Whomever recommended that the authors employ such a tactic simply needs to return to a 'two-tier" education program wherein the primary objective is to increase one's content knowledge of statistics. Although the authors also make mention of using an ANOVA to garner statistical value nowhere in the report as these values reported other than on a cursory basis. Again, when statistical values are produced they must, at all time be aligned with the null hypotheses previously stated if the conclusions presented are to be accepted. Substantive Worth. There are those who would argue that any word placed on paper is of value, now or in the future. However, when it comes to healthcare and for those responsible for its delivery, that which is most important is to provide all healthcare practitioners the ways and means to deliver unto the medical consumer that which is effective, that which is holistic, and that which is self-directed. Health care delivery in the twenty first century is facing demands that are not only financially restrictive but also by variables such as increased life span of the American citizenry, a keen awareness of advanced treatment programming, and better quality of life. Unfortunately, however, with better health care there exists a void in the availability of trained professionals who are qualified to provide the necessary medical service. The article authored by Vallerand, Riley-Doucet, Hasenau, and Templin (2004), by virtue of subject area alone, is commendable. Although greatly lacking in research design accuracy and specificity the intent of the investigation is noteworthy. Palliative care, whether hospital, hospice, or home-based has as its foremost tenet, those factors contributing to the Quality Adjusted Life Year (QALY) index - especially in the filed of oncology. The authors of the present research article were able to bring to the forefront an area often overlooked by healthcare practitioners, namely the role the home-based nurse in a medical consumer care. Whether one follows conceptual nursing models that are classified as grand models (Leininger, Neuman, Parse, Orem) or those categorized as mid-range theories...
To this end the authors have brought to light the need for further education with respect to a nurse's need for additional educational training and knowledge in pain management, barriers to pain management, and pain control perception. The authors, although likely unintentionally, have made a case for patient wellness. Principles of wellness that do not include creating a supportive environment, addressing the decisive factors of health, or considering the ethnical, legal, and cultural diversity issues of the individual will do little to reorient health services. For this fact alone home healthcare nurses must be prepared, knowledgeable, and sensitive to the needs of the home patient for whom they are responsible. More importantly the American Nursing Association must adopt the Code of Ethics for End of Life Care such as have the professional organizations of the American Medical Association, American Board of Hospice and Palliative Care, and the American College of Chest Physicians.
Betty Neuman Model of Nursing treats the client as an open system which is constantly reacting to the stressors in the environment along the lines of specific variables such as the physiological psychological, sociocultural, developmental and spiritual (Gonzalo, 2011). In this case, Stephanie's literature review on the study conducted by Siegel and colleagues to examine the impact on a low-carb diet on obese children really did not connect strongly to
A Nursing Theoretical Premise in Healthcare Delivery: The Neuman Systems ModelIntroductionThe Neuman Systems Model is a conceptual model of nursing developed by Betty Neuman in the late 1960s. This model views individuals as open systems, with a variety of interacting subsystems that are constantly in dynamic interaction with the environment. This model takes into account the physical, psychological, sociocultural, developmental, spiritual, and environmental influences that affect an individual's health (Lawson,
Neuman Health Care Systems Model: Preventative Care for Mr. H The Neuman Health Care Systems Model was created by Betty M. Neuman in an effort to help nursing students focus on wellness for the client system (McHolm & Geib, 1998). In order to create wellness for a client system, the nursing students use an Assessment and Analysis Tool, which will help in identifying Mr. H's problems (McHolm & Geib, 1998). First, a
Internet Plan for Healthcare Facilities A suitable IT plan for an electronic inventory control and communication for the 10 healthcare facilities in Gainesville, Florida will have voice or data communication between and among the Corporation, the master practice and the individual practices (China Mobile, 2011). It can provide or extend telehealth or eHealth devices through the network. It can also use mobile phones and similar devices for local health operations, which
Feeding intolerance has been identified as a significant problem for infants in the Neonatal Intensive Care Unit (NICU). Inquiry has revealed massage therapy as a possible nursing intervention for the problem (Shaeri et al., 2017). Additional knowledge is desired to determine if new research findings present clinically significant evidence for use of the intervention in the NICU patient population. Toward this end, a PICO question has been formulated: does massage
Sr. Callista Roy Sister Callista Roy was named after Saint Callistus, a pope and martyr, from the Roman calendar on the day of her birth, October 14, 1939 at the Los Angeles Country General Hospital to a big family, which was deeply devoted to God and the service of others (Office of the Nurse Theorist 2002). Her mother was a nurse who lived and taught the values of faith, hope and
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