...Introduction According to Farrel, Inturrisi, Bergman, Kenner & Howell (2003), the preterm infant is not only different from the full term newborn based on size. There are various physiological limitations faced by preterm infants that arise due to immaturity in most of its systems. The immaturity of such systems forces the preterm infant to rely upon the nursing interventions and medical technologies for survival before they reach the desired maturity. It is unfortunate that preterm infants are vulnerable during growth because of the small energy reserves. Compared to the full term infant they need much more energy for the physiologic growth and other forms of development. Energy expenditure is part of energy balance and the summation of different...
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...Running head: ROY’S ADAPTATION MODEL Nursing theory is an organized framework of concepts that are designed to guide nursing practice and provide a foundation for clinical decision-making. There are many different types of nursing theories. This present paper will focus on one of the Grand theories, the Roy Adaptation model (RAM). The paper is divided into four main sections focusing on the importance of the RAM; summary of key concepts; view of RAM on specialization; and conclusion. There has been an evolution of nursing practice from when Florence Nightingale started. Nurses used to take direct medical direction to an evolution of independence. Today, advanced practice nurses are PHD, DNP, researchers, nurse practitioners, leadership positions in health care organizations, and education . The independence of the nursing profession has occurred in part due to an evolution of nursing theories. The importance of the nursing theories is that they provide framework for nursing practice. There are more than thirty different theorists who have helped contribute to the process. Broadly, these thirty theories can be divided into three major categories Grand theory, Middle theory, and practice. The present paper focuses on the Roy Adaptation Model (RAM) of the Grand Theory. This was chosen as it approaches the care of the patient using a scientific and holistic approach, which aligns with my personal practice as a nurse and belief system. Initially, this model was considered...
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...Formal Writing Assignment Final Draft: Nursing Case Study SITUATION: You have a very sick patient. You are using this patient for your case study. The patient has a sister who is a nurse- Lori. Lori has been a nurse for many years, and because your patient is her sister, she is very concerned and even a bit suspicious about the illness and hospital care. She writes a letter to you, expressing concerns about her sister. She copies the letter to the Director of Student Nurses. AUDIENCE: You are writing Lori’s letter to you (a student nurse) with a copy to the Director of student nurses. You are writing your response letter to Lori and copying it as a report to the Director of student Nurses. MAIN POINT AND PURPOSE: In this assignment you will demonstrate your ability to: • identify the correct priority problem and nursing diagnosis for a patient • reflect on a patient’s perspective to accurately assess and analyze a condition or problem • use nursing research to identify a priority nursing problem for a case study • utilize research to formulate a nursing diagnosis and plan of care • apply APA format to the writing of a research paper TASK: 1. Write Lori’s letter (1 page). In the letter: • Describe Lori’s biggest concern/issue with the hospitalization or illness of her sister. • Explain why she thinks this is a big problem. • Include a brief description of the events that led to the hospitalization of her sister and information...
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...Practice Evidence based interventions are playing an increasingly more important role in nursing practice. With the increased utilization of nursing research comes a need for a form of communication that classifies diagnosis, applies interventions, and expected patient outcomes. In order to unify nursing communication and support nursing practice, standardized terminology has been developed. This paper will introduce three forms of standardized terminologies in nursing which are the North American Nursing Diagnosis Association (NANDA), Nursing Outcome Classification (NOC), and Nursing Intervention Classification (NIC). The purpose of this paper is to define the three standardized terminologies, processes developed, and to provide and example of their useful application in patients at risk for or diagnosed with pressure ulcers. The NANDA was established with the goal of enhancing all aspects of nursing practice by refining and promoting terminology to accurately reflect the clinical judgment of nurses (Azzolin et al., 2013). The mission of NANDA if to facilitate the refinement, dissemination, and development, and utilization of nursing standard terminology (Peres et al., 2015). Their main focus is to utilize this communication to promote evidence based practice and care, thereby improving care for everyone. NANDA promotes their missions and goals by publishing the world leading evidence based nursing diagnosis, funding research, establishing a global nursing network, and integrating...
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...“The critical appraisal of the research evidence associated with an area of my professional practice” Introduction I am going to critically appraise of research evidence on treatment of urinary stress incontinence in women with obesity. I chose this topic because currently I am working in urology department in hospital X, I am always have the chance to deal with women experiencing stress incontinence. In current practice we will teach them behavioral intervention program (pelvic floor exercise and bladder training) to lower the severity of urine leakage. That is why I want to explore more on this issue and see whether the use of vaginal cones also effective in treatment with behavioral intervention program. Obesity is a common problem in developed countries, with an incidence of 33% (Roreyt 1998), this problem may directly leading to stress urinary incontinence (Ouslander 1996) which may hinder the normal daily life of an adult. In Hong Kong Hospital Authority (HA) policy, there are no guideline in related to treatment regarding stress incontinence, it is always depends on surgeon’s preferences. Therefore I want to search for research evidence in associated with treatment of urinary stress incontinence which may beneficial in my working place. Main Body The two answerable questions formulated using PICO tool are: Quantitative Question – In women with obesity, how does behavioral intervention program compared to vaginal cones influence the occurrence of stress...
