The Nursing and Midwifery Council of Australia
The Nursing and Midwifery Council of Australia
Previous system of the register – Originally there were big books called “Registers”. If nurses could prove that they had sufficient education and that they could be trusted to use their knowledge in the interests of their patients, they could have their names entered in one of the Registers. Persons whose names were entered in these books of educated and trusted clinicians were said to be “registered”. * Change to legislation – The regulation of assistants in nursing who provided nursing care but had less education than registered nurses. A separate book was used to record their names and it was titled the “Roll of Nurses”. Persons whose names were entered in the book were said to be “enrolled”. Titles have changed over the years and the title is now “Enrolled Nurse”. * The same principles apply today- The requirements for registration or enrolment are that the person be trustworthy and the person have adequate education for the particular type of practice to be undertaken. * Computerised database- The Registers and Roll are no longer big books with handwritten entries.
Are you A Guardian, Idealist, Rationalist or Artisan? After completing this exercise, you will be able to identify your cynical thermostat level Are you A Guardian, Idealist, Rationalist or Artisan?
Are you A Guardian, Idealist, Rationalist or Artisan? After completing this exercise, you will be able to identify your cynical thermostat level Are you A Guardian, Idealist, Rationalist or Artisan?
Topic: Your Personality Type Are you A Guardian, Idealist, Rationalist or Artisan? After completing this exercise, you will be able to identify your cynical thermostat level Are you A Guardian, Idealist, Rationalist or Artisan? After completing this exercise, you will be able to identify your cynical thermostat level Your readings so far indicate that positive psychology is needed in the workplace. We are seeing that organizations can use positive psychology to enhance employee wellbeing and performance. In the ‘Emotional Intelligence’ article, the author discusses the link between positive psychology and emotional intelligence. Before beginning the exercise, on piece of paper write what you believe is your personality type. After completing the exercise, compare your original answer to the results from the exercise. Are they in line, do you agree/disagree with the results? ——————————————————————————– In the Myers-Briggs world, there are many different personality types. With many different types possibly working together, imagine the potential for misunderstanding. Complete the “Keirsey Personality and Type Indicators” exercise to discover how to leverage your personality type — and others’ types — for a more productive work environment. Answer the questions as honestly as you can. After you have completed the exercise, share your results with the class. Post a brief note with your results on whether you are surprised/not surprised by the results. ***Please read instructions very carefully. I will attach chapt and a word doc to complete exercise. It will have a link on it hover over it with the cursor hit the the ctrl button and click link will open, use citations*** FYI I enjoy checking things off your to-do list and hitting deadlines and brainstorm problems with others if you have other questions to ask please send me a msg.
Kristen Swanson’s Theory of Caring
Kristen Swanson’s Theory of Caring
Objectives: Evaluate nursing theories in relation to practice, research, education or administration.
Your answer should be in APA format. I would like you to follow the format below when answering the questions for the next four discussion assignments.
Within your group, decide what Middle Range Theories (Ch. 25- Kristen Swanson’s Theory of Caring) in the readings you will become the expert on. Each group member should choose a different theory. How you decide that is up to your group.
Start your answer by providing a brief overview of the theory. Summarize the readings in your words.
Then discuss what you think the theory actually means and how you see the theory being utilized in actual practice (or if you don’t think it can be then explain why).
Provide a very brief nursing situation and how the theory or an aspect of the theory can be useful in the situation (do not use the scenarios used in the book).
Conclude with what you think about the theory and its usefulness to nursing. Please do not be afraid to say what you really think. If you think the theory is “BS” then say that. If you think the theory is really great then tell us why.
Note: To me like that every paragraph has bounded the literature used, and that meets the requirements of APA
Patient Safety in a Hospital – Research
Attitudes toward incident reporting.
Attitudes and perceived barriers to incident reporting among tertiary level health professionals were researched by Malik, Alam, Mir, & Abbas (2010) to address the limited incident reporting framework in Pakistan. A random sample of 217 doctors and nurses in Shifa International Hospitals were given a modified version of the AHRQ’s questionnaire to determine various factors that influence health professionals’ reporting behaviors, with an important focus of the study on barriers to incident reporting. Results of the study found that only 20% of house officers are willing to report, and greater than 95% of consultants, registrars, medical officers, and nurses are willing to report incidents related to them. ‘Administration sanction’ was identified as a common barrier among doctors (69%) and nurses (67%). Additionally, reporting to the head of the department was preferred by doctors (60%) and nurses (80%). Based on the study’s findings, the researchers suggest that implementation of future incident reporting systems should consider supportive work environments, prompt feedback, and immunity from administration (Malik, Alam, Mir, & Abbas, 2010).
