...Evidence Based Practice: “Stress nurses face caring for palliative care patients?” Regina Nelson Governors State University Abstract Palliative Care Nurses are at risk of experiencing stressful situations related to symptom management and death. The aim of this paper is to critically examine the current stress nurses face caring for Palliative Care patients. Four Nursing Journals and one Psycho-Oncology were reviewed. There was strong evidence to support that nurse’s experience stress caring for Palliative care patients. Common concerns in the first study were caring for a dying patient; personal level, comfort of the patient, and mediating between patient and family. The second study reported physical and emotional health consequences for nurses who provide hospice and palliative care over extended periods of time. The third study of nursesreported job satisfaction, stressors, coping strategies, and support. The fourth study nurses had 10 themes that conceptualize their work that may enable palliative care workers to remain resilient and effectively buffer or moderate stressful effects. The fifth study reported routinization of care, lack of nursing staff’s availability for emotional engagement, frequent interruptions, quiet afternoons, upbeat and positive culture, and a matter of fact attitude surrounding death and dying ,were all the behaviors that “being with” could not create. Although the report showed nurses able to cope by not “being with” the overall impact...
Words: 1898 - Pages: 8
...Evidence Based Practice Appraisal Post-menopausal women are highly susceptible to osteoporosis due to the decline of estrogen in the body. The reduction in estrogen along with other risk factors that may be present, make midlife women at high risk for developing osteoporosis and fractures. Evidence based practice research has provided many measures that can be taken to prevent or manage osteoporosis which include diet, exercise, and modifying behaviors that increase risk and susceptibility. Weight - bearing and resistance exercise, limiting alcohol and caffeine intake, smoking cessation, and fall prevention strategies are part of a bone - healthy life style used to manage postmenopausal osteoporosis. Health care providers such as pharmacists and nurses may have the ability improve and optimize the management of osteoporosis in postmenopausal women by counseling them on a bone - healthy lifestyle and making recommendations for calcium and vitamin D supplements and osteoporosis medication to prevent or treat the disease (. The question here is, “Will educating and counseling of midlife women encourage them to make positive changes to their lifestyle resulting in decreased susceptibility to osteoporosis?”. According to the current level of knowledge promoting education and prevention teaching strategies to patients is the most sensible and effective way to prevent osteoporosis. Educating individuals on risk factors such as a family history of osteoporosis, diet low in calcium...
Words: 1423 - Pages: 6
...you or the business in which you are working? If so, how? Submit a copy of the proposed regulation along with your responses to these five questions. The proposed regulation can be submitted as either a separate Word document (.doc) or Adobe file (.pdf). This means you will submit two attachments to the Week 2 Dropbox: (2) a Word doc with the questions and your answers and (2) a copy of the proposed regulation you used for this assignment. (10 points) DEPARTMENT OF HOMELANDSECURITY Office of the Secretary-Nondiscrimination in Matters Pertaining to Faith-Based Organizations-I am interested in the proposed regulation because I am involved in a religion or faith base organization. This will affect the organization to received funds with other non-profit organizations. 2. Describe the proposal/change. Consistent with the President’sinitiative, this proposed rule would amend DHS’ regulations to make clear that faith-based organizations are eligible to participate in any social or community service programs established, administered or funded by DHS (including any component of DHS) (collectively, ‘‘DHS service programs’’), and are eligible to seek and receive Federal financial assistance from DHS service programs where such assistance is available to other organizations. 3. Write the public comment which you would submit to this proposal. If the proposed regulation deadline has already passed, write the comment you would have submitted. Explain briefly what you wish to...
