Nursing Essays

Change Management Plan to Reduce Medication Errors

Example essay. Last modified: 25th Jan 2018

Assignment 2 Change Management Plan: reducing medication errors by building a dual medication error reporting system with a ‘no fault, no blame’ culture Introduction Medication errors in hospital...

Changes in Roles and Responsibilities of Nurses in the Moder

Example essay. Last modified: 5th Jan 2018

Nursing staff have seen their roles and responsibilities change considerably within the ‘modernisation’ of the NHS, but is this a good thing? There are some big changes in the nursing fiel...

Changes In The Roles And Responsibilities Of Nurses

Example essay. Last modified: 14th Nov 2019

Nursing staff have seen their roles and responsibilities change considerably within the ‘modernisation’ of the NHS, but is this a good thing? There are some big changes in the nursing fiel...

Characteristics of a Nursing Administrator

Example essay. Last modified: 23rd Sep 2019

Nursing administration is considered a specialty in nursing. It takes certain characteristics to be able to successfully lead an organization. They must be able to communicate with people in var...

Chest Pain Case Study

Example essay. Last modified: 29th Jan 2018

Ebunoluwa Mikiie   Chest Pain There are various Chest pains. Chest pain may be caused by gastrointestinal, respiratory, cardiac or musculoskeletal analysis. Chest pains may also be caused by anxiety...

Chronic Kidney Disease

Example essay. Last modified: 1st Jan 2015

Chronic conditions have been defined as “health problems that require ongoing management over a period of years or decades” and have been labelled as the biggest challenge faced by the health sect...

Chronic Obstructive Pulmonary Disease

Example essay. Last modified: 7th Mar 2017

Introduction It is not easy to explain to someone of what COPD is. COPD stands for Chronic Obstructive Pulmonary Disease. (Brown and Edwards, 2012) COPD, as stated by Brown and Edwards (2012), is a ...

Chronic Obstructive Pulmonary Disease (COPD) Literature

Example essay. Last modified: 29th Jan 2018

This essay focuses on the search and exploration of three pieces of literature related to Chronic Obstructive Pulmonary Disease (COPD). This includes one government guideline and two research article...

Chronic Obstructive Pulmonary Disease Assessing Patient Centred Care Nursing Essay

Example essay. Last modified: 1st Jan 2015

This project is based on the nursing care provided to a patient with Chronic Obstructive Pulmonary Disease (COPD), with specific focus on holistic assessment and identification of patient care needs. ...

Chronic Obstructive Pulmonary Disease Case Study

Example essay. Last modified: 8th Jun 2017

CASE STUDY : COPD This piece of work will explore the comprehensively physical examination, differential diagnosis and various diagnostic tests to confirm the disease condition that is CHRONIC OBS...

Chronic Obstructive Pulmonary Disease Nursing Assessment Approach

Example essay. Last modified: 8th Feb 2020

DEVELOPING ADULT NURSING CARE With this essay, the names and setting will not be disclosed in order to protect confidentiality. The content within this essay is generalised across a pati...

Chronic Obstructive Pulmonary Disease Nursing Case Study

Example essay. Last modified: 12th Jun 2017

This essay describes the nursing assessment and care planning provided to a patient with Chronic Obstructive Pulmonary Disease (COPD), as experienced during a clinical placement. In addition, the heal...

Chronic Urinary Tract Infections Treatment Case Nursing Essay

Example essay. Last modified: 1st Jan 2015

RP, a 72-year-old Caucasian female, was brought to the emergency room (E.R) from Hillcrest Adult Foster Care via ambulance. Preadmission report to F-300 stated that she came to E.R confused, lethargic...

Chronic Wound Management: Leg Ulcers

Example essay. Last modified: 7th Jun 2017

Introduction: This essay is a part of the study of nursing practices in chronic Wound Management based on venous leg ulcers. The essay covers the various aspects of this particular medical condition, ...

Client Based Care Case Study: Elderly with Diabetes

Example essay. Last modified: 24th Jan 2018

215479 Client Based Care Study Introduction In this essay, the author will explore the care of a single patient, encountered in clinical practice, examining the impact on quality of care, and on the ...

Clinical Assessment Of Chronic Obstructive Pulmonary Disease Nursing Essay

Example essay. Last modified: 1st Jan 2015

Emphysema and chronic bronchitis are clinically grouped together and called chronic obstructive pulmonary disease (COPD). Both have overlapping features with damage at acinar level (emphysema) and bro...

Clinical Case Study on COPD

Example essay. Last modified: 18th Sep 2017

Danielle McGarry Introduction The patient is a 76-year-old female with a history of chronic obstructive pulmonary disease (COPD). The patient is a married housewife with a 1 pack a day smoking histo...

Clinical Decision making and the Nursing Process

Example essay. Last modified: 1st Jan 2015

Internal and external variables such as the nurse’s personal experience, knowledge, creative thinking ability, education, self concept, as meshed with the nurses’ working environment, and ...

Clinical Decision Making in Nursing Scenarios

Example essay. Last modified: 17th Jul 2017

Clinical decision-making (CDM) is a dynamic activity in which the nurse builds a case in which hypotheses are accepted or rejected based on collected data, better defined by Barrows & Pickell (ci...

Clinical Decision Making Skills Nursing Essay

Example essay. Last modified: 1st Jan 2015

Mdm Chan is married and works as a supervisor. A free-thinker and lives in a four-room flat with the husband. She leads a sedentary lifestyle. The couple settles their meals outside. Physical Examinat...

Clinical Decision Making: Treating an Acute Ankle Injury

Example essay. Last modified: 8th Feb 2020

The role of Emergency Nurse Practitioners (ENP’s) has changed over the last few decades. Due to ever increasing pressure in primary care and emergency departments the role was developed to help...

Clinical experience

Example essay. Last modified: 1st Jan 2015

Describe an example of communication from your recent clinical experience and discuss the factors that contributed to its outcome “Most people have felt anger and helplessness at not being lis...

Clinical Governance Concepts and Uses

Example essay. Last modified: 14th Jul 2017

Clinical governance is defined by the Australian Council on Health Care Standards as the system by which the management and clinicians share responsibility and accountability for provision and quality...

Clinical Governance Impact on Occupational Therapy

Example essay. Last modified: 20th Jul 2017

This paper aims to understand how clinical governance affects Occupational Therapists (OTs) and how an OT could implement a clinical governance initiative in an in-patient ward within an adult orthopa...

