The Critical Appraisal Of Quality Nursing Care

The Critical Appraisal Of Quality Nursing Care
In this essay I will critically appraise a qualitative research article of Burhans and Alligood,
(2010). Qualitative research should understand the feelings of the patients, experience and the
perception of health care professional (Franzel et.al 2013). This assignment will focus on the critical
appraisal of quality nursing care in the word of nurses. This appraisal will be assed according to the
skill I have learned during this semester (Ingham and Broomfield, 2014). The evidence of this
article falls under the hierarchies of evidence of research. Critically appraisal is the systematic
process where research are carefully and methodically investigate and evaluate its trustworthiness,
value and importance in particular context (Groves, Burns ,& Gray, 2013). Any health professional
should have an ability to appraise the article critically so that, they can they can easily detect its
strength and weakness. As, a result health professional can utilize only the accurate practice from
that research. The purpose of this essay is to develop the skill which provide the sense of scientific
evidence based on validity and result. Additionally, this essay will explore the various aspect to
appraise the qualitative research article which include, title, author, abstract, introduction,
methodology and methods, results, limitation and conclusion.
The first portion of the study that I will assess is the title: Quality nursing care. From this statement
is clearly mention that the
... Get more on HelpWriting.net ...

Critical Assessment And Intervention Of Critical Care Nursing
Felicia Landrum
10/13/16
Baptist Memorial – Union City Clinical Rotation
Summary
Critical care nursing is an intense area of nursing. The RNs care for patients that need close
assessment and intervention. Working in a CCU requires advanced skills. The nurses that work in
the critical care unit have to be very precise. Treatment and care of critical patients is very complex.
Critical care or intensive care nursing staff must have more training than other general nursing staff.
They have to be prepared to care for patients with critical needs around the clock rather than more
stable patients. Most RNs are required to have a BSN degree or certification for critical care. As
most fields do, the critical care nurse is required to compete continuing education yearly.
The nursing staff in the critical care unit are required to do multiple tasks. For example, recording
vital signs, assess function of ventilators, equipment, and monitors. The nurse also, administers
medications prescribed, maintain IV patency, assess need and accomplishments of medications/
fluids. The nurse works with other nursing staff to complete care for all CCU patients. In case of
situations requires life saving measures, the nurse performs the tasks, at the same time being aware
of standards/ protocols posted by the hospital. While the patient is admitted, the nurse is required to
perform teaching, provide support, and advocate the patients. Throughout all the treatment, the
nurse is assessing the

The Concept Of Critical Care Nursing
The concept of critical care nursing has transformed intensely since its origin in the 1960's. The
discipline of nursing and the specialty of critical care nursing are expected to advance and
transform, just the way health care delivery system has reformed over the last few decades (Morton
& Fontaine, 2013). Never before have there been significant advancements in technology, surgeries,
therapies, imaging alternatives, diverse procedures, pharmacology and innovative research
modalities being delivered to patients (World Health Organization, 2009). As a result, critical care
nurses are being challenged to explore their knowledge in order to integrate these sophisticated
technologies and interventions to deliver competent, evidence–based and holistic care to critically ill
patients (Morton & Fontaine, 2013). The aim of this written assignment is to present an Intensive
Care Unit (ICU) case of Diltiazem Overdose (Deliberate self–Harm) who was admitted in a large
metropolitan hospital in New Zealand (NZ). Care provided to Mr. Jack (pseudonym) will be
discussed and evaluated, with main focus on the nursing care delivered which contributed to Jack's
outcome in the Critical Care Complex (CCC). The current trends, national epidemiological data,
relevant NZ government health care strategies in place to decrease the prevalence of Deliberate
Self–Harm (DSH) will also be discussed. Jack, a 21 years old Maori male presented to the
Emergency Department at 0730 hours with his aunt and

Critical Care Nursing : An Analysis Of A Complicated...
Critical–Care Nursing: An Analysis of a Complicated Profession Nicholas D'Amario Carroll
Community College The massive field of nursing is broken down into over one hundred specialties
and subspecialties that each have a unique background and certain set of requirements and skills
specific to the job. Critical Care is an area within nursing that aims to care for the most vulnerable
and ill of patients. Nurses working in critical care units are typically highly skilled and have
acquired many years of experience working in different nursing areas. As with nearly all areas of
nursing, the field of critical care has a governing organization that sets the standard for practice and
maintains current evidence based research to uphold these standards to its members. The American
Association of Critical–Care Nurses, AACN, is the organization that outlines the scope of practice
for critical care nurses and provides continued educational opportunities for its members to expand
their knowledge and stay current on advancements within the field. The origin of critical care
nursing stems from a time in healthcare when there was a drive to bring together the needs of ill
patients and rapidly growing medical knowledge. During the 1950s and 60s, nurses began to adapt
their practice to better care for the needs of a person who is physiologically unstable or at risk of
dying. According to Fairman and Lynaugh (2000), this was the beginning of what would eventually
become a field

Communication Is A Basic Tool For Humans Essay
Communication is a basic tool for humans as it allows the relationship with the environment, with
which it is inherent in the human condition because human beings need to establish and maintain
relationships that provide gratification and collect information that to identify needs for welfare. The
task of communicating has always existed. As humans we interact with our environment,
continuously we emit messages (verbal or non–verbal), to the world around us. From nursing to
establish a correct support relationship with patients, we must learn to communicate. For this we
need to acquire a range of abilities and skills that will ensure the wellbeing of the patient in a
holistic aspect (bio–psycho–social) such as empathy and active listening based on respect. In short,
knowing what to say, how to say and what to do in any situation in which, it is not detrimental to the
physical or social individual, but it is in psychological. Similarly we act as transmitters to broadcast
a message, when we interact with our patients, in turn, act as receptors in the process of
communicating, so, we must know how to listen, be assertive, empathetic, and non–judgmental,
base ourselves on respect, use the feedback ... and ultimately, be authentic, defining authenticity.
Considering the person as a holistic being (bio– psychosocial) should, as nursing professionals, plus
include in our mere technical intervention focused on improving the quality of life physically and /
or social focus in the

