...Bellefonte Cancer Center (ABCC) Michelle Brown contact person Practicum Site Name Practicum Address, City, State, Zip No practicum projects can be approved if they are based in Maryland, Tennessee, or Washington State, USA. No RN MSN mentors can be approved if they live and/or work in Maryland, Tennessee, or Washington State, USA. Stephanie Johnson EdD©, MSN,RN Morehead State University 150 University Boulevard Morehead, Ky 40351 Mentor’s Name and Educational Credentials Mentor’s Agency (Minimum of RN MSN required) Clinical Nursing Instructor 606-836-0202 sj.johnson@moreheadstate.edu Mentor’s Job Title Mentor’s Phone E-mail Maryland, Tennessee, and Washington, USA Students Students cannot complete ground-based clinical hours within the states of Maryland, Tennessee, or Washington, USA. Residents of these states must contact their instructor for further direction. |Practicum Goal: | |To analyze, develop, implement, and evaluate an educational learning curriculum for staff that increases their knowledge and addresses the current evidence based practice standards of safe mixing,| |and administration of chemotherapy in the outpatient setting....
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...E. The Nurse Practice Act (NPA) in Maryland guides and governs the nursing practice within the state of Maryland. The NPA establishes the board of nursing, it sets standards for nursing education, requirements for licensing, sets standards and scope of nursing practice, the code of ethics, and grounds for disciplinary action. 1. Per the Maryland Nurse Practice Act nurses scope of practice consists of Assessment, Analysis and Nursing Diagnosis, Outcome Identification, Planning, Implementation and Evaluation. The Assessment includes collection of heath data, physical and psychosocial assessments, priority of data collection, and document of the findings. The nurse is to analyze the data collected, consider options and make appropriate nursing...
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...application for a Master’s Degree in Nursing at Notre Dame of Maryland University. I possess a rich twelve-years of nursing experience, coupled with a military career that spans over two decades. I believe my experiences, in clinical and leadership roles will prove to make me a successful candidate in this nursing program and help me to do my part in “educating nurses to transform the world” through sound leadership and education. I completed my Bachelor of Science in Nursing Degree in 2001. All through Nursing school, I worked a full-time job at Greater Baltimore Medical Center and served as a member of the Maryland Army National Guard. Discipline, endurance, dedication, and the ability to multi-task are just a few of my attributes that aided my success. Juggling between these three positions, forced me to learn the importance of pacing myself and prioritizing. My first Staff Nurse position at Johns Hopkins Hospital was a great introduction to the nursing profession. It was here that I learned the value of speak clear and concise words, to ensure my message was communicated most effectively. It was here that I learned the importance of delegation and follow-up to prevent burn-out. It was here that I learned a greater respect for team-work, and my growth was evident when I was voted Nurse of the Quarter by my peers. As I look back, it was my first Nurse Manager that helped me realize the impact management had on nursing practice. As staff nurse we delivered patient...
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...nurse’s role in this case study is to, work according to the Maryland state regulations and nursing standards; But as per Maryland nursing standards, she is not working as an advocate for her patient, Mr. E at this situation (Code of Ethics - the Division of State Documents, 10.27.19.02). The patient already signed advanced directive against life saving measures almost seven years ago, at the time of admission to a nursing home, with the help of patient advocate; but Dr G. is planning patient care in opposition to Mr.E’s active advance directive and his expressed objections to the medical care. There are numerous issues to consider in this case study. The nurse has to review her professional role according to code of ethics and nursing standards in relation to advance directives and medical power of attorney. The nurse also has to consider the patient’s right to privacy and confidentiality according to HIPPA Policy. The issues in contemporary healthcare facilities are sometimes the statues can be vague, and issues can be in conflict with own personal beliefs in most areas. A) State Regulations and Nursing Standards of practice There are specific Maryland state regulations and nursing standards regarding patient rights in this case study. However, the most relevant regulation is that, the nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient (Nursing code of Ethics: Interpretation and Application, ©2010 Provision...