Clinical Governance in Nursing

Example essay. Last modified: 12th Jul 2017

Introduction The health sector today is very different from what used exist in the past quarter of a century. Patients who are more aware of their rights and hospital or clinical staffs who have respo...

Clinical governance in podiatric services

Example essay. Last modified: 12th May 2017

Discuss how clinical governance has been used to develop quality of podiatric services for diabetic patients in the UK. Clinical governance sits at the heart of the government’s quality agenda ...

Clinical Management Of A Trauma Patient

Example essay. Last modified: 5th May 2017

Two cars collide at a stoplight, one running a red light and slamming into the side of another. Plastic breaks, metal bends and absolute silence fills the night, a brief calm before a massive storm. T...

Clinical Quality Improvement And Risk Management Nursing Essay

Example essay. Last modified: 1st Jan 2015

Clinical governance has been described as: “A framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards ...

Clinical Reasoning And Decision Making In Nursing Nursing Essay

Example essay. Last modified: 1st Jan 2015

All nurses use clinical judgement to make decisions while caring for patients. These decisions have an effect on the actions of the healthcare professional and the delivery of health care the patient ...

Clinical Reasoning Cycle Case Study

Example essay. Last modified: 23rd Sep 2019

This case study will demonstrate the care of MS. Melody by the nursing staff using the clinical reasoning cycle, to respond to her unstable clinical manifestation and ensure that there is a posi...

Clinical Reasoning Cycle Essay Examples

Example essay. Last modified: 29th Jun 2017

There are number of clinical reasoning and decision making models used in nursing practice, however this essay will discuss evidence based-practice and the ethical/legal models. Each model will be dis...

Clinical skill: Moving and Handling

Example essay. Last modified: 11th Sep 2017

Introduction The ‘Moving and Handling’ clinical skill has been chosen for this essay. The aim of this essay is to consider other research and highlight the key factors that healthcare pr...

Clinical Skills Reflection: Gibb's Model

Example essay. Last modified: 20th Nov 2018

The skill that I will reflect on in this essay is the administration of an intramuscular Injection (IM). An IM is an injection deep into a muscle (Dougherty & Lister, 2008). This route is often ch...

Clinical Supervision in Practice and District Nursing

Example essay. Last modified: 25th Jan 2018

CLINICAL SUPERVISION IN PRACTICE AND DISTRICT NURSING: A LITERATURE REVIEW The following research reports a systematic literature review of studies which have assessed the development, implementation...

Cognitive Behavior Therapy: Palliative Care

Example essay. Last modified: 21st Apr 2017

Individuals that have been deemed by their medical team to have serious diseases that are resistant, nonresponsive or have failed reasonable treatments are often referred to specialists for “com...

COLLABORATIVE PRACTICE IN MENTAL HEALTH

Example essay. Last modified: 12th May 2017

This assignment will be based on collaborative working, it will be in two sections, section one will look at definition of collaboration and will then address the highlighted issues within collaborati...

Collaborative Working Reflective Essay

Example essay. Last modified: 29th Nov 2017

Throughout this whole assignment I am going to critically appraise others and my own practice as a collaborative worker via personal reflections and experiences of collaborative working, through expe...

Collaborative working within the area of adult nursing

Example essay. Last modified: 1st Jan 2015

For the focus of this essay I will be discussing the concept of collaborative working within the professional area of adult nursing. This essay will examine the definition and rationale of collaborati...

Communicating in Health and Social Care

Example essay. Last modified: 10th May 2017

The Health and social care sector in the United Kingdom is a vast sector and it constitutes of different aspect of care to different types of service users. There are many relevant theories which is a...

Communicating within the Learning Disabilities | Reflection

Example essay. Last modified: 24th Nov 2017

  (1) Area of Reflection : Communication Insight Area Learning Disabilities Your reflection Communicating within the Learning disabilities area of nursing is a very complex task which enco...

Communication and Inter-professional Work in Nursing

Example essay. Last modified: 27th Nov 2017

Discuss how communication within an inter-professional team could affect collaborative working. WORD COUNTS: 1650 Introduction The aim of this essay is to discuss the concept of communication within ...

Communication And Interpersonal Skills Nursing Essay

Example essay. Last modified: 1st Jan 2015

Communication is defined by the Oxford Dictionary as The imparting or exchanging of information by speaking, writing or using some other medium. Sheppard tells us that communication with regard to n...

Communication and Interpersonal Skills Reflection

Example essay. Last modified: 4th Jan 2018

The aim of this report is to look at a critical incident that occurred in placement and relate this to the theory and knowledge regarding communication and interpersonal skills, so as to demonstrate a...

Communication and Patient Centered Care Reflection

Example essay. Last modified: 31st Jan 2018

INTRODUCTION The Healthcare Quality Strategy for NHS Scotland (Scottish Government 2010) was a further development from ‘Better Health, Better Care’ (Scottish Government 2007). In this reflective...

Communication And Team Work Nursing Essay

Example essay. Last modified: 1st Jan 2015

There are Several factors related to health care professionals that are crucial in intervention. These factors play a key role in the maintenance and the enhancement of health and well being of patien...

Communication for Health Promotion

Example essay. Last modified: 31st Jan 2018

The purpose of this assignment is to strongly critique an interaction between a health professional and a service user in a video clip titled “Sexual Health Advice Role-play” (Nice (National Inst...

Communication In Chronic Obstructive Pulmonary Disease Palliative Care Nursing Essay

Example essay. Last modified: 1st Jan 2015

The following is an evaluation of enhanced communication techniques in palliative care for patients with chronic obstructive pulmonary disease (COPD) with reference to a case study. COPD is a debilita...

Communication in Mental Health Nursing

Example essay. Last modified: 11th Sep 2017

INTRODUCTION Buknall et al., (2013) argues that effective communication is essential to enhance health outcome of a patient. To accomplish this; however, the Nursing and Midwifery Council (NMC, 201...

Communication In Nursing

Example essay. Last modified: 18th May 2017

To listen to another person is the most caring act of all. Listening and attending are by far the most important aspects of being a nurse (Burnard 1992). One of the basic elements of nursing is goo...

