...Module 2 Assignment: Research Summary and Ethical Considerations Karissa Skowron Grand Canyon University NRS-433 V Christine Thompson-Sanxter March 13, 2015 Research Summary and Ethical Considerations Understanding a patients’ experiences in relation to pain management is an important evidence based practice in the field of nursing. The significance as a nurse is in the understanding of the patient’s perception of pain in order to administer the appropriate treatments. This particular study was performed to understand the patients experiencing pain that have been hospitalized for cancer treatments. The objective was to obtain different perspectives in order to determine what is believed to be proper pain management. The study included 18 participants each was diagnosed with an advanced stage of cancer involving bone metastases. The data was achieved through interviews, the descriptions that were provided were to remain as low-interference interpretations to acquire an understanding of the essence of pain and management. Through the process it appeared that some of the subjects did have some difficulty expressing their expectations with regards to pain management. The most prominent results were being present and supportive, providing information and knowledge, medicating appropriately according to the orders and the needs of the patient, and finally recognizing the pain emerged as themes of pain management. At the completion of the study it was noted that although...
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...Academic Report Dienst Facilitaire Bedrijven DFB Executive Summary Background The report before you is a written account of all actions that have taken place over the last 4 months. This Academic report summarizes 6 Learning Arrangements in regards to Strategy & Communication. LA 1; Introduction to Strategy LA 2; Conducting a Situational Analysis LA 3; Developing a Strategic Direction LA 4; Formulating a Strategy LA 5; Implementing a Strategy LA 6; Monitoring & Evaluating Strategic Performance Purpose The purpose of the report is to give an in depth view on the case company ‘Dienst Facilitaire Bedrijven’ of Tilburg University, and formulated a strategy with could improve the current situation. Recommendations The main recommendations are; reformulating and reviewing the current mission and vision in addition to setting a strategy in which a niche is filled. Focusing on customer intimacy which follows the slogan; DFB does it, just the way you like it!! DFB will be changing its generic strategy from Cost Leadership to Differentiation Focus. Table of content 1.Introduction to Strategy 4 1.1 Strategy 4 2. DFB 5 2.1 Mission 5 2.2 Vision 5 2.3 Values 5 3.Conduction a situational analysis 6 3.1 Situation analysis 6 3.2 SWOT 6 3.3 The 3 C’s by Ohmea 7 3.3.1 Corporation 7 3.3.2 Customer 7 3.3.3 Competition 7 3.4 DESTEP 7 3.4.1 Demographic 7 3.4.2 Economic 7 3.4.3 Social 8 3.4.4 Technological 8 3.4.5 Ecological...
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...Research Critique Grand Canyon University NRS 433 V Introduction “UTI’s (Urinary tract infections) are a frequent Hospital acquired infection that occurs in up to 42 % of the 2.15 million nosocomial infections that are recorded each year.” (http://www.emedicine.com/urinary_tract_infections/article_em.ht). Urinary tract infections are the most reported nosocomial infections. Of all the Urinary tract infections documented, 82.4 % originate in the use of an indwelling urinary catheter. Erroneous length of time and the use of the catheters can place the patients at an undue risk for a longer hospital stay, and it can create a financial strain on our Health Care System. With guidelines in place for the insertion and the reason for continuing the use of the indwelling catheters, protocols need to be adhered to. The increased occurrence of the catheters being left in place; increases the number of UTI’s reported. In the report, a large number of catheters remained in place for reasons that are unnecessary, or possibly an oversight by hospital staff, maybe a convenience. It does not matter the reason, these types of actions places the patient at risk for infection. (http://www.emedicinehealth.co/urinary_tract_infections/article_em.ht). Background of Study There is an unequivocal relationship with the length of time a indwelling urinary catheter is in place and the frequency of CAUTI’s. The objective of the article being reviewed is to conclude if the use of criteria...
