A Research Proposal For Nurses On A Trauma Unit After...

A Research Proposal For Nurses On A Trauma Unit After...
Qualitative Research Proposal: Workarounds
Nadine Davis
Stevenson University School of Graduate and Professional Studies
NURS 530
Abstract
Workarounds is a safety issue which poses a problem in nursing practice. The problem seems to arise when nurses are over worked and they need to
cut corners to get the job done but patient safety then becomes an issue. The purpose of this assignment is to develop an evidenced based research
proposal using the qualitative research method. The chosen topic for this research proposal is workarounds amongst nurses on a trauma unit after
implementation of new electronic method of charting and administration of medication. The selected group included 10 nurses who have been working
on a trauma care unit. Nurses may think that are doing a more efficient job by using workarounds especially to help with time management and
emergencies. However this may not be the case, nurses may be doing themselves an injustice for not embracing changes as it pertains to new
technology in healthcare in the twenty first century.
Introduction
Nurses may use workarounds with the best of intentions; they may need to get a task done in a minimal time frame. Getting a medication to a patient
quickly or providing more efficient care for multiple patients can make the difference between death and saving a life. For example; a patient having a
cardiac arrest, needs immediate medical attention and is a time sensitive matter. Getting critical
... Get more on HelpWriting.net ...

Health Care Delivery Model : Transitional Care Essay
the transition can be challenging for both the patient and family members, therefore, the need for PN (Chase–Ziolek, 2014). Although introduced
recently in the health care delivery model, transitional care has some elements of care provided by FCNs among faith communities (Breisch, et al.,
2013; Peterson, Atwood, & Yates, 2002; Ziebarth & Miller, 2010). For instance, the FCN can help in facilitating change related to increased knowledge
on disease management. Consequently, awareness can be extended to the community members and parishioners and enable them to control diseases.
Other than providing spiritual care to the community, FCN also provided counseling, active listening, referrals, education, advocacy, and prayer.
Therefore, FCNs can promote community awareness related to health issues, and develop community collaborations to enhance health promotion.
Breisch et al. (2013) established that advocacy for appropriate levels of care for susceptible populations and people with inadequate access to
healthcare is a role that can be played by FCNs. In addition, FCNs are responsible for the provision of awareness among church communities with
low–literacy skills to promote healthcare. Through the initiation of referrals for clinical treatment, providing assistance to access home care resources,
assisting with extended care appointments, and providing support to healthcare consumers, FCNs can promote improved quality care.
This DNP proposal will have a significant role in the

Health Fair Proposal: A Case Study
The information obtained from transfer to professional nursing to develop trust with the organization. The four concepts of nursing the person, the
environment, health and nursing goals in assessments in the development of a health fair proposal. Assessed, recognized and adopted a working
relationship with the emergency medical director and the organization. The information from research analyzed, synthesized and evaluated it before
implementing the health fair proposal. Reflecting, reasoning and thinking systematically and locally the information was applied to develop the health
fair proposal to meet the needs of the community.
Leadership and Management skills learned have been used to organize the proposal. Deciphering important issues ... Show more content on
Helpwriting.net ...
The course taught me clear, concise and methodological thought process to solve and address problems. To look for issues that affect health such as
environmental factors, genetic makeup, and lifestyle. Focus on care rather than the site in nursing practice. The care focus care will be in the
community and the population as a whole. Providing education and nursing services to the community to reduce health risk and communicable
diseases. The information obtained from the course provide programs to benefit health risk and assist community resources with Central Ohio Area
Agency on Aging, Alzheimer's Association and other support services.
Legal aspects of health care management allow the sharing of information with the participants to make informed decisions, improve their access to
healthcare and assist with their rights in health care. The C's of medical malpractice caring, communication and competence when assisting participants
at the health fair.
Healthcare Management gave the understanding of the health system to be a better advocate for the participants. The course gave the understanding of
the healthcare system to assist the participants to navigate through the system. The information shared with them will give them the full advantage of
their provisions and prepare them for the

Evidence-Based Project
1.Demonstrate synthesis of the knowledge and skills acquired in preceding graduate nursing core and specialty curriculum content.
These last two courses of my master's program have worked well and hard to integrate all the previous core education, knowledge and skill acquired
during the entire program. The evidenced based project has been a wonderful tool to integrate all the nursing theory, research processes, as well as
demonstrating my ability to make a difference in quality patient care and to progress the nursing profession. For example using Lewi's Theory for my
change theory for implementation of my graduate project which I learned in a previous class (Butts & Rich, 2011), and spending time on each step
were an excellent tool to increase and cemented the education learned throughout and brought all the pieces together.
2.Evaluate current health policy and legal and ethical considerations in addressing the health promotion and disease prevention of a target population.
This course gave the opportunity to learn about healthy policy, general and specific guideline in the home health care, also gave me the possibility to
compared and learned from other student's post. I am very passionate about improving and changing ... Show more content on Helpwriting.net ...
This project gave the opportunity to integrate the knowledge, incorporate and implement the nursing and research theory to a real issues in my field.
My project was implemented in my home health care and we plan to extend the project in the coming months to other agencies. I am very excited
about watching the results and how successful would be my project. Our nursing experience gives us the unique opportunity to reflect on our careers
and determine procedures or processes that can be improved. The completion of this course has given us the tools to do

Evidence Based Proposal
Audience is one of the most important pieces of communication and awareness that has the potential to positively or negatively effect change. The
target audience that this author will focus upon are physicians, registered nurses, interdisciplinary healthcare professionals and all ancillary staff.
Patient care is never delivered by one specific person or one group of persons. Each of these professionals directly interact with patients, and are
therefore a potential link within the chain of infection.
Evidenced Based Proposal: CAUTI Prevention
This author's evidenced based proposal topic was preventing Catheter Associated Urinary Tract Infection (CAUTI) on a neurological intensive care unit
within a large hospital. The hospital's CAUTI rate was 1.55%, which was well above the national benchmark of 1.00%. CAUTI is a healthcare
associated infection. Healthcare associated infections continue to arise, and outcomes associated with these infections can be devastating to the health
and well–being of the patient.
The American Journal of Infection Control ... Show more content on Helpwriting.net ...
The mission of this nursing journal is to provide research and education related to infection control, epidemiology, quality, disease prevention, and
disease management (American Journal of Infection Control, 2017). This nursing journal's mission and content is relevant in relation to CAUTI, and
patient care practices provided by professionals noted within the target audience below. Combating healthcare associated infections requires a
collaborative effort from every member of the healthcare team (Rabideaux, 2013). Each member of the team being accountable for their actions and
contributions toward reduction of CAUTI and all hospital associated infections (Loughlin, et al.,

Capstone Project Reflection
The whole experience of working on my Capstone Project Proposal has been a challenge, but great learning opportunity. There are so many aspects
and factors that play major roles in research that I had no idea existed. Through this entire project I have been able to understand the hard work put
into nursing research and the importance of nursing research. According to Thorne (2016), "we need to repeatedly remind ourselves that the purpose
of nursing research is not simply to do it, but rather to use it in the service of our mission on behalf of society" (p. 763). The complex problems of health
, as well as, the health care system, are continually evolving in the world (). According to Throne (2016), it is up to our generation to utilize tools and
methods to study and expand knowledge so that ... Show more content on Helpwriting.net ...
I remember reading the 12 steps of the research process and not understanding the application aspect. The 12 steps of the research process are the
following: identification of a problem, reading the related literature, research questions or hypothesis, theoretical framework or conceptual framework,
research design, sample, data collection, who, what, where, when and how questions, feasibility issues, analyzing data, determining finds, and
dissemination of findings (Keele, 2011). Identifying the problem was not hard, since it was something that interested me. My Capstone Proposal
Project will be about sleep disturbances associated with cardiac surgery patients. My proposed strategy consists of the idea that by increasing nursing
education and intervention there will be a reduction in sleep disturbances for the cardiac surgery population. I have found the small details to be more
challenging than preparing the main factors of the Capstone Project Proposal. For example, I thought the detailed Gantt chart was difficult because of
the time management

