Category: Nursing

Reflection and Assimilation Assignment

Reflection and Assimilation
Reflection and Assimilation

Reflection and Assimilation

Order Instructions:

This paper is a summary of all the nursing papers you guys have written for me for the past weeks so it will make sense if the same writer complete this reflection also by going back and using all the resources of the previous papers to complete this paper. the writer should pay close attention to all the requirements and respond to all the questions. It requires a minimum of 7 paragraphs in 4 pages.

Reflection and Evaluation
Reflect upon your new knowledge about nursing research and EBP. Explain how this new knowledge will influence your daily practice? What was your most significant learning? What assignment did you find the most and least meaningful to your understanding of research and EBP? Did you meet the course outcomes?
Your role as an advanced practice nurse is paramount in nursing research. You will be examining studies for evidence which can be taken to the bedside. Without nurses prepared for this, the research-practice gap will continue to widen. You have learned how to generate research questions, whether they are from practice or from the literature. You have learned about various research methodologies, both quantitative and qualitative. Over the weeks, you have analyzed nursing research studies, both quantitative and qualitative. You have touched on collaborative research efforts. You have been introduced to legal and ethical principles in research. You have investigated a clinical guideline and applied it to a practice setting.
Now for the big question: can you now use research to improve practice? Are you able to take the evidence you find in the literature and translate it into practice guidelines which staff nurses will be willing to adopt? Only you can answer this important question.

This paper provides you with an opportunity to reflect on what you have learned during the course. To accomplish this, please create a minimum 7 paragraph written reflection of your personal learning achievements and professional growth as a result of this course. Remember that a paragraph cannot be less than 5 sentences, and it is important that all details be included in this paper as it clearly will demonstrate what you have understood in this course. Use the guidelines below to do your evaluations.

1. Evaluate personal learning achievements pertaining to each course outcomes:
1: Evaluate quantitative research studies through systematic examination of all aspects of a nursing research study.
2: Apply research findings from quantitative studies to nursing practice.
3: Evaluate qualitative research studies through systematic examination of all aspects of a nursing research study.
4: Apply research findings from qualitative studies to nursing practice.
5: Evaluate the body of evidence from nursing research in order to support an evidence-based change in nursing practice.
6: Create a plan for application of evidence to current nursing practice.
7; Reflect on how the learning you achieved in this course will support your success in the final course when you will develop a written evidence-based proposal for a change in nursing practice.

SAMPLE ANSWER

Reflection and Assimilation

Considering all the knowledge gained over the course of the research project, I can effectively utilize research to improve nursing practice. In essence, I am able to take the evidence which I find in literature and then translate it into practice guidelines that nursing staff would be willing to adopt. I have been able to achieve each of the course outcome. These are described below.

I have gained ability and competence to evaluate quantitative research. As a result of the research conducted, I am able to evaluate various quantitative research studies through systematic examination of all aspects of a nursing research study. I am able to effectively assess and critique various quantitative research approaches such as cross-sectional design. I am also able to evaluate grounded theory type of quantitative research, whose purpose is theory development. Moreover, I am able to evaluate ethnography research studies which describe the characteristics of a culture (Beck, 2013). Equally important, I can properly evaluate quantitative case studies, which describe in an in-depth manner the experience of an institution, a community, a group, a family or an individual. When evaluating quantitative research studies in nursing, I have learned the importance of bearing in mind the sampling and data collection methods utilized by the researcher, the variables of the study, the research questions formulated, validity and reliability of data, as well as outcomes of the research.

I have gained the ability to apply research findings from quantitative studies. The research has enabled me to use the findings of quantitative research as evidence in nursing practice. The new evidence gained from quantitative studies could be utilized by managers and decision makers in healthcare organizations to solve challenges they experience within their healthcare facilities, and to improve patient care (Aveyard & Sharp, 2013). In essence, I am now able to understand the utility and meaning of quantitative research results and how they can serve as vital evidence for nursing practice changes. Before the findings of quantitative research can be applied, it is imperative to determine if those findings are valid (Jacelon & O’Dell, 2005). In this regard, thanks to this research, I am now able to determine the validity of quantitative research findings before applying them.

I have also gained the ability and competence to evaluate qualitative research studies. Qualitative research is basically understood as a method of inquiry where the investigator, acting as an instrument for the collection of data, seeks to answer questions regarding why or how a given phenomenon happens (Holloway & Wheeler, 2013). I can properly evaluate several qualitative research designs in nursing research including ethnography, phenomenology, grounded-theory, as well as qualitative description. To evaluate whether or not a particular qualitative study in nursing research is useful, I have learned to critically appraise qualitative research in terms of validity and thoroughness. The main areas to consider when evaluating the qualitative research include: if the research question is clear and substantiated sufficiently; and if the design is apt for the research question. Others are if the sampling method was apt for the research design and research question; if data was gathered and managed in a systematic way; if data analysis was apt; and if the description of findings is thorough.

I have gained the ability to apply research findings from qualitative studies. The research has allowed me to be able to properly understand how I can apply the qualitative research findings by asking several questions, such as what relevance and meaning does the qualitative study have for my practice? The question of what meaning could be made of the findings would have to be examined (Smith & Firth, 2011). The study should produce usable knowledge. The other questions are: does the qualitative research study assist me in understanding the context of my practice? and, does the qualitative research study enhance my knowledge regarding my particular practice? I have been able to understand the generalizability of qualitative findings, considering that findings from qualitative findings are not always generalisable (Holloway, Wheeler & Holloway, 2013).

The project has enhanced my skills of evaluating the body of evidence from nursing research. This research has, to a great extent, helped me to improve on my capability to evaluate the body of evidence from nursing research as regards the subject matter in order to support an evidence-based change within nursing practice. This research project involved extensive review of existing literature on the subject matter with the aim of finding evidence to use to support evidence-based change. It is of note that evidence-based practice is a vital approach in providing the best quality care to patients, as well as the patients’ families. Nursing practice which is based on evidence improves patient outcomes and helps to reduce uncertainty usually experienced by healthcare personnel and their patients alike (Boswell, Boswell & Cannon, 2014). Because of this research project, I can clearly distinguish literature that is based on evidence from traditional literature not based on evidence. In essence, this project has enhanced my ability to systematically search for the most relevant, pertinent and current evidence, and to critically appraise this evidence in order to answer a clinical question. Conducting research helps in providing the essential evidence on which to base nursing practice (Melnyk & Fineout-Overholt, 2011).

The plan for the application of evidence to the current nursing practice entails the following: (i) disseminating the evidence. Evidence would be disseminated through various mediums such as press releases in local newspapers, television and radio stations; publications in recognized journals such as New England Journal of Medicine, Science Journal, and Nature Journal; websites. Dissemination will also take place using posters and flyers; oral presentations; as well as organization/hospital-based and professional committee meetings. The evidence will be disseminated with the aim of reaching the wider nursing community who will apply the evidence-based practice. (ii) Encouraging nurses and other healthcare professionals to adopt and implement the evidence-based practice in their daily practice at their workplace in order improve patient care and safety, and reduce injury or death from falls. (iii) Managing and overcoming any barriers and resistance to adopting the evidence-based practice, for instance by providing training (Giuliano & Polanowicz, 2008).

The learning which I have achieved in this course will support my success in the final course when I will be required to develop a written evidence-based proposal for a change in nursing strategy. This is primarily because I will be better positioned and adequately prepared to develop the written evidence-based proposal for a change in nursing practice considering that I would have already conducted the research project and gained the evidence necessary to write the proposal for an evidence-based practice. This research project has given me the essential information, knowledge and necessary evidence on which to base nursing practice. The learning I attained in this course has improved my knowledge and widened my understanding on the evidence-based nursing practice. This will certainly support my success significantly in the final course when in will develop a written evidence-based proposal for a change in nursing practice.

References

Aveyard, H., & Sharp, P. (2013). A Beginner’s Guide To Evidence-Based Practice In Health And Social Care. Maidenhead: McGraw-Hill Education.

Beck, C. T. (2013). Routledge international handbook of qualitative nursing research. Abingdon: Routledge.

Boswell, C., Boswell, C., & Cannon, S. (2014). Introduction to nursing research: Incorporating evidence-based practice. Burlington, MA: Jones & Bartlett Learning

Giuliano, K., & Polanowicz, M. (2008). Interpretation and use of statistics in nursing research. AACN Advanced Critical Care, 19(2), 211–222

Holloway, I., & Wheeler, S. (2013). Qualitative Research in Nursing and Healthcare. Chicester: Wiley.

Holloway, I., Wheeler, S., & Holloway, I. (2010). Qualitative research in nursing and healthcare. Chichester, West Sussex, U.K: Wiley-Blackwell.

Jacelon, C., & O’Dell, K. (2005). Demystifying nursing research. Analyzing qualitative data. Urologic Nursing, 25(3), 217–220.

Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Smith, J., & Firth, J. (2011). Qualitative data analysis: the framework approach. Nurse Researcher, 18(2), 52–62.

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Clinical Guidelines and Nursing Sensitive Outcomes

Clinical Guidelines and Nursing Sensitive Outcomes
Clinical Guidelines and Nursing Sensitive Outcomes

Clinical Guidelines and Nursing Sensitive Outcomes

Order Instructions:

This paper is critical and the writer must make sure that all details are taking into consideration. every question must have a detail respond. hear below are the instructions and also some resources that will be use for this paper , let the writer reference to all the resources are he writes the paper . Take note that each section must have 3 cited sources from pear review scholarly articles.

This paper is in two section just as some of my other papers. It should have a reference list at the end of each section, and proper grammar must be used to complete this paper. It has been cited in most of my papers that proper grammar and spellings was not applied and that has caused me a lot of points in this class. As we come to the end of this particular class I want you guys to pay attention to details. Read the instructions and respond accordingly. Take note that all points must be detaily explained. For section A you will use the clinical guidelines which is included hear below to respond to this section of the paper. The link is provided below and you must also quote a minimum of 3 sources for each section.

SECTION A (1.5 pages minimum)

Clinical Guidelines and Nursing Sensitive Outcomes
Clinical focus
The falls clinical guideline in reference is meant for health care professionals. There is a summary regarding the assessment and screening of falls among the elderly (focused history, physical examinations, functional assessment, and environmental assessment). There are also recommendations for old people in different care settings. The guideline can be obtained from http://www.americangeriatrics.org/health_care_professionals/clinical_practice/clinical_guidelines_recommendations/prevention_of_falls_summary_of_recommendations

Clearly describe the best practice or clinical guideline above and provide a working link to resource that is helpful in understanding this practice or guideline.
1. Discuss why this best practice or guideline should be utilized in nursing practice. Why do they lead to improved patient outcomes? What are the nursing actions identified in the guideline? What are the nursing sensitive outcomes?
2. End your discussion with suggestions as to how you might implement this evidence-based best practice or clinical guideline in your health care setting. As you do so, identify any potential barriers you might anticipate and offer ways to overcome these barriers.
3. Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion.

SECTION B (1.5 pages minimum)

Collaboration for Research and Evidence-based Practice
1. Consider the role of the nurse as an interdisciplinary team member in completing research and using research findings to inform health care practices.
2. Using insights gained from visiting the Women’s Health Initiative retrieved from http://www.nhlbi.nih.gov/whi/ and by reading the article on collaborative strategies by Engelke and Marshburn (2006):
3. Discuss the role of the advanced practice nurse as an interdisciplinary research collaborator and member of the interdisciplinary team obligated to co-participate in the implementation and use of evidence-based practice.
4. End your discussion by providing an example of an evidence-based change that would require the collaborative efforts of nursing and at least two other health care disciplines and that would lead to quality improvement in healthcare.
5. Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion.

Resources for this paper

Required Activities

• From your textbooks, read:
• Introduction to Nursing Research Incorporating Evidence-Based Practice
• Chapter 15: “Application of EBP”
• Please retrieve and read the following journal articles.
• Engelke, M.K., & Marshburn, D. M. (2006). Collaborative strategies to enhance research and evidence-based practice. Journal of Nursing Adminstration, 36(3), 131–135.
• Booth, J., Tolson, D., Hotchkiss, R., & Schofield, I. (2007). Using action research to construct national evidence-based nursing care guidance for gerontological nursing. Journal Of Clinical Nursing, 16(5), 945–953.
• Hoss, B., & Hanson, D. (2008). Evaluating the evidence: web sites. AORN Journal, 87(1), 124.
• Munroe, D., Duffy, P., & Fisher, C. (2008). Research for practice. Nurse knowledge, skills, and attitudes related to evidence-based practice: before and after organizational supports. MEDSURG Nursing, 17(1), 55-60.
• Harvath, T., Flaherty-Robb, M., White, D., Talerico, K., & Hayden, C. (2007). Best practices initiative: nurturing partnerships that promote change. Journal Of Gerontological Nursing, 33(11), 19–26.
• Reavy, K., & Tavernier, S. (2008). Nurses reclaiming ownership of their practice: implementation of an evidence-based practice model and process. Journal Of Continuing Education In Nursing, 39(4), 166–172.
• Review these Web resources.
• Revisit Clinical Guidelines and Best Practices such as the following:
• National Institute for Health and Clinical Excellence©. Retrieved from
• http://www.nice.org.uk/guidance/cg/index.jsp
• Revisit Nursing Sensitive Patient Outcomes
• Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Retrieved from http://www.ahrq.gov/qual/nurseshdbk/
• National Database of Nursing Quality Indicators. Retrieved from https://www.nursingquality.org/
• Nursing Sensitive Patient Outcomes (ONS). Retrieved from http://www.ons.org/Research/NursingSensitive/
• Collaboration
• Physician-Nurse Collaboration in Research in the 21st Century. Retrieved from http://jco.ascopubs.org/content/22/5/774.full

SAMPLE ANSWER

Clinical Guidelines and Nursing Sensitive Outcomes

Section A

The guidelines are developed by the geriatrics societies in America and Britain and are based on evidence based trials among other players in areas such as occupational therapy, physical therapy, home care, pharmacy and hospice. They aim at assisting care providers on fall prevention after older patients’ recurrent falls, difficulty in walking or after acute falls. They may be implemented in caring for older persons in communities, long term care and for those with cognitive impairment (The Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society, 2011).

Discuss why this best practice or guideline should be utilized in nursing practice

The best practice guideline should be utilized in nursing practice because there is need to reduce the risk of falls among older persons who are more susceptible to falls than younger patients. Falls are also related to higher rates of morbidity and mortality among older patients and it is thus imperative that nurses apply the guidelines to reduce the rates of death and illness. The guidelines on preventing falls are also imperative in preventing impairment of older persons’ overall functioning as well as untimely admission in longer term care settings (Feder, Donovan, & Carter, 2000). The following link to a resource is helpful in understanding this guideline (http://www.medcats.com/FALLS/frameset.htm).

Why do they lead to improved patient outcomes?

The guidelines result in improved patient outcomes because they bridge the theory-practice gap. They are particularly essential because uncertainty about care is rampant in nursing care for older patients. The guidelines are developed through a participatory approach which gives nurses confidence in caring for older patients. Patients provide experiential information about their falls and health practitioners evaluate appropriate interventions among those provided in the best practices guidelines. This approach reduces medical errors and results in better quality of care.

What are the nursing actions identified in the guideline?

Nursing actions that are required include a multifactorial risk assessment on patients’ history, physical balance, functional abilities and their environment.  After assessing the risks, nurses recommend interventions to reduce the risk factors such as minimizing medications, incorporating an exercise program and treating vision impairment, administering vitamin D supplements. Providing education on fall prevention is also imperative among other interventions like modifying the home environment, addressing foot wear problems, managing heart rhythm problems and postural hypotension (medcats.com, 2010).

What are the nursing sensitive outcomes?

The nurse sensitive outcomes emanate from the fact that the guidelines are developed by a mixture of nurses from the diverse areas of gerontological practice and other experts in healthcare. The outcomes are that nurses provide safe and error free interventions. They assess the risk and offer interventions that are supported by tacit knowledge rather than mindlines. When nurses lack formal clinical guidelines, they base their decision making on mindlines. Mindlines as knowledge developed instinctively from their interactions with colleagues, opinion leaders and patient and practice experiences can be unsafe for older patients (Booth, Tolson, Hotchkiss, & schofield, 2007).

The guidelines are applicable in an acute health setting admitting older patients with cardiovascular conditions. It would require a variety of interventions to verify whether the reported falls are as a result of syncope or postural hypotension (The Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society, 2011). One setback or barrier is that it would call for prolonged patient observation to ascertain the cause of the falls. However, admission in a home care setting may be necessary to verify the reasons for recurrent falls and execute appropriate interventions such as cardiac pacing and exercise to reduce the risk for falls.

References

Booth, J., Tolson, D., Hotchkiss, R., & Schofield, I. (2007). Using Action research to Construct National Evidence Based Nursing Care Guidance for Gerontological Nursing. Journal of Clinical Nursing, 16, 945-953.

Feder, G., Donovan, S., & Carter, Y. (2000). Guidelines for the Prevention of Falls in People Over 65. British Medical Journal, 321, 1007-1011.

medcats.com. (2010, July). Prevention of Falls in Older Persons: AGS/BGS Clinical Practice Guideline. Retrieved August 7, 2014, from medcats.com: http://www.medcats.com/FALLS/frameset.htm

The Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. (2011). Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons. Journal of the American Geriatrics Society, 59(1), 148

Section B

Nurses are increasingly collaborating in interdisciplinary research initiatives. For nurses’ participation in research to work well, there is need to ensure that open lines of communication are in existence. It is also imperative to ensure clear communication about goals, objectives, roles, processes and outcomes is issued at the onset of the research. It is also imperative that the interdisciplinary dynamics also entrench mutual trust and respect as well as value for the unique expertise that nurses and other members contribute (Houldin, Naylor, & Haller, 2004).

