Tag: Clinical-Nursing

Patient Assessment – 63 year old female with a cystocele, and chief complaint urinary incontinence

For this assessment the patient will be a 63 year old female with a cystocele, and chief complaint urinary incontinence. The rest of the info can be made up such as medical history meds labs just make it believable to the pt age and diagnosis.

Comprehensive Patient Assessment

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When completing practicum requirements in clinical settings, you and your Preceptor might complete several patient assessments in the course of a day or even just a few hours. This schedule does not always allow for a thorough discussion or reflection on every patient you have seen. As a future advanced practice nurse, it is important that you take the time to reflect on a comprehensive patient assessment that includes everything from patient medical history to evaluations and follow-up care. For this Assignment, you begin to plan and write a comprehensive assessment paper that focuses on one female patient from your current practicum setting.

By Day 7 of Week 9

This Assignment is due. It is highly recommended that you begin planning and working on this Assignment as soon as it is viable.

To prepare

· Reflect on your Practicum Experience and select a female patient whom you have examined with the support and guidance of your Preceptor.

· Think about the details of the patient’s background, medical history, physical exam, labs and diagnostics, diagnosis, treatment and management plan, as well as education strategies and follow-up care.

To complete

Write an 8- to 10-page comprehensive paper that addresses the following:

· Age, race and ethnicity, and partner status of the patient

· Current health status, including chief concern or complaint of the patient

· Contraception method (if any)

· Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)

· Review of systems

· Physical exam

· Labs, tests, and other diagnostics

· Differential diagnoses

· Management plan, including diagnosis, treatment, patient education, and follow-up care

Dietary Guidelines Advisory Council – Nutrition Essay

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Americans have become dependent on fast food take outs, fast food cooking and quick meals. Unfortunately, most of those foods are high in saturated & trans-fat, sodium, and sugars. According the to the Dietary Guidelines Advisory Council “about half of all American adults—117 million individuals—have one or more preventable chronic diseases, many of which are related to poor quality eating patterns and physical inactivity” (Dietary Guidelines Advisory Council). The poor tend to fall in this category of eating habits more so then affluent areas because of cost. The Snap-Ed connection program is a great program to help teach h people on assistance to learn to stretch their dollar for healthier foods (USDA, 2017). To help Americans understand their health better some facts that should be included in the public nutrition program and education are first and foremost the educate people, make sure all the old nutrition learning tools have been updated and are using new methods like social media and larger nutrition writing on the package. Another way for better health is to teach patients or the public better eating habits. Helping them in learning quantity intake, meal prep size, saturated and trans fats, added sugars, sodium, and alcohol is important to know. Making sure they include fruits, variety of vegetables, fat free or low-fat dairy, grains, a variety of protein foods, and further knowledge on good and bad oils. Another point to add to the program is food prep, how to cook a meal. By giving the public a chance to learn how to learn to cook healthy and tasty meals can help them in daily life. Hands on experience is the best way to teach and to target young kids in school and make it mandatory learning per year to teach them healthier meals. Educators can teach the public what to eat and what is bad but by physically showing them and educating them with hands on all ways goes further.

Dietary Guidelines Advisory Council – Nutrition Essay

Nutrition, Exercise, Stress Management: Clinical Prevention Intervention and Evaluation Essay Discussion

Purpose: Discussion
class 505
.
Unit 7.

Things to remember:

Discussion post is at least 200 words.

Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

3 References, try to find resources that are 5 years or less

No errors with APA format 6thEdition

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To Discuss:

Topic 1:
Nutrition, Exercise, Stress Management: Clinical Prevention Intervention and Evaluation.

Read the required reading. You have a client from a vulnerable population, such as an economically disadvantaged and older adult, who needs to begin lifestyle changes with nutrition, exercise and stress management modifications. Discuss how you would approach nutrition, exercise and / or stress management counseling. Address food aid programs that would be appropriate for referral. What exercise recommendations would be appropriate for your client/s. Comment on stress management factors that may need addressed with your choice of the vulnerable population.

Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section.

This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion.

Please see the Writing Center located in the student portal for assistance with writing, APA, and online communication.

 

Required Reading – Nutrition, Exercise, Stress Management: Clinical Prevention Intervention and Evaluation Essay Discussion

In
Health Promotion Throughout the Lifespan in Nursing Practice
, read:

Chapter 11: “Nutrition Counseling for Health Promotion”

Chapter 12: “Exercise”

Chapter 13: “Stress Management”

Chapter 14: “Complementary and Alternative Strategies”

Ackley-Holbrook, E., Minsoo, K., & Morgan, D. W. (2016). Development and Evaluation of the Walk for Health Program: A Physical Activity Intervention for Adults with Visual Impairments. Journal Of Visual Impairment & Blindness, 110(2), 103-114.

Dietary Guidelines for Americans 2015-2020. (2015). Table of contents. Retrieved from
https://health.gov/dietaryguidelines/2015/guidelines/

Physical Activity Guidelines for Americans 2008. (2017). Index. Retrieved from
https://health.gov/paguidelines/guidelines/

Riemer, H. C., Mates, J., Ryan, L., & Schleder, B. J. (2015). Decreased stress level in nurses: A benefit of quiet time. 24(5), 396-402.

