Nursing Practice 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
Patient Protection And Affordable Care Act
PPACA
Two provisions in the PPACA (Patient Protection and Affordable Care Act) that impact my current nursing practice are 1) the call for increased access to care and 2) the call for more preventive care. The Institute of Medicine (IOM) in … call for increased access to care and 2) the call for more preventive care. The Institute of Medicine (IOM) in its Future of nursing report stated that nurse practitioners should be allowed to practice to the full scope of their education and training (IOM, 2010), which is something they are not permitted to do in every state. … their education and training (IOM, 2010), which is something they are not permitted to do in every state. Many states require nurses to practice under the supervision of a physician, but as O’Brien (2003) pointed out, Advanced practice Nurse Practitioners (APRNs) were trained to take the place of the physicians……
References
References
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.
Study Document
The Use Of Clinical Systems To Improve Outcomes And Efficiencies
...Nursing practice 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
Sexual Health Promotion Among Middle Eastern Women
… 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
Legal And Ethical Issues In Healthcare
… Ethical Issues in Healthcare
Healthcare ethics have to do with the wide range of moral decisions that have to be made in medical practice. These are the other considerations that have to be made besides the regular policies and procedures designed for effective medical practice. Of the various aspects of the human body and life, none is as important as health. Technological advancements in the practice of medicine and healthcare, in general, emerge with their sets of moral dilemmas. Many of such issues arise from developments in genetic knowledge … that present moral dilemmas. In the clarification of moral issues in healthcare provision, and consequently, understood, healthcare quality as it is received and practice should be improved qualitatively (Taylor, 2015).
There is a need to make an ethical decision whenever a healthcare expert meets a situation where … juxtapose them with professional, ethical codes of conduct. There are many……
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
Seventh Day Adventist Church
… recommend birth control to an unwed Adventist girl as a way to treat difficult menstruations would be an unacceptable approach to care. Transcultural nursing is about being informed so that respect and sensitivity can be shown at all times.
In conclusion, the Seventh Day Adventists are a ……
References
References
Buettner, D. (2005). The Secrets of Long Life. National Geographic, 208(5), 2–27.
Fraser, G. E. (2003). Diet, life expectancy, and chronic disease: studies of Seventh-Day Adventists and other vegetarians. Oxford University Press.
Leininger, M. (2008). Transcultural nursing: Its importance in nursing practice. Journal of cultural diversity, 15(1), 37-43.
Phillips, R. L. (1975). Role of life-style and dietary habits in risk of cancer among Seventh-Day Adventists. Cancer Research, 35(11 Part 2), 3513-3522.
Study Document
Self Care Action Plan
… on the idea that people should be self-reliant first of all if they have any inclination to help themselves or to help others (nursing Theories, 2012). Orem believed that modern society tended to make people dependent upon others to take care of them. This dependency led to ……
References
References
Baumeister, R. F., Campbell, J. D., Krueger, J. I., &Vohs, K. D. (2003). Does high self-esteem cause better performance, interpersonal success, happiness, or healthier lifestyles? Psychological Science in the Public Interest, 4(1), 1–44.
Cosentino, B. W. (2020). Loving Yourself. How to raise your self-esteem.
Dall’Ora, C., Griffiths, P. & Ball, J. (2016). 12-hour shifts: burnout or job satisfaction? Nursing Times, 112(12/13), 1-2.
Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370.
National Academy of Medicine. (2019). Valid and Reliable Survey Instruments to Measure Burnout, Well-Being, and Other Work-Related Dimensions. Retrieved from https://nam.edu/valid-reliable-survey-instruments-measure-burnout-well-work-related-dimensions/
Nursing Theories. (2012). Retrieved from http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
Orem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc.
Robinson, R. B., & Frank, D. I. (1994). The relation between self-esteem, sexual activity, and pregnancy. Adolescence, 29(113), 27–35.
Study Document
Hand Hygiene And Infection In Hospitals
… and opinions of the stakeholders were obtained via semi-structured interviews.
5. Describe how the evidence from the article in part B informs current nursing practice
Evidence obtained from the article substantially informs the current nursing practice. One of the suggestions takes into account ensuring that the prevention and controlling of HAIs is part of the nationwide health agenda. There ……
References
References
Joshi, S. C., Diwan, V., Tamhankar, A. J., Joshi, R., Shah, H., Sharma, M., ... & Lundborg, C. S. (2012). Qualitative study on perceptions of hand hygiene among hospital staff in a rural teaching hospital in India. Journal of Hospital Infection, 80(4), 340-344.
