Nursing Care Study Essays

In October 2005 the Quality and Safety Education for Nursing program was established. This program is funded by the Robert Wood Johnson Foundation. QSEN was developed specifically for future nurses to understand and be aware of key challenges such as the knowledge, skills, and attitudes that are essential to constantly advance the quality and safety of the way healthcare systems work. The goal for QSEN is to reshape the identity of nursing so it includes the recommendations by the Institute of Medicine so there is a commitment to the quality and safety proficiency (Dycus, 2009).

This essay will discuss a clinical skill in which I have become competent in practicing as a student nurse.

Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.

This assignment will investigate a needs orientated approach to care, critically discussing the nursing process. It aims to show an understanding of what a nursing model and the nursing process is, looking in detail at the relationship between this nursing process and the Roper, Logan and Tierney (RLT) model of nursing. This essay will explore how the nursing model and process is implemented in practice, considering how the RLT model assists nurses to adapt a problem-solving technique when developing care plans for individuals. Strengths and limitations of the RLT model and the nursing process, in relation to developing care plans, will be critiqued along with the effectiveness of

I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

Despite technological and medical advances today, chronic disease and resultant co-morbidities are prevalent in the Australian Healthcare System. As a result, patients, especially in the acute care setting, have more complex care needs. The management and care of patients with these complex care needs present a challenge for the contemporary nursing professional. Positive patient outcomes will be dependent on a number of factors, such as the assessment of the patient’s condition, the identification of potential risks for the patient, the planning of appropriate care and the management of the subsequent interventions that may be required.

Starting the Registered Nurse (RN) to Bachelorette of Science in Nursing (BSN) program at Jacksonville University in June 2015 was a simple transition for me. I had graduated an Associates Degree in Nursing (ADN) program in December 2014 and became a licensed RN in January 2015. I had just gotten hired for my first nursing position the month prior to the start of class and had not yet started working. I was very much still in student mode. While this makes it a bit easier to learn and process information in a classroom setting, I had no real world experience to help guide me. Through the knowledge I have gained as a student at Jacksonville University I have become a competent and well-rounded nurse. I am able to quickly problem solve and utilize critical thinking to identify and rectify issues. I have even put together, and will be presenting, and presentation about nursing practice for staff members at the facility where I work.

On the author 's’ clinical placement day, their co-caring RN received the physician 's order to draw a blood sample from one of her four assigned patients who were diagnosed with myocarditis. She first attempted to draw the blood sample using a winged infusion set (i.e. butterfly needle), but was unsuccessful in accessing the patient’s vein. In order to save time and

Health Assessment is a major part of care in the nursing profession. This topic was study in block one during which ten concepts were identified and further analyzed. First, I begin by giving a brief overview of what the concept entails as it pertains to health assessment. Secondly, current research available for each concept is presented. Then application of concepts to the current job (nursing) is given with particular examples of how these concepts can be useful where appropriate. Lastly application of each concept to current world is presented. Throughout the projects various research text are cited when necessary to bring out relevant points.

My understanding of the baccalaureate-prepared nurse’s role in health care and how I see myself embodying this role is based off of experience. More and more, hospitals are now pushing to have most of their nurses educated with a bachelor’s degree in nursing to gain “Magnet” status for the hospital. I feel the reason for this is because nurses with a bachelor’s degree have better assessment skills and recognition for research-based outcomes for disease treatments and patient practices.

Normocephalic. Scull palpated without masses, deviations or lesions noted. Facial features are spaced appropriately and symmetric. No evidence of edema or puffiness. Temporal arteries present bilaterally without bruits. PERRLA noted. Cranial Nerves III, IV, and VI are intact. Bilaterally, sclera is white and conjunctivae is moist and pink without drainage. Pupil size is 3 bilaterally. Visual fields and acuity intact. Optic disk with defined margins and ref reflect noted bilaterally. Patient ears are bilaterally aligned. No tenderness, nodules, or lesions, were noted upon palpation of the external ear. While performing an ear exam with the otoscope, there was a moderate amount of cerumen noted bilaterally. The auditory canal color is pink bilaterally. Tympanic membranes are bulging with fluid noted bilaterally. Hearing loss not detected while performing the whisper test. Patient’s nose is located in the center of the face. Nasal turbinates are slightly erythemic with thin clear discharge. No polyps noted. Palpation of frontal and maxillary sinuses performed without tenderness. Cranial Nerve I is intact. Lips are intact without signs of cracking or dryness. Oral and buccal mucosa is pink and moist. Oropharynx erythema without signs of dehydration. Tonsils are 2+ with generalized petechial lesions and erythema. Bad breath

In healthcare industry nurses represent bigger number compared to other healthcare providers. Nurses play a vital role in patient’s management during the process of disease. Researchers had proven that nursing education in cardiac rehabilitation had improved health outcomes and reduce the risk of worsening cardiac events. Patient’s that had obtained health education from nurses had stated that they gain knowledge and awareness of their disease as well behavioural changes are documented (Cynthia, 2006).

Nursing topics were grouped together so that it flowed logically together and the nurse only needed to indicate negative exceptions to a healthy assessment. This would also minimize charting and clarify problematic areas in the patient’s assessment. If a section was normal, a quick check box indicating “no problems noted” was provided.

Assessment in nursing has been determined by the problem-solving framework of the nursing process and nursing models. It is a dynamic and continuous process as clients needs change; it promotes individualized care and responds to clients in a responsible and timely manner to improve or maintain their level of health (RCN, 2004). A health assessment not only comprises of gathering health information about a patient, but also analyzing and synthesizing the information, and evaluating the effectiveness of nursing interventions on patients health care outcomes (Weber & Kelley, 2013).