Nurses must use evidence based research findings as the basis of their health care practices in education, management and direct patient care. Implementing the evidence based practices have proven to provide safe, cost effective and personalized interventions to patients. Participation in collaborative research and implementation of the findings also develops nurses’ communication and critical thinking skills and leadership abilities to a significant extent. Nurses’ participation also increases their enthusiasm for work leading to increased practice ownership and greater appreciation for evidence based practice (Reavy & Tavernier, 2008).

There is a growing need for service and academia collaboration in research that informs evidence based practice (Engelke & Marshburn, 2006).Educators entrench utopia in nursing practice while healthcare settings cope with the reality of care on a daily basis. It is therefore important that nurse and educators share their perspectives to develop a shared understanding that bridge the gap between practice and education. For example, students can access an externship program that requires that they work the same shifts as their designated preceptors. Such an arrangement facilitates a mentorship relationship because students are not bombarded with new coworkers in every shift.  Students must also report to a faculty member to access counseling on problems and learn effective team work strategies. A collaborative experience between preceptors and faculty members allows students to gain clinical experience which is an important form of evidence based practice (Horns, Czaplijski, Engelke, Marshburn, McAuliffe, & Baker, 2007).

The advanced practice nurse plays a collaborative and a co-participatory role in interdisciplinary in research and implementation. This is because partnership is an increasingly important value in organizational life. Advanced practice nurses continuously interact with other researchers in research and also use research results in practice (Harvath, Flahherty-Robb, White, Amann, & Hayden, 2007).  The Women’s Health Initiative constitutes one of the collaborative research undertaking involving health care providers such as physicians, nurses, psychologists, nutritionists, epidemiologists and biostaticians for over a decade. The diversity in expertise of the team was imperative in adequately addressing the scientific and operational goals of the longitudinal, multifactorial observational study. It involved randomized controlled clinical trials that were made possible through the teams’ collaborative effort (Houldin, Naylor, & Haller, 2004).

Advanced practice nurses require making clinical decisions using the best research evidence, draw on their clinical experience and patient preferences. An example of collaborative effort in wound care evidence based change in a veteran wound care unit would incorporate nurses, pharmacists and dermatologists. The team would conduct a review of literature on pressure ulcer and venous stasis ulcer management to inform their research based treatment protocol. The dermatologists would provide insight on the most effective care strategies, the pharmacist would provide vital information on dosage in the different medicines while the advanced practice nurse would monitor nurses to ensure that policies and practices at the unit are evidence-based.

References

Engelke, M. K., & Marshburn, D. (2006). Collaborative Strategies to Enhance Research and Evidence-based Practice. Journal of Nursing Administration:, 36(3), 131-135.

Harvath, T. A., Flahherty-Robb, M., White, D. L., Amann, K., & Hayden, C. (2007). Best Practices Initiative: Nurturing Partnerships that Promote Change. Journal of Gentological Nursing, 33(11), 19-26.

Horns, P. N., Czaplijski, T. J., Engelke, M. K., Marshburn, D., McAuliffe, M., & Baker, S. (2007). Leading Through Collaboration: A Regional Academic /Service Partnership That Works. Nursing Outlook, 55(2), 74-78.

Houldin, A. D., Naylor, M. D., & Haller, D. G. (2004). Physician-Nurse Collaboration in Research in the 21st Century. Journal of Clinical Oncology, 22(5), 774-776.

Reavy, K., & Tavernier, S. (2008). Nurses Reclaiming Ownership of Their Practice: Implementation of an Evidence-Based Practice Model and Process. The Journal of Continuing Education in Nursing, 39(4), 166-172.

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Role and Responsibilities of a Pediatric and a Child Health Nurse

Role and Responsibilities of a Pediatric and a Child Health Nurse
Role and Responsibilities of a Pediatric and a Child Health Nurse

Role and Responsibilities of a Pediatric and a Child Health Nurse

Order Instructions:

Assessment #1 – Assignment (Graded)

Assessment Task

Please note : There are extensions available for this assignment.
Please note: There are no re-submissions for this assignment

This assessment relates to the course topics 1 to 3 and asks you to write an essay on the provided Template and answer the following question.

“Discuss the role and responsibilities of a Pediatric and a Child Health Nurse. What role do these nurses play in keeping children safe?”

Objectives assessed

CO1. Explain the role of the Registered Nurse in family-centred care
CO4. Appraise strategies designed to prevent or minimise future health issues using a framework of health promotion, quality, safety and risk management
CO6. Apply knowledge of the cultural needs, rights and expectations of infants, children and young people and their families within a legal and ethical framework

Requirements for completing the assignment

1. You must support your answer by in text referencing and using appropriate resources from both the course and your own research. It is Harvard referencing.
2. The assignment length is 1000 words
3. The essay must include an Introduction, main body and conclusion
4. Research articles used must be 2006 and above.
5. Relevant Nurse competencies and mandatory frameworks must be included in your answer
6. A complete reference list will need to be attached to the end of your assessment template.
7. Submit your completed template and rubric sheet via Gradebook

SAMPLE ANSWER

Role and Responsibilities of a Pediatric and a Child Health Nurse

Pediatric and child health nurses are typically registered nurses providing their services to young people and children. The contribution of these nurses is tremendous in ensuring that children receive quality healthcare but continue to be instrumental in enhancing quality healthcare among children. The author delineates on the roles and responsibilities of pediatric and child health nurse in keeping children safe among other issues concerning their services.

Roles of pediatric and child health nurse vary from institution to another, but responsibilities remain similar. They are primary care givers as they provide preventive, curative, promotive, and rehabilitative care in all the levels of healthcare services that pertains to children. In health facilities, they provide care to sick children by comforting them, bathing, feeding, and ensuring their safety (Conard & Pape, 2014). They ensure that children are well treated for any ailments and provided with appropriate care. At the community level, the basic responsibilities of these registered nurses include assessing the health of the children, immunizing them, and ensuring that primary healthcare and referral services are provided.

Pediatrician nurses also play the roles of coordinators and collaborators. They must maintain good interpersonal interactions with the family, child, and health team members. Communication is very critical for nurses as it allows them to share with the parties concerned and in the process, improving the quality of services that they render. They also coordinate nursing care with other services to meet the needs of the children (Conard & Pape, 2014).  For example, they coordinate with other parties in the sector such as social workers, physicians, dieticians, and physiotherapists to ensure that they render superb services to the children.

These nurses also play a role of an advocate. They advocate for the rights of the children and come up with strategies to render best care from the healthcare team (Conard & Pape, 2014). Another role of the pediatric and child health nurse is that of health educator. They have the responsibilities to teach the parents about the best strategies to prevent sickness, promote, and maintain health of their children. Information is a very critical aspect in ensuring improved services.

Nurses act as consultants in guiding parents on how to maintain and promote health of their children. For instance, they guide parents about the best-feed practices, best facilities to visit, and accident prevention among many others. They also counsel parents on health hazards and ensure that they can make appropriate decisions in different situations that they encounter (Gregorowski et al., 2013). They as well act as care managers whereby they monitor, organize, and evaluate patients’ treatment to ensure that the outcome is positive. They also participate in social services as they can refer children and families to other child welfare agencies to ensure that they get necessary support.

Another role of these nurses is carrying out research, which is a very important and integral part of the nursing profession. Research provides the basis for changes in the nursing practices; it improves the child health care, as well as improving the evaluation of such practice. Depending on the level of experience, these nurses may also play other roles and responsibilities such as carrying out physical examinations, immunization of children, screening of disease, diagnosing of sicknesses, and prescribing medication for the children (Gregorowski et al., 2013).

Nurses employ development strategies and frameworks to minimize or prevent future health issues. The most used framework many nurse embrace is of health promotion, quality, safety, and risk management. Health promotion encompasses three levels including primary, secondary, and tertiary level. These nurses aim to promote healthy maturation, intellectual, physical, and emotional bonding of children in the context of the family and community (Gregorowski et al., 2013). They as well provide care to those children in need and deal with disabilities. In primary level, they achieve this through education of children and parents and by providing basic needs and immunization to the children. At secondary levels, the role of these nurses is to provide care such as treatment to sick children. They, therefore, achieve this by assessing their needs, planning for the best care, implementing the plan, evaluating the condition of the child, and teaching the child and parent about healthcare. At the tertiary level, these nurses endeavor to ensure that children regain their normal health. They must as well ensure quality by adhering to the ethics when providing care such as prescribing the right medication and provide right immunizations to the children (Prospects, 2014).  According to Nursing and Midwifery Board of Australia (NMBA) (2008),  nurses  need to practice in a safe and competent manner,  adhere to standards of professional and broader health system and ensure confidential of any personal information among others.

