Nursing Process
Leanne Battersby 7024576 BA Hons Adult Nursing Faculty of Health and Wellbeing Sheffield Hallam University 20th June 2008 Principles and Practice of Nursing 1 Word Count 3,838 Principles and Practice of Nursing 1 Assignment This assignment will show the writers understanding and knowledge of the nursing process. In order to do this a specific patient has been chosen, focussing on one goal of care highlighted through the use of the assessment of a nursing model. To maintain confidentiality and protect autonomy, the patients name has been changed and any details through which a reader could identify the patient or the care location have also been changed. This complies with the NMC professional code of conduct (2002). Furthermore for legal issues, the writer has gained consent from the selected patient. The writer explained to the patient clearly what information would be needed in the report and that confidentiality would always be maintained. With this information the writer was able to gain informed consent. The information provided was gathered from a number of sources. Primarily the patient and their medical notes, but also from medical and nursing staff. The specific patient is Joyce, 66 years of age. Joyce visited her GP complaining of abdominal and back pain along with indigestion. After being referred for an ultra sound scan and having several blood tests,
Written assignment that critically examines the effectiveness of policy, frameworks and assessment tools in public health disease management. Discuss the role of the community nurse and multidisciplinary team in empowering individuals and populations in r
Public health is concerned with, reducing health inequality minimising health risks and improving the health status of populations' (Brocklehurst, 2004). Wanless (2004, p23), defines public health as, 'The Science and art of preventing disease, prolonging life and promoting health through organised efforts and informed choice of society, organisations public and private, communities and individuals". Throughout this paper the author will critically discuss the effectiveness of policies frameworks and assessment tools, used in public health disease management; in relation to the prevention and management of adults at risk of or with type two Diabetes Mellitus (DM) in the United Kingdom (UK). The Author will consider how environmental, epidemiological and demographic data can be used to highlight the underlying social determinants of a population's health, influencing policy making, and public health frameworks. Key issues to arise at local level following strategic plans to reflect government policy will be identified, and the role of the nurse and Multi Disciplinary Team (MDT) in implementing such policies will be examined. Within this strategy's employed in the authors' local area will be identified. The focus will then turn to empowerment, and the effectiveness of nursing frameworks and assessment tool, used to enable individuals and groups to become responsible for their
Management in Health Care Organisations.
Management in Health Care Organisations This assignment will aim to discuss the implementation of a nursing initiative, which could change practice. It will focus upon the process of change in relation to evidence-based practice. Then go on to discuss barriers to change, the role of change agents and how different management and leadership styles influence the change process. The implementation of research based evidence into nursing practice has long been recognised as an important issue. The aim of evidence based practice (EBP) being to help clinicians base their actions on best current evidence. Newly educated nurses are aware that nursing research is very valuable to nursing because it challenges and tests the effectiveness of the care we give. However much nursing practice still remains rooted in myth (Walsh and Ford, 1989). To overcome this problem nurses must recognise the importance of evidence based care and the improvements to nursing practice (Parahoo, 1997). The UK National Health Service (NHS) Research and Development strategy launched in (1991) acknowledges the importance of developing a NHS where practice and policy is more evidence based. The strategy is designed to create research-based health services in which scientific information is available to influence the process of health care delivery systems (Sullivan, 1998). Evidence-based practice appears to
Nursing and Health in Society
Module 2 assignment Nursing and Health in Society The intention of this essay is to explore an inequality in health, which has been observed in practice. It will be argued that poverty does affect many people in our society and the lack of resources of poorer people in society, are at the root of inequalities in health. By means of reflecting on personal experiences, the wider psychosocial influences will be considered and how social policy and legislation address this inequality and reflect on the implications for nursing practice. There are a number of definitions of what Inequality of health mean, and two general explanations are: "Ideally everyone should have the same opportunity to attain the highest level of health and more pragmatically, none should be unduly disadvantaged" (Whitehead 1987 p6) A definition of Inequality from the online Cambridge advanced learner's dictionary stats: "A lack of equality or fair treatment in the sharing of wealth or opportunities between different groups in society." (Cambridge University Press 2006) There have been several pieces of well-documented research into health inequalities, by successive governments and independent bodies, for example, The Black Report in 1990; Margaret Whitehead's 'The health divide' in 1987 (Stephens et al, 1998) and more recently the Acheson Report in 1998. This research underlines the correlation
This assignment is a client-focused study based on the four stage nursing process- assessment, planning, implementation and evaluation.
Introduction This assignment is a client-focused study based on the four stage nursing process- assessment, planning, implementation and evaluation. After a brief introduction to the client and clinical setting I shall provide evidence of a comprehensive mental health assessment, discussing both the formal and informal techniques employed. Through this assessment and in collaboration with the client a specific need was identified and highlighted for intervention. After justifying my choice of intervention, based on the current evidence available, I shall move on to the application of the intervention itself, paying particular emphasis to the skills needed by the nurse for an effective working. The principle area covered by this assignment is the use and efficacy of Cognitive Behavioural Therapy (CBT) when applied to the positive symptoms of psychosis. In particular I shall be concentrating on coping strategies aimed at reducing the negative impact that some of the clients auditory hallucinations created. Finally I shall evaluate the intervention discussing whether it was efficacious or not. Throughout the assignment I have placed particular emphasis on collaborative working with the client, and have as far as possible attempted to respect and incorporate their views and opinions. Confidentiality has been maintained at all times in deference to the NMC Code of Professional
"A qualitative study of nurses' attitudes and practices regarding brief alcohol intervention".
