...The Benefits of Technology in Nursing and Healthcare Abstract This paper explores nursing informatics and technology in the emergency department of a local level 1 trauma center. The references cited provide discussion and statistics on several types of nursing informatics utilized today by this facility, including benefits and shortcomings. Personal experience from the author are also incorporated as he witnessed first hand the nursing informatics and technology “explosion” and how this facility incorporated this technology into their daily nursing care over the past 15 years. In 1995 I acquired a job as a nurse’s aid at the hospital I am currently employed. At the time, they were just introducing computers at the nurse’s stations. It was used primarily for their first generation of Computer-Assisted Physician Order Entry (CAPOE). With exception to limited order entry, all the documentation was still placed on paper charting. Difficulties I encountered first hand included tracking down the chart while other staff members had possession of it. It made charting in a timely fashion almost impossible, and I often found myself charting late entries. Today I am a Certified Emergency Nurse in the Emergency Department of LVHN. In the grand scheme of things, 15 years is relatively a short time, yet the advances in technology I have been witness to are sometimes overwhelming. “Informatics is a field that’s evolving every day, and there’s much to learn” (Abbott...
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...Narrative Arguement: The Secrets of Military Births “Oh dear god, John I can’t do this!” I screamed while squeezing the cold metal railing attached to my hospital bed. Beads of sweat trickled down my neck and saturated my hair as I mimicked the breathing techniques for labor. My sister Aubrey, who flew in from Kentucky immediately hit the call button. “How long will it be until the anesthesiologist comes in?” The nurse’s replication was just one of the many reasons why I think military hospitals are one of the worst places to give birth. “Ma’am there’s five of you right now so it may take a while.” My husband immediately stood up and asked the nurse to step out into the hallway. I could hear the faint, vocal echo’s ricochet off the concrete...
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...Staff Attitudes and Beliefs Regarding Family Visitation After Implementation of a Formal Visitation Policy in the PACU Maria Walls, BSN, RN A quality improvement project was created to examine staff attitudes and beliefs regarding visitation after implementation of a formal visitation policy in the PACU. A 10-item questionnaire was distributed and collected from each staff member in the PACU after implementation of the formal policy. Results showed that although 83.7% of staff would want the option to visit their family member in the PACU, only 47% of staff believe that families should have the option to visit in their own PACU. The perceived barriers reported by staff were staffing issues, the possibility of exposure to infection, privacy issues, staff anxiety, the possibility of visitors witnessing resuscitation, and lack of education of families. The survey results show that more existing education is needed. Consequently, the current policy is posted in all waiting areas for families, and a mandatory in-service was created and presented to staff on how to communicate effectively with family members. Keywords: family visitation, staff attitudes, perceived barriers, PACU. Ó 2009 by American Society of PeriAnesthesia Nurses ALTHOUGH MANY EMERGENCY DEPARTMENTS around the country are allowing family members at the bedside during resuscitations, there is resistance to family visitation in the postanesthesia care unit (PACU). Family visitation benefits both families and patients...
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...providing patient care 4. develop nursing diagnoses for commonly occurring illnesses 4) What is the step of the nursing process that includes data collection by health history, physical examination, and interview? 1. planning 2. diagnosis 3. evaluation 4. assessment 5) You are a visiting nurse making an initial home visit for a patient who has many chronic medical problems. Which type of database is most appropriate to collect in this setting? 1. A follow-up database to evaluate changes at appropriated intervals 2. An episodic database because of ongoing, complex medical problems of this patient 3. A complete health database because of the nurse’s primary responsibility for monitoring the patients health 4. An emergency database because of the need to rapidly collect...
