...VARK Analysis from a Read/write perspective Grand Canyon University: NRS-429 Family Centered Health Promotion February 24th, 2013 VARK Analysis from a read/write perspective This paper will reflect a nurses learning preference of mild read/write according to the visual, aural, read/write or kinesthetic (VARK) analysis questionnaire. “VARK is a questionnaire that provides users with a profile of their learning preferences. These preferences are about the ways that they want to take-in and give-out information (Fleming2001-2011)”. A review of each of the other learning preferences will be reviewed. Also a discussion of why this nurse would not be successful with the other learning preferences and why read/write is the optimum choice. Visual Visual, the first of the four learning preferences is a learning method with the need to use visual aids. “This preference includes the depiction of information in maps, spider diagrams, charts, graphs, flow charts, labelled diagrams, and all the symbolic arrows, circles, hierarchies and other devices that people use to represent what could have been presented in words (Fleming 2001-2011).” Simply put if visual is your learning preference the need to see information in graphs or presented as a pie chart alone with little wording would help better understand the information relayed. A read/write learning preference would need more words less diagrams to be able to retain the correct information. Too many pictures of charts, or diagrams...
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...Introduction Smoking is one of the biggest health problems seen throughout the United States. It is estimated that cigarette smoking contributes to around 450,000 deaths every year and cost the U.S. $193 billion annually in direct medical expenses and lost productivity (Porter 2013). Cigarette smoking is an addictive habit and for the majority of smokers is very hard to quit, especially by themselves. It is difficult if one is a non-smoker to grasp and understand the dynamics of the addiction and successful quitting usually requires a significant amount of assistance and support. Nurse practitioners are there to provide professional assistance by helping patients take the appropriate steps and measures to ensure their success in smoking cessation. Difficulty of Smoking Cessation In general, most people who smoke know smoking is bad for their health and can contribute to many other health problems and even death, so why can’t they just quit? If it were that easy there would be significantly less smokers in this country. The problem is not the desire to quit but rather the actual act of stoping smoking for good. The fact of reality is there are plenty of smokers out there who want to quit but just can’t due to the complexity and addictive nature of the habit. The three main components of tobacco smoke include; tar, carbon monoxide and nicotine (McEwen 2014). Most of the health issues that arise from smoking cigarettes are directly linked to tar and carbon monoxide components...
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...implementing the program? Evidence Appraisal Matrix Source (APA) | Type of Study design (RCT, phenomenology, etc.)/Purpose | Level of Evidence(According toMelnyk & Fineout-Overholt) | Sample, settingInclusion/ExclusionCriteria | Methods, instruments, data analysis | Findings/Implications | Inglis, S. C. (2011). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Of Systematic Reviews, (6), doi:10.1002/14651858.CD007228.pub2 | Systematic Review | Level I | Twenty-five studies and five published abstracts were included. 16 evaluated structured telephone support, 11 evaluated telemonitoring, and two tested both interventions. Inclusion criteria:only peer reviewed, published RCTs comparing structured telephone support or telemonitoring to usual care of CHF patients were included. | Various search engines such as: MEDLINE, EMBASE, CINAHL, and AMED were searched from 2006 to November 2008.Relevant studies and systematic reviews and abstract conference proceedings were hand searched. No language limits were applied. | Telemonitoringreduced all-cause mortality (RR 0.66, 95% CI 0.54 to 0.81, P < 0.0001) with structured telephone supportBoth structured telephone support (RR 0.77, 95% CI 0.68 to 0.87, P < 0.0001) and telemonitoring (RR 0.79, 95% CI 0.67 to 0.94, P = 0.008) reduced CHF-related hospitalization. | Antonicelli, R., Mazzanti, I., Abbatecola, A., & Parati,...
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...Tracheostomy Care Nison Vo Evergreen Valley College Tracheostomy Care In this paper I will compare and contrast between EBP (evidence based practice) and SCVMC’s (Santa Clara Valley Medical) policy regarding tracheostomy care/suctioning. Current EBP states that “the patient's respiratory status must remain the focus, and no set schedule should exist for tracheostomy suctioning” (Schreiber 123). SCVMC’s policy states that RN’s (registered nurses) and LVN’s (licensed vocational nurses) should suction tracheostomies depending on the doctors’ orders and as needed by the patient based on assessment/status. All in all, SCVMC’s policy does principally coincide with the current EBP discussed in this paper, which would aid in providing...
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...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...