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...Research Summary Grand Canyon University NRS 433 December 15, 2013 Research Summary Overweight and obesity are serious health problems which often begin in childhood. In the United States, about one-third of school-age children are overweight or obese. Obesity in childhood increases the risk of developing a chronic disease including cardiovascular disease, hypertension, and type 2 diabetes in their middle-age. Children spend most of their waking time at school; the school has become a major source that provides balanced nutrition and activity to keep them healthy. School nurse is in a special position that has a great opportunity to contact with children, promote the children’s health by consultation and education for the children and their families. With this opportunity, school nurse and family can work together; discuss any potential weight related problems to maintain the children in a healthy weight. However, many studies showed that not so many children or families benefit from this opportunity. Previous studies have discovered some barriers to discussing weight with children and families. This study used a focus groups method to continually analyze this phenomenon and provided some advice. This was a qualitative approach study and the data collected from the focus groups and the discussion conducted by twenty two school nurse who were from different school districts from suburban to rural area. They were divided into seven focus groups. In each group, there...
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...PROBLEM: MEDICATION ERRORS Practice Problem: Medication Errors Amy Courcier Grand Canyon University NRS-433 V Christine Thompson-Sanxter September 22, 2012 Career progression: preventing drug errors. Ashurst, A. (2008). Career progression: preventing drug errors. Nursing & Residential Care, 10(10), 498-501. Abstract: Making errors in drug administration can have serious consequences for the patient and the nurse involved. In the second of two articles Adrian Ashurst discusses the ways that risk can be minimized and drug errors prevented. Nurses' experiences of drug administration errors Schelbred, A., & Nord, R. (2007). Nurses' experiences of drug administration errors. Journal Of Advanced Nursing, 60(3), 317-324. doi:10.1111/j.1365-2648.2007.04437.x Abstract: This paper is a report of a study to describe the experiences of nurses who had committed serious medication errors, the meaning these experiences carry, and what kind of help and support they received after committing their error. Background. Medication administration is an important nursing task. Work overload, combined with increased numbers and dosages of medication prescribed, puts nurses at risk of making serious errors. A drug error has the potential for disastrous consequences for patients. What is sometimes disregarded is the effect on the nurse involved. The majority of research on nurses and medication errors is framed within biomedicine, law and management. Methods. An explorative,...
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...Research Critique, Part 1 Kathleen J. Good Grand Canyon University: NRS 433 October 19, 2014 Problem Statement In 2010, after the earthquake that struck Haiti, thousands of nurses and healthcare workers traveled to Haiti to volunteer to help with relief efforts. In the year and a half after the earthquake, when looking through peer-reviewed literature, it was revealed that “all of the publications are anecdotal in nature” and “there was no original research using scientific methods that systematically explore volunteers’ experiences. In addition, none of the publications specifically addressed the issues faced by nurses caring for children. This is where this study being discussed saw a gap in knowledge. “Research that focuses on the pediatric population in disasters is generally lacking” (p. 242). Worldwide, children comprise a huge population, so knowing how to care for them, especially in disaster relief, is important. “This study sought to fill part of the knowledge gap about nurse volunteers who care for children in disaster situations.” The authors of this study point out that filling this gap in knowledge is important because “it takes a scientific approach to nurses’ experiences and will help inform nurses who consider volunteering in future humanitarian missions” (p. 243). In a grander scheme, it also gives aid agencies, such as the Red Cross, more information on how to treat children post-disaster. Purpose and Research Questions Clearly stated, “The purpose...
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...Nursing Research Study Contributions Debbie Rhoads Grand Canyon University Introduction to Nursing Research NRS 433 August 6, 2011 Nursing Research Study Contributions Fee, E., & Garofalo, M. E. (2010). Florence Nightingale and the Crimean War. American Journal of Public Health, 100(9), 1591. Study Background Problem Florence Nightingale is most remembered as the pioneer of nursing as well as the first nursing researcher. During the Crimean War in 1854, Nightingale and 38 nurses traveled to the military hospital Scutari, in Turkey, to care for the wounded soldiers. The conditions they found were horrible. Soldiers were lying in filth, there was little medications and fewer supplies. There was no ventilation and an open sewer ran beneath the hospital. Morbidity and mortality rates were a staggering 43%.(Fee & Garofalo, 2010). Significance to nursing. Nightingale's research had a great impact on the nursing profession. Her research changed the views of society as well as the military regarding the care of the soldiers. Florence focused on cleanliness, ventilation, water purity and improving sanitation, which changed the mortality rates from 43 percent to 2 percent. (Burns & Grove, 2011, p. 10-12). Purpose of Study ...