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...Theory in Practice This is a case of a 34-year old woman called June who is suffering from severe anorexia. She agrees to be placed on a feeding tube in order to save her life. On the evening before the tube is placed, June becomes disoriented and physical and totally refuses to have the feeding tube placed. The ethical dilemma sets in when the parents insist that the tube must be inserted despite her refusal, while the ex-husband wishes to uphold June’s final decision which most certainly will lead to her demise. The hospital administrators seek legal counsel in order to save the situation. This case though a sad one, presents with it several repercussions. This paper will explain the various implications that June’s case presents in the contemporary world and the various paths used to derive the elusive “right” decisions on the way forward. The patients’ bill of rights is a document that was developed by the American Hospital Association in order to improve the relationship between the patient, the medical staff and employees in the provision of health care. It enumerates several rights that a patient is entitled to before, during and after getting treatment. While this document is not law; it is very important in ensuring that all activities towards a patient’s health are carried out with consideration for their values and dignity (Maryland Hospital, 2011). The patient’s bill of right gives June several privileges as a patient concerning her treatment. First, she...
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...bring new challenges to health care. “By 2020, more than 20 percent of the population will be 65 and older, with those over 85 constituting the fastest growing age group” (www.nln.org). Ethnic diversity and an aging population not only affect the prevalence of illness and disease, but also the type of illness and disease, requiring changes in practice. Nursing practice, education, and research must embrace and respond to these changing demographics. Nursing schools and health institutions must be prepared to confront the challenges ahead, and they must increase the amount of available educators. To do so, they must develop a flexible educating system that is amenable to the older, mature student that has established responsibilities. At the same time, they must actively recruit and educate younger students from diverse backgrounds in order to establish a future rank of educators. To do so, facilities need to be accessible and affordable in locations that are as varied as the students. Through public and private funding, aid needs to be available to students in need and to fund facilities. Having a diverse and capable nursing workforce would meet the demands of an...
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...constant contact with patients, more so than any other health care professional. This paper shall address the topic of hospital acquired infections in relation to the lack of hand washing and poor hand hygiene. It shall hence be explored the reason behind the issues existence. Background Modern infection control is grounded in the work of Ignaz Semelweis who, in the late 1840’s demonstrated the importance of hand hygiene for controlling transmission of infection (Pittet, Allegrazi, & Boyce, 2009) and reduced mortality rate related to hospital acquired infections (Mortell, 2012). Hand hygiene has become an integral part of our culture. Hand washing is taught at every level of school, advocated in the workplace, and emphasized during nursing, medical, and paramedic training programs. The primary objective of hand hygiene recommendations has always been to reduce pathogen transmission and hospital acquired infections which, in turn, should reduce patient morbidity and mortality (Mortell, 2012). Hand Hygiene has been recognized and practiced for more than a century and is supported by evidence. According to NHS and Centers for Disease Control and Prevention (CDC) in the US, hand hygiene is simple, cost effective and an important factor in reducing and preventing hospital acquired infections (Pratt, Pellowe, & Wilson, 2007). Despite CDC guidelines stating that hand washing is the single most...
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...Nursing Theorist Timothy Mack University of Phoenix Theories and Models of Nursing Practice NUR/403 Judith Mc Leod July 25, 2010 Nursing Theorist The theorist that I have chosen is Dorothea Orem. This theory describes the role of nursing in helping a patient’s who can no longer care for themselves (Mosby, 2009). The theory is divided into three parts; universal, developmental, and health deviation. Orem’s Theory The universal portion of Orem’s theory consists of the self care that a patient needs to meet their physiologic and psychosocial need. The developmental portion of the theory covers the care when coping through developmental stages, and the health deviation, which cover the care a patient need when theory health has deviated from their normal state. Theory History Dorothea Orem was born in Baltimore Maryland in 1914. After receiving a diploma in nursing, she attended the Providence Hospital School of Nursing earning a BSN degree in 1939. In 1945 he received the MSN degree from Catholic University of America. Dorothea Orem developed her theory in 1959, with the purpose of guiding nurses to assist patients in performing self care. The nurse was to assess the reasons the patient could not perform tasks of their self care and to assess them in discovering ways the patient will be able to meet their self care needs (Potter & Perry, 2009). Orem’s model was designed to assess nurses in assisting a patient to be able to care for their needs. Orem’s...
