...Orem’s Theory and Leadership Gretchen M. Ngaruiya Chamberlain College of Nursing NR501: Theoretical Basis in Advanced Nursing September 2015 Orem’s Theory and Leadership Nursing theory can be used to help solve problems in any aspect of nursing. It can solve problems in general nursing as well as leadership and management issues. The topic or specialty is not necessarily the basis on which nursing theory should be used to solve the problem because many different theories double to cover multiple disciplines. In this paper we are going to discuss Orem’s theory. Orem’s general nursing theory encompasses the ideas that self-care is necessary for the benefit of health and that as nurses we are designated to assess and find the self-care deficits and recognize who is needed to be able to perform the action (nursing) for the individual, and this relates to many nursing issues because it basically defines the role of the nurse to the patient in recognition to total care of the patient. And no matter what specialty you are in the main goal is adequate patient care. This paper will discuss a problem that happens far too often in home health. Patients are turned away daily because of assessment. Nurses in leadership positions such as administrators, directors, and admissions nurses are turning away patients because their needs are not expressed well in referrals and discharge / admission assessments. Also, discussed, will be the strategy to fix this problem by using the middle...
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...Educational assessment and analysis Introduction There is a wide range of problems that nurses are experiencing from their places of work. There are also challenges that they face in regarding their professional development because they do not have the prerequisite skills that are necessary for the provision of care of the highest standards to their patients. Because of the majority of workers who are aging at an increasing rate, it is likely that hospitals will experience a shortage in nursing. It is necessary to have ongoing education for nurses so that to make sure the currency of knowledge so that to enable evidence-based customer care. The education cost is high to both the individual and the organization; therefore, it should be cost effective, appropriate, and relevant (Jacob, & Cherry, 2005). Research indicates that education for nurses is not always planned and developed systematically, and it relies on the interest and assessment area of the nurse educators. According to this paper, it will aim at identifying, analyzing, and assessing the educational needs at LewisGale (LG), which is a long term care facility. This paper will help determine the educational needs that should be addressed and challenges that long term facilities are currently facing. Residential Care Residential care provides care in facilities also known as nursing homes. This is a place where people requiring continual nursing care with significant deficiencies with daily living activities...
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...Running head: COMPARISON PAPER Comparison Paper Epidemiology: Global and Public Health NUR408 October 11, 2009 Comparison Paper Public and community health nursing are specialty areas that have been and will continue to be practiced and each having a specific area of focus. Research has indicated that many individuals tend to see each entity as one and have a misconception that public and community nursing is one in the same (Stanhope & Lancaster, 2008). The misconception is just that, a misconception. In the reading to follow, each area will discussed and one will be able to see the similarities and differences, the history and development and the role that is expected from each area of expertise. Although each specialty works within its main area of focus, the two also work closely together for the good of the individuals within the public and community sectors. Community and public health nurses strive to improve the health status of individuals, families, and populations. History and Development Public health and community health nursing has been in circulation for more than 120 years. Lillian Wald is known for being the established leader in this specialty. The goal of public health nursing has been to develop strategies to respond to prevailing public health problems. One of the earliest traditions of public health in America was similar to the British law known as the, Elizabethan Poor Law of 1601 (Stanhope & Lancaster). This law guaranteed...
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...Heritage Assessment Paper Grand Canyon University NRS-429V United States one of the most cultural diverse nation on earth, People from different part of world have come tougher to create this country. So as healthcare professionals nurses has to deal with patient from diverse cultural background. To provide quality care they should be able to understand the cultural heritage. Culture is that which shapes the person. Heritage is made of practices and tradition example like language, norms, behavior, belief, values that are passed from parent to children. This paper will discuss the importance of applying heritage assessment tool to assess health tradition of culturally diverse population. Based on heritage assessment tool this paper addresses the health maintance, health protection, and health restoration of culturally different families of Indian, Philippines and Pakistani, and evaluate and discuss how the families subscribe to these tradition and practices. The author include her own health tradition based on her cultural heritage. Heritage Assessment tool in Evaluating the Need of Whole Person Treating the person as a whole is extremely important in nursing practice. That means nurse assess the person as a whole. To understand fully the nurse should have the knowledge of their culture and heritage. Culture...