 

Course Web Resources – Nutrition, Exercise, Stress Management: Clinical Prevention Intervention and Evaluation Essay Discussion

Agency for Healthcare Research and Quality [AHRQ]. (2014). Guide to clinical preventive services. Retrieved from
https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/index.html

Centers for Disease control and Prevention [CDC]. (2014). Principles of epidemiology in public health practice. An Introduction to applied epidemiology and biostatistics. (3rd ed.). Glossary. Retrieved from
https://www.cdc.gov/OPHSS/CSELS/DSEPD/SS1978/Glossary.html

Department of Health and Human Services. (2014).
Leading health indicators
. Retrieved from
http://healthypeople.gov/2020/LHI/default.aspx

Healthy People 2020. (2016).
Topics and objective
Retrieved from
https://www.healthypeople.gov/2020/topics-objectives

 

Course PDF Web Resources

Centers for Disease Control and Prevention [CDC]. (2014). Principles of epidemiology in public health practice. An Introduction to applied epidemiology and biostatistics. (3rd ed.). Retrieved from
https://www.cdc.gov/ophss/csels/dsepd/ss1978/ss1978.pdf

Guide to Clinical Preventive Services. (2014). Recommendations of the US preventive task force. Retrieved from
https://archive.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide2012/guide-clinical-preventive-services.pdf

Nutrition, Exercise, Stress Management: Clinical Prevention Intervention and Evaluation Essay Discussion

PICOT Question and Evidence-Based Practices

Introduction

Normally, the PICOT format is helpful in formulation of questions in evidenced based clinical practices. PICOT generated questions generally fall under for main categories of clinical practices. These include; therapy, prevention, diagnosis, etiology as well as Prognosis. The essential elements in PICOT questions. The PICOT format is valuable in addressing research questions comprehensively (Riva, Malik, Burnie, Endicott, & Busse, 2012).

PICOT Question

In middle age male patients with prostate cancer
(P),
how does early diagnosis of the condition
(I)
compared to not being diagnosed earlier
(C)
influence the risk of complications in future treatments
(O)
during the advance stages of the condition
(T)?

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PICOT Question & Methodical principles

The five key elements are normally addressed including; population, intervention, comparison, outcome and time as well. Population provides descriptive information about patients or study subjects. The key information assessed include; disease, age, race, sex among other key characteristics). This is especially important in understanding the research subjects or patients (Melnyk & Fineout-Overholt , 2015).

Intervention and comparison as elements of PICOT questions. Intervention involves specific plans the researcher or clinician may want to do for the research subject and patients respectively. On the other hand, in comparison and outcome components of PICOT format, the clinician may look at alternatives to different treatments identified in the intervention section. Conversely, outcome section analyzes possible outcomes of the research studies after treatments have been administered to patients. Moreover, the research study or treatment program is likely to take form major component of the PICOT (Morley, 2009).

PICOT Question and Evidence-Based Practices

References

Melnyk, B. M., & Fineout-Overholt , E. (2015).
Evidence-based practice in nursing & healthcare: A guide to best practice.
Philadelphia, PA: Wolters Kluwer Health.

Morley, P. T. (2009). Evidence evaluation worksheets: the systematic reviews for the evidence evaluation process for the 2010 International Consensus on Resuscitation Science.
Resuscitation, 80
(7), 719-721. PICOT Question and Evidence-Based Practices

Riva, J. J., Malik, K. M., Burnie, S. J., Endicott, R. A., & Busse, W. J. (2012). What is your research question? An introduction to the PICOT format for clinicians.
The Journal of the Canadian Chiropractic Association, 56
(3), 167.

PICOT Question and Evidence-Based Practices

Sample community health project population focused healthcare essay paper

Week Four Community Project

Community assessment provides a deeper understanding of the needs within the community and data collection is a critical part of the process. The primary goal of data collection is to get usable information about the community and its health (Stanhope & Lancaster, 2010, p. 223). There are several ways to obtain the data of a community. The next several paragraphs will examine data collected through existing research using data points and development of a health survey of an aggregate population with asthma. Data collected from the literature and survey will help identify areas will support the planning for a community educational program.

Current Data

Once the target audience is identified a literary search was conducted in relation to childhood asthma and  current statistics within the state. Current statistics in relation to childhood asthma allows for the identification of specific and unique needs within the targeted community.  The purpose of the study was to understand particular patterns, problems, and possible strengths within the community.

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Data Points

According to
Healthy People 2020 (n.d.),
the presence of asthma in children continues to climb at alarming rates. The Centers for Disease Control (CDC) report that 9.4% of children under the age of 18 have asthma nationally. The current state statistics remain shockingly higher further supporting the need for greater community-based education. The table below compares national, state, and regional statistics broken down by sex and ethnicity.

Connecticut Asthma Data

National Asthma Data

Regional Asthma Data

13.2%  =  K-12

9.4%  =  K-12

9.0%  =  K-12

14.5%  =  Male

7.0%  =  Male

10.0%  =  Male

11.6%  =  Female

9.9%  =  Female

7.0%  =  Female

10.6%  =  White (non-Hispanic)

8.1%  =  White (non-Hispanic)

11.5%  =  White (non-Hispanic)

14.8%  =  Black

12.1%  =  Black

9.9%  =  Black

16.9%  =  Hispanic

7.3%  =  Hispanic

12%  =  Hispanic

Table 1. Current Asthma statistics from CDC 2010

After comparing existing data at the state and national levels, I decided to examine the current statistics in my community on a regional level. Ironically, the regional statistics were more closely related to the national rates reporting at approximately 9.0% in ages K-12.  However, on a state level the percentages remain higher overall. The first three questions in the survey tool will identify the age, sex, ethnicity, and the number of children with asthma in each home. The data will be compared with the current data points of the table above.

Aligning with the goals of
Healthy People 2020(n.d),
spreading awareness of a national asthma action plan initiatives remains the highest priority. To achieve the objectives and strategic alignment at a regional level more education needs to occur in schools, daycares, and throughout the community with parents and children. At the state level, only three out of four students have an asthma diagnosis on the health form with the nurse; only one in three have medications on file and only one of 20 children have an asthma action plan (Centers for disease Control and Prevention [CDC], 2011). Under the asthma history assessment section, several questions will explore the data points related to diagnosis, discussions and health information with the school nurse, and asthma action plans on file with the school nurse. Information at a regional level related to these specific state data points from the CDC was not available. This lack of information may indicate a data gap.

The Need for Additional Data

Based on the goals of my community education project I believe that a regional school wide survey would generate additional data and create awareness with parents in the community at the same time. The survey will be distributed in each school within the regional district.  Every student will receive a survey to bring home to parents. The purpose of the survey questions is  to identify students with asthma, assess current educational needs either strengths or weaknesses, explore the number of children who have missed school and needed emergent medical care and identify if they have ever received education from their provider about triggers or prevention. Some of the questions are specifically related to the objectives of
Healthy People 2020
for example; “has a school nurse or health professional (doctor or otherwise) spoke to you about an asthma action plan?” and “has a doctor or health professional provided you with education about asthma triggers?” Additional questions were added to explore personal curiosity about allergy related triggers and genetic predisposition. National data reported by the
Asthma and Allergy Foundation of America (n.d.),
reports that if a parent has asthma there will be a 30% chance the child will have asthma and the percentage jumps to 70% if both parents have asthma. The data collected from the survey answers will be shared with the regional health department for further comparison.