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...Running Head: THE HEALTH BENEFITS OF MEDITAION The Health Benefits of Meditation Article Critique Part two Paper Rasheedah Long Grand Canyon University NSG 325: Evidence Based Practice 03/30/2015 The purpose of composing this paper is to review one article that supports the PICOT statement. This paper will be written as an essay and will scrutinize major components of the study such as the introduction, the review of literature, the methods used, the findings, and lastly the discussion. This paper will provide an analytical view of the chosen article, determining the applicability of the findings, the clinical importance, the validity and the reliability of the issue addressed in the article. There are many different types of mediation practices. Transcendental meditation and mindfulness based stress reduction meditation are two of the most commonly researched. Meditation is now widely accepted into mainstream and is being used as a way for maintaining health and wellness. Several medical and rehabilitation facilities have proved meditation to be a safe and effective tool for treating: “stress, fatigue, depression, anxiety, fibromyalgia, hypertension, rheumatoid arthritis, diabetes, tinnitus, congestive heart failure, general pain, as well as many other health ailments. (Natural Medicine Database, 2014) Article Introduction The introduction to the study was clear and concise. It clearly identified what the researchers were looking to establish. The introduction...
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...RESEARCH DETAIL TITLE : Effectiveness and Appropriateness of Therapeutic Play Intervention in Preparing Children for Surgery: A Randomized Controlled Trial Study. RESEARCHER: 1. Cheung Li, PhD, is an Assistant Professor, Department of Nursing Studies, University of Hong Kong, Pokfulam, Hong Kong. 2. Violeta Lopez, PhD, is a Professor and Head of School, School of Nursing (NSW and ACT), Australian Catholic University, North Sydney, NSW, Australia. SUBMITTED DATE : January 25, 2007 ACCEPTED DATE FOR PUBLICATION : July 21, 2007 PUBLISHED DATE : April, 2008 JOURNAL : Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged...
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...Nursing Research Nursing is often incorrectly regarded as a subset of the medical profession; in reality, the profession of Nursing is a unique, distinct science with its own knowledge base and skillset. In accordance with the requirements of a scientific profession, there is a need for scholarly inquiry and nursing research in order to maintain autonomy and distinction of the Nursing perspective separate from other disciplines. An editorial published in the Journal of Nursing Scholarship noted that “the distinguishing feature of a profession is how its practitioners use knowledge to make a difference” (Hegyvary, 2007). The evidence generated by Nursing scholars influences global health initiatives and policy worldwide. The need for field wide scholarly inquiry, the application of rigorous scientific standards to research, and the importance of stringent ethical and legal protection for research subjects has been the subject of numerous articles, books, and papers. The Nursing Profession has a responsibility to engage in scholarly research for many reasons that will be discussed in depth within this paper. Importance of Nursing Research to the Nursing Profession As noted in the introduction, in order to maintain its status as a unique, autonomous profession, Nursing as a field must continually refine and expand its scientific knowledge base. The AACN position statement summarizes the importance of research to the profession by stating “The essence of a discipline is...
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...In: Other Topics Qualitative Research Study Running head: Qualitative Research Study Qualitative Research Study Grand Canyon University NRS433V 5/30/10 Qualitative Research Study Introduction The qualitative research study that I chose to critique is on infections related to Nursing home-acquired pneumonia. Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives. Soo Chan Carusone,1 Mark Loeb,1,2 and Lynne Lohfeld1,3 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada2Department of Pathology and Molecular Medicine, McMaster University, Canada 3Program for Educational Research and Development, McMaster University, Canada Corresponding author. Soo Chan Carusone: chansy@mcmaster.ca; Mark Loeb: loebm@mcmaster.ca; Lynne Lohfeld: lohfeld@mcmaster.ca Received September 19, 2005; Accepted January 23, 2006. Pneumonia is the inflammation of the lung parenchyma, build up fluid in the tissue of the lungs and then this infection spread in to whole body. The causes are mainly by Viruses, Bacteria, often caused by parasites or fungi. Pneumonia is the 5th leading cause of death in elderly. It may be unrecognized due to many factors such as it may be asymptomatic, or may be confused with other medical Pneumonia and other lower respiratory infections occur frequently among older adults residing in long-term care facilities...
