Comment1
The aspect that I found most interesting in the reading is the polarity between the older and the newer nursing theories. The older nursing theories are associated with taxonomies and quantitative measures, whereas the newer more holistic nursing theories are more qualitative measures and softer phenomena (Shelly, J., 2006). The revolution in the approach of how we think about nursing and nursing interventions in association to ethical decision making relates to a belief that nursing as a profession is both a science and an art-based profession, and the the new theories expand upon the concept. The other aspect that is interesting to me is using world views to challenge contemporary ethos by using philosophical clarity, religious sensitivity, and proportionate level of care for the sick and others who may need other forms of physiological and psychological interventions and/or wellbeing.
As medicine is traditionally considered a healing profession, and modern medicine claims legitimacy to heal through its scientific approach to medicine (Starr, P., 1982), the marriage of science and medicine has generally empowered nurses and physicians to intervene actively in the course of disease, to effect cures, to prevent illness, and to eradicate disease Hauerwas, S. (1990). In the wake of such success, nurses and physicians trained as biomedical scientists, have focused on the diagnosis, treatment, and prevention of disease. In the process, cure, not care, became the primary purpose of medicine; as nurses and physician’s role have transformed to the “curer of disease” rather than “healer of the sick (Starr, P. (1982). Thus, healing in a holistic sense has faded from medical attention and is rarely discussed in the medical literature.
Comment2
The polarity between the older and newer nursing theories is the aspect which I have found to be the most interesting during my reading. From my reading, I have found that the older theories are a quantitative while, the newer ones are of qualitative measures.The revolution in the approach of how we consider nursing and nursing intercessions in relationship to basic moral leadership identifies with a conviction that nursing as a calling is both a science and a craftsmanship based calling, and the new speculations develop the idea (Puchalski, Blatt, Kogan, & Butler, 2014).The other perspective that is intriguing to me is utilizing world perspectives to challenge contemporary ethos by utilizing philosophical clearness, religious affectability, and proportionate level of watch over the wiped out and other people who may require different types of physiological and mental intercessions and additionally prosperity.
As medication is customarily viewed as a recuperating calling, and present-day solution claims authenticity to mend through its logical way to deal with prescription, the marriage of science and drug has by and large, engaged attendants and doctors to intercede effectively over the span of ailment, to impact cures, to avert ailment, and to destroy illness. In the wake of such achievement, medical attendants and doctors prepared as biomedical researchers have concentrated on the finding, treatment, and anticipation of the malady. All the while, cure, not give it a second thought, turned into the central role of the solution; as medical attendants and doctor’s part have changed to the curer of ailment instead of healer of the wiped out. Along these lines, recuperating in an all-encompassing sense has blurred from restorative consideration and is once in a while examined in the therapeutic writing.
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Combining Nurse Leader With Advocacy 19273863
/in Uncategorized /by developerRate yourself using the results from the “Nurse Manager Skills Inventory” Topic 5 study material.
Write a reflection of 750‐1,000 words in which you identify your strengths and weaknesses related to the four content areas below:
Discuss how you will use your current leadership skill set to advocate for change in your workplace.
Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.
While APA format is not required for the body of this assignment, solid academic writing is expected and in‐text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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Combining Nurse Leader With Advocacy
/in Uncategorized /by developerRate yourself using the results from the “Nurse Manager Skills Inventory”:
http://www.aone.org/resources/nurse-manager-skills-inventory.pdf
Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:
Discuss how you will use your current leadership skill set to advocate for change in your workplace.
Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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Combining Nursing Leader With Advocacy
/in Uncategorized /by developerRate yourself using the results from the “Nurse Manager Skills Inventory”:
http://www.aone.org/resources/nurse-manager-skills-inventory.pdf
Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:
Discuss how you will use your current leadership skill set to advocate for change in your workplace.
Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
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Comment 150 Words 19446489
/in Uncategorized /by developerNurses advocate for their patients in many ways and on a daily basis. Many do not realize that by providing care and communicating with patients, they are practicing advocacy. Ways the nurses advocate for patients include; through inter and intrapersonal communication, therapeutic communication, collaboration, socialization, implementation, networking with organizations (specifically those that move to influence legislative change), and identifying health care disparities and health care delivery Grand (Canyon University, 2018).