Conclusion

The information gathered from the surveys and the literature will be analyzed to set the goals and objectives for the community asthma program agenda. A future plan will focus on describing the aggregate information collected, identifying problems, and examining the needs for changes. Conducting a literature search is an excellent resource. Additionally, surveys may provide secondary analysis of reported data that can be used for a program to provide services that offer relevant education needs to the community.

 

 

 

CT Asthma Survey Tool

In an effort to collect the most accurate data on your children, please take care to answer each question. If a question does not apply use N/A in the space provided.  Please return this survey to school with your child as soon as possible. The school nurse will be collecting them over the next two weeks for review. Thank you for your time.

 

 

1.      How many children live in your home?

 

2.      What are the ages of the children living in your home?

 

3.      Please circle the sex of the children living in your home

   Male             Female

4.      What cultural ethnicity are you and your children?

    (W) = White (Non   

                Hispanic)  

     (B) = Black

     (H) = Hispanic                   

     (A)  = Asian

    (AI) = American   

                Indian  

     (X) = Other

5.      Do you or your children in your home have asthma? (If so, please list the individual’s name, gender and their relation to the family unit).

           Yes =      _________

                           _________

                           _________

           No   

6.      Does anyone in your home have environmental or food allergies? (If so please list what allergies).

Asthma History Assessment

Please complete the remainder of the survey if you have a child in your home with asthma.

* If you do not have a child in your home with asthma you may stop here.

                                                                

1.      Has your child or children ever been formally diagnosed with asthma by a physician? If so, at what age was the diagnosis made?
(Please specify who has the diagnosis).

 

Sample community health project population focused healthcare essay paper

2.      How long has it been since you last talked to a doctor or other health professional about asthma?  This could have been in a doctor’s office, the hospital, emergency room, urgent care center or clinic.

 
In the last month  ______         

 1-3 months           ______           

> than a year         ______

       3.   How would you describe your child or children’s asthma?

 

  Mild                    ______                                

  Moderate            ______                              

  Severe                 ______

4.       If your child or children take medication how frequently is

medication taken?
(Please specify)

 

  Daily                   ______                    

  As needed           ______                           

   Other                 ______                                 

       5.   Has your child or children had an asthma attack?

 

   Yes                    ______                                     

   No                     ______ 

6.   Has your child or children ever had an asthma attack at school

or daycare?

   Yes                    ______                                              

    No                     ______ 

7.      Have you ever spoken to your school nurse or daycare provider

about your child’s asthma?

    Yes                   ______                                    

    No                    ______ 

8.      Does your child or children have an asthma plan at school or

daycare?

    Yes                   ______                                        

    No                     ______ 

9.      Has a school nurse or health professional (doctor or otherwise)  spoke to you about an asthma plan?

    Yes                   ______                                     

    No                     ______

    Unsure              ______

10.  Has your child or children missed school or daycare because of

their asthma?

    Yes                   ______                                      

     No                    ______ 

11.   Has your child or children needed to go to the ER or urgent

care center for their asthma?

 

    Yes                   ______                                      

     No                    ______ 

       12.   Has your child or children ever needed to be hospitalized for their

asthma?

    Yes                   ______                                      

     No                    ______ 

13.   Does your child or children see a doctor for regular checkups

for their asthma?

    Yes                   ______                                      

     No                    ______ 

14.  Has a doctor or health professional spoken to you about how to   prevent asthma attacks?

    Yes                   ______                                     

    No                     ______

    Unsure             ______

15.  Has a doctor or health professional provided you with education about asthma triggers?

    Yes                   ______                                     

    No                     ______

    Unsure             ______

16.  Have you ever asked a health professional about how to prevent asthma attacks?

    Yes                   ______                                       

     No                    ______ 

Sample community health project population focused healthcare essay paper

 

 

 

References

Asthma and Allergy Foundations of America. (n.d.).
Asthma Facts and Figures
. Retrieved May 2, 2014  from: www.aafa.org.

Centers for disease Control and Prevention. (2011).
Vital Signs: Asthma Prevalence, Disease Characteristics, and Self-Management Education — United States, 2001—2010
. Retrieved May 2, 2014 from: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6017a4.htm

Stanhope, M., & Lancaster, J. (2010).
Foundations of Nursing in the Community: Community-oriented Practice.
(3rd ed.). St. Louis, MO: Mosby/Elsevier.

Sample community health project population focused healthcare essay paper

Free Nurses Shortage in the US Sample Essay

Abstract

The present shortage of registered nurses (RNs) has eased since the late 1990s. While much has been done to remedy the situation, a lot still needs to be done about employing more nurses and improving work conditions.  According to available statistics, earnings and employment for RNs immensely increased starting from 2002. Sixty-seven per cent of the increase emanated from  RNs, who had stayed in the field for some time. The remainder came from nurses who had been born in foreign countries. The hiring response old aged employees and expatriates shows how the labor market could respond to shortages in future (Buerhaus et al., 2013 p.192). Besides, it emphasizes the problems of facing policymakers as the RN personnel grows old and ultimately shrink in size. Reports indicate that novel nursing graduates are unable to get jobs, declining hospital RN job opportunities rates, among other issues. The reports suggest that present shortage of RNs could be ending, though. Does it mean that there are now significant changes regarding the nurse labor markets? Previous works analyzed earnings and employments trends of nursing staff.  The paper examines modern trends in RN earnings and employment and discusses what the trends imply regarding the present RN shortage and future implications of the issue.