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...Concepts Analysis Paper Demis Rey BSN Theoretical Foundations of Advanced Nursing Kaplan University March 10, 2014 The concept of Quality has a close relation with nursing practices. Higher quality healthcare is the common goal of all healthcare team and improving healthcare quality has become the common focal point of all healthcare organization. Quality has become an important issue for healthcare facilities facing a changing of healthcare environment (Tsai, & Wu, 2013). Quality is derived from the Latin “quails” and is defined as essential character of nature…an inherent or distinguishable attribute or property, a character “trait” and is defined as superiority of kind and degree or grade of excellent (Wicks, & Roethlein, 2009). Every quality expert defines quality somewhat differentially, and there are a variety of perspectives than can be taken in defining quality. The most widely concept of quality is the Industrial Organization Society (IOS) definition as “the degree to wish a set of inherent characteristics fulfill requirements” (Wicks, & Roethlein, 2009, p. 85). The psychological concept is closely aligned with the dictionary definition when quality relates to logic: “quality is the positive or negative character of a proposition” (The Merriam-Webster Dictionary, 2014). Quality is a set of characteristics or properties, as supported by the multidimensional definitions of quality. Quality can focus on excellence or can be viewed as the degree of a...
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...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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...identify patient perceptions of bedside handover through directly asking patients about their care. The study was done on a two in-patient medical-surgical departments at Borgess Medical Center in Michigan. They had implemented bedside handoff at shift change 18 months prior to this study. Then a sample of patient participants was chosen from the two nursing departments for the study. They had to meet certain criteria to be a participant and they had to experience three handoffs. Then they were given a survey to fill out after the beside handovers. Participants were positive about the RN bedside handoff process. The overall mean from the survey was 3.32 on a scale of 1 (strongly disagree) to a 4 (highly agree). | Review of Literature | There were multiple references that provided statistics and facts during this study. Most of these studies have focused on implementing bedside handoffs and nurse perceptions of the handoff. Published studies that focused on patients’ perceptions of beside handoff have been mainly qualitative. Recently, researchers have published studies that seek to measure bedside handover quantitatively. Whether qualitative or quantitative, all studies report an increase in patient satisfaction with bedside handover. | Methodology | This quantitative study was to identify patients’ perceptions of the bedside handoff. This was a quantitative study because they used a survey with the patients and found a mean score for each of...
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...interviewee: Director of Education and Health Information Technology The interviewee belongs to the following category: Educator Educator Administrator Clinical Specialist Staff Nurse Nurse Researcher Date of interview: September 13, 2012 In person: X Via phone: 1. How would you describe your role in your current position and your educational preparation for this role? I am responsible for the initial creation, continuous education, and competency for whole house. I have my MSN in Nursing Education. This has prepared me and shown me the need for education services and the need to maintain competency for the staff. Provides the necessary tools to deliver current and competent care to our patients. My education has shown not only the need for education, but has provided insight into how to provide the educational programs/training to the staff. 2. How would you explain the unique contributions you as a nurse bring to an interdisciplinary team? Nurses are educated to look at the patient as a whole. I believe this perspective teaches nurses to look at each problem from every angle, recognize the outcomes and select the best on suited for the patient. 3. How would you describe the unique role of your specialty in promoting quality...
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...NURS 2010 Project Janice Klein Westerns Governors University Nursing is a profession that has been influenced by nursing pioneers, scholars, government agencies and nursing organizations. Nurses need to develop a professional mission statement that defines our understanding of nursing concepts, our professional strengths and our critical thinking abilities. A. Functional Differences A regulatory agency, such as the Virginia Board of Nursing (VBON), is state government agency that exists solely to enforce the laws that regulate nursing practice. The BON protects the public’s safety and welfare by outlining the standards for safe nursing care, issuing licenses to practice nursing and monitoring compliance to state laws (McDaniel, 2013-14). The BON will investigate complaints of nurses not in compliance with the nurse practice act and will take necessary disciplinary action against nurses found in violation. In addition, BONs approve pre-licensure nursing education programs and oversee the licensure examination of nurses. All health care professionals must pay licensure fees in order to practice legally in their state. These activities assure that the public is cared for by qualified individuals (McDaniel, 2013-14). Professional nursing organizations have the same goal as BONs, to protect the public, however the method by which it is accomplished is functionally different. Nursing organizations are nurses working together to develop professional standards and practices...
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...Transcultural Nursing Theory Applied Vulnerable Populations I "Nowhere are the divisions of race, ethnicity and culture more sharply drawn that in the health of the people in the United States. Despite recent progress in overall national health, there are continuing disparities in the incidence of illness and death among African Americans, Latino/Hispanic Americans, Native Americans, Asian Americans, Alaskan Natives and Pacific Islanders as compared with the US population as a whole." --National Center for Cultural Competence Population addressed Population addressed In 1950, U.S.-born whites made up about 90 percent of the U.S. population. By 2000, this number declined to about 75 percent, and by 2050 non-Hispanic whites will be in the numerical minority (U.S. Census Bureau 2001, 2002). This rapid diversification requires healthcare organizations to pay closer attention to cross-cultural issues if they are to meet the healthcare needs of the nation and continue to maintain a high standard of care. Looking at the Country as a whole the current area of discussion for this paper is the area of Western North Carolina and the population of Asheville, which is a melting pot of cultures which the combination they create is unique to no other. According to the 2006 U.S. Census Bureau statistics for Asheville, N.C. the current demographics break down as follows: Asheville [City] Population (current estimate), 70,400. Buncombe County Population (2006), 222,174, county in...
