The role of Nurse Leaders in resolving Lateral Workplace violence.

The role of Nurse Leaders in resolving Lateral Workplace violence.

The role of Nurse Leaders in resolving Lateral Workplace violence.

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The role of Nurse Leaders in resolving Lateral Workplace violence.

 

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Capstone Project

Submitted to Grantham University

Graduate Faculty of the School of Nursing

in Partial Fulfillment of the

Requirements for the Degree of

 

Master of Nursing

(Management and Organizational Leadership Track)

 

 

 

 

 

 

by

FUNMILOLA OMO-OLAOYE

 

Lenexa, Kansas

November,2021.

ii

Title

 

The role of Nurse Leaders in resolving Lateral Workplace Violence.

 

 

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Title

 

by

 

FUNMILOLA OMO-OLAOYE

 

 

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_______________________________________________ ________________

Faculty: Name, degree and credentials Date

 

 

 

 

 

Certified by:

 

 

_______________________________________________ ________________

School Dean: Name, degree and credentials Date

 

 

 

 

 

Rev 4/27/2017, 6/17/18

 

AbstractThe role of Nurse Leaders in resolving Lateral Workplace violence.

Table of Contents

List of Tables xii

List of Figures xiv

Chapter 1: Introduction 1

Background 5

Problem Statement 7

Purpose 12

Theoretical Framework 17

Nature of the Project 31

Significance of the Project 32

Definitions 33

Summary 34

Chapter 2: Literature Review 36

Theme/Subtopic [repeat as needed] 36

Summary 49

Chapter 3: Project Design 52

Project Design 52

Participants 57

Materials/Instruments 58

Imple me ntation 66 The role of Nurse Leaders in resolving Lateral Workplace violence.

Assumptions and Limitations 68

Ethical Assurances 70

Summary 71

Chapter 4: Evaluation 72

Evaluation of Project Design 72

Evaluation of Project Implementation……………………………….………….……76

Summary 81

Chapter 5: Implications, Recommendations, and Conclusions 82

Implications 82

Recommendations 84

Conclusions 86

Appendixes 88

Oral Presentation………………………………………………………..……………89

Programmatic Outcomes Self -Assessment……………………………………….…90

Appendix A: Title 89

Appendix B: Title 90

 

Background

In a health care setting, lateral workplace violence exists. It is an inappropriate and disruptive behavior that is mainly demonstrated by one employee or another, either having a lesser or an equal position. When this occurs, it can be openly displayed and occur in a repetitive nature, escalating over time. Although the acts may appear harmless, they tend to affect nurses by making them uncomfortable in their jobs.  Comment by Darcy Nelson: You need to provide a resource here.

Lateral violence affects nurses by decreasing their sense of well-being and affecting their physical health. This makes them depressed and may reassign with time if nothing is done to solve the issue. This causes a shortage of nurses, which causes the remaining nurses to be overloaded with more tasks. This causes a corresponding burnout and fatigue among them, which affects the patient-an increase in the tasks may lead to reduction in the quality of care, which causes increased dissatisfaction among patients, and later an increase in complications among them Comment by Darcy Nelson: Add citation or resource How do you know that this makes them depressed Comment by Darcy Nelson: Repetitive Comment by Darcy Nelson: Present an overview of why this project is currently of interest. Focus on an area of interest, briefly laying the groundwork for what has been done in the area and why the area is of important social or practical concern, or of theoretical interest. Include appropriate, recent, scholarly sources to support each assertion. Comment by Darcy Nelson: Your task is to provide a thumbnail sketch of what has happened to date during their collective inquiry efforts that can provide an intellectual context for your project, identify territory that has not been explored, and tell the reader how previous research on your project will influence your work. You will fill in this sketch during the literature review.

Statement of the Problem

In my current organization (long-term Care/retirement), there are numerous conflicts among staff members caused by lateral violence presence. This has resulted in poor health care services and increased turnover among them. Therefore, there is need to resolve the issue to mitigate chaos that could later lead to health complications among patients and victims. Comment by Darcy Nelson: Cannot use my we, you I etc in this project.

 

Describe the situation that needs improvement _______________. Comment by Darcy Nelson: You must answer these 4 questions.

What is happening that should not be happening______________?

What ill effects does this problem create_______________?

What is the evidence of this problem minimum of 2 research articles?