Capstone Approach To Study Nursing
When I first applied to the University of Mount Olive's Bachelors of Science in nursing, I had no idea what to expect. Although there are many
options for nurses seeking programs for Bachelors of Science of nursing, after doing my own research I knew the University of Mount Olive was
going to be the right choice for me. As soon as I reached out to University of Mount Olive, they made the process so easy and stress–free. There were
three major factors that influenced my decision, which were the following: faith–affiliated, completely online, and the acceptance of so much
educational credits I had already completed. The University of Mount Olive truly holds the goal of creating Bachelor level nurses. I believe the
University of Mount Olive's... Show more content on Helpwriting.net ...
We learned the majority of collaboration skills through our course that involved nursing leadership and professional role development. I never
recognized the importance of nursing leadership skills until I began this program. "In the new world, nurses have moved from the background to the
boardroom, and they have been put in the spotlight to lead the transformation of quality healthcare" (White, 2014, p. 27). I feel like the program really
pushed us to reveal our leadership qualities with completion of the Capstone Project Proposal. The Capstone Project Proposal set in motion for students
to take initiative in nursing research. According to White (2014), nurses should focus their leadership on aspects of care that make a difference and are
important to the patients. I believe this Bachelor program completed that

Nursing Research Utilization Project Proposal
In the recent years, nursing as a profession has faced several challenges and emerging issues that affect the health welfare of the society at large.
Despite the concerted efforts set to tackle the challenges, still the nursing industry proves to be difficult to fully embrace the changes outlined each
time. Example of challenges facing nursing includes nurses' etiquette while at work, commitment to their work, commitment to their profession as
nurses, meeting patients' expectations, shortage of nurses and commitment to patients.
Problem In the current century, shortage of nurses is the biggest challenge to health institutions in general, as a matter of fact it can be termed as a
global issue. It is approximated that in 2006, there was a shortage of 118,000 nurses and a projection of roughly one million shortage of nurses to be
experienced in 2020 (US Congress, 2007). This shortage can only be felt when there exists an imbalance between the available nursing skills and the
actual number of nurses utilizing their skills, this is experienced bearing that not all the nurses available actually take up nursing jobs. Trained nurses
often decline job offers due to issues like payment and benefits hence they opt for employment not related to nursing or even remain with no
employment at all. This shortage has a big impact on the health status of patients as well as the quality of heath care services that are provided. Nurses
have a

Nursing Research Proposal Essay
The issue of day time sleepiness is common among the residents in nursing home. In this study a research question is raised on the basis of the
problem being discussed. 10 articles that meet all the criteria of best research i.e. high quality, evidence based and peer–reviewed are searched using
the USQ database. The process of locating and retrieving quality evidence to support the PICO question is stated. The inclusion and exclusion criteria
along with hierarchy of evidence are considered in the study. The articles then are summarized in table format and are synthesized. Finally, one of the
10 articles is critiqued using the relevant framework. Asking a Clinical Question: (approx. 100 words) Step 1: In resident of aged care home (resident
population) how effective is regular exercise during... Show more content on Helpwriting.net ...
Passos GS; et al. June 2010 Randomized control trial Level 1cIs acute Physical Exercise beneficial for patients with Chronic Primary Insomnia?To
assess and to compare the acute effects of three different modalities of physical exercise on sleep pattern of patients with chronic primary
insomnia.Forty–eight insomnia patients, 38 female were randomly assigned to 4 groups.Comparative Study 8. Garcia–Soidan, J;et al Dec
2014Randomized Controlled Trial Level 1cIs Pilates exercise beneficial to increase physical activity, quality of life, latency, and sleep quality in
middle–aged people? To assess the effects of a 12–wk. Exercise program based on the Pilates method on sleep quality.99 sedentary middle–aged
volunteers (M age = 47.6 yr.)Qualitative study 9. Inoue, S.; et al. 2013 Cross–sectional study Level 4b Longitudinal studyDoes Habitual Physical
Activity Prevent Insomnia?To evaluate the association between physical activity and insomnia in a large population–based study in Shizuoka, Japan.A
total of 14,001 older residents who completed questionnaires were followed for 3 yr.Quantitative Study 10. Chen KM; et al. 2014 Cluster Randomized
Control Trial Level

Nursing Research Utilization Project Proposal Section D Essay
Sally Martin Torres
NUR 598
September 11, 2011
Dr. Veta Massey
Section D: Methods of Implementation Health care throughout the history has shown many changes. Every change brings in challenges in a workplace
because change is more often met with resistance. It also brings in innovative ideas that steers the organization's advancement and performance. The
major motivation of change in this organization is to sustain a successful future in its continuum. For change to succeed, brilliant strategy, and clever
implementation are necessary (Gandossy and Sonnenfield, 2004).
Organizing the Plan The problem that was stated in Part A of this... Show more content on Helpwriting.net ...
The staffs' participation is crucial because they are the ones who will embrace the change; therefore, teamwork is paramount to sustain the continuity of
change (Spector, 2010).
Use of Theoretical a Model The Lewin's theory of change is a fitted model for this intervention. Lewin depicted the three– stage process that will guide
the implementation successfully (Borkowski, 2005).
Unfreezing: The resisting forces perceive the idea of change; this phase is the preparation stage for the entire organization (Borkowski, 2005).
Change movement: this is the stage for training staff. Modification of policies for medication administration by nurse managers and the pharmacy
director will take place here (Borkowski, 2005).
Refreezing: The new goals are highlighted in this phase, and staff nurses start to embrace the change as they get comfortable with the new routine
(Borkowski, 2005).
Budget Proposal The budget was summarized in the appendix I section of this paper. The total financial cost to the department would be $6,840.00 for
the whole duration of the change implementation.
Practicality of Implementation Inclusion of evidence–based practice in nursing for this proposed solution fosters quality of care. The integration of
nursing knowledge with the best available evidence will improve patient outcomes and will save lives (Estabrooks, 1998). The implementation of the
red disposable apron

The Impact Of Evidence Based Nursing Practice On Patient Care
Criteria and process used for evidence–based nursing practice, and the impact of evidence–based nursing practice on patient care.
The act of nursing practice requires the application of competent evidenced based practice (EBP) nursing care, supported by current research and theory
development. Through the critical analysis and evaluation of studies, nurse leaders evaluate the components of research for its effective use in the daily
practice of nursing. Moreover, this allows nurses to remain current with recommendations for patient care practices (Grove, Gray, & Burns, 2015). The
Alzheimer–Europe organization in 2009 compared the different types of research that impact patient care and are involved in the development of EBP.
The organization compared a top down and bottom up approach to differentiate the methods used for research. However, recognizing each method
impacts nursing practice and patient care. The use of the nursing research method of Outcomes research starts with a sample, then predict what might
occur. The exact data indicators, look at what occurred or the end results in programs, practice, or patient care strategies (Alzheimer–Europe.org, 2009).
This approach can inform thoughts about research and the process of forming conclusions or theories about the practice of nursing (Grove, Gray, &
Burns, 2015). While qualitative and quantitative research, begins with a defined population and then develops a research sample. This top down
approach for quantitative

