...From a young age I have been mesmerized by the human body with its many systems. My love of science and children are just some of my reasons for choosing children’s nursing. I enjoy a challenge towards a objective and although nursing is a tough career it can be extremely rewarding expressed by the nurses I have spoken to during my experience through school and college and on a personal level as I recently visited Salford Royal Hospital from which I had a great chance to speak with Nurses such as adult and children’s nurses from which I gained a lot of in depth information and encouraged me even more to apply for the nursing course. To further my insight into the nursing field I participated in a work experience week at a GP surgery. I gained...
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...Reading Research Literature #2 Guidelines and Grading Rubric – Week 6 Purpose The student will read research literature to determine the informed consent, study setting, sample size, data collection procedures, reliability and validity, demographic information, variables, data analysis, figures, and conclusions. Course Outcomes This assignment enables the student to meet the following course outcomes: CO 2: Apply research principles to the interpretation of the content of published research studies. (PO #4 and 8) CO 4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (PO #4 and 8) Due Date: Submit to the Reading Research Literature #2 basket in the Dropbox by 11:59 p.m. MT Sunday at the end of Week 6. Requirements 1. Download the research articles from the Chamberlain library. Retrieve the following research articles: Sanford, J., Townsend-Rocchicciolli, J., Horigan, A., & Hall, P. (2011). A process of decision making by caregivers of family members with heart failure. Research and Theory for Nursing Practice, 25(1), 55–70. http://proxy.devry.edu/login?url=http://search.proquest.com/docview/853503862/354CEF3F10A4D9CPQ/6?accountid=147674 Schwarz, K. A., Mion, L. C., Hudock, D., & Litman, G. (2008). Telemonitoring of heart failure patients and their caregivers: A pilot randomized controlled trial. Progress in Cardiovascular Nursing, 23, 18–26. http://proxy.devry.edu/login?url=http://search.ebscohost...
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...Critical Appraisal 1Faith Rodriguez BSN-RNNURS5326: Research for Advanced Nursing PracticeSeptember 21, 2015Dr. Jana Saunders | Name and describe the theory that is used in your assigned primary research article. (1 paragraph) | The theory of self-regulation is the theoretical base and method in the research study to examine the use of emotion regulation and goal-directed behavior in an attempt to improve sleep behaviors. Self-regulation is the process in which a person has perceived illness cognition, a patient’s own implicit common sense beliefs about their illness. There are five cognitive dimensions of these beliefs: identity; perceived cause of illness; time line; consequences; curability and controllability (Fowler, Kirschner, Kuiken, & Baas., 2007, p. 223). This process occurs over three stages of interpretation, coping, and appraisal (Fowler et al., 2007). In the research study, “Using Mental Imagery to Deliver Self-Regulation Techniques to Improve Sleep Behaviors,” the efficacy of behavioral interventions were geared toward improving the sleep behavior for working adults with the use of mental imagery undertakings that were designed with the theory of self-regulation principles. More specifically, the main attitude is where the patient focuses their thoughts, emotions, and behavior in order to achieve their desired outcome, a sort of homeostasis, if you will. The use of imagery and implementation intention imagery are used in order to reduce...
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...essay I will be reflecting on an incident from practice, by drawing on developing knowledge, understanding and the application of professional studies. Reflection offers an opportunity to learn through an experience. This allows us to develop or sustain effective practice (Johns, 2000). I will be using the Gibbs (1988) reflective framework to structure my reflection (see appendix A). I find this framework very easy to follow, and as Clodagn (2003), explains it allows a person to implement alternative actions to an event, if followed. The incident will be described and the influence of key issues relating to ethical theories and decision-making, illness journeys and lay and professional perspectives will be explored. Principles of nursing models will be looked at and their contribution to individual patient care. I will also look at resource management, quality assurance and the role of evidence-based practice. For the purpose of this essay, to maintain confidentiality, the patient will be referred to as Mr Charlie Wood, (NMC code of professional conduct 2002; 5.1). Incident The incident occurred when I was a student on a medical ward. Mr. Wood, age 80 had been admitted to hospital following a stroke. From this he had lost the ability to mobilise and speak effectively. He was a very dependent gentleman and counted on the nurses to undertake all aspects of his care. His wife, whose name has also been changed for confidentiality reasons (NMC 2002), was very dedicated...
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...Linda Hansen-Kyle Abstract Research studies are a key element to the implementation of evidence-based practice in nursing, but one must first have a thorough understanding of the study process in order to benefit properly from the findings. The most important concept is to understand if the study is Quantitative or Qualitative in design. The purpose of this paper is to compare and contrast the differences in these two designs by using examples of each to describe. By evaluating each paper and including topics such as the strength of the research question, the strength of the methodology, correct or incorrect sample type and size, appropriate data analysis, complete discussion of findings, and implication for nursing practice and practability of implementation a pattern will appear revealing the likes and differences of the two types of studies. The findings indicate both quantitative and qualitative studies are crucial in the development of scientific research. By incorporating these in the scientific field of research, nursing will continue to grow and evolve. . Comparison Paper The advancement of nursing research has led to evidence-based practice in nursing which in turn leads to positive patient care outcome. Nursing research plays an integral role in nursing education. The 21st century has revolutionized nursing in theoretical and practical aspects of nursing. New innovative ideas are needed for the continuum of nursing. Therefore, the purpose of this paper...
