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Nursing and Health Breakdown Case Study

… Nursing and Health Breakdown: Pre-Operative Nursing Care Case Study

The patient in this case study is named Joe Taylor. Joe is 76 years of age, weighs 99 kgs, 153 cm tall and smokes 25 cigarettes each day. Joe is admitted to the ward and is scheduled for the repair of a right inguinal hernia. The following objectives exist in this study:

(1) This study will identify information obtained from a nursing admission and the importance of obtaining this information.

(2) As well, this work will discuss the purpose and necessity of obtaining baseline data from the patient; and finally

(3) This work will discuss the ethical and legal requirements of the nurse during the preoperative period.

Preoperative Nursing Assessment: Baseline Data Requirement, and Ethical-Legal Considerations…. [read more]

Nursing Process Improvement and Change Essay

… Most organization are facing challenges when trying to build up productive work atmosphere. However, when technical and social systems are jointly optimized, health care organizations considerably benefit from IT.

The ever-rising abundance of information requires that health care nurses synthesize and make decisions through inter-shift updates. Decisions are founded on the data trends and present information provided through handoffs (Simpson, 2005). To compress information besides making it controllable among the nurses involved, handoff s lead to progressive information loss given that data is not conveyed, misinterpreted or missed. The misinterpretation and omission of crucial information, particularly in handwritten handoffs causes discontinuity of care provision besides impending patients' therapeutic course. These failures come with major safety threats to patients and affects delivery of quality.


Initiating…. [read more]

Health Psychosocial Model Essay

… Although both of the videos had to do with doctors talking to patients, it is the same when an individual is talking to any healthcare worker. Communication is probably the most important aspect of the profession, and it may also be the most neglected portion (Back, et al., 2007). In the first scenario, the doctor is delivering bad news to the patient (she is going to need additional treatment for malignant lymph glands). The healthcare professional in this instance needs to have had training regarding the inner conversation the patient is having and acknowledge that (Back, et al., 2007). As demonstrated in research regarding healthcare communication issues, people often have mistaken ideas about healthcare when they are not properly instructed by a nurse or physician…. [read more]

Healthcare Organizations Health Organizations Patient Essay

… For there to be service provision that has quality characteristics, then factors like implementation, monitoring, and planning, maintaining and even analysis of processes of care delivery have to be efficiently provided, as this will lead to effectiveness (Joint Commission Resources, 2006).

Patient Safety

In the process of attaining high levels of patient safety, there has to be prior identification of the potential risks surrounding the patient, and any actual risks thereafter. The causes of the risk have to be ascertained, and then safety measures could then be implemented. The safety of patients also includes the counter measures in case of health related emergencies experienced by patients.


For effective survey results, all sections of the tracer worksheet have to be noted and then analyzed. If…. [read more]

Ethics in Nursing Every Professional Research Paper

… Jean Watson's caring theory as pivotal to the work of an ethical professional nurse. Watson's theory has three main elements: a) the carative factors; b) the "transpersonal caring relationship" that must be established; and c) the "…caring occasion/caring moment" (Lachman, 2012, p. 112). When Watson relates to "carative factors" she is alluding to the need to "…honor the human dimensions of nursing's work and the inner life world and subjective experiences of the people we serve" (Lachman, 112). In order to be a caring professional, a nurse must have "…a deep connection to the spirit within the self and to the spirit within the patient," Lachman asserts. And clearly, if the spirit of the nurse that is providing the care to the patient is not…. [read more]

Nursing Education Level and Patient Outcomes Extant Thesis

… Nursing Education Level & Patient Outcomes

Extant literature on negative patient outcomes in the healthcare industry have closely linked this phenomenon to different factors, among which include staffing adequacy, quality of care given to patients, and reported patient satisfaction to care given them. It is interesting to note, however, that negative patient outcomes could also be linked with the educational level of nurses providing patient care, which actually assumes the position that negative patient outcomes occurs when nurses are not competent enough to provide good "clinical judgment."

