The entire paper must be written in APA format with at least 5 nursing journals cited dated no later than 2001. The first page is the introduction. The next three pages are the review of literature which is where the articles are to be cited. The final page is the conclusion which must also be cited. The papers content is the nurses role in end of life care, with a geriatric focus. it must discuss the nurses own issues of mortality when dealing with end of life care as well as how to communicate effectively.

Discuss the nurses? role within the Primary Health Care system as part of a multidisciplinary team including five different health care workers (including medical practitioners, physiotherapist, social worker, indigenous health worker, pharmacist), how the nurse uses these PHC health carers and how they relate to the nurse (gathering evidence to support diagnosis, acting as patient advocate, coordinator of care etc.) This also needs to include determinants of health for individuals and for the nurse. The student will demonstrate reflection and synthesis in their answer. Essay will include a minimum of 10 references including journals, websites and textbooks.

Must choose one case study

Question 1:
advanced practice roles that include blended roles of the CNS and NP, the CNM and the CRNA. In addition, you have had the opportunity to consider evolving and innovative roles that are emerging.

For this question, select a specialty, other than those discussed in our readings, that you think is in some stage of evolution toward advanced practice or has the potential to evolve. Conduct an internet search (including the online library as well as specialty organizations) and discuss the following:
What is the current stage in the specialtys evolution?
What do you see as reasons why the specialty has the potential to evolve?
What are the advantages and disadvantages for the specialty in evolving to the advanced practice level?
Justify your answers using examples and reasoning. Comment on the postings of at least two peers concerning whether you agree or disagree with their views.

Question 2:
The evolution of specialty practice to advanced roles for nursing has led to some intraprofessional conflict. Please reflect and respond to the following items:
Select your advanced role specialization and discuss why you selected this particular role.
What do you envision as potential intra-professional conflict issues?
What strategies will you select to decrease or eliminate any conflict in your selected role? Why?
Justify your answers using examples and reasoning. Comment on the postings of at least two peers concerning whether you agree or disagree with their views.

Question3:The ANA Scope and Standards of Practice document identifies specialty nursing practice and advanced practice nursing behaviors.

How do you differentiate between specialty and advanced nursing practice?

Compare and contrast the two by discussing the differences in the following areas:
Knowledge base
Scope
Credentialing
Regulation
Justify your answers using examples and reasoning. Comment on the postings of at least two peers concerning whether you agree or disagree with their views.

Please use this book:
Hamric, A. B., Spross, J. A., & Hanson, C. M. (2009). Advanced practice nursing: an integrative approach (4 ed.).
Thanks

1. INTRODUCTION
describe the policy problem in 1-3 paragraphs for ex. shortage in nursing, domestic violence etc
end with a purpose statement( theme sentence) write from general to specific.
2. BACKGROUND OF THE PROBLEM
critically analyze the background based on literature sources, include legal and ethical issues; appropriately site literature sources
3. ISSUE STATEMENT AND RATIONALE
summarize findings from the literature to describe the issue provide adequate but brief rationale
4. POLICY ALTERNATIVES AND RATIONALE
propose alternatives to the existing policy, evaluation, and rationale of each alternative
5. CLINICAL NURSE SPECIALIST ROLE/NURSE PRACTITIONER/ CLINICAL NURSE LEADER
describe the role of the CNS/NP/CNL in both policy analysis and policy making for this scenario . document with appropriate literature sources.
6. CONCLUSION



( This paper should be 7-10 pages long excluding tables, charting, figures etc. Select a case scenario in health care. identify the problem , explore the background of the problem ( social , economic, ethical, and political and legal factors. propose an issue statement , propose policy alternatives and discuss the potential role of a CNS/NP/CNL in policy analysis and policy making for this case scenario. should use appropriate references from the literature to substantiate the analysis and proposed alternatives, including relation to CNS/NP/CNL roles and competencies. )

Hi,
This paper will identify a prominent individual nurse and document the major contributions the nurse has made toward huminizing health care. This paper should talk about Frances Payne Bolton; her life as an individual, nurse and the importants towards health care that she established especially during World War II when Bolton sponsored the Bolton Act to address the critical shortage of nurses and protect the health of the nation as well as other improvements that she made towards nursing and health care. The effect that she had back then on establishing reforms that are seen in todays health care and nursing profesions. How did Frances Payne Bolton help nursing profession to improve and be where it is today.

