...Neighborhood News for Season 1 Jacques M University of Phoenix HCS 408 Patricia Schwartz May 9, 2016 "Officials confirm pollution worries" (Episode 3) This article dealt with the pollution of water system and the mayors understanding a corrective action plan is needed to address this issue. The wellbeing of the community is being affected when a water crisis occurs, because other disease can brew during the process or not rectified early. This current mimics a current situation in Flint, Michigan during April of 2014, and was based on saving money and in the process affected families, schools and the environment. “The change in source water severed a half century relationship with the Detroit Water and Sewage Department. Shortly after the switch to Flint River water, residents voiced concerns regarding water color, taste, and odor, and various health complaints including skin rashes, bacteria, including Escherichia coli, were detected in the distribution system, resulting in Safe Drinking Water Act violations.2 Additional disinfection to control bacteria spurred formation of disinfection by products including total trihalomethanes, resulting in Safe Drinking Water Act violations for trihalomethane levels (Hanna-Attisha & et al ,2016). "Hotline puts family at ease" (Episode 4) The implementation of a 1-800-POISON hotline is need for safety is a public concern within a every community. The availability of a 24hr x 7 days a week service is not only beneficial...
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...The title of the research article I chose to critique is from the Journal of the American Geriatrics Society. “Hypertension, orthostatic-hypotension, and the risk of falls in a community-dwelling elderly population: The maintenance of balance, independent living, intellect, and zest in the elderly Boston study”; this title fits well with the content presented in the research article. The independent variables are clearly defined as well as the dependent variables for the research being conducted. The content of the abstract is a very good overview of the content and it is consistent with the content. The abstract summarizes the objective, design, setting, participants, measurements, and results. Problem/Purpose The problem being investigated is the risk of falls in the elderly population related to the effects of controlled and uncontrolled hypertension and orthostatic hypotension. The authors do identify the significance of the problem as falls for being the leading cause of disability for the elder generations. Adequate background information is not provided to support the problem because the subject at hand “has not been investigated previously” (Gangavati, et al., 2011, p. 383). Explanation of the purpose of this study being conducted is provided by the authors. Literature Review The previous research articles and their outcomes are briefly described with different amounts of time from...
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...Literature Search Paper NUR443 September 19, 2011 Professor Dina Faucher Literature Search Paper Numerous studies have been conducted to prove the relationship of shift work and fatigue and the results noted on medication errors. Two articles were chosen using the University Library, a qualitative research study and a quantitative research study from peer reviewed articles through the use of databases such as EBSCOhost, ProQuest, and Gale Powersearch. To research this topic, the query tool utilizing terminology such as shift work, fatigue, and medication errors was used to narrow the search. The intent of this paper is to identify the difference between research study articles versus plain journal articles, the type of nursing journals, and if the article is peer reviewed. EBSCOhost allows one to narrow the search, by selecting the mode as Boolean search, the source type as Academic Journal, the subjects as errors and patient safety, the publication as Journal of Nursing Management, AORN Journal, and Journal of Nursing Education, and finally the database as CINAHL plus with full text reduced the results to 259 articles. The articles are in order from most relevant to least relevant. Effects of working conditions of intravenous medication errors in Japanese hospital, written by Seki and Yamazaki was the most relevant article posted that encompassed the use of a quantitative research method to support the educational content. According to Burns and Grove (2011) “quantitative...
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...behavioral counseling (BC) sessions had been conducted by an advanced practice nurse. She managed to provide to provide an established frequency (five BC sessions versus one BC session in 12 weeks), intensity (face-to-face interaction), and duration (30 minutes of BC). 4. Statistical or analytic methods Qualitative- The author of the study analyzed the interview transcripts using both qualitative analysis software (NVivo) and grounded theory approach. “Grounded theory, a mode of inductive analysis, can be thought of as a theory that is derived from or "grounded" in everyday experiences. Grounded theory's data sources include all resources that yield information regarding social interaction. Data may be collected by... [continues] Return to NUR...
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...Research Methods Summary, Week 5 Joseph H. Cortez NUR/443 June 5, 2012 Research Methods Summary Week 5 The results of this Quantitative study “Timing of Adiposity Rebound: A Step Toward Preventing Obesity” and through the use of statistics and comparison this correlational study has helped the health care profession with ways to identify the children who are at high risk for developing a high AR which in contrast will develop into obesity in later years. A correlational study is used to look for relationships between different variables. There are three possible results in a correlational study: a positive correlation, a negative correlation, and no correlation at all. The correlation coefficient is a measure of correlation strength and can range from -1.00 to +1.00. This study has a positive correlation. In summary to avoid a high BMI as well as a high AR teaching and practicing good eating habits and regular exercise can help prevent childhood obesity because the obese child will most likely become an overweight adult (Bloonpleng et al, 20120. One of the quantitative articles of this team is “Patient Education on Heart Attack Response: Is Rehearsal the Critical Factor in Knowledge Retention?” This article discussed that one of the most important patient education is explaining the early recognition and prompt response to the signs and symptoms of an acute myocardial infarction. The method used was a community- based quasi experimental study with assignment (cluster...