Purpose Comment by Darcy Nelson: What will you do about this problem? That is your purpose to do something about the problem.

With the increase in lateral violence in nursing workplace, there is a need to reduce the behaviors. There are numerous effects associated with the issues, and affects nurses negatively especially when nurse leaders fail to solve them. This project aims at mitigating the negative effects associated with lateral violence among nursing practice. If such issues are not addressed, it affects the performance of Nurses and may later lead to nurses resigning their jobs as a result of having no job satisfaction. and will cause a situation of constant shortage of nurses in most workplaces eventually as most nurses facing these situations tend to quit their jobs in pursuit of a more therapeutic environment to work. when this occurs the few nurses who are left in such organization begin to feel the aftermath effect, in that they begin to assign more patient ratio than expected, all these will lead to stress and nurse burnout, ultimately leading to poor care services by these nurses. Comment by Darcy Nelson: What behaviors? Comment by Darcy Nelson: What are these effects? Comment by Darcy Nelson: What do you mean? What does this look like? Comment by Darcy Nelson: What performance, define performance Comment by Darcy Nelson: Delete.

Theoretical Framework

The Donabedian model will guide the study. Its process, structure, and outcome are used to evaluate and inform efforts made to ensure improved care among patients. The model proposes using various categories, incorporating process, structure, and outcome to assess healthcare quality effectively. For example, a case of lateral workplace violence is caused by multiple factors, including targets on skilled workers due to increases positive attention from managers and supervisors (Akella, 2016). Others may be experience this violence due to being popular and well-liked by the majority of the organization’s members. Finally, others hold the stereotype that lateral workplace violence in any organization must take place. For this study, the independent and dependent variables will be participants and the effects of lateral workplace violence that affect the process and the outcome. This theory will assume that the causes of lateral workplace violence affects most nurses in various health care facilities. However, the findings will not be generalized to avoid bias. Comment by Darcy Nelson: Citation Describe your theory Comment by Darcy Nelson: Who are the others? Comment by Darcy Nelson: This is not research it is a project. Comment by Darcy Nelson: Theories do not assume. This theory will “support”

Nature of the Project

The overall project will comprise a set of interrelated activities intended as a permanent endeavor. The study will employ personal-centered approach, which is effective in necessitating effective exploration of lateral workplace violence. Similarly, the selected sample of nurses will be required to have faced lateral workplace violence for at least nine months and be subjected to this violence by a colleague or any healthcare worker. Data collection will be collected using open-ended questionnaires, which will allow nurses to explain everything from their own perception and experience. The sampling and sample size will involve selecting approximately twenty-five nurses to avoid the biases associated with selecting too small or big (Meires, 2018). Therefore, it controls the internal and external threats. Essentially, the researcher will aim at collecting detailed descriptions and quotes from the selected sample during the study to provide detailed information to ensure a successful project. Comment by Darcy Nelson: What are these activities? Comment by Darcy Nelson: You can use this in the beginning of your survey. You cannot choose them. Comment by Darcy Nelson: Need a workplace violence questionnaire. You will not be able to get the data you need with an open ended questionnaire.

Significance of the Study

Lateral workplace violence affects the emotional well-being and productivity of nurses, increasing their desire to leave the job. This leads to poor health among patients in the affected health care centers. This project will assist in mitigating lateral workplace violence among nurses by crossing the gap between nurses or nurses and other health care workers. Also, it will give nurses a chance to address their widespread problems, where they will do so using open-ended questionnaires that covers all the affected areas. The project will assist in deepening and consolidating the practical skills and theoretical knowledge acquired in class. Comment by Darcy Nelson: What do you mean by this? Comment by Darcy Nelson: Reword for clarity

Similarly, the collected data will assist in solving problems in practice and make an outstanding contribution to the nursing field (Polit, 2017). This is by adding knowledge and materials that align with other researchers’ previously done works in the field. The work will also include the limitations that may be faced during the study and provide recommendations that future researchers can utilize to make perfect studies. Finally, reviewing literature by other scholars within the field assists in recognizing and appreciating their outstanding contributions to nursing research. Comment by Darcy Nelson: This project aims to provide additional …..