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Background

Hospitals began experiencing the present shortage of nurses. Nevertheless, in contrast to the shortage that began in the 1990s, the shortage took a while to get resolved.  The shortage has lingered till to date. The shortage began as a result of workplace, social, economic, and demographic forces that accumulated in from the early 1990s. Since there was no source of the problems, there has never been a single solution. Hospitals, as well as other concerned parties, did develop some initiatives in reaction to triggers of the shortage of RNs. Hospitals began retention and recruitment programs; they used more traveling and temporary RNs to increase staffing levels, inflated float pools, and forged new relationships with home nursing facilitation programs. As a result, they employed more nurses, offered bonuses, and started taking viable initiatives to enhance working environments for nurses.

Education programs for nurses increased, funding for scholarships and grants increased. Even the minority groups and men were included (12% and 5.4% respectively (Buerhaus et al., 2013 p.193). The public sector has also been active. By 2012, 24 states had initiated workforce commissions for nurses, and another 24 started loan repayment initiatives. Mandatory overtime was scrapped off.  Congress also came in handy by expanding and revising Title VIII of the Public Health Services Act through the addition of provisions to expand career ladders, residencies and nurse internships. Hospitals were encouraged to develop best practices. Health care associations, as well as interested groups, developed significant initiatives to reduce present and likely future nursing shortage (Buerhaus et al., 2013 p.194)

Methodology

To ascertain whether any significant trends have materialized in the last few years, data from the Current Population Survey (CPS) was used to form and assess national estimates of yearly RN earnings and employment. The CPS offers a huge representative sample of nursing workforce for many years and has been used previously to assess nurse earnings and employment.  The US Bureau of Statistics administers the CPS every month. Researchers and the Labor Department to forecast present trends in earnings and employment also use it. It covers a countrywide representative data representing over 100,000 people. Monthly, researchers ask a quarter of the sample regarding present employment status, industry, occupation, hours worked and earnings. Free Nurses Shortage in the US Sample Essay.

The data offer many advantages compared to other data used to assess nursing workforce.  Particularly, CPS represents accurate sour of yearly data within reach of all nurses employed in hospitals and other places.  The data analyzed included everyone aged between 21 and 64. Those surveyed reported their careers as RNS between 2004 and 2012 (N-28,561). Hourly wage was calculated as the quotient of weekly earnings and weakly hours.  Due to inflation, wages were revised employing the Consumer Price Index for goods in metropolitan areas (CPI-U). Employment was estimated as fulltime equivalents. Full-time employment was defined as working for more than 30 hours in one week.  Due to large samples of data used, estimates had standard errors of at most 2%.

Findings and Discussion

Total hiring rate of RNS between 2004 and 2012 increased by about 17%. Although positive, the growth rate represented 50% of the value for the previous decade. RN employment was calculated by the Bureau of Health Professionals and was found to be 6% lower than requirements by 2000. As such, reports of shortage in the 2000s were constant with the slowdown in the rate of employment compared to a constant growth of demand for RNs. On the other hand, growth in inflation-adjusted RN earnings was fundamentally flat in 2011. Come 2012, though, actual earnings nearly increased by 5%. The sharp increase in earnings reflects the rise in demand for Registered Nurses that began between 2011 and 2012, together with rising collective bargaining actions as well as several labor strikes. Besides, between 2011 and 2012 earnings of RNs in hospitals increased (4.9%) (Buerhaus et al., 2013 p.195). This was 200% the rate of RN earnings in nonhospital institutions, suggesting that the increase in demand was specifically overwhelming in hospitals. Many reasons could explain the observation: Whereas no national statistics regarding utilization are available, hospital expenses increased in 2011 and 2012, suggesting that the need for hospitals services could have risen. It could also have been possible that hospitals hired extra RNs in reaction to media interest over findings showing a correlation between decreased nursing staffing and serious patient outcomes. Free Nurses Shortage in the US Sample Essay.

Correspondingly, hospitals could have foreseen the rising costs connected to decreased RN staffing, concerning the public image and the dollar. Such an observation could have manifested through long waiting hours, canceled or postponed surgery, delays in hospital discharges, and the failure to staff key services and programs.  The increase in demand for Registered Nurses in 2012 is pronounced when general trends in RN hiring are narrowed down into nonhospital and hospital settings. In each year between 2004 and 2012, RN hiring in hospital settings increased at an alarming rate than in hospital settings (Buerhaus et al., 2013 p.197). Nevertheless, the trend reversed from 2012, as comparable to previous trends from 2011. The addition of over 100,000 RNs in 2011 represented an increase of 9%. RN hiring is nonhospital environments decreased approximately by 1% in 2012.

Evidently, the rise in earnings in 2012 provided an economic spur for some Registered Nurses to reenter the labor market; others switched from part-time jobs to full-time, or they preferred to work overtime.  Extra significant changes besides wage increments had a great impact on many Registered Nurses in 2012 and were responsible for the notable improvement in hiring. This was a major shift from 2011 when the national economy nearly stalled.  Regrettably, data from the CPS do not provide information for identifying the subset of RNs born in other countries or those who graduated in nursing from countries besides the US (Buerhaus et al., 2013 p.196). The approximated number of expatriate RNs resulting from the CPS is almost 300% larger than approximated number of outside nurse graduates employed in the US retrieved from the National Survey of Registered Nurses. As such, employment growth in the group fails to reflect a rise in a number of expatriate nurse graduates employed in the US. Free Nurses Shortage in the US Sample Essay.

From the 2000s until 2011, hiring among RNs born in other countries rose by 6% every year, perhaps quicker than for indigenous RNs considered wholly. The rate of growth was also faster than the rate of other age groups examined. In 2012, hiring of foreign-born Registered nurses rose by 13.8% (or 35,523 RNs), almost as fast as the growth rate of domestic Registered Nurses aged beyond fifty. Further investigation indicates that 42% of the rise in foreign-born Registered Nurses took place among RNs entering the US after 2006 (Buerhaus et al., 2013 p.194). Collectively, RNs aged beyond fifty and RNs born in foreign countries practically explain all increases in RN hiring in both hospital and non-hospital settings in 2012. Again, the analysis of RN hiring growth by the status of marriage indicates that almost all the increase in RNs hiring between 2011 and 2012 happened among Registered Nurses who were married. Between 2004 and 2011, the yearly employment rate was somewhat lower among Registered Nurses who were married (2.2%). During the same period, however, hiring among RNs, who were married increased by more than 7%, while hiring among unmarried Registered Nurses increase by at most 1%. In fact, whereas married RNs contribute to about 70% of the labor force, they contributed to 94% of the rise in hiring between 2011 and 2012 (Buerhaus et al., 2013 p.198). Free Nurses Shortage in the US Sample Essay.

