...hospital setting in medication administration safety, basic nursing skills, critical thinking skills, evidence-based practice, core measures, and providing effective and holistic nursing care. My goals as a nurse is to build a trusting relationship with my patients and promote the patient’s sense of control in order to attain quality, holistic health. These goals are very similar with my ACC students. As I assist in teaching them how to reach their potential as a future nurse, I want us to trust each other, and I want them to be autonomous in researching answers themselves to provide quality care. My nursing care before this class was more focused on evidence-based practice since I did not consciously incorporate theory into my bedside practice. This personal framework paper will review my personal values, beliefs, and nursing philosophy in relation to my bedside nursing practice and medication assistant position. I will describe Erickson, Tomlin, and Swain’s Modeling and Role Modeling Theory (MRMT) and how it applies to the nursing metaparadigm and my nursing practice. I will further compare and contrast the theory of Modeling and Role Modeling to my philosophy and approach to nursing, and describe a situation in which my framework could have been applied. Philosophy Empiricism is a philosophy that views reason, predictability, and explanation are key to knowing the truth and proving why a phenomenon occurs. Knowledge and beliefs are obtained through evidence and experience...
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...Evidence Based Practices for Infection Control in Immunocompromised Patients Diane Scott My rationale for choosing this subject is since many people in the hospital have a compromised immune system and they need to be protected from opportunistic infections. As a nursing student, I am responsible for making sure that I do not cause cross contamination. My question is “What are evidence based methods to prevent opportunistic infections in patients with a compromised immune system?” Since one of my sources addresses neutropenia, it is necessary to explain the disorder and how it relates to my question. Information about neutropenia was obtained from an article named Neutropenia: A Diagnostic Approach from the Western Journal of Medicine. The two authors are doctors and this article is based on evidence-based case review. Neutropenia is a somewhat common condition in which the level of neutrophils in the blood is abnormally low (Montgomery and Munshi, 2000, para. 1). An immune system becomes compromised when it does not have an adequate number of neutrophils and my question concerns patients who have a compromised immune system. Some causes of neutropenia include chemotherapy, viral or bacterial infections, adverse drug reactions and autoimmune disorders, such as AIDS (Montgomery and Munshi, 2000). Another source is a peer reviewed article named Neutropenia: State of the Knowledge Part II. The main author of this article is Nirenberg, but she had input...
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...Reflective Outline and discuss a clinical audit that you have undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection. Word Count (2197) During the course of this piece of work, it is my intention to outline and discuss a clinical audit that I undertook into one aspect of care delivery and reflect upon the experience using Driscoll’s model of structured reflection (Driscoll, 2000). The audit, which focused upon the completion of prescription cards, was undertaken during my recent clinical practice placement at Holcroft, a twenty four bed mental health residential unit, situated in the North West of England. In addition to providing a summary of the exercise itself, I would also hope to explore the relationship between the clinical audit process and the wider framework for quality improvement in healthcare. The development of regulation and clinical governance systems in the United Kingdom will also be addressed as will the administration of medication as a significant element of nursing practice. Where necessary, use will be made of academic, research and other evidence based material to underscore or augment specific issues or indeed illustrate examples of good clinical practice. The Nursing and Midwifery Council (NMC) standards for conduct, performance and ethics (NMC, 2004) have been diligently applied in the construction of this assignment. Pseudonyms will therefore be used to ensure staff and patient...
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...2014). Before this course I had little exposure to nursing theory and its application in the clinical realm. I knew things were done a certain way but truly did not know the origin of the ideas that influenced current nursing care. During the completion of my BSN degree, I grasped a basic concept of nursing theory and studied the major theorist involved. It has been very enlightening to view nursing theory in another dimension and study the clinical implication of its integration in practice during this course. In the following analysis I will seek to establish the importance of nursing theory and its application. I will discuss Virginia Henderson’s theory of need nursing and the application of its key concepts into practice. I will also establish important aspects of her theory and how they apply to the nursing metaparadigm. The analysis will also address the relationship between Henderson’s views and nursing informatics. Overall the influence of theory and its application in nursing will be thoroughly discussed. The Value of Nursing Theory Throughout time, the nursing profession has been influenced by nursing theory. Nursing theory has contributed to the expansion of nursing care and its proper application in the clinical realm. Nursing practice is more clearly understood and developed through the use of nursing theory. Theory fosters critical thinking and provides nurses with an expanded insight (Aghebati, Mohammadi, Ahmadi & Noaparast, 2015). The development of nursing...