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...and perhaps global nursing shortage is clearly understood and continues to threaten healthcare practice, policy, and patient outcomes. A fundamental and largely misunderstood hemorrhage within the professional nursing pipeline is the significant student nurse retention and attrition rates reported by associate and baccalaureate schools of nursing. In a 2005 study by the Academic Senate for California Community Colleges, attrition from associate degree nursing programs is approximately 22%. A Canadian study of baccalaureate nursing programs finds and reports an alarming attrition rate of between 20% and 40% (Bolan and Grainger, 2005). The retention of students in nursing programs continues to be a major challenge for nurse educators and deans of nursing programs (Wells, 2003). Taylor (2005) reports the issue of student attrition is maintaining a high profile across the higher education sector and is a key concern for those delivering nurse education. In as much as it is impossible to bear quality fruit without plentiful and quality seeds, it is impossible to cultivate and educate student nurses if attrition and retention are not checked. If the desire for American healthcare is to remain the strongest and most competent in the world we must understand, explore and remedy the mitigating factors driving the student nurse attrition rate. Purpose Statement The purpose of this research study is to determine the relationship between undergraduate nursing school attrition,...
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...by nurses, especially male nurses. The literature review was to research how the patient was touched by nurses and its effect. Several terms were used such as protective, expressive, and instrumental touch. “Protective touch, as when a nurse moves a patient’s hand away from the ventilator tubing, prevents a potentially dangerous, even and isn’t often discussed in the literature” (Krautscheid & O’Lynn, 2011). “Expressive touch is usually applied to the arms, hands, shoulders, and knees, some patients report that they find this kind of touch physically comforting” (Krautscheid & O’Lynn, 2011). And, “Instrumental or necessary...
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...RESEARCH PROPOSAL Identification of Research Topic Over the past five years while working in a residential care home for people with dementia, the researcher has observed that incidents of violence and aggression both physical and verbal towards health care staff happened regularly. The incidents of aggression affected staff mentally and physically but the majority of incidents went unreported. The nursing staff, registered nurses and nursing assistants in this environment both acknowledged the seriousness of this on-going problem to them. However the reluctance to report the aggression is because they considered the aggression to be part of the job despite them acknowledging it as a problem. England is an ageing society and as the population ages, health care providers, government, communities and families are faced with the burden of caring for people with dementia (Cubit, 2010). According to Access Economics (2005), dementia is becoming increasingly predominant to the aging population worldwide. A survey of over 15000 care homes in England and Wales found that 78% of residents were cognitively impaired (Bowman et al, 2004). In addition the Alzheimer`s Society (2007) reported that there are around 750 000 people in United Kingdom with a dementing illness. A more recent survey by the Alzheimer`s Society (2009) reported that around one third of older people with dementia in UK live in residential home care settings, representing 200 000 individuals. According to Leonard...
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...Hek et al (1996) suggested Research is imperative in healthcare today and is part of the evidence-based practice that underpins nursing. Burns & Grove (1999) further proclaimed critiquing research involves careful examination of all aspects of a study, to judge strengths, limitations, meaning and significance. Research is critiqued to provide knowledge, improve practice and provide essential data for conducting further studies. The aim of this assignment is to critique a chosen piece of nursing research, to analyse the rigor and validity using a critical framework as guidelines. Although, many critical frameworks exist, the one to be utilised in this assignment shall be Benton and Cormack's framework (1996). Using the systematic headings within the chosen frameworks will help to facilitate the understanding and preparation for the journal article to be critiqued (see appendix 1). The article to be critiqued is located in the Journal of Advanced Nursing (2007) which evaluates the valuing of altruism in nursing students (Johnson, Haigh and Yates-Bolton (2007). Benton and Cormack's framework is initiated by looking at the following; Title The details or the vagueness within the title alone can decide whether the research report is read or not suggested Parahoo (1997). When the author examines the subject matter which shall be appraised in this instance, it is evident that the title is informative with the first part explaining the research which has been conducted...
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...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 effect of an expanded bundle strategy, to include patient hand hygiene, make an impact on the rate of...
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...Identifying Barriers to Pain Management in Long-Term Care Nursing research is critical to the nursing profession and is important for promoting optimal nursing care based on the latest research findings. Critiquing research reports is important because it promotes a complete examination of the study that allows the critique to judge its strengths, weaknesses, logical relationships, meanings, and significance of the findings. The purpose of this paper is to provide an objective critique of the research report “Identifying barriers to pain management in long-term care” with a focus on five dimensions: substantive and theoretical dimension, methodological dimension, ethical dimension, interpretive dimension, and presentation and stylistic dimension. Title The title of this report was appropriate and clear. It communicated the research problem (identifying barriers to pain management) and the study population (long term care residents).The information was conveyed in only nine words communicating the independent variable (the barriers), the dependent variable (pain management), and the study population (residents with chronic pain in long term care facilities). It could be argued that something about the health-related quality of life should have been included in the title making it a little bit longer but more explicit. Abstract The abstract written with subheadings was excellent, summarizing the major features of the study. It presented the aim of the study, the methods...
