Learning in adults is most effectual when the environment is both participative and interactive. Another important characteristic is that learners obtain instantaneous feedback. Teaching methods that necessitate a learner to think though data or information and come to a conclusion or forecast an outcome are more valuable than is reading or lecture. "The minute-to-minute care and monitoring of critically ill patients requires nurses to collect, analyze, and react to data and information. Simulation is an excellent way to both teach and practice these skills" (auen, 2012).
Conventional teaching methods stress linear thinking as a single concept is taught at a time. In physiology and critical care courses, the body is divided into organ systems and studied. Even though this method is suitable to help learners dissect intricate information, organ systems do not function in separation from one another. "For instance, in a critical care course, new cardiac surgery nurses learn…...
mlaReferences
Bastable, S.B. (2008). Nurse as educator: Principles of teaching and learning for nursing practice (2nd ed.). Sudbury, MA: Jones and Bartlett Publishers.
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. San Francisco: Jossey-Bass.
Cooper, J.B., & Taqueti, V.R. (2004). A brief history of the development of mannequin simulators for clinical education and training. Quality and Safety in Health Care,
13, 11-18.
Nursing Theory
Caring as an integral nursing concept can be viewed from diverse perspectives. It can be an attribute, a complex set of behaviors, or an attitude. This has made some people believe that it is impossible to improve and measure it although there is evidence that both improvement and measurement are possible. People recognize that caring models of professional practice affect the service users, health outcomes, healthcare staff, and ultimately health care costs. The ability of healthcare staff to deliver caring-based models is driven by characteristics of healthcare service users and organizational behaviors. While nursing has generated a lot of research about caring, this concept remains relevant to all healthcare professionals encountering users of health care services. The caring concept has many similarities with relationship-based care and person-centered care.
B. Literature review
Nurse at risk of threatened well-being
In many countries, an increasing tendency to abandon the nursing field has been observed. Studies…...
mlaReferences
De, C.M., & Anderson, B.A. (2008). Caring for the vulnerable: Perspectives in nursing theory, practice, and research. Sudbury, Mass: Jones and Bartlett Publishers.
Dennis, C.M. (2007). Self-care deficit theory of nursing: Concepts and applications. St. Louis, Miss.; Toronto: Mosby.
Finkelman, A.W., & Kenner, C. (2010). Professional nursing concepts: Competencies for quality leadership. Sudbury, Mass: Jones and Bartlett Publishers.
Hickman, J.S. (2009). Faith community nursing. Philadelphia: Lippincott Williams & Wilkins.
Nursing esearch
Value of esearch to Nursing
Nursing is different from other health care professions. It has a large scope for practicing therefore it is necessary to understand theory in order to provide a strong framework for understanding of this profession. The daily practice of nursing contributes to a nursing practice theory, which can be empirically tested. A quantitative nursing research has three levels such as descriptive, co-relational and experimental. Therefore nurses are encouraged to consider all the virtues of experimental designs very carefully. They have to present an evidence-based practice as they have to plan a future research. This essay describes value of research to the nursing profession and also the contribution of a key theorist to the nursing research.
Value of esearch to Nursing
Every nursing practice theory should be at a level where it can be tested empirically. Today nurses are expected to work on evidence-based practice (EBP). The nursing literature…...
mlaReferences
Getliffe, K. (1998). Developing a protocol for a randomized controlled trial: factors to consider.
Nurse Researcher, 6, 5 -- 17.
Jack, B., & Clarke, A.M. (1998). The value of quantitative research in nursing. Professional Nurse, 13, 753 -- 756.
Medical Library Group of Southern California and Arizona. (2010, February 5). The Role of Nursing Theorists in Nursing Research. Retrieved June 12, 2012, from http://www.mlgsca.mlanet.org/newsletter/?p=1367 .
Nursing Across Theories
Nursing is a core concept that is common across contemporary nursing theories. Even though the definitions, applications, and philosophies are different with each theory, the concept of nursing plays a vital role in each one. Contemporary theories came about when the teaching of nursing students was not sufficient to the performances of what the nurses were being taught in schools and ultimately affecting patient care in the long run of nursing practice. The role of nursing theories was to enable schools to better equip nursing students for nursing practice that would provide adequate care and teaching to patients in the long run that would better equip the patient in knowledge of health and well-being.
