...Examining experiences of WA nurses workload under the NHPPD staffing model. One of onus for practising nurses as highlighted by the ANMC code of ethics (2008) is that “Nurses value quality nursing care for all people”. This becomes significantly harder as several complexity or factors within the health system impedes on nurses ability to efficiently fulfil this role. One of such issues is safe and effective workload or the optimal nurse to patient ratio for providing quality nursing care. As Twigg et al. (2011) noted the implementation of nursing hours per patient day (NHPPD) staffing model in 2002, a landmark event for western Australian public hospitals was a result of nurses taking a stand to combat the unreasonable workload that was being undertaken. With evidence showing, mandated nursing staff levels having a significant impact on health outcomes, implementation of various staffing models to foster quality nursing care and improved patient outcomes in the health care setting has been widely utilised globally (Twigg et al. 2011). With prominent research done by Aiken and colleagues in the US, and with several other studies carried out internationally the gains achieved for patient outcomes through appropriate nursing staffing levels has been thoroughly highlighted. Aiken et al (2002) demonstrates the significant impact low staffing levels has on patient’s mortality rate. The study noted that wards that had the worst staffing ratios saw a 31% increase in death rates. Increases...
Words: 1239 - Pages: 5
...FLORENCE NIGHTINGALE'S CONCEPTUAL MODEL OF NURSING Wendy Davis GRAND CANYON UNIVERSITY NRS 430V Melissa Britt May 4, 2016 FLORENCE NIGHTINGALE'S CONCEPTUAL MODEL OF NURSING Florence Nightingale conceptualized disease as a reparative process and described the nurse’s role as manipulating the environment to facilitate and encourage this process. Her directions regarding ventilation, warmth, light, diet cleanliness, variety and noise are discussed in her classic textbook (Notes on Nursing), first published in London in 1859 and in America in 1860. Brief Overview The environment is critical to health and the nurse’s role in caring for the sick is to provide a clean, quiet, peaceful environment to promote healing. Nightingale’s intent was to describe nursing and provide guidelines for nursing education. Person Nightingale focused on the person as “the recipient of nursing care” (Selanders,2010). However, the person connection also includes family members and other groups important to the individual. The care structure considers the patient’s spiritual and social needs as well as healthcare needs. The resulting health outcome is attributed to how the person interacts with these physical and social connections. The premise is that the person is empowered to manage his health and well-being with dignity and self-preservation with positive personal connections. Today in nursing we have incorporated the concept of patient and family centered care. Thereby including, if the...
Words: 596 - Pages: 3
...Learnscape 2 outlines the steps needed for processing a policy into a law. This module improved my understanding of the legislative process and how imperative it is to select the appropriate committee members to help build support for a policy. The importance of communication with the stakeholders is also reinforced. It is crucial to build momentum for the changes you are striving for make. As a nurse, I agree that most nurses are not interested in politics; however, we are a major component of implementing health care policies. I appreciated the fact that the importance of nursing was acknowledged. This module identified three ways to achieve policy support which are persuasion, manipulation, and intimidation. I am most familiar with persuasion,...
Words: 475 - Pages: 2
...Philosophical and Theoretical Model for Nursing Administration Practice Philosophical and Theoretical Model for Nursing Administration Practice In an era of chaotic and unpredictable health care, I believe it is vital for nursing to employ a nursing leadership theory or philosophy that is specifically applicable to nurses and will holistically address and support both the science and art of this honored profession. According to Parker (2006) “A philosophy comprises statements of enduring values and beliefs held by the members of the discipline”(p.6). As nurses we use philosophical statements to explore compatibility among personal, professional, organizational and societal beliefs and values. I have learned that values are deeply held beliefs about what is good, right, and appropriate. Values are deep seated and remain constant over time. We accumulate our values from childhood based on teaching and observation of our parents, teachers, religious leaders, and other influential and powerful people. Our values and beliefs guide our actions and control our behavior. Values and beliefs are a key component to an individual as one's value system guides one through life personally and professionally. As a nurse leader, I consider it is extremely important to have a nursing philosophy that guides the thinking about, being, and doing of nursing (Parker, 2006). As a leader I believe it is important to have a foundation that addresses the phenomena of interest to nursing. It is vital to have...
