Advanced Practice Nursing Essays (Examples)
Study Document
Eating Disorder
… a PRIORITY Lab
Lab: Potassium Value:1.9
Normal Value: Critical Value: 3.7
Clinical significance: Low level of potassium in the blood could indicate hypokalemia.
Nursing assessments/interventions required: Management of vomiting tendencies, which causes loss of potassium.
Lab: Magnesium Value:1.2
Normal Value: Critical Value: 1.7
Clinical significance: Low level … loss of potassium.
Lab: Magnesium Value:1.2
Normal Value: Critical Value: 1.7
Clinical significance: Low level of magnesium in the blood could indicate hypomagnesaemia
Nursing assessments/interventions required: Magnesium replacement
CLINICAL REASONING BEGINS
1. What is the primary problem that your patient is most likely presenting with?
Anorexia Nervosa
… in the blood
Patient shows signs of low levels of magnesium in the blood. Magnesium replacement is required before potassium replacement
COLLABORATIVE CARE: NURSING
3. What can the nurse do to establish a therapeutic rapport/relationship in this setting?
The nurse can establish a therapeutic rapport/relationship in this … her comments that suggest suicidal……
Study Document
Staffing For Nurses In Hospitals
… that can address a lot of problems in health care and improve community health.
Relevance
The policy on staffing ratios is relevant to nursing because it can be a solution to the problem of low quality care (Fowler & Comeaux, 2017) and it can be a way … hospitals that have to increase staffing to meet the mandatory ratio (Reiter, Harless, Pink & Mark, 2012). These are the direct costs of nursing, which make up 30% of hospital costs (Reiter et al., 2012). Twigg, Myers, Duffield, Giles and Evans (2015).point out that increased staffing with … bill to make staffing ratios mandatory is needed. The reason for this is simple: access to health care has to be improved, and nursing shortages are a big obstacle to access to care. Obliging hospitals to meet staffing ratios would solve that problem and help to make ……
References
References
ANA. (2019). Nurse staffing. Retrieved from https://www.nursingworld.org/practice-policy/advocacy/state/nurse-staffing/
Dousay, T., Childers, B., Cole, M., Hill, T., & Rogers, C. (2016). Lower Nurse-to-Patient Ratio: Higher Patient Satisfaction. Retrieved from https://scholarworks.moreheadstate.edu/cgi/viewcontent.cgi?article=1105&context=student_scholarship_posters
Fowler, D., & Comeaux, Y. (2017). The legislative role in nurse staffing ratios. MedSurg Nursing, 26(2), 12-14.
Laschinger, H. K. S., & Fida, R. (2015). Linking nurses’ perceptions of patient care quality to job satisfaction: the role of authentic leadership and empowering professional practice environments. Journal of Nursing Administration, 45(5), 276-283.
Martin, C. J. (2015). The effects of nurse staffing on quality of care. MedSurg Nursing, 24(2), S4-S4.
Reiter, K. L., Harless, D. W., Pink, G. H., & Mark, B. A. (2012). Minimum Nurse Staffing Legislation and the Financial Performance of C alifornia Hospitals. Health Services Research, 47(3pt1), 1030-1050.
Rondeau, K. V., & Wagar, T. H. (2016). Human resource management practices and nursing turnover. Journal of Nursing Education and Practice, 6(10), 101.
Twigg, D. E., Myers, H., Duffield, C., Giles, M., & Evans, G. (2015). Is there an economic case for investing in nursing care–what does the literature tell us?. Journal of advanced nursing, 71(5), 975-990.
Study Document
Dorothea Orem S Self Care Deficit Theory
My specialty area of NP practice is family nurse practitioner. My choice of nursing theory on this front is the Dorothea Orem’s self-care deficit theory. To a large extent, this happens to be one of the most … on this front is the Dorothea Orem’s self-care deficit theory. To a large extent, this happens to be one of the most popular nursing theories owing to its succinct description of some concepts of great relevance to nursing practice. In essence, the theory advances the need for individuals as well as families to further their health and wellbeing by embracing the various … In essence, the theory advances the need for individuals as well as families to further their health and wellbeing by embracing the various practice associated with not only health maintenance, but also health promotion. In its basic format, self-care - as White (2013) notes - incorporates the … by……
References
References
Asadi, P., Ahmadi, S., Abdi, A., Shareef, O.H., Mahamadyari, T. Miri, J. (2019). Relationship between self-care behaviors and quality of life in patients with heart failure. Heliyon, 5(9), 71-83.
