...Concept Analysis Assignment Grand Canyon University Theoretical Foundations for Nursing Roles and Practice NUR 502 Ms. Maria Mendez June 13, 2013 Concept Analysis Assignment Today’s nursing profession encompasses a variety of specialties and disciplines that demonstrate a wide range of phenomena. According to McEwin and Willis, in clinical practice, those phenomenon that are frequently seen aid advanced practice nurses in developing interventions and clinical protocols because they are said to be stable and reliable components of the practical nursing experience (McEwin & Willis, 2011, p. 47). The observed phenomena may or may not have had research studies associated with them in the past to concretely define them, and therefore the notion of concept development and analysis arose to clarify the meanings of the phenomena encountered in one’s practical setting. McEwin and Ellis define concepts as “terms that refer to phenomena that occur in nature and thought” (McEwin & Willis, 2011, p. 47). Furthermore, concepts can be concrete, nonconcrete, variable, and non-variable in manner and described in words or phrases. Concept analysis is utilized to clarify vague concepts in nursing that may be overused and unclear and also to promote a mutual understanding amongst colleagues (Falan, 2010). For the purpose of this assignment, an article found in the Scandinavian Journal of Caring Sciences regarding the concept of abuse in healthcare was selected for concept analysis...
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...practice in therapeutic health care Objective: What evidence-based practice is About a 5-step approach to evidence-based practice To discuss evidence hierarchies and evidence quality To apply the evidence to current practice To provide a case study for a therapy question To provide a case study for a diagnostic question Key terms: Clinical practice guidelines Evidence-based practice Randomised controlled trial Systematic review Evidence-based practice: the use of best research evidence, along with clinical expertise, available resources and the patient's preferences to determine the optimal management option in a specific situation. Randomised controlled trail: a clinical trail where participants are randomly assigned to groups in order to receive different interventions. This randomization removes many of the effects that may bias the true result. Systematic review: a comprehensive identification and synthesis of the available literature on a specified topic. Clinical practice guidelines: systematically developed statements that assist the health professional and the patient to make decisions about what is the appropriate health care in specific circumstances. Critical summaries (systemic reviews and clinical practice guidelines) now provide practitioners with readily accessible access to research evidence. The availability of theses documents on the web means that patients have almost as much access to the 'critical summaries' as their doctors. ...
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...approximately 250 million people affected by type 2 diabetes mellitus worldwide (1). Although the primary factors causing this disease are unknown, it is clear that insulin resistance plays a major role in its development. Evidence for this comes from (a) the presence of insulin resistance 10–20 years before the onset of the disease (2, 3); (b) cross-sectional studies demonstrating that insulin resistance is a consistent finding in patients with type 2 diabetes (3–6); and (c) prospective studies demonstrating that insulin resistance is the best predictor of whether or not an individual will later become diabetic (2, 3). Here, I focus on some recent advances in our understanding of human insulin resistance that have been made using nuclear magnetic resonance spectroscopy (NMR). This technique takes advantage of the spin properties of the nuclei of certain isotopes, such as 1H, 13C, and 31P, which endow the isotopes with a magnetic component that can be used to measure the concentration of intracellular metabolites noninvasively and to assess biochemical differences between normal and diabetic subjects. Drawing on NMR studies from my laboratory and others, I first consider the control of glucose phosphorylation and transport in regulating muscle...
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...evidence based best practices into nursing care. As referred to in the article, each stage of the process must be thoroughly examined and this article walks the inexperienced nurse through the process. Duffy, J. R. (2005). Critically appraising quantitative research. Nursing & Health Sciences, 7(4), 281-283. doi:10.1111/j.1442-2018.2005.00248.x Critical appraisal of quantitative research is important to evidence-based practice. It allows a clinician to determine whether a study is scientifically rigorous. This article describes critical appraisal as a careful process of judging the worth of a quantitative study that guide clinical decisions, as well as a structured approach for understanding the strengths and weaknesses of a study. The author describes the process of implementing research appraisal. The author also provides multiple links to critical appraisal tools. Flemming, K. (2010). Synthesis of quantitative and qualitative research: an example using Critical Interpretive Synthesis. Journal Of Advanced Nursing, 66(1), 201-217. doi:10.1111/j.1365-2648.2009.05173.x This...
