...have always been seen as the providers of bedside care and those that follow through with physician’s orders. To me what drove theory development was the nurse’s desire to become independent and practice with models and beliefs specific to nursing as a profession while providing holistic care to the patient to encompass not only their physical illness but by providing care that incorporates their spiritual, emotional and environmental needs and to improve the outcomes for their patients. By exploring these ideas of providing a holistic care approach the nurse realized she could have the freedom to critically examine old ways of performing nursing tasks and duties and explore the new ways of providing care to the patients. By performing studies and research a nurse would be able to provide evidenced based care to improve the outcomes for her patients in all aspects of their lives not just their current illness or health problem. Applying these concepts the nurse could “examine his or her current frame of reference for practice in light of the challenge to adopt or change a conceptual model or theory. As the nurse begins to learn the content of the new conceptual model or theory, he or she begins to appreciate the discrepancy between the current way of practice and what nursing practice could be” (Alligood, 2010, p.501). “While some of the more physical and mechanical aspects of nursing are being delegated to individuals with less education, registered nurses remain the best equipped...
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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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...essay is a critique based on a pilot study carried out on ‘patient stories of living with a pressure ulcer’ and I will be using Caldwell, K. et al. (2005) as a structured research framework to carryout the evaluation on this study. First and foremost a definition of what research, (nursing research in particular) and research critique entails will give a greater understanding of what this essay aims at addressing. On one hand, Polit and Beck (2006, p4), defined research as a systematic inquiry that uses disciplined methods to answer questions or solve problems, while on the other hand they define nursing research as a systematic inquiry designed to develop knowledge about issues of importance to nurses, including nursing practice, nursing education and nursing administration. The importance of having research carried out in the nursing field can only be emphasised as it is the key element in generating and guaranteeing evidence to guide nursing practice and improvements to care and quality of life of both clients and service users as claimed by Polit and Beck (2006, p4). However once the research is undertaken and published, great emphasis is placed in finding out or identifying the strengths and weaknesses through critique. Polgar and Thomas (2000), point out that critiquing research entails identifying the strengths and weaknesses of research publications to ensure that patients/clients receive assessments and treatment based on the best available evidence. This evaluation encompasses...
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...hard to find yet alone keep a good paying job. When doing so one is faced with challenges on hoe to keep the job or position they hold at their workplace. (Exploring Business, 2014) An ethical dilemma is a morally problematic situation. (Picking between two or more acceptable but often opposing alternatives that are important to different groups) To be ethical means to know right from wrong and to know when you’re practicing one instead of the other. There is no such thing as a perfect business or company, but there are positive and negative ethical people with-in the company or business Ethical Dilemmas Angela’ Ethical Dilemma Angela is faced with having to say loyal to her job and her job positon with WellCare USA and her loyalty with her neighbors that she just helped get a job for the company she works with. At this point she is stuck between the two because she doesn’t want to betray her job but at the same time she cares about her neighbors and how they are going to pay for the new house they just put a down payment on. I would advise her to stay true to what matters most to “you.” Meaning, if you know based on the type of decision you make will determine whether you still have a job or not (depending on the seriousness of the Intel) then you have to do what’s right for you before you ended up without a job. (Exploring Business. 2014) When making an ethical decision in oppose to ethical dilemmas, one being the right (ethical) choice or wrong (unethical and illegal) choice...
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...ONE OF THE NATION’S LEADING INNOVATORS IN DELIVERING EVIDENCE-BASED SOLUTIONS FOR CRIMINAL JUSTICE AND HUMAN SERVICES TURNING LIVES 1 Yolo County, CA: EBP brings measureable, positive outcomes 2 King County, WA builds new system for Mental Health RX: the PRIME 4 Assessments.com selected to direct $1.2M statewide juvenile project in CA 4 News in Brief 5 Spotlight on ADC staff: Brian Richart is new ADC President 6 EBP – Recent Research: Exploring the Black Box of Community Supervision 8 Upcoming Events Winter 2010 | QUArterLY neWSLetter CURRENT NEWS AND trenDS AROUND supervision, and accurately and objectively identified higher risk juveniles who most need and can most benefit from rehabilitative treatment. Monthly statistics tell the story. In April 2007, the department was managing a caseload of 400 juveniles with a staff of 10 supervising field officers and an outpatient treatment budget of $120,000. Today, the total caseload is down to about 280, as the department has done a better job keeping very low risk youth out of the system altogether. Of those youth who do enter the system, some 150 low risk youth are supervised by 1 1/2 officers with diversion programs and minimal supervision, while the remaining officers are managing the 130 moderate to high risk juveniles (a 38% reduction in individual case load size) and providing individualized treatment through programs such as FFT (Functional Family Therapy) and T4C (Thinking for a Change)– cognitive behavioral programs...
