Science topic

Advanced Practice Nursing - Science topic

Evidence-based nursing, midwifery and healthcare grounded in research and scholarship. Practitioners include nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives.
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It is a rarely used method in our institution and if aspirated what are the adverse effects expected and what are the early signs to identify the complications?
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It should be allowed to drain with pressure inside and with gravity.
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Explain the types of drainage tubes used in surgical operations and the most important types or names of these operations?
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1-Level of training and education if the your subject is nurse
2- How to determine size of drain
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For the acute resuscitation of adults with COVID-19 and shock, the current recommendations are suggesting, using buffered/balanced crystalloids over unbalanced crystalloids.
The purpose of this discussion is address the need for guidance on fluid resuscitation among severe COVID-19 patients and shock management in resource-limited settings
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Fluid management is a very complex issue.
There are many confounding factors including co-morbidities such as heart failure, liver disease and renal impairment.
It is important that management is individualised on a case by case basis.
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This question refers to the issues that nurses face when they are caring for patients with COVID-19 on isolation protocols ,and which triaging methods you use in your medical facility?
I am looking forward your replies,
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In children, any case with respiratory symptoms are considered suspects of COVID-19; preventive isolation is performed until the test results are obtained. However, a problem becomes relevant in this case and consists of the limitation of companions in specialized units, in some cases promoting the dehumanization of services and reducing the provision of services that could improve their immune response.
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I'm looking for a few good examples of studies that use single-case (preferably multiple baseline) designs in peer reviewed publications that have enhanced nursing practice in some way.  Either treatment or educational interventions would be helpful.
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Palmer: Le sugiero utilizar la Historia de vida como caso único que podría explicar un fenómeno en un contexto particular,Utilizando el teórico Ferrarotti.A través de una historia de un caso, es posible leer un fenómeno en una sociedad X.
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How should we adjust under COVID-19? Avoid non-urgent surgery?
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Any body suffering from any infectious disease must not go for surgery including eye.
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The purpose of this discussion is to learn from valued research colleagues their perceptions on why nurses (RN and Advanced Practice Nurses) are not more involved with healthcare policy, contacting elected officials, and in general getting involved with politics at any level (even to registering to vote!). Secondly, I want to have a better understanding of why nurses believe that they do not have a stronger voice in healthcare policy at the federal and local levels. The last item I desire to discover is the "magic" bullet to change the "oh, it doesn't matter as I just want to take care of patients..."
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Well. I'm not sure as I'm very much engaged in my clinical courses; I'm a critical care fanatic. But I can see students engaging more in social activities, and in less political meetings as compared with other schools. I'm not quite happy with nurses being the largest workforce at the healthcare system, and usually having a percentage way below its proportional presence with the system, perhaps less than 10% of the representation in the councils or committees responsible for making legislative concerning healthcare. I believe that we are so authoritarian and demanding as we do not allow students to grow in different directions and let them build up their hobbies. On the contrary, we demand that they submit papers, NCPs, assignments, and read pure nursing materials, which have lots of issues in nothing but clinical and basic science issues, leaving so little space for other areas of interest, such as how to contribute to making the healthcare system more human-oriented, how to build up laws and regulations, and how to become leaders. We, nurses, nurse researchers and scholars, still need a lot to do, only of we recognize that there is an issue, and only if we admit that.
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Holistic Nursing should be recognised as an official specialty in today's nursing.
What is your view on this? Do you have a voice for holistic nursing?
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I think that several of the previous posters are absolutely correct in that nursing by it's nature is holistic. I do not see that as a specialty as I would, say, critical care nursing, or oncology nursing. What I do see as an area of special interest would be a specialty of alternative nursing practice that would be a focus on supportive treatments such as meditation, relaxation, yoga... which I could see as what you refer to as "holistic" nursing. This would stand out from traditional nursing as an area of expertise that would make sense to me to know that my nurse was skilled in. I think the mind body connection is dramatically powerful and stabilizing for a patient who has lost large amounts of control in their life and these practices would help them to gain back some level of balance and control.
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What is academic value of self published e-books on Amazon self Publishing or any other self publishing channel? E-books as reliable citation source?
I have been working with both practitioners and academicians since last 7 years. I worked in corporate sector in strategy, customer experience, customer value management and analytics section.
As a corporate trainer, I am conducting training's on customer advocacy and customer value management. So far I have worked with more than more 100 companies as an independent consultant.
With academicians I have co-authored more than 20 papers and working on many more.
Throughout these seven years, I recorded almost everyday in my journal. I learned many things.