In this paper a lot of citations are needed in a APA format- that''s a must!!!
As many as 10 variety of resources, i.e., Archives of Nursing Leadership at the Dodd Center for example.
I need a six page essay plus a complete page with a comprehensive reference list and bibliography.

Thank you

Here is the guidelines for the paper. Please let me know if you need anything else. The paper can be 7-10 pages long, I would like it to be 8 pages if possible. If enough information is not found, we can change that to 7 pages. Thanks.

Early Nursing Literature

There is a large volume of early nursing literature with articles written either by or about the above nurse. This literature can be located in the Nursing Studies Index (4 volumes, 1900-1959). You will be able to locate articles by ?name?, ?subject? or ?author?. Most academic University libraries (such as ECU- HSL) have these indexes. A significant portion of the articles are located in early nursing journals (i.e., American Journal of Nursing, 1903)?many are accessible on microfilm/microfiche.


Eminent Nurse of the Past: Literature Review Presentation & Paper Project

Students will review the literature related to an eminent nurse of the past, develop a paper based on the literature, and present their findings in an online power point presentation.


1. Each student will select an eminent nurse from the past The list consists of prominent individuals who have made significant contributions to the profession of nursing.
*Perform a literature search and review of the literature. Include primary sources if possible- online resources are acceptable if deemed (see ?helpful websites? under course documents for how to evaluate). Dependence on entire use of online sources is discouraged, and may limit your ability to critically analyze the information. * Note: begin your literature search early?some of the literature may take awhile to acquire.

2. Identify and discuss the following:
? Biographical background (birth/death; pertinent family history?).
? Environment of nursing and healthcare during that person?s lifetime
(political climate of U.S./ social issues & impact on health care;
available health care technology ?).
? Nursing education during this time: standards & curriculum
? Professionalism of nurses during this time: standards, nursing organizations (if in existence),etc.
? Nursing education of selected nurse: type; where; when.
? Individual?s professional / personal achievements & contributions to nursing (professional role of the selected nurse).
? Discuss the impact of this individual?s contribution to nursing today. In addition discuss this individual in the context today?s health care environment?what current issues/problems might this individual be addressing today? Where might this individual be practicing today?
? Other interesting findings, as applicable.
3. Synthesize and summarize findings in a 7-10 page formal paper. Use a minimum of five references (online references should be kept to a minimum). See APA for writing guidelines.

Health Promotion Across the Lifespan:
Mr. and Mrs. Arahan Case Study (Chapter 2, Page 41)

Instructions: Complete the following exercise using the case study (An Older Immigrant Couple: Mr. and Mrs. Arahan) case study (will be faxed). Be prepared to discuss your findings via discussion in class.

Be sure to include the question with your answers that are in complete sentences, and must be one paragraph or more.

1) Which model or models of health are most applicable to Mr. and Mrs. Arahan and their family ? And Why?

2) Which "Healthy People 2020" (web site) objectives are of greatest importance to the Arahan family?

3) What effect do the leading Health Indicators have upon the family?

4) What preventative measures could be performed at the following levels?
a) Primary
b) Secondary
c) Tertiary

5) Correlate each preventative measure to the appropriate Healthy People 2020 Objective ?and Leading Health Indicator?

6) How would you begin a dialog between Mr. and Mrs. Arahan and their daughter?

7) What cultural aspects should be considered when discussing alternative housing arrangements for Mr. and Mrs. Arahan?

8) Discuss the services the parish nurse could offer Mr. and Mrs. Arahn?

***Please address the following points in the essay:***
1. Describe the reason for selecting the University of Alabama at Birmingham School of Nursing for graduate studies
in nursing.

Please include information in point (1) touching on the MSN program goals as well as information about the school,
found at http://www.uab.edu/nursing/home/about. Please also touch on being apart of the a school that will
further prepare me for leadership in health care. **Incorporate being apart of their ... **vision to sustain nursing
leadership worldwide.** The UAB School of Nursing is an outstanding choice for pursuing your education as the
next step in developing yourself as a nursing leader:***


M.S.N. Program Goals

The MSN program of study is designed to prepare nurses who: synthesize research, theoretical formulations, and
principles of scientific inquiry to provide evidence-based practice; assume leadership in managing and evaluating
continuous quality improvement processes; use information systems/technology to evaluate programs of care,
outcomes of care and care systems; advocate and implement health care policies that improve access, equity,
efficiency, and social justice in the delivery of health care; design innovative educational programs for patients,
nursing staff, and nursing students using teaching and learning principles; provide ethical, culturally sensitive care
in an advanced nursing role independently and collaboratively with professionals from multiple disciplines; monitor
the quality of one's own nursing practice based on professional practice standards and relevant statutes and
regulations; and apply theories and principles of marketing, economics, consultation, management, and leadership
to comprehensively perform an advanced nursing role.