We are all put in daily situations in which we advocate for our patients. One that jumps out to me, is a patient who came in as an outpatient and was status post op for a laparoscopic cholecystectomy. The patient came over from PACU into second phase recovery after over an hour and a half in the PACU. Bedside report revealed that the patient was thrashing upon arrival to PACU, pain was not manageable, and the patient’s blood pressure decreased while heart rate increased. The patient was still uncomfortable and thrashing around. I immediately contacted the physician who came to assess the patient. He stood there stating he didn’t know what was wrong or could be wrong with the patient. I, alongside my charge nurse, pushed for an order to draw a stat hemoglobin and hematocrit as I felt the patient was bleeding internally. It took convincing, but there were no further interventions we could do at this time to help this patient. When the H&H came back, it had dropped significantly compared to his preoperative levels the day before and below the norms. The patient was rushed back into the operating room where it was discovered he had ripped his internal stitches due to the thrashing around postoperatively. If it wasn’t for us advocating and pushing for the lab draw, the surgeon may have let the patient discharge where he would have bled a significant amount more. He could have potentially died. An Incident Report Form was completed on this situation.
Reference
Grand Canyon University. (2018). Professional Engagement. Retrieved from
https://lc.gcumedia.com/nrs430v/dynamics-in-nursing-art-and-science-of-professional-
practice/v1.1/#/chapter/5
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Comment 150 Words
/in Uncategorized /by developerAdvocacy is one of the pillars of the nursing profession. An important role for nursing professionals is to be an advocate for their patients to reach their healthcare goals. Advocating is about standing up for the rights of your patients and firmly defending them even if you personally may not agree. Nurses can be a patient advocate by helping to make an informed decision. Every individual has the right to make their health care decision about their own health. Especially when the patient is alert and competent, the nurses should take the patient’s decision seriously. Nurses must make the patient their priority, for example, a terminally ill patient may decline extensive treatment and may only wish for comfort care even though the family might seek extensive treatment. In this situation, the nurse must advocate the patient’s wishes.
Nurses can also advocate for their patients by being a resource person. I would like to share an example of a prescription drug cost. I had a patient diagnosed with severe neuropathy and the physician had prescribed him Lyrica which is a very effective medication to treat neuropathic pain. Unfortunately, the patient was uninsured, and the drug was very expensive, so the patient was unable to afford the medication. I did extensive research and found out about a program called “Pfizer patient assistance program” that provides medication (Lyrica) to the uninsured patients with no cost for a certain period. I then explained all this information to the patient and helped him fill the application form. Finally, the patient received his medication and took for 3 months. One day, when I was working on the floor, the patient called me and said his pain was well controlled and now he was able to get back to his work. I was so happy to hear that he was getting better and back to his normal job. If he wouldn’t have received this medication he would have been in pain every day and even get depressed. This might have resulted in multiple visits to the hospital and or healthcare facility. As nurses, we have the responsibility to stand up for what is right for our patients.
Reference
Tricia Hussung (2016) Critical Care: The Role of Nurses as Patient Advocates retrieved from https://online.alvernia.edu/nurses-as-patient-advocates/
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Comment 18839819
/in Uncategorized /by developerComment 1
Analysis of variance, ANOVA, is a statistical technique used to analyze the variation between two or more groups so as to discover the disparity among the group means. Analysis of variance is used to examine the general variation instead of a specific variation between means.
The assumptions that involve the use of ANOVA are:
the internal/ratio level
ANOVA consists of two types of measurements: first, one-way ANOVA and second, two-way ANOVA. The one-way ANOVA is measuring variations among different
groups, comparing two groups or more. The one-way ANOVA is the preferred statistical test when examining two or more groups. An example of using one-way
ANOVA is the analysis of a particular sport but on different education levels like sophomore, junior, or senior. The two-way ANOVA is used when the variations analysis is comparing a much more complicated pair of groupings. An example of two-way ANOVA could be analyzing the grades of an American senior student to the grades of a student who is studying in America on the exchange student program.
comment2
Analysis of variance refers to the differences between two, three, or more groups. The textbook says two or more groups, while the visual learner says three or more groups (Grove & Cipher, 2017, p. 179); (The Visual Learner, 2018). There are different versions of the analysis of variance (ANOVA) tests but the most basic form, is a one-way ANOVA. The one-way ANOVA has only one dependent variable and one independent variable. The variable is dependent if it is being tested and measured. The independent variable is the variable that is changed to see how it affects the dependent variable. The outcome of the ANOVA provides an F-ratio that is an average of the differences between the groups. There will also be a F-critical value. If the F-critical value is not more than the F-ratio, the null hypothesis would be rejected at the given alpha level.
The test must meet certain guidelines. The distributions of the populations should be very near normal. The variance of the population should be the same. The samples must be quantitative and taken from simple random samples and the samples must not be dependent on one another (The Visual Learner, 2018).
The repeated-measures analysis of variance can be used to measure changes in the dependent variable over extended periods of time.
Post hoc analysis can then be used to find the location of the variance. These tests include the Dunnett test, Newman-Keuls test, the Scheffe test and the Tukey Honestly Significant Difference (HSD) test (Grove & Cipher, 2017).