Intensive Care Unit Registered Nurses’ perceptions of patient safety climate and potential predictors for patient safety perception and incident reporting were explored in a cross-sectional study by Ballangrud, Hedelin, & Hall-Lord (2012). In ten ICUs in six hospitals in Norway, 220 nurses (72%) responded to the questionnaire, The Hospital Survey on Patient Safety Culture. The questionnaire measured seven unit level and three hospital level patient safety climate dimensions, along with two outcome items. Of the 12 dimensions, 7 achieved a RN proportion of positive scores (over 55%), and 5 achieved a lower proportion. Among types of units and between hospitals, significant differences in RNs’ perceptions of patient safety were found. Unit level variables were found to have had significant impact on the outcome dimensions, “overall perception of safety” and “frequency of incident reporting,” in which both had a 32% total variance. However, among the outcome variables, differences were found in positive scores on “overall perception of safety” (69%) and “frequency of incident reporting” (18%). In all dimensions, the total average of positive scores was 55%. This study concluded that patient safety climate was most positive among ICU RNs at the unit level, and areas for improvement include: “incident reporting, feedback and communication about errors, and organizational learning and continuous improvement” (p. 352). This study identifies several limitations. In contrast to other Norwegian HSPOSC studies, which included various health care professionals, this study’s sample only included RNs. Additionally, generalizability is limited since the hospitals in this study were small and within a limited area of Norway. Another limitation to this study that may have impacted the results was the known implementation of reorganization across units that were to occur after data collection.
Perceptions of patient safety culture.
In China, healthcare workers’ attitudes and perceptions of patient safety culture were explored using a modified version of the Hospital Survey on Patient Safety Culture (HSPSC), which measured 10 patient safety culture dimensions. Out of the 1500 questionnaires that were distributed to primarily internal physicians and nurses among 32 hospitals in China, valid responses were received from 1160 health care workers. Statistical analysis was done using SPSS 17.0 and Microsoft Excel 2007, including descriptive statistics, along with analysis of the survey’s validity and reliability. Two separate investigators entered and verified data independently. For each item, results included a positive response rate range of 36% to 89%. On 5 dimensions (Teamwork Within Units, Organization Learning-Continuous Improvement, Communication Openness, Non-punitive Response and Teamwork Across Units), the positive response rate was higher when compared to AHRQ data (P < 0.05). Overall, a positive attitude towards patient safety culture within organizations was found among the surveyed health care workers in China. Based on their findings, the researchers emphasized, “the differences between China and the US in patient safety culture suggests that cultural uniqueness should be taken into consideration whenever safety culture measurement tools are applied in different culture settings” (Nie, Mao, Cui, He, Li, & Zhang, 2013, p. 228). Several strengths and limitations were noted. This study had a relatively high response rate of 77%. Additionally, this study is different from other published Chinese studies in that it was conducted among different cities in different hospitals in China, and surveyed different health care workers as opposed to those that focused only on nurses or assessment of the scale of the HSPSC. However, the survey was modified, with deletion of 13 original items, potentially changing the framework of the original patient safety culture survey. Also, limited representation of hospital management in the sample may provide an incomplete picture of patient safety culture in China.