Conclusion

The nurse shortage witnessed in the recent past as well as the market response has significant implications for the future as far as hiring and retention of nurses are concerned.  Whereas the persistence of the present nursing shortage may rely on whether there is an improvement in the economy of whether unforeseen shocks in the healthcare sector exists, the current trends in Registered Nurses’ earnings and employment reflect significant fundamental forces that are likely to persist. Hiring and retaining nurses will require improved remuneration, bonuses and change in policies. Free Nurses Shortage in the US Sample Essay.

Free Nurses Shortage in the US Sample Essay

 

 

 

 

Reference

Buerhaus, P. I., Staiger, D. O., & Auerbach, D. I. (2013). Is the current shortage of hospital nurses ending? 
Health Affairs
, 
22
(6), 191-198. Retrieved from: 
http://content.healthaffairs.org/content/22/6/191.short.
 Free Nurses Shortage in the US Sample Essay.

Sample Concept Analysis Nursing Essay Paper

The Concept of Comfort and Care in a Nursing Home

This paper analyzes the concept of comfort and care in the context of Imperial Healthcare Rehabilitation and Nursing Center. This analysis will be useful not only to stakeholders of the nursing center but also for other participants in such establishments elsewhere. The main purpose of analyzing the concept of comfort and care in nursing practice is to create a better insight into the main purpose of nursing for the better understanding of the importance of optimizing for the residents, significant others, care givers, and policy makers. Nursing practice aims at optimizing the comfort of all clients through competent and appropriate nursing care. After all, nursing care involves the systematic assessment of the needs of clients for comfort, the formulation of support strategies to address the needs, and the reevaluation of the level of comfort after nursing interventions to determine the level of achievement of the goals of care (Tomey & Alligood, 2006).

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Moreover, being a complex term that serves as one of the distinguishing entities of the goals of the nursing care, comfort has not been adequately conceptualized, researched and surveyed in clinical settings over the years. Thus, analyzing the concept of comfort and nursing care is an invaluable contribution to the field of nursing education, practice, and management. This will be achieved through review of literature on comfort and nursing care, followed by a description of the critical attributes of the concept and the surrogate and relevant uses of the concept. Moreover, the antecedents and consequences of the concept are elaborated to arrive at the theoretical and working definitions of the concept. Finally, the relevance of the analysis of the concept of comfort and care to student development and the application of the concept in a model case are discussed before the paper is concluded.

Literature Review: Comfort and Nursing Care

Katherine Kolcaba premiered the theory of comfort in nursing care in the 1990s when she conceptualized comfort as comprising of the three forms namely relief, ease and transcendence (Kolcaba, 2003). While the relief aspect of comfort occurs through assistance with accomplishing the activities of daily living, ease ensues through resolution of the issues that cause anxiety leading to a feeling of contentment. As transcendence, an individual achieves comfort when they manage to overcome their challenges. To clarify the meaning of comfort, Seiferi (2002) analyzed the concept systematically as it appeared in journals, books, professional organizations’ statements, and electronic sources. His  conclusion was that in order to develop knowledge of nursing even further, clearer definition and meaning of comfort and the ability to apply the concept empirically in nursing care were necessary (Seiferi, 2002).

A look at the continuous evolution of the comfort concept in nursing care indicates that the adoption of theoretical concepts into patient care, as well as the tremendous educational advances in the entire healthcare industry, is significantly precipitated by the changing role of comfort with time (McLiveen & Morse, 1995). It is, however, sad to note that most nurses still feel inadequate in providing sufficient comfort especially when it comes to transcultural nursing. Curley (2007) emphasized this finding in his survey to assess the level of comfort provided by nursing students taking the baccalaureate program. The findings of this survey agree with those of previous researchers that nursing students are not equipped with the necessary experiences for the provision of transcultural nursing care and comfort to ethnically diverse clients (Curley, 2007). Sample concept analysis nursing essay paper.

With a view to develop the concept of holistic comfort in nursing care, Donna, Quinn & Schick (2004) observed that the actual model of the human press is like a framework relating comfort  to those interventions that enhance the comfort state and eventually lead to the subsequent desired outcomes. To this effect, Kolcaba developed a taxonomic research tool to formulate the pretests of comfort for nurses to apply in assessing the possible comfort needs of patients in order to develop their post-tests and interventions, and eventually assess their effectiveness. To achieve this, she derived three technical senses of comfort from the archaic and current lexical entries, analyzed the use of the comfort concept in historical and contemporary nursing literature, and explored theoretical support found in ergonomics and nursing disciplines (Kolcaba, 2003).

Kolcaba & Steiner (2000) outline that holistic comfort is a goal of nursing encompassing the physical, environmental, social, and psycho-spiritual elements of nursing care. Empirical studies such as that one conducted by Kolcaba & Steiner (2000) reveal that while comfort is sensitive to time changes, the proportions of trait characteristics and state in comfort are equal. The same study showed that wholesome comfort is more significant than the sum of its components. Individuals showed linearly increasing differences in comfort when exposed to effective interventions as compared to a control group (Kolcaba & Steiner, 2000). Moreover, Curley (2007) recognized comfort as a nursing modality, characterized by individualized holistic care. As a matter of fact, holistic care for every individual makes the delivery of health care even more efficient.

Critical Attributes of the Concept

A concept is characterized by critical attributes, which are qualities that distinguish it from other different or related concepts. The critical attributes of comfort and care are described here based on Kolcaba’s comfort theory. Kolcaba’s conceptualization of comfort interventions, as stipulated in her book,
Comfort theory and practice: A vision for holistic health care and research,
directs the formulation of the critical attributes of the concept of comfort as described below:

Comfort is technical in those aspects of managing pain and maintaining homeostasis. These include such things as observation and monitoring of vital signs as well as laboratory tests results.

