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Doris Carnevali’s model of clinical judgment and decision making postulates that an integration of critical thinking is important for effective diagnostic reasoning (Carnevali, 2003, p. 45). The diagnostic role of a nurse is the assessment and evaluation of the patient’s condition and application of theory and practice in prescribing the most effective nursing intervention and therapy for the health condition.
Optimal levels of exercise should be developed to fulfill the needs of the patient having cardiovascular disease based on the severity of the condition, gender, and age. The methods that will be used to develop the evaluation plan will be surveying of the staff attitudes towards the change, (that is, before and after initiation of the change) and comparing the patient’s discharge survey before the change and after the initiation of the change.
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This has resulted from numerous reasons that will be elaborated in the course of this paper. The fundamental reason for the shortage of nurses is the reduced number of nurses who take care of single patients and the general population thereby creating an issue of supply and demand.
On the other hand, if the business of organization is such that decision making is meant to be early as in nursing field, then employees are managed in such a way that they are given less authority and less participation in decision making of the organization.
According to United Nations (2010), malaria is a serious medical threat to over 50 percent of the total human population in the 21st century. In tropical countries, the disease is one of the most infectious and leading cause of death.
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The article clearly states the problem and its ramifications in terms of poor health, educational and the economic outcomes for both children and mothers. The author also adequately supports his view through evidence gleaned from various studies on the topic, conducted by other professionals.
Tuberculosis mainly spreads when uninfected persons get in contact with air or droplets from the lungs of an infected person. It is easy for people like family members, coworkers, and friends, who are constantly in contact with tuberculosis patients, to contract the disease.
Sometimes psychotherapy is recommended in cases of mild depression, but pharmacotherapy remains an effective approach of managing depression. However, depression is mainly a chronic condition meaning that management strategies should be long-term and need to concentrate on maintaining observance of the therapy (Pohar, 2004).
Healthy People program identifies the critical causes regarding the heart disease and finds remedies to solve or prevent the heart disease. By visiting the hospitals as well as conducting meetings in an auditorium to address the general people and arranging campaigns, the Healthy People program spreads awareness.
The advances of the healthcare facilities’ budgeting process enhance patient safety. Summary of the Articles. First Article. The article Evaluation of the AHRQ Patient Safety Initiative: Framework and Approach correctly shows data assisting change in the current nursing practice (D Farley, J Battles, 2011).
Coming from the outside with fresh ideas and hope for a pleasant and effective working environment, new nurses have the tendency to be modest and stay behind the sidelines while finding the balance of feeling that they are part of the group while gradually developing a career in the new institution.
This includes knowing the patients, knowing the capabilities of assistants, giving proper instructions, and monitoring the procedure and/or outcome. Central to this effective management is proper documentation. Laws are in place to ensure that this standard of management is complied to by registered nurses.
However, in the rare case that informed consent is necessary, the parent or guardian of the subject will be involved and asked to consider giving the necessary consent. Support from the organization’s leadership and fellow staff will be secured by making presentations to them regarding the problem at hand.
Changes in hospital medical care in the 1970s brought about changes in giving services and approaches by many hospitals in United States and later worldwide. In the past, traditional, hospitals were focused on healing diseases, and not much care was given to patients.
Communication is a central pillar in fostering the growth and delivery of services in health institutions. Health institutions especially nursing homes, that seek to deliver fair, affordable, and superior services, should develop appropriate communication procedures through the establishment of effective organizational structure without unwarranted bottlenecks.
Health promotion is therefore the advocacy, popularization and an endless responsibility of health providers for the general welfare of their constituents or clienteles. O’Donnell (2009) explicated that health promotion is both a science and an art about engaging people to optimize health standards to attain balance of physical, emotional, social, spiritual and intellectual health.
The Health Insurance company I chose was TRICARE or formally known as CHAMPUS. This is also a part of Medicare programs in a general sense. This program is primarily for military families. It is now available to civilians as well.
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Rogers states that the response of individuals to change may be classified into a number of categories. The first category is innovators; these are individuals within the organization, who are always struggling to come up with innovative ways of bringing change to processes. The second category is early adopters.
