Tag: Clinical-Nursing

  • Issues in Pharmacology: A Nursing Perspective

    Issues in Pharmacology: A Nursing Perspective

    In a professional nursing practice, you will often have patients whose personal or cultural views on medications may be quite different from your own.

    For this assignment, assume that one of the issues below has become a hot topic in your health care organization or community. You have been asked by leadership to prepare a PowerPoint presentation to your nursing colleagues in an effort to raise awareness of the topic. Please view the “Guidelines for Effective PowerPoint Presentations,” linked in Resources, as well.

    Topic Choices:

    •The use of medical marijuana.

    •The use of complementary and alternative medicines (CAM) versus traditional pharmacology.

    •Experimental drug programs and disease management.

    •Mandated vaccinations and the implications for parental choice not to vaccinate.

    Instructions  To prepare your presentation, research current, peer-reviewed journals for articles that present at least two perspectives on the topic.

    Your PowerPoint presentation should include the following:

    •Discuss the significance of the topic to your nursing practice and to patient safety.

    ◦What are the common types of diseases and health issues that are impacted by this topic?

    ◦What type of patient is typically impacted by this issue?

    ◦What nursing departments or internal departments are impacted by this issue?

    •Present a balanced overview of the issue, including pros and cons, supported by peer-reviewed journal articles.

    The focus of this overview might vary depending on the issue but be mindful of the following:

    ◦Community impact.

    ◦Patient outcomes.

    ◦Ethical considerations.

    ◦Health care organization impact.

    •Describe how a patient’s cultural beliefs can impact the issue.

    Additional Requirements

    •Length of PowerPoint: 10–12 slides, not including the title slide and reference slide

    •References: Use the “presenter notes” section of the PowerPoint to include the references that support your evidence as well as detailed information you would include if presenting this information to an audience.

    The last slide of the PowerPoint should include a list of the references.

    •Formatting: Follow proper APA style and formatting. Issues in Pharmacology: A Nursing Perspective.

  • Pedometers and GPS technology and personal health and exercise

    Pedometers and GPS technology and personal health and exercise

    discuss various methods with which technology can assist personal health and exercise, including pedometers and GPS technology.  There are also a wide variety of cell phone health apps that can assist in tracking distance run, heart rate, and caloric intake, among other health measures.  Conduct your own research to identify a health app available on cell phones.

    Describe the purpose of the app.  What benefits does it bring to the user?  What are some potential disadvantages or risks of using this app. Pedometers and GPS technology and personal health and exercise

  • Theoretical Frameworks in Research

    Theoretical Frameworks in Research

    A theory is the theoretic part of a research that allows scholars to investigate a given phenomenon. Other terms for theory include theoretical framework, model, or conceptual background. Specifically, formulating a theory involves coming up with a set of interrelated variables of concepts and their definitions before forming a suitable hypothesis to determine the relationship between the constructs (Connelly, 2014). In the two articles, 
    “Use of Theoretical Frameworks in Research”
     by Lynne Connelly and “
    The use of Theoretical and Conceptual Frameworks in Qualitative Research”
     by Helen Green all hope to explicate the role of theoretical background on the quality of research.

    According to Connelly, a theoretical framework or conceptual model is a less developed or less formal than an official theory. The purpose of such a framework is to guide exploratory work in the process of collecting theoretical ideas for research. Notably, this model is structured more narrowly than a theory and barely links different concepts. For example, in research seeking to explain how nurses make decisions in emergency situations, a conceptual framework may often elucidate the different decision-making approaches but will not go as far as explaining the effectiveness of each model, as opposed to a full theory (Connelly, 2014). In her paper, Green echoes the sentiments postulated by Connelly that conceptual frameworks are primarily used to provide a direction in the research process, which is obscure and highly dependent on the nature and amount of available research.  Theoretical Frameworks in Research.

