...The two databases that I searched were the British Journal of Nursing and RCNi (Royal College of Nursing). I chose them because I wanted to focus on the actual practice of critical care nursing and knowing how to notice if a patient was deteriorating. I thought that these databases would have the most relevant articles to what I was looking for. The first article that I found was on British Nursing Journals. “All of the articles from this database are written by nurses and are subject to review by leading authorities in the profession” (British Journal of Nursing, 2016). I thought that this would be most helpful because it is coming from someone who has actually has experience in the profession, not just someone who is doing research on it. The article that I found discussed how it is important to not only assess the five main vital signs (blood pressure, temperature, oxygen saturation, respiratory rate, and pulse) but also take into account a patient’s pain, level of consciousness, and also watch their urine output. According to Elliott and Coventry (2012), this will help the nurse to recognize that the patient is deteriorating. The second article that I chose was from the Royal College of Nursing (RCNi). RCNi is included in a group of 11 publications by Nursing Standard and is the United Kingdom’s top selling journals (RCNi, 2016). I chose this database for the same reason that I chose the first. This particular article was written by a nurse who was observing practices...
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...Core Competency: Evidenced-Based Practic C 08/13 Evidenced-Based Practice is ”the practice of nursing in which the nurse makes clinical decisions on the basis of the best available current research evidence, his or her own clinical expertise, and the needs and preferences of the patient.” (Mosby, 2009, p. 677). Utilizing Evidenced Based Practice is a way to give the best, most effective care to patients. This paper will discuss methods and results of a study and how the results were obtained. Next, I will discuss possible barriers to EBP, and ways to overcome these barriers; and finally, facilitators to EBP. The study that was used was “Clinical Nurse Specialists’ Approaches in Selecting and Using Evidence to Improve Practice.” The purpose of this study was to determine the method that CNS use to incorporate evidence in everyday practice. The method was a telephone survey with a 75% response rate. journals, internet, and online research data bases rather than their peers and experiences. The study also pointed out downfalls or barriers to EBP including financial resources and resistant organizational culture (Profetto-McGrath, Negrin, Hugo & Smith, 2010, p. 38). Although Evidenced-Based Practice is beneficial for improved patient care and outcomes, there are some barriers to using this source. First there is inadequate research that is up to date with some of the more complicated problems, studies that are not complete or hard to read and understand, and studies...
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...that can be understood in different ways. Harrison, P. (2009) The importance of compassion is vital in any care setting where there are vulnerable people. The nurses, doctors and any other healthcare professional that is part of the team who deliver the care need to understand how important it is to understand this concept. Delivering compassion care can be something as small as holding somebody’s hand when they are in the later stages of their life, if they feel scared or another thing is as simple as listening to the patient and to hear their problems. The patient will feel better and the nurse should feel good about themselves too knowing that something as small as holding somebody’s hand or listening has benefited that patient. The nursing standard had a report on how student nurses are eager to deliver good and professional compassionate care to their patients when out on practice however lack of time and paperwork are factors on how much time they can actually spend with their patients. It has been said that a high amount of nurses in the NHS are set to retire over the next few years and this article reports why this may be. Watson, R et al (2003) if this is the case then why is it when they become professionals then they struggle to still have...
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...Education Today’s health care environment is undergoing significant changes due to complex patient’s needs, chronic health conditions, and technological innovations. Educating nurses within the 21st century requires a creative integration of knowledge, skill set, and caring within an increasingly complex healthcare system (Institute of Medicine [IOM], 2010). Nursing education is heavily laden with continuous content increases to be covered within the curriculum (Devereaux-Melillo, Dowling, Abdallah, Findeisen, & Knight, 2013). The need to examine curricular transformation is imperative in order to manage content saturation, and abate the separation of the classroom and clinical teaching. This paper will outline the following processes: (a) the development of a concept-based curricular plan for a baccalaureate program, (b) the impact of a concept-cased curriculum (CBC) on the faculty, students, finances, community of interests, accreditation, and (c) examples of the integration of competencies. Development of Concept-Based Curricular Plan Nursing faculty are challenged with curriculum, for they are presenting an astronomical amount of material to “cover the content”. According to Duncan and Schulz (2015) nurses practice conceptually on a daily basis by focusing on the patient needs, regardless of the medical diagnoses assigned. In order to practice conceptually, nurses must think conceptually by grouping important facts into concepts that can then be transferred from one...
