One of the invaluable experiences I had working with underserved communities was between the years 2007 and 2008, when I was fortunate enough to be involved as a volunteer conducting missionary work in Atotonilco, Mexico. As a community nurse for the mission, I was responsible for taking the glucose level, vital signs and educated the general public about diabetes and heart disease. I have found my work in Mexico very rewarding that I decided to volunteer again in 2009, this time locally in St. Kitts and Nevis, but the volunteer work covered the same responsibilities assigned to me as a volunteer in Mexico. Perhaps what made my second volunteer stint more challenging is that we conducted home visits to patients afflicted with diabetes, and had to be visited because they cannot walk as a result of having their leg amputated because of diabetes. Indeed, the feeling of fulfillment and…...

Nursing Scholarship
I have a burning desire to work with homebound geriatrics and pediatric oncology. The compassion to help people, especially elderly and children, the belief in the ability to achieve these goals, and the unfortunate experience of my daughter losing a classmate/friend after battling cancer for eight long years has led to a deeply, burning desire to obtain nursing licensure and work with these types of people. My goals after obtaining nursing licensure is to work part time with homebound geriatrics and fulfill a commitment made to the mother of my daughter's friend in helping children with cancer in the memory of her daughter.

For the past few years, I have worked as an EMT in an overnight summer camp with 1500 children and 65 staff families. The work I do there involves working close with the Pediatrician that visits the camp four times a week, and treating children with various…...

Mission of the Nursing Scholarship Program in Providing Care to Underserved Communities
The shortage in primary care physicians in the world escalates every day. This is prevalent in underserved populations. The cause of this is that fewer medical students are taking primary medical care fields as required, regardless of the growing need for these services. The decrease in primary care nurses is multifactor and financial incapability of students is one of the factors. Having the opportunity of a scholarship into nursing, I would spend adequate time in making sure that the areas I am to serve receive the best. I understand that the objective of the scholarship provision for nursing is to provide adequate healthcare intervention in underserved community through the practical empowerment of nursing students. For this reason, I would take the interest of the community seriously, fulfilling the health needs, which they would ever come with needing my…...

mission of the Nursing Scholarship Program in providing care to underserved communities?
I believe that health is the greatest gift that can be bestowed upon any human being. child who is not treated for a common illness cannot focus in school; someone with a chronic disease like diabetes cannot think of looking for a new job until his or her blood sugar is under control. s a nurse, I wish to help the least fortunate members of the population, in the U.S. nd abroad, to better the quality of their health, and by extension, better the quality of their lives. When I first embark upon my practice, I can see myself serving as an OR nurse or a military nurse who working to improve the health of members of the armed forces. I view the career of nursing as a calling, as a vocation, not merely a job.

Essay question…...

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A member of an underserved community lacks access to the type of healthcare needed to maintain a reasonable standard of functionality, given the needs of the underserved patient's age group and health conditions. Populations that lack access to basic sanitation, healthy foods, and places to exercise are also underserved. In 2008, I volunteered as a missionary healthcare worker in Atotonilco, Mexico. I helped nurses take patients' glucose levels, vital signs, and educated the patients about how to manage their diabetes. I also acted as a patient educator on the subject of the links of obesity, lack of exercise, and poor diet to an increased risk for diabetes and heart disease. In 2009 I volunteered in a similar capacity in St. Kitts and Nevis. I made visits to patients' homes to take their glucose levels and vital signs. These patients were not mobile because their legs had been amputated, due to diabetes-related problems.

Essay question 3: Please discuss your commitment to pursue a career in nursing

At some point in the future, I see myself becoming a surgical nurse or working in a community-focused practice, ideally at a general hospital in Santa Clara County. I will continue to do missionary healthcare work in Africa after obtaining my nursing degree and strive to aid disadvantaged populations in the U.S. Primary care and early education initiatives are vitally important: it continues to sadden me to see how many lives could be saved or improved through better access to healthcare and knowledge that could empower patients to take control over their lives.

Nursing in the Contemporary World
Nurses as the Most Highly Trusted Health Professional

ecent studies indicate that nurses are the most highly trusted health professional group.

ecent studies indicate that nurses are the most highly trusted health professional group.

Discuss the components of nursing's contemporary image that places nurses in this position of trust

Nursing profession has undergone tremendous development to attain the respect and valuation within the society. The current trend states that nursing ranks as the highly trusted health professional group. One of the components for this development is the tremendous efforts put by women to wrestle the profession from men in the historic periods. This struggle towards development of the profession reflects on different perspectives: environmental, political, cultural, and social. Extensive nursing education in the contemporary world supplements the efforts of nurses in their service provision (Im & Ju, 2012). This helps to put nursing professional group at the top of other…...