    Armed with this vital information, I am in the process of collecting information for my proposed study. Primarily, a literature review is top of my agenda in when collecting information to create my conceptual framework. By conducting a thorough review of the available literature on the topic, I wish to accomplish several things. First, I will get an insight into the most appropriate research models and the theories that have proven useful in this field of study. Notably, it is only through literature research that a scholar can identify different relationships between concepts (Green 2014). This relationship is vital in the conceptual framework since it aids in the exploratory works that in turn expands the scope of theoretical ideas. Moreover, from the review I hope to gain an impression about the topic as a whole, identifying all the major areas addressed by the other researcher and also identifying and verifying their sources of data. Moreover, this step of the research process enables the scholar to identify areas for further research while avoiding the pitfalls identified in previous works. In my case, I found out that most of the other writers have cited the systems model as a common theme in their work. Theoretical Frameworks in Research.

    The system model is fundamentally a theory by Betty Neuman that seeks to explain a person’s relationship to stress by exploring their response to potential and actual environmental stressors. What is more, the Neuman theory also proposes prevention interventions that nurses should adopt to maintain optimal wellness for their clients. The theory stresses on the nurse’s role in ensuring the highest level of wellness for their clients regardless of the available environmental stressors. Using a conceptual map on figure 1, I will attempt to outline my concepts and the relational statements. Theoretical Frameworks in Research

  • Writing Nursing Literature Reviews

    The “literature” of a literature review refers to any collection of materials on a topic, not necessarily the great literary texts of the world. “Literature” could be anything from a set of government pamphlets on British colonial methods in Africa to scholarly articles on the treatment of a torn ACL. And a review does not necessarily mean that your reader wants you to give your personal opinion on whether or not you liked these sources.

    Nursing literature review

    A literature review discusses published information in a particular subject area, and sometimes information in a particular subject area within a certain time period.

    A literature review can be just a simple summary of the sources, but it usually has an organizational pattern and combines both summary and synthesis. A summary is a recap of the important information of the source, but a synthesis is a re-organization, or a reshuffling, of that information. It might give a new interpretation of old material or combine new with old interpretations. Or it might trace the intellectual progression of the field, including major debates. And depending on the situation, the literature review may evaluate the sources and advise the reader on the most pertinent or relevant.

    How nursing literature review differs from academic research paper

    The main focus of an academic research paper is to develop a new argument, and a research paper is likely to contain a literature review as one of its parts. In a research paper, you use the literature as a foundation and as support for a new insight that you contribute. The focus of a literature review, however, is to summarize and synthesize the arguments and ideas of others without adding new contributions.

    Why we write literature reviews

    Literature reviews provide you with a handy guide to a particular topic. If you have limited time to conduct research, literature reviews can give you an overview or act as a stepping stone. For professionals, they are useful reports that keep them up to date with what is current in the field. For scholars, the depth and breadth of the literature review emphasizes the credibility of the writer in his or her field. Literature reviews also provide a solid background for a research paper’s investigation. Comprehensive knowledge of the literature of the field is essential to most research papers.

    Who writes Literature reviews?

    Literature reviews are written occasionally in the humanities, but mostly in the sciences and social sciences; in experiment and lab reports, they constitute a section of the paper. Sometimes a literature review is written as a paper in itself.

    First Step before Writing Nursing Literature Review

    Clarify

    If your assignment is not very specific, seek clarification from your instructor:

    Roughly how many sources should you include?

    What types of sources (books, journal articles, websites)?

    Should you summarize, synthesize, or critique your sources by discussing a common theme or issue?

    Should you evaluate your sources?

    Should you provide subheadings and other background information, such as definitions and/or a history?

    Find models

    Look for other literature reviews in your area of interest or in the discipline and read them to get a sense of the types of themes you might want to look for in your own research or ways to organize your final review. You can simply put the word “review” in your search engine along with your other topic terms to find articles of this type on the Internet or in an electronic database. The bibliography or reference section of sources you’ve already read are also excellent entry points into your own research.

    Narrow your topic

    There are hundreds or even thousands of articles and books on most areas of study. The narrower your topic, the easier it will be to limit the number of sources you need to read in order to get a good survey of the material. Your instructor will probably not expect you to read everything that’s out there on the topic, but you’ll make your job easier if you first limit your scope.