2. Explain your plans for pursuing the MSN degree.

I believe in Utilitarianism and doing the Greatest Good for the Greatest Number. With the current state of Health
Care Reform, the Affordable Health Care Act, and the increasing shortage of physicians, there will be an increased
emphasis on Nurse Practitioners to provide care to a greater number of individuals. Pursing my education further
with an MSN and becoming a Nurse practitioner I will be enabled to demonstrate leadership while being positioned
to care for a larger number of sick that may other wise not have access to care with the increased demand.
(Please add references to shortage and how Nurses will play greater roll. etc) If space permitting, please elaborate
on positive patient experience/outcomes with ARNPs as health care providers etc.

3.Briefly summarize your background professional experience relevant to your specialty selection and rationale for the
specialty selected and future career goals. If you have selected a second specialty option on your application,
please address both your first and second specialty choices in order in your essay. An account of the patient
populations you have worked with and the roles you have performed assists in the understanding of your
experience. Additionally, using APA format, provide a clear and succinct explanation to illustrate the need for
masters prepared nurses in each specialty area selected. Please use evidenced based literature to support your
discussion, and we recommend that your essay covers all of the specialty tracks you selected on your application.

***Please incorporate my background listed below with the information related to each specialty found in the pdf below. Future career goals include practicing as a Family Nurse Practitioner in my community, locally and globally. I have gone on mission trips prior to becoming a nurse. While I plan on practicing locally, my ultimate career goal is to organize medical mission trip(s) and practice abroad.

Specialty Track selected:
1. NURSE PRACTITIONER FAMILY PRIMARY CARE
(http://www.uab.edu/nursing/home/images/stories/info_sa/MSN_Flyer_NP_Family.pdf)
2. NURSE PRACTITIONER ADULT-GERONTOLOGY PRIMARY CARE
(http://www.uab.edu/nursing/home/images/stories/info_sa/MSN_Flyer_NP_Adult_Primary_Care.pdf)


Background**
UF Health Jacksonville
Registered Nurse : Trauma/Surgery Progressive Care
Care for post-intensive medical/surgical patients in a progressive care environment.
Perform duties such as medication administration utilizing EPIC EMAR server; PICC line care; IV insertion; PEG tube feedings; TPN/Lipid Management; Chest tube care ; tracheostomy care; medication administration; PCA assessment/management; catheter insertion; wound vac care; pulmonary, cardiac, neurological, and GI assessment/management.

Brooks Rehabilitation Hospital,
Registered Nurse | Cardiac/Stroke Unit
? Care for post-surgical and medically complex Cardiac/Stroke patients in a rehabilitation environment
? Perform duties such as medication administration utilizing Meditech EMAR server; PICC line care; Heparin IV drip management; IV insertion; PEG tube feedings; tracheostomy care; catheter insertion; wound vac care; pulmonary, cardiac, neurological, and GI assessment/management
? Educate patients and family regarding home, medications, precautions, and new medical issues
? Work collaboratively with physicians, therapists, and social workers to determine patient plan of care

St. Vincents Medical Center, Jacksonville, Florida
Registered Nurse | Medical/Surgical GI Department
? Oversee care for pre/post-surgical and medically complex GI/Telemetry patients
? Perform duties such as PICC line care; IV insertion; PEG tube feedings; CBI Care; medication administration; PCA assessment/management; catheter insertion; pulmonary, cardiac, neurological, and GI assessment/management
? Educate patients and family regarding pre/post-operative teaching
? Perform accurate assessments of patients upon arrival to unit/prior to surgical procedures to maintain highest level of safety; discuss and plan with physicians the plan of care; create patient focused goals
? Work as a team member to create a safe and positive work environment

