...Implementing ethico-legal issues in nursing practice. Caldwell, E., Lu, H., & Harding, T. (2010). Encompassing multiple moral paradigms: a challenge for nursing educators. Nursing Ethics 17(2), 189-199. Retrieved August3, 2010, from Health Source: Nursing/Academic Edition Database. Aim: As society becomes increasingly globalised, it is imperative to include international educational perspectives in the nursing profession (Robinson, Sportsman, Eschiti, Bradshaw and Bol, (2006). Caldwell, Lu & Harding (2010) argue that the quality of nursing care necessitates nurses to reflect on nursing ethics in relation to their individual principled way of life. Cadwell, Lu & Harding (2010) paper explores these ideas. Summary: The fundamental nature of professional development implies personal development (Glen, 2005). ‘Encompassing multiple moral paradigms: a challenge for nursing educators’, is an in-depth analysis of nursing ethical dilemmas; the efforts that are undertaken to implement professional development through reflection, self-monitoring and self-control; and the challenges for nurse educators to integrate the syllabus into real-life clinical practice situations. Caldwell, Lu & Harding (2010) study analyses nursing ethics, Chinese ethical philosophies, and Judeo/Christian traditions as they endeavour to demonstrate the real-life issues of morally conflicting situations in nursing practice within these groups and the possible legal consequences. Relevant to topic yes/no...
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...Case Study 3: The Scope of Practice Decision Making Framework Case Study 2 An enrolled nurse was delegated the task of removing a patient’s wound drain. Although educationally prepared , the enrolled nurse had not performed the procedure before but was prepared to undertake the procedure. Choose one of the scenarios above and use the Scope of Practice Decision Making Flowchat, evaluate each step to determine if the action take was appropriate 1. Identified client need/benefit 2. Regulated nursing practice 3. Accepted nursing or midwifery practice 4. Organisational support 5. Within the scope of practice 6. Appropriate to proceed Answer In Healthcare environment where change is a constant feature, nurses are expected to be flexible and to respond to change in ways that benefit health consumers. When making decisions nurses need to consider that individual have differences in the education , experience and competnece and their respective profession’s scope of practice. According to Nursing practice decisions summary guide by Nursing and Midwifery Board of Asutralia first the nurse need to identify client need /benefit and nurse need to reflect on scope of practice and nursing practice standards before making decision and nurse need to consider context of practice/ organisational support and last not the least nurse need to select appropriate and competent person to perform the activity. In this case study the enrolled nurse was educationally prepared but...
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...Evidence-Based Practice March 17, 2015 Overview of Quantitative vs. Qualitative Articles Using two research studies selected from the list of articles provided. I choose A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014) and Impact of a Smoking Cessation Educational Program on Nurses' Interventions (2014). The purpose of this paper is to do an overview of both a quantitative and qualitative article. Review each selected article on learning about study design, by identifying information from each component of the study. Then evaluate the strengths and weaknesses of each study. Overview of Quantitative Article Research Question According to the article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), the research question is, does patient hand hygiene included in the bundle strategy help decrease Clostridium difficile infections? According to information found in Chapter 3 (Adams, 2012), using the abstract of problem-solving, nursing process and research process, the information found in this study was impertinent to the outcome. Determining that hand washing does help decrease c-diff infections. Study Design The article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), is a quantitative study, and non-experimental design gathers the information. Non-experimental design as defined in Chapter 6 (Adams,...
