The data gathered is subjected to statistical analysis using statistical methods of linear regression and chi square testing.
The main purpose of the study was to confirm the hypothesis that consultation with CNS or RN in a drug-monitoring clinic has a significant positive impact on the well being of patients with rheumatoid arthritis. The study involved a single blinded randomized controlled trial over a period of three years. Subjects were chosen from the rheumatology out patient setting in a district general hospital with a drug monitoring service. A total of 71 subjects who were starting out on anti-rheumatic therapy were randomly assigned to either the interventional or the control group. While the interventional group was supervised by the CNS to assess patient needs (using Pendelton's framework) alongside drug safety evaluation, the control group was seen by an outpatient staff nurse purely for drug safety concerns. oth the groups were assessed…...

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Bibliography

Teri Britt Pipe; Kay E. Wellik; Vicki L. Buchda; Carol M. Hansen; Dana R. Martyn, 2005, "Implementing Evidence-Based Nursing Practice," Urol Nurs. 25(5): 365-370, Available at,  http://www.medscape.com/viewarticle/514532 

Ryan, S, Hassell, a.B, Lewis, M, & Farrell, a. (2006). Impact of a Rheumatology Expert Nurse on the well-being of patients attending a drug monitoring clinic. Journal of Advanced Nursing, 53(3), 277 -286.

Considine, J. & Botti, M. (2004) Who, when and where? Identification of patients at risk of an in-hospital adverse event: Implications for nursing practice. International Journal of Nursing Practice. 10: pp. 21-31

Other references

This is one of the most common forms of research and, for some research questions is clearly a strong design (Ethics in Critical Care Nursing Research, 2005).
The research that was done in this article would be considered a non-experimental type. There were two types of observation that were conducted. The first type was that of focus groups and the second being the file audit, both of which are observational in nature. In this case this was the most appropriate type of research design to use. Since they were simply trying to see what was actually going on in this area and how that was affecting patients the only real way to tot this was by observation. From this article a nursing care issue that can be raised is that of how palliative care nurses manage family involvement with end of life issues. Are there any standard procedures that are…...

Nursing Ethics
While most hospitals seem to be well-run and most situations and scenarios are planned for in advance when it comes to what nurses should be doing, should not be doing and why, this is not always the case. Just one example of this would be situations where palliative care is probably or definitely called for in a given situation but there is not a defined or clear protocol as to when the palliative path should be started and what criteria should be used. Indeed, patients that are facing such a situation are typically terminal or they at least cannot be treated for what is ailing them. An easy example to point to would be a cancer patient whose disease is beyond what medicine can do for them. When there is an absence of leadership when it comes to palliative care protocols, it falls to nurses to collaborate, work together…...

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References

Engel, J., & Prentice, D. (2013). The ethics of inter-professional collaboration. Nursing Ethics,

20(4), 426-435.  http://dx.doi.org/10.1177/0969733012468466 

Ewashen, C., McInnis-Perry, G., & Murphy, N. (2013). Inter-professional collaboration-in-practice: The contested place of ethics. Nursing Ethics, 20(3), 325-335.

 http://dx.doi.org/10.1177/0969733012462048

This wrong doing is in violation of the ethical obligation of nurses to advocate on behalf patients in order to ensure their well-being. If a patient is injured due to this kind of mistreatment, the hospital is liable, and the nurse may receive discipline, possibly suspension. However, the plaintiff (the patient) may also choose to file a law suit against the individual nurse as well (Giordano, 2003).
Another example would be if a surgical nurse noticed during routine charting procedures that a patient about to go into surgery on their left knee was supposed be receiving their surgery on their right knee. To avoid medical error and a subsequent malpractice suit, the nurse could verify with other nurses and the surgeon that the patient would be receiving the appropriate surgery.

eference

Giordano, K. (2003). Examining nursing malpractice: a defense attorney's perspective - legal counsel. Critical…...

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Reference

Giordano, K. (2003). Examining nursing malpractice: a defense attorney's perspective - legal counsel. Critical Care Nurse, 23(2), 104-07.

, 2010). It is perfectly conceivable that this nurse leader would welcome more collaborative or shared leadership responsibilities, particularly since the setting for empirical clinical research on this very issue was, in fact, an ICU (osengren, Bondas, Nordholm, et al., 2010).
Finally, it appears from this interview subject's input into this project that she is a competent and effective nursing leader, largely by virtue of her description of her supervisory and administrative style and inclination. However, her input lacked any substantial data on the basis of which a reviewer could evaluate her effectiveness as a clinical leader more specifically. Those particular skill sets may occur in combination but they undoubtedly also occur individually within different leaders (Stanley & Sherratt, 2010). A review of historical literature (such as in connection with Florence Nightingale) clearly demonstrates that good nursing leaders may or may not necessarily also be equally good clinical leaders (Stanley &…...

