...Historical Perspective Essay Rebecca Firmin NUR/518 May 21,2012 Vta Massey Historical Perspective Essay One significant event in nursing research which created greater awareness for the need of utilizing research in clinical practice was the establishment in 1986 of the National Center for Nursing Research by congressional mandate. A primary function of the Center for Nursing Research was promotion of research projects that related to patient care. In this period nurses began formal projects to help with research utilization in clinical practice to enhance patient outcomes. During this time factors outside of nursing helped shape nursing research also. A clinical learning strategy designed by McMaster Medical School in Canada called evidence-based medicine had a major effect on all health care professions and how physicians and nurses made clinical decisions. This learning strategy paved the way for nursing research to incorporate evidence-based practice into the daily clinical practices and enhance patient outcomes. Nursing research focused on improved patient-nurse relationships and improved patient outcomes, strategies that nurses could utilize at the bedside to enhance patient care. With use of this learning strategy nursing developed nursing strategies that were centered around nursing diagnosis and not on medical diagnosis to effect patient outcomes. Interventions that nursing could use that were nursing related and did not require a physician’s order to...
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...Manager position on the sub- acute unit of the Alaris Health is Nursing Home and Rehabilitation Center. The purpose of this memo is to provide the Nursing Administration department the necessary information to be communicated with the incumbent Nurse Manager. The Alaris Health is a 222-bed facility providing long term care to senior citizens, sub-acute services such as intravenous therapy, diabetic teaching, pain management, wound care, and comprehensive rehabilitation services to the patients recovering from surgery. The Alaris Health at is dedicated to our patients and embraces innovative nursing methods based on evidence in practice to improve the health care we provide. We believe in self-governance in our nursing staff. The Alaris Health nursing administration supports self-governance to foster excellence in nursing professionalism. The nursing administration includes a Director of Nursing, Chief Medical Officer, Assistant Director of Nursing, and an Administrator. The Director of Nursing Services serves as a guidance-mentor and provides support as needed to ensure accountability of nursing professionalism. We recognize all our nursing staff as key members to our success for improving patient outcomes. As a potential candidate for the position of Nurse Manager, the position includes focusing on sophisticated planning of care for patients in the sub-acute unit. The Nurse Manager along with our nursing teams promote staff preceptor-ships, and mentoring...
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...will be happy practicing and also enjoy doing every single task involve in the profession. This actually paved way for me because it made see realize the areas am going to be good at and well know the potentials I possess as an individual. This insight helped me to purse nursing career because I have seen myself possess most of the qualities of a nurse as per the definition of nursing. The definition of nursing by ANA is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and population. Differences in Competencies between AND and BSN Nurses The difference in competencies is that BSN prepared nurses possess high level of education in nursing which allows the opportunity to assume a position that involve the use of certain skills. These skills includes decision making skills, critical thinking, planning, implementation, intervention and evaluation in nursing.(Rosster, 2006 P.4). A BSN nurse having spent more years in nursing program has increased knowledge in all areas of studies including research in nursing, leadership and management. This acquired knowledge helps them...
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...expectations of leadership, universities expect faculty to demonstrate leadership in a scholarly manner. Scholarship is a fundamental expectation for anyone in an academic role. Scholarly leadership proceeds through the academic ranks of a university demonstrating evidence of effectiveness of teaching, research, professional activities, and community contributions. Boyer (1990) defines scholarship as “those actives that systematically advance the teaching and practice of nursing through rigorous inquiry that is significant to the profession is creative; can be documented; can be replicated or elaborated and can be peer-reviewed through various methods” (p. 129). Colleges and universities across the nation are striving to meet the challenges of a rapidly changing educational system and are reconsidering the role of the facility in an increasing complex learning environment. An important part of that role is the creation of scholarship pertinent to the discipline of an individual faculty member. Nursing brings together scientific investigation and application through professional services. Scholarship and service are priorities directly linked to the goals of the...
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...This will assist with better understanding what efforts are being taken within the contemporary healthcare system and by contemporary healthcare organizations in order to maximize the quality of care delivered to patients. The discussion within the essay will have three main parts. The first part will explain and analyze the significance of the topic under consideration here for clinical nursing practice. The second part will discuss information from the selected topic that can be applied in order to improve professional nursing practice and complex client care. The third part will evaluate the potential outcomes that may result from the application of the information from the topic to nursing practice. Before shifting into the body of the main discussion, though, it may be appropriate to discuss the AHRQ itself in greater detail. In the AHRQ's (2015a) own words, the organization's mission "is to produce evidence to make health care safer, higher quality, more accessible, equitable, affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used" (para. 3). The mission of the AHRQ is thus broadly congruent with the mission of the nursing profession as a whole, as expressed in the American Nurses Association's (2001) professional code of ethics. There is thus every reason to believe that by working in congruence with the initiatives taken by the...