In a research study among 42 Taiwan hospitals, the HSOPSC questionnaire was used by Chen & Li (2010) to examine the 12 patient safety culture dimensions. A total of 788 physicians, nurses, and non-clinical staff completed the survey. Statistical analysis was done using SPSS 15.0 for Windows and Amos 7 software tools. Positive perceptions were found toward patient safety culture among Taiwan hospital staff, in which percentage of positive response rates were highest among “teamwork within units,” and lowest in the “staffing” dimension. Taiwan and the US differed in the following three dimensions: “Feedback and communication about error”, “Communication openness”, and “Frequency of event reporting”. Several strengths and weaknesses were identified in this study. When compared to the original AHRQ database, which included large samples in various health care organizations, this study’s data had a lower internal consistency. The use of the HSOPSC questionnaire is both a strength and limitation in this study. Although the HSOPSC’s strong psychometric properties and broad safety culture coverage are considered strengths, the use of this questionnaire in Taiwan is also a limitation of this study because of its use in a cultural setting different from where it was developed. However, it is important to note that the application of the HSOPSC in Taiwan was found to be a good fit according to most of the confirmatory factor analysis indices. Based on their findings, Chen & Li (2010) point out that, “the existence of discrepancies between the US data and the Taiwanese data suggest that cultural uniqueness should be taken into consideration whenever safety culture measurement tools are applied in different cultural settings” (p. 1). Not only is future research recommended to expand the survey in Taiwan, but also to consider measurements that will decipher individual and group perceptions and interactions related to patient safety culture.
Related content
HCI 670 DISCUSSION QUESTIONS WITH RESPONSES TOPIC 5 TO 8
Description
HCI 670 Discussion Questions Topic 5 to 8
HCI 670 Topic 5 DQ 1: What are the benefits of a workflow analysis? Describe some of the questions that need to be addressed when doing a workflow analysis?
HCI 670 Topic 5 DQ 2: Provide an example of something that was implemented and went poorly because workflow analysis was not done. Describe why it failed and what happened as a result.
HCI 670 Topic 6 DQ 1: Explain at least two different types of user testing, their importance, and provide an example.
HCI 670 Topic 6 DQ 2: Refer to the assigned reading, “Exploratory Testing vs Scripted Testing – A Quick Guide,” to discuss in which step of the user testing process the most crucial bugs are identified.
HCI_670 Topic 7 DQ 1: What are your principles of adult learning and their application to end-user training. Provide an example of training you have attended and how adult learning principles were utilized.
HCI 670 Topic 7 DQ 2: Discuss how organizational culture impacts the success of system implementation. Identify strategic change initiative success factors and discuss how these factors impact successful system implementation.
HCI 670 Topic 8 DQ 1: Changing health information systems can have a direct impact on the quality of patient care. Discuss initiatives that can enhance patient care quality during advanced stages of EHR adaption. Refer to the topic resources for help answering this question.
HCI 670 Topic 8 DQ 2: Measure evaluation improves the success of EHR implementation. Discuss the steps that can be taken during the measurement process and the desired results of the measurement process. Refer to the topic resources for help.
HCI 670 Discussion Questions
Osteoarthritis Diagnosis and Care Plan
Patient Initials: JA Unit/Room DOB: 8/17/1926
Code Status Height/Weight 6’1’’ / 126 lb
Allergies: No allergies
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Temp (C/F Site) |
Pulse (Site) |
Respiration |
Pulse Ox (O2 Sat) |
Blood Pressure |
Pain Scale 1-10 |
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97*F |
79 |
18 |
160/80 |
8 |
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History of Present Illness including Admission Diagnosis and Relevant Physical Assessment Findings (normal & abnormal) |
Relevant Diagnostic Procedures & Surgeries /Results |
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The patient is suffering from general osteoarthritis, muscle weakness, abnormal of gal, spinal stenosis, chronic pain neck, benign hypertension, Alzheimer, dementia with behavior disturbance, depressive disorder NEC, and myopia. The main symptom of osteoarthritis is sharp pain, or a burning sensation in the associate muscles and tendons, causing stiffness and loss of ability. OA can cause a crackling noise or crepitus when the affected joint is moved, and the patient may experience muscle spasm and contractions in the tendons. Occasionally, the joints may also be filled with fluid. Humid and cold weather increases the pain in many patients. OA commonly affects the hands, feet, spine, and the large weight bearing joints, such as the hips and knees, although in theory, any joint in the body can be affected. As OA advances, the affected joints appear larger, are stiff and painful, and usually feel worse, the more they are used throughout the day, thus distinguishing it from rheumatoid arthritis. In smaller joints, such as at the fingers, hard bony enlargements may form, and though they are not necessarily painful, they limit the movement of the fingers significantly. OA at the toes leads to the formation of bunions, rendering them red or swollen. OA is the most common cause of joint effusion, an accumulation of excess fluid in or around the knee joint (Moskowitz, 2007). |
