Education Resources for New Nurses.

Education Resources for New Nurses.

Thanks to technology, education resources for nurses has gotten better and more efficient. To begin with there are several tools set aside for nurse educators to use as they train nurses. These include:

  1.     Classroom Tools: this entails videos and presentations to show to students.
  2.     Instructor Modules: guidelines for educators to use to inspire learning nurses.
  3. Course Adoption Program: this program credits nursing schools that have completed their coursework.
  4.     Desk Copies: these are available for instructors who need to introduce course titles.

    Different Education Resources for New Nurses

    1) Learning Nurse Resources Network

    This is an online professional development centre for Situs Slot Online Terpercaya nurses at all levels and educational backgrounds. For the nurses pursuing a nursing degree online, this is a great website that provides independent and free resources. To maintain and continue education for nurses, the website is divided into three main sections which are the assessment section, an e-learning section, and a library section.

    The assessment part of the website contains apps, quizzes, and slot paling mudah jackpot nursing games for students. The e-learning section complements the assessments by providing an online space to learn new skills through courses and modules. Finally, the library entails professional development advice, nursing articles, and helpful links to other resources.

    2) American Nurses Association

    The Educational Resource Center of the American Nurses Association (ANA) is an online portal meant to provide learning resources for continuing nurses. This organization provides a good number of sheets and tips covering topics that relate to the nursing profession. ANA publishes three nursing periodicals namely: The American Nurse, American Nurse Today, and The Online Journal of Issues in Nursing(OJIN). These medical journals cover a wide range of topics about the nursing industry.

    3) Health Resources and Services Administration (HRSA)

    This organization works to ensure that all nurses have access to the wide spectrum of public health services. They have several bureaus that are working to provide medical education to professionals in various fields. Within the HRSA, the Bureau of Health Workforce works to address shortages of basic care physicians, dentists, nurses, and other healthcare professionals in The United States.

    The bureau also judi slot yang sering menang provides scholarships and loans to encourage nurses to work in disadvantaged communities. If you’re pursuing a nursing degree online or in a traditional setting, you can find loans and scholarships to help you continue your education and find the right first job after you graduate.

    4) The Nursing and Allied Health Resources Section

    This website shares links to a multitude of resources for nurses including lists of e-books, nursing websites, dissertations, anatomy resources, and much more. The site itself is a great platform for nurses looking to build up online nursing resources. This platform has links to style and plagiarism guides, powerful tools for those who don’t have the hard copies. For those currently undertaking an online nursing education, this resource is very important in helping you research and write papers.


    This website also includes educational and professional advice, together with career resources. is a consistent and innovative space for nurses to develop professionally, learn relevant skills and read upcoming news.

    In addition, provides several financial aid links and resources for continuing your education. If you are attending a university currently or plan to in the future, this resource is crucial to help you learn about nursing education and nursing leadership opportunities.

Violence in Healthcare

Violence in Healthcare: How Nurses Can Protect Themselves.

Nursing just like any other profession experiences  some challenges and in this case, violence. Violence in healthcare is a major demerit experienced by nurses. This is why we’ll expound more on violence in healthcare and how nurses can protect themselves. To be able to protect oneself from violence there are other activities you can do in correlation to that.

These include attending safety training programs offered by the organization, participating in safety health and security committees, taking part in employee complaint or suggestion procedures and reporting violent incidents.

Ways to Avoid Violence as a Nurse.

It’s important to get involved in workplace violence prevention

programs to familiarise with program policies.  Dressing for safety also goes a long way in guarding yourself against violence in the work place. This involves stuff like tying your hair backwards to avoid easy pulling, avoid necklaces and earrings as well. Avoid clothes that are too loose or too tight.

Being aware of your work environment entails being aware of both static and changing aspects for instance. room configuration, doors, lights and weather and noise levels. Notice the emergency exit doors and emergency phone numbers while judi slot online jackpot terbesar pulsa changing work areas. This is a way of identifying environmental risk factors for violence.

As a nurse, take your time to learn about your patient’s behaviours. A higher percentage of violence against nurses is committed by patients. Its therefore important to identify both verbal and non-verbal cues namely: Speaking loudly or yelling, swearing Slot Terpercaya, threatening tone of voice, physical appearance (neglected clothing), arms held tight across the chest, tight fists, heavy breathing, a scared look signifying fear or high anxiety, a fixed stare, aggressive, throwing objects, quick changes in behaviour and indications of intoxication (alcohol or drugs).

It is important to pay attention to your instincts by being aware of your own feelings and responses. The way you express yourself slot online resmi can influence how people will respond. Another important aspect of self-awareness is how cultural background makes us view the world. These views affect how we respond to patients and co-workers and in turn, affect how they respond to us.

Healthcare organizations need to have violence risk assessment tools that can be used to evaluate individuals for potential violence. These include: Triage Tool: to assess a patient’s potential danger to others or to themselves.

