Critical Care Nursing Essays (Examples)
Study Document
Evolving Practice Of Nursing And Patient Care Delivery Models
1
The Institute of Medicine (IOM) in its Future of Nursing report stated that there is a need for nurses to be able to practice to the full extent and scope of their education … full extent and scope of their education and training (IOM, 2010). In doing so, the belief was that this would increase access to care and provide nurses with the opportunity to practice as they were trained. O’Brien (2003) notes, after all, that the whole reason APRNs began … reason APRNs began being trained in the latter half of the 20th century was to fill the gap being left behind by primary care physicians as they left their primary care practice to go work for specialized medicine. Today, however, nurses are still bound by regulations that require them in many states to work … as they were intended to be. If this indeed comes about in……
References
References
American Nurses Association. (2010). New care delivery models in health system reform: Opportunities for nurses and their patients. Kansas City, MO: Author.
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf
Korda, H., & Eldridge, G. N. (2011). ACOs, PCMHs, and health care reform: nursing’s next frontier?. Policy, Politics, & Nursing Practice, 12(2), 100-103.
O’Brien, J. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. American Journal of Health-System Pharmacy, 60(22), 2301-2307.
Study Document
Healthcare Provider Shortage
Executive Summary
The care sector in the United States is facing shortage of care providers, particularly in rural settings. One of the most affected areas in the country is rural Maryland, especially Allegany County, which has been … especially Allegany County, which has been selected as the location for this project. The proposed plan seeks to help lessen the shortage of care providers in the county using MedChi, an organization that provides public health resources in Maryland. MedChi could help address the problem through promoting … including policymakers. These partnerships should focus on identifying necessary resources for implementation of the proposed solution.
Provider Shortage Proposal
Shortage of providers in care is a major issue facing this industry at a time when patient populations have continued to increase globally. The shortage of providers in … is a major issue facing this industry at a time when patient populations have continued to……
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
Healthcare Scientific Merit
Scientific Merit Paper
This paper will analyze Doekhie and coworkers’ 2018 research work titled “The different perspectives of patients, informal care, and professionals on patient involvement in primary care teams. A qualitative study”. This analysis will entail an evaluation of how the research work contributes to scientific knowledge and research theory, its … to the literature on the subject through examining the issue of patient participation in the health-related decision?making process in the course of primary care team interactions with patients and their informal care within the primary patient care setting. Here, patient participation is no explicitly established idea; instead, the concept is coproduced using interactions and discussions of primary patient care practitioners, reciprocally, with patients and their informal (or family) care. This renders it essential to concentrate on patient participation as members of primary care units (Swan et al., 2012). Generation of theories which can explain, with certainty, phenomena generalizing……
References
References
Brook, R. H., & Vaiana, M. E. (2015). Using the knowledge base of health services research to redefine health care systems. Journal of general internal medicine, 30(10), 1547-1556.
Cutcliffe, J. R., & McKenna, H. P. (1999). Establishing the credibility of qualitative research findings: the plot thickens. Journal of advanced nursing, 30(2), 374-380.
Doekhie, K. D., Strating, M. M., Buljac?Samardzic, M., van de Bovenkamp, H. M., & Paauwe, J. (2018). The different perspectives of patients, informal caregivers, and professionals on patient involvement in primary care teams. A qualitative study. Health Expectations, 21(6), 1171-1182.
Eccles, M., Grimshaw, J., Walker, A., Johnston, M., & Pitts, N. (2005). Changing the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings. Journal of clinical epidemiology, 58(2), 107-112.
Leedy, P.D. & Ormrod, J. E. (2019). Practical research: Planning and design, 12th edition. Pearson Education, Hudson Street, NY.
Sanjari, M., Bahramnezhad, F., Fomani, F. K., Shoghi, M., & Cheraghi, M. A. (2014). Ethical challenges of researchers in qualitative studies: The necessity to develop a specific guideline. Journal of medical ethics and history of medicine, 7.
