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Demographics and Nursing Care, 2003.
A look at how changing demographics in the United States calls for changes in nursing care policies.
868 words (approx. 3.5 pages), 3 sources, MLA, £ 21.95
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Abstract
This paper explains that, with the changing of the population make-up in the United States, policy makers need to focus on better nursing care for its citizens. The writer provides demographic data to explain the case and examines nursing care options.
From the Paper
"United States demographics are rapidly changing and will steadily have a greater effect on healthcare needs. New health occupations will be established and other ones strengthened. One of the latter will be family health nursing. For the first time since the beginning of the census, less than a quarter of American households consist of married couples with children. According to the 2000 Census, families headed by women with children grew nearly five times faster in the 1990s than married couples with children. Households of married couples with children under 18 declined from 45 percent in 1960 to 23.5 percent. Also, Americans living alone increased to 26 percent, surpassing homes with families for the first time."
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Leadership in Nursing and the Health Care System, 2008.
A discussion of the ideal leadership skills required in nursing and the health care system.
1,700 words (approx. 6.8 pages), 5 sources, APA, £ 38.95
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Abstract
This paper discusses the urgent need for effective leadership in nursing and health care at a time when the health care system has become fragmented and the shortage of nurses is worsening. It presents various traits and styles that characterize an ideal leader. Ultimately, the paper maintains that the most effective form of leadership in nursing at the present time is transformational leadership, which involves forward thinking, flexibility and creativity when confronted with the challenges of dealing with a very unpredictable world and an environment that is in constant flux.
From the Paper
"Among the many characteristics that leaders must possess are the ability to influence others, a high level of confidence, and certain qualities for leadership with which they are born (Frisina & Steltzer, 2001). Leadership also is concerned with such traits as appropriate critical thinking, judgment, and motivating others. Leadership also reflects the individual's personal attitudes and their approach to life. Leadership can be learned and it also can be developed (Frisina & Steltzer, 2001). My own conception of a leader is primarily a person who influences other people and is able to maintain the influence. At the same time, leadership can take place on three levels. The first is at the individual level where leaders motivate others. The second is at the group level where leaders build teams and resolve conflicts. The third is at the organizational level where leaders build culture. Wesorick (2002) maintains that the role of leaders is to transform practice cultures so that the uniqueness and outcomes of professional practice can be realized."
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Spiritual Nursing Care, 2007.
This paper discusses spiritual nursing care and its application to a specific case.
1,855 words (approx. 7.4 pages), 28 sources, APA, £ 41.95
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Abstract
This paper stresses that there is considerable evidence indicating positive associations between spirituality, health and well-being, which makes spirituality an important framework for nursing care. The author points out that spirituality raises energy levels by inducing relaxation and enhancing connectivity between the patient and a higher power. Thus, spirituality plays an important role in controlling the effect of chronic pain on moods, sleep and coping strategies. The paper concludes that, to treat the rheumatoid arthritis of the patient discussed in the paper, a multidisciplinary approach to the problem that includes pain relief measures such as relaxation and distraction therapy is necessary.
Table of Contents:
Nursing Issue
Goal
Nursing Intervention
Rationale
From the Paper
"Patients who use relaxation techniques successfully experience a number of physiological and behavioral changes. When a patient is relaxed, they generally exhibit a decrease in blood pressure, heart rate, respirations, oxygen consumption, and basal metabolism. Relaxation is also hypothesized to affect pain by reducing tissue oxygen demand and lowering the levels of chemicals, such as lactic acid which trigger the sensation of pain. There is also evidence to suggest that relaxation techniques can increase the brains alpha waves, which can enhance the body's immune system ..."
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Nursing Care, 2006.
This paper discusses the evolution of nursing care and its responsibilities.
2,700 words (approx. 10.8 pages), 6 sources, MLA, £ 56.95
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Abstract
This paper explains that there has been a dramatic change in the role and responsibly of the nurse, which extends to and influences the entire gamut of the medical healthcare environment. The author points out that the role and functions of the nurse have become more holistic in nature and encompass many areas of healthcare, including technical knowledge and applications. The paper relates that, from initially being seen only as an aid to the doctor and medical practitioner, nursing has developed into a fully fledged profession with extensive and far-reaching responsibilities and functions that include cultural and social aspects.
