...ever-changing profession that responds to diverse and complex issues of health maintenance, protection of patient safety, human rights, and dignity. Professional nurses are in a unique position as patient advocates, regardless of practice setting. Nurse’s face inherent ethical decisions making, and they are frequently involved in the ethical decisions both personally and professionally when ethical reason both for and against the choice are both equally desirable (Pierce, 1997). The ANA Code of Ethics with Interpretive Statements offers a statement for every professional nurse’s ethical obligations and duties, ethical standard, and commitment to society (ANA, 2001). Nurse must continuously meet standards of care and the ANA Code of Ethics and uphold fundamental legalities. Taking a closer look into the nurses ethical responsibility and fundamental legalities associated with direct patient care and as it would apply in the case study case study of patient Marianne, a 79 year-old female, who is admitted to the emergency department with hemorrhagic stroke, a grave prognosis of recovery and no advance directive. This paper will discuss legal responsibilities of the registered nurse as witness in a malpractice case of a nurse colleague found negligent in following standards of nursing practice. “The nurse’s primary commitment is to the patient who is the recipient of nursing care,” (Rushton, Dixon, & Wavra, 2005, p. 6). This quote applies to both nursing dilemmas discussed. The...
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...Linking Patient Satisfaction with Nursing Care ------------------------------------------------- Abstract ------------------------------------------------- This paper explores the linking of patient satisfaction with nursing care from three measurement instruments to include the BERNCA (Basel Extent of Rationing of Nursing Care) scale for rationing of care, the RPPE (Revised Professional Practice Environment) scale to explore nurses’ perceptions of their work environment and the Patient Satisfaction scale. This article suggests that there is a correlation between the variables among the organization and environment, care rationing and patient satisfaction that influence patient outcomes. (Papastavrou, Andreou, Tsangari, and Merkouris, 2014). It defines that rationing of nursing care appears as an organizational difficulty, associated with the way nurses perceive environmental constraints of practicing their profession and it is linked with patient outcomes such as patient satisfaction from nursing care. (Papastravrou, et al, 2014). ------------------------------------------------- ------------------------------------------------- Keywords: Nursing care, Rationing, Patient satisfaction, Professional environment ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ...
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...In this case study of a 78-year-old African American female, who lives with her husband Willie, in a rough part of town. Jane was admitted to hospice on December 23, 2017, for changes in the level of health-related illness. He had been living at home on hospice before going to the hospice facility. She had been living at home with her husband when he had hypertensive heart disease, acute or chronic systolic, unspecified atrial fibrilla, diabetes, major depressive disorder, cardiomyopathy, undefined, and angina pectoris, vague. There was some debate whether there had indeed been a change in the level of health-related issues. Jane, was currently not receiving the medication prescribed to her on a daily basis which caused some complication in...
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...Differences in Competences of ADN VS. BSN Nurse There have been studies that showed that investments in highly qualified and educated nurses produce better patient outcomes. A study of Magnet hospitals in Pennsylvania with higher proportion of baccalaureate prepared nurses revealed that patients in magnet hospitals had lower rate of inpatient death within 30 days and lower odds of failure-to-rescue compared with patients cared for in non-Magnet hospitals (Mc Hugh et al., 2012).Other studies observed the consequence of nursing practice; skills on cancer patients going through surgery showed that the educational level of a nurse has a vital impact on patient health. The BSN nurses were linked with lower mortality and failure-to-rescue rates confirming the view that if a higher proportion of staff nurses have at least a baccalaureate-level education; this would have a positive effect on a patient outcome, and will also reduce their stay in the hospital. ASSOCIATE NURSE VS. BACCALAUREATE NURSE Patient Case Scenario Using a patient case scenario, a known male hypertensive (high blood pressure) patient on medical floor may be reported by a medical assistant to have an elevated blood pressure after consuming 2 cups of coffee and have an argument with a family member. The ADN nursemaid repeat the BP and then proceed to medicate the patient while the BSN nurse may question and assess the patient further, taking into consideration his stressful situation and the stimulant...
