...RESEARCH DETAIL TITLE : Effectiveness and Appropriateness of Therapeutic Play Intervention in Preparing Children for Surgery: A Randomized Controlled Trial Study. RESEARCHER: 1. Cheung Li, PhD, is an Assistant Professor, Department of Nursing Studies, University of Hong Kong, Pokfulam, Hong Kong. 2. Violeta Lopez, PhD, is a Professor and Head of School, School of Nursing (NSW and ACT), Australian Catholic University, North Sydney, NSW, Australia. SUBMITTED DATE : January 25, 2007 ACCEPTED DATE FOR PUBLICATION : July 21, 2007 PUBLISHED DATE : April, 2008 JOURNAL : Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged...
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...Professional Learning Experience Proposal Proposed Criteria to Conduct a Research Study on Backfill Assisted Voiding Professional Socialization December 2, 2008 Title and Description a. Research Study for Backfill Assisted Voiding b. Backfill assisted voiding is a procedure that is performed in the post anesthesia care unit. An indwelling catheter is placed preoperatively in selected patients in order for the procedure to take place. The “bladder was filled retrograde with room temperature sterile normal saline”. (Foster, RT Sr., Borawski, KM, pg. 627). Retrograde filling was stopped when the woman had a strong urge to void. The catheter was removed and the patient voided. c. A cause for concern was initiated by the surgical outpatient unit because a MD is currently ordering the procedure on post-operative vaginal surgery patients with no standard practice. There is concern from members of the Nurse Practice Committee and Infection Control due to lack of evidence to support it and data to show the patient does not have negative consequences as a result of this procedure. Professional Outcome and Related Competency a. The outcome of this proposal is to articulate the contributions of professional nursing to health care via research by defining the boundaries of nursing while gathering, organizing, planning, problem solving and reviewing in order to format an acceptable policy and procedure for standards...
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...ASAN AUTISTIC SELF ADVOCACY NETWORK POLICY BRIEF • MARCH 2013 Organ Transplantation and People with I/DD: A Review of Research, Policy and Next Steps Ari Ne’eman, Autistic Self Advocacy Network Steven Kapp, University of California, Los Angeles Caroline Narby, Autistic Self Advocacy Network Introduction Since organ transplantation was introduced as a viable treatment option, people with disabilities have faced significant barriers to accessing the life-saving procedure. The Rehabilitation Act of 1973 prohibited discrimination on the basis of disability by entities receiving federal funds, and the Americans with Disabilities Act of 1990 extended this protection more broadly across other areas of society. However, it has historically been difficult to enforce federal civil rights law within the area of medical decision-making. Due to the lack of medical knowledge on the part of the average patient or family member, people with I/DD often face little recourse when denied transplantation or even referral for consideration for such a procedure. In the last twenty years, some progress has been made on this issue, yet the need for further action on the part of activists and policymakers remains exceptionally clear. Background … it has historically been difficult to enforce federal civil rights law within the area of medical decision-making. People with I/DD and Organ Transplantation: A History of Discrimination In 1995, Sandra Jensen, a 34-year...
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...NUR 159 Class Information and Procedures B-1 NUR 159 Class Information and Procedures NUR159ClassInformation 3/10/2014 NUR 159 Class Information and Procedures B-2 CLASSROOM BEHAVIOR Refer to Classroom Behavior in Student Nurses Handbook TESTING INFORMATION AND PROCEDURES 1. Silent Test Reviews: Silent test reviews will be conducted after each test. Refer to Test Security in Student Nurses Handbook for further information on test reviews. Students may also schedule individual test reviews with their seminar leader. 2. Test Make-up Policy: Refer to Test Security in Student Nurses Handbook for further information on test make-up. 3. Make-up of Final Exams: In the event that a student misses the final exam for the nursing course, the student will receive a grade of incomplete or “I” for the course. Refer to the Course Grades policy found in Student Nurses Handbook. 4. Collaborative or Group testing activity: An opportunity to add a maximum of two points to individual test scores may be earned through a group testing activity. Two points will be added to individual student scores if the group activity score is 91 and above. One point will be added to individual student scores if the group activity score is 81 through 90. No points will be added to individual student score if the group activity score is 80 and less. Group testing will be conducted as follows. a. After taking the exam, individual test scantrons will be collected. The students will keep the test booklet...
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...after surgery for breast cancer PMPS is different from other painful syndromes as it is typically localised to the anterior or lateral region of the thorax, auxiliary&/or medial upper arm, causing burning pain, shooting pain, pressure sensation or numbness”.[15-20]. This report analysed over 45 different journal articles that looked at the incidence of PMPS & treatment options [1,2,4-15,21-51]. The use of Gabapentin & Venlafaxine showed statistically significant data to warrant further consideration [1,2,8,11,1327,31,32,34,39,40,46,47,50,51] Gabapentin, initially used to treat seizure disorders[22,24,26] now it is commonly used to treat neuropathic pain [35,41] & has opioid sparing properties which makes it ideal in the postoperative setting39,52]. Venlafaxine, a serotonin...