Swan, J., Clarke, A., Nicolini, D., Powell, J., Scarbrough, H., Roginski, C., ... & Taylor-Phillips, S. (2012). Evidence in Management Decisions (EMD): advancing knowledge utilization in healthcare management.
Thomas, D. R. (2017). Feedback from research participants: are member checks useful in qualitative research?. Qualitative Research in Psychology, 14(1), 23-41.
Study Document
Telemedicine And Its Impact On Patient Care
Telemedicine: How does it impact patient care?
Introduction
The modern health care system is better and considerably more complex than what the situation previously was a decade and several decades ago. According to various researchers, … and considerably more complex than what the situation previously was a decade and several decades ago. According to various researchers, the modern health care system is a managed one, and it widely uses technology in contrast to previous health care systems (Conklin, 2002). The many uses of technology in the modern health care system include the use of technology for diagnosis, for minimally invasive treatments, and better monitoring of vital signs and other signs. Moreover, technology … Moreover, technology is now also being used to consult with medical experts from all over the world remotely. This has led to improved care and has enhanced patent experience.
Furthermore, many mobile applications have been invented to……
References
References
Meyers, A. J., Pontarelli, E., Dutta, S. K., Grinberg, G., & Yenumula, P. R. (2018). Telemedicine Follow-up After Bariatric Surgery. Surgery for Obesity and Related Diseases, 14(11), S168.
Tiago, M. T. B., Tiago, F., Amaral, F. E. B., & Silva, S. (2016). Healthy 3.0: Healthcare digital dimensions. In Reshaping medical practice and care with health information systems (pp. 287-322). IGI Global.
Conklin, T. P. (2002). Health care in the United States: An evolving system. Michigan Family Review, 7(1).
Board on Health Care Services; Institute of Medicine. (2012). \\\\\\\\\\\\"3The Evolution of Telehealth: Where Have We Been and Where Are We Going?\\\\\\\\\\\\" in The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. National Academies Press, Washington (DC).
Sada, A., Asaad, M., Reidt, W. S., Kellogg, T. A., Kendrick, M. L., McKenzie, T. J., & Habermann, E. B. (2019). Are In-Person Post-operative Clinic Visits Necessary to Detect Complications Among Bariatric Surgery Patients?. Obesity Surgery, 1-4.
Krupka, D. C., Sandberg, W. S., & Weeks, W. B. (2012). The impact on hospitals of reducing surgical complications suggests many will need shared savings programs with payers. Health Affairs, 31(11), 2571-2578.
Fasano, P. (2013). Transforming health care: The financial impact of technology, electronic tools, and data mining. John Wiley & Sons.
Burch, S., Gray, D., & Sharp, J. (2017). The power and potential of telehealth what health systems should know: proposed legislation in Congress offers the promise that the nation\\\\\\\\\\\\'s healthcare policy will support the expansion of telehealth, allowing hospitals and health systems to fully realize the benefits of this important emerging approach to care. Healthcare Financial Management, 71(2), 46-50.
Study Document
Legal And Ethical Issues In Healthcare
Legal and Ethical Issues in care
care ethics have to do with the wide range of moral decisions that have to be made in medical practice. These are the other … the various aspects of the human body and life, none is as important as health. Technological advancements in the practice of medicine and care, in general, emerge with their sets of moral dilemmas. Many of such issues arise from developments in genetic knowledge and reproductive health (Taylor, … dilemmas. Many of such issues arise from developments in genetic knowledge and reproductive health (Taylor, 2015).
The relationship between the patient and the care expert, the human subject behavioral research, harvesting and transplanting of human organs, abortion, euthanasia, and allocation of care resources and services are other areas that present moral dilemmas. In the clarification of moral issues in care provision, and consequently, understood, care quality as it is received and……
References
References
Chen, Y. Y., Chu, T. S., Kao, Y. H., Tsai, P. R., Huang, T. S., &Ko, W. J. (2014). To evaluate the effectiveness of health care ethics consultation based on the goals of health care ethics consultation: a prospective cohort study with randomization. BMC medical ethics, 15(1), 1.