Business Operations And Administration Services
My research of business operations and administration services in an inpatient skilled nursing facility expanded my knowledge of the responsibilities of
an affective administrator. Although there are various business operations within the healthcare facilities, environmental services is critical for the
aesthetics and maintenance of the facility. Therefore, I selected to research environmental services and how that department interfaces with
administration services. However, environmental services does not have direct patient care contact, but without this service there would be no patients.
Environmental services determines the aesthetics of the facility inside and outside. Consequently, environmental services has a lot of... Show more
content on Helpwriting.net ...
Housekeeping is responsible for keeping the inside of the facility clean. Their duties consists of cleaning patient's rooms, common areas, and visitor's
bathrooms. The floor technicians are responsible for cleaning and sanitizing the different floor types in all common area, ancillary departments, and the
hallways. Floor care is very pertinent to the aesthetics of the facility. Therefore, all floors should be clean and free of offensive odors. Although floors
are maintained around the clock, usually the floors are stripped and waxed during the night when there is less traffic. Environmental services and
housekeeping is a business operation that has close scrutiny from administration. Henceforth, the lack of aesthetics inside and outside of the facility
will not attract all types of families and patients. Although, environmental services does not provide direct patient care, there would be no patients
without quality service from this business operation. In my research I mentioned that environmental services and housekeeping operates as one entity.
Consequently, in my SLP module I chose to interview the manger and a housekeeping aide. I wanted to get insight from the personnel delegating, and
the actual person performing the duties. Mr. Goralski is the environmental services manager, and services both environmental services and
housekeeping. Mr. Goralski has been employed with the inpatient skilled nursing facility for over twenty

Nursing Research Utilization Project Proposal Abstract The issue of controlling and preventing hospital–acquired infections is a major problem in the
Healthcare system. Most patients admitted to hospitals are at some risk of contracting a hospital–acquired infection (Paterson, 2012). Some patients are
more vulnerable than others; these include the elderly, patients with defective immune systems, and premature babies. Hospital–acquired infections
remain a major concern, and they can occur in any care setting, including acute care within hospitals, outpatient surgery centers, clinics, and long–term
care facilities (such as nursing homes or rehab centers). Four categories account for 75% of all acquired infections in the acute care... Show more
In some cases, patients die from the infections. The Centers for Disease Control and Prevention estimates that approximately two million people
acquire infections while in the hospital each year, and approximately 90,000 of these patients die as a result of their infections (Limaye, Mastrangelo,
& Zerr, 2008). All of these negative reports suggest it is very important and necessary for healthcare providers to focus on an evidence– based
confirmed clinical practice solution to help eliminate hospital–acquired infections. 3.Project objective that is specific, realistic, and measurable The
outcome objective for this project is for nurses from the cardiac unit of Greenville Hospital System who attend the infection control educational
classes to score a 95% or higher on the post test after each training session in order to evaluate employee knowledge on the topic. Any employee who
scores less than 95% on the posttest will need to repeat the training session. The infection class will begin first week of August for the cardiac staff
nurses and the last two weeks of July for selected charge nurses who will help facilitate during the implementation of the educational program. 4.Brief
solution description and rationale The way to reduce and eliminate infections in the hospital is to develop the proposed evidence–based solution of
implementing an educational program with different training sessions to

J Nurs Care Qual Vol. 27, No. 1, pp. 6–12 Copyright c 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Missed Nursing Care, Stafп¬Ѓng,
and Patient Falls Beatrice J. Kalisch, PhD, RN, FAAN; Dana Tschannen, PhD, RN; Kyung Hee Lee, MPH, RN Patient falls in hospitals continue to be
a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of stafп¬Ѓng levels (hours per patient day
[HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = в€’ 0.36, P <
.01), and missed nursing care was found to mediate the relationship between HPPD and patient falls. Key words: falls, missed nursing care, stafп¬Ѓng
P to 12%... Show more content on Helpwriting.net ...
Although several national and professional organizations have developed evidence–based guidelines that set forth strategies for reducing falls,10,11
consistency in implementation of these strategies has been limited. Findings from 188 medical–surgical units in 48 hospitals across the United States
found that risk–speciп¬Ѓc interventions (such as ambulation and medication management) are not being implemented consistently.12 This п¬Ѓnding is
in line with our research where we have identiп¬Ѓed that elements of nursing care are being regularly missed in acute care hospitals. We have
conducted 3 studies of missed nursing care, the п¬Ѓrst being a qualitative focus group study on 5 patient units,13 the second a quantitative study in 3
hospitals,14 and the third, an expansion of the 3–hospital study in 10 hospitals with diverse characteristics (eg, size, teaching status).15 The results of
these studies showed that a substantial amount of standard required nursing care is being left undone and that the patterns of missed care are similar
across hospitals. Ambulation of patients 3 times per day (or as ordered) was the most frequently reported element of missed nursing care with 76% of
nurses reporting this action being frequently or always missed. Similarly, Callen and colleagues16 found that 73% of patients did not walk during their

Nursing Research Activity 1 Summary
Activity 1
Research –method that focuses on finding answers for unknown or clarify about specific topics in nursing.
Consumer–A person who applies nursing research finding by putting them into action.
Clinical research–The investigation of certain matter that impact nursing care.
Critique–System that assesses particular nursing issues or concern to observe the value or the disadvantage.
Research Utilization–Design of scientific research that carries out research into practice.
Basic Research–Ideas of pure matter that needs assessment to prove its phenomena.
Evidence–information practice –research or theories that originates by collecting information and knowledge from the patient.
Activity 2
1–The nurse who has primary responsibilities for ... Show more content on Helpwriting.net ...
4–The nurse who has to achieve training and gain the ability in developing methods of scientific inquiry is called doctoral degree.
5–The nurse who assists in data collection activities will need a baccalaureate degree.
6– Being knowledgeable consumer of research is referred to the nurse who received an education a baccalaureate degree.
7–The nurse who attains baccalaureate degree training has the skill to demonstrate an awareness of the value of nursing research.
8–The nurse who is experts in collaborating with experienced researchers in proposal, development, data analysis and interpretation will have a master's
degree.
9–Baccalaureate degree or master's degree are types of educational training nurses gain in promoting the integration of research into clinical practice.
Activity 6
1–Knowing nursing research is quite important in building your knowledge by gathering significant information that you will implement in clinical
practice
2–Nurses can produce depth in nursing science by working as a team to discuss and evaluate certain nursing matter as well as sharing their findings
with others in order to create the best possible practice.
3–The research information that I would like to assist in presenting such testimony is in mental health. An example of that is depression. Depression is
a major mental illness need to be addressed to the public and acknowledge them about the treatment in order to prevent such issue as