Breast surgery: Right Tonsillectomy Total abdominal hysterectomy |
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Past Medical & Surgical History, Pathophysiology of medical diagnoses (with APA citations) |
Pertinent Lab tests/ Results with dates and rationales |
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The patient has a history of dementia, hypertension, alcohol abuse, UTI, insomnia, and urinary incontinence. Her cause of dementia is Alzheimer’s disease. This condition frequently begins with memory loss or subtle impairments in other cognitive functions. These changes might initially manifest as simple forgetfulness or absentmindedness or as minor problems with language, judgment, or perception. As dementia progresses, memory loss and cognitive impairment extend in scope until the person can no longer remember basic social and survival skills or function independently. Language, spatial or temporal orientation, judgment, perception, and other cognitive capacities decline, and personality changes may occur (Bourgeois & Hickey, 2011). She suffers from hypertension whose symptoms include:
Urinary tract infections (UTI) do not always cause signs and symptoms, but they can include:
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Heart: Normal in size. Elevate of right diaphragm. Motion artifact involve left lung base which obscure distal. No pneumothorax. 1/31/15 Impression: no definite infiltrates or masses although motion artifact degrades the quality of the image especially left lung base. Follow up film as indicated. Elevate right diaphragm 1/27/15 Prealbumin 4 Regular diet 11/17/14 Glucose 79 BUN 22 Creatinine 0.74 RBC 4.82 Phosphate 97 hemoglobin 13.7 SGot 15 MCV 85.3 SGPT 0.5 MCH 28.5 Calcium 8.6 MCHC 33.4 Sodium 140 RDW 13.8 Potassium 3.9 platelet 216 Chloride 105 monocyte 7.9 Co2 28 lymph 28 Protein 5.7 eos 2.5 Albumin 3.5 baso 0.5 Morphology normal Globumin 2.2 A/G ratio 1.6 GFR value 83 CBC 7.7 WBC 4.82 7/21/14 Compressibility and patency through the deep venous system with augmentation noted. Right foot demonstrates no fracture or evidence of bony destruction. No definite neoplastic progress of right foot is demo |
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Erikson’s Developmental Stage with Rationale ( |
Socioeconomic/Cultural/Spiritual Orientation & Psychosocial Considerations |
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The patient is over 80 years old. Therefore, she fits in the 8th Psychosocial Stage of Integrity vs. Despair. The patient is now a senior citizen. She tends to slow down on productivity, and explore life as a retired person. It is during this time that she contemplates her accomplishments and is able to develop integrity if she sees herself as leading a successful life. If she sees her life as unproductive, feel guilt about her past, or feel that she did not accomplish her life goals, she will become dissatisfied with life and develop despair, often leading to depression and hopelessness. Success in this stage will lead to the virtue of wisdom. Wisdom will enable her to look back on her life with a sense of closure and completeness, and also accept death without fear. (Shaffer, 2008) |
The patient lives with her son who takes care of her medical and financial needs. The patient has a decreased cognitive ability and is not able to safely take medication by herself. She experiences a high level of insomnia/sleep deprivation. She also suffers from depression exacerbated by a lack of self-efficacy. |
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Potential Health Deviations, Predisposing & Related Factors; Interventions to Assess or Prevent Potential Health Deviations “At Risk for…” nursing dx (AT LEAST TWO) |
Inter-professional Consults, Discharge Referrals, & Current Orders (include diet, test, and treatments) with Rationale With APA citations |
