Cross Training in the Rural Maternity Unit
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A 5 page proposal discussing an organizational change to make better use of available human resources. Rosewood Hospital is a very small, rural hospital facing staff utilization difficulties. The entire maternity ward consists of only two beds, but the hospital maintains a staff of two full-time and two part-time maternity RNs. It would seem that this is quite enough, and it is in the absence of the need on the part of any maternity nurse to miss a scheduled shift. The purpose here is to propose an organizational change involving the cross training of another nurse. This solution meets maternity’s short-notice needs while yet allowing the non-maternity functions of the hospital to remain fully staffed during training. Bibliography lists 8 sources.
Filename: KSnursMidwfOrg.rtf

Cuckoo's Nest and Nursing Ethics
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A 3 page research paper that examines the Academy Award-winning film One Flew Over the Cuckoo's Nest (1975, directed by Milos Forman for United Artists) is based on a novel by Ken Kesey (published in 1962) which represents one of the most negative and sinister portrayals of nursing in all of cinema, as Nurse Ratched is definitely the villain of the narrative. This examination of the film and its relationship nursing ethics, first, offers a brief summary of the plot and then discusses the writer's position on the ethical challenges that it portrays. Bibliography lists 3 sources.
Filename: khcnnuth.rtf

Cultural Competence/Nursing Russian & Korean Patients
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A 4 page research paper that examines cultural competence in regard to these patient populations. The writer first defines cultural competence and then discusses Korean and Russian health and cultural beliefs. Bibliography lists 4 sources.
Filename: khkorrus.rtf

Cultural Considerations for a Home-Bound African American Patient
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A 3 page consideration of Mrs M., a fifty year old obese African American with diabetes and hypertension. This paper considers the cultural factors that relate to this case. Bibliography lists 3 sources.
Filename: PPnrscultblack.rtf

Cultural Dictates on Healthcare
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A 5 page overview of the manner in which culture impacts healthcare. Emphasizing the points raised in Rachel Spector’s “Cultural Diversity in Health and Illness”, the author conveys the fact that medicine has shifted dramatically over the past several decades from a discipline which concentrates solely the science of our anatomy and physiology to a discipline which recognizes not only the hard scientific facts of physiology but also the importance of psychological and sociological factors. Bibliography lists 5 sources.
Filename: PPmedCu2.rtf

Cultural Diversity in Nursing: The Hispanic Population
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This 8 page paper contemplates the subject by looking at characteristics of the Hispanic community. However, the danger of stereotyping is stressed. Cultural diversity in nursing is the focus of this paper that looks at both problems and solutions. Bibliography lists 4 sources.
Filename: SA115RN.wps

Cultural diversity, End-of-Life Issues
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A 4 page essay/research paper that in which the writer uses tutorial language to offer advice to a student on how to report on her teaching experience as a nurse educator focusing on pain assessment as an end-of-life issue and on cultural diversity in nursing practice. Bibliography lists 2 sources.
Filename: khculeol.rtf

Cultural Diversity/Nursing
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A 4 page research paper that addresses the importance of cultural competency in nursing practice. The writer discusses this in relation to the Hmong culture, but also addresses the topic in general. Bibliography lists 5 sources.
Filename: khculdiv.rtf

Cultural Needs of Chinese Women in Childbirth
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An 8 page research paper that discusses cultural competence in regards to the nursing needs of Chinese women and women of Chinese extraction. According to census figures, the demographic nature of the American populace is becoming increasing culturally diverse. This fact constitutes a challenge to healthcare professionals as it has been shown by research that providing care that is culturally congruent with the patient’s background and health beliefs can have a beneficial effect on obtaining a positive outcome. Therefore, cultural competency is considered to be an important component of contemporary nursing care. This discussion of sources focuses on the needs of Chinese women or women of Chinese descent during the processes associated with childbirth from a nursing care perspective. Bibliography lists 6 sources.
Filename: khculchi.rtf