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...Personal Heritage Assessment Question: What are the Personal heritage assessment and its usefulness? In this paper, the writer will focus on the usefulness of applying a heritage assessment in evaluating the needs of person as a whole, three different family’s opinions on health maintenance, health protection and health restoration. Also this paper will identify health traditions as regards to cultural heritage of the writer, then how the three families interviewed in this paper follow their customs and how important their traditions and practices are to them. Heritage can be described as the degree of which one’s lifestyle reflects his/her tribal culture. Cultural heritage exist in a continuum and a person can possess values both the traditional –living within the norms of the traditional culture and modern-living outside norms of the tradition. Specter (2004) The usefulness of the applying heritage assessment in evaluating of the needs of the whole person is outlined as follows; EFFECTIVE CARE:- With the knowledge and application of heritage assessment patient will derive satisfaction and positive outcome in health will be achieved. RESPECTFUL CARE: - Taking into consideration the values, preferences, n the expressed needs of the patient are met. CULTURAL AND LINGUISTIC COMPETENCE:- By applying heritage assessment certain behaviors, attitudes, and policies that are seen in a system of multidisciplinary which enable them to work in cross-cultural...
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...Running Head: FAMILY HEALTH ASSESSMENT Family Health Assessment Grand Canyon University NRS 429 15 March 2009 Instructor - Catherine Tiwald RN MSN WHNP-BC Family Health Assessment Gordon’s Functional Health Pattern assessment was developed from the belief that all human beings have in common 11 functional health patterns that contribute to their health, quality of life and achievement of human potential. By examining functional patterns, nurses can more accurately determine and diagnose actual or potential problems, intervene more effectively and achieve outcomes that promote health and well-being (Edelman & Mandle, 2006). This paper will examine the 11 functional health patterns of a selected family; make nursing diagnosis recommendations and offer community and web-based resources for support. Additionally, the paper will review the role systems theory had in assessing the target family. Family Demographics The target family (Family “P”) identified themselves as white, middle class and educated. The husband, age 42, develops computer software. His wife, age 45, home schools their three children, ages 14, 11, and 5. The two younger children are adopted from Guatemala and China. Interview Process and Results Both parents answered multiple questions for each of the 11 functional health patterns, and where applicable, a physical examination was conducted. For the health perception/health management pattern, they answered the question “What are the most...
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...Running head: PERSONAL HERITAGE ASSESSMENT AND ITS USEFULNESS Personal heritage assessment and its usefulness April 15, 2012 Personal heritage assessment and its usefulness INTRODUCTION: In this paper, the writer will focus on the usefulness of applying a heritage assessment in evaluating the needs of person as a whole, three different family’s opinions on health maintenance, health protection and health restoration. Also this paper will identify health traditions as regards to cultural heritage of the writer, then how the three families interviewed in this paper follow their customs and how important their traditions and practices are to them. Heritage can be described as the degree of which one’s lifestyle reflects his/her tribal culture. Cultural heritage exist in a continuum and a person can possess values both the traditional –living within the norms of the traditional culture and modern-living outside norms of the tradition. Spector (2004) The usefulness of the applying heritage assessment in evaluating of the needs of the whole person is outlined as follows; EFFECTIVE CARE: With the knowledge and application of heritage assessment patient will derive satisfaction and positive outcome in health will be achieved. RESPECTFUL CARE: Taking into consideration the values, preferences, n the expressed needs of the patient are met. CULTURAL AND LINGUISTIC COMPETENCE: By applying heritage assessment certain behaviors, attitudes, and policies that are...