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...Perspective Essay There are many nursing theorist that have influenced the development of nursing research. Nursing Theorist have provided the interrelated frameworks of ideas which focus on nursing practice. Through clinical application and information, nursing science adds relevance to the care of patients in health and disease. Nursing theories provide guidance to researchers and educate nurses (Keefe, 2011) to look at different approaches in caring for their patients. This paper will show how one theorist most influenced the development of nursing research. The 1990's was the decade for research and expanded nursing theory. This period elevated the use of evidence-based and best practices in nursing (George, 2011). Transcultural Nursing was introduced in 1992 by Madeline Leininger. Leininger’s theory says that the goal of nursing care is to” provide care congruent with cultural values, beliefs, and practices’ (Alligood & Tomey, 2010). The cultural and sociocultural factors of each person affects how they take on factors, meanings, and expressions of health and caring systems. This theory has wide applicability in different settings. The interest is focused on nurses becoming culturally competent so they can provide appropriate nursing care to a growing culturally/ethnically diverse patient population. Nursing paradigms show a clear relationship among the existing theoretical works in nursing. Leininger is the proponent of Transcultural Nursing and Human Care Theory. According...
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...approach to nursing practice known as the nursing process. Ram utilizes a bi-level assessment to problem solve the nursing process in everyday patient care. Assessment of Behavior * The first step of the nursing process, which involves gathering data about the behavior of the person as an adaptive system in each of the adaptive modes("Nursing Theories", 2012). Assessment of Stimuli * The second step of the nursing process involves the identification of internal and external stimuli that are influencing the person’s adaptive behaviors. * Stimuli are classified as: 1. Focal- those most immediately affecting the person, 2. Contextual-all other stimuli present that are affecting the situation 3. Residual- other stimuli whose effect on the situation are unclear. ("Nursing Theories", 2012). Nursing Diagnosis * Step three of the nursing process involves the formulation of statements that interpret data about the adaptation status of the person, including the behavior and most relevant stimuli ("Nursing Theories", 2012). Goal Setting * The forth step of the nursing process involves the establishment of clear statements of the behavioral outcomes for nursing care with specified time frame("Nursing Theories", 2012).. Intervention * The fifth step of the nursing is determination of how best to assist the person in attaining the established goals ("Nursing Theories", 2012). Evaluation * The sixth step of the nursing process involves...
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...My Nursing Career Queen Mumuney American Sentinel University My Nursing Career American Nurse Association describes nursing as the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through diagnosis and treatment of human response and advocacy in the care of individuals, families, communities and population (www.ana.org). Nursing is not a field for everyone. A good nurse must have ninety-five percent if not all of the following characteristic: sound knowledge and training, observant, patience, time management, people skills , documentation skills, critical thinking, empathy, detailed oriented, kind and firm, good judgment, multi task, physically and emotional stable, flexible and possess great communication skills. I am a currently a nurse manager that have been practicing nursing for 5 years. My hobby is taking care of people, which is the main reason why I decided to be a nurse. I realized that I had a flare for psychiatry when I started my psychiatric rotation. After graduation, I ended up working at the psychiatric facility. In less than a month after graduation, I became the charge nurse and later moved on to the nursing supervisor position. After two years of graduation, I was offered the nurse manager position. Communication is the number one barrier to treatment. I have listened to experienced colleague communicate and handle difficult situation with patients. I attended...
