Nursing Essays

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Nursing Essays

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Improving Quality Of Care To Patients

Engaging in reflective practice is now seen to be a critical component in the practioner’s armoury to allow positive development and improve quality of care to patients (Atkins and Murphy 1993). Reflecting retrospectively on an experience is described by Schon (1983) as an on action way of reflection. Fitzegerald (1994) explains the meaning of this as:...

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Examining The Physical Environment Of A Maternity Ward

I’m working in a private setting hospital which has total of 60 beds. I’m posting to a multidiscipline word since I join in this hospital. There are 11 single bedded rooms, 2 3-bedded maternity rooms, 1 3-bedded pediatric room, 1 isolation room & 1 6-bedded room. There is a variety of bathing, showering and toilet facilities in every room. Two labour rooms also attached to this ward. There are two matrons & two sisters guiding the whole hospital. We are using 3 shift patterns at work, 5-6 nurses working in every shift; 3 staff nurses (include 1 midwife) and 3...

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Pain Perception And Selected Associated Symptoms

This chapter deals with the discussion and interpretation of the findings to evaluate the effectiveness in minimization of pain perception and selected associated symptoms among clients with advanced cancer....

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International Experiences Of Benefits Realisation Process In Healthcare

The ANEW hospital has received funding to procure a small Clinical Decision Support System (CDSS). In consultation with the development team and based on a wide invitation to propose possible sites, the Hand and Arm Treatment (HAT) programme was chosen as the first stage CDSS to implement in the ANEW hospital. It is hoped this CDS tool will, through its evident impact, lead to further investment in CDS interventions....

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Florence Nightingale Environmental Theory And Contributions To

Florence Nightingale was born May 12th, 1820 to parents William and Frances Nightingale during the second year of their honeymoon tour and was named after the city of her birth, Florence, Italy. She was their second child, her older sister Parthenope was born one year prior and was also named after the city of her birth, Naples, or Parthenope in Greek (The Florence Nightingale Museum Trust, n.d.). Her parents were wealthy Unitarians and traveled in the highest English social circles. Her maternal grandfather was a liberal politician who believed in philanthropy and abolitionism (Attewell, 1999). Her...

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Experimental Intervention On Students Attitudes Towards Older People

The paper by Ryan et al., (2007), “evaluating the effectiveness of an educational and experiential intervention on nursing students attitudes towards older people”, was critiqued using the Cormack Framework (Cormack 2000). Caldwell et al. (2005) stated that healthcare was a multi-disciplinary field and the importance of evidence based research, consumption of research and critiquing research was of immense importance. Cullum et al., (2007) have also stated the importance for evidence based research in the ever-changing field of medicine. The Cormack framework is usually used to comprehensively critique quantitative research and includes details regarding the hypothesis, operational definitions and validity of...

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Evaluating The Importance Of Honest Communication In Nursing

When two or more people are together they cannot help but to communicate (Watzlawick et al 1968). Caring is a process that offers people, both carers and the cared for, opportunities for personal growth. Major aspects of caring include- knowledge, alternative rhythms (learning from experience), patience, honesty, trust, humility, hope and courage. (Milton Mayeroff, 1972). Communication is used in everyday life and is a crucial part of working within the healthcare service. Knowing how to communicate correctly is a skill that must be acquired, in order to be successful as a healthcare professional and is an integral and essential part...

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Preparation For Providing Effective And Efficient Mentorship

In preparation for this assignment searches have been conducted using the following databases: Cinahl, Pubmed and Medline search terms Learning theories, Learning styles, Mentorship and Practice Education Facilitator were used singularly or in combination. Manual searching of relevant nursing journals and publications have been performed. Articles published in English in the last 10 years were reviewed. This assignment will examine the issues and processes that need to be considered whilst facilitating and supporting a student to meet their learning outcomes in a practice placement, there will be discussion regarding the assessment strategies available as a mentor, which contribute...

