Category: Nursing

Nursing practicum objectives example

Assignment 1: Practicum ObjectivesThis course includes a 160-hour practicum as part of the clinical hours that are required for the DNP credential. The Practicum Experience enables you to explore key issues related to your specialty practice and to refine your leadership skills as you work with others at your practicum site. To guide you through your Nursing practicum objectives example practicum hours, you will develop practicum objectives.  Photo Credit: Artur / Adobe Stock To PrepareReview the Practicum Journal Document.Begin to think about learning objectives that would guide your practicum hours, as well as the activities you will undertake to achieve those objectives. Refer to the DNP Essentials and your specialty competencies to inform your development of the learning objectives.Note: You are required to keep a log of the time you spend related to your practicum experience. You can access your time log from the Welcome page in your Meditrek account. Please be sure to continuously input your hours throughout the term. Time logs are reviewed by your Instructors in Weeks 3, 7, and 11.  The Assignment: (1–2 pages)List your practicum objectives that you have identified. The number of practicum objectives will vary based on your practicum experience.Describe key activities associated with your practicum objectives. Be specific. You will have an opportunity to resubmit your practicum objectives, after Faculty feedback, in Week 2. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Walden Writing Center Sample Paper provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

 

Assignment 1: Practicum Objectives

Practicum objectives are often confused with practicum goals. Although the latter relates to the former, practicum goals are broad statements of an expected practicum outcome of a course. They provide a future vision and summarize the subject area and intent of other related practicum objectives.  In comparison, learners draw practicum objectives from the practicum goals. Nursing practicum objectives example As guiding statements for every practicum encounter, they connect the learners’ intent with   the reality within the practicum experience as well as to planned assessments (Yusuff, 2018).

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In this paper, the author identifies the practicum objectives for her practicum experience and describes the key activities that will be associated with each objective. The author identified content areas that the nurse faculty expects DNP learners to learn by the end of the course, and used it as the best strategy to identify the practicum objectives. At DNP level, practicum objectives describe what a DNP learner must be able to do upon completion of the practicum experience (Chatterjee & Corral, 2017). A good practicum objective clearly highlights the skills, knowledge, and attitude that a learner will gain from an activity and must answer how well or how much, who, what, when, and will do, using the SMART mnemonic.

Practicum Objectives

Upon completion of the difficult airway workshop, participants should be able to formulate an accurate algorithm for the management of an obese adult patient with inadequate face mask ventilation, according to the American Society of Anesthesiologists difficult airway algorithm Nursing practicum objectives example.”

Objective 1:
To obtain knowledge and practical home health experience by researching about policies within the context of Homecare Nursing upon completion of the practicum experience

Objective 2:
To obtain knowledge on the services that are available within the community to support greater independence, improve outcomes, and reduce readmissions of patients undergoing homebased care.

Objective 3:
Upon completion of the practicum experience, I shall develop skills in working with interdisciplinary teams in the Home Healthcare Setting and conducting high quality assessments and consultations with patients and families to help them achieve their goals.

Objective 4:
To network  with  other  family nurse practitioners in  the home health setting to advance knowledge and improve outcomes in the management of patients with multimorbid conditions receiving homebased care upon completion  of the practicum experience

Key Activities Associated with Practicum Objectives

Objective 1:
To obtain knowledge and practical home health experience by researching about policies within the context of Homecare Nursing upon completion of the practicum experience

Take advantage of opportunities to be part of  development  meetings, training sessions and learning opportunities  that focus on homecare nursing

Gain insights into the history of Homecare nursing  and how  Medicaid/Medicare  has implemented  new
strategies
for  improved care and efficiency Nursing practicum objectives example

Objective 2:
To obtain knowledge on the services that are available within the community to support greater independence, improve outcomes, and reduce readmissions of patients undergoing homebased care.

search and link up with community based services that support homecare nursing/homebased care

refer/link patients and families with  community based resources that support  homebased care

Objective 3:
Upon completion of the practicum experience, I shall develop skills in working with interdisciplinary teams in the Home Healthcare Setting and conducting high quality assessments and consultations with patients and families to help them achieve their goals.

Integrate newly discovered knowledge or information in every patient or family encounter

Develop communication skills through active listening, Nursing practicum objectives example and exercising situational awareness when working  with  patients, families and other healthcare providers

Conduct consultations with families and  patients to help them attain success and

Objective 4:
To network  with  other  family nurse practitioners in  the home health setting to advance knowledge and improve outcomes in the management of patients with multimorbid conditions receiving homebased care

Every month, attend one conference to network with other FNPs specializing in home healthcare.

 

References

Chatterjee, D., & Corral, J. (2017). How to Write Well-Defined Learning Objectives. 
The journal of education in perioperative medicine : JEPM
, 
19
(4), E610 Nursing practicum objectives example.

Yusuff K. B. (2018). Does personalized goal setting and study planning improve academic performance and perception of learning experience in a developing setting?. 
Journal of Taibah University Medical Sciences
, 
13
(3), 232–237. https://doi.org/10.1016/j.jtumed.2018.02.001 Nursing practicum objectives example

Nursing Education Practicum Documentation (NEPD) Goals Form Example

Assessment Description

The “Nursing Education Practicum Documentation (NEPD) Forms” provide weekly, competency-based documentation of clinical practicum activities and are utilized by learners to communicate practicum experiences to course faculty. Be sure to read the instructions on the form for information on how to complete the assignment before you begin.

 

In your first NEPD form, complete the “Overall Practicum Goals (Week 1)” section of the “Nursing Education Practicum Documentation (NEPD) Goals Form” by writing the overall goals (S.M.A.R.T goals or objectives) for your practicum. You will re-address these goals in the second part of the form during Topic 16 to evaluate if they have been met.

 

When completing the “Nursing Education Practicum Documentation (NEPD) Goals Form,” use the S.M.A.R.T. goal format to write goals you have for your overall practicum experience. Consider what you want to accomplish during this practicum experience. Keep your goals broad enough to cover everything that you would like to accomplish during your practicum experience. You may choose to focus on a specific aspect of nursing education or may choose to sample a variety of nursing education experiences within your selected practicum experience.

 

APA format is not required, but solid academic writing is expected Nursing Education Practicum Documentation (NEPD) Goals Form Example.

 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

You are not required to submit this assignment to LopesWrite.

 

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Nursing Education Practicum

Goal 1

 S:
To form a rapport with my students and other nurse instructors

M:  
Success will be measured by assessing the quality of interaction I have with my students and other nurse instructors, and my ability to address each student by their name.

A:
I can achieve this goal in the process of learning and practice.

R:
Communication skills are important for a nurse. Effective communication allows the passing of information between colleagues and patients, which is central in providing health services (Kim, 2018). Furthermore, it allows the creation of working relationships that allow collaboration during learning and patient care.  Furthermore, it allows the creation of working relationships allowing the collaboration of personnel during patient care.

T:
I hope to achieve this by the end of week 2 of the course.

Goal 2

S:
To help the students obtain effective listening skills.

M:
Success will be measured by evaluating the ability of students to obtain a detailed patient history during the patient assessment.

A:
I can achieve this goal during the practical sessions.

R:
Listening skills are central to patient care. They enable one to attain a comprehensive history from the patient while picking out the most important aspects that influence the course of presenting illness and treatment Nursing Education Practicum Documentation (NEPD) Goals Form Example.

T:
I hope to achieve this by week 2.

Goal 3

S:
To teach the students skills of ethical judgment

M:
This will be assessed by constantly evaluating the clinical decisions students make during patient care to ensure that they are morally sound.

A:
I believe I can achieve this in the course of the practicum.

R:
Nursing ethics are the principles guiding the decision-making processes involved during patient care (Subedi, 2018). They ensure that nurses make moral decisions for the benefit of the patients.

T:
I hope to achieve this by the end of week 4.

Goal 4

S:
To help students develop effective time management skills.

M:
The success will be measured by assessing the time taken by students to effectively care for a patient and noting improvements on the same.

A:
I can achieve this in the course of the practicum.

R:
Time management allows one to effectively manage their specific roles through organizing and prioritizing the patient’s needs and care, personal obligations, and educational responsibilities (Lucas, 2019). Furthermore, it limits burnout and increases productivity among healthcare workers.

T:
I hope to achieve this by the end of week 6.

Goal 5

S:
To teach students the legal aspects of patient care such as gaining consent and respecting patient autonomy.

M:
Success will be measured by assessing for active patient involvement and the implementation of their opinions as students conduct their practical’s.

A:
  I can attain this in the course of the practicum.

R:
Patients have a right to decide on the course of their treatment without influence by the healthcare workers. Nurses have a duty to respect the patient wishes. It is the patients’ legal right to decide whether to accept or refuse treatment. Additionally, nurses are obligated to explain any procedures in detail, including the advantages and disadvantages (Subedi, 2018). It is also paramount to obtain informed consent from a patient before performing any medical procedures.

T:
I hope to achieve this by the end of week 6 of the practicum.

