...Nursing Research Study: Evaluation of Linear Measurement and Growth Plotting in an Inpatient Pediatric Setting Student Grand Canyon University NRS433V July 11, 2010 Nursing Research Study Summary The heights and weights of children can be key indicators of normal growth and development for each child and should be done routinely in a variety of patient care settings. The purpose of this paper is to provide a summary on the recent article in the Journal of Pediatric Nursing, Evaluation of Linear Measurement and Growth Plotting in an Inpatient Setting (Lipman, Euler, Markowitz, & Ratcliffe, 2009), in which nursing researchers documented an evaluation of the processes of obtaining measurement in their urban children’s hospital. Background The issue of a lack of properly done and routine measurements in pediatrics has been the topic of many studies done in the settings of pediatric and family practice offices. Inpatient admissions offer a unique opportunity to assess the growth of children. The purpose of the study being summarized was to “determine adherence to hospital policy and accuracy of growth documentation by obtaining data on the linear measuring practices to inform and improve nursing care” (Lipman, Euler, Markowitz, & Ratcliffe, 2009). The setting for the study was an urban children’s hospital in which the staff is exclusively registered nurses. “Registered nurses are significantly more likely to measure children accurately” (Hench, et al., 2005). Proper...
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...Nursing Research Study Contributions Debbie Rhoads Grand Canyon University Introduction to Nursing Research NRS 433 August 6, 2011 Nursing Research Study Contributions Fee, E., & Garofalo, M. E. (2010). Florence Nightingale and the Crimean War. American Journal of Public Health, 100(9), 1591. Study Background Problem Florence Nightingale is most remembered as the pioneer of nursing as well as the first nursing researcher. During the Crimean War in 1854, Nightingale and 38 nurses traveled to the military hospital Scutari, in Turkey, to care for the wounded soldiers. The conditions they found were horrible. Soldiers were lying in filth, there was little medications and fewer supplies. There was no ventilation and an open sewer ran beneath the hospital. Morbidity and mortality rates were a staggering 43%.(Fee & Garofalo, 2010). Significance to nursing. Nightingale's research had a great impact on the nursing profession. Her research changed the views of society as well as the military regarding the care of the soldiers. Florence focused on cleanliness, ventilation, water purity and improving sanitation, which changed the mortality rates from 43 percent to 2 percent. (Burns & Grove, 2011, p. 10-12). Purpose of Study ...
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...his is a critique study on “effects of nursing rounds on patients’ call light use, satisfaction, and safety by Christine Meade, PHD, Amy Bursell, PHD and Lyn Ketelsen MBA,RN(2006)”outline as quasi-experimental research design. The author states in this article about patient’s frequent usage of call light in the hospital. Frequent call light usage seems to be an ongoing problem in the hospital setting. This study was to determine how to reduce the call light use and burn out staff, also increase patient satisfaction and safety. Protection of Human Participants. The Benefits of the study was to increase patient’s level of satisfaction in nursing care, improve patient safety, and reduce fall rate and reducing call light. Researcher assessed “humanistic” and “concrete” behaviors. Author found every one or two hour nursing rounds can reduce call light usage, reduce fall rate and improve patient satisfaction and safety. There wasn’t any informed consent used in this study. This was a nonrandom assignment of the hospital units. One and two hour rounding was approved by chief nursing officer and nurse manager. Researcher used a quasi-experimental nonequivalent group’s design study. Because of this design researchers need help from the nursing officers. Nursing units were asked several times to change the rounding protocol to keep the sample stable (Meade, Bursell, Ketelsen , (2006). Data Collection Scheduled one-hour or two-hour...