Words: 2594 - Pages: 11
...Current and Future Nursing Models That Guides My Nursing Practice Leila Pinter Concordia University Nursing Theory MSN 834 Dr. Tracy Shannon February 15, 2015 Current and Future Nursing Models That Guides My Nursing Practice Nursing theories are what we base our practice on. It is not only the basis for our practice but also patient care, nursing research, education, and personal and professional development. It allows us to understand and analyze our practice, draw inspiration from them, and guide us with those tools to improve patient outcomes. I align myself most closely with Patricia Benner’s Model From Novice to Expert. The concept of Benner’s theory states that you acquire knowledge and skills over time with practice and experience. Current Model Current Practice I recently left my position as an emergency room nurse and now practice as a case manager for a health insurance company. My roles as a nurse have changed over the years, and prior to leaving the emergency department I was a charge nurse and the trauma coordinator. It was my job in both of those positions to be a leader, mentor and resource person. I was usually the most experienced person in the department, therefore the person to assist when questions would come up or critical situations would arise. As the trauma coordinator, it was my job to know the ins and outs of the program and ensure we are following the recommended guidelines, and prepare for our certifications. I worked closely...
Words: 2692 - Pages: 11
...Nightingale’s concepts sound familiar in vanMaanen’s (1990) description of nursing as helping clients adjust to health and illness consequences. How nursing affects and changes clients’ health status is nursing’s unique contribution (Donaldson & Crowley 1978) and refers to nursing’s effective management of changing situations (Fitzpatrick 1988) The ANA definition is an example of the discipline describing the domain of nursing, which is to protect, promote, optimize, and alleviate suffering . Bishop and Scudder (1997) state, '... the definition of nursing ... is being contested between those who believe that the meaning and direction of nursing should come from applied science and those who believe that nursing is a caring practice that can be best articulated and developed with enlightenment from the human sciences' (p. 83). My nursing definition includes the aspects of art, science, and practice To understand the factors needed to be considereded when determining whether or not identified actions are within the domain of nursing practice we need to understand the Domains of Nusing Practice. The domains of a knowledge system for nursing -- by viewing the question based on Meleis’ (1991) major components of concern for nursing. These components include: 1. nursing client (as a central focus), 2. transitions, 3. interaction, 4. nursing process, 5. environment, 6. nursing therapeutics, and 7. health. The main factors which need to be taken into...
Words: 428 - Pages: 2
...NURSING REFLECTIVE PRACTICE USING JOHN’S REFLECTIVE MODEL: On a particular occasion during my placement in a surgical and medical ward at a local hospital, I had been buddied with a nurse for an evening shift. We had just had handover from the nurse on the previous shift and among the information handed-over, the patient, in addition to her current diagnosis, also had a history of other co-morbid diseases including heart and blood pressure abnormalities. As such, she was on a number of heart regulating medications which included some beta blockers. As part of time management, we went through the patient's care plan and medication charts to determine what needed to be done and at what time regarding this patient. This guided how we were to execute care during the shift and in a timely manner. Her care plan had indicated that the patient's observations were to be done TDS (three times a day) It was during this process that we decided that it was not necessary, at this point, to take the patient's vital signs as these had been done just a few hours before we had started. When the time for the medication round came, we went to the patient's bed side drawer to collect and give her her medications following the seven rights to medication administration. As a result of our earlier time plan, we did not take her observations. Somehow, the patient asked us curiously why we were not taking her reading as, previously and always before, other nurses seemed to take her readings...
Words: 1639 - Pages: 7
...Three Specific Ways, In Which the Nursing Conceptual Model of, Martha Rogers can be used to Improve Nursing Practice. Lilian Iberosi Grand Canyon University Three Specific Ways, in which the Nursing Conceptual Model of, Martha Rogers can be used to Improve Nursing. Martha E. Rogers’ nursing theory of “Science of Unitary Human Being” consists of eight concepts namely: energy field, openness, pattern, pan-dimensionality, homeodynamic principles, resonance, helicy, and integrality. Understanding these concepts is the beginning for direct guidance into the practice of nursing. They provide a different explanation for the metaparadign concepts of person, health, environment, and nursing [4]. Thus according to the Rogers’ theory, a person is “defined as an indivisible, pan-dimensional energy field identified by pattern, and manifesting characteristics specific to the whole and that can't be predicted from knowledge of the parts”. A person is also “a unified whole, having its own distinct characteristics that can't be viewed by looking at, describing, or summarizing the parts”[2]. In the same vein, Rogers defines health as an expression of the life process. It is the manifestation of the “mutual, simultaneous interaction of the human and environmental fields”. Thus, health and illness are considered part of the same continuum. Therefore to prepare nurses to utilize Roger’s model would entail a “nursing curriculum that teaches and practices therapeutic touch, and conducting...
