...Arlington College of Nursing In partial fulfillment of the requirements of N3321 Nursing Research Denise Cauble PhD (c), RN, CWOCN April 26, 2014 “Research is a diligent, systematic inquiry or study that validates and refines existing knowledge and develops new knowledge” (Burns & Grove, 2011, p. 4). In nursing, we want to use evidence-based practice to further our knowledge and provide the most effective outcomes for everyone involved. To acquire evidence –based knowledge, nurses must analyze and critique research and presentations. Nurses should not simply rely on traditions, authority and role modeling. Critiquing of research is an important part of nursing process and should be done throughout the career. As a research group, we performed a critique and review on a study looking at psychosocial variables among obese women. Research Problem and Purpose Smith, Theeke, Culp, Clark and Pinto conducted a quantitative study to look at the relationships among psychosocial variables and obesity (2014). According to Smith et al., the problem statement is “the psychosocial variables of perceived stress, sleep quality, loneliness and self-esteem have not been studies as a cluster of variables in a sample of young adult women with a BMI>30” (2014, p. 67). “The purpose of this study was to describe relationships among psychosocial variables and self-rated health status in a sample of obese young adult women” (Smith et al., 2014, p. 67). This study is significant...
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...Department of Health and Human Services (MacKay, Fingerhut, & Duran, 2000), more than 900,000 adolescents become pregnant each year. Three hundred thousand of these annual pregnancies occur in mothers under the age of 15, 78% are unplanned, creating multiple negative consequences for the adolescent and society.”(Pierangeli,L. 2006) This study addresses the community health nursing role in trying to reduce the number adolescent pregnancy by teaching students about abstance to prevent teenage pregnancy that abstained will also prevent STD. If a child hears the message about abstinence before they become sexually active it is received better. Therefore it reduces both STD and teenage pregnancies. “Worth the Wait is an abstinence education program designed for sixth through eighth grade students. It focuses on healthy relationship building, goal setting, and the challenges of parenthood. The WTW program consists of three main topic areas. They are: ‘healthy relationships,’ ‘parenting can wait,’ and ‘making good decisions. ”(Pierangeli, L. 2006) The Theory of Planned Behavior(TPB) (Ajzen, 1988, 1991; Ajzen & Madden,1986) is used in this study as a framework for reviewing the literature. The TPB is based on another theory called the Theory of Reasoned Action(TRA) this theory based is behavior can be controlled however you must have the attitude, willing to control a behavioral and has nothing to do with demographics and environment. An older physician whom I worked with told...
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...Illness: A Multidisciplinary Concept Analysis Lauren E. Johnson University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Ronda Mintz-Binder, RN, MN, DNP March 10, 2014 Effects of Humor and Laughter on Healing in Adults with Illness: A Multidisciplinary Concept Analysis The stressors of illness, together with the stressors of everyday life, can challenge the coping mechanisms of all patients. The relationship between humor and health dates back to the bible: “A cheerful heart is good medicine, but a crushed spirit dries up the bones” (Proverbs 17:22, New International Version). Research across many disciplines has shown humor to be an important tool in facilitating these coping skills Humor is an integral part of everyday life and, therefore, also a component of the care and treatment of patients in the modern health care system. The purpose of this paper is to examine and analyze the concept of humor along with laughter in the healthcare arena as well as serve as a vehicle in providing a clearer understanding of the thought and its therapeutic value in nursing. Review of Literature Don’t forget to summarize here!!!! Nursing Discipline A quantitative study was conducted by Astedt-Kurki & Liukkonen (1994) to illustrate the occurrence and meaning of humor in the nursing process, as described and experienced by professional nurses. Because humor can create a more relaxed atmosphere...
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...Case Study Abstract The purpose of this assignment was to perform a case study of a healthy child. Developmental considerations and data analysis were used to formulate and prioritize three nursing diagnoses. A complete health history interview was performed on a 17-year-old female. A genogram was developed to help determine potential genetic predispositions. J.K.M. is a 17-year-old female born on May 9, 1994. The first part of the interview was done with her mother present. Her mother was then asked to leave to continue to interview. As a child she had normal childhood illnesses without complications. All of her immunizations are up to date. She had no injuries or illnesses requiring hospitalization. She started menstruating at the age of 12. She is still menstruating and has normal 3-5 day periods while on Nuva-ring and her cycle is every 28 days. She has started dating and has been sexually active off and on since the age of 16. Both her parents and one sister are alive. There is a history of alcoholism and depression on both sides of her parent’s family. Her parents are divorced. She lives with her mother and sister and states they all get along very well except for the occasional disagreement. She does not see or communicate with her father. She denies any drug or alcohol use. She states that she is usually happy but she is concerned about the depression and alcoholism that runs in her family. She has no suicidal ideation and has never been physically...
