...Melanie Cerda Mrs. Hitchens English 4 19 October 2017 Neonatal Nursing “ These are the tiny humans. These are children. They believe in magic. They play pretend. There is fairy dust in their IV bags. They hope, and they cross their fingers, and they make wishes, and that makes them more resilient than adults. They recover faster, survive worse. They believe“ -Grey's Anatomy. Neonatal nursing has been around since the 1960s and there are 3 different types of levels. Neonatal nursing is a new speciality by comparison to midwifery, adult health, and other areas of nursing. This new speciality gives people opportunities to people who want to spend their time specializing their skills with newborns who are born prematurely, have birth...
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...Introduction According to Farrel, Inturrisi, Bergman, Kenner & Howell (2003), the preterm infant is not only different from the full term newborn based on size. There are various physiological limitations faced by preterm infants that arise due to immaturity in most of its systems. The immaturity of such systems forces the preterm infant to rely upon the nursing interventions and medical technologies for survival before they reach the desired maturity. It is unfortunate that preterm infants are vulnerable during growth because of the small energy reserves. Compared to the full term infant they need much more energy for the physiologic growth and other forms of development. Energy expenditure is part of energy balance and the summation of different...
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...Evidence Based Practice Nursing Implications Evidence Based Practice Nursing Implications Evidence based practice has been changing the direction of care and clinical research with regards safety, patient centered, and cost efficient care delivered to patients. The purpose of this paper will show the importance of Evidence Based Research by defining this form of research and the importance of using the research to improve on nursing practice. It will also show research examples of qualitative and quantitative studies and how it would improve patient outcomes and nursing practice within the Neonatal Intensive Care Unit. Barriers will be discussed that prevent nursing from using and embracing the current research. Finally, the conclusions will summarize the main points of this paper. Importance of Evidence Based Research The importance of evidence based research is, and should, be the driving force on nursing practice to patients. It should go hand in hand with the critical thinking skills that nurses already have and use with regards to care. Evidence Based Research is important because it is an accumulation of information that forms clinical practice. Evidence based research incorporates the patient/family, cost, and safety of care to be delivered. It changes the care from; the way it was always done to the way research proves it should be done, which may still be the way it was always done. The difference is that the now the processes are backed by highly reviewed...
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...Preventing Hypothermia in Preterm Infants Mary McDermott Grand Canyon University Introduction to Nursing Research March 15, 2013 Preventing Hypothermia in Preterm Infants Bredemeyer, S., Reid, S., & Wallace, M. (2005, February 15). Thermal management for premature births. Journal of Advanced Nursing, 482-489. http://dx.doi.org/http://dx.doi.org.libaccess.fdu.edu/10.1111/j.1365-2648.2005.03616.x Abstract: This paper reports an audit of the effect on admission temperatures of using occlusive polyethylene wrap applied immediately after the birth of extremely premature infants. Use of occlusive polyethylene wrap during the early postnatal management of the premature infant reduces evaporative and convective heat loss. Retrospective pre-intervention (control) group infants were immediately dried with pre-warmed towels and resuscitated under radiant heat. Infants in the intervention group were managed under radiant heat, were not dried, but were immediately enclosed in an occlusive polyethylene wrap. The demographic characteristics of the two groups were comparable. Use of occlusive polyethylene wrap resulted in higher admission temperatures for infants less than 27 weeks gestation. There was no statistically significant improvement in admission temperatures for 27-29 week infants. The rate of hypothermia on admission was lower in the intervention group, but more infants recorded temperatures exceeding 37.2 degrees C during the first 12 hours. There were no other adverse...
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...Nursing in general is a broad aspect of the medical field. But in reality nurses are needed through every specialty when dealing with health. Nursing first appealed to me when I would visit the hospital or a group home and see people who needed to be helped. I always wanted to pursue a career in the medical field but didn’t want to become a doctor. In the nursing field, there are different areas within the medical field you can go to. I want to pursue this field because of the many options you can choose and I like to care for people. You can become a neonatal nurse, and work with newborn babies and parents, or you can be a surgical nurse and assist a surgeon during surgery. Currently I’m considering becoming a RN or a neonatal nurse. For nurse education requirements, a student can choose to train to become a license practical nurse (LPN) or a registered nurse (RN). All nurses are required...
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...Professional EThics Professional Ethics Legal and ethical issues are frequently encountered in the health care setting and present unique challenges to health care professionals. Practicing nurses need to be knowledgeable with these concepts to ensure patient’s rights. In this paper, the author will describe the relationships between legal and ethical issues. In addition, the author will identify personal values and professional ethics and examine ethical theories and principles. Examples of applications of legal and ethical issues to current practice will also be provided. Relationships Between Legal and Ethical Issues “Ethics is the branch of philosophy concerned with evaluating human action” (Guido, 2010, p. 3). It is based on the principles of right and wrong and provides structure to behaviors and actions. Ethics are closely intertwined with morals and values. Morals are “personal principles that are acquired from life experiences, family and peer relationships, religion, culture, and the law” (Guido, 2010, p. 3). Values are “personal beliefs about the truths and worth of thoughts, objects, or behavior” (Guido, 2010, p. 3). Therefore, ethics are subject to an individual’s personal interpretation. In contrast, laws are rules and regulations established by some authority and enforced by judicial decision (Dictionary.com, 2011). The legal system governs actions and behaviors without regard to personal values, beliefs, and views. Laws are constantly evolving to...