Technical comfort also includes the administration of medications for the patient’s restoration or maintenance of physical comfort, and for the prevention of complications.

Comfort through coaching comprises of interventions for relieving anxiety, providing information and assurance, instilling hope, listening and helping in making realistic plans for recovery, re-integration, or peaceful comfortable death in a manner that is culturally sensitive. Coaching needs proper timing in capturing the patient’s readiness to agree with the new ideas presented to them. Sample concept analysis nursing essay paper.

There also exists the need of caring for soul of the client. To achieve this, interventions entailing the basic old-fashioned nursing care that is not quite expected but welcome among people today are necessary.

These interventions of comfort, just like the food that people eat, strengthen patients in a tangible and personalized manner. Interventions of comfort food transcend through memorable connections as the nurse interacts with the client.

Suggestions for comfort food include such things as massage, music therapy, guided imagery, reminiscence, environmental adaptations enhancing tranquility and peace, and hand-holding. It is these interventions that strengthen the patient for demanding tasks.

Surrogate and Relevant Uses of the Concept

The concept of comfort applies in all the steps of the nursing process – assessment, diagnosis, planning, interventions, and evaluation. Assessment of the level of the health status of an individual shows clearly in their level of physical, psycho-spiritual, sociocultural, and environmental comfort as apparent at the time of assessment. Diagnosis involves assessing the level of comfort of the patient in accordance with the standard nursing diagnoses preferably based on Gordon’s eleven functional health patterns. The planning of nursing care aims at designing a schedule and methodology of are that will maximize the comfort of the client. Lastly, the care provided is evaluated against the expected standards of comfort. This helps to determine the level of comfort that is achieved.

Antecedents and Consequences of the Concept

In order to demonstrate those actions necessary for an individual’s level of comfort to be impaired (the Antecedents), and the outcomes of the interventions that implemented to enhance comfort (the Consequences), it is appropriate to utilize the tabular format below to elaborate these phenomena. The information contained in the table comes from Lawton’s conceptualization of the conditions for and outcomes of comfort in nursing care (Lawton, 2000).

Antecedents that Cause Loss of Comfort

Consequences of Comforting Intervention

Disease processes

Physical incapacitations

Experiencing pain most of the time

Achieving pain relief through better management of pain

Self-Esteem

Having difficulty adjusting to changes

Being overly afraid

Feeling relaxed, having faith in God, and feeling relaxed

Positioning

Unsuitable chairs, benches and wheel chairs

Sitting for too long

Sliding down in the class

Unfavorable position in bed

Clients adjusted to the, sitting correctly

Individual adjustments and movement on a chair

Going to bed when advised

 

Attitudes and Approaches of Staff

Lack of and inaccessibility of understanding and caring staff

Fragmented nursing care

Understanding and caring nursing staff show empathy and intervene with care, thus strengthening the patients

Patients are encouraged to help themselves

Continuity of staff leads to continuity and effectiveness of nursing care

Hospital Life

Tolerating the new system takes time leading to boredom and idleness

Lack of adequate privacy inhibits comfort

The atmosphere during mealtimes is unfriendly

Patients eventually regard the health centers like their usual home

Social and family contacts are established

Occupational and physical delivery  therapy

 

 

 

Theoretical Definition of the Concept

Borrowing from Kolcaba’s description of comfort, comfort is the desired experience in a patient of being empowered and strengthened by fulfillment of the needs for ease, relief, and transcendence in all the four spheres of life – the physical, environmental, sociocultural, and psycho-spiritual aspects of human life.

Working/Operational Definition of the Concept

The concept of care in an operational context refers to the design, implementation and evaluation of nursing care interventions done for residents in a health care facility such as Imperial Health Nursing Rehabilitation Center. These clients are cared for in consideration of all the needs in their lives; these are the physical, environmental, sociocultural and psycho-spiritual aspects of human needs. Sample concept analysis nursing essay paper.

Application of the Concept in a Model Case and the Value of Concept Analysis to Student Development

To clarify the relevance of this concept, the importance of comfort and care is illustrated here in a model case at the Imperial Health Nursing and Rehabilitation Center. The model case is that of Ann who is a resident of this hospice. The primary nurse assigned to care for Ann has been a valuable partner in care. The nurse involves herself with commitment and dedication to optimizing Ann’s comfort and happiness. The nurse assists the client to participate in all aspects of her care while ensuring that she is comfortable at all times. The nurse achieves maximum comfort for Ann by discussing and planning the care with her in order to involve her fully and gain her trust and respect. Thus, this model demonstrates maximization of the comfort of a client through participatory nursing care that emphasizes collaborative assessment, planning of care, formulation of expected outcomes, implementation of the care plans, as well as evaluation of the outcomes of care.

From the analysis of the concept of comfort and nursing care in this work, it is evident that the main purpose of setting up and running a nursing center is optimizing the comfort of residents. This is in line with the goal of therapeutic nursing, which is to provide care and optimize comfort in clients. The clients in nursing homes have myriad comfort needs in their physical, environmental, sociocultural and psycho-spiritual spheres of life. The model of comfort and nursing care is, therefore, the most relevant in the settings of nursing homes and rehabilitation centers given that the nurses are the health care professionals who interact with clients in the closest manner and spend the longest time with them (Maria & Paula, 2007). From this, students are able to conceptualize the entire aspect of comfort in its wholeness. They also learn the necessity of presence and individual attention in providing care and comfort to patients.

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Conclusion

The content of this paper demonstrates the importance of focusing the care of residents in nursing homes and rehabilitation centers on their overall comfort. By recognizing the vital and universal need for comfort among all humans, stakeholders of nursing homes and other health care facilities can now prioritize the services provided in their institutions to optimization of the residents’ comfort. Maximization of comfort is achieved through collaborative management by the health care team of professionals. Each member of this team has his/her roles in caring for the clients well stipulated (Hardin & Hussey, 2003).