Workplace Victimization Case Study
References
Aquino, K., & Thau, S. (2009). Workplace victimization: Aggression from the target's perspective. Annual Review of Psychology, 60, 717
–741.
Bandura, A. (1974). Behaviour theory and the models of man. American Psychologist, 29(12), 859–869.
Blau, J.V. (2003). Testing a four–dimensional structure of occupational commitment. Journal of
Occupational and Organizational Psychology, 76(4), 469–488. doi: 10.1348/096317903322591596
Boyle, D. J., & Hassett–Walker, C. (2008). Individual–Level and Socio–Structural Characteristics of Violence. An
Emergency Department Study. Journal of Interpersonal Violence, 23(8), 1011–1026.
Creswell, J. W. (2009). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Thousand
Oaks, ... Show more content on Helpwriting.net ...
M., Miller, M., & Kunz–Howard, P. (2010a). Workplace Violence in Healthcare Settings:
Risk Factors and Protective Strategies. Rehabilitation Nursing, 35(5), 177–184.
Grenyer, B. F., Grenyer, B. F., Ilkiw
–Lavalle, O., Biro, P., Middleby–Clements, J., Comninos, A., & Coleman, M.
(2004). Safer at work: development and evaluation of an aggression and violence minimization program. Australian and New Zealand Journal of
Psychiatry, 38(10), 804–810.
International Council of Nurses (ICN). (2007). Guidelines on coping with violence in the workplace. Geneva: ICN.
Kristensen, T. S., Borritz, M., Villadsen, E., & Christensen, K. B. (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of
burnout. Work & Stress, 19(3), 192–207.
Pen, S. (2006). Violence against nurses: an epidemic. The West Australian.

Moller, A. & Deci, E. (2010). Interpersonal control, dehumanization and violence: A self determination theory perspective. Group Processes and
Intergroup Relations, 13(1), 41–53. doi: 10.1177/1368430209350318
Peek–Asa, C., Casteel, C., Allareddy, V., Nocera, M., Goldmacher, S., OHagan, E. & Harrison, R. (2007).
Workplace violence prevention programs in hospital emergency departments. Journal of Occupational

Example Of A Capstone Project Essay
A CAPSTONE PROJECT LIKE THE NAME IMPLIES, PROVIDE THE OPPORTUNITY TO INTEGRATE THE THREE BLOCK STUDIES
SUMMARIZED IN SINGLE EXTENDED PROJECT IN ORDER TO GIVE FOCUS TO RN/BSN. TOPIC
RESERCH STUDY ON KNOWLEDGE OF AIDS AND ATTITUDE OF PAEDIATRIC NURSES IN UNIVERSITY OF BENIN TEACHING
HOSPITAL TOWARDS PAEDIATRIC AIDS/VICTIMS BY ROBERT PATIENCE AIMENSONBHOTA, PROGRAME: RN
–BSN APPLICATION
NUMBER: 15432 ADMISSION DATE: MAY 2015 BLOCK: THREE
SUBMITTED TO FACULTY OF NURSING TEXILA AMERICAN... Show more content on Helpwriting.net ...
Human resources
Motivation
Conflict resolution and bargaining
Quality assurance Performance appraisal
Supervision
Critical thinking and stress management Organization of nursing services(ORGANOGRAM OF NURSING SERVICES)
Staff development
Inventory control and nursing audit
Nursing rounds
Ethico–legal issues in nursing
Legal system in health care
Nursing regulatory mechanism & standard safety measures.
SUMMARY OF BLOCK THREE TOPICS
BLOCK 3
ORGANIZATION, PLANNING &

Research Proposal for Insulin Protocol in Trauma Patients...
Unit 9 Project: Final Research Proposal
A Multiple Regression Analysis of Insulin Usage Versus Non
–treatment of Hyperglycemia in Non–diabetic Trauma Patients
Jeana Santostefano
Kaplan University
NU 310–01: Nursing Research
March 5, 2008
Title A Multiple Regression Analysis of Insulin Usage Versus Non
–treatment of Hyperglycemia in Non–diabetic Trauma Patients
Abstract
Purpose: The goal of this study is to explore the relationship between insulin administration in non–diabetic patients and their average length of stay in
the intensive care unit, versus those non–diabetic patients left to their bodies' utilization of homeostasis to maintain euglycemia.
Design: Longitudinal, experimental posttest–only. ... Show more content on Helpwriting.net ...
Only research will tell, since "nursing research is systematic inquiry designed to develop knowledge about issues of importance to nurses, including
nursing practice, nursing education, and nursing administration" (Polit & Beck, 2006, p. 4).
Problem Statement "Hyperglycemia (typically defined as a blood glucose of >200 mg/dL) is a well–known phenomenon in critically ill patients
without a prior history of diabetes mellitus" (Langdon & Shriver, 2004, p. 163). While many studies have been completed with respect to management
of hyperglycemia in diabetic surgical patients, there has been minimal research regarding the impact that tight glycemic control has on non–diabetic
trauma and medical patients. With managed care requiring decreases in length of hospitalization and hospitals attempting to conserve cost expenditure,
placing non–diabetic patients on insulin drips immediately upon entry into the health care system may adversely affect both of these areas. Trauma
patients without a diagnosis of diabetes mellitus will require prolonged lengths of stay in the intensive care unit related to the fact that they must have
closely monitored blood glucose levels. In addition to the increased duration of their intensive care unit admission, they are subjected to administration
of medications they would not normally take at home. Furthermore, this patient population has

Nurse Driven, Sleep Hygiene Protocol, A Source Of Anxiety...
The inability to sleep is a source of anxiety and stress for patients in the intensive care unit (ICU); this inability can lead to cardiorespiratory
disturbances, immune system dysfunction, impaired wound healing, hormonal and metabolic imbalances, cognitive changes, and delirium. Through
the use of quiet times and nursing actions that encourage sleep, or, sleep hygiene bundles, nurses can assist in improving sleep quality in the ICU.
These bundles include noise and light reduction, scheduling routine procedures outside of reserved sleep times, the use of earplugs and eye masks, and
the grouping of nursing care activities to minimize sleep interruptions. The aim of this proposal, therefore, will be to implement a nurse–driven, sleep
hygiene protocol, in order to improve patient care by promoting quality sleep in ICU patients. Barriers to implementation include staff resistance to the
concept, concerns regarding patient care during sleep times and difficulties in coordinating care with other units. Studies used to gather information for
this proposal were published between the years of 2011 and 2016 and were found in several databases: Academic Search Complete, Medline, and
OVID Journals.
Keywords: ICU, intensive care unit, critical care, quiet time, noise, and nursing. Quiet Time in the ICU
One of the top three sources of anxiety and stress for patients during an intensive care unit (ICU) stay is the inability to sleep (Kamdar, Needham, &
Collop, 2012). There is

Ethical Issues Concerning Elder Abuse In Nursing Homes
Assignment 3
Introduction
The health and well–being of society is ultimately impacted by the integrity of scientific records, such as the value, accuracy, and completeness
(Horner & Minifie, 2011). As a result, researchers are obligated and entrusted to use the highest standards possible when proposing, reviewing,
performing, or reporting research (Horner & Minifie, 2011). Consequently, there may be ethical concerns for a variety of different research topics and
/or types of research. The purpose of this paper is to prepare an ethics paper for the intended research topic regarding elder abuse in nursing homes.
Ethical Principles
There are three basic ethical principles that researchers should adhere while conducting research. The three ... Show more content on Helpwriting.net ...
In addition, the application seems to rather lengthy however, every question that requires a response should be answered in one to two sentences.
Therefore, information from the dissertation proposal is not to be copied and pasted on the IRB application form. Consequently, the beginning of the
IRB application is to determine who the primary researcher is, the title of the research project, and the anticipated length of the study. In addition, the
researcher must select who the participants are for the study. Furthermore, what recruitment procedures will be used to select or exclude participants
for the study? In addition, the IRB application has a detailed informed consent section, where the researcher can request for a waiver of informed
consent, if applicable to the study. Furthermore, the IRB application wants the highlights of the research procedure, the research materials used, risk
assessment, how the researcher will achieve anonymity, security of the data, compensation for the participants, and any other information requested
such as, the CITI training certification. Finally, there is a section for the researcher to complete if the application had to be modified since originally
submitting the IRB application. In addition, there are areas for the IRB reviewer to leave comments at the end of every section. Overall, the IRB has
21 days to process the IRB