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...nursing education to a broader population of students (Creasia 15). The Baccalaureate level program is typically four years in length and offered at Universities. Both AND and BSN graduates sit for the NCLEX-RN licensing exam. Both educational levels have similar passing rates as the NCLEX “tests for minimum technical competency for safe entry into basic nursing practice” (Creating a More Highly Qualified Nursing Workforce 2014). The American Association of Colleges of Nursing (AACN) believes education plays a significant role in the knowledge and competencies of the nurse. BSN programs encompass the same course work as the ADN program. Additionally, the BSN program provides a more in-depth study of physical and social sciences, nursing research, public and community health, nursing management, and the humanities. The AACN believes that BSN prepared students are more prepared to meet the demands of today’s nurse. That the additional education, above and beyond that which the ADN student receives, better...
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...Preoperative anxiety in children is very common. Many children would experience high levels of stress, fear and worry before going into a surgery and sometimes postoperatively. From recent studies it is said that up to more than half of children who are having some sort of surgery undergo extreme cases of nervousness, doubt and panic. This occurring prior to surgery may result in unhealthy and unpleasant attitude. (Fincher W, Shaw J & Ramelet A.S., 2011) As most patients would fear hospital situations that cause pain, it is the children’s area that would more common to experience such fear and worry, especially in preoperative cases. Children also experience having distressing attitudes and find that they feel discomfort and hurt postoperatively....
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...The Use of Non-Pharmacological Therapy in Children The Use of Non-Pharmacological Therapy in Children Children’s pain is multidimensional with psychological, physiological and behavioural domains, which presents unique challenges in the assessment and evaluation. These challenges require close consideration of the child’s age, prior pain experiences, developmental, cognitive and communication levels. As nurses are responsible in the assessment of children’s pain, it is appropriate to know all methods, and techniques of alleviating this uncomfortable stimuli, thus presenting the clinical question; in children, how can non-pharmacological (complementary/ alternative) methods be more beneficial in pain management compared to non-pharmacological/conventional medicines? The purpose of this paper is to explore how non-pharmacological methods can be useful in reducing pain. The different variations of non-pharmacological interventions, adverse effects of pharmacological medication, economic factors and knowledge deficits related to nurse education of pain management will be discussed below. Non-Pharmacological Techniques Non-pharmacological techniques, or complementary therapies are considered as any intervention used for pain alleviation that are non-analgesics or other kinds of medications and can be used with or without pharmacological aid. To better understand how many of these types of procedures are effective on a cellular level, we must look at “The Gate Control...
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...The quality improvement project I chose to critique focused on decreasing the occurrence of postoperative surgical site infections following a cesarean delivery. This project was initiated in August 2014 at the hospital in which I am employed. It was started in response to our elevated number of surgical site infections. The rates of surgical infections had been slowly increasing over the previous year but stayed below our benchmark of 1 out of every 100 procedures. When our infection rate rose to 3.32, it was clear that an intervention needed to occur and the quality improvement project was launched. During this quality improvement initiative, a bundle of recommendations was created to address several areas of concern in regards to infection...
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...Marijuana is one of the most discussed and controversial topics in the U.S today. Many say that it has medicinal benefits and should be made legal. While many say that it has a “high potential for abuse” (Medical) and should remain illegal. Among the arguments, proponents for medical marijuana have presented a stronger argument for legalization through their use of research and evidence. Opponents of medical marijuana have given many reasons for why it should not be legalized. One of the main reasons they argue is that “Marijuana smoke contains known carcinogens and produces dependency in users” (Medical). In many studies it has shown that it does have some harm such as the harms associated with smoking, but the National Academy of Science affirmed that “marijuana’s short term medical benefits outweigh any smoking-related harms for some patients”(Medical). Though marijuana has been proven to be damaging to the lungs than tobacco, a study in 2006 “found no evidence that marijuana smokers had higher rates of lung cancer” (Medical Marijuana). The FDA has tested the effectiveness of marijuana and has found that the cannabinoids are helpful in “treating pain associated with chemotherapy, postoperative recovery, and spinal cord injury, as well as neuropathic pain, which is often experienced by patients with metastatic cancer, multiple sclerosis,[and] diabetes” (Medical Marijuana). There is also no evidence shown that patients who use marijuana become addicted. Though the opposing...
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...contrast to his claim, no evidence was found of any placebo effect in any of the studies cited by him. There were many other factors that could account for the reported improvements in patients in these trials, but most likely there was no placebo effect whatsoever. False impressions of placebo effects can be produced in various ways. Spontaneous improvement, fluctuation of symptoms, regression to the mean, additional treatment, conditional switching of placebo treatment, scaling bias, irrelevant response variables, answers of politeness, experimental subordination, conditioned answers, neurotic or psychotic misjudgment, psychosomatic phenomena, misquotation, etc. These factors are still prevalent in modern placebo literature. The placebo topic seems to invite sloppy methodological thinking. Therefore awareness of Beecher’s mistakes and misinterpretations is essential for an appropriate interpretation of current placebo literature. j clin epidemiol 50;12:1311–1318, 1997. © 1997 Elsevier Science Inc. KEY WORDS. Placebo,...