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...The Role of Nursing Advocacy Across all Healthcare Settings Nursing is an autonomous profession where lives are saved every day. Nursing advocacy can affect patient outcomes. As the nursing profession evolves and responsibilities increase, it is necessary to better understand the concept of nursing advocacy. The role of advocacy is not new for the nursing profession, but the nature of advocacy in the nursing practice remains ambiguous. Nurses are obligated to act as an advocate for their patients, but there is lack of clarity on how to perform this role. The purpose of this paper is to better understand nursing advocacy and to explore ways it is practiced across all fields of nursing in order to promote improved patient care. Advocacy is an essential role for the nursing profession; however, it can be affected by many factors. The goal of advocacy is to balance the relationship between the healthcare system and the patients who are served by evaluating patient/family needs, providing information and education, ensuring access to proper care and supporting the patient and family’s decision within the structure of a multidisciplinary team. This paper will explore the following research question: What are the variables that affect the role of nursing advocacy and in what ways is it practiced across all fields of nursing? Review of Literature Introduction The general topic of the review of literature is nursing advocacy. We are examining and exploring a clearer definition...
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...as “the act of moving power or responsibility from one person or group to another (Oxford Advanced Learner’s Dictionary of Current English 2005)”. In healthcare and clinical context, the term “handover” applies to the transferring of a patient’s information between two health care providers, when the patient receives care in a different location, or when another healthcare provider is responsible of the patient (ACSQHC 2005). The American word “handoff” also signifies the same meaning. Nursing handovers are often being described as a ritual, which stemmed from the medical concept preliminarily in the 1880s, whereby the nursing sister would direct the nurses on duty after hearing reports from the night shift nurses and the doctors’ rounds (Walsh and Ford 1989). The repetitive characteristic of the traditional handover does not encourage nurses to think critically or share different views, therefore depicted as a “ritual” (Kerr et al 2011). 1.1 BACKGROUND OFTHE STUDY The aim of a nursing shift handover is to precisely inform the patient’s general condition, care plan, treatment and expectations in a timely manner (Runy 2008). The process, if made without a systematic standardized method, would lead to errors and jeopardizes patient’s safety (ACSQHC 2010). Reported adverse events from handovers include unnecessary procedure and investigations, delayed diagnosis or treatments, prolonged hospitalization, increased cost, and dissatisfied patients (Patterson and Wears 2010). ...
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...Copyright © eContent Management Pty Ltd. Contemporary Nurse (2011) 39(2): 256–272. Registered nurses returning to school for a bachelors degree in nursing: Issues emerging from a meta-analysis of the research TANYA K ALTMANN Division of Nursing, Sacramento State University, Sacramento, CA, USA ABSTRACT This literature review was conducted to determine what is known about nurses’ attitudes and perceptions about returning to school. There are four societal influences making nursing continuing education important: (1) Many nurses are still practicing with an Associate’s degree or diploma and few continue their formal education; (2) Recent studies have indicated that there are improved patient outcomes in hospitals which employ higher educated nurses; (3) A poor economy during a nursing shortage means high demand and less incentive for nurses to return to school for higher education; and (4) The worsening faculty shortage means an increased need for nurses to advance their education. Understanding nurses’ attitudes and perceptions may help identify gaps in our knowledge, determine ways to foster positive attitudes toward education learning among nurses, and allow us to entice nurses to return to school. It may also identify crucial steps to ensure the provision of quality healthcare. Keywords: nursing; attitudes; continuing education; RN-BSN; post-registration education; literature review THE PROBLEM H ealthcare is a fast paced, dynamic environment where providers...
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...EBT1 Task 1 Critique of a Nursing Research Article A1. Article Ford, Y. , Heyman, A., Chapman, Y. (2014). Patients’ perceptions of bedside handoff; the need for a culture of always. Journal of Nursing Care Quality, 29(4), 371-378. A2. Graphic Background Information | The purpose of this article was to identify patient perceptions of bedside handover through directly asking patients about their care. The study was done on a two in-patient medical-surgical departments at Borgess Medical Center in Michigan. They had implemented bedside handoff at shift change 18 months prior to this study. Then a sample of patient participants was chosen from the two nursing departments for the study. They had to meet certain criteria to be a participant and they had to experience three handoffs. Then they were given a survey to fill out after the beside handovers. Participants were positive about the RN bedside handoff process. The overall mean from the survey was 3.32 on a scale of 1 (strongly disagree) to a 4 (highly agree). | Review of Literature | There were multiple references that provided statistics and facts during this study. Most of these studies have focused on implementing bedside handoffs and nurse perceptions of the handoff. Published studies that focused on patients’ perceptions of beside handoff have been mainly qualitative. Recently, researchers have published...
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