"Nursing systems are a series of actions taken by a nurse to aid in meeting a person's self-care needs" (aulita, 2010). Nursing describes the nurse's responsibilities, roles of nurse and patient, and the rationales for…...
mlaBibliography
Nursing Theory and Theorists. (2008, June 19). Retrieved from Nursing Crib: http://nursingcrib.com/news-blog/nursing-theory-theorists/
Application of Orem's Self-Care Deficit theory. (2011, Oct 17). Retrieved from Nursing Theories: http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
Virginia Henderson. (2011). Retrieved from Nursing Theory: http://nursing-theory.org/nursing-theorists/Virginia-Hendersoon.php
Baulita, T. (2010, July 17). Theory of the Nursing System. Retrieved from Self-Care Magazine: http://upoun207tfn.blogspot.com/#!/2010/04/theory-of-self-care.html
Nursing Research
How Data Collection Influences Statistics
Data collection influences statistics in several ways. First, data is collected according to a "category scheme," which is the establishment of meaningful categories in which the data is collected and analyzed (Polit & Beck, 2008, p. 508). If the category scheme is not well developed and meaningful, adequate data may not be effectively collected and examined to inform the nurse researcher about whatever topic he/she is investigating. Assuming good data collection, it allows the nurse researcher to define "themes" through common characteristics, variations and patterns shown by the collected and examined data (Polit & Beck, 2008, p. 515). In addition, data collection allows the nurse researcher to validate and refine themes through the use of quasi-statistics. Quasi-statistics is the enumeration of how often specific themes or observations are supported by collected and examined data (Polit & Beck, 2008, p. 517). If a specific theme or…...
mlaWorks Cited
Anonymous. (2011, March 14). Breast cancer; Research from M. Montgomery and co-authors provides new data about breast cancer. Health & Medicine Week, p. 2524.
Farrell, J., & Belza, B. (Jan-Feb 2012). Are older patients comfortable discussing sexual health with nurses? Nursing Research, 61(1), 51-57.
Polit, D.F., & Beck, C.T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Purssell, E., & While, A. (Nov 2011). P = nothing, or why we should not teach healthcare students about statistics. Nurse Education Today, 31(8), 837-840.
Nursing Shortage
Issues Surrounding the Nursing Shortage
In the early 2000s, national strategies to improve the nursing workforce profile were largely focused on increasing the number of nurses at the bedside through the use of sign-on bonuses and travel nurses. While these strategies tended to provide local short-term solutions, they did little to address long-term issues affecting the nursing shortage. With nursing education programs challenged to increase student enrollment, many colleges were confronted with a limited financial infrastructure, a shortage of qualified faculty, and difficulty establishing the clinical sites needed to support additional students. Thus, they found themselves turning qualified applicants away (Clark & Allison-Jones, 2011).
According to the American Association of Colleges of Nursing (AACN, 2010) there are three routes to becoming a registered nurse (N), a 3-year diploma program typically administered in hospitals, a 3-year associate degree usually offered at community colleges, and the 4-year baccalaureate degree offered at senior colleges…...
mlaReferences
AACN. (2010, October). The impact of education on nursing practice. American association of colleges of nursing. Fact Sheet. Retrieved November 26, 2011 from http://www.aacn.nche.edu/media/factsheets/impactednp.htm
Clark, R.C. & Allison-Jones, L. (2011, January/February) Investing in human capitol: An academic-service partnership to address the nursing shortage. Nursing Education perspectives Vol. 32, Issue 1, 18-21. Retrieved November 26, 2011, from http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=46675669-2c52-4b47-8d25-c4b864a0b1a6%40sessionmgr14&vid=4&hid=10
Fox, R.L. & Abrahamson, K. (2009, October/December) A critical examination of the U.S. nursing shortage: Contributing factors, public policy implications. Nursing forum, Vol. 44, Issue 4, 235-244. Retrieved November 26, 2011, from http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=e31f1e7f-7415-49b5-abcc-7f7c8352bd91%40sessionmgr111&vid=4&hid=7
Hood, L.J. (2009). Leddy & Pepper's conceptual bases of professional nursing. 7th ed. Hong Kong, China: Lippincott Williams & Wilkins
Nursing Science
The historical development of nursing science can largely be dated back to the era of Florence Nightingale. It is however imperative to note that nursing as a largely independent profession has over the past century converged into a well founded theoretical perspectives culture. In this text, I will develop a nursing science historical development timeline with a mention of specific theorists, theories, years as well as events in nursing history. Further, I will discuss the relationship existing between the profession and nursing science. This paper will also make a mention of how nursing is influenced by a select class of other disciplines including but not limited to psychology, anthropology, education and religion.