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...PROVIDING QUALITY CARE Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units Sung-Hyun Cho, Kyung Ja June, Yun Mi Kim, Yong Ae Cho, Cheong Suk Yoo, Sung-Cheol Yun and Young Hee Sung Aim. To examine the relationship between nurse staffing and nurse-rated quality of nursing care and job outcomes. Background. Nurse staffing has been reported to influence patient and nurse outcomes. Design. A cross-sectional study with a survey conducted August–October 2007. Methods. The survey included 1365 nurses from 65 intensive care units in 22 hospitals in Korea. Staffing was measured using two indicators: the number of patients per nurse measured at the unit level and perception of staffing adequacy at the nurse level. Quality of care and job dissatisfaction were measured with a four-point scale and burnout measured by the Maslach Burnout Inventory. Multilevel logistic regression models were used to determine the relationships between staffing and quality of care and job outcomes. Results. The average patient-to-nurse ratio was 2Æ8 patients per nurse. A fifth of nurses perceived that there were enough nurses to provide quality care, one third were dissatisfied, half were highly burnt out and a quarter planned to leave in the next year. Nurses were more likely to rate quality of care as high when they cared for two or fewer patients (odds ratio, 3Æ26; 95% confidence interval, 1Æ14–9Æ31) or 2Æ0–2Æ5 patients (odds ratio, 2Æ44; 95% confidence interval, 1Æ32–4Æ52), compared...
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...In a nonexperimental research, the resreacher only collect datas without introducing treatments or making changes. Here the researcher studies the relationship between two or more variables in natural settings without manipulation or control. In corelational design, the researcher studies the strenght of relationship between variables by observing how the changes in one variable is correlated with changes in the other variable. In genearal correlational studies have dependent and independent variables and often it is the effect of the independent variable on the dependent variable that is observed without manipulation. The advantage of nonexperimental design studies are that they are close to real life situations, numerous human characteristice are inherently not subject to manipulation example, blood type, personality, health beliefs, medical diagnosis it makes nonexperimental research studies suitable for nursing research. Also there are many variables that can technically be manipulated but manipulation is forbiden on ethical grounds. The major disadvantage is that the result obtained and the relationships between the dependent and independent variables can never be absolutely clear or error free. It is true that non experimental nursing research studies are conducted for comparative purposes using non randomly selected groups which may not be homogenous and in fact often dissimilar in different traits and characteristics’ which affects the authenticity and lead to faulty...
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...Discuss the differences in competiencies between nurses prepared at the AD level versus the BSN level in nursing Identify a patient care situation in which you describe how nursing care of approaches to decisioin making may differ based upon the educational preparation of the nurse (BSN versus a ADN) Competent bedside nurses, regardless of degree, are in high demand. To become a licensed registered nurse, all nurses must pass the NCLEX licensing exam, and graduate from an accredited school of nursing. The debate continues as to whether an ADN degree is adequate, or whether nurses need more advanced training with the BSN degree. This paper will discuss the differences between these two degrees. http://www.aacn.nche.edu/media-relations/fact-sheets/adn-facts AACN recognizes the Bachelor of Science in Nursing (BSN) as the minimum educational requirement for what the organization holds to be professional-level nursing practice. AACN's support for the BSN does not mean that we seek to bar ADN graduates from practicing nursing to the full extent of their skills and abilities. AACN maintains this position while recognizing the role ADN-prepared nurses play in the delivery of health care. AACN has a long history of supporting RN-to-Baccalaureate education. From 1986-1988, AACN conducted a study funded by the Division of Nursing, HRSA. The purpose of the study was to provide national data about RN-to-Baccalaureate education both from the institutional and student perspectives...
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...ICNE YALE #98 ETHICAL PROBLEMS ENCOUNTERED BY NURSING STUDENTS IN TURKEY Fethiye Erdil and Fatos Korkmaz Nursing students increasingly encounter ethical problems during their clinical practice which sometimes infringe the rights of patients. However, so far there is no study in Turkey on the extent of problems from the perspective of nursing students, as well as how nurses are involved in ethical decision making process. This study is conducted at Hacettepe University Health Science Faculty Nursing Department with the aim of identifying the ethical problems confronted by nursing students. Eighty-four third class and 69 senior nursing students were volunteers to participate in this study. Their age ranged from 19 to 23 years. All participants have taken the course entitled ‘Nursing History and Deontology’ which include 14 hours ethical content. Students were asked to describe moral problems that they observed or encountered during their clinical practice. Ethical problems at clinical practice were reported as physical maltreatment of patients (28%), inappropriate approaches toward patients which cause psychological distress (24%), violation of privacy (21%), providing inadequate information (16%) and discrimination based on the social and economical status (16%). The reasons of these ethical problems were stated by students as the unprofessional conduct of physicians (34%) and nurses (44%), and ineffective hospital management (9%). The most striking finding of this study...