Qualitative Critical Appraisal, Attitudes Knowledge and...
I have chosen to critique Rydon's (2005) article 'The attitudes, knowledge and skills needed in mental health nurses: The perspective of users of
mental health services' because I am interested in finding out service user's outlook of mental health nurses. When I qualify as a mental health nurse I
would need to acquire the correct attitudes, knowledge and skills as this would make the nursing process more effective, because as McCabe and
Timmons (2006) suggest I will be more sensitive to the client's needs and preferences. Therefore being able to transfer findings to my own practice is
highly substantial. The Author of the article, Sharon E. Rydon, has undertaken this research as a partial fulfilment of a Master's degree, training to be...
Show more content on Helpwriting.net ...
In consequence of that, differences may have influenced the outcomes of the results and bias may have formed (Parahoo, 2006). This type of bias is
called selection biases. Some research bias is inevitable but the researcher should have shown their understanding of this and taken this into account
in the data analysis. Therefore it also clearly indicates the researcher has failed to maintain consistency in the article and because of the errors the
validity of the article has also been threatened. Further clarification is needed to understand what she actually did (Whittaker & Willamson, 2011,
Parahoo, 2006, Litwin, 1995). It is imperative for a study to be valid, for the results to be accurately applied and interpreted. From this article it is
difficult to say whether the study reflects the truth. Insufficient information on how the participants were selected; how participants got involved in the
study; what questions were asked; whether or not the researcher's body language and style of questioning influenced the results; and how trust was
gained with participants leaves the reader questioning the validity of the article (Litwin, 1995, Merriam, 2009). The researcher "drew on the
experience of 21 participants" although a small sample it is adequate to gaining rich data (Moule & Goodman, 2009), But "focus groups lasting
approximately 1

Middle Range Theory Of Postpartum Depression Theory Essay
Middle Range Theory Paper: Analysis of Postpartum Depression Theory
Description of Theory– In 1993, Beck published a middle range theory on postpartum depression, entitled Teetering on the Edge. Beck, (1993, p. 44)
which describes "walking on a fine line between sanity and insanity". Beck determined a limited amount of qualitative research available and few
instruments for measurement of postpartum depression, postpartum psychosis, and "maternity blues". Beck interviewed 12 women for 18 months
detailed their experiences, and determined the main perceived problem was a loss of control (Beck, 1993). Beck's theory is one that is centered in
phenomenology and produced a concise and testable theory (Marsh, 2013).
Loss of control is broken down into four stages: encountering terror, dying of self, struggling to survive, and regaining control (Beck, 1993). Beck,
2002, has developed two screening tools (Postpartum Depression Screening Scale and Postpartum Depression Inventory System) to evaluate risk
factors and symptoms. Encountering terror is an initial response to feeling out of control, described as being trapped with no means of escape
(Beck, 1993). Stage II is highlighted by a reported feeling of loss of former self and feeling internally void of caring or emotion, likened to that of a
robot (Beck,1993). Struggling to survive is recognized by the inability to carry on activities of daily living, including eating and bathing. This is the
stage where many seek assistance and

The Role Of E-Portfolio And MSN Learning Outcomes
e–Portfolio and MSN Learning Outcomes
Degie Gelaw
American Sentinel University e–Portfolio and MSN Learning Outcomes
While, balancing work, family life, and education can be extremely challenging, the ability to obtain an advanced degree and practice at a level that
allows one to utilize evidence and research is a reward that can only be achieved through education. The Masters of Nursing (MSN) program at
American Sentinel University (ASU) has been a journey that is worth embarking. Further, an education that is explicitly curtailed to a speciality
program, can enhance one's ability to be an expert in the area of practice. The MSN speciality track of the infection prevention and control (IPC) at
ASU was crucial in helping this author to ... Show more content on Helpwriting.net ...
It is evident, one out of every 25 patients in an acute care setting acquires a HAI the United States alone (Bubb, et al., 2016). Further, HAIs result in a
significantly higher morbidity, and mortality, lengths of stay, and cost ofhealth care (McNeill, L. 2017); not to mention the negative health outcomes on
families, and communities at large (bubb, et al., 2016). In addition, globalization is another factor that has perpetuated the transmission of infectious
diseases as the world population has become more mobile.
All the reasons discussed above and many more demand for a well–trained and versatile IP. It is apparent, healthcare organizations ought to consider
infection prevention as a priority for patient safety efforts, as the burden of HAIs increase and to respond to the globalization phenomenon (Bubb, et
al., 2016). Hence, an advance education with IPC speciality, would allow nurses to pursue career advancement possibilities and also significantly
improve the quality and safety of patient care through research and EBP.
Core and Specialization Courses
The core and specialization courses at ASU are designed to fulfil the desired program outcome. The MSN core courses cover a wide range nursing
theories, role developments and strategic changes that have occurred since the inception of nursing as a profession. Research, EBP, statistical analysis,
advanced pharmacology and

Personal Reflection
According to Polit and Beck (2017), "the ultimate goal of research is to develop and expand knowledge" (p. 3). Through my education in the
Doctorate of Nurse Practitioner program, I plan to expand on the knowledge I already have and develop new knowledge that will help me become a
successful student and nurse practitioner. I was first introduced to the concept of research during my undergraduate nursing program. During the
program, I took a class that taught the basic knowledge of research and how it is used in our daily practice. It was in this class that I learned about
evidence–based practice studies and how to find articles that were based on nursing research. I have no professional experience being involved in a
research project or completing research on my own. I have been a part of implementing evidence based practice (EBP) interventions at work. Some
of the interventions included implementing the ambulatory blood pressure monitoring system, new practices for lab draws and ways to decrease
infections in central lines. The goals I will make for this class will address Bloom's Revised Taxonomy of Learning. According to Clark (2015), "the
cognitive domain involves knowledge and the development of intellectual skills." Using this domain, my goal is to be able to analyze and evaluate
research effectively, and apply what I learn to help expand my education and daily practice. I will accomplish this goal by, distinguishing between facts
and inferences when