Guidelines for Writing Your Professional Goal Statement
Directions: The following instruction contains information about your goal statement, which is a required part of your application to Walden University. Please focus only on the information requested about you, your background, and your future goals. You are strongly encouraged to carefully proofread, grammar check, and spell check your goal statement. Overall writing presentation and clarity are very important.
Degree and specialization: You must clearly indicate to which degree program you are applying as well as the specialization you wish to pursue within that degree program.
Content: There are 6 sections described belowPlease include the following information when preparing your goal statement. While not required, we strongly suggest that you format your goal statement by heading each section with the headings shown below. Write your information in paragraph form and do not use bullet format under the section headings.
Personal/Professional Goals
o Why you are interested in graduate school and what are your plans after you receive your degree?
o What influenced you to choose the field?
o Why are you interested in the program and specialization to which you are applying? Please note that your personal/professional goals must be in line with the specializationPlease include the following information when preparing your goal statement. While not required, we strongly suggest that you format your goal statement by heading each section with the headings shown below. Write your information in paragraph form and do not use bullet format under the section headings.
Personal/Professional Goals
o Why you are interested in graduate school and what are your plans after you receive your degree?
o What influenced you to choose the field?
o Why are you interested in the program and specialization to which you are applying? Please note that your personal/professional goals must be in line with the specializationyou would have liked, explain special personal, physical or family circumstances that may have adversely affected your GPA.
Research Experience
o Address prior research experience, significant research papers/projects or other research accomplishments in your field. If you do not have any prior research experience, you must indicate that under this section.
Work /Other Experience
o What is your prior work experience? Include any volunteer work and/or extracurricular activities that complement your career decision. If you do not have any relevant experience, you should indicate this. You can also address any cultural knowledge or experiences you may have acquired that may better prepare you for the field.
Personal Qualities
o Include in this section personal qualities (e.g., interpersonal skills, team work skills, etc.) youpossess that you believe will contribute to your success in your field and graduate study.
Why Walden?
o Indicate why Walden would be a good match for you and your future goals.
o What interested you about Walden (this could include courses, faculty, and / or research projects and facilities)?
o Why are you interested in an online program


Here is a brief summary about me.
I came to Us from Trinidad and Tobago with big dreams, they did not happened right away. I had to work at many different capacities making a living. I wen through a lot since comming to the US in 1989. I also worked as a Nurses Aid with a disabled men then I decided to go back to school and I graduated with AAS Nursing from Kingsborough Community college in 1998. My GPA was not as I wanted it to be because I had to work full time and had a family to support.
The program I am applying for is RN to MSN with the concentration in Nursing Administration. I have been a Nurse since 1998. All of my Nursing Career I have been working in Beth Israel Medical center first as a Graduate Nurse and then RN/ Charge Nurse on the Medical-Surgical Nurse. I am excellent at what I do and I love it. I frequently take charge, my colleagues rely on me as one of the more senior Nurses. I think I am ready for the career advancement now that my daughter is in College
Please expand on this based on the guideline and create a personal statement. This is an online degree in Nursing Administration, RN to MSN
If you need more information please let me know.

locate the "professional code of conduct" or professional standards from your own respective online medical, allied health, or nursing association.
1 Analyze your professional code from an ethical perspective.

2 In your discussions that are reflected in your own professional code of conduct.

3 Include any relevant examples you choose to share from your personal or professional experince and describe how these experiences support or challenge the following ehtical principles; beneficence and nonmaleficence,honesty,justice,confidentiality, or respect for autonomy.

I would like to request the writer called There are faxes for this order.

Hello. I will email a text file with all the information. I am applying to one of five nurse practitioner programs and need help (LOTS)writing this personal statement. It has been awhile since putting something like this together. Please call if any questions 415-812-2743. This first school I am applying to is my #1 choice. Thank you. Stephanie
There are faxes for this order.

Select a health care career within the hospital,

Selected Career: Registered Nurse

Describe selected career.

Identify two or three services and products within the selected career.

Identify the workforce roles within the services and products.

Discuss the impact of the roles on the health care organizations.

Create a diagram with the career choice as the focal point and identifying the work roles within one of the services or product you identify.

Complete a 350- to 700-word summary of your findings and a diagram.

Format your summary consistent with APA guidelines.

Order Instructions
Book Report for Home Before Morning: The Story of an Army Nurse in Vietnam written by Lydia Van Devanter
give the main thesis
summary of content: take each section of the book and summarize the important points in that section, and how it relates to the overall structure and content. The summary should be easy to follow and reflects the organization of the book. The summary should also accurately represent the point of view of the author of the book.Give proportional weight to each section. For example, if the book is divided into four equal sections, devote the same amount of space in your paper for each section. However, if one section is twice as long as another, you should devote more space to discussion of the longer section.

Please do not write a book review(analytical & persuasive)-this is simply a book report (summary)

You are asked to develop a comprehensive case management plan for a terminally ill client. You may choose to write a plan for a 65 y/o man who is dying of congestive heart failure or for a 32 y/o female who is dying of ovarian cancer.