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...Research Summary and Ethical Considerations Michelle Parker Grand Canyon University Introduction to Nursing Research NRS 433V Nora Bazydlo April 8, 2012 Research Summary and Ethical Considerations The relationship between nurses and families is incredibly intricate. The intricacy of this relationship is shown whether the development is for a few hours in the emergency room or for a longer period of time in an intensive care unit or a skilled nursing unit. To understand the study reviewed for this paper it is important to understand family center care (FCC) and the concepts it enhances. Family care center (FCC) is an approach to the planning, delivery and evaluation of health care that is grounded in mutually beneficial partnerships among health care providers, patients, and families. It redefines the relationships in health care. It is where practitioners recognize the vital role that families play in ensuring the health and well being of infants, children, adolescents, and family members of all ages. They acknowledge that emotional, social, and developmental supports are integral components of health care. They promote the health and well being of individuals and families and restore dignity and control to them. Shapes policies, programs, facility design, and staff day-to-day interactions. It leads to better health outcomes and wiser allocation of resources, and greater patient and family satisfaction. ("What is patient- and family-centered health care?" 2010, para...
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...Evidence-Based Practice and Applied Nursing Research Joyce Windham Western Governors University Article Larson, E., Quiros, D., Lin, S. (2007). Dissemination of the CDC’s Hand Hygiene Guidelines and Impact on Infection Rates. American Journal Infection Control, 35, 666-675. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2137889. Graphic BackgroundInformation|This study examines the implementation of the Center for Disease Control and Prevention (CDC) hand hygiene guidelines and analyzes whether compliance impacts patient outcomes, especially hospital acquired infections (HAI). The correlation of hand hygiene (HH) and HAI is very well described in this study. Rates for HAI were determined both pre and post implementation of the guidelines. A structural abstract is included with this study. There is an introduction which explains the intent of the study is to and examine how the CDC guidelines are implemented, the compliance rates for HH and how that relates to HAI rates.| Review of Literature|There have been numerous clinical practice guidelines by federal and professional organizations which were intended to improve quality of patient care and minimize variances in clinical practices. There have been three versions of the HH guidelines with the last version in 2002. There have been few studies done to correlate the practices of HH with HAI rates. This study was conducted in 2007 but is still relevant today. Compliance with HH guidelines...
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...Imagine being 17 years old, a senior in high school, and unsure what to do with the rest of your life? Well, I was this 17 year old. I didn't know where life after graduation was going to take me. So with graduation quickly approaching and some persuasion from my parents I decided to major in nursing. I didn’t find nursing - nursing found me and much to my surprise, I loved each and every moment of nursing school: the research papers, the bed baths, the NCLEX review questions, and I even got giddy when it was my turn during clinical to administer IV medications. Fast forward a few years and I’m working in a neonatal intensive care unit (NICU) and still get that heart stopping thrill moments before a 24 week delivery. I drive to work every day with excitement of the unknown. I can’t wait to find out what is awaiting me behind those locked doors. I rejoice in the happy moments with parents as well as mourn with them when their baby has passed away. These tiny miracles have taught me more over the last couple years than I could have ever imagined, they are unpredictable, strong, resilient, courageous, determined, and inspiring. Their undeniable strength has taught me to be proud of my own strength and accomplishments. They inspire me to be the best I can be. Their inspiration puts life into perspective - whenever I sweat the small stuff all I have to do is look at the journey of a NICU baby and it shows me that the small things in life do not matter....
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...Women’s Health as a group aggregate Allen Foucht American Sentinel University Women’s Health as a group aggregate Community health nursing is crucial to providing communities with essential information about at risk populations and prevention strategies for them. Nurses employ the nursing process to aid in preventing unhealthy behaviors and diseases while promoting good health. The community includes individual people, families, women, men and seniors. The primary focus is prevention of disease and illness and promoting healthy practices in the community (Nies & McEwen, 2011). Past models of community and public health have started with issues that were focused around environmental hazards such as water and sewage issues (Nies & McEwen, 2011). Community health planning was dominated in the 1980’s and 90’s by political administrations (Nies & McEwen, 2011). Current trends now follow the Healthypeople 2020 (United States Department of Health and Human Services, 2012) which have outlined a 10 year period of national objectives to improve the lives of all Americans. This paper will focus on the aggregate group of women and the group’s health as a community. Although women and men share health problems, some affect women differently. One example is heart disease where women may experience different symptoms than men. Another example is breast cancer where 12 % of women are at risk of acquiring the disease as opposed to less than 1% of males (United States Department...