Evidence Informed Practice Is A Critical Part Of Nursing Care
Evidence–informed practice is a critical part of nursing care. To be able to have evidence–informed
practice, nurses need to be able to conduct research to find the most up–to–date and relevant
information related to patient– and family centered care. When caring for patients, it is paramount to
recognize the importance of family and the role they play in care. When one comes out as
transgender, it is something that is not only going to affect the said person, but also their friends and
family. Family members are key support systems so when you are caring for one person, you are in
turn caring for the family as well. This is known as patient– and family–centered care. As there has
been an increase in literature pertaining to family–centered care, the question of interest is "What is
the impact on a spouse when a partner is transgendered?" To find the answer to this clinical
question, the database Medline was utilized. The keywords LGBTQ, transgender, family–centered,
spouse, nurse, sexuality and health care were used and combined with Boolean operators. Through
this research, knowledge can be gained on how to properly care for the spouse of a transgendered
person. This paper will discuss the key impacts of having a transgender spouse, nursing approaches
that we can integrate into our care, and resources available for the non–transgender spouse.
In Canada, it is difficult to know the precise number of people who consider themselves part of
LGBTQ. This is partially due to

Holistic Core Values Of Holistic Nursing
Holistic Core Values Holistic nursing care involves treating the patient mind and body, as well as
providing comfort through prayer. The overall ideal goal of providing holistic care is treating the
patient as a whole. There are certain standards and guideline designed by the American Holistic
Nursing Association in which establish the core values of holistic nursing (Frisch, 2001, p. 1). This
paper will discuss the core value number three: holistic communication, therapeutic environment
and cultural diversity. Second, an interview was conducted with two co–workers Ms. C.D. and Ms.
N.S. and Mrs. T.R., a family member concerning the selected core value. Their opinion concerning
the selected core value will be further discussed in this paper. Third, the concept of healing and cure
will be discussed, including the difference between the two terms. Fourth, a clinical experience will
be discussed in there was no cure but healing demonstrated within the patient. Finally, there will be
details of the healing process identified by the patient, family and nurse. The purpose of this paper is
to discuss significance of core value number three: holistic communication, therapeutic environment
and cultural diversity as it pertains to providing holistic nursing care.
Core Value The core value number three: holistic communication, therapeutic environment and
cultural diversity considers the patient current health and therapeutic interventions in order to
provide holistic nursing care. The

Rapid Decline of a Patient with Undetected Sepsis
Sepsis is the body's response to infection. The onset of sepsis is often undetected until the condition
has become critical. Sepsis progresses into severe sepsis, septic shock, and eventually death;
typically from organ failure. The condition affects over 500,000 individuals annually, has a
mortality rate of over 25%, and presents a risk to patients in every inpatient setting regardless of
acuity level (Whelchel et al., 2011). My first experience with sepsis was enlightening because it
affected a patient under my care. I was surprised at the insidious onset of the symptoms, the rapid
decline in the patient's condition, and the missed opportunities that the healthcare team had to
implement the recommended care bundle protocols. In examination of the issues that contributed to
the healthcare team's failure to comply with the standardized plan, it became evident that the issue
was complex. The causative factors were interdependent, and each failure created a cascade of
future failures that contributed to a more negative patient outcome. Nursing care is the fulcrum from
which all other healthcare is coordinated. In this particular situation, the initial failures were
attributed to nursing care; failing to administer antibiotics and obtaining blood cultures within the
stipulated timeframe. There were also failures within numerous other healthcare disciplines;
however, standardized care plans affect nurses in particular because initiation of care plan protocols,
especially for

Reflection On Self Development Through Reflection
Self–development through reflection is a key issue of education and learning (Kennison, 2012),
where you learn through experience (Tashiro, Shimpuku, Naruse and Matsutani, 2013), learn to
self–evaluate (Duffy, 2013), identify gaps in knowledge and detect where further training or study is
required to improve practice (Olarerin, 2013). Ultimately reflection is thought to be constant
learning from practice, thus refining knowledge and experiences and putting them into practice
(Naidoo, 2013).
Within my reflection examples (Appendix 1) I recognised where my knowledge and experience was
lacking, through self–evaluation. For instance when completing an electrocardiogram (ECG). I
learned through my extra reading, how completing an ECG incorrectly could cause the patient to
require un–necessary treatment (Houghton, 2014). Through my extra study I was able to learn
where exactly where the electrodes are positioned on the body for an accurate EGC tracing to be
produced (Crawford and Doherty, 2012; University of Nottingham, 2015). I used this knowledge
throughout my placement and I am now confident in conducting ECG's in my future practice. In
achieving self–development in this example I linked my learning directly to my practice (Ross,
2014), where I developed a fundamental skill and expanded my knowledge for my continued
development in my nursing career and practice (Aronson, 2011).
Nursing practice
Nursing practice is a key issue within reflective practice. It supports

Critical Care Nursing Essay
This essay sets out to discuss the importance of comprehensive and accurate assessment on a
registered nurses' ability to make excellent clinical decisions. It will examine what factors can
change a nurses' capability to be aware of, and act on abnormal assessment findings. As well as
assessment being part of the nursing process that is used in every day nursing, it is also a critical
part of patient safety (Higgins, 2008). Assessment findings are used to determine what needs to be
done for the patient next. Early warning scoring systems currently exist to aid in the early detection
of patient deterioration (Goldhill, 2005). The rationale for the use of these systems is that early
recognition of deterioration in the vital signs of a ... Show more content on Helpwriting.net ...
The issue of consistency is raised when discussing how to ensure assessments are comprehensive,
complete and that the data is recorded using the same guidelines as other nurses. To enable
consistency of assessment, the same nurse should be taking the observations of a patient for the
duration of a shift (Moore, 2007). This ensure that the interpretation of results don't differ each time
the vital signs are done. It also allows the nurse to detect subtle changes in the patients state that
may not have been written down. For example, in most clinical environments the respiration rate is
recorded as just a number, and the rhythm, degree of effort, quality of breathing and evidence of
wheezing or other abnormal breathing sounds are not recorded. The rate may stay the same over a
period of time while other aspects of respiration may change, and this is something that a nurse is
more likely to notice if they have assessed that patient before. During handover, a nurse should tell
the next nurse looking after their patients how they took observations and detail what tools they
used to ensure consistency is maintained. Nurses may not pick up on abnormal assessment findings
because they do not know what the normal ranges are, or perhaps do not know what combinations
of abnormal clinical

Reflective Reflective
Through exploration of critical thinking, evaluation, and management in response to a critical event,
I will describe my reflective practice using the NZNO Reflective Writing Guideline (Appendix A),
and examine areas which need improvement as necessary for my growth as an RNFSA. Description
As the surgical first assistant, I assessed the patient's vital signs, the wound sites, and the overall
condition after a handover to the PACU nurse. During this transition from the intraoperative phase, I
endorsed surgical incision sites, dressings and patient's postoperative condition. Initially, the
dressings were dry and intact while the patient was still asleep. After 15 minutes of transition, Miss
T was gagging, straining, and acted nauseated. I immediately inspected the wound sites and noticed
a slight bloody discharge on one of the dressings. Alerting the PACU nurse was my immediate
action to alert her of a possible bleeding as I had handed over the intraoperative bleeding in that
area. As I continued observing, I noted an increase in the discharge. Hence, my inspection on the
wound site which had its tape stripped off and active bleeding was noted. Slight wound dehiscence
was apparent. I did all less invasive measures such as cleaning the incision site and the application
of pressure dressing initially but to no avail. Notification of the surgeon all throughout was done and
given importance. Immediately, I acted on stopping the bleeding through suturing of wound with a
deep–