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...adults over the age of 18 suffer from some type of diagnosable mental disorder in a given year (The Numbers Count: Mental Disorders in America). Almost half of that also meet criteria for 2 or more disorders, with severity strongly related to comorbidity. Mental disorders are diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) here in the U.S. The DSM-IV-TR explains that a multiaxial system involves an assessment on several axes, which refer to a different domain of information that may help the clinician plan treatment and possibly predict the outcome (Association, 2000). The five axes included in the DSM-IV multi-axial classification are as listed: * Axis I: Clinical Disorders and Other Conditions That Need Clinical Attention. * Axis II: Personality Disorders and Mental Retardation. * Axis III: General Medical Conditions. * Axis IV: Psychosocial and Environmental Problems * Axis V: Global Assessment of Functioning Scale (GAF). As stated in the DSM-IV-TR “the Global Assessment of Functioning Scale is a 100-point scale that measures a person’s overall level of psychological, social, and occupational functioning on a continuum” (Association, 2000). Schizophrenia is a chronic, disabling mental illness characterized by a wide range of symptoms, including: abnormal thinking, loss of contact with reality, and hallucinations. This illness usually starts in late adolescence or early adulthood,...
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...XXXX-XXXXX XXXXXXXXX RECOGNIZING AND ACTING ON CLINICAL DETERIORATION Assignment NUR2100 Due date: April 29, 2013 Computer word count: 1,913 XXXX-XXXXX XXXXXXXXX RECOGNIZING AND ACTING ON CLINICAL DETERIORATION Introduction Nursing has always been a profession that embraces diversity towards rendering holistic patient care. However, with the constant changes in nursing practice; patient safety has been at risk due to nurse’s competence towards detecting impending patient deterioration that may lead to further complications or even death. It is said that the most important practical lesson that can be given to nurses, is to teach them what to observe (Nightingale 1969). Having the ability to observe and interpret critical situations are the essential key features applied in clinical practice. Effective observation of ward patients is the first step in identifying the deteriorating patient and effectively managing their care (Odell, Victor & Oliver 2009, p. 1993). Studies have shown that poor vital sign recording, lack of knowledge, failure to respond to abnormal signs, lack of knowledge, lack of supervision and failure to report deterioration or seek advice, have all contributed to the suboptimal care of ward patients (Odell, Victor & Oliver, cited in McGloin et al. 1999; McQuilla et al. 1998; Smith & Wood 1998; Hodgetts et al. 2002, p. 1993). With constant observation established, patient safety is implemented and surveillance is then incorporated to be able to...
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...1 Student Number: 42858798 Module PYC 4807 Assignment 1 Title: Developing a Psychological Measure. 2 Contents Page Title Page 1. Introduction : What is Psychological Testing 2. Development of Psychological Measure 2.1 The planning phase 2.2 Item Writing 2.3 Assembly and Pretesting of measure 2.4 Item Analysis 2.5 Standardisation of the Final version 2.6 Technical Evaluation and establishing norms 2.7 Publishing and ongoing refinement Cross Cultural test adaptation 3. 3.1 Initial Translation 3.2 Synthesis of the Translation 3.3 Back Translation 3.4 Expert Committee 3.5 Test of the prefinal version 3.6 Submission of Documentation 4. Conclusion 5. References 1 3 4 5 6 6 7 8 9 10 11 11 11 12 12 12 13 14 3 1. Introduction: What is Psychological Testing Psychological testing refers to the administration of psychological tests. A psychological test is an objective and standardized measure of sample behaviour . The term sample of behaviour refers to an individual s performance on tasks that have usually been prescribed beforehand. The samples of behaviour that make up a paper and pencil test, the most common type of test, are a series of items. Performances on these items produce a test score. A score on a well constructed test is believed to reflect a psychological construct such as achievement in a school subject , cognitive ability , aptitude, emotional functioning, personality , etc. differences in test...