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...article that was published by the Journal of Psychology in Africa, entitled “Risk Factors Associated with Adolescent Pregnancy: An Exploratory Study”. This article describes a study done to see if there was a “relationship between Protective factors, risk factors and adolescent pregnancy(Ditsela & Van Dyk, 2011)”. This study gives results of 121 mostly bi-racial females in South Africa. Problem to be solved The problem that this article discusses is about how possible parenting styles or lack they’re of, self-esteem issues, and locus of control may play a large part in adolescent pregnancy. This article give and exploratory study of the risk factors than may be associated with teen pregnancy. This study brakes down how family problems such as divorce, new parents, and low self-esteem are reasons teen pregnancy happens so much. Where as high self-esteem makes you less likely to become involved in risky sexual behavior (RBS). Health Care Administration The growing problem with teen pregnancy is a very important issue all around the world. Health care administration should study this issue so that more kids can be aware of the on going problem of children having children. There are so many issues that teens should be aware of with risky sexual behavior that many people do not think about. Like the sexual transmitted disease, a study was done in 2008 that shows that out of 19 million Americans about 9.1 million of them are teenagers (STD Statistics, 2012). Fortunately shows...
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...Case Study #1 Jennifer is a 29-year-old administrative assistant married to Antonio, an Italian engineer, whom Jennifer met four years earlier while on a business trip for her marketing company. The couple now lives in Nebraska, where Antonio works for the county's transportation department and Jennifer commutes an hour each way to her marketing office. They have been trying to start a family for over a year. Eight months ago, Jennifer miscarried in her second month of pregnancy. Antonio's parents love Jennifer and often ask her if she is expecting again, hoping to encourage her to focus on her next baby. Jennifer's mother passed away two years ago and her father's health is rapidly deteriorating. Jennifer faces the probability of placing her father in a skilled nursing care facility within the next few months, against his wishes. At work, Jennifer runs a tight ship. She is organized and prepares lists to assure that everything is done according to schedule. Everyone counts on Jennifer and she takes pride in never letting people down. Jennifer has visited her physician numerous times in the last six months, complaining of headaches, backaches, and indigestion. Jennifer insists that she is happy and is not feeling stressed, yet she finds herself making more mistakes at work, unable to keep up with housework, and feeling tired and overwhelmed; she has begun to question her effectiveness as an employee, wife, daughter, and potential mother. Her pains seem to be increasing...
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...behavioral/ mental health units. The main culprits to these act are non-other than; charge nurses, senior nurses, physicians and nurse managers. This is impartial research among others that have been carried in the United States in relation to nursing careers. Indeed, bullying in nursing profession is stirring at alarming rate that should be moderated through implementation of a number of rules and procedures. The act ought to be rectified since allowing bullying in a nursing environment does not only damage interpersonal relationship in a healthcare facility, but also has devastating effect to the whole group, the patient quality of care, overall financial loss, and give a bad image to the workplace (Quine, 2001). Consistent bullying, affects a nurse physically with chronic health conditions, psychological depression which ultimately lowers his or her occupational performance capacity. These conditions eventually led to increased rate of sickness occurrences, inadequate staffing and poor job performance. Very few nurses can accept bullying at work. It is evident that female nurses are more at risk since bullies target them as they are perceived to be powerless and conquered by physicians, senior nurses, and administration. In most cases, bullying is done by the superior against a subordinate. Creating awareness in regard to...
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... Concept Analysis Response In the article, Overcoming: A concept analysis, the authors evaluate the process involved in combating conditions that may be challenging or addictive within the nursing framework. In order to accomplish the task, the authors first define the concept before undertaking a systematic analysis using the Walker and Avant method of concept analysis (Brush, Kirk, Gultekin, & Baiardi, 2011). In nursing, the professionals often have to understand the concept of overcoming as they encounter numerous health and social problems among patients that require overcoming. The assessment studies the conceptual makeup of overcoming and how if applied well can help alleviate conditions affecting patients. Method of analysis The Walker and Avant method of conceptual analysis was used in this assessment. Under each step. The method is considered to be the most effective and influential method of concept analysis in nursing science (Fitzpatrick & Kazer, 2011). The Walker and Avant concept analysis method involves eight concise steps in assessing a concept; selecting a concept, determining the aims/ purpose of the analysis, identifying all uses of the concept, determining the defining attributes, constructing a model case, constructing additional cases, identifying antecedents and consequences, and defining empirical referents (McEwen & Wills, 2014). Applying the method, the authors of the article are able to break down the concept of overcoming...