 

 

 

References

Kim, G. U., Jung, E., Cho, M., Han, S. Y., Jang, M., Lee, M., & Shim, M. S. (2019). Revisiting the meaning of a good nurse. The Open Nursing Journal, 13(1).

Lucas, B. (2019). Developing the personal qualities required for effective nurse leadership. Nursing Standard, 34(12), 45-50.

Subedi, K. K. P., Timalsina, K., & Bhele, R. L. (2018). Nurse’s awareness on ethico-legal aspects of nursing profession. Journal of Nepal Health Research Council, 16(1), 49-52.

 

Nursing Education Practicum Documentation (NEPD)

Goals Form

NUR-665E Nursing Education Practicum – Weeks 1 and 16

Directions:
Complete the documentation form. The form will expand for as long as you type. You will be submitting this document in both Week 1 and Week 16. The top section is due Week 1 and the bottom section is due Week 16.

 

Overall Practicum Goals (Week 1)

Overall Practicum Goals:
Use the S.M.A.R.T. goal format to create goals you have for your overall practicum experience. Be sure your goals are specific, measurable, achievable, relevant, and time bound (S.M.A.R.T. goals). Type your five practicum goals in the space below. Consider what you want to accomplish during this practicum course. You may choose to focus in on a specific aspect of nursing education or a variety of nursing education experiences within your selected practicum setting and population. Review these goals with your preceptor/mentor prior to submission or as soon as possible.

1.

 

 

2.

 

 

3.

 

 

4.

 

 

5.

 

 

 

Evaluation of Overall Practicum Goals
(
Week 16
)

Review the goals you wrote in Week 1 and write a reflection for each one of them. Include whether or not you met your goals and provide some detail about the process.

 

1.

 

 

2.

 

 

3.

 

 

4.

 

 

5.

 

 

 

 

Example S.M.A.R.T. Goals:

Delete this example page prior to submitting this assignment.

S:
I will develop a learning needs questionnaire and administer it to my students to assess their learning needs regarding my lesson plan topic.

M:
My success with this goal will be measured by my preceptor/mentor’s review/critique of my questionnaire, discussion of the results obtained, and self-reflection on the process and results

A:
I can attain this goal during my practicum.

R:
Learning needs are relevant to developing the lesson plan for students at my practicum site.

T:
I will achieve this goal by X date.

If you think nursing is a challenging career, talk to a practicing nurse and learn what ethical means. Most often, you will be caught in between a rock and a hard place due to the decisions you will be required to make. This guide delves into the importance of ethics in nursing to avoid stress. Remember, adherence to nursing ethics will always leave you with a clean conscience.

Day after day, nurses complete hundreds of crucial, medically relevant duties. The choices they have to make occasionally put both their personal and professional integrity to the test. The code of ethics in nursing aids them in maintaining a secure healing environment and taking into account patients’ demands from various angles.

Ethical standards remind caregivers to treat everyone fairly and uniquely while upholding a patient’s right to confidentiality in a way that might not be immediately apparent. Along with taking complete accountability for their roles as caregivers, these suggestions urge caregivers to stand up for individuals in their care and pursue justice.

What is ethics in nursing?

At some point in life, situations that test your professional and personal knowledge of the importance of ethics in nursing can arise at your workplace. However, morally strong healthcare workers find ways to act morally even when no one else shares their convictions. Regardless of any adverse personal consequences that may occur, nurses who use this skill make an effort to conduct themselves in accordance with the nursing ethical standards.

The worst thing about the ignorance of ethics in nursing is a tarnished reputation, individual embarrassment, anxiety, exclusion by colleagues, boss or peer retaliation, and professional repercussions. So, it is high time to learn more about,’ what is ethics in nursing?’ No doubt, the character of the nurse should be as good as the knowledge they possess.

A safe, judgment-free environment is created for caregiving by ethical practitioners. Whenever an unexpected risk arises, a nurse acts to safeguard both the patient and oneself. Along with building close bonds with their patients, they also demonstrate empathy via their deeds and words. These connections encourage communication, which aids healthcare providers in identifying individualized and efficient care options.

Examples of ethics in nursing

Ethics in
nursing research
cover a variety of areas, all of which you must be well-versed in. before delving into the importance of ethics in nursing, let’s look at some of the critical examples of ethics topics in nursing

Accountability

Practitioners in nursing accept accountability for their activities. They are morally upright and uphold high standards at work. When it comes to patient safety, ethical nurses never try to go above and beyond what they are trained to accomplish.

Advocating for a patient

Nurses must dedicate themselves to acting as patient advocates to ensure that each patient’s particular requirements and desires are considered. The notion that individuals are entitled to choose how they wish to be treated and are educated about treatments in a way that suits their preferences is stated in the code of ethics for nurses. To make such decisions, patients must be in good
mental health
. If they are not, caregivers must help them reach conclusions.

Discretion

HIPAA prohibits nurses from disclosing sensitive patient data. The virtue of ethics in nursing also stresses maintaining patient case information confidentiality. This rule extends beyond preventing unauthorized individuals from accessing confidential information.

 The guideline advises caregivers to discuss cases when no one else is present or can overhear their conversation. This is certainly relevant in a context where patients or personnel may eavesdrop on clinical discussions.

Wholistic treatment

The physical, emotional, and spiritual well-being of patients is taken into consideration as part of an integrated and holistic care model that responsible nurses actively promote. They collaborate with other healthcare experts to achieve and put this goal into practice as far as possible. They also aim to reduce risks to providing ethical, adequate services, such as misaligned public health objectives with local health needs.

Esteeming individual patients

Caregivers motivate their coworkers to be similarly proactive in upholding this standard by being educated about the people and communities they serve. Furthermore, a nurse respects everyone and always upholds an acceptable
professional limit
.

Promoting equality

Justice in nursing ethics encourages treating everyone fairly and forbids prejudice for whichever reason. This involves ensuring that the scarce healthcare funds are distributed in accordance with necessity. Caregivers build trust-based relationships with their patients by treating them fairly.

Where should you practice your ethics as a nurse practitioner?

Can you confidently and thoroughly describe the importance of the code of ethics in nursing? Kudos for the confidence. Here are some areas where you should attempt to apply your knowledge of ethical nursing considerations.

As a nurse practitioner, you must exercise great humility and adaptability. Healthcare practitioners are encouraged to apply these moral principles to their daily life by the nursing code of integrity. The American Nurses Association claims that nursing ethics covers numerous common issues. They include;

Moral courage, moral resilience, and moral distress

Bioethics

Advocacy

Caregiving

End-of-life issues

Importance of ethics in a nursing career

Are you in a daze and unaware of the importance of ethics in nursing? Nearly every day, nurses come into circumstances that call for a firm ethical foundation. They are assisted in navigating the hazy waters when the appropriate course of action is rarely obvious by education and resources like ‘The Codes.’

Therefore, this should be a no-brainer, but knowledge of the importance of ethics in nursing is a must. Below are some situations that nurses face that go to show just how vital these ethics are

Inadequacy of staff members and resources

Even though it’s not always a moral dilemma for specific nurses, hospital administrators and nurse supervisors need to be aware of the insufficient funding and staffing for patient care. Nurse leaders conflict with budgetary restrictions and patient needs as healthcare expenses rise.

Patients run the danger of not getting the proper care when medical facilities are short on resources, forcing a nurse to make challenging choices. When hospitals are confronted with insufficient employee numbers, tough decisions might also have to be taken. Nurses lack time to care for every patient as thoroughly if there is inadequate staff to care for the patients.

 Recovery times or even attending to the patient’s physical and emotional requirements are examples of the needs of the patient. Due to time constraints and stress overload, a nurse’s moral duties to a patient are jeopardized. They now have to battle mentally to determine where to put their priorities.

Obtaining well-versed consent

A patient’s agreement must be obtained before every treatment or surgery unless a patient is unconscious. The patient may occasionally decline medical care. Nurses make sure that the personnel abides by the patient’s requests. For nurses, the issue of informed consent sometimes raises ethical issues.

When there is a worry that patients or their families are not being told or do not comprehend the treatments employed on a person, a difficulty might arise. In some instances, patients might not always feel at ease questioning or giving consent because they do not completely understand the ramifications of their therapy.

Patients are more likely to adhere to a treatment program and have better results if they feel accepted and have confidence in their nurses and physicians. To avoid ethical problems, nurses should ensure that patients comprehend every aspect of their care plan.

Understanding all the hazards and the specifics of how an operation will be carried out, as well as how specific drugs and therapies may affect them, are among the details. If not, patient safety may be at risk, and hospitals may incur significant expenses. To acquire informed consent, healthcare professionals must take all reasonable steps to ensure that their patients know the treatment protocol.

Speaking about innovative care planning

Healthcare providers find it challenging to discuss advanced care planning, especially during end-of-life care discussions. These discussions occur amongst doctors and patients when they have to make arrangements for their long-term medical care if they leave this world or become too sick to do it themselves.