Indicator for Violent Behaviour: a list of five observable behaviours that indicate danger to others. Danger Assessment Tool: to assess the risk to nurses and other personnel signs of potentially violent behaviour.

It is the responsibility of healthcare organizations to establish protective policies for staff working outside the facility. Some of the policies include:

(a)  Always having a cell phone.

(b)  Be sure someone knows where you are among others.

(c)   Staffing patterns to avoid nurses working alone.

(d)   Restriction of public movement in hospitals

(e)   Come up with a system that alerts the security personnel when violence is threatened.

(f) Pin flag charts of high-risk patients.

Violence Policies to Prevent Violence in Healthcare

  1. You should not work alone if you feel uncomfortable around a patient. It is okay to request another nurse or a security guard to accompany Experiencereign you if it involves entering some rooms.
  1. Identify high-risk patients and flag charts. This helps even other nurses to take precautions when treating such patients.
  1. Advocate for safety measures both inside and outside the hospital.
  1. Always carry a panic device with you in your bag in case of emergencies.
  1. Make sure your work personnel are trained to cope with both physical and verbal abuse.

Qualities that All Great Nurses Share

Qualities that All Great Nurses Share

Nursing is sometimes considered a calling given the selflessness that’s involved. There are certain qualities that all great nurses share and we can all agree that these are paramount. We all know or are nurses who have gone the extra mile situs slot online terbaik to ensure that their patients are comfortable and pleased during their hospital stay. Others simply ensure that their patients are encouraged to proceed with their treatment with a positive mindset.

 Top Qualities that All Great Nurses Share


There is usually an assumption that one of the major qualities that nurses join the profession is because they are caring. This should not be the case as many nurses’ priority is to secure a job, using the profession as a starting point to another situs judi slot jackpot terbesar career like a doctor and could also be due to lack of an alternative idea. On the other hand, a nurse has a natural aspect of truly caring about how their patients feel. This is an important aspect of their nursing career and a clear indicator of success.

 Communication Skills

Effective communication skills are important characteristics of a nurse. A nurse’s job relies on the ability to effectively communicate with other nurses, physicians, patients, and their families. Without proper communication skills, there is the likelihood to have medical errors. Patients feel neglected and misinformed. Proper communication skills will provide safe care to patients and the entire hospital not forgetting their long-term careers.


A good nurse shows empathy to each patient by making an effort of considering yourself in your patients’ situation. By acquiring empathy as a nurse enables you to focus on the proper care approach rather than strictly following guidelines.

 Attention to Details.

Nurses are under certain pressure as they balance receiving orders from physicians by using their knowledge skills and critical judgment to provide the highest quality patient care. In addition to this taking care of multiple patients at once is a call to human error. If you have strong attention to detail, as a nurse, personality traits can easily determine your success in your career.

 Problem-Solving Skills

In job training, it’s easier to identify nurses’ problem-solving skills even if they have been trained about it during nursing education. Having years of experience can help you sharpen your problem-solving skills yet some nurses possess this characteristic naturally. Problem-solving skills are essential to nursing since nurses generally have to make decisions related to patients’ care.


Having sufficient stamina is one of the most important qualities of a great nurse. This is because of the activities involved during a work shift such as patient lifting and walking around the hospital to sort issues. Effective management of this skill makes a great nurse.

 Sense of Humor

Nurses encounter different levels of stressful situations but taking a chance to incorporate a positive attitude is a sign of stress relief. Having a good sense of humor also helps spread positivity to other nurses, patients, and their families. This increases trust and openness in sharing feedback and concerns.

Commitment to Patient Advocacy

As a nurse, it’s important to understand that patient advocacy is a mindset that must be practiced every day, with every patient, throughout every stage of the care period.

Willingness to Learn

Nurses spend more bedside time with patients than any other role in healthcare and their willingness to learn and adapt new knowledge into practice is one of the leading traits of a good nurse.

Critical Thinking

Putting knowledge into successful practice requires an ability to think critically especially in stressful situations.

Nursing Diagnosis

Nursing Diagnosis

The nursing diagnosis that several members of the Orlov family have been diagnosed with, risk-prone health behavior, can be defined as impaired ability to modify lifestyle / behavior in a manner that improves health status. (Ackley, 2014). Jakub, as mentioned earlier, has particularly alarming sexual behavior Situs Judi SLot Terbaik dan Terpercaya no 1. His job at the casino may not be making matters any better, since it gives him exposure to these people that he can have sexual intercourse with. Emil also has this problem, from his frequent short term relationships, to his fondness of fast foods. Darius also has an issue with seeking medical attention in relation to his bulging discs that cause him back pains. The house that the Orlov family lives in, a four bedroom split level home, may not work in his best interests since he will be required to climb multiple staircases regularly.