Cultural Variations in End of Life Care
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A 6 page discussion of the variation in the way we as families tend to the needs of our dying family members. The author notes that while at one time in U.S. history all families, irrespective of culture, took an active role in dying needs of their loved ones, today many of us have turned that responsibility over to health care professionals. There are, however, exceptions to this observation. This paper contends that the closer an individual is to the traditional dictates of their culture, the more likely they are to maintain a strong family vigilance. African American, Chinese American, and Muslim American cultures are assessed in regard to this contention. Bibliography lists 4 sources.
Filename: PPdeath3.rtf

Culturally Competent Care
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A 14 page research paper that discusses culturally competent care. This discussion examines how culturally competent standards of care can be implemented, as well as mechanisms that are designed to ensure compliance with emerging national and professionally recognized standards of care. The major points of this discussion are, first of all, how to define “culturally competent care” as a term. Then, the patient population that is the focus of the discussion is identified and specific issues pertaining to this demographic group are discussed. Standards of culturally competence are described and this is followed by a discussion as to whether or not these standards are being met within the student’s healthcare institution. The discussion concludes with a proposal of possible solution and suggested conclusions. Bibliography lists 14 sources.
Filename: khcccare.rtf

Culturally Competent Care In Psychiatric Hospitals
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10 pages in length. It is not possible to live in a world without diversity for the simple reason that there are far too many types of people to expect everyone to adhere to the same set of social, political or cultural standards. Patients are individuals no matter their origin and, as such, have different needs based upon their cultural roots; implementing the tenets of diversity serves to unite – while at the same time respect - those differences. This, however, is not always an applied perspective when it comes to culturally competent care appropriate for a psychiatric hospital; where nurturing and compassion typically hold sway in health care environments, a common assertion is both within and outside of the industry is how far too many nurses fail to incorporate culturally sensitivity into their dealings with patients. Bibliography lists 5 sources.
Filename: TLCcultcare.rtf

Culturally Competent Care/African Americans
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A 10 page research paper that examines and discusses the Purnell Model of cultural competency and African Americans. Bibliography lists 7 sources.
Filename: khccaapm.rtf

Culturally Competent Care/Duke University Health System
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A 12 page research paper that discusses issues pertaining to culturally competent care. This examination of cultural competency focuses on the Duke University health system, and considers, first of all, the various definitions proposed for “culturally competent care” as a term and how this term should be defined for the DUHS. Then, the population served by Duke is identified and described, with emphasis on the implications of the needs of this population. Having laid out the parameters for this investigation, the discussion then encompasses standards of culture care that appear to be met at the DUHS, as well as those that are not being met; the potential impact of nursing care on these standards and possible. Bibliography lists 17 sources.
Filename: khduhs.rtf

Culturally Competent Nursing Strategies
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A 5 page research paper that discusses culturally competent nursing strategies that can be used to decrease the health disparities that characterize healthcare in the US. Bibliography lists 10 sources.
Filename: khccnshp.rtf

Culturally Sensitive Nursing
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This 5 page paper is based on a self-assessment the student completed. The paper discusses the need for understanding other cultures, reports some of the constructs in Leininger's transcultural theory and comments on the student's own experiences. Bibliography lists 4 sources.
Filename: PGslfanr.RTF

Culturally Sensitive Nursing/Hispanic Client
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A 6 page research paper essay that offers a cultural case profile of a 55-year-old Hispanic client, suffering from chronic conditions. Using factors from the Giger and Davidhizar assessment model, the writer discusses how this client is similar to and differs from the Hispanic cultural profile and how personal behaviors impact healthcare. Bibliography lists 3 sources.
Filename: khhiscul.rtf

Culture and Diabetic Management in African Americans
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An 8 page overview of diabetes, its causes and effects. This paper delineates how African American culture can not only lead to a increased likelihood of developing diabetes but also of poorly managing it. Bibliography lists 8 sources.
Filename: PPnrsDiabetesBlks.rtf