The Five Fundamental Patterns Of Knowing In Nursing
Patterns of knowing The five fundamental patterns of knowing are empirical, aesthetical, personal, ethical and sociopolitical. The patterns or ways of
knowing help with the development and application of nursing knowledge. Empirical knowing embodies "factual and publicly verifiable descriptions,
empiricism and theoretical explanations or predictions" (Carper, 2012 p.25). In my Oncology setting the science of nursing is very relevant to practice.
I use science daily in calculating body surface area for chemotherapy drugs, chemotherapy protocols and febrile–neutropenia protocols with the
initiation of specific antibiotics are some examples. Empirical knowing provides facts from empirical research for nursing care and interventions.
Aesthetical knowing is known as the "art and act" of nursing, it highlights empathy. This pattern of knowing recognizes the nurse's perception of what
is significant in an individual patient's behaviour (Carper, 2012). I utilize the art of nursing by acknowledging the patient's feelings and being present
for them during a difficult time and the ability to establish a meaningful connection with the patient. Personal knowing refers to the "expressions of the
quality and authenticity of the interpersonal process between each nurse and each patient, it looks at the interpersonal relationships of nursing"
(Fawcett, Watson, Neuman, Walker, Fitzpatrick, 2001, p. 25). Personal knowing in Oncology setting is shown by forming therapeutic

Orientation Of The New Graduate Nurse
Orientation of the New Graduate Nurse: A Change Proposal A newly graduated registered nurse is well prepared to pass NCLEX for licensure;
however, being prepared for the acute care setting in a hospital is a completely different issue. Nursing schools develop the foundation of nursing
knowledge, creates critical thinking skills, and touches on nursing tasks. All of these are great tools to possess, but they do not prepare the new
graduate nurse for safe, acute patient care. At Boulder Community Health (BCH) on the orthopedic neurology unit, new graduate nurses are given
five weeks of orientation. Expecting a newly licensed nurse to learn all of a hospitals policies and procedures concerning patient care and how to
incorporate the policies into their practice after five weeks is highly risky and leads to unsafe patient care. On the orthopedic neurology unit at BCH
the new nurse trains with several nurses during the five week orientation period. This does not allow for the nurse to learn a consistent system to
follow or incorporate into their personal practice as each nurse has their own system. This can become frustrating for the novice nurse. This paper will
propose a change in the orientation program at BCH. A one year new graduate nurse residency (NGNR) and mentorship program will be presented to
the management administration at BCH. The proposal will serve to prove that a residency program will actually save the hospital money by retaining
quality nursing staff through

Grant Proposal
Introduction Grant proposal preparation and submission is a tedious and intimidating job. However as public funding continues to decrease many
colleges and universities look for research grants to support their educational research mission (Education advisory Board, 2014). According to licklider
(2012), external grants helps to support higher education's missions of educational research, outreach and economic development. Which is one of the
reasons why higher education push for their research faculty to pursue research grants. As a matter of fact, many universities offer course release and
incentives for awarded research grants, including Drexel University. Drexel's University College of Nursing and Health Professions (CNHP), has ...
Show more content on Helpwriting.net ...
This process allows for the faculty members to focus on writing the science portion of the grant, while CNHP's Research team becomes the responsible
party for all of the administrative responsibilities. According to Cellier and Krenkel (2014), universities that provide faculty with research support, have
a chance of improving their future proposal writing outcomes (p8).
Purpose of Evaluation
The evaluation is being conducted to ensure that CNHP "hands free submission" process is actually meeting the needs and expectations of the research
active faculty. In addition to ensuring that the intended outcomes are being measured correctly and are successfully met. According to Preskill and
Russ–Eft (2009), "Evaluations are conducted to serve the interests and needs of several individual or groups of people" (p165). Therefore, the primary
purpose of the evaluation is to make certain that the active faculty are receiving the administrative assistance they need. As well as confirming that the
administrative staff are doing all they are capable of doing to provide the best outcomes possible.
In addition to, the research active faculty support, this process was also introduced to motivate and encourage the non–research active faculty to apply
for grants. See the College of Nursing and Health Professions is a unique college, as there are 8 distinctive different disciplines intertwined within

Medication Cart And The Incidence Of Infection
Medication Cart And The Incidence Of Infection Healthcare is constantly improving way to prevent the spread of illnesses. It is important that
research continue so that health professionals can improve their hygiene practices to ensure that the best practices in nursing are implemented. Each
shift a nurse is in contact with multiple surfaces and equipment, however the medication cart is used routinely through almost all clinical settings
and this leads to the question: does the medication cart pose a health risk? This paper will cover the multiple areas that are commonly covered
when creating a research study. This paper will cover the process of creating a research proposal The identified problem With the increase of highly
viral and antibiotic resistant bacteria, healthcare professionals need to know how to prevent the spread of illness. The problem this possess is
knowing where the breeding ground for infectious diseases and stopping the cycle. The problem leads to the question: Is the medication cart a vector
of disease? If so can addition hygiene lower the risk of spreading infections? Significance of addressing this problem Long term care facilities and
hospitals are heath care locations that are prone to having outbreaks of communicable disease, According to the public health agency of Canada more
than 200,000 patients get health care related infections and more than 8,000 of those patients die (Public Health, 2013). Approximately 80% of
common infections are spread

research paper
Critique of a Research Article
Module Title: Evidence Based Practice and the Community
Word Count: 2,159 (excluding reference list)
This paper presents a critique of a qualitative research article titled: 'Perceived support from healthcare practitioners among adults with type 2
diabetes ' (Oftedal et al, 2010) (appendix 1). To enable the critique of this article the Caldwell critiquing tool (2005) will be utilized. (Appendix 2)
Research critiquing is a valuable skill, to gain as it enables student nurses to develop and improve knowledge and skills and also adheres to the NMC
code of conduct (NMC, 2008). Polit and Beck (2006) emphasis the ability to analyse research enables individuals to gain knowledge. ... Show more
A purpose for an article is to generalise there aims, informing subject under study stating what is likely to be achievable from the study; Polit and beck
(2012) emphasis this being an importance. The aim is clearly sub headed giving the reader clear positioning within the report, it is short and concise
with relevant information; indicating the subject of study and what is desired. The aim being 'perceived support from healthcare and different
attributes, that influence people's self–management of the disease' (Oftedal et al, 2010).
The study is complete by using participants. Ethical issues have a vast importance relating to the validity and credibility of the research. Approval of
ethical committee 's is exceptional, including reference. Legal rights and ethical aspects for all research methods have to be considered (Holloway
and Wheeler, 2002; Moule 2011; Strubert, 2011). The study appears to have been approved by Norwegian regional committee for medical and health
research ethics, social science data services all having reference provided. Implications can be studied at length but four rights are paramount in
research: the right not to be harmed, the right of full disclosure, the right to self–determination and the right to privacy, anonymity and confidentiality
(ICN, 2012). It is apparent from the study that informed consent was gained from participants, as an invitation was sent, and approval from participants

Capstone Project Proposal Paper
My Capstone Proposal Project will be about sleep disturbances associated with cardiac surgery patients. My proposed strategy consists of the idea
that by increasing nursing education and intervention there will be a reduction in sleep disturbances for the cardiac surgery population. I will be
using the qualitative research method for my problem solving approach. The grounded theory design will work for my proposed problem because it
changes direction contingent on data collection and analyses (Keele, 2011). The sample will be selected from Duke University Hospital's cardiothoracic
surgery stepdown units, including only the cardiac surgical patients. The data will be collected using questionnaires, patient sleep journals, rating
scales, and Hospital Consumer Assessment of Health Plans Survey (HCAHPS) scores. The Capstone Project Proposal implementation plan has the set
goal to confirm that through nursing education of sleep and sleep hygiene, there will be a reduction in sleep disturbances experienced by cardiac
surgical patients. ... Show more content on Helpwriting.net ...
I chose these three professional nursing journals, not only because they involve cardiac nursing, but because they each cover modern practices within
cardiovascular therapy. My Capstone Project Proposal related directly to the nursing care provided to cardiac surgery population post–operatively. The
Journal of Clinical & Experimental Cardiology actually has a link that is directly relates to cardiac surgery topics. Although I do believe that other
types of professional journals are appropriate for my Capstone Project Proposal as well. For example, the Journal of Professional Nursing is a popular
nursing journal that covers a wide range of nursing practice