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...Sutton Western Governors University Abstract Understanding Nursing History, Nursing Theories, and Nursing concepts are beneficial to the baccalaureate graduate nurse because it helps develop their own personal beliefs and strengths about their own practice and how it has and will be shaped throughout their profession. One of the purposes of this paper is to explain differences between nursing regulatory agencies and professional nursing organizations. Next, we will take a look at the American Nurses Association, (ANA) Code of Ethics, investigating the provisions and professional traits and how they are placed into practice. Also, to describe a nursing theory that fits into my own practice, including how the contributions of one historical figure has impacted my nursing practice. And lastly, I will discuss a scenario where I, as the nurse, safeguarded two principles for the patient. Functional Differences Between a Regulatory Agency and a Professional Nursing Organization as it Pertains to my Nursing Practice Neonatal Nursing has been part of my life for over the last 10 years. My nursing license is very important to me. It takes a lot of hard work and dedication to earn. As a nurse, I have nursing regulatory agencies and professional nursing organizations in place for my benefit as well as for the benefit of the public. However, both have some very different functions. When becoming a nurse, the Board of Nursing, (BRN), is the regulatory agency that issues and regulates...
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...Competency Differences in Nursing: Associates Degree verses Bachelor’s Degree Shannon Garcia Grand Canyon University Professional Dynamics NRS-430V Lisa Arends October 25, 2014 The path one takes to achieve their degree in the field of nursing has a great outcome on the care their patients receive. This paper is going to first explain the two main routes of education one can take to become a nurse, the associate’s and bachelor’s degree. Then it is going to show a few examples of competencies that differ in patient care when a patient is cared for by an associate’s degree verses a bachelor’s degree nurse. Then finally this paper is going to give a personal patient care example of care that differed when given by an AND verses a BSN nurse. Associates Degree (ADN) An associate’s degree in nursing (ADN) is a two year academic degree awarded by a community college. This degree usually requires at least one year of prerequisites prior to entering the nursing program. The ADN was first introduced in 1956 by Mildred Montag to help alleviate the nursing shortage after World War II (GCU, 2014). Ms. Montag envisioned a new level of nurse from the current apprentice nurse that was trained at a hospital and the BSN nurse that was trained at a four year university. Ms. Montag created a degree program that would allow nurses to be trained at a faster pace and also attract students that did not fit into the hospital trained setting or who did not have time for a four year degree...
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...Board of Registered nursing otherwise known as BRN is an organization that is put in place to primarily protect the public. The BRN checks competencies of practitioners. The BRN makes sure that licensure requirements for nurses are met prior to issuing licenses. The BRN is a state governmental agency established by law to protect the public by regulating the practice of registered nurses. The BRN enforces the Nursing Practice Act. The BRN also enforces and implements laws related to nursing education, licensure, education, and discipline. The BRN consists of a nine member decision making body. The BRN issues certificates for qualifying nurse specialists. A professional nursing organization is an organization that promotes ongoing education, research translation, advocacy and membership engagement and advocates for the nurse. For example NANN which stands for national association of neonatal nurses addresses education and practice needs within the evolving specialty of neonatal intensive care nurses while giving national representation of the neonatal intensive care nurse. The professional nursing organization strives to improve care by providing and forum for nurses communication on professional and clinical practice issues, education, advocacy and research. The differences between the Board of Nursing and the professional association are that the Board of Nursing implements more of a regulatory role and enforces laws and regulations regarding the nursing practice whereas the...
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...process were it dries out, hardens and turns black. The area goes through a process of colonization due to non-pathogenic organisms that pass from mum to baby via skin to skin contact following delivery. The umbilical vessels remain patent for several days following birth and are a susceptible site for infection. Potentially harmful organisms can be spread by cross infection, often caused by poor hand washing techniques of Healthcare workers and the infant’s carers. (Davies, S. 2008). The World Health Organisation (WHO) reports each year one third of neonatal deaths worldwide (1.5 Million) are due to infection, many of which begin as umbilical cord infection. (Cappuro, H. 2004). Current guidelines for umbilical cord care differ enormously from country to country and establishment to establishment, and most of the current literature surrounding umbilical cord practices indicates practice is based on historical assumptions rather than research...
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...* CHRONOLOGY * * Second Trimester * * Mother attended her community drug and alcohol team (CDAT) were she was on a methadone programme. Referral was made by her key worker stated concerns that she may be pregnant and concealing it * * Pre - birth conference was held to establish the issues surrounding the mother, her pregnancy and her parenting skills. Mother did not attend. The pre – birth conference attended by the CDAT key worker, safeguarding midwife, health visitor, GP, social worker. The pre – birth conference took place as mum was concealing her pregnancy and that she was heavily * * DAY 1 Jack was born by caesarean section because they were concerns with the Zoe. Zoe was unwell – she had a heart valve problem. Jack was admitted to the intensive care unit, needing ventilation support for six hours 12pm * Safeguarding midwife aware that Jack been born, states that all people who needed to be aware of baby being born are. Informed us that her current partner and father of baby are not allowed to visit. Security, front desk at the main entrance of unit and nurses made aware * Urine virology/toxicology sent * Morphine started as Jack was Ventilated due to the respiratory distress 15pm * Out of hours social worker called inquiring about baby and mum 1630pm * Maternity support worker visited unit, updated on baby’s condition. Mum had her surgery – she will go and update mum 1830pm * Nurse looking after mum on...
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