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Comment 18893043
/in Uncategorized /by developerComment1
The aspect that I found most interesting in the reading is the polarity between the older and the newer nursing theories. The older nursing theories are associated with taxonomies and quantitative measures, whereas the newer more holistic nursing theories are more qualitative measures and softer phenomena (Shelly, J., 2006). The revolution in the approach of how we think about nursing and nursing interventions in association to ethical decision making relates to a belief that nursing as a profession is both a science and an art-based profession, and the the new theories expand upon the concept. The other aspect that is interesting to me is using world views to challenge contemporary ethos by using philosophical clarity, religious sensitivity, and proportionate level of care for the sick and others who may need other forms of physiological and psychological interventions and/or wellbeing.
As medicine is traditionally considered a healing profession, and modern medicine claims legitimacy to heal through its scientific approach to medicine (Starr, P., 1982), the marriage of science and medicine has generally empowered nurses and physicians to intervene actively in the course of disease, to effect cures, to prevent illness, and to eradicate disease Hauerwas, S. (1990). In the wake of such success, nurses and physicians trained as biomedical scientists, have focused on the diagnosis, treatment, and prevention of disease. In the process, cure, not care, became the primary purpose of medicine; as nurses and physician’s role have transformed to the “curer of disease” rather than “healer of the sick (Starr, P. (1982). Thus, healing in a holistic sense has faded from medical attention and is rarely discussed in the medical literature.
Comment2
The polarity between the older and newer nursing theories is the aspect which I have found to be the most interesting during my reading. From my reading, I have found that the older theories are a quantitative while, the newer ones are of qualitative measures.The revolution in the approach of how we consider nursing and nursing intercessions in relationship to basic moral leadership identifies with a conviction that nursing as a calling is both a science and a craftsmanship based calling, and the new speculations develop the idea (Puchalski, Blatt, Kogan, & Butler, 2014).The other perspective that is intriguing to me is utilizing world perspectives to challenge contemporary ethos by utilizing philosophical clearness, religious affectability, and proportionate level of watch over the wiped out and other people who may require different types of physiological and mental intercessions and additionally prosperity.
As medication is customarily viewed as a recuperating calling, and present-day solution claims authenticity to mend through its logical way to deal with prescription, the marriage of science and drug has by and large, engaged attendants and doctors to intercede effectively over the span of ailment, to impact cures, to avert ailment, and to destroy illness. In the wake of such achievement, medical attendants and doctors prepared as biomedical researchers have concentrated on the finding, treatment, and anticipation of the malady. All the while, cure, not give it a second thought, turned into the central role of the solution; as medical attendants and doctor’s part have changed to the curer of ailment instead of healer of the wiped out. Along these lines, recuperating in an all-encompassing sense has blurred from restorative consideration and is once in a while examined in the therapeutic writing.
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Comment 18896569
/in Uncategorized /by developerComment 1
The Christian concept of imago dei is described by Shelly & Miller (2006) as man being created in the image of God, granting dignity and honor to everyone while separating mankind from everything else on earth.
This is important to healthcare because human lives depend on healthcare. By focusing the attention on preserving life and granting each person dignity, we value each human’s life over and above everything else on earth, as God intended. While postmodernism would hold a humans life less valuable since that philosophy believes the humans are simply another organism on earth, with the same value as a rock (Shelly &, 2006).
This belief is relevant because if we are all viewed as imago dei, then there are moral consequences if we choose to treat humans as
equal to all other animals in creation. As Shelly & Miller (2006) asserts, men may eat other animals in the world, but according to the Christian concept of imago dei, we were placed here as separate and superior beings and it is not appropriate to eat another human being, shoot a person for an illness or disability, and while we are free
to choose, it is our responsibility to treat the sick and dying with dignity and respect with hope for a positive outcome.
Comment 2
The Christian concept of imago Dei as explained by our text is that all humans are created in the image and likeness of god; because of this, human life is deemed valuable and special among all other life forms (Shelly & Miller, 2006). This is an important and basic concept that bares relevance to many aspects within humanity. In the context of healthcare, this is an especially crucial and fundamental understanding. Healthcare providers, caregivers, and all disciplines of the occupation should practice with this core understanding always in mind which transcends across religions and personal beliefs/opinions. Human life is a gift, and as such, each life is significant and meaningful, deserving of respect, empathy, kindness and dignity. A person’s worth and dignity is not determined by their health status, bodily functions or medical prognosis. Healthcare workers should always uphold this truth and honor a person’s right to this understanding. This should be a standard of all care, regardless of if the person’s medical decisions are not in opposition to the healthcare worker’s personal opinion or choice (Sevensky, n.d.).