Blum, C.A. (2014). Practicing Self-Care for Nurses: A Nursing Program Initiative. Journal of Issues in Nursing, 19(3), 40-47.
Fawcett, J. (2016). Applying Conceptual Models of Nursing: Quality Improvement, Research, and Practice. Mason, OH: Cengage Learning.
Gross, R. Kinnison, N. (2017). Psychology for Nurses and Health Professionals (2nd ed.). New York, NY: CRC Press.
McFarland, M.R. Wehbe-Alamah, H.B. (2018). Leininger\\\\\\'s Transcultural Nursing: Concepts, Theories, Research & Practice (4th ed.). New York, NY: McGraw Hill Professional.
Stein-Parbury, J. (2017). Patient and Person: Interpersonal Skills in Nursing (6th ed.). New York, NY: Elsevier Health Sciences.
Study Document
Effectiveness Of In Home Monitoring Of CHF Patients
… (O)?”
Literature Search Process
The process of reviewing existing literature on this topic begins with a literature search using the Chamberlain College of Nursing library. The terms “heart failure” “congestive heart failure” “rehospitalization rates”, “health promotion using mHealth”, and “in-home monitoring” were utilized to commence the literature ……
References
References
Bashi, N., Karunanithi, M., Fatehi, F., Ding, H. & Walters, D. (2017, January). Remote Monitoring of Patients with Heart Failure: An Overview of Systematic Reviews. Journal of Medical Internet Research, 19(1). DOI: 10.2196/jmir.6571
Conn, N.J., Schwarz, K.Q. & Borkholder, D.A. (2019). In-Home Cardiovascular Monitoring System for Heart Failure: Comparative Study. Journal of Medical Internet Research, 7(1). DOI: 10.2196/12419
Gonzalo, A. (2019, August 22). Nola Pender: Health Promotion Model. Retrieved May 18, 2020, from https://nurseslabs.com/nola-pender-health-promotion-model/
Idris, S., Degheim, G., Ghalayini, W., Larsen, T.R., Nejad, D. & David, S. (2015). Home Telemedicine in Heart Failure: A Pilot Study of Integrated Telemonitoring and Virtual Provider Appointments. Reviews in Cardiovascular Medicine, 16(2), 156-162.
Khodaveisi, M., Omidi, A., Farokhi, S. & Soltanian, A.R. (2017, April). The Effect of Pender’s Health Promotion Model in Improving the Nutritional Behavior of Overweight and Obese Women. International Journal of Community-based Nursing and Midwifery, 5(2), 165-174.
Kohn, M. S., Haggard, J., Kreindler, J., Birkeland, K., Kedan, L., Zimmer, R., & Khandwalla, R. (2017). Implementation of a home monitoring system for heart failure patients: A feasibility study. JMIR Res Protoc, 6(3). DOI: 10.2196/resprot.5744
Martirosyan, M., Caliskan, K., Theuns, D., & Szili-Torok, T. (2017). Remote monitoring of heart failure: Benefits for therapeutic decision making. Expert Review of Cardiovascular Therapy, 15(7), 503-515. DOI: 10.1080/14779072.2017.1348229
Ong et al. (2016, March). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients with Heart Failure. JAMA Internal Medicine, 176(3), 310-318.