Be certain to include the following components in your case management plan:

Describe the model of case management that you are using to construct your thoughts and plan.
Identify actual resources in a local community that are available to contribute to your holistic plan of care. Describe what resources are lacking in your a actual local community. Discuss how you might be able to obtain the resources that are lacking.
Discuss who will be involved, in what way, and in what timeframe.
Explain how all of the care from the team will be documented.
Describe the role of case management in end of life care.
Explain how case management will be evaluated.
The textbook for this course is:

Cohen, E., & Cesta, T. (2005) Nursing case management: Advanced practice applications (4th ed.) Philadelphia: Mosby

Discuss how the team will protect themselves from litigation.
You have the freedom to invent other aspects of the clients case (eg. the type of support system had by the client, the medications he/she is taking, etc.)

Paper discussing the role of the professional nurse as a patient educator in
the changing
healthcare trends,
using the class
readings & the
following sources:
Healthy People 2020,
Joint Commission
Crossing the Quality
Chasm?IOM
& other readings
posted

This is assignment on Leadership and quality.

Discuss how evidence-based practice is enacted in your practice setting; how a culture of safety is established; and the role of informatics in your practice. Discuss your own roles in these three areas, and the roles of your chief nurse executive, nurse manager, and other individuals who may be in charge of these areas.

Develop a proposed nursing education project related to a clinical problem. This can be a professional development project or it can be a clinical education class.
Consider planning an educational program for health care staff re: current issues in the clinical area.
OR
Consider planning a classroom lesson plan for teaching nursing students about how to conduct a physical examination.

Write a paper that includes the following:
Title that includes the topic and focus of the educational plan.
Describe the intended audience that this educational plan is designed for.
Describe the proposed goals that are specific to the designated audience (age and education appropraite)
Conduct a literature review of at least four scholarly articles related to the topic and include in the paper.
Develop an outline of the educational plan that clearly identifies the content and the delivery method (face-to-face, online, hybrid, etc)
Describe the technology you would use in this educational project
Summarize the educational plan that includes the topic, audience, goals, and the educational plan.


There are faxes for this order.

A 3?4-page educational plan to help improve the health and welfare needs of a vulnerable population in your community. In your plan, include the demographics of your community and the health care needs of the selected vulnerable population.
Competency 1: Evaluate scholarly nursing literature that supports evidence-based nursing practice
Explain appropriate evidence-based nursing interventions that will provide quality care to vulnerable populations.
Competency 2: Explain ways to promote safe, quality, evidence-based care to populations and communities in health care environments.
Describe health care resources that serve vulnerable populations.
Explain why a specific population in a community qualifies as at-risk.
Create an evidence-based plan to promote health and wellness in an at-risk population.
Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.

The focus of this assignment is specific to CHANGE THEORY, SYSTEMS THEORY AND BUILDING COMMUNITY PARTNERSHIPS.
Be concise, precise and write to the point of the assignment.
Address the following key issues:

Discussion Possible Points
Refine your statement to leadership to be clear and concise, providing facts and figures to support your proposed change

Identify potential allies in planning the proposed change. Who are they and how can they assist you in making this possible?


Where are key points of resistance within and outside the system? Why would there be resistance? Utilize systems theory in describing the role that groups and individuals would play in the process.


Elaborate on potential negatives that individuals or groups might bring up in discussions and how you would counteract this.


Based on change theory, how long do you anticipate that it would take to socialize the idea, propose the specific change, and initiate implementation?