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... Thesis: The present paper provides the analysis of the systematic review “A systematic review of nurses’ inter-shift handoff reports in acute care hospitals” by Poletick & Holly (2010). The influence of this review on clinical practice is discussed. The article “A systematic review of nurses’ inter-shift handoff reports in acute care hospitals” by Poletick & Holly (2010) provides the systematic review of the handoff reports between and among the nurses which ensure the quality exchange of information for the improved health care service. The continuity of care is the major concern for nurses, and the procedure of patient care transfer should take that into account. The objective of the review was stated clearly and mentioned the appraisal and synthesis of the qualitative evidence related to the nursing handoff report. Moreover, the authors aimed at recommending the improvements which would facilitate and enhance the information transfer. by reviewing the qualitative studies which dealt with the real experience of nurses with their inter-shift handoff reports. As the authors admit, this is likely to contribute to the improvement of the patient care. The conclusion on the potential impact of the article on clinical practice is made. The problem which this article concentrates on is the continuity of care in the inter-shift handoff reports in acute care hospitals. The authors regarded the problem from the point of view of the practicing...
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...prior academic research so as to identify the who, what, where, and whys’ of the chosen topic area. You may or may not have conducted what some academics call a preliminary study – a brief search into the existing academic work in your chosen topic. After all, for some students carrying out primary research it’s vital that their work has never been carried out before and these initial studies are crucial when identifying a unique topic for research. In some subject areas, it may be difficult, if not impossible to identify areas for primary research and therefore a preliminary study may not be necessary (secondary research is usually carried out as a result). Whatever the starting point, the literature review forms one of the first major pieces of work in a dissertation. There are several main reasons why you would undertake a literature review. The first is to enable you, the author, to become absolutely clear on what it is you have chosen to research and study. By understanding other academic literature you can gain an understanding of what has been and is currently being researched. This will help with your own work by identifying windows of opportunity and helping to cement your research questions. For some subjects you may find there has not been much prior research in your field of study, in which case your literature review will have to be less specific and the academic net in which you search will have to be thrown further. The second reason for carrying out a critical review...
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...Synthesis of Bariatric Surgery and the Effects on Comorbidities Abstract This synthesis of literature provides a summary of the data that has been collected over the years through experimentation, literature reviews, qualitative research, and the results that have been construed from that data will be presented. It discusses the concept of the effects of bariatric surgery and answers the question - do people who have the surgery have better health outcomes, specifically with hypertension and type II diabetes mellitus, than those who do not? A summary of research reveals that there is a significant reduction and/or total remission of both of these co-morbidities that were often life long. Other benefits, such as quality of life, social standings, and healthcare cost reduction are examined and positively reported. Review of current data to include strengths and weaknesses, conceptual frameworks, and the current state of knowledge reveal that bariatric procedures have shown the efficacy and safety in the treatment of morbid obesity and have gained wider acceptance in the medical world. Synthesis of Bariatric Surgery and the Effects on Comorbidities For years people have turned to diets in an effort to lose weight and get healthier. At no time has that been more the case than in America today. People spend billions of dollars a year trying to lose weight and the numbers are not encouraging. The prevalence in obesity with related Type...
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...most of the bill going toward pharmacy costs. As an example, the price of a low dose of amitriptyline for the management of chronic pain for 1 month is probably not much more than that of a cappuccino in a fancy bistro. In contrast, the savings on newer molecules introduced immediately after patent expiration are not that considerable. This is, in part, due to the fact that generic companies, like brand companies, are in the business to make money. In addition, the chemical synthesis of some medications may be quite cumbersome and expensive. For instance, generic companies stayed away from making the commonly used antibiotic cefaclor because its synthesis involves an intermediate that is explosive. After a patent for an original medication has expired, companies producing generics initially have to present data showing that their product has 80%–125% bioavailability of the original drug. Variations within that range for most illnesses and most patients probably have no clinical consequences. In some cases, however, a switch to a generic will produce a significant difference in the control of a disorder, for instance, in the management of epilepsy when the outcome is not a mere alteration of a biochemical parameter. The change can be quite obvious indeed. In the management of high blood pressure, whereby the primary target parameter can easily be monitored by the patient at no cost, the loss of adequate control can be easily documented. In the United States, some health management...