A Research Proposal Investigating How Nursing Home...
A Research Proposal Investigating How Nursing–Home Acquired Can be Preventable through Practice Improvement Student's Name University
Affiliation Date Abstract Pneumonia is a significant factor that leads to morbidity as well as mortality in nursing home residents. It has a one–month
mortality rate that range from 15–35%. Nursing home residents are frequently referred to hospitals for diagnostic tests. They may as well be provided
with acute health care services. In our qualitative study, we shall examine residents and family members' perspective on pneumonia prevention. The
study design that we shall use is qualitative descriptive in nature. The subjects will be residents and relatives who have received pneumonia treatment.
We shall derive them from a randomized controlled trial. In total, we shall conduct 15 in–depth interviews. We shall then analyze the collected data
editing style. The style was described by Crabtree to establish important themes. Both residents and relatives prefer pneumonia treatment to take place
in nursing homes where applicable. Caring and attention crucial during provision of care and they can only be attained in a nursing home context.
Interventions to control hospitalizations of nursing home residents suffering from pneumonia are congruent to residents and relative preferences.
Introduction Nursing home–acquired pneumonia is normally bacterial in origin. Streptococcus pneumonia is the frequent causative agent. Nevertheless,
in adverse

Impact Of Technology On The Organization Of The Human Race
Technology can most simply be described as the advantageous application of information in the application, Fabrication, and scheme of goods and
services for use in the organization of the human race. By seeing the definition of technology we can understand why it plays such a big role in
society today. Due to the utilization of technology, our specifications of living has expanded. Technology has opened many different doors that were
closed before. New different forms of technology are invented every day. Technology is the driving force behind most of the tasks in our daily lives.
With technology we can take care of our needs without much complication. Technology has brought forth progressions in countless different... Show
more content on Helpwriting.net ...
With all of these advancements in our society, the majority of patients are still given handwritten medication prescriptions, and very few patients are
able to email their physician or even schedule an appointment to see a provider without speaking to a live receptionist.5 Although technology has
played a big role in health care most hospitals have not adopted Electronic health records. Alot of hospitals including this 100 bed hospital are still using
paper systems. Paper Records have been used for years and have been proven to have a lot of faults within the system. Paper records can easily be
destroyed, they are often misinterpreted due to inadequate handwriting, and Records can be misunderstood or misconstrued when written from spoken
words, just to name a few of the many problems associated with paper records. President Obama recognized the disparities in healthcare and on
february 17,2009 he signed the American Recovery and Reinvestment Act. One of the sections of the ARRA included the Health Information
Technology for Economic and Clinical Health Act which allocated a little over 19 billion dollars to the development of health information systems
within hospitals.The Health Information Technology for Economic and Clinical Health Act set out to strengthen and develop health Information
technology systems to revamp the transmission of healthcare within the United States by offering incentives for the implementation of Electronic
Health Systems and

Personal Statement Of The Problem
Statement of the Problem Introduction Imagine for a moment, awakening everyday and being told by everyone around you, that you were born to fail–
that you are nothing and that no matter what you do or what you say, you will mess up. How may believing that you can not succeed at anything
impact your daily performance? Now in contrast, imagine awakening daily and being told by everyone around you that you were born to thrive and to
succeed– that you were born for an amazing purpose, and that you can not only do anything you set your mind to, but that you can do it better than
anyone else. Imagine the impact these two opposing approaches would have on your life. According to Merriam Webster's Dictionary (2003),
confidence is defined as, "a... Show more content on Helpwriting.net ...
In this study, two basketball teams were analyzed, one of which was consistently encouraged by their leader who demonstrated confidence in his team.
In contrast, the other team's leader consistently demonstrated lack of confidence in his team and undermined their abilities. From this it was found that
when individuals had a leader that believed in their abilities, that the individuals within the team became confident in their own abilities, and
consistently outperformed the other team and were more successful in performance. This study can be directly compared to a study published in 2002
in the North American Journal of Psychology. A psychologist by the name of Dr. Lisa Smith sought to study if any correlation existed between an
individual's confidence level and their performance on exams. The individuals in this study were asked to rate themselves on a numerical scale on
multiple factors that collectively depicted an overall level of confidence. Not only was a positive correlation found between confidence levels and
performance levels, but perhaps more interesting was that when this was analyzed more closely, there was no greater knowledge base found between
the two populations of students being studied. Thus, after additional analysis it was deduced that the confident individuals had less anxiety in regards
to test taking, and thus outperformed the diffident individuals

Educational Preparedness
Nursing is a widely respected and greatly needed occupation in our country today. Healthcare is constantly growing and evolving. Registered Nurses
are a vital part of the existence of all communities. Nurses are required not only at inpatient hospital settings, but in schools, offices, community health
settings, nursing homes, administration, and the list goes on! Despite both baccalaureate and associate prepared nurses taking the same board exam to
practice nursing, educational advancement can contribute to the care of patients in all of these settings and aide in a more optimal outcome. The
bachelors– prepared programs educate students on all the same topics as an associate– prepared program does. However BSN programs teach in further
... Show more content on Helpwriting.net ...
Over the course of the following three days, preparation for discharge is in order. The difference between a bachelor prepared nurse and an associate
level nurse is creating an individualized plan of care. The assigned nurse prepares to educate the patient on worsening infection and hygiene promotion.
A written copy of signs and symptoms of infection are administered to the patient and family. Due to the area of the wound, the nurse educates a family
member on wound care and dressing changes. The nurse requires that the family member return a demonstration to prove understanding of the task.
The bachelor level nurse acknowledges the need for follow up care in the home setting. This nurse utilizes a discharge planner and recommends a home
health nurse to follow up on wound care. The nurse acknowledges that the patient was septic during his hospitalization and requires extra attention in
preventing further illness. An associate level nurse may not discharge a patient to the degree of a higher educated RN. They may not collaborate with
other health care workers and may not utilize the assistance available for the patient. As stated in Essential VII (2008), the baccalaureate prepared nurse
"used information and communication technologies in preventive care."
New York and New Jersey are currently the only two states proposing to legislators to mandate a baccalaureate degree. Being a New York State
resident, I support the proposal to mandate nurses a baccalaureate degree