Recommended nursing interventions

It is clear that all family members are unwilling, or incapable of taking those actions which will improve their health status. In view of this, nursing intervention is necessary. It is recommended that since all members are highly literate, the nurse in question should start by assisting in making decisions about their health improvement. This will include suggestions on how they can better manage their health. Emil should be advised to desist from too many sexual relations, and ensure to use protection any time he does. Jakub should avoid going to places that he usually picks up his sex partners. He should also try as much as possible to use protection when having sex, and additionally, see a counsellor or psychologist to sort out his gender confusion issues. Darius is also in need of intervention, and should be advised to seek medical attention as soon as possible any advice from the doctor should then be implemented to the letter. (Carpetino-Moyet, 2008)

This exercise would then be followed by asking the client to choose one area they feel they should focus on. This will be then be used initially to make progress, and build confidence in the client that they can succeed in overcoming the issues situs slot gampang menang terpercaya they face. The caregiver should then be able to provide the tools that the client may need to implement that decision. To make the client in charge of the process, the care giver should strive to provide as much information as may be needed by the client. They can ask about any areas that the client feels are not clear, and oblige by clarifying any such issues. (Carpetino-Moyet, 2008)

Readiness to change, and understanding should be assessed, since they are instrumental in determining the success of the intervention in the long run. This assessment can be done by getting from the client, how important he or she thinks the change in behavior is. If they view this as important and high priority, they are likely to implement changes. If not, they are as likely to fail, at least to initiate the change in behavior themselves. Equally Daftar Situs Judi Slot Online Terpercaya important is the confidence levels of the client that they will actually succeed in making the change. Low confidence can be strengthened by encouraging the client to make the change, while stressing the dangers associated with not changing.(Carpetino-Moyet, 2008)

The last leg of the intervention involves participating in creating goals for the exercise. These goals should be as realistic as possible, as the level of enthusiasm and confidence will grow with success. Failure to achieve these goals will lead to the person losing faith and even abandoning the whole exercise altogether Slot Gacor. Once goals have been set, the caregiver should come up with a monitoring schedule, and gradually lengthen it as conditions dictate – high level of success will enable the caregiver to be only checking on the patient after a considerable amount of time. At this juncture too, the caregiver should use any resources at the client’s disposal – support groups. These may include church membership, or community organization, family and friends, and include them as much as possible in the plan, to the extent that he client is comfortable with their inclusion in the process. (Doenges, 2008)

For this process to be successful, some things are necessary. For example, the willingness of the participants to engage is of utmost importance – Jakub, or Emil, who live alone, particularly need more dedication to be able to commit to this. Before the whole process starts, the caregiver will have received the clients’ perceptions about health, and use this information to build a plan that will be successful. Any misperceptions should be aligned with what is necessary to help them lead a healthier life, with provision of more information and expert advice. (Doenges, 2008). Education on health matters for all affected will also help the clients very much as they begin their recovery and be able to control themselves, with the support resources’ help. (Scain, 2013)

The caregiver should also promote free communication as much as possible, so that the clients can share their fears, perceptions and goals honestly. This is very important if the plan is eventually going to work. The caregiver should also pay particular attention to the influence cultural beliefs, norms and values may have on the clients. As first generational immigrants, the Orlovs are likely to have a different set of cultural practices, which may inform some of the issues they are currently having.

The Orlovs, being Polish, have a great emphasis on religion and family values, in addition to close community ties. The caregiver can emphasize the importance of these ties with the two brothers, Emil and Jakub, since they will provide invaluable support as they try to enact changes in their lives. (Carpetino-Moyet, 2008)

The interventions discussed above are appropriate, given the family demographics, culture and socioeconomic factors at play, the Darius and his wife live in a close-knit community, which will provide additional help for the caregiver in the implementation and monitoring phase of the plan. His wife will also come in handy, and is likely to help Darius keep doctors’ appointments, take medicine, and exercise. While the decision to change is personal, these effects will obviously make it easier.

Emil does not enjoy the same family or community advantage that his father does, neither does his brother, Jakub. For them, the plan’s emphasis on open communication and several ways of checking on, and building confidence will be important. The monitoring intervals in their cases will be frequent, so that any weaknesses in terms of low confidence or lack of strong convictions about the necessity to change will be caught early and be rectified.

Possible outcomes

The implementation of the intervention plan outlined above is expected to bring about profound changes in the way the clients will live, and attend to their health. The level of information shared with the clients will mean that they, and the people around them, will come out more enlightened about the need to take care of their health. Teaching is one of the focus points of the plan, and the clients should therefore be empowered in such a way that at the completion of the plan, they will not be suffering from the inability to effect changes that will improve their health status.(Friedman, 2003)

It is also expected that the plan will lead to change in behavior as agreed in the initial stages. This behavioral change will be a sign of the client’s progression, in being able to overcome those behaviors that had initially led them to being diagnosed with risk prone health behavior. This will be accompanied by an understanding of the new health status, and a strong willingness to continue in the new path thus set. In all these expected outcomes, it is expected that the support networks available will be helpful in helping them cope with the changes in their lives.