It is also beneficial to involve the client’s significant others in their care during their stay in the nursing center. This is because involving relatives and friends also contributes to the well-being and comfort of the client especially in the area of sociocultural comfort. It is indispensable that comfort strengthens the patient and enhances the process of recovery from their ill conditions. Thus, it is critical to note that care should be provided in an empathetic and caring way. Therefore, this work also serves to inform policy-makers and financiers of the health industry to give the deserved attention to maximization of comfort of clients. Another valuable implication of the concept in this paper is the discovery that nursing interventions without understanding and comforting service are not likely to enhance the comfort of clients at any moment. In essence, provision of care and comfort is a process and an outcome, as well as a science and an art.

References

Bilger, M. (2009).
America’s guide to the nursing home experience
. New York, NY: Xlibris Corporation.

Curley, M. (2007).
Synergy : The unique relationship between nurses and patients.
Indianapolis: American Association of Critical-Care Nurses. Sample concept analysis nursing essay paper.

DeFazio, M., Quinn, D. & Schick, L. (2004).
Perianesthesia nursing core curriculum: Preoperative, phase I and phase II PACU nursing
. Philadelphia, PA: Elsevier Health Sciences.

Hardin, S. & Hussey, L. (2003).
The AACN synergy model for patient care.
Columbia: InnoVision Group.

Imperial Health Care. (2011).
NJ Rehabilitation Center and Nursing Centre
. Retrieved on June 14, 2011, from
http://imperialhealthcarenj.com/index.htm

Kolcaba, K. & Steiner, R. (2000). Empirical evidence for the nature of holistic comfort.
Journal of Holistic Nursing, 18(1),
46-62.

Kolcaba, K. (2003).
Comfort theory and practice: A vision for holistic health care and research.
New York, NY: Springer Publishing Company. Sample concept analysis nursing essay paper.

Lawton, L. (2000).
Annual review of gerontology and geriatrics, Volume 20, 2000.
New York, NY: Springer Publishing Company.

Maria, M. & Paula, D. (2007).
The comfort of home: A complete guide for caregivers
. Sudbury, MA: Care Trust Publishers.

McLiveen, K. H. & Morse, J. M. (1995). The role of comfort in nursing care.
Clinical Nursing Research 4
, 121-148.

Seiferi, S. D. (2002).
Partners in caring and community: A team approach to service learning in nursing education
. San Francisco, CA: Community-Campus Partnerships for Health.

Tomey, A. M. & Alligood, M. R. (2006).
Nursing theorists and their work
. Philadelphia, PA: Elsevier Health Sciences.

Sample concept analysis nursing essay paper.

Business Plan Essay assignment paper and guide

Sample Evidence-Based Nursing and Research in Global Health Care Essay Paper

Evidence Based Practice in Nursing

Abstract

This is a research paper that seeks to discuss the aspects of the importance and significance of both the research and the evidence based practice within the nursing profession and tries to give the similarities and the differences between the two important aspects in the hospital setting. The aspect of evidence based practice in the nursing field traces it roots to the Magnet recognition Program (MRP) by the ANCC. This program requires the hospitals to ensure that they have the evidence based practice that is strongly embedded in the main culture and practices in the organization. Evidence based practice is significant in that it gives the nurses the opportunity to understand that the evidence based practice mainly deals with the in depth analysis of the research findings with an aim of improving the quality of the previous researches in a bid to try and attain the best practices in the entire program.

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Introduction

This paper seeks to discuss the issues that are linked to the evidence based practice in the nursing profession. It will try to give the differences and similarities between the evidence based practice and the actual research in the nursing profession. The aspect of evidence based practice in the nursing field traces its roots in the Magnet recognition Program (MRP) by the ANCC (Melnyk, Gallagher‐Ford, Long & Fineout‐Overholt, 2014). This program requires the hospitals to ensure that they have the evidence based practice that is strongly embedded in the main culture and practices in the organization.

Part A: Significance of Evidence Based Practice in the Nursing Profession

The development on the evidence based practice within the nursing profession would be very significant to the development of the major skills that are required by the nurses as a way of helping to attain the best service delivery to the patients in the health care facility therein. This practice will be important in helping the nurses to deliberate and fully understand the differences between the evidence based practice and the aspects of research in the field of nursing (Chan, 2014). It thus, gives the nurses the opportunity to understand that the evidence based practice mainly deals with the in depth analysis of the research findings with an aim of improving the quality of the previous researches in a bid to try and attain the best practices in the entire program. Sample Evidence-Based Nursing and Research in Global Health Care Essay Paper. Sample Evidence-Based Nursing and Research in Global Health Care Essay Paper.

Part B: Importance of Research Methods to the Nurses in the Implementation of the Evidence Based Practice

The research methods in the actual research project are considered to be a fundamental requirement in the development and culturing the spirit of evidence based practice in the nursing practice. This is because the two go hand in hand as a way of achieving the best practices in the field of nursing (Sarah, 2013). Research methods will equip the nurses with the opportunity to achieve the best expert opinions in the channels of improving the entire program in one way or the other. The identification of this difference may be a daunting task to the staff in the nursing department and this may lead to confusion when delivering the quality services to the patients. It is important to understand that the evidence based practice would be important in the bridging the gap between the research that has been conducted and the actual practice in the same field (Sarah, 2013). It will be important in challenging the nurses in order to look deeper into the reasons behind the methodology employed in most diagnostic and treatments remedies in the hospital setting.

With the research methodologies, the health institutions clearly demonstrates that the nurses within their premises make good use and evaluate the published research in all the aspects that are needed for the operational and clinical approach in a much wider perspective. This program expects the nurses to conduct projects on research and use the knowledge obtained from these avenues in trying to sensitize others within and without the health institution (Sarah, 2013). In order for the hospitals to make good use of the document, it is important for the stakeholders and the policy implementing officers to put into consideration the differences that exist between the evidence based practice and the actual research process. This would be significant in the understanding of the requirements of both cases in the health care setting.

