...Professional Moral Compass Ethics, a branch of philosophy refers to the values for human conduct, considering the rightness and wrongness of actions and motives. As nursing profession is an integral part of the health care environment, the nursing ethics provides the insight to the values and ethical principles governing nursing practice, conduct, and relationships. The Code of Ethics for Nurses, adopted by the American Nurses' Association (ANA) is intended to provide definite standards of practice and conduct that are essential to the ethical discharge of the nurse's responsibility (American Nurses Association, 2012). A nurse cultivates personal ethics through personal, cultural and spiritual values which becomes a moral compass for their professional ethics. Personal ethics in combination with the code of ethics often assist the nurses in personal and social decision making during ethical dilemma. This ability prompts them to better respond to needs of the suffering patient and their own well-being. This paper will discuss the personal, cultural, and spiritual values contributing to nurses’ individual worldview and philosophy of nursing and the moral and ethical dilemma being faced in this profession. Values Contributing to Individual’s Worldview and Philosophy of Nursing Born in a Christian middle class South Indian family, the strict traditional values helped to embed the concept of service, trust, respect, integrity and responsibility through family, friends, education...
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...population of senior citizens that is reaching an alarming rate and many are plagued with health issues that need moderate to immediate attention. Many of the elderly are in nursing facilities that look after the well beings of these citizens and some are in facilities that assist them in the day-to-day living. The need for advance care for these citizens consist of individuals of license and/or certification professionals such as nurses, nursing assistants, doctors, nurse practitioners, and others that looks after the well beings of these individuals to maintain a quality of life that is beneficial for the final stages of survival. Key words: senior citizens, advance care, nurses, nursing assistant, quality of life Introduction Senior citizens face an enormous amount of change in older years than in formal years of youth, because of many change that take place in the formal years of growing older, senior citizen began to prepare for the late stage of life. The elderly that are in considerable good health continue to maintain active life styles, while those that are in moderate to poor health seek aid to maintain a quality of life that will be beneficial to them. Senior citizens that find themselves in moderate to poor health or often relocated from their homes into nursing facilities that have 24 hours of care provided for them 7 days a week and employ staff members that will attend to the need and safety of these individuals. Individuals that...
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...Public Image of Nursing Historically, the public image of nursing has been controversial this was evident by nurse healers being viewed as witches in the middle ages. As Minkowski (1992) conclusion indicated the nurse healers were viewed as “creatures in the league of the devil” and currently, the media has been covering negative images of nursing. This media coverage includes images of neglect in nursing care, poor performance results and lawsuits. Ads on the local television channels by law firms reporting poor nursing care, the television show “Mash” calling a nurse “hot lips” on just about each show, and the television show “House” left the viewer to perceive nursing as almost obsolete, has negatively impacted the profession of nursing. To alleviate the negative perception and image of the nursing profession, education to the public will need to occur. Nurses have quietly accepted ignorance, regarding their profession, in the past, due to the lack of urgency in the matter. With the health care crisis, the profession of nursing has been a hot point topic. In Kazis et al.’s (2009) article that analyzed media coverage, it was suggested that the public has little understanding of what a nurse actually does. Personal collaboration with professional nursing organizations could give a nurse a voice in the regulatory process and help in the education of the general public. In conclusion, mastering public speaking on a professional nurse’s role coupled with joining...
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...www.med.monash.edu www.med.monash.edu NUR1010 FOUNDATIONS OF NURSING AND MIDWIFERY PRACTICE Concepts of health, illness & human development OBJECTIVES • • • • • • Begin to develop their understanding of what nursing and midwifery involves. Discuss the concept of health. Discuss the concepts of human development. Describe factors that influence health across the lifespan. Begin to develop an understanding of the concepts surrounding person centeredness. Discuss the role of the nurse in infection control and prevention 1 2 www.med.monash.edu www.med.monash.edu 2009 Number Nursing Statistics Clinician Clinical management & Adm. Clinical nursing Average age (years) Average hours worked per week Definition of Nursing Nursing: encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management and education are also key nursing roles International Council of Nurses 2002 250,786 29,971 220,815 44.1 47.3 43.7 33.2 39.2 32.4 Non-clinician Lecturing, education and or supervision of new nurses Research Other 25,965 9,570 2,325 14,070 46.4 45.0 45.1 47.6 33.9 36.7 34.2 54 Total 276,751 44.3 ...