  Patients will investigate, talk about, and record their individual healthcare preferences. They are able to define their own beliefs and goals about possible medical care through this approach. Additionally, they will disclose to whom they wish to make healthcare judgments if they cannot decide for themselves.

The challenging duty of ensuring that these wishes are stated and respected in a medical crisis typically falls to nurses. For instance, a problem can arise if a patient requests not to be placed on a respirator, but their closest family insists otherwise. Despite the challenging scenario, caregivers must prioritize patients’ wants and desires, mainly when providing end-of-life care.

Maintaining patient confidentiality

Concerns over patient confidentiality and privacy are serious
ethical dilemmas
for nurses. This could have legal repercussions if performed improperly and negatively impact healthcare providers. There are clear limits and procedures for preserving patients’ privacy since HIPAA protects medical information about individuals.

A nurse must respect patient autonomy while upholding their patients’ rights and acting in their best interests. All healthcare personnel should respect patient autonomy, which is the freedom of patients to autonomously make choices regarding their care based on their individual or cultural belief systems.

Patients have the choice to reject treatments, drugs, or operations when they are autonomous. Nursing staff must respect this choice and carry it out even if it runs counter to advice from doctors and other healthcare professionals.

Telling the truth

One of the reasons why nurses have the best grade for honesty and ethics is that the majority of patients have faith in them. Caregivers must be honest even when delivering news that the patient may not wish to hear. Additionally, they rely on a patient to provide truthful data about their diseases, medications, and other difficulties.

Collective patient-decision production

When a healthcare professional fully controlled patient care in the past, a collective decision was a much more moral strategy to care delivery. When healthcare professionals and patients collaborate to determine the best option feasible for a patient’s treatment, this practice enhances patient autonomy.

By engaging in frank discussions about a patient’s background, beliefs, values, and cultures, healthcare professionals and patients can establish a trusted working relationship. Without a bond, nurses and other healthcare providers will have a tough time getting patients to comply and communicate effectively.  

Patients are much more likely to be content with medical care and have more faith in a doctor’s treatment recommendations when they fully engage in decision-making. Despite the fact that information shared with patients is difficult, healthcare practitioners should understand how important patient education is. Conflicts between the staff and patients may arise if a client is unable to comprehend the treatment.

Dealing with beliefs that conflict with experiential knowledge

Patients and their loved ones have the right to reject successful conventional care. For instance, blood transfusions are prohibited by some religions. Can the nurse go through the advantages of the suggested course of action? Alternatively, must the nurse honor the patient’s choice?

What are some of the ethical principles in nursing?

You are aware of the importance of ethics in nursing but do you know some of the ethical principles? Do you know that these principles eventually heighten patient care and outcome? Below are some of the ethical principles in nursing

Esteem for autonomy

The ability of individuals to make their own decisions is referred to as autonomy. This implies that nurses must ensure that patients are informed and have all the data they need to make decisions about their medical care. The nurses do not influence the choice of the patient.

Instances of nurses doing this include getting the patient’s consent for treatment with informed consent, understanding when the patient declines medication, and keeping confidentiality. By adhering to these principles, you demonstrate a high knowledge of the importance of a code of ethics in nursing.

Justice

Justice entails objectivity and fairness. This is demonstrated by nurses making unbiased medical decisions, irrespective of socioeconomic class, race, sexual orientation, etc., whether it relates to few resources or novel treatments.

Beneficence

Beneficence is charity and kindness, which calls for a nurse to take action to help others. Holding the hand of a patient who is dying is an illustration of a nurse exemplifying this ethical principle.

Non-maleficence

This implies that caregivers must not purposefully cause damage. As it pertains to medical competency, nurses are required to deliver a level of care that avoids or minimizes risk. Nurses can illustrate this idea by refraining from giving a patient subpar care.

Bottom line

As a nurse, you must have been drawn to nursing because of an innate desire to care, serve, or help, right? Above are the most common importance of ethics in nursing that should remind you why you do what you do. Nursing is an art and hence requires exclusive devotion. You are right where you should be!

When faced with an ethical dilemma, healthcare professionals are tasked with making decisions that often have life-or-death consequences. This can be a daunting and stressful experience, as the weight of the decision rests solely on their shoulders. Healthcare professionals must consider all available information and perspectives before making a decision.

When faced with an ethical dilemma, healthcare providers must weigh each decision’s pros and cons to make the best choice for their patients. These dilemmas can be difficult to navigate, but they are essential in providing care. By understanding the different ethical dilemmas and how to approach them, healthcare providers can be better prepared to make the best decisions for their patients.

The following article will explore ethical dilemmas in healthcare examples and solutions and offer guidance on how to make decisions in these difficult situations.

What is an ethical dilemma?

An ethical dilemma is a situation with no clear right or wrong answer. Ethical dilemmas are often seen in healthcare, as there are many potential actions that a healthcare professional could take, and each step has the potential to impact the lives of others.

 Healthcare professionals must consider the ethical implications of their actions before taking any action. For example, a doctor may be faced with the decision to provide a patient with life-saving treatment, even though it may not be covered by insurance.

This can create a financial burden for the patient and their family and put the doctor at risk of losing their job. Another example of an ethical dilemma in healthcare is when a pregnant woman is told she has a high risk of miscarrying her baby. She may be faced with the decision to have an abortion or continue the pregnancy, knowing that there is a chance she could lose her baby anyway.

Moral vs. ethical dilemma

We often consider these terms interchangeable when it comes to right and wrong. However, there is a distinction between moral and ethical dilemmas. A moral dilemma is a situation in which there is an apparent conflict between two morally correct options, and neither choice is preferable.

An ethical dilemma, on the other hand, is a situation in which there is a conflict between two equally morally correct options, but when one option may have consequences that are more ethically problematic than the other.

When faced with a moral dilemma, you must weigh the pros and cons of each option and make the best decision possible. The key here is, to be honest with yourself about what each choice would entail and your motivations for making each choice. It is also important to be aware of personal biases that might influence your decision-making.

One well-known example of an ethical dilemma is the trolley problem. In this scenario, you are presented with the choice of either letting a trolley full of people crash into a group of five people or pulling a lever that will divert the trolley onto a different track where only one person will be hit. Both choices result in death, but most people would say that diverting the trolley is more ethical because it results in fewer deaths.

Ethical dilemma in nursing

As a nurse, you will be faced with ethical dilemmas regularly. Many of these dilemmas can be resolved by following the code of ethics for nurses. However, there are some situations where the code of ethics does not provide clear guidance. In these cases, you must use your judgment to decide the best course of action.

Some common ethical dilemmas that nurses face include whether or not to disclose confidential information, whether to provide care to a patient who is refusing treatment and how to deal with patients who are non-compliant with their medication regimen.

Making decisions in these difficult situations can be very stressful. It is essential to take some time to think about what you believe is the right thing to do. An ethical dilemma is when a nurse must choose between two morally equal actions. This can be a difficult decision to make, as both options may have positive and negative consequences.

Nurses can take a few steps to help make these decisions.

First, you should identify the values at stake

Consider the potential outcomes of each option

Consult with other nurses or ethicists to get different perspectives. Ultimately, the decision must be based on what the nurse believes is best for the patient.

How to identify ethical dilemmas in nursing

When it comes to ethical dilemmas in nursing, there are a few key things to look for.

Any situation that has the potential to cause harm or distress to a patient is likely to be an ethical dilemma.

Any situation where there is a conflict of interest between the nurse and the patient or between the nurse and the healthcare team can also be an ethical dilemma.

Any situation where the nurse feels uncertain about the best course of action is likely to be an ethical dilemma. For example, if a patient wants to end their life but the nurse feels it is their duty to keep them alive, this is an ethical dilemma.

Finally, you want to be on the lookout for any decision that could significantly impact someone’s life. For example, if a nurse is considering whether or not to report a colleague they believe is engaged in unethical behavior, it is a big decision with potentially serious consequences.

Nurse’s code of ethics

A nurse’s code of ethics is a set of guidelines to ensure they provide the best possible care to their patients. Nurses face ethical dilemmas daily and must have a clear code of ethics to guide their decision-making.

The nurse’s code of ethics also provides a framework for how to deal with difficult situations. It is important for nurses to remember that they have a duty to their patients and to act in their best interests. This means that sometimes difficult decisions must be made to ensure that the patient receives the best possible care.

Four main principles make up the nurse’s code of ethics. These principles are intended to create a professional standard for nurses that upholds the dignity and rights of patients while also ensuring that nurses provide quality care. The nurse’s code of ethics is integral to the foundation on which the
nursing profession
is built. These principles include:

Respect for autonomy

Respect for autonomy is essential in nursing because it ensures that patients are treated as individuals with unique needs and preferences. It also allows nurses to advocate for their patient’s rights and best interests. When making decisions about patient care, nurses should always consider what is in the patient’s best interest.

beneficence

The principle of beneficence requires nurses to act in the best interest of their patients. This includes providing
respectful care
for the patient’s autonomy and dignity, promoting the patient’s well-being, and protecting the patient from harm.

non-maleficence

The principle of non-maleficence. This principle dictates that nurses must not harm their patients. Nurses must always act in the best interests of their patients and put their safety and well-being above all else.