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References

Cherry, B., & Jacob, S.R. (2011). Contemporary nursing: Issues, trends, & management. St.

Louis, Mo: Elsevier/Mosby.

Im, E., & Ju Chang,, . (2012). Current Trends in Nursing Theories. Journal of Nursing

Scholarship, 44(2), 156-164. doi:10.1111/j.1547-5069.2012.01440.x

Nursing: Today and Throughout History
The occupation of nursing has been around for almost all of history in some form or another. In the ancient Roman Empire are found records of the nursing practice, where nurses provided care to in-patients at local Roman hospitals. In Constantinople—the Rome of the East—nurses were “known as hypourgoi” (Kourkouta, 1998). These nurses (both male and female) were tasked with jobs much like today’s nurses: they provided a wide variety of services to patients. Kourkouta (1998) states that the main tasks of the hypourgoi (male nurses) and hypourgisses (female nurses) were to give “psychological support of patients, everyday care of patients’ bodily needs and elementary comfort, cleaning of patients and providing them with proper food, the administration of medicines according to a doctor’s instructions, supervising wards when the physicians were not present, the performance of enemas, cuppings and bloodletting, the main therapeutic means used at that…...

As to catheter straps, if fastened too tightly they can act as tourniquets, cutting off the needed flow of blood and presenting. And at least theoretically, use of straps brings about a risk of increasing the complications such as "…deep vein thrombosis and pulmonary embolism" in those patients with "impaired lower extremity circulation" (Billington 504). Research presented in this article shows that the problem of infection due to poorly attached catheters can be reduced significantly through the use of a product called "Bard StatLock" -- which, the authors insist, is an effective stabilization device because it allows movement (through a swivel clip), because it is a "sterile latex-free, tug-resistant product" (Billington 504). An article in the journal RN, incidentally, states that treating "hemodialysis catheter-related bacteremia" can cost a hospital up to $45,000.

ashing "Bloody Hands": An article in the Australian Nursing Journal asserts, "…hand hygiene is the single most effective method…...

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Works Cited

Aziz, a.M., Ashton, H., Pagett, a., Mathieson, K., Jones, S., & Mullin, B. (2009).

Sharps management in hospital: an audit of equipment, practice and awareness.

British Journal of Nursing, 18(2), 92-98.

Billington, a., Crane, C., Jownally, S., Kirkwood, L., & Roodhouse, a. (2008).

Nursing Concept
Theoretical Background

One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of healthcare, then,…...

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REFERENCES

Basford, L. And O. Slevin. (2003). Theory and Practice of Nursing: An Integrated Approach to Caring Practice. New York: Nelson Thomas.

Beckstead, J. And Beckstead, L. (2004). A multidimensional analysis of the epistemic origins of nursing theories, models and frameworks. International Journal of Nursing Studies. 43

(1): 113-22.

Cohen, J. (1991). Two portraits of caring: a comparison of the artists - Leininger

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

Besides facing stress, and having easy access to medications, critical care and emergency nurses may use recreational drugs more often because they are more likely to have a sensation-seeking personality trait (www.nurseweek.com/news/98-5/25e.html)."
Treatment Implications

Getting treatment for chemical dependency will help the nurse get back to his or her daily life, however the nurse will have to address concerns and/or consequences related to the addiction. He or she faces a "multitude of traumatic experiences both potential and real, such as arrest, license suspension/revocation; negative publicity; reactions of family, friends and co-workers; fines; board and legal hearings; inability to secure work other than nursing; physical illness; and possible lack of health insurance. In the treatment setting, issues such as these add complexity to the nurse's recovery (Anderson)."

There are other complications which must be addressed during treatment of the impaired nurses. These issues include being considered a role model by everyone, having trouble…...

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Works Cited

Anderson, Jenny Lynn. "Treatment considerations for the addicted nurse." Behavioral Health

Management. (1994): 01 September.

(Substance abuse in nurses varies by specialty. (accessed 15 November, 2004).

).

Nursing Critique
Comparison of the Effect of isk and Protective Factors on Suicide Attempts in a Group of Triethnic Adolescents Divided According to ace, Gender and Age.

This is an critique on a research paper about self-reported suicide attempts in a triethnic group of adolescents. 2 references are given.

The purpose of the following paper is to evaluate and critique a study performed on a group of students pertaining to adolescent suicide. This study attempts to examine the multiple factors affecting recent suicide attempts in adolescents from three different ethnic backgrounds. The resilience model is used to describe and analyze the relationships between these variables categorized according to sex, age and race. A group of 10,059 school children from the 7th, 9th, and 11th grade in Connecticut were surveyed in 1996 and data from the African-American, Hispanic Latino and American Caucasian respondents was analyzed using bi -- and multivariate methods. [ew, et al.,…...