Evaluation of outcomes

An evaluation of the outcomes will be considered against the expectations. The confidence exhibited by the clients in changing, and their willingness to do so will be a key part of the evaluation. This will also be considered against the tangible benefits that have come about as a result of this intervention, Additionally, their ability to use, together with others involved, the information that has been given to them by the caregiver will be a vote of confidence in their progression to being able to modify their behavior in the interests of their health, and the well-being of all those around them. (Friedman, 2003)

For example, Darius should, at the end of this intervention, be able to seek medical attention for any issues he has, and take greater care of his health. Jakub, on the other hand, should now be able to seek help for his sex issues. He should also be able to desist from going where he goes to pick up sexual partners randomly, Emil should be able to avoid changing relationships as he does, and have a responsible and safe sex life.


Ackley, J. B. (2014). Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care. Maryland Heights: Mosby Elseiver.

Carpetino-Moyet, L. J. (2008). Nursing Diagnosis: Application to Clinical Practice. Philadelphia: Wolters Kluwer/ Lippincott Williams and Wilkins.

Doenges, M. E. (2008). Diagnoses, Prioritized Interventions, and Rationales. Nurses’ Pocket Guide, 112-115.

Friedman, M. M. (2003). Family nursing research, theory & practice . Upper Saddle River: 2003.

Scain, F. M. (2013). Accuracy of nursing interventions for patients with type 2 Diabetes Mellitus in outpatient consultation. Scielo, Vol32 No. 2.

Use of Silver-Coated Catheter

Use of Silver-Coated Catheter to Reduce Urinary Tract Infection


The use of catheters is a crucial aspect of care giving in hospitals especially when the patient is undergoing surgery in the areas surrounding the bladder, is unable to empty the bladder when they need to, or urinary incontinence. Patients who undergo long term cauterization have a high likelihood situs judi slot online resmi of developing bacteriuria – more than 90%. Indeed, catheter – induced infections are the most common hospital acquired infections worldwide(Hooton, 2010). However, Studies have shown that the incidence of these infections can be reduced significantly by using different catheter types, other than the conventional latex catheter (Nacey, 1985). This study seeks to study the significance of using silicone over latex catheters in patients over the age of 65 for an extended period of time (more than 6 months), in terms of catheter – associated urinary tract infections – CAUTI (O).

Clinical Question

The Clinical question proposed will be as follows: “will patients over the age of 65years (P) that use silicon coated indwelling catheters (I) compared to the traditional, non- coated style of indwelling catheter (C) have fewer numbers of Catheter Associated-Urinary Tract Infection (O) over a period of six months (T)?

Nursing Intervention

The aim of this intervention is to reduce the incidence of CAUTIs in patients with indwelling catheters. This will involve not only silicone catheters being preferred to latex catheters, but will also include important issues such as:

– Medical personnel doing catheterization should be properly trained on how to properly carry out the catheterization – The importance of preventing entry of bacteria and other microbes during introduction of the catheter should also be strictly adhered to, – Curbing unnecessary usage of catheters, and discontinuing use as soon as they are not needed. (Hooton, 2010)The aim of this intervention is to use silicone catheters, together with the cooperation of medical personnel involved in catheterization in reducing UTIs in elderly patients.

Details of Study

The study will be done with a randomly selected control group in a hospital. The criteria for selection will be the duration for catheterization (must be longer than 6 months), Age of patients (must be 65 and above), and gender (the study plans to only include male patients in the study for uniformity purposes. The study will be experimental, since it will allow for the random selection of participants, and their placing in control groups, unlike quasi experimental setup, where it may not be possible to manipulate all the key elements in the study.

This study draws from Roy’s Adaptation Model, RAM. This theory involves ensuring that the nursing care and adaptive capacity of the health environment that a patient is in is conducive enough to ensure his wellbeing and recovery. In this particular case Judi Slot Online, nursing interventions should be aimed at adapting the general practice of using latex catheters on elderly patients, which in many cases causes UTIs, discomfort and in other cases intolerance, to silicone ones which help minimize or eliminate the problems cited above.

By assessing the needs of these patients, and the hospital/ care giving institution’s capability and willingness to change, a nursing professional can then adapt a patient’s care structure to adapt to these while using the findings and recommendations of this study. (Alligood, 2014)


Alligood, M. R. (2014). Nursing Theorists and Their Work. St Louis: Elsevier Mosby.

Hooton, T. M. (2010). Diagnosis, Prevention, and Treatment of CAUTIs in Adults. IDSA, 625-663.