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...A Summary of “Understanding the Research process in Nursing” Priest, Roberts, Higginson, and Knipe (2006) in their article “Understanding the research process in nursing” explain the research process as follows: Summary Step 1: formulating the research question. In this case, the question was: “Can a package of information gathering and sharing tools, introduce pre-respite, contribute in a positive way to the respite experience for the patient and family caregiver?” (39). Step 2: Reviewing the literature. This has to do with looking to see if there is any prior similar research. There were studies but none on respite care preparation so the investigation is worthwhile. Step 3: Designing the study research. Deciding what to observe and under what circumstances. What data to collect, how to gather it, from whom, when, and what to do with the information. In this study they use a before and after design to assess the effectiveness of the pre-respite preparation. Step 4: Approval and access. Ethical approval needs granting so to protect safety, rights, and welfare of study participants. Step 5: Data Collection. Patient referrals to respite care receive a letter to consent to participate. The caregivers answer a serious of questions and the researcher documents them. Step 6: Data analysis and interpretation. This deals with interpreting raw data for meaning. The information reveals in the course of a year that the caregivers found the visits useful...
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...sample size and population, the researchers used a large sampling size from males in nursing. To obtain the responses needed, researchers used surveys to get an understanding of when, where, and type of discrimination those males were exposed to. With the study setting, it focused on males who were in nursing school along with males who are currently working as nurses in the medical field. Regarding the sampling method, the researchers used a non-probable sampling, this is due to the number of male nurses and students in society today. The population size for this study is not large enough to use a probability sample. I believe the researchers used an inter-rater reliability tool as well as sampling validity as a measuring tool in their study. With inter-rater reliability “... [it measures the] reliability used to assess the degree to which different judges or raters agree in their decisions” (Phelan & Wren, n.d.). Since the males were given the ability to choose their responses, the researchers could assess their decisions and determine the percentage of how many answered with a specific choice. As for sampling validity “… [it] ensures that the measure covers the broad range of areas within the concept under study” (Phelan & Wren, n.d.). By covering both the males in nursing school and who work in the hospital, the researchers can...
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...Researchers who employ these two paradigms of research are considered as either qualitative or quantitative researchers. Studies reveal that these researchers at no instance cross into employing another research method into their work. For instance, a qualitative researcher cannot cross into the confines of the quantitative researchers and vice versa. The rationale behind this is mainly attributed to the fact that both research paradigms have axiological and epistemological assumptions that are considered distinct. This paper, therefore, seeks to identify some research components within a research project, and evaluating the results of these projects by assessing the studies strengths and weaknesses of the study articles, within the qualitative and quantitative paradigms. The two principal articles of this study include; Impact of a smoking cessation educational program on nurses interventions, and the conceptualizations of culture and cultural care among undergraduate nursing students. Overview of Quantitative Article Vandenberg & Kalischuk (2014) in their article titled, “Conceptualizations of culture and cultural care among undergraduate nursing students”, pursues the audience of their readers by giving insights into the culture and cultural care. These authors depict the reasons why these elements have significantly become necessary within the nursing and healthcare industry. According to them, the values that underlie the conceptualization of these approaches differ,...
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...Quantitive and Qualitative Article Review Kristi Schneider Walden University NURS-4000 Res/Scholarshp Evid-based Prac2016 3-20-2016 Quantitive and Qualitative Article Review Quantitive and qualitative studies in research are an important aspect of the nursing profession. Researching and reviewing quantitive and qualitative articles is a process of systematic examination of materials to enhance, validate and learn new knowledge (Schmidt and Brown, 2012, p. 67). As Schmidt and Brown (2012) state, quantitive research design is used to predict relationships and explain relationships and causality whereas qualitative research design gives meaning to events of phenomenon’s (p.72). The purpose of this paper is to identify and interpret research questions, study designs, sample sizes and representativeness, the strengths and weakness of the designs, as well as results of data analysis of both quantitive and qualitative research designs. Overview of Quantitive Design Using the Research Study “A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections.” Research Question The basis of a research question is to pose an interrogatory question that describes the variables and population of the research study (Schmidt & Brown, 2012, p. 72). In the article “A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections.”, (Pokrywka et al., 2014), Pokrywka et al. (2014) present the research question; will the...