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...The Nurse-Patient Relationship In this essay, I plan to explore the concepts of the “nurse-patient relationship” using the necessary literature to back up my findings. I have chosen to study this concept because I am interested in discovering what makes a successful, or indeed, an unsuccessful nurse-patient relationship, as I believe the relationship between nurse and patient to be an integral part of nursing. The main focus of my essay will be around the works of Hildegard Peplau, but I plan to incorporate other theorists, such as Carl Rogers and Abraham Maslow, comparing and contrasting their approaches as well as drawing on my own practical experiences out on placement. Before beginning, it is important to understand what a “concept” is. This is so as to fully understand what the essay question is asking. According to Arnold and Underman Boggs (1999), a concept is a series of:- “Broad comprehensive ideas that serve as building blocks to present key ideas that make up models in a logical and focused manner” (p552). Concepts are very important in nursing and it is important that we understand why in order to integrate them into our practice. Nursing is now considered to be an “evidence-based” profession and one that changes constantly as new and fresh ideas are embraced. These ideas are formed through theories which, in turn, are formed through concepts. A fundamental part of the nurse’s role is to maintain confidentiality, and student nurses are no different...
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...Application ORIGINAL XXX 1541-5147 ARTICLES International of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman With Diabetes IJNT Malden, USAJournal Inc Blackwell Publishing of Nursing Terminologies and Classifications Application of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman with Diabetes This paper aims to illustrate the process Coleen P. Kumar, RN, MSN, CNS, is Assistant Professor of Nursing, Kingsborough Community College, Brooklyn, New York. Introduction As the average lifespan is extended, more individuals are coping with chronic illnesses such as diabetes, which has reached epidemic proportions with more than 20 million people in the United States having this diagnosis (Gordois, Scuffham, Shearer, Oglesby, & Tobian, 2003). The American Diabetes Association (ADA) estimates that a million people will be diagnosed of diabetes every year (2004). Long-term complications of diabetes are costly to both the individual and the healthcare system. Over the past decade, diabetes research has focused on pharmacological approaches and lifestyle interventions to the illness (Odegard, Setter, & Iltz, 2006). Recent evidence in the forum of diabetes care revealed a need for healthcare professionals to assess and empower individuals in the self-management of this illness. For the purposes of this case study, health assessment by nurses was defined by Fuller and Schaller-Ayers (2000) as a process...
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...RLL NURS1101 Week 3: Nursing as an Art & Science Week 3’s NURS1101 class commenced with a DVD lecture on seizures & the different type’s people could succumb to. The level & seriousness is determined by the seizure classification indicator. First it is divided into being a partial or generalised activity, a partial seizure is one originating in one part of the brain & is diagnosed as simple or complex, whereas a generalised seizure’s activity involves the entire brain & diagnosed as absence, myoclonic, tonic clonic, tonic or atonic. The information is set out in a table for on the website: www.epilepsy.org.au/aboutepilepsy/understandingepilepsy/seizuretypeclassification. Discussion about the different types of seizures people can have is included in the opening tasks of this week’s tutorial. Displayed for students information & awareness on the room display boards is “Maslow’s Hierarchy of Needs”, students are asked to interpret this information, discuss & describe how a nurse needs to apply it as professional activity during working hours, keeping in mind OH&S & the level of safety & security. Included in Maslow’s Hierarchy & displayed as a pyramid connecting on thing to the one above are self actualisation, esteem, belongingness & love, safety & physiological needs. For the first case study you have to apply Maslow’s Hierarchy of Needs to Mrs Wall the 80 year old with history of MRSA, diagnosed early dementia & dysphagia. Also discuss the risks for the attending nurse, the...