I would like to share all this in such a way that it should be interesting for all three segments. In this context I think the e-Book is something which everyone can easily read. However, I am also concerned about value of E-book in eyes of academicians? In terms of citations and profile of researcher/writer?
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Muhammad Farooq
Yes reliable and most of them are replica copies of original books
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Dear Colleagues,
As a member of the ICN-APN Health Policy Subgroup i'm seeking your help to conduct a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis for the status of Advanced Nursing Practice in the Eastern Mediterranean Region.
Eastern Mediterranean Region including the following countries:
Afghanistan, Bahrain, Djibouti, Egypt, Iran (Islamic Republic of), Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Qatar, Saudi Arabia, Somalia, Sudan, Syrian Arab Republic, Tunisia, United Arab Emirates.
I would appreciate if you could complete the attached template to describe the APN regulatory considerations including:
1. Regulatory authority over APN practice
2. APN Educational and accreditation policy
3. APN Licensure and title protection
4. Role and scope of practice regulations
Please do not hesitate to contact me for further information by posting down or e-mail me on anashwan861@outlook.com
Best Regards
Abdulqadir
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Mr. Abdulqadr
I would like to thank for addressing this topic, because I have not been exposed so much to literature of ANP or APN in Middle East. I hod MSc in Advanced Nursing, and can give you an example which is most of the graduated nurse in Kurdistan Region of Iraq have a limited information about this subject. Fortunately, me and three of colleagues initiated and conducted a study about Advanced Nursing Practice at the University in three provinces, and we recently submitted to publishing.
When it is published I am going to upload it on Researchgate and you can take benefit from it. Besides, and most importantly it would be the first study in Kurdistan Region and Iraq that shed light on ANP.
With regard to the template, your idea is extremely good to examine ANP on the base of SWOT.
I downloaded and would send it back to you when I complete it.
With best luck for your study.
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I am new at teaching in an a Advanced Practice Nurse Practitioner role.
I am interested in exploring a new way of thinking about teaching and implementing the APRN practice.
Anyone out there doing the same thing?
Angela Page, APRN, PNP-C
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We use the family-centered model. However, if you are new to teaching nurse practitioners I would look into both summative and formative assessments using simulation as a teaching tool or unfolding case studies that you can carry through the different classes you teach.
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We are currently writing my bachelor project in nursing, and i'm having a struggle finding litterature on the subject - can anyone help me?
The project is aiming to find out, how nurses are affected by the surviellance technology they use to prevent and detect patient falls on a neurological ward. We find it interesting to investigate if the opportunity to watch your patient without being physically in the room affects the nurses behaviour.
Any help would be greatly appriciated!
Sincerely Mikkel and Nadia
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I am not sure about fall risk monitoring but I can tell you my observation from psychiatry filed. The initial response for the video-monitoring and recording of patients' area was always negative, but, when it in place, multiple cases of violence in mental health area (emergency department, psychiatric intensive care and general floor), actually, helped to protect staff legally each time when patient or his / her family decided to complain, as each time we saw a proper conduct from the staff site and extreme behavior dis-regulation from the patients' site. Therefore, usually, some time after the installation of the video monitoring (and recording) system, nursing staff like and appreciate it as a part of protection for the liability.
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One thing you don't learn in nursing school is project management. Or do you? Although nurses may not receive formal training on business topics, there are many skills you do learn that can help you conceive and manage projects in the workplace. In fact, the nursing process provides an ideal background for using project management techniques. The nursing process incorporates a systematic method of assessment, diagnosis, planning, implementation, and evaluation.
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It is essential for nurses especially in managerial positions to learn project management because nurses do project management e.g. when an infectious patient is admitted like with typhoid, As nurse manager immediately you have an objective to prevent cross infection from time of admission to time of discharge. Here we have input that is patient with typhoid and output patient recover without contaminating other patients, staff and visitors. Resources are used for isolation like human resource, skills knowledge, equipment. To get these resources there is cost involve so how much is the patient/ government going to pay for this service. Therefore in your unit budget how much will be used to care for this patient with typhoid and how long will it take to treat the patient. The process used to take care of this patient has all the elements of project management: Time, quality, scope and cost. We implement project management but we do not interpret it as project management. I think for one to understand PM it is better to study it as PM not as Nursing PM.
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I am preparing a review of the subject and need information.
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I think, in England, the role of the nurse midwife in the community in conjunction with community  nursing  was/is one of the first primary care including family nursing programs and practice which, in my view, preceded any contemporary primary care.today.  Ontario, Canada had an active family/primary care nursing program at McMaster University in the 1970s. The role is resurrecting again. with a focus on multidisciplinary health care team approaches.   
