...Vulnerable People in the Workplace Vulnerable People in the Workplace Paper Watson is a Nursing theorist who recognizes nursing as the art of caring and the need to treat each patient holistically (Watson, 2007). Leininger is another Nursing theorist who realized caring is unique and the core of nursing. According to Leininger’s Cultural Care Theory as cited by Maier-Lorentz (2008), on Transcultural Nursing, nurses need to be aware of various cultures and how to use this knowledge in their daily practice (Maier-Lorentz, 2008). Leininger’s Cultural Care Theory addresses the need for cultural competency in health care. Communication with a patient can be affected by a patient’s culture. In addition, nurses need to avoid ethnocentric bias. In an effort to achieve a holistic approach to health care one must have an understanding of cultural factors that may affect proposed health care interventions. Leininger’s Cultural Care Theory can be hardwired with Watson’s Theory of Human Care to help achieve holistic care of the patient (Leininger & McFarland, 2002). In this paper I will discuss the design of a teaching program at my workplace to help raise awareness about vulnerable populations. According to De Chesney and Anderson (2008), issues with vulnerability can apply to population groups or individual people. De Chesney and Anderson (2008) discuss vulnerable populations that are at higher risk for health issues related to socioeconomic status, cultural issues, or environmental...
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...of Quantitative vs Qualitative Articles NURS 4000/NURS 4001: Research and Scholarship for Evidence-Based Practice March 17, 2015 Overview of Quantitative vs. Qualitative Articles Using two research studies selected from the list of articles provided. I choose A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014) and Impact of a Smoking Cessation Educational Program on Nurses' Interventions (2014). The purpose of this paper is to do an overview of both a quantitative and qualitative article. Review each selected article on learning about study design, by identifying information from each component of the study. Then evaluate the strengths and weaknesses of each study. Overview of Quantitative Article Research Question According to the article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), the research question is, does patient hand hygiene included in the bundle strategy help decrease Clostridium difficile infections? According to information found in Chapter 3 (Adams, 2012), using the abstract of problem-solving, nursing process and research process, the information found in this study was impertinent to the outcome. Determining that hand washing does help decrease c-diff infections. Study Design The article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), is a quantitative study, and non-experimental...
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...philosophy, impact and concepts of the Nursing Code of Ethics and how it applies to Nursing as a profession, the concept of patient centered care, use of technology in documentation, and the leadership aspects that are considered as a new graduate. Leadership aspects entail team leading, delegation, and role transition from graduate to RN. This is the point of view of the author and information given here will be both objective and subjective. Nursing Philosophy In a previous paper written, the reflection of this student’s own nursing philosophy seemed to coincide with that of Florence Nightingale as well as Dorothy Orem. Orem’s school of thought leans toward the nurse having a large hand in aiding a patient to achieve total self-sustainability. Dorothy Orem’s theory is actually three separate theories that work synergistically. These theories are the theory of self-care, theory of self-care deficit, and the theory of Nursing systems. This works well for a patient, when achieved, due to the self-care aspect. Someone whom is actively involved in their own progress displays an inherent will to do well by oneself. This promotes compliance which can be a large barrier in healthcare. Education is an extremely important aspect in all of nursing but even more so in this philosophy. Florence Nightingale paid close attention to the surroundings of the patient. By doing this she became the first...
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...HLT-307 12/05/2015 Michelle Davis Role of the Provider and Scope of Practice Many only know of doctors and nurses who provide care, but in reality there are many health care professionals behind them that work together to provide them with the proper care they need. There are so many health care professionals that work together and form a work flow to maintain the proper and correct care given to each and every patient that they rely on each other. If one of the professionals were to fall out of sync with the rest of the team then it causes the patient care to fall. In particularly many do not know of cardiovascular technicians and respiratory technicians they are as equally important as nurses and doctors. In this paper I will explain the roles and scope of practice of both cardiovascular and respiratory technicians have in health care, the skills and education needed, and about patient-centeredness. Respiratory and cardiovascular technicians go hand and hand with each other because our body relies on our heart to pump and breathing is the most important thing we all need, therefore a respiratory and cardiovascular technician work closely together to provide for the patients. The role of a respiratory technician is “Respiratory therapists care for patients with both acute and chronic breathing problems across the entire age spectrum.” (Becker & Nguyen, 2014). The job of an RT is to manage and care for those who have respiratory issues. For a cardiovascular...