Nursing Science: Historical Development
1850 -- Considered by many to be the pioneer of nursing as we know it today, Florence Nightingale joins The Institute of St. Vincent de Paul to start off her training as a nurse.
1860 --…...
mlaReferences
Andrist, L.C., Nicholas, P.K. & Wolf, K. (2006). A History of Nursing Ideas. Sudbury: Jones and Bartlett Learning.
Ferrell, B. & Coyle, N. (2006). Textbook of Palliative Nursing, Volume 355. New York: Oxford University Press.
Omery, A., Kasper, C.E. & Page, G.G. (1995). In Search of Nursing Science. USA: SAGE
Zaccagnini, M.E. & White, K.W. (2011). The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing. Sudbury: Jones & Bartlett Publishers.
Nursing Case Study
Case Discussion
This case scenario is a classic case of professional misconduct carried out by Nurse X. The nurse did not have enough medical or chemical knowledge and therefore she made this mistake. It is common sense for any health care professional to realize that nasogastric or endoscopic route is very different to an IV route. All nurses and health care providers must be extra careful when administering to the patient's body through the IV route. It is noteworthy here that something as minor as an air bubble can result in the death of the patient. Through the nasogastric and endoscopic route, the medicines are introduced in the gastrointestinal tract from where they are absorbed in the blood. Therefore it should be noted that there is a huge difference between drug solution made for gastric route and drug solutions made for the IV route. Drugs that are administered through…...
mlaReferences
Alliex, S. (2013). ENFORCING CONDITIONS OF THE NURSES BOARD OF WESTERN AUSTRALIA FOLLOWING DISCIPLINARY PROCEEDINGS. [e-book] pp. 1-6. Available through: AUSTRALIAN INSTITUTE OF CRIMINOLOGY [Accessed: 8 Sep 2013].http://www.aic.gov.au/media_library/conferences/regulation/alliex.pdf
Beauchamp, T. & Childress, J. (2009). Principles of biomedical ethics (6th edition). New York: Oxford.
Benner, P. (1984). From novice to expert. Menlo Park, Calif.: Addison-Wesley Pub. Co., Nursing Division.
Brous, E. (2012). LEGAL CLINIC: Professional Licensure Protection Strategies. American Journal of Nursing, 112 (12), pp. 43-47.
Nursing is a science and an art, combining evidence-based practice with a practice based on caring, compassion, kindness, and respect. Evidence-based practice legitimizes nursing as a profession, as it eliminates guesswork during the delivery of care and ensuring a scientific foundation for clinical decisions. Nursing involves following and often developing the standards and procedures that promote both individual health and public health. As an art, however, nursing involves caring for patients, families, and communities. The ontological root of nursing is the act and process of promoting health and well-being. Nursing is a relational profession, highlighting the nurse's role within the health care system.
Nursing is frequently defined as both "art" and "science," (Potter, Perry, Stockert & Hall, 2013; Mississippi Delta Community College, n.d.). The art component of nursing is best expressed in the subtle nuances of the delivery of care, including attitudes and behaviors toward patients. As an art, nursing entails…...
mlaReferences
American Nurses' Association (2013). What is nursing? Retrieved online: http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing
Chinn, P.L. & Wheeler, C.E. (1985). Feminism and nursing. Nursing Outlook 33(2): 74-77.
Cody, W.K. & Kennedy, J.W. (2006). Philosophical and Theoretical Perspectives for Advanced Nursing Practice. Jones & Bartlett.
McMahon, R., Pearson, A. & Pearson, A. (1998). Nursing as Therapy. Nelson Thornes.
Nursing Education
Does nursing have a unique body of knowledge or is it the application of various other fields of knowledge in a practice setting?
Nursing does have a unique body of knowledge as Moyer and Whittmann-Price (2008) state "it is nursing's unique knowledge base that warrants a unique service or practice called professional nursing" (6). This means that like the other help-specific sciences nursing was founded on the basis of research that is unique to the methods needed for the practice of that occupation and no other. This definition of this practice is bounded within that research
What are the expectations and patient considerations of evidence-based practice in nursing?