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...Study Links Long Hours to Increased Errors | Top Abstract Background Method Results Discussion References | Study Links Long Hours to Increased Errors In 2005, the American Nurses Association House of Delegates resolved to disseminate recent research findings on the relationship between work hours, fatigue and errors. Dr. Ann Rogers presented the results of her study “The Working Hours of Hospital Staff Nurses and Patient Safety” published in Health Affairs, July/August 2004. Her study followed 393 registered nurses working over 5,317 shifts. Each nurse tracked hours worked, time of day worked, overtime, days off, sleep/wake patterns, errors and near misses. According to Dr. Rogers, fatigue results in: * Forgetfulness * Slowed reaction time * Diminished decision making * Reduced vigilance * Apathy, lethargy * Impaired communication. Delivery of health care requires higher cognitive functions – judgment, logic, complex decision-making, memory, vigilance, information management and communication skills. Fatigued workers try ineffective solutions to problems and neglect activities deemed non-essential. Sleep research indicates that most people need at 7.5-8 hour of sleep each night. Nurses in the study averaged 6.8 hours of sleep. Long hours, and the impact of competing priorities in personal lives impact getting adequate rest prior to working. In more than half the shifts, nurses were unable to take breaks due to shift demands...
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...Vulnerable Population in the Workplace Noy-Starra Edge Nur/440 May 7, 2012 Mrs. Mendez Vulnerable Population in the Workplace Long term acute care hospitals (LTACHs), give extended medical, rehabilitative, and intensive care to individuals with clinically complex problems that need hospital level care for greater than 25 days (American Hospital Association, 2012). Many LTACH admissions are elderly patients, which is a vulnerable population. “Elderly and aged patients are considered to be capable and competent, they should be treated as a vulnerable group of patients, who may need additional care and protection of their interests because of their possible incapability to realize their rights themselves (Pishchita, 2007, p.350). Most LTACH take Medicare and Medicaid payments and all take private insurance. The government provides insurance for low-income seniors and younger persons with disabilities that are govern by the state of the individual. According to Caring for Vulnerable Populations (2011), these persons are among the sickest and poorest individuals making them rely on dual enrollment in Medicare and Medicaid government programs for necessary services. “55% of this population has an annual income below $10,000 and sixty million Americans currently obtain coverage through state-based Medicaid programs. These individuals come from lower socioeconomic backgrounds and pose unique care coordination challenges. They disproportionately face chronic diseases and challenges...
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...Planning and Design Analysis of a Qualitative Research Study NUR/443 Evidence-Based Nursing Research and Practice Planning and Design Analysis of a Qualitative Research Introduction A qualitative research is a “systematic, subjective approach used to describe life experiences and give them meaning” (Burns & Grove, 2011). With this type of research, the data are collected through interviews, focus groups, observations, and review of documents. Thus, qualitative research uses words instead of numbers. This paper is going to analyze the planning and design of a qualitative research paper titled: Patient’s experience of pain and pain relief following hip replacement surgery, published in the Journal of Clinical Nursing on October, 2010. Research questions Although the research question or questions are not clearly labeled in the study, the research questions were as follows: 1) How do patients describe their experience with pain after hip replacement surgery?, 2) How do patients describe their pain relief following hip replacement surgery?, 3) How does pain affect patients after hip replacement surgery? Problem A research problem is “an area of concern in which there is a gap in the knowledge base needed for nursing practice” (Burns & Grove, 2011). In this research, it was identified that many patients undergo hip replacement every year and previous research has focused largely on the long-term effects of pain for these patients but not so much on their subjective...
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...Vulnerable Populations and Community Nursing April Pelletier Chamberlain College of Nursing NUR-443: Community Health Nursing November 2016 “In the United States, smoking is the leading cause of preventable death, accounting for approximately one out of every five deaths or 438,000 deaths per year” (p. 58). Smoking usually begins during the adolescent years and is typically more prevalent to the juniors and seniors in high school rather than adults. In the little town of Newington, CT adolescents and smoking tobacco is a real problem. Driving through this town it is easy to overlook most of the young population inhaling either a cancer filled stick or a vaporizer. However, the majority of this age group can be seen smoking...