Nacey, J. N. (1985). Catheter Induced Urethritis – A comparison betwrrn Latex and Silicone Catheters in a Prospective Clinical Trial. British Journal of Urology, 325 – 328.

Application of Evidence in Injury Treatment

Application of Evidence in Injury Treatment


The application of research findings in actual practice has always been fraught with challenges. These challenges are usually caused by resistance, and the relevance of the findings themselves. For example, experienced doctors may feel that the way they have gone about a certain procedure is the right way. They are likely to disregard new research findings that point to a different way of doing things, better as the new method or procedure may be. At the same time, research is not always relevant to the problems at hand. This may then render the research irrelevant (DeAngelis, 2010).

The practitioners who are supposed to eventually implement the research findings are not always involved Judi Slot Online Airbet88 sufficiently to help define the research. Such research projects run the risk of returning findings that are simply not applicable clinically. There are also no clear mechanisms for obtaining feedback on findings recommended, further widening the gap between research and practice (DeAngelis, 2010).

Injuries’ Treatment

In the world that injury practitioners live in is messy, and mired in cultural and other challenges. The gap that can sometimes be seen between practice and research in this field can be attributed to several factors. This field is not generally viewed slot gacor as being particularly important, and therefore funding is very poor. The quality of communication between researchers and practitioners in the field is also wanting. This means that researchers are likely to return findings which are superfluous, and not well suited to the clinical application phase (DeAngelis, 2010).


It should also be noted that the vast majority of research produced in this field is mainly descriptive. Research that dwells on method improvement or alternate ways of care is scant. Practitioners are therefore faced with inadequate sources from which to gather evidence for practice. Translation between research and the implementation is another reason for the low uptake of these findings into actual clinical application. The results point to a need to further research the best way of diffusing information from research to implementation in practice (Malonee, 2006).

There also exist serious doubts among practitioners as to how well the research gathered will be implemented without compromising the efficacy and effectiveness of care. Since the findings recommended are usually very new and only backed by the research that generated them, practitioners are usually hesitant to adopt them in case they do not work out as may have been envisaged initially. This is another issue that reduces the level of application of research to practice (Malonee, 2006).

Extent of Implementation

The factors discussed above have ensured that the level of adoption of research findings into practice is very low. Apart from there being very little research that discusses better ways of doing things or improvement of processes, there is minimal research that looks into better ways of better adapting research to real use in clinical settings. This is a major drawback in the adoption of research. Where there is meaningful and relevant research to draw from, researchers neglect the need to have the findings be better understood by the practitioners they are meant for. The inability to do this is the biggest impediment to the application of research (Hanson, 2012).

Barriers to Implementation

The barriers to implementation are many and interconnected. The failure to sufficiently involve practitioners in research is one of the main reasons. Practitioners can give invaluable information in the initial stages of research as well as during its progress. They can help in defining the research question, for example. This will ensure that the research only focuses on issues that are relevant to the practice, and therefore make practice easier.


Resistance to change among practitioners is another impediment in the implementation of research. This can also be viewed as a culture problem, whereby the practitioner is mostly interested in tackling challenges in the ways they have tried and tested, and found to be okay. Trying to implement new ways may trigger a fear of the unknown and suspicion, and will eventually mean that the research findings are barely used in actual practice.

Another barrier as discussed above is the lack of alignment between research problems and actual practice. The research may be well formulated and conducted, and yield great recommendations. These will however be applicable in the field since it may be seen as not being relevant to practice. A possible cause of this is the lack of involvement of practitioners in carrying out research.

Practitioners may sometimes argue that the research is conducted in controlled environments in many instances. This reduces the credibility of the findings, and gives practitioners to avoid using the findings. They argue that they are not generated in the hustle and bustle of hospital halls, where practitioners additionally face real life choices that determine whether their patients live or die. Some of the problems are also linked to insurance cover that may prevent the patient from enjoying new treatment methods. Cultural issues may also play a role, whereby the patient may not be open to being treated with a new procedure, when other, and more familiar ones, are available.

Overcoming the Barriers

New treatment procedures are usually more expensive to implement. To encourage care giving institutions to try them, insurance needs to be adequate, or their costs subsidized. Therefore, sufficient insurance cover will help in overcoming some of the issues of low adaptability.


When it comes to community – based programs, the researchers should involve the community and other stakeholders as much as possible. This should be done while acknowledging all stakeholders as equal partners. New research should not only focus on the subject matter, but also, on how to implement the anticipated findings. This is an important aspect that would help implement findings, and make information generated more accessible and usable by those who need it in practice (Malonee, 2006).

New entrants into the practice world – students, should be trained on the importance of adapting evidence to practice. With such a mindset, practitioners will find it easier to adapt findings to research. This will also help get rid of the persuasion to use experience and anecdotal information used by more experienced practitioners while caring for their patients (Malonee, 2006).