Nurses have a duty to protect their patients from harm. They should never knowingly or recklessly endanger their patients. If a nurse believes that a patient is at risk of harm, they have a duty to report this to the appropriate authorities.

justice

As a nurse, you must uphold a particular code of ethics. This code of ethics is based on values of justice, respect, and compassion. As a nurse, you are expected to provide proper care. You should always treat patients with respect and dignity. You should also be compassionate towards your patients and their families. Justice means that nurses must treat all patients fairly and equally.

Ethical dilemma questions

When it comes to ethical dilemmas, there are no easy answers. But that doesn’t mean you shouldn’t ask the tough questions. Here are a few ethical dilemma questions to get you thinking:

Is it ever ethically permissible to lie? When, if ever, is it better to tell a ” white lie” rather than the truth?

Is it ethical to break the law to protest an unjust law?

Is it ethically permissible to take someone’s life, even in self-defense? In war? In capital punishment cases?

How do we balance the need for privacy with the public’s right to know?

Should I provide care to a patient not following their treatment plan?

What if I believe a patient is making a decision that harms them?

How do I deal with conflicting demands from patients and families?

Is it ethical to withhold treatment from a patient who cannot afford it?

Is it ethical to provide substandard care to a patient who cannot afford better?

Is it ethical to ration care based on factors like age or health status?

Is it ethical to lie to a patient about their prognosis?

Is it ethical to end a patient’s life if they are suffering from a terminal illness?

What is the best course of action?

What are the potential risks and benefits of each option?

What are my values, and how do they impact my decision-making?

What are the ethical principles that guide my decision-making?

What are the potential consequences of each option?

Whom will this decision impact, and how?

Ethical dilemma scenarios for students

When it comes to medical-ethical dilemma cases, nurses face them daily. But what if you were the one in the scenario? How would you handle it? We’ve put together five different ethical dilemma scenarios for
nursing students
, so you can get an idea of what you might face one day.

Scenario 1: A patient is admitted to your unit with a diagnosis of end-stage renal disease. The patient is not on dialysis and has expressed that they do not want to start. The patient’s family is pressuring you to start dialysis, but the patient is adamant about not wanting treatment. What do you do?

Scenario 2: One of your patients is a Jehovah’s Witness and refuses to receive a blood transfusion, even though it is medically necessary.

Scenario 3: You are caring for a terminally ill patient who has decided to discontinue treatment. The patient asks you to keep this information confidential. However, you know that if you do not tell the patient’s physician about the decision, the patient may not receive the proper palliative care they need. What do you do?

Scenario 4: A patient comes to you for advice on whether or not to have an abortion. You know that it is against your personal beliefs to support abortion, but you also know that it is the patient’s legal right to make this decision.

Scenario 5: A patient is admitted to your unit with a terminal illness and has requested that no life-sustaining measures be taken. However, the patient’s family requests that all measures be taken to prolong their loved one’s life. As the nurse, what do you do?

Scenario 6: You have been caring for a patient nearing the end of their life. The patient has expressed a desire to die at home, surrounded by family and friends. However, their family is opposed to this and wants them to stay in the hospital.

Scenario 7: A patient discloses sensitive information to the nurse during a consultation. The nurse feels obligated to keep this information confidential but wonders if she should share it with the patient’s doctor.

Scenario 8: A nurse witnesses another healthcare worker mistreating a patient. The nurse is unsure whether to report the incident, as she does not want to get the other healthcare worker in trouble.

Scenario 9: You work in a busy emergency room when a car accident victim is brought in. He is unconscious and has multiple injuries. The doctors tell you that he will not survive unless he receives a blood transfusion immediately, but his family is opposed to transfusions on religious grounds.

Scenario 10: You are assigned to care for an HIV-positive patient. He tells you that he does not want anyone else to know about his diagnosis because he is afraid of discrimination.

Ethical dilemmas examples in healthcare

When it comes to difficult decisions in healthcare, ethical dilemmas are not uncommon. Here are a few examples of ethical dilemmas that healthcare professionals may face:

A patient is admitted to the hospital with a terminal illness and only has a few months to live. The patient’s family is very religious and does not want them to receive life-prolonging treatments, such as artificial ventilation or dialysis. However, the patient is still relatively young and wants to fight for their life. As a healthcare professional, you must decide whether to honor the patient’s wishes or their family’s.

You are a doctor who specializes in treating cancer. A close friend of yours has been diagnosed with an aggressive form of cancer and asks you to treat them. However, you know that the chances of successful treatment are meager.

A patient is admitted to the hospital with a life-threatening condition. The treating physician knows that the patient will die if they do not act quickly. However, the patient has expressed that they do not want to receive any aggressive treatment and would let nature take its course. In this scenario, the physician must decide whether to respect the patient’s wishes or provide treatment against their wishes to save their life.

A pregnant woman is admitted to the hospital with a life-threatening condition. The treating physician knows that if they do not act quickly, the mother and baby will die.

Should a terminally ill patient be kept alive through artificial means?

What is the best way to deal with a patient seeking assisted suicide?

Should patients be told the truth about their prognosis, even if it is bleak?

What is the best way to allocate scarce resources, such as organs for transplantation?

A patient is terminally ill and wants to end their life. They ask you, their doctor, for help. This is against the Hippocratic Oath, which states, “I will not give a deadly drug to anyone if I am asked, nor will I suggest this effect.”

A patient wants to know their prognosis, but you are unsure if they can handle the truth. Telling them could cause them undue stress and anxiety. Not telling them could hinder their ability to make important decisions about their care and treatment options.

A patient asks you to lie to their insurance company about the severity of their condition to get approval for a procedure they need. Lying is unethical, but not doing everything possible to help your patient may also be considered unethical.

One of the most common ethical dilemmas in healthcare is what is known as the “double effect.” This occurs when a physician prescribes a medication that has both beneficial and harmful effects. For example, a cancer patient may be prescribed a chemotherapy drug that will make them very sick but will also hopefully kill the cancer cells.

Another common ethical dilemma is whether or not to provide care for patients who cannot pay.

Solutions to ethical dilemmas

When it comes to ethical dilemmas in healthcare, a few critical solutions can help.

Communication is key.

If you feel uneasy about a situation, communicate with your supervisor or another trusted individual.

Always remember the importance of informed consent

Make sure that patients understand all of their options before making any decisions.

Always keep patient confidentiality in mind.

Even if you are uncomfortable with a particular situation, remember that it is not your place to share any information about the patient without their consent.

Be transparent with patients.

This means being honest about risks and benefits and providing information in a way that is easy to understand.

Involve patients in decision-making

This can help ensure that decisions are made based on what is best for the patient rather than what is easiest or most profitable for the provider.

Ensure you are up-to-date on the latest ethical guidelines

Adhere to the code of ethics set forth by their professional organizations

This code of ethics provides guidelines for how healthcare professionals should behave in various situations.

Another solution is for healthcare organizations to establish policies and procedures for addressing ethical dilemmas.

These policies and procedures can guide employees when facing an ethical dilemma.

Educating and training on ethical issues can help healthcare professionals identify and resolve ethical dilemmas.

Do nothing and hope that the problem sorts itself out

This is usually not the best action, leading to further complications.

Try and reason with the parties involved in the dilemma

This cannot be easy, as people’s ethical standards are often very different. However, if both parties are willing to listen to each other and compromise, this can be an effective way to solve the problem.

The Last resort is to go to a higher authority.

This could be a manager at work, a judge in a court of law, or even God if the dilemma is religious. You can also consult with an ethical committee. These committees are usually made up of experts in the field who can offer guidance on how to resolve the issue. They can also provide information on resources that may be helpful in solving the problem.

Bottom line

The ethical dilemma in healthcare is a complex and challenging issue to solve. However, it is crucial to consider the options and make the best decision for the patient. The healthcare industry is constantly changing and evolving, so it is important to know the latest developments to make the best patient decisions.

There are many factors to consider when making healthcare decisions, including the patient’s needs, the patient, the rights of the patient, and the responsibilities of the healthcare provider. These dilemmas can be difficult to resolve, but it is essential to consider all options and make the best decision for the patient.

The need for health promotion is increasing in the current world. This has led to the study of the issue in schools, especially for nursing and medicine students. If you have been assigned a health promotion essay to write but have no idea where to start, worry not. This article discusses health promotion and topics to write about in an essay or research paper.

What is health promotion?

Health promotion is the process of empowering people to exert more control over and make improvements to their health. It shifts away from emphasizing personal behavior and toward various societal and environmental interventions.