Words: 347 - Pages: 2
...RUNNING HEAD: CHANGE USING EVIDENCE BASED RESEARCH Change Using Evidence Based Research Glenda Doctor Western Governor’s University Procedure, basis for practice, rationale and explanation The procedure for the use of povidone-iodine for surgical cite antisepsis is: skin preparation for surgery includes the use of sterile drapes to drape the patient and square off surgical area with sterile towels to absorb excess solution. The incision site is where the prep begins and proceeds outward from that point. Iodine soap or scrub, wet the skin with sterile water the iodine scrub will be added to the point of lather, the site is to be scrubbed for 5 minutes. Excess solution is to be blotted with sterile towels or sterile gauze. When iodine paint is used the iodine paint will be applied and allowed to dry before first incision. This practice of surgical skin preparation has been a standard for many years. At this facility povidone-iodine is used predominantly however a few surgeons do use chlorhexidine, it has typically been surgeon choice for skin preparation. Studies have shown that Chlorhexidine-alcohol is a superior product to povidone-iodine to reduce skin colonization and reduce surgical site infection, (Darouiche, Wall, Itani, Otterson, Webb, Carrick, & ... Berger, 2010). No specific use for either product was found in the policy and procedures for the hospital on the hospital web site. There were no available protocols involving the products that...
Words: 3331 - Pages: 14
...Application of Evidenced-based Practice Regarding pediatric Patients and Otitis Media 1 Running head: Application of Evidenced -based Practice Application of Evidence-based Practice Regarding Pediatric Patients and Otitis Media Western Governors University Running head: Application of Evidence-based Practice 2 The nursing practice heavily relies on the evidence based clinical information to determine current standards of practice within the nursing scope of practice. A multitude of informational journals and peer reviewed articles are readily available to help guide the decisions placed into practice. The nurse is responsible for recognizing the quality of evidence collected to improve the standard of care patients receive. This paper will investigate four articles regarding the appropriate care and treatment of the pediatric population with otitis media. In addition, an appropriate recommendation for antibiotic therapy will be made based on information gathered during the research. To answer the question of whether a wait-and -see approach is recommended, an initial validation of the information collected must be determined. Four articles will be assessed based on the type of research collected as filtered, unfiltered, or general information. The source will be investigated as inappropriate or appropriate. Lastly, the articles will be classified...
Words: 1258 - Pages: 6
...Section 3 – Triennial Review – NMC Mentor Outcome NMC Mentor Standard: Assessment and AccountabilityAssess learning in order to make judgements related to the NMC standards of proficiency for entry to the register or for recording a qualification at a level above initial registration | Descriptor * foster professional growth, personal development and accountability through support of students in practice * demonstrate breadth of understanding of assessment strategies and ability to contribute to the total assessment process as part of the teaching team * provide constructive feedback to students and assist them in identifying future learning needs and actions. Manage failing students so that they may enhance their performance and capabilities for safe and effective practice or be able to understand their failure and the implications of this for their future * be accountable for confirming that students have met or not met the NMC competencies in practice and as a sign off mentor confirm that students have met or not met the NMC standards of proficiency and are capable of safe and effective practice | Suggested Examples of Evidence * Reflective accounts * Anonymous example of student learning contract * Anonymous records of dealing with challenging circumstances and non-achieving students * Anonymous records of feedback given to students * Examples of how to use the student assessment criteria and map to learning outcomes and students individual learning objectives...
Words: 506 - Pages: 3
...appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were within the last five years. Statistical data was gathered by experts and calculations made through third party experts, lending validity to the study. This article does not use the words ‘Evidence-Based Practice’ (EBP), but the CMC model is an EBP model, and many of the newer references make note to EBP. Although this was an interesting article, I may not use this in my final project. I...
Words: 3254 - Pages: 14
...Researching Team Building There are many things may arise in the workplace that can cause conflict between employees and negatively affect the production or quality of work. In this paper I will give a summary of an article called becoming an evidence based HR practitioner. This article is relevant to this paper because it gives background on how to address issues in the workplace, using evidence based solutions. Also, I have chosen to focus on team building exercises and how they affect employees in the workplace. I will include evidence to support my argument whether or not this is a useful technique. Becoming an Evidence-Based HR Practitioner Becoming an evidenced based HR practitioner was a very insightful article to read. The article described EBHR as a decision making process that combines critical thinking and scientific evidence along with business information. It also informs the reader how to get started as an EBHR practitioner. The key aspect to EBHR is to actively manage professional decisions. This involves making decisions using practices supported by high research. The article also includes step by step set of approaches to becoming an evidence based HR practitioner. It offers guidance for evidence- based practice the article underscores the connection between effective practice and organizational research. Team Building and Employee Relationships The question I decided to focus on was “Do team building exercises improve relationships...