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...www.hbr.org We all have the capacity to inspire and empower others. But we must first be willing to devote ourselves to our personal growth and development as leaders. Discovering Your Authentic Leadership by Bill George, Peter Sims, Andrew N. McLean, and Diana Mayer Reprint R0702H We all have the capacity to inspire and empower others. But we must first be willing to devote ourselves to our personal growth and development as leaders. Discovering Your Authentic Leadership COPYRIGHT © 2007 HARVARD BUSINESS SCHOOL PUBLISHING CORPORATION. ALL RIGHTS RESERVED. by Bill George, Peter Sims, Andrew N. McLean, and Diana Mayer During the past 50 years, leadership scholars have conducted more than 1,000 studies in an attempt to determine the definitive styles, characteristics, or personality traits of great leaders. None of these studies has produced a clear profile of the ideal leader. Thank goodness. If scholars had produced a cookie-cutter leadership style, individuals would be forever trying to imitate it. They would make themselves into personae, not people, and others would see through them immediately. No one can be authentic by trying to imitate someone else. You can learn from others’ experiences, but there is no way you can be successful when you are trying to be like them. People trust you when you are genuine and authentic, not a replica of someone else. Amgen CEO and president Kevin Sharer, who gained priceless experience working...
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...www.hbr.org We all have the capacity to inspire and empower others. But we must first be willing to devote ourselves to our personal growth and development as leaders. Discovering Your Authentic Leadership by Bill George, Peter Sims, Andrew N. McLean, and Diana Mayer Reprint R0702H We all have the capacity to inspire and empower others. But we must first be willing to devote ourselves to our personal growth and development as leaders. Discovering Your Authentic Leadership by Bill George, Peter Sims, Andrew N. McLean, and Diana Mayer COPYRIGHT © 2007 HARVARD BUSINESS SCHOOL PUBLISHING CORPORATION. ALL RIGHTS RESERVED. During the past 50 years, leadership scholars have conducted more than 1,000 studies in an attempt to determine the definitive styles, characteristics, or personality traits of great leaders. None of these studies has produced a clear profile of the ideal leader. Thank goodness. If scholars had produced a cookie-cutter leadership style, individuals would be forever trying to imitate it. They would make themselves into personae, not people, and others would see through them immediately. No one can be authentic by trying to imitate someone else. You can learn from others’ experiences, but there is no way you can be successful when you are trying to be like them. People trust you when you are genuine and authentic, not a replica of someone else. Amgen CEO and president Kevin Sharer, who gained priceless experience working as Jack Welch’s assistant...
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...Exercises THE ADULT PATIENT CARE UNIT Exercises 3 BODY MECHANICS Section I. Techniques of Body Mechanics Section II. Positioning and Ambulating the Adult Patient Exercises ACTIVE AND PASSIVE RANGE OF MOTION EXERCISES Exercises 2-1--2-7 ADVANCED PRINCIPLES OF PATIENT HYGIENE Exercises 4 1-1--1-9 1-10--1-20 1-21--1-26 1-27--1-31 5 6 ENVIRONMENTAL HEALTH AND THE PRACTICAL NURSE Exercises MD0905 i 3-1--3-15 . . 4-1--4-7 4-8--4-21 5-1--5-9 6-1--6-5 CORRESPONDENCE COURSE OF THE U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL SUBCOURSE MED905 NURSING FUNDAMENTALS I INTRODUCTION Never before has there been a greater need for nurses. Never before has health care delivery challenged the nurse's commitment, knowledge, or technical competence more. Issues influencing current health-care delivery focus on promoting wellness, preventing illness, and rehabilitation to increase the patient's independence. This subcourse will present theory and concepts the person beginning the study of nursing will need to know in order to develop the knowledge and competence demanded by the complexity of the changing health care system. Subcourse Components: This subcourse consists of 6 lessons: Lesson 1. Patient Relations. Lesson 2. The Adult Patient Care Unit. Lesson 3. Advanced Principles of Patient Hygiene. Lesson 4. Body Mechanics. Lesson 5. Active and...
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...Do X-rays Requested By Triage Nurses Decrease Waiting Times? Research in Health and Social Care Introduction: Since 1991 when the patient’s charter (Department of Health 1991) was introduced, Accident and Emergency (A&E) departments have been under pressure to see, treat and discharge patients within a certain time period. In 1991 75% of walking wounded who presented to the department had to be discharged within one hour. It was subsequently changed in 2004 when the government decided that 98% of all patients attending an A&E department should be in the department no longer than four hours (Department of Health 2004). And again in 2011 when the department of health introduced the clinical care indicators that relaxed the target to 95% seen, treated and discharged or admitted in 4 hours (Department of Health 2011). Triage nurses within the accident and emergency department are one of the first people to assess the patients who present with an injury or illness. The patient’s condition is assessed and their need for how quickly they require treatment is prioritised. Triage nurses are usually experienced A&E nurses who have many years A&E experience (Dolan et al 2007). Patients are then placed in queues to await assessment by a Doctor or Emergency Nurse Practitioner. Once seen they are then put in another queue to await x-ray if necessary before waiting again to see the doctor/ENP that will interpret their x-ray and decided on the best course of treatment...
