Nursing Essays (Examples)
Study Document
How Healthcare Policy Impacts Advanced Practice Nursing
...Nursing How Healthcare Policy Impacts APN
Explanation of how healthcare policy can impact the advanced practice nurse profession
The role of APN is to provide primary, specialty, and acute care through assessment, diagnosis, and treatment of those who seek healthcare services. Healthcare policies are meant to improve healthcare services, and thus, they affect the APN profession. However, the specific effect of any policy depends on the specific policy (Taft & Nanna, 2008). For example, one of the policies that affected the APN profession was the Affordable Care Act (ACA). This act, at its core, was to provide healthcare to the marginalized, to those with chronic sicknesses, and at the same time, more healthcare from the hospital in favor of outpatient.
Because of the nature of the ACA, the APN profession was impacted through the increment of persons seeking healthcare. There were more- and sicker patients entering the healthcare system, and thus,……
References
References
Choi, P. P. (2015). Patient advocacy: the role of the nurse. Nursing Standard (2014+), 29(41), 52.
Flemming, P. L. (2017). Building a Climate of Change with a link through Transformational Leadership and Corporate Culture: A Management key to a Global Environment. International Journal of Business and Social Research, 7(1), 44-55.
Gerber, L. (2018). Understanding the nurse\\\\\\\\\\\\'s role as a patient advocate. Nursing2019, 48(4), 55-58.
Lathrop, B., & Hodnicki, D. R. (2014). The Affordable Care Act: Primary care and the doctor of nursing practice nurse. Online Journal of Issues in Nursing, 19(2).
Metz, S., Piro, J. S., Nitowski, H., & Cosentino, P. (2019). Transformational Leadership: Perceptions of Building-Level Leaders. Journal of School Leadership, 29(5), 389-408.
Taft, S. H., & Nanna, K. M. (2008). What are the sources of health policy that influence nursing practice?. Policy, Politics, & Nursing Practice, 9(4), 274-287.
Study Document
Nursing And Adaptive Response
...Nursing Introduction
Adaptive response refers to how the human body protects itself from injury or infection. It is the third line of defense after inflammatory response and innate immunity (Huether & McCance, 2017). Advanced practice nurses should understand patient’s adaptive responses to alterations caused by disease processes. This paper explains the pathophysiology of tonsillitis, irritant contact dermatitis (ICD), and stress responses as determined from scenario 1, 2 and 3 (see Appendix A). In addition, it presents the mind map of tonsillitis that shows epidemiology, pathophysiology, risk factors, clinical presentation, diagnosis, and adaptive responses.
Scenario 1: Acute Tonsillitis
The conclusion from scenario 1 (see Appendix A) is a 2-years-old female patient suffering from on and off fever, sore throat, and swallowing pain for three days. Physical examination shows the patient’s throat is red with 4 tonsils, diffuse exudates, and palpable tender anterior cervical nodes. Patient's vital signs reveal a heart rate of……
Study Document
Shortages Of Health Care Providers
Informatics Telehealth and the Health Care Shortage
Snavely (2016) shows that the looming nursing shortage is due to hit America hard in the coming years, and that shortage is now evident more than ever with the arrival … nurses than for any other job in America (Haddad & Toney-Butler, 2019). The Bureau of Labor Statistics has projected that some 11 million nursing positions will need to be filled in the coming years and that the health care industry is going to grow more than any … issue, but the possibilities afforded by communications technology in the 21st century show promise. Informatics may be luring potential nurses away from actual nursing, but the plus side is that informatics supports telemedicine in a big way and makes it possible for the former to work efficiently. … way and makes it possible for the former to work efficiently. So whether one sees informatics……
References
References
Clemmer, T. P. (1995). The role of medical informatics in telemedicine. Journal of Medical Systems, 19(1), 47-58.
Demiris, G. (2003). Integration of telemedicine in graduate medical informatics education. Journal of the American Medical Informatics Association, 10(4), 310-314.
Foster, M., & Sethares, K. (2017). Current strategies to implement informatics into the nursing curriculum: an integrative review. J Nurs Inform, 21(3).
Haddad, L. M., & Toney-Butler, T. J. (2019). Nursing shortage. In StatPearls [Internet]. StatPearls Publishing.
Hasbrouck, L. (2016). Strengthening local health department informatics capacity through advocacy, education, and workforce development. Journal of Public Health Management and Practice, 22(Suppl 6), S3.
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf
O’Brien, J. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. American Journal of Health-System Pharmacy, 60(22), 2301-2307.
Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics, 34(2), 98-101.
Study Document
The History Of Dorothea Dix
Women, War and Nursing
Part 1
The role of women, war and politics impacted the growth of the nursing profession primarily through the work of women like Clara Barton, the founder of the American Red Cross and known as the Angel of … of conditions. War and social politics put women in a position to help out the only way they could—and that was to provide nursing.
Black women especially were involved in nursing in the early days and the inclusion of minority women, particularly black women improved the development of nursing as a profession, as it became clear that a nursing standard was needed that all these helpful women could adhere to in order to deliver quality care. Mary Eliza Mahoney was the first … Mary Eliza Mahoney was the first black woman to study and train to be a professional nurse in the U.S. She graduated from nursing……
References
References
Brown, T. J. (1998). Dorothea Dix: New England Reformer (Vol. 127). Harvard University Press.
Darraj, S. M. (2009). Mary Eliza Mahoney. Infobase Publishing.
