... Chamberlain College of Nursing Instructor Marjorie McDonough Kim C. Gomez Spring B 2015 Introduction The use of high-fidelity simulators in nursing education has been around for a long time. Simulation is the art of science and the recreating of a scenario in to a setting that is not real is one that has been an important aspect of nursing for decades. Although the manikin Resusci Anne was introduced to modern nurses practicing cardio-pulmonary resuscitation (CPR), the Mr. Chase doll was initially used in 1911 for nurses to practice their skills (Burns, O’Donnell, & Artman, 2010). Computers and technology have become instrumental in the delivery of nursing education. The use of high fidelity simulators, promotes problem solving, critical thinking and communication skills development (Stokowski, 2013). As high fidelity simulation is emerging to address the 21st century, clinical education in nursing must be aligned with the current trends without compromising patient safety and curriculum. This technology of simulation will foster learning as a catalyst into the new era of learning and critical thinking needed for the evolving profession of nursing. Some debate has been raised over replacing clinical hours with high...
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...Senior housing options has become a controversial topic. Figuring out where grandparents and even great grandparents should reside could very well determine the rest of their lives. Options such as NORC societies, retirement homes, assisted living, and nursing homes can change. In most situations the elderly that would be in need of options like assisted living would be unable to take care of themselves. Still every option has its own set of flaws as well as its own set of benefits. The first option is living in a home owned by the senior. Most elderly...
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...Summary Introduction to Nursing Research Grand Canyon University Nurse to Patient Ratio 2 Abstract The healthcare industry stands in the face of many changes, one of which is the forecasted shortages of registered nurses in acute care settings. Unless action is taken and resolutions are not put in place evidence shows that this problem will only worsen in the coming years. Left unaddressed this shortage deprives the acute care patient of quality care, overburdens current staffing and detracts from the facilities overall performance. A further complication to the already strained workforce is the predicted retirement of the “ baby boomer” generation, which is forecast to increase the patient care needs at a rate that cannot be met by the current staffing levels. According to the “United States Registered Nurse report Card” issued by the American Association of Colleges of Nursing (2012) this shortage is predicted to spread across the United States through 2030. Nurse to Patient Ratio 3 Summary A quantitative approach to understanding this problem is the most appropriate choice to gather information such as low morale, increasing workload, high attrition levels and difficulty hiring replacement staff. The previously mentioned problems need to be understood and addressed to effectively solve the problem of attracting and retaining quality-nursing staff. Recent years have...
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...Virginia Henderson defined nursing as “primarily assisting the individual (sick or well) in performance of those activities contributing to health or its recovery (or to a peaceful death), that he would perform unaided if he had the unnecessary strength or will, or knowledge. It is likewise the unique contribution of nursing to help people be independent in such assistance as soon as possible “(as cited in Parker and Smith, 2010, pg 59) In the Spinal Cord injury and Disorder unit (SCID), the one major component that nurses strive to assist patient in managing is elimination of wastes, one of Virginia Henderson’s component in basic nursing care. The reason why elimination of wastes is one of the main components nursing care for spinal cord nurses is because bowel and bladder elimination may cause severe illnesses among the spinal injury population if proper management does not exist. One of the few major complications that many Spinal Injury patients face is the possibility of going into Autonomic Dysreflexia. Autonomic dysreflexia (AD) “is a potentially life threatening condition that can be considered a medical emergency. It mainly affects people with injuries at T6 or higher.AD requires quick and correct action. Serious AD can lead to a stroke. AD can be cause from variety of noxious stimulus such as but not limited to: Irritation of bladder wall, urinary tract infection, blocked catheter, overfilled collection bag, over-distended or irritated bowel, constipation/impaction...