Study Document
The Use Of Clinical Systems To Improve Outcomes And Efficiencies
...Advanced practice nursing Literature Review
The Use of Clinical Systems to Improve Outcomes and Efficiencies: Special Focus on Patient Portals in Diabetes Management
Patient portals come in handy in seeking to promote the access that patents have to their personal healthcare data. Of relevance on this front could be patient lab results, doctor notes, prescriptions, billing, the relevant information regarding the next appointment, etc. It is also important to note that in some instances, patient portals do permit patients to actively communicate with their healthcare providers. Thus, from a general perspective, patient portals could be described as online tools designed to promote the health and wellbeing of patients by offering patients access to their personal health information (Sun, Korytkowski, Sereike, Saul, Li, and Burke, 2018). In essence, there is need for a reliable internet connection for patent portals to function as intended. At present, patient portals continue to be widely utilized by healthcare……
References
References
Amante, D.J., Hogan, T.P., Pagoto, S.L. & English, T.M. (2014). A Systematic Review of Electronic Portal Usage among Patients with Diabetes. Diabetes Technology & Therapeutics, 16(11), 112-118.
Jackson, S.L., DesRoaches, C.M., Frosch, D.L., Peacock, S., Oster, N.V. & Elmore, J.G. (2018). Will Use of Patient Portals Help to Educate and Communicate With Patients With Diabetes? Patient Educ Couns., 101(5), 956-959.
Ronda, M.C., Dijkhorst-Oei, L., Vos, R.C. & Rutten, G.E. (2018). Diabetes Care Providers’ Opinions and Working Methods after Four Years of Experience with a Diabetes Patient Web Portal; A Survey among Health Care Providers in General Practices and an Outpatient Clinic. BMC Family Practice, 19(94), 79-84.
Sun, R., Korytkowski, M.T., Sereike, S.M., Saul, M.L., Li, D. & Burke, L.E. (2018). Patient Portal Use in Diabetes Management: Literature Review. JMIR Diabetes, 3(4), 41-48.
Dendere, R., Sade, C., Burton-Jones, A., Sullivan, C., Staib, A. & Janda, M. (2019). Patient Portals Facilitating Engagement with Inpatient Electronic Medical Records: A Systematic Review. J Med Internet Res, 21(4), 60-66.
Study Document
Cross Training Staff For COVID 19
...Advanced practice nursing COVID-19 or the novel coronavirus is a respiratory illness that has developed to become a global pandemic in the past few months. The rapid spread of the illness in different parts across the globe has disrupted people’s lives resulting in the emergence of the idea of a new normal. Healthcare organizations like the World Health Organization (WHO) have developed health and safety protocols to help curb the spread of the virus. The disease has caused significant disruptions in clinical and non-clinical environments including business settings. Societies across the world can no longer afford to keep their everyday activities on hold given the devastating impact of the virus. As a result, the establishment of suitable measures to curb the spread of the virus while carrying out daily life activities in normal life has become critical. One of the measures that could help achieve this, particularly in the business environment, is cross-training……
References
References
Agrawal, S., Smet, A.D., Lacroix, S. & Reich, A. (2020, March 7). To Emerge Stronger from the COVID-19 Crisis, Companies Should Start Reskilling Their Workforces Now. Retrieved June 28, 2020, from https://www.mckinsey.com/business-functions/organization/our-insights/to-emerge-stronger-from-the-covid-19-crisis-companies-should-start-reskilling-their-workforces-now#
Kshirsagar, A., Mansour, T., McNally, L. & Metakis, M. (2020, March). Adapting Workplace Learning in the Time of Coronavirus. Retrieved June 28, 2020, from https://www.mckinsey.com/~/media/McKinsey/Business%20Functions/McKinsey%20Accelerate/Our%20Insights/Adapting%20workplace%20learning%20in%20the%20time%20of%20coronavirus/Adapting-workplace-learning-in-the-time-of-coronavirus-vF.ashx
Lawson, J.T. (2020, May 7). COVID-19 FAQs: Cross-training Nurses, Nonclinical Workers. Retrieved June 28, 2020, from https://news.sanfordhealth.org/coronavirus-disease-2019-covid-19/upskilling-reassigning-nonclinical-workers/
Study Document
Sexual Health Promotion Among Middle Eastern Women
… rates for these women remain low even for those who are located in developed countries, which puts them at a higher risk of advanced cervical cancer and poor health outcomes. Considering that cervical cancer is almost entirely preventable or curable if it is detected early middle eastern … measures to ensure that a disease does not occur and the health of the community is maintained (National Council of State Boards of Nursing, 2019). Regular preventive care has been recognized to be one of the most vital ways of maintaining a person's health over time. If ……
References
References
Abboud, S., De Penning, E., Brawner, B. M., Menon, U., Glanz, K., & Sommers, M. S. (2017). Cervical cancer screening among Arab women in the United States: an integrative review. Paper presented at the Oncology nursing forum.