Please see below information for source

Healthcare systems are stressed by limited resources and increasing demands on their services. Nurses, as the largest group of healthcare professionals, have experienced significant changes in their work life and environment as systems have tried to meet these challenges. As workloads become more substantial because of cutbacks and the number of nurses per patient diminishes, patients and healthcare workers are put increasingly at risk.
I would like the opportunity to make a statement to leadership regarding the Nurse patient ratio dilemma we are facing in our organization. According to the Massachusetts Nurses Association in a research study by federal Agency for Healthcare Research and Quality shows that patients do better with lower nurse to patient ratios. The research study found in given hospital unit the optimal workload for a nurse was four patients. Increasing the workload to 6 resulted in patients being 14% more likely to die within 30 days of admission. A workload of 8 patients versus 4 was associated with a 31% increase in mortality. I have not been able to find any studies related to the effects of the nurse to patient ratio in a dialysis clinic.
Reducing the nurse patient ratio would set a safety net for patients and nurses. It would provide a safer environment for patients because there would be more staffing available for each patient. Patient can feel more confident that their needs are being met by the medical staff and the nurse will have fewer distractions. According to International Council of Nurses, California has set mandatory upwardly adjustable minimum nurse patient ratios. An example of this shows staffing for a medial surgical ward on day shift would be four patients for each Register Nurse. According to the International Council of Nurses improvements reported since the implementation of the ratios include more than 3000 extra nurses employed in hospitals, decreased staff turnover and absenteeism, and public approval of the State government has increased. This would also be incentives for nurses to work in the field of dialysis. It would have an impact on patient outcomes and on nurse retention and recruitment. I feel, as a nurse, that working in a safe environment for patients and staff is of the upmost importance. Nurses have dialysis technicians to rely on, but they are only able to rely on them to maintain equipment and alert her if a change in the patient occurs. The majority of responsibility for patient care falls on the Register nurse.
My strongest allies in the fight to change the nurse to patient ratio include dialysis nurses, patients, and the dialysis technicians. The majority of nurses that work in dialysis feel strongly about this issue. The nurses feel overworked and stressed due to the nurse patient ratio. The care and safety of ten patients fall upon one Register Nurse which puts a great deal of pressure on them. The register nurse is responsible for pre and post treatment physical assessments of all patients, giving all medications, supervision of the technicians, operating kidney dialysis machines, initiating, monitoring, and discontinuing dialysis treatments, assisting physicians on rounds, calling in prescriptions, making doctors appointments for patients, assisting patients with transportation issues, patient education, and writing physician orders. Patients also feel the effects and some have voiced to me their concerns. They feel their lives are in jeopardy due to the nurse being over extended between patients. Dialysis technicians also experience the effects because it requires them to take on more responsibility for patient care. Many of the technicians have no formal medical training and have a limited knowledge of patient care.
Nurses, patients, and technicians can help elevate this problem by joining together in a united front to voice their concerns and demand a change be made. No one group alone can make a difference but together new policies can be implemented and enforced. Also contacting the Nurse Association and asking them for help in the situation would be a great benefit. According to their website the ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public. ANA is the voice of nursing. This voice is heard through policy development, lobbying, publications/newsletters, involvement and partnerships with other organizations, and its presence on the Internet. ANAs work addresses the needs of nurses in their professional settings as well as patient care. The ANA involvement in this national issue is critical.
Change is always difficult and resistance is to be expected. One of the barriers to changing the ratios is the continuing nursing shortage that we are experiencing. The Bureau
of Health Professions predicts that the current shortage of 150,000 nurses nationwide
will by 2020 grow to 800,000 nurses the area hospitals are continually recruiting for nurses. Most of the hospitals offer between $5000.00 to $10,000.00 sign on bonus for a one year commitment. Dialysis organizations would be the main opponent to the change due to the cost. Dialysis units are smaller and without the financial resources the major hospitals have. The increased cost would place a greater burden on the clinics which have a limited budget each year. It is estimated by the American Hospital Association the projected cost to change the nurse to patient ratio would be around $270 million dollars.
The organization would play a key role proposed changed. The dialysis organization would have to change their views toward nurse patient ratio. The company would also have to find money in the budget to allow for a change. This would cause an increase in cost to patients as well. I believe patients would agree to the increase if it would guarantee them higher quality of care. Nurses may also be willing to take a small decrease in pay to help facilitate the change. Dialysis nurses receive some of the best pay rates that I personally found. I make more money working in a dialysis clinic than in the hospital. In order for the change to occur I believe that all parties involve must be willing compromise. We are all part of the same system of healthcare.
The cost of such a change would be the main negative of such a proposed plan. A majority of the cost would be passed on to the patients insurance company. Many of the patients receive Medicaid or Medicare which means the increase cost would fall on the tax payers. My main point to counteract this position is that patient safety must be our first and foremost priority. Although we may spend more money to begin with for more nursing staff patient outcomes would offset the expense. Patients that have better outcomes from dialysis treatments spend less time in the hospital. When patients are in the hospital we do not get paid for their treatments. Hospital stays cst the company a loss of revenue.
Unfreezing the organizations ideas on nurse patient ratio will take a great deal of time and effort. It would take at least two to three years to socialize the idea with all the dialysis organizations and put together a proposal for the specific changes. It would take another year to initiate implementation. Major changes never occur overnight and must be thought out and planned thoroughly before implementing.