Czech Immigrants & Nursing
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A 3 page research paper that discusses Czech immigrant to the US in relation to the topic of nursing cultural competency. Bibliography lists 6 sources.
Filename: khczech2.rtf

Data Base Management: The Nurse as a Change Agent
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A 3 page discussion of the evolving role nurses play in data base management. This paper contends that the nurse plays many roles in data base management. Not only does she or he collect data and input it into the data base, the nurse is often responsible for some components of the management of the data base. The nurse can, in fact, be a change agent in the QI process, an agent that makes recommendations that will result in improved data base management. Bibliography lists 2 sources.
Filename: PPnrsDta.rtf

Data Collection Tool for Pneumonia
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A 3 page paper containing information from the first three screens of MedQuest Data Collection Tools for pneumonia. MedQuest Data Collection Tools is a third-party computer-mediated data collection system offered for download at the Centers for Medicare & Medicaid Services (CMS) website. There are several specific topics available; this one focuses on pneumonia. Bibliography lists 1 source.
Filename: KSnursDataColTool.rtf

De Bono's Six Thinking Hats
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4 pages in length. Understanding the true nature of conflict resolution is held deep within a concept of parallel thinking whereby everyone involved in the issue approaches the outcome through proactive and critical thinking that encourages a meeting of the minds even though - and perhaps in spite of - differing opinions. The Six Thinking Hats system developed by de Bono establishes half a dozen specific characteristics of this journey that set a calculated path toward reaching amicable resolution. Applying these six components to the case study will provide a greater opportunity to acquire a more humane outcome for the patient. Bibliography lists 5 sources.
Filename: TLC6thnkhats.rtf

Dealing with Change/Miami Valley Hospital
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A 3 page research paper that offers advice to a nursing student on how to address the change occurring within the student’s workplace, which is Miami Valley Hospital located in Dayton, Ohio. The writer summarizes literature on nurse/patient ratios and change theory. Bibliography lists 5 sources.
Filename: khmvhrat.rtf

Death & Dying
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In 5 pages the author discusses the issue of death and dying as based on the work of Philip Larkin, Ernest Becker, and Richard W. Momeyer, and answers the question of whether Becker and Larkin share the same absolute terror of death. Momeyer sees Death Anxiety as constructive. The author discusses why this view would be particularly important for the health care professional. Bibliography lists 3 sources.
Filename: Deathdie.wps

Death & Dying
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6 pages in length. Discusses death & dying in considerable detail. Covered are life expectancy, the process of dying, stages of approaching death and coping. Bibliography not available. Death&dy.wps
Filename: Deathdy.rtf

Death and Dying / Hospice Care
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A 3 page paper that uses both interviews and research to investigate the nature of care for patients who are dying. The hospice program is described and discussed from a predominantly nursing point of view. Bibliography lists 3 sources.
Filename: Deathosp.wps

Death As The Supreme Motivator
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A 4 page paper comparing the ideas expressed in Ernest Becker's The Denial of Death, William I. Miller's The Anatomy of Disgust, and Erich Fromm's The Anatomy of Human Destructiveness. The paper shows how all three of these thinkers see the denial of death, and with it man's lack of comfort with his own physicality, as the prime rationale in man's self-concept. Bibliography lists three sources.
Filename: Suprdeat.wps

Decision Making in the Emergency Room Situation
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A 6 page discussion of the decision making which goes into high level emergency room care. This paper discusses the case of a fifty-one year old female who presents with shortness of breath, edema, and chest pain. The diagnostic measures recommended in this case and the follow up on the diagnoses are the author’s emphasis. Bibliography lists 8 sources.
Filename: PPedema.rtf

Decision Making within the Stetler Model
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A 3 page paper discussing only the decision aspect of article analysis with the Stetler model. The article assessed is one reviewing the value of pressure ulcer assessment scales; it concludes that prevention is less valuable than treatment. Bibliography lists 5 sources.
Filename: KSnursStetler.rtf

Defining a Nurse
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A 5 page paper which examines the role of a nurse and argues how their role is essential to good health care. Bibliography lists 3 sources.
Filename: RArndef.rtf