Research should also focus not only on description of methods and procedures, but also on new ways that have been found to work in these situations. This helps the practitioners in having sufficient information with which to work with.


More than 16000 people die daily around the world from injuries. It is therefore important that research focus on this practice more, in an effort to find, and implement new methods of treatment to stem the number of deaths and other adverse effects caused by injury such as paralysis.


DeAngelis, T. (2010). Closing the gap between practice and research. American Psychological Association , 41 (6), 42.

Hanson, D. e. (2012). Closing the Gap Between Injury Prevention Research and Community Safety Promotion Practice: Revisiting the Public Health Model. Public Health Reports , 127 (2), 147-155.

Malonee, S. e. (2006). Closing the Gap Between Injury Prevention Research and Community Safety Promotion Practice: Revisiting the Public Health Model. Public Health Reports , 12 (6), 357-359.

Group Observation

Group Observation

The patient safety group is a team of hospital staff who are directly connected to the personal care of patients. The team comprises of the representatives of each of these groups, including nursing staff, doctors, clinical officers, lab technicians, pharmacists, and the hospital chief of medicine. The group meets every first Wednesday of the month. I joined them for their monthly meeting recently, to observe how they conduct their meetings. During these meetings, the group discusses issues relating to patient care, things that can be done to improve the function, among other things. The group was recently formed and still has a lot of time dedicated in its monthly meetings to operations.

Leader Roles:The leader of the group, the chief of medicine facilitates discussion, initiates agenda and helps the group reach a decision on relevant issues. He additionally provides important information that helps members make informed decisions. He is the main determinant on how well discussions go, and progress made at the end of each meeting.

Decision Making Methods:After an agenda has been introduced, the facilitator will then invite views on the subject. The agenda in introduced by information on why it is important, some statistics to back this up where he feels it is necessary, and possibly some printed information may be handed out. In my opinion, this was a good way of handling the meeting, since each member then has enough information to debate the issue constructively. The facilitator helps in keeping time, and in helping members understand what a particular speaker is saying. This can be done by paraphrasing what he thinks they want to say, and at the end of this, asking whether there is consensus. Alternatively, he will propose a solution, and invite others members to air their support or dissent to this. This means that decisions reached here have the blessings of every member, and by extension, the groups they represent in the meeting.

Group Member roles:The group members have a general role to raise issues that are specific to their area of expertise. This helps in reaching compromise and informed decisions. The laboratory staff representative usually takes minutes. The nursing staff representative reports on information that concerns the group – any complaints on patient safety, cases of negligence and other such relevant data.

Participation:Participation is encouraged by the actions of the facilitator. He is very able in the way he operates the meetings. He in a way makes all members sure that whatever they say will help the group make progress, and that their opinions are valued. This makes them very enthusiastic to air their views, and honestly examine other suggestions offered at the meeting. The open communication allowed by the facilitator is very important in this. As a result, every decision reached is clear to all, and everyone is obliged to support it since it was made openly.

Critical Care Nurses Association Meetings

Purpose:The purpose of this is to improve the nursing care given to critical care patients, and also give each other moral support in their execution of this trying task. Meetings are held fortnightly, onFriday evenings. These meetings exchange ideas, give support, and announce any major changes in their hospital‘s approach towards critical care patients as a function.

Leader Roles:The leader role rotates among group members. The group leader at each session moves the conversation forward, inviting people to say what they feel about things, how they can make their work better and improve the services they give, as well as what they feel the hospital and state government should do to improve healthcare and the plight of the healthcare sector in general.

Decision-making Methods

Any decisions made in the group meetings, though not binding on any other institution or group, are passed on as suggestions to the relevant authorities where relevant. Decisions are reached in an open way, with members airing their views, supporting each other views or disagreeing. Not all conversations at the meeting are expected to result in a definite decision, but where it happens, the decision is reached with as much consensus as possible to strengthen the group’s position.

Group Member Roles

Group members have a rotating role of being group leader at each, meeting. A different member volunteers to note down any important points. All members have a role to be as participative as possible to make the meeting productive.

Similarities and Differences.

Both groups carry on their business in an open and friendly atmosphere with each member being able to air their views freely. The facilitator plays a central role in moving agenda forward, as do other members in contributing as much as possible. This is an important factor in helping Judi Slot Online decisions be made by a collective group.

While the critical care group is mainly per to peer support and suggestions group, the patients’ safety team has power to effect decisions reached. This may inform the enthusiasm that guides members of each team as they discuss issues. The leadership role is fixed in the patients’ safety group, bringing more stability to the group, Participation, Similarities and Differences


ASSESSMENT AND DIAGNOSES:Intervention and Evaluation

Nursing Diagnosis

Several members of the family can be diagnosed with risk-prone health behavior. Jakub, as mentioned earlier, has particularly alarming sexual behavior. His job at the casino may not be making matters any better, since it gives him exposure to these people that he can have sexual intercourse with. Emil also has this problem, from his frequent short term relationships, to his fondness of fast foods. Darius also has an issue with seeking medical attention in relation to his bulging discs that cause him back pains. The house that the Orlov family lives in, a four bedroom split level home, may not work in his best interests since he will be required to climb multiple staircases regularly.

