...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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...This paper seeks to find out and elaborate the term Early Warning Scores (EWS) while also showing its vital role in early identification and quick treatment of a patient who is experiencing a fast deterioration of health. There are other diverse scores that are similar to the Early Warning Score (EWS). For example, there is the ‘Modified Early Warning Score’ and the ‘National Early Warning Score’. The above scores have different terms because they use different set of parameters and variables in measurement when compared to the EWS. This paper will focus on the use of EWS consistently and will only refer to measurements that fall under EWS. Literature mainly drawn from national policies and guidelines issued by bodies such as the National Institute of Clinical Excellence (NICE), National Confidential Inquiry into Patient Outcome and Death (NCEPOD), and National Patient Safety Agency (NPSA) reinforce our support of the use and efficacy of EWS. Through the use of literature derived from medical books nursing journal, medical journals, and other medical sources from the internet we will provide evidence on the efficacy and use of EWS. The objective will be to come up with a recommendation on the EWS that is derived from research. The first consideration when discussing critical care is to consider what it comprises of. Critical care is the direct delivery of medical-care to the patients that are acutely ill. While giving critical care it should be understood...
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...Research Critique, Part 2 Introduction to Nursing of Nursing Nursing 433v October 26, 2013 Research Critique, Part 2 Introduction Improving patient satisfaction has been the forefront of nursing for the past decade. Many studies have been executed to assess practice and procedures that will improve patient satisfaction and patient safety. Nursing leadership and bedside nursing staff play a pivotal role in transforming bedside nursing. A critical appraisal was conducted in Australia by Gardner, Woollett, Daly, & Richardson, (2009) on measuring the effect of patient comfort rounds on practice environment and patient satisfaction: a pilot study. This research aimed to test the effect of a model of practice that enhanced the role of the assistant-in-nursing (AIN) on a skill mixed unit (Gardner et al, 2009). Gardner et al, 2009 adopted a quasi-experimental pilot study using a non-randomized parallel group trial design. The purpose of this paper is to identify if hourly rounding will upturn patient safety and satisfaction during their hospitalization. Protection of Human Participants. The authors of this study did not disclose any risk related to the study, however, one main benefit is this is a pilot study assessing techniques and tools for a larger study in the future. The piolet was regulated over an eight week span within a matched surgical unit including an experimental and control group. The intervention unit includes a sample of 61 consenting patients and 23...
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...Overview 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...
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...Typing Template for APA Papers: A Sample of Proper Formatting for the APA 6th Edition Student A. Sample Grand Canyon University: A Registered nurse is a healthcare professional who works in collaboration with other healthcare team to provide treatment, safety, and recovery of acutely and chronically ill individuals. They are also accountable for the health promotion and maintenance of patients, families, communities, and the entire population at large in a wide range of healthcare settings. They also constitute the surveillance system for early detection of complications and problems in care and in the best position to initiate actions that will minimize negative outcome for patients.(Aiken et al 2003). For one to become a registered nurse there are three pathways to follow and these are Diploma- a 3year hospital based program, Associate degree- a 2year degree obtainable from community colleges, and Baccalaureate degree program from 4year colleges and universities. All three of these pathways will qualify the nurse to sit for the National Council Licensure Examination (NCLEX). As stated in the journal of American Association of colleges of Nursing (AACN) “The NCLEX-RN is only one indicator of competency and does not measure performance over time or test for all the knowledge and skills developed through BSN program (Rossetter 2012). However, we will focus more on the differences in competencies between nurses prepared at the associate degree level versus baccalaureate...
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...The Effect of Telemonitoring in CHF patients Evidence Based Practice Project Sacred Heart University The Effect of Telemonitoring in CHF Patients Evidence Based Practice Project Question (PICOT) Question: In elderly individuals over the age of 65, does the use of a mobile phone-based medication adherence application, compared to a mobile phone texting reminder, increase medication compliance by 25%, within 12 weeks of implementing the program? Evidence Appraisal Matrix Source (APA) | Type of Study design (RCT, phenomenology, etc.)/Purpose | Level of Evidence(According toMelnyk & Fineout-Overholt) | Sample, settingInclusion/ExclusionCriteria | Methods, instruments, data analysis | Findings/Implications | Inglis, S. C. (2011). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Of Systematic Reviews, (6), doi:10.1002/14651858.CD007228.pub2 | Systematic Review | Level I | Twenty-five studies and five published abstracts were included. 16 evaluated structured telephone support, 11 evaluated telemonitoring, and two tested both interventions. Inclusion criteria:only peer reviewed, published RCTs comparing structured telephone support or telemonitoring to usual care of CHF patients were included. | Various search engines such as: MEDLINE, EMBASE, CINAHL, and AMED were searched from 2006 to November 2008.Relevant studies and systematic reviews and abstract conference proceedings were hand searched. No...