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...Historical Perspective Essay “Research is systematic inquiry that uses disciplined methods to answer questions or solve problems. The ultimate goal of research is to develop, refine, and expand knowledge (Burns & Grove, 2011) .” “Nursing research is systematic inquiry designed to develop trustworthy evidence about issues of importance to the nursing profession, including nursing practice, education, administration, and informatics (Polit & Tatano, 2012) .” Stetler’s Model of Research Utilization to Facilitate Evidence-Based Practice is a primary example of this. This model was developed by Stetler and Marram in 1976. Stetler then expanded the model in both 1994 and 2001 to promote evidence based practice in nursing. (Polit & Tatano, 2012) The model enhances the use of research evidence by nurses to promote evidence based practice. On a basic level this model can use the knowledge from the research to enhance or influence a nurse’s decisions or have an impact on educational programs and many other uses. Stetler’s 2001 model contains five phases. They are: preparation, validation, comparative evaluation/decision making, translation/application and evaluation. Stetler’s intention with the 2001 model was “to make using research evidence in practice a conscious, critical thinking process that is initiated by the user. (Polit & Tatano, 2012) ” Preparation determines the purpose of potential outcomes that can make evidence based change in a clinical arena. Such research could...
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...Nurses use research to provide evidence based care that promotes quality health outcomes for the patients, families, communities, and the health care system. Nurses and other healthcare personnel are able to use the skills learned through evidence based research to decrease a patient’s length of stay, decreases morbidity and mortality, and healthcare cost. Nursing research is a scientific process that validates and refines existing knowledge and generates new knowledge that directly and indirectly influences nursing practice (Burns & Grove, 2011). Extensive research is needed to develop sound empirical knowledge for synthesis into the best research evidence needed for practice. This research evidence might be synthesized to develop guidelines, standards, protocols, or policies to direct the implementation of a variety of nursing interventions (Burns & Grove, 2011). One example of nursing research that has improved patient outcomes is through the use of VAP (ventilator associated pneumonia) bundles in an intensive care unit setting for patients that are intubated for more than twenty four hours. VAP is pneumonia that occurs in a patient who was intubated and ventilated at the time of or within 48 hours before the onset of event (Centers for Disease Control and Prevention, n.d.) The Institute of Health Improvement (IHI) developed a ventilator bundle that incorporates several strategies to prevent morbidity associated with being on a ventilator. These strategies included: elevation...
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...received her nursing diploma from “Lewis-Gale School of Nursing” in Roanoke, VA, in 1961. She went on to complete her undergraduate and graduate studies at the University of Colorado. She obtained a “PhD” in educational psychology and counseling in 1973. Her primary work has been in the psychiatric field of nursing. Dr. Watson has taught many nursing courses through the years as well as did research and wrote numerous books and articles. Most of her work since 2000 has been on her theory and philosophy of caring. She has traveled and lectured across the world, studying and lecturing on her theories on nursing. In 1980, Watson and her associates started the “Center for Human Caring” at the University of Colorado (Alligood & Toomey, 2010, p. 92). Watson wrote her first book on the philosophy and science of nursing in 1979. She developed “10 carative factors”, which Watson describes as being the main ideas of nursing. The carative factors consider the persons involved in practice of caring. She believes in instilling faith and hope and being sensitive to self and others. Watson’s carative factors also are based on developing a trusting relationship with the person or patient. The creation of a healing environment that respects the wholeness and dignity of the person is a carative factor. Watson also looks at the human beings as a whole, consisting of body, mind and soul. She also believes in spirituality of all human beings. She believes in “transpersonal nursing-caring healing”...
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...The role of the community and public health nurse Community and public health care nursing is a different type of nursing than that of a clinical nurse. The patients people in the community that have a specific needs, the focus is on one major population or a health care issue within a community. The role of these nurses is to provide care to populations that may not otherwise receive care, or provide education about certain conditions, and develop strategies on how to treat and prevent complications based on evidenced based practices. In order to deliver this type of care, a community or public health nurse must have an educational background that includes a strong research base regarding public and community health issues, additionally these nurses must have a pulse on the public and what resources are available to fill the needs of the public. Public health nurses must have excellent critical thinking skills, in that if presented with a disease process that is a community based illness, then they must investigate the origination, recognize that there may be multiple factors involved and diagnose and develop a plan of care to treat. A community or public health nurse is an autonomous figure in that they must treat each case as an individual case until or unless there are similar cases. in the case of individual cases, a diagnosis and treatment plan based on evidenced based practices must be put into place, taking into consideration, the patients resources and the community...
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