...Improving Compliance to Treatment Plan in DM Patients Table of Contents Problem Identification 3 Literature Review 5 Critical Analysis and Evaluation of Literature 6 Formulation of Intervention Protocol for Clinical Problem 12 Proposed Intervention 12 Outcomes and Associated Evaluation Criteria 13 References 15 Appendix: Table 18 Improving Compliance to Treatment Plan in DM Patients INTRODUCTION The Centers for Disease Control and Prevention (CDC) (2011) identified diabetes mellitus (DM) as a major public health disorder in the United States that results in one’s shortage of insulin or...
Words: 5024 - Pages: 21
...The model suggested a practical approach to conceiving the need for change and then seeing it through to delivery. Office of the Nursing and Midwifery Services Director (ONMSD) has recognized leadership, support of excellence and building capacity in nursing and midwifery as priority areas for service development, and in this bond, ONMSD introduced a new National Clinical Leadership Development Framework for nurses and midwives in 2010.The Framework incorporated a clinical leader development pathway, which nurses and midwives could practise in order to develop core clinical leadership competencies, and a variety of resources for developing the competencies. The competencies for clinical leadership were: self-awareness; advocacy and empowerment; decision-making; communication; quality and safety; teamwork and clinical excellence. Whereas empirical interventions for expanding leadership and clinical leadership are supported in the literature (Proctor-Thompson, 2008); these include 360-degree feedback, executive coaching, mentoring, networking, job assignments and action learning (Day, 2001). Mentoring is seen as effective for developing leadership in context (Day, 2001) whereas, coaching is viewed as an...
Words: 605 - Pages: 3
...Nursing Interventions for Reducing the Stresses Experienced by Mechanically Ventilated Patients Teresa Perkins McKendree University Nursing Interventions for Reducing the Stresses Experienced by Mechanically Ventilated Patients Mechanically ventilated patients may experience increased levels of stress due to various environmental factors in the ICU. These include equipment/alarm noise, invasive nature of treatments and the inability to communicate verbally. These stressors can cause non-favorable effects such as increased anxiety levels which can subsequently lead to somatic reactions such as tachycardia, dyspnea, increased blood pressure and patient-ventilator dyssynchrony. Prolonged anxiety levels can also induce psychological effects such as increased fear and inhibitions. This can ultimately affect the patient’s overall capacity to cope with difficult emotions and situations (Richart-Martinez & Perpina-Galvan, 2009). These effects can lead to the need for more sedation which can hinder weaning attempts. The longer a patient is mechanically ventilated the greater the risk of developing Ventilator Associated Pneumonia, (VAP), and Adult Respiratory Distress Syndrome (ARDS). VAP is a pneumonia that develops 48 hours or longer after mechanical ventilation. It results from the invasion of the lower respiratory tract and lung parenchyma by microorganisms. Intubation compromises the integrity of the oropharynx and trachea and allows oral and gastric...
Words: 1268 - Pages: 6
...Management Focusing on Acute Pain: A Multidisciplinary Concept Analysis The concept of managing acute pain is extremely significant to nursing as pain is one of the most common problems for which patients seek out health care resources. Pain is a complex and abstract concept that encompasses sensory, emotional, psychological, social, and spiritual perceptions of pain that may occur in combination with physical pain. Pain is difficult to describe and often hard to measure; although, most healthcare providers agree that pain is subjective and is to be measured qualitatively and quantitatively as the patient perceives its intensity. Pain can affect the quality of life of the individual by impacting them physically, emotionally, and financially. Pain can also impact the family and support systems. The treatment of pain and the loss of income due to pain increases the costs for health care, the individual, and the population. Analyzing and clarifying the concept of managing acute pain can increase the healthcare provider’s knowledge of acute pain management, define the concept of managing acute pain, and expand the understanding of the concept of managing acute pain. The aim of this analysis is to clarify the defining attributes of managing acute pain, identify antecedents that influence the perception of pain and the possible consequences of acute pain. Review of Literature To increase the understanding of the concept of managing acute pain, it is important to explore the definitions...