Definitions

There are various terms that the research paper will incorporate throughout. Such terms include but are not limited to, workplace, process, outcome, and structure. Lateral workplace violence, in this case, refers to repeated and unwanted harmful actions that the doers intend to humiliate, cause distress, and offend their recipients (Meires, 2018). The model that guides the study entails process, structure, and outcome. Structure refers to the qualifications of the provider and the workplace in which the care services occurs. The process will refer to the components that make up the efforts to give and receive care among nurses and patients. Moreover, outcomes focus on the overall patients’ recovery, survival, and functions restoration. Finally, the Healthcare workplace will refer to where healthcare workers such as doctors and nurses gather to share skills, experiences, and goals to work hard towards community health. The terms will be used interchangeably, where outcomes will be used when exploring lateral workplace violence, its effects on nurses’ operations, and the patients’ health.

Summary

The nursing practice is dedicated to helping patients who require health care services. Over the years, nurses have been facing situations of lateral workplace violence, which originates from nurses to nurses, healthcare workers, or nurses to leaders. With the adverse environment that this violence causes, the paper addresses in detail the problems associated with it. The researcher selects a sample of nurses to make the study successful on the effects of Lateral workplace violence and later finds strategies to overcome them. The research utilizes a conceptual framework that the Donabedian model guides. This model focuses on improved healthcare among the people- reducing Lateral workplace violence will ensure that nurses do not leave their jobs, which will increase the quality of care rendered to patients. The study utilizes a qualitative, descriptive approach that provides a successful project. Ultimately, the sample size is selected while maintaining internal and external validity control for the data to be collected. Utilizing the highlighted tactics will make the project successful.

Introduction

Lateral violence is a common phenomenon in a nursing workplace. It mainly manifest through physiological harassment that result in hostility, mainly caused by one nurse or another. This issue is opposed to physical aggression, and the harassments may include intimidations, criticism, intimidations, threats, discouragement, exclusion, disinterest, and verbal abuses, among others. Over years, nurses have faced lateral workplace violence constantly, where they employ an enduring behavior worsened by insults, malicious, and intimidating patterns. This violence results in power abuse, and the victims may feel humiliated, vulnerable, menace, and distress. Comment by Darcy Nelson: Citation Comment by Darcy Nelson: What is it? Comment by Darcy Nelson: Psychological Comment by Darcy Nelson: Restate clarify this statement. Comment by Darcy Nelson: Citation Comment by Darcy Nelson: Citation Comment by Darcy Nelson: Citation

Nurse Managers have an essential role of ensuring that lateral workplace violence does not exist in the workplace. This is by solving the issues and implementing policies and rules that warns employees on the punishments associated with such violence. For instance, they may develop zero-tolerance ratios for any workplace hostility outline, which ensures high quality care, teamwork, improved health outcomes, and advancement due to research in the workplace. Failure to solve the lateral violence may cause serious implications for the institution and the victims. This may have effects such as mental health challenges among the victims, alongside comprised physical health. This may cause long term sickness and unplanned absences. Also, this lateral workplace violence, may lead to high turnover rate due to reduction in job satisfaction and the sense of being committed to the employer. A high turnover rate implies a reduction in the quality of care due to detachment from their jobs. Thus, there is an increasing need to deal with lateral violence to eradicate such effects and ensure quality care in nursing institutions. Comment by Darcy Nelson: Managers solve the issues and implement policies Comment by Darcy Nelson: Citation. Comment by Darcy Nelson: Stop using pronouns to begin your sentences. Please begin with a noun Comment by Darcy Nelson: Citation

 

Programmatic Outcomes required to be addressed in Chapter 1

Programmatic Outcomes are to be infused throughout the Capstone Project. There is not a specific heading for it, but it must be visible where the outcome is being addressed. As you write, you will be citing where you believe you have achieved these outcomes. You will use the “MSN Programmatic Outcomes with Citation Codes” document to identify the Outcomes by letter and number (ex. E1) for both the Core and Specialty Track Outcomes. Core Outcomes will be found for each chapter and identified as “C1-6”. Each of the four specialization tracks Case Management (M1-5), Nursing Informatics (I1-5), Education (E1-5), Management and Leadership (L1-5) may have specific competencies under different sections. The student will highlight the sentences/paragraphs where the numbers are placed for grading by the faculty during the early phases of the writing. Later the student will transfer the best examples of the outcomes to the PO ID table attached at the end. This will be specified in the assignment. In the 600 level courses where the paper is nearing completion it gets rather long. The instructor may request the student to begin using the Change Matrix for easier identification on new content as well as verification of requested changes. The Change Matrix is attached to this document. The student is encouraged to create a final copy without highlighting for publication and the presentation.