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References

Armstrong, P.W. "A time for transformative leadership in academic health sciences."

Clinical & Investigative Medicine, 30(3); 2007: E127-132.

Davidson, S.J. "Complex responsive processes: a new lens for leadership in twenty-first-

century health care." Nursing Forum, 45(2); 2010: 108-117.

Either style may be beneficial in some situations but detrimental to organizational objectives (i.e. patient health and welfare) in others. A typical example of an appropriate use of authoritarian leadership would be in a working group consisting of individuals who have varying degrees of expertise and professional experience, particularly if they also have little experience working together as a group. On the other hand, the democratic style might be more appropriate in working groups consisting of very similarly skilled individuals with similar degrees of experience, especially where they have also worked together extensively and have demonstrated good self-management, decision-making, and collaboration within the group.
Leadership vs. Management

The principal difference between leadership and management is that leadership pertains more to people whereas management pertains more to operations (Marquis & Huston, 2008). Generally, organizational leadership involves improving the organization by addressing motivational issues and other factors that contribute to the morale and…...

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References

Marquis, B.L. And Huston, C.J. (2008). Leadership Roles and Management Functions in Nursing: Theory and Application. (6th ed.). Philadelphia: Lippincott, Williams, & Wilkins.

Medley, F. And LaRochelle, D.R. "Transformational leadership and job satisfaction."

Nursing Management, Vol. 26, No. 9; (1995). Retrieved January 9, 2011 from:

 http://www.unc.edu/courses/2009fall/nurs/379/960/M7%20leadership%20effectivness%2009/medley%209708201190.pdf

Furthermore, one of the pillars of collaborative care that will need to be firmly established is the fostering of clear dialogue and a means for strong communication within the care management planning. For instance, there needs to be a clear decision and communication of all tests ordered and when the test results will be available. One of the most important aspects of this collaborative care will be the nursing interventions which can have significant impact on the patient's health and stabilization (Allen, 2010). In fact, strategic nursing care can even minimize readmission rates of Margaret and other patients with comparable conditions (Chen et al., 2012).

Prioritize the Nursing Care Needs of Margaret

The prioritization of nursing interventions is essential, and the way in which a nurse determines this priority is going to be something unique and distinct. "Trials reviewed demonstrated a beneficial impact of nursing interventions for secondary prevention in patients with…...

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References

Adler, H.M. (n.d.). Toward a biopsychosocial understanding of the patient -- physician relationship: An emerging dialogue. (2007). J Gen Intern Med,22(2), 280 -- 285.

Afilala, J. (n.d.). Frailty in patients with cardiovascular disease: Why, when, and how to measure. (2011). Curr Cardiovasc Risk Rep, 5(5), 467 -- 472.

Allen, J.K. (2010). Randomized trials of nursing interventions for secondary prevention in patients with coronary artery disease and heart failure: Systematic review.

Journal of Cardiovascular Nursing,25(3), 207-220.

Care:
Issler is a patient who recently moved with his daughter-in-law who is no longer married to his son. As part of her interest in helping to take care of Mr. Issler, she noticed that he was pale and diaphoretic after a two and a half hour flight. The daughter-in-law took him to an emergency room where he was attended to by a cardiologist and set a follow-up check up for an echo cardiogram next week. Mr. Issler has complained of congestive heart failure and a history of deep vein thrombosis. The cardiologist recommended that he seeks out a primary care provider and check up of his thyroid. As the primary care provider, the patient has also expressed his uncertainties on whether he has hyper of hypo thyroidism though he has been under thyroid medication for several years. In addition to being very pale, he has a large bag of…...

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References:

Bray, D.L. (n.d.). Thyroid Storm and the AACN Synergy Model. Journal of Nursing. Retrieved from http://rnjournal.com/journal-of-nursing/thryoid-storm-and-the-aacn-synergy-model

Drewes at. al. (2012, October). The Effectiveness of Chronic Care Management for Heart Failure: Meta-Regression Analyses to Explain the Heterogeneity in Outcomes. Health Services Research, 47(5), 1926-1959.

