...Course objective 1: Use beginning critical thinking and clinical judgement when providing safe, quality nursing care This objective was evident when working with the unit’s RN. I was able to watch him drain a patient’s chest tube. The man has two chest tubes to drain fluid that accumulates in his lungs. The nurse had me take his vitals and it was shocking for me to discover that his respiratory rate was 44 breaths per minute. This patient was certainly far more complicated than others in long term care. I was able to compare the patient’s current condition both before and after draining his chest tube. The nurse drained 1000 CC of fluid and the patient lost nearly 2.5 from this. Additionally his respiratory rate went down and his breath sounds improved. This...
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...A Critique of the Literature Effects of Nursing Rounds: on patients’ Call Light Use, Satisfaction and Safety. Introduction: The findings of this article will critically review the methods of research, population, systems and data used to obtain results regarding this study. This evaluation of the outcome would determine whether or not there was a need to change the nursing management of patient care. The study would determine if patients were happy with their care and if the rate of falls were minimised. In the health care setting, the call light is an important communication tool for the nursing staff and patients especially in an emergency situation. Title: The title clearly summarises the content of this Journal article which suggests there was either a qualitative or quantitative designed research data used to conclude the findings. There was limited context which was not clearly defined (Meade et al.2006, p 58). Abstract: This is succinct, meaning the writer has been brief and precise with the back ground information about the research article. This...
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...The Influence of Heritage on Current Culture Evaluation of how family subscribes to these traditions and practices is offered in detail, while offering insight and/or reflection.It is essential for nurses to provide culturally sensitive care to each and every patient in order to establish repor and maintain a safe working relationship with each individual. To provide culturally sensitive care to a nurses patient’s he or she must first assess their own beliefs, values, and culture at large. The nurse can do this by using the Heritage Assessment Tool. This tool shows the nurse how important their heritage is to them and if they have adopted their ways of life from their family’s history and influence. This gives the nurse a starting point for his or her own competency because once the nurse knows their own beliefs they will know what to keep in mind as their own biases that may hinder or limit care of their patients. The Heritage Assessment tool can then be used with the nurses’ patients in assessing how much they follow their cultural heritage. When interviewing families from different cultures one can see the disparities between them and their perception of their health maintenance, health protection, and health restoration. Applying the Heritage Assessment in Evaluating the Needs of the Whole Person The Heritage Assessment is a useful tool in evaluating the needs of the patient and in being able to provide holistic patient care. The Heritage Assessment Tool assesses whether...
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...Running head: MY NURSING PHILOSOPHY My Nursing Philosophy and How Nursing Impacts My Life Liza Guillen Broward College My Nursing Philosophy and How Nursing Impacts My Life In order to fully understand my personal nursing philosophy I had to first begin to research the meaning of the word philosophy. Philosophy: the rational investigation of truths and principals of being, knowledge or conduct (http://dictionary.reference.com/browse/philosophy). Nursing can be defined differently by each individual. The word nursing comes from the Latin word nutricius, which means “nourishing.”(Nursing Today). To nourish is to provide any type of care necessary to promote; maintain life and growth. But what does care really mean? Well caring is defined as “feeling and exhibit concern and empathy for other” (the free dictionary). A nurse incorporates all of these meanings into not only patient care but to a way of life in order to truly believe and live by his or her own philosophy of nursing. Dr, Jean Watson’s caring theory incorporates three main elements of caring into her theory which are carative factors, the transpersonal caring relationship, and the caring occasion/caring moment (Watson, 2001). These elements describe the trusting relationship a nurse must create with the patient, the time and space to do so, and the how a nurse extend beyond their own sense of self to understand and care for others as unique beings. I believe these elements guide nurses to serve...
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...University: NRS-430V November 10, 2013 There was a time when a being Registered Nurse (RN) was sufficient and society did not express concerns on how an education was obtained. The baccalaureate nursing program is considered to be the beginning level of professional nursing. The nursing profession is often confusing mainly because of the various entry levels into the nursing field (Creasia & Reid, 2011 p 25). The ways it can be received are from a hospital diploma program, community college or four-year university. Nursing is a wonderful and humbling profession and it is often a self-disciplined one. No longer is it mainly focused on direct patient care and clinical skills, but one of more complexity that requires advanced skills, assessments, critical thinking, leadership, clinical decision making, case management, health promotion, and collaboration with other discipline of healthcare (Rosseter 2012). There are two types of RN’s, an Associate Degree Registered Nurse (ADN) and a Baccalaureate of Science Degree Nurse (BSN). Both of these types of graduates sit for the same examination to become licensed which is called the NCLEX-RN. However, there are differences in competencies between the two. In relation to nursing, competencies are defined by education and skills for each nursing titles (Hardy, 2013). The ADN is usually comprised of being a two or three year program and is found in community colleges or junior colleges. The programs are more directed to patient care,...
