All posts by : chebby

My paper is an Argument essay.My topic is should parents be required by law to vaccinate their children?

  What caring behaviors prompted the nurse manager to assign the clinical nurse leader to engage in direct caring for Mrs. Smith? Describe the clinical nurse leader role established by the American Association of Colleges of Nursing in 2004.
2. What issues (ethical, spiritual, legal, social-cultural, economic, and physical) from the structure of the theory of bureaucratic caring influenced this situation? Discuss end-of-life issues in relation to the theory.
3. How did the nurse manager balance these issues? What considerations went into her decision making? Discuss the role and the value of the clinical nurse leader on nursing units. What is the difference between the nurse manager and the clinical nurse leader in terms of caring practice in complex hospital care settings? How does a clinical nurse leader fit into the theory of bureaucratic caring for implementation of a caring practice?
4. What interrelationships are evident between persons in this environment—that is, how were the vice president for nursing, nurse manager, clinical nurse leader, staff, and patient connected in this situation? Compare and contrast the traditional nursing process with Turkel, Ray, and Kornblatt’s (2012) language of caring practice within the theory of bureaucratic caring 

discuss the article

Hi 

I completed my two pages paper and would like someone to correct my sentence structure and proofread.  I already used grammarly to correct.  NO need to correct my reference.  The question for the paper is:

” Give an example of the clinical manifestations of a hemorrhagic stroke, based on the anatomy/location of the bleed? Explain why the symptoms would be seen based on the anatomy and physiology. “

This is my paper:

A 62-year-old man has a history of chronic atrial fibrillation and has been taking aspirin daily for the past four years (Runchey & McGee, 2010). While working at his workshop 2 hours earlier, the patient had an abrupt onset of severe headache (Runchey & McGee, 2010). Ten minutes later, the patient had difficulty holding the tools in his left hand and needed assistance to get to the car (Runchey & McGee, 2010). The patient at the emergency department had a new onset of left side weakness, very high blood pressure at 200/108 mmHg, elevated heart rate at 104, a dense left hemiparesis, vomits twice, and positive Babinski responds (Runchey & McGee, 2010). The CT result showed that the patient had cerebral hemorrhage due to leakage of blood into the brain (Runchey & McGee, 2010). The present symptoms of severe headache, vomiting, bilateral Babinski signs, and neck stiffness indicated that the patient had a hemorrhagic stroke (Runchey & McGee, 2010). The study of Ojaghihaghighi, Vahdati, Mikaeilpour, and Ramouz (2017) also pointed out that patients who experienced a hemorrhagic stroke can develop in a few minutes with clinical manifestations including acute onset of headache, vomiting, and severe increase in blood pressure.

Normally, the brain receives blood from two major pairs of arteries, which branch throughout the brain tissue and supply a constant flow of oxygen, glucose, and nutrient to the brain cell for their function (Rink & Khanna, 2011). When a hemorrhagic stroke occurs, it shows an abnormal bleeding abrupt or rupture of the normal blood flow (McCance & Huether, 2019). The bleeding can occur either within the brain or between the brain and the skull (Harvard Health Publishing, 2019). There are two major hemorrhagic strokes include intracerebral hemorrhage and subarachnoid hemorrhage. Intracerebral hemorrhage occurs when there is a broken blood vessel within the brain due to high blood pressure, excessive alcohol use, smoking cigarettes, and the use of cocaine or amphetamines (Harvard Health Publishing, 2019). The most common location is at the bifurcations in or near the circle of Willis (McCance & Huether, 2019). The intracerebral hemorrhage usually happens in a certain part of the brain, such as the basal ganglia, cerebellum, brain stem, or cortex (Rink & Khanna, 2011). With long-standing high blood pressure and a lot of stress on the artery wall, it causes the artery ruptures and start to bleed out of the cerebral circulation (Harvard Health Publishing, 2019). The symptoms can worsen over a period of 30 to 90 minutes, including sudden weakness, inability to speak, vomiting, difficulty walking, and inability to control eye movement (Harvard Health Publishing, 2019). 

For subarachnoid hemorrhage, the bleeding from a damaged blood vessel causes blood to accumulate the brain’s surface and fills a portion of the space between the brain and the skull (Harvard Health Publishing, 2019). Patients with head trauma and brain aneurysm are the most common cause of subarachnoid hemorrhage (Cleveland Clinic, 2020). Blood escapes from defective or injured vasculature into the subarachnoid space (McCance & Huether, 2019). The bleeding into the subarachnoid hemorrhagic space due to aneurysm rupture leads to vasospasm and brain ischemia (Zhang, Tao, Feng, & Chen, 2017). When blood flows into the cerebrospinal fluid, it increases the brain’s pressure and causes immediate headache. The subarachnoid hemorrhage symptoms include a very severe headache, loss of consciousness, stiff neck, seizure, confusion, nausea and vomiting, and inability to look at a bright light (Harvard Health Publishing, 2019). Therefore, the bleed location, along with the symptoms, indicates the kind of hemorrhagic stroke of a patient.

NOTE: I attached the file, but can’t open.  I am not sure why?

Professional plan development

 Locate an epidemiological article that looks at a disease prevention program or a health education program. The program should be of interest to you. Read this article carefully. Write a paper discussing:
the disease/condition,
how epidemiology and biostatistics are evident in this article,
the main independent and dependent variables,
the statistical tests that were used, and
the importance of the study results.
Your APA-formatted review should be at least two pages (not including title and reference pages). All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.  

Purpose

The purpose of this discussion is for learners to demonstrate their ability to search for evidence in the scholarly nursing literature and share with colleagues.