Communication in nursing

Example essay. Last modified: 1st Jan 2015

To listen to another person is the most caring act of all. Listening and attending are by far the most important aspect of being a nurse (Burnard 1992). One of the basics of good nursing is good com...

Communication in nursing and a clinical example

Example essay. Last modified: 27th Apr 2017

This assignment is a reflective account of my relationship and communication with a certain patient during my first clinical placement in a nursing home. All names in this text have been changed, to r...

Communication in Nursing Handover

Example essay. Last modified: 10th Jul 2017

Communication is a very important aspect of medical training. Poor communication is the root cause for the majority of complaints against the National Health Service (NHS) (Pincock S. , 2004). Communi...

Communication in the delivery of an ultrasound service

Example essay. Last modified: 25th Apr 2017

Communication, defined as conveying information from one place or person to another serves different purposes depending on the context in which it takes place (van Dulmen, 2002). In healthcare it is e...

Communication Is Important In Nursing And Nursing Process Nursing Essay

Example essay. Last modified: 1st Jan 2015

This essay will look at the importance of communication in nursing. To begin, the essay will consider the use of communication in nursing in the general context. The latter section will go on to refle...

Communication Reflection using the Atkins and Murphy Model

Example essay. Last modified: 1st Jan 2015

INTRODUCTION I will outline a personal experience, which identifies aspects of effective communication. I was a student nurse of about ten weeks on my first placement fourteen years ago. I was working...

Communication skills are vital within a nurses role

Example essay. Last modified: 1st Jan 2015

Communication is natural to most people. We learn to communicate from birth and it is something that most people do without being aware of it. Communication is simply the name for expressing, sharing ...

Communication Skills in Assessment of Service User

Example essay. Last modified: 18th Jan 2018

An Evaluation of the communication skills demonstrated in the assessment of a service user This assignment will analyse the communication skills of a physical skill that has been observed by a member...

Communication Skills in Nursing

Example essay. Last modified: 4th Jan 2018

Communication is a vital part of the nurses role. Theorists such as Peplau (1952), Rogers (1970) and King (1971) all emphasise therapeutic communication as a primary part of nursing and a major focus ...

Communication Skills in Nursing | Reflection

Example essay. Last modified: 18th May 2017

This essay will present a reflective account of communication skills in practice whist undertaking assessment and history taking of two Intensive Care patients with a similar condition. It will endea...

Communication Skills Required For Holistic Nursing Care Nursing Essay

Example essay. Last modified: 1st Jan 2015

The communication skills required for holistic nursing care of patients in adult nursing. The American Holistic Nurses Association (AHNA) defines holistic nursing as “all nursing practice that h...

Communication Skills To Deal With Aggressive Patients Nursing Essay

Example essay. Last modified: 1st Jan 2015

This essay will illustrate a personal experience, which demonstrates how practitioners use good communication skills to deal with anger and aggression in patients who are in pain and also recognize a...

Communication With Family Members Of Critically Ill Patients

Example essay. Last modified: 2nd May 2017

Critical Care Unit (CCU) or Intensive Care Unit (ICU) is designed to meet the special needs of acutely and critically ill patients in a hospital setting. In many acute care setting, the concept of ICU...

Community Health and Population Focused Nursing Field Experience

Example essay. Last modified: 25th Aug 2021

The identified community health diagnosis discovered during my windshield survey for Manatee County, Florida is an increased risk for obesity for adults and older adults related to poor nutrition, availability of fast food and lack of physical activity demonstrated by an above average obesity rate in Manatee County by assessing available data, nutritional and activity related resources and services....

Community Health Nursing

Example essay. Last modified: 1st Jan 2015

Community Health Nursing There are many fields in which a registered nurse can specialize. One group of these fields is known as Community Health Nursing. This field includes Public Health Nursing, S...

Compare And Contrast Of Orem's Self Care

Example essay. Last modified: 5th May 2017

Nursing theories guide the way for nursing practice; it often redirects communal understandings grounded upon nursing paradigms or meta-paradigms. Meta-paradigm are defined by Fawcett (2005) “as...

Comparing the History & Progression of Midwives

Example essay. Last modified: 9th Aug 2021

In this paper I will be talking about the history of midwifery and how far midwifery has come. The word midwife is formed in Middle English from two words mid and wife...

Comparison of Nursing Research Design

Example essay. Last modified: 8th Feb 2020

This assignment will critically evaluate two articles that are found in the data extraction table. Databases used to find the chosen articles were Cumulative Index of Nursing and Allied Health Li...

Comparison of UK and Australia Healthcare Systems

Example essay. Last modified: 29th Jan 2018

Student name: QIAO LING LIU (LANDY) Introduction The article is a conclusion of a report by Francis about main health care issues of Mid Staffordshire NHS Foundation Trust that is a large public ho...

Compassion in Nursing Essay

Example essay. Last modified: 27th Jun 2017

Traditionally, the field of nursing is viewed as a vocation which provides divine services to others with its roots in some religious beliefs (Hall and Ritchie, 2009). The nursing is considered a cari...

Complaint of Chest Pain Case Study

Example essay. Last modified: 18th Jan 2018

Jon Teegardin   When assessing the patient with chest pain, it is important to pay attention to all of the information available from the patient. Not all chest pain is related to cardiac issues, ...

Compliance Between The Patient And Medication

Example essay. Last modified: 18th Apr 2017

Introduction Medication compliance is a significant issue in the care of people with mental health conditions, particularly if the mental health condition is of an enduring and severe nature. The reas...

Compliane and concordance in relation to medication

Example essay. Last modified: 1st Jan 2015

There are different reasons why patients of all ages either fail to comply with a particular medication or present with low concordance. This behaviour can be risky and can result in reduction of a pa...

Comprehensive Assessment Of A Chosen Patient Nursing Essay

Example essay. Last modified: 1st Jan 2015

This essay will give a critical account of a patient summary given below. It will incorporate the pathophysiology of COPD, linking the signs and symptoms that the patient presented on admission. It wi...

Compression Systems For Treating Venous Leg Ulcers Nursing Essay

Example essay. Last modified: 1st Jan 2015

The Evidence-Based Medicine (EBM) is defined as ” the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice...

Concept Analysis: Effective Grieving

Example essay. Last modified: 7th Mar 2017

CONCEPT ANALYSIS – EFFECTIVE GRIEVING Concept Analysis: Effective Grieving Shawn Blankenship Chamberlain College of Nursing NR 501: Theoretical Basis for Advanced Nursing Practice February, 2014 C...