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...who are aging at an increasing rate, it is likely that hospitals will experience a shortage in nursing. It is necessary to have ongoing education for nurses so that to make sure the currency of knowledge so that to enable evidence-based customer care. The education cost is high to both the individual and the organization; therefore, it should be cost effective, appropriate, and relevant (Jacob, & Cherry, 2005). Research indicates that education for nurses is not always planned and developed systematically, and it relies on the interest and assessment area of the nurse educators. According to this paper, it will aim at identifying, analyzing, and assessing the educational needs at LewisGale (LG), which is a long term care facility. This paper will help determine the educational needs that should be addressed and challenges that long term facilities are currently facing. Residential Care Residential care provides care in facilities also known as nursing homes. This is a place where people requiring continual nursing care with significant deficiencies with daily living activities. Residential care can be referred to as a place for individuals who do not require care at hospitals, but cannot be cared for in their own homes. The residential care is set up like a hospital with staff that provide medical care and also speech, physical, and occupational therapy. Skilled nurses and the nursing aides are available on 24-hours a day. In order to study the educational needs...
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...radio-pagers in acute hospital care: a randomized controlled trial” set out to research how effective pressure sensitive bed and chair alarms are at preventing falls. The researchers’ motivation to perform this study was to challenge the effectiveness of this new technology in preventing falls. This paper will analyze the quality and efficacy of this study and ultimately find their conclusion to be valid. The problem researchers will address is insufficient research related to single interventions to prevent falls in hospitals. The problem was easily identified and briefly stated in the background and then further explained...
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...The Importance of Higher Education in Nursing Kristy Snyder Grand Canyon University: NRS 430V July 6, 2014 Nursing, like many professions, requires formal training and education, but it is the level of education in the nursing profession that sets on exceptional nurse apart from others. Safer patient outcomes and reduction in patient mortality and secondary insults of illness has decreased with an increase of staffing Baccalaureate Degree in Nursing (BSN) nurses over a staff consisting mainly of Associate’s Degree in Nursing (ADN) nurses. This paper focuses on the educational differences and competencies between nurses with an ADN and BSN respectively and the experience and skill sets that form the clinical decisions made by these nurses and how their decisions affect patient care and outcome. Mildred Montage was a nurse educator in the 1950’s and was the leading advocate and creator of the ADN in reaction to the stark shortage of nurses in the years preceding World War II (Creasia & Friberg, 2011, p.14-15). This degree was designed to decrease the shortage of nurses and the adequate level of clinical nursing skills and successful pass rate of graduates on the National Council Licensure Examination (NCLEX) were all taken into accountability for measuring the success of the ADN programs. An associate degree nurse is defined as a nurse attending a community college, up to three years but no less than two years, with training in clinical skills. A nurse graduating...
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...Education on Wound Care for Diabetic Patients Education on Wound Care for Diabetic Patients Abstract Non-compliance of wound care management has increased the risk of infection and amputations. Diabetes wound care management is an important and fundamental aspect when it comes to diabetes teaching and education. Assessment of the feet daily and at a primary care office will provide information such as noncompliance, risks for neuropathy, peripheral vascular disease, macro-vascular disease, and possible amputation. Education provided by health care practitioners to the diabetic population will promote decrease in risk for further complications and the patient to be involved in their own care. Assessment, treatment, and education on wound care management with the involvement of the patient will increase the patient’s quality of life and be very beneficial to both the practitioner and the patient. Keywords: diabetic wound care management, diabetic ulcer care, outpatient diabetes management, diabetic care management Introduction Working in a primary care setting will involve a multitude of disease processes- diabetes mellitus being one of them. Diabetes is a disease that is characterized by high levels of blood glucose with a defect in insulin secretion and cell resistance. Without proper management, diabetes may lead to other issues in health. Examples of such, would be, delay in wound healing, leading to foot ulcerations, which thus increases the risk for amputations...
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...JAN ORIGINAL RESEARCH Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives Karen Spilsbury1, Andrea Nelson2, Nicky Cullum3, Cynthia Iglesias4, Jane Nixon5 & Su Mason6 Accepted for publication 5 September 2006 Karen Spilsbury PhD RN Research Fellow Department of Health Sciences, University of York, York, England, UK Andrea Nelson PhD RN Reader School of Healthcare, University of Leeds, Leeds, England, UK Nicky Cullum PhD RN Professor Department of Health Sciences, University of York, York, England, UK Cynthia Iglesias PhD Research Fellow Department of Health Sciences, University of York, York, England, UK Jane Nixon PhD RN Deputy Head Clinical Trials Research Unit, University of Leeds, Leeds, England, UK Su Mason PhD RN Principal Research Fellow Clinical Trials Research Unit, University of Leeds, Leeds, England, UK Correspondence to Karen Spilsbury: e-mail: ks25@york.ac.uk 6 5 4 3 2 1 SPILSBURY K., NELSON A., CULLUM N., IGLESIAS C., NIXON J. & MASON S. ( 2 0 0 7 ) Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives. Journal of Advanced Nursing 57(5), 494–504 doi: 10.1111/j.1365-2648.2006.04140.x Abstract Title. Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives Aim. This paper reports a study exploring patients’ perceptions and experiences of the impact of a pressure ulcer and its treatment on their health and quality...