Health promotion assists governments, groups, and individuals in coping with and addressing health concerns as a fundamental component of
public health
. Building sound public policies, fostering positive settings, and enhancing community engagement and individual abilities are ways to achieve this. In the Western Pacific Region, health promotion focuses on:

Enhancing the equipment and funding for health promotion

Improving urban health, such as by supporting Urban Hearts and healthy cities

Creating additional healthy environments (such as healthy workplaces and schools) and healthy territories

Improvement of health literacy

Development of health promotion

The Commonwealth and state governments’ commitment to the preventative plan during the past few years has been crucial for health promotion. This is a result of significant developments that have led to a rise in chronic diseases.

This includes demographic changes (population increase and aging) and lifestyle changes. All levels of administration view prevention as essential because chronic illness is on the rise and will remain to influence the health service. The main guidelines for health promotion concur that:

Planning, transportation, and environmental sustainability are just a few examples of how other government policies have an impact on health

If transformation is to be successful, collaborations across all tiers of government, non-governmental organizations, the health industry, commerce, and the public at large are required

Health promotion strategies

Here are the health promotion and disease prevention strategies as laid down in the Ottawa charter for health promotion;

Advocate

Good health is a critical quality of life and a vital instrument for social, economic, and personal growth. Health can be benefited or harmed by elements in the economic, political, social, cultural, environmental, behavioral, and biological spheres. By promoting health, health promotion seeks to improve these circumstances.

Enable

Equity in health is the primary goal of health promotion policies. For everyone to reach their highest fitness level, health promotion programs seek to minimize disparities in present health conditions and guarantee the availability of equitable resources and opportunities. This comprises a strong foundation in a welcoming setting, information access, life skills, and chances to make healthy decisions. People can’t reach their maximum health potential until they can control the factors that affect them. It must be valid for both men and women.

Mediate.

The healthcare system cannot, on its own, guarantee the conditions and possibilities for health. Authorities, the healthcare sector, other economic and social sectors, non-governmental and volunteer organizations, local governments, businesses, and the media must all work together to promote health.

Health promotion activities

Building healthy public policy

Legislation, budgetary restrictions, taxation, and organizational reform are a few varied but complementary strategies that make up health promotion policy. Creating strategies to overcome obstacles to implementing healthful public procedures in non-health sectors is necessary for promoting health policy.

Creating a supportive environment

Any strategy for health promotion practice must consider the preservation of the built and natural surroundings and the protection of natural resources.

Strengthening community action

Social development depends on existing people and material resources to improve consciousness and support networks and create flexible structures for enhancing widespread engagement in and control of health matters. In addition to financial support, this calls for complete and ongoing access to health-related information and educational opportunities. Actions must be taken to improve community health promotion.

Development of personal skills

It is crucial to give people the tools they need to prepare appropriately for life’s various stages and how to deal with chronic illnesses and injuries. This needs to be supported in the home, workplace, community, and school contexts.

Reorienting health services

Beyond its obligation to provide clinical and therapeutic services, the health sector’s mission must expand to include health promotion. Health research must also receive more focus to reorient health services, and expert training and education must shift.

Looking into the future

When creating a health promotion model, considerations of compassion, holistic thinking, and ecology are crucial. Females and males should participate equally in the planning, executing, and assessing of health promotion initiatives.

Health promotion topics

Top ten health promotion topics to write about

What are the health risks posed by air pollution?

Why is maintaining nature a requirement for health?

Antimicrobial resistance patterns

Communicable and non – infectious Diseases Risk Factors

The primary goal of occupational medicine

Is low nutrition a sign of anemia?

Is gambling an addiction?

Is it possible to manage animal CCHF infection?

How to lower the possibility of pneumonia

Congenital abnormalities’ effects on social interaction

Describe the health promotion theory

Mental health promotion health topics

How we think and behave is primarily influenced by our mental health. It consequently influences how we behave. Our thoughts encounter many obstacles in our fast-paced society. Depression and other stress-related diseases like burnout are pretty prevalent. But the field of
mental health
is enormous. This area is for you if you’re interested in psychological health promotion

How can eating issues in adults be treated?

Look into the effects a mentally sick individual has on their family

When is it appropriate to visit a psychiatrist?

What kind of depression are there?

Talk about the stigma that exists in your community about mental health issues

How can depression be avoided?

Why should society pay attention to the needs of those who are mentally ill?

How can OCD affect the life of a patient?

Look into what triggers anxiety problems

Examine how HIV/AIDS and mental health are related

Why do people suffer from psychological conditions?

Discuss the use of medicine to treat mental health problems

Describe the health promotion health diagnosis

Seasonal Affective Disorder: What Is It?

Describe the adverse effects of news reading

Health promotion ethical topics to write about

Medical ethics become relevant when we make ethical choices regarding our health. Morals can be founded on several different ideas. Family members, patients, and doctors all have various ethical responsibilities. The following is a list of 15 medical ethics controversial issues:

Who should have the authority to decide a patient’s medical care?

Should physicians be permitted to promote their services?

Examine circumstances in which a doctor would be required to disregard a patient’s right to privacy

What ethical issues are raised by alternative medicine?

What should a physician do if patient declines care due to religious convictions?

Write about the accessibility, inequity, and safety of healthcare

Government initiatives to encourage women to have children are necessary

Discuss any nutrition-related ethical issues

Should the government compel physicians to practice in rural areas to ensure access to healthcare there?

Should schools step in if kids engage in unruly behavior?

What criteria does a doctor use to choose which individuals to treat when resources run low?

When is it appropriate to terminate a life-sustaining treatment?

Child health promotion topics

The health of a child extends beyond only physical well-being. Equally important to their growth is providing for their social and emotional requirements. Children additionally need to have regular checkups. Here are 15 engaging subjects for talking about pediatric care when you’re interested;

Look at what makes a child’s behavior stand out

Should parents be concerned if their children have frequent nightmares?

What part does a child’s education at school have in their health?

How can you encourage your child to lead a healthy lifestyle?

How can you entice your kid to work out?

Children and healthy eating: a never-ending battle

Consider how a nanny affects a child’s growth.

Describe the origins of toddler sleeplessness

How can a youngster with learning impairments be supported?

Talk about how to administer medication to toddlers.

What is the most effective technique to handle a feverish baby?

Describe the best ways to encourage a positive body image and prevent childhood obesity.

What issues are brought on by children’s improper eating?

Children’s asthma and its effects

What role does play have in a child’s development?

Senior health promotion topics

Seniors have unique health requirements. Poor hearing or vision is the main issue associated with aging. Fortunately, there are numerous ways to maintain good health at any age. Here is a list of 15 well-liked samples of senior health subjects;

How can you keep in shape as you age?

When is it appropriate to place someone in a nursing home?

What effects might arthritis have on a person’s life?

Describe coping mechanisms for memory loss

Write about age-sensitive populations’ need for a nutritious diet.

Look for ways that seniors can maintain ties to their neighborhood

What are the views toward aging-related changes—both favorable and unfavorable?

How can someone stop the decline of their mental faculties?

Discuss the most prevalent psychological issues that affect elders

Describe how to stop older people from falling

Does growing older inevitably lead to a loss in health?

What false beliefs about aging do members of the
general population
hold?

Look for ways to ward off Alzheimer’s

How does one successfully age?

How can old age mental well-being be ensured?

Occupational health promotion topics to write about

Problems with occupational health do not just arise during physically demanding work. Any profession can impact your health. Long periods of desk work alone can result in serious ailments. The following themes for essays are all related to occupational health promotion:

How can someone who has ongoing back issues get back to work?

Why do occupational respiratory illnesses occur?

Describe the safety measures that must be taken at a worksite

Examine the causes of hearing issues at work

What risks should employees be mindful of when working outside in the cold?

What types of injuries are frequent among those who work in the service sector?

How can burnout be avoided in highly stressful work environments?

What tools are necessary for an office worker to ensure their long-term health?

Look at the risks that could arise from working while pregnant.

Talk about the risks of being exposed to germs in hospitals

Consider the health concerns that miners experience

How may carpal tunnel syndrome be avoided at work?

How can lab safety be ensured in the chemical sector?

How can employers support the mental health of their staff members?

Examine the various kinds of safety gear for electricians

Personal health promotional essay topics

Your skincare regimen is simply one aspect of personal wellness. A healthy diet and frequent exercise are also included. You must look for your mental and emotional health if you want a healthy physique. Here are some common inquiries and suggestions for a personal health paper:

What are the most effective techniques to handle stress?

Is eating a plant-based diet better for you than eating meat?

Examine the facets of well-being and diets

How can insomnia be treated?

What amount of exercise is excessive?

How can a healthy lifestyle be ensured?

Look into the various forms of well-being

Examine the value of happiness

What distinguishes well-being from good health?

Talk about the negative consequences of caffeine

Discuss historical and contemporary yoga practices

How can meditations help you feel better?

What health issues affect young people the most frequently today?

How does wellness improve as a result of language learning?