First of all, evidence-based practice assumes that the exercise of the field is predicated on what research has determined will best aid patients. Expectation, viewed from an ethical perspective, is that nurses will provide care that is not anecdotal but has been observed to…...
mlaReferences
American's with Disabilities Act (ADA). (2012). ADA home page. Retrieved from http://www.ada.gov/
American Association of Colleges of Nursing (AACN). (2005).
Bastable, S.B. (2008). Nurse as educator: Principles of teaching and learning for nursing practice, (3rd Ed.). Sudbury, MA: Jones and Bartlett Publishers.
Billings, D.M., & Halstead, J.A. (2011). Teaching in nursing: A guide for faculty. New York: Elsevier Science.
Nursing Theorists
The objective of this study is to identify, describe, research and apply the concepts of a specific nursing theorist and compare and contrast it to other nursing theorists. As well, this work in writing will provide examples of clinical situations from personal nursing practice that illustrates the concepts and application of the framework and will describe these in ways that serve to illustrate and clarify the use of the conceptual material.
The nursing theorist chosen in this study is Dorothea Orem. Dorothea Orem was born in 1914 in altimore, Maryland in the U.S. And earned her diploma at Providence Hospital in Washington DC. Orem worked as a staff nurse as well as a private duty nurse, nurse educator, and administrator and finally as a nursing consultant. Orem received her honorary Doctor of Science degree in 1976. Orem's theory was first published in 'Nursing: Concepts of Practice in 1974, 1980, 1995,…...
mlaBibliography
Dorothea Elizabeth Orem made nursing theory "exciting, realistic and usable (2007) Southern Cross, Page 3. Retrieved from: Thursday, July 19, 2007
Dorothea Orem's Self-Care Theory 2012) Dorothea Orem's Self-Care Theory. Retrieved from: M. et al. (nd) Case Study Application info Dorthea Orem's Nursing Theory. Retrieved from Scribd at: http://www.scribd.com/doc/20791871/Case-Study-Application-of-Dorothea-Orem-s-Nursing-Theory http://currentnursing.com/nursing_theory/self_care_deficit_theory.html Iglesias,
George B. Julia, Nursing Theories- The base for professional Nursing Practice, 3rd ed. Norwalk, Appleton & Lange.
Integration of Dorothea Orem's Nursing Theoretical Framework (nd)Williams & Lippincot /
Nursing Professional oundaries
There are boundary issues in every aspect of nursing practice. Some of the issues range from stopping to purchase some groceries for a home-bound client, accepting gifts from clients, having friendship with clients and engaging in sexual relationships with clients. While there is substantial gray area compared to black and white in the study of professional boundaries, nurses can make appropriate decisions if they have the relevant information concerning fundamentals of professional boundaries (Kagle and Giebelhausen, 1994). Therefore, it is advisable for the nurses to read additional information and take part in discussions with their colleagues to widen their comprehension of the topic.
Professional boundaries refer to the limits that shield the liberty between the professional's authority and their client's susceptibility. This means that upholding proper boundaries will help in controlling the authority allowing for safe links between the nurse and client based on the client's wants. In addition,…...
mlaBibliography
Avis, W.S., Drysdale, P.D., Gregg, R.J., Neufeldt, V.E., & Scargill, M.H. (1983). Gage Canadian Toronto, ON. Canada Publishing Corporation: Gage Educational Publishing Company.
Chong, C.M., Sellick, K., & Francis, K. (2011). What influences Malaysian nurses to participate in continuing professional education activities? Asian nursing research, 5(1), 38-47.
Cohn, K.H. (2009). Changing physician behavior through involvement and collaboration. J Health Manage, 54, 80 -- 6.
Goolsby, M.J. (2004). American Academy of Nurse Practitioners National Nurse Practitioner Sample Survey, Part 1: an Overview. J Am Acad Nurs Pract, 17(9), pp. 337 -- 341.