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...Penetration of Nursing Research It is common nursing knowledge that patient quality of care is directly related to improved outcomes and is based on the safety of the patient. Nurses play a direct role in a patient’s quality of care, because nurses have the most direct contact with the patient. The issues that I noticed in each of the website’s evidence based practices (EBP’s) include nursing education level, staffing levels, working environments, and organizational policy/procedure and infrastructure. According to our Keele text (2007), nurses are expected to know and practice evidence based care to create the best outcome for the individual patient (Keele, 2007, p. 9). Nurses play a significant role in all patient outcomes due to their responsibilities for practicing and advocating for specific standards of practice outlined by EBP and defined within their scope of practice and the Nursing Code of Ethics. Therapeutical nursing practices include not just implementing treatments, but evaluating those treatments’ outcomes. Nursing research is essential in determining patient safety issues and improving patient outcomes due to the nurse being the closest point of care provider for the patient. It is the nurse’s observations that help direct and manage the path that a patient’s care may take. With the nurse as the closest observer of the patient, it only makes sense that nurses play the intricate role in the research of patient improvements or disparities, alike, especially since we are...
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...The purpose of this paper is to submit a case study of a single parent facing health choices with limited resources and apply the Health Psychology four key frameworks. Fatima is the young mother who is making the choice to first feed her family and in the process is not addressing her own health symptoms that may put her at risk for serious consequences. In this paper we will look at options in her decision making that may improve both her health and her children’s and improve the family health future. The strategies will be developed from the text of Dr. Jane Ogden in The Psychology of Health and Illness and the Dr. Robert M Kaplan, “Health Psychology: Where Are We And Where Do We Go From Here?” and with the insightful work by Dr. Gabor Mate in When the Body Says NO: Exploring the Stress-Disease Connection Fatima and Health Challenges of a Single Parent...
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...Health Care Susan Medhurst Grand Canyon University: HCA 515 10/5/2013 Unfortunately, there is no single form of identifying test that can tell you if you have Alzheimer’s or if you are just forgetful. For those patients dealing with other illnesses like thyroid problems, depression and other health problems, memory loss is a very common side effect to their illness, which makes identifying Alzheimer’s even more difficult (Alzheimer’s association, 2013). This disease often goes unnoticed until the patient has reached a moderate to advanced stage because of the commonality of the indicators in early stages such as forgetfulness of where you put your car keys (Alzheimer’s association, 2013). Currently over five-million American’s have Alzheimer’s. This number will begin to increase as the baby boomers age and life expectancy is extended. The risk of getting Alzheimer’s only increases as we age with number of people doubling every 5-year interval beyond the age of 65 (Alzheimer’s association, 2013). Case Study Eaton, a 72 year old male patient, was found roaming downtown Denver with no recollection of how he got there. Paramedics brought him to the hospital for evaluation. The patient presents with progressive memory loss, confusion, agitation, and doesn’t know his last name. Identification in his wallet helped the hospital staff contact his wife. Upon the wife’s arrival, the patient seemed distant and unable to identify his wife Ethel. After multiple tests, the Care Team...
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...ever-changing profession that responds to diverse and complex issues of health maintenance, protection of patient safety, human rights, and dignity. Professional nurses are in a unique position as patient advocates, regardless of practice setting. Nurse’s face inherent ethical decisions making, and they are frequently involved in the ethical decisions both personally and professionally when ethical reason both for and against the choice are both equally desirable (Pierce, 1997). The ANA Code of Ethics with Interpretive Statements offers a statement for every professional nurse’s ethical obligations and duties, ethical standard, and commitment to society (ANA, 2001). Nurse must continuously meet standards of care and the ANA Code of Ethics and uphold fundamental legalities. Taking a closer look into the nurses ethical responsibility and fundamental legalities associated with direct patient care and as it would apply in the case study case study of patient Marianne, a 79 year-old female, who is admitted to the emergency department with hemorrhagic stroke, a grave prognosis of recovery and no advance directive. This paper will discuss legal responsibilities of the registered nurse as witness in a malpractice case of a nurse colleague found negligent in following standards of nursing practice. “The nurse’s primary commitment is to the patient who is the recipient of nursing care,” (Rushton, Dixon, & Wavra, 2005, p. 6). This quote applies to both nursing dilemmas discussed. The...