Words: 967 - Pages: 4
...HPNA Position Statement Evidence-Based Practice Background Increased attention is being directed toward the development of methods that can provide valid and reliable information about what works best in healthcare. The careful scientific evaluation of clinical practice became a prominent focus during the second half of the 20th century.1 More recently, attention has been paid to methods of determining which of multiple proven approaches to a healthcare problem works best for which patients.2 Evidence-based practice encompasses implementing the best-known practices into the clinical setting using a scientific approach. It evolved from evidence-based medicine, which was developed in Canada to teach medical students. “Evidence-based medicine has been defined as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”3, p. 3 The National Quality Forum’s report A National Framework and Preferred Practices for Palliative and Hospice Care Quality is a consensus report that is a first step toward introducing evidence-based measures into palliative practice on a formal, national level.4 The Agency for Healthcare Research and Quality (AHRQ) supports organizations in their efforts to improve the quality and efficiency of healthcare by facilitating the use of evidence-based research findings in clinical practice.5 The nursing discipline has also embraced evidence-based practice over the past 25 years, initially through...
Words: 1545 - Pages: 7
...Building an Ethical Organization Part one Phoebe Edwards HSM/230 Carrie Cooper 5/5/13 Description of the organization: This is a Behavioral Health Center, what services does the organization provide? The Behavioral Health Center services are Cognitive Behavioral Therapy, Anger and stress Management, Expressive and Cognitive Therapy, Family Systems Therapy, Brief long- Term Treatment and Couple/Marital Therapy, Evidence Based Treatment, this is just a few. The clientele are people that need the help at Behavioral Health Center and it is a private group outpatient mental health practice. Evaluation and treatment services are provided to individuals, families, courts, businesses, schools, and individuals that are involved in a civil/ criminal proceedings elderly and disabled people living in long care facilities. The evidence based treatments are a treatment methods that have to do with research that will help the clients to improve functioning control symptoms and their develop recovery. And this is a for profit organization. Mission statement: what is the organization‘s mission statement? It is that the Behavioral Health Center’s mission is to provide the highest quality mental health care to the widest range of issues and ages. This will benefit the community by providing needed and timely access to services and treatments. We strive to utilize treatments with the best evidence of effectiveness. We will treat all clients with dignity and respect and hold...
Words: 1076 - Pages: 5
...Policy vs. Practice Joan Moore HCM 600 Social and Organizational Issues in Healthcare Policy vs. Practice On any playground in your town, you find a teeter-totter, where one end of the board is higher than the other end and rarely is the teeter totter level unless leveled by two cooperating individuals. So is practice and policy the two riders on the healthcare teeter-totter. It takes a cooperative effort on the part of healthcare providers to balance the teeter totter and provide valued care all the while meeting the requirements of policy. As an example of policy vs. practice, evidenced based medicine is an increasingly valuable tool in healthcare. Evidence -based medicine (EBM) is commonly defined as “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients” (Timmermans and Mauck 2005). One common implementation of EBM involves the use of clinical practice guidelines during medical decision making to encourage effective care. The Institute of Medicine (IOM) defines clinical guidelines as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. Practitioners can use EBM as a statistical meta-analysis of accumulated research, to promoting randomized clinical trials, to supporting uniform reporting styles for research, to a personal orientation toward critical self-evaluation in their search for the best treatment...