Words: 1066 - Pages: 5
...Provision of effective mental health care is usually hindered by fragmentation in care, inequitable treatment, and continued stigmatization for those with mental illness. The medical model approach in treating mental illness is not therapeutic, empowering, or conducive to healing (Chen, Krupa, Lysaght, McCay, & Piat, 2013). The medical model of care is a good fit with the goals of third party payers who are focused on reducing costs by shortening the length of stay on inpatient units (Seed & Torkelson, 2012). On the contrary, nursing model of care is known to assist the patient to achieve health by providing nursing care that promotes both the body’s healing process and the patients’ ability to care for their health related needs. Orem’s...
Words: 379 - Pages: 2
...average woman’s weight has increased while the average fashion model’s weight has dropped. “This growing difference has had a well-documented and pronounced negative effect on the body image of the women and girls who read women’s magazines” (Qtd in Kramer). Throughout history women have been constantly pressured to have the “ideal” body image. As the years went by, the women in the magazine became less realistic and more idealistic. When we look into the magazines today we are bombarded with thin models. In 2004 a journal “Eating Disorders,” women were portrayed in the media as having ideal bodies weighed approximately 15 percent less than average women, making the ideal body difficult, if not impossible, for most women to attain” (Qtd in Kramer). Since women today are feeling so much pressure to look a certain way they will believe any Magazine ad that they see for weight loss. Some even think that they need to go through extremely dangerous procedures to look like “Americas Next Top Model.” With fashion being one of the biggest social class acceptors in today’s society, it too puts pressure on women to look “perfect”. Women frequently compare their bodies to those they see around them. Dissatisfaction with their bodies causes many women and girls to strive...
Words: 1255 - Pages: 6
...Nude Models: Its effect to the FEU Fine Arts Student S.Y. 2013 -2014 A Research Paper Submitted to Prof. SYLVIA A .ALIMUIN In partial fulfilment Of the requirements in English AR1318 By: Rapajon, Alyzza D.R. #25 Sanalila, Christopher G. #26 March 21, 2014 Approval Sheet This research paper entitled “ Nude Models : It’s Effects to FEU Fine Arts Student S.Y. 2013 – 2014 “ Prepared and submitted by Alyzza Rapajon , Christopher Sanalila , in partial fulfilment of the requirements in English 2 , has been examined and recommend for acceptance and approval. Approved By: Date Submitted: Rating: Prof. Sylvia Alimuin Dedication First of all, the researchers would like to dedicate this research study to their beloved parents for giving them their moral support in doing this study and especially in financial. Next, the researchers dedicate this to all their professors because they are the ones who make things like this possible. They teach and also encourage the students to do well in their studies. Lastly, the researchers would like to dedicate this study to God. They want to thank him for giving them the strength, knowledge and patience. Acknowledgement The study entitled “Nude models: Its Effects to FEU Fine Arts Student S.Y. 2013 – 2014 “ won’t be accomplished without the help of the following: To our dearest research...
Words: 2072 - Pages: 9
...CURRICULUM DEVELOPMENT MODELS THAT TRADITIONALLY INFLUENCE NURSING EDUCATION In the past, curriculum development in nursing has been influenced by various classical curriculum development models that reflect different curriculum development paradigms. These models contributed towards progress in nursing education. Linear, prescriptivepre·scrip·tive adj. 1. Sanctioned or authorized by long-standing custom or usage. 2. Making or giving injunctions, directions, laws, or rules. 3. Law Acquired by or based on uninterrupted possession. ..... Click the link for more information. curriculum development models Linear, prescriptive curriculum development models are normative nor·ma·tive adj. Of, relating to, or prescribing a norm or standard: normative grammar. nor models because they provide a sequence of steps that writers say, should be used in any curriculum development initiative (Lovat & Smith, 1995:106). Tyler's curriculum development model is an example of linear, prescriptive curriculum development models. This model represents a technical, objectives driven approach whereby educators specify the desired product of an educational programme and use this as a point of departure for curriculum development (Lovat & Smith, 1995:107). Tyler's model states the involvement of three curriculum components in curriculum development, namely goals, content and evaluation, as well as curriculum design. According to according to prep. 1. As stated...