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...3.3 CHARACTERISTICS OF HANDOVER Laxmisan et al (2007) conducted an ethnographic study involving analysis of emergency department handover in a US hospital. The study found that interruptions within the emergency department were prevalent and diverse in nature and that there were gaps in information flow due to multi-tasking and shift changes. The communication process is complex and cognitively taxing during and after team handover, that can compromise patient safety. The study also discusses the need to tailor generic electronic tools to support adaptive processes like multi-tasking and handoffs in time constrained environments. Arora et al (2005) conducted interviews using the critical incident technique to handover failures between inpatient physicians in a US hospital. The study interviewed 26 interns and found 25 discrete incidents. The 21 worst events are described. Omitted contents and failure prone communication processes were identified as a major category of failure in communication. These may result in inefficient or sub-optimal care, leading to patient harm....
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...increased length of stay and added medical costs. Both adult and pediatric patients who have catheters inserted into their blood vessels face increased risk of an infection developing along the invasive plastic devices which can become life-threatening as they spread into the bloodstream. According to Centers for Disease Control and Prevention (CDC), an estimated 248,000 blood stream infections are reported per year (CDC, June 2010), and mortality rate of 12%-25 %( CDC, 2011) .This dangerous lethal medical complication can be prevented by proper management of the catheter insertion and strict aseptic technique during care. Even though CDC has recommended standard catheter associated blood stream infections (CA-BSI) prevention strategies, the study shows areas of variability in the surveillance. A central line is an intravascular catheter that terminates at or close to the heart or in one of the great vessels which is used for infusion, withdrawal of blood, or hemodynamic monitoring. The Aorta, pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic veins, internal jugular veins, subclavian veins, external iliac veins, common iliac veins, common femoral veins, and the umbilical artery/vein in neonates are considered to be the commonly used great vessels for the purpose of reporting the central line blood stream infection (CLBSI). Central line plays a crucial role in medical practice, especially in intensive care unit, during major surgery, resuscitation...
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...needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted. A1. The current practice in the emergency department that I work in when admitting a patient to the medical floor goes something like this. 1. Emergency department doctor enters orders for a consulting doctor to come and look at the patient to determine if an admission is warranted. 2. The consulted admission doctor assesses the patient and determines admission diagnosis. 3. Orders are written for admission. 4. Admission orders and chart is assessed to determine if the patient meets inpatient or observation criteria by case management registered nurses. 5. Once inpatient vs. observation status is determined, case management puts up an indicator on patient chart that bed can be ordered. 6. Primary RN requests bed from bed board using computerized bed request form. 7. Bed board assigns room to patient and places an indicator on patient chart with room number. 8. Primary nurse calls floor that patient is assigned to and asks to speak to nurse assigned to patient. 9. Phone report is given to accepting nurse. 10. Patient care tech transports patient to room. 11. Accepting nurse and CNA from the floor settle patient into room. 12. If accepting nurse has any questions, they call back down to the nurse they received report from. A2. This process is clunky and takes a lot...
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...A Qualitative Summary Introduction to Nursing Research Grand Canyon University Nurse to Patient Ratio 2 Abstract The healthcare industry stands in the face of many changes, one of which is the forecasted shortages of registered nurses in acute care settings. Unless action is taken and resolutions are not put in place evidence shows that this problem will only worsen in the coming years. Left unaddressed this shortage deprives the acute care patient of quality care, overburdens current staffing and detracts from the facilities overall performance. A further complication to the already strained workforce is the predicted retirement of the “ baby boomer” generation, which is forecast to increase the patient care needs at a rate that cannot be met by the current staffing levels. According to the “United States Registered Nurse report Card” issued by the American Association of Colleges of Nursing (2012) this shortage is predicted to spread across the United States through 2030. Nurse to Patient Ratio 3 Summary A quantitative approach to understanding this problem is the most appropriate choice to gather information such as low morale, increasing workload, high attrition levels and difficulty hiring replacement staff. The previously mentioned problems need to be understood and addressed to effectively solve the problem of attracting and retaining quality-nursing staff. Recent...