Nursing theory, as Nolan and Grant (1992, p. 217) correctly state, cannot be separated from the practice of the profession. On the other hand, theories that have become known collectively as "grand theory" have become so fraught with terminology discrepancies and idealistic representation that it has become impossible for practitioners to use. This has created what Nolan and Grant (1992, p. 217) refer to as the "theory-practice gap," where there is a lack of basic communication and collaboration among nursing theorists and practitioners in the field. To remedy this, a new approach to nursing theory and its relationship to practice arose, known as "mid-range theory." This approach was first suggested by Hildegard Peplau at the end of the 1960s (Peden, 1998). ecently, there has been a revisitation of the merits of mid-range theories as a more effective approach not only to the practice of nursing, but also to research in…...
mlaReferences
Bu, X. & Jezewski, M.A. (2007). Developing a mid-range theory of patient advocacy through concept analysis. Journal of Advanced Nursing, Vol. 57, No. 1. pp.101 -- 110
Flood, M. (n.d.) A Mid-Range Nursing Theory of Successful Aging. The Journal of Theory Construction & Testing. Vol. 9, No. 2.
Goldenberg, H. And Goldenberg, I. Family Therapy: An Overview.
Nolan, M. And Grant, G. (1992). Mid-range theory building and the nursing theory-practice gap: a respite care case study. Journal of Advanced Nursing. Vol 17. pp. 217-223.
Nursing work at the ER
Nursing work at the Emergency Room (ER)
The interviewee is Eric Johnson, a Registered Nurse (RN) in the Emergency Room (ER) of Toledo Hospital. He has been an ER RN for seven (7) years now. Scheduling the interview with him was challenging, as nurses work many hours, and Eric managed to allot a small amount of time for the interview because the interviewer is his friend.
What kind of education/certification/experience does the nurse have?
Nursing work in the ER is a specialization by itself. Thus, ER nurses are given continuous education, certification to different areas of nursing expertise specific to ER work, and the experience itself in the ER is worthy enough for a nurse to be experienced in different aspects of technical/medical hospital work. Formally, the interviewee has been trained in basic life support, advanced cardiac life support, neonatal advanced life support, pediatric advanced life support, intravenous therapy,…...
Nursing
The greatest challenges facing nursing leadership and the profession as a whole include, but are not limited to, "highly political environments, budget reductions, changing reimbursement patterns, staffing shortages, and rapidly evolving technological advances," (Schmidt, 2006, p. 34). In addition to these environmental and organizational challenges, nurses and nurse leaders contend with issues related to communications, public relations, and personal psychological barriers to greatness. Nurses are endowed with more formal and informal types of power than in the past, expanding the locus of the profession from bedside care towards policy making and administration.
Nurses and nurse leaders can influence the regulatory mandates that govern and guide nursing practice. In fact, nurses and nurses alone are entrusted with the responsibility of developing and changing regulatory mandates that impact the nursing profession in particular. egulatory mandates that do not impinge directly upon nursing, or which have a broader application in health care, may be…...
mlaReference
Robinson, S.E., Roth, S.L. & Brown, L.L. (1993). Morale and job satisfaction among nurses: What can hospitals do? Journal of Applied Social Psychology 23(3): 244-251.
The practice of nursing is strongly guided by ethical theories and principles, because nurses are charged with the duty of taking proper care of patients and ensuring that they do no harm to them. The principles, values, and morals they must adhere to are based on what is needed for them to provide the maximum benefit and level of care to the largest number of patients on a daily basis. The values and morals they hold may differ from those of the patients they care for, and they must be careful to avoid putting down on or otherwise dismissing what....
First, we want to reassure you that being confused about nursing worldviews puts you in some good company. Many nurse practitioners find that the approach that place worldviews at the beginning of nursing inquiry may actually be hampering the development of nursing scholarship and keeping the profession from evolving as quickly and as efficiently as it should. In addition, the material can become very confusing because different authors use the words paradigm and worldview interchangeably, though they distinguish them from metaparadigms.
Broadly stated, an individual’s worldview consists of the beliefs and assumptions that the person uses to interpret....
While stress is a commonly used term, it is a poorly defined term that can refer to a wide scope of things, depending on the context. Generally speaking, stress refers to the person’s response to some sort of aversive stimuli or stressor, though stress can also be used to refer to the stimuli that causes the stress. The perception of stress appears to be related to whether a person finds a particular stimulus to be overwhelming. Therefore, a stress concept analysis can have different meanings and is personalized for each person experiencing a particular stressor. Generally, we....
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