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...educational background that focused on theory and leadership. The ADN degree program trains the nurse in task oriented clinical applications. This program came about during World War two when nurses were needed quickly to fill the demands the war was causing. As such, the ADN nurse is well qualified to care for patients direct care needs. On the other hand, BSN programs generally have a stronger emphasis on leadership and nursing theory. According to the Kaiser Family Foundation, there are currently 3,908,299 nurses in the U.S. workforce today. The nurse is most often the first health care professional the patient encounters when seeking treatment. This is a great responsibility bestowed on the nurse to carry when triaging a patient who could be in a life or death situation. The nurse works side by side with doctors, case management and social workers. The nurse many times needs to be aware of limitations in patient care due to the type of insurance a patient has or other legal obstacles. The BSN degree prepares the nurse to face these challenges to better take care of the patient. Todays health care setting is requiring more and more from the nurse than just knowledge of bedside care. This demand requires that the nurse have a solid educational background...
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...CV - Pamela Sue Jenkins Pamela Sue Jenkins BSN, RN, CPEN Home Address Work Address 119 Fieldcrest Drive 1600 Rockland Road Cochranville, PA 19330 Wilmington, DE 19899 610-998-0615 302.651.4183 E-mail: pedrn1985@gmail.com pjenkins@nemours.org Academic Preparation 2012 – Present Master of Science - Leadership Wilmington University & Education Wilson Graduate Center 31 Reads Way New Castle, DE 19720 1985 Bachelor of Science – Nursing Lebanon Valley College 101 N. College Avenue Annville, PA 17003-1400 1982 – 1985 Diploma in Nursing Bryn Mawr School of Nursing 130 S. Bryn Mawr Avenue Bryn Mawr, PA 19010 1980 – 1982 Associates Degree – Nursing Lebanon Valley College 101 N. College Avenue Annville, PA 17003-1400 Licenses DE Registered Professional Nurse (multi-state) L1 – 0036388 PA Registered Professional Nurse...
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...Communication Style Case Study Rosa Olivia Ramos HCS 350 November 12, 2012 Katherine Brewer Communication Style Case Study There are a variety of communication styles and some are better than others. I will analyze three scenarios and explain if a passive, assertive, aggressive, or passive-aggressive communication style was used. I will also discuss a personal experience where a passive communication style was used. I will discuss how I could improve the communication and how communicating effectively is important in the health care profession and to the outcome of this interaction. The first case study was about a nurse, Robin, who used an aggressive communication style toward Rashad, a healthcare assistant. During a team meeting, Robin stated that Rashad was just an aide who was to obey the RN’s and not think for himself. Robin spoke her mind, did not filter her thoughts, and was blunt. Her voice was raised and she embarrassed Rashad and belittled him in front of co-workers. Robin attacked Rashad in a hostile manner which makes her communication style aggressive. “Aggressive behavior is an encroachment or attack upon another and is almost always hostile in intent” (Hansten & Jackson, 2009, p. 281). Robin is being emotionally honest by verbally expressing what she actually feels, even though the unkind words may offend or hurt others. Rashad, in turn, displayed a passive communication style because he didn’t respond to her. He stayed quiet and instead started...
