...| My Research Proposal | English 215 with Dorothy Hoerr | | Shaquinta Ford | 10/21/2013 | | For my persuasive paper due in English class, we were given a list of topics, to choose one to write about. The topic I choose was should laws governing nursing homes be changed? Working in a nursing home for the past three years, has influenced my thinking about them. As a result, from working in a health care facility, I’ve learned that the staff is unheard. Majority of Nursing Home Administrators don’t consider their staff’s ideas to improve their facility. Another reason I choose this topic is because many people forget that even though someone is in a nursing care facility, that doesn’t mean overlooking them. They still have a voice that should be heard and an opinion that should be considered. The quality of life through nursing homes should be improved by helping to turn a “disabled” into a “capability”. One of the things I will include in my paper will be some of the laws of nursing homes. In this paper, I will explain the meaning of my thesis. I intend to focus on one of the major goals of any nursing care facility, which is to rehabilite. In this paper I intend to show how this goal is sometimes not achieved, and ways it can be achieved. I also intend to write about several problems nursing homes face and ways to help solve them. The audience I will be writing for will be a mixed audience. Half of the audience will be people that already know about...
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...Running head: EDUCATION PREPARATION PAPER Education Preparation Paper Dimple Patel Grand Canyon University: NRS 430v August 19, 2012 Education Preparation Paper Teaching someone how to drive a car for the first time can be challenging because the driver has no knowledge about the rules of the roads and laws, but as the driver learns the rules and practices, then they become a safer driver (Hill, 2010). Similarly are the different levels of nursing. The new driver can be compared to the associate degree nurse (ADN) and as knowledge is mastered, the nurse continues to a baccalaureate degree (BSN) and then to an advanced practice degree (APN). The progression of academic experience promotes higher levels of patient care (Spencer, 2008). The purpose of this paper is to use scholarly research to discuss the difference in competencies between nurses prepared at the ADN level verses the BSN level, using a patient care situation to describe differences in approach to nursing care. First we will define the difference in competencies between an ADN, BSN, and APN. Differences in Competencies Educational levels in nursing hold different competencies. All nurses must pass a state board exam, regardless of their educational level, to enter the profession. There are four levels of nursing which include the ADN, BSN, APN, and clinical nurse leader (CNL). Although the CNL will not be discussed, the ADN, BSN, and APN will...
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...Sinclair, a tutor of Professional issues in nursing BN 511 at Sourther Institute of Technology. This report was assigned during orientation week in Fbruary 2015. The aim is to demonstrate that the author is compentant in research by, cdemonstrating the ability to use relevant search parameters in suitable databases. Identify and discuss the not only the methodology but the ethical and legal considerations relating to the said research topic . To understand key components of the research design and discuss the current and/or future implications on nursing practise. The report is to be submitted by 8th June 2015 no later than 1600hrs in assignment box C2-06 Database search procedure The course of action undertaken to find the research study ‘Older persons have ambivalent feelings about the use of monitoring technologies’ are as follows: The author logged onto the Mysit webpage located at web address https://student.sit.ac.nz/MySIT/pages/Home.aspx The author then selected the Study and Course Resources hyperlink on the on the web address https://student.sit.ac.nz/MySIT/pages/MyStudy.aspx t The author then found several further options. The option chosen was Health and Sport under the Online Data bases As the summative assessment required a research article that related to innovation, implementation or delivery of contemporary technology in nursing, the CINAHL (Nursing & Allied Health Index) was used. When the CINAHL (Nursing & Allied Health Index) t was chosen...
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...Implications of Qualitative Research Report Grand Canyon University NRS 433V: Introduction to Nursing Research February 27 2011 Critique of Qualitative Research Introduction Restraints are methods used in the medical field in an effort to restrict the movement of a patient in order to protect the safety of the patient, other patients, and caregivers. Since the onset of the use of restraints, this practice has been an ethical issue and topic for discussion. Further, it continues to be a concern in the health care industry because of the physical, emotional and psychological freedom involved. A study conducted by Hantikainen and Kappeli (2000) interviewed 20 skilled and untrained nursing staff from two nursing homes in a German speaking area in Switzerland. The authors concluded that there is no clear agreement on the definition of restraints and, as such, this lack of clarity translates to the nursing staff inconsistency and corresponding defensive behavior. Further, they felt the crucial component of establishing “restraint-free care” is nursing staff’s understanding of the impact of their personal perceptions of their thinking on their application of restraint policy. The intent of this qualitative research study was to discover nursing staff member’s perceptions on the use of restraints and how these insights affect their decisions at bedside (Hantikainen and Kappeli, 2000). This paper will review the above research article to critically analyze:...