    And don’t forget to tap into your professor’s (or other professors’) knowledge in the field. Ask your professor questions such as: “If you had to read only one book from the 90’s on topic X, what would it be?” Questions such as this help you to find and determine quickly the most seminal pieces in the field.

    Consider whether your sources are current

    Some disciplines require that you use information that is as current as possible. In the sciences, for instance, treatments for medical problems are constantly changing according to the latest studies. Information even two years old could be obsolete. However, if you are writing a review in the humanities, history, or social sciences, a survey of the history of the literature may be what is needed, because what is important is how perspectives have changed through the years or within a certain time period. Try sorting through some other current bibliographies or literature reviews in the field to get a sense of what your discipline expects. You can also use this method to consider what is currently of interest to scholars in this field and what is not.

    Strategies for writing the literature review

    Find a focus

    A literature review, like a term paper, is usually organized around ideas, not the sources themselves as an annotated bibliography would be organized. This means that you will not just simply list your sources and go into detail about each one of them, one at a time. No. As you read widely but selectively in your topic area, consider instead what themes or issues connect your sources together. Do they present one or different solutions? Is there an aspect of the field that is missing? How well do they present the material and do they portray it according to an appropriate theory? Do they reveal a trend in the field? A raging debate? Pick one of these themes to focus the organization of your review.

    Convey it to your reader

    A literature review may not have a traditional thesis statement (one that makes an argument), but you do need to tell readers what to expect. Try writing a simple statement that lets the reader know what is your main organizing principle. Here are a couple of examples:

    The current trend in treatment for congestive heart failure combines surgery and medicine.

    More and more cultural studies scholars are accepting popular media as a subject worthy of academic consideration.

    Consider organization

    You’ve got a focus, and you’ve stated it clearly and directly. Now what is the most effective way of presenting the information? What are the most important topics, subtopics, etc., that your review needs to include? And in what order should you present them? Develop an organization for your review at both a global and local level:

    First, cover the basic categories

    Just like most academic papers, literature reviews also must contain at least three basic elements: an introduction or background information section; the body of the review containing the discussion of sources; and, finally, a conclusion and/or recommendations section to end the paper. 
    The following provides a brief description of the content of each:

    Introduction:
     Gives a quick idea of the topic of the literature review, such as the central theme or organizational pattern.

    Body:
     Contains your discussion of sources and is organized either chronologically, thematically, or methodologically (see below for more information on each).

    Conclusions/Recommendations:
     Discuss what you have drawn from reviewing literature so far. Where might the discussion proceed?

    Organizing the body

    Once you have the basic categories in place, then you must consider how you will present the sources themselves within the body of your paper. Create an organizational method to focus this section even further.

    To help you come up with an overall organizational framework for your review, consider the following scenario:

    You’ve decided to focus your literature review on materials dealing with sperm whales. This is because you’ve just finished reading Moby Dick, and you wonder if that whale’s portrayal is really real. You start with some articles about the physiology of sperm whales in biology journals written in the 1980’s. But these articles refer to some British biological studies performed on whales in the early 18th century. So you check those out. Then you look up a book written in 1968 with information on how sperm whales have been portrayed in other forms of art, such as in Alaskan poetry, in French painting, or on whale bone, as the whale hunters in the late 19th century used to do. This makes you wonder about American whaling methods during the time portrayed in Moby Dick, so you find some academic articles published in the last five years on how accurately Herman Melville portrayed the whaling scene in his novel.

    Now consider some typical ways of organizing the sources into a review:

    Chronological:
     If your review follows the chronological method, you could write about the materials above according to when they were published. For instance, first you would talk about the British biological studies of the 18th century, then about Moby Dick, published in 1851, then the book on sperm whales in other art (1968), and finally the biology articles (1980s) and the recent articles on American whaling of the 19th century. But there is relatively no continuity among subjects here. And notice that even though the sources on sperm whales in other art and on American whaling are written recently, they are about other subjects/objects that were created much earlier. Thus, the review loses its chronological focus.

