Effects of Stress/Type 1 Diabetes
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A 10 page research paper that proposes the framework for a hypothetical research study and includes an extensive literature review on the effects of stress on type 1 diabetics. The writer proposes that the effects of stress, both physiological and on behavior, should be examined in regards to adolescents with this disease. Bibliography lists 7 sources.
Filename: khty1d.rtf

Ehrenreich And English's "Witches, Midwives, And Nurses: A History Of Women Healers"
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5 pages in length. The topic of this book evokes a sense of patriarchal control and unmitigated ignorance with regard to the 'science' of medicine and how it has evolved during the past few hundred years. Women's contributions, disregarded and shunned until very recently, have historically been overshadowed by oppressive patriarchal perspectives; by chronicling the events that have occurred throughout the centuries in relation to women and the medical community, Ehrenreich and English help to illustrate just how despotic the entire male-based medical profession has been, particularly in light of the unpleasant legacy left by the witch hunts of old. Bibliography lists 5 sources.
Filename: TLChealr.rtf

Eight Article Reviews
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A 5 page paper reporting the basics of 8 articles on diabetes education of staff nurses and patients. Article information is presented in table form only (no text explanations) including author, theory, objective, method, data analysis and findings. Some articles include notes on personal thoughts. Bibliography lists 9 sources.
Filename: KSnursArtT.rtf

Elder Abuse
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Most people are aware that there are laws that exist to protect children and animals from abuse. Many are not aware that there are laws that protect adults such as the elderly and disabled. Few people are aware of the magnitude of the problem or the consequences. Elder abuse affects all the systems that the individual is a part of, from the individual level to family, friends, social institutions, care providers, government agencies and American societal norms. The America belief system includes a responsibility to protect those who are not able to care for themselves. This 8 page paper examines the issues of elder abuse and the means that are in place to protect vulnerable adults. Bibliography lists 8 sources.
Filename: Elderab.wps

Elder Neglect in Nursing Homes
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A 10 page research paper that offers an overview of the topic of neglect and abuse of elderly patients in nursing homes and other long-term care facilities, such as assisted living homes. This also includes issues relating to nursing care of the elderly, as influenced by the nursing theory of Dorothea Orem. Bibliography lists 10 sources.
Filename: khelorem.rtf

Elderly Pain Mgmt/Home Care v. Institutions
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A 10 page research paper that examines the topic of pain management with elderly patients. While there is general consensus that pain management in elderly populations is being under-treated, the literature on this subject is less clear as to whether the best environment for elderly pain management is provided by home environments or institutional settings, such as nursing homes and hospitals. Examination of the literature on elderly pain management reveals that each environment has its own particular set of problems, which must be overcome in order to solve the problem chronic under-treatment of pain in elderly patients. Bibliography lists 10 sources.
Filename: kheldpn.rtf

Elderly Patients & Depression
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A 5 page research paper that offers a hypothetical research study proposal, designed to investigate the extent to which depression is a complicating factor in elderly prognoses. Research suggests that this topic has not been fully explored and may be a factor in facilitating the goal of positive nursing outcomes. Bibliography lists 4 sources.
Filename: khgerdep.rtf

Elderly Patients & Falls
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A 10 page research paper that examines nursing and medical literature relating to falls and the elderly. This literature review discusses the significance of falls the elderly; intrinsic and extrinsic risk factors; precautions/interventions that can be taken and the negative drawbacks to the use of side rails. Bibliography lists 7 sources.
Filename: khelfals.rtf

Elderly Patients/Loss of Independence
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A 10 page research paper that investigates this topic. While safety is a consideration for all patients, it is a particularly intense consideration in regards to when an elderly patient is hospitalized. Elderly patients who have previously been active can resist the loss of their independence and have trouble accepting a new reduced level of activity while hospitalized. Furthermore, an elderly patient may become confused in new surroundings and this may acerbate the tendency to wander or try to maintain their usual degree of independence. This can be inherently dangerous. An elderly patient who attempts to climb out of hospital bed with the bed rails raised can become entrapped and injured. They can fall while trying to get to the bathroom and falls for the elderly can be potentially fatal. This literature review looks at the factors that can impact how elderly patient adjust to a loss of independence. Bibliography lists 7 sources.
Filename: kheploi.rtf