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...Why RN TO BSN The Need for Highly-Educated Nurses In the 21st century, the health challenges facing the nation have shifted dramatically. The American population is older—Americans 65 and older will be nearly 20 percent of the population by 2030—as well as more diverse with respect not only to race and ethnicity but also other cultural and socioeconomic factors. In addition to shifts in the nation’s demographics, there also have been shifts in that nation’s health care needs. Most health care today relates to chronic conditions, such as diabetes, hypertension, arthritis, cardiovascular disease, and mental health conditions, due in part to the nation’s aging population and compounded by increasing obesity levels. While chronic conditions account for most of the care needed today, the U.S. health care system was primarily built around treating acute illnesses and injuries, the predominant health challenges of the early 20th century. The ways in which nurses were educated during the 20th century are no longer adequate for dealing with the realities of health care in the 21st century. As patient needs and care environments have become more complex, nurses need to attain requisite competencies to deliver high-quality care. These competencies include leadership, health policy, system improvement, research and evidence-based practice, and teamwork and collaboration, as well as competency in specific content areas such as community and public health and geriatrics. Nurses also...
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...feel that understanding myself will enable me to feel less vulnerable when patients express themselves. By developing skills of self-awareness I will be able to respond in a more appropriate way, thus helping the patient and decreasing feeling of embarrassment that may arise. Obtaining self-awareness will place me on a constant voyage of self-discovery. As a nurse doing self-evaluations at regular intervals will enable me to see how far I have come, identify what I still need to learn, and plan how I am going to get there. Burnard, P. (1992). Know Yourself! Self awareness activities for nurses. Scutari, London: Perry and Hollinster. Rawlinson, J. W. (1990). Self-awareness; conceputual influences, contribution to nursing approaches to attainment. Nurse Education Today, 10(2),...
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...Future of Nursing Report Nursing comprise the largest group of health care workforce in the United States (US), with more than 3 million members (Institute of Medicine (IOM), 2010). Nurses can play an important role in helping to fulfill the goals set by the Affordable Care Act in 2010 (IOM, 2010). However, many obstacles are blocking nurses to advance change in the health care settings. These obstacles need to be lifted for nurses to better position themselves to advance health and lead change. The goals of this paper is to discuss the Institute of Medicine (IOM) report with the Robert Wood Johnson Foundation (RWJF) committee “Future of Nursing: Leading Change, Advancing Health”, the importance of the IOM report on nursing workforce, Campaign for Action, state-based action coalitions and initiatives. IOM report, "Future of Nursing: Leading Change, Advancing Health" In 2008, the IOM, in collaboration with RWJF, launched an initiative to meet the challenges of the nursing shortage to transform the nursing profession (IOM, 2010). With the RWJF initiative on the Future of Nursing, the IOM appointed the Committee with the intention of creating a roadmap to fulfill the RWJF objectives for the future of nursing (IOM, 2010). The RWJF recommends nurses to utilize the fullest extent of their training and education; pursue higher education and training via an educational system that promotes ease of academic progression; collaborate with inter-professionals and physicians as full partners...
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...Evolving Practice of Nursing and Patient Care Delivery Models The Speech Hello, my fello nurses. Thank you for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility...
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...Student: ____________________ Date: _3/25/12_____ Topic: Hourly Nursing Rounds to Improve HCAHPS Scores * Clearly state the proposed project (what do you plan to do): Implement hourly nursing rounds on the Progressive Care Unit at SPGH to improve patient satisfaction. Hourly nursing rounds have been shown in evidenced based practices to not only improve patient satisfaction but also help to reduce patient falls and reduce the occurrence of decubitus ulcers. Not only does hourly nursing rounds help the before mentioned items it also serves to reduce the call light usage by patients thereby increasing productivity for nurses (Culley, 2008). The proposed project includes education of the nursing staff on PCU to the initiation of hourly nursing rounds, including evidenced based research showing how regular rounds helps to improve patient satisfaction and safety. Described potential or real barriers and solutions (financial, political, social, etc) and methods that will or could be used to address these barriers: Some potential barriers could be reluctance by the nursing staff to participate in the hourly nursing rounds due to the feeling that they do not have enough time to complete these hourly rounds. By providing the unit with appropriate staff and helping to reduce or eliminate their fears by providing them with the research gathered can hopefully achieve this goal. Also by showing them that call light frequency will be lower when hourly rounds are...