 

 

Core Outcomes (C)

· Patient Centered Care (C3)- Design nursing care for a clinical or community-based population with respect to cultural diversity, biophysical, psychosocial, and organizational needs

· Evidence Based Practice (C5)- Combine theory and research-based knowledge from nursing and the sciences as they relate to the interdisciplinary team when designing, coordinating and evaluating quality patient care.

This research paper aims at identifying the issue of Lateral workplace violence and the role of the nurse leaders in correcting the problems. Failure to address such issues leads to reduced performance among nurses and, later, poor health outcomes among consumers (Blackwood et al., 2017). Also, it leads to increased labor turnover since many providers tend to be willing to work in a more therapeutically environment. Various nursing processes, structure, and outcomes can effectively ensure improved healthcare and reduce lateral workplace violence in workplaces. Following numerous reasons that lead to increased lateral workplace violence, there is a need to carry extensive research and experiments to understand the issues. Comment by Darcy Nelson: This is a project not a research paper. Comment by Darcy Nelson: Support this with research articles Comment by Darcy Nelson: What are the numerous reasons? The role of Nurse Leaders in resolving Lateral Workplace violence.

This part comprises literature that will be essential in informing the study. The review is conducted using literature searches, Google scholar articles and journals, and various library databases like EBSCO. The review explores the concept of lateral workplace violence, the causes, effects, and role of health care workers and leaders in ensuring reduction in the issue and improved performances among health care practitioners. By conducting searches, the work will assist in understanding workplace lateral workplace violence, the gaps, and the right strategies to utilize in the modern world to ensure health care providers are not exposed to this condition. The role of Nurse Leaders in resolving Lateral Workplace violence.

Lateral workplace violence has become established in the modern world. It is an endemic feature of capitalist employment relationships (Hartin et al., 2020). In a workplace setting, the most common type of lateral violence is physical and verbal abuse from patients, relatives, and nurse leaders (Polit, 2017). Thus, the nursing profession is not spared from this violence despite being built based on following solid codes of ethics and ensuring compassionate care to all (Kang & Lee, 2016). From research by Anusiewic et al., lateral violence is inherent in the nursing working environment (Blackwood et al., 2017). Health practitioners sometimes like to oppress others if they are new in the organization, abuse power in the workplace, and if the work occasions, it must take place (Akella, 2016). This tends to emotionally and mentally influence nurses, which affects their output (Wolf et al., 2018). Therefore, organizations should support new nurses and manage nursing work environment relational attributes. Comment by Darcy Nelson: You need to break the chapter into themes. For example Lateral Workplace Violence, Violence in healthcare etc.

Furthermore, this lateral workplace violence, involves repeating acts that do not favor nurses, which harm them due to a hostile working environment (Meires, 2018, Al-Ghabeesh, 2019)). Also, this violence may be in terms of overloading nurses, neglecting their application for leaves, flaunting one’s power and status, and overruling the victim’s decision (Butler et al., 2018). This affects nurses and may lead to health issues, reduced loyalty for their organization, and lowered morale.

Most cases of Nursing shortage in most organizations are caused by as a result of lateral workplace violence. Lateral violence in any workplace is most times prohibited, but it does not seem to end. Employees have the right to protect themselves and safeguard their interests (Kang & Lee, 2016, De Cieri, 2019). They need to organize themselves to create environments that will be more respected. Essentially, generating awareness is a paramount act to ensure reduced cases of lateral workplace violence (Kang & Lee, 2016). They also need to understand workplace concepts by collectively differentiating this lateral violence and management style. Celebrations can assist in creating lateral workplace violence- free working environments. A study by Koh (2016) reveals that proper awareness provides nurses with an opportunity to celebrate a positive working environment. In addition, it allows them to become pioneers, innovators, and leaders in anti-workplace violence initiatives.

Nurse leaders should ensure that their organization does not report any incidence of Lateral workplace violence. If it occurs, they should resolve them effectively and ensure work continuity. Various strategies can assist in eradicating workplace it(Al-Ghabeesh, 2019) and, for instance, educating nurses on what to do and the strategy to follow when confronted by any lateral workplace violence incidence (Arnetz et al., 2019). Leaders also need to receive education on how to foster and sustain a favorable environment- they should be held accountable for all behavior expectations in the organizations they operate in (Carol, n.d). Finally, leaders should develop a policy to create an environment that treats workers with respect, dignity, and fairness. According to Denise (2017), nurses tend to work harder in an environment where they are respected and treated fairly. Koh (2016) revealed that nurses should be taught to reduce incidences of lateral workplace violence by utilizing positive verbal responses rather than criticizing and intimidating them. However, the use of scripted responses requires multi-level collaboration among hospitals, especially staff members and administrators.