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...In: Other Topics Qualitative Research Study Running head: Qualitative Research Study Qualitative Research Study Grand Canyon University NRS433V 5/30/10 Qualitative Research Study Introduction The qualitative research study that I chose to critique is on infections related to Nursing home-acquired pneumonia. Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives. Soo Chan Carusone,1 Mark Loeb,1,2 and Lynne Lohfeld1,3 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada2Department of Pathology and Molecular Medicine, McMaster University, Canada 3Program for Educational Research and Development, McMaster University, Canada Corresponding author. Soo Chan Carusone: chansy@mcmaster.ca; Mark Loeb: loebm@mcmaster.ca; Lynne Lohfeld: lohfeld@mcmaster.ca Received September 19, 2005; Accepted January 23, 2006. Pneumonia is the inflammation of the lung parenchyma, build up fluid in the tissue of the lungs and then this infection spread in to whole body. The causes are mainly by Viruses, Bacteria, often caused by parasites or fungi. Pneumonia is the 5th leading cause of death in elderly. It may be unrecognized due to many factors such as it may be asymptomatic, or may be confused with other medical Pneumonia and other lower respiratory infections occur frequently among older adults residing in long-term care facilities...
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...Running head: QUANTITATIVE RESEARCH STUDY Quantitative Research Study Knowledge Pressure Ulcer Prevention among Nursing Professionals Jeamol Joseph Grand Canyon University NRS-433= Introduction to Nursing Research 24 July, 2011 Quantitative Research Study Nursing research is a process which helps to improve the patient outcomes through a thorough analysis of data collected and making new contributions to the healthcare field. Evidence based nursing is the process by which nurses make clinical decisions using the best available. In quantitative studies researchers identify the problem and collect relevant data from subjects. The researchers plan in advance the steps to be taken and collect data in numerical form. In qualitative studies, researchers collect narrative descriptions. Data is collected and progression takes place as the research is continuing. Nursing research is systematic search to develop evidence on problems of nursing profession. Now days hospitals deliver higher quality care to critical patients .In hospital settings these patients are more susceptible to hospital acquired infections and injuries. All the institutions have used effective strategies to avoid complications that keep their patient’s safety at risk. Quality improving programs and patient safety committees are available in all hospitals to promote patient safety. Pressure ulcer or bed sores are important problem in hospitals and nursing homes. Pressure ulcers prolong the hospital stay...
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...Pneumonia Care and the Nursing Home: A qualitative Research Study of resident and family member perspective. Jaya George Introduction to Nursing Research NRS-433 V Bazydlo, Nora June 06, 2011 Pneumonia Care and the Nursing Home: A qualitative Research Study of resident and family member perspective. Introduction. Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives. Soo Chan Carusone,1 Mark Loeb,1,2 and Lynne Lohfeld1,3 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada2Department of Pathology and Molecular Medicine, McMaster University, Canada 3Program for Educational Research and Development, McMaster University, Canada Corresponding author. Soo Chan Carusone: chansy@mcmaster.ca; Mark Loeb: loebm@mcmaster.ca; Lynne Lohfeld: lohfeld@mcmaster.ca Received September 19, 2005; Accepted January 23, 2006. Pneumonia is the inflammation of the lung parenchyma, build up fluid in the tissue of the lungs and then this infection spread in to whole body. The causes are mainly by Viruses, Bacteria, often caused by parasites or fungi. Pneumonia is the 5th leading cause of death in elderly. It may be unrecognized due to many factors such as it may be asymptomatic, or may be confused with other medical issues, or the typical age related changes occurred in the lungs structure of the elderly. Background. The use of long-term care facilities are increased among the Americans...
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...Effects of Isolation on Patients with MRSA Jeffrey W. Lyter Grand Canyon University: NRS 433 August 2, 2013 Effects of Isolation on Patients with MRSA Methicillin-resistance Staphylococcus aureus (MRSA) has become a dangerous and common occurrence within the healthcare setting. The methods to prevent the spread of MRSA infection are well known such as: covering wounds, cleaning hands, not sharing of personal items and maintaining a clean environment are well established (Centers for Disease Control and Prevention [CDC], 2010). This, however, can subject patients to decreased contact with medical staff, treatment times, and use to facilities and equipment for rehabilitation. Patients in isolation often develop feelings of seclusion and depression. Nursing staff faced with increasing time constraints and responsibilities may also find donning of personal protective equipment (PPE), each time when entering a patients room, unreasonable and frustrating. While the current methods of isolation have proven effective and best practice, it is imperative to acknowledge and be mindful to the potentially adverse effects that accompany the isolating patients with MRSA. Examination of the study, “Patient experience of source isolation: Lessons for clinical practice”, will reveal the issues, methods, implications and ethical concerns familiar with patients isolated due to MRSA. Research Summary The mounting rates of MRSA infections reported worldwide have prompted the healthcare...