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...A Strategy to Reduce Waiting Times in the Emergency Department Introduction Emergency Department (ED) nursing is fast paced and complex in nature. Their goal is to assess quickly and prioritize the patient needs so that those with emergent needs are seen before those with urgent or non-urgent needs. Causes of ED overcrowding and lengthening wait time include, influenza season, inadequate staffing, inpatient boarding due to inadequate hospital beds and patient population larger than hospital capacity (Hoot and Aronsky, 2008). The length of stay in the ED has a correlation with the quality of care a patient receives. Many EDs struggle with patient overcrowding and there appears to be no silver bullet to adequately address this challenge. It will be in the best interest of all involved to effectively address this issue. Different institutions have tried various solutions to their ED overcrowding including a program to shorten the wait times leading to reduced crowding and increased patient satisfaction. Background of the Study ED overcrowding is a complicated problem that affects virtually every institution that offers emergency services. Contributing factors include the intake, processing and discharge aspects of emergency service. The phenomenon of ED overcrowding takes a toll on both patients and ED nursing staff and addressing it will reduce stress on the nursing staff, improve the quality of care and increase the satisfaction of all involved. This study was initiated...
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...Research Summary and Ethical Considerations Introduction "A pressure ulcer is a localized injury to the skin and/ or underlying tissue usually over a bony prominence, as a result of pressure or pressure in combination with shear and/ or friction." (National Pressure Ulcer Advisory Panel, 2007). It is essential to give education to the patients, family, care givers and health care providers to decrease the pressure ulcer rate. Multiple study about pressure ulcer revealed that pressure ulcer causes significant harm to the patients by increasing the length of stay in the hospital due to frequent pain, discomfort, infection and poor healing. The infection and sepsis occur from pressure ulcer can even lead to death. However, pressure ulcers are preventable. Identifying the high risk patients and constantly implementing measures to prevent pressure ulcer in these patients are two major steps to prevent pressure ulcer. "This study aimed at describing contributing factors for the progression or regression of pressure ulcers in the care trajectory as they are understood by nurses working in hospitals or community care." (Athlin et al. 2010) Background of study Nurses play an important role in the prevention of pressure ulcer. Educational programs in the hospital provide good knowledge to nurses about the preventive and treatment methods of pressure ulcer. But some studies pointed that nurses need more updated knowledge about pressure ulcer and due to unorganized systems or shortage...
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...involvement in the cares of their infant, unrestricted parental presence in the NICU, and open communication between parents and all care provider team members (Griffin, T., 2006). Griffin states that family centered care is “a philosophy of care that embraces a partnership between staff and families.” As this type of delivery care model is becoming more the norm in NICUs across the world, many researchers have posed the question of the parents and their feelings of the overall environment and care of their infant. Making the parents feel like they have control over certain areas of the entire NICU experience can make the difference between a smooth hospital stay and one that is not ridden with problems. 1.) In the qualitative research article Mothers in the NICU: Outsider to Partner by Judith A. Heermann, Margaret E. Wilson, and Patricia A. Wilhelm the main focus was to examine the process of involving the mother in the care of her infant; as to make her feel as if she were an important component in the care of her infant, as well as a mother that has control and a voice when it comes to issues related to her infant’s NICU stay. Thus, encouraging family...
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...NRS-430-V 03-26-15 Differences in Associate Degree prepared Nurse and Baccalaureate prepared Nurse Competencies. The rise in morbidity and mortality rates among hospitalized patients in the United States heightens concerns about professional competency. Nurses and other healthcare professionals are under increased pressure to provide safe, effective patient care. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. This paper will compare the differences between an Associate degree prepared nurse (ADN) and a Baccalaureate degree prepared nurse (BSN). Education Differences An ADN or associate degree nurse is as a nurse with two to three years training, usually at a community college or technical school. The curriculum usually consists of fundamentals, the basics of nursing and clinicals. A BSN or baccalaureate prepared nurse is a nurse with four or five years of training usually at a University. With the BSN, a nurse will have to think outside the box, use credible research, theory, leadership skills, all of which will make the nurse a better critical thinker, and in turn her patients will be safer. Both ADN and BSN will be qualified to take the NCLEX exam upon graduation from either community college or a university and become RNs. ADNs get primarily fundamental education in school consisting of formulating care plans and a basic understanding...