    By publication:
     Order your sources by publication chronology, then, only if the order demonstrates a more important trend. For instance, you could order a review of literature on biological studies of sperm whales if the progression revealed a change in dissection practices of the researchers who wrote and/or conducted the studies.

    By trend:
     A better way to organize the above sources chronologically is to examine the sources under another trend, such as the history of whaling. Then your review would have subsections according to eras within this period. For instance, the review might examine whaling from pre-1600-1699, 1700-1799, and 1800-1899. Under this method, you would combine the recent studies on American whaling in the 19th century with Moby Dick itself in the 1800-1899 category, even though the authors wrote a century apart.

    Thematic:
     Thematic reviews of literature are organized around a topic or issue, rather than the progression of time. However, progression of time may still be an important factor in a thematic review. For instance, the sperm whale review could focus on the development of the harpoon for whale hunting. While the study focuses on one topic, harpoon technology, it will still be organized chronologically. The only difference here between a “chronological” and a “thematic” approach is what is emphasized the most: the development of the harpoon or the harpoon technology.But more authentic thematic reviews tend to break away from chronological order. For instance, a thematic review of material on sperm whales might examine how they are portrayed as “evil” in cultural documents. The subsections might include how they are personified, how their proportions are exaggerated, and their behaviors misunderstood. A review organized in this manner would shift between time periods within each section according to the point made.

    Methodological:
     A methodological approach differs from the two above in that the focusing factor usually does not have to do with the content of the material. Instead, it focuses on the “methods” of the researcher or writer. For the sperm whale project, one methodological approach would be to look at cultural differences between the portrayal of whales in American, British, and French art work. Or the review might focus on the economic impact of whaling on a community. A methodological scope will influence either the types of documents in the review or the way in which these documents are discussed.

    Once you’ve decided on the organizational method for the body of the review, the sections you need to include in the paper should be easy to figure out. They should arise out of your organizational strategy. In other words, a chronological review would have subsections for each vital time period. A thematic review would have subtopics based upon factors that relate to the theme or issue.

    Sometimes, though, you might need to add additional sections that are necessary for your study, but do not fit in the organizational strategy of the body. What other sections you include in the body is up to you. Put in only what is necessary. 
    Here are a few other sections you might want to consider:

    Current Situation:
     Information necessary to understand the topic or focus of the literature review.

    History:
     The chronological progression of the field, the literature, or an idea that is necessary to understand the literature review, if the body of the literature review is not already a chronology.

    Methods and/or Standards:
     The criteria you used to select the sources in your literature review or the way in which you present your information. For instance, you might explain that your review includes only peer-reviewed articles and journals.

    Questions for Further Research: What questions about the field has the review sparked? How will you further your research as a result of the review?

    Composing Nursing Literature Review

    Once you’ve settled on a general pattern of organization, you’re ready to write each section. There are a few guidelines you should follow during the writing stage as well. Here is a sample paragraph from a literature review about sexism and language to illuminate the following discussion:

    However, other studies have shown that even gender-neutral antecedents are more likely to produce masculine images than feminine ones (Gastil, 1990). Hamilton (1988) asked students to complete sentences that required them to fill in pronouns that agreed with gender-neutral antecedents such as “writer,” “pedestrian,” and “persons.” The students were asked to describe any image they had when writing the sentence. Hamilton found that people imagined 3.3 men to each woman in the masculine “generic” condition and 1.5 men per woman in the unbiased condition. Thus, while ambient sexism accounted for some of the masculine bias, sexist language amplified the effect. (Source: Erika Falk and Jordan Mills, “Why Sexist Language Affects Persuasion: The Role of Homophily, Intended Audience, and Offense,” Women and Language19:2).

    Use evidence

    In the example above, the writers refer to several other sources when making their point. A literature review in this sense is just like any other academic research paper. Your interpretation of the available sources must be backed up with evidence to show that what you are saying is valid.

