Nursing Shortage in the State of Nevadar

Nursing Shortage in the State of Nevadar


Nursing Shortage in the State of Nevadar

In Nevada, there has been a significant shortage of nurses and other healthcare professionals. This has forced other employers to stretch their hands I such workforces. For example, some of the employees, such as the hospital and the nursing school, have decided to leave their vacancies open for the extended period as they wait for the qualified applicants. In rural areas, more of the nurses are needed. For the past decade, more of the RNs began to work in Nevada to help reduce nursing shortages (Barnow, Piatak, & Trutko, 2013) . Partially, it helped to elevate the deficits but not eliminate it. For the past years, the proportion of the nurses to the Nevada resident is still growing, but it lags as compared to other states. To fight shortages of nurses, there has been an increased emphasis on nursing education. For example, training them, and recruiting more to join the nursing profession to step up the par with the workforces in other states(Barnow, Piatak, & Trutko, 2013) .

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Evidence Based Practice Paper

Evidence Based Practice Paper

Evidence Based Practice Paper

One of the greatest challenges faced by the healthcare providers is pain management especially for the geriatrics residing in nursing homes (NHs). According to research, approximately 80% of the older adults in NH are writhing in persistent pains (Gibson, 2007; Gibson & Lusier, 2012; Helme & Gibson, 2001). The paper examines the effectiveness of implementing evidence-based practice in the management of pain. The PICO question formulated in this case is “For geriatric nurses working in nursing homes (P), does implementing evidence-based practice (I) as opposed to not implementing evidence-based practice (C), lead to residents reporting reduced pain (O)?” The various study results are significant in a manner that persistent pain has negative impacts on the quality of life and patient satisfaction (Lapane, Quilliam, Chow, & Kim, 2012; Takai, Yamamoto-Mitani, Okamoto, Koyama, & Honda, 2010). Studies have also established that pain poses the risk of anxiety, suicidal thoughts, sleep disorders, loneliness, depression, functional disability, decrease in socialization and falls (Gibson & Lusier, 2012; Lapane et al., 2012). Although adults living in NHs experience debilitating pain, the challenge is insufficiently assessed and managed (Decker, Culp, & Cachione, 2009; Takai et al., 2010). Therefore, this paper is essential in evaluating the effectiveness of evidence-based practices in pain management.



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Case Study Reflection

Case Study Reflection: Fetal Abnormality


Introduction

For the first time in 2003, scientists sequenced the human genome in a highly funded Human Genome Project that determined the total number of genes making up a human being (Chial, 2008). This discovery opened an era of rapid medical advances than ever imagined. One controversial medical practice advanced by the outcomes of this project is genetic testing that determines an individual’s probability of developing a certain genetic disorder. Combined with amniocentesis, parents can know whether their unborn babies are likely to develop certain hereditary conditions and if they should consider an abortion (Meilaender, 2013). From a pro-life perspective, children are a gift from God with or without fetal abnormalities and each child is precious and perfect regardless if they have a physical deformity or any condition that might affect the quality of life as they develop.

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Qualitative Research Critique and Ethical Considerations

Background

1. Fagerdahl, A. (2014). The Patient’s Conceptions of Wound Treatment with Negative Pressure Wound Therapy. Healthcare, 2(3), 272-281. doi:10.3390/healthcare2030272


According to the above study, there has been a lot of development in regard to the method of wound care in the recent decades, especially where the traditional method have proven to be insufficient. One of the methods discussed by the researchers is the negative pressure would therapy (NPWT). This method is very popular in several studies, however there are still a lot of issues to be looked in to so as to come with the right impact related to the processes. It is also important to find out how Negative pressure wound therapy impacts on the outcomes of the patient health in regard to the number of patients and the quality of life, or the experiences patients share in regard to the treatment offered. This study was thus important as it seeks to describe the perception of patients in regard to Negative pressure wound therapy for treatment.

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This study is very relevant in nursing care, where the researchers involved carrying out interview on eight patients that were being treated with Negative Pressure wound therapy. In the end the results were then grouped to two major categories adaptation and stress. Under the stress category, there were three descriptive categories of competence of the health institution and the nursing staff, personal environment and continuity of the dressing changes. Under the adaptation category there was: creativity and knowledge and confidence within the healthcare practice. It was found that patient were affected by the types of treatment, also when they had stress, it means that they did not find it easy to cope. According to the study, the main source of patient stress came from the care environment, especially the way wound dressing procedures and intervals were planned in addition to lack of competence from the personnel.

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discussion questions on variables

Discussion Question on Variables


Discussion 1

A variable is usually anything that can vary, change or be changed like attention, memory or time that is taken in performing a task. When looking at an independent variable it is a variable that is controlled, changed in a scientific experiment to ensure the effect of the dependent variable the dependent variable is thus a variable that is measured and tested in a scientific experiment (Omoregie and Adegbesan. In any case the dependent variable will often be dependent on the independent variable. An example if the independent and dependent variable is when a scientist want to see the brightness of light and whether it contains any effect on the moth being attracted to the light where the brightness of the light is being manipulated by the scientist (Leatham). In this regard, the light is going to be an independent variable, however how the moth will be responding is going to be a dependent variable.

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The extraneous variables on the other hand refer to all variables that are not the independent variables but they will eventually affect the results of the whole experiment or research study. In any case it is important that the researcher controls the extraneous variables where possible. As they will be important enough when it comes to the provision of alternative explanations for whole effects (Leatham). One of the ways that researcher do this is by ensuring the use of random sampling. Even though random sampling may not really eliminate the extraneous variables, it will, makes sure that the variables remain equal in each group (Omoregie and Adegbesan). In the event that random sampling is not used, the effects of the extraneous variables is going provide study results with a lot of concern. Also the other way to control extraneous variables is by providing alternative explanations for the effects.



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