References
American Hospital Association, Commission on Workforce for Hospitals and Health Systems. In our hands: how hospital leaders can build a thriving workforce. May 2007 retrieved Oct 6, 2008 from www.aha.org
The Patient Safety Act" is The Key to Protecting Your Patients and Your Nursing Practice, 2007 retrieved Oct 6, 2008 from http://www.massnurses.org,
International Council of Nurses Press Release retrieved Oct 8, 2008 from http://www.icn.ch/PR23_02.htm
The American Nurses Association retrieved Oct 9, 2008http://www.nursingworld.org/

I need a 7 page research paper discussing nursing home abuse,past and present consequences for the abusers, any and all info you come across. The research paper must be in MLA format. I need at least 8-10 different sources for the works cited page. I also need each source (1 different source per page) to be in the paper. ex.(quotes, readings etc.) All in parenthesis. (I'm sure you know how to make it flow well. )The works cited page should be all on-line sources, magazine articles and so on. Thank You so much for saving my ass!!

A description of current research, synthesis, demonstrations and other projects that have resulted in positive nurse physician colloboration/relationships. By positive is meant increases in nurse satisfaction, decreases in nurse turnover, better working environment, better patient outcomes with an emphasis on patient safety.

Literature Review:

Directions:
You will prepare a literature review on a current issue in gerontology. I recommend that you select an issue that you feel is important to older adults, and one that needs more attention than that already is addressed in this course (I chose "Nursing home quality of personal and facility in the USA" Your literature review assignment has several components:

1. An annotated bibliography including a minimum of 15 academic references (journal articles or books) plus 10 websites that address the same topic. For each source annotated, you are expected to provide a complete reference and a one paragraph summary of what can be learned from that source; I will e-mail you a example of the format of the review that is required.

2. A 250 - 500 word summary what can be learned by reviewing this literature including a comparison of what can be learned from all the sources taken collectively. This summary must consider the limitations of what can be learned from websites alone;

3. A 250- 500 word analysis of this literature in consideration of the extent to which gender, race, and social class contribute to controversy surrounding the issue you have studied;

4. You will use your first three products to prepare a short series of (5-10) open-ended questions. You will then check what you think you have learned by conducting a short interview with an older adult about the issue you have been studying. You are encouraged to submit your initial literature review to the instructor and a draft of your interview questions for feedback before proceeding to interview the older adult. You will then write a short summary of 200-500 words commenting on what if anything your interviewee taught you that was not previously revealed in the literature.

The format of the literaure review I want is the following:


Literature Review International Issues on Health Care

1 - U.S. Health Care Spending in an International Context, Uwe E. Reinhardt, Peter S. Hussey and Gerard F. Anderson, Health Affairs, 23 (3): 10?25, May/June 2004.

This study uses the most recent data from the Organization for Economic Cooperation and Development to explore why U.S. health care costs are so much greater than costs in other countries with much older populations. The authors point to several reasons for higher U.S. health costs: the fragmented financing system entails higher administrative costs; health care providers have greater market power than health care purchasers, allowing prices to soar above levels of other countries where the government exercises collective bargaining power; and the U.S. provides a more specialized, intensive form of care.


2 - Disease Management Programs in Germany's Statutory Health Insurance System, Reinhard Busse, Health Affairs, 23 (3): 56?57, May/June 2004.

This study focuses on the introduction of disease management programs in 2002 into the Germany's statutory health insurance pools, which cover about 88 percent of the population. An earlier reform had introduced consumer choice among the various "sick funds," resulting in adverse selection and disadvantaging the chronically ill. Disease management was introduced to help improve quality and cost-effectiveness of treatment for chronic conditions, specifically by setting evidence-based guidelines for treatment and drug formularies and by better coordinating care. The author notes that this approach may be of interest in the United States, where adverse selection has thus far hindered managed care efforts among the Medicare population.


3 - How Does the Quality of Care Compare in Five Countries?, Peter S. Hussey, Gerard F. Anderson, Robin Osborn et al., Health Affairs, 23 (3): 89?99, May/June 2004.

This article reports on efforts of the Commonwealth Fund International Working Group on Quality Indicators to compare the quality of care among different countries. The group used 21 indicators?such as five-year cancer survival rates, breast cancer screening rates, asthma mortality rates, and others?to compare the quality of care in Australia, Canada, New Zealand, the United Kingdom, and the United States. None of the countries consistently scored best or worst overall. For example, Australia scored highly on many of the indicators (cancer survival, breast cancer screening, asthma mortality) but had higher incidences of pertussis, or whooping cough, than other countries. In Canada, 30-day case fatality rates from acute myocardial infarction were higher than Australia and New Zealand in older age groups, but kidney and liver transplant survival rates were better than in the other countries. Rates of cancer survival were not as high as other countries in the U.K., while suicide rates were notably lower than other countries. By contrast, suicide rates in New Zealand?particularly among young people?were much higher than elsewhere. Breast cancer five-year survival rates and cervical cancer screening rates were highest in the U.S., and asthma mortality rates were increasing while they were decreasing in the other four countries.

and so on.