This relationship between nursing education level and negative patient outcomes is explored in the study entitled, "Educational levels of hospital nurses and surgical patient mortality" by Linda Aiken et. al. (2003). This article is a good example of…. [read more]

Insurance Healthcare Research Paper

… Health Care System

United States Health Care System

An increase in the concentration of the health care costs and quality assurances within the context of the health reforms continue to shift the attention of the federal and state governments towards the potential health information technology. This project seeks to enhance the effectiveness and efficiency of the health care programs as well as reduction of the health care costs (Lucas Jr. et al., 2013). The states and federal governments also focus on the improvement of quality and safety of the medical provision programs. This research exercise focuses on the examination of the concept of health information technology. This is through evaluation of the major issues or problems related to the program within the health care sector.…. [read more]

Nursing Malpractice Literature Review

… Nursing Malpractice

Introduction- Modern nursing is a rewarding, but challenging, career choice. The modern nurse's role is not limited only to assist the doctor in procedures, however. Instead, the contemporary nursing professional takes on a partnership role with both the doctor and patient as advocate caregiver, teacher, researcher, counselor, and case manager. The caregiver role includes those activities that assist the client physically, mentally, and emotionally, while still preserving the client's dignity. In order for a nurse to be an effective caregiver, the patient must be treated in a holistic manner. Patient advocacy is another role that the modern nurse assumes when providing quality care. Advocacy is the active support of an important cause, supporting others, or speaking on behalf of those who cannot speak…. [read more]

Nurse Anesthetist Are One of the Oldest Term Paper

… Nurse anesthetist are one of the oldest forms of specialized advanced practice nursing and are frequently faced with role changes, especially with regard to autonomy (a new trend) and technology. Nurse anesthetists are seeking an increased level of autonomy, as many other specialized advanced practice nurses are. To be successful at this task they must improve communication, work within an environment of safety and be flexible enough to develop team building systems that support new technology and a simultaneous trend of autonomy for advanced practice nurse anesthetists. This paper will analyze three journal articles that discuss the role of nurse anesthetists in a highly technology driven field with greater autonomy.

The role of the nurse anesthetist, as with many other areas of advanced practice nursing…. [read more]

New Healthcare Challenges for a Divers and Growing Elderly Population Term Paper

… There were an estimated 3.3 million African-Americans over 65 in 2010, according to the Administration on Aging (AoA). By 2050, it is expected that the elderly population of African-Americans will account for about 11% of the 65-and-older population in the United States (AoA).

And although African-Americans are living longer, the majority of those over 65 years of age have had "at least one chronic health condition and many have multiple conditions" (AoA). The AoA provides a breakdown into the most frequent chronic conditions that afflicted older black people between the years 2005 and 2007.

Topping the list is hypertension, with 84% of elderly African-Americans reporting this medical problem. The following medical ailments are listed with percentages of black elderly people in parentheses: a) diagnosed arthritis…. [read more]

Ethical-Legal Dillema in Advanced Nursing Case Study

… Therefore, accepting the suggestions provided by the nurse does not assure life, but an immediate response to a life-threatening condition based on the nursing practices. For this reason, the right to autonomy empowers the patient to accept the preferred mode of diagnosis. However, the healthcare provider has the right to respect that autonomy to exercise ethical belief.

However, there are various aspects of euthanasia practice are overlooked if nurses adhere to patient's autonomy as the major moral element. In the first place, a critical issue in the debate resulting in the legal acceptance of euthanasia is the exceptional character of termination of life by the nurse. Even though autonomy is a common value in medical practice, practicing euthanasia entails several impacts on life. Comfort care…. [read more]

Collaborative Nursing the Two Smart Term Paper

… "

Goal 2: Nursing Mentoring

The authors of a peer-reviewed article in Nursing Education Perspectives (Cottingham, et al., 2011) assert that in addition to the critical shortage of nurses, there is also a growing number of nurses who will be leaving their positions because of: a) a lack of appreciation from their superiors; b) a "diminished sense of value within the organization"; and c) a "lack of professional stimulation" (Cottingham, 250). The problem related to a lack of stimulation could be (and should be) remedied with ongoing and inspirational mentoring programs. Nurses should be incorporated "…at all levels in the mentoring process," Cottingham concludes (255).

