ESSAYS -
LIST OF AVAILABLE ESSAYS ...
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CENTRAL AMERICAN VERSUS CARIBBEAN PERSPECTIVES ON HEALTHCARE
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This 5 page paper discusses the differences in perspective toward mental health care for women in South America and the Caribbean. Bibliographpy lists 10 sources.
Filename: MBhealthcult.rtf

Certified Nursing Aides
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A 12 page paper that considers the issues regarding hiring and retainment of CNAs in the nursing care industry. The writer provides two models in nursing care that appear to be addressing the needs of CNAs and patients in improving care and decreasing turnover rates. Bibliography lists 9 sources.
Filename: Cna.wps

Certified Registered Nurse Anesthetist: Role in Health Care
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A 15 page paper discussing systems theory, nursing system theory and the place where the CRNA fits into the US health care system. The Certified Registered Nurse Anesthetist (CRNA) fills a vital role in the larger health care system, one that will continue to increase in relevance as the first of the baby boomers now are entering retirement age. As is the case in any advanced-practice field of nursing, the issue of physician supervision continues to be a point of issue. It is less so for the CRNA, which most states allow to practice independently. The purpose here is to assess the role of the CRNA in the health care system of the United States. Bibliography lists 18 sources.
Filename: KSnursCRNA.rtf

Certifying an Older Driver
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A 10 page research paper that discusses a case scenario in which an older driver asks a nurse practitioner to administer a vision test and certify herself as safe on a DMV form. The writer discusses the practice implications. Bibliography lists 7 sources.
Filename: kheyedmv.rtf

Chambliss/Beyond Caring
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A 10 page examination of D.F. Chambliss' text Beyond Caring (1996). Chambliss (1996) conducted extensive research on the sociology of hospitals, beginning in the 1970s and extending to the early 1990s. His text records his observations and conclusions pertaining to the workings of hospital routine and the sociological and psychological processes that are an inherent part of the hospital environment. This examination of Chambliss' research focuses specifically on the information he relates concerning nursing experience, the situations encountered by nurses, how they cope within the hospital environment and what this suggests about how nursing should be perceived within an ethical framework. No additional sources cited.
Filename: khbeycar.rtf

Change Management: Changing the ICU Nursing Ratio
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A 4 page paper evaluating the possibility of restructuring the ICU to gain one-on-one nursing, using Lewin’s change theory. All health care costs continue to increase despite managed care, regulatory insurer and individual efforts to halt the spiral. The ongoing nursing shortage has meant for ICUs that they may have fewer RNs available to them and that recruiting and retention has become more costly over the past several years. Though costs are of significant importance to ICUs, quality of care remains of central focus. Bibliography lists 4 sources.
Filename: KSnursICUratio.rtf

Change Management: Reducing the ICU Nursing Ratio
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A 10 page paper discussing restructuring the ICU to gain one-on-one nursing using Lewin’s change theory. The ongoing nursing shortage has meant for ICUs that they may have fewer RNs available to them and that recruiting and retention has become more costly over the past several years. The paper recommends that the hospital use agency nurses where possible, either in the ICU or in other areas "donating" nurses to ICU. Bibliography lists 15 sources.
Filename: KSnursICUratio2.rtf

Change Process For Establishing A Rapid Response Team
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Although this 10 page paper is a continuation of PGrrthsp.rtf, which discussed establishing a rapid response team in a hospital, it also stands on its own in terms of change processes. The writer defines what a Theory of Change is and explains two change theories, one by Conners and one by Lewin. The writer also brings in the value of using a team when implementing changes in any organization. The writer then discusses the inevitable resistance that will emerge, causes of resistance and strategies to overcome resistance. The last part of the paper is an outline of a plan to increase the success of change efforts. Bibliography lists 7 sources.
Filename: PGrprsch.rtf

Change Project: Medication Error Prevention
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A 4 page research paper that discusses a problematic area in many practice clinical settings--medication errors. The writer offers suggestions found in nursing literature for improving this problem. Bibliography lists 4 sources.
Filename: khcpmep.rtf

Change Theory in Nursing Management
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A 6 page paper discussing implementing changes that can assist in integrating theory into practice. Theory-based nursing practice is the focus of much current nursing research and practice, but established, experienced nurses may be less familiar with theory than are new graduates. It is common practice for older nurses to mentor newer ones; new graduates fresh from study of theory also have the opportunity to teach as well. Lewin’s change theory maintains that change is incremental and proceeds stepwise. The organization can assist this progression by hiring new graduates with solid knowledge of theory, which they can pass on to those more experienced in practice. Includes abstract. Bibliography lists 6 sources.
Filename: KSnursChgMgt.rtf