Nursing Management Essays (Examples)
Study Document
Abdominal Pain
...Nursing management Severe abdominal pain with bloody diarrhea at a frequency of twenty times per day can be a sign of a serious condition. In fact, the healthcare team should treat the issue as a medical emergency given the possibility of a life-threatening illness (Holtz, Neill & Tarr, 2009). Immediately I would question the patient regarding her medical and family history, including questions related to whether or not this was the first time she has experienced these symptoms. I would also inquire about the patient’s recent travels because it is possible the symptoms point to an infectious disease or a food-borne illness. Whatever the situation, the patient must first replenish the depleted fluids and electrolytes immediately during the administration of diagnostic procedures and patient monitoring. Also, it would be important to find out if the patient is on any medications including antibiotics, and whether or not she was pregnant. Some medications can……
References
References
Holtz, L.R., Neill, M.A. & Tarr, P.I. (2009). Acute bloody diarrhea. Gastroenterology 2009(136). Retrieved from: https://www.gastrojournal.org/article/S0016-5085(09)00344-8/pdf
LaRocque, R. & Harris, J.B. (2019). Patient education: acute diarrhea in adults. Up To Date. Retrieved from: https://www.uptodate.com/contents/acute-diarrhea-in-adults-beyond-the-basics
Larsen, C.M., Nakamura, K.M. & Bhagra, A. (2012). 34-year old woman with abdonaml pain and blood-streaked diarrhea. Mayo Clinic Proceedings 87(9): 905-908.
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 of magnesium in … 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
…
Anorexia Nervosa
2. What is the underlying cause/pathophysiology of this primary problem?
Low self-esteem, relationship problems and stressful life events.
Collaborative Care: Medical management
Care Provider Orders
Rationale
Expected Outcome
Pelvic exam/obtain cultures to assess for STDs
Establish peripheral IV x2
0.9% Normal Saline (NS) 1000 mL … in the……
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
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 of Caring.· Relationship-based Care model.· Changing … 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 … to 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 … five process of care to help enhance……
Study Document
Hepatitis B Virus Infection
… This paper analyzes this communicable disease, determinants of health relating to its development, epidemiological triad, and role of the nurse practitioner in the management of the infectious disease.
Analysis of the Communicable Disease
The World Health Organization (2019) defines hepatitis B virus as a viral infection that … specific factors relating to the development of the infection. During this process, nurse practitioners conduct follow-up as part of tertiary interventions for HBV management. They provide screening results to primary care physicians for further research and development of evidence-based practice. Nurse Practitioners also carry our follow-up based … testing, cultural factors, ecological factors, lack of access to medical care, and country of origin. Given the lack of a specific treatment, the management of HBV focuses on maintaining comfort and adequate nutritional balance. Nurse practitioners play an important……
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.
Study Document
Developing Organizational Practices And Policies
… out that the shortage of nurses is a global concern. In the words of Cherry and Jacob (2018), to a large extent, “the nursing profession continues to face shortages due to lack of potential educators, high turnover, and inequitable distribution of the workforce” (79). Amongst the reasons highlighted … NY: CRC Press.
Barlow, J. (2016). Managing Innovation in Healthcare. Hackensack, NJ: World Scientific Publishing Company.
Cherry, B. & Jacob, S.R. (2018). Contemporary nursing: Issues, Trends, & management (8th ed.). St Louis, MO: Elsevier Health.
Jones, C.B. & Gates, M. (2007). The Costs and Benefits of Nurse Turnover: A Business Case … C.B. & Gates, M. (2007). The Costs and Benefits of Nurse Turnover: A Business Case for Nurse Retention. Online Journal of Issues in nursing, 12(3).
Littlejohn, L., Campbell, J., Collins-McNeil, J. & Khayile, T. (2012). nursing Shortage: A Comparative Analysis. International Journal of nursing, 1(1), 22-27.……
References
References
Agah, A. (Ed.). (2013). Medical Applications of Artificial Intelligence. New York, NY: CRC Press.
Barlow, J. (2016). Managing Innovation in Healthcare. Hackensack, NJ: World Scientific Publishing Company.
Cherry, B. & Jacob, S.R. (2018). Contemporary Nursing: Issues, Trends, & Management (8th ed.). St Louis, MO: Elsevier Health.
Jones, C.B. & Gates, M. (2007). The Costs and Benefits of Nurse Turnover: A Business Case for Nurse Retention. Online Journal of Issues in Nursing, 12(3).
Littlejohn, L., Campbell, J., Collins-McNeil, J. & Khayile, T. (2012). Nursing Shortage: A Comparative Analysis. International Journal of Nursing, 1(1), 22-27.