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Psoriasis Diseases

Psoriasis is a skin condition in which skin cells reproduce too quickly causing red, flaky, crusty patches of skin covered with silvery scales (National Institute of Health (NIH) 2011). ...

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Discussion Of Management For Hip Replacement Surgery Patients

According to the Scottish Arthroplasty Project’s annual report (2009), 6312 total hip replacement operations were carried out in 2007/08. (Scottish Arthroplasty Project, 2009)....

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Study And Research Of Complementary Alternative Medicine

Complementary Alternative Medicine (CAM) is a medical products and practices which are not part of standard health care and not utilized by medical professions (MedlinePlus, Complementary and Alternative Medicine). CAM is becoming more popular in USA, UK, Canada, and Australia since scientific evidence support effectiveness of CAM (Woodward et al., 2009; Oldendick et al., 2000).In UK, 20% of people use CAM and expend more than 1.6 billion pounds (Khan et al., 2006) and 2/3 of Americans who suffer from chronic pain use CAM therapies (Stephenson & Dalton, 2003)....

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Exploring Jean Watsons Theory Of Caring In Insite

Many cities are experiencing ongoing infectious disease and overdose outbreaks among injection drug users (IDU). In particular, HIV and hepatitis C have become prevalent in many settings, where there is a heavy concentration of IDUs (Jarlais, 2010). In an effort to address this epidemic in Vancouver’s east end neighborhood, Insite opens its doors in September 2003 to become the first facility in North America to open a “medically supervised safer injecting facility, where IDUs can inject pre-obtained illicit drugs under the supervision of medical staff” (Macphee, 2006, p. 2;Shoveller, DeBeck & Montaner, 2010). In light of this facility, Jean Watson’s...

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Mental Capacity Act

The NMC (2008) state nurses must ensure they gain a patient's consent before giving any treatment or care ...

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An Analysis Of Financial And Business Performance

What did you learn from the meetings with your project mentor, including the presentation that you gave to your project mentor? Proper planning helps to manage time in the best possible way, carry out effective meetings and achieve desired results. It also lessens the possibility of errors occurring and helps to identify any potential problems....

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The Predictors Of Met And Unmet Expectations

Purpose: Patient satisfaction is increasingly important in the current patient centered health care. To improve patient satisfaction and therefore therapy compliance. Therefore this study analyzed if meeting patients’ expectations is associated with increased patient satisfaction in an orthopaedic clinic....

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The Nurse Practitioner Role In Texas

Nurse practitioners scope of practice changes from state to state. Some states allow Nurse Practitioners to treat patients without a supervising physician, they are granted complete autonomy. Whereas other states tell you exactly what you can and cannot do, sometimes even limiting prescribing abilities. I agree “Nurses should practice to the full extent of their education and training” (“The Future of Nursing,” 2011). The state you choose to practice in should not determine what you are allowed to do. I believe there should be universal rules and regulations for all Nurse Practitioners and allowing them to...

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Using Gentamicin In The Management Of Sepsis

Sepsis is defined as the inflammatory response toward an infection (1). It is either simple or severe sepsis depending on the organ dysfunction involved as a result of the infection and other factors (2). In terms of the pathophysiology of severe sepsis, a cascade of inflammation and activation of the coagulation system associated with impaired fibrinolysis causes changes in microvascular circulation associated with organ dysfunction, severe sepsis, multiple organ dysfunction syndrome, and death (3)....

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The Visceral Approach In Osteopathic Care

Although the link between visceral functioning and musculoskeletal system was documented, the implication of visceral applied techniques in osteopathic practice remain a point of discussion. Musculoskeletal, visceral, neurodynamic, cranial applied techniques and dietary corrections indicate the holistic approach of osteopathic care in an interdisciplinary consultation. The mechanism based assessment and therapy are indicated in the approach of patients....

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Nursing Intervention On Management Of Pre Menstrual Syndrome

This chapter presents a brief account of present study conclusion which is drawn from the findings. The implication is highlighted in various areas- nursing practice, nursing education, nursing administration and nursing research. And also it clarifies the limitations, suggestions and gives recommendation for future study....