Examine the effects of lack of sleep

Global health promotion essay topics

The examination of health problems around the world is referred to as “global health.” This subject is the subject of international scientific research. Therefore, enhancing global health is the ultimate goal for health promotion in nursing practice. Here are some global health promotion essay topics;

Analyze the impact of environmental change on health

Determine the leading causes of cancer worldwide

Examine the global implications of immunization

Talk about the usual causes of epidemics

What are the most critical global health challenges right now?

Look at ways to lower drug abuse globally

How does the WHO operate?

What are the most significant organizations in global health?

How can pandemics be avoided in the future?

How can violence be avoided in all cultures?

What nation has the best health in the world?

Why is it essential that healthcare is available everywhere?

Comparatively, analyze several pandemics

What can we do to promote the health of the environment worldwide?

The most important global health issues are pandemics, cancer, and climate change

To sum up

Congratulations on reading to the end. Now you know the health promotion definition, strategies and activities, and topics to write about when assigned an essay. If you still need help choosing a topic or writing a health promotion paper, reach out to
onlinenursingpaper.com
. We provide essay writing help to students across the globe at reasonable rates.

Narcissistic vs Borderline Personality Disorders essay

1. Discuss unique features associated with interviewing a patient who has a narcissistic personality disorder. Describe your approach to the comprehensive assessment of someone with this personality disorder. 2. Discuss unique features associated with interviewing a patient who has borderline personality disorder. Describe your approach to the comprehensive assessment of 6. someone with this personality disorder. Narcissistic vs Borderline Personality Disorders essay

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Assessment of Personality Disorders: Narcissistic and Borderline Personality Disorders

Personality disorders

Personality assessment entails the use specific tools and techniques to determine a person’s personality. It is employed in the diagnosis of psychological derangements.  Narcissistic personality disorder is defined by presence of grandiose fantasies coupled to mental and physiological comorbidities.  Interview should seek to elicit the pathognomic traits of overinflated ego and fantasies of grandiosity (Kacel, 2017). This is elicited using various questionnaires such as the personality diagnostic questionnaire- (PDQ-4) and the Minnesota Multiphasic Personality Inventory (MMPI); which assess patients’ cognition, attitudes and behavior. A comprehensive personality assessment examines attitudes and behavior through patient interviews. Additionally, projection tests such as The Rorschach Inkblot Tests are coupled to self-report inventories such as MMPI for a diagnosis to be made following the (Diagnostic and Statistical Manual for Mental Disorders- fifth edition) DSM-V manual (Zimmerman, 2019). These provide the clinical profile as well as a complete examination of the patient’s unconscious challenges, desires, and fears.

Borderline personality is identified based on the presenting symptoms and their contexts. During the interview, the clinician seeks to elicit specific signs and symptoms which fall under the following categories; cognitive, affectivity, impulse control and interpersonal functioning (Biskin, 2012) Narcissistic vs Borderline Personality Disorders essay.  According to DSM-5, a diagnosis is made only if the subject displays five or more of the specific criteria outlined. The patients often display marked impulsivity from early years, and persistent pattern of unpredictability in affect, self-image and interpersonal relationships. A holistic assessment requires the examination of the signs elicited in different contexts to allow for the distinction between borderline and other personality disorders (Bogaerts, 2021). Narcissistic vs Borderline Personality Disorders essay This is made by finding the trigger to the specific mood and behavioral disturbances elicited as in borderline disorder, it is often due to external stimuli for example an argument with a sibling thus high stress level.

 

References

Biskin, R. S., & Paris, J. (2012). Diagnosing borderline personality disorder. CMAJ: Canadian Medical Association Journal, 184(16), 1789.

Bogaerts, A., Luyckx, K., Bastaens, T., Kaufmann, E. A., &Claes, L. (2021). Identity impairment as a central dimension in personality pathology.
Journal of Psychopathology and Behavioral Assessment, 43
(1), 33-42.

Kacel, E. L., Ennis, N., & Pereira, D. B. (2017). Narcissistic personality disorder in clinical health psychology practice: Case studies of comorbid psychological distress and life-limiting illness. Behavioral Medicine, 43(3), 156-164.

Zimmermann, J., Kerber, A., Rek, K., Hopwood, C. J., & Krueger, R. F. (2019). A brief but comprehensive review of research on the alternative DSM-5 model for personality disorders. Current Psychiatry Reports, 21(9), 1-19. Narcissistic vs Borderline Personality Disorders essay

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Due to the availability of diversified writers,
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The above websites employ experts in a variety of subjects. Students are allocated to subject-matter specialists who have completed countless assignments of this nature. The websites allow students to communicate with their specialists and ask questions about areas where they are having difficulty.

They will save effort and time

To accomplish academic goals, time management is crucial. Students must perform in-depth studies and gather pertinent information for the work they have been given. It necessitates a lot of effort and works to complete. They spare energy and time to handle other tasks when they ask for assistance from homework helpers online.

They will deliver your nursing assignments on time

Assignments not turned in on time have adverse effects that could lower the student’s final grade. Due to the size of the coursework and other obligations, it can be difficult for students to turn in their homework on time. Quick assignment assistance is available on homework websites, enabling students to meet strict submission deadlines.

They will help in writing different nursing papers

As a nursing student, you will come across different nursing papers. The nursing homework help websites mentioned above have differently skilled writers to help with any nursing assignment.

How to choose the best assignment help website

To ensure that you select the best website for nursing homework help, you should have all the relevant information. This will help you save money and time by not assigning tasks to untrustworthy websites. Consider the following factors before hiring an assignment help website;

Look at the website reviews

The paper quality is the most crucial factor when selecting a homework service. But if you don’t use a company’s services, how can you determine if its service is of the most excellent caliber? It’s much simpler to assess than you may imagine. You can achieve this by reading thousands of students’ reviews on their websites. You will learn more about the quality standards they retain and create in their job. This will address a lot of your queries. Find out, among many other things, if they adhere to deadlines, offer free revisions, and produce unique work free from plagiarism. Therefore, check the reviews carefully before choosing the best nursing writing services.

Check whether there are professional writers on the website

The best homework websites for nursing have well-known tutors. Always remember that a great writer has the education and experience necessary to produce original, accurate projects that adhere to your specified requirements. They are aware of the standards set by their lecturers and write their assignments accordingly.

A good nursing homework help company will ensure that your work is of the most outstanding caliber and will enable you to earn the best grades possible. But how can you tell if the business employs experienced writers? Check the reliability of the writer you are planning to hire by examining their work record and feedback. You can ask customer care to help you.

Check the price

Each student is given a budget they cannot go above. You can request quotations from various online assignment services and choose the one that matches your requirements and price range. You only need to visit the homework writing service’s website to make your order and specify the deadline. The customer care team will inform you of the cost of your assignment.

Most cheap nursing writing websites deliver plagiarized work for a low price. Watch out: Not all assignment writers who promise to provide the top online assignment services at affordable prices are reliable. Since there aren’t many affordable, reliable services.

Check for accessibility in cases of emergency

Do you ever need help with your homework at strange hours since a deadline is coming? Yes, that happens a lot. You can require the assistance of an assignment writing service at any hour of the day. It can be helpful under these circumstances to have customer assistance available round-the-clock every day of the week.

Confirm that the service provider you select has a 24/7 customer care number for ease of access in an emergency. The customer support staff can answer any inquiries regarding placing an order for your assignment.

Check if the website has a refund and free revision policy

Do you ever think about ways to make your assignments better? This can be achieved by editing them. You can eliminate extraneous material and fill up any holes in your writing by revising. Following your professor’s instructions, it will help you complete your homework. Therefore, we advise you to look for a writing service that lets you see a draft and make changes before delivering the final product.

In addition, your homework helper won’t always finish it on time. It may occasionally go against the terms and conditions that were agreed upon. Best nursing writing services must provide a refund in both of these situations. This return policy is detailed on the websites of these providers. Before completing your order, carefully read it. If there are any concerns, call a representative from customer service.

Check if the website produces original content

If you plagiarize in your assignment, there may be severe repercussions. You can lose points and possibly face disciplinary action from your instructor. To avoid these effects, use a reputable homework assignment help that only produces original content. The top websites for homework will guarantee that your task is original and free of plagiarism and that it is written by one of their specialists. Don’t forget to ask the website you selected for a plagiarism report. The best nursing homework help websites want you to succeed, so always keep that in mind. As a result, they create your assignment from scratch, following your instructions.

Discover the turnaround time

Is it appropriate to turn in your assignments after the due date? No! You won’t get credit for it, even though it deserves an A+. You must therefore confirm that the provider delivers completed assignments on schedule. In this case, you’ll also need to read customer reviews. Pick a service provider with a track record of delivering assignments on time. Before placing your order, discuss your timeframe with the customer service representative to ensure timely submissions.

To sum up

Before choosing nursing homework help websites to help with your projects, you should conduct thorough research. This is to avoid falling into websites that are out there to make money. With our list of 7 trusted nursing homework help websites, you are in good hands. Please choose one of the websites and
Place Order Now
.