Credible Website: The Truckee Meadows Community College Website ( presents thorough details on the mentoring program that is available to…. [read more]

Share a Meaningful Nursing Encounter Essay

… Another competency is interpersonal and communication effectiveness. Transformational leadership (which is stimulated by modeling and effective communication on the part of the leader nurse) is the highest structure of inspirational leadership that a nurse can maintain (Bass, 2008). By influencing and motivating followers, transformational leaders increases efficacy of the other. Similarly and counter-intuitively, transformational leadership may be more effective than so called passive leadership in influencing and instigating safety in the workplace. It is to that end; therefore, transformational leadership may be the best paradigm for the type of leadership that nurses should adopt.

For nurses, therefore, to make strides in the new century and to succeed in a world that is rife with stress and conflict, a new method is needed. Modern day nursing…. [read more]

Technology in Nursing Term Paper

… Technology in Nursing

History of technology and its influence on nursing

There is now a great influence on the impact of technology on the practice of nursing and if the well-known behavior scientists like Abraham Maslow had been around and invited to give his opinions regarding influence of technology on human life, he may not have considered technology as being essential for the existence of human lives. This is clear from the fact that humans lived prior to the discovery of cell phones, e-mail, fax machines or even the Internet. The important point for us to consider is whether there is such a high importance for these technology for human existence. The use of technology is often made so that we are able to get…. [read more]

Personal Nursing Philosophy Essay

… Nursing - Nursing Philosophy


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…. [read more]

Understanding Expenditures and Sources of Funds for Health Services Organizations Essay

… Health Services Organizations

Broadly defined, Health Services Organizations are the delivery systems through which health care services are administered to patients. 2009 saw a continued increase of national health care spending to "$2.5 trillion, or $8,086 per person, and accounted for 17.6% of Gross Domestic Product (Centers for Medicare and Medicaid Services. 2009). Hospital care and physician and clinical service represent the two largest components of national health care spending at 759.1 billion and 505.9 billion respectively in 2009 (Centers for Medicare and Medicaid Services. N.D.). The trend of health care spending in the U.S. over the course of the past decades is particularly alarming, as expenditures "have consistently grown faster than the economy overall since the 1960s, rising about 2.4 percentage points faster than…. [read more]

Nursing Leader's Perceived Role in Nurse Recruitment Research Proposal

… LR Explor/The nurse leader role in recruit.

Nurse Leaders as Recruiters

Nurse leaders serve an integral role in the field to demonstrate skill in recruitment of future nurses. To do this they must work within existing systems as well as advocate for the expansion of other recruitment essential systems and system change need awareness. Nurse leaders must work collaboratively with human resource departments as well as becoming fundamental community recruiters in and outside of the work setting. (Anson, 2000, p. 21) This review of literature will then address general and specific issues of the role of nurse leaders as recruiters by thematically addressing certain trends and change needs in the health care industry in general and in nursing care that have specific and general implications…. [read more]

Healthcare -- Terminology the Fundamental Importance Essay

… Healthcare -- Terminology

The Fundamental Importance of Consistency in Medical Terminology

Medical science is one of the most technical and complicated of all modern professional fields. It is, simultaneously, a field in which the potential consequences of human error can be catastrophic. Within the field, human error is more often attributable to breakdowns in communications of one form or another more than to any other cause of error (Taylor, Lillis, & LeMone, 2005). In that respect, medicine is not unique at all: other highly technical industries, particularly those in which the consequences of error can be extremely serious also rely as heavily on the precision and consistency of communications. Typical examples would include aviation, architecture, and construction. As is the case with medical error, major…. [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]