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...Nursing Research First published: 1952 Importance: Research began expanding to establish standards of caring in nursing, prompting the publication of the first nursing research journal. “Research conducted by the ANA and other specialty groups provided the basis for nursing practice standards that currently guide professional practice. The increase in research activity in the 1940’s prompted the first publication of Nursing Research” (Burns & Grove, 2007, p. 12). Sigma Theta Tau Journal published by this organization is now called Image—The Journal of Nursing ScholarshipFirst published: 1967 Importance: During the 1960's nurse contributed greatly to the nursing research and development of nursing practice. First published under the name Sigma Theta Tau Journal, the Journal of Nursing Scholarship enhances nursing knowledge, provides direction for future nursing research, and recognizes the need for improved communication of research findings (Male Nursing Scholarship, 2011). Research in Nursing and Health First published: 1978 Importance: Research in Nursing and Health is devoted to research and theory that will improve nursing practice. "The editors invite research reports on nursing practice education administration and history; on health issues relevant to nursing; and on the testing of research findings in practice" (Researchgate.net, 2011, para. 1). Western Journal of Nursing Research First published: 1979 Importance: "WJNR is devoted to the distribution of research...
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...Having embarked on the BSN and being educated in nursing research have empowered me as a nurse and also made me more aware than ever before of the importance of being knowledgeable on research. According to Schaefer 2013, nursing research has been a life-changing experience as it allows one to gain new knowledge. Nursing research has allowed me to see the importance of evidence-based practice and how it validates nursing interventions. The new knowledge gained had enhanced my ability to analyze and critique a research article, a task which always appeared difficult for me before I came to understand the existence and the importance of nursing research. Prior to doing nursing research, I had always thought that research is boring and only...
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...Nursing research is one of the courses that will distinguish the BSN from your current level of education. Why do you think that BSN needs to have a working knowledge of nursing research? According to Grave et Al, The ultimate goal of nursing is an evidence – based practice that promotes quality, safe, and cost – effective outcomes for patients, families, healthcare providers, and healthcare system. And evidence – based practice is the product of integration of results of nursing researches with clinical expertise and patients’ needs and values. Therefore, in order to success in nursing career, nurses should equip themselves a sufficient knowledge and skills in nursing research. A BSN is educated and trained with sufficient knowledge and skills to understand and critically appraise nursing researches. Beside their care to patients, they also play a role as assistant in process of implementation of evidence – based guidelines, protocols, algorithms, and policies in practice. In addition, they might provide valuable assistance in identifying research problems and collecting data for studies. Therefore, a BSN needs to have a working knowledge of nursing research. Some nurses feel that nursing research is intimidating. Does research feel that way to you and what can you do to get past that? According to Grove et Al, research means, “to search again.” And the purpose of searching again is to validate and refine existing knowledge, or to develop new knowledge on the base of current...
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...Impact and Penetration of Nursing Research It is common nursing knowledge that patient quality of care is directly related to improved outcomes and is based on the safety of the patient. Nurses play a direct role in a patient’s quality of care, because nurses have the most direct contact with the patient. The issues that I noticed in each of the website’s evidence based practices (EBP’s) include nursing education level, staffing levels, working environments, and organizational policy/procedure and infrastructure. According to our Keele text (2007), nurses are expected to know and practice evidence based care to create the best outcome for the individual patient (Keele, 2007, p. 9). Nurses play a significant role in all patient outcomes due to their responsibilities for practicing and advocating for specific standards of practice outlined by EBP and defined within their scope of practice and the Nursing Code of Ethics. Therapeutical nursing practices include not just implementing treatments, but evaluating those treatments’ outcomes. Nursing research is essential in determining patient safety issues and improving patient outcomes due to the nurse being the closest point of care provider for the patient. It is the nurse’s observations that help direct and manage the path that a patient’s care may take. With the nurse as the closest observer of the patient, it only makes sense that nurses play the intricate role in the research of patient improvements or disparities, alike, especially...
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