    Be selective

    Select only the most important points in each source to highlight in the review. The type of information you choose to mention should relate directly to the review’s focus, whether it is thematic, methodological, or chronological.

    Use quotes sparingly

    Falk and Mills do not use any direct quotes. That is because the survey nature of the literature review does not allow for in-depth discussion or detailed quotes from the text. Some short quotes here and there are okay, though, if you want to emphasize a point, or if what the author said just cannot be rewritten in your own words. Notice that Falk and Mills do quote certain terms that were coined by the author, not common knowledge, or taken directly from the study. But if you find yourself wanting to put in more quotes, check with your instructor.

    Summarize and synthesize Nursing Literature Review

    Remember to summarize and synthesize your sources within each paragraph as well as throughout the review. The authors here recapitulate important features of Hamilton’s study, but then synthesize it by rephrasing the study’s significance and relating it to their own work.

    Keep your own voice

    While the literature review presents others’ ideas, your voice (the writer’s) should remain front and center. Notice that Falk and Mills weave references to other sources into their own text, but they still maintain their own voice by starting and ending the paragraph with their own ideas and their own words. The sources support what Falk and Mills are saying.

    Paraphrasing Nursing Literature Review

    When paraphrasing a source that is not your own, be sure to represent the author’s information or opinions accurately and in your own words. In the preceding example, Falk and Mills either directly refer in the text to the author of their source, such as Hamilton, or they provide ample notation in the text when the ideas they are mentioning are not their own, for example, Gastil’s.

    Revise Nursing Literature Review

    Draft in hand? Now you’re ready to revise. Spending a lot of time revising is a wise idea, because your main objective is to present the material, not the argument. So check over your review again to make sure it follows the assignment and/or your outline. Then, just as you would for most other academic forms of writing, rewrite or rework the language of your review so that you’ve presented your information in the most concise manner possible. Be sure to use terminology familiar to your audience; get rid of unnecessary jargon or slang. Finally, double check that you’ve documented your sources and formatted the review appropriately for your discipline. Writing Nursing Literature Reviews.

  • How to write a literature review

    How to write a literature review

    Literature review  definition

    The literature review format may vary from one discipline to another as well as from one assignment to another.

    A literature review may be a self-contained unit – an end in itself – or a preface to and rationale for engaging in primary research. A review is a required part of grant and research proposals and often a chapter in theses and dissertations.

    Generally, the purpose of a review is to analyze critically a segment of a published body of knowledge through summary, classification, and comparison of prior research studies, reviews of literature, and theoretical articles.

    ORDER A PLAGIARISM-FREE PAPER NOW

    How to write a literature review introduction

    In the introduction of the literature review, you should:

    Define or identify the general topic, issue, or area of concern, thus providing an appropriate context for reviewing the literature.

    Point out overall trends in what has been published about the topic; or conflicts in theory, methodology, evidence, and conclusions; or gaps in research and scholarship; or a single problem or new perspective of immediate interest.

    Establish the writer’s reason (point of view) for reviewing the literature; explain the criteria to be used in analyzing and comparing literature and the organization of the review (sequence); and, when necessary, state why certain literature is or is not included (scope).

    How to write the body of the literature review?

    In the literature review body, you should:

    Group research studies and other types of literature (reviews, theoretical articles, case studies, etc.) according to common denominators such as qualitative versus quantitative approaches, conclusions of authors, specific purpose or objective, chronology, etc.

    Summarize individual studies or articles with as much or as little detail as each merits according to its comparative importance in the literature, remembering that space (length) denotes significance.

    Provide the reader with strong “umbrella” sentences at beginnings of paragraphs, “signposts” throughout, and brief “so what” summary sentences at intermediate points in the review to aid in understanding comparisons and analyses.

    Writing the literature review conclusion

    In the conclusion of the literature review, you should:

    Summarize major contributions of significant studies and articles to the body of knowledge under review, maintaining the focus established in the introduction.

    Evaluate the current “state of the art” for the body of knowledge reviewed, pointing out major methodological flaws or gaps in research, inconsistencies in theory and findings, and areas or issues pertinent to future study.