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...I believe the media can both positively and negatively influence the public’s image of nursing. Showtime airs a program called Nurse Jackie in which she is portrayed in a dual light both as an advocate for her patients care despite being harsh, brash and ruffling feathers along the way. She is involved an extra marital affair and she is dealing with a problem with personal drug addiction and consequently steals medications from the pyxis to get her fix. I appreciate the program for its humorous side as it provides some real examples of day to day struggles in nursing care. The program does not portray nurses as being perfect but as humans that deal with some of the same daily struggles the public may be dealing with also. It is representative of how we dedicate our lives to caring for others but sometimes forget to put ourselves on our own list of priorities. Nurses are caregivers at home and work hence we may lose ourselves somewhere along the way. Having worked in nursing for a very long time I have practiced with many nurses who have fallen into drug addiction as portrayed in Nurse Jackie. It is perhaps a negative view portrayed for nursing, but it is also a portrayal of real life that we must be willing to accept as well. I have worked with other nurses who were appalled by the program about Jackie. Negative or positive it is a realistic example of what some nurses go through in their lives. Another program that is now cancelled portrayed the CNO at a hospital...
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...Nursing Theory Grid Nurse4682 NUR/403 February 12, 2012 Athena Brummett Theorist Selected: Ida Jean Orlando Description of Theory: Ida Orlando developed the theory of deliberative nursing process. The focus of this theory is on the patient determining their needs and how to meet their needs. She wrote about the interaction between the nurse and the patient's perception validation, and the use of the nursing process to produce positive outcomes. She wanted to define the function of nursing. She described nursing as unique and independent and the focus was on the patients need for help. This expressed need for help lead to a reaction in the nurse (Butts & Rich, 2010). Ida Orlando believed that her theory could be applied to patients with surgical, medical, obstetric, as well as psychiatric conditions and can be applied to both children and adults who are treated either at home, in the hospital, or clinic setting (Alligood, 2010). Theory's Historical background: Ida Orlando was born in the year of 1926. She earned her nursing degree in 1947 from a school of nursing at a hospital in New York. She went on to earn her B.S. in 1951 and her M.A. in mental health in 1954. While working as an associate professor in mental health at Yale University. She had a desire to learn about the role of nurses in mental health, where she received a grant to further...
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...Personal Philosophy Assignment Choosing nursing as a profession that I wanted to pursue was a decision that came naturally to me. Once the decision was made, I dedicated myself entirely to ensuring that I was taking the right steps toward the path that I believe I was destined to travel. I made it a goal to gain the knowledge that I had been craving for as long as I can remember so I could begin my career of providing care to those in need. I believe the individuals that pursue nursing as a career are answering a calling and have within them a trait that cannot be taught, but instead is deep seeded into who they are as a human being. Nursing is more than treating an illness; rather it is focused on delivering quality care that has been individualized to meet the needs of each patient. My personal philosophy of nursing encompasses both the knowledge of medicine and creating a relationship with patients to better provide compassionate care while maintaining the respect and dignity of each individual. Nurses are more than just care givers; they are advocates, educators, and promoters of health. As advocates, we should empower patients by encouraging them to become active participants in their own care and engage in mutual goal-setting. As educators, it is our duty to provide our patients with the knowledge to reach those goals in a healthy and timely manner. I believe that it is important that I, in the process of building my personal philosophy, explore further into what...
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...There have been a lot of changes in healthcare over the years. Traditionally, the healthcare system in the United States has been focused on caring for the sick and treating and preventing diseases. But a new standard has developed. Focus has now shifted to health promotion. The World Health Organization (WHO) defines health promotion as the “process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions.” Health promotion focuses on changes to a community as well as an individuals health by modifying their behaviors to strive for optimal health, which The American Journal of Health Promotion defines as being the “balance between physical, emotional, social, spiritual and intellectual health.” A healthy change of lifestyle can be assisted through a combination of learning experiences that increase understanding, motivation and build skills that access environment that make positive health practices the easiest choice. Examples of positive health practices are physical fitness, stress reduction and management and nutritional awareness. Historically, the role of nurses was to treat disease and care for the sick in acute care hospitals. But since the world of health care is always evolving, so does the role of the nurse. The role of the nurse now focuses on the quality of life in primary and community settings. Nurses have a very important role in...
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...Health Promotion in Nursing Marcus Botts Grand Canyon University Health Promotion in Nursing In its most simple definition health promotion is the process of facilitating individuals, groups, and/or communities control their own health. There is a strong compatibility between health promotion and occupational therapy with the earliest discussions dating back more than fifty years ago. The idea of health promotion to prevent illness was highlighted internationally in 1978 at an international Conference on Primary Health Care. The Declaration of Alma-Ata expressed the need for immediate action by all governments, health care workers and developers, as well as the work community to promote and protect the health of people worldwide. (Health Promotion: Future occupational therapy in an ageing New Zealand, p36, 2012). In 1986, the World Health Organization (WHO), released the Ottawa Charter, which is perhaps, the most important document in the field of health promotion. It provides five principles to guide health promotion activities: building healthy public policy, creating supportive environments, strengthening community action, developing personal skills, and re-orienting health care services toward prevention of illness and promotion of health. These principles provide a vision to which occupational therapy health promotion services should be aligned. (Health Promotion: Future occupational therapy in an ageing New Zealand, p36, 2012). As it relates to health care promotion...
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