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...Historical Development of Nursing Timeli ne Explain the historical development of nursing science by citing specific years, theories, theorist, and event in the history of nursing. 3 POINTS While it is known that the art of nursing has been around for thousands of years, the development of nursing as a science has not. The development of Nursing into a Science was driven by people believed in social reform. Nurses knew that they were providing duties that held the standards of professionalism. Nurses developed a concept that nursing practice should be based on which is person, health, environment and nurse. Next nurses developed the nursing process to guide nurses in practice. felt as though there were providing nurses who created theory from practice. Nurses who used their experience to solve problems in nursing practice. In the early mid twentieth century, around 1850 nurses decided to be recognized as a profession. To become a profession nurses had to be able to derive their knowledge base from science and learning. Nurses needed to express their ideas about the essence of their practice by developing a body of knowledge. Having a body of knowledge provided nursing with credibility from the medicine community. Credibility also provided nurses with trust from Medicine. In the early twentieth century femime values were low. Nurses wanted to define their practice. Nursing understood that their practice was unique and required research to support their theory. In...
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...A Day in the Life of an Elder in a Nursing Home Bailey A Walker Ivy Tech Community College Nursing homes and convalescent centers have often received a bad reputation throughout the years. Some of these negative stereotypes were perhaps well earned, even though they unfairly placed this negative light on well managed and caring nursing homes. This certainly is the case for Salem Crossing nursing home where I volunteered. During my time at Salem Crossing I was able to learn the types of people that resided there, the reasons they are there, as well as the daily routine that one goes through while living in a nursing home. There are many different groups of people who need the assistance of a nursing home. Elders that have to live their life in a nursing home are normally physically and mentally disabled people who need 24-hour care and cannot live on their own. They live in a home with around 100 other residents that have a variety of needs. Typically they eat all of their meals there while also participating in some forms of therapy and rehabilitation. Full time nurses are there to administer their medications daily. Most nursing homes are located in towns that have a hospital nearby in case of an emergency. According to Foundation Aiding the Elderly, “nearly 6 percent of older adults are living in a nursing home,” (History of Nursing Homes). There are different types of rooms and lengths of stays available for a nursing home and your medical needs. For instance, A Place...
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...Intro: What are Pressure Ulcers? Cayuga Medical Center’s Initiative Ideally, in modern medicine patients with wounds are bought to treatment facilities and when they leave they are healthier than when they came in. However, one problem threatens to change this. Pressure Ulcers, which form because of skin pressure reducing blood flow to an area of the body, have a habit of forming in patients with a variety of long-term problems as they are cared for in hospitals and nursing homes. The result of this is that in addition to whatever other problems a patient may have, the ulcer causes the skin and the tissue beneath the skin to die, and if the dead tissue is not quickly removed it can cause additional problems and pain for the patient. There are several factors that put one at risk of pressure ulcers, and these conditions are often difficult or impossible to treat. A typical pressure ulcer patient: suffers from mobility problems, is an older adult, has a spine or brain injury or disease such as multiple sclerosis, has a disease or condition that affect ones mental status, has fragile skin, has urinary incontinence or bowel incontinence or does not get enough nutrition. As most of these conditions are symptoms of old age or mental illness, these people will always be at risk of pressure ulcers, meaning the pressure ulcer prevention is there best chance of living comfortably. Pressure Ulcers can be treated but they are painful and if untreated they can result in death. They are...
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...reflective submission represents your nursing philosophy/belief.? My reflective submission signifies that a nurse is only a human being who cares for person to maintain his/her quality of life. However, it also represents essential responsibilities of nurse like assist the patient for their needs, educate the patient, promote health through caring and maintain quality of life. First and foremost problem is lacking of ideas for creativity to show on piece of paper. Nevertheless, another problem that encounters that I am not good at drawing on poster which makes this creative assignment harder for me. To overcome this I practiced lots of time and spend around five hours on just making sketch. Moreover, to gather more ideas I contacted my colleagues, friends and teachers. 3. Is there a role/place for creativity in nursing practice? Creativity plays an important role in in nursing practice it help to generate some new ideas and skills. Nurses those are creative in their practice accept the challenges very fast and handle them gently. Moreover, nurses are very busy sometimes due to workload and they often face some unexpected situations which really needs creativity for decision...