Concept of Care and the Nursing Metaparadigm

Example essay. Last modified: 4th Jan 2018

Caring is a core element in nursing even yet it remains elusive to the entire nursing metaparadigm. All nurses as required by their profession must be caring. For it is through caring that nursing der...

Concept of caring in nursing theory practice gap

Example essay. Last modified: 1st Jan 2015

Introduction Caring starts from childhood and grows with us till we become an adult, it is a behavior that can be felt, taught and practiced, if the person has intention to perceive it. For instance t...

Concept Of Evidence Based Practice

Example essay. Last modified: 1st Jan 2015

In a simple and straightforward meaning, the term Evidence simply refers as a testimony and presentation of documents, records, objects, and other such items relating to the existence or non-existence...

Concepts of Age and Ageing

Example essay. Last modified: 23rd Nov 2017

“The ageing process is of course a biological reality which has its own dynamic, largely beyond human control. However, it is also subject to the constructions by which each society makes sense...

Concepts of Family Health

Example essay. Last modified: 22nd Jul 2021

The purpose of this paper is to discuss a specific family member’s meaning of health, influences and holistic assessments using family health concepts. The understanding will be presented within the framework of the CAEN Decision making model, a discussion on the person’s health experience, and focusing on the concepts related to family health within the context of the client....

Concepts of health promotion

Example essay. Last modified: 20th Apr 2017

Before we discuss how different concepts and theories can be used to promote health, nurses need to know what the term “health promotion” means. An authoritative definition of health promo...

Concepts Of Transcultural Nursing

Example essay. Last modified: 6th Aug 2021

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....

Confidentiality In Health Care Nursing Essay

Example essay. Last modified: 1st Jan 2015

In health care setting, ethics are considered as a part of patient care. The practices of paramedical staff reflect how ethical and moral values are being valued to provide compassionate care. Current...

Conflict Resolution and Communication in Healthcare

Example essay. Last modified: 25th Jan 2018

Reflective Writing on Critical Incident in the Clinical Experience with Integration of Leadership Theories in Analysis. This write up aims at exploring a conflict that occurred in an urban private ho...

Congestive Heart Failure Introduction Of Patient Nursing Essay

Example essay. Last modified: 1st Jan 2015

This cases study was conducted on February 13th, 2012. This patient will be identified by the initials AH throughout this paper. AH is a 91-year-old Caucasian female. Her mood is as expected for her ...

Consent And Informed Consent Nursing Essay

Example essay. Last modified: 1st Jan 2015

The Mosby pocket Dictionary of Medicine, Nursing and Health Profession defines consent as, permission given by an individual acknowledged as legally competent. Informed consent is a requirement neces...

Consultation Skills In Relation To Non Medical Prescribing Nursing Essay

Example essay. Last modified: 1st Jan 2015

To illustrate this I will utilise the model of reflection adapted from (Boud, Keogh and Walker 1985) as to focus on influences on prescribing, psychology of prescribing working through the consultatio...

Consultation Skills In Relation To Nurse Prescribing

Example essay. Last modified: 21st Apr 2017

Nurse prescribing was translated into reality in the latter part of the 1990’s when a cohort of about 1,200 nurses received specialist training in order to allow them to feel confident and compe...

Contemporary Issues In Nursing Leadership In Nursing Practice Nursing Essay

Example essay. Last modified: 1st Jan 2015

Leadership plays an important role in nursing. This essay will define leadership and how leadership qualities relate to nursing practice in order to help nurse leaders to work effectively with in nurs...

Continuing Professional Development

Example essay. Last modified: 5th May 2017

Healthcare professionals use of the term continuing professional development has evolved over the past decades from the narrower terms of continuing dental education (CDE); continuing medical educatio...

Continuing Professional Development To Maintain Knowledge And Understanding Nursing Essay

Example essay. Last modified: 1st Jan 2015

In a changing world, competence becomes more than just a level of knowledge, skills and behaviours used to improve performance. In order to achieve continuous competence, learning and development must...

Continuous Patient Satisfaction Improvement As An Innovation Nursing Essay

Example essay. Last modified: 1st Jan 2015

In this project, the innovation proposed is a continuous patient satisfaction improvement process and is planed to be promoted in the local Public hospital’s haemodialysis unit. The particular u...

COPD Case Study Assignment

Example essay. Last modified: 10th Jul 2017

1) CASE SUMMARY Mr TLT is a 58 year old taxi driver who was admitted to Hospital Batu Pahat due to newly diagnosed chronic obstructive pulmonary disease. He has had hypertension for the past one year ...

COPD Case Study Essay

Example essay. Last modified: 5th Jul 2017

Chronic obstructive pulmonary disease is a chronic progressive lung disease caused predominantly by smoking National Institute for Health and Clinical Excellence NICE, 2010. It is characterised by air...

COPD Exacerbation Case Study

Example essay. Last modified: 12th Jun 2017

Introduction: A COPD exacerbation can be defined as “an event in the natural course of the disease characterized by a change in the patient’s baseline dyspnea, cough, and/or sputum, that i...

Core Values In Mental Health Nursing Nursing Essay

Example essay. Last modified: 1st Jan 2015

The Department of Health (DOH 2006) recognises that mental health nurses are the largest profession working within the field of mental health today. In the Chief Nursing Officer’s (CNO 2006), re...

Creating a Nursing Care Plan from Case Study

Example essay. Last modified: 1st Jan 2015

Patient care planning is the organised assessment and identification of patient problems, the setting of goals, and the establishment of methods and strategies based on best evidenced based practice f...

Crisis And Acute Care In Mental Health

Example essay. Last modified: 11th May 2017

The aim of this assignment is to demonstrate an understanding on the nature of risk and risk assessment in relation to suicide. There are various risk assessments used within the field of mental healt...

Critical Analysis Nursing Care for the Older Adult

Example essay. Last modified: 1st Jan 2015

Dementia is an umbrella term to describe a collection of symptoms that develop in association with a progressive disorder of the brain of which dementia of the Alzheimer’s type is the most commo...

Critical Analysis Of Self Efficacy Theory

Example essay. Last modified: 18th Apr 2017

Evidence-based practice involves the rigorous use of evidence from quality studies, clinicians proficiency, and patients preferences to resolve clinical problems (Fineout-Overholt, Melnyk, Schultz, 20...