Safety is a very important role of the pediatric nurses. The safety of children in the health facility is a responsibility of the parent as well as of a pediatric nurse (Egerton, 2012). Risk management has become a very important factor and nurses need to know how to manage risks they are exposed to ensure that they do not compromise on their services.

Even as these nurses play their roles and responsibilities, they must consider cultural needs, rights, and expectation of the children, infants, young people, and families they come across within an ethical and legal framework. Cultures of parents do vary, and taking an initiative to understand their beliefs and values is important as it allows the nurse to align the services to suit the such needs (Egerton, 2012). The rights and expectations of the child or family members must as well be respected when rendering services. Law must also be adhered accordingly. The right to informed consent and end to life protocols must be respected when providing healthcare to the children. Ethics plays a key role in the nursing profession. Pediatric and child health nurses must respect and follow the codes of ethics in their service delivery. They must be honest, have integrity, be respectful, and endeavor to render services with diligence.

In conclusion, pediatric and child health nurses have a wide array of responsibilities and roles. I addition to promoting health among children, they also collaborate with parents and families to ensure that quality healthcare is rendered. It is therefore, prudent for the nurses to appreciate that situations keep on changing in their practice in terms of technological advancement, and they must always be on the look out to keep abreast with such changes.

Reference list

Conard, P, & Pape, T 2014, ‘Roles and Responsibilities Of the Nursing Scholar’,   Pediatric Nursing, vol. 40 no. 2, pp. 87-90.

Egerton, L 2012, ‘Role of advanced paediatric nurse practitioners, Emergency Nurse. Vol. 20 no. 4, pp. 30-34.

Gregorowski, A., et al. 2013, ‘An action research study to explore the nature of the nurse consultant role in the care of children and young people’, Journal of Clinical Nursing, Vol. 22 no. 1/2, pp. 201-210.

Nursing and Midwifery Board of Australia (NMBA) (2008).  National competency standards for             the Registered Nurse. Retrieved from:     http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=7&cad=rja&uact=8&ved=0CFYQFjAG&url=http%3A%2F%2Fwww.nursingmidwiferyboard.gov.au%2F documents%2Fdefault.aspx%3Frecord%3DWD10%252F1353%26dbid%3DAP%26chks         um%3DAc7KxRPDt289C5Bx%252Ff4q3Q%253D%253D&ei=ly7rU_DZEo_n7AbL4I            CQDg&usg=AFQjCNF8F4L8vBEpHna0npODjOPPsDxbgg&sig2=35goFOyCC7eCM-qHPctwvQ&bvm=bv.72938740,d.ZGU

Prospects, 2014, ‘Pediatric nurse’. Available at:             http://www.prospects.ac.uk/paediatric_nurse_job_description.htm

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Barriers to Evidence Based Nursing Practice

Barriers to Evidence Based Nursing Practice Order Instructions: This paper consists of two section and each section should have its own reference list at the end of that section.

Barriers to Evidence Based Nursing Practice
Barriers to Evidence Based Nursing Practice

In section A an article is attached that will be used to complete that section. It is critical to respond to all questions detail and properly address the facts in each section without the omission of any point.

Section A (1.5 pages)

From Research to Practice
Using the attached article respond to this section.T his is all about APPLYING research, not DOING research. Thus, you are NOT looking for a RESEARCH article, but you ARE looking for an article that uses EVIDENCE from research to make a change.
1. Describe the change made and comment on the strength of the research evidence utilized and whether the change led to improved patient outcomes.
2. Note any barriers to change that were identified and how they were overcome.
3. End your discussion with a reflection on how this article is useful to you as you consider your role as an advanced practice nurse leading others to use the best evidence to strengthen nursing practice and improve nursing-sensitive patient outcomes.
4. Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion.

SECTION B (1.5 pages)

Barriers to Evidence-based Nursing Practice
In order for the evidence-based nursing practice to be successful, it must be accepted and supported by nursing leadership and the bedside nurse.
1. Please interview a nurse leader and a bedside nurse concerning their perspective on the barriers to the use of the evidence-based nursing practice in their clinical settings.
2. Describe the barriers identified and provide interventions/solutions that are identified in the literature and that may alleviate the barriers.
3. End your discussion with a reflection on how you will enact the role of evidence-based nursing practice champion in your clinical area.
4. Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion.

I will upload an article for section A

Barriers to Evidence Based Nursing Practice Sample Answer

 

Gennaro, S., & Reiser, D. (2006) Hyperbilirubinemia: identification and management in the healthy term and near-term newborn (2nd Ed) Washington, DC: AWHONN.

A literature review was conducted to identify the best methods that can be used in the delivery of pphototherapeutictreatment. It was discovered that no standard method was in place and a way of delivering these treatments. The only guidance that was provided regarding these treatments was the AAP policy statement on jaundice. It states that the light source for an infant has a rather dramatic effect on the special irradiance and as a result affects the treatments. The change therefore required that the fluorescent tubes be put closer to the infants as much as possible while the infant is placed in a bassinet and not an incubator. The reason for the bassinet as a better baby holder was the fact a fluorescent tube placed in it can be adjusted up to ten centimeters above the baby. The effect of the change was that the delivering of phototherapy treatment to the full term for a healthy infant in an isolette would not be so much as effective as it would be if phototherapy was given to an infant in an open crib. The change therefore did not lead to improved patient outcomes (Gennaro & Reiser, 2006).
The barriers to change that were met in this case study resulted in the fact that the children services nursing quality improvement committee and the unit based practice council were formed which resulted in the slowing of decision making processes.  There was enough evidence to support the provision of phototherapy by the use of an open crib instead of providing external heat and light sources. Another barrier was that the pediatricians were very skeptical about initiating the new modalities but after a few deliberations approved it with several conditions that would have made the entire exercise tasking. These conditions included the hourly recording of infant temperature. The outcome of these particular condition was that it raised the nurses concerns that these hourly intervention would have an effect on the quality of nursing care and the quality of rest that these infants and there new mothers required. The fact that the pediatricians were sympathetic to the nurses concerns did not sway them in any way and they remained completely adamant (Walker,V roman, & Becker,2007).

This article will be important to me in my advancement of my nursing practice in the sense that it will help in the improvement of my personal nursing quality of infants. The results of the project will also be helpful to me in the fostering of camaraderie. It will also help me learn the open crib phototherapy policy and procedure as the standard of care for infants. Evidence from other studies indicate that improvements in nursing sensitive patient outcomes can be improved if nurses become cognizant with the information and knowledge that has already been published and to improve their competency and knowledge about nursing care. Increased and proactive use of evidence based practices in the clinical setting is particularly important in improving nursing care quality (Goolsby, 2000).

Barriers to Evidence Based Nursing Practice References

Gennaro, S., & Reiser, D. (2006) Hyperbilirubinemia: identification and management in the healthy term and near-term newborn (2nd Ed) Washington, DC: AWHONN.

Goolsby, M. (2000) Clinical practice guidelines of the American Academy of Pediatrics: a compilation of evidence-based guidelines for pediatric practice. (3rd Ed) Elk Grove Village, IL: American Academy of Pediatrics.

Walker, L., Vroman, L., & Becker, J. (2007). Using Evidence to change Practise. Open Filed Phototherapy , 402-404.

Nursing risk Project Paper Assignment

Nursing risk
Nursing risk

Nursing risk

Order instruction

Nursing risk
Project description
1. What are the different types of risk that must be managed in healthcare settings? Refer to the “Failure to Obtain Consent” and “Hospital Nightmare” simulations in your answer.
2. Review the “Customer Service” simulation. Is there any correlation to a perception of or actual poor customer service in a healthcare organization and risk management?

Required text: Youngberg, B.J. (2011).Principles of Risk Management and Patient Safety. Sudbury, MA: Jones and Bartlett.

“You must use a citation and reference in your initial post and in at least one of your response posts, using proper APA 6th edition format.”

SAMPLE ANSWER

  1. What are the different types of risk that must be managed in healthcare settings? Refer to the “Failure to Obtain Consent” and “Hospital Nightmare” PDF’s in your answer.

Different types of risk require proper management in healthcare setting. These risks include informed consent, customer care services, and hospital nightmare issues that may include incidences of negligence on the parts of the nurses. One of the risks that nurses face relates to hospital nightmare as evidenced in this movie. Mrs. Smith complains of receiving a deadly infection because of negligence on the part of the health facility (Health Care Law, 2012). Even though she recovered, she complains that she contracted autoimmune disease after the incidence as a result of the complication caused by the infection. This, therefore, means that nurses must execute their mandate with keenness and professionalisms to avoid such incidence. The incidence is unfortunate but requires further interrogation to ascertain if the nurse caused the negligence.

