...On the 26th of May, I had the opportunity to observe a nurse working on the pediatric unit at the Sanford hospital. While there, I learned that patients come in all sorts of sizes, ages, and developmental levels. I also learned that families can be a true member of the care team, and also be more than just company for the patient. The biggest surprise was that all the cares and skills needed for working with adults could be altered just a tiny bit to fit the needs of smaller patients. 2. Patients I came into contact with several different children ranging in ages from a few weeks to young adult. The infant was being treated for Strep B. Two preschoolers were there, one being treated for lymphangitis, the other was being treated for a staph infection on his abdomen and legs. The school-aged child I saw was being treated for a paralytic ileus that was a result from surgery to remove her gallbladder. The teenager that I worked with was suffering from a brain injury caused by encephalitis. There were quite a few things that were different in the hospital concerning child development as compared to a clinic setting. The biggest one I noticed right away was the size of everything. Everything was smaller to match the size of the patient; the beds, pillows, some of the IV poles,...
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... The patient interaction that I wish to highlight from today was an IV placement/lab draw with an 8-year-old female who had leg swelling. When we (the RN, Caitlin, and myself) entered the room, we expected the patient to display age-appropriate fear and cope well with the procedure. Our assumptions were slightly off. Therefore, while I had various...
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...There are several factors to consider when operating a successful dental office. While certain details may differ from office to office, generally most if not all dental offices are relatively parallel. To understand the similarities and difference, an observation was conducted at two different dental offices; for the sake of confidentiality they will be known as ‘Office A’ and ‘Office B’. During the observation, four different priorities were noted for observation; office management, chairside assistant role, communication and teamwork, and lastly client rapport. Office Management is crucial to the operations of a dental office as it is the first point of contact with the patient. Office A handled their office activities well, when patients...
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...Evidence Based Practice Task 1 Western Governors University Evidence Based Practice and Applied Nursing Research The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk. Part A The article being analysed is: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal of Clinical Nursing, 22, 192-200. The analysis of the primary research report is done in the form of a graph (figure 1). Each of the four analysis areas is rated within a scale of 1-10; 1 denotes extremely weak while 10 denotes very strong. Table 1 then gives justifications for the rating by explaining why each area of analysis was rated that way in the analysis chart. [pic] Figure 1 Table 1 |A1 Article: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal | |of Clinical Nursing, 22, 192-200. | |A2 Background or introduction |The researchers provided an in depth introduction of the research topic outlining | | |important issues, previous research on the topic and their findings. The introduction | | ...
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...Protection Agency, 2009). Almost the same rate is listed for Germany, highlighting a clear need for decisive action. This research examines the main causes if HCAIs, and discusses the relationship between compliance with hand hygiene guidelines and stress among nursing professionals in one German hospital (Knoll, Lautenschlaeger, & Borneff-Lipp, 2010). This paper explores the factors associated with hand hygiene compliance of nurses during routine clinical practice. The purpose of this research was to clarify whether external factors such as ward capacity, or level of nursing intensity had an influence on nursing staff compliance with hand hygiene guidelines. The research questions in this study are; does hand hygiene between healthcare workers decrease healthcare associated infections (HCAIs)? Does exterior factors influence on nurses compliance with hand hygiene guidelines? The hypothesis of this study is; workload factors like maximum ward capacity, severity of patient cases, have an influence on nurse’s compliance with proper hand hygiene guidelines. Study Variables A total of nine variants were used in this paper. Records from the descriptive interviews were used as dependent variables. The ward-specific workloads considered on one side as the rate of used ward capacity, and on the other as the degree of nursing intensity which were distinct as independent variables. Conceptual Model\Theoretical Framework Acquiescence with good hygiene practice, depend...
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...350: Joane Moceri Should Children’s Ear Infections Be Treated With Antibiotics? There has been controversy about whether to treat children’s ear infections with antibiotics or just do an initial observation. Therefore, the issue to be analyzed in this paper is: Should children’s ear infections be treated with antibiotics? Terms & Definitions The purpose of this paper is to evaluate primary research articles by using methods of critical thinking and asking the right questions. This paper will discuss the treatment options for acute otitis media (ear infection) in children with either initial observation/watchful waiting (observing the child first before deciding to prescribe medications) or antibiotic treatment (form of medication usually prescribed to rid the body of infection). There are ten questions that I will be using from the book “Asking the Right Questions (ARQ)” by Browne and Keeley (2010), in order to do a critical analyses of six articles. For each question I will first present views from authors who are against the use of antibiotic treatment for acute otitis media (AOM). Then I will present views from authors who would rather treat acute otitis media with antibiotics. The first and main ARQ question that will be brought up and answered throughout this paper is, “What are the issues and the conclusions?” (Brown & Keeley, 2010, p. 10). There are two types of issues, descriptive or prescriptive, that could describe an article. An issue is how an article...