Critical Care Nursing Specialties Analysis
Critical Care Nursing Specialty
As of 2013, over 587,000 various critical care certifications have been issued in the field of critical
care nursing specialties throughout the United States and Canada. The largest nursing specialty
organization to date, which is responsible for these certifications is the AACN, the American
Association of Critical–Care Nursing. Founded in 1969, and now over 235 chapters worldwide, the
AACN established the AACN Certification Corporation in 1975 and has since developed and
governed multiple programs representing competence within the critical care nursing specialties.
Certification programs such as CCRN, critical care registered nurse, along with subspecialties in
cardiac medicine such as CMC and CSC, represent ... Show more content on Helpwriting.net ...
The requirements for all programs offered by the AACN were expanded during this time, along with
the need for specific clinical experiences. Later in the decade, the inclusion of nursing ethics was
introduced as additional skills deemed necessary for critical care certifications.
Requirements:
The current requirements for the certification of CCRN, which is considered the "blueprint"
standard and baseline of any critical care nursing, is firstly an unencumbered registered nurse
license in the United States. Next, one must accumulate a required number of hours in direct bedside
care of acute and critically ill patients, which equates to approximately 2 years of fulltime
employment, or 5 years at the part time level with the majority of hours in the year preceding the

Example Of Altrruism In Nursing
Nurses have long been concerned as establishing professional values and behavior compare to other
profession. Nurses are career work within medical industry and therefore they have interaction with
various different type people and medical condition. There is characteristic requirement for equality
and human dignity and this section of the desire of professionalism that nurses have. Moreover the
nursing industry is broad and including different people in various circumstances yet there are
should be something that binds them as nurse. This is where the professionalism comes in nurse.
According research Griffith and Tengnah (2013) defined professionalism as knowledge, attitudes,
values and behaviors required to be a district nurse. The main ... Show more content on
Helpwriting.net ...
Nurses must have certain attitudes and behaviors in the profession to carry out roles in nursing care.
The major attitude includes altruism, integrity and human dignity. It is evident that nurses highly
influence on morals and responsibility to the patient .In nursing profession, nurses should provide
kindness and maintain calmness to provide fully support and security to patient. Altruism is
important character in nurse –patient relationship to securing care and enhances professionalism. If
a nurse not fully committed to patient care it will cause negative outcome for patient. Moreover
dignity is demand in nursing profession as all patients are equal and need same treatment care. In
addition, integrity principles such as honestly, fairly and ethically are important while giving
nursing care. While applying this value in nursing care towards their professional bodies, colleagues
and patients, professionalism will be enhanced. Nurses should promote professional behavior in
profession of nurse. Example always have good intention on patients, respect patient privacy as
keeping medical information private when patient dealing with complicated diagnosis and represent
profession nursing well everywhere. Volunteer and join groups that could benefit knowledge. More
over nurse should maintain a good relationship with co worker and patients. Best communication
between them reflects high

Social Networking
KAMINI MURUGAN
PERSONAL SUMMARY:
An enthusiastic, hard working and competent healthcare professional who possess the required level
of nursing experience needed to deliver high quality, customer focused, and clinically effective
patient care in a modern well equipped clinical setting. Key qualities include being able to
continually assessing a patient's needs and wishes, coping with frequent interruptions in high
pressure situations, and being able to respond quickly to emergencies. Having a real passion for
nursing, with a strong desire to provide the highest level of care & service to patients.
WORK EXPERIENCE
Flacq Hospital ( Year 2005–2009; General Nursing)
Moka Hospital ( Year 2009–upto now; Ophthalmic ... Show more content on Helpwriting.net ...
|
|KEY SKILLS AND COMPETENCIES: |
| |
|Exposure to lots of different areas and environments within nursing such as general wards,
casualties and operating theater. |
| Comprehensive understanding of clinical governance and risk management systems. |
| Observing hygiene codes & demonstrating good infection control and hand hygiene. |
|Good written & verbal communication skills. |

The Stress of Caring
The Stress of Caring Learning Goals One of the most consistent changes in the structure of work
over the past few decades has been a shift from a manufacturing economy to a service economy.
More workers are now engaged in jobs that include providing care and assistance, especially in
education and medicine. This work is satisfying for some people, but it can also be highly stressful.
In the following scenario, consider how a company in the nursing care industry is responding to the
challenges of the new environment. Major Topic Areas * Stress * Organizational change * Emotions
* Leadership The Scenario Parkway Nursing Care is an organization facing a massive change. The
company was founded in ... Show more content on Helpwriting.net ...
Parkway has always had outstanding patient care, and no substantiated claim of abuse or neglect in
any of its homes has ever been made, but the need for increased documentation will still affect the
company. As the federal government tries to trim Medicare expenses, Parkway may face a reduction
in funding. The Problem As growth has continued, Parkway has remained committed to providing
dignity and health to all residents in its facilities. The board of directors wants to see renewed
commitment to the firm's mission and core values, not a diffusion of its culture. Its members are
worried there might be problems to address. Interviews with employees suggest there's plenty to
worry about. Shift leader Maxine Vernon has been with Parkway for 15 years. "Now that the
government keeps a closer eye on our staffing levels, I've seen management do what it can to keep
positions filled, and I don't always agree with who is hired. Some of the basic job skills can be
taught, sure, but how to care for our patients–a lot of these new kids just don't pick up on that." "The
problem isn't with staff–it's with Parkway's focus on filling the beds," says nurse's aide Bobby Reed.
"When I started here, Parkway's reputation was still about the service. Now it's about numbers. No
one is intentionally negligent–there just are too many patients to see." A recent college