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...Data Collection and Analysis Grid Rosa Martinez, Gabriela Sanchez, Misty Sneed & Kim Weckbacher NUR/443 November 3, 2014 Linda Hansen-Kyle Data Collection and Analysis Grid * Use the two articles assigned by your facilitator to identify the following data collection, analysis, and measurement elements for the studies. Limit each box to no more than three sentences. * * | * Qualitative | * Quantitative | * Data collection methods | * A focus group interviews using 107 RNs, 15 LPNs, and 51 NAs were interviewed in 25 focus groups. All worked on medical-surgical departments from two hospital. The data was collected by a group interviews using semi-structured design, with each group lasting 90-120 minutes. Assuring them of confidentiality for their responses, they were asked to speak freely. | * 1) Thirty minute one-on-one behavior counseling (BC) sessions with the principal investigator (PI) which is an advanced practice nurse. Subjects in the intervention group received five sessions at weeks one, three, five, seven and nine. Women in the comparison group received only one 30 minute session at week one. * * 2) Activity logs in which subjects recorded physical activity, stretching activity and strengthening activity over total trial period (Costanzo, Walker, Yates, McCabe, & Berg (2006). * | * Data collection instruments | * 1. Data was collected by open-ended tape-recorded interviews asking what nursing care...
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...Nursing Care Plan Mohave Community College Nur 122. Nursing 2 November 8, 2011 MOHAVE COMMUNITY COLLEGE NURSING DEPARTMENT NURSING CARE PLAN NUR 122 ASSESSMENT A. ADMISSION DATA Date of admission 10/07/11 Client initials CW Medical diagnosis COPD/Leukocytosis Age 65 Sex Female Marital Status Divorced Ethnicity Caucasian Religion Catholic Vital signs upon admission: B/P 107/61 P 98 R 20 T 97.6 Ht 5’4 Wt 99.9lbs Allergies C.W. is allergic to ASA, it causes her to have an upset stomach. B. HEALTH-ILLNESS TRANSITION History of present illness C.W. is a 65 year old female with a history of COPD. She has been admitted to the hospital on several different occasions for a COPD exacerbation. C.W. was admitted through the ER on October 7, 2011 for an increased cough, shortness of breath, which got progressively worse with chest tightness. C.W.’s most recent hospitalization was on September 13, 2011 for a pneumothorax. She was also admitted sometime in August for a COPD exacerbation. Significant client health history (include family history) C.W. is a 65 year old female who lives with her ex-husband. She has a history of leukocytosis, anemia, hyponatremia, COPD, valley fever, chronic pain syndrome, back pain, osteoporosis, small-bowel obstruction, peripheral neuropathy, constipation, and pneumothorax. C.W. also admits to being a current smoker. She smokes approximately 1½ packs per day....
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...Patient Educational Plan Tom Gremling NUR/427 HEALTH AND CHRONIC DISEASE MANAGEMENT April 17, 2011 Sharnee Moore-Jervis Patient Educational Plan Patient Description: Jorge Sanchez Jorge Sanchez is a 53 year old Hispanic male, naturalized citizen from Mexico. He completed high school here in the United States, but struggled as English is his second language. He lives in Mesa, Arizona with his wife, mother, and three children. His wife was born here in the United States and works as a Realtor, she handles much of the family’s finances, health information and scheduling. He works as a concrete finisher and has been for 25 years. His family history includes coronary artery disease and renal problems. His father died at age 79 of an Acute Myocardial Infarction. His mother is living (73) and is currently receiving dialysis and has been for the last two years. His wife has no current health problems to note, nor do his three children ages 20, 17, and 15. He has been recently diagnosed with Benign Prostatic Hypertrophy (BPH) and has been prescribed Avodart 0.5 mg once daily by mouth. Although he has health insurance the drug is still expensive. He has decided to supplement the therapy with the herbal supplement Saw Palmetto; he is taking the Avodart one day, and then the Saw Palmetto on opposite days. He has presented to the Emergency Department with complaints of urinary retention and abdominal pain. He is assessed and is admitted to the Med/Surg Unit for Acute Urinary Retention...
