...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 and researched...
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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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...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 licenses. It is a government agency with...
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...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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...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. The first ADN programs helped attract the older students and those who were married...
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...Abstract The specific aim of this paper is to identify the effect of swaddled infants in the management of symptoms during painful procedures. A broad research for five scholarly articles began with an on-line search of State College of Florida’s library, where links to Cochrane, Ebsco, Google Scholar and PubMed were accessed. A Boolean search began with infants, swaddling and pain, with filters that included full-text, in English, free articles, and articles less than five years. Key words included swaddling, infant pain, heel sticks, painful procedures, neonates, facilitated tucking and infant care during painful procedures. Many of the articles required a fee to access the article. Continual searches on Google Scholar finally obtained five scholarly articles. The ancestral search proved the most fruitful in obtaining five strong sources of research, each rated at an evidence level of one. Overall, the studies used in this paper supported the theory and PICO question that swaddling infants during painful procedures manages symptoms and even decreases infants’ pain. Even more favorable is that swaddling (for infants less than three months of age) is recommended for clinical practice as a cost-effective, non-pharmacological, non-invasive, evidence-based method that is easy to teach and implement and offers comfort to tiny infants! Introduction Swaddling, also known as infant-wrapping, binding, bundling or facilitated tucking, is a customary newborn technique that is utilized...
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...Grand Canyon University The purpose of this paper is to discuss education differences in profession of nursing between Associate Degree Nursing and Bachelor Degree Nursing and to compare competency between the two. Competency is an individual’s actual performance in particular situation, described how well individual integrates knowledge, attitudes, skills and behavior in delivering care according to expectations (Gurvis & Gray, 1995; Nolan, 1998). The nursing profession starts when Florence Nightingale established the Nightingale School for Nursing in 1860 in London (Creasia & Friberg, 2010, p. 4). Since that time nursing profession has grown around the world. In the United States of America only RN’s are legally allowed to offer nursing services. RN’s have to be certified by National Council Licensure after passing the NCLEX exam, the test for minimal technical competency for save entry into nursing practice (Rosseter, 2011, p 4). We have two categories of nurses – Associate Degree Nurses and Bachelor Degree Nurses. Associate Degree nursing program was developed during World War 2 at the time of shortage of nurses prompted by the war. Today Associate degree nursing demands two years of formal education that covers general courses (Orsolini – Hain & Waters, p. 267). ADN can be obtain in Community Colleges. It prepares nurses to work in clinical settings and provides minimal skills needed to become a nurse. This is taught by following the nursing process...
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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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...17th November, 2014 Group 1 | MKT 431BRAC Business School, BRAC University. | Service Report on the Service Marketing Practices of Holy Family Red Crescent Medical College Hospital | Service Report on the Service Marketing Practices of Holy Family Red Crescent Medical College Hospital | SERVICE REPORT ON THE SERVICE MARKETING PRACTICES OF HOLY FAMILY RED CRESCENT MEDICAL COLLEGE HOSPITAL (HFRCMCH) Submitted To DR. MOHAMMED TAREQUE AZIZ Associate Professor and EMBA Coordinator BRAC Business School BRAC University Submitted By Chowdhury Fahim Mostafa 10204011 Anika Azhar 10204083 Syed Shah Tayef Ahmed 10204105 Ifrat Jahan 11104139 Jarin Subha 11204007 Adnan Abdur Razzaque 11204008 Tazruba K. Prome 11204047 MD. Ashraful Amin 11304038 Sumaita Ahmed 11304052 LETTER OF AUTHORIZATION Date: 17th November, 2014 DR. MOHAMMED TAREQUE AZIZ Associate Professor and EMBA Coordinator BRAC Business School BRAC University Subject: Submission of Service Marketing Report of MKT 431. Dear Sir, We, the students of MKT 431 (service Marketing), section 1; want to submit the Service Marketing Report required for the completion of the course. We have followed every instruction you have provided and tried our best to ensure that all the information is authentic and relevant. The report is about the Service Marketing practice of Holy Family Red Crescent Medical College Hospital (HFRCMCH). We hope that all the information and analysis provided within the report will be up to your...
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...Critique Of The Research Article: Perspectives Of Hospital-Based Nurses On Breastfeeding Initiation Best Practices In: Other Topics Critique Of The Research Article: Perspectives Of Hospital-Based Nurses On Breastfeeding Initiation Best Practices Running head: CRITIQUE OF THE RESEARCH ARTICLE: PERSPECTIVES OF Critique of the Research Article: Perspectives of Hospital-Based Nurses on Breastfeeding Initiation Best Practices Kimberly Baird Grand Canyon University Intro. To Nursing Research NRS-433V April 21, 2011 Critique of the Research Article: Perspectives of Hospital-Based Nurses on Breastfeeding Initiation Best Practices The purpose of this research study is to evaluate the differences in breastfeeding knowledge and the implementation of breastfeeding by registered nurses in the postpartum units and the hospital policies, both formal and informal, related to the implementation and support of breastfeeding. Human milk is accepted as the ideal food source for infants for the first 6 months of life. Breastfeeding is then encouraged as a supplement to other foods until the child is 12 months of age and beyond. Both The Academy of Pediatrics and the International Lactation Consultant Association support these recommendations. CDC statistics report that in 2006 73.9% of women breastfed in the early postpartum period. This drops to 33.1% of those that are exclusively breastfeeding at 3 months of age and then drops again to 13.6% exclusively breastfeeding...