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...Electronic health records (EHR) are the central database for all patient related data, both clinical and financial for many healthcare organizations. The EHR must have the ability to send and receive data to other systems within and outside the healthcare organization. Standardized terminologies in and EHR makes the sharing of data or interoperability possible. Having a common interface design, such as health level-7 (HL7) allow this to happen. (McGonigle & Mastrian, 2015). Standard terms that describe health conditions, labs, and medications further allow for the transfer of data. At my organization we transmit continuity of care documents or CCD that allows for our data to flow into our community physicians EHR. There are also nursing...
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...Although ICNP can be utilized at all acute care and long term care centers at the local, regionally, nationally and international levels, the exemplar used for this paper is a medical unit in an acute care hospital. ICNP has led to a large database that validates nursing specific diagnoses, interventions and outcomes. It is cross-referenced with different nursing classification systems to compile common information across the continuum. A nurse in the medical unit is able to utilize a care plan that is formulated based on information compiled and translated into best evidenced based practice. “Information gathered is also useful in the educational setting expands nursing knowledge of interventions, outcomes and languages” (Rutherford, 2008). The nurse would choose a nursing diagnosis based on the assessment and collection of patient information. ICNP can be utilized incorporating other systems of classification such as Omaha System, NANDA, NIC, and HHCC (Hynn & Park, 2002). A nursing diagnosis is formulated and a recognized set of interventions would be initiated. With the added benefit of an electronic format at the bedside, the nurse is able to document at the bedside with more precision and timeliness, improving the accuracy of documentation. For example, a patient admitted with the diagnosis of COPD, the nurse could use the nursing diagnosis of impaired gas exchange. A care plan would be created with appropriate interventions and outcome criteria. Care would be more...
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...safety, efficiency, access and continuity of healthcare. This paper will provide an overview of the Meaningful Use program. An analysis of Meaningful Use implications for nurses, nursing, national health policy, patient outcomes and population health associated with the collection of core criteria will also be discussed. Recommendations for additional core criteria will also be presented. Overview of Meaningful Use NANDA International (NANDA-I) was developed to identify and classify health problems within nursing, increase the visibility of nursing, organize nursing data and allow for accurate reimbursement for nursing care (Thede & Schwirian, 2015). NANDA-I states that it’s diagnoses are intended to communicate the professional judgements that nurses make every day to patients, other healthcare professional and the public (NANDA International, 2015). NANDA-I diagnoses relevant to the patient scenario given are 1) fluid volume deficit related to increased fluid loss and insufficient fluid intake 2) electrolyte imbalance related to increased fluid loss and insufficient fluid intake 3) knowledge deficit. The Center for Nursing Classification and Clinical Effectiveness, CNC (2015) defines the Nursing Intervention Classification (NIC) as a comprehensive, research-based, standardized classification of nursing interventions. “The Classification includes the interventions that nurses do on behalf of patients, both independent and collaborative interventions, both direct and indirect...
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...to FOSHE office (H block) by the due date and time. Objectives: The purpose of this assessment is for you to demonstrate your understanding of basic elements of the research process by applying concepts about the research process, and learning to read research articles. Instructions: How to answer the questions: You must answer each question using your own words. Do not use quotations as this demonstrates that you can find information but does not demonstrate that you understand a concept. Quoted material will not be counted in the answer that the marker is assigning marks to. Using resources to answer the questions: You are expected to use your prescribed textbook, other up to date research texts and journal articles about research methods and evidence based practice, as well as the 5 key research articles themselves (details below). It is not sufficient to transfer information from the set text (nor from other sources). Lecture notes are not an appropriate reference although they may lead you in the direction of an appropriate published source. Formatting the answers: You will see that there is a table box for you to enter your answer following each question. This box will expand as you type in your answer. Use 1 ½ line spacing (the template is already set at 1 ½ line spacing). Once you have finished your workbook you can print it out for submission. Providing citations: Most of the questions in the workbook will require...