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...The role of nurse managers and nurse leaders extends beyond the delivery of direct patient care. Organizations now utilize experienced nurses in administrative roles because nurses can provide unique insight regarding the resources needed to effectively and safely carryout patient care. As the healthcare industry pushes to improve the quality of care and contain costs organizations are forced to redesign healthcare delivery. Nurse leaders can help organizations find innovative ways to delivery safer and more cost-effective care. This paper will examine the resources necessary for the financial management, material management and personnel management of a Patient Centered Medical Home (PCMH) through a Christian world view. The proposed healthcare...
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...Interprofessional Team Development: A Patient and Family Centered Care Western Governor’s University: C158 May 11th, 2016 Interprofessional Team Development: A Patient and Family Centered Care Approach Approach to patient care has changed over the last three decades from patient treatment-focused model to include comforting, engaging, and empowering patients. The new approach implements patient-centered care environments. It has been adopted by care providers, research bodies, funding agencies, and regulatory agencies, among others. To enhance patient-centered care, business practices, regulatory requirements, and reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals annual due...
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...University October 17, 2013 The IOM’s recommendation on improving the delivery of care begins with the transformation of the nursing profession. The Robert Wood Johnson Foundation (RWJF) along with the Institute of Medicine (IOM) established a two year Initiative on the Future of Nursing (Institute of Medicine [IOM], 2011, p. 2). In an unprecedented partnership to explore challenges central to the future of the nursing profession. The IOM and RWJF stated that accessible, high quality care cannot be achieved without exceptional nursing care and leadership (IOM, 2011, p. 2). This paper will discuss and explore how the IOM report impacts nursing education, nursing practice, and the nurse’s leadership role. The IOM recommends entering the field of Nursing prepared with a baccalaureate degree can provide a consistent foundation. Due to the complexities of managing patient care with chronic illnesses qualified nurses will need to possess the knowledge and training of a higher level of education. The IOM recommends that hospitals have a workforce of at least 80 percent of registered nurses with a minimum of a BSN degree by the year 2020 (IOM, 2011, p. 173). Although, there still exists various modalities to entering the nursing profession without having a BSN. The goal for nurses with a diploma and associate degree are encouraged to further their education by entering a baccalaureate nursing program. The future of nursing depends on promoting the importance...
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...EDUCATIONAL MISSION STATEMENT PAPER Natalie Farquharson University of Phoenix NUR/588 Developing and Evaluating Education Programs Kelly Crum March 05, 2013 EDUCATIONAL MISSION STATEMENT PAPER The purpose of a mission statement is to represent the overall goal of the organization, to guide the pathways to which they will practice, and provide an overall framework for continued practice. While most mission statements will differ, the overall goal is for continued success and best outcomes for that organization. Nursing Philosophies of an organization states thought on what is believed to be truthful about the specific profession and usually a theorist who best represents the goal and mission that the organization desires to achieve and maintain while practicing optimal patient outcomes. During my career, I have worked for a number of different hospitals and long term care facilities. Currently, I am employed full time at Memorial Healthcare System (MHS) in Florida who serves a large population in the South Florida area. According to Memorial Healthcare System’s philosophy, their nurses “reach their goals through professional collaboration and framework with peers and in partnership with patients and the community”. The nursing philosophy of the organization is evident in daily practice. “Nurses are involved in the art of nursing and are totally committed to producing the best care possible with the highest quality outcomes while showing and maintaining compassionate...