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...Program in Writing and Rhetoric Autumn 2005 Honorable Mention Matthew Gribble Instructor’s Foreword Movies tell us that in the wake of a murder, detectives would stretch what appear to be pipe cleaners, or a very taut yarn, through the bullet holes left in walls, in lamps, in the hollow doors of haunted rooms. The yarn was there to demonstrate the location of the shooter – or indeed, shooters – relative to the victim. But the fact is that other forces might have conspired in the murder. (Poison may have been used; bullets may have been fired only as an afterthought; perhaps they were fired by the victim himself, before he died . . .) Yarn can tell us the story only in certain circumstances. As a researcher and a writer, Matthew Gribble analyzes his crime scene with diligence and care. The crisis: The shortage of nurses in America. The question: How and why did this shortage become a persistent problem? Matthew affixes strings of yarn to a number of gunshots: the increasing average age of the workforce, long hours, work that is often menial or clerical, and finally, relatively low salaries. But these strands lead to new questions, wider causes which have nothing to do with social yarn. These new questions have to do with rhetoric and the enduring association of nursing with “women’s work” and “femininity.” Matthew has the audacity to ask how the rhetoric of femininity actually functions. How and why are we compelled to accept images and tropes as ‘normal’ or ‘natural’ when...
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...COMPASSION FATIGUE AMONG HEALTHCARE WORKERS A PROPOSAL PRESENTED TO THE FACULTY OF THE GRADUATE SCHOOL OF UNIVERSITY OF THE VISAYAS CEBU CITY, PHILIPPINES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN NURSING MAJOR IN NURSING MANAGEMENT BY: CONCHITA BRANZUELA BERGADO CHAPTER I THE PROBLEM INTRODUCTION: Quality of life among healthcare providers will matter on the quality and safety of patient care. Today the proportion of acute patients entering the health care system through emergency departments continues to grow and the number of patients in the Intensive care unit also increasing. In emergency room department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the...
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...ENVIRONMENTAL CHARACTERISTICS AND STAFF RATINGS OF NEWER AND OLDER SPECIAL CARE UNITS FOR DEMENTIA IN BRITISH COLUMBIA by Annie Murray B.A. St. Thomas University 1998 A PROJECT SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN THE GERONTOLOGY PROGRAM Annie Murray 2001 SIMON FRASER UNIVERSITY JUNE 2001 All rights reserved. This work may not be Reproduced in whole or in part, by photocopy Or other means, without the permission of the author. ii APPROVAL Name: Degree: Title of Project: Annie Murray Master of Arts Environmental characteristics and staff ratings of newer and older special care units for dementia in British Columbia Examining Committee: Chair: Dr. Barbara Mitchell _______________________________________________ Dr. Gloria Gutman, Senior Supervisor _______________________________________________ Dr. Kate Oakley, Supervisor _______________________________________________ Dr. Robert Horsfall, External Examiner Date Approved: _______________________________________________ iii Abstract Due to the greater availability of community resources as well as changes in admission policies, seniors are entering care facilities at an older average age and with higher levels of health needs than was the case twenty years ago. The number of dementia cases has also increased dramatically as well as Special Care Units (SCUs) to house persons with dementia. The purpose of this study was twofold. First it described the physical...