Lateral workplace violence is harmful. It has adverse effects on employees, clients, and the overall organizations they work. From the literature searches, the most affected nurses are new employees. In contrast, others may experience this violence in form of being allocate heavy workloads unjustly, being neglected when requesting something, and oppression by use of power. Nurse employees have the right to mitigate such violence by reporting various instances or creating an environment that ensures they are also respected as individuals.. Moreover, nurse leaders should mitigate lateral workplace violence by educating workers on the right strategies, creating policies against this lateral violence, and collaborating with employees to ensure fairness, dignity, and respect. By doing so, it will vastly reduce possible future incidents of lateral workplace violence.

 

Programmatic Outcomes required to be addressed in Chapter 2

Core Outcomes (C)

· Evidence Based Practice (C5)- Combine theory and research-based knowledge from nursing and the sciences as they relate to the interdisciplinary team with designing, coordinating and evaluating quality patient care

Management & Organizational Leadership Specialization (L)

· Collaboration & Teamwork (L3)- Apply the theories of leadership to provide a supportive work environment that encourages staff development and promotes a quality health care environment.

 

[Begin with an introduction and/or restatement of the research problem and purpose. Conclude the introduction with a brief overview of the chapter.]

Project Plan

[Accurately describe the plan for the applied project. This section should be very detailed with every step fully described and supported by the literature. Substantiate the appropriateness of the plan; the strategy for developing the project, engaging stakeholders, providing education, implementing changes, etc. Each step toward researching, designing, and implementing the applied project should be fully elucidated here.]

Participants

[Describe the participants in your project and the role they will play in it]

Materials/Instruments

[In this section, include a description of the materials (order sets, teaching plans, windshield surveys, etc.]

Evaluation

[Describe the planned evaluation of the efficacy of the project in detail. Actual evaluation will be presented in Chapter 4. Here, describe what will be done.]

Assumptions and Limitations

[Thoroughly discuss the assumptions about the design and process and what problems may be anticipated to arise given your project and implementation.]

Ethical Assurances

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[While applied projects do not involve human subjects thoroughly explore any ethical considerations here.]

Summary

[Summarize key points presented in chapter 3 and provide supporting citations for key points.]

Programmatic Outcomes required to be addressed in Chapter 3

Core Outcomes (C)

· Diversity (C1)- Integrate nursing and related sciences into the delivery of advanced nursing care to diverse populations

· Critical Thinking (C2)- Incorporate concepts of advanced practice nursing when making nursing diagnoses and critical thinking decisions about educational and therapeutic interventions

· Collaboration and Teamwork (C4-) Demonstrate high-level communication skills when involved with patients and professionals both within and outside the healthcare field.

Management & Organizational Leadership Specialization Outcomes (L)

· Evidence Based Practice (L1)- Utilize management principles to coordinate health care activities with regard to human, capital, system and community resources.

· Quality Improvement (L2)- Design strategic plans for the development and maintenance of health care environments to insure quality improvement and provide for innovation and change

· Safety (L4)- Demonstrate commitment to adhere to current standards and regulatory agency requirements in the provision of nursing care

 

 

[Begin the discussion with a brief overview of the purpose of the applied project and provide a brief overview of the chapter. Organize the chapter around the actual implementation of the project. Describe each step of the implementation in detail.]

Results

[Once implemented, describe (without analysis) the change.]

Evaluation of Findings

[This section is used to analyze the process change that has been implemented. The discussion will be expanded in Chapter 5. Interpret results in light of the theory (or theories) and/or the conceptual framework(s) you have identified. Describe whether the analysis of the process change was expected given the literature and provide potential explanations for unexpected or conflicting responses.]

Summary

[Discussion summarizes key points presented in Chapter 4.]

Programmatic Outcomes required to be addressed in Chapter 4

Core Outcomes (C)

 

· Evidence Based Practice (C5)- Combine theory and research-based knowledge from nursing and the sciences as they relate to the interdisciplinary team when designing, coordinating and evaluating quality patient care.