Future of Nursing in Texas Term Paper

… Future of Nursing in Texas

Like all other states in the U.S. Texas is on the brink of what many assume will be a disruptive nursing shortage (Texas Team, 2009). Nurses are the largest demographic portion of the health care delivery system, and they are in some way involved in the care of nearly every patient in need of care (Simmons, 2011). With a looming nursing shortage, with multiple causal factors including both the aging of the nurses themselves and the aging population, including the baby boomer population, that is likely to need advanced care more frequently in a system already stretched and with many disparities throughout many states including Texas are in need of improving these outcomes (Texas Team, 2009). The manner in which…. [read more]

Reflective Self-Help Book Analysis Research Paper

… Self-Help

Nursing, Holistic Health and the 7 Habits of Highly Effective People

This personal reflection on the Stephen Covey text, the 7 Habits of Highly Effective People, offers a basic overview of the text's thesis and supporting arguments. This includes discussion of the Paradigm shift called for by Covey, identification of the so-called '7 Habits' and delineation of major concepts such as primary and secondary greatness. Subsequently, the reflection draws a correlation between the Covey text and the philosophies driving the field of holistic health. This is followed by a discussion of the application of Covey's self-help text to the practice of nursing as well as to my personal approach to my nursing career.


Achieving success in one's career, in one's personal life and…. [read more]

Financial Management for Nurses Essay

… Working together, a more proactive and congenial model can work wonders in a hospital unit, it simply takes cooperation from all sides (Productivity Measures, 2008).


Productivity Measures in Need of an Image Overhaul. (July-August 2008). The Business of Caring. 4 (7): 1-15.

Anderson, S. (2007). Deadly Consequences: The Hidden Impact of Nursing Shortages. National Foundation for American Policy. Retrieved from:

Brown, M., ed. (1992). Nursing Management: Issues and Ideas. Gaithersburg, MD: Aspen Publishers.

Clark, J. (2005). Improving hospital budgeting and accountability: A best practice approach. Healthcare Finance Management. 59 (7): 78-83.

Finkler, S., et al. (2007). Financial Management for Nurse Managers and Executives. St. Louis, MO: Elsevier.

Hall, L., ed. (2005). Quality Work Environments for Nurse and Patient Safety. Sudbury, MA: Jones and…. [read more]

Training Scope of Training Large Essay

… Broad participation is the mechanism through which this is accomplished. Broad participation allows for involved in all levels of the company. Broad participation also adds value as it allows differing viewpoints to express their opinions in a comprehensive manner. With this involvement of employees comes a heightened sense of commitment and awareness. This awareness will ultimately lead to a more effective evaluation process in regards to training. More employees are now aware of the company's long-term growth objectives and can thus formulate methods in which to achieve them through proper evaluation and training. In addition, a feedback mechanism is created that allows management to communicate with senior executives on evaluation effectiveness.

To insure the success of the balanced evaluation approach three tactics must be strictly…. [read more]

Reality Shock and Nursing Research Paper

… In general, the ideas of utilitarianism and deontology may be used as a paradigm for the issue of reality shock for nurses. Deontology says that we cannot make the determination about actions only by looking at the result. To make this affective, the individual should find the motives that allow us to translate actions from simply the philosophical idea into reality. Utilitarianism is an outcome-based theory, focusing primarily on the results of an action. In this theory, an action is ethical if it produces the most good and the least harm for everyone affected by the action ("the greatest good for the greatest number."). Stated another way, an action is ethical if more of society benefits; the social benefits for society are the positives less…. [read more]