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...Case report: Paediatric Orthopaedic Clinic 1- What is capacity utilization at every step in the process? What is the direct resource utilization? Using the data provided in the case, we are able to compile all data necessary to compute the capacity utilization at the clinic. Activity | # of Staff | Available time | Activity time | Number of Patients | Time needed | Utilization10 | | | /Staff | Total | N | F | N | F | N | F | Total | | 1. Front Desk | | | | | | | | | | | | a. Registration | 3 | 180 | 540 | 5 | 5 | 32 | 48 | 160 | 240 | 400 | 74 % | b. Verification | 3 | 255 | 765 | 9 | 4 | 32 | 48 | 288 | 192 | 480 | 63 % | 2. Radiology Department | | | | | | | | | | | | a. X-ray imaging | 6 | 240 | 9603 | 11 | 11 | 32 | 40.8 | 352 | 448.8 | 800.8 | 83 % | b. Development of X-rat | -1 | 240 | 9604 | 7 | 7 | 32 | 40.8 | 224 | 285.6 | 509.6 | 53%8 | c. Diagnostic reading and comments | 3 | 240 | 4805 | 5 | 5 | 32 | 40.8 | 160 | 204 | 364 | 76% | 3. Hand-off X-ray to Clinic | | | | | | | | | | | | a. Collection of X-ray | 3 | 2556 | 7657 | 2 | 2 | 32 | 40.8 | 64 | 81.6 | 145.6 | 19% 9 | b. Filing/exam room prep | 1 | 255 | 255 | 2 | 2 | 32 | 48 | 64 | 96 | 160 | 63% | 4. Examination Room | | | | | | | | | | | | a. Surgeon | 1 | 255 | 255 | 7 | 4 | 32 | 14.4 | 224 | 57.6 | 281.6 | 110% | b. Resident | 1(2)2 | 255 | 255 | - | 7 | - | 33.6 | - | 235.2 | 235.2 | 92% | c. Cast technician...
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...Ethical and Legal Issues in Nursing Marianne, the 79-year old woman who presented with a hemorrhagic stroke in a recent case study, brings up thought for ethical debate. Her outlook is poor, with or without surgery, and she has no advanced directive. Her husband and children cannot come to an agreement on whether life support should end or if all resuscitative measures should be attempted. The following paper will discuss how the American Nurse’s Association Code of Nursing Ethics would influence a final decision, how personal and societal values can influence ethical decision making, the fundamental legal aspects of each case study, and the legal responsibilities of nurses in the work setting. Regardless of any situation that may arise, every nurse has a set standard in place that must be followed. These are nonnegotiable, ethical standards, obligations and duties that every individual swears to when entering the nursing profession. These standards are all found within the American Nurses Association’s code of Nursing Ethics and Conduct. Whether dealing with patients and families during end of life decision making or dealing with nursing negligence within the court of law, the first provision in the code of ethics is the most imperative to remember. Nurses are always obligated to their patient’s best interest, therefore making them an unrelenting patient advocate. Many provisions are pointed out within the Nursing Code of Ethics. In the situation of dealing with Marianne’s...
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...and econometric indicate positive effects of Direct-to-consumer advertising. Pharmaceutical promotion has such informative view to consumers and their physicians. Consumer ads is more effective at teaching consumers, expanding the celebrity of drugs and inducing physician's relationship with their patients. The studies also show that Direct-to-consumer advertising motivate complete consultation between patients and their doctors by re-teaching the patient with providing respect to the ads' message and patients' outlooks. Researchers and involved doctors prove that the efficacy...
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... In the case study, the nurse is facing ethical as well as professional dilemma regarding the patient’s rights. The nurse’s role in this case study is to, work according to the Maryland state regulations and nursing standards; But as per Maryland nursing standards, she is not working as an advocate for her patient, Mr. E at this situation (Code of Ethics - the Division of State Documents, 10.27.19.02). The patient already signed advanced directive against life saving measures almost seven years ago, at the time of admission to a nursing home, with the help of patient advocate; but Dr G. is planning patient care in opposition to Mr.E’s active advance directive and his expressed objections to the medical care. There are numerous issues to consider in this case study. The nurse has to review her professional role according to code of ethics and nursing standards in relation to advance directives and medical power of attorney. The nurse also has to consider the patient’s right to privacy and confidentiality according to HIPPA Policy. The issues in contemporary healthcare facilities are sometimes the statues can be vague, and issues can be in conflict with own personal beliefs in most areas. A) State Regulations and Nursing Standards of practice There are specific Maryland state regulations and nursing standards regarding patient rights in this case study. However, the most relevant regulation is that, the nurse...
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