Words: 648 - Pages: 3
...illustration of use of activity based cost allocation and profitability (Kaplan, 2005). In the case presentation, John Malone, the General Manager of Dakota Office Products (DOP) commissioned analysis of the company’s operations and cost allocation practices; it focused on the company’s distribution center. Activities that emerged as cost drivers included: commercial freight shipping, personal delivery of orders under the Desktop Delivery program, warehouse handling and space, and several product ordering and entry activities. In this paper, the cost drivers were utilized to establish activity-based costing for DOP. Profitability for two current DOP customers was also analyzed for behavior patterns that might lead to or suggest improved pricing. Specific assignment questions were detailed and answered on the topic of relative profitability of the two customers. The objective of the analysis was to utilize learnings from the profitability calculations in order to make recommendations which would return DOP to profitable operation following the year of the unexpected loss. If the methods in this paper were utilized, it is felt to be a useful tool to assist DOP management in turning the company around. Method The assignment is summarized in this section, followed by a detail of steps taken to complete it. Data from the case study was used to develop an activity-based costing system. The activity-based costing system is shown in Table 1. Based on a 1 year history, relative...
Words: 2526 - Pages: 11
...2008 Betty W. Steadman 135 IMPLEMENTING THE ACTIVITY BASE COSTING SYSTEM: A CASE STUDY ON DAKOTA OFFICE SUPPLY By Betty W. Steadman Overview Activity Based Costing (ABC) is an accounting method that allows an organization to determine actual costs associated with each product and/or service produced by the organization without regard to the organizational structure or other extraneous function. For Dakota Office Products (DOP), its existing costing system was inadequate because it is incapable of accounting for even all of the known costs such as the desktop delivery service as well as hidden costs such as the 10% DOP paid to maintain its working capital line of credit for accounts receivable (Kaplan, 2003, p.4). Since ABC is a powerful tool for measuring performance, identifying, describing, and assigning costs to, and reporting on an organization’s operations it could solve much of DOP’s critical cost oversights (Caplan, Melumad & Ziv, 2005). Used holistically ABC can be utilized to also improve processes and identify opportunities to improve business effectiveness and efficiency by determining the true or real costs of a given product or service. ABC principles are used to focus management’s attention on the total cost to produce a product or service, and as a basis for full cost recovery of a production or service process. Situational Analysis DOP is a regional office supply company with a strong reputation for customer service and quality supplies. Additionally...
Words: 1710 - Pages: 7
...Assignment cover sheet Note: (1) The attention of students is drawn to: the Academic Regulations, the Academic Honesty Policy and the Assessment Policy, all of which are accessible viahttp://students.acu.edu.au/309246 (2) A de-identified copy of your assignment may be retained for University quality (audit) processes, benchmarking or moderation. |Student ID Number/s: |Student Surname/s: |Given name/s: | |S00158530 |Patel |Purvi | | | | | |Course:Bachelor of nursing |School:Australian catholic University | |Unit code:HLSC122 |Unit title:Inquiry in Healthcare | |Due date:30/03/2014 |Date submitted:30/03/2014 | |Lecturer-in-Charge: Joe Perry |Tutorial Group/Tutor: T, 06 | |Assignment Title and/or number: Assignment 1 ...
Words: 1854 - Pages: 8
...damages arising from its use. 2 ii MESSAGE The primary aim of MDG 5 is to reduce by three quarters by between 1990 an 2015, the maternal mortality ratio,especially among less developed countries. The Philippines is among those with high maternal mortality rate (MMR). In 2006, our MMR was 162 deaths/100,000 live births, however, the Family Health Survey in 2011 showed that the MMR has increased to 221 deaths/100,000 live births. It is therefore important that we mobilize our efforts together to avert further deaths of our pregnant mothers. The Philippine Obstetrical and Gynecological Society (Foundation), Inc. (POGS) stood up to the challenge of World Health Organization (WHO) in 2011 to undertake the development of an updated, evidence based national guideline on intrapartum and immediate postpartum care. The preparation of the current guideline involved various individuals from different sectors. POGS created a Taskforce for the purpose. The Steering Committee, composed of POGS Fellows, was tasked to appraise existing clinical practice...
Words: 6598 - Pages: 27