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...Health Services Research r Health Research and Educational Trust DOI: 10.1111/j.1475-6773.2011.01274.x RESEARCH ARTICLE Staffing Ratios and Quality: An Analysis of Minimum Direct Care Staffing Requirements for Nursing Homes John R. Bowblis Objective. To study the impact of minimum direct care staffing (MDCS) requirements on nurse staffing levels, nurse skill mix, and quality. Data Sources. U.S. nursing home facility data from the Online Survey Certification and Reporting (OSCAR) System merged with MDCS requirements. Study Design. Facility-level outcomes of nurse staffing levels, nurse skill mix, and quality measures are regressed on the level of nurse staffing required by MDCS requirements in the prior year and other controls using fixed effect panel regression. Quality measures are care practices, resident outcomes, and regulatory deficiencies. Data Extraction Method. Analysis used all OSCAR surveys from 1999 to 2004, resulting in 17,552 unique facilities with a total of 94,371 survey observations. Principle Findings. The effect of MDCS requirements varied with reliance of the nursing home on Medicaid. Higher MDCS requirements increase nurse staffing levels, while their effect on nurse skill mix depends on the reliance of the nursing home on Medicaid. MDCS have mixed effects on care practices but are generally associated with improved resident outcomes and meeting regulatory standards. Conclusions. MDCS requirements change staffing levels and skill mix, improve certain aspects of...
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...Wesley D. Pointjour Final Research Paper: Telehealth In Nursing Homes Health Quality Management April 02, 2015 Introduction In many nursing home facilities, patient safety is little to non-existent and if they are, there displayed on a need be and not obliged basis. They are displayed case by case rather than nursing home protocol. Even with changes in regulations, reporting systems, and documentation over the past couple of years, the nursing home industry still has its share of problems. Patient safety is meant to provide patients freedom from healthcare associated preventable harm, meaning when things go right, nothing bad happens. Nursing home organizations have been constantly trying to improve their reputation and the way people view them, but how? Don’t patients make up a nursing home? What about their safety? Shouldn’t we start there? How do we make improvements? Telehealth, a new approach to improving patient safety in nursing homes, will use telecommunication technologies to deliver health related services and information that support patient care, administrative activities, and health education (Dixon, Hook, McGowan, 2008). In this paper I will explore the major benefits of Telehealth and how its implications can improve patient safety in nursing home care. What is Telehealth and why is it important? Telehealth is the means and methods to improving access to care and reducing healthcare associated costs. It is also a system that can be used for education...
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...JAN DISCUSSION PAPER JOURNAL OF ADVANCED NURSING The use of theory in qualitative approaches to research: application in end-of-life studies Hung-Lan Wu & Deborah L. Volker Accepted for publication 24 July 2009 Correspondence to D.L. Volker: e-mail: dvolker@mail.nur.utexas.edu Hung-Lan Wu PhD RN Nursing Instructor Meiho Institute of Technology, Pingtung, Taiwan Deborah L. Volker PhD RN AOCN Associate Professor The University of Texas at Austin School of Nursing, Austin, Texas, USA W U H . L . & V O L K E R D . L . ( 2 0 0 9 ) The use of theory in qualitative approaches to research: application in end-of-life studies. Journal of Advanced Nursing 65(12), 2719–2732. doi: 10.1111/j.1365-2648.2009.05157.x Abstract Title. The use of theory in qualitative approaches to research: application in end-of-life studies. Aim. This paper is a report of an analysis of the use of theory in qualitative approaches to research as exemplified in qualitative end-of-life studies. Background. Nurses researchers turn to theory to conceptualize research problems and guide investigations. However, researchers using qualitative approaches do not consistently articulate how theory has been applied, and no clear consensus exists regarding the appropriate application of theory in qualitative studies. A review of qualitative, end-of-life studies is used to illustrate application of theory to study design and findings. Data sources. A review of theoretical literature was carried out, focusing on definitions...