Words: 4216 - Pages: 17
...Friedman Family Assessment The Friedman Family Assessment is a tool used to assess the “family as a whole, as part of the whole of society, and as an interaction system” (Lancaster & Stanhope, 2008, p. 569). The Friedman Family Assessment has certain assumptions for the families that are assessed with this tool. These assumptions include the families are “a social system with functional requirements, a small group possessing certain generic features common to all small groups, as a social system accomplishes functions that serve the individual and society, and individuals act in accordance with a set of internalized norms and values that are learned primarily in the family through socialization” (Lancaster & Stanhope, 2008, p. 569). The following is a Friedman Family Assessment of the Pedroza family. Identifying Data The Pedroza family resides in Temple City, California. The ethnicity of the family is that of mixed races that include Latin American and Hispanic. The family’s religious preference is Catholic. Their social class status is that of middle class. Their social class mobility recently changed as in the past two years, they have been recently renting a house in Temple City, California. Prior to residing in their rented house, they were living with a relative and sharing the property and household space. Developmental Stage and History of Family The Pedroza family is in Friedman’s Middle-Class North American Family Life Cycle stage three: Families with young...
Words: 1461 - Pages: 6
...Friedman Family Assessment Paper Family Dynamics Family dynamics can be very complicated. “According to Dr. Murray Bowen…families are complex units that are bonded by strong emotional connects. The ways in which members of the family interact with each other and in relation to the group as a whole are often referred to as family dynamics” (Bowles, 2011, para. 1). A following assessment of the BJ & BP’s family was completed using the Friedman Family Assessment Tool. History of Family BJ & BP meet at a mutual friend’s house in December 1999. They dated for almost two years before getting married on August 18, 2001. Their family is a blended family with three children CM, who is a 16-year-old girl, CJ. who is a seven-year old boy, and DM, who is a five- year old girl. The father, BP, is a 34-year-old Caucasian male of American Irish Catholic descent who has been working as a truck-driver for US Gas Company since 2006. During BP’s childhood he lived with his mother, then father, and then his grandparents and never received his high school diploma or GED. The mother, BJ, is also 34-year-old American Caucasian of mixed heritage. BJ was a teen mom delivering her 1st daughter, CM, one month before her 18th birthday. BJ and CM’s father were married in July, prior to CM’s birth, after BJ graduated from high school. BJ and CM”s father divorced 4 years later. After the divorce BJ and CM lived with BJ’s mother for two years before BJ and BP married. BJ currently works at the Secretary...
Words: 1311 - Pages: 6
...the quality of care the nurse must be able to put knowledge into action. Therefore, all evidence-based nursing practices first began as theories. Nevertheless, Taylor (2007) explains nursing professors often find it difficult to translate didactic lecturing knowledge into clinical practice for the students (Chan et al., 2011, p. 1139). Nurses work in a complex setting and the scenarios are fluid at times. Moreover, the clinical setting may differ slightly from the information delivered in lecture and the textbook and applying nursing theories to practice presents a challenge for some students and instructors. However, application of nursing knowledge gained from the classroom to clinical instruction is a major focus of the student (Chan et al., 2011, p. 1047). Chan et al. (2011), believes that clinical instructors need more development with integrating the clinical practice, critical thinking skills and nursing process or problem-solving skills (p. 1047). There’s no one solution to caring for individuals with compromised health issues. According to Rich and Butts (2018), theory and practice are inseparable; they used an analogy of a human without a...
Words: 1320 - Pages: 6
...National competency standards for the registered nurse Introduction • • returning to work after breaks in service, or • National competency standards for registered nurses were first adopted by the Australian Nursing and Midwifery Council (ANMC) in the early 1990s. The ANMC was a peak national and midwifery organisation established in 1992 to develop a national approach to nursing and midwifery regulation. The ANMC worked in conjunction with the state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework – to help nurses and midwives deliver safe and competent care. educated overseas seeking to work in Australia involved in professional conduct matters. The National Board may also apply the competency standards in order to communicate to consumers the standards that they can expect from nurses. Universities also use the standards when developing nursing curricula, and to assess student and new graduate performance. The ANMC officially became the Australian Nursing and Midwifery Accreditation Council (ANMAC) on 24 November 2010. The name change reflected ANMC’s appointment as the independent accrediting authority for the nursing and midwifery professions under the new National Registration and Accreditation Scheme (the National Scheme) that came into effect on 1 July 2010 (18 October 2010 in Western Australia). These are YOUR standards — developed...