Task2
RTT1 Organizational Systems and Quality Leadership Task 1
WGU
ALLEN SMITH
A. Understanding Nursing Sensitive Indicators
Nursing sensitive indicators include the configuration, process and outcomes of nursing care. The
configuration of nursing care concludes the nursing staff, their nursing skills, and the level of
education that each nurse holds. The process of nursing care concludes the nursing assessments,
intervention and implimentation. The outcome of nursing care either positive or negative depends
on the quantity and quality of the care provided to the patients by the nursing staff ("Nursing
world," 2013)
Each nurse should hold proper information and knowledge ... Show more content on
Helpwriting.net ...
How Hospital Data Could Advance Quality Care
In this scenario the hospital in order to advance the quality of care, could have shared the
information about the incident with the nursing personnel. The hospital could provide the best
quality of care to the patients and achieve the patients' satisfaction, by sharing the data. Advancing
the quality of care would have positive effect on both patient satisfaction and nursing care.
Knowledge of nursing care empowers the nursing staff in such cases. In this scenario the knowledge
of pressure ulcers, restraints and patient care is significant. On the other hand the nursing care in this
scenario could have been better and the family/patient could have been cared better if the nursing
staff had gotten the best patient care knowledge.
Resources Available
Several resources exist in the hospital in order to address the nursing sensitive indicators. In this
scenario as a nurse I could partner with dietician in order to address the tray issue and deliver the
correct tray to the correct patient. To resolve any misunderstandings I would apologize to the
daughter of the patient for the incident. I would speak to the nurse who commented inapprotely to
the

Position Description Project : Critical Care Nursing
Position Description Project Critical care nursing is a roller coaster ride. It has a lot of surprises
throughout the day and you never know what is around the corner. Our Critical Care Step–Down
Unit here at the Davenport Hospital has a capacity of 30 beds (6 private and 12 semi–private
rooms). 2 West accommodates a variety of patients, such as adult postsurgical, trauma, seizures,
renal failure, and myocardial infarction patients. This unit provides care for patients that have been
discharged from an Intensive Care unit, but they are not stable and require a high level of
monitoring before they return in a general medical surgical floor. Lately our unit has been struggled
with staff shortage. It has been weeks that in the day shift there are only 3 registered nurses and each
of them provide care to 6 or 7 patients. Based on the hospital protocol policy nurse–to–patient ratio
in a step–down unit must be 1:4 or less at all times. In addition, I am designing this written proposal
to seek approval of hiring a new critical care nurse in 2 west step–down unit. The above proposed
nursing position will definitely benefit both the unit staff and patient population. The nursing
shortage can easily lead to nursing burnout such as fatigue, injuries, and dissatisfaction. Also, nurses
that work in such conditions are more predisposed on making mistakes and medical errors. This
proposal will definitely benefit the patient who are being treated in this unit as well. According to
Huber

My Personal Philosophy of Nursing Essay
This paper is a first attempt at forming and articulating my own philosophy of nursing.
Our course, Transition to Professional Nursing, is barely two weeks old and already I am being
enlightened and challenged to expand my experience of nursing. I will attempt to explain my
personal journey and experience thus far including how and why I got here, my beliefs about
nursing and related values, and my visions for the future.
The Nursing Choice Nursing came in a round–about way for me. I had little direction when I
graduated high school and had already disregarded the nursing field due to an incident with a family
member (who was a nurse) that had left a negative impression about the nursing field on me. I
entered college planning on ... Show more content on Helpwriting.net ...
Care enough to listen, to do a thorough job at all you do whether it be assessing, documenting or
routine patient care. Care enough to see beyond the chief complaint and think about what may be
the root cause of the patients' symptoms. Care enough to be ethical at all times and to complete
invasive and potentially embarrassing procedures with as much empathy and compassion as
possible. Care enough to connect to and treat your patient and their families and visitors with
respect and dignity. Do everything in your power to provide the most suitable environment and
emotional tone for the patient, and care enough to strive for the best possible outcome for the
patient, both in the hospital and beyond, advocating for the patient when necessary. Even by
definition the word "care" can be applied to different aspects of nursing. According to The Oxford
Pocket Dictionary of Current English (2009), among the meanings of the word care are:
1. The provision of what is necessary for the health, welfare, maintenance, and protection of
someone or something.
2. Serious attention or consideration applied to doing something correctly or to avoid damage or
risk.
3. Feel concern or interest; attach importance to something. Upon reading about the different
nursing philosophies and the ANA Code of Ethics, I found that this core value, my perceived
essence of nursing, is supported by both historical and ethical factors. Jean Watson's entire

Sleep In The Hospitalized Patient : The American...
First Ranking Tool The first ranking tool used to grade Sleep in the Hospitalized Patient is the
American Association of Critical–Care Nursing (AACN) Levels of Evidence. This tool was
originally developed in 1993 and later revised and updated in 2008. The AACN's goal with this
ranking scale was to assist nurses evaluating "the evidence for potential implementation into best
practice" (Boswell and Cannon, 2009, p. 55). According to the description of the levels listed in this
tool, Sleep in the Hospitalized Patient is graded as a Level E. Armola et. al, (2009) describes Level
E as "theory–based evidence from expert opinion or multiple case reports" (p. 72). The purpose of
this study is to explain nursing interventions responsible for ... Show more content on
Helpwriting.net ...
The ONS PEP schema has 6 categories and Sleep in the Hospitalized Patient qualifies under the
"Effectiveness Not Established" category. As defined on the ONS website, this classification
consists of "interventions for which insufficient or conflicting data or data of inadequate quality
currently exist, with no clear indication of harm". Although the data in this article is primarily
consistent, it is in fact insufficient. The data is completely based off of surveys based on patient and
nurse perception, which is open for bias. The sample size is only 84 patients (Vincensi et al., 2016).
Although the data obtained in the surveys were insufficient, there were no indications for harm,
therefore classifying this article as "Effectiveness Not Established" as described by the ONS. Tool
Analysis Analyzing and interpreting both of these tools were interesting yet challenging. The AACN
Levels of Evidence was very specific in what each classification entailed and was extremely easy to
understand. The hardest part of using the tool was determining what type of research study was
performed in the article. Each category in the first tool (AACN) precisely described what the
evidence–based practice (EBP) article needed to qualify. The ONS PEP schema tool appeared to be
clear and easy to understand until it came to grading the provided article. Each ONS PEP category
seemed to be very similar in