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...In: Other Topics Qualitative Research Study Running head: Qualitative Research Study Qualitative Research Study Grand Canyon University NRS433V 5/30/10 Qualitative Research Study Introduction The qualitative research study that I chose to critique is on infections related to Nursing home-acquired pneumonia. Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives. Soo Chan Carusone,1 Mark Loeb,1,2 and Lynne Lohfeld1,3 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada2Department of Pathology and Molecular Medicine, McMaster University, Canada 3Program for Educational Research and Development, McMaster University, Canada Corresponding author. Soo Chan Carusone: chansy@mcmaster.ca; Mark Loeb: loebm@mcmaster.ca; Lynne Lohfeld: lohfeld@mcmaster.ca Received September 19, 2005; Accepted January 23, 2006. Pneumonia is the inflammation of the lung parenchyma, build up fluid in the tissue of the lungs and then this infection spread in to whole body. The causes are mainly by Viruses, Bacteria, often caused by parasites or fungi. Pneumonia is the 5th leading cause of death in elderly. It may be unrecognized due to many factors such as it may be asymptomatic, or may be confused with other medical Pneumonia and other lower respiratory infections occur frequently among older adults residing in long-term care facilities...
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...who are aging at an increasing rate, it is likely that hospitals will experience a shortage in nursing. It is necessary to have ongoing education for nurses so that to make sure the currency of knowledge so that to enable evidence-based customer care. The education cost is high to both the individual and the organization; therefore, it should be cost effective, appropriate, and relevant (Jacob, & Cherry, 2005). Research indicates that education for nurses is not always planned and developed systematically, and it relies on the interest and assessment area of the nurse educators. According to this paper, it will aim at identifying, analyzing, and assessing the educational needs at LewisGale (LG), which is a long term care facility. This paper will help determine the educational needs that should be addressed and challenges that long term facilities are currently facing. Residential Care Residential care provides care in facilities also known as nursing homes. This is a place where people requiring continual nursing care with significant deficiencies with daily living activities. Residential care can be referred to as a place for individuals who do not require care at hospitals, but cannot be cared for in their own homes. The residential care is set up like a hospital with staff that provide medical care and also speech, physical, and occupational therapy. Skilled nurses and the nursing aides are available on 24-hours a day. In order to study the educational needs...
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...Running head: CONTINUUM OF CARE PAPER Continuum of Care Paper Patricia Alexander University of Phoenix Health Care Delivery in the U.S. 310 Michelle Crakes May 25, 2009 Continuum of Care Paper Long-Term Care Before we can discuss the roles of long-term care, we must define the meaning of long-term care. The purpose of this paper is to describe in detail the role long-term care plays in providing services and how long-term care contributes or lacks contribution to the overall management of health care resources. In addition to the above-mentioned topics, the transitioning of patients from one level of care to another level of care in the health care continuum will be discussed. What is Long-Term Care? What is long-term care? Long-term care is a variety of services that includes medical and non-medical care to people who have a chronic illness or disability. Long-term care helps meet health or personal needs. Most long-term care is to assist people with support services such as activities of daily living like dressing, bathing, and using the bathroom. Long-term care can be provided at home, in the community, in assisted living or in nursing homes. It is important to remember that you may need long-term care at any age according to (Medicare, 2009). Description of Services The purpose of long-term is to provide the most appropriate service in the least restrictive setting possible. Long-term care programs offer institutional services...
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...------------------------------------------------- Modern Management of Today’s Nursing Homes Connor Watson Sociology of Organizations 12/15/2015 Final Research Paper Introduction The Silver Tsunami is coming, and because of this, there will be more elderly people entering into nursing homes and the available labor force in the United States will decrease. This idea appear may be shocking to anyone reading this, but to me, it is incredibly important information because I want to be an Administrator of a nursing home myself one day. I decided that I wanted to study how these facilities operate, especially since I have not yet done my internship work and decided that this would be an excellent opportunity to take an early look inside the industry. I hope to discover through my research an answer to the question: “how have nursing homes adapted new technologies to minimize the costs and risks of day-to-day operations?”. For my research I used two theoretical frameworks that work together in many aspects. The first framework that I chose was Risk Management. I am interested in how nursing homes prevent risks and what they do in the case of accidents. I would argue that in these facilities, risk factors are everywhere; knowing how they control any situation that has a chance of putting the patient in harm’s way is very telling of how the industry is run. The other framework that I have incorporated is the development of technology in the nursing home. In an effort to deliver better care and services...