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... The nursing shortage has been around for the greater part of the 20th century, and now into the 21st century, and has placed the healthcare system under some significant strain The number of patients with age-related health needs are exploding, just as a large number of health professionals are retiring. Unmet health care needs are fast approaching. There simply are not enough health professional students "in the pipeline" to meet the oncoming demand for care. The result? An impending health workforce shortage of unprecedented proportions. Nurse leaders are challenged to identify creative solutions to the issue of nursing shortage. There are many contributions to the nursing shortage. In a sense, the nursing shortage is simply from the spread of nurses that lack skills that are needed for the growing population and individual patient care. The work that nurses are hired to do is not that well understood, even by educators that are members of today’s nursing society. There is a vast gap in what the public thinks skilled nurses actually do. This reason alone is one of the causes of the nursing shortage that is happening. The nursing shortage also includes: (1) poor working conditions, (2) inadequate resources for nursing research and education, (3) nursing workforce aging, (4) women having expanded career options, (5) nursing predominantly females, and (6) complexity of health care and technology. Another...
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...Nursing Home Crisis Many may not understand what goes on at a nursing home. They think that it is easy work just taking care of the basic needs of a resident. As for the time that I have been a nurse aide I have found how hard of work being a nurse aide is and how much many nursing home forget the importance of meeting the basic needs of their residents. You would think that this would be the most important aspect that all nursing homes must meet, but just like every other business a nursing home is also money base, it is not charity. Many times in this hard economy nursing homes have to make cuts, and unfortunately they are cutting all in the wrong places. Many times office jobs in the nursing home are the last to be cut and the nurse aides are the first to be cut, and the reason being is because many states do not have laws stating the aide to resident ratio. Today, a local nursing home has just got a new hope in recovering the problem of the loss of success that their nursing home has encountered. They have begun to cut nurse aides and have begun to run the halls short-handed, unfortunately their complaints have went up and their residents have become very unhappy. The nursing home has now decided to fire the current administrator and hire a new administrator in hope for new ideas and better success for their nursing home. Although the new administrator has many difficult problems to solve she has a lot of faith in recovering the problem the nursing home is now encountering...
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...Running head: ASSISTED LIVING OR NURSING HOME page # 1 Which is Best, Assisted Living Facility OR Nursing Home for Your Loved Ones? FreidaWeatherspoon Moody November 27, 2012 Columbia Southern University Professor Monica Saniz MBA 5652 Research Methods Introduction The improved life expectancy has given rise to a sizeable elderly population in all the developed societies of the world (Joseph, 2001).Today’s fast moving technological age has made time a scarce commodity, resulting in less care and time being devoted to the elderly members of the family. This has in turn created a host of problems for these senior members who includes but are not limited to loneliness, anxiety, depression and the resultant loss of self-confidence. Many families with aged parents or other relatives may at some point of time find themselves considering long term care solutions for their aging relatives such as nursing homes and assisted living facilities. The Assisted Living Federation of America defines Assisted Living as “ a combination of housing, personalized supportive services, and healthcare designed to meet the individual needs of persons who require help with the activities of daily living but who do not require the skilled medical care provided by a nursing home” (James, 2004). The daily activities for which people need help include eating, bathing, dressing, getting to and using bathroom, getting out of bed or chair and the activities which require...