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...it is believed the first recorded pieces of nursing dates back during the Roman Empire, around 300 A.D. During this time it is stated that hospitals were built within every town within the Roman Empire. Both males and females were nurses but were more known to the people as hypourgoi. These hypougoi during this time assisted in in-patient medical care alongside doctors. The Romans created 2 fully developed hospitals within the great city of Constantinople. However, nursing became considerably more popularized throughout the Middle Ages in Europe. During the middle ages the nursing industry was based on religion, the majority or nurses consisted of nuns and monks. The function of the hospitals during this time was a multi-functional facility. Alongside of the injured and ill patients the hospital brought on lepers and refugees. The role demanded by a nurse served a broader range of responsibilities besides nursing. During the late 500s to early 600s, the first documented Spanish hospital was built in Merida, Spain. Many of their nurses were supplied by the Catholic Church. What was astonish during this era these nurses were specifically told to care for the sick no matter of their nation of origin or the religion they practiced. The demand for nurses grew during this time when the Emperor commanded that hospitals should be attached to every...
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...Seniors on the Rise Their or three psychological shifts that need to be made when comfortably settling into aging gracefully. The first shift that needs to be made is shifting from work to a self-differentiation. Self-differentiation involves older people having the ability to separate themselves from their peers to have them be better psychologically and emotionally more adjusted. Being emotionally and psychologically well rounded tends to create higher self-esteem and eliminates self-doubt and negative stereotypes that are associated with old age. Some of the common stereotypes about being old relate to the decline in physical, cognitive, and social functioning. Those concerns are not that much of a concern with older adults that continue to remain active and positively engaged. A second adjustment involves shifting from body preoccupation to body transcendence. In this stage elderly people move from a state of questioning their aging features and self-doubt to acceptance. In this stage the individual makes the focus about self while still interacting and engaging family and having strong social networks. They are still able to enjoy their lives despite their declining health and physical appearance. The third adjustment involves shifting from self-preoccupation to self-transcendence. At this stage the elder adult realize that death is something that must be addressed. While some elderly people choose to have their families deal with the role of death and dying their...
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...Health Human Resources Planning: an examination of relationships among nursing service utilization, an estimate of population health and overall health status outcomes in the province of Ontario November 2003 Gail Tomblin Murphy, PhD(c) Linda O’Brien-Pallas, PhD Chris Alksnis, PhD Stephen Birch, PhD George Kephart, PhD Mike Pennock Dorothy Pringle, PhD Irving Rootman, PhD Sping Wang, PhD Decision Maker Partners: Lucille Auffrey, RN Jean-Marie Berthelot Tom Closson Doris Grinspun, RN Mary Ellen Jeans, RN, PhD Kathleen MacMillan, RN, MA, MSc Barbara Oke, RN Judith Shamian, RN, PhD Barb Wahl, RN Funding Provided by: Canadian Health Services Research Foundation Nova Scotia Health Research Foundation University of Toronto Principal Investigators: Gail Tomblin Murphy Professor, School of Nursing Dalhousie University 5869 University Avenue Halifax, Nova Scotia B3H 4H7 Linda O’Brien-Pallas Professor and CHSRF/CIHR Chair, Nursing Human Resources Unit Co-Principal Investigator, Nursing Effectiveness, Utilization & Outcomes Research Unit Faculty of Nursing University of Toronto 50 St. George Street Toronto, Ontario M5S 3H4 Telephone: (416) 978-1967 Fax: (416) 946-7142 E-mail: l.obrien.pallas@utoronto.ca Telephone: (902) 494-2228 Fax: (902) 494-3487 E-mail: gail.tomblin.murphy@dal.ca This document is available on the Canadian Health Services Research Foundation Web site (www.chrsf.ca). For more information on the Canadian Health Services Research Foundation, contact the Foundation...