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Personal Development Plan Management Essay

1 In accordance with the requirements of the task, and identifying individual and organizational goals and smart analysis, and the need to achieve these goals, and skills necessary to analyze and explain the work. Skills in the objectives of the organization in the future, the goals of individuals and organizations to achieve....

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Discuss And Evaluate How Teams Function

The essay will give an insight into how teams work and function; and how one could integrate into teams effectively and eventually lead them. The writer will critically analyse and explore the nature of teams, factors that make a team function effectively and poorly and recognised theory of motivation and its impact upon the team cohesiveness and productivity. The concept of leadership and how it can impact upon a team, its dynamic and productivity will be analysed along with how a leader can have a positive and negative impact upon the function of a team; how a leader can develop,...

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Study Effectiveness Of Nebulization Improving Childrens Respiratory Status

Data analysis is the systematic organization and synthesis of research data and testing of research hypothesis using those data. Interpretation is the process of making sense of the result and examining their implication (Polit, 2004). Analysis is the method of rendering qualitative data meaningful and providing intelligible information, so that the research problem can be studied and tested, including the relationship between the variables....

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Subcapsular Orchiectomy Under Local Anaesthesia

Prostate cancer underwent bilateral subcapsular orchiectomy at our Hospital. In every patient, we performed orchiectomy under spermatic cord block by injection of 8-10 ml anaesthetic mixture (1% lignocaine and 0.25 % bupivacaine hydrochloride) to each spermatic cord and infiltrate at skin incision site. During the operation we monitored blood pressure, pulse rate, and record abnormal symptoms such as abdominal pain, nausea, vomiting and pain score of the procedure was assessed at the end of the operation....

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The History Of Hyperosmolar Syndrome

Obesity is a pandemic health care issue that may cause not only morbidity but also mortality. Hyperglycaemic hyperosmolar syndrome is a serious complication of type 2 diabetes mellitus (T2DM). We reported a case of a 13-year-old obese boy with newly diagnosed T2DM presented with HHS complicated by shock, acute renal insufficiency, acute pulmonary edema and malignant hyperthermia-like syndrome. We highlighted in the management of this case that early recognition, aggressive fluid therapy, delay and insidious start of insulin, as well as use of dantrolene are possible strategies to reduce the morbidity and mortality of this syndrome....

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Answers To Questions On Ensuring High Quality Care

Vancomycin-resistant enterococcus (VRE) is a hospital acquired infection. Patients, who stay more in hospital, are at greater risk of getting infected. Especially the patients with low immune system and elderly patients are more at risk of developing VRE (NSW Health, 2005). It is a virus. Enterococci survive in the human digestive tract and in female genitalia in for months (NSW Health 2005). The VRE transmission may take place through both direct and indirect contact especially with poor hand washing and contaminated equipments and dirty surfaces (NCAHS Infection Control Manual, 2008, p. 54). Important steps should be taken to minimise the...

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Reflective Essay On Breaking Bad News To Patients

I’m writing a reflective essay based on Gibb’s model of refection, this is a six stage evaluation process and promotes good practice through evaluation of experiences, aids learning and better understanding on how to deal with similar situations in future practice, the six stages comprise of description, feelings, evaluation, analysis, conclusion and finally an action plan (Gibbs, 1998). The department of health (DoH) advises primary care, to use reflective practice and encourages integrated working with all professional within the community and hospitals of the local trust (DoH, 2000), which is incorporate in my reflection....

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Ability To Effectively Work Within The Cultural Context

In this essay, the concepts of transcultural nursing to be discussed are those of Campinha-Bacote’s The Process of Cultural Competence in the Delivery of Healthcare Service, Purnell’s Model for Cultural Competence and Giger and Davidhizar’s Transcultural Assessment Model. A case study will also be presented with regards cultural challenges encountered during the period of caring for the client....

