Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional July 5, 2015 Journal 8 Performing a thorough examination and well-document neurological assessments are integral part of nursing care. The sequence of neurological examination is: mental status, cranial nerves, motor system, sensory system, and reflexes (Jarvis, 2012). A nurse should be a keen observer to recognize abnormal changes of patients. I agree, organize and simplify assessments could help nurses perform assessments much easier.…
North Texas Nurse Practitioners (NTNP) alliance was organized to address the professional need of nurse practitioners in North Texas. The NTNP is an affiliate member of the Texas Nurse Practitioners (TNP) and the American Association of Nurse Practitioners (AANP). The NTNP is a nonprofit organization that provides local forum for networking and support for NPs or nurses studying for an advanced practice role as a nurse practitioner. The goal of the organization includes, educational, legislative, community involvement, and scholarly support of members. Whereas the vision includes, to motivate leadership in educational and legislative activities, inspire innovation of NP profession with support of students and members through precepting and…
Determining the strength of a nursing research study is a critical process that enhances the implementation of evidence-based practice. Determining the strength of a nursing research study ensures that the empirical knowledge developed through nursing research is useful in improving nursing care, the system of healthcare delivery, and patient outcomes. Additionally, nurses should use research findings when making clinical decisions on the best practice to use in order to deliver healthcare services that ensure all the patients receive safe and quality care (Melnyk et al. 2014). Therefore, determining the strength of a nursing research study helps to ensure the evidence is credible (valid and reliable) and is appropriate if incorporated into clinical practice.…
Pathophysiology has certainly supported my education needs for meeting the MSN outcomes number four, MSN essential VIII, and Nurse Practitioner Core Competencies #1. The course provided scenarios that were excellent for understanding the critical thinking process needed for family nurse practitioner (FNP). With the provided material, readings, and discussions, the MSN program outcome number four was meet with the highest level of teaching. As a student, my ability to critically evaluate, design, and implement strategies was strengthened. The learning that took place regarding the class has allowed me to develop a practice that is safe, evidence based, and effective.…
Additional skill training, continued education and daily use of the skill builds this step into every day practice, resulting in a successful change. In the scenario of Mr. B in the emergency room, the entire emergency room staff needs to be committed and invested in the goal of improved patient safety and outcomes when the moderate sedation protocol is initiated. The death of Mr. B. resulted in harm to the patient, his family as well as the hospital and staff involved. These factors make this time a perfect time to implement a change to the moderate sedation protocol policy and procedure.…
Dissemination evidence-based to improve the quality of care has been increasing in nursing care. There are many models and frameworks have developed for practically implementing an up-to-date evidence-based to daily clinical practice. The IOWA evidence-based model is one of those reputation models which mostly apply to deliver the best possible care into clinical practice. Thus, this paper will discuss the IOWA evidence-based model which was applied to improve quality of care of healthy term newborns by implementing skin-to-skin contact (SCS) to the newborn at birth based on the article entitled “Implementing Skin-To-Skin Contact at Birth Using the Iowa Model” (ref). The IOWA model along with the core components, strength and weakness of the…
As we know that there is a relationship between research and practice it is imperative that nurses know what research qualifies any method that they have to put into practice In order to individualize patients’ needs instead of generalize care. What makes research so credible is because experiments are used to conclude any theories that scientists put in study. Different experiments must be performed in order to achieve the best evidence of a theory. Therefore, it is important for nurses to update their knowledge by always informing themselves about any current new researches.…
1. What factors predisposed Mr. W. to acute kidney injury? Some of the factors that caused Mr. W’s acute kidney injury are fever of 38.5° C, severe abdominal pain & nausea due to pancreatic inflammation with intra-abdominal ascites. One of the symptoms of ascites is infection which can cause kidney failure if not treated (ACG, 2013).…
First, nursing has always used research findings to support data collection, to suggest interventions and evaluate the quality and growth of patient care. This method is called research utilization (Spector, 2008). In research utilization, the different results from the studies are conveniently selected for the application in nursing practice. For evidence based research, the nurses will select the best evidence from the research, the results are analysed, synthesized and then integrated into practice (Spector, 2008, p.…
Delirium Prevention Efficacy within Care Bundle in ICU Settings Delirium is classified as an “etiologically nonspecific organic cerebral syndrome characterized by concurrent disturbances of consciousness and attention, perception, thinking, memory, psychomotor behaviour, emotion, and the sleep-wake schedule” (World Health Organization, 1992). Delirium is a common occurrence among patients in ICU, and is estimated that up to 80% of the ICU patients experience delirium during their stay (Hsieh, 2015, p. 648). Delirium is strongly correlated with significant increase in mortality rates (Salluh et al., 2015, p. 5); therefore, it is one of the top priorities in ICU settings. Since there is no specific treatment for delirium, the prevention is crucial (DiSabatino Smith & Grami, 2017, p. 20).…
1. What combination of assessment findings determines nutritional status in these two patients? Nutritional status is the balance between a patient’s current nutritional supply and demand (Sole, Klein, Moseley, 2013, p. 81). In a critical care area, patients have special nutritional needs because the stress of their complex illness increases their metabolic rate and nutritional needs, In addition, they are assumed to be at nutritional risk due to lack of mobilization which can result to muscle atrophy.…
Even so Kwak (2015) addresses that conflicts can make any situation problematic to interpret or to choose what would be the satisfactory course of action to take. Avery (2013) proposes a DNR is a decision not to have your heart and breathing restarted if they both stop. Therefore Griffith (2014) states CPR is an intervention used when an individual is unconscious and the purpose of cardiopulmonary resuscitation is to keep oxygenated blood flowing around the body to keep the vital organs alive. However Foster and Herring (2014) advocates the likelihood of receiving CPR can cause harm upon that patient receiving physical input from professional staff but the patient is likely to be left with poor quality of life and their autonomy would be restricted…
I think that there are many factor that influence my clinical decisions. One of the important factors for me is getting prepare through higher education. Nursing is a profession where we always have to keep current in order to become competent with new practices based in new research. Research is an important discipline that help nurses provide the best possible care and appropriate treatment to patients. As a future nurse, I know I’m going to be involve in a lot of situations that will need effective and correct decisions.…
Nursing is one of the fastest-growing professions in the United States. However, the American Nurses Association (ANA) predicted that the nursing shortage (NS) will strike to 1 million by the year 2020. In this essay, the student will describe the significance of the NS problem, discuss the effective nursing leadership and management( NLM) in practice. Address the communication and leadership (LS) style.…
Health care is an ever evolving industry. Evidenced-based practice is a way of streamlining common treatments and care in order to improve patient outcomes. Evidenced-based practice uses the most up-to-date information, collected through research, to create guidelines for treating common diseases and disorders. These guidelines or clinical pathways are generated based on what treatment options were more efficient and cost-effective. In an effort to support evidenced-based practice and have it more widely accepted; nurses have developed nursing theories or models to help practitioners organize their way of thinking (OJIN, 2013).…