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...JAN DISCUSSION PAPER JOURNAL OF ADVANCED NURSING The use of theory in qualitative approaches to research: application in end-of-life studies Hung-Lan Wu & Deborah L. Volker Accepted for publication 24 July 2009 Correspondence to D.L. Volker: e-mail: dvolker@mail.nur.utexas.edu Hung-Lan Wu PhD RN Nursing Instructor Meiho Institute of Technology, Pingtung, Taiwan Deborah L. Volker PhD RN AOCN Associate Professor The University of Texas at Austin School of Nursing, Austin, Texas, USA W U H . L . & V O L K E R D . L . ( 2 0 0 9 ) The use of theory in qualitative approaches to research: application in end-of-life studies. Journal of Advanced Nursing 65(12), 2719–2732. doi: 10.1111/j.1365-2648.2009.05157.x Abstract Title. The use of theory in qualitative approaches to research: application in end-of-life studies. Aim. This paper is a report of an analysis of the use of theory in qualitative approaches to research as exemplified in qualitative end-of-life studies. Background. Nurses researchers turn to theory to conceptualize research problems and guide investigations. However, researchers using qualitative approaches do not consistently articulate how theory has been applied, and no clear consensus exists regarding the appropriate application of theory in qualitative studies. A review of qualitative, end-of-life studies is used to illustrate application of theory to study design and findings. Data sources. A review of theoretical literature was carried out, focusing on definitions...
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...Nursing Theory: Compare/contrast two theories Name University Professor Course Date Nursing Theory: Compare/contrast two theoriesIntroduction Theory has so far remained a strategic tool in advanced nursing practice. Firstly, nursing utilizes every feature of management science. Fortunately, the knowledge base of each and every management science takes theory into account. Theory includes methods, principles, and concepts. The principles are usually related, and can be observed and validated or verified when translated into the practice of management. Likewise, concepts are general notions, thoughts, and ideas that tend to form a basis of discussion or action. Therefore, theoretical principles guide clinical nurses to various fundamental nursing concepts and provide productive line of action in a given situation. As a result, nurses should note that taking a hermeneutic or phenomenological approach (strict natural science approach) to nursing is not only naive but also misleading in real-life-settings. Alligood and Tomey, on the other hand, argues that prescriptive theories are often used as fundamental practice guidelines, which play a pivotal role in providing a wide range of practice situations in the nursing and nursing sector (2002). Apart from that, nursing can only become a real profession when it has both a theoretical and a scientific base. This follows the fact that nurses deal mainly with human behavior, thus, nursing is indeed a practice profession. Briefly...
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...Paul Jewo MGMT2718 z5016810 The Difference Between Good and Bad Jobs in Australia. As we develop through the 21st century, employers are only beginning to realise just how important job quality is for the success of an organisation. Job Quality is broadly defined as the employee’s experience of work & non-work processes, pay and implicit abilities that determine the employee’s orientation towards achieving the business objectives. A significant issue within Australia is the desire for full-time work not being met by certain age groups due to factors of the economy such as the recession. Furthermore, a two-way interference between work and life is another cause to factor in for poor job quality within Australia. Moreover, certain industries in Australia are infamous for the issue of having poor pay—high workload. This paper aims to critically define what job quality is and targets the central causation of poor job quality by looking at recent trends within Australian organisations. The paper then explores several human resource practices to tackle the identified issues within Australia. The aspects of Job quality are multidimensional and thus there are multiple definitions to job quality. It centrally follows the idea that factors affecting employee morale and work performance have substantial effects on the organisation’s ability to meet objectives. Assessing the quality of work is a subjective process that is undertaken by managers and thus there are...
