...Nursing Research Study: Evaluation of Linear Measurement and Growth Plotting in an Inpatient Pediatric Setting Student Grand Canyon University NRS433V July 11, 2010 Nursing Research Study Summary The heights and weights of children can be key indicators of normal growth and development for each child and should be done routinely in a variety of patient care settings. The purpose of this paper is to provide a summary on the recent article in the Journal of Pediatric Nursing, Evaluation of Linear Measurement and Growth Plotting in an Inpatient Setting (Lipman, Euler, Markowitz, & Ratcliffe, 2009), in which nursing researchers documented an evaluation of the processes of obtaining measurement in their urban children’s hospital. Background The issue of a lack of properly done and routine measurements in pediatrics has been the topic of many studies done in the settings of pediatric and family practice offices. Inpatient admissions offer a unique opportunity to assess the growth of children. The purpose of the study being summarized was to “determine adherence to hospital policy and accuracy of growth documentation by obtaining data on the linear measuring practices to inform and improve nursing care” (Lipman, Euler, Markowitz, & Ratcliffe, 2009). The setting for the study was an urban children’s hospital in which the staff is exclusively registered nurses. “Registered nurses are significantly more likely to measure children accurately” (Hench, et al., 2005). Proper...
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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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...Nursing Research Study Contributions Debbie Rhoads Grand Canyon University Introduction to Nursing Research NRS 433 August 6, 2011 Nursing Research Study Contributions Fee, E., & Garofalo, M. E. (2010). Florence Nightingale and the Crimean War. American Journal of Public Health, 100(9), 1591. Study Background Problem Florence Nightingale is most remembered as the pioneer of nursing as well as the first nursing researcher. During the Crimean War in 1854, Nightingale and 38 nurses traveled to the military hospital Scutari, in Turkey, to care for the wounded soldiers. The conditions they found were horrible. Soldiers were lying in filth, there was little medications and fewer supplies. There was no ventilation and an open sewer ran beneath the hospital. Morbidity and mortality rates were a staggering 43%.(Fee & Garofalo, 2010). Significance to nursing. Nightingale's research had a great impact on the nursing profession. Her research changed the views of society as well as the military regarding the care of the soldiers. Florence focused on cleanliness, ventilation, water purity and improving sanitation, which changed the mortality rates from 43 percent to 2 percent. (Burns & Grove, 2011, p. 10-12). Purpose of Study ...
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...his is a critique study on “effects of nursing rounds on patients’ call light use, satisfaction, and safety by Christine Meade, PHD, Amy Bursell, PHD and Lyn Ketelsen MBA,RN(2006)”outline as quasi-experimental research design. The author states in this article about patient’s frequent usage of call light in the hospital. Frequent call light usage seems to be an ongoing problem in the hospital setting. This study was to determine how to reduce the call light use and burn out staff, also increase patient satisfaction and safety. Protection of Human Participants. The Benefits of the study was to increase patient’s level of satisfaction in nursing care, improve patient safety, and reduce fall rate and reducing call light. Researcher assessed “humanistic” and “concrete” behaviors. Author found every one or two hour nursing rounds can reduce call light usage, reduce fall rate and improve patient satisfaction and safety. There wasn’t any informed consent used in this study. This was a nonrandom assignment of the hospital units. One and two hour rounding was approved by chief nursing officer and nurse manager. Researcher used a quasi-experimental nonequivalent group’s design study. Because of this design researchers need help from the nursing officers. Nursing units were asked several times to change the rounding protocol to keep the sample stable (Meade, Bursell, Ketelsen , (2006). Data Collection Scheduled one-hour or two-hour...
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...PROVIDING QUALITY CARE Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units Sung-Hyun Cho, Kyung Ja June, Yun Mi Kim, Yong Ae Cho, Cheong Suk Yoo, Sung-Cheol Yun and Young Hee Sung Aim. To examine the relationship between nurse staffing and nurse-rated quality of nursing care and job outcomes. Background. Nurse staffing has been reported to influence patient and nurse outcomes. Design. A cross-sectional study with a survey conducted August–October 2007. Methods. The survey included 1365 nurses from 65 intensive care units in 22 hospitals in Korea. Staffing was measured using two indicators: the number of patients per nurse measured at the unit level and perception of staffing adequacy at the nurse level. Quality of care and job dissatisfaction were measured with a four-point scale and burnout measured by the Maslach Burnout Inventory. Multilevel logistic regression models were used to determine the relationships between staffing and quality of care and job outcomes. Results. The average patient-to-nurse ratio was 2Æ8 patients per nurse. A fifth of nurses perceived that there were enough nurses to provide quality care, one third were dissatisfied, half were highly burnt out and a quarter planned to leave in the next year. Nurses were more likely to rate quality of care as high when they cared for two or fewer patients (odds ratio, 3Æ26; 95% confidence interval, 1Æ14–9Æ31) or 2Æ0–2Æ5 patients (odds ratio, 2Æ44; 95% confidence interval, 1Æ32–4Æ52), compared...