Management & Organizational Leadership Specialization Outcomes

· Quality Improvement (L2)- Design strategic plans for the development and maintenance of health care environments to insure quality improvement and provide for innovation and change.

[Begin the discussion with a brief review of the problem statement, purpose, process, and ethical dimensions, and conclude the introduction with a brief overview of the chapter.]

Implications

Recommendations

[Present all recommendations for practical applications of the study. Note: support all recommendations with the analysis of the project. Present recommendations for any future changes.]

Conclusions

[In this section, summarize all key points in Chapter 5.]

Programmatic Outcomes required to be addressed in Chapter 5

Core Outcomes (C)

 

· Professionalism (C6)- Formulate career management strategies, including self-advocacy, to enhance professional growth.

Management & Organizational Leadership Specialization Outcome (L)

· Quality Improvement (L5) – Provide leadership in the delivery of professional nursing practice that is safe, cost-effective and promotes continuity of care across the health care continuum

References

Reference 1

Reference 2

 

Reference n…

 

Instructions: All resources cited in the dissertation must be included in the list of references.

 

List all references in APA format with the exception noted below. For each reference listed, there must be at least one corresponding citation within the body of the text, and vice-versa.

 

Formatting: Single space each reference citation, along with a .5 inch hanging indent; double space between consecutive references in the reference list (See the Doctoral Candidacy Resource Guide located in the Dissertation Center for NCU exceptions to APA format).

 

Tips: Sort in alpha surname/title order. Only capitalize the first word of the title and of the subtitle, if any. Do not bold the title. Know when to italicize and when not to (i.e., periodical/non-periodical/publication versus book/report/paper). Italicize volume (i.e., Journal Name 4, pp. 12-22.). Please refer to the APA Manual, 6th edition and the Writing Center for additional APA guidance.

 

Note: APA6 requires a Digital Object Identifier (DOI) be provided, if one has been assigned (see page 187-192).

 

Example (note single-space references, with double-spacing in-between):

 

Ahn, J. (2004). Electronic portfolios: Blending technology, accountability and assessment. T.H.E. Journal, 31(9), 12-18.

 

U.S. Government Printing Office. (2006). Catalog of U.S. Government publications: New electronic titles.

 

Winslade, J., & Monk, G. (2001). Narrative mediation: A new approach to conflict resolution. San Francisco, CA: Jossey-Bass.

Akella, D. (2016). Workplace bullying: Not a manager’s right?. SAGE Open6(1), 2158244016629394. https://doi.org/10.1177/2158244016629394

Al-Ghabeesh S. (2019). Workplace bullying and its preventive measures and productivity among emergency department nursesBMC Health Services Research. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4268-x

Anusiewicz, C. V., Ivankova, N. V., Swiger, P. A., Gillespie, G. L., Li, P., & Patrician, P. A. (2020). How does workplace bullying influence nurses’ abilities to provide patient care? A nurse perspective. Journal of clinical nursing29(21-22), 4148-4160. https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.15443

Arnetz, J. E., Fitzpatrick, L., Cotten, S. R., & Jodoin, C. (2019). Workplace bullying among nurses: developing an intervention model. Violence and Victims34(2), 346-362. https://connect.springerpub.com/content/sgrvv/34/2/346.abstract

Blackwood, K., Bentley, T., Catley, B., & Edwards, M. (2017). Managing workplace bullying experiences in nursing: the impact of the work environment. Public Money & Management37(5), 349-356. https://doi.org/10.1080/09540962.2017.1328205

Butler, E., Prentiss, A., & Benamor, F. (2018). Exploring perceptions of workplace bullying in nursing. Nursing & Health Sciences Research Journal1(1), 19-25. https://scholarlycommons.baptisthealth.net/nhsrj/vol1/iss1/5/

Carol F. (n.d.)Addressing nurse-to-nurse bullying to promote nurse retention. (n.d.). OJIN: The Online Journal of Issues in Nursing. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/vol132008/No3Sept08/ArticlePreviousTopic/NursetoNurseBullying.aspx

De Cieri, H., Sheehan, C., Donohue, R., Shea, T., & Cooper, B. (2019). Workplace bullying: an examination of power and perpetrators. Personnel Review. https://www.emerald.com/insight/content/doi/10.1108/PR-02-2018-0057/full/html