Table of Contents:
Introduction
The Evolution of Nursing Care and Responsibility
The Responsibilities and Functions of Contemporary Nursing
Summary
From the Paper
"Possibly one of the earliest examples of the responsibility and role of the nurse is the midwife. A midwife is defined as someone who "...attends childbirth, provides support during labor and delivery, and supervises the general care of women and children directly after birth." Furthermore, midwifery has an ancient history and is in fact is one of the earliest known forms of medical care and "... its functions antedate any record we have of medicine as an applied science. " The midwife and her important role in society are mentioned in the Book of Genesis."
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Culturally Competent Nursing Care, 2002.
This paper attempts to create a policy and a procedure for a hospital that describes how a policy of culturally competent nursing care can be integrated into the philosophical and practical foundations of a hospital environment today.
1,325 words (approx. 5.3 pages), 5 sources, MLA, £ 31.95
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Abstract
The following paper asserts the importance of culturally competent nursing not only on a practical level, but also in a theoretical and philosophical sense of the nursing profession. It suggests that in orienting nurses to a hospital environment, the cultural differences between patients is a critical aspect to be considered when providing nursing care.
From the Paper
"First of all, what is meant by culturally competent nursing care? Culturally competent nursing care takes into consideration the different cultural needs of the individual patient. It takes into consideration the culture that exists outside of the hospital as well as the culture that has been created within the hospital to respond to those needs. Ann Tomey's collection of essays on nursing theories suggests that the importance of having a paradigmatic approach to nursing, rather than a mere series of responses on a daily basis gives the nurse a framework to rely upon when making difficult decisions. This is true not only of individual nurses when making decisions, but also of hospital policy as a whole. (Tomey 1998, p.5)One such framework provided for a philosophical analysis of the needs of nursing is provided in Jacqueline's Fawcett's book on the subject. Fawcett has developed a model of nursing that links the profession's responsibilities into four distinct areas she divides into 'person,' 'environment,' 'health,' as well as the actual procedures of 'nursing' itself. Fawcett's framework is uniquely helpful to a culturally competent form of nursing practice because it forces practitioners not simply to look at the body of the patient in a generic fashion, but to locate the body in a particular cultural world."
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The Omission of Nursing Care, 2007.
This paper analyzes the study "Missed Nursing Care: A Qualitative Study" by J. Kalisch.
1,581 words (approx. 6.3 pages), 1 source, APA, £ 35.95
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Abstract
The paper explains that the purpose of the study was to determine the different types of nursing care missed by staff in a medical-surgical unit setting and the reasons behind the omission of these routine care procedures. The paper looks at the data collection methods and the data analysis procedures. The paper examines the two major strengths and the two major limitations of the study and relates that the validity of the findings in this study may be strengthened by expanding replication studies on this subject to other specialties and patient subsets.
Outline:
Problem
Study Purpose
Study Design
Subjects and Setting
Data Collection Methods
Data Analysis Procedures
Strengths/Limitations
From the Paper
"The problem the study was conducted to address was that of determining frequently omitted routine nursing care and why these aspects of care are being omitted.
The problem is an important one for nursing to study because of its impacts on patients, their families and the entire nursing staff. With regard to patients, the omission of certain types of routine care on the part of the nursing staff may have unapparent ramifications at first (e.g. patient education, early ambulation) but may have disastrous consequences after discharge or in the following hospital days (e.g. readmission or emergence of life-threatening complications). With regard to families, the omission of these seemingly mundane tasks by the nursing staff can reflect a grossly inaccurate, if not negative image of apathy on the part of the entire staff, if not the entire hospital."
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Nursing Care, 2008.
A case study presentation discussing the role of the nurse in caring for a patient's overall well-being.
1,360 words (approx. 5.4 pages), 2 sources, APA, £ 31.95
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Abstract
This paper presents a case that occurred during the writer's clinical placement as a second year nursing student at Toronto Western Hospital (TWH) orthopedic/rheumatoid medical-surgical unit. The writer discusses the patient's case and describes her role and involvement with the patient. She then presents a reflective analysis related to caring, attentiveness and nursing presence in an acute care setting. The paper contains a full original source at the end.
Table of Contents:
Looking Back: The Situation
Elaboration
Reflective Analysis
From the Paper
"Certain realities should remain the same. Nurses are still compassionate and caring. They no longer have time to do incidental things. I strongly suspect there is no time for reflective practice. The first change is to ensure that nursing is reflective and to be sure the patient's viewpoint comes first. Mr. H was having an angioplasty and angiogram, and there would not have been time to properly explain the procedures or to reassure him. Nurses are increasing patients' suffering by not attending to their anxieties and questions. In the future, I would spend a brief time with Mr. H and use therapeutic communication to listen to his needs and concerns."