Informed consent is as well important in nurse care and is a legal doctrine that endeavors to protect the right of patients. Patients have a right to give consent and to expect that the physicians’ honor their wishes (Health Care Law, 2012). The case of Mr. Davis filing a suit against Bright Road in the movies qualified as a breach of informed consent. During a cardiac catheterization, the act of the cardiologist extending the procedure without the consent of Mr. Davis is a breach that attracts charges, and should be avoided.

  1. Review the “Customer Service” PDF. Is there any correlation to a perception of or actual poor customer service in a healthcare organization and risk management?

Customer care is essential in improving the quality of service provided. There is a correlation to perception of or actual poor customer services in a healthcare organization (Youngberg, 2011). Concerns of Bright Road CEO about the poor customer care are important (Health Care Law, 2012). Through Total Quality Management, customer care can be improved in streamlining administration, reducing length of stays of patients, and boosting clinical outcome and patients’ satisfaction. Without better customer services, the level of confidence of patients diminishes.

References

Health Care Law.  (2012). Landscape. Ones & Bartlett Learning.

Youngberg, B. J. (2011). Principles of Risk Management and Patient Safety. Sudbury, MA: Jones and Bartlett.

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Telenursing Research Assignment

Telenursing
Telenursing

Telenursing

Order Instructions:

Telenursing…the Future Is Now Paper
Guidelines and Grading Rubric
PURPOSE
The purpose of this assignment is to explore the specialty of telenursing as one example of the use of technology in various practice settings. Advantages and disadvantages for the patient and legal and ethical principles for the nurse of this technology will be explored.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes:
CO #2: Investigate safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO #4)
CO #6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO #6)
POINTS
This assignment is worth a total of 200 points.
DUE DATE
Your completed Telenursing…the Future Is Now paper is due at the end of Week 4. Submit it to the basket in the Dropbox by Sunday at 11:59 p.m. mountain time. Post your questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance. See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time will result in a deduction of points.
BACKGROUND
Our text (Hebda, 2013) provides us with a broad perspective on telehealth. However, the specialty of telenursing is only briefly discussed. Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs. This technology includes the use of various applications based in various environments where registered nurses indirectly provide professional nursing care.

SCENARIO
The following scenario serves as the basis for your paper:
Manuel, one of your colleagues, is considering leaving his medical-surgical position where both of you have worked for the past 12 years. In fact, he has an interview in two weeks for a Telenurse Specialist position at a nurse-owned home health agency. This agency monitors the elderly and those with chronic illnesses to keep them from being readmitted to the hospital. Manuel is doing some research on his own and knows that the hours sound great and the pay is comparable. One advantage is that he can work from home (telecommute) most of the time and only interface with the agency for required meetings.
Manuel knows you are enrolled in this course. You have discussed various concepts that you noted in your Syllabus including technology, privacy, confidentiality, interoperability, legal and ethical issues, and patients’ access to the World Wide Web, just to name a few. Manuel has shared that he does not know much about telehealth and the role of nursing in this “new” technology. He has asked you to educate him on the advantages and disadvantages to patients of telenursing. Frankly, he does not understand what he might be doing on a day-to-day basis. One concern is the technology that may be involved.
Manuel has indicated that he realizes the final decision about a career move will be his choice, but he is seeking your knowledge based on concepts presented in this course. He wants to be knowledgeable about the role of the professional nurse in this practice setting prior to his interview.
You tell Manuel that you will need to do some research and that you will get back to him about your conclusion and recommendation. You have heard of telenursing and how it can prevent patients with COPD (chronic obstructive pulmonary disease) and CHF (congestive heart failure) from being readmitted to the hospital, but you recognize that you will need to do much more investigation.
DIRECTIONS
1. You are to research (find evidence), compose, and type a scholarly paper based on the scenario described above. Reflect on what you have learned in this class to date about technology, privacy rights, ethical issues, interoperability, patient satisfaction, consumer education, and other topics. Your text by Hebda (2013, Chapter 25) discusses telehealth in detail. However, your focus should be on the professional nurse’s role in telehealth, such as telenursing. Therefore, do not limit your review of the literature to your text. Nurses in various specialties need to know about the advantages and disadvantages of telenursing as it applies to their patients. For example, when you discharge a patient from an acute care setting, will a telenursing service assist that individual with staying out of the hospital? You may need to apply critical thinking skills to development of your paper.
2. Use Microsoft Word and APA formatting to develop your paper. Consult the Publication manual of the APA, 6th edition if you have questions, for example, margin size, font type and size (point), use of third person, and so forth. Take advantage of the writing service, Smarthinking, which is accessed by clicking on the link called the Tutor Source, found under the Course Home tab. Also, review and use the various documents in Doc Sharing related to APA.
3. The length of the paper should be 4–5 pages, excluding the title page and the reference page. Limit your references to key sources.
4. The paper should contain an Introduction that catches the attention of the reader with interesting facts and supporting sources of evidence, which need to be mentioned as in-text citations. The Body should present the advantages and disadvantages of telenursing from a patient perspective. The Conclusion and Recommendations should summarize your findings and state your position on whether Manuel should accept the position should it be offered to him.
5. NOTE: Review the section on Academic Honesty found in the Chamberlain Course Policies. All work must be original (in your own words) unless properly cited. This assignment will automatically be submitted through Turnitin, a plagiarism detection system.
6. Submit the completed paper to the Telenursing…the Future Is Now Dropbox by Sunday, 11:59 p.m. mountain time at the end of Week 4. Please post questions about this assignment to the weekly Q & A Forum so that the entire class may view the answers.

GRADING CRITERIA
Category Points % Description
Introduction 50 25% The Introduction provides evidence of an information search including in-text citations of the sources of evidence. It catches the reader’s attention with interesting facts and supporting sources.
Body 100 50% Appropriate headings are used to delineate when the introduction ends. More than three advantages and three disadvantages are identified, discussed briefly, and supported by citations.
Conclusion and Recommendations 25 12.5% Appropriate headings are used, making clear the conclusion and recommendations based on solid evidence, privacy rights, and ethical principles, and so forth. Writing in the third person, state your position regarding whether your colleague should consider this position.
Scholarly Writing and APA Format 25 12.5% • Title page, running head, and page numbers. (3 pts.)
• Introduction, body, and conclusion/recommendations sections are clearly labeled. There is a logical flow between the sections. (10 pts.)
• Grammar, punctuation, and sentence structure are correct. (2 pts.)
• Citations throughout demonstrate support of student’s ideas and opinions. (5 pts.)
• Reference page includes all citations. (3 pts.)
• Evidence of spell and grammar check. (2 pts.)
Total 200 100%
A quality assignment will meet or exceed all of the above requirements.

GRADING RUBRIC

Assignment Criteria A
Outstanding or Highest Level of Performance B
Very Good or High Level of Performance C
Competent or Satisfactory Level of Performance F
Poor or Failing or Unsatisfactory Level of Performance
Introduction
50 points Evidence of information search. Catches the reader’s attention with interesting facts and supporting sources that include citations to three or more scholarly sources.
46–50 points Evidence of information search. Catches the reader’s attention with interesting facts and supporting sources that include citations to two scholarly resources.
42–45 points Evidence of information search includes only one citation to scholarly resource.
No attention catching “hook” noted.
38–41 points Little or no evidence of information search. No citations provided and/or there is no attention-catching “hook.”
0–37 points
Body
100 points More than 3 advantages and 3 disadvantages from a patient perspective are identified and supported by citations.
92–100 points At least 3 advantages and 3 disadvantages from a patient perspective are identified and supported by citations.
84–91 points At least 2 advantages and 2 disadvantages from a patient perspective are identified and supported by citations.
76–83 points Only one advantage and one disadvantage from a patient perspective is identified and supported by citations.
0–75 points
Conclusion and Recommendation
25 points Conclusion is presented with recommendation based on solid evidence, personal privacy rights, and ethical principles supported by citations.
23–25 points Conclusion contains evidence for recommendation, but may lack persuasive use of privacy rights and/or ethical principles. Includes citations.
21–22 points Indicates conclusion and recommendation but does not address privacy rights and/or ethical principles.
19–20 points Fails to include conclusion or recommendation.
0–18 points
Scholarly Writing & APA Format
25 points • Title page, running head, and page numbers. (3 pts.)
• Minimum of three sections including the Introduction, Body, and Conclusions and Recommendations. Each section has at least three sentences. (10 pts.)
• Grammar, punctuation, and sentence structure are correct. (2 pts.)
• Citations throughout demonstrate support of student’s ideas and opinions. (5 pts.)
• Reference page includes all citations and no errors in format are noted. (3 pts.)
• Evidence of spell and grammar check. (2 pts.)
23–25 points • Some errors in APA title page noted.
• Some errors in grammar, spelling, punctuation, and/or sentence structure noted.
• Citations are present but not in correct format.
• References are present, with some errors in format.
• Some red or green wavy lines within document.
21–22 points • Minimal error in APA title page noted.
• Minimal errors in grammar, spelling, punctuation, and/or sentence structure noted.
• Citations are present but not in correct format.
• References are present, with minimal errors in format.
• Minimal red or green wavy lines within document.
19–20 points • Multiple errors in APA formatting.
• Multiple grammar, spelling, and punctuation errors noted.
• Citations are missing.
• References are missing or incomplete.
• No evidence of proofreading prior to submitting paper.
0–18 points
Total Points Possible = 200 points

Please note the length of the paper should be 4-5 pages, excluding the title page and the reference page. Limit references to key sources.