Words: 1701 - Pages: 7
...and member of a religious community. She currently holds the position of professor and nurse theorist at Boston College Connell School of Nursing. As a researcher some of her research interests are conceptualizing and measuring coping, basis of adaptation nursing, implications of individual and common good for clinical nursing, and emerging nursing knowledge and practice outcome. She developed the Adaptation Model of Nursing in 1976. The theory was influenced by observations of practice; insights derived from existing theories and other literature sources. After working with Dorothy E Johnson, Roy’s mentor during her graduate nursing education, she encouraged Roy to develop her thoughts on adaptation into conceptual framework for nursing. Roy becomes convinced of the importance of describing the nature of nursing as a service to society. This prompted her to begin her model with goal of nursing being to promote adaptation. Roy’s model was conceived when nursing theorist Dorothy Johnson challenged her students during a seminar to develop conceptual model of nursing. Johnson’s nursing model was the impetus/motivation for the development of Roy’s adaptation model. Roy’s model incorporated concepts from Adaptation – Level – Theory of Perception from renowned American physiological psychologist Harry Helson, Ludwig von Bertalanffy’s system model and Anatol Rapoport’s system definition (nurseslabs.com). Roy combines Helson’s work with Rapoport’s definition of system and views the person...
Words: 488 - Pages: 2
...Nursing Philosophy and Comparison Paper A Comparison of Personal Philosophy and Sr. Callista Roy’s Adaptation Model September 14, 2011 Nursing Philosophy and Comparison Paper A Comparison of Personal Philosophy and Sr. Callista Roy’s Adaptation Model A personal philosophy is what one values for themselves as human beings. It reflects the many faceted realities of their self-concept and is influenced by: culture, spirituality, morals, values, and belief concepts. The relevance of one’s personal philosophy to nursing is significant. One’s philosophy directly affects the interpersonal relationship and care given to patients. For the purpose of this paper, the author will reflect and incorporate her nursing philosophy with the four nursing metaparadigms: person, environment, health and nursing, with the Roy Adaptation Model (RAM) and compare similarities’ and differences. Personal Philosophy The author’s personal philosophy is seeded in spirituality and seeing the world as interconnected with a divine source where all things are possible. She attempts to integrate the core concepts of her philosophy: intuition, altruism, holism, empathy, knowledge, compassion and advocacy into the nursing process. The author will define and demonstrate her nursing philosophy as applied to the metaparadigms. The person is viewed as a unique individual and energetic being (spirit) within a physical and integrated body system connected to a higher supreme source; environment:...
Words: 1638 - Pages: 7
...2012 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/0276146712463823 jmk.sagepub.com Blaine J. Branchik1 and Tilottama Ghosh Chowdhury1 Abstract This research chronicles the changes in the understudied and rapidly evolving male market segment using two related studies: (1) a content analysis of advertisements in fifty-one years of Sports Illustrated magazine and (2) an experiment involving age-based differences in consumer ad perceptions. Both investigate changing ad values and the ethnic diversity of ad models. Results indicate that the male market is becoming increasingly self-oriented in its values orientation as a result of broad societal changes and changing gender roles. Increasing use of black or African American models in key positions indicates a growing acceptance of minorities as representations of the ideal self among younger men, who express a preference for black or African American models. This finding speaks to the increasingly multicultural nature of society and the impact of minority celebrities on American culture. The results are indicative of the power of advertising in both reflecting and facilitating societal change. Keywords advertising, male market, societal change, ethnicity, gender, culture, macromarketing Introduction American men, as a cultural entity and market force, are undergoing rapid change. This metamorphosis is reflected in men’s increasing focus on their bodies (Alexander 2003; Pope, Phillips...
Words: 10179 - Pages: 41