Critical Analysis of Supplementary Prescribing

Example essay. Last modified: 6th Jun 2017

The author of this work currently works within a large NHS acute health board as an Advanced Nurse Practitioner (ANP), on successful completion of this non-medical prescribing course, will function as...

Critical Analysis of Therapeutic Communication Skills

Example essay. Last modified: 8th Feb 2020

 Communication unites people by concepts of words and actions. As a healthcare practitioner therapeutic communication is an essential part of nursing interventions such as health promotion, ...

Critical Appraisal of a Qualitative Journal Article

Example essay. Last modified: 6th Oct 2021

This essay critically appraises a research article, Using CASP (critical appraisal skills programme, 2006) and individual sections of Bellini & Rumrill: guidelines for critiquing research articles (Bellini &Rumrill;, 1999). ...

Critical Appraisal Of A Research Paper Nursing Essay

Example essay. Last modified: 1st Jan 2015

Research is the key contributor of professional development in many professions, particularly healthcare. It allows practitioners to inform, adjust and monitor particular ways of practice or issues. T...

Critical Appraisal Of Care Of Older People Dementia Nursing Essay

Example essay. Last modified: 1st Jan 2015

Introduction The author of this assignment will critically appraise a qualitative research report in the Nursing Standard titled Care of older people with dementia in an acute hospital setting.(Fiona ...

Critical Appraisal Of Living With Chronic Obstructive Pulmonary Nursing Essay

Example essay. Last modified: 1st Jan 2015

This assignment will critically appraise an article from Fraser et al (2006) on “living with chronic obstructive pulmonary disease: insiders’ perspective”. The appraisal will discuss...

Critical Appraisal of Pain Assessment Tools

Example essay. Last modified: 31st Jan 2018

Introduction Patients presenting with acute pain in hospital settings need immediate intervention and care to improve health outcomes (Department of Health Service, 2007). When severe acute pain is n...

Critical Appraisal Of Papers Systemic And Narrative Reviews Nursing Essay

Example essay. Last modified: 1st Jan 2015

The intention of this essay is to critically appraise one paper of systematic review and one paper of narrative review by using CASP tool and then compare and contrast the difference between the two r...

Critical Appraisal Skills Programme

Example essay. Last modified: 1st Jan 2015

This article discussed strengths and weaknesses of two reviews including one systematic review: Interventions for promoting the initiation of breastfeeding, and one tradition review: Breastfeeding Ini...

Critical Evaluation of Change Managed in Practice

Example essay. Last modified: 4th Jan 2018

The Government has clearly outlined the need for nurses to develop leadership skills at all levels within the workforce in order to deliver the NHS modernisation programme (DH [1] 1998; DH 1999). Th...

Critical Incident Analysis Essay Nursing Essay

Example essay. Last modified: 1st Jan 2015

A critical incident is an incident which has prompted reflection of the actions undertaken by all involved and being critical of those actions in order to learn and improve practice (Perry, 1997 cited...

Critical Incident Analysis Nursing Assignment

Example essay. Last modified: 6th Jul 2017

Reflective Analysis of a Critical Incident This paper recounts a critical nursing incident and reflects on the associated professional, moral and legal issues. The objective is to critically reflect o...

Critical incidents and our behaviours.

Example essay. Last modified: 14th Apr 2017

What is critical incident? Critical incident has been defined in different ways depending on the nature of the incident and the environment or setting where it took place. Tripp (1993) defines critica...

Critical Reflection and Thinking on Clinical Supervision and Learning

Example essay. Last modified: 1st Jan 2015

Introduction For the purpose of this essay the terms clinical supervisor and mentor will be used interchangeably as they are seen as essentially the same in this context. Classrooms and textbooks teac...

Critical Reflection on current clinical knowledge and development

Example essay. Last modified: 1st Jan 2015

Within this assignment I will critically reflect on my clinical knowledge to date and consider my future development needs with a focus on my final management placement and future career as a register...

Critical Reflection On Dialogue Between Patient And Nurse Nursing Essay

Example essay. Last modified: 1st Jan 2015

The nursing profession takes place with different individuals and it is vital for the nurses accept each one and be truly present as they improve their quality of life (Parse, 1998). Nurses have the k...

Critical Reflection On Personal Experience With Anxiety Patient Nursing Essay

Example essay. Last modified: 1st Jan 2015

Boyd and Fales (1983) suggest that critical reflection is the difference between whether an individual repeats the same experience several times therefore developing proficiency in one behaviour or if...

Critical Review of Infection Control Precautions for Patients after Elective Surgery

Example essay. Last modified: 8th Feb 2020

1.0-       Terms of Reference The aim of this report is to debate the effectiveness of interprofessional standards of infection control precaution for pat...

Critical Self Analysis of Mentoring a Nursing student

Example essay. Last modified: 1st Jan 2015

Nursing, like all other health care professions, is a practice discipline which requires continuous development of knowledge and skills in order to provide quality care to our clients. In order to do...

Critically analyse communication factors concerning nurses

Example essay. Last modified: 1st Jan 2015

Introduction and Discussion There can be health communication issues among nurses giving care to patients such as for example patients positive with breast cancer. Health communication among nursing c...

Critically Analysing Reflecting And Evaluating Own Performance Nursing Essay

Example essay. Last modified: 1st Jan 2015

My learner is a second year graduate entry student and was delegated to understand the underlying concept of Multi-Disciplinary Team approach utilising Patient’s Goal-Oriented Care Planning. As ...

Critique of a Model of Bereavement

Example essay. Last modified: 1st Jan 2015

Grief is the reaction to loss, which might have been aroused through the loss of someone or something that one has established a bond with. Death of friend, family member, or companion can activate gr...

Critique Of A Research Article Nursing Essay

Example essay. Last modified: 1st Jan 2015

Critique research articles mean careful and critical appraisal of strength and limitations of a piece of research, rather than hunting for and exposing mistake (Polt and Beck 2008). A critical review ...

Critique of Birth Centre Midwifery Care Study

Example essay. Last modified: 13th Jul 2021

This essay addresses the critique of a qualitative research study focusing on elements of birth centre midwifery care....