Elderly/Physical Changes & Dependency
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A 5 page research paper that examines the dependency needs of the elderly from a nursing perspective. The natural decline in abilities as one ages can cause increased dependency needs, which can threaten an elderly individual's sense of identity and his or her connections with others and the greater outside world. However, literature on this topic shows that there are numerous nursing interventions and strategies that can help to lessen dependency issues. Also, the literature suggests that this is an area of nursing care that needs to be explored further in order for nurses to evaluate their own contributions to encouraging "learned" dependent behaviors. Bibliography lists 7 sources.
Filename: kheldep.rtf kheldep.rtf kheldep.rtf

Elective Cesarean Section
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A 6 page research/reaction paper to the issue of whether or not the medical community should encourage elective cesarean section, which is becoming an increasingly popular choice for busy working women. The writer looks at the various issues involved in this debate. Bibliography lists 10 sources.
Filename: khecsec.rtf

Electroconvulsive ("Shock") Therapy
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A 12 page paper that considers the topic of ECT in terms of nursing over the past 5 decades. This paper provides an overview of the literature which suggests the changing perceptions of ECT and the increasing use of it in recent years as a specific element of individualized treatment. Bibliography lists 17 sources.
Filename: Electro.wps

Electronic Data Security’s Impact on Nursing
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An 8 page paper discussing how the Health Insurance Portability and Accountability Act (HIPAA) of 1996 might affect nurses’ approach to their jobs. There is no question that HIPAA will change the way that nurses work. The only question at present is how it will change work processes and work flows. It appears to have ability only to complicate nurses’ already-full days. Bibliography lists 8 sources.
Filename: KSnursHIPAAnurs.rtf

Elements of Psychiatric Nursing Practice
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A 4 page research paper that draws on the nursing model of Hildegarde Peplau, as she is acknowledged to be one of nursing's leading theorists, as she was one of the first to emphasize the importance of the nurse/patient relationship. Peplau's model specifies three phrases in this relationship: orientation (meeting the patient, establishing a relationship), exploitation (the patient takes advantage of the nurse's expertise) and termination (discharge plan is initiated). When Peplau formulated her model of psychiatric nursing, Interpersonal Relations in Nursing, the routines of mental institutes tended to reinforce illness (Sills, 1999). Peplau taught nurses to nurture mental health, to conduct research and seek methods for interrupting the illness maintenance systems (Sills, 1999). This examination of psychiatric nursing practice looks briefly at research literature in order to demonstrate how Peplau's model remains applicable today. Bibliography lists 6 sources.
Filename: khelepep.rtf

Emergency Nurses Association
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A 4 page research paper that offers an in-depth look at this nursing organization. Bibliography lists 4 sources.
Filename: khena.rtf

Emergency Response Disaster Management
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A 20 page paper discussing issues surrounding emergency response as it relates to disaster management. The paper discusses emergency response resulting from the terrorist attacks of September 11, 2001, but it also discusses events such as Hurricane Fran in 1996, centering on the coast of North Carolina where the category 3 storm made landfall. The key to effective emergency response - excluding the training that can be seen as being a constant value – lies in the quality of communication between diverse teams and agencies responding to the event that has generated a crisis. The purpose here is to address two primary questions: “Are emergency responders equipped to communicate with others outside of their departments in time of crisis? [and] What are strategies to improve communications?” The paper concludes that emergency response in urban areas is highly effective, but that the same efforts in rural areas can be hindered by communication deficiencies. Bibliography lists 11 sources. A companion 16-slide Power Point presentation is available.
Filename: KSnursEmerResp.rtf

Emergency Room Organization and Administration
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A 5 page paper assessing 5 Internet sources discussing aspects of improving patient care while striving to make ER operation more efficient. The paper discusses a Texas effort to transfer Medicare patients from rural to urban hospitals; the use of software to track patients’ progress through the ER; and the use of “product” process flow to achieve Total Quality Management (TQM) principles of increased quality with simultaneous increased efficiency. MLA-style bibliography lists 5 sources.
Filename: KShospERorg.rtf

Emergency Treatment and Labor Act (EMTALA)
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A 4 page overview of the conditions stipulated by this law. The author reviews a recent case where a woman in premature labor admits to the ER and is subsequently admitted. When her infant is born it only lives two hours because it did not receive adequate care because of a technicality in EMTALA. Bibliography lists 3 sources.
Filename: PPnrsemtala.rtf