Red Group CLC Roy Adaptation Model Final version 1 Essay
Collaborative Learning Community: Grand Nursing Theorist Assignment Roy's Adaptation Model Alita Campbell, Helen Chacko, Dana Eckert, Sherry
Phillips, Lisa Waite Grand Canyon University – NUR 502 January 21, 2015 Collaborative Learning Community: Grand Nursing Theorist Assignment
Roy's Adaptation Model Nursing has developed into a profession, in which many theories have been developed and presented in order to lend guidance
for purposeful and meaningful practice. In general, nursing theories are based on four concepts that collectively make up the nursing metaparadigm:
person, environment, health, and nursing. These four concepts represent a commonality in the nursing profession (Tourville & Ingalls, 2003). This
paper will... Show more content on Helpwriting.net ...
The assessment of stimuli, both internal and external, can reveal that which can influence the adaptive behavior. Nursing process continues with
nursing diagnosis, goal setting, interventions, including a plan of care, and lastly, evaluation of the intervention and how it relates to the nursing goals
established (Nursing Theory, 2013). Applying Roy's Theory in Nursing Practice To support excellence in nursing practice, Roy's Adaptation Model
(RAM) guides nurses in developing effective care through the use of reasoning, critical thinking, and decision–making. With a focus on adaptation,
RAM can be utilized as a framework to conceptualize and plan individualized patient care or may be applied in a limited context to develop
interventions for distinct clinical populations (Senesac, 2013). Through the nursing process, patients are assisted in adapting, or coping, to changes
within their environments. The process begins with an assessment of the patient's adaptive behavior as well as stimuli in the external and internal
environments. Based on these evaluations, the nurse develops nursing diagnoses and interventions to guide goal setting and increase successful
adaptations or coping mechanisms (Chitty & Black, 2007). Simply stated, the nurse modifies the environment to promote and facilitate patient
adaptation and restore balance. Adaptation is observed through modifications in behavior. In the context of RAM, four modes of

Reducing Central Line Infections?
Reducing Central Line Infections Central lines are a one of the major risk factors for infections in the bloodstream and many occur outside of the
intensive care units (Medina, Serratt, Pelter, & Brancamp, 2014). An increase in the amount of patients who are admitted to the hospital with central
lines has increased the amounts of central line infections. Reducing the amount of central line infections on a general Medical–Surgical unit with in a
facility is very important for both patients and healthcare facilities.
Preparation
The issue is the increase in the number central line infections on the general Medical–Surgical floor. The method used to determine the issue on the
Medical–Surgical unit is personal and professional experience. The nursing staff on the Medical–Surgical unit has recently experienced an increase in
patients with central lines. This is clinically significant, because an increase in central lines increases the risk for increased central line infections.
Infections in the bloodstream are attributed to increased length of stay and increasing costs, including the reduction in reimbursement to the facilities
(Medina et al., 2014). Reducing central line infections will reduce hospital costs, reduce stress for the patients, and allow the nursing staff to provide
patient safe practice.
Validation
Many articles and studies were retrieved from different databases. The articles and studies retrieved were reviewed for their usefulness in this proposal.
The

Nr 451 Capstone Project: Milestone #2: Design for Change...
NR 451 CAPSTONE PROJECT: MILESTONE #2: DESIGN FOR CHANGE PROPOSAL PAPER
http://www.spinwoop.com/?download=nr–451–capstone–project–milestone–2–design–for–change–proposal–paper
For Further Information And For A+ Work Contact US At SPINWOOP@GMAIL.COM
Your Capstone Project Milestone #2: Design for Change Proposal Paper is due Sunday. Guidelines may be found in Doc Sharing.
Your assignment is due by Sunday, end of week, 11:59 p.m. (MT). Submit your assignment to the Dropbox.
Capstone Project Milestone #2:
Design for Change Proposal Guidelines
PURPOSE
You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information from your Capstone Project Milestone #1.
Your plan ... Show more content on Helpwriting.net ...
Your plan is to convince yourmanagement team of a nursing problem you have uncovered and you feel is significant enough to change the way
something is currently practiced.
2. The format for this proposal will be a paper following the Publication manual of APA 6th edition.
3. The paper is to be four– to six–pages excluding the Title page and Reference page.
4. As you organize your information and evidence, include the following topics.
a. Introduction: Write an introduction but do not use "Introduction" as a heading in accordance with the rules put forth in the Publication manual of the
American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence–based problem identification and solution.
b. Change Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012)
i. Practice Question ii. Evidence iii. Translation
c. Summary
5. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of
proper reference format. In–text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask
yourself, "How do I know this?" and then cite the source. Scholarly sources are expected, which means using peer–reviewed journals and credible

websites.
6. Tables and

Sample Reflective Essay
Critically analyze current practice to formulate researchable problems.
This course helped me to understand various steps of research processes such as how to critically analyze the current practices and to formulate
research questions. A research problem is an area of concern where there is a gap in the knowledge base needed for nursing practice. The primary
sources of nursing research problems include nursing practice, researcher and peer interactions, literature review, theory, and research priorities"
(Grove, Burns, & Grey 2013). From my area nursing practice, I was able to identify that the increasing obesity in the African–American population as
an area of concern as it can lead to obesity–related health disparities in the population. Through the literature review, I was able to learn in–depth about
this issue and its increasing impact on the healthcare system. Hence through the nursing practice and by the literature review I was able to formulate
the research question.
Evaluate research as the basis for decision–making to improve outcomes through translation into ... Show more content on Helpwriting.net ...
I was able to explore and examine the problem of obesity. Through research and investigation, I was able to see what has already been done in this
field and what research needs to be further investigated. I focused on the research purpose of the research proposal. The PICOT format helped to
formulate the research question and assisted with an in–depth literature review. Literature reviews were performed on the topic to gain more
knowledge. The Nola Pender's Health Promotion Model (HPM) was selected as the theoretical framework which served as a guide for my study. I
was able to identify that my research needed an experimental design. Sample size, as well as the measurement strategies, were identified. Finally, I
was able to learn and practice to calculate and analyze data using the help of the statistical program such as

Social And Economic Themes In Jonathan Swift's A Modest...
In A Modest Proposal, by Jonathan Swift he discusses a solution to poverty in Ireland during the 18th century. Swift's bizarre, yet well thought out
plan for helping families of Ireland, who were in poverty and desperately in the need of money, was fattening children and selling them to the
wealthy landowners. He thought that this would be an excellent way for children not to be a burden on their parents but be beneficial. Swift even
went on to write a pamphlet telling the parents just how they could fatten their babies and the perfect age and weight for the kids to be before selling
them. One of Swift's friends goes on to give some helpful/ tasty ways that the kids can be cooked before eaten. Swift's proposal does not only financially
... Show more content on Helpwriting.net ...
There only remain a hundred and twenty thousand children of poor parents who are annually born"(5). By Swift including these statistics shows that
he has well thought out this plan, and Swift has done plenty of research before coming to his conclusion. Swift later gives credibility to his friend
from London by saying, "a young healthy child well nursed, is, at a year old, a most delicious nourishing and wholesome food"(9). All three
rhetorical devices that he used were great ways to persuade the people of Ireland ,that were in poverty, that this was the best option to help them prosper.
Swift expresses upon the issue that merchants would rather the parents sell their children as babies because they are then more valuable. Swift then
adds some credible information proving that he has done his research, "I am assured by our merchants, that a boy or girl before twelve years old, is
no saleable commodity, and even when they come to this age they will not yield above three pounds." Swift uses his statics to prove that his solution
was well thought out by saying, "computed the charge of nursing a beggar's child to be about two per annum." This shows that swift had done his
research for finding out not only the population of the city, but he found out the pricing for nursing a child that was soon to be sold and eaten. Swift's
uses some content to get an emotional reaction from the reader so that they can be more on board with his proposal. For example, Swift

A Research Proposal For Nurses On A Trauma Unit After...

Recommended

Recommended

More Related Content

Similar to A Research Proposal For Nurses On A Trauma Unit After...

Similar to A Research Proposal For Nurses On A Trauma Unit After... (13)

More from Avis Malave

More from Avis Malave (20)

Recently uploaded

Recently uploaded (20)

A Research Proposal For Nurses On A Trauma Unit After...