AL-Hammadi, F. A., Al-Tahri, F., Al-Ali, A., Nair, S. C., & Abdulrahman, M. (2017). Limited understanding of pap smear testing among women, a barrier to cervical cancer screening in the United Arab Emirates. Asian Pacific journal of cancer prevention: APJCP, 18(12), 3379.
Ali, S., Skirton, H., Clark, M. T., & Donaldson, C. (2017). Integrative review of cervical cancer screening in Western Asian and Middle Eastern Arab countries. Nursing & health sciences, 19(4), 414-426.
Endeshaw, M., Clarke, T., Senkomago, V., & Saraiya, M. (2018). Cervical cancer screening among women by birthplace and percent of lifetime living in the United States. Journal of lower genital tract disease, 22(4), 280-287.
National Council of State Boards of Nursing. (2019). NCLEX-RN examination blueprint. Retrieved from https://www.ncsbn.org/nclex.htm
Payton, M., Parente, M., Al-Hawarri, M., Manasseh, M., Scott, M., & Altshuler, M. (2016). Barriers and Facilitators To Cervical Cancer Screening Among Iraqi Refugees Resettled in Philadelphia: A Qualitative Analysis of Patient and Provider Perceptions.
Vahabi, M., & Lofters, A. (2016). Muslim immigrant women’s views on cervical cancer screening and HPV self-sampling in Ontario, Canada. BMC public health, 16(1), 868.
Ziaei, T., Farahmand Rad, H., Rezaei Aval, M., & Roshandel, G. (2017). The relationship between Sexual self-concept and sexual function in women of reproductive age referred to health centers in Gorgan, North East of Iran. Journal of Midwifery and Reproductive Health, 5(3), 969-977.
Study Document
Application Of Quality And Safety Concepts
… or emergency treatment.
Hence, this paper holds that the sole means of addressing the above-mentioned medical problems is through the utilization of more, advanced technology for delivering an all-inclusive healthcare experience to allow diverse entities participating in the healthcare process (namely physicians, patients, and healthcare insurance and … HIT gives rise to patient safety improvements through decreasing clinical errors and adverse reactions to medication, in addition to improving adherence to clinical practice guidelines. Furthermore, it was concluded that HIT constitutes a key instrument when it comes to improving the safety and quality of healthcare. Hospitals ……
References
Bibliography
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Med J, 38(12), 1173–1180.
Amit, M. (2019, January 28). 5 Problems Which Healthcare Technology Can Solve for a Healthier World. Retrieved from Net Solutions: https://www.netsolutions.com/insights/5-healthcare-problems-which-digital-technologies-can-solve-for-a-fit-and-healthy-world/
DeSanctis, G., & Poole, M. S. (1994). Capturing the Complexity in Advanced Technology Use: Adaptive Structuration Theory. Organization Science, 5(2), 121-147.
Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health Information Technology in Healthcare Quality and Patient Safety: Literature Review. JMIR Med Inform, 6(2).
Halamka, J., Mandl, K., & Tang, P. (2008). Early Experiences with Personal Health Records. Journal of the American Medical Informatics Association, 15(1), 1-7.
IOM. (1999). To Err is Human: Building a Safer Health System. National Academy of Sciences.
Singh, H., & Sittig, D. (2016). Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Quality & Safety, 25, 226-232.
Weigel, F., Hall, D. J., & Landrum, W. H. (2009). Human/Technology Adaptation Fit Theory for Healthcare. SAIS 2009 Proceedings.