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...Family Health Evaluation Introduction Health Assessment is the plan of care that identifies or recognizes particular needs of an individual and how the needs will be addressed and conducted by the health practitioners or health care systems. Health Assessment is the gathering of information by physical assessment or extensive medical questionnaire. The health evaluation is done diagnose diseases early in characters that seem to be in good health condition. The purpose of the health assessment is to establish a plan of care for the patient and family. The health assessment takes into consideration eleven health patters. The interview was conducted using these eleven health care patterns with three open ended family focused questions per health pattern. A family health assessment is a critical approximation tool used in the healthcare system for the formulation of the family health plan. The research by the health practitioners as in the paper gives detailed information on the role of nurses in the family assessment and how the task can be done. Based on Gordon's principle of functional health pattern, the paper provides a summary of the findings of the health patterns of the involvement of the family with the inclusion of nursing diagnosis of each assessment offered to them. The use of this technique creates a standard systematic approach to collect information and data analysis considering the nurses determine to consider the aspects of health management, sexuality, sleep/rest...
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...Concept Comparison and Analysis Across Nursing Theories Dana Montgomery NUR/513 Mary Nicks Abstract Define caring? Caring is a critical element of caring in the profession of nursing. It is the groundwork approach that is utilized in day to day practice. Many theories have been studied in regards to caring. For the purpose of this paper, I will be discussing Marilyn Ann Ray’s Theory of Bureaucratic Caring, Madeline Leininger’s Cultural Caring Theory, and Jean Watson’s Theory of Human Caring. The Theory of Bureaucratic caring was created for a more multifaceted institute while the Cultural Caring theory identifies the need for cultural awareness in caring. Theory of Caring describes caring in a more methodical approach. The meaning of caring respectively has similar qualities, but the approaches are entirely different. This paper will elucidate on these three theories of caring, compare and analyze their concept definitions, and apply a specific theory to practice. Caring is defined as feeling and displaying concern or empathy for others. Nursing has become more convoluted with advancing technology and continuous changes, it can be very challenging. For an individual to become an efficient nurse they must have a positive perception of what caring is as it has become a vital part of nursing. Concepts are essential to theory development and have often been referred to as the building blocks or structural components of theory (Chinn & Kramer 1999). As a core concept...
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...Week One Paper: 8/19-8/25 NUR 3826: Ethical & Legal Issues in Health Care Week One Paper: 8/19-8/25 Nursing is a profession that is diverse and those practicing have the potential to adopt their own standards and competencies. However, thanks to the American Nurses Association, standards and competencies have been adopted, stating that all registered nurses regardless of role, population, or specialty are expected to perform competently (ANA, 2010, p. 2). The 2004 Scope and Standards were revised in 2010 secondary to the change in dynamics of the nursing profession. The current 2010 Scope and Standards (1-16) are thoroughly stated, leaving those reading minimal occasion for misinterpretation, in comparison to the 2004 Scope and Standards (1-15). For example, the 2010 Standard 1. Assessment, specifically states the competencies in collecting data, recognizing the impact of personal attitudes values and beliefs, and the fact that the health care consumer’s care preferences is to be honored because they have the authority over their health. The 2004 Scope and Standard 1. Assessment, gives very general authoritative statements. It never highlights the attitudes, values and beliefs of the nurse and the impact it has on the health care consumer or the fact that the health care consumer has the authority over their health and the nurse has to honor their preferences (ANA, 2010, pp. 32-33, 119). The 2010 Standard 7. Ethics competencies states that that the registered nurse...