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...* A series of steps that lead to accomplishing some goal or purpose. * A systematic and organizes method for providing care to clients. * Provides individualized, holistic, effective and efficient client care. * Clients of all ages and in any care setting. * Characteristics of Nursing Process * Problem solving method - client focused * Systematic- sequential steps * Goal oriented- outcome criteria * Dynamic-always changing, flexible * Utilizes critical thinking processes * ● Interpersonal – promotes nurse-client relationship● * Cyclical – continuous and promotes improvement of nursing care * Systematic problem - solving approach toward giving individualized nursing care. STEPS: * Assessment * Nursing Diagnosis * Planning and outcome identification * Intervention * Evaluation * ASSESSING PATIENT’S HEALTH STATUS Assessment * A systematic collection of subjective and objective data with the goal of making a clinical nursing judgment about an individual, family or community. * 1st phase of nursing process which involves systematic data collection , organization and validation, interpretation, and documentation of data. * Purpose of Nursing Assessment * To establish the client-nurse relationship. * To obtain information about the client’s health, including physiologic, socio-cultural, cognitive, developmental & spiritual aspects. * To identify actual & potential...
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...The community health care nurse is not restricted to the care of one particular age group of population. The community health nurse encourages all participates to contribute in the education, promotion and maintenance of good health. According to Stanhope and Lancaster (2008), family nursing assessment is the cornerstone of family nursing interventions. Stanhope and Lancaster (2008), also state that by using a systemic process, family problems areas are identified and family strengths are emphasized as building blocks for interventions and to facilitate family resiliency. The following is a study using the Friedman Family Assessment. Identifying Data and Composition To protect the family’s identity the name’s address and phone number has been omitted. This family is a Caucasian English speaking dual income family. The father (JM) is a 39 year old male raised Catholic. The mother (MM) is 34 also raised Catholic. This is the first marriage for both adults. They married 5 years ago since being married the couple has had 2 children SM age 4 and CM age 2. Both parents work outside of the home and work shift work. JM travels approximately 25 miles one way to work while MM travels approximately 15 miles one way to work. MM states most days the family eats two meals outside of the home. These meals usually consist of fast food or cafeteria food from MM’s place of employment. JM and MM live in a middle income neighborhood located in a rural development. The nearest supermarket is...
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...smoking at a young age. He received a football scholarship to college but lost eligibility because of his grades and dropped out. He had two marriages, both ending in divorce due to his drunken temper. He had 6 children, none of which he had relationships with. He worked in construction until his alcohol addiction, weight gain, and poor health caught up to him and he was discharged. After a drunken fall, Leroy fractured his skull, ending up in a low quality nursing facility. He is no longer aloud to drink or smoke and spends his time angry and yelling at the staff (Zastrow and Kirst-Ashman, 2009). Based on my eco map of Leroy Karas, I believe that the single strongest...
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...Theoretical Foundation for Nursing Roles and Practice The nursing shortage is clearly a problem, and although the healthcare industry has acknowledged the shortage for decades now, the aging population has sealed the reality with an alarming force. Contributing factors include an aging population, along with its rapid increase of chronic diseases, and the limited capacity of nursing schools. As the population ages, the demand for healthcare services also escalates (Grant, 2016). The three million nurses in these United States contribute to the largest segment of the healthcare workforce, making nursing the fastest growing occupation. The Bureau of Labor Statistics has determined that there will be 1.2 million vacancies for registered nurses...
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...the achieving of sexual health and well-being in the aged population. It discusses how the attaining of holistic health and well being in the middle aged and older population is dependent on patient’s being able to access comprehensive information regarding their sexuality in an environment that affirms and promotes sexual health in accordance to Nursing and Midwifery Council (NMC) (2010). Sexual health is a state of physical, mental and social well-being in relation to sexuality. It requires a positive and a respectful approach to sexuality and sexual relationship, as well as the possibility of having pleasurable and safe sexual experiences free of coercion, discrimination and violence (WHO, 2014). Sexuality is part of us as humans and it shapes our individuality right throughout the life span. However it is not one that is easily constructed or defined. WHO (2014) defines sexuality as incorporating gender, individualities and roles, sexual orientation, desire, pleasure, intimacy and reproduction. Furthermore it considers that sexuality can be expressed and experienced through thoughts, fantasies, desires, attitudes, values, beliefs, roles and relationships, practices and behaviours. Bouman et al, (2006) considers that sexuality reflects the social interpretation that relates to the perception within society that middle age and older people do not experience sexual desires or feelings. Even within healthcare professionals sexuality is still very much considered to...