Critique of Care of older people with dementia in nursing

Example essay. Last modified: 14th Nov 2019

Introduction This assignment will critically appraise a qualitative research report from the Nursing Standard titled: Care of older people with dementia in an acute hospital setting.(Fiona Cowell, 200...

Critique Paper Examines The Work Of Hildegard Peplau Nursing Essay

Example essay. Last modified: 1st Jan 2015

This nursing critique paper examines the work of Hildegard Peplau as a nursing theorist and nurse practitioner. Because Peplau’s figure in the nursing profession has had such a revolutionary imp...

Critiquing A Research Article Qualitative Nursing Essay

Example essay. Last modified: 1st Jan 2015

The problem being researched in the article is significant in nursing since it identifies the process, stressors and adjustment strategies of a novice nurse transforming into an expert nurse. This res...

Cultural Competence in Nursing

Example essay. Last modified: 11th Jul 2017

Diversity based on ethnic background, religion, race, language and sexual orientation is skyrocketing each day. Multiculturalism specifically is on the rise due to globalization. This puts responsibil...

Cultural Competency of Nurses

Example essay. Last modified: 4th May 2017

1.1 Cultural competency The commitment to equality in health care provision is ingrained within the core values of the health care profession and nurses are expected to fulfill these requirements. The...

Cultural Differences in Midwifery Care

Example essay. Last modified: 22nd Jan 2018

Introduction The provision of holistic midwifery care is a fundamental role of the midwife (NMC, 2004). However, holistic care must encompass a wide range of practices, including care for the psychos...

Cultural Sensitivity And Mental Health Clients Nursing Essay

Example essay. Last modified: 1st Jan 2015

Every country, race, ethnic group or society has its own culture. As it is, every culture is different from the other; this difference is reflected in the way day to day activities are carried out and...

Culture Challenges For Nursing Practices

Example essay. Last modified: 18th May 2017

One of the main factors identified is communication difficulties (Singh and Sheik, 2006). In cross-cultural encounters, the need to demonstrate effective communication assumes a greater significance b...

Data Collection Techniques And Analysis

Example essay. Last modified: 28th Apr 2017

The previous chapter has evaluated the secondary research available for the key topics discussed in this study; the focus will now be on primary research. This chapter aims to describe the research me...

Debates on the MMR Vaccination

Example essay. Last modified: 4th Jan 2018

Master document text “I am no longer trying to dig up evidence to prove vaccines cause autism. There is already abundant evidence……This debate is not scientific but is political̶...

Decision making is a process that plays an important role in our daily lives

Example essay. Last modified: 1st Jan 2015

Decision making is a process that plays an important role in our daily lives. Some decisions are not that important whereas other important decisions, when carefully carried out, can change the course...

Decubitus Pressure Ulcer: Healing Process

Example essay. Last modified: 18th Sep 2017

Karen Floyd Pathophysiology Pressure ulcer Decubitus Ulcer Stage 3 Ulcer A pressure ulcer is caused by external pressure being applied to prominent bony surfaces of the body such as the elbows, spin...

Defining A Therapeutic Relationship Between Patient And Nurse Nursing Essay

Example essay. Last modified: 1st Jan 2015

In this assignment the author is going to explore what is a therapeutic relationship, by defining it and describing what elements and skills are necessary to uphold an efficient therapeutic relationsh...

Defining Assessment And The Importance Of Assessment Nursing Essay

Example essay. Last modified: 1st Jan 2015

” Assessment is the first stage of the nursing process, in which data about the patients health status is collected and from which a nursing care plan can be devised” (Oxford dictionary fo...

Defining Critical Care Nursing Nursing Essay

Example essay. Last modified: 1st Jan 2015

Graduating from a nursing program and accomplishing the long cherished journey to become Registered Nurse gives the sense of pride to many new graduate nurses. However, most nurses face challenges wh...

Defining Health In Pursuit Of Healthcare And Wellbeing

Example essay. Last modified: 8th May 2017

There are various concepts of health both lay and professional. Health is a complex subject and one that can be difficult to define, however The World Health Organisation, WHO (1984) cited in…. ...

Defining leadership as a process and property

Example essay. Last modified: 1st Jan 2015

In defining leadership Jago (1982, p.315) states “leadership is both a process and a property”. The process involves influencing group members to undertake activities that will lead to the...

Defining Reflective Practice And Identifying Advantages And Implications Nursing Essay

Example essay. Last modified: 1st Jan 2015

The ability to become reflective in practice has become a necessary skill for health professionals. The implementation of reflective practice is now found in many of the other allied health care disci...

Definition Of A Long Term Condition Nursing Essay

Example essay. Last modified: 14th Nov 2019

The number of people living in the UK with a long term condition is increasing rapidly. As healthcare provision improves and the availability of healthcare increases, the number of people living longe...

Definitions Of The Concept Of Dignity Nursing Essay

Example essay. Last modified: 1st Jan 2015

The essence of this essay is to give an in depth understanding of the concept of dignity in the care system. This essay will focus on the issues discussed in the group Enquiry Based Learning (EBL) pre...

Dementia A Person Centred Care Approach Nursing Essay

Example essay. Last modified: 1st Jan 2015

The brain is made up of billions of nerve cells. Messages are passed along and between cells through tiny electrical impulses and chemical messages. This is how the brain controls what a person does, ...

Dementia Care Training for Nurses

Example essay. Last modified: 23rd Nov 2017

Improving Dementia Care Training for Registered General Nurses and Adult Student Nurses: examining the need, efficacy, content and barriers. This Independent Project aims to explore the efficacy of c...

Dementia: Impact of and Support Needs

Example essay. Last modified: 1st Feb 2018

Task 3 A. People with Dementia 3.1.A In your own words explain the differing consequences of an impairment or type of disability in relation to: a. Individual A person with dementia faces a number of...

Department Of Health And Midwifery Council Nursing Essay

Example essay. Last modified: 1st Jan 2015

This assignment will define the meaning of person-centred care and my understanding of the definition. The selected areas of Person-centred care that will be discussed and emphasised in the essay, wil...

Depression among Pregnant Adolescents: Literature Review

Example essay. Last modified: 23rd Mar 2021

A review of related literature and studies. Depression among pregnant adolescents as well as the factors that contributes to the said condition is being discussed in this review of literature....