Duty of Care Essay

… Nurse Competency

Nursing Duty and Competency

The field of nursing is not as straightforward or as well-defined a practice as many outsiders might believe, but is actually a complex set of disciplines, knowledge areas, and practices that have a major and wide-reaching impact on overall medical practice. There are many responsibilities of nurses that are not directly related to medical needs and practices, but that focus instead on delivering a more holistic type of care to patients. Ultimately, it is the individual patient rather than their identified diseases, conditions, or symptoms that the nurse must treat, and this leads to specific duties of care and certain standards that, while not necessarily understood or appreciated outside the nursing industry, are essential to those that would become…. [read more]

Healthcare Term Paper

… Healthcare professionals know that they must exercise caution when human lives are equated with healthcare funds. Unfortunately, in many cases, the poor and elderly may be coerced into rejecting therapies to save money on the grounds of futility and poor quality of life. Still, poor quality of life is a point-of-view. Many chronically ill patients live full lives with satisfying relationships and accomplishments that may seem to be of poor quality to some, but the survivor is alive and enjoys a full life to the best of his ability. Healthcare professionals that place the importance of "doing good" above all else understand and respect the principles of justice.


When attempting to "do good" in the medical arena, healthcare professionals should take into account the…. [read more]

PICO Nursing Theory Informs Essay

… The preliminary research I have unearthed show an underlying pattern that conforms to Neuman's systems model. Research is culled from a wide variety of sources and data sets are international. Both qualitative and quantitative research reveals that catheterization can be viewed from the perspective of systems theory. Systems theory works to support my proposed solution, which is the development of a systematic action plan involving a team-based approach to personnel management. Without a systems theory approach, management and other human resources might not be taken into account when developing a solution to the problem.

I will incorporate Neuman's systems theory into my project by highlighting the various systems that interact: including systems unique to each patient (culture, family background, and psychological variables). There will also…. [read more]

Bed -Profit Health Care Organization Essay

… The hospital often receives referral of patients particularly from less established areas. The reason behind is that advance and complex treatments are not available in these less established areas. Referral hospitals operate at tertiary or secondary level.

Services at these hospitals are not specified particularly. However, every referral hospital offers different services depending on the availability of technology and resources.

Services offered at local referral hospitals are:

Emergency and general surgery

Gynaecology and obstetrics

Internal medicine


Other health care facilities according to the medical practices provided available in the country.

Services at tertiary hospitals include:

A highly intensive care unit

CT scanners and MRI's along with specialized diagnostics

Intensive care for specialized burns

Neurosurgery and other specialized ones

Gastroenterology, oncology and various medical specialities.…. [read more]

Addressing the Issue of Medical Errors With Mandatory Reporting Systems and Computer Technology Term Paper

… Healthcare: Addressing the Issue of Medical Errors


Addressing the Issue of Medical Errors with Mandatory

Reporting Systems and Computer Technology

To combat the current crisis of deaths due to preventable medical errors the health care industry and lawmakers have taken two approaches. The first is the implementation of a system of mandatory reporting systems. The solution is to crate an atmosphere in hospitals that fosters less blame, not more, according to the IOM report. A blue-ribbon pane appointed by the IOM argues that the failure to acknowledge and analyze mistakes deprives hospitals of important information that could help prevent similar mistakes in the future. However, many in the healthcare industry argue that mandatory reporting of errors will foster an atmosphere of lawsuits and backlash…. [read more]

Healthcare Organization Conflict Resolution Essay

… However, collaborating with nursing leadership is the best strategy to manage conflict within an organization. While the conflict management is critical for a smooth running of an organization, however, the contributions of nursing leaders are still essential in a conflict resolution. The best strategy to collaborate with the nursing leaders is to provide the detailed report of an aspect of conflicts within the organization. The report will include the sources of conflict, types of conflicts that are impeding the organizations, and the strategy for the conflict resolution. In the report addressed to the nursing leader, I will identify the causes of the conflict and resources that are lacking that are leading to the cause of conflict. Moreover, I will provide the recommendation to address the…. [read more]

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