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...patient was admitted on 10/21/11 with osteoarthritis and a left total knee replacement. Her PT and INR were a concern because she had developed mild thrombocytopenia which resulted in the elevation and potential bleeding. The physician had to take her off of Lovenox and switch her to an oral anti-coagulant Xarelto at 10mg once daily. During her care I was educated by the interdisciplinary teams managing mobility, safety, and the more modern approaches with a total knee replacement. The purpose of this clinical summary paper is to discuss managing mobility after a total knee replacement. REVIEW OF RELATED LITERATURE In seeking out information on this topic, I used the Amarillo College Library Network and CINAHL database on campus and opened as many articles that I believed would aid in my research. The words I used for searching were: TKR, total knee care, and managing total knee replacement. The contributing factors gave me the articles that related to my patient that I had cared for in clinicals. These searches took me to the information that I was in need of for my paper. Turner’s (2011) primary focus was about care prior to surgery, during, post-operatively, and nursing care. Although this article is a basic overview from preoperative care to discharge, her agenda is clear that importance of risk factors, assessments and labs should be monitored. The main emphasis of this article is to follow assessments and interventions post operatively. Starting with...
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...AN EFFECTIVE RESEARCH PROPOSAL The purpose of this handout is not to teach you how to design a research project. Rather it is to help you translate your research plans into an effective research proposal. A well-written proposal will ease the process of obtaining institutional and ethical approval and will increase your chances of obtaining funding for your project. The writing of this booklet was guided by our experience writing proposals but also on our experiences as reviewers on institutional and granting agency review panels. The booklet is designed for health sciences researchers conducting quantitative, clinical research. However, the general concepts are applicable to most areas of inquiry. Writing an Effective Research Proposal 2 ELEMENTS OF A RESEARCH PROPOSAL ∗ ∗ ∗ ∗ ∗ ∗ ∗ Title Abstract Study Problem Rationale/Relevance of the Project Literature Review Specific Study Objectives Research Methods I. Study design II. Subjects Inclusion/exclusion criteria Sampling Recruitment plans Method of assignment to study groups III. Data collection Variables: outcomes, predictors, confounders Measures/instruments Procedures IV. Intervention V. Statistical considerations Sample size Data analysis Ethical Considerations Consent form Privacy of information Work Plan Budget Research team Dissemination Plan 3 ∗ ∗ ∗ ∗ ∗ Writing an Effective Research Proposal KEYS TO SUCCESS TO WRITING A GOOD PROPOSAL Overall Quality of the Study ∗ Good research question ∗ Appropriate...
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...Critique of Article Related to Advocacy, Accountability, and Responsibility In 2011, the Virginia Commonwealth University Medical Center (VCUMC) conducted a study to see how they could prevent pressure ulcers in high-risk cardiac surgery patients. This article highlights unique strategies, practices, and research to assist health care providers with pressure ulcer prevention in critical care units and settings where critically ill patients are present. Prevention of ulcers can be a troublesome task for chronically ill cardiac patients. The VCUMC found it very important to assess for pressure ulcers more frequently than on a monthly basis. They created ingenuities to enhance the patient care experience related to pressure ulcer prevention. The nurse must redistribute pressure frequently in order to reduce the presence of pressure ulcers, especially in high-risk postoperative cardiac patients, because they may be more susceptible due to delayed sternal closure or “open chest.” The article suggests that in patients with “open chest”; the nurse should turn the patient very slowly every two hours to minimize hemodynamic changes. The nurse must be responsible enough to follow instructions and make sure the patient is being turned the correct way. It is vital that the nurse be accountable for his or her own actions if something goes wrong before, during, or after the turning period. The author of this article, Danielle Cooper, emphasizes the importance of turning patients every...
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...versus the baccalaureate-degree level, by using research from different nursing organizations found online. Also identifying a patient care situation in which I will describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse. Differences in competencies between ADN versus BSN In conducting the research for this paper I was a little biased in my opinions of this topic and had to keep an open mind. I am an associate-degree level nurse, and have been for six years. I feel that my experience has taught me a lot about critical thinking, and helping patients improve their outcomes. I felt pressure in to completing my baccalaureate-degree level of education before I felt that I was ready to complete the education. I now have a better understanding into baccalaureate education as being the accepted minimum requirement for nurses. Much research has been done, relating to BSN versus ADN nurses and better patient outcomes. In Grand Canyon University College of Nursing Philosophy, it states “Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching, and leading.” I feel that no matter what education level one has after nursing programs that this is a baseline for nurses. It was hard for me to see that nurses who graduate with their BSN were better at bedside care than one who has their ADN. Looking at the research, and numbers of studies done, I now have an open...
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