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...Holistic Nursing Journal of Holistic Nursing Florence Nightingale in Absentia: Nursing and the 1893 Columbian Exposition Barbara Appleton NRS-433V Introduction to Nursing Research 14-Nov-2011 November 21, 2011 Summary During the 1893 Colombian Exposition, nursing leaders worldwide were provided a podium to work together to organize and establish the globalization of nursing education and standardize the nursing curriculum to improve patient care worldwide. In collaboration and discussion on the evidence based practices of Florence Nightingale and on the current nursing developments and improvements of social, cultural, educational and scientific advancements in healthcare for the expansion of a more unified practice of the nursing profession nationally and internationally based on a theoretical path of deductive reasoning, a quantitative approach. American and European nursing leaders: Isabel Hampton (Robb), Lavinia Dock, Eva Lückes, and Ethel Bedford Fenwick (Crane 2010), were given the opportunity to influence and provide guidance to sanction the evolution of nursing education processes for the development toward the progression of second generation of nursing. As a result of this event, the nursing profession has become one of the most respected professions devoted to health promotion for the benefit of mankind. This paper will explore the development of how clinical expertise developed, and by what methodologies influence the development nursing education...
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...Concept Comparison and Analysis Across Nursing Theories Dana Montgomery NUR/513 Mary Nicks Abstract Define caring? Caring is a critical element of caring in the profession of nursing. It is the groundwork approach that is utilized in day to day practice. Many theories have been studied in regards to caring. For the purpose of this paper, I will be discussing Marilyn Ann Ray’s Theory of Bureaucratic Caring, Madeline Leininger’s Cultural Caring Theory, and Jean Watson’s Theory of Human Caring. The Theory of Bureaucratic caring was created for a more multifaceted institute while the Cultural Caring theory identifies the need for cultural awareness in caring. Theory of Caring describes caring in a more methodical approach. The meaning of caring respectively has similar qualities, but the approaches are entirely different. This paper will elucidate on these three theories of caring, compare and analyze their concept definitions, and apply a specific theory to practice. Caring is defined as feeling and displaying concern or empathy for others. Nursing has become more convoluted with advancing technology and continuous changes, it can be very challenging. For an individual to become an efficient nurse they must have a positive perception of what caring is as it has become a vital part of nursing. Concepts are essential to theory development and have often been referred to as the building blocks or structural components of theory (Chinn & Kramer 1999). As a core concept...
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...Abstract This paper will explore the long term care system in the United States focusing on the elderly. Understanding aging and the effects it shall have on the long term care industry is important for our society, as the numbers of the elderly are increasing. This paper shall also identify problems in the current long term care system that can cause risk to the elderly such as financial burdens and inadequate care. It will address the long term care professions and job opportunities available as well as give information needed for long term planning. Changes and needs to the long term care delivery systems will be addressed. In conclusion this paper will educate on the elderly needs for long term care and the best way to plan for their future. Long Term Care Systems in the United States When one contemplates the long term care system in the United States, the first thing one must do is understand the importance of aging. In the not so distant past, it was not uncommon for infants to die due to poor nutrition and infectious diseases, nor was the life span as high as it is today. The increasing number of elderly in our society, due to the “baby boomers and longer life spans,” and the changing patterns of activity among them, have led to new assumptions on how their needs and wishes govern the organization of long term health care. When thinking about long term care we must evaluate our rate of growth of the elderly. Statistics show that the population of 80 years or older...
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...Importance of Theory Paper Robert Costello Chamberlain College of Nursing NR501: Foundational Concepts and Applications March 2016 Importance of Theory Paper The nursing philosophy is a group of concepts that help provide a method for treating and caring for patients. Nursing theory also can be an instrument of effort that emphasizes scientific facts, it will also show the trends of views of the wellbeing -disease course of action and the practice of healing care. The different nursing theories that have been planned contain ways in which patients should be treated. Principles of nursing theories require the nurse to assess the patient and understanding how the patient will respond to the cost of his or her illness. Theory is defined as "a belief, policy, or procedure proposed or followed as the basis of action". Nursing theory is "an organized framework of concepts and purposes designed to guide the practice of nursing (Nursing Theory, 2015)". Nursing philosophy helps guide nurses in their everyday nursing routine to help give their patients the best quality care. The three types of nursing theories in nursing are, nursing practice, grand theory, and middle range theory. Research and Studies results show, that nurses who incorporate nursing theory in their practice, give the best care to their patients. I will explain how Orem’s nursing theory on self-care helps patients achieve the goal of taking care of themselves with the help and guidance of the nurse....
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