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...In a nonexperimental research, the resreacher only collect datas without introducing treatments or making changes. Here the researcher studies the relationship between two or more variables in natural settings without manipulation or control. In corelational design, the researcher studies the strenght of relationship between variables by observing how the changes in one variable is correlated with changes in the other variable. In genearal correlational studies have dependent and independent variables and often it is the effect of the independent variable on the dependent variable that is observed without manipulation. The advantage of nonexperimental design studies are that they are close to real life situations, numerous human characteristice are inherently not subject to manipulation example, blood type, personality, health beliefs, medical diagnosis it makes nonexperimental research studies suitable for nursing research. Also there are many variables that can technically be manipulated but manipulation is forbiden on ethical grounds. The major disadvantage is that the result obtained and the relationships between the dependent and independent variables can never be absolutely clear or error free. It is true that non experimental nursing research studies are conducted for comparative purposes using non randomly selected groups which may not be homogenous and in fact often dissimilar in different traits and characteristics’ which affects the authenticity and lead to faulty...
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...Discuss the differences in competiencies between nurses prepared at the AD level versus the BSN level in nursing Identify a patient care situation in which you describe how nursing care of approaches to decisioin making may differ based upon the educational preparation of the nurse (BSN versus a ADN) Competent bedside nurses, regardless of degree, are in high demand. To become a licensed registered nurse, all nurses must pass the NCLEX licensing exam, and graduate from an accredited school of nursing. The debate continues as to whether an ADN degree is adequate, or whether nurses need more advanced training with the BSN degree. This paper will discuss the differences between these two degrees. http://www.aacn.nche.edu/media-relations/fact-sheets/adn-facts AACN recognizes the Bachelor of Science in Nursing (BSN) as the minimum educational requirement for what the organization holds to be professional-level nursing practice. AACN's support for the BSN does not mean that we seek to bar ADN graduates from practicing nursing to the full extent of their skills and abilities. AACN maintains this position while recognizing the role ADN-prepared nurses play in the delivery of health care. AACN has a long history of supporting RN-to-Baccalaureate education. From 1986-1988, AACN conducted a study funded by the Division of Nursing, HRSA. The purpose of the study was to provide national data about RN-to-Baccalaureate education both from the institutional and student perspectives...
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...correlated with a student's perception of that specific work area. Nursing students are highly encouraged to find their personal work area preference but it should not limit them in such a way that they become unfamiliar with the other fields of the nursing profession. Student Nurses are required to build and hone their versatility to adapt in every field. It is best to gain experience in all available related work to know where the student's current skill level. Having a decent amount of experience by working on every field available is good because students will have an idea on where they prefer to work. It is highly recommended to have experience in several fields because that way student nurses become an indispensable asset in their future profession. There are several factors that play a major role in choosing where students prefer to work and one of them is the environment. A working environment that is conducive to learning can boost the productivity of student nurses. A good learning environment aids student nurses to mold their skills to...
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...ICNE YALE #98 ETHICAL PROBLEMS ENCOUNTERED BY NURSING STUDENTS IN TURKEY Fethiye Erdil and Fatos Korkmaz Nursing students increasingly encounter ethical problems during their clinical practice which sometimes infringe the rights of patients. However, so far there is no study in Turkey on the extent of problems from the perspective of nursing students, as well as how nurses are involved in ethical decision making process. This study is conducted at Hacettepe University Health Science Faculty Nursing Department with the aim of identifying the ethical problems confronted by nursing students. Eighty-four third class and 69 senior nursing students were volunteers to participate in this study. Their age ranged from 19 to 23 years. All participants have taken the course entitled ‘Nursing History and Deontology’ which include 14 hours ethical content. Students were asked to describe moral problems that they observed or encountered during their clinical practice. Ethical problems at clinical practice were reported as physical maltreatment of patients (28%), inappropriate approaches toward patients which cause psychological distress (24%), violation of privacy (21%), providing inadequate information (16%) and discrimination based on the social and economical status (16%). The reasons of these ethical problems were stated by students as the unprofessional conduct of physicians (34%) and nurses (44%), and ineffective hospital management (9%). The most striking finding of this study...