Imogene King’s General Systems Theory, Dorothea Orem’s Self-Care Theory, and Jean Watson’s Human Caring Theory have played a substantial role in developing nursing knowledge. Payne (1983) indicates that the concept of health has been evolving over the years. Traditional health paradigms have evolved into a complex model.
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It is a fact if not an opinion that all nurses should strive to couple managerial roles with leadership roles. The essential elements to striking a balance include critical thinking skills, good coping skills, as well as active listening skills (Stanley, 2006). The purpose of this study is feasible, appealing and relevant. The study subjects here were humans and the issues of ethics arise.
The course designers must foremost appreciate the learning background of the potential students. The crux of the matter in designing the course entails the meticulous threading of the course to integrate the programs in a way that envisions the objectives in the curriculum framework, program competencies and outcomes (Keating, 2011).
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The main factors that can be attributed as to when a woman would start having her menopause are genetics, ethnicity, if she smokes or not, and her reproductive history (Pathy, Morley, Sinclair, & Vellas, 2012). The use of hormonal therapy (HT) has been in wide use to lessen the effects of menopause among older women.
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Building up a positive and healthy working environment encompasses a number of factors, such as employee satisfaction obtained through work recognition, promotions, benefits, incentives, etc. Among the various elements, one of the most essential components to enhance the performance of the employees would be, identifying leadership style components.
Furthermore, it has also been observed that patients of self-harm are highly likely to attempt complete suicide thus endangering their lives. Timely treatment and prompt action on the part of the healthcare professionals and the nurses in the emergency department is hence of crucial significance to ensure their health and well-being.
According to the research findings, it can, therefore, be said that cost control is necessary to have savings for future prospects and thus certain reformats could be painful while others may sound to be painless. A health care organization must keep more of painless cost control in consideration for better outcomes.
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Academic and market studies often use qualitative research as a method of gathering and analyzing data. Unlike quantitative research which uses exact figures and computations on large samples, qualitative research deals with the collection of data that came from human behavior, reasoning and decision making.
Conversely, in a decentralized structure, the organization has spread responsibilities across various departments, and lower level managers are in charge of decisions regarding their department. In this case, clinical nurses had to communicate their problems to charge nurses and the nurse manager frequently contacted the director of nursing.
Nurses are not always perceived in the way they wish to be perceived. The sample group comprised three males and three females. From the survey results, it was quite evident that people’s perceptions of nurses and nursing are quite different from the ideal picture painted by nursing professional institutions and the nurses themselves.
One of the bills is the Alzheimer Breakthrough Act Of 2011 (www.govtrack.us, 2011). This seeks to facilitate research on the disease through government support and budget allocations. This is crucial since 10 million individuals in the baby boomers demographic suffer from the disease. This will prove significant in addressing this issue.
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I chose to pay particular attention to patients suffering from hypertension. If the heart has to work harder than the average rate, then the elevated rate of blood flow in the arteries of a person may point toward hypertension. Even though there is only a small amount of 5 to 10 percent of patients who suffer from secondary hypertension.
It was carried out through semi-structured interviews to establish an understanding of client and staff experiences on acupuncture. A thematic method of analysis was used and a comparative analysis of client and staff views was carried out to evaluate convergences and divergences of views. There was a strong consensus among clients and staff interviewed.
The holistic assessment process is one of the most valuable and useful processes to ensure the delivery of adequate and efficient health services. The holistic assessment also seeks to ensure a well-rounded evaluation of patients, considering all of their concerns and their needs. It is an overview of the clinical presentation of the service user.
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Senior members of the family provide decisions regarding care and burial arrangements of the dead. The families in the Hispanic culture usually consult senior members of the family, or the individuals who are highly educated or those who are very influential when the decisions on the best treatment to be provided to an ailing person are done (Broome, 2004).
It is suggested that more fit or active individuals are at a lower risk of getting coronary heart disease than inactive individuals. More than 250,000 individuals die every year in the United States due to lack of exercise. Exercise has numerous benefits such as reducing weight and reducing bad cholesterol. However, how much exercise should one do?