Risk-prone health behavior is impaired ability to modify lifestyle / behavior in a manner that improves health status (Ackley & Ladwig, 2010).

Ackley, B. J., & Ladwig, G. B. (2010). Nursing diagnosis handbook: An evidence-based guide to planning care. Maryland Heights, MO: Mosby.


Friedman, M. M., Bowden, V. R., & Jones, E. G. (2003). Family nursing research, theory & practice (5ed.). Upper Saddle River, NJ: Pearson Education, Inc.

Health Information Document: Breast Cancer

Health Information Document: Breast Cancer


Cancer refers to the uncontrolled division of cells in the body that defy the normal programmed body mechanisms of cell division and death after a certain time. Cancerous cells generally cause tumors, apart from those that attack blood cells – leukemia. These cells, which form tumors referred to as malignant, are able to attack nearby cells and continue the harmful process. This process is referred metastasis. Cancer is referred to the name of where it first attacked, regardless of where it then metastasizes. There are many risk factors that may cause cancer, including substances found in cigarettes, genetic factors among other numerous factors. (NCI, 2015). This handout aims to provide additional information to the general student population on breast cancer, for more awareness, and with a view of avoiding as many preventable deaths as possible. It also aims to increase support for those affected.

Prevalence and testing

Breast cancer is one of the most common type of cancer in America, and indeed, the entire world. One in 8 American women expects to develop cancer of the breast in their lifetime. Another statistic indicates that almost 30% of all cancer diagnoses will be breast cancer. In fact, most deaths among Hispanic women are associated with breast cancer, and as are huge numbers among other races and ethnicities. It should also be noted that slightly higher percentage of African-American women test for breast cancer than other races. A small number of men are also affected, by breast cancer, though the number is extremely small (the US registered only 405 deaths for men arising from breast cancer, as opposed to 41,150 women in 2012 alone).(CDC, 2015); (Breast.cancer, 2016)

It has been shown that almost 100% of cases detected early are successfully tested. This makes regular testing extremely important. Women are encouraged to attend these tests, also known as mammograms monthly. Additionally, women can themselves check for any lumps in the breasts by using a technique suggested by the National Breast Cancer Foundation. Discovery of any lumps should be evaluated by a doctor, but keeping in mind the fact that only 2 out of 10 of lumps are actually malignant. (NBC, n.d. ). When compared with other cancers that affect women, breast cancer is more lethal, apart from lung cancer.

Risk factors

From the statistics, it is obvious that being a woman predisposes someone to getting cancer. Another factor is age – more women get cancer as they get older, as opposed to those who are young, all other factors being constant. (Breast.cancer, 2016). Only one in eight cases of invasive breast cancer are diagnosed in women under 45, while 2 in 3 of the cases are found in women over 55 years old. (AMC, 2016).

Family and personal factors have also been proven to influence incidence of breast cancer. Women with sisters or mothers who have been diagnosed with breast cancer have a significantly higher risk of getting cancer. 15 percent of breast cancer patients have such a relative. Genetic defects inherited from parents are also documented a risk factor. These defects lead to the irregular mutations of cells responsible for cancer. 5-10% of cancers can be explained this way. (AMC, 2016) Lifestyle – related factors can also be used to explain cancer. For example, usage of birth control, and even getting child is a risk factor, though the increased risk in quite small. Alcohol intake and cigarette smoking have been identified as risk factors in breast cancer, as is the lack of physical exercise, and being overweight or obese.

Prevention and treatment

As can be deduced from the risk factors outlined above, though there no sure way to prevent breast cancer, people can align their lifestyles to better avoid some of these documented risk factors. More exercise, and not being obese can go a long way in preventing breast cancer, especially when accompanied with dishes rich in vegetables, poultry, fish and low fat foods. . At the same time, reducing or avoiding alcohol intake, cigarette smoke and oral contraceptives will also decrease the chances of getting it. Regular self-exams are also instrumental in detecting cancers before they develop too much. As indicated above, most cases that are detected early are successfully removed. (AMC, 2015)

Once detected, an array of ways can be used depending on the stage of the cancer, personal characteristics among other factors as discussed with specialists. One of the method involves physical removal of the cancerous tissue, surgically. Special medicines are sometimes used to target the cancer, so as to kill or shrink it, in a process known as chemotherapy. Special energy rays can also be used, a procedure known as radiotherapy. Sometimes, treatment may be inform of hormonal therapy, whereby treatment is focused on denying cancer cells the hormones they need to grow. (CDC, 2014)