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...Nursing Philosophy and Comparison Paper A Comparison of Personal Philosophy and Sr. Callista Roy’s Adaptation Model September 14, 2011 Nursing Philosophy and Comparison Paper A Comparison of Personal Philosophy and Sr. Callista Roy’s Adaptation Model A personal philosophy is what one values for themselves as human beings. It reflects the many faceted realities of their self-concept and is influenced by: culture, spirituality, morals, values, and belief concepts. The relevance of one’s personal philosophy to nursing is significant. One’s philosophy directly affects the interpersonal relationship and care given to patients. For the purpose of this paper, the author will reflect and incorporate her nursing philosophy with the four nursing metaparadigms: person, environment, health and nursing, with the Roy Adaptation Model (RAM) and compare similarities’ and differences. Personal Philosophy The author’s personal philosophy is seeded in spirituality and seeing the world as interconnected with a divine source where all things are possible. She attempts to integrate the core concepts of her philosophy: intuition, altruism, holism, empathy, knowledge, compassion and advocacy into the nursing process. The author will define and demonstrate her nursing philosophy as applied to the metaparadigms. The person is viewed as a unique individual and energetic being (spirit) within a physical and integrated body system connected to a higher supreme source; environment:...
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...Patient and Family Centered Care Kimberley Masterson WGU0713 Stacy Stratton-Mentor Practice Setting Wellington Regional Medical Center is located in Wellington, Florida. It is a 233-bed, acute-care hospital, owned by a subsidiary of Universal Health Services, Inc., a highly respected, healthcare management organization. Wellington Regional Medical Center is owned and operated by a subsidiary of Universal Health Services, Inc.(UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation. Wellington Regional is proud to have provided high-quality healthcare("About Wellington Regional Medical Center - Palm Beach, FL | Wellington Regional Medical Center," n.d.) services to the residents of Palm Beach County since 1986.The Village of Wellington has an approximate census of 60,000 in 2013. (Census.gov). Wellington is located in western Palm Beach County and borders the Florida Everglades. Initially, the land area known today as Wellington, Fl. was developed in 1953 to provide drainage and flood control suitable for agriculture. The area was once the world’s largest strawberry patch. Nevertheless, over time the land has been purchased and sold until 1985 when Lennar homes built on 500 lots. Today, Wellington is an affluent and thriving community that is willing to stake its future on being different.(“Wellington/History of Wellington”.nd) Wellington is recognized as the winter equestrian capital of the world. Wellington...
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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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...The stakeholders involved are the provincial nurses’ union (such as ONA) and the anti-vaccinators health care workers. Some reasons that were outlined by the anti-vaccine persons doubted the efficacy of the flu vaccine and believed that flu vaccine will give them flu, possible side effects and possible allergy associated with the vaccine (U.S. Department of Veterans Affairs, 2014). The reasons presented by the proponents portray misinformation about the vaccine and therefore needs to be addressed by providing them with accurate information in order to increase the uptake of flu vaccine for this group. The education regarding the flu vaccination can be done on one-one basis which will give the individual an opportunity to express their concerns without any fear. The argument raised by the nurses’ union is that mandating a vaccination policy is a potential violation of human rights (Ikura, Doig & Laupacis, 2014) and personal autonomy (Flegel, 2012). The literature shows evidence that this is not case and will be further discussed later in the paper. For now, the concern regarding violation of personal autonomy is addressed by the pro-vaccine opponents stating that health care workers are obligated to engage in ethical practice by ensuring the principles of beneficence and non-maleficence...
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...Nwamaka Emeruem NSG 5000 South University Online In partial fulfillment of the requirements of NSG5000: The Role of the Advanced Practice Nursing Dr. Cheryl Williams September 19, 2014 Introduction The advanced nursing practice is the highest level of practice in the nursing field. Due to the diversity of this profession, the advanced nurse can play the role of nurse administrator, nurse informatics, nurse practitioner or nurse educator. These high level roles require more advanced education and experience to attain the required credential needed to handle the responsibilities that come with the profession. The purpose of this scholastic writing is to review the different advanced nursing roles and scope of practice for the respective roles. This paper will further expand more on the nurse practitioner role and scope of practice, core competencies, certification requirements, legal aspects and practice environment. Advanced Practice Roles: Differences and Similarities Clinical Practice When clinical practice is mentioned, the first thought that comes to mind is hands on patient care. Of all the advanced practice roles mentioned, nurse practitioner is the...
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