EMPHYSEMA
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This 3 page paper gives a scholarly overview of the disease, emphysema, with an emphasis on clinical research. Bibliography lists 5 sources.
Filename: MBempyh.rtf

Empowerment in Nursing
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A 6 page paper discussing empowerment in nursing. True empowerment can enable nurses to provide much needed help and innovative thought to the field of health. A discussion of the basics of empowerment is detailed as it applies to the complicated industry of nursing, illustrating that it is a reality that requires participation by all individuals involved in the health profession if it is to work. When empowerment is given to nurses, the benefits are great and the involvement of all concerned results in many positive realities. Bibliography lists 6 sources.
Filename: Nursepower.wps

Enhancing Cultural Competency
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A 3 page research paper that addresses the topic of cultural competency in nursing. Census statistics indicate that the population of the US is annually becoming more culturally diverse. This fact poses a challenge to healthcare professionals as providing care that is culturally congruent with the patient can significantly affect the likelihood of positive patient outcomes. As this suggests cultural competency constitutes a significant nursing area of interest. This literature review examines specifically the role of nurses in enhancing their opportunities for strengthening cultural competency. Bibliography lists 3 sources.
Filename: khecc.rtf

Enhancing Evidenced-Based Practice in Nursing
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A 7 page paper discussing the trend toward evidence-based practice. The concept of evidence-based nursing is an attractive one that calls for abandoning closely-held, longstanding attitudes toward many of the duties of nursing. There are problems with making that shift, however, not the least of which is the time required to search and study current literature. Nursing leadership can help to overcome this significant barrier. Bibliography lists 12 sources.
Filename: KSnursEvid.rtf

Enhancing Outcomes by Revising a Protocol Based on Evidenced Based Practice
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This 3 page paper provides an overview of the issue of falls in the hospital setting and methods for enhancing oucomes through the use of a prevention protocol. Bibliography lists 3 sources.
Filename: MHArtRev2NL.rtf

Ensuring the Competency and Accountability of Temporary Agency Nurses in the Hospital Environment
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A 9 page analysis of the use of temporary agency nurses to supplement shortcoming is permanent nursing staff. This paper asserts that although the use of temporary nurses is justified in certain situations, this use must occur with managerial provisions in place to insure competence and accountability. The recommendation is made that clinical pathways are an appropriate mechanism for insuring this. Bibliography lists 6 sources.
Filename: PPnrsTmp.rtf

Enteral-Nasogastric Feeding in Children
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A 3 page paper discussing enteral-nasogastric feeding of children and its ethical implications. Of course enteral feeding is good for the patient, but the fact is that sometimes it can cause harm. This is certainly contrary to the principle of non-maleficence, but it is in the spirit of trying to provide benefit to the patient. Though both can be seen as being present, it is the intention of beneficence rather than the possibility of harm that should guide the use of enteral feeding. Harvard-style bibliography lists 6 sources.
Filename: KSnursNasoFed.rtf

Entrepreneur Nursing
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A 3 page research paper that examines entrepreneurial opportunities for nurses. The writer concentrates on nurse anesthetists and mental health nursing. Bibliography lists 4 sources.
Filename: khentnur.rtf

Ersek/Challenge of Assisted Death
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A 4 page research/ reaction paper that summarizes and offers reaction to an article by Ersek (2004) entitled "The Continuing Challenge of Assisted Death." No additional sources cited.
Filename: khersek.rtf

Essays On Death and Dying
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10 pages worth of short essays on writings related to death and dying. The first reflects on the writings of Volkhart and Michael and their discourse on bereavement. The second considers Waechter's reasoning concerning children and terminal illness. The final essay considers the impact of Moody's book about "near-death" experiences. The primary sources are cited.
Filename: Death2.wps

Establishing an Outpatient Pain Management Clinic
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A 15 page paper discussing the establishment of a freestanding pain management clinic attached to a nursing home but also available for adult day care. The paper discusses pain management philosophies; alternative methods of managing pain; past problems of abuse of pain-killing drugs in the elderly; and the business issues of establishing and maintaining the clinic. Bibliography lists 14 sources.
Filename: KSbizPainClin.rtf