Morrison, E. E. (2011). Ethics in health administration: a practical approach for decision-makers. Jones & Bartlett Publishers.
Nora, C. R. D., Deodato, S., Vieira, M. M. D. S., &Zoboli, E. L. C. P. (2016). Elements and strategies for ethical decision-making in nursing. Texto&Contexto-Enfermagem, 25(2).
Reddy, M. S., &Mythri, S. V. (2016). Health-care Ethics and the Free Market Value System. Indian journal of psychological medicine, 38(5), 371–375. https://doi.org/10.4103/0253-7176.191387
Taylor, S. C. (2015). Health Care Ethics. Internet Encyclopedia of Philosophy. Retrieved from https://www.iep.utm.edu/h-c-ethi/#H2
Yip, C., Han, N. R., &Sng, B. L. (2016). Legal and ethical issues in research. Indian Journal of anesthesia, 60(9), 684–688. https://doi.org/10.4103/0019-5049.190627
Webster, G., Bayliss, F., Rubin, S., &Zoloth, L. (2000). Moral Residue. Margin of Error: The Ethics of Mistakes in the Practice of Medicine. Hagerstown, MD: University Publishing Group.
Study Document
Eating Disorder
… a “domino effect” in his/her life?
· Circle what PMH problem likely started FIRST.
· Underline what PMH problem(s) FOLLOWED as domino(s).
PATIENT care BEGINS
What VS data is relevant and must be recognized as clinically significant by the nurse?
Relevant VS data: T: 96.2 F/35.7 C … the nurse?
Relevant lab(s): All signs are within normal range
Clinical significance: Detection of urinary tract symptoms
Lab Planning: Creating a Plan of care with 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 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……
Study Document
Cross Training Staff For COVID 19
… the illness in different parts across the globe has disrupted people’s lives resulting in the emergence of the idea of a new normal. care organizations like the World Health Organization (WHO) have developed health and safety protocols to help curb the spread of the virus. The disease … 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 a multi-disciplinary clinical staff to work in … staff to work in COVID-19 environments.
Cross-training is essential in promoting the development of skills that would help cater for the needs of critical ill patients. Through such training, a multi-disciplinary clinical staff will develop the requisite knowledge and skills under the supervision of trained and experienced … ill patients. Through such 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
Asthma Condition Assessment And Diagnosis
… Asthma: Assessment and Management. The Journal for Nurse Practitioners, 12(1), 102-107.
Vincent, J., Abraham, E., Kochanek, P. & Fink, M.P. (2011). Textbook of critical care. Philadelphia, PA: Elsevier Health Sciences.…
References
References
Shedd, G.C. & Hays, C.N. (2016). The Pregnant Patient with Asthma: Assessment and Management. The Journal for Nurse Practitioners, 12(1), 102-107.
Vincent, J., Abraham, E., Kochanek, P. & Fink, M.P. (2011). Textbook of Critical Care. Philadelphia, PA: Elsevier Health Sciences.
Study Document
Clinical Informatics
… nearly every aspect of life, from how people recreate to how they work. This is no less true in the field of health care, where clinical informatics is reshaping the nursing workplace environment, how patient data is recorded and shared, and how health care is delivered. This paper will discuss clinical informatics concepts emerging in the 21st century, what evidence-based practice (EBP) shows with respect to clinical … to clinical informatics, how the law figures into this issue with respect to HIPAA, privacy/confidentiality and security issues; and how patient safety, the nursing role and electronic medical records are impacted.
Clinical Informatics Concepts in the 21st Century
Controlling the flow of information to promote efficiency, security, … complete records for the purpose of electronic medical records (EMR) databases is also part of the concept because of need for continuity of care, which necessarily depends upon continuity of information (Kleib &……
References
References
Cho, O. M., Kim, H., Lee, Y. W., & Cho, I. (2016). Clinical alarms in intensive care units: Perceived obstacles of alarm management and alarm fatigue in nurses. Healthcare informatics research, 22(1), 46-53.