Study Document
Healthcare Provider Shortage
… health resources in Maryland. MedChi could help address the problem through promoting adoption of technologies like telemedicine and expansion of the scope of practice of non-physician providers. To realize this objective, the organization needs to establish partnerships with relevant stakeholders within and outside the county’s health sector … doctors. Desmon (2009) states that rural Maryland continues to experience shortage of healthcare providers given the lack of adequate primary-care doctors to establish practice in these areas. Consequently, many residents in these areas are forced to grapple with lack of access to basic healthcare resulting in more … Merritt Hawkins is a national healthcare search and consulting organization that specializes in recruitment of physician leaders, physicians across all medical specialties, and advanced practitioners (Merritt Hawkins, 2019). Merritt Hawkins regularly conducts review of the recruitment of physicians in all kinds of medical specialties and advanced practitioners. Merritt Hawkins is an industry innovator……
References
References
Antonelli, A.F. (2019, May 14). Does America Have a Physician Shortage – or Are Our Doctors ‘Just Bad at Managing Time’? Retrieved August 5, 2019, https://www.advisory.com/daily-briefing/2019/05/14/physician-shortage
Daly, R. (2018, May 22). Healthcare Workforce Shortage Worsening: Senators. Retrieved August 5, 2019, from https://www.hfma.org/topics/news/2018/05/60811.html
Desmon, S. (2019, March 1). Doctors in Short Supply in Rural Maryland. Baltimore Sun. Retrieved August 5, 2019, from https://www.baltimoresun.com/bal-id.rural01mar01-story.html
Heath, S. (2019, July 11). What Clinician Recruitment Tactics Say About the Physician Shortage. Retrieved August 5, 2019, from https://patientengagementhit.com/news/what-clinician-recruitment-tactics-say-about-the-physician-shortage
Merritt Hawkins. (2019). 2019 Review of Physician and Advanced Practitioner Recruiting Incentives. Retrieved August 5, 2019, from https://www.merritthawkins.com/uploadedFiles/merritthawkins_2019_incentivereview.pdf
Western Maryland Health System and Allegany County Health Department. (2011, November). Allegany County Community Health Needs Assessment. Retrieved August 5, 2019, from http://www.alleganyhealthplanningcoalition.com/pdf/ACHD%20Community%20Health%20Needs%20Assessment.pdf
Wolford, H.B. (2018, May 28). Allegany County Sees Shortage of Health Care Workers. Time News. Retrieved August 5, 2019, from https://www.times-news.com/news/local_news/allegany-county-sees-shortage-of-health-care-workers/article_28b1030d-4403-5d84-aa26-fe17d61b8561.html
Study Document
Quality And Sustainability In Health Care
…
This is part 3 of the quality and sustainability paper. Part 1 outlined the descriptive method of assessing quality and safety measures in nursing science. It was concluded that administrative data could be used to determine the effectiveness of quality or safety program since safety is the … that administrative data could be used to determine the effectiveness of quality or safety program since safety is the most fundamental aspect of nursing science (Twigg, Pugh, Gelder, & Myers, 2016). In part 2, analysis and application of safety programs were explored and Kenneth E. Waldenberg Health ……
References
References
Alenius-Smeds, L., Tishelman, C., Lindqvist, R. Runesdotter, S. & McHugh, M.D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies. Retrieved from http://dx.doi.org/10.1016/j.ijnurstu.2016 (06)005
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Campbell, R. J. (2008). Change Management in Health Care. The Health Care Manager, 27(1), 23-39. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/18510142
Hughes, R.G. (2007). "3 Barriers to quality improvement and quality improvement research." Institute of Medicine (IOM). Advancing quality improvement research: Challenges and opportunities: Workshop summary. doi:10.17226/11884.x
Lennox, L., Maher, L., & Reed, J. (2018). Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare. Implementation science: IS, 13(1), 27. doi:10.1186/s13012-017-0707-4
Stetler C.B., Ritchie J.A., Rycroft-Malone J. & Charns M.P. (2014) Leadership for evidence-based practice: strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence Based Nursing 11(4), 219–226.
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
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