Ethical & Legal Concerns/SNPA
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A 6 page research paper that considers the impact, ethical and legal ramifications of the Safe Nursing and Patient Act of 2005, which is designed to limit the amount of overtime required by employers of their nursing staff. Bibliography lists 6 sources.
Filename: khnurma3.rtf

Ethical Approach to Practicing on the Newly Dead
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A 3 page paper written from the perspective of weighing options in practicing on the newly dead (intubation, subclavian line insertion, other procedures). The ethics committee will be meeting to determine policy after several instances of premature activity; the purpose here is to suggest an ethical policy. The paper uses the philosophies of Kant and Mill to conclude that the policy should take the form of allowing practice on the newly dead, but only after receiving permission from the nurse assigned to the case at the time of death. Bibliography lists 3 sources.
Filename: KSnursEthNewlyDead.rtf

Ethical Challenges of an Aging Society
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A 9 page research paper --8 page report and a 1 page abstract-- that addresses the ethical challenges involved with the demographic dilemma of an aging population. Topics addressed include professional and legal considerations for healthcare practitioners. These issues are examined, first of all, by delineating their relevance to a healthcare manager's professional perspective. Then, the report addresses the concept of professional ideas and values that impact these issues. There is an extensive discussion of ethical obligations and, also, a concluding section on what actions should be undertaken by healthcare practitioners in regards to the future. Bibliography lists 10 sources.
Filename: khecas.rtf

Ethical Considerations in a Medical Research Project
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This 5 page paper considers the appropriate ethical considerations for a medical research project concerning the use of specialised medical care workers and the impact on both patients and their families. The paper looks at the broad ethics as well as the more specific ethics relevant to this case. The bibliography cites 7 sources.
Filename: TEethicts.wps

Ethical Decision Making
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A 5 page paper evaluating the case of Andrew, an elderly man on life support whose only known relative is an adult who is not competent to make any decisions about his care. The paper proposes an appropriate solution including alternatives, and includes a discussion of the philosophies of Kant, Mill and Rawls as informing decision-making about how to proceed with Andrew’s care. Bibliography lists 9 sources.
Filename: KSnursEthDec.rtf

Ethical Decision Making Exercise
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A 6 page paper evaluating the case of Mr. P, an elderly man on life support whose only known relative is an adult who is not competent to make any decisions about his care. The paper proposes an appropriate solution including alternatives, and includes a discussion of the philosophies of Kant, Mill and Rawls as well as guidelines of the American College of Critical Care Medicine (ACCM) as informing decision-making about how to proceed with Mr. P’s care. Bibliography lists 9 sources.
Filename: KSnursEthDec2.rtf

Ethical Decision Making in the ER
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A 9 page paper discussing the philosophies of Kant, Mill and Rawls to inform decision-making in nursing, but perhaps the philosophy of Rawls is most directly applicable to nursing. Though wholly unworkable on a national scale, using Rawls’ philosophy in teaching nursing ethics and values works beautifully with nursing’s reason for being. From the nursing perspective, the “least advantaged member of society” is that one confined to a hospital bed. Ethics of choice does not require a great deal of time to process, for it is intent – rather than outcome – that carries greatest weight in determining the morality and justice of a decision. Bibliography lists 9 sources.
Filename: KSnursEthER.rtf

Ethical Dilemma/Canadian Nursing Practice
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An 8 page research paper that addresses the problem of limited resources in Canadian nursing healthcare. The writer cites CNA sources in discussing this issue in relation to a specific case scenario. Bibliography lists 2 sources.
Filename: khcnaval.rtf

Ethical Dilemmas/Nursing
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A 4 page research paper that explores various ethical dilemmas and how application of the ANA Code of Ethics can be used as a guide to professional conduct. Bibliography lists 4 sources.
Filename: khedn.rtf

Ethical Issue In Nursing
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6 pages in length. At what point is a life no longer worth living? The general consensus to an otherwise interpretive question is that once an individual's quality of life is no longer present - that the person has relinquished every nuance of an existence once lived – that individual becomes a mere shell of his or her previous self. Bibliography lists 7 sources.
Filename: TLCEthNursg.rtf

Ethical Issue of Euthanasia/Assisted Suicide in Nursing
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A 4 page paper which provides a detailed explanation of the issue, discusses why this topic in particular was chosen, relates how the issue affects the nursing profession and considers the issue’s societal/community impact. Bibliography lists 3 sources.
Filename: TGnureuth.rtf