Thank you and please contact me if you have any questions. We do not want to rewrite it.

Educational Mission Statement


Obtain a copy of your institution?s philosophy of nursing, nursing practice, and organizational mission statement from your place of employment.
Write a 700- to 1,050-word paper that compares and contrasts the mission statement and philosophy of your institution related to nursing practices with the mission and philosophy statement of an educational institution.

I am having trouble finding example or anything to help with this mission statement for my work. please help

Practice Issue Paper



The purpose of this paper is for you to articulate a problem solving process regarding a practice issue in nursing. In addition you will discuss evidence and its relationship to nursing practice.



This is an individual assignment. The paper should be concise, typewritten and use APA format. The approximate page length is 6-8 pages.







I. Introduction

II. Critical Thinking

III. Patient Safety

IV. Leadership and Management

V. Communication/Format
?APA
?Organization
?Sentence structure
?Writing style
?Grammar/punctuation

1. The purpose of this 4-8 page paper is a formal concept analysis of one concept found in a nursing theory, adapting the methodology of Walker and Avant (2010, p. 157-179). The book is not needed to succeed with this assignment.

2. Any nursing theory may be used to find a concept for analysis. Only one concept is analyzed.

3. As part of the concept analysis, a limited and focused review of scholarly literature is conducted, using a minimum of 5 scholarly sources related to the selected concept. A formal literature review can be extensive as a writer endeavors to discuss and critique all the relevan litarature about a specific topic or area of knowledge. In this assignment, the level of effor is not required. What is expected is an integrated discussion of al least five articles on the concept selected for this assignment. In this integrated discussion, themes, ideas, or facts about the concept found in the reviewed fare presented in an organized fashion. Scholarly ciritisism of how the various aurthors arrived at those themes is uncluded. This critique relates the writers insights on such matters as the validity and reliability of trhe methods used by the different aurthors to learn about the concept and the strengths and weaknesses of those aurthors conclusions. Note: Research articles about the concept are the best kind of article for a literature review.

4. The steps in a concept analysis include: (1) selection of a concept used in a nursing theory (2) identification of the aims or purposes of the analysis (3) a review of selected scholarly literature on the concept (4) identification of possible use of the selected concept (5) determination of defining attributes (6) identification of model cases (7) identification of alternate cases (8) identification of antecedents and consequences. (9) defenition of empirical referents.

The paper concludes with a synthesis of the students knowledge about the concept. The scholarly literaure is incorporated throughout the analysis.

Criteria for Content
1. Introduction includes statements on the process of concept analysis, identifies the nursing concept and nursing theory from which it was obtained, and relates the main topics of the paper.
2. A substantive discussion of each of the following elements is present. All elements arwe supported by scholarly literature.

a. One aim or purpose of the analysis
b. A review of scholarly literature
c. two possible uses of the concept
d. three defining attributes
e. Two model cases
f. Two of the following alternative cases: borderline, related, contrary, invented, or illegitimate
g. One antecedent and one consequence
h. Two empirical referents

3. Concluding statements present the writers new knowledge on the concept acquired as a result of writing this paper.

Criteria for format and special instructions

1. Title page, body of paper, and reference page must be in APA format (6th ed).
2. A minimum of 5 scholarly sources on the concept are required
3. The paper excludes the title pate and reference page must be a minimum of 4 pages and no longer than 8 pages.
4. Ideas and information from professional sources must be cited correctly
5. grammar, spelling, punctuation, and citation are consistent with the writing style specifid in the 6th ed.

Possible concepts include

1. Noise
2. adaptation
3. stress
4. boundary lines
5. modeling
6. actual caring occasion
7. behavioral system
8. meaningfulness
9. open system
10. self care deficit- interested in this one or the stress one.
11 Activites of living.



Paper headings

1. Introduction
2. Aims or Purpose
3. Literature Review
4. Uses
5. Defining attributes
6. Model cases
7. Alternative cases
8. Antecedents and Consequences
9. Empirical Referents
10. Conclusion
11. Paper specifications