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Reflect On Communication With Other Agencies

In this assignment it will define and discuss a nursing intervention for a client with a long enduring mental health illness. A systematic approach will be used the nursing process and the role of the mental health nurse will be clearly identified in providing care for the client. The nursing process consists of four stages, the assessment, planning, implementing and evaluation. This problem solving approach will be adopted to structure, organise, and present the nursing intervention. A fully detailed client’s profile will be given. The “mental health assessment and plan” process will also be addressed. The client...

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Medical Facilitation A Communication Centered Health Care Model

The medical world is in transition and at a crossroad. The 19th and 20th century saw the establishment of scientific medicine based on the view that human health is fundamentally biological. The deep biochemical familiarity with the human body along with nanotechnological engineering advances will in the 21st century set the base for an increasingly sophisticated molecular and technologic medicine. Superspecialized and automated procedures that are recognized to produce better results in medical treatment – like the surgical fix of hernias [1] or colonoscopies – wont require the same extensive training of today’s medical doctors anymore. Thus, many...

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Reflection Has Become An Important Concept In Nursing

In recent years, reflection has undoubtedly become an important concept in nursing, stimulating debate and influencing nursing practice and education around the world. Much has been written about the theory of reflection, the majority of which has been applied to the educational setting (Price 2004). However, the process of reflecting has been described as a transferable skill which may be incorporated into clinical practice, enabling practitioners to better understand themselves and others, and solve problems (Mantzoukas & Jasper 2004). Indeed, the capability to reflect consciously upon one's professional practice is generally considered important for the development of...

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Prevention Of Venous Thromboembolism In Patients Undergoing Surgery

Working in the surgical ward entails numerous responsibilities for a health care practitioner like me. Thinking about the holistic care, recovery of patients and minimising any complications from occurring are a few of those responsibilities that a surgical nurse always has to keep in mind. According to Anthony Lee (2007), whether it is abdominal surgery, plastic surgery, or any other invasive surgical treatment, it is dangerous to assume 100% safety. He also stressed that due to the miracles that surgery gives, people might often tend to forget the risks and complications that go with it....

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Providing Maternal Health Care To Us Muslim Population

Providing care to Muslims in the area of maternal child health, in the US, is a major challenge for maternal child health nurses. The challenge of caring for Muslim women and infants will need to be eliminated quickly. Currently there are roughly five to six million Muslims living in the US (Lawrence & Rozmus, 2001, p. 228). In the US there is minimal knowledge and understanding of the Muslim culture and its people. In the US the lack of knowledge and ignorance has created tension between Americans and people of the Islamic faith. Communication...

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Literature Review Of Women Suffering From Multiple Sclerosis

The focus of this study will be the lived experience of women suffering from Multiple Sclerosis and their ability to maintain a quality of life through various coping strategies. Therefore, literature surrounding the quality of life and coping mechanisms in MS sufferers will be critically appraised....

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Purpose Of An Intravenous Urogram

The aim of the examination is to demonstrate the renal cortex, calyceal size and shape, renal pelvis and ureteric drainage. Contrast agents are administered intravenously, usually via the median cubital vein, and images of the kidney are obtained through various stages of contrast synthesis. Projection that will be used are full length KUB, prone KUB, cross-renal, collimated to the kidneys and upper ureters, oblique single kidney, bladder anteroposterior(AP) with caudal angel of approximately 15o to clear the bladder from the upper border of symphysis pubis and oblique bladder. Intravenous Urogram (IVU) also known as Intravenous pyelogram (IVP). Intravenous Urogram is...

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Reflection On Leadership And Management Skills

This essay will be used as a tool to critique and improve my leadership and management skills as this is essential to the changes that are needed in the NHS improvement plan. In this process I have identified my leadership strengths as well as my development needs. I have used self assessment and feedback from colleagues in the form of my managers, peers and direct reports. I have also reflected upon my vision and style of management and further identified areas that can be enhanced into making me a more versatile leader as this is important to the...

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