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...Nursing Interventions for Patient Safety Nursing Interventions for Patient Safety The evolution of nursing is one that is rich in history and clinical practices and has existed for hundreds of years for health care issues. This author has work experiences from 1978 to 1996 as a nurse and nursing consultant in long term care and has a personal interest in how the use of restraints has evolved to a patient focused and caring approach that has reduced the rates of restraint use and patient injuries. Nursing evidence based practices for patient safety evolves from current technological advances, research and nursing theory. The purpose of this paper is to address how nursing clinical practices evolved for the use of patient restraints in health care facilities. Identification and Discussion of Health Care Issue The Centers for Medicare & Medicaid Services (CMS) defines a physical restraint as “any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body” (U.S. Department of Health and Human Services, 2001). Physical force can be human, mechanical devices, or a combination. Some Items that can be used to physically restrain people include bed side rails, waist belts, vests or jackets, hand mitts, arm and leg restraints. This author has witnessed wheel chairs being tied to hallways handrails; patients...
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...nurse has many different responsibilities and roles. This paper will focus on relationships and transitional changes from the Licensed Practical Nurse (LPN) to the Registered Nurse (RN) role in the nursing process, as well as this nursing student’s observation of the role changes in the Home Health Care setting compared to literature reviewed. It will also include changes that must be made in this nursing student’s practice in order to assume the role of a Registered Nurse. Relationships and Transitional Changes from the LPN to RN Role According to the Oregon State Board of Nursing: “Practice of registered nursing” means the application of knowledge drawn from broad in-depth education in the social and physical sciences in assessing, planning, ordering, giving, delegating, teaching and supervising care which promotes the person’s optimum health and independence… “Practice of practical nursing” means the application of knowledge drawn from basic education in the social and physical sciences in planning and giving nursing care and in assisting persons toward achieving of health and well-being.” (Oregon state board of nursing…..) The Licensed Practical Nurse is a very important team member of the health care setting. Under direct supervision of a Registered Nurse and within the scope of practice, the LPN assists in the nursing process....
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...Literature Review Patient Education for Post-Hospitalization Home Care Debra Scully Walden University NURS 6010-11 Advancing Nursing through Inquiry and Research April 8, 2012 Patient Education for Post-Hospitalization Home Care Changes in health care delivery brought on by financial constraints have affected the length of stay for certain patient procedures, resulting in an early discharge. Patients discharged from hospitals sooner than anticipated are finding themselves ill prepared, regarding insufficient education and instructions on self-management for home care, post-hospitalization. Patient education in nursing should be a focal priority, yet is often slighted due to time constraints, and lack of staff, preparation and materials. The purpose of this paper is to discuss the importance of sufficient patient education prior to discharge for patients with residual home care. Research on this topic could have beneficial implications for patient satisfaction pertaining to quality education for home care prior to discharge. Evidenced-based research has illustrated that the development of educational tools to aid nursing in providing succinct and pertinent information of discharge criteria has attributed to a rise in patient satisfaction. Considerations for educational materials were preferred language, specificity of patient concerns, and simplicity of educational materials. Summary Contemporary day surgery: patients’ experience of discharge and recovery ...
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...AACN Statement of Support for Clinical Nurse Specialists The American Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe...
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...The Hyppolite Family “The purpose of this paper is to apply the Family Systems Stressor-Strengths Inventory (FS3I) to a family and present an analysis of the finding.” For the purpose of this paper the family will been known as the Hyppolite Family. The family discussed in this paper is considered a traditional nuclear family living in a single family home. Included is a Father Andrew Hyppolite (AH) age 38, a mother Katharine (KH), age 36, and four children Zoë , Timothy, Sarah, and Scott, whose ages are 9, 7, 5,3. Andrew and Katherine have been married for 10 years. The mother is a stay a home mom who performs household duties and children activities. The husband Andrew works outside the home at an Accounting Firm. Both parents have a college education. The wife Katherine stopped working as a full time Registered Nurse after their second child was born to stay at home more often. She continues to works part-time at the local hospital. The father is considered the breadwinner of the family being the only one that works full-time the household. The children are 2 years apart and have a close bond due to the age difference. All the children are involved in school activities such as soccer, ballet/dance, football, and gymnastics. In general, the Hyppolite family is described as more focused as a family unit and family activities. The family eats together every night and on Sunday they have family game/movie night every week. Also they are involved in church events and attend...
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