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Exercising. Exercise could increase her endurance and strengthen the muscles around her joints, making her joint more stable. She can try walking, but she should stop if she feels new joint pain. New pain that lasts for hours after she has exercised probably means she has overdone it, but does not mean she should stop exercising altogether. Using hydrotherapy, local heat and cold to manage pain: Both heat and cold can relieve pain in her joints. Heat also relieves stiffness, and cold can relieve muscle spasms and pain. Applying over-the-counter pain gels/creams. Creams and gels available at drugstores might offer temporary relief from osteoarthritis pain. Some creams numb the pain by generating a hot or cool sensation whereas other creams have medications, such as aspirin-like compounds, that get absorbed into the skin. Pain creams would work best on joints that are close to the surface of her skin, such as knees and fingers. Using assistive devices. Assistive devices could make it easier for her to go about her day without stressing the painful joints. A cane might take weight off her knees or hips as she walks. Weight management. Being overweight can increases the stress on her weight-bearing joints, such as her knees and hips. Therefore, the patient should maintain her weight to prevent putting pressure on her joints, which could increase her pain. |
1/27/15HPN 4oz TID with meals for supplement 7/20/14 Regular diet 1/26/15 Ice cream at HS 9/16/14 4.1.1 benign hypertension. Amlodipine Besylate 2.5mg PO QD. Hold if BP <110, HR <60 11/27/14 Colace 250 PO QD bowel management 7/20/14 Namenda 5mg PO BID 7/20-7/21/14 Donepezil 10mg PO QHS for Alzheimer. Tylenol 325mg 2tabs Q4H if temp >101 10/18/14-11/2/14- Mylanta 30cc PO QD PRN for indigestion 7/20/14 Effexor 37.5 mg PO QD: depressive, sadness 7/20/14 Monitor antidepressant drug side effects and episode of verbal of sadness. Assess QS for pain 0-10 4/6/15 Left and right inner buttock redness clean with NS, pat dry, Baza cream 7/31/14 RNA ambulation with FWW with QD 6x/week 10/4/14 Half left side rail up 1/31/14 CXR for cough and congestion 7/20/14 May get up on wheelchair as tolerated. Admitted to Parkview hospital for dx Dementia, depression, Alzheimer, hypertension. 11/25/14 Nursing to incorporate ROME during daily ADL care Psych drug: Effexor 37.5mg for depression and verbalization sadness. Outcome: Resident was admitted consent and order for use of med, will observe and monitor behavior 10/31/14 Resident had behavior episode during this quarter will continue to observe and monitor behavior episode. |
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Nursing Diagnosis (at least 2) |
Planning (outcome/goal) |
Prioritized Independent and collaborative nursing interventions; include further assessment, intervention and teaching (at least 4 per goal) |
Rationale (use APA citations) |
Evaluation Goal Met, Partially met, or not Met and Explanation |
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1. Severe pain associated with distention of tissue by the inflammatory process |
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The patient met this outcome. Her worst pain reduced to 6 and her tolerance increased to 5 with less verbal and facial expression. |
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2. Impaired Physical Mobility associated with skeletal deformities, pain, discomfort, and decreased muscle strength. |
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The patient met this outcome because she is able to walk without any appliance and her mobility is independent. |
MEDICATION LIST
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Medications (with APA citations) |
Class/Purpose |
Route |
Frequency |
Mechanism of action / Onset of action |
Common side effects |
Nursing considerations specific to this patient |
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Namenda |
NMDA receptor antagonist, 5-HT3 antagonist. |
Oral |
5mg 2times a day |
Namenda reduces the actions of chemicals in the brain that may contribute to the symptoms of Alzheimer’s disease. |
Diarrhea, dizziness or headache. |
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Donepezil HCL |
Parasympathomimetic |
Oral |
1tab/day at bed time |
This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. |
Nausea, vomiting, diarrhea, loss of appetite/weight loss, dizziness, drowsiness, weakness, trouble sleeping, shakiness (tremor), or muscle cramps |
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Amlodipine |
Calcium channel blocker |
Oral |
2.5mg PO |
Amlodipine relaxes (widens) blood vessels and improves blood flow. |
Dizziness, lightheadedness, swelling ankles/feet, headaches, or flushing |
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Hydrochlorothiazide |
Thiazide diuretic |
Oral |
12.5 mg 1tab PO QD |
Hydrochlorothiazide helps prevent the body from absorbing too much salt, which can cause fluid retention. |
Stomach upset, dizziness, or headache |
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Effexor |
Antidepressant |
Oral |
37.5mg 1x a day |
Venlafaxine affects chemicals in the brain that may become unbalanced and cause depression. |
Vision changes; nausea, vomiting, diarrhea, changes in appetite or weight, dry mouth, yawning; dizziness, headache, anxiety, feeling nervous, fast heartbeats, tremors or shaking, insomnia, strange dreams, tired feeling, increased sweating, and decreased sex drive. |
Bibliography
Bourgeois, M. S., & Hickey, E. (2011).