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...The article I chose explains the benefits of situation, background, assessment, and recommendations (SBAR) reporting. The report reflects information presented in the last 5 years to apply a structured layout for nurses to share information with physicians concerning care in a systematic view. (Cornell, Townsend-Gervis, Vardaman, & Yates, 2014). The theoretical framework is explanations on how the SBAR improves the communication process. In addition, the conceptual framework, shows a comparative study and how information and time was lost with shift to shift and during team rounding leading to the use of SBAR (Cornell, Townsend-Gervis, Vardaman, & Yates, 2014). In the literature review, it is often essential...
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...1 If a person is writing an academic discussion paper, quoting the book or author he is analyzing means he is using a primary source. On the other hand, if the writer is quoting or paraphrasing an opinion about the book or author from the source means he is using a secondary source. Depending on the type of essay, both primary and secondary sources are acceptable options of any writing. Applying the right type of sources is an important part of an essay to make your arguments more credible, understandable, and clear to the readers. Although primary sources are the first choices to make any paper more credible as well as stronger, using secondary sources in your paper would support the point which is made by the primary source. A primary...
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...Elements of Clinical Psychology Paper Leah Syberg PSY/480 October 5, 2015 Tara Thompson Introduction There are different approaches and disciplines in psychology (Plante, 2010). The different approaches have different understandings of how people develop cognitively, and how personality (including behavior) is formed. For example, some people can be treated sufficiently with pharmacology (medication), while others can benefit from a psychoanalytical approach to thinking and behavior (uncovering unconscious thoughts and feelings). In this way, each perspective and form of treatment has its own benefits. Clinical psychology, on the other hand, can use all perspectives and approaches (Plante, 2010). This is true because clinical psychology is an art- using all researches, methods, and approaches to define the problems a person can have. In addition to defining the problem, clinical psychology can offer different forms of treatment. For example, one person’s depression can be best treated with medication, and another person can benefit from cognitive-behavioral therapy. Also, people with multiple problems can benefit from the treatment of a clinical psychologist. This is true because the clinical psychologist can offer different forms of treatments for the many problems one person can face. This paper will discuss the field of clinical psychology, the history, research methods, and the differences in different fields of psychology. Clinical Psychology ...
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...fear in the presence of this animal. Many people live their entire lives with the fear of spiders. This paper will discuss how these people can learn through exposure therapy to extinct their fear of spiders. Personally I am not afraid of spiders; however, my four-year-old daughter screams and runs out of the room at the sight of a crawling spider. Although the spider she is afraid of is not harmful, her mom, as a precaution has taught her that spiders are bad. Additionally, I believe that others like my daughter have been taught by someone close to them at a young age to be fearful of spiders because they are poisonous, and unattractive. There is evidence that offspring of a phobic individual are at greater risk for developing the same specific phobia subtype because children tend to mirror their parents’ tendencies and fears King, Muris (2004). According to the DSM-IV-TR American Psychiatric Association DBM-IV-TR, (2000), a specific phobia is characterized by clinically significant anxiety provoked by exposure to a specific feared object or situation. Exposure to the feared stimulus invariably provokes an immediate anxiety response that may take the form of a panic attack. Because of the fear of the specific object or situation, people with specific phobias tend to exhibit avoidance behavior or endure situations with relative distress. Unfortunately, based on my observations of my daughter’s reaction to spiders and reading the DSM –IV I believe that she has this phobia. It...
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...Training and Development Paper Sharon Archard HCS/341 October 7, 2013 Denise Holcomb Training and Development Paper My paper will be about training and development in healthcare and why it is vital to have. I will also discuss the importance of measuring employee’s competencies and the process of tracking and evaluating training effectiveness. Training and development occurs in almost every company today. Both are very important to any business who wants to succeed. It is more vital to health care because we are dealing with people’s lives. Human resources in health care will have to deal with double-digit increase in hiring according to the U.S. Bureau of Labor Statistics in the coming years (R. Mayhew, 2013, para.1). The human resource staff have select between different types of providers, types of services, level of services provided by the facility and the kind of facility the human resource faculty works. When the need of recruitment and selection process begins, an employment specialist who knows how to understand descriptions of positions, specifications for the position, and the qualifications required. The global workforce struggles to keep up with hiring needs. Talented employees are in demand and the supply of this talent is scarce, so organizations are using strategies to train the workforce from within and recruit as much as possible to keep their competitive edge. Organizations are struggling to keep up with expanding needs. A recent study by a consulting...