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...treatment and prevention. This, along with other factors, creates poor patient care and vast costs to the pertinent facilities. The solution is to have interprofessional collaboration. The utilization of current advanced practice nursing staff as a resource for floor nurses and other involved healthcare workers is a must. This would obtain certification in wound care and be responsible for the ongoing continued education for wound prevention, monitoring and maintenance. The staff will be educated and trained at quarterly intervals on wound identification, staging, prevention, maintenance and monitoring. Key words: wound care, evaluation, pressure ulcers, multidisciplinary, specialist, evidence The Significance of Having a Multidisciplinary Team 4 Problem Identified The Centers for Medicare & Medicaid Services (CMS) declared in October of 2008 that it will no longer provide reimbursement for hospital acquired pressure ulcers (HAPUs) because it is a preventable occurrence (CMS, 2014). Even though the percentages of occurrences have declined since then, HAPUs continue to cause financial strain on institutions (estimated $9.1- $11.6 billion dollars loss annually) (Leaf Healthcare Inc., 2014). Nurses are in a position to decrease these numbers but barriers remain. Staff nurses in acute care settings, as well as hospital based transitional units provide care for patients with multiple diagnoses. These nurses are required to identify...
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...question every nursing student asks is why a baccalaureate degree? How does this make me more valuable than a nurse receiving an associate’s degree? Does this make me a better nurse and why? These questions are posed all the time and the debate between both degrees continues. This paper will show the differences in both degree’s, point out how it is important to keep up with the competitive edge in healthcare, why it is so driven by education, and how the different levels of degrees impacts patient care. Both baccalaureate prepared RN’s and associate prepared RN’s is that both take the NCLEX exam, which is looking for a minimum safe competency level. The associate degree takes two years and 72 credits to complete. The baccalaureate degree builds on that base and takes four years and 125 credits. The main difference in these two programs is how they are prepared for the scope of practice, and the different levels of education they receive in community health and leadership skills. (Moore, 2009) Students who enter the associates degree in nursing (ADN) program focus on the pathophysiology of the disease process and how it affects the patient. The primary focus is on building competencies surrounding direct patient care. ADN practice is limited to the hospitals, long term facilities, physician office and other health community’s. They are taught only the basic leadership skills and are very task orientated in their practice. Academic focus is on clinical preparation to learn the technical...
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...According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients. How do you see this being applied in your workplace? In my workplace, we have recently implemented that if a patient is admitted from the ER or directly admitted from a physician’s office and they have any sensory impairment we must order them a “Stryker” overlay mattress. The stryker softcare overlay mattress is a single patient use mattress put in place in hope of preventing pressure ulcers. The mattress works by redistributing pressure to other areas by removing the constant pressure on pressure points along boney surfaces. This assist with minimizing the risk from getting a pressure ulcer prior to having a pressure ulcer. I think this is importance because some patients may have a disease processes that if a wound exist, the possibility of that said patient condition worsening is high. We also implement the evidence-based practice of putting the patients on a turn schedule. The nursing staff are to turn the patient every 2-hours in hope of preventing pressure ulcers. Some best practices utilized to prevent medical device-related pressure ulcers are: Choosing the correct size Cushioning and protecting the skin Assess the site and observe for edema and skin breakdown. References Pressure Ulcer Fact Sheet. (2014). Just the Facts. Retrieved from http://www.npuap.org/...
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...words to spare in my essay, I wish I could have been able to provide more detailed evidence for my explanations to strengthen my statements/ arguments. Workbook- When the appropriate opportunity arose, I wrote about the relevant theories, and posed questions, as well as rebuttals, as to how they would affect a practice-based audience in a real life setting. In similar situations, I also provided my own insight as to what I think could be changed to improve the quality of, and access to health care. Essay- In terms...
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...The totality of expert who train in gerontological health and public services is not growing to help meet the growing demand (Munk, (2007). Based on history psychologists have been unskilled to work in the medical field, and for those people who were skilled in medical training were not ready to care for the needs of older adults who needed unique health care. According to American Psychological Association Presidential Task Force on Integrated Health Care, (2008, pg.46) “In geropsychology, there is a growing trend in graduate programs and clinical internships to train graduate students in the management of mental disorders in nonmental health settings. Along standing central tenet of geropsychology is the need to be part” of the organizations...
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... nursing theory contributions and scenarios. Difference Between BRN and PNO The difference between regulatory agency of BRN and professional nursing organization. Board of register nursing is an organization; state governmental existing law to controls the practice of registered nurse and protects public health. It gives clear rules and regulation to follow and implement in each state by making sure that all standards of nursing practice are act is met. BRN have the power to revoke license, forbid from nursing practice and also provides continuous education, public safety, develop polices and protect consumers by setting different rules in...
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...404-712-9578 | Office Hours: By appointment | Office Hours: By appointment | COURSE DESCRIPTION: This course is an introduction to the theoretical and research foundations of advanced nursing practice. Key content to be covered includes the philosophical basis of science and knowledge, the structure and development of theory, qualitative and quantitative research methods, theory and research critique, and the application of theory and research in advanced nursing practice. It delineates research competencies for advanced practice nurses. The course encompasses critique of studies, application of research findings to practice (research utilization) and evaluation of outcomes attributable to advanced practice nursing. Ethical considerations related to research are integrated throughout the course. COURSE OBJECTIVES/OUTCOMES: 1. Understand the relationship between theory, research, and practice. 2. Critique and evaluate theoretical perspectives and research methods used to address clinical problems. 3. Understand qualitative and quantitative methodologies and their appropriateness to examining clinical phenomena in advanced nursing practice. 4. Evaluate the clinical applicability of selected theories from nursing and related fields in providing high quality nursing care. 5. Evaluate the clinical applicability of selected research studies and develop strategies for incorporating the findings into...