    Conclude by providing some insight into the relationship between the central topic of the literature review and a larger area of study such as a discipline, a scientific endeavor, or a profession. How to write a literature review.

  • Research Proposal Draft – Health Care

    Research Proposal Draft – Health Care

    People will often judge others not just on the answer that is provided but also the question that is asked. Since we can’t always get the answer right, we should try to at least get the question right!  So in this humbled researcher’s opinion, the most relevant question for a nurse practitioner is very important.  The question is: how can we elevate the level of health care in the United States and potentially the entire world while containing costs and effectively supply the voracious and ever growing need for compassionate, competent, and effective health care workers. This should also be accomplished as we fill the need for elevating the suboptimal work conditions, addressing the lack of respect, increasing the sub optimal remuneration, that advanced nurse practitioners are forced to endure on a daily basis.

    The problem: Nurse practitioner are often bright, motivated, and talented individuals who are patient and just wanted to help the infirmed while making a career for themselves, which is barely possible in “todays climate”.

    The cause: Bright students are often pigeoned hole out of having the opportunity to attend medical schools by an antiquated and unfair school system in the United States. This system unfortunately often weeds out very talented and passionate individuals. I believe that schools from the very early ages are teaching many outdated concepts and use very tricky, sneaky, and unfair testing practices and questions.  These schools waste a lot of time teaching out dated concepts and facts.  Our world and has change so much yet schooling is locked into teaching many of the same concepts it did a hundred years ago while often ignoring more important concepts such health and cancer related topics as well as finances.  Unfortunately, the teachers and their unions resist change and show no willingness to correct this because they are resistant to change, challenges, and learning themselves.  It reminds me of a parallel to the auto industry and their reluctance accept electric vehicles. As a result, many excellent people lose the opportunity to attend medical school or veterinary schools. Those who manage to navigate into the medical school system then are at risk of suffering form human arrogance and entitlement. As such, others ” less fortunate” are at risk of being treated as substandard in terms of pay, respect, decision making abilities granted, and just about every other right has been diminished (Consumer Report, March 2018, p. 48-57). Research Proposal Draft – Health Care.

    But the question still lingers, can bright, compassionate, and intelligent, advanced nurse practitioners provide adequate health care to the masses as well or better than physician and the current system in place? The answer is yes! In fact, I would argue that physician to are under paid and over worked as our politicians and lawyers squander away our national dollars. Doctors no longer have the time to properly attend the needs of all of their patients as their salaries are constantly being lowered and their duties expanded on an almost daily basis. This gap is perfect for the advanced nurse practitioner to fill as our population expands. Additionally, it much less time consuming for our graduate schools to crank out an effective advanced nurse practitioner than a doctor. Physicians unfortunate loose so many years in non clinical classrooms learning antiquated facts and concepts due to a resistance for change on the behalf of the medical school system and it’s arrogant and self serving teachers associations. I guess maybe they still haven’t realized that the age of Google, electric cars, led lighting, robotic surgical equipment and advanced space travel is upon us and change is growth (Consumer Report, March 2018, p. 48-57).

    In The Null Hypothesis a researcher tries to nullify, disprove, or reject, a hypothesis. The hypothesis the that an advanced nurse practitioner is inadequate for managing a patent is wrong and ca not be supported intelligently in this researcher’s humble opinion (Consumer Report, March 2018, p. 48-57).

    The operational variables involved in determining the effectiveness and appropriateness of having a nurse practitioner, play an important role on the healthcare team, in decision making, and in complete having complete autonomy in managing a patient’s care are multiple.  Fortunately, studies have addressed these which can include: Patient satisfaction, improvement in health status, cost containment, availability of medical care. A recent article from consumers reports and others have revealed that nurse practitioners as well as physician’s assistants fill a crucial and vital role in the healthcare system and can adequately replace a physician especially when working with physician oversight, for many of the daily health care needs of many individuals in the United states (Consumer Report, March 2018, p. 48-57)(Ljungbeck & Sjögren Forss, 2017).