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...a patient’s information between two health care providers, when the patient receives care in a different location, or when another healthcare provider is responsible of the patient (ACSQHC 2005). The American word “handoff” also signifies the same meaning. Nursing handovers are often being described as a ritual, which stemmed from the medical concept preliminarily in the 1880s, whereby the nursing sister would direct the nurses on duty after hearing reports from the night shift nurses and the doctors’ rounds (Walsh and Ford 1989). The repetitive characteristic of the traditional handover does not encourage nurses to think critically or share different views, therefore depicted as a “ritual” (Kerr et al 2011). 1.1 BACKGROUND OFTHE STUDY The aim of a nursing shift handover is to precisely inform the patient’s general condition, care plan, treatment and expectations in a timely manner (Runy 2008). The process, if made without a systematic standardized method, would lead to errors and jeopardizes patient’s safety (ACSQHC 2010). Reported adverse events from handovers include unnecessary procedure and investigations, delayed diagnosis or treatments, prolonged hospitalization, increased cost, and dissatisfied patients (Patterson and Wears 2010). Therefore The Joint Commission (2009) and the WHO (2008) have emphasized on the necessity for organizations to develop standard operational procedures for handover. In view of different requirements and settings, every organization...
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...Journal of Nursing Management, 2000, 8, 265±272 The development of a model to manage change: re¯ection on a critical incident in a focus group setting. An innovative approach M. CARNEY RGN, RM, RNT, FFNRCSI, MBA (HONS) Lecturer, School of Nursing and Midwifery, University College Dublin, Ireland Correspondence Marie Carney School of Nursing and Midwifery University College Dublin National University of Ireland Earlsfort Terrace Dublin 2 CARNEY M . (2000) Journal of Nursing Management 8, 265±272 The management of change: using a model to evaluate the change process. An innovative approach management of change. The Change Management Model may provide nurse managers or change agents with a structured and measurable model for managing and evaluating the change process. A measurement constructs tools to further assist the evaluation process is also described. Background The author argues that certain key variables can be identi®ed which contribute to the successful implementation of change. These variables include critical success factors for change, communication issues, change dynamics that include resistance or acceptance of change, and the variables related to the management of the implementation and evaluation stages of the change process. Key issues Change is a constant in the health care ®eld. Nurse managers must learn to accept change as a normal process and to develop coping and managing strategies for the successful management of change. This acceptance...
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...delivery of health care and the health care profession are new. As we confront the legal, moral, and ethical aspects of health care, we are seldom faced with decisions that require or are resolved by simple right or wrong answers (Edge & Kreiger, 1998). In the Breadth component of KAM VI, I focus on several ethical theories and how those theories influence the way ethical issues and concerns are addressed and managed in the allocation and delivery of health care services. I critically assess and evaluate those theories, concepts, and derivative principles as they impact important decisions and the implications of those decisions within the context of social change and with special emphasis on health care management and policy. In addition, I discuss the key assumptions on which the selected theories are constructed, compare and contrast the writers’ interpretations across theories, and conclude by providing a critical commentary on the merits of the selected theories. Abstract Depth Component In the Depth Component of KAM VI, I review and critically analyze selected articles on contemporary concepts and methods in ethical decision-making relative to the delivery of health services. I also attempt to build on the theories, perspectives, and conclusions discussed in the Breadth Component, and compare and contrast the views...
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...Heart Failure Western Governors University Pathopharmacological Foundations for Advanced Nursing Practice Heart Failure It is estimated that about five million people in the United States are living with heart failure with an overwhelming number of 550,000 newly diagnosed cases each year, costing the nation roughly $32 billion dollars per year (Centers for Disease Control and Prevention, 2016). Heart failure is a complex, pathophysiological condition in which the ventricles of the heart is weakened and unable to pump effectively to meet the body’s needs for nutrients or has lost adequate filling capacity. Clinical presentations of heart failure depends on which ventricles have failed to pump blood adequately; left ventricular failure, also known as congestive heart failure (CHF) is more common than right ventricular failure (McCance & Huether, 2014). The most common symptoms of heart failure are shortness of breath, fatigue, and peripheral edema. HF is not a disease, but rather a manifestation of a diseased heart. Large number of disorders can lead to heart failure, and with the aging population and many surviving primary cardiac events, it is no surprise that the most common reason for hospitalization in patients older than 65 years old is heart failure (McClintock, Mose, & Smith, 2014). Heart failure has become a major public health problem because it is the only cardiac condition that continues to increase in prevalence (McClintock, Mose, & Smith, 2014)...
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