INTRODUCTION This assignment requires the author to select a research article and critically analyse it in relation to the different characteristics of the research process. The chosen article is entitled " A qualitative study of nurses' attitudes and practices regarding brief alcohol intervention". (Lock et al 2002). (Appendix 1). This particular article was chosen due to the author having encountered many patients with alcohol related problems and the author wished to gain an improved insight into the topic. Research is a process of inquiry aimed at answering questions and finding solutions to problems of concern. (Daly et al 2002). It involves the collection and analysing of data in a systematic and rigorous way, where the findings are described in a written or oral presentation. (Parahoo 1997). Nursing research is the key in providing evidence on the benefits and shortcomings of clinical interventions and on their cost-effectiveness. It is an essential tool used in nursing to evaluate the effectiveness of nursing practice and increase the evidence base that guides clinical decisions. (Langford 2001). The use of research-based evidence is central to evidence-based practice. (Polit and Beck 2004). Evidence-based practice is a process of questioning the basis of decision-making regarding patient care and ensuring they are based on the best available research evidence.
Promoting learning in Health. The aim of the teaching session was to develop the knowledge and practical skills required to be able to set up an arterial line
PROMOTING LEARNING IN HEALTH CARE PRACTICE SWANSEA UNIVERSITY SWANSEA HOW TO SET UP AN ARTERIAL LINE INTRODUCTION The author is a senior Staff Nurse working in a busy four-bedded Intensive Care Unit combined with a two-bedded High dependency Unit, in a local hospital. Within the unit, there is a lot of equipment that the staff should have sound knowledge of and be able to use competently. One of the most common pieces of equipment that is used within the author’s intensive care unit is the arterial line. Arterial lines were first introduced by Hales in 1733, who inserted pipes several feet long into arteries of animals. (Yentis, et al 2004 pg. 43). An arterial line is one of the invasive forms of monitoring allowing accurate blood pressure measurement, with the constant succession of systolic, diastolic and mean pressure, and enables the frequent sampling of arterial blood gases .Oh (1997). The reason why the author chose this subject is that most of the patient within the intensive care unit requires hemodynamic monitoring of their cardiac and respiratory condition. Last year alone from January-December 2006, 349 patients were admitted, and 75 % of that population had an arterial line inserted. Setting up an arterial line is an essential part of my job as an intensive care nurse, therefore, it would benefit the student learner to be competent, in utilising the
The importance of effective communication between doctors and nurses and its impact on patient careCritical Analysis of a Clinical Incident.
The importance of effective communication between doctors and nurses and its impact on patient care; Inter-professional learning from a student nurse’s perspective Critical Analysis of a Clinical Incident As student nurses, throughout this nursing course, we have continuously been reminded of the numerous issues in healthcare; some ongoing and some more current. Members of the multidisciplinary team are encouraged and expected to work together and overcome these issues so they can provide patients with the care they need. Therefore, the need for Inter-professional learning (IPL) is ongoing. Considering the limited word count allowed for this assignment, I will be reflecting on a clinical incident (see Appendix I) that took place on a cardiology ward where I worked as a third year student nurse. Although this clinical incident arises various problems that could be classed as current issues in healthcare, for the purpose of this assignment I have decided to focus on the issue of communication between nurses and doctors in the clinical setting and its’ impact on patient’s care. This assignment offers definitions on effective communication and inter-professional learning as well as it outlines certain barriers that can prevent effective communication. Gibbs’ reflective cycle (1988) is used throughout the assignment to encourage a natural flow of events and to aid a
The Role of the Nurse in Health Promotion
The Role of the Nurse in Promoting Health Introduction Over the last few decades the promotion of a healthy lifestyle has attracted a huge amount of attention. Health has obviously been a well discussed issue politically and culturally (Bunton et al., 1995). This paper offers a history of the development of the idea of promoting health in order to properly understand what is meant by the term. The role of the nurse in health promotion is explored with specific reference to a patient undergoing bowel surgery. In order to do this a health promotion model is chosen by critically comparing two different models, and a health promotion strategy for the patient is developed using this model. For the purpose of this paper The World Health Organisation (WHO) definition of health will be used. WHO describe health as not just about ones physical condition or absence of disease but encompasses a persons mental and emotional state, their social and societal position and their spiritual and sexual condition (WHO, 2010a). Health Promotion Health promotion is a phrase that can be used on a global, national or individual scale. Its exact meanings and the action taken to promote health can be different at different levels. For example a government will promote health in a very different way to a nation or community than a nurse will promote health to an individual or family on a
The question at hand, and that which has long been debated, is which nursing pathway provides the best education possible. Each of the pathways has both positive and negative aspects in which each nursing student must decide individually which path
Running Head: EDUCATIONAL RIVALRY Educational Rivalry: A Closer Look at Nursing Education Steve Rowlands Shalin Hai-Jew English 102 29 July 2004 Abstract More and more students are becoming interested in the nursing field. Each of these students has the choice of three different educational pathways. The question at hand, and that which has long been debated, is which nursing pathway provides the "best" education possible. Each of the pathways has both positive and negative aspects in which each nursing student must decide individually which pathway is correct for them. Also, due to the nursing shortage, some new nursing programs have been implemented, which allows additional pathways to be looked at by students. Educational Rivalry: A Closer Look at Nursing Education Have you ever sat in a patient room with a nurse performing a normal checkup on you and wondered how exactly the nurse obtained their nursing degree? Have you ever questioned a nurse's education? Would you feel more comfortable with a nurse who went to a community college or to a university? Patients, scholars, and many others have long debated the quality of nursing education. There are primarily three different pathways that can be taken to obtain a nursing degree. The question at hand is which route of nursing education is the "best." Throughout the paper, I will explain the different types