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Nursing in an Acute-Care Psych Ward, 2008.
This paper applies P.L. Chinn and M.K. Kramer's approach to nursing to an acute-care psych ward.
1,499 words (approx. 6.0 pages), 5 sources, APA, £ 34.95
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Abstract
The paper supports the modified philosophical approach to nursing championed by Chinn and Kramer and shows how their contribution to Dorothy Orem's theories improve the process of thought. The paper further shows how Chinn and Kramer codify, in a stepwise function, how to improve practice and apply conscious theory development to the profession. The paper discusses their "third-level" philosophical approach and relates that although this approach may seem distant to nurses involved in the day-to-day chaos of the acute care wards, they provide a useful conceptual framework for an improvement of the profession.
Outline:
Introduction
Implementation of Orem as Interpreted by Chinn and Kramer
Discussion
Conclusion
From the Paper
"Nursing has progressed from a 'helping,' or 'mothering' profession in the mid-1900's to a profession which incorporates the same basic human emotions, but also combines with empirical evidence to help improve the patient's quality of life. Applying a concrete definition to the concept of nursing was a pioneering effort from Orem in the 1980's. Subsequent work by Fawcett, Chinn, Kramer and others in the 1990's added a more philosophical level to the practice of nursing."
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Long Term Nursing Care, 2005.
This paper examines the subject of long term health care facilities and the related nursing care required.
675 words (approx. 2.7 pages), 4 sources, £ 18.95
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Abstract
The following discussion evaluates various issues related to long term care within today's society. It is necessary to consider that there are a number of important indicators of performance and population that must be addressed relative to the offerings provided by long term care facilities. Society must recognize the importance of the aging population in reference to these facilities.
From the Paper
"Long term care facilities often comprise many different conflicts of interest and in the provision of care for patients that is provided by professional nurses. A wide body of research exists regarding these issues, which provides a valuable contribution to this important aspect of the healthcare system in today's society. With the increased life expectancy of the population and the ever-growing baby boomer generation, it is necessary to understand the issues facing the long term care industry due to increased interest in these facilities. An article by Beattle describes the provision of personalized care within long term care facilities, which is compromised by reduced staffing levels and increased population numbers over time."
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Nursing and Caring, 2007.
This paper explores the essence of caring in the nursing profession.
1,569 words (approx. 6.3 pages), 10 sources, MLA, £ 35.95
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Abstract
The paper discusses caring as hope and commitment. The paper quotes Margot L. Nelson, writing for the American Nursing Association, who concludes that caring "is a genuine concern and desire to optimize the quality of life for another individual, a family, or a community." The paper also examines the essay, "Theory of Human Caring" by Dr. Jean Watson, Distinguished Professor of Nursing at the University of Colorado. The paper relates that this is a Renaissance woman who sees "caring" as a far deeper topic than merely an emotion put into perspective as a professional practice utilizing humanitarian skills. The paper also discusses the issues that emerge during the actual delivery of caring nursing services.
From the Paper
"Care: "To feel concern or interest; to have a regard for; be inclined." The Oxford Universal Dictionary on Historical Principles.
"The essence of caring in the nursing profession is poignantly expressed in the RN Journal (Vance, 2003) as "hope and commitment." Also, Vance writes that "Hope [is] more than mere wishful thinking, but [it is] an awareness of the moment alive with possibilities."
"And, taking "hope" further into the definition of caring, Vance asserts that "hope may be the only crutch a patient has to keep their optimism. Nurses care enough to honor that hope and support the patient."
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Nursing Client Care, 2008.
This paper discusses the empowerment of nursing and its importance in nurse-patient relationships.
1,400 words (approx. 5.6 pages), 5 sources, MLA, £ 32.95
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Abstract
In this essay, the writer notes that the empowerment of nursing is a role or function that can only be addressed by deconstructing the daily lives of nurses. The writer points out that the relationship between nurse and client is a front line relationship - the nurse is the primary care giver and the first medical person the client sees. The writer reviews different articles that take the profession of nursing and show how the need for interdependent relationships between nurse and nurse and nurse and client are imperative to attaining empowerment and powerful relationships. The writer maintains that education is the key to empowerment and building powerful relationships, as the more well-rounded a nurse is the better the nurse-client relationship and the nurse-nurse relationship. The writer concludes that the interdependent relationship of the nurse needing the patient and the patient needing the nurse is fundamental in the industry.