Hardin, S. & Hussey, L. (2003, February). AACN Synergy Model for Patient Care Case Study of a CHF Patient. Critical Care Nurse, 23(1), 73-76. Retrieved from  http://ccn.aacnjournals.org/content/23/1/73.full.pdf 

Kaplow, R. & Reed, K.D. (2008). The AACN Synergy Model for Patient Care: A Nursing

Family Centered Care
Family-centered care is a significant part of the nursing profession, and this is becoming more important as healthcare changes and evolves. Nurses are charged with being compassionate in their duties and treating everyone as being valuable no matter what kinds of conditions they have or where they come from (The Guide, 2010). It is the first Provision of the Code of Ethics for nurses, with sub-issues that address human dignity, relationships with patients, the nature of the health problems, the right to self-determination, and relationships with colleagues and others. These courtesies, however, should also extend to the families of those patients, as caring for the family as a whole can make the process easier and more cohesive. This paper will address family-centered care in the context of the Code of Ethics Provision One and the sub-issues that are contained in it.

Provision One and Family-Centered Care

Studies have shown…...

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References

Bailey, J.J., Sabbagh, M., Loiselle, C.G., Boileau, J., & McVey, L. (2010). Supporting families in the ICU: A descriptive correlational study of informational support, anxiety, and satisfaction with care. Intensive and Critical Care Nursing, 26: 114-122.

Mitchell, M.L. & Chaboyer, W. (2010). Family Centred care -- A way to connect patients, families and nurses in critical care: A qualitative study using telephone interviews. Intensive and Critical Care Nursing, 26: 154-160.

The Guide to the Code of Ethics for Nurses: Interpretation and Application (2010). Code of Ethics for Nurses with Interpretive Statements. Nursing World.

pressure? How respo
There was a time when I was under extreme duress to get to work on time. Although I can look back on the situation fondly now and apply the lessons learned, back then it could have had serious negative ramifications for my career. I had recently moved and was beginning a new nursing position. I was supposed to fly in on the Friday before I started the following Monday, but I missed the flight and had to catch the next one. By the time I arrived, I barely had a chance to get a full night's rest in my own bed, let alone plot the route from my new residence to my job. I remember feeling so pressured as I drove around the downtown streets which all looked alike since I had just moved. At the time, the last thing I wanted to do was start a…...

Healthcare Practices in Nursing Today
Over the last 50 years, health care systems all over the world have experienced rapid and significant changes. Some of these changes have been the result of innovative developments in medical science and technology that have greatly benefited patients, prolonging and saving the lives of millions. Some of these changes, however, have had the unfortunate result of limiting patient access to prescribed treatment and diminishing the overall quality of care.

Significant challenges are being faced in health care as systems restructure and reinvent themselves in a difficult and often painful effort to make more efficient use of their available resources (ICN, 2001). Since health care is such a labor-intensive industry, the stresses on these systems inexorably trickle down to affect those employed by the system. Nurses, who are the most highly trained caregivers who have ongoing, regular patient contact, stand at the very heart of any…...

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References

Abramson, S. (1980). Adverse Occurrences in Intensive Care Units. Journal of the American Medical Association 244 (14): 1582-1584.

Ahmadi, M. (1989). Traditional vs. Nontraditional Work Schedules. Industrial Management 31(2), 20-23.

Bennett, M. & Hylton, J. (1990). Modular Nursing: Partners in Professional Practice. Nursing Management 21(3), 20-24.

Beauchamp, T.L. & Childress, J.F. (1994). Principles of Biomedical Ethics, 4th ed. New York: Oxford University Press.

Nursing Experience
After spending a semester in the Newborn Intensive Care Unit (NICU) as a student nurse in training, I can report that I have learned a great deal about the vital issues and practices that are involved in the intensive care unit for newborns, and about the duties and responsibilities of a nurse in that area of healthcare. Part of my training involved treating wounds and the therapeutic communication that is involved in wound care; also, I became well familiarized with the family centric care that is part and parcel of the NICU.

Family Centered Care at the NICU

hat can be more important for a family that has just been on the emotional roller coaster of giving birth prematurely to a new member of the family than being made to feel welcomed and to be treated with a great deal of professionalism and respect? There are a number of resources…...

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Works Cited

Auckland District Health Board (2010). Car seats for babies / Information for parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.

Auckland District Health Board (2010). Establishing and Maintaining Breast Milk Supply /

Information for parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.

Aukland District Health Board (2010). Meconium and Newborn Babies / Information for Parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.