AMC. (2015, October 09). Can Breast Cancer be Prevented? Retrieved from AMC:

AMC. (2016, February 22). Breast Cancer Risk Factors. Retrieved from AMC:

Breast.cancer. (2016, March 2). US Breast Cancer Statistics . Retrieved from

CDC. (2014, August 28). How is Breast Cancer Treated? Retrieved from

CDC. (2015). Breast Cancer Statistics. Retrieved from CDC: NBC. (n.d. ). Breast Self Exam . Retrieved from NBC:

NCI. (2015, February 9). What is Cancer. Retrieved from National Cancer Institute:



The Millerton family is not clearly meeting socialization function because socialization is universal essentials for the family to cope and survive in today’s society. Socialization educates children how to take on adult roles as to how to become a good husband/dad or a good wife/mom. In this case study, Jimmy, who is Oscar’s son, is falling most of his classes and lying to his parent by drinking and hang out late with his friends instead of studying. However, the dad, Oscar knew this problem via Sandy, the mom but he doesn’t seem to be concerned. In addition, Jill, the daughter who is 14 years old has active sex with her boyfriend, and active in theater club even though she studies well and has good grades. Nevertheless, Jill doesn’t share this to her parents except for her best friends and cousin.

The family is completely meeting the reproductive function because reproductive is basic function of the long maintenance and continuation through marriage sexual behavior and reproduction. In the Millerton case study, there are three generations such as Oscar’s parents, Sandy’s parents, Oscar, Sandy and their children, Ophelia and her husband John, and their children. The family is absolutely meeting economic function because the father or mother is working outside the home, they provide the family with the monetary needs. Families need money to purchase the necessary products and services that they are in need of. For example, the grandparents placed $35,000 for each grandchild into college saving account. Also, Oscar has annual salary of $78,000 and Sandy has a part time job which $25 per hour.

The family is not completely Daftar Slot Online meeting healthcare function because healthcare function is most relevant to the family because it is focused on the individual family member’s health status. In the case study, Oscar and Sandy, they are both overweight 20 lbs. However, they are working on it by walking ½ mile most evening. Another problem is Oscar, who has chronic heartburn, but he refuses to visit the doctor.

The Development Stage

Stage V, families with Teenagers is the developmental stage of this family because the Millerton family has 2 children who are Jimmy 16 years old son and Jill who are 14 years old girl. The developmental tasks this family must achieve during this stage are to balance of freedom with responsibility as teenagers mature and becoming increasingly autonomous. Next task is refocusing marital relationship. Last task is communicating openly between parents and children. I believe Oscar and Sandy have capability to achieve these tasks because they have marital relationship with their children. For example, in the case study, they spent their time to enjoy activities outside with their children by going to the parks, museums, and picnics. Also, the whole family members spend their time to each other for Link Slot Gacor Gampang Menang vacation twice a year. As a result, they have a chance for open communication, discuss about health concerns for drug and alcohol misuse, birth control, unwanted pregnancies, sex education with their children. Also, Oscar and Sandy can ask their children how they view themselves as a child growing up into adolescent and what they think these responsibilities hold for them when they get their first job.

Stressor, Strengths, and Copping Strategies

The short term and long term stressors are impinging on the Millerton family are: the short term stressor is the son, Jimmy who is 16 years old, is failing most of his classes, and begins to hang out late with his friends and drink. Automobile accident is a great hazard. The daughter, Jill, who is 14 years old, has active sex with her boyfriend. The long term stressor is without finished high school, Jimmy will not be graduated BO Slot Online from high school, and will not have a good job. Also, he will be an alcoholic and has the risk of coronary heart disease. Teenager pregnancy, abortion, AIDS, and venereal diseases are risks for Jill.

However, the son, Jimmy is excel in football and baseball sports. Also, he did express that he wanted to be geologist, or civil engineer to his guidance counselor. The daughter, Jill studies very well and gets straight A’s.

One functional coping strategy of this family is the marital relationship with their children. They want to spend their time together for vacation with their children twice a year.

One dysfunctional coping strategy of this family is failure to provide consistent discipline to their children. Nursing Diagnoses

Inappropriate or inconsistent discipline related to families in which parents demonstrate a lack of knowledge, cognitive functioning or role identify as a parent.

I chose this nursing diagnoses for Millerton family because Oscar doesn’t seem to be concerned when Sandy has shown him the receipts of a pack of beer on several occasions in Jimmy’s pocket. In addition, they don’t suspect or know about Jill’s sexual relationship with Leonard.

Missing Key Information Needed

What are the family‘s child rearing practices in the following areas?

Behavior control including discipline, reward, and punishment. I think these information are useful data to assess socialization function.


Friedman, M. M., Bowden, V. R., & Jones, E. G. (2003). Family nursing research, theory, & practice (5ed.). Upper Saddle River, NJ: Pearson Education, Inc.