SAMPLE ANSWER

Telenursing

The use of technology in healthcare has been of great impact in healthcare. This is particularly in relation to telenursing. However, there are challenges that should be solved early so as to avoid risks (Schlachta-Fairchild, Elfrink & Deickman, 2008). Although a nurse is required to communicate with her patients with the use of the internet or telephone, she is also supposed to assess, plan, evaluate, and intervene. In addition to this, there might be a need to use audio feeds, videos, telemonitoring tools, and digital assessment equipment. However, the key thing to note is that nursing care remains the same where the guidelines and the expected outcomes should be met.

In the global healthcare environment, the use of telenursing is increasing at an alarming rate (Snooks et al., 2008). However, it is worth noting that the work involved in telenursing is knowledge-intensive and complex. Nurses are required to be able to operate independently, make decisions regarding the patient’s need for more care, offer self-care advice, and refer patients to proper help sources. As telenurses triage the conditions their patients are suffering from, their assessments are normally founded on verbal communication (Snooks et al., 2008). As such, there is a high need for high communication skills’ level as well as the ability of listening. Telenurses face a major limitation in that they are unable to see their patients. Nurses feel that they possess considerable responsibility towards the patients and fear making improper decisions. In addition, telenurses may think of the relationship with their patients in telenursing as a conflict between acting as a gatekeeper and care provider.

Safeguards and decision-making support tools

When engaging in telenursing, there is likely to be the emergence of constant and new challenges such as potential liability issues. Regardless of the fact that the absence of legal precedents brings about uncertainty regarding telenursing liability, vividly defined accountabilities can go a long way in addressing various recognized liability categories. This is more so in cases dealing with the health professionals involved, particular applications or technologies, the involved organizations, and training and human resources. Telenurses should be key participants in the documentation and development of the risk management plans as well as the related policies (Snooks et al., 2008). There is a great need for telenurses to discuss liability issues with the legal counsel and employers (Schlachta-Fairchild, Elfrink & Deickman, 2008).

Telenurses possess the primary accountability of ensuring that their technical and clinical competencies are current. This is closely related to the need of telenurses to evaluate and identify their learning needs regularly; come up with as well as implement the learning plans, in addition to evaluating the learning impact on their practice. It is advisable for telenurses to utilize the ‘Building Your Profile’ as well as other performance management and professional development systems in their practice so as to promote the delivery of competent, safe, ethical, and compassionate telenursing practice.

Consumer education, patient satisfaction, interoperability, ethical issues, privacy rights, and technology

There is a great need for telenurses to network and collaborate with other professionals readily. This goes a long way in ensuring that ethical issues on record keeping, patient care, and confidentiality are worked out as needed. Clinical safety is extremely vital when practicing telenursing. Considering the limitations of technology, higher chances for incomplete and inaccurate information, and the fact that no face-to-face interaction is involved, providing telenursing services may be accompanied by immense risks. Although the patient-nurse encounter during telenursing is a bit different from the traditional setups, the nurse still remains responsible of promoting the delivery of safe, ethical, and appropriate care and services. Promoting and maintaining security, privacy, and confidentiality in telenursing settings is basically extremely challenging as opposed to ordinary health-care environment. Principally, this is because of factors like electronic information transfer (client data as well as video imaging) between the sites. This is in addition to the increasing number of people participating in the care. In this regard, nurses as well as employers have the responsibility of developing, implementing, as well as adhering to telenursing policies. This goes a long way in promoting privacy, security, and security in all interactions. Nurses should also obey all relevant legislation. It is also very important for nurses to participate in measures that are aimed at improving quality including audits (Snooks et al., 2008).

The professional role of nurses in telehealth

In the present technological era, nurses are also acknowledged to be knowledge workers. As such, they possess an increased role in coming up with telehealth solutions that is very essential in increasing client benefit. Telenurses are also participants in data collection that includes outcome data as well as system utilization. In addition, telenurses are required to support the evidence-based practice by leading as well as participating in research. This goes a long way in evaluating and informing telehealth practice. This is particularly in areas such as accessibility, the clinical impacts of the clients, and cost-effectiveness of services.

Advantages and disadvantages to patients

Telenursing is beneficial to patients as well as the physicians (Snooks et al., 2008). Patients benefit from quick and immediate care access in addition to information. The second benefit is that patients get education chances, and this enables them to know more regarding the conditions they are suffering from. Through telenursing, nurses are involved more in making decisions about their care. Patients are also empowered since as they are getting healed from operations and managing chronic diseases such as asthma and diabetes, they take up dedication to self-care more enthusiastically (Snooks et al., 2008). The patients become increasingly knowledgeable and can care for themselves even better. This is based on the assurance that assistance is only a call away. Patients also save time and money considering that no travelling is involved.

On the other hand, patients may have the attitude telenursing brings about dehumanizing impacts. This is based on the fact that regardless of the fact that care of different conditions goes on, physical interaction is absent (Snooks et al., 2008). As a result, some may opt not to use the telenursing services. With the use of telenursing, patients are forced to remain lonely and there is no chance to connect with as well as share experiences with patients ailing from similar conditions. This may greatly contribute to delayed healing or even depression from the loneliness, which may complicate the condition.

Additional costs come in the form of the extra payments for the communication forms in use. There may also be challenges as the patient tries to utilize the care equipments. This is usually very technical as it indicates delayed care. There are high chances of the equipment malfunctioning and as such, care is also delayed (Schlachta-Fairchild, Elfrink & Deickman, 2008).

Ethical and legal principles

When practicing telenursing, telenurses should obey the registered nurses’ code of ethics, relevant legislation, relevant practice guidelines, as well as the professional practice standards (Williams et al., 2012). When the patient begins offering telenursing services to a patient, she should introduce her name, provincial and territorial regulatory body, place of work, and professional designation. This is usually the starting point towards creation of rapport and a lasting relationship that is based on trust and confidentiality. The healthcare professional should also be keen on knowing the details about the patient (medical and personal history). This gives the patient an insight that the professional is really concerned and cares about him. When a positive relationship exists between the patient and provider, this permits the provision of high quality care (Schlachta-Fairchild, Elfrink & Deickman, 2008). On the same note, if the patient is aware about his provider’s details, he can follow up in case of clarifications and when seeking more information. The same case applies when filing for a complaint. Similar to the telenursing setup, the normal settings are also required to offer high quality care. As such, nurses are required to promote nonmaleficence, confidentiality, and autonomy. In telenursing, the most ethically troubling areas are autonomy, integrity, documentation, information prioritizing, confidentiality, security, and privacy (Schlachta-Fairchild, Elfrink & Deickman, 2008).

Telenurses experience an ethical dilemma involving the conflict between the relative’s and patient’s autonomy, in addition to the ambition of the nurse to assist the patient. In this regard, the beneficence and autonomy principles are in conflict (Jerant et al., 2003). There is an ethical question regarding the manner of ensuring the identity of the caller within telenursing (Kuriakose, 2011).

Conclusions and recommendations

It is highly advisable and recommendable that Manuel should seek extensive and high-quality training. This will be essential in making telenursing productive, preparing him for the role, and preventing the risks involved with it. There is also a great need for him to network with more experienced as well as the new telenurses for more learning.

References

Jerant, A. F., Azari, R., Martinez, C., & Nesbitt, T. S. (2003). A randomized trial of telenursing    to reduce hospitalization for heart failure: patient-centered outcomes and nursing       indicators. Home health care services quarterly, 22(1), 1-20. (Googlescholar)

Kuriakose, J. R. (2011). Telenursing an emerging field. International Journal of Nursing Education, 3 (2), 52. (http://connection.ebscohost.com/c/articles/77635007/telenursing-emerging-field) (EBSCO)

Schlachta-Fairchild, L., Elfrink, V., & Deickman, A. (2008). Patient Safety, Telenursing, and Telehealth. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2687/?report=reader (NCBI- PUBMED)

Snooks, H. A., Williams, A. M., Griffiths, L. J., Peconi, J., Rance, J., Snelgrove, S., … & Cheung, W. Y. (2008). Real nursing? The development of telenursing. Journal of advanced nursing, 61(6), 631-640. (Googlescholar)

Williams, L., Hubbard, K. E., Daye, O., & Barden, C. (2012). Tele-ICU Enhancements. Telenursing in the Intensive Care Unit: Transforming Nursing Practice. Critical Care Nurse, 32 (6), 62 (http://connection.ebscohost.com/c/articles/83835228/tele-icu-enhancements-telenursing-intensive-care-unit-transforming-nursing-practice) (EBSCO)

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Nursing assignment paper Available

Nursing assignment paper
Nursing assignment paper

Nursing assignment paper

Order Instructions:

This paper is in 3 sections and every section is independent from the other so each section must have its own reference list at the end of that section just as in the previous paper. It is important that the writer follow the instructions and properly tackle each section with the right responses. I have also provided some resources to be use for SECTION A and B.