Personal Nursing Philosophy
My Nursing Autobiography

I have dreamt of being a nurse all my life. My mother and older cousins tell me stories of how I loved to line up my dolls and animals, place bandages over them to nurse their 'injuries' and stick branches in their armpits to have a feel of their temperature. Well, I believe these stories because to this day, these are the very things that keep my life going; I derive so much satisfaction from just being able to help people when they are in no position to help themselves. I took an elective nursing course in high school, where I was supposed to report at the local facility at least once every week to assist in the administration of basic care to patients. This marked the beginning of my career in nursing, and since then, I have logged almost 15 years of experience in…...

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References

Reed, P. (2012). A Treatise on Nursing Knowledge Development for the 21st Century: Beyond Postmodernism. In P. Reed & N. Shearer (Eds.), Perspectives of Nursing Theory (6th ed.) (pp. 37-46). Burlington, MA: Jones & Bartlett.

Reed, P. & Lawrence, L. (2008). A Paradigm for the Production of Practice-Based Knowledge. Journal of Nursing Management, 16(4), 422-432

Volker, D.L. & Limerick, M. (2007). What Constitutes a Dignified Death? The Voice of Oncology Advanced Practice Nurses. Clin Nurse Spec., 21(5), 241-247

Healthcare
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).

There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies that are…...

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References

Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87

Advisory Board Web site. (2004). Available at:  http://www.advisory.com .

Ales, B.J. (1995). Mastering the art of delegation. Nurs Manage. August; 26: 32A, 32E.

American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.

Nurse Jackie
The Politics of Nurse Jackie

Kathleen McHugh's 2012 article entitled "Nurse Jackie and the Politics of Care" offers an analytical discussion on the portrayal of nurses and the nursing profession in popular culture. The discursive assessment of nursing as seen in mass media centers less on the content of the media itself than on the sociological implications of common portrayals in relation to such critical issues as prescribed gender roles and the dynamics of care. The discussion here provides a deconstruction of the McHugh article, identifying its perspective, its primary arguments and the approach taken to delivering said argument. Specifically, the discussion will focus on the ways that the complex portrayal of the title character in the television series Nurse Jackie casts distinction in a way that the author considers positive to the public image of the profession.

McHugh composes this article for members of the nursing profession with the goal…...

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Works Cited:

McHugh, K. (2012). Nurse Jackie and the Politics of Care. Nursing Outlook, 60, 12-18.

Nursing Theory and Practice

The Impact of Nursing Theories on Patient Outcomes
The Role of Critical Thinking in Nursing Practice
Ethical Decision-Making in Nursing: Frameworks and Case Studies
Interdisciplinary Collaboration and its Implications for Nursing Care
Innovations in Nursing Education: Exploring Future Trends

Nursing Research and Evidence-Based Practice

The Importance of Nursing Research for Improving Patient Care
Conducting Nursing Research: Research Designs, Methods, and Analysis
Translating Research Findings into Clinical Practice: Challenges and Strategies
The Role of Technology in Nursing Research and Evidence-Based Practice
Evaluation of Nursing Interventions: Methods and Impact

Nursing Management and Leadership

The Transformational Leader in Nursing: Inspiring and....

1. Introduction:
- Overview of the nursing profession
- Importance of nurses in healthcare
- Personal motivation for pursuing a career in nursing

2. Education and Training:
- Pre-requisites for nursing school
- Types of nursing programs (e.g. Associate's degree, Bachelor's degree, Accelerated programs)
- Licensing and certification requirements

3. Clinical Experience:
- Clinical rotations during nursing school
- Hands-on training in a variety of healthcare settings (e.g. hospitals, clinics, nursing homes)
- Preceptorship or internship opportunities

4. Specializations in Nursing:
- Overview of different nursing specialties (e.g. pediatric nursing, critical care nursing, psychiatric nursing)
- Additional training or certification required for specific specialties

5. Continuing Education:
- Importance of lifelong learning in nursing
- Continuing education....

I. Introduction

1. Prerequisites
   
   

   1. General education requirements
   
   
   2. Science requirements

2. Program Structure
   
   

   1. Clinical rotations
   
   
   2. Classroom instruction

II. Body

1. Core Nursing Courses
   
   

   1. Fundamentals of nursing
   
   
   2. Medical-surgical nursing
   
   
   3. Pediatric nursing

2. Specialty Nursing Courses
   
   

   1. Critical care nursing
   
   
   2. Emergency nursing
   
   
   3. Psychiatric nursing

3. Research and Evidence-Based Practice
   
   

   1. Research methods
   
   
   2. Evidence-based practice in nursing

III. Conclusion

1. Career Outlook
   
   

   1. Job availability
   
   
   2. Earning potential

2. Personal and Professional Fulfillment
   
   
   ....