Fantel, H. (1974). William Penn: Apostle of Dissent. NY: William Morrow & Co.
Gollaher, D. L. (1993). Dorothea Dix and the English origins of the American asylum movement. Canadian Review of American Studies, 23(3), 149-176.
Hardy, S., & Corones, A. (2017). The nurse’s uniform as ethopoietic fashion. Fashion Theory, 21(5), 523-552.
Hathway, M. (1934). Dorothea Dix and Social Reform in Western Pennsylvania, 1845-1875. Western Pennsylvania History: 1918-2018, 17(4), 247-258.
Howard, A. & Kavenick, F. (1990). Handbook of American women’s history. New York, NY: Garland.
Modak, T., Sarkar, S., & Sagar, R. (2016). Dorothea dix: A proponent of humane treatment of mentally ill. Journal of Mental Health and Human Behaviour, 21(1), 69.
Study Document
Elder Abuse
… Baigis & Kopac, 2012). Other than the fact that it is “highly prevalent,” perpetrated by healthcare workers, caregivers, and other elders in assisted living/nursing home communities, not much is known about elder abuse because there are no established means of reporting it or assessing for risk factors … common form of elder abuse. In a review of literature by Malmedal, Iversen & Kilvik (2015), findings “show that sexual abuse occurs in nursing homes and that both older women and men are victims of sexual abuse. Perpetrators appear mainly to be staff and other residents and … 7). However, even sexual abuse is not always easy to define, and matters related to mental competency will be mediating factors.
Relevance to Nursing and Health Professionals
Elder abuse is of extreme importance to all healthcare professionals, including those whose work does not otherwise focus on the ……
References
References
Falk, N. L., Baigis, J., Kopac, C., (August 14, 2012) \\\\\\\\\\\\"Elder Mistreatment and the Elder Justice Act\\\\\\\\\\\\" OJIN: The Online Journal of Issues in Nursing 17(3).
Forum on Global Violence Prevention; Board on Global Health; Institute of Medicine; National Research Council (2014). Ethical considerations. Washington (DC): National Academies Press (US); 2014 Mar 18.
Lacher, S., Wettstein, A., Senn, O., et al. (2016). Types of abuse and risk factors associated with elder abuse. Swiss Medical Weekly 2016(146): 1-10.
Lachs, M.S., Teresi, J.A., Ramirez, M., et al. (2016). The prevalence of ersident-to-resident elder mistreatment in nursing homes. Annals of Internal Medicine 165(4):229-236.
Malmedal, W., Iversen, M.H. & Kilvik, A. (2014). Sexual abuse of older nursing home residents: A literature review. Nursing Research and Practice 2015(Article 902515): http://dx.doi.org/10.1155/2015/902515
Roberto, K.A. (2016). The complexities of elder abuse. American Psychologist 71(4): 302-311.
Saghafi, A., Bahramnezhad, F., Poormollamirza, A., et al. (2019). Examining the ethical challenges in managing elder abuse: a systematic review. Journal of Medical Ethics and History of Medicine 2019(12): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642445/
Wangmo, T., Nordstrom, K. & Kressig, R.W. (2017). Preventing elder abuse and neglect in geriatric institutions: Solutions from nursing care providers. Geriatric Nursing 38(5): 385-392.
Study Document
Clinical Informatics
… 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 … 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, … for continuity of care, which necessarily depends upon continuity of information (Kleib & Nagle, 2018).
Database Systems and Analytics and Their Impact on Nursing Research
Database systems require that nurses understand the concept of analytics as well. Nursing research is no different from any other kind of research in which analysis is involved.……
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
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
The Role Of APRN In Policy Making
… experts with the capability and responsibility to have an influence not only in the prevailing but also future healthcare delivery systems. Imperatively, the nursing line of work is founded on the skill of human health and caring. It functions from a structure that values all persons in ……
References
References
Burke, S. A. (2016). Influence through policy: Nurses have a unique role. Reflections on Nursing Leadership. Retrieved from: https://www.reflectionsonnursingleadership.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role
Chilton, L. (2015). Nurse Practitioners Have an Essential Role in Health Policy. The Journal for Nurse Practitioners, 11(2), A19.
Hughes, A. (2010). The challenge of contributing to policy making in primary care: the gendered experiences and strategies of nurses. Sociology of health & illness, 32(7), 977-992.
Shariff, N. (2014). Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development. BMC nursing, 13(1), 20.
Study Document
DNP Essentials Outline For A Capstone Project
Section Seven: Implications and LimitationsImplications to Practice/Policy Changes· The project seeks to promote changes in nursing practice with regards to pain management and improving communication of pain medication schedule in the postpartum setting.Essential I: Scientific Underpinnings· Kristen Swanson’s Theory … and improving communication of pain medication schedule in the postpartum setting.Essential I: Scientific Underpinnings· Kristen Swanson’s Theory of Caring.· Relationship-based Care model.· Changing nursing role from task-centered care to relationship-based care.· Application of the five processes of care described in Swanson’s Theory of Caring in the postpartum … relationship-based care.· Application of the five processes of care described in Swanson’s Theory of Caring in the postpartum setting.· Promoting effective pain management nursing practice through the five process of care to help enhance patient outcomes.Essential II: Organizational and Systems Leadership· Development of clinical practice guidelines with … Promoting the use of evidence-based interventions in pain management in the postpartum setting.· Through……
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