Hartin, P., Birks, M., & Lindsay, D. (2020). Bullying in nursing: How has it changed over 4 decades?. Journal of Nursing Management28(7), 1619-1626. https://doi.org/10.1111/jonm.13117

Kang, J., & Lee, M. (2016). Pooled prevalence of workplace bullying in nursing: Systematic review and meta-analysis. Journal of Korean Critical Care Nursing9(1), 51-65. https://www.koreascience.or.kr/article/JAKO201620855542961.page

Kang, J., & Lee, M. (2016). The related factors to workplace bullying in nursing: A systematic review and meta-analysis. Korean Journal of Adult Nursing28(4), 399-414. DOI: https://doi.org/10.7475/kjan.2016.28.4.399

Koh, W. M. S. (2016). Management of workplace bullying in hospital: A review of the use of cognitive rehearsal as an alternative management strategy. International Journal of Nursing Sciences3(2), 213-222. https://doi.org/10.1016/j.ijnss.2016.04.010

Meires, J. (2018). The essentials: Here’s what you need to know about bullying in nursing. Urologic Nursing38(2), 95-99. https://go.gale.com/ps/i.do?id=GALE%7CA541947497&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=1053816X&p=AONE&sw=w&userGroupName=anon%7Ede585eac

Polit, D. F. (2017). Clinical significance in nursing research: A discussion and descriptive analysis. International journal of nursing studies73, 17-23. https://doi.org/10.1016/j.ijnurstu.2017.05.002

Wolf, L. A., Perhats, C., Clark, P. R., Moon, M. D., & Zavotsky, K. E. (2018). Workplace bullying in emergency nursing: Development of a grounded theory using situational analysis. International emergency nursing39, 33-39. https://doi.org/10.1016/j.ienj.2017.09.002

[Each Appendix referenced in the text should appear in this section at the end of the manuscript. Appendixes should be listed in the order in which they are referenced in the text. ]

[Insert/type Appendix A content here]

NUR602 MOL Student Program Outcome Identification Table

For Grading Only The MSN Program Core Outcomes and the Specialty Outcomes must be identified throughout your Capstone Project. At the end of each chapter, the outcomes are detailed that pertain to the Core Courses and your MSN specialty courses. You must identify EVERY MSN Concept that relates to the Program Outcomes. These Concepts must be linked to the sentences you wrote showing you included the Concept. In this column, place the page number where this concept can be found In this column, cut and paste several sentences that provide evidence from your written work that you addressed the Concept.
  MSN Core Program Outcomes MSN Concept Page # (one best example) Cut and Paste Sentences
C3 Design nursing care for a clinical or community-based population with respect to cultural diversity, biophysical, psychosocial, and organizational needs Patient-Centered Care    
C5 Combine theory and research-based knowledge from nursing and the sciences as they relate to the interdisciplinary team with designing, coordinating and evaluating quality patient care (Found in Chapter 1, 2, 3) Evidence-Based Practice    
C1 Integrate nursing and related sciences into the delivery of advanced nursing care to diverse populations Diversity    
C2 Incorporate concepts of advanced practice nursing when making nursing diagnoses, and critical thinking about educational and therapeutic interventions Critical Thinking    
C4 Demonstrate high-level communication skills when involved with patients and professionals both within and outside the healthcare field Collaboration and Teamwork    
C6 Formulate career management strategies, including self-advocacy, to enhance professional growth. Professionalism    
  Management and Organizational Leadership Program Outcomes MSN Concept    
L1 Utilize management principles to coordinate health care activities with regard to human, capital, system and community resources. (L1) Evidence-based Practice    
L3 Apply the theories of leadership to provide a supportive work environment that encourages staff development and promotes a quality health care environment. (L3) Collaboration & Teamwork    
L2 Design strategic plans for the development and maintenance of health care environments to ensure quality improvement and provide for innovation and change. (L2) Quality Improvement    
L4 Demonstrate commitment to adhere to current standards and regulatory agency requirements in the provision of nursing care. (L4) Safety

 

   
L5 Provide leadership in the delivery of professional nursing practice that is safe, cost-effective and promotes continuity of care across the health care continuum. (L5) Quality Improvement    

Grantham University CHANGE MATRIX FORM

A change matrix is required with every resubmission.

A detailed change matrix simplifies the review process and indicates to the instructor that the student has demonstrated a clear and thorough response to the requested edit comments.