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...Historical Perspective Historical Perspective Essay Leonie Taylor-Brown University of Phoenix Nur/518 Elizabeth Esterl August 19th ,2013 Florence Nightingale’s contribution to research and the development of nursing makes her undisputedly the mother of research, and evidence based nursing. There are several examples that show her evidence base framework, this essay will show her contribution to research and nursing development, and show the paradigm that Ms Nightingale hold. The science of nursing has evolved throughout the many decades since Florence Nightingale presented her first theory in 1859. She did not set out to write a theory but her work has influenced nursing practice for the past century and a half (George 2011).Her first focus and data collection was on the manipulation of the environment for the benefit of the patient, this focus continues through today with the prevention of hospital acquired infections such as Foley, CLABS, Pneumonia. With her research she was able to show data which corroborated that if certain environmental settings are not correct patients can have fatal outcomes as in the Crimean war and in the area of Maternal Mortality. Ms Nightingale documented her first concept of clean environment in her 1860 published notes. Through this work she laid the foundation for evidence based practice (Nightingale 1992). One of her most important contributions was to address the care from trained...
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...These changes have subsequently led to the emergence need of registered nurses having to work with personnel who will assist them in their work. Delegation of tasks is important so that the nurse can have more time to critically reason, plan and coordinate healthcare given to patients. The act of delegating is attributed to the fact that, as a registered nurse, one has greater knowledge and critical reasoning ability than the assistive personnel. As a result, the RN has the responsibility of delegating, assigning and supervising the assistive personnel. According to the NCBSN and the ANA, appropriate delegation of tasks can result in effective and safe nursing care (NCSBN & ANA, 2006). In the case study given, the recently graduated registered nurse (RN) is new in the field, thus does not have enough experience with regard to attending to six patients during the morning shift. Six patients are too many for the new RN thus, need for the UHCW. Delegation of duties as stated earlier on should be done so that the registered nurse gets enough time to complete tasks that require his or her specialized attention and knowledge. The reason why the RN has delegated the UHCW to assess the patients’ vital signs is so that he or she can do the final touches with regard to personal hygiene care. This reason is not professional enough in that the RN can use the help of the UHCW in completing the personal hygiene care process. The UHCW can gather up the dressing the used up dressing materials...
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...Title: Evidence Based Practice in Nursing Name Course Tutor April 20th, 2013 Introduction The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. It clearly elaborates on the meaning and definition of EBP as used by nurses as well as the importance of evidence based decision making as it relates to nursing care. It broadly examines the concept of EBP in nursing care and its relevance to nursing practice and to the delivery of quality patient care. Subsequently, the essay will also expound on the broad research methods that are used in evidence based nursing and conclusively show how this evidence can be applied in day to day health care practice. The Definition and Importance of EBP Evidence based practice in nursing has wide and varied definitions among the nurses in practice and in academic centres. However, the most generally accepted definition is the integration of the best research evidence with clinical expertise and patient values (Sacket et al., 2000). Van, Schoonhoven & Grol (2008 at p. 382) while citing Sacket et al., (2000), define evidence based nursing as the conscientious, explicit and judicious use of current best evidence available in making decisions that are pertinent to the care of individual patients. It is the optimal use of the available research evidence in nursing (Van, Schoonhoven & Grol, 2008). In other literature, evidence based practice (EBP), in nursing has been defined to mean the approach...
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...Invictus, directed by Clint Eastwood, is the true story based on the life of Nelson Mandela during the first year of his term as President of South Africa in 1995. This essay will focus on Invictus and critically analyse leadership knowledge, skills and behaviours displayed within the movie. The essay will use the transformational leadership theory to relate to these qualities and outline how they can influence culture within an organization. Further, the essay will highlight how the elements of leadership, including emotional intelligence, teamwork, communication, patient centered care, and education, impact on nurses and on patient outcomes. Invictus focuses on the captain of the Springboks South African rugby team, Francois Pienaar, and Nelson Mandela, who after serving a prison sentence from 1964-1990, was released from prison due to the fall of Apartheid, which eventually resulted in his election to the Presidency in 1994 (von Tunzelmann 2013). Apartheid, meaning ‘the state of being apart’, was a system of racial segregation in South Africa, enforced through legislation by the National Party governments, under which the rights, associations, and movements of the majority black natives were limited and Afrikaner minority rule was maintained (Merriam-Webster 2014). As the new President, it was evident that Mandela yearned for the people of South Africa to unite, rather than being divided into two groups, the Afrikaners and the black natives. Mandela believed that the country...
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...Historical Perspective Essay Mary Jane Bentulan NUR/518 October 8, 2012 Charlene Romer Historical Perspective Essay Nursing research influences the practice of nursing. From the works of Florence Nightingale where the focus of care was on the physical and mental well-being of the individual to today’s practice of nursing though evidenced-based practice. Nurses use research to find ways to improve patient care and have significantly increase patient health outcomes. This historical perspective essay will focus on the works of Jean Watson and how it has significantly influences the nursing profession. Jean Watson as a Theorist and Watson’s Paradigm Jean Watson developed the theory on human caring that focuses on the care towards the individual, families, and groups. Watson describes caring as a different way of being human and nursing is through helping an individual achieve a higher degree of harmony with the mind, body, and soul (Suliman, Welmann, Omer, & Thomas, 2009). The nurse goes beyond the physical assessment of the individual and into a deeper understanding of the individual’s perception of the situation. Nursing focuses on assisting and helping the individual achieve harmony with self through a transpersonal caring relationship. The theory provides balance through identifying and describing how nurses provide care, in a carative than curative orientation (Sitzman, 2007). The awareness of the interconnectedness of all beings by the nurse, provision of care...