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...DIE MEUTEREI VON OPIS (ARRIAN VII, 8; ii, M. LEWIS I-7) Alexander versammelte - so berichtet Arrian (8, i) - nach der Ankunft in Opis die Makedonen und gab bekannt, daB er die wegen ihres Alters oder k6rperlicher Schaden kriegsuntauglichen Soldaten entlasse und nach Hause T?'c wo'epou5 schicke. Dann heiBt es weiter: &e'=UacL 8i tLvouatv 6am m'Uro6r k4 TrO hiLV r&v ,nOLtaeL tOLg OLXOLxat T0u5 &Xtouq Maxe86v%q 4op.L'= u,rv xLv8u'vv re xot' i6v&v 'eTrXEv.Da Arrian spater (I2, i) berichtet, daB die abziehenden Veteranen zusaitzlichein Talent bekamen, wird man wohl aus das Wort pLvouaLv dem Text streichen mussen2. Im nachsten Satz wird Alexanders Verhalten erlautert: er sagte dies, um den Soldaten einen Gefallen zu tun. Dann wird auf die Reaktion der Soldaten ' The good manuscript S has Ockov for N&xov in Plut. Them. 25. 2, a passage which foUows Thucydides I I37 very closely. It is tempting (see Gomme I p. 398) to suggest that Plutarch had a manuscript reading ()&cov in this passage, and there is some reason to believe that Plutarch's library contained manuscripts differing from the vulgate of his day. (See G. Pasquali, Storia della tradizione e critica del testo, Florence, 1934, p. 214 n. 3. The evidence for P.'s text of T. is scanty, but there are one or two passages which deserve more consideration than they have received.) A journey from Macedonia to Ephesus is more likely to touch at Thasos than at Naxos, and we are spared the hypothesis that Themistocles...
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...Qualitative Research Article Critique Sharon Victoria-Cain NUR/443 February 7, 2011 University of Phoenix The article, “You Just Have to Make the Pain Go Away”-Children’s Experiences of Pain Management (2008) outlines a participatory case study undertaken in four pediatric units in a university hospital. Researchers collected data until theoretic saturation was reached. As a qualitative research, data techniques employed recorded interviewing and data analysis. The authors indicate that data collection techniques were triangulated in an inductive content analysis. Throughout the study, certain categories were identified from the data collected and coded – these categories were outlined in the tables at the end of the article and can be reviewed on the pain management nursing website. The results abled the researchers to inductively generate hypotheses which result in a grounded theory: “owing to the subjective nature of the pain experience, children’s self-reports should be the most reliable source of the methods used in the management of their pain” (Kortesluoma, Nikkonen, & Serlo, 2008, p. 147-148). There is a scarcity of research on children’s perception of pain and their expectation of pain management when in a hospital setting. Previous studies focused on methods used by health care providers and parents in alleviating children’s pain. This study’s purpose is to “describe the interventions young children use themselves and their expectations of other’s...
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...RUMAH SAKIT ISLAM YOGYAKARTA PDHI Jl. Solo Km. 12,5 Kalasan Sleman Yogyakarta Telp. 274 498000 Website : www.rsiypdhi.com Email : humas@rsiypdhi.com PENGUMUMAN LOLOS ADMINISTRASI REKRUITMEN KARYAWAN RSIY PDHI 2016 NO. 005/CP.4.3/II/2016 Berikut ini kami sampaikan pengumuman berkaitan dengan seleksi penerimaan karyawan Rumah sakit Islam Yogyakarta PDHI Tahun 2016, yaitu : 1. Daftar peserta yang lolos seleksi administrasi kami sertakan dalam lampiran pengumuman ini. 2. Peserta lolos seleksi administrasi berhak untuk mengikuti tahap berikutnya (Ujian Tertulis ) yang akan dilaksanakan dengan tahapan sebagai berikut : a. Pengambilan Kartu Ujian Tertulis No Formasi 1 Analis Kesehatan, Penetapan Biaya, Perawat 2 Rekam Medis, Apoteker Arsitek, Dokter, Fisioterapi, Jurnalis, Laundry, Office Boy 3 Pengolah, Sanitarian, Teknisi, TTK, Ahli gizi 4 Informasi 5 Pendaftaran 6 Staf SDM, Statistik Hari/ Tanggal Kamis, 18 Februari 2016 Waktu 08.00 – 10.30 WIB Kamis, 18 Februari 2016 10.30 – 14.30 WIB Jumat, 19 Februari 2016 08.00 – 10.30 WIB Jumat, 19 Februari 2016 Sabtu, 20 Februari 2016 Sabtu, 20 Februari 2016 Tempat Gedung SDM RSIY PDHI. Peta terlampir 10.30 – 14.30 WIB 08.00 – 10.30 WIB 10.30 – 14.30 WIB Syarat Pengambilan Kartu Ujian dengan membawa Identitas diri Asli (KTP/ SIM). b. Pelaksanaan Ujian Tertulis - Jadwal Pelaksanaan Ujian Tertulis N Gelombang o 1 Gelombang 1 2 Gelombang 2 3 Gelombang 3 4 Gelombang 4 - Formasi Analis Kesehatan Penetapan Biaya Perawat Rekam Medis Apoteker...
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