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...supervisor of what guidance you have previously been given. Once your original supervisor returns they immediately resume their supervisory role and you should inform them of what advice you have received in their absence. all the best with your assignment Graham 10/6/10 CASE STUDY GUIDELINES FOR NU2285 This assignment should provide evidence of theoretical understanding underpinning practice. It is a summative assessment that requires you to write a 3000 word case study on an adult patient you are currently nursing. The patient must have a condition that is covered in the module content i.e. a patient who has a neurological, cardiac, respiratory, metabolic or neoplastic disorder. What is a CASE study? It is NOT a study of nursing care alone, and hence this is not a nursing care study. Case reflects all aspects of “care” provision including medical treatment and inter and multi-professional care across the board. The case study should accurately reflect the care provision and contain the following elements: Title page This should contain the title of case study. An introductory paragraph This should briefly explain to the reader what you are aiming to do and how your case study will be structured....
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...Retention: A Major Factor in the Nursing Shortage Jacinta Lewis Walden University NURS3001, Section 7, Issues and Trends in Nursing March 9, 2014 Retention: A Major Factor in the Nursing Shortage The nursing shortage and the bullying culture are both of national concern. Many articles have been published providing the public with information these topics separately and how one affects the other. The information provided to the public should relate to the current workforce trends in nursing. The purpose of this paper is to discuss information from a popular source on how bullying in nursing affects retention and having a major impact on the national nursing shortage. Summary of an Article The article selected for this assignment was published in September of 2002, in Health Affairs (Stevens, 2002). The author, Stevens (2002), focused on the retention of nurses being a problem contributing to the nursing shortage. The International Council of Nurses conference in Copenhagen in 2001 (as cited in Stevens, 2002), identified retention issues as being a major factor in the international nursing shortage. Stevens (2002), suggests that intimidation and the bullying of nurses by nurses and the management culture that dismisses it, as a major factor in retention of nurses. Stevens also suggests that intimidation is viewed as a minor annoyance, and how management improves the way in which this issue is addressed in nursing will be critical for the improvement of retention...
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...APPLICATION OF NURSING THEORY TO CLINICAL PRACTICE: THE SELF-CARE MODEL OF DOROTHEA OREM Introduction The purpose of this paper is to discuss the application of Dorothea Orem’s Self-Care Model of Nursing to clinical nurse practice. The central thesis of the paper is that Orem’s theory has strong utility for application to modern day clinical practice and can be applied to most any case in order to attain the desired medical and caring outcomes. The presented discussion will support this perspective of Orem’s theory. The paper begins with a brief overview of the theory which is then followed by a delineation of a non-nursing theory that supports one or more of Orem’s self-care notions. The next section of the paper presents a historical overview of the evolution of Orem’s theory, a delineation of the concepts central to the metaparadigm, and an exploration of the theory’s usefulness in education and research. The final section of the paper applies the theory to a particular case. A model of the theory is presented in Appendix A. Orem’s Self-Care Theory Alligood and Marriner-Tomey (2001) state that conceptual or theoretical models of nurse practice are pivotal to the field, providing the profession with a guide to patient care and with a general frame of reference that connects the structural environment to the patters of behavior and relationships within the organization. The Orem Self-Care Model of Nursing (Orem, Taylor & McLaughlin, 2003) is one such model. According...
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...Evidence Based Practice Task 1 Western Governors University Evidence Based Practice and Applied Nursing Research The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk. Part A The article being analysed is: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal of Clinical Nursing, 22, 192-200. The analysis of the primary research report is done in the form of a graph (figure 1). Each of the four analysis areas is rated within a scale of 1-10; 1 denotes extremely weak while 10 denotes very strong. Table 1 then gives justifications for the rating by explaining why each area of analysis was rated that way in the analysis chart. [pic] Figure 1 Table 1 |A1 Article: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal | |of Clinical Nursing, 22, 192-200. | |A2 Background or introduction |The researchers provided an in depth introduction of the research topic outlining | | |important issues, previous research on the topic and their findings. The introduction | | ...
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