Defining Beliefs And Values About Nursing
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4 pages in length. The common denominator among nurses may be an overwhelming compassion toward helping mankind, however, there is considerably more to the wide-ranging aspect of nursing than merely administering medicine; in fact, the myriad components that ultimately comprise the vast application of nursing delve into issues of metaphysics, the mind/body connection and an overall holistic approach based upon four primary conceptual standards. Bibliography lists 4 sources.
Filename: TLCNrsBelf.rtf

Defining Community and Aggregate
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A 3 page paper differentiating between these two terms and then identifying one to study (the elderly). The community can be defined by any number of characteristics used for grouping individuals. These characteristics can include geography, relationships, cultural bonds, economic condition and religious beliefs. An aggregate is any subgroup of a defined community. The subgroup can be defined by any criteria meeting the needs of the reasons that definition is needed. Bibliography lists 5 sources.
Filename: KSnursComAgDef.rtf

Defining The Four Traditional Nursing Metaparadigms
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5 pages in length. The fundamental purpose of nursing symbolizes significantly more than merely administering medications and treatments; rather, the entire strength of nursing is based much more within the psychological components of the patient/caregiver relationship than most people realize. Bibliography lists 4 sources.
Filename: TLC4Nurse.rtf

Defining the Meaning of Caring:
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This five-page -paper presents an analytical look at the eh theory of Beuracratic caring in the field of nursing. A study is discussed in which the various new organizational areas of caring are outlined. Bibliography lists three sources.
Filename: CWnursaga.wps

Defining the Nursing Contribution to Patient Outcome
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An 11 page exploration of the relationship which exists between nursing contribution and patient outcome. The author of this paper asserts a more and more predominant theme in nursing is the nurse’s one-on-one interaction with the patient and the consideration of such factors as culture and even spiritualism in patient care delivery. While at one time nursing was a discipline which concentrated primarily on the science of human anatomy and physiology, nursing has evolved to a discipline which recognizes not only the hard scientific facts of physiology but also the importance of psychological and sociological factors. Bibliography lists 8 sources.
Filename: PPnrsOut.rtf

Dehydration & Older Patient
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A 5 page research paper that discusses dehydration in the older patient. The writer explores the significance of this problem for the elderly and recommended nursing practices for monitoring and correcting fluid balance. Bibliography lists 4 sources.
Filename: khflueld.rtf

Delegation Example in a Health Care Setting
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This 6 page paper includes 12 Powerpoint slides and two pages of notes. A case study is presented regarding a nurse and a CNA and how communication difficulties may arise. Bibliography lists 4 sources.
Filename: S826rev.rtf

Delimitations, Summary Sections for Proposed Study
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A 3 page paper that offers a guide to a student writing a study proposal that offers suggestions for the sections of the proposal describing “delimitations and limitations” and the “significance of the study.” The proposed study addresses the problem of obesity and the influence of health beliefs on lifestyle choices. No bibliography is offered.
Filename: khdlsum.rtf

Dementia
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A 5 page research paper that discusses dementia. The writer discusses what dementia is (its various forms); how it affects the individual, families and society; and offers nursing intervention suggestions. Bibliography lists 9 sources.
Filename: khdem.rtf

Dementia
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An 8 page research paper on dementia. Dementia is often regarded by the general public to be a common, and therefore, a “normal,” part of aging. However, dementia is not normal, but is, rather, a pathological condition that prevents individuals who develop this neurological disorder from living autonomously and fully. Individuals suffering from dementia often become a burden on their families, as their loss of cognitive function makes independent living in older years impossible. It is important to accurately diagnose and treat dementia in order to provide a level of care that will facilitate, to the greatest extent possible, older individuals retaining autonomy and a high quality of life. In other words, knowledge of the various types of dementia and the nature of dementia is essential to providing a high level of care and in making decisions associated with the care of dementia patients. Bibliography lists 9 sources.
Filename: khdem2.rtf