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...Assessment task one This essay is about communication in health care system and illustrates about the belief of inter-professional practice, the roles and responsibilities of healthcare team members and the importance of inter professional communication in health care. Firstly, inter-professional practice has been discussed along with its significance for quality health outcomes. This is followed by the roles and responsibilities of a healthcare team member, which in this essay is a nurse. Lastly, the utilization of inter-professional communication has been described. Inter-professional practice in a healthcare setting refers to the relationship shared by the health professionals to get outcomes in the best interest of their patient as explained by my teacher. To provide a safe, caring and effective patient care the communication between health care members should also be effective and for this it is essential for them to understand communication concepts and techniques like, attending listening and probing (Berman, Kozier & Erb, 2012). The basic reason behind most of the medication errors, adverse reactions and near misses is due to inadequate communication between different health professionals be it oral or written, also the conclusion of many health care quality improvement investigations state that there is a lack of Inter-professional communication and hence suggest to improve it (Berman, Kozier & Erb, 2012). This collaboration between the professionals forms an...
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...Historical Perspective Essay 518 University of Phoenix December 16, 2012 Historical Perspective Essay The theory of adaption model developed over 40 years ago by nursing theorist Castilla Roy, is used in many fields of nursing especially areas of humanities and human science. Nursing theory provides the structural framework necessary for practice, and helps to further nursing knowledge providing an understanding of the scientific process, and the nurse’s role in the health care setting (Colley, 2003). According to Shosha and Kaladeh (2012) Roy’s model provided the nursing profession with a framework to help further model-based research with a methodological soundness not yet known to the profession. This short essay will explain why I believe that Roy’s early model of adaption has contributed to research and nursing development more than other theorists of her time and significantly helped to shaped nursing practice and the profession. Contribution to Research and Nursing Development From a historical perspective Roy’s Adaption Model (RAM) is one of the most useful conceptual frameworks backed by years of research that has guided nursing practice. According to Fawcett (2005) Roy’s model has provided the foundation for the survival of nursing practice and is used globally to further nursing research, practice, and education. RAM has helped to link the concept of the human element of response to stress and adaptation— that is an intricate part of...
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...INTRODUCTION This essay is all about discharge care planning and will be discussed in two parts, the first part will highlight patient profile, assessment and discharge care planning with evidence based rationale using a framework based on Roper- Logan-Tierney (2000) model of nursing which involve giving nursing care holistically by using 12 activities of living (AL) and also incorporate nursing process to carry out care plan in this essay, which are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, walking and playing, mobilising, sleeping expressing sexuality and dying. Also with the above mentioned framework, factors influencing the activities of living which include biological, psychological, socio-cultural, environmental and political economic will be considered. Also demonstration of how discharges are planned and problems identified will be discussed, which will involve members of the multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition. In this essay, issues on professional values according to Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008), which include consent, confidentiality, respect and dignity will be undertaking. For the...
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...In Australia, Evidence-based practice (EBP) has been educated as nursing pre-registration requirements for registration, since EBP is recognized as the gold standard for quality healthcare over the past decade (Linton & Prasun, 2013; Leung, Trevena & Waters, 2016). Every day, nurses need to make a huge amount of decisions about patients’ care and procedures. However, the Nursing and Midwifery Board of Australia (NMBA) publishes the Registered nurse standards for practice 1.1, which requires the registered nurse to access, analyse and use the EBP for safe quality practice (NMBA, 2016). This essay will discuss that nurses are expected to be at the forefront of implementing EBP into clinical practice. Furthermore, it will also discuss an opposing...
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...Historical Perspective Essay: Dorothea Orem Historical Perspective Essay: Dorothea Orem Introduction The foundation for the nursing profession that provides principles to generate knowledge defines nursing theory. Successful nurses must be rooted in theory and understand the philosophy that drives their actions. Dorothea Orem is a nurse with a vision that studied human behavior, with the core concept of self-care in the patient/nurse relationship. This paper seeks to explain Dorothea Orem’s Theory including the contribution of her research as it relates to nursing development and paradigms of nursing. Dorothea Orem Caring for one’s self, as Dorothea Orem believes, is the responsibility of each person. “Self care is a deliberate, learned action performed by a person who has the powers and developed capacities to regulate their own functions in order to contribute and maintain their personal well-being” (Seed & Torkelson, 2012, p. 394-395). Orem believes that the responsibility of care is the patient’s, although at times, nursing care will be necessary. “The goal of nursing practice is to assist patients to become adequately prepared to engage in their own care, and thus, have improved patient outcomes and a better quality of life” (Simmons, 2009, p. 419). Orem’s theory contains three different systems, or stages; wholly compensatory, partially compensatory, and educative stage. A person requiring complete assistance, such as being...
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