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...I am doing my research on travel nursing. The reason I picked this topic is because all of my life I have Wanted to be a nurse. My biggest question I had on this was, What is life like as a travel nurse? When I researched it I found that As a travel nurse, you get to experience the excitement of exploring a new place and the amazing chance to expose yourself in the culture of a new hospital. They say that it offers great places to explore. Travel nurses can choose the places they want to go and even the hospital. While you are getting a chance to explore exotic places you are also making great money while doing So. Travel nurses starting salary is 101,288 dollars a year. Another question you may ask is Do travel nursing companies offer...
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...A Strategy to Reduce Waiting Times in the Emergency Department Introduction Emergency Department (ED) nursing is fast paced and complex in nature. Their goal is to assess quickly and prioritize the patient needs so that those with emergent needs are seen before those with urgent or non-urgent needs. Causes of ED overcrowding and lengthening wait time include, influenza season, inadequate staffing, inpatient boarding due to inadequate hospital beds and patient population larger than hospital capacity (Hoot and Aronsky, 2008). The length of stay in the ED has a correlation with the quality of care a patient receives. Many EDs struggle with patient overcrowding and there appears to be no silver bullet to adequately address this challenge. It will be in the best interest of all involved to effectively address this issue. Different institutions have tried various solutions to their ED overcrowding including a program to shorten the wait times leading to reduced crowding and increased patient satisfaction. Background of the Study ED overcrowding is a complicated problem that affects virtually every institution that offers emergency services. Contributing factors include the intake, processing and discharge aspects of emergency service. The phenomenon of ED overcrowding takes a toll on both patients and ED nursing staff and addressing it will reduce stress on the nursing staff, improve the quality of care and increase the satisfaction of all involved. This study was initiated...
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...Research Summary and Ethical Considerations Introduction "A pressure ulcer is a localized injury to the skin and/ or underlying tissue usually over a bony prominence, as a result of pressure or pressure in combination with shear and/ or friction." (National Pressure Ulcer Advisory Panel, 2007). It is essential to give education to the patients, family, care givers and health care providers to decrease the pressure ulcer rate. Multiple study about pressure ulcer revealed that pressure ulcer causes significant harm to the patients by increasing the length of stay in the hospital due to frequent pain, discomfort, infection and poor healing. The infection and sepsis occur from pressure ulcer can even lead to death. However, pressure ulcers are preventable. Identifying the high risk patients and constantly implementing measures to prevent pressure ulcer in these patients are two major steps to prevent pressure ulcer. "This study aimed at describing contributing factors for the progression or regression of pressure ulcers in the care trajectory as they are understood by nurses working in hospitals or community care." (Athlin et al. 2010) Background of study Nurses play an important role in the prevention of pressure ulcer. Educational programs in the hospital provide good knowledge to nurses about the preventive and treatment methods of pressure ulcer. But some studies pointed that nurses need more updated knowledge about pressure ulcer and due to unorganized systems or shortage...
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...involvement in the cares of their infant, unrestricted parental presence in the NICU, and open communication between parents and all care provider team members (Griffin, T., 2006). Griffin states that family centered care is “a philosophy of care that embraces a partnership between staff and families.” As this type of delivery care model is becoming more the norm in NICUs across the world, many researchers have posed the question of the parents and their feelings of the overall environment and care of their infant. Making the parents feel like they have control over certain areas of the entire NICU experience can make the difference between a smooth hospital stay and one that is not ridden with problems. 1.) In the qualitative research article Mothers in the NICU: Outsider to Partner by Judith A. Heermann, Margaret E. Wilson, and Patricia A. Wilhelm the main focus was to examine the process of involving the mother in the care of her infant; as to make her feel as if she were an important component in the care of her infant, as well as a mother that has control and a voice when it comes to issues related to her infant’s NICU stay. Thus, encouraging family...
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...“What is my nursing philosophy?” As a new grad nurse this question is quite intimidating and complex. Which values and beliefs do I deem most important to declare as my nursing philosophy? According to the American Nursing Association (ANA, 2018), “Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations.” I reflect on my nursing education and clinical experiences and I realized that I have unknowingly set a series of values and beliefs for myself. The knowledge I have gained in the classroom along...
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...Nursing Theorists A nurse is known for their compassion, ability to assist with healing, and their knowledge. Historically, compassion and ability to follow limited guidelines and doctor orders seems to have been what was required of anyone wanting to be a nurse. Times have been changing over the last 50 years and that change is accelerating. Anyone wanting to become a nurse will need to be medically knowledgeable and more of a clinician than ever before. Yet it is not as though nursing theory has only recently come into existence this century. Real theorists have been hard at work developing the theoretical framework for nursing practice for some time. For whatever reason, one desires to become a nurse, we must all start at the beginning...
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