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...word count: 1,913 XXXX-XXXXX XXXXXXXXX RECOGNIZING AND ACTING ON CLINICAL DETERIORATION Introduction Nursing has always been a profession that embraces diversity towards rendering holistic patient care. However, with the constant changes in nursing practice; patient safety has been at risk due to nurse’s competence towards detecting impending patient deterioration that may lead to further complications or even death. It is said that the most important practical lesson that can be given to nurses, is to teach them what to observe (Nightingale 1969). Having the ability to observe and interpret critical situations are the essential key features applied in clinical practice. Effective observation of ward patients is the first step in identifying the deteriorating patient and effectively managing their care (Odell, Victor & Oliver 2009, p. 1993). Studies have shown that poor vital sign recording, lack of knowledge, failure to respond to abnormal signs, lack of knowledge, lack of supervision and failure to report deterioration or seek advice, have all contributed to the suboptimal care of ward patients (Odell, Victor & Oliver, cited in McGloin et al. 1999; McQuilla et al. 1998; Smith & Wood 1998; Hodgetts et al. 2002, p. 1993). With constant observation established, patient safety is implemented and surveillance is then incorporated to be able to identify and prevent possible medical errors and adverse events that may be encountered. The purpose of surveillance is the early...
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...General Certificate of Education Advanced Subsidiary Examination June 2013 Sociology Unit 2 Tuesday 21 May 2013 9.00 am to 11.00 am SCLY2 For this paper you must have: an AQA 12-page answer book. Time allowed 2 hours Instructions Use black ink or black ball-point pen. Write the information required on the front of your answer book. The Examining Body for this paper is AQA. The Paper Reference is SCLY2. This paper is divided into two sections. Choose one section and answer all the questions in that section. Do not answer questions from more than one section. Do all rough work in your answer book. Cross through any work you do not want to be marked. Information The marks for questions are shown in brackets. The maximum mark for this paper is 90. Questions carrying 12 marks or more should be answered in continuous prose. In these questions you will be marked on your ability to: – use good English – organise information clearly – use specialist vocabulary where appropriate. A G/K92851/Jun13/SCLY2 6/6 SCLY2 2 Choose either Section A or Section B and answer all the questions in that section. Section A: Education with Research Methods You are advised to spend approximately 50 minutes on questions 0 1 0 6 to 0 4 . 9 . You are advised to spend approximately 30 minutes on question You are advised to spend approximately 40 minutes on questions 0 5 . to 0 Total for this section: 90 marks Education Read Item A below and answer questions...
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...This paper seeks to find out and elaborate the term Early Warning Scores (EWS) while also showing its vital role in early identification and quick treatment of a patient who is experiencing a fast deterioration of health. There are other diverse scores that are similar to the Early Warning Score (EWS). For example, there is the ‘Modified Early Warning Score’ and the ‘National Early Warning Score’. The above scores have different terms because they use different set of parameters and variables in measurement when compared to the EWS. This paper will focus on the use of EWS consistently and will only refer to measurements that fall under EWS. Literature mainly drawn from national policies and guidelines issued by bodies such as the National Institute of Clinical Excellence (NICE), National Confidential Inquiry into Patient Outcome and Death (NCEPOD), and National Patient Safety Agency (NPSA) reinforce our support of the use and efficacy of EWS. Through the use of literature derived from medical books nursing journal, medical journals, and other medical sources from the internet we will provide evidence on the efficacy and use of EWS. The objective will be to come up with a recommendation on the EWS that is derived from research. The first consideration when discussing critical care is to consider what it comprises of. Critical care is the direct delivery of medical-care to the patients that are acutely ill. While giving critical care it should be understood...
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...from the global healthcare perspective? In the healthcare arena, it is a legal, moral, and ethical term used to describe healthcare providers’ obligation to themselves, their patients, and to society as a whole. The nurse is an integral part of the healthcare team that contributes to accountability realm. How does this concept translate into everyday professional nursing practice? According to the American Nurses Association, “accountability means to be answerable to oneself and others for one’s own actions. The nurse acts under a code of ethical conduct that is grounded in moral fidelity and respect for the dignity, worth and self-determination of patients.” (p. 9). The ANA developed the Code of Ethics for Nurses as a tool or guideline for the nurse to “carry out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession” (ANA, n.d.). Nurses have a responsibility for the care they provide during their nursing practice. To whom is the professional nurse responsible and accountable? Nurses are accountable to the profession, their patients, their employers, and to themselves. Using evidence based practice encompasses all aspects of this obligation. This paper will explore this fundamental idea. Nurses have the responsibility to their patients to be clinically competent and provide safe nursing care to them. Nurses need to have a strong knowledge base to provide care in this ever...
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