Tumor Necrosis Factor (TNF) Inhibitors Essay

Tumor Necrosing factor inhibitors (biologics) are used for the treatment of inflammatory bowel disease. Explain the indications, ADR’s, monitoring, and patient education for these drugs please use peer-reviewed articles as well as professional articles this is per instructor.

 

Tumor Necrosis Factor (TNF) Inhibitors

Student’s Name

Course Code, Course Name

Instructor’s Name

Date

 

Tumor Necrosis Factor Inhibitors

Inhibitors of Tumor necrosis factor (TNF) are agents such as adalimumab, infliximab, and golimumab. They are a class of biological agents approved by the FDA for management of disorders such as, ulcerative colitis, ankylosing spondylitis, rheumatoid arthritis, and Crohn disease, among other diseases, exacerbated by the action of TNF. Other clinicians use it off-label for the management of sarcoidosis, Behcet disease, and graft versus host disease. The agents block the inflammatory process mediated by TNF (Gerriets, 2020) Tumor Necrosis Factor (TNF) Inhibitors Essay. Such include the activation of leukocytes through signaling pathway resulting in transcription of protein kinases and proteases. This leads to immunomodulation by stimulating apoptosis of immune cells and inhibiting the T lymphocytes.

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The medication may cause both mild and severe side effects. Minor adverse reactions do not require termination of medication. They can manifest in the form of rashes, headache, abdominal pain, sinusitis, nausea, and diarrhea. Serious effects that may occur fare those associated with immunosuppression where patients get predisposed to infections by fungi, viruses, or bacteria. In severe cases, this can be fatal. Studies indicate reactivation of latent tuberculosis in some patients. Additionally, there is increased risk of malignancy more so lymphomas (Salomon, 2018). Therapy associated Lupus and Congestive cardiac failure are other side effects that may be fatal if not addressed. Tumor Necrosis Factor (TNF) Inhibitors Essay Its most significant contraindication is in patients with known hypersensitivity to the drugs.

Before administration, patients should get comprehensive information on the pros and cons of the medication. A full disclosure of the possible side effects is necessary. Furthermore, the process of administration and condition surrounding the same are explained. Monitoring is performed prior to, during and post medication. The recommendation time-duration for monitoring is every three to six months with liver function tests and blood counts (Papamichael, 2019). Current evidence also recommends that clinicians should advice patients against getting any vaccination during the course of management with TNF inhibitors Tumor Necrosis Factor (TNF) Inhibitors Essay.

References

Gerriets, V., Bansal, P., Goyal, A., & Khaddour, K. (2020). Tumor necrosis factor inhibitors.
StatPearls [internet].

Papamichael, K., Vogelzang, E. H., Lambert, J., Wolbink, G., & Cheifetz, A. S. (2019). Therapeutic drug monitoring with biologic agents in immune mediated inflammatory diseases.
Expert review of clinical immunology, 15
(8), 837-848.

Salomon, B. L., Leclerc, M., Tosello, J., Ronin, E., Piaggio, E., & Cohen, J. L. (2018).  Tumor necrosis factor α and regulatory T cells in oncoimmunology. Frontiers in immunology, 9, 444 Tumor Necrosis Factor (TNF) Inhibitors Essay.

Concept Analysis paper – NURS 6104 Theory for Graduate Nursing Practice

6104 THEORIES FOR GRAD NURSE

CONCEPT PAPER – Assignment: Write a 4-5-page paper on a concept analysis.

Purpose

A concept analysis, concept development, and concept synthesis is described by McEwen and Willis (2019) as the “rigorous process of bringing clarity to the definition of the concepts used in science. Concept Analysis paper – NURS 6104 Theory for Graduate Nursing Practice Concept analysis is used to promote understanding.” Under-standing how concepts are used within nursing is critically important because how a concept is understood and used in nursing is not necessarily the same as how that concept is understood and used in other disciplines. Some concepts relevant to nursing are coping, quality of life, abuse, self-esteem, spirituality, health, nursing, managed care, and parenting.

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A concept analysis is the first step in communicating meanings, understandings and

feelings. The purpose of concept analysis is to “clarify, recognize, and define concepts

that describe a phenomenon”. A concept is usually a measurable variable in a hypothesis, assumption, or proposition. Remember, the study of theoretical knowledge as an advanced degree nurse is to prepare you for abstract thinking skills in problem solving and to advance your understanding of how theories are the basis for practice. Concept analysis can be used to evaluate the level of development of nursing concepts by:

• Identifying gaps in nursing knowledge

• Determining the need to refine or clarify a concept when it appears to have several

meanings

• Evaluate the adequacy of competing concepts in their relation to other phenomena

• Examine the congruence between the definition of the concept and the way it has been operationalized

• Determine the fit between the definition of the concept and its clinical application

(Morse et al., 1996)

Activities and Directions

To begin the process, choose a concept you are interested:
The Effect of a person’s spiritual belief and healing

Read the published concept analysis papers. By reading the articles, this will help your understanding of the concept analysis assignment. Remember you are focusing on the concept. So, if the concept is quality of life, focus on quality of life generally and not the nurse’s role in treatment or quality of life among the elderly.

2. The focus of this paper is to select and analyze a concept of interest to you and the

discipline of nursing. See examples of theoretically and operationally defined concepts in McEwen and Willis on pg. 53. You will need to describe the concept in clear and simple language, and why it is of interest to you.

State the purpose of the analysis. Clearly identify the concept to be analyzed. Concept Analysis paper – NURS 6104 Theory for Graduate Nursing Practice

Review the literature for definitions. State the databases used. This should be done in a formal way- don’t just write Galileo because this is a repository of databases and you

would want to identify specific databases used to help narrow down this information.

Google Scholar is acceptable to use but not Google.

6. Identify all the uses of the concept.

7. Describe defining attributes (how do you know it when you see it).

8. Give an exemplar (model case) of the concept from your practice. Include empirical

findings if located. Give real life examples.

9. Identify a choice of 2 of these: borderline, related, contrary, invented, and illegitimate

cases.

10. Identify the antecedents and consequences of the concept.

11. Determine empirical referents for the concept (how is the occurrence of the concept

measured?).

Other tips in writing this paper:

1. Use the steps in concept analysis from your textbook (Box 3-2, pg. 58) and the

PowerPoint provided.

2. You must have five or more references from peer reviewed resources- this means

scholarly journals that you find through a library search- you can also use your

textbook or a website that would be scholarly- this means the website of a

respected national organization and usually doesn’t end in .com but .edu, .gov,

or .org.

3. Do not use more than three direct quotes.

4. Use headings for each section of the paper. (For example for each grading criteria

use a heading. HINT: Heading makes it easier for faculty to see you have

followed the grading criteria).

5. Review rubric (See rubric on the GoVIEW website under Rubrics)

6. This paper should be written in APA with a title page and reference page, which

are not part of the page limit- this page limit (4-5 pages) is for the body of the

paper.
You are not required to include an abstract.
Refer to the APA section under

Content for help with formal writing and an example of a paper with APA format. Book used for class: Theoretical Basis for Nursing 5th Edition – Melanie McEwen and Evelyn M. Wills

Concept Analysis

NURS 6104

Theory for Graduate Nursing Practice

Concepts Concept Analysis paper – NURS 6104 Theory for Graduate Nursing Practice

Concepts are not words but are a mental image of a phenomenon, an idea or a construct about a thing or an action (Walker and Avant, 2005).

The words used in language are not the concepts themselves; instead, they are the means by which they are expressed and communicated.

In order to achieve understanding or communicate effectively with someone in your discipline, there has to be some general agreement about the meaning of the concept.

Within scientific disciplines where concept usage may differ from the common meaning within the wider society, there is a need for concepts to be analyzed and clarified in order to ensure there some consistency of meaning and understanding.

Walker and Avant method of concept analysis

1.Select a concept

Concept selection should reflect the topic or area of greatest interest

It should be relevant to practice and make some contribution to knowledge development of the discipline of nursing

It is best to select something that lacks clarity- this is because if it is well-defined, it is not as meaningful to analyze; for example, quality of life would be one that may mean different things so it is a concept that lacks clarity.

Walker and Avant method of concept analysis (cont.)

2.Determine the aims or purpose of analysis

To clarify the meaning

To develop an operational definition

To distinguish between the normal ordinary and scientific language usage of the concept

Having a personal interest in conducting the concept analysis is a reason to choose the concept and analyze it.

Walker and Avant method of concept analysis

(cont.)

Identify all uses of the concept

Physical, psychological, and/or social

Dictionary, thesauruses, colleagues, literature

Do not limit search to just nursing or medical literature

While there can be an overwhelming amount of data, it helps to see the range and diversity of the use of the concept.

One example is fatigue- this is defined differently based on sports, healthcare, or engineering.

Determine whether there are commonalities in the definition of all of these or not; if not, you would discard these other definitions since these do not define the concept of fatigue as specific to healthcare.