Reflection on Nursing Handover
REFLECTION on Nursing Handover
I have decided to reflect upon the first time I did a nursing handover. In accordance with the
Nursing and Midwifery Council (2004) Code of professional conduct, confidentiality shall be
maintained and the patient's name is changed to protect indentity.
Reflective writing is considered a key component of portfolio assessment because it provides
evidence of skills development and increasing clinical competence (Smith 2005).
What is reflection? Reflection is defined by Wilkinson (1996) as an active process whereby the
professional gains an understanding of how historical, social, cultural, cognitive and personal
experiences have contributed to professional knowledge and practice.
Reflective practice can take ... Show more content on Helpwriting.net ...
Even though I had been caring for this lady for the duration of my shift I was unprepared to give the
next shift a handover. I assumed my mentor would do it since she had been doing it on all my
previous shifts. However, on this occasion my mentor said to do it at the end of her last handover. I
listened to her giving the handover for her patients then when it was my turn, I panicked and
muffled up my information. I started with basic information about the patient such as name, date of
birth , age and the reason for her admission. Unfortunately, I became flustered after that and it was
clear to both my mentor and the other nurse that I was out of my depth and needed help. My mentor
then took over and continued the handover.
I therefore decided an action plan to develop my nursing knowledge in this area. I looked at various
websites and nursing journals detailing how to give effective handovers. I also used advice that I
found in the nursing journals and from my mentor to plan out how I would deliver my handovers.
The nursing handover was defined in 1969 by Clair and Thrussel as the oral communication of
pertinent information about patients. This was supported by Thurgood in 1995 who adopted the
view that patient centred care is central to any definition of handover and that it is its primary
function.
FEELINGS
Whilst performing my handover, I was more concerned with trying to remember all the information
about Mrs V that I wanted

Questions On Nursing Health Nursing
NURS 409 Community Health Nursing Weekly Clinical Journal Each clinical week a journal needs
to be submitted evaluating your ability to meet the clinical performance objectives. Examples must
be provided detailing how you have achieved the objectives. 1. Plan, provide, and delegate client–
centered and coordinated care that promotes safe and high quality outcomes. – During this week I
was not in the clinical setting, however I did participate in a case studies in which I was able to plan
provide, delegate client centered care and coordinated of care. I was the preceptor and I was able to
provide my client options to promote safety like moving the newspaper magazine from the floor to
prevent another slip and fall. I was also able to delegate care to my preceptee while I conversed with
the wife about options for better client safety. I was able aid with the care of the client by sitting him
up so he would breath better and stop coughing. 1.1 Theoretical Knowledge: Relate nursing
knowledge in the community setting for safe nursing care. – Using my acquired nursing knowledge,
I was able to make clinically sound decision like referring the client to meal on wheel services,
because they would no longer adequately make food for themselves. I also use my nursing
knowledge to realize that a three–year–old could not properly take care of a baby and the proper
choice how be to see if there was anyone from the church that would aid the family with some of
these burdens 1.2 Clinical

Critical Care Nursing Is A Roller Coaster Ride
Critical care nursing is a roller coaster ride. It has a lot of surprises throughout the day and you
never know what is around the corner. Our Critical Care Step–Down Unit here at Davenport
Hospital has a capacity of 30 beds (6 private and 12 semi–private rooms). 2 West accommodates a
variety of patients such as adult postsurgical, trauma, seizures, renal failure, and myocardial
infraction patients. This unit provides care for patient that have been discharged from an Intensive
Care unit, but they are not stable and require a high level of monitoring before they return in a
general medical surgical floor. Lately our unit has been struggled with staff shortage. It has been
weeks that in the day shift there are only 3 register nurses and each of them provide care to 6 or 7
patients. Based on the hospital protocol policy nurse–to–patient ratio in a step–down unit must be
1:4 or fewer at all times. In addition, I am designing this written proposal to seek approval of hiring
a new critical care nurse in 2 west step–down unit. The above proposed nursing position will
definitely benefit both the unit staff and patient population. The nursing shortage can easily lead to
nursing burnout such as fatigue, injuries, and dissatisfaction. Also, nurses that work in such
conditions are more predisposed on making mistakes and medical errors. This proposal will
definitely benefit the patient who are being treated on this unit as well. According to Huber (2014),
"effective staffing has been

Importance Of Documentation In Nursing
Documentation, it is imperative in nursing. This is clear from Dion(2001)as referred to in Owen
(2005), where she expresses that precise records guarantees nature of training as well as shields the
nurse by giving proof of his or her professional capacity. However in an examination directed by the
Maryland Nursing Workforce Commission (2007) that nurses discover documentation an exercise in
futility. In this paper the essayist will examine the significance of nursing documentation in the
present human services setting. The significance of documentation Documentation, a vital method
for deciding the standard of care rendered to a patient to protect nursing action(nurse
together,2010).This concurs with the ANMCs competency standard 1.1 where it expresses that
'Practices as per enactment influencing nursing practice and medicinal services'. Documentation is
characterized as 'anything composed or printed used to outfit proof or data that is lawful or official'
(Crisp&Taylor,2001). With documentation, medical caretakers can unmistakably portray the
customer's present well being status and what meditations ought to be done and if the intercessions
that were completed profited the customer. This concurs with a reference from Owen(2005) where it
says that documentation ought to give verifiable, present, far reaching and reliable data about the
appraisal and care of the patient. Documentation is vital in nursing as it is an archive by which
social insurance colleagues

Barbara Carper's Four Patterns Of Knowing In Nursing
Nursing is a learned profession. It begins as a first day nursing student who is unknowledgeable
about protocols and procedures utilized to care for another human being with individualized disease
processes. Four years ago, I started in nursing school as an unknowledgeable person and blossomed
into an educated nurse that follows protocols and procedures while taking care of patients daily.
Patricia E. Zander focuses on the different aspects of nursing by involving Barbara Carper's "four
patterns (ways) of knowing in nursing" (Zander, 2007, p. 8). Different types of knowing are
described as the basis for nursing care. I believe a nurse is guided through each way of knowing
through different steps in their nursing career. In the beginning, a nurse is timid and feels
inadequately prepared to being a nursing career; therefore, the new nurse will rely more on
empirics. The nurse will rely more on tested practices verses using experience. For example, at my
first job, I worked with a preceptor for several weeks learning the different protocols and procedures
applicable to patient care for the unit. I trusted the knowledge of my preceptor because she had been
a nurse for several years and had worked on the unit for several years as well; therefore, I used her
knowledge as a way to base my nursing care in the future. Empirical knowledge is used first
because that is what is taught and already known. After gaining experience, a nurse becomes more
comfortable with applying

Clinical Report : Staffing And Scheduling Essay
Clinical Report 5 – Staffing and Scheduling Mandating nurse–to–patient staffing ratios may not be
the best idea because there is "little evidence that specific nurse–to–patient staffing ratios improve
safety or quality" (Welton, 2007, p. 4). Legislation "points to research indicating an association
between nurse workload and patient mortality and morbidity" according to a study from 2002
(Welton, 2007, p. 4). The study showed that for every "additional patient a nurse was assigned, there
was a seven percent increase in the likelihood of dying got a patient under that nurse's care"
(Welton, 2007, p. 4). On the contrary, the studies that the legislation points to have "several
weaknesses"; like how it was only implemented at two hospitals and was done in the 1990s, thus, it
is outdated information (Welton, 2007, p. 4). The American Organization of Nurse Executives
believed that mandating nurse–to–patient staffing ratios is causing more harm to the health industry
because it is "reducing scheduling and staffing flexibility" (Welton, 2007, p. 5). The patient load and
acuity is not the same every day; consequently, there needs to be flexibly schedules to be financially
appropriate and beneficial to the patient. If you are overstaffed on nurses then the unit is losing more
money, because they are paying for nurses to sit around. For example, when a unit is low acuity
patients they do not need as many nurses, thus, they may send nurses home; same goes for high
acuity patient