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...this diversity of the population, comes the need for a diverse and culturally competent nursing workforce to care appropriately for patients. The purpose of this paper is to examine diversity in the workplace, its importance to nursing as a profession and its impact on the delivery of culturally competent nursing care. Importance of Diversity in the Workplace Huston (2014) reveals that age, gender, customs, religion, physical size, physical and mental capabilities, beliefs, culture, ethnicity, and skin color are all forms of diversity. Despite the shift in demography of today’s society, which reflects an increasingly culturally diverse population (Phillips and Malone, 2014), the majority of nurses in the workforce are white, middle-aged females (Mattson, 2009). Making the nursing workplace more heterogeneous, diverse and representative of the population (Phillips and Malone, 2014), helps to promote quality of care and decrease disparities in healthcare (Huston, 2014). Maier-Lorentz (2008) adds that diversity in the workplace fosters cultural competency, which is vital to the provision of holistic and optimal care to this diverse patient population. Summary of One Aspect of Diversity One aspect of Diversity in the workplace is Generational diversity. With the current aging nursing population averaging forty-years of age (Mason, Leavitt and Chaffee, 2014), the current nursing workforce is comprised of nurses from four different categorized generations that work...
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...INTERNAL CRITICISM Adequacy: The Flood’s Theory of Successful Aging (Flood, 2005) was developed to addresses a nursing theory for care of the older adult regarding to the lack of nursing theory that offers clearly delineated guidelines for care of aging. Flood’s(2002) unique definition of successful aging among other explanations includes mental, physical, and spiritual elements of the aging person and emphasizing the individual's self appraisal. She used existing knowledge derived deductively from the Roy adaptation model, one of the most widely accepted nursing theory model, and integrated these ideas with Tornstam's sociological theory of gerotranscendence and literature related to the concept of successful aging to comprise the foundation of the theory (Flood, 2005). The author adequately explains the specific nursing actions that constitute these attributes. Clarity: The attributes of the theory and the model (Flood, 2005) clearly defines the major concepts relevant to successful aging. Flood provides examples of person with cancer that would exemplify the attribute although the physical health is not stated in the assumptions. In addition, there are no ambiguous statements, nor abstract or complex language employed. Nurses can readily understand the language used in the theory. Moreover, guidelines for interventions to help not only for nurses but caregivers to care for elders are provided for a completely understanding. Consistency: Flood’s views of aging and definitions...
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...Assessment Gordon’s Functional Health Pattern assessment was developed from the belief that all human beings have in common 11 functional health patterns that contribute to their health, quality of life and achievement of human potential. By examining functional patterns, nurses can more accurately determine and diagnose actual or potential problems, intervene more effectively and achieve outcomes that promote health and well-being (Edelman & Mandle, 2006). This paper will examine the 11 functional health patterns of a selected family; make nursing diagnosis recommendations and offer community and web-based resources for support. Additionally, the paper will review the role systems theory had in assessing the target family. Family Demographics The target family (Family “P”) identified themselves as white, middle class and educated. The husband, age 42, develops computer software. His wife, age 45, home schools their three children, ages 14, 11, and 5. The two younger children are adopted from Guatemala and China. Interview Process and Results Both parents answered multiple questions for each of the 11 functional health patterns, and where applicable, a physical examination was conducted. For the health perception/health management pattern, they answered the question “What are the most important things you do to keep your family healthy and prevent illness?” (Gordon, 1994) Family “P” regularly seeks medical care for sickness and visits the dentist annually. They do not...
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