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...419218 zak / Research IssuesNursing Science Quarterly NSQXXX10.1177/0894318411419218Florc Research Issues Research Based on the Roy Adaptation Model: Last 25 Years Nursing Science Quarterly 24(4) 312–320 © The Author(s) 2011 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/0894318411419218 http://nsq.sagepub.com Callista Roy, PhD; RN; FAAN1 Abstract Two key events lead to the prominence of links among Roy’s grand theory, derived middle-range theories and the design of research. The author in this column describes this work in two formats. Essential details of two areas of research are presented in episodic form—the first is work on secondary analysis of Roy model-based research over 40 years and the author’s study of persons’ cognitive recovery from mild head injury.The second is a project on re-conceptualizing coping and adaptation processing in sequential detail within the context of work in the field and the significance of on-going work for nursing practice. Keywords adaptation, coping, middle-range theory, research, Roy adaptation model The story of research based on the Roy adaptation model (RAM) can be told in many ways. When asked to write about research based on the RAM in the past 25 years I considered the major events of those years and also how to organize a description of the resulting research. First, I considered that it was 20 years ago that the first group presented a synthesis and critique...
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...UNDERSTANDING EVIDENCE - BASED NURSING | Evidence-based Literature Search and Review on Interruptions during Drug Rounds | Cohort: March 2010 | | Student ID: | | Word count: 3292 Additional Module 1 | It is generally accepted that evidence-based practice (EBP) is the way forward in contemporary nursing. It provides the rationale behind nursing practice and allows for the delivery of optimal nursing care. Evidence-Based Nursing (EBN) involves the process of researching and implementing proven evidence in providing better patient care and is crucial as the role of the nurse is ever expanding (Banning, 2005). This essay will demonstrate that as a student nurse, the author has gained the necessary skills to conduct an evidence-based literature search and review and implement that knowledge into practice. Starting with a brief discussion on EBN it will go on to identify a suitable research question. During a placement on a medical ward the author noticed that nurses experienced many interruptions whilst conducting medication rounds and this review will consider ways to minimise interruptions and thus improve patient safety. Using the PICO acronym a suitable research question was formulated, ‘do interruptions during medication rounds increase the drugs administration errors made by nurses?’ A short description of the literature search is given and a summary of findings is presented in tabular form. Five original articles were selected and one chosen to critically...
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...Analyzing the Research Anne Marie Wouapet Walden University NURS 4000 Section 07, Research and Scholarship for Evidence-based Practice June, 21, 2015 Analyzing the Research Introduction In both the two educational research materials, it is evident that there are two research approaches – the qualitative and the quantitative methods displayed. 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...
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...word theory the next thought should be nursing because the foundations of nursing are built from nursing theories. The history of nursing holds a significance to theory in that theories help establish nursing as a profession (Smith & Liehr, 2014). Theories from the past in the Nightingale era and new theories today in the 21st century aid in the guidance of nursing practice and research (Smith & Liehr, 2014). In the twentieth century, nursing was not recognized as an academic discipline or a profession (Alligood, 2013). As theories such as the middle range and grand theories are being brought to the forefront of nursing education, nursing is being viewed now more than ever as a profession. The purpose of this paper is to compare and contrast the middle range and grand theories and discuss how they are relevant to nursing practice. A relevant and important concept for nurses to understand is that theory informs practice and research in the everyday world of nursing and that the existence of nursing is founded on theories (Smith & Liehr, 2014 ). Every procedure, assessment, and nursing intervention is related to and guided by nursing theory and it is every nurses obligation and responsibility to utilize theory into their practice. Theory is a key component in the history of nursing as an academic discipline and it is vital to the practice of professional nursing (Alligood, 2013). Two major theories that are useful to nursing practice but provide different types...
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...into practice and then write a long paper that synthesizes what you have learned into a research report. To save time and energy, you might want to create a practicum experience that informs your capstone and gather data at the practicum (under the guidance of Dr. Beaman and your preceptor) that you can report and discuss in your capstone. Ask yourself what your passion is and create a practicum/capstone about that topic. NURSING EDUCATION PRACTICUM You can use an academic setting, online college, public health facility, or even a nursing staff development venue. However you MUST have an MSN prepared nurse to precept you. NOTE: You cannot gather data about people without an Institutional Review Board approval, but you CAN gather data about YOUR intervention (lesson, PowerPoint, article, intervention, poster, YouTube, etc.) and use it. Do not begin your practicum until you have submitted ALL the paperwork required in the Preceptor Guide to Dr. Beaman and it has been approved. Develop three to five objectives for yourself that are measurable by deliverables in conjunction with your preceptor and submit to Dr. Beaman. For example: Student will develop a PowerPoint for presentation to student nurses. Student will create a survey to measure satisfaction with lesson by participants. Student will attend three faculty meetings as evidenced by reflective essay about each faculty meeting. Student will write article for publication in nursing journal and submit to ten peers for...
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...“The nursing process is essentially a problem-solving process” (Treas & Wilkinson, 2014, p. 31). It is a standardized way of getting information about the patient to best treat them and then evaluating what you have done. All steps of the nursing process are evident in the electronic health record (EHR), they however are not necessarily next to each other in the order of the nursing process as explained in a nursing textbook. It depends on the format of the EHR that is chosen by your place of employment. “Regardless of the type of documentation that is used, you will use or refer to the nursing process as a guideline when you are charting” (Treas & Wilkinson, 2014, p. 390). There are narrative formats to use when charting in source-orientated...
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