Depression and Suicidal Ideation: Mental Health Case Study

Example essay. Last modified: 22nd Jan 2018

Introduction Mental health nursing is a complex healthcare practice, because it aims to meet the needs of clients with mental health needs, which are usually also complex and require more than a sing...

Depression in older people

Example essay. Last modified: 18th Apr 2017

Depression, including major and minor is one of the most prevalent mental illness among the elderly in nursing home around the world with up to 78% being affected(Brown and Luisi, 2002; Blazer, 2003; ...

Depression Intervention for Older Adults

Example essay. Last modified: 23rd Nov 2017

Introduction This assignment aims to identify a public health need related to the authors’ current practice and a health promotion strategy to address the need. The health need chosen is Depression...

Describe a patients health condition and needs

Example essay. Last modified: 1st Jan 2015

PATIENTS’ CASE STUDY. This essay aims to describe a patient’s health condition and needs during their stay at the hospital. Patient chosen has a chronic diarrhoea and abdominal cramping, h...

Describe How Communication Skills Were Used In Practice Nursing Essay

Example essay. Last modified: 1st Jan 2015

Introduction. Communication involves the exchange of messages and is a process which all individuals participate in. Whether it is through spoken word, written word, non-verbal means or even silence, ...

Describing The Assessment Process For Hospital Ward Patient Nursing Essay

Example essay. Last modified: 1st Jan 2015

The purpose of this assignment is to describe how a nurse assesses a patient admitted to a hospital ward. It will discuss the history of the patient, any pre-existing medical conditions and the reason...

Design for Change Proposal to Reduce Readmission Rates

Example essay. Last modified: 8th Feb 2020

Design for Change Proposal An increasing problem in healthcare is the rate of readmission. A readmission is defined as an admission to a hospital within the 30-day period after being dis...

Developing a Management Plan for Type 2 Diabetes

Example essay. Last modified: 24th Nov 2017

A long term condition (LTC) is defined as an incurable syndrome. However, some LTC can be managed through medication (Goodwin et al 2010) whereas for others, it can be managed by healthcare providers...

Developing Advanced Nurse Practitioner Role

Example essay. Last modified: 8th May 2017

In Oman, nursing functions in the primary health care centres are restricted to traditional nursing tasks that are normally performed in secondary and tertiary health settings. The directorate of nurs...

Developing Capability for Effective Collaborative Services

Example essay. Last modified: 8th Feb 2020

Developing Capability for Effective Collaborative Services This assignment will focus on the perspective of the patient and carer, regarding interprofessional working, considering the st...

Developing Clinical Research Questions Nursing Essay

Example essay. Last modified: 1st Jan 2015

When working as a nurse, clinical questions come up regarding which is the best way to care for our patients. To help nurses make effective clinical decisions, they can use evidence-based research in...

Developing Professionalism in Nursing

Example essay. Last modified: 4th Jan 2018

The following manuscript provides an insight as to what it means to be professional in the field of nursing. It defines professionalism in the context of health and human service delivery. The article...

Developing Self-Assessment Skills in Nursing

Example essay. Last modified: 25th Jan 2018

Self-assessment is the way in which individuals reflect on past experiences and events in order to facilitate learning, and to develop and maintain skills and knowledge, in order to evaluate whether ...

Developing Social Support for Mental Health Patients

Example essay. Last modified: 29th Nov 2017

Social support plays a vital role in every individual’s life. Through comforting relationships and interactions, people are able to express their feelings and share their experiences. These relatio...

Developing work plans to implement the nursing strategy

Example essay. Last modified: 1st Jan 2015

For the purpose of this assignment, the project I will be exploring is the implementation of the organisations five year nursing strategy – a collaboration between children’s and adultR...

Development Of Advanced Practice Nursing Essay

Example essay. Last modified: 1st Jan 2015

Advanced practice within nursing (APN) plays a big role in the future frontier for practices in the nursing field and its professional development. This mode of practice helps people view the field of...

Development of Competent Nursing Skills

Example essay. Last modified: 25th Jan 2018

Introduction This essay focuses on a reflection on the development from novice, to competent beginner, to skilled practitioner in the light of my own development in clinical nursing practice. It is b...

Development of Nursing Skills in Oral Care Placement

Example essay. Last modified: 5th Jan 2018

INTRODUCTION This essay is going to focus on the nursing skills that I developed during a period of placement simulations and in the community, placing emphasis on oral care, communication and bed bat...

Development of Person Centred Nursing Care

Example essay. Last modified: 25th Jan 2018

The aim of this essay is to describe the history of person-centred care, explain why person-centred approach is important in healthcare environment and how it is achieved. This essay will also explai...

Development Of Quality And Service Improvement Agenda Nursing Essay

Example essay. Last modified: 1st Jan 2015

Quality management in general sense is a major area in all customer oriented businesses and any degrade in the quality would tamper the image of the organizations and definitely there would be a reduc...

Diabetes And Compliance To Treatment

Example essay. Last modified: 11th May 2017

Introduction In spite many years of study into compliance, the questions about why patients do or do not take medicines and what should be done to change this behaviour still remains (Ross et al, 2004...

Diabetes Case Study Assignment

Example essay. Last modified: 5th Jun 2017

Empowerment is a multidimensional construct applicable to individuals, organizations, and neighbourhoods (Rappaport, 1987). It is viewed as a construct rather than a concept because it is not directly...

Diabetes Education: The Increase In Diabetes

Example essay. Last modified: 17th May 2017

Diabetes is becoming a worldwide epidemic. It is one of the biggest health challenges that the United Kingdom (UK) is facing today with one person being diagnosed with diabetes every 3 minutes (Diabet...

Diabetes Management Role Of Health Education And Future Challenges Nursing Essay

Example essay. Last modified: 1st Jan 2015

Background: Diabetes mellitus is a disease marked by high levels of blood glucose resulting from deficiency in insulin production, insulin action, or both. It can lead to serious complications and pre...

Diabetes mellitus and diabetic foot ulcer

Example essay. Last modified: 1st Jan 2015

Diabetes Mellitus is a chronic multisystem disease related to abnormal insulin production, impaired insulin utilization, or both. Diabetes mellitus is a serious health problem throughout the world and...

Diabetes Mellitus in the emergency services

Example essay. Last modified: 1st Jan 2015

Diabetes mellitus is one of the most common medical issues affecting people today. There are two types of diabetes. The first is type one, it is often referred to as juvenile diabetes or insulin depen...