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Advanced Practice Registered Nurses, whether they are nurse practitioners, clinical nurse specialists, nurse anesthetists, or nurse midwives originally created to meet overcome shortage of physicians and decrease the burdens of high expensive healthcare services. and it works in many countries .. from your experience with advanced practice nurses in different specialties/institutions; do you think their role is clear and improve the quality of care? or still ambiguous and make it more complex especially when it comes to privileges?
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For this topic, see the special issue of "Nursing Leadership" in 2010 (vol 23)
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Most nursing concepts are relatively abstract. As a result the multiple dimensions and characteristics included in their meaning must be specified carefully and with precision. Therefore, how to reach "mature" concepts for operationalization in nursing research?
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Thank you Dr. Griffiths for your vision. Definitely I agree with you regarding "not to consider or claim nursing specific concepts" for conducting research in nursing. I was also talking about concepts in psychosocial fields (as most of the concepts used in nursing research are mainly borrowed from other disciplines), however, even major concepts are still debatable in its definition such as Health, coping, stress. Consequently, the operational definition will not be highly valid! 
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Ad-hoc testing is a random testing of an application without proper test plan. It's carried out at the end of the project when all the test cases are executed. The method is testing done without any specific procedure. This type of testing will be done when there is insufficient time.
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from its name, adhoc, it can be done when the participants are available. The researcher is ready. and the expected outcome from the research is decided
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Although nurse educators usually have the intended outcomes in mind when they design clinical learning activities, those activities may produce positive or negative unintended outcomes as well.
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Confidence in competency to practice has always been a primary concern of students and clinical instructors. The introduction of simulation labs with new technology is reducing this, improving confidence and competence to practice in clinical settings. This technology is likely to grow, See; https://www.ncsbn.org/09_SimulationStudy_Vol40_web_with_cover.pdf
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Independent study is primarily self-directed with the student supported by a tripartite team of academic and clinical staff. The student negotiates a learning contract which identifies what it is they intend to learn about and the evidence they will provide that demonstrates this learning has taken place. The module is thus flexible in enabling students to pursue areas of individual interest, facilitating the development of advanced practice by allowing students the opportunity to engage with issues at the cutting edge of practice.
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In my practice I provide hypothetical case Study with study guide
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Intermittent pneumatic compression devices role in DVT prophylaxis is an area that needs to be discovered still more deeply. The design of these machines, pressure exerted on legs and the optimal time to be used still need to be researched.
All are an important confounding factors that need to be addressed by randomized control trials before concluding : Did it work, or not?
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We use IPC in all our patients who undergo pneumonectomy for five days postoperatively, combined with enoxoparin for six weeks. The rationale is to prevent (mostly fatal) embolic events in the unique remaining lung. This procedure is now in place for six years and we had no such events in this timeframe. (it is of course an event that is rare, but before we used ICP, major embolic events were seen in about 1% of pneumonectomy patients; we do 40+ pneumonectomies a year, so calculating the odds it seems an improvement).
For the use: the first three days the IPC is running 24/24, when the patient is fully mobilized the IPC is only used during the night. Most patients complain, not of discomfort wearing them, but from the noise the pumps make.
This is of course a totally different population from stroke patients, but we feel it works
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A concept map is a graphic or pictorial arrangement of key concepts related to a patient’s care. By developing a concept map, students can visualize how signs and symptoms, problems, interventions, medications, and other aspects of a patient’s care relate to one another.
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My experience with students is they need to be prompted to ensure they cover all aspects of their area of study. Placing the patient as the core focus, then asking the student to use prompts such (For example):
Physical - What is the condition, clinical signs, symptoms etc
Psychological - How does the condition impact on self concept
Social - How does the condition impact on the patient/family social interactions
Cultural - Do the cultural beliefs of the patient have an impact on any of the other prompts and how may clinical decisions be impacted by these beliefs
Professional - What potential clinical interventions could be made? What frames the decision making process? Are there any legal or ethical issues that need to be taken into account?
This approach seems to stop the student over focusing on one aspect and prompts a greater realization of the holistic impacts of the decision making process.
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Using general theories from social science and medical science I want to work on a nursing research that could explore the relationship of disrupted circadian rhythm of shift workers in the Philippines and the interrelated factors that could increase the risk of having cardiovascular disease.
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Did you check the relevant literature first? I made some research in the past (sytematic Medline search) and I have not found any relationship of desynchronised circadian rhythm on cardiovascular risk. There was some evidence of risk of breast cancer or even obesity. That was 2 years ago though and I searched only Medline, systematically, but still.