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...Quantitative analysis of fatigue after stroke: The patient’s perspective Gwendoline Bungansa NRS 433-0501 Grand Canyon University Phoenix Arizona July, 17 2016 Introduction Waking up to a new normal is how a stroke patient describes his experience after a stroke. A stroke is a brain attack which happens when part of the brain is being deprived of blood supply. Stroke is not planned hence, stroke survival face varied problems as a result of the stroke incident. Fatigue is a common problem post stroke and though people experience fatigue prior to a cardiovascular accident, the fatigue post stroke as reported by patients is different. Post stroke fatigue is not related to energy exhaustion from being active (www.stroke.org.). Barbour and Mead’s research is praised for their methodology in protecting human participants, data collection, data management and analysis, and discussion of finding in an investigation of patients’ perspective of fatigue post stroke. Problem and Purpose Given that stroke patients face varied complication post a cardiovascular accident including fatigue, it was worth investigating if fatigue matter to these patients. It is reported that fatigue is common and depressing for stroke survivors. A survey of 88 patients posts stroke, 68% complaint of fatigue while 40% stated that fatigue was their worst problem post stroke. When another researcher studied 90 stroke survivors, fifty percent of the patient reported that fatigue was their major problem...
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...BEATRISA SHEKHTER NRS 433-V Literature Search Wound Care is very important topic in modern medical field. Pressure ulcers are the major problem in the long term facilities. Having an understanding of the exact cause of pressure ulcers helps place the role of repositioning into context. Demographic and epidemiological data suggest that health-care demand will increase considerably in the future as a result of an ageing population and a rise in the prevalence of chronic diseases such as diabetes. This phenomenon has come to be referred to as the ‘health care time bomb’ in the popular press and political discourse. The authors seek to look beyond the headlines and political rhetoric to clarify the extent to which they reflect the likely future reality with a specific focus on wound management. The present-day burden that wounds and current wound management practices place upon the health-care system are detailed and clarified, and the potential future implications of increasing wound prevalence on the current picture are explored. Possible opportunities to enhance current wound management practice as identified in the analysis are discussed. Declaration of interest: Alistair Biel by is a contractor for Smith & Nephew. Richard Searle is and employee of Smith & Nephew. This project was supported by an unrestricted grant from Smith & Nephew. As such, a pressure ulcer is defined as localized injury to the skin and/or underlying tissue, usually over a bony prominence, as a result...
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...century, human resources are vital for corporate success. Employees need proper incentives to perform in goal-oriented manners. Incentive systems, especially Chief Executive Officer [CEO] remunerations, have been a popular topic since the 1990s, and this tendency has increased both during the 2002-2003 corporate scandal era, as well as the financial crisis which sparked in 2007. The recent tendency appears to lean towards companies cutting their executive bonuses as well as criticism and suspiciousness towards large bonus payments. While remuneration policies within the banking industry have been thoroughly debated and researched, another financial industry that is left largely untouched are the insurance companies. The focus of this research is therefore CEO remuneration in European insurance...
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...socially responsible manner. As a result of this shift many forums, institutions and corporate are endorsing the term Corporate Social Responsibility (CSR). In Bhopal companies like BHEL and Crompton and Greaves etc are practicing the Corporate Social Responsibility (CSR). But still there are many companies that are lacking behind in CSR practices. A lack of understanding, inadequately trained personnel, non availability of authentic data and specific information on the kinds of CSR activities, coverage, policy etc. further adds to the reach and effectiveness of CSR programmes. But the situation is changing. Large number of companies are undertaking these activities superficially and promoting/ highlighting the activities in Media. This research paper focuses on the finding & reviewing of the issues and challenges faced by CSR...
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