Outline:
Introduction
Article Analysis
Conclusion
From the Paper
"The article concludes that patient advocacy is a major issue in current nursing situations. More and more nursing are finding power in stepping forward in what they consider to be the best interest of the patient - sometimes this is just making sure that the patient's wishes are being listened to and respected by the medical staff. The authors believe that true patient advocacy can only be realized when al 3 attributes listed above is present. Empowerment, power and powerlessness are the crux of nurse-patient relationships. The interdependent relationship between the three creates a shared balance of power between client and nurse and nurse and other medical staff."
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Nursing in the Intensive Care Unit, 2008.
An analysis of the problems in determining patient-staff ratios in the intensive care unit (ICU) and how to address this issue.
2,768 words (approx. 11.1 pages), 10 sources, APA, £ 57.95
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Abstract
This paper addresses the problem of finding a reliable means of predicting the need for nursing care of patients in the intensive care unit (ICU). It looks at present systems devised by nurses to establish nurse-patient ratios and explores these strategies and systems, as well as alternatives. The paper concludes that the preferable course will be a system designed by nurses; without that, legislation will be the only alternative. The paper also looks at the writer's point of view and the relevance of the issue to him.
Table of Contents:
Introduction
Personal Relevance
Relevance to Nursing
The Issue: Nurse-Staff Ratios
Analysis
Alternatives: Staffing Models
Legislation
Recommendations
Conclusion
From the Paper
"Another system for determining nurse-patient ratios is of more interest to the health organization and the government. The diagnostic related groups system is primarily based on the principal diagnosis. Comorbidities and other factors such as length of hospital stay allow outcomes to be costed. The diagnostic related groups are used as a means to calculate costs as well as a system to estimate the cost of nursing care. The problem with the diagnostic related groups system is that, although it is comprised of 475 diagnostic categories, they have never been evaluated in terms of the nursing workload linked with them (Adomat & Hewison, 2004). In general, no patient classification or dependency system that currently is in use is completely effective for determining nurse-patient ratios in the ICU. The problem is found in the variable nature of the ICU so that a set of circumstances cannot be projected onto even the immediate future."
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Nursing Home Care, 2007.
This paper discusses creating stimulating environments for the elderly in nursing homes.
1,253 words (approx. 5.0 pages), 3 sources, MLA, £ 29.95
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Abstract
In this article, the writer presents an overview of the question regarding stimulation in nursing homes for the purpose of helping residents remain active. The writer, who has worked in nursing homes for the past 27 years, has experienced first hand the negative impact that lack of stimulation has had on her clients. The writer explores research regarding the topic and designs a plan in which it would be mandatory to gather information about the residents' prior interests when they move in so that those interests could be incorporated into clients' daily care plan once they arrive. The writer concludes that the goal of her nursing home plan would be to create a more mature and active activity plan for the aged, thereby creating a more well rounded end of life experience for them and their families.
From the Paper
"Having worked in a nursing home for the past 27 years I have seen what happens to the elderly as they enter the home and they are no longer being stimulated.
They give up. They come in full of enthusiasm, if not a bit nervous, and they start to interact. I can always spot the residents who have been there a long time because as the resident passes the time he or she begins to stop interacting. The lack of stimulation begins to take its toll and soon they sit and wait to die instead of getting up each morning ready to live.
Many people believe they are simply witnessing a natural progression toward death, however, I believe that if the residents were stimulated within the nursing home setting they would enjoy a higher standard of living for their remaining years and perhaps live longer as well."
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Role Of Nurses In Health Care, 2002.
Examines contemporary nursing care and makes suggestions for improvements in the nursing profession in the 21st Century.
4,050 words (approx. 16.2 pages), 26 sources, £ 94.95
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Abstract
Examaines contemporary nursing care and makes suggestions for improvements in the nursing profession in the 21st Century. Brief history of health care. Major changes in the Ameican health care system. Attempts to reform, standardize, lower costs and have better access to health care. How changes will effect future role for nurses.
From the Paper
"The Advancement of Nursing into the 21st Century
I. Introduction - Brief History of Health Care
A. How and what it was
There have always been healers, shamans, and others involved in caring for others well-being. However, in terms of organized systems in Europe, by 999 these existed only in monasteries and palaces. However, during the next two centuries it spread into cities and towns as they were built, with physicians, surgeons, apothecaries, barbers, and midwives all involved. While physicians used to be at the top of the hierarchy, surgeons are now. Pharmacists have remained lower in the hierarchy, while nurses developed as a new profession, separate from midwifery. Medieval medicine often also dealt with prevention, including diet measures and exercise programs. There was information available in ..."
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