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...cKie, David. (2007). Beaten down: Fear and violence in Canada's nursing homes. Retrieved May 1, 2009. The author of this article, David McKie a CBC crew member describes the situation of nursing homes in Canada. He talks about abuse from the staff and from the seniors. This article specifically refers to two examples in Canada of this abuse and it also states that about seventy percent of nursing homes are a dumping place for elderly who are “mentally unstable”. McKie states that it is difficult to know exactly what is going on in nursing homes because the staff are aware when a safety check is going to happen and can fix whatever is wrong before this time comes. The CBC crew is still attempting to get more information from nursing homes in Canada but at this time the information is being hidden from the public. This source will be extremely helpful in order to prove my hypothesis because my hypothesis states that the Canadian Government is not doing enough in senior homes. This article talks about the abuse in senior homes and this is one of the points that will be used in order to prove my hypothesis. It also specifically talks about Canadian senior homes and this is exactly what the focus of the hypothesis is. CBC News. (2000). Elderly abused in Quebec nursing homes. Retrieved May 1, 2009 from http://www.cbc.ca/canada/story/2000/03/08/elderly000308.html. This article reported by the CBC news looks at nursing homes specifically in Quebec from the year 1995 to 1999. The...
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...Nursing Shortage Abstract Healthcare industry in United States has always been passing with the issue of shortage of Healthcare professionals . Many of these positions are filled by professionals from different countries . Nursing shortage has been a huge concern since many years and expected to continue in coming years. In past years, country had been dependent on supply of nurses from several parts of the world but alarm had already rang and focuses are made to produce the required resources. In the following article we will discuss some key issues about the reasons of nursing shortage, some factors which could impact in scenario, some economic output of the issue, what policies were made in past and some solution for future are suggested to cope-up with this difficult situation . Key words : Nurses, Shortage, Supplies, Healthcare, resources . Overview In healthcare industry nurses are an integral part. In any care providing organization like Hospitals, Nursing facilities, assisted livings, senior care home etc . the caliber of nursing role is quite high. Appreciating the fact that nurses are most important professionals in patient’s care, the intensity of the issue of nursing ...
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...A Historical Perspective Abstract Since nursing has become an occupation, there have been many factors leading to the nursing shortages that have happened in the past and that are still occurring in the present. There hasn’t been a single deciding factor on why people are refusing to come into the field of nursing or leaving sooner than expected. But, what is known by all healthcare providers is that the shortage has a negative effect on many of the aspects of the healthcare setting and recruitment processes. To be able to fix this problem, education, healthcare system, policies, and image must change. The Historical Perspective Many external problems are helping cause the nursing shortages now, and have influenced past shortages as well. Since the 1800’s, many specialized practices have come into play (West,Griffith,Iphofen, 2007, p.124). For example, therapists, X-ray and lab technician, were all newly evolving, and were seen as skilled practitioners. Nursing was never seen as a highly proclaimed occupation, just another labored job. This was because it was viewed as a “women’s job”, and that most, if not all, of the nurses were female. During the nineteenth century, Florence Nightingale strongly proposed that education for nurses meant employing hospitals with a labor force that practiced under physicians. She believed this was the right thing, because it was based off of the preexisting relationships already in the institutional settings. But this created...
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...communication at its core. Virtually all nursing work revolves around the need for nurses to be effective communicators, whether relating to colleagues or with service users. (Morrall 2001). This essay seeks to discuss an evidence based experience learnt in clinical practice. For the purpose of this essay the author has chosen communication skills, since it is the basis for which verbal, non verbal and written ideas are conferred among the nursing staff. Some key policies and evidence taken from (research evidence or from this essay) will be identified and discussed. It also seeks to conclude with a general analysis from the overall main findings of this essay. The National Midwifery Council (NMC) (2008) state that nurses must take part in appropriate learning and practice activities that maintain and develop their competence and performance. As a nurse in training, I had been given the opportunity to complete a four weeks placement in a rehabilitation unit. The services provided included the admission of patients requiring rehabilitation therapy and specialist nursing attention. I was elected by my mentor to sit in their weekly review meeting consisting of the Multidisciplinary Team (MDT) in order to facilitate my learning objectives. As a student my role was to observe how the MDT addressed, planned and implemented patient care. This was necessary since nurses are required to maintain up-to-date and accurate records of assessments, risks and problems, care, arrangements for ongoing...
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