Words: 5094 - Pages: 21
...Task 1 Nursing-sensitive Indicators Nursing- sensitive indicators are defined as those outcomes that improve in the presence of greater quantity(higher staffing ratios) or quality(educational levels and competence of nursing staff) of nursing care (www.nursingworld.org). These nursing-sensitive measures help healthcare organizations to analyze the quality and quantity of nursing care services. (www.americansentinel.edu )Nursing sensitive-indicators (NSIs) are characterized by measures that are in the realm of nurses to improve and control. According to the website www.nursingworld.org , in 1998, the National Database of Nursing Quality Indicators was established by the ANA so that nurses would have a national benchmark to reach they can compare the outcomes. This has given the profession of nursing a solid core of benchmark capital nursing sensitive indicators that are totally nursing care dependent. This database provides benchmark performance with which the individual healthcare institution can compare its performance to similar institutions across the nation. These nursing sensitive indicators result in patient outcomes that are influenced by nursing care decisions and actions. Research has indicated that patient outcomes improve, complications and mortality are reduced, costs can be reduced, and patient and professional nurse satisfaction can be enhanced with strong performance on nursing-sensitive indicators. These patient outcomes may not because the nursing but is associated...
Words: 2915 - Pages: 12
...patients that receive telehealth nursing services have better health outcomes than those that do not receive this care. Once patients leave a healthcare setting they are usually on their own to care for themselves and follow physicians’ recommendations for health promotion and maintenance. One of the problems has been that patients too often do not follow the prescribed care practices as they should, which leads to recurrent hospitalizations and an increased mortality rate from preventable causes (Schlachta-Fairchild, Elfrink, & Deickman, 2008). A study conducted by a group of doctorate nurses and a physician revealed that when individuals receive telehealth nursing in the form of coaching related to their disease process (this study was on diabetics), there is “Sustained improvements in self-efficacy…” (Young et al., 2014, p. 832). Thereby showing that improving a patient’s ability to care for themselves leads to an improvement in desired overall health outcomes. Improved Satisfaction...
Words: 567 - Pages: 3
...Title: Core Competencies Necessary for the APN Role Development. Name: Course: Institution: Date: Interview with an Advanced Practice Nurse Introduction Interview with APN/CNP, Diane John Diane John, APN/CNP is a nurse practitioner at Health land, a Hawaii center for the public. She has devoted 30 years to her nursing career. She has worked as a nurse in a medical intensive care unit and as a research nurse in the study in the intensive care unit. She has been a Female Nurse Practitioner for the past 20 years where she started out as a midwife at wife care center, where she provided midwife services to women. Rationale for an engaged interview process The reason for this interview is to find out Competencies necessary for APN role development and also to get some background information of a nurse leader on a one on one basis. This information will be important because it will help us to develop leadership skills in the field of nursing. About the Diane John APN leader Diane John, APN/CNP is an attendant specialist at Health land, a Hawaii community for the general population. She has dedicated 30 years to her nursing profession. She has filled in as an attendant in a restorative emergency unit as a examination nurture in the study in the emergency unit. Interview What is the CNS nurse? The CNS is a practice for preparing advance practice nurses to be part of the clinical practice team where you work together with doctors to provide service to patients.Bringing knowledge into...
Words: 1883 - Pages: 8
...Phoenix Nursing 587/Leadership and Management in Nursing and Healthcare Marcia Lyles, MSN, EDD, PhD. January 5, 2006 Personal Leadership Development Plan It has been my experience that health care professionals as well as consumers are becoming more verbal about the inadequacies of the health care system. It is clear that improvement is necessary. There are many roads to improvement of the system, one of which is the proper use of the Advance Nurse Practitioner. With this role properly developed, the Advanced Nurse Practitioner can effect many changes both in and out of the hospital setting. It is for this reason that I chose to advance my practice as a nurse. As an advanced practice clinician, I will be able to make a difference in the community by contributing to the enlargement of the primary care workforce to meet the population’s primary care needs. Within the next five years, I view myself in an advanced practice role, that of a Nurse Practitioner serving the adult population in an outpatient clinical setting. As an advanced practice clinician and leader, my efforts will be directed at ensuring that effective health care is provided to the patients that will result in improved quality and health outcomes. At the local level, I will have a strong influence on my team in my area of clinical practice. This involves identifying the steps required to develop excellence in care for a group of patients such as skilled assessments, research-based interventions and the...