Kruse, C.S. & Beane, A. (2018). Health Information Technology Continues to Show Positive Effect on Medical Outcomes: Systematic Review. J Med Internet Res, 20(2).
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
Effectiveness Of In Home Monitoring Of CHF Patients
… patients. Given the significant burden of mortality, morbidity and costs associated with this condition, healthcare providers have undertaken various measures to help in management and treatment. Current approaches are centered on early diagnosis and treatment. However, these approaches are not entirely effective in management of the condition as evident in the high rate of hospital admission and rehospitalization. Moreover, patients experience deterioration of their conditions due to … we lessen rehospitalization rates of patients with congestive heart failure. Literature has shown that early diagnosis and treatment is not entirely effective in management of the condition and reducing rehospitalization. Recent evidence shows that approaches like in-home monitoring would play a critical role in lessening hospital admission … (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……
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
Urinary Tract Infection And Osteoporosis In Women
… health and wellbeing. Some of the chronic and acute health conditions affecting women include urinary tract infections and osteoporosis. This paper examines the management of these two conditions through comparison of common and non-traditional treatment modalities.
Urinary Tract Infection and Osteoporosis
A urinary tract infection is defined … women. Consequently, the public health sector has adopted various initiatives to help prevent the prevalence of these conditions as well as treatment and management. Health promotion initiatives have involved health education initiatives that seek to educate women on the major risk factors for the condition, its associated … consumption and smoking. Health promotion measures also include screening for the condition since early detection plays a major role in effective prevention and management. The screening is carried out through a bone measurement test known as central or peripheral DXA (dual-energy x-ray absorptiometry), which measure bone mineral … bone fracture and enhancing bone……
References
References
Baars et al. (2019, February 3). The Contribution of Complementary and Alternative Medicine to Reduce Antibiotic Use: A Narrative Review of Health Concepts, Prevention, and Treatment Strategies. Evidence-based Complementary and Alternative Medicine, 1-29. doi: 10.1155/2019/5365608
Carbone et al. (2015, November). Urinary Tract Stones and Osteoporosis: Findings From the Women’s Health Initiative. Journal of Bone and Mineral Research, 30(11), 2096-2102.
Eells, S.J., Bharadwa, K., McKinnell, J.A. & Miller, L.G. (2014, January 15). Recurrent Urinary Tract Infections Among Women: Comparative Effectiveness of 5 Prevention and Management Strategies Using a Markov Chain Monte Carlo Model. Clinical Infectious Diseases, 58(2), 147-160.
Harvard Health Publishing. (2017, May). Urinary Tract Infection in Women. Retrieved from Harvard Medical School website: https://www.health.harvard.edu/a_to_z/urinary-tract-infection-in-women-a-to-z
Khadilkar, A. & Mandlik, R.M. (2015). Epidemiology and Treatment of Osteoporosis in Women: An Indian Perspective. International Journal of Women’s Health, 7, 841-850.
Tian et al. (2017, October). Prevalence of Osteoporosis and Related Lifestyle and Metabolic Factors of Postmenopausal Women and Elderl Men. Medicine, 96(43), doi: 10.1097/MD.0000000000008294
U.S. Preventive Services Task Force. (2018, June 26). Screening for Osteoporosis to Prevent Fractures – U.S. Preventive Services Task Force Recommendation Statement. JAMA, 319(24), 2521-2531.
Study Document
Body Dysmorphic Disorder
… as treatment approaches. This paper discusses treatment recommendations for an adult patient suffering from Body Dysmorphic Disorder. The discussion includes analysis of medical management, community resources and follow-up plans for the patient’s condition.
HPI and Clinical Impression for the Client
Jane is a 38-year old individual diagnosed ……
References
References
Ahmed et al. (2019, October 3). Body Dysmorphic Disorder Treatment & Management. Retrieved October 10, 2019, from https://emedicine.medscape.com/article/291182-treatment#d12
Harris, P.M. & Drummond, L.M. (2016, October). Compliance of Community Teams with Specialist Service Recommendations for Obsessive-Compulsive and Body Dysmorphic Disorders. BJPsych Bulletin, 40(5), 245-248.
Mayo Clinic Staff. (2016, April 28). Body Dysmorphic Disorder. Retrieved October 10, 2019, from https://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/diagnosis-treatment/drc-20353944
Phillips, K.A. & Hollander, E. (2008, March). Treating Body Dysmorphic Disorder with Medication: Evidence, Misconceptions, and a Suggested Approach. Body Image, 5(1), 13-27.
Phillips, K.A. (2006, July). The Presentation of Body Dysmorphic Disorder in Medical Settings. Primary Psychiatry, 13(7), 51-59.
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