Part C: How Nurses Utilize Evidence-Based Practice Around the World

Evidence-based practice has become a very common practice in the field of nursing. In addition, it has been observed as a prominent issue of concern in global health. It also considers the need for quality improvement in order to create an environment for the evolution of evidence-based health care (Brown, 2014). The advantages of evidence based practice is that the healthcare end results are primarily the policy imperatives surrounding the nursing or clinical guideline development (Barker, 2014). It also entails research agendas that emphasize on intervention, as well as, problem solving curricula. Consequently, the recommendation that the nursing fraternity lead an inter-professional team in improving service delivery system in the global health care provision creates attention of the need for urgent and newer competencies past this evidence-based practice, which is regarded as a necessity for the nurses to make efforts to change global health care (Gerrish & Clayton, 2004). Furthermore, such competencies emphasize on knowledge utilization in clinical decision making, as well as, producing proofs on various interventions promote the uptake and use nurses. Sample Evidence-Based Nursing and Research in Global Health Care Essay Paper.

Evidence-based practice focuses on channeling the current knowledge into the common healthcare provision decisions, which may improve healthcare processes, as well as, patient outcomes. As a result, evidence-based practice is considered to hold a major promise for directing global health care delivery to higher levels of likelihood, which are intended to produce the anticipated healthcare outcome. Thus, the definition of quality care provision is the guiding principle of evidence-based practice in global health. For evidence-based practice to be successfully adopted and implements, nurses as well as, other health care practitioners should recognize and understand that it must be deployed by each caregiver or health practitioners, as well as, policy makers (Brown, 2014). However, there are still fundamental advances that requires to do much in order to achieve the benefits of evidence-based practice. However, a recent survey of caregivers demonstrates that, while most of the health practitioners had positive attitudes towards evidence-based practice and seek to acquire more skills and knowledge, there are certain drawbacks, such as employing it in their daily obligations of care giving (Boswell & Cannon, 2014).  Consequently, due to the transform required to fully sustain and implement evidence-based practice on a global scale, and given much support by the culture in the organization, there is an urgent need to have an implementation plan that is very detailed prior to the adoption or implementation of the program in  the institution. In addition, a policy for an agency may be created, the main challenge is the implementation and sustainability of the program. According to Gerrish and Clayton (2004) in countries, such as, Sweden, the rapid rise and prevalence of diabetes cases has resulted to an urgent need of accurate diagnosis, as well as, examination of the patients, as well as, affected family members or persons with a care that is in tandem on the evidence-based recommendations, that are outlined in adopted guidelines that require clinicians to offer patients evidence based recommendation, which relate to the current evidence.

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Part D: Conclusion

Educating health care givers is considered as a major necessity for all healthcare practitioners, in academic and professional settings. In Addition, there is an urgent need of an overhaul, in order to make prepare the care givers and equip them with new skills, to enable them to assume their responsibilities. In addition, the overhaul would require changes in the processes of training health practitioners in professional, as well as, academic setting. It is also vital to ensure that the various programs that are meant for the basic preparation and training of the health practitioners undergo certification and reforms in the curriculum, basically to focus evidence-based improvement of quality in the global health care. Moreover, it is vital to ensure that professional development activities need to become accessible and widely available to the health care practitioners or nurses to assist them to update their skills of the professionals who are already practicing. On the other hand, the leaders in healthcare settings should be encouraged to join hands in an effort to create clinical awareness and training, as well as, initiate education changes, which should be aimed at addressing core competencies that are fundamental in harnessing quality in health care provision. All in all, healthcare professional should be trained to be in a position of delivering patient-centered care facilities representing parties to the interdisciplinary group that focuses on evidence-based practice, as well as, enhancing quality improvement approaches in health care delivery. Sample Evidence-Based Nursing and Research in Global Health Care Essay Paper.

Sample Evidence-Based Nursing and Research in Global Health Care Essay Paper

 

References

Barker, E. R. (2014). Triplet Partnering: A Novel Approach to Introducing Evidence-Based Nursing Practice in China. In
Sigma Theta Tau International’s 25th International Nursing Research Congress
. STTI.

Boswell, C., & Cannon, S. (Eds.). (2014).
Introduction to nursing research: Incorporating evidence-based practice
. Jones & Bartlett Publishers. Sample Evidence-Based Nursing and Research in Global Health Care Essay Paper.

Brown, C. G. (2014). The Iowa Model of Evidence-Based Practice to Promote Quality Care: An Illustrated Example in Oncology Nursing.
Clinical journal of oncology nursing
,
18
(2), 157-159.

Gerrish, K., Clayton J. (2004). Promoting evidence-based practice: An organizational approach. J Nurs Manag. PubMed.

Chan, H. Y. (2014). The Nether sole Nursing Practice Research Unit: Reflecting on its Successes and Challenges in Promoting Evidence-Based Practice in Nursing in Hong Kong. In
Sigma Theta Tau International’s 25th International Nursing Research Congress
. STTI. Sample Evidence-Based Nursing and Research in Global Health Care Essay Paper.

Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The Establishment of Evidence‐Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real‐World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs.
Worldviews on Evidence
‐
Based Nursing
,
11
(1), 5-15.

Sarah, J. B. (2013).
Evidence-Based Nursing The Research-Practice Connection (3rd Edition).
London, Jones & Bartlett Learning.

Sample Evidence-Based Nursing and Research in Global Health Care Essay Paper

Essay on the uninsured people in the U.S.

Summarize the population (number, demographics, etc.) of uninsured people in the U.S.

Discuss some of the reasons for and possible financial consequences of not having health insurance.

Discuss the socioeconomic consequences of having a large uninsured population in the U.S.

Describe the changes that will occur to assist the uninsured population with the Patient Protection and ACA.

Resources:

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Kaiser Family Foundation [KFF]. (2014, October 29). Key facts about the uninsured population. Retrieved from http://kff.org/uninsured/fact-sheet/key-facts-about-the-uninsured-population/

Navigate to 
Google Scholar
 and review:

Krueger, A. B., & Kuziemko, I. (2013). The demand for health insurance among uninsured Americans: Results of a survey experiment and implications for policy. 
Journal of health economics, 32
(5), 780–793.

Cite your sources in your work and provide references for the citations in APA format.

Submission Details:

Your assignment should be addressed in a 2- to 3-page document.