SECTION A (2 pages)
Identifying the Problem, Question, and Hypothesis
Using the following examples, develop problem statements, research questions, and hypotheses for each one:
1. You are interested in determining the effect of music on anxiety and pain in the post-surgical patient.
2. You want to know if tele-health monitoring improves CHF patient outcomes in the home setting.
3. End your discussion giving consideration to why it is necessary to have a problem statement, a research question, and a hypothesis. What benefit does it provide?
4. Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion.

SECTION B ( 1.5pages)
Sampling
You are interested in exploring the experience of new mothers who are breastfeeding for the first time. You can investigate this topic with a descriptive quantitative survey or a qualitative phenomenological study. For each type of study, please describe:
1. The sampling strategy you would use and the potential number of participants you might strive to reach.
2. Justify the projected sample numbers for each strategy.
3. End your discussion with a discussion of inclusion and exclusion criteria you might apply to each sample.
4. Provide at least three citations with full references to credible nursing scholarly articles supporting your definitions and discussion.
Learning resources to be use for the paper
Introduction to Nursing Research Incorporating Evidence-Based Practice
• Chapter 4: “Ethics”
• Chapter 5: “PICOT”
• Chapter 7: “Sampling”
• Carcich, G. M., &Rafti, K. R. (2007). Experienced registered nurses’ satisfaction with using self-learning modules versus traditional lecture/discussion to achieve competency goals during hospital orientation. Journal for Nurses in Staff Development, 23(5), 214–220.

• Coughlan, M., Cronin, P., & Ryan, F. (2007). Step-by-step guide to critiquing research. Part 1: quantitative research. British Journal Of Nursing (BJN), 16(11), 658–663.

• Hedges, C., &Blioss-Holtz, J. (2006). Not too big, not too small, but just right:The dilemma of sample size estimation.AACN Advanced Critical Care, 17 (3). 341–344.

• Ryan, F., Coughlan, M., & Cronin, P. (2007). Step-by-step guide to critiquing research. Part 2: qualitative research. British Journal Of Nursing (BJN), 16(12), 738–744.

• Siedlecki, S. L. (2008). Making a difference through research. AORN Journal, 88 (5), 716.

• Pierce, L. (2009). Twelve steps for success in the nursing research journey. Journal of Continuing Education in nursing, 40 (4)m 154–164.

• Vojir, C. (2005). Scientific inquiry.Hypothesis testing and power in research. Journal for Specialists in Pediatric Nursing, 10 (1), 36–39.
Please review the following website.
To Help You Understand Quantitative and Qualitative Research:
• The Difference Between Quantitative and Qualitative Research Retrieved from http://www.nottingham.ac.uk/nursing/sonet/rlos/ebp/qvq/

SECTION C (1 page)
Ethics Brochure
For this section, you will start creating an informational brochure that could be used for pre-licensure nursing students to inform them of the guidelines and procedures for protecting research participants. The first part will be to write
– Procedures of Protection for all research participants
– Provides a section delineating frequently asked questions about protection of human subjects with answers provided (FAQ’s).

SAMPLE ANSWERS

Nursing assignment paper

SECTION A

Identifying the Problem, Question, and Hypothesis

  1. The effect of music on anxiety and pain in the post-surgical patient

Problem statement

Music therapy has proved to be essential in reducing anxiety and pain in various categories of patients. Hence the effectiveness of music in reducing anxiety and pain in various categories of patients should be evaluated among post-surgical patients who tend to undergo significant anxiety and pain.

Research questions

  1. To what extent does music reduce anxiety and pain in the post-surgical patient?
  2. Do different genres of music have different levels of reducing anxiety and pain in the post-surgical patient?

Hypotheses

  1. There are varied extents to which music reduce anxiety and pain in the post-surgical patient.
  2. Different genres of music have different levels of reducing anxiety and pain in the post-surgical patient.
  1. Determining if tele-health monitoring improves CHF patient outcomes in the home setting

Problem statement

Over the recent past, technological advancements in healthcare have been tremendous and have significantly attributed to improved provision of healthcare services. This has played critical role especially with increasing lifestyle diseases that are not treatable, but only mitigated through effective management particularly those inflicting the elderly (Coughlan et al., 2007). As a result tele-health monitoring has been devised to monitor outcomes of CHF patient in the home setting. However, despite the importance of this novel innovation it is important to determine the extent to which tele-health monitoring improves CHF patient outcomes in the home setting. This is essential in knowing if tele-health monitoring for this group of patients is necessary or not meaning the findings of this study would go along way to influence policies and healthcare management for this group of patients.

Research questions

  1. How has tele-health monitoring led to increased access to healthcare services and/or information among CHF patient in the home setting?
  2. To what extent does tele-health monitoring result to improved rates of recovery among CHF patient in the home setting?

Hypotheses

  1. Tele-health monitoring leads to increased access to healthcare services and/or information among CHF patient in the home setting.
  2. There are improved rates of recovery among CHF patient in the home setting due to tele-health monitoring.

The importance of having a problem statement, a research question, and a hypothesis in any type of research is because they help to succinctly describe the issue or phenomenon under investigation while at the same time providing a direction of the research. For instance, the problem statement ensures that the issue under investigation is explicitly described and discussed thereby allowing easier understanding of the research context (Coughlan et al., 2007). The research questions are used so that they can be referred to by the end of the study from the perspective of the study findings to determine whether the initially proposed questions have been eventually answered. Moreover, a hypothesis may either be stated as null or alternative meaning that it is used to evaluate the study findings two perspectives. This helps to ensure that the initially proposed hypotheses are evaluated to determine whether to accept or reject them. Therefore, they have the benefit of making sure that the researcher evaluates his/her findings with respect to the initial anticipation (Vojir, 2005).

References

Coughlan, M., Cronin, P., & Ryan, F. (2007). Step-by-step guide to critiquing research. Part 1: Quantitative research. British Journal of Nursing (BJN), 16(11), 658–663.

Vojir, C. (2005). Scientific inquiry, Hypothesis testing and power in research. Journal for Specialists in Pediatric Nursing, 10 (1), 36–39.

SECTION B
Sampling

  1. Descriptive quantitative survey

In descriptive survey the safest way of making sure that the sample size is representative is to use a stratified random sampling (Siedlecki, 2008). This is mainly because this sampling procedure would ensure that there is proportional representation of the population subgroups (e.g., sexes, races). In this type of study a considerable number of participants would be required, preferably in terms of hundreds to thousands using statistical significance, because when the sample size is small and the findings show absence of statistical significance it may be considered erroneous; but when the sample size is large the findings are considered valid even if they are not statistically significant. Considering that the study considers new mother breastfeeding for the first time it is important to only include mothers below 35 years and excluding those above 35 years since majority of first time mothers are below 35 years. Secondly, first time mothers who are not breastfeeding would also be excluded from the study.

  1. Qualitative phenomenological study

In this type of study the sampling strategy would be to randomly pick several pediatric clinics where a considerable number of breastfeeding mothers would be easily found, then they would be put into groups where unstructured interviews/focus group discussions would be conducted and the data recorded in form of field notes or transcripts (Hedges & Blioss-Holtz, 2006). However, the number of participants would be in thousands; because in theory the more research participants are included in a research project, the better the validity and reliability of the obtained findings.  Moreover, considering that study considers new mothers breastfeeding for the first time, it is important to ensure that the included research participants are only mothers below 35 years and excluding those above 35 years since majority of first time mothers are below 35 years. Secondly, first time mothers who are not breastfeeding would also be excluded from the study.

References

Hedges, C., & Blioss-Holtz, J. (2006). Not too big, not too small, but just right: The dilemma of sample size estimation. AACN Advanced Critical Care, 17 (3), 341–344.

Siedlecki, S. L. (2008). Making a difference through research. AORN Journal, 88 (5), 716-718.

Pierce, L. (2009). Twelve steps for success in the nursing research journey. Journal of Continuing Education in nursing, 40 (4), 154–164.

Willis, J. (2007). Foundations of Qualitative Research: Interpretive and Critical Approaches. Thousand Oaks: Sage Publications.