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...in guiding the development of new products and services, in testing the communication of advertising, in exploring the meaning of consumer vocabulary, in gaining understanding of consumer motivation, etc. (Bailey, 2014) * Quantitative research is a means for testing objective theories by examining the relationship among variables (Polit and Hungler 2013; Moxham 2012). A variable is a factor that can be controlled or changed in an experiment (Wong 2014 p125). The word quantitative implies quantity or amounts. Information collected in the course of the study is in a quantified or numeric form (White and Millar 2014). This is referred to as statistical evidence (White and Millar 2014). * I would prefer to use a quantitative means of research due to the facts that support the research you are doing. The supporting facts help to validate the research you are doing. Polit, D.F. and Hungler, B.P. 2013. Essentials of Nursing Research: Methods, Appraisal, and Utilization (8th Edition ed.). Philadelphia: Wolters Kluwer/Lippincott Williams and Wilkins Wong, G. 2014. Research Questions. In V. Wright-St Clair, D. Reid, S. Shaw and J. Ramsbotham (Eds.), Evidence-based Health Practice. South Melbourne: Oxford University Press. White, L. and Millar, R.B. 2014. Quantitative Approaches. In V. Wright-St Clair, D. Reid, S. Shaw and J. Ramsbotham (Eds.), Evidencebased Health Practice. South Melbourne: Oxford University Press Bailey, L. F. (2014). The origin and success of qualitative....
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...test developers, test users, and the existence of joint committee in order to advance the quality of testing practice renders the knowledge of the standardized characteristics of testing pattern on the basis of outcomes. I am enthusiastic in exploring the guidance according to the Code, as it mentioned separately for test developers and test users for the purpose of developing test questions appropriately to the test users for testing group of nurses who involved in continuous lifelong learning (Code of Fair Testing Practices in Education, 2004). As I am a novice educator in the process of learning to teach and testing the students or audience, the development of tests on the basis of testing knowledge and skills, in various psychological approaches by utilizing various technical patterns are necessary. Thereby, ‘the Code of fair in Testing Practices in Education’ insisting on maintaining the validity and reliability (Code of Fair Testing Practices in Education, 2004). Until this moment, I have had no knowledge of such resources or the body of testing committees with valuable contents under, “The Code of fair in Testing Practices in...
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...(2015), an educator demonstrates effective teaching strategies that are engaging to meet student needs and learning styles. For example, an educator utilizes evidence-based practices in developing course content and curriculum have achieved the core competency outlined by the National League for Nursing. The used of evidence-based practice means to use the best resources that are most current. The National League for Nursing Core Competencies of Nurse Educators provides a comprehensive framework for preparing new nurse educators, implementing the nurse educator role, evaluating nurse educator practice, and advancing faculty scholarship and lifelong professional...
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...Critique Of The Research Article: Perspectives Of Hospital-Based Nurses On Breastfeeding Initiation Best Practices In: Other Topics Critique Of The Research Article: Perspectives Of Hospital-Based Nurses On Breastfeeding Initiation Best Practices Running head: CRITIQUE OF THE RESEARCH ARTICLE: PERSPECTIVES OF Critique of the Research Article: Perspectives of Hospital-Based Nurses on Breastfeeding Initiation Best Practices Kimberly Baird Grand Canyon University Intro. To Nursing Research NRS-433V April 21, 2011 Critique of the Research Article: Perspectives of Hospital-Based Nurses on Breastfeeding Initiation Best Practices The purpose of this research study is to evaluate the differences in breastfeeding knowledge and the implementation of breastfeeding by registered nurses in the postpartum units and the hospital policies, both formal and informal, related to the implementation and support of breastfeeding. Human milk is accepted as the ideal food source for infants for the first 6 months of life. Breastfeeding is then encouraged as a supplement to other foods until the child is 12 months of age and beyond. Both The Academy of Pediatrics and the International Lactation Consultant Association support these recommendations. CDC statistics report that in 2006 73.9% of women breastfed in the early postpartum period. This drops to 33.1% of those that are exclusively breastfeeding at 3 months of age and then drops again to 13.6% exclusively breastfeeding...
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...A Comparison of Nursing Practice between Associate Degree level Nurses and Baccalaureate Degree Level Nurses Leila R. Chanid Grand Canyon University: Professional Dynamics NRS 430v January 8, 2012 Abstract This paper will compare the Nursing profession across the healthcare industry of Associates Degree Level Nurses and Baccalaureate-Degree level nurses. It discusses the preparedness of beginning practice at both levels, exploring competencies developed by both trained professionals and the differences in the learning experience each of them contain. It also compares the new graduate in the workforce at both levels of education. Research from journals, nursing books from accredited colleges and magazines were used to discuss their differences. Nursing has slowly over the years become a respected profession due to leaders in history whom changed the way healthcare outcomes were established in nursing. Nursing professionals can thank leaders such as Florence Nightingale for understanding the complexity of care involved in a community and the importance of training for nurses. St. Thomas Hospital in London, England founded by Florence Nightingale in the 1860’s was the beginning of the transformation of the way nurses practice and levels of training a nurse can accomplish. The Civil War and Great Depression era’s created a definite need for good trained nurses and patient outcomes became a way of evaluating the training of nurses. As, patient outcomes improved...