Tan Jr, A. K., & Jeffrey Olivo, B. S. (2015). Assessing healthcare associated infections and hand hygiene perceptions amongst healthcare professionals. International Journal of Caring Sciences, 8(1), 108.
Study Document
Leadership Development Plan
… revisiting old material
· Study human behavior and how people respond w/ words, body language so as to develop SI and EI
· practice developing and communicating a vision
Open-ended in general, but specific goals can be set for each month:
· Obtaining input should be weekly
… enables one to see which competencies need to be acquired, what key behaviors should be developed, and what styles of leadership should be practice. The aim of the leadership development plan is to promoted and foster more effective leadership. Shanks and Buchbinder (2012) explain that “leadership development … workplace and this plan will identify these opportunities and show how they can be put to use.
Opportunities
Opportunities to…[break]…of a year the practice should become routine and there should be a marked change in the moral of the people in the workplace. They should show a … morale and motivation thanks to……
References
References
Atkin-Plunk, C. A., & Armstrong, G. S. (2013). Transformational leadership skills and correlates of prison warden job stress. Criminal Justice and Behavior, 40(5), 551-568.
Doody, O., & Doody, C. M. (2012). Transformational leadership in nursing practice. British Journal of Nursing, 21(20), 1212-1218.
Leininger, M. (2008). Transcultural nursing: Its importance in nursing practice. Journal of cultural diversity, 15(1), 37-43.
Mikkelson, A. C., York, J. A., & Arritola, J. (2015). Communication competence, leadership behaviors, and employee outcomes in supervisor-employee relationships. Business and Professional Communication Quarterly, 78(3), 336-354.
Ruben, B. D., & Gigliotti, R. A. (2017). Communication: Sine qua non of organizational leadership theory and practice. International Journal of Business Communication, 54(1), 12-30.
Shanks, N. H. & Buchbinder, S. B. (2012). Introduction to health care management. Burlington, MA: Jones & Bartlett Learning.
Warrick, D. D. (2011). The urgent need for skilled transformational leaders: Integrating transformational leadership and organization development. Journal of Leadership, Accountability and Ethics, 8(5), 11-26.
Study Document
Right Of Informed Refusal For Minors
… care decisions. In this regard, Katz and Webb (2016) emphasize that, “Informed consent should be seen as an essential part of health care practice; parental permission and childhood assent is an active process that engages patients, both adults and children, in their health care” (p. 30).
Rather … in their health care decisions when they reach a certain level of maturity. For instance, Katz and Webb (2016) also note that, “Pediatric practice is unique in that developmental maturation allows, over time, for increasing inclusion of the child’s and adolescent’s opinion in medical decision-making in clinical … is unique in that developmental maturation allows, over time, for increasing inclusion of the child’s and adolescent’s opinion in medical decision-making in clinical practice and research” (2016, p. 30). This observation suggests that the ability of minors to participate in their health care decisions exists along a … perspective and power of children……
References
References
Black’s law dictionary. (1990). St. Paul, MN: West Publishing Company.
Bryden, J. (2016, February 25). Medical help in dying should be widely available, with few restrictions: Report. The Canadian Press, 6.
Hursthouse, R. & Pettigrove, G. (2018, Winter). Virtue ethics. The Stanford Encyclopedia of Philosophy. Retrieved from https://plato.stanford.edu/archives/win2018/entries/ethics-virtue .
Katz, A. L. & Webb, S. A. (2016, August). Informed consent in decision-making in pediatric practice. Pediatrics, 138(2), 30-37.
Lemmens, C. (2009, September). End- of- life decisions and minors: do minors have the right to refuse life preserving medical treatment? A comparative study. Medical Law Review, 28(3), 479-497.
Physician-assisted suicide. (2019). CNN. Retrieved from https://www.cnn.com/2014/11/26/us/ physician-assisted-suicide-fast-facts/index.html.
Salsberry, P. J. (1999, January 1). Caring, virtue theory, and a foundation for nursing ethics. Scholarly Inquiry for Nursing Practice, 6(2), 155-160.
Williams, Z. (2012, October 25). Early puberty: why are kids growing up faster? The Guardian. Retrieved from https://www.theguardian.com/society/2012/oct/25/early-puberty-growing-up-faster .
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