Critical Assessment And Intervention Of Critical Care Nursing
Critical care nursing is an intense area of nursing. The RNs care for patients that need close
assessment and intervention. Working in a CCU requires advanced skills. The nurses that work in
the critical care unit have to be very precise. Treatment and care of critical patients is very complex.
Critical care or intensive care nursing staff must have more training than other general nursing staff.
They have to be prepared to care for patients with critical needs around the clock rather than more
stable patients. Most RNs are required to have a BSN degree or certification for critical care. As
most fields do, the critical care nurse is required to compete continuing education yearly.
The nursing staff in the critical care unit are required to do multiple tasks. For example, recording
vital signs, assess function of ventilators, equipment, and monitors. The nurse also, administers
medications prescribed, maintain IV patency, assess need and accomplishments of medications/
fluids. The nurse works with other nursing staff to complete care for all CCU patients. In case of
situations requires life saving measures, the nurse performs the tasks, at the same time being aware
of standards/ protocols posted by the hospital. While the patient is admitted, the nurse is required to
perform teaching, provide support, and advocate the patients. Throughout all the treatment, the
nurse is assessing the patient and following/ adding to the care plan designed for the particular
patient.
In

Identify the stages of the Nursing Process and the skills...
The nursing process is a five stage systematic framework, and based on the problem solving
approach; it forms the foundation for nursing practice to facilitate focussed, individualised care
planning for patients (Yildirim and Ozkahraman 2011). This assignment will serve to identify the
five stages of the nursing process: Assessment, Nursing Diagnosis, Planning, Implementation and
Evaluation. The skills: Communication, Observation, Critical Thinking and Reflection involved
within the nursing process in partnership with the patient will also be highlighted. The first stage of
the nursing process is assessment. This is a continuous process from hospital admission to
discharge. It is about compiling objective and subjective information ... Show more content on
Helpwriting.net ...
It is critical that it is used in a multisensory manner for it to be fully effective (Pellico 2009). For
example, a sense of hearing and touch may need to be used during observation of a wound healing,
whilst simultaneously interacting with the patient. The nurse must then decide, with the help of the
patient, what was identified from the healing wound, and use critical thinking to make effective and
safe clinical decisions (Kisiel and Perkins 2006). Critical thinking not only involves thinking
systematically, and questioning judgements and reasons related to decision making (Farell 2011),
but it also requires all the skills identified above, throughout the whole of nursing practice. The
Nursing Diagnosis, being the second stage in the process, involves interpretation of data, which may
result in other potential problems (Junttila 2010). Clinical judgements and nursing goals are then
made based on the data collected from the assessment stage (Huckabay 2009). For instance, a
patient may present with obesity, possibly resulting in high blood pressure or depression. A goal of
care may be to promote acceptance of body image and weight loss strategies with the most up to
date evidence. Unlike medical diagnoses, a nursing diagnosis is holistic were the nurse considers the
health of the whole person. In doing so, the nurse will be able to put in place individualised patient
care during intervention. This should enhance and form good

Subdomain 724.7
SUBDOMAIN 724.7 – PROFESSIONAL ROLES & VALUES 1 SUBDOMAIN 724.7 –
PROFESSIONAL ROLES & VALUES Delegation Orchid Quiton Chefalo Western Governors
University Nursing Program 11/11/2011 Revised 11/30/2011 12/10/2011 SUBDOMAIN 724.7 –
PROFESSIONAL ROLES & VALUES 2 Delegation It takes a team approach to manage patient–
care. As a FNP, and a provider for this patient, she could collaborate with other experts and delegate
care of the patient. The nursing supervisor for the clinic can aid the FNP to identify her role in the
best utilization of the ... Show more content on Helpwriting.net ...
The goals of appropriate delegation are "All decisions related to delegation and assignment are
based on the fundamental principles of protection of the health, safety, and welfare of the public"
(ANA, NCSBN). If the FNP, in her nursing judgment, feels the care of the patient is better served at
another facility that can provide certain services that her clinic cannot provide, and then it is
appropriate and lawful to transfer care. The role of the nursing supervisor is to make sure the
appropriate steps of the delegation process is within the practice guidelines; The "Five Rights of
Delegation" (NCSNB, 1995). They are "right task, right circumstances, right person, right direction
and communication, and right supervision and evaluation" (NCSBN, 1995). Therefore, nursing
supervisor is still accountable for the delegation process even when the nurse may not have control
of delegation: "The RN may delegate components of care but does not delegate the nursing process
itself. The practice pervasive functions of assessment, planning, evaluation and nursing judgment
cannot be

A Conceptual Analysis Of Perioperative Care Essay
Comfort Care A conceptual Analysis of Perioperative care in Nursing Onome Oyakhire 10/07/2016
Introduction Kolcaba explained three different views of comfort. First meaning, "as the state of
having discomfort relieved", secondly as the "state of ease and peaceful contentment", third "as
relief from discomfort" (Kolcaba, & Kolcaba, 1991). These states of comfort are continuous,
interdependent and can overlap (Kolcaba, 1991). A goal of nursing practice, as contained in
statements of standards for care, has been generally to help the patient be comfortable or be in a
state of comfort (Kolcaba, & Kolcaba, 1991). Patients require comfort care pre–, intra–, and post–
operatively. For the surgical patient, comfort care is initiated from admission until discharge. The
purpose of this paper is to provide a concept analysis of comfort care with the goal of better
understanding of its key attributes in order to clarify its use in nursing practice, theory and research.
The defining attributes will be discussed, model cases, and additional cases will be reflected.
Antecedents and consequences will also be identified. Finally, the last section of the paper will
identify some of the ways that the defining attributes can be measured. Aims The aim of this paper
is to provide a concept analysis of comfort care with the goal of better understanding of its key
attributes in order to clarify its use in nursing practice, theory and research. Comfort care in the
context of physical (pain and