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References

1. Rew et al., 2001, Correlates of Recent Suicide Attempts in a Triethnic Group of Adolescents, Journal of Nursing Scholarship.

2.Oquendo MA, Ellis SP, Greenwald S, Malone KM, Weissman MM, Mann JJ, 2001.: Ethnic and sex differences in suicide rates relative to major depression in the United States, Am J. Psychiatry 158(10): 1652-1658

Nursing Knowledge: A Controversy
The scope of the nursing profession has increased dramatically over the last thirty years. The demarcation between medical and nursing tasks is quickly dissolving as the nursing profession is becoming increasingly multidisciplinary and complex. In 1996, nurse practitioners were mandated to obtain master's degrees to address their changing role in medical care (Nicoteri & Andrews, 2003). In this multidisciplinary and evolving healthcare environment, adaptation is paramount to providing effective patient care. Currently, there is a controversy in nursing regarding the direction that the development of nursing knowledge should take. There are many critics who believe that developing new nursing theories is an effective way to promote this development. However, theories are often abstract and not adaptable to specific healthcare settings. The belief that the knowledge base for nursing should evolve entirely from theory has important implications for nursing as an academic discipline and by extension the…...

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References

Attree, M. (2001). Patients' and relatives' experiences and perspectives of 'good' and 'not so good' quality care. Journal of Advanced Nursing, 33, 456 -- 466.

Burman, M.E., Hart, A.M., Conley, V., Brown, J., Sherard, P., Clarke, P.N. (2009). Reconceptualizing the core of nurse practitioner education and practice. Journal of the American Academy of Nurse Practitioners, 21, 11-17.

Hart, A.M., Macnee, C. (2007). How well are NPs prepared for practice: Results from a 2004 survey. Journal of the American Academy of Nurse Practitioners, 19, 35 -- 42.

Mantzoukas, S., Jasper, M. (2008). Types of nursing knowledge used to guide care of hospitalized patients. Journal of Advanced Nursing, 62, 3, 318-326.

Nursing Documentation
Importance of the Issue

Nurse need to keep the records and specific information about their patients. The services in the hospitals require that every detail of the patients be kept in the records. For patients whose conditions recur, record helps the medical practitioners understand the health history of the patient. Proper records in the hospital are helpful in patient transfers (Voyer et al. 2014). Often, patient referrals are common in hospitals and thus records help the doctors in the new hospital to attend to the needs of the patient. The family members of the patients require the health records of their patients to arrange for better treatments. The law requires the nurses to keep records of the nature of services they offer to the patients. Often, the records of each patient are permanents in the hospital where they are kept physically or electronically. Records are essential because they indicate whether…...

Nursing and Genetics
As noted by Lea (et al.) "Obtaining a family history is an established and familiar screening activity used by nurses and other healthcare providers across many healthcare settings" (Lea 2010:4). However, the increased commonality of doing a genetic profile on patients has made gathering such a family history far more revelatory than ever before. Nurses must gain a better understanding of how genetics affects patient health in a very specific fashion to be effective healthcare providers in the future. Nurses are "ideally situated" to inform patients about what genetic information means, given the patient-centered focus of the profession (Lea 2011: 3). Nurses must understand the implications of genetic testing to comprehend the extent to which a disease is likely to manifest itself in a patient. Patients must be able to realistically evaluate the threats they face.

At present, "genetic tests are offered to those suspected of having a genetic…...

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References

Conley, Y. & Tinkle, M. (2006). The future of genomic nursing research. Journal of Nursing

Scholarship, 38: 213-218

Lea, DH (et al. 2011). Implications for educating the next generation of nurses on genetics and genomics in the 21st century. Journal of Nursing Scholarship, 43:1, 3 -- 12.

Lea, DH (2006). U.S. genetics nurses in advanced practice. Journal of Nursing Scholarship,

What is the most valuable lesson you've learned as a nurse that you've tried to impart to your students?

Get to know your patients. You can make a valuable human connection with any of your patients, if you just put in the attempt. Their care will be so much more effective and your time at work will be all the more richer.

How do you build awareness of the personal attributes of your students (Clark, 2008)?

I try and see my students outside the classroom to get to know them. I need to be aware of their personal attributes and how those can benefit them as nurses to be. Thus, I try to arrange picnics, pizza parties and other outings with my students so that we can all relax and get to know each other better.

How do you make some of the more intricate educational theories more attainable for your students?

I try to…...

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References

Bastable, S.B. (2008). Nurse as educator: Principles of teaching and learning for nursing practice. Sudbury: Jones and Bartlett Publishers.

Clark, C.C. (2008). Classroom skills for nurse educators. Sudbury: Jones and Bartlett

Publishers.

Utley, R.A. (2011). Theory and research for academic nurse educators: Application to practice.

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....