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...MORAL COURAGE IN NURSING Objectives: 1. Recognize the characteristics of moral courage. 2. Discuss the concept of moral courage in nursing. 3. Identify steps to recognize moral courage. 4. Discuss strategies for developing moral courage. 5. List inhibitors of moral courage. 6. Ways to enhance the ability to demonstrate moral courage in nursing. 7. Describe organizational Structures that Support Moral Courage 8. Case studies "Stand up for what is right even if you stand alone." Anonymous Examples of unethical behaviors are seen today in academia, politics, sports, entertainment, banking, and the legal system. Healthcare professionals working in clinical practice, education, research, and administration are not immune to these unethical behaviors. They face ethical dilemmas on a regular basis. Shortages in the numbers of clinicians to deliver patient care, inadequate staffing levels, cost containment measures, consolidation of healthcare organizations and ineffective leadership have resulted in the escalation of ethical dilemmas nurses face today in healthcare environments. How individuals respond to these ethical dilemmas depends on their previous experiences with unethical behavior, their individual personality traits, their ethical values as well as their knowledge of ethical...
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...FINAL PROJECT Develop a paper that is a comprehensive overview of the topic and its relationship to nursing leadership and or management (any of the topics reviewed in the course can be used). Critically evaluate the current impact of the topic upon nursing practice and the evolving health care system. Include recommendations for the future of nursing and nursing leaders. The paper is to be eight to ten (8-10) typed pages excluding the reference page and the title page. Use APA format including title page, introduction, conclusion, etc. The paper must be well-written using correct spelling, grammar, and sentence structure. Grading Criteria | Points | Current literature/research on the topic (minimum of five; at least 2 outside nursing, one of which must be from business) | 5 points | Evaluation of the impact of this issue on nursing leadership practice and health care system | 20 points | Recommendation for the future of the nursing profession | 30 points | Provide an exemplar of a nursing leader implementing the recommendations discussed in criterion c above. | 30 points | Scholarly writing | 15 points | TOTAL | 100 points | Stress and Time Management By: Annette Hall St. Joseph’s College of Maine NU506: Nursing Leadership Instructor: Jayne Rogers July 9, 2012 Abstract Managing stress and time in our lives and careers is important to our health and well- being. Nurses in particular have an unusually high stress level...
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...marketing objectives. Without planning, marketing activity can be inappropriate and waste resources and opportunities. This unit introduces learners to different ways of auditing, to looking at how internal and external factors can influence marketing planning for an organisation, in order to build up a picture of the marketplace. Learners will gain an understanding of the main barriers to marketing planning, the effects of barriers, and how these can be avoided or overcome. Ethical issues in marketing are important in terms of how an organisation and its products are perceived by customers and employees, and can affect the overall ethos and ultimate success of the organisation. This unit will enable learners to investigate and examine how exemplar organisations have been affected by ethical issues, how they deal with them, and how ethical issues should be taken into account when developing marketing plans. On completion of this unit learners will be able to produce a marketing plan for a product, a service or an organisation that is realistic, in terms of objectives and resources, and effective in terms of the current situation in the marketplace. Specification of Assessment Developing a marketing plan: a nivea case study The NIVEA brand is one of the most recognised skin and beauty care brands in the...
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...A Marketing Plan for an Imaginary Managed Care Organization Executive Summary and Situation Analysis Working for the Managed Care Organization of America, the ultimate goal would be to ensure cooperation in the understanding, agreement, and commitment between all divisions and units. One of the problems at the Managed Care Organization of America is that the healthcare professionals are put in a position where they are inhibited in their involvement over the communication and networking systems between the Nursing Administration, the head of each nursing unit or the RN or LVN in charge, and the certified nursing aids. This executive summary takes a brief look at designing and developing a contract process program that integrates cooperation and communication systems between the Nursing Administration, the head of each nursing unit or the RN or LVN in charge, and the certified nursing aids. Another challenge for the Managed Care Organization of America is the unclear policies in the Hospital Equipment Management Program. This executive summary offers a proposal whereby the healthcare professionals would develop and monitor a two-way communication channel and incorporate it into the Hospital Equipment Management Program, hold related workshops that can be attended by the Director of Hospital Operations and the division managers, build a cooperation team that unites operational goals and develop systems that evaluate whether these operational goals are being met and implemented...
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