    “Success of the MOQI model reinforces decades of research demonstrating that care provided by APRNs is cost-effective, safe, and associated with positive health outcomes and patient satisfaction” (Rantz , Birtley , Flesner , Crecelius , & Murray, Nov 2017). Research Proposal Draft – Health Care.

     

    References

    Consumer Report. (March 2018). The ___ will see you now.
    CR.ORG
    , 48-57.

    Ljungbeck , B., & Sjögren Forss , K. (2017). Advanced nurse practitioners in municipal healthcare as a way to meet the growing healthcare needs of the frail elderly: a qualitative interview study with managers, doctors and specialist nurses. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/29176932. Research Proposal Draft – Health Care.

    Rantz , M. J., Birtley , N. M., Flesner , M., Crecelius , C., & Murray , C. (Nov 2017). Call to action: APRNs in U.S. nursing homes to improve care and reduce costs. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/28993075. Research Proposal Draft – Health Care.

  • PHI-413V – Case Study: Fetal Abnormality

    PHI-413V – Case Study: Fetal Abnormality

    Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the U.S. for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted and it is determined that the fetus has a rare condition in which it has not developed any arms, and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome. PHI-413V – Case Study: Fetal Abnormality.

    Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud.

    Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis, and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears. PHI-413V – Case Study: Fetal Abnormality.

    Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes, but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place, and urges Jessica to think of her responsibility as a mother. PHI-413V – Case Study: Fetal Abnormality

  • PICOT Question and Literature Search

    PICOT Question and Literature Search

    The first step of the EBP process is to develop a question from the nursing practice problem of interest.

    Select a practice problem of interest to use as the focus of your research.

    Start with the patient and identify the clinical problems or issues that arise from clinical care.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project. PICOT Question and Literature Search.

    The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

    Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

    Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts. PICOT Question and Literature Search.

    Suggestions for locating qualitative and quantitative research articles from credible sources:

    Use a library database such as CINAHL Complete for your search.

    Using the advanced search page check the box beside ”Research Article” in the ”Limit Your Results” section.

    When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative. PICOT Question and Literature Search.

    To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

    Prepare this PICOT Question and Literature Search assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

    This PICOT Question and Literature Search assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. PICOT Question and Literature Search

  • Case Study: Fetal Abnormality & Moral Theories – Jessica, Marco, Maria, and Dr. Wilson

    Case Study: Fetal Abnormality & Moral Theories – Jessica, Marco, Maria, and Dr. Wilson

    Case Study: Fetal Abnormality

    Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the U.S. for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant. Case Study: Fetal Abnormality & Moral Theories – Jessica, Marco, Maria, and Dr. Wilson.

    Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted and it is determined that the fetus has a rare condition in which it has not developed any arms, and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome.

    ORDER A PLAGIARISM-FREE PAPER NOW

    Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud. Case Study: Fetal Abnormality & Moral Theories – Jessica, Marco, Maria, and Dr. Wilson.

    Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis, and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears. Case Study: Fetal Abnormality & Moral Theories – Jessica, Marco, Maria, and Dr. Wilson.

    PHI-413V-RS-T2CaseStudy1

    Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes, but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place, and urges Jessica to think of her responsibility as a mother. Case Study: Fetal Abnormality & Moral Theories – Jessica, Marco, Maria, and Dr. Wilson.

  • Vulnerability and rural populations

    Vulnerability and rural populations

    1.  In your own words and using evidence based references define vulnerability and rural populations and give some of examples of these two groups in your community (Miami).

    2.  Which sorts of resources are available in your community to address the needs of the poor and/or the vulnerable?

    3.  How the community health nurse can address the needs of the vulnerable and the rural population?

    4.  Please mention the differences or similarities between the vulnerable and the rural population.

    present your assignment in an APA format word document using an Arial 12 font .  A minimum of 2 evidence based references (excluding the class textbook) are required.

    A minimum of 500 words excluding first and last page are required. Vulnerability and rural populations.