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...Standardization of Nursing Protocol for Cardiac Arterial Bypass Patients Abstract Evidence-Based Practice (EBP) is an important factor in determining medical courses of action. Nurses have long used tradition rather than evidence in making decisions about beside care; to convince them to switch practice, it is useful to draw a comparison between the efficacy of these disparate routes. Our study designed a research question based on the PICOT model for the cardiac floors and designed procedures using the Kotter and Cohen’s Model of Change. In order to study the effect discussed in our PICOT question, a web search was conducted and the quality of each pertinent study reviewed. Introduction In the nursing staff of an adult Cardiac Surgical Care unit, how does the buy-in from the staff for Evidence-Based Practice (EBP) changes in a new Coronary Arterial Bypass Graft (CABG) pathway affect the decreases in infection rate among this patient population when compared to the old way of delivering patient care through nursing tradition in a six month time frame? The formation of a guideline for practice in nursing is not a new occurrence; books and manuals have been a reality for many years. However, in the past these resources lacked the evidence for standards of care, which traditionally have been based on professional consensus and tradition. The Joint Commission has recognized processes that can be measured regarding patient outcomes and care in order to meet standards for Medicare...
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...The author’s intention is to identify an aspect of clinical practice which lends itself to change at a micro level. The definition of a micro-change is an intervention of change aimed at the individual or the way small teams work. The micro-level change is not to be confused with a service change (Walsh, 2009). When considering a change in practice we need to firstly understand why we need to make a change? Secondly when making a change, we need to justify a decision. This can be achieved by exploring the components which encompass decision making within nursing practice. Cullum et al (2007) identifies four requirements:-Clinical experience, valid researched evidence, available resources and lastly but no less important the patient preferences and experiences. The area of clinical practice to be studied is within a community district nursing team consisting of 7 qualified nurses and 3 health care assistants. The location is situated within a seaside town with a large population of over 65 year olds. Through clinical experience, the author has found a flaw in quality of care when nursing staff are using the overview assessment document which has been adapted from the single assessment process produced by the Department of Health (DOH, 2002). When assessing nutrition there is a series of six questions and an asterisk to consider the “Malnutrition Universal Screening Tool” (MUST, 2003) however experience in practice would suggest the tool (MUST, 2003) isn't used and a local...
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... 6. documentation of limitations in traditional health care delivery; 7. an increasing emphasis on transparency and accountability, 8. evidence based practice (EBP) and clinical governance structures; and 9. the increasing cultural diversity of the community. These challenges provoke discussion of the necessity of developing services around a model of care. What do we mean by a model of care? Ambiguity exists in the literature, with the terms, model of care, nursing model, philosophy, paradigm, framework and theory often used interchangeably, despite referring to diverse, yet parallel concepts (Tierney 1998). In their recent review of the literature, the Queensland Government (Australia) reported that they found no consistent definition of ‘model of care’ (Queensland Health 2000). They concluded that a model of care is a multidimensional concept that defines the way in which health care services are delivered (Queensland Health 2000). More specifically, Davidson and Elliott (2001) described a model of care as a conceptual tool that is ‘a standard or example for imitation or comparison, combining concepts, belief and intent that are related in some way’ (p. 121). They consider it to be critical that models of care should: * be evidence based and/or grounded in theoretical propositions; * be based upon assessment of client and health provider needs; *...
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...This essay will discuss a clinical skill in which I have become competent in practicing. I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme. The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development. The clinical skill I have chosen to reflect on within this essay is the administration of Intramuscular (IM) injections. I have chosen this as within my first clinical placement this was a widely used method of drug administration and I became involved in the process of IM injections. I therefore researched the topic of IM injections and my knowledge within this area developed. The first stage of Gibbs (1988) model of reflection requires a description of events. I was asked to administer a drug to a patient via IM injection. I had observed this clinical skill on a variety of occasions and had previously administered an IM injection under supervision. On this occasion I...
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...Week 7 Assignment Gayla Jenkins: gayla.jenkins2@waldenu.edu Student ID # A00551485 Program: Ph.D. MGMT - Human Resource Management Introduction From small to large organizations, the functions of a human resource department are an essential piece in helping organize and manage the personnel that helps to keep an organization running. A Human resource department performs functions that encompass a variety of activities. Significantly influencing all areas of an organization such as Human Resource Planning, Recruitment, and Selection, conducting job analyses to establish the specific requirements of individual jobs within the organization, and forecasting the human resource requirements the organization needs to achieve its objectives just to name a few. In just recruiting alone the human resources department has a duty to also look at retention rates, complaints and terminations of employees which allow them to analyze as to what programs work and what do not. Human Resource Research utilizing human resource information database are able to conduct surveys, utilize questionnaires with direct and indirect control questions, or just take a show of hands to determined. If current systems work, what the employees want verses what the employer needs, and establish a system that will benefit not only the employer but also the employees. The examination of eight various articles will look at the various research methods that are used to manage human capital, how they work and...
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