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...effective and safe patient care. Part of effective leadership is setting a goal that is achievable and realistic for the team or group in order to reach a desired outcome. Using a SMART-formatted goal ensures that the desired outcome is achievable, hence the meaning of SMART goal, Specific, Measurable, Attainable, Realistic, and Time bound. To help with my leadership development in the care of my patients, I will focus my SMART goal on improving my leadership skills in patient education particularly with pain management on post-surgical patients since I take care of a lot of post-surgical patients. This goal is in line with one of the Institute of Medicine’s core competencies for health clinicians that states to provide patient-centered care. I will achieve my goal with some help from a team member at work. Nurses and other health care professionals are expected to provide care that is effective, safe, and patient-centered. One of the core competencies that the Institute of Medicine (IOM) set for healthcare professionals is to provide patient-centered care. Providing a care that is patient-centered focuses on including the patients in their plan of care, recognize, and respect their needs, values and preferences. Open communication with the patients and collaborative care is also the focus of patient-centered care, (Finkelman, 2012). As the IOM’s description of patient-centered care core competency (as cited by Finkelman, 2012): Identify, respect, and care about patients’ differences...
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...A TERM PAPER PRESENTED BY EUGENIA NWOKEFORO ON PROFESSIONAL DEVELOPMENT OF NURSING PROFESSIONALS THE EFFECT OF IOM REPORT 2010 ON THE FUTURE OF NURSING PRACTICE Nursing is a profession which plays vital role in improving the health care system by promoting, protecting and optimizing health and abilities, prevention of illness and injury, alleviating suffering through the diagnosis and treatment of human response and an advocate in care of individuals, families, communities and populations(ANA). INSTITUTION OF MEDICINE (IOM) was founded in 1970. In 2008, The Robert Wood Johnson Foundation(RWJF) and Institution of medicine (IOM) formed a two year committee to respond to the need to assess and transform the nursing profession. Today healthcare faces serious issues like child obesity, influenza(H1N1), HIV-AIDS, IOM is the entity that is advising on how to improve the health care system to meet the increased issue as it pertains to saving life and disease prevention and THE EFFECT OF IOM REPORT ON NURSING EDUCATION Nursing education is a crucial issue according to IOM report, Improved education system is paramount to increase nursing competence ,Advanced nursing degree provide nurses with more knowledge in their area of specialization, improve quality and efficient care for...
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...for this individual until he/she got better. This narrow definition of care has expanded over the years and has been inculcated fully into the medical profession. Care and nursing have become so intertwined up to the point that they can be considered synonymous. Currently, nurses are the care-givers to patients in hospitals and homes for the elderly. As a critical element in nursing, it is essential that the concept of caring is thoroughly analyzed. The subject cannot be taken as a small matter as it has a crucial impact on the process and outcomes of nursing. The purpose of nursing is to render health services that will ensure that the patients get better and are able to continue with their lives. Care is essential in ensuring that this purpose of nursing is met in the hospital, health center or home. Concept and Purpose The concept under study in this paper is care. This paper seeks to investigate the concept of care from a nursing perspective to determine its relevance to and implications for the nursing occupation. Another purpose of the paper is to identify the various attributes of the concept to distinguish it from other similar concepts. The paper will examine different literature to determine how various experts define the concept, its benefits to the nursing fraternity, its use and the limitations of its...