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...In a case in which an individual reported having used Natural Sterol Complex for eight weeks, he indicated that the product has enabled him to acquire hard muscles and high energy. Another individual who indicated to have used the product for years reported that the use of Natural Sterol Complex resulted in increased muscle mass and enormous energy and also enable to shed extra fat. In another report from an individual who claimed to have used the product for one year, Natural Sterol Complex is reported to cause a gradual increase in the mass and efficient reduction in the body fat. The report, however, indicates that one should watch the diet used and should regularly workout to get the full benefit of the product. Another individual who reported...
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...MSc Biotechnology, Bioprocessing & Business Management 2014/15 Module name and number Fundamentals of Biotechnology: BS934 Assignment title Antimicrobials Student Number 1464986 Word Count 2470 The article will initially cover conventional antibiotics and how their abuse led to antibiotic resistance in bacteria. Alternative antimicrobials will be reviewed by taking into consideration their mechanisms of action and how they can represent a viable option to address the issue of antibiotic resistance. Antimicrobial Background ------------------------------------------------- Figure 1: Structure of penicillin and β-lactam ring (Adapted from LNLS, 2013) ------------------------------------------------- Figure 1: Structure of penicillin and β-lactam ring (Adapted from LNLS, 2013) Antimicrobials are substances that kill or suppress microorganisms such as bacteria, fungi and viruses (EPA, 2014). The first evidence of antimicrobials dates back to the Egyptians who used mouldy bread to treat surface infections (Wainwright, 1989). At the beginning of the 20th century, Paul Ehrlich synthesized the first antimicrobial agent known as Salvarsan, a drug used for treating syphilis (Aminov, 2010). Successively Alexander Fleming discovered penicillin by noticing that the growth of Staphylococcus aureus was inhibited in presence of the mold produced by Penicillium fungi. This led to the conclusion that microorganisms produce substances to limit...
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...Vitamin B12 is a water soluble vitamin commonly present in animal protein. It is important for DNA synthesis, synthesis of neurotransmitters, formation of myelin sheath and erythropoiesis [3]. Daily requirement of vitamin B12 is approximately 1 to 2 mcg [4]. Vitamin B12 deficiency commonly occurs due to insufficient dietary intake or poor absorption from gastrointestinal tract. Dietary deficiency is usually seen in vegans, alcoholics and elderly people,[5] whereas malabsorption may occurs in patients suffering from hypochlorhydria, decreased output of gastric intrinsic factor or disorders of small intestines[6]. Further the requirements of vitamin B12 are increased in case of pregnant and breast feeding women, patients with autoimmune disorders, or persons with HIV infection which puts them at high risk for...
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...providing safe patient care. Toward that end, nursing education programs develop curricula, hire qualified faculty, and select learning experiences for students in an effort to train and graduate competent, effective nurses. The instructional strategies utilized in both didactic and clinical components of nursing education courses are highly influential in determining critical thinking and clinical decisionmaking ability as well as in developing the psychomotor skill performance of new graduates. Of course, it is unrealistic to think that graduates of nursing education programs have received all the training they need when they depart the doors of academia. Orientation programs for new graduates and continuing education for nurses are essential tools to help practitioners improve their knowledge, skills, and expertise so that quality patient care is provided and outcomes are optimized while errors are minimized. Ongoing evaluation of nursing competence is necessary to promote patient safety. In the Institute of Medicine (IOM) report, To Err is Human: Building a Safer Health Care System, simulation training is recommended as one strategy that can be used to prevent errors in the clinical setting.1 The report states that “… health care organizations and teaching institutions should participate in the development and use of simulation for training...
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