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Being a Nursing Director of a nursing home requires a lot of experience in the field. Therefore, it is obvious that after graduation an individual begins working as a regular nurse in a nursing home from where relevant experience is obtained. The roles of a nursing director are so wide that several considerations are made prior to the elevation to a leadership position.
This reminded me of the importance of this database. I decided to give it a try before I moved on to other databases as it would help me browse through articles to get a sense of direction. I used the words, ‘children’, ‘community-based’, ‘cancer care’, ‘oncology’, ‘nursing’ and ‘palliative care’ together and in different combinations as key words for this search.
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Stroke has been a major cause of human death, and as a result, medical practitioners have studied it extensively. The goal of this paper is to discuss the causes, manifestations, impacts, treatments, and if it is possible to live a productive life among patients who suffer from ischemic strokes.
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Although there is no cure for the disease, the symptoms caused by lupus can be treated with medications. There may be an environmentally imposed aspect of the disease in some patients that develop lupus. Knowing the cause of a disease can increase our ability to understand and therefore treat the disease. Unfortunately, this is not possible with lupus.
Nursing the wounded could take place in the war field, with little care to the sick. The hospital environment was full of filth and women who aspired to become nurses were subjected to societal prejudices. In the 19th century, Florence Nightingale introduced the modern trend of nursing. She combined spiritual and medical care in attending to patients.
Constructive construction is an important part of the manager's role. Some effectively delivered skills are important for the employee to do a job well. Constructive criticism involves the process of giving logical and valid opinions about the activities, actions, and work of other people, both positive and negative opinions in a friendly and non-oppositional tone.
Patients with limited mobility are provided with mattress overlays and replacement mattresses to reduce the chance of developing pressure ulcers.A study was conducted to determine the effectiveness of replacement mattresses and mattress overlay in preventing ulcers,affecting the healing process, and patient acceptability.
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Palliative care or caring for the dying is stressful work especially if the caregivers have poor communication skills and cannot solve ethical dilemmas. Thus, issues can arise if the mentioned elements are not given in the proper way. Communication skills and ethical dilemmas have become major issues in palliative care nursing.
Nurses and their professional and welfare organizations should strategize to work with and incorporate politicians and political organizations in their activities. There are several rules and legislations that politicians enact that have direct and indirect impacts on nurses and patients, making the corporation among these stakeholders rather important.
This paper will begin with the statement that reflective practice is one such a vital aspect as far as nursing management is concerned. More often than not, reflective practice is guided by the model of reflection. In this respect, the reflective practice model is a framework upon which nursing, as well as management professions, work.
The mentality and thinking of the targeted people must be kept in mind while designing the technique of delivering and conveying the message. Before delivering the collected information it must be made sure that the information is complete, organized, and accurate. The purpose behind the delivery of the message is clearly understood by the people.
This step incorporates the effective evaluation of medical need, suitability, and efficacy of the application of health care envisioned in the provision. Notable under this step is the hiring of highly qualified and experienced nurses who have been in the clinical practice for at least three years in the highly demanding and sensitive units.
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The problem is well defined in the introduction and is based on empirical evidence. The problem stated is easy to understand as it is based not on assumptions but on statistical data. The problem taken into consideration is medication errors which, though, have been studied before, lack data on which the problem can be fixed or modified.
In Scotland, more than a million adults and over 200,000 children are obese. The situation is predicted to get worse by the year 2030, and public health care experts predict that over 40% of Scottish adults will be obese by that time. In 2008, available statistics indicated that 26.8% of adults living in Scotland suffered from obesity.
Among them are an individual’s needs and preferences in regards to healthcare services. Others include relevant medication illnesses and unnecessary delays in the provision of healthcare. A fair healthcare does not promote discrimination based on race, gender, colour, religious affiliation, income and others.
Nursing practitioners have to first develop a clear understanding of the way of life of rural communities as well as their environments. Low population densities recorded within rural communities do not give these regions the capabilities to support public infrastructure and they will have unlimited or even inadequate public utilities (McNeely & Shreffler, 1998).