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...Analysis and Synthesis of Chronic Heart Failure Research Studie Analysis and Synthesis of Chronic Heart Failure Research Studies Background Chronic heart failure (CHF) is a disease characterized by high mortality, readmission rates and a marked decrease in health-related quality of life. Psychological distress is common in patients with CHF and different psychological variables may have an impact on the prognosis in chronic heart failure patients. Chronic heart failure patients also need to be involved in their plan of health care in order to be able to manage their own disease at home. However, patients’ perspective on the role of their informal carers regarding information management process revealed how much they depend on their knowledge and support. The studies that I have chosen to compare and contrast in this paper will shed light onto both of these subjects in regard to chronic heart failure patients as well as inform about the various studies that pinpoint relevant data in regards to CHF. These studies are important because they help medical professionals in regard to providing the highest level of care to their CHF patients. Quantitative Research Study Introduction For the quantitative research study in this analysis, I examined the journal article entitled Predictors of readmission and health related quality of life in patients with chronic heart failure: a comparison of different psychosocial aspects. This research study’s purpose was to “investigate the differential...
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...UNDERSTANDING EVIDENCE - BASED NURSING | Evidence-based Literature Search and Review on Interruptions during Drug Rounds | Cohort: March 2010 | | Student ID: | | Word count: 3292 Additional Module 1 | It is generally accepted that evidence-based practice (EBP) is the way forward in contemporary nursing. It provides the rationale behind nursing practice and allows for the delivery of optimal nursing care. Evidence-Based Nursing (EBN) involves the process of researching and implementing proven evidence in providing better patient care and is crucial as the role of the nurse is ever expanding (Banning, 2005). This essay will demonstrate that as a student nurse, the author has gained the necessary skills to conduct an evidence-based literature search and review and implement that knowledge into practice. Starting with a brief discussion on EBN it will go on to identify a suitable research question. During a placement on a medical ward the author noticed that nurses experienced many interruptions whilst conducting medication rounds and this review will consider ways to minimise interruptions and thus improve patient safety. Using the PICO acronym a suitable research question was formulated, ‘do interruptions during medication rounds increase the drugs administration errors made by nurses?’ A short description of the literature search is given and a summary of findings is presented in tabular form. Five original articles were selected and one chosen to critically...
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...Problem Validation Literature Review Problem Validation Literature Review The purpose of this paper is to discuss the reviews of the literature that pertains to the problem/issue chosen by this writer. The problem/issue chosen is the current issue with staffing of hospitals, nursing homes, medical clinics and specialty clinics, and why some of those problems are occurring. In addition to current issues in staffing, the future needs of nursing staff and what is being done now, and can be done in the future to enhance the quality and quantity of practicing registered nurses. In an article published in 2004 by the Agency for Healthcare Research and Quality, it was stated that “hospitals with low nurse staffing levels tend to have higher rates of poor patient outcomes such as pneumonia, shock, cardiac arrest, and urinary tract infections. Major factors contributing to lower staffing levels include the needs of today’s higher acuity patients for more care and a nationwide gap between the number of available positions and the number of registered nurses (RN’s) qualified and willing to fill them” ( www.ahrq.gov, 2004). It is interesting that the same issues that are being faced today were an issue in 2004. “A persistent shortage of nursing staff across the United States challenges the belief and values of the profession. Many nurses find it difficult to carry out their ethical obligations to patients due to the insufficiency in staffing. Because of this shortage, many...
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...education affect compliance with Congestive Heart Failure? How does patient education affect compliance with Congestive Heart Failure? How does education affect compliance with congestive heart failure? I have chosen this topic because congestive heart failure is a disease process that continues to grow throughout our communities. These patients tend to be readmitted into the hospital frequently due to noncompliance. Problem Identification Education of congestive heart failure is one of society’s largest challenges. The need to focus on compliance of treatment plan, self management, and patient education of this disease process is essential for favorable outcomes. The articles chosen for the information retrieval paper were located on line at the University of Texas at Arlington library in the CINHL database. These articles were written between the years of 2006 and 2009. All three articles were peer reviewed. While searching the data base for articles, information regarding education, compliance, and outcomes was a key focus. The articles were chosen for their content related to the education process of the patient with congestive heart failure and how compliance would affect outcomes. The knowledge of congestive heart failure of the medical professional was also explored. Summary of Articles First article Congestive heart failure is a debilitating and chronic illness that affects thousands of patients each day. With the rising...
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