Effken, J., Weaver, C., Cochran, K., Androwich, I., & O’Brien, A. (2016). Toward a central repository for sharing nursing informatics’ best practices. CIN: Computers, Informatics, Nursing, 34(6), 245-246.
Elsayed, W. A., Hussein, F. M., & Othman, W. N. (2017). Relation between nursing informatics competency and nurses’ attitude toward evidence-based practice among qualified nurses at Mansoura Oncology Center. International Journal of Nursing Didactics, 7(6), 26-33.
Drolet, B. C., Marwaha, J. S., Hyatt, B., Blazar, P. E., & Lifchez, S. D. (2017). Electronic communication of protected health information: privacy, security, and HIPAA compliance. The Journal of hand surgery, 42(6), 411-416.
Haupeltshofer, A., Egerer, V., & Seeling, S. (2020). Promoting health literacy: What potential does nursing informatics offer to support older adults in the use of technology? A scoping review. Health Informatics Journal, 1460458220933417.
Kharbanda, E. O., Asche, S. E., Sinaiko, A. R., Ekstrom, H. L., Nordin, J. D., Sherwood, N. E., & O’Connor, P. (2018). Clinical decision support for recognition and management of hypertension: a randomized trial. Pediatrics, 141(2).
Khezri, H., & Abdekhoda, M. (2019). Assessing nurses’ informatics competency and identifying its related factors. Journal of Research in Nursing, 24(7), 529-538.
Kleib, M., & Nagle, L. (2018). Factors associated with Canadian nurses\\\\\\\\\\\\' informatics competency. CIN: Computers, Informatics, Nursing, 36(8), 406-415.
Study Document
Hepatitis B Virus Infection
… transmitted through contact with body fluids like blood. Since it is a life-threatening condition, the viral infection has received considerable attention in the care sector. care professionals and other relevant stakeholders have developed various initiatives to help lessen the prevalence of this infection and mitigate its impacts worldwide. This … this infection include acute liver failure, liver cancer, chronic liver infection, and cirrhosis. Since there is no specific treatment for the infection, existing care approaches focus on maintaining comfort and adequate nutritional balance. They include medications using oral antiviral agents like tenofovir and entecavir as well as … per 100,000).…[break]…HBV, nurse practitioners carry out screening and testing programs given that most cases of this infection are asymptomatic. They work with primary care physicians to develop interventions for patients depending on the specific factors relating to the development of the infection. During this process, nurse practitioners … the infection. During……
References
References
American Association of Nurse Practitioners. (2019, January 28). Nurse Practitioner Role Grows to More Than 270,000. Retrieved July 23, 2020, from https://www.aanp.org/news-feed/nurse-practitioner-role-continues-to-grow-to-meet-primary-care-provider-shortages-and-patient-demands
Greene, K.M., Duffus, W.A., Xing, J., & King, H. (2017). Social Determinants of Health Associated with HBV Testing and Access to Care among Foreign-born Persons Residing in the United States: 2009-2012. Journal of Health Disparities Research and Practice, 10(2), 1-20.
Healthy People. (2020). Determinants of Health. Retrieved from U.S. Department of Health and Human Services website: https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
Kim, H. & Kim, W.R. (2018, August 22). Epidemiology of Hepatitis B Virus Infection in the United States. Clinical Liver Disease, 12(1), 1-4.
Kim, W.R. (2012, March 1). Epidemiology of Hepatitis B in the United States. Hepatology, 49(5), S28-S34.
MacLachlan, J.H. & Cowie, B.C. (2015, May). Hepatitis B Virus Epidemiology. Cold Spring Harbor Perspectives in Medicine, 5(5). doi: 10.1101/cshperspect.a021410
World Health Organization. (2019, July 18). Hepatitis B. Retrieved July 23, 2020, from https://www.who.int/news-room/fact-sheets/detail/hepatitis-b
Zhang, Z., Wang, C., Liu, Z., Zou, G., Li, J. & Lu, M. (2019, August 13). Host Genetic Determinants of Hepatitis B Virus Infection. Frontiers in Genetics, 10(696),1-24.
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