The Reflection Of Pediatric Nursing
Pediatric Urgent Care Nursing Nursing care is studied throughout the world. The study Caring in
Pediatric Emergency Nursing was performed by Gordon Gillesipe, Melanie Hounchell, Jeanne
Pettinichi, Jennifer Mattei, and Lindsey Rose in order to see what patients and their families valued
most and least when it came to nursing care(Gillesipe, Hounchell, Pettinichi, Mattei, & Rose 2012).
The researchers used the quantitative approach to study 300 participants (Gillesipe et al. 2012).
Some questions the researchers focused on were how reliable and valid the instruments used during
the study were, such as the caring behavior assessment (Gillesipe et al. 2012)? Also, what nurse
caring behavior do the parents of the pediatric emergency patients value the most (Gillesipe et al.
2012)? In order for the care to not just be patient centered but family centered, the nurse needs to
take into consideration what type of care the family values and expects (Frazee 2011). Nurses need
to connect and include both the patient and their family in the whole process, no matter what age
(Weman & Fagerberg 2006; Wilkin & Slevin 2004). A qualitative study done in 2004 found that
parents deemed affection, caring, watching, and protecting their children most important (Harbaugh,
Tomlinson, and Kirschbaum 2004). Parents wanted the nurses to recreate a parent–like feel for their
child (Harbaugh, et al. 2004). Some other nurse caring behaviors that were deemed important by the
parents were providing

Critical Analysis On Critical Care Nursing
Spirituality in Critical Care Nursing:
Cancer Patient Population Critical care nursing can be a very intense job, whether there are in–depth
skills that need to be formed frequently or it is a patient who needs lots of use of self from the nurse.
In the cancer population within critical care this can be drastically increased since they need not
only your technical skills, but your time and interpersonal skills to help them through all of what
they are going through. A big part of critical care in general, and for cancer patients in critical care,
can be spirituality and how that interacts with their disease. In the past spirituality was pushed to the
back burner in the process of treating the patient's disease and not the whole patient, ... Show more
content on Helpwriting.net ...
Cancer patients in the critical care setting may more than likely be approaching the end of their life
and need more than ever to receive spiritual care that can ease their anxiety, grief, and unresolved
feelings about their disease process and approaching death. This type of care is one of the basic
parts of giving patient–centered care so that the entire person is being treated to the fullest extent of
the healthcare team's ability. As stated by Ferrell, Otis–Green, and Economou (2013), "The need for
transcendence or the existential ability to find meaning and purpose within their illness experience is
an essential part of providing care from a biopsychosocial–spiritual perspective." This viewpoint
keeps the idea of spiritual care focused on the patients and how this kind of care can truly benefit
the patient as well as the nurses in finding one more way to ease these patient's minds and bodies.
In addition, death and dying are a very hard topic many nurses throughout the profession can attest
to, but the care that nurses give prior, during, and after this process can be the most beneficial care
they receive at such a harsh time in their lives. Nixon, Narayanasamy, and Penny (2013) discussed
spiritual care with nurses on a neuro–oncology unit where they spoke of feeling very unprepared
and uneasy in providing spiritual care in the fear that they would make a mistake in their approach
with these patients, but

Personal Understanding Of Advanced Practice Nursing
Personal Knowing and Its Relevance to Advanced Practice Nursing Throughout the development of
theory in the discipline of nursing there are concepts of knowledge that are fundamental. Four of
these patterns of knowing were first explored by Carper (1978) which included: empirical knowing,
ethical knowing, personal knowing, and aesthetic knowing. Later, an additional facet was added by
Chinn and Kramer (2008) which introduced emancipitory knowing. While all of these forms of
knowledge are critical for holistic nursing care, this paper will place an emphasis on personal
knowledge and how it contributes to the development of knowledge within nursing and the roles of
advanced care practitioners.
What is Personal Knowledge? Personal knowledge is the most ambiguous of the five patterns of
knowing. Much of this is due to the fact that there is no way to neither verbalize nor teach personal
knowledge, yet it is deemed, "the most essential to understanding the meaning of health in terms of
individual well–being" (Carper, 1978, p. 18). Personal knowledge describes the awareness of not
only one's self but also the patient as an individual with worth, and the meaning of the moment
(Chinn & Kramer, 2008). While it cannot be articulated, personal knowledge is expressed as a
"genuine self" and can be partially conveyed through written works such as autobiographies and
stories of meaningful interactions (Chinn & Kramer, 2008, p. 7). Being a form of knowledge that is
incapable of being

Patient Satisfaction And Safety Goals Essay
Discussion
In these current times of health care, patient satisfaction and safety are imperative in order for care
to be provided. Hourly/Intentional rounding amplifies the nurse–patient relationship, continuity of
care, safety, and service excellence. Intentional rounding or rounding with a purpose can be a
success as long as nursing staff have a better understanding and take ownership of the practice.
Leadership and nursing staff need to collectively cognize each other's role pertaining to the delivery
of care regarding this practice. The purpose of this piece is to delve into why hourly rounding is
important and grasp the positive along with barriers of the routine.
Patient Satisfaction and Safety Goals Achieved
The Institute of Medicine (IOM) distinguished eight areas of concern to help improve the quality of
care provided for patients. The eight domains identified are: exhibit an esteem for patient values,
likings, and communicated necessities; organization and assimilation of care; consistent education,
information, and communication; bodily comfort; emotional care; family and friends participation;
modification and continuity of care; and the right to great care (Fabrey, 2015).
In order to help improve these areas of concern, the Agency for Healthcare Research and Quality
(AHRQ) along with the Centers for Medicaid and Medicare Services (CMS) created a regulated tool
to measure patient approval of care (Fabrey, 2015). The Hospital Consumer Assessment of

Critique on the Nursing Article Critical care patients’...
This assignment aims to critically analyse a chosen nursing research article "Critical care patients'
experience of the helmet continuous positive airway pressure" by Dimech (2011) and was published
in the Journal of Nursing in Critical Care (JNCC). It will examine both the strengths and limitations
of the study by weighing various elements of the research undertaken and its value and implication
for nursing practice. It will use a critiquing tool by (Ryan, 2007) (see Appendix 1).
Evidence based practice (EBP) is to offer the best care possible to individual patients and use
professional judgement to determine nursing care in order to improve patient outcome and even
save lives (Moule and Hek, 2011). The Nursing and Midwifery Council ... Show more content on
Helpwriting.net ...
This article by Dimech is published in a peer–reviewed journal (JNCC). Which means it is being
reviewed by experts in the field. Palatnik (2012) stated that Nursing in Critical Care is a peer review
journal that presents the latest practical clinical and professional information in a clear, concise,
hands–on approach, which critical care nurses can use in day–to–day practice. Also, the study was
undertaken within an acute NHS Foundation Trust which means it is relevant to can be used to
improve practice within NHS Trust.
The title of the article is effectively worded to ensure that readers correctly understand the nature of
the research and whether it is relevant to them as justified by (Marshall, 2005). Also, Polit et al.,
(2010) stated that title is an important means in ascertaining the research design used as it may
feature a research question that is to be answered, or a hypothesis to be proven. In this case, the title
of this article made a clear identification of the patient lived experience of helmet CPAP. Perhaps the
title could have identified that the study was conducted only on male patients even though this was
unintentional.
The author was suitably qualified to undertake the study based on his qualification and experience
in critical care. However, this is his first published work which makes him a novice researcher.
Robson (2011) stated that it can be challenging and complicated to conduct a reliable