Walker and Avant method of concept analysis (cont.)

4.Determine the defining attributes

On examining the different instances of a concept, taking notes on the characteristics that appear over and over again. These characteristics become the critical or defining attributes of the concept

The cluster of attributes are the most frequently associated with the concept and allow the broadest insight into the concept

You will synthesize what you have found in the literature to determine what these attributes are.

This is important to do so you can distinguish similar concepts- for example, compassion and empathy

Walker and Avant method of concept analysis

(cont.)

5.Identify model case

A real life example of the use of the concept that include all the critical attributes of the concept

The model cases can come first, or be developed simultaneously with the attributes, or emerge after the attributes are tentatively determined.

6.Identify additional cases: these help you determine the boundaries of the concept

Borderline Cases

Contain most of the defining attributes but not all

These cases are inconsistent in some way from the concept under study

Walker and Avant method of concept analysis

(cont.)

Additional Cases (cont.)

Related Cases

Instances where the concept is similar and connected to the one being studied

These cases help with understanding how the concept being analysed ‘fits’ with the network of concepts around it

Contrary Cases. Concept Analysis paper – NURS 6104 Theory for Graduate Nursing Practice

These are examples of what is NOT the concept

These cases can help clarify the concept being analysed as it sometimes easier to say what something is not rather than what it is

Walker and Avant method of concept analysis

(cont.)

Additional Cases (cont.)

Invented Cases

These are cases that contain ideas outside our own experience and can read like ‘science fiction’

Not all analyses need invented cases particularly if the model and other cases are such that there is little ambiguity

Illegitimate Cases

These cases are not always included but are those where the concept is used inappropriately or out of context.

Walker and Avant method of concept analysis

(cont.)

Identify antecedents and consequences: these give you context on the occurrence of the concept

Antecedents: Events that must occur prior to the occurrence of the concept; in the example of fatigue, an antecedent may be a chronic illness, rehabilitation, or cancer

Consequences: Events that occur as a result of the occurrence of the concept; for example, caring for older adults can have a consequence of preserving dignity.

Define empirical referents: Classes or categories of actual phenomena that, by their existence or presence, demonstrate the occurrence of the concept

Very
useful
in instrument development

Contributing to content and construct validity of any new instrument

An example of an empirical referent (or measurement) of a concept would be a survey that measures stress level if analyzing the concept of stress

Concept Analysis paper – NURS 6104 Theory for Graduate Nursing Practice

Public policy to reduce recidivism rate among violent criminals without parole supervision Essay

Advocating for Public Policy

Student’s Name

Student’s Number

Course Number and Name

Due Date

 

Advocating for Public Policy

There are many different ways to reduce the recidivism rate among violent criminals without parole supervision. Some of these methods include effective rehabilitation programs, increased supervision and monitoring, and better education and job opportunities. One way is through effective rehabilitation programs. These programs provide offenders with the skills and knowledge needed to reintegrate into society and avoid criminal behavior. Rehabilitation programs can also help offenders develop positive relationships with law enforcement officers and community members, which can prevent them from returning to a life of crime.
[1]
. Another way to reduce the recidivism rate among violent criminals without parole supervision is through increased supervision and monitoring Public policy to reduce recidivism rate among violent criminals without parole supervision Essay. This approach involves increasing the number and intensity of checks that law enforcement officers routinely subject offenders to identify potential threats before they undertake the actual crimes.
[2]
By identifying and addressing potential problems early, law enforcement can help offenders rehabilitate and reintegrate into society.

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Official Policy Actors Responsible to Reduce Recidivism Rate among Violent Criminals without Parole Supervision

Two main actors in public policy work to reduce the recidivism rate among violent criminals without parole supervision; the Department of Corrections and Rehabilitation (CDCR) and the Board of Parole Hearings. The Department of Corrections and Rehabilitation (CDCR) is responsible for the incarceration and rehabilitation of criminals in California state prisons.
[3]
CDCR oversees a number of programs designed to prevent and reduce the recidivism rate of violent offenders released from prison. One such program is the Correctional Reentry Initiative (CRI), which provides support and services to inmates before their release to society. The Board of Parole Hearings is responsible for reviewing applications for release from prison of violent criminals who have completed their sentence but still considered a threat to public safety.
[4]
The board may grant parole to the individual or deny the application based on a number of factors, including the severity of the crime and the risk that the offender will not abide by parole conditions.

Unofficial Policy Actors Responsible to Reduce Recidivism Rate among Violent Criminals without Parole Supervision

Two unofficial policy actors are important in public policy to reduce recidivism rates among violent criminals without parole supervision; the victim and the community. The victim has a voice often left unheard in the criminal justice system. Victim advocacy can play an important role in advocating for policies that reduce recidivism rates.
[5]
The community is also an important player in reducing recidivism rates. Public policy to reduce recidivism rate among violent criminals without parole supervision Essay They can play a role in supporting victim advocacy through offering services like mental health counseling and job training. They can also provide support to offenders through programs like gang intervention and re-entry assistance. They should not do the evil to revenge to those who have wronged them. Proverbs 3:31, says “Do not envy the violent or choose any of their ways.” By so doing, these two unofficial policy actors can play an important role in reducing recidivism rates among violent criminals without parole supervision.

Research Useful in Assessing Reduce Recidivism Rate among Violent Criminals without Parole Supervision

Different types of research can be useful in assessing public policy to reduce recidivism rates among violent criminals without parole supervision. Quantitative research can help identify specific trends and patterns in recidivism rates, while qualitative research can help assess how offenders and victims perceive the criminal justice system.
[6]
Additionally, survey research can measure public opinion on specific public policy options. Therefore, the type of research chosen depends on the specific question or issue to address.

 

 

Bibliography

Birkland, Thomas A. “An introduction to the Policy Process, Theories, Concepts, and Models of Public Policy Making.”  4th edition (2016).

Bonta, James, Guy Bourgon, Tanya Rugge, Chloe I. Pedneault, and Seung C. Lee. “A system-wide implementation and evaluation of the Strategic Training Initiative in Community Supervision (STICS).” 
Journal of Criminal Justice
 74 (2021): 101816.

Caulkins, Jonathan P., Anne Gould, Bryce Pardo, Peter Reuter, and Bradley D. Stein. “Opioids and the criminal justice system: New challenges posed by the modern opioid epidemic.” 
Annual Review of Criminology
 4 (2021): 353-375.

Latessa, Edward J., and Myrinda Schweitzer. “Community supervision and violent offenders: What the research tells us and how to improve outcomes.” 
Marq. L. Rev.
103 (2019): 911 Public policy to reduce recidivism rate among violent criminals without parole supervision Essay.

Nishi, Andrea. “Privatizing sentencing: A delegation framework for recidivism risk assessment.” 
Colum. L. Rev.
 119 (2019): 1671.

 

[1]

Latessa, Edward J., and Myrinda Schweitzer. “Community supervision and violent offenders: What the research tells us and how to improve outcomes.” Marq. L. Rev. 103 (2019): 911.

103 (2019): 911.

[2]
Bonta, James, Guy Bourgon, Tanya Rugge, Chloe I. Pedneault, and Seung C. Lee. “A system-wide implementation and evaluation of the Strategic Training Initiative in Community Supervision (STICS).” 
Journal of Criminal Justice
 74 (2021): 101816.

 

 

[3]
Nishi, Andrea. “Privatizing sentencing: A delegation framework for recidivism risk assessment.” 
Colum. L. Rev.
 119 (2019): 1671.

 

[4]
Ibid, p.1671

[5]
Birkland, Thomas A. “An introduction to the Policy Process, Theories, Concepts, and Models of Public Policy Making.”  4th edition (2016).

 

[6]
Caulkins, Jonathan P., Anne Gould, Bryce Pardo, Peter Reuter, and Bradley D. Stein. “Opioids and the criminal justice system: New challenges posed by the modern opioid epidemic.” 
Annual Review of Criminology
4 (2021): 353-375 Public policy to reduce recidivism rate among violent criminals without parole supervision Essay.

 

 

 

 

Public Policy Actors

             Advocating for Public Policy

 

 

Read: Thomas A. Birkland: An introduction to the Policy Process, Theories, Concepts, and Models of Public Policy Making.  4
th
edition, published 2016

Chapter 4

Chapter 5

Chapter 6

 

 

Identify one or more official policy actor(s) most responsible for the public policy issue that you are exploring and assess their role(s) in evaluating/implementing/blocking this public policy issue. Be specific.

 

Identify
one or more unofficial policy actor(s) most responsible for the public policy issue that you are exploring and assess their role(s) in evaluating/implementing/blocking this public policy issue. Be specific.

 

Consider what kind of research may be useful in assessing your current policy or issue and tailoring it to the relevant actor or audience. (For example, is there a lack of current or relevant data on this issue? Are there externalities that have not been fully understood? Are there new academic perspectives that have not been taken into account in the policy process?) Public policy to reduce recidivism rate among violent criminals without parole supervision Essay