Dementia: From Diagnosis to Management – A Functional Approach.
New York: Taylor & Francis.
Grifka, J., & Ogilvie-Harris, D. (2012).
Osteoarthritis: Fundamentals and Strategies for Joint-Preserving Treatment.
New York: Springer Science & Business Media.
Izzo, J. L., & Black, H. R. (2003).
Hypertension Primer: The Essentials of High Blood Pressure.
New York: Lippincott Williams & Wilkins.
Kilmartin, A. (2002).
The Patient’s Encyclopaedia of Urinary Tract Infection, Sexual Cystitis and Interstitial Cystitis.
Boston: Angela Kilmartin.
Moskowitz, R. W. (2007).
Osteoarthritis: Diagnosis and Medical/Surgical Management.
New York: Lippincott Williams & Wilkins.
Shaffer, D. (2008).
Social and Personality Development.
Boston: Cengage Learning.
Reflection on Skills and Career Development Plan
Reflection on the nursing practise
This essay will discuss a clinical skill that every nurse has or is working towards to better the care of a patient. This can be done by using the reflective process. it is used by nurses all around the world as a way of self-improvement and evaluation of the care being given to their patient. This essay will also talk about what reflection and refection practise is and how nurses can benefit from it. Secondly, I will be setting myself a smart goal to ensure success for my nursing. Lastly a career plan created that will ensure me succuss to reaching my goal and excel at university and after in a practical setting.
To start what is reflection… in its simplest form as a whole someone who is reflects tends to think deeply or think back carefully about an action or task they are about to do and evaluate the effectiveness and the quality of the care. (Duffy, A. (2009) Reflective practice is the ability to examine one’s actions with having the outcome to developing and to better their skill. Studies have shown that nurses who take the time to reflect on the days experience enables them to provide better care for the patient, refection for nurses allows them to better understand their actions, which in return it provides the nursing to develop their specialized skills (Hansebo & Kihlgren, 2001) (Smith, A., & Jack, K. (2005). Refection practise effects everyone from student nurses to nurses who are trained. Reflective practice is also important for nurses to practise and master to become successful, after using this nurses must be willing to accept and act on any feedback or criticism given to a nurse by others or themselves. (Rees, K.L. (2012).
Nurses are very talented people who are skilled and trained to tackle a variety of scenarios. This may be from medical emergencies where they are with a patient at a hospital setting doing rounds on the wards to looking after people who are now no longer able to in a home setting doing everyday necessities. Every nurse no matter where they are has a polished set of skills and attributes, they use every day. Skills such as compassion or caring, patients come to hospital when they are sick or injured, a nurse must be ready to be compassionate in the care being given them this includes empathy for the patient for when in good or dire situations. (Daly, J., Speedy, S., & Jackson, D. (Eds.). (2017) Nurses must be effective communicators as well as good listeners. Attention to detail is an must every nurse. the nurse’s actions whist working may lead to consequences if the care of the patient is not adequate. Critical thinking for nurses is important as they are faced with a different situation with every patient, critical thinking is required to make those quick decisions that can aid the situation and better the quality of the stay for the patient. Finally, every nurse must be confident in their own skills and knowledge, they must be able to work independently without supervisor and provide an excellent level of care. From a student nurse to a full-time nurse these are the basic skills every nurse should aim to have.
In conclusion nurses are talented trained professionals who strive to provide care to people in need. Every nurse has a verity of skill they have acquired from experience from effective communication, critical thinking, confidence, good listening skills finally compassion. These skills are used for care all around the world by every nurse. the importance of the reflective process was also discussed. It shows how effective looking back a day’s work to clear mistakes and questions can lead the care of the patient improving.
Career Action Plan:
My personal goal is to complete my double degree in nursing and paramedicine and work as a paramedic after completing my studies. I know I would be great at this job because I am a hard worker who has a caring and outgoing personality as a paramedic you are usually going scenes where people are in trouble and in need for support. If I am able to make a situation better with my easy-going personality is a massive asset. I also see myself as an effective communicator, someone who is able to get a message across without struggle, I have good navigation and driving skills which is perfect for the role of a paramedic as they are required to respond to medical emergencies by navigating traffic and roads in a timely fashion. Critical thinking is extremely important for the job of a paramedic as a split-second decision can save someone’s life.