The Elements Of Management As A Tool For Solving Problems
Elements of management should be guided by the human physical dynamism of organizational
units, which seeks to attain the objective and the satisfaction of an organization (Robbins & Judge,
2015). Management is guiding human and physical resources into dynamic organizational units
which attain their objectives to the satisfaction of those served and with a high degree of morale and
sense of attainment on the part of those rendering service. –American Management Association
The aim of this report is to act as a review, bringing to light management problems Parkway
Nursing Care is facing and serve as a tool for solving problems through recommendations.
Ultimately, the objective of this report is to help categorize relevant issues and theories faced by the
management. Through this, the report will seek to improve systems of management by focusing on
the needs of patients, employees and management.
Background Information
Parkway Nursing Home is an organization based in Phoenix, Arizona, which was founded in 1972.
The organization was very successful, especially in the 1980s, where it thrived on the skilled
services of the nursing fraternity. However, due to its large expansion efforts over the last two
decades, the ever–expanding patient number and their growing demands has begun to put strain on
employees and the service they provide. As a result, the board has found striking increases in
injuries per staff, incidents per patient, absences per staff, and turnover rate.

A Nursing Process Approach to Malignant Melanoma
Nursing Process Approach to Malignant Melanoma To fully comprehend the concept of the nursing
process, one must first understanding what nursing is and the history of nursing. Nursing has
evolved over the years from a basic system of care to a well–developed professional system in
which special ways of think are applied in order to efficiently maximums patient care. The base of
nursing is patient care, thus the nursing process is the foundation for nursing practice and key to
ensuring the needs of the patient are met. History What is nursing? Florence Nightingale, first
nursing theorist, defined nursing as having "charge of the personal health of somebody ... and what
nursing has to do ... is to put the patient in the best condition for ... Show more content on
Helpwriting.net ...
It involves the use of the mind for rational thinking to formulate conclusions, making decisions,
drawing inferences, and reflecting on one's thoughts. Critical thinking in nursing is driven by the
needs of the patient, family, and community while basing it on the principles of the nursing process
and the scientific method (Wilkinson, 2007). It is a skill that is obtained through specific
knowledge, and experience gain over time as a nurse matures in the field. The nursing process and
critical thinking are closely related. This is because the phases within the nursing process require
cognitive processing in order to analyze and evaluate the data. Critical thinking by itself revolves
around the individual knowledge and their way of thinking. In other words, critical thinking is good
problem–solving strategies an individual picks up with practice. However, the nursing process is
structured, complex and purposeful disciplined process that directs nurses in patient care. The
thinking process requires specific characteristics that make it far different from just simple problem–
solving as seen with just critical thinking tactics (Chitty & Black, 2007). The nursing process is
guided by professional principles and codes of ethics where specific strategies are utilized in order
to effectively solve patient problems. It is constantly being reevaluated, self–corrected, and
constantly

Nursing Care Is Grounded By The Belief Of Providing...
Nursing care is grounded by the belief of providing holistic care to patients, with which is guided by
evidence–based practice. Nursing interventions are evidence–based measures that have tried to
unify the profession of nursing. The literature serving as testimony to the care that nurses provide
has been growing increasingly, however, there are still areas of nursing care where the evidence is
deficient. The lack of research, trickles over to a lack of training and evidence–based practice
performed by nurses, and ultimately the health outcomes of patients. For example, providing
enhanced end–of–life care specifically in intensive care units, tailoring care specifically for each
individual based on their genetic/genomic composition, and having a better understanding about
gender–sensitive experiences with regards to certain illnesses, can debunk misconceptions, improve
patient–centered care, reduce healthcare costs, and essentially produce optimal health outcomes.
According to Holms et al. (2014) there is accessible, and existing literature to support end–of–life
care (EOLC) in nursing, but when specifically pertaining to the intensive care unit (ICU), the
literature is deficient. The concept of ICUs is to provide care for those patients with potentially fatal
illnesses; however, the likelihood that EOLC is needed for patients in this unit is always a
possibility. This qualitative study focused on the actual lived experiences of nurses who have
provided EOLC to patients

Statement of Purpose for Job Corp. in San Diego Essay
My new Begging to the future, Start's off here at Job Corp's. The reason why I have chosen to come
to San Diego job corps is because I heard of their amazing program, and all the opportunities they
have to offer here .To further my education I have chosen the trade CNA. Job corps has much more
to offer than just education they have extracurricular activities that appeal to me and my everyday
life. My studies consist that I must obtain a lot of human Health information and learn about how to
help and interact with patients. To make them feel more at home while there staying under my care.
Studying nursing assistant requires you to attend three–month courses that include practical and
theoretical training. You must pass a Clinical ... Show more content on Helpwriting.net ...
One of the many flaws I have encountered with myself is that I don't deal well with confrontation
.Another weakness of mine is that when someone troughs to much information at me all at once it's
hard understand it all in. The last flaw I have noticed about myself is that I am too hard on myself,
but I am working to improve it. On the Other hand my strengths are that I am always on time. I take
criticism well and try and improve on whatever skill's I am lacking. Last strength of mine is that I
am a hard–worker. I would be as motivated at my job, every day from the first day they hired me to
the last. I would like to think of myself as a nice and humble person. I treat everyone the same with
respect. The reason why I am interested in this field of work is because, I love helping people. I
know I would excel in this field of work because it's a part of life. The reason a company should
hire me is because I will excel their expectations, I will always work to my fullest. I work well with
anyone and everyone, I am a very reliable person. I'm very neat and clean, I know where I am
going, and what i want out of my life. I enjoy change, I believe everything happens for a reason. I
may take a day or two to adapt to the new environment, but I just take a step back and look at the
bigger picture. It's very important to me in a job that I succeed in expectations and that I further
myself in my career for the better. To make sure I have many doors open for me, just in

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

The Critical Appraisal Of Quality Nursing Care

Recommended

Recommended

More Related Content

Similar to The Critical Appraisal Of Quality Nursing Care

Similar to The Critical Appraisal Of Quality Nursing Care (6)

More from Monica Cordova

More from Monica Cordova (6)

Recently uploaded

Recently uploaded (20)

The Critical Appraisal Of Quality Nursing Care