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...Barriers to Using Evidence-Based Medicine Melanie Ossman Granite State College Professor Philip Wyzik HLTC 600 March 4, 2011 Thesis The Institute of Medicine recommends the use of evidence-based medicine as a primary tool for achieving the aims outlined by their six themes of improvement. Specifically, EBM relates to their aim to make health care more effective: “to provide health care that is effective and efficient.” (Institute of Medicine, 2001) In recent years, evidence-based medicine has gained increasingly broad-based support in health care, but many doctors still aren’t using it. With a lean towards Pharmacy management, I researched the barriers providers and institutions are faced with in successfully incorporating evidence-based medicine and how initiating organizational improvements can help. The research highlights some important considerations to be aware of that gives evidence-based medicine a bad name, the pitfalls to avoid, and some ways providers and institutions are working to overcome them. Introduction This paper begins by giving an overview of evidence-based medicine, what it is, and the benefits to be realized by providers, insurers, and patients. I compared that to what providers were using before EBM. Next, I examine the barriers to successfully incorporating evidence-based medicine, and the negative perceptions that dissuade their use by clinicians. Identified are the disadvantages such as source information bias, ethics considerations...
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...STATEMENT OF CULTURAL COMPETENCE IN TRAINING AND EDUCATING PEOPLE OF COLOR It is both a privilege and a pleasure to address the National Minority AIDS Council to provide you with an essay of my credentials. My credentials for being placed in this position as candidate of the Training of Trainers span my medical academic career, which began when I was an undergraduate student of Nutrition at Hunter College in New York City. My exposure to the realities of the medical system as it relates to blacks and other minorities continued through my experiences at the Ryan White Clinic for HIV (Fulton County Government) in Atlanta Georgia and subsequently at my current home base Rainbow Preventive Services founded in September of 2007. During that time span from my undergraduate years to the present, I have not only witnessed some dramatic events and developments regarding the delivery of health care to the nation’s medically neediest populations, I have also been privileged to play a role in them. Examples are my developing a Lactation Education program at Broward County Community College, teaching Nutrition as Adjunct Faculty in Miami Dade Community College – Wolfson Campus and as a Trained Trainer for Bright from the Start Georgia Child Care Trainer and Reviewer. Ultimately founded Rainbow Preventive Services (RPS Inc.) to be located in downtown Atlanta in the near future. www.rps-agency.com. This agency is dedicated to decreasing healthcare disparities by preventing HIV...
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...2. How can your learning from TWO (2) of this week’s activities and assignments be applied to a primary care practice? (4 points) I think the eco-mapping activity is absolutely a valuable tool in a primary care practice. The specific example that we used regarding a patient who needs to quit smoking was really eye-opening, and is something that can be encountered in many primary care offices. The activity itself lets the doctor and patient both slow down for a minute and work together. Working as a team takes everyone’s opinions into consideration and helps the doctor know what issues should be tackled in what order. Additionally, writing out on paper the things that are helping/ hurting a patient can really allow the patient to visualize the problems at hand and take them more seriously. Overall, eco-mapping can make primary care visits more effective. Another activity that I think would be useful in a primary care experience is the Clinical prevention and population health problem set/resources. Depending on specialty, any number of the websites and apps that we explored and utilized during this activity could be critical in making clinical decisions during practice. For example, the AHRQ ePSS app would be absolutely crucial in...
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...Watson's Theory of Human Caring Aubrey Thomas NUR/403 February, 18th 2013 Stephanie Merck Watson's Theory of Human Caring A few weeks ago I was assigned to provide care for Mrs Tevez an 82yrs old female of Spanish origin who spoke very little English. Mrs.Tevez had a cervical fracture that resulted from a fall at home. Her admission to hospital was for immobilization with a cervical collar and bed rest pending possible surgery. She was considered a high risk patient because of the possibility of serious complications from her cervical fracture. It is amazing how a caring moment can have such a remarkable effect on persons who are part of that moment. A caring moment is the human care transaction that takes place as a consequence of the human care process. This occasion is where a contact is established between the subjective world of the nurse and recipient of care. This shared moment has the potential to touch the higher spiritual self or soul, and thus transpersonal human caring may occur. Transpersonal caring relationships consist of connections that embrace the spirit or soul of the other through the processes of full, authentic, caring and healing attention in the moment (Watson, 1988). Transpersonal caring implies that the nurse consciously focuses on self and other within interpersonal exchanges that are grounded in the present moment, while at the same time going beyond the moment and opening to new possibilities. The nurse values the existence of the other's...
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