Words: 1400 - Pages: 6
...Accomplishing Goals Introduction SMART goals express behaviors that are observable and measurable in a way that is easy to determine if the goal has been met or not (Koutoukidis, Stainton & Hughson, 2013). Leadership and organizational skills are essential skills for all qualified healthcare professionals and have a pivotal role in ensuring a delivery of high standards of care. My leadership development goal is to improve my leadership skills to become a better leader while working in the labor and delivery (L&D) department. Being a new nurse I lack the experience compared to my fellow co-workers as outstanding leaders. I desire the qualities of a leader that has the ability to be a strong positive influence for others that can motivate, empower and challenge other staff members. So my leadership goal in L&D is very important to personally achieve. My organizational goal is to facilitate prenatal education to pregnant women of all ages of the importance and benefits for skin to skin after delivery to enhance breastfeeding. Choosing this goal I can help new mothers and babies bond while helping to enhance the baby’s natural reflexes to breastfeed being skin to skin. Goal 1: Leadership Development My goal is to improve my leadership skills as a leader and by doing so I will work on modeling the qualities of a leader and keep an upbeat, optimistic attitude that serves as a source of inspiration for my coworkers. I must be responsible, learn to be flexible, and work on communication...
Words: 1617 - Pages: 7
...Existential counselling is a philosophical form of counselling which addresses the situation of a person's life and situates the person firmly within the predictable challenges of the human condition. Existential counselling considers human living to take place within four dimensions: physical, social, psychological and spiritual. It shows each of these dimensions to be constituted like a force field, within which predictable paradoxes, tensions and dilemmas play out. Human beings can learn to deal with these tensions and conflicts more effectively by facing up to the negatives as well as the positives of their lives, including the tensions of life and death, love and hate, strength and weakness and meaning and absurdity. Best known authors on existential counselling are Irvin Yalom in the USA through his book Existential Psychotherapy (1981) New York: Basic Books and Emmy van Deurzen, who created the British School and who published her bookExistential Counselling and Psychotherapy in 1988 (London: Sage Publications; second edition 2002, third edition 2011). Existential therapy essentially helps deal with the problems of everyday living, such as relationship difficulties (both with Individuals & in Couple Therapy), anxiety/fear, food/body-image issues, addictions, mood disorders, social anxiety, panic, trauma, low self-esteem, unresolved childhood issues, sexual issues and others. It is a clear, direct and honest approach helping clients work on their particular, unique...
Words: 1485 - Pages: 6
...Head: BENNER ANALYSIS PAPER Benner Analysis Paper This paper will discuss the functions of caring within the nursing practice, as well as my own personal views regarding caring. I will review the Benner model of Clinical Nursing and the Dreyfus Model of Skill Acquisition in relationship to my own personal skills. I will identify my competencies within each domain of the Benner Model. I will reflect upon my own personal nursing practice in terms of my strengths and weaknesses. Also included will be a discussion of my own professional goals, areas of improvement needed within my practice and solutions for how I can improve in order to help me achieve these personal goals. Caring To me caring and nursing go hand in hand. Caring is an essential part of nursing. As nurses we come in contact with patients having surgical interventions or medical issues or are sometimes are going through a major health event in their life. Patients that have a health event need us nurses to listen and provide comfort whether it be giving pain medications, providing a quiet environment or just listening and letting the patient talk about their illness, anxieties or fears that they are feeling. So many times throughout my career I have seen nurses simply take care of their patients needs but when I was doing staff nursing I was really into it. Some nurses simply go through the motions that a nurse would do and they are detached and have a non caring attitude...
Words: 3710 - Pages: 15