Diabetes Mellitus Type 2

Example essay. Last modified: 1st Jan 2015

Research Paper Related to Prevention of Diabetes Mellitus Type 2 Beginning in the 1990’s, the number of cases of Diabetes Mellitus Type 2 (DMT2) began increasing. This increase occurred alon...

Differences between QI, EBP, and Research Evidence

Example essay. Last modified: 8th Feb 2020

Abstract Nurses must know the difference between Quality Improvement, Evidence-Based Practice, and Original Research Evidence because they must know what they are reading how each one ca...

Different Aspects Of Patient Care Nursing Essay

Example essay. Last modified: 1st Jan 2015

To help me reflect upon my practice from my first placement to my second placement, I will use Driscolls model of reflection (Driscoll’s model 2000). Driscoll’s model uses three stages to ...

Difficulties discussing patient sexual health

Example essay. Last modified: 13th Jul 2021

Sexuality assessment and counselling are part of the nurse’s professional role, but only few nurses integrate this awareness into practice in a proper way....

Diffusion of Innovation Challenge for Nurses

Example essay. Last modified: 1st Jan 2015

Patient care should be scientific and research based in order to get the positive patient outcomes and the vision for nursing in the twenty-first century is for all nurses to seek out innovations and ...

Dignity in Care for Adults with Learning Disabilities

Example essay. Last modified: 5th Jan 2018

The primary aim of the proposed research is to analyse the meaning, perceptions and quality of dignity in healthcare with respect to adults who have learning disabilities in the United Kingdom and stu...

Discharge Plan for Older Person

Example essay. Last modified: 13th Jun 2017

In this assignment the author will discuss a discharge plan with rationale for an older person with a long term condition. Included will be potential and actual problems presenting from the patient p...

Discharge Planning And Processing Nursing Care Nursing Essay

Example essay. Last modified: 1st Jan 2015

Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses ...

Discourse Communities in Nursing

Example essay. Last modified: 8th Feb 2020

Discourse Communities: Nursing Introduction  Registered nurses, also known as RNs, are vital to patient care and they play a major role in helping patients manage with ill...

Discussing Communications role in Palliative Care

Example essay. Last modified: 1st Jan 2015

Palliative care is patient centred, death accepting, a relationship between the patient and the carers, concerned with healing rather than curing. Healing is about the right relationship with self, ot...

Discussing Evidence Based Practice And Qualitative Research Nursing Essay

Example essay. Last modified: 1st Jan 2015

This essay is going to examine the importance of evidence-based practise within a health care setting. It will then discuss the link between evidence based practise and qualitative research. A qualita...

Discussing impact of dementia on patient and carer

Example essay. Last modified: 1st Jan 2015

Introduction Dementia is a serious disease of the brain. When someone has dementia, the brain cells are damaged and they die more frequently than normal. When an individual looses brain cells, this me...

Discussing Personal Nursing Philosophy Values And Beliefs Nursing Essay

Example essay. Last modified: 1st Jan 2015

The purpose of this paper is to discus my personal philosophy of nursing. I will present a definition of nursing and my values and beliefs of what the primary goals of nursing are. I will also prese...

Discussing Principles And Importance Of Good Record Keeping Nursing Essay

Example essay. Last modified: 1st Jan 2015

This essay aims to focus on record keeping. It will briefly discuss the Nursing and Midwifery Council (2009) guidance for nurse’s and midwives and the importance of good record keeping in the h...

Discussing Roles And Responsibilities Of Newly Qualified Nurse Nursing Essay

Example essay. Last modified: 1st Jan 2015

The aim of this essay is to explore and discuss important aspects of the roles and responsibilities of the newly qualified nurse. It will discuss an overview of different type of roles and responsibil...

Discussing the importance of Teamwork in Nursing

Example essay. Last modified: 1st Jan 2015

Working as part of a team is critical to effective management within nursing through out practice the importance which team work presents for the team to improve their motivation and to establish meth...

Discussing The Practice Of Manually Measuring Blood Pressure Nursing Essay

Example essay. Last modified: 1st Jan 2015

In this assignment I have chosen to discuss a manual blood pressure a clinical skill in which I have become competent in practising. Developing the ability to perform a practical skill safely is nece...

Discussing The Restraint Autonomy Of Elderly Patients Nursing Essay

Example essay. Last modified: 1st Jan 2015

The use of restraint, whether physical or chemical, has always been a normal practice in the medical field when dealing with critical-ill patients and the elderly. Many would justify this act as a for...

Discussion Of Management For Hip Replacement Surgery Patients Nursing Essay

Example essay. Last modified: 1st Jan 2015

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). This essay will d...

District Nurses Work Within The Primary Health Care Team Nursing Essay

Example essay. Last modified: 1st Jan 2015

District nurses work within the primary health care team. They support patients at home or in residential care. They also provide a teaching role by enabling patients to care for themselves or by help...

Driscoll Model of Reflection on Nursing Care Ethics

Example essay. Last modified: 23rd Sep 2019

Introduction In this essay I will be using the Driscoll Model of Reflection, Driscoll 2011. Reflection in nursing is when we are consciously looking and thinking about our experience’...

DVT Risk Assessment Tool for Nurses Using Modified Delphi

Example essay. Last modified: 26th Mar 2018

Research article DEVELOPMENT OF PATIENT’S DVT RISK ASSESSMENT TOOL FOR NURSES USING MODIFIED DELPHI TECHNIQUE. Mr.Kapil Sharma1,Ms. Jaspreet Kaur Sodhi2, *Ms.Rupinder Kaur3   ABSTRACT Background D...

Early Stage Dementia Nursing Care

Example essay. Last modified: 10th Jul 2017

The aim of this case study is to explain and discuss the nursing care of a 69 year old lady who has recently been diagnosed with early stage dementia. This case study will demonstrate my knowledge and...

Effect of Communication in on Collaborative Working

Example essay. Last modified: 1st Feb 2018

Discuss how communication within an inter-professional team could affect collaborative working Introduction This assignment will discuss how communication within an inter-professional team could affe...

Effect of Communication on Collaborative Working

Example essay. Last modified: 17th Jan 2018

Discuss how communication within an inter-professional team could affect collaborative working. Inter-professional learning and collaborative working in healthcare are two significant practices that ...