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Comment 18897901
/in Uncategorized /by developerComment1
Meilaender uses Leon Kass’s words to help us understand the difference between reproduction and procreation. According to Kass, “The premodern Christian English speaking world, impressed with the world as given by a creator, using the term ‘pro-creation.’ We, impressed with the machine and the gross national product, employ a metaphor of the factory, ‘reproduction.” (Engelland, 2015). According to Meilaeder in his reading, he clams that procreation is natural and has some influence when it comes to divine while reproduction is unnatural and it works against God’s plans. Form various research materials; reproduction is a biological way through which human beings reproduce for continuity of the human species. The reproduction means more to the species as it is to the individual. On the other hand, procreation is a process of creating new things of the same kind.
According to Meilaender, on these two terms, it is a matter of morality. On begetting versus cloning, Meilaender argues on Christianity and theological perspective that shows the value of life and the importance of child as a gift from God and thus it is against the view that the child is a product. According to the reading, the process of creating new life or a marvel of transmission of life father to child is called propagation (Mattes, 2016).Multiplication to proliferation is partially an indication of human opportunity. Conceived, is the correct inverse. It is when something leaves something else existing before it. In this way, any conceived thing or needing to have a source. Indeed, I concur with his description as the definitions justify the readings.
Comment2
According to Meilaender (2013), procreation is the gift of life given by a Creator while reproduction is the manmade creation of life through artificial or assisted means. Being Begotten has a similar meaning as procreation as it is the “transmission of life from father to son” while to be made is similar to reproduction as it is to be made through artificial means rather than created naturally (Meilaender, 2013). I can understand the descriptions and agree the meaning for each word. However, I have a hard time with the descriptions in the details for them, especially the reproduction. To me, I have seen many parents struggle with infertility and are so joyful when they are told they cannot have children naturally but have options. With the description of children from infertility treatments being an “object” and that the “human worth increasing becomes something that to be achieved rather than the birthright of every child” as Meilaender (2013) puts it does not settle right with me. To me, I view this is a contradiction of the beginning of the book that states that human being is the right of all individuals not matter their state of being.
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Comment 18920695
/in Uncategorized /by developerComment1
The scientific management theory was first described by Frederick Taylor in the early nineteen hundreds. Frederick Taylor published The Principles of Scientific Management which described how the application of scientific management applied to workers will greatly improve productivity. Scientific management calls for making tasks that are being performed easier and simplifying the tasks and training the workers on those specific tasks to be performed to the best of their abilities. Taylor stated his published work, “The principal object of management should be to secure the maximum prosperity for the employer, coupled with the maximum prosperity for each employee. The words ‘maximum prosperity’ are used, in their broad sense, to mean not only large dividends for the company or owner, but the development of every branch of the business to its highest state of excellence, so that the prosperity may be permanent” (Caramela, 2018).
One of the things our hospital is inefficient with is individualizing every single care plan. Our team does good but we have frequent fall outs. Individualized care plans are just that individualized. Not everyone will have the same interventions. The leaders and the education department had meet with many nurses to see how we can make individualized care plans more easier and help the nurses focus more on them. Feedback was provided from all nurses and leaders took that in for the ultimate decision. The leaders took the information back to the chief nursing officer who ultimately made the final decision.
Commet2
A prominent name in scientific management is Frederick Taylor who in 1914 wrote a book called The Principles of Scientific Management which primarily sought to improve the level of cooperation between management and the labor force so that profits could be maximized but so could the personal development of the workers (Huber, 2014). However, there are faults in this theory with one of them being the worker often feels undervalued (Huber, 2014). One of the most frequently complained about routines in healthcare is the broken algorithm used to determine staff to patient ratios. In our PCU we can have up to acuity 5 patients. Usually I will have 3-4 acuity 3 patients or some combination of acuity 3’s and 4’s. Our ICU is acuity 5 and above. At most you can only have two level 5’s or one level 6 or 7. Level 8-10 are 2-3 nurses per patient and they are reserved for very sick patients such as those on ECMO. It seems the staffing office can never get it right when it comes to the number of nurses we are going to need and we are always either short-staffed or overstaffed. Another routine which seems could with a bit of tuning is the EPIC EMR system. This system has a great idea but there are many short-fallings in a system developed back in 1979. Finally, I would say that a routine in the healthcare field in general which is inefficient mainly is the billing department. I cannot be the only person that has been double billed, told that our insurance doesn’t cover something that it does cover, or some other terrifying mistake made. The situation is a problem in many ways and could do with a considerable tune-up. We have several examples of participative decision-making in my workplace and the first starts with every employee my department. We are primarily a democratic department and decisions which would affect the department are usually put to the vote via surveys, emails, and polls. We are also a unionized hospital and therefore have a relatively significant influence on decisions. A second example of participative decision making is the various committees that are comprised of all sorts of staff that seek to analyze, brainstorm, and implement policies and procedures in the hospital that can affect patient care. T
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