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...ALTER THIS PAPER....IT HAS BEEN SUBMITTED TO TURN IT IN....USING IT VERBATIN WILL RESULT IN A 100 MARK AND IDENTIFICATION WITH ANOTHER STUDENT PAPER...IN OTHER WORDS, YOU WILL BE FOUND TO BE COMPLETELY CHEATING AND MAY BE EXPELLED FROM YOUR UNIVERSITY...I WOULD USE IT AS A GUIDE, A LAUNCHING POINT....SOMETHING YOU COULD PARAPHRASE OR BORROW SOME IDEAS... Personal Theory of Counseling or Psychotherapy Personal Theory of Counseling or Psychotherapy Personal Theory of Counseling of Counseling or Psychotherapy Introduction This application paper will discuss my personal theory of counseling or psychotherapy in a number of different areas. Specifically, I will discuss the seven areas of interest. First, I will discuss and describe my basic view of human nature, Second, I will determine key factors that account for changes in behavior. Third, I will describe the nature of the therapist client relationship and its importance. Fourth, I will describe key functions and role of the therapist. Fifth, I will discuss the goals of therapy. Sixth, I will determine the techniques and theories of my approach. Seventh, I will discuss specific client issues best suited for my approach. (Walden University, 2012). In this paper I plan to describe and explain my own personal model for counseling. My personal model of counseling uses Gestalt Therapy, Person Centered Therapy, Existential Therapy and Adlerian Therapy which I think complement one another well My Basic View of Human Nature ...
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...Personal Philosophy of Nursing Auburn University School of Nursing Abstract: This paper explores the personal nursing philosophy I plan to convey in my nursing career. I believe the nature of nursing is rooted in commitment to public service and the undeniable desire to help those in need. Nursing is more than treating an illness; rather it is focused on delivering quality patient care that is individualized to the needs of each patient. My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. I believe nursing care should be holistic while honoring patient values. A crucial aspect of nursing is interprofessional relationships, and collaborative efforts among healthcare professionals promote quality patient care. My philosophy of nursing extends to my community in which health promotion is something I will continually strive for. Personal Philosophy of Nursing For as long as I can remember I have been overwhelmed with a longing desire to care for those in need, and I feel this ultimately led me to the career choice of nursing. I feel most fulfilled when I am serving and caring for others, and my personal nursing attitude is one that is centered on compassion and service. According to Merriam-Webster’s online dictionary (2012), a philosophy is “an analysis of the grounds of and concepts expressing fundamental beliefs,” and before entering to the profession of nursing...
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...Nursing Professionals Accountability of Nursing Professionals for Patient Safety Practices Related to Informed Consent Lavonia Deanne Bishop Grand Canyon University NURS-430V Professional Dynamics 23-Aug-2010 (0106) September 19, 2010 Accountability of Nursing Professionals for Patient Safety Practices Related to Informed Consent Accountability in nursing can be defined as the state in which the nurse is responsible for upholding a professional agreement with the patient to provide services and be held answerable for the outcomes of behaviors related to these services (Hood, 2010). One of the main areas we are held accountable for as professional nurses is the safety of our patients. After an evidence-based review of patient safety practices, the Agency for Healthcare Research and Quality has identified numerous opportunities for quality improvement. The practices identified were rated by strength of evidence, with the highest rated being listed first. This paper will examine practice number five, asking patients to recall and restate what they have been told during the informed consent and the responsibility of the professional nurse in this process. The Informed Consent Process According to Terry (2007) informed medical consent occurs when a patient autonomously and expressly permits a professional to perform a medical act on that patient or include the patient in a research project. Patients are now encouraged to be more informed consumers and take an active part...
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...nursing be ready to respond to the rapid evolving health care system. The Institute of Medicine (IOM) worked over 2 years to produce a report that would be available to make recommendations and serve as an action-oriented blue print to the nursing professionals. This paper will discuss the impact on nursing due to the recommendations on the IOM report regarding transforming education, transforming practice, and transforming leadership. (Institute of Medicine, 2011) Impact on Nursing Education The IOM report made a key point in which “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (Institute of Medicine, 2011, p. 164). As the year’s progress it is vital that nursing education be transformed to stay current with today’s evolving health care. The IOM reports that even though the nursing profession must be transformed to work in a variety of complex settings however, they recognized that the primary goal of nursing education should still be that nurses prepared to meet diverse patients’ needs; function as leaders; and advance science that benefits patients and the capacity of health professionals to deliver safe, quality patient care. (Instiute of Medicine, 2011) The IOM report emphasized on the importance of having nurses with a higher education therefore, the committee recommended that bridge programs be made for the Registered Nurse (RN) with an associate degree in nursing (ADN) or...
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