SECTION C
Ethics Brochure

Procedures of Protection for all research participants
Seeking informed consent This involves seeking informed consent from research participants prior to including them in the research or obtaining data from them. All the procedures to be included in the study must be explained to the research participants.
Ensuring privacy and confidentiality All the information obtained from the research participants should be maintained private and confidential mainly to ensure that it is safe and out of access unauthorized persons.
Seeking authorization When the research participants are from specialized groups such as patients or children, the researcher should seek authorization from the necessary ethics organizations.
Lack of coercion The research participants should not be forced to participate in the research, but should be allowed to do so willfully.
Delineation of the frequently asked questions (FAQS) concerning human subjects’ protection and answers provided
Questions Answers
What is protection of human subjects in a research? These are the measures put in place to ensure research participants and information obtained from them is secure and safe.
What is informed consent? This is research participants’ voluntary agreement to take part in a research.
Who can provide informed consent? Any research participant who has reached the age of majority and regarded competent is capable of providing informed consent in a research study.
Is informed consent always required? Informed consent is required in majority of studies.
What is the importance of privacy and confidentiality? It ensures that the information obtained from research participants is maintained private and confidential.
When is it necessary to seek authorization from necessary organizations to include certain groups of human subjects? When special groups of human subjects are included and need to be protected.
Why should human subjects not be coerced to participate in a study? To ensure that research ethics are not violated as well as making sure that the findings of the study are valid, credible and reliable.

References

Pierce, L. (2009). Twelve steps for success in the nursing research journey. Journal of Continuing Education in nursing, 40 (4), 154-164.

Siedlecki, S. L. (2008). Making a difference through research. AORN Journal, 88 (5), 716-718.

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Differential Diagnosis for Skin Conditions

Differential Diagnosis for Skin Conditions
Differential Diagnosis for Skin Conditions

Differential Diagnosis for Skin Conditions

Order instructions
Differential Diagnosis for Skin Conditions
Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.
In this Discussion, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To prepare:
• Review the Skin Conditions document provided (the picture of different skin condition document will be uploaded for you), and select two conditions to closely examine for this Discussion.
• Consider the abnormal physical characteristics you observe in the graphics you selected. How would you describe the characteristics using clinical terminologies?
• Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
• Consider which of the conditions is most likely to be the correct diagnosis, and why.

1) Post on or before Day 3 a description of the two graphics you selected (identify each graphic by number).please use the document of the skin condition uploaded.
2) Use clinical terminologies to explain the physical characteristics featured in each graphic.
3) Formulate a differential diagnosis of three to five possible conditions for each.
4) Determine which is most likely to be the correct diagnosis, and explain your reasoning.

Readings/Recommended References (you may choose your own textbook or articles for this paper)

• Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
o Chapter 8, “Skin, Hair, and Nails” (pp. 150–212)

This chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments.
• Dains, J. E., Baumann, L. C., & Scheibel, P. (2012). Advanced health assessment and clinical diagnosis in primary care (4th ed.). St. Louis, MO: Mosby, Elsevier.
o Chapter 25, “Rashes and Skin Lesions” (pp. 303–320)

This chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed.
• LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2009). DeGowin’s diagnostic examination (9th ed.). New York, NY: McGraw Hill Medical.
o Chapter 6, “The Skin and Nails”

In this chapter, the authors provide guidelines and procedures to aid in the diagnosis of skin and nail disorders. The chapter supplies descriptions and pictures of common skin and nail conditions.
• Chadha, A. (2009). Assessing the skin. Practice Nurse, 38(7), 43–48.
Retrieved from a Library databases.

In this article, the author explains how to take a relevant skin health history. In addition, the article defines common terms used to describe skin lesions and rashes.
• Ely, J. W., & Stone, M. S. (2010). The generalized rash: Part I. Differential diagnosis. American Family Physician, 81(6), 726–734.
Retrieved from http://www.aafp.org/afp/2010/0315/p726.html

This article focuses on common, uncommon, and rare causes of generalized rashes. The article also specifies tests to diagnose generalized rashes.
• Ely, J. W., & Stone, M. S. (2010). The generalized rash: Part II. Diagnostic approach. American Family Physician, 81(6), 735–739.
Retrieved from http://www.aafp.org/afp/2010/0315/p735.html

This article revolves around the diagnosis of generalized rashes. The authors describe clinical features that may help in distinguishing generalized rashes.
• Document: Skin Conditions (Word document)

This document contains five images of different skin conditions. You will use this information in this week’s Discussion.

SAMPLE ANSWER

Differential Diagnosis for Skin Conditions

Introduction

Just like any other part of the human organic system, diagnosis of different skin conditions often involves a history, examination and additional tests of the skin.  The more the skin is visible to the naked eye, the easier it will be for the diagnosis to be made. This will also allow the skin specialist to label the type of disease process being considered (LeBlond, Brown, & DeGowin, 2009). Skin diagnosis will also involve the use of different visual clues that include; individual lesion morphology, body color, site distribution, arrangement of lesions and body scaling. At some point the recognition of the skin pattern may become complex especially when the skin components are analyzed separately (Seidel, Ball, Dains, Flynn, Solomon, & Stewart, 2011). Other factors that the skin specialist will also look at will be the histopathology examination of skin biopsies and the causes. Most skin conditions rely on the presence of a constellation of histopathological, immunopathological or clinical genetic features. This is even common in diseases such as psoriasis.

Case analysis

The skin condition that has been illustrated in the picture attached is known as Eczema. The most possible type of this skin condition atopic Eczema due to the fact that the condition may have been caused by other underlying illnesses such as hay fever or asthma (Seidel, Ball, Dains, Flynn, Solomon, & Stewart, 2011).

Graphic classification of the skin condition will look at the type of lesion being treated. For example, if the skin condition has moist weeping lesions then wet dressing changes or lotions will be of good help due to the fact that it will assist in drying up the dermatitis as it provides for a cool and soothing relief.  However if the graphic presents acute exudative dermatoses, then bland treatment in liquid vehicles will be most recommended (Dains, Baumann, & P.Scheibel, 2012). If the graph presents chronic psoriasis then a lot of therapy involving creams and ointments will be vital to retaining native moisture and provide relief to the pruritic and dry skin condition.

Atopic Eczema of this kind came about due to genetic defect in proteins that support the epidermal barrier. During treatment, the patient will have to undergo a process that is aimed at reducing pruritus and dermatitis from spreading, reduction of excerbations and also reduce the risk of the whole therapy. Usually the treatment will be centered on the use of topical anti-inflammatory moisturization of the skin (LeBlond, Brown, & DeGowin, 2009). However, if the condition is more serious than the patient will require phototherapy.

Eczema skin condition is usually caused by various factors, however the most known is the overactive response to the body immune system to an irritant which eventually causes the skin condition. Also families that have a history of a person suffering from eczema are most likely to contact the skin condition too. Other symptoms may include ‘flare-ups’ of an itchy rash due to irritation of a certain substance. Other people contact the skin condition due to the weather or being exposed to certain house hold products (LeBlond, Brown, & DeGowin, 2009).

Conclusion

Up to this moment there is no cure for the eczema skin condition, however the disease can be well managed through a proper medical treatment plan. The condition is not also contagious meaning it cannot spread from one person to the other. In addition the person also needs to stay away from irritating places as this could make it worse.

References

Dains, J., Baumann, L., & P.Scheibel. (2012). Advanced health assessment and clinical diagnosis in primary care . St. Louis: MO: Mosby, Elsevier.

LeBlond, R., Brown, D., & DeGowin, R. (2009). DeGowin’s diagnostic examination (9th ed.). New York, NY: McGraw Hill Medical.

Seidel, H., Ball, J., Dains, J., Flynn, J., Solomon, B., & Stewart, R. (2011). Mosby’s guide to physical examination. St. Louis, MO.

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Comparing and contrast for the Cardiopulmonary

Comparing and contrast for the Cardiopulmonary resuscitation
Comparing and contrast for the Cardiopulmonary resuscitation

Comparing and contrast for the Cardiopulmonary resuscitation

LEARNING THROUGH WORK- Compare and contrast.

Referencing Requirements:
• Comparing and contrast for the Cardiopulmonary resuscitation (CPR) for Adult between Scotland and Saudi Arabia in terms of the nursing role in hospitals.
• Important note:
Must be focusing on the nurse role in terms of policy and procedure between Scotland and Saudi Arabia.
BSc. Nursing
WORK BASED LEARNING MODULE
Module: LEARNING THROUGH WORK
Number of words: 1900

http://www.sendspace.com/file/1kx3ep

http://www.sendspace.com/file/jnsv2r

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

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Nursing Research Paper Available Here

Nursing Research Paper
Nursing Research Paper

Nursing Research Paper

Nursing Research Paper

Select either the qualitative or quantitative study method for this assignment.
In an essay of 750-1,000 words, summarize the study, explain the ways in which the findings might be used in nursing practice, and address any ethical
considerations associated with the conduct of the study.
Refer to Resource Research Summary and Ethical Considerations Guidelines for suggested headings for your paper.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to
beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Use at least three (3) quality references Note: Wikipedia and other related websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

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