding, the two factors are clearly outweighed by higher Medicaid revenue that is generated as a result of the expansion.

It is clear that expanding Medicaid would help lend significant financial stimulus to North Carolina. This would happen courtesy of the jobs that would be created, reduced costs at state level among others. The state has already lost out on billions it would have benefited if it had expanded Medicaid. It has also lost out on a significant number of jobs it would have created. There are still many gains it can…. [read more]

Rural vs. Urban Health Care Disparities Dissertation

… Health Care Disparity in Maryland

Context of the Problem

Unsettling Disparities Occur

Approximately 1,600,000 individuals who live in Maryland either do not have access to healthcare as they cannot afford insurance and/or are underinsured.

In "Health care reform: a vital issue for Maryland's nurses," Anne S. Kasper and Leni Preston (2008) stress this unsettling fact, as they point out that Maryland ranks number 24 in the United States in the number of uninsured residents. Fifteen percent of Maryland's population, almost 800,000 people, in fact, is not insured. The significance of the fact relating to those who do not have access to healthcare, Kasper, and Preston (2008) assert, increases as this magnificent number of individuals without access to healthcare does…. [read more]

Healthcare Reform Ways the Healthcare Reform Bill Thesis

… Healthcare Reform

Ways The Healthcare Reform Bill May Affect The Average American

Many of those who disagree with the proposed Healthcare Reform Bill actually agree that America's current health care system needs reform. Amidst concerns and challenges that counter and compliment the contemporary health care reform bill being considered by Congress, one primary question arises, the primary question this mixed methods research paper addresses: How may the current proposed Healthcare Reform Bill affect the average American?

In addition to accessing information through the literature review, this study conducts a 15 question survey via a questionnaire the researcher created. Ultimately, as the research paper answers the primary research questions and three relevant sub-questions, it stimulates more questions regarding the proposed Healthcare Reform Bill that only time,…. [read more]

Schizophrenia Is a Heterogeneous Disorder Research Proposal

… The symptoms are rated on 24 items and include depression, anxiety, hallucinations and unusual behaviors. Each symptom is rated 1-7 scale Likert type scale. It is the most used symptom scale in psychiatry and has demonstrated excellent reliability and validity.

The Social Functioning Scale (SFS; Birchwood et al., 1990) can be used as a self-report measure or be completed by an informant. It has 79 items and measures social functioning across multiple domains. The questions are answered in an interview format.

The Social Behavior Schedule (SBS; Wykes & Sturt, 1986) takes 15 minutes to be rated by a researcher or clinician, assessing the previous month's functioning. It assesses 21 areas of functioning that can be grouped in four areas of behavior and has demonstrated excellent…. [read more]

Decreasing Nuclear Energy Qualitative Analysis Thesis

… Similarly, many would-be nuclear powers have had trouble getting their reactors built such as Bangladesh, Belarus, Jordan, Lithuania, Poland, Saudi Arabia and Vietnam among them (Schneider et al., 2013). In the established nuclear power countries, there is a lack of investment in adding new capacity (World Energy Resources, 2013). Where there is new construction, it is to replace aging facilities (Schneider et al., 2013).

Given the decline in the development of nuclear power reactors, the world continues to rely on conventional sources of energy to meet the current global energy needs. This continual reliance has exacerbated the problem of the global climate change (Schneider et al., 2013). Consequently, environmentalists, policymakers, and governments have continued to search for a sustainable source of power…. [read more]

Healthcare Innovation for Elder Care Essay

… ¶ … Hospital Health Administration Innovation for elder care

Several research problems covering the response of acute care hospital administration to the ever increasing population of the elderly like decision making, development of in-patient units, need for higher education levels, etc. I have referenced 10 pieces of research that cover elder care as well as innovation. Below is a list of those references. I will briefly summarize the articles then give the rationale for selecting each article.

Omachonu, V., & Einspruch, N. (2010). Innovation in Healthcare Delivery Systems: A Conceptual Framework. The Innovation Journal: The Public Sector Innovation Journal, 15(1).

This research article defines healthcare innovation and explores the place of innovation in healthcare. It then develops a conceptual framework which outlines the factors promoting…. [read more]

Art Therapy and PTSD Research Proposal

… Art Therapy and PTSD

Art Therapy Utilized in Cases of Post Traumatic Stress Disorder (PTSD)

Art has always played a major role in human life and development. Some of our knowledge of our earliest ancestors comes from the drawings and sculptures they left behind. Art is an essential part of what it is to be human, and can be utilized for a variety of purposes including communication, expression, and even therapy. Art therapy is known to have beneficial results for individuals suffering with a variety of cognitive disorders, such as that of Post Traumatic Stress Disorder (PTSD). PTSD is an anxiety disorder which plagues patients after the event or multiple events of trauma which instill painful memories and later manifests itself as a wide variety…. [read more]

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