Course Outcome

This discussion enables the student to meet the following course outcome:

• CO 5: Discuss theories and evidence-based practice in the planning of patient-centered care. (POs 1, 8)

Due Date

• Answer post due by Wednesday 11:59 p.m. MT in Week 5
• Two replies to classmates and/or instructor due by Sunday 11:59 p.m. MT at the end of Week 5

Points Possible

50 points

Directions

• Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:
  • Demonstrate understanding of concepts for the week
  • Integrate scholarly resources
  • Engage in meaningful dialogue with classmates
  • Express opinions clearly and logically, in a professional manner
  • Use the rubric on this page as you compose your answers.

Discussion

Evidence is necessary to improve our nursing practice. Using the CINAHL database in the Chamberlain Library, search for and locate a scholarly professional nursing journal article that meets these criteria:

• Full-text
• English language
• Peer-reviewed
• NOT an Evidence-Based Care Sheet or CINAHL Guide
• Published in the past five years
• Contains evidence to support a nursing practice in your practice area

Summarize this article in one paragraph. Explain why you selected this article. Provide an APA reference for this article.

Reply to a peer who has selected a different article. Provide feedback on that peer’s article choice and APA reference format. Your peers will also provide feedback on your article choice and APA reference format.

Grading

To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric.

Need a Powerpoint on Middle Range Theories

Kindly follow the instructions in the paper attached

write an answer based on this assignment. use at least 2 references but not the same that appears here. 

1. Describe a situation in which the nurse manager would use problem resolution in the workplace. Describe a situation in which the nurse manager would use negotiation to resolve a conflict (or potential conflict) in the workplace.    

Problem-solving skill is essential for any work environment. And the healthcare field is no exception. Especially for nurses who often deals with many people like, patients, doctors, other team members, patient’s families etc. While dealing with so many people and different variables, problems and disagreements arise. So, having a nurse manager that have leadership and conflict resolution skills is essential to help diffuse any adverse situation, and as a result, promoting a peaceful and friendly environment. Conflict often occurs in the hospital setting, especially between new nurses and more experienced staff. At one point, a family member expressed concern that a CNA was not attending the patient’s call lights in an acceptable time manner. I discussed and validated their concerns. In a private setting, I called the CNA aside and spoke with him about it. The CNA was very upset and felt it was not my place to tell him about it. The concerns of the family or the patient should never be dismissed. I spoke with the unit nurse manager to use the opportunity as a teaching moment. Healthcare providers are human, so it is normal for tensions to escalate at times. When that happens, it is the nurse manager duty to negotiate an acceptable solution, especially when the conflict is affecting patient care. Problem-solving is at the center of nursing practices and it is very important for nurses to improve their problem-solving skills to increase the patient care quality (Erol, Tanrikulu, Dikmen, & Akduran, 2016).

2. Compare and contrast strategies for resolving a conflict, using first the informal negotiation method and then the formal negotiation method. 

The process of resolving a conflict is a complex one that requires much careful thought beforehand and considerable skill in its implementation. The nurse manager must react knowing which are the sources of conflict, the mechanisms for their production and resolution. And more importantly, knowing how to solve them, whether in an active, regulatory or passive way.

It is essential to know that not all conflicts should be allowed to evolve without intervention. Poorly managed conflict and unresolved conflict have an influence on individuals, organizations, and, most importantly, patient outcomes (Johansen & Mary, 2012).

Handling conflict informally, as the name already says is basically trying to solve the problem in a more amicable and informal way. This approach entails, promoting communication, being a caring and effective listener, identify points of agreement and disagreement, development a plan for working each disagreement, and implementation of the plan.

Handling conflict in formal terms usually comes to place when all attempts to solve the conflict informally have failed. In this case employees can fille a formal complaint or claim that can be managed, either in court or through an extrajudicial resolution of conflicts, like mediation, conciliations etc.

3. Explore the American Nurses Association website for information on collective bargaining for nurses. Which states have nursing unions? Debate the issue of joining a union with another group of students. 

Collective bargaining involves a formal procedure governed by labor laws, such as the National Labor Relations Act in the United States. State that has union are California, New York, Florida, Texas, Minnesota, Hawaii, and Massachusetts.

4. PART 1: Log onto the website of your state nurses association and search for information on collective bargaining. Search for news articles, union websites, and other recent information on collective bargaining for nurses in your state. Is there a great deal of collective bargaining activity in your state? If not, why? If yes, what are the primary issues under discussion?

Florida is a right to work state; therefore, the right of an individual to work cannot be denied based on membership or non-membership in any labor union or organization. To ensure the orderly and uninterrupted operations and functions of government, Florida’s state employees do not have the right to strike.  Currently, there are seven labor organizations representing State Personnel System employees whose classes are assigned to one of 13 collective bargaining units.

PART 2: Review the pros and cons of becoming part of a collective bargaining unit. If you were a full-time staff nurse, would you want to join a union? Why or why not? 

Some nurses believe it is unprofessional to belong to a union. Others point out that physicians and teachers are union members and that the protections offered by a union outweigh the downside. The greatest disadvantage of using collective bargaining as a way to deal with conflict is that it clearly separates management-level people from staff-level people, often creating an adversarial relationship. Any nurses who make staffing decisions may be classified as supervisors and, therefore, may be ineligible to join the union, separating them from the rest of their colleagues

References

Erol, F., Tanrikulu, F., Dikmen, Y., & Akduran, F. (2016). Examination of problem-solving skills of nursing students in terms of some variables. Journal of Human Sciences, 13(3), 5460-5470. 

Johansen M., (2012). Keeping the peace: Conflict management strategies for nurse managers. From: https://journals.lww.com/nursingmanagement/fulltext/2012/02000/keeping_the_peace__conflict_management_strategies.13.aspx#O2-13-2

Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2009). Essentials of nursing leadership and management. F A Davis Company.