ESSAYS -
LIST OF AVAILABLE ESSAYS ...
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Nursing Competency in Relation to Organization Factors Affecting Patient Outcome
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A 14 page discussion of the varied factors which enter into nursing competency and ultimately translate to patient outcome. Suggests that while the degree of training a nurse has is directly related to competence, so too are managerial factors. Asserts that the implementation of internal policies and procedures, although typically subject to resistance from staff, is an integral component of ensuring optimum patient outcome. Identifies interdisciplinary managerial factors such as quality assurance/quality improvement programs and the establishment of clinical pathways as being significant to nursing competence as well. Includes a one-page Roman numeral outline. Bibliography lists 18 sources.
Filename: PPnrsCmR.rtf

Nursing Competency: Training and Interdisciplinary Managerial Factors
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A 12 page discussion of the varied factors which enter into nursing competency. Suggests that while the degree of training a nurse has is directly related to competence, so too are managerial factors. Identifies interdisciplinary managerial factors such as quality assurance programs and the establishment of clinical pathways as being significant to nursing competence as well. Includes a one-page Roman numeral outline. Bibliography lists 10 sources.
Filename: PPnrsCmp.rtf

Nursing Considerations in Stem Cell Research
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A 4 page overview of the many considerations entailed by stem cell research. The author contends that nurses are caught up in the issues of stem cell research not only as spectators but also as intermediaries between the world of scientific research and the general public. Nurses have the ethical responsibility to not only understand the ethical and scientific consequences of such research but also to be able to interpret these consequences to their patients. Bibliography lists 8 sources.
Filename: PPstemC3.rtf

Nursing Ethics and Professional Dilemmas
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An 8 page overview of the myriad of professional dilemmas which sometimes confront the nursing profession. The author emphasizes that the profession has in place a framework of laws and ethics which allow us to decide the right direction when confronted with these dilemmas. At the center of this approach is the realization that our primary concern is the optimization of patient welfare. Bibliography lists 6 sources.
Filename: PPnrsEth.rtf

Nursing Ethics: Mr. V
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A 10 page paper discussing a case of ethics of choice. Mr. V is terminally and wishes to give up his struggle. He is on a morphine drip, and the nurse on duty has instruction to decrease the drip should his respirations drop to four per minute. Mr. V maintains that he was resuscitated against his wishes; the nurse claims she merely followed instructions. The paper discusses the ethics of the case in terms of the philosophy of Kant and Mill. Bibliography lists 5 sources.
Filename: KSnursEthMrV.rtf

Nursing Ethics: Confidentiality
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A 6 page paper discussing an ethical dilemma faced by nurses in an emergency department. A man has made another appearance there because he failed to take his anticonvulsive medication and had a seizure at a movie theatre. The ethical dilemma is that the nurses know that the man drives regularly and that he experiences seizures with some regularity. The paper uses the principles of utilitarianism (Kant, Mill and Rawls) and nurses’ code of ethics regarding self-determination and confidentiality to conclude that the nurses must maintain confidentiality. Bibliography lists 4 sources.
Filename: KSnursEthSeiz.rtf

Nursing Ethics: Ending Life Support
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A 16 page paper that explores the issue of withdrawing life support interventions. This becomes a particularly difficult and controversial topic when the patient does not have a living will or advanced directive on file. This essay discusses the role of the nurse in this situation and the ethics involved. The writer proposes that this is an ethical and moral decision and act under specific conditions. Bibliography lists 12 sources.
Filename: PGendlif.wps

Nursing Health Policy:
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This 5 page paper discusses special interest groups which are influential in shaping current health care policy. This paper examines also the importance that policy and economic implications have to the advanced practical nurse. Bibliography lists 6 sources.
Filename: GSNurspo.rtf

Nursing Home Patients And Their Vulnerabilities During Disasters
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5 pages in length. Every person caught in a disaster must make split second decisions pertaining to his or her safety; with such concerns as when to evacuate, where to go and how to get there, the level of anxiety that accompanies the mass departure of disaster-related emergencies calls for considerable focus, effort and resources. However, there are certain populations that - by virtue of their unique circumstances - have a significantly more difficult time maneuvering during disaster evacuations and are often left behind by concerted community efforts. Nursing home residents are one such population where the vulnerability inherent to ineffective or substandard disaster plans leaves them wholly defenseless to escape the imminent danger. Bibliography lists 5 sources.
Filename: TLCNursHmDis.rtf

Nursing Implications of Antibiotic Resistance
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An 8 page discussion of the various implications of antibiotic resistance. Mechanisms of antibiotic resistance are discussed. An emphasis is placed on Methicillin-resistant Staphylococcus aureus (MRSA), Extended Spectrum Beta-Lactamase (ESBL), and Vancomycin-resistant Enterococcus (VRE). Bibliography lists 7 sources.
Filename: PPantib3.rtf