Instructor comments are not intended as an exhaustive list. It is the student’s responsibility to correct any additional errors that are not specifically noted throughout the manuscript. For instance, a comment that there needs to be two spaces between sentences should result in proofing of the entire paper and all instances should be revised.

If the student is uncertain how to revise a requested edit, please email the instructor for further assistance and clarification.

If, after discussion with the instructor, the student chooses not to make a requested change, the student must provide a brief rationale, and describe how they addressed the concerns/requests.

Resubmissions will not be accepted without a completed change matrix.

Title of Research Paper:

Student:

Date:

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please add rows as needed and highlight new revisions

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Discussion: Is there an art to a business plan

Discussion: Is there an art to a business plan

Discussion: Is there an art to a business plan

Is there an art to a business plan, Carlos?  On the one hand, you have to provide enough information to convince others to get on board with the project.  If you give too much information, though, you run the risk that the ‘naysayers’ will pick things completely apart, sometimes just for the sport of it.  How do you figure out your balance?  Do you try to line up senior sponsors before you develop the business plan or after you have it in mind?

I NEED TO ANSWER THIS COMMENT FOR MY PROFESSOR.

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Discussion: Is there an art to a business plan

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

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LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Assignment: Nursing Spirituality – nursing homework essays

Assignment: Nursing Spirituality

Assignment: Nursing Spirituality

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Assignment: Nursing Spirituality

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Use the following coupon code :
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Sepsis and SIRS – nursing homework essays

Sepsis and SIRS

Sepsis and SIRS

This is a Master Degree Nurse Practioner program minimum of 350 words with at least 2 peer review reference in 7 the edition apa style.  Please do not use international references

 

Sepsis and SIRS often present with a host of complications. Acutely, you need to provide stabilization for this geriatric patient. The common presenting sources of infection are urinary tract infections and pulmonary infections. How would you approach this population to determine the source of infection? How are the critical care and emergent situation conditions and disorders inclusive of systemic inflammatory response syndrome (SIRS) and sepsis different? Using a patient from your clinical practicum for whom you have provided care, describe and explain the diagnostic workup to determine the source of infection or inflammatory response. Support your answer with two or three peer-reviewed resources. Sepsis and SIRS

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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Use the following coupon code :
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Reflection And Learning – nursing homework essays

  • attachment

    Chapter25and26.gdoc

Chapter 25: Theory Testing and Theory Evaluation*

Jacqueline Fawcett

INTRODUCTION

The focus of this chapter is the science and art of theory development and evaluation. The chapter begins with a definition of theory and a description of the process of theory development and continues with a discussion of the critical thinking that is required for the evaluation of theories. The emphasis in this chapter is theory development and evaluation activities that are required for advanced practice nursing. The content of this chapter is especially relevant to two of the American Association of Colleges of Nursing’s Essentials of DoctoralColleges of Nursing’s Essentials of Doctoral Education for Advanced Nursing Practice: Essential I, Scientific Underpinnings for Practice, and Essential III, Clinical Scholarship and Analytical Methods for Evidence-Based Practice.

THE SCIENCE AND ART OF THEORY DEVELOPMENT

The term theory is used to refer to diverse works, ranging from very abstract and general conceptual models to less abstract and general grand theories, to relatively concrete and specific middle-range theories, to very concrete and specific narrow-range situation-specific theories. Despite the lack of consensus about the meaning of theory, King and Fawcett (1997) found considerable agreement about the existence of levels of abstraction for theoretical work. In this chapter, the term refers to middle-range theories and situation-specific theories. The term conceptual model refers to the very abstract and general work from which theories are derived. Reflection And Learning

Theories A theory is made up of concepts and propositions about a phenomenon. A concept is a word or phrase that captures the essence of something, such as adjustment or distress. It may have one or more dimensions. An example of a single-dimensional concept is resiliency. An example of aa multidimensional concept is perceived stigma, the six dimensions of which are fear of contagion, healthcare neglect, negative self-perception, social isolation, verbal abuse, and workplace stigma (Mwangi, 2013). Reflection And Learning

A proposition is a statement about one or more concepts. A proposition about one concept is a definition or a description of the concept; resiliency, for example, is defined as “The capacity to return to a restorative level of functioning using compensatory/coping mechanisms; the ability to bounce back quickly after an insult” (