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...his or her own potential, cope with normal stresses of life, work productively and fruitfully, and make a contribution to the community. * Mental Illness- maladaptive responses to stressors from the internal or external environment, evidenced by thoughts, feelings, and behaviors that are incongruent with the local and cultural norms, and interfere with the individuals social, occupational and or physical functioning. * Anticipatory grief-when a loss is anticipated, individuals often begin the work of grieving before the actual loss occurs. * Bereavement overload- this is particularly true for elderly individuals who may be experiencing numerous losses- such as spouse, friends, other relatives, independent functioning, home, personal possessions, and pets in a relatively short time as grief accumulates a type of bereavement overload occurs which for some individuals presents an impossible task of grief work. * Ego defense mechanisms-defense mechanisms employed by the ego in the face of threat to biological or psychological integrity identified by Anna Freud 1953. Some of these are more adaptive than others, but all are used either consciously or unconsciously as protective devices for the ego in an effort to relieve mild to moderate anxiety. * Projection: Attributing feelings or impulses unacceptable to one’s self to another person. * Undoing: Symbolically negating or canceling out an experience that one finds intolerable. * Solation: Separating a thought...
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...PN MENTAL HEALTH NURSING EDITION . CO NT ASTERY SERI ES TM N E R EV MOD IE W LE U PN Mental Health Nursing Review Module Edition 9.0 CONtriButOrs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Sherry L. Roper, PhD, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Mendy G. McMichael, DNP, RN Nursing Education Specialist and Content Project Coordinator Marsha S. Barlow, MSN, RN Nursing Education Specialist Norma Jean Henry, MSN/Ed, RN Nursing Education Specialist eDitOrial aND PuBlisHiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CONsultaNts Deb Johnson-Schuh, RN, MSN, CNE Loraine White, RN, BSN, MA PN MeNtal HealtH NursiNg i PN MeNtal HealtH NursiNg review Module editioN 9.0 intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2014 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses...
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...Knowledge Area Module VI Contemporary Issues and the Ethical Delivery of Health Services Student: Harold Taitt, harold.taitt@waldenu.edu Student ID # A00293212 Program: Ph.D. Health Services Specialization: Health Management and Policy Faculty Mentor: Dr. Robert Hoye, robert.hoye@waldenu.edu Faculty Assessor: Dr. Jim Goes, jim.goes@waldenu.edu Walden University May 10, 2013 Abstract Breadth Component In this age of rapidly evolving technological advances, many of the legal and ethical issues that are challenging the delivery of health care and the health care profession are new. As we confront the legal, moral, and ethical aspects of health care, we are seldom faced with decisions that require or are resolved by simple right or wrong answers (Edge & Kreiger, 1998). In the Breadth component of KAM VI, I focus on several ethical theories and how those theories influence the way ethical issues and concerns are addressed and managed in the allocation and delivery of health care services. I critically assess and evaluate those theories, concepts, and derivative principles as they impact important decisions and the implications of those decisions within the context of social change and with special emphasis on health care management and policy. In addition, I discuss the key assumptions on which the selected theories are constructed, compare and contrast the writers’ interpretations across theories, and conclude by providing a critical commentary on the merits of the selected...
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...http://www.ebooksread.com/ THE WORKS OF MARY ROBERTS RINEHART LOVE STORIES THE REVIEW OF REVIEWS COMPANY Publishers NEW YORK PUBLISHED BY ARRANGEMENT WITH GEORGE H. DORAN COMPANY. Copyright, 1919, By George H. Doran Company Copyright, 1912, 1913, 1916, by the Curtis Publishing Company Copyright, 1912, by The McClure Publications, Inc. Copyright, 1917, by The Metropolitan Magazine Co. CONTENTS I TWENTY-TWO II JANE III IN THE PAVILION IV GOD'S FOOL V THE MIRACLE VI "ARE WE DOWNHEARTED? NO!" VII THE GAME LOVE STORIES TWENTY-TWO I The Probationer's name was really Nella Jane Brown, but she was entered in the training school as N. Jane Brown. However, she meant when she was accepted to be plain Jane Brown. Not, of course, that she could ever be really plain. People on the outside of hospitals have a curious theory about nurses, especially if they are under twenty. They believe that they have been disappointed in love. They never think that they may intend to study medicine later on, or that they may think nursing is a good and honourable career, or that they may really like to care for the sick. The man in this story had the theory very hard. When he opened his eyes after the wall of the warehouse dropped, N. Jane Brown was sitting beside him. She had been practising counting pulses on him, and her eyes were slightly upturned and very earnest. There was a strong odour of burnt rags in the air, and the man sniffed. Then he put a hand to his upper lip--the right hand. She was holding...
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