Additional skills I will be required to learn to get my dream job of a paramedic is build the skills of resilience and get to a healthy fitness level. Resilience is extremely important as they as they are at a daily exposure to traumatic scenes. I live in Tamborine Mountain sometimes that professional barrier can be lowered when attending a scene especially when working in a small town. Most likely I am aware of the patient or their families. Sometimes you have a personal attachment to them. The strategies I can use to develop resilience is accepting that change is a part of life and make good relationships this may be from family members to other paramedics. (Gayton & Lovell, 2012, pp. 58-64) Activities that will strengthen resilience stay prepared for the worst, build relationship and master my emotions. I set myself a goal to make 3 close relationships with fellow paramedics within the first year of work.
References:
- Daly, J., Speedy, S., & Jackson, D. (Eds.). (2017). Contexts of nursing: An introduction (5th ed.). Melbourne, VIC: Elsevier Australia.
- Duffy, A. (2009). Guiding students through reflective practice- The preceptors experiences. A qualitative descriptive study. Nurse Education in Practice, 9, 166-175.
- Gayton, S. D., & Lovell, G. P. (2012). Resilience in ambulance service paramedics and its relationships with well-being and general health.
Traumatology,18
(1), 58-64. doi:10.1177/1534765610396727 - Hansebo, G., & Kihlgren, M. (2001). Carers’ reflections about their video-recorded interactions with patients suffering from severe dementia. Journal of Clinical Nursing, 10, 737-747
- Rees, K.L. (2012). The role of reflective practices in enabling final year nursing students to respond to the distressing emotional challenges of nursing work. Nurse Education in Practice, 1-5.
- Smith, A., & Jack, K. (2005). Reflective practice: a meaningful task for students. Nursing Standard, 19(26), 33-37.
AFTER DISCUSSION WITH YOUR MENTOR, NAME ONE FINANCIAL ASPECT, ONE QUALITY ASPECT, AND ONE CLINICAL ASPECT THAT NEED TO BE TAKEN INTO ACCOUNT FOR DEVELOPING THE EVIDENCE-BASED PRACTICE PROJECT. EXPLAIN HOW YOUR PROPOSAL WILL DIRECTLY AND INDIRECTLY IMPACT EACH OF THE ASPECTS.
AFTER DISCUSSION WITH YOUR MENTOR, NAME ONE FINANCIAL ASPECT, ONE QUALITY ASPECT, AND ONE CLINICAL ASPECT THAT NEED TO BE TAKEN INTO ACCOUNT FOR DEVELOPING THE EVIDENCE-BASED PRACTICE PROJECT. EXPLAIN HOW YOUR PROPOSAL WILL DIRECTLY AND INDIRECTLY IMPACT EACH OF THE ASPECTS.
After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.
AFTER DISCUSSION WITH YOUR MENTOR, NAME ONE FINANCIAL ASPECT, ONE QUALITY ASPECT, AND ONE CLINICAL ASPECT THAT NEED TO BE TAKEN INTO ACCOUNT FOR DEVELOPING THE EVIDENCE-BASED PRACTICE PROJECT. EXPLAIN HOW YOUR PROPOSAL WILL DIRECTLY AND INDIRECTLY IMPACT EACH OF THE ASPECTS.
March 1, 2018Uncategorizedevidence-based practice project
After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.
Examine service categories commonly provided by nursing homes. Determine two specific service categories that you believe are common factors of competition among nursing homes. Justify your response.
Examine service categories commonly provided by nursing homes. Determine two specific service categories that you believe are common factors of competition among nursing homes. Justify your response.
Examine service categories commonly provided by nursing homes. Determine two specific service categories that you believe are common factors of competition among nursing homes. Justify your response.
Analyze the main service area factors for healthcare organizations factors. Suggest two consumer factors and two service area factors that could provide a competitive advantage to a walk-in clinic.
Conducting a Competitor Analysis
Examine three barriers that you believe represent the most significant obstacles to an effective competitor analysis. Propose a strategy to overcome each of the three barriers that you have identified.
From the e-Activity, analyze Michael Porter’s technique for a competitive analysis. Determine one factor for each of Porter’s five forces of an environmental analysis that apply to the organization that you selected.
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