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...to the concept of Lateral violence (LV) within the nursing profession and how it directly affects the work environment. The concept of LV is also known as abusive behavior, horizontal violence, bullying, aggression, horizontal hostility, verbal abuse or “nurses eating their young”. There are four main themes that appear throughout the five articles. The negative effects that LV has on nurses’ health, moral and sense of worth. The negative impact that LV has on patient care and outcome. The negative impact that LV has on the recruitment and retention of nurses by health care organizations. And who should be responsible for eliminating the phenomenon. Within the articles there is a shared belief that strong leadership is needed to create codes of conduct and enforce zero-tolerance policies. Employees should be provided education and training on effective communication skills as well as conflict resolution. Furthermore nurses should hold themselves accountable through adopting and modeling professional ethical behaviors so that LV can be eradicated from the professional workplace. Keywords: abusive behavior, lateral violence, horizontal violence, bullying, aggression, horizontal hostility, verbal abuse, nurse eating their young. Thesis Even though nursing is known as a caring profession, it is not uncommon to find Lateral violence (LV) within the field of nursing. Lateral violence is a negative phenomenon within the nursing profession therefor it is the responsibility of the...
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...year old Vietnamese undergraduate student was admitted into the hospital Emergency Department presenting with anxiety, difficulty speaking, breathing and dusky lips following severe chest tightness during an exercise session at the local martial arts school. On examination she had a wheezing sound when breathing. She has no history of asthma but says she has some allergies which she treats with herbs. Her colleague who brought her to the emergency room also claims that Jane has recently had difficulty breathing while taking the stairs up to the martial arts studio and she no longer rides her bicycle to the studio. Jane is in her second year at the local University where she is studying cellular biology. Jane is a bright student who studies a lot and also works part time in the Universities’ research center which gives her extra cash. She admits that she has been having a dry cough for some months which she associated with allergies. She also relates her inability to ride her bike to her allergies. Jane smokes at least one packet of cigarettes on a daily basis, and during assessment appears to be in the pre-contemplation stage. Jane had six months earlier tested positive for hepatitis B. This surprised her a lot because she was asymptomatic. Though she denies drug use, she admits to having multiple sexual partners. She does not want to be in a long-term relationship because she claims it could complicate her life. She also admits to not using protection on a regular basis. ...
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...Case Studies Susan Rodgers PSY/210 Axia College Case Study: Jennifer is a 29 year old administrative assistant married to Antonio, and Italian engineer, whom Jennifer met four years earlier on a business trip for her marketing company. The couple now lives in Nebraska, where Antonio works for the county’s transportation department and Jennifer commutes an hour each way to her marketing office. They have been trying to start a family for over a year. Eight months ago, Jennifer miscarried in her second month of pregnancy. Antonio’s parents love Jennifer and often ask if she is expecting again, hoping to encourage her to focus on her next baby. Jennifer’s mother passed away two years ago and her father’s health is rapidly deteriorating. Jennifer faces the probability of placing her father in a skilled nursing care facility with the next few months, against his wishes. At work, Jennifer runs a tight ship. She is organized and prepares lists to assure that everything is done according to schedule. Everyone counts on Jennifer and she takes pride in never letting people down. Jennifer has visited her physician numerous times in the last six months, complaining of headaches, backaches, and indigestion. Jennifer insists that she is happy and is not feeling stressed, yet she finds herself making more mistakes at work, unable to keep up with housework, and feeling tired and overwhelmed; she has begun to question her effectiveness as an employee, wife...
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...Empowerment is a concept we all have heard at one time or another it is utilized in numerous professions and specialties. Analysis of this concept will further understanding of empowerment for nursing professionals in areas from research, theory development or practice. Exploring the attributes, consequences, implications and model cases of empowerment can assist the nursing professional in utilizing empowerment to its fullest potential. Within the scope of nursing, empowerment can be seen not purely as how it relates to the client, or the nurse but also how it relates to both the client and the nurse (Rodwell 1996). The Walker-Avant method was used to analyze this concept, as it was the most commonly seen in nursing literature (McEwen & Willis, 2007). Aim This paper’s aim is to clarify the concept of empowerment and its implications for the nursing profession, by exploring how it pertains to nursing as well as other disciplines, its essential attributes, antecedents, consequences and empirical referents. Definition What is empowerment, and what does it mean? American Heritage dictionary defines empowerment as “To invest with power, especially legal power or official authority” or “To equip or supply with an ability; enable”. Dictionary.com defines it as “to give power or authority to; authorize, especially by legal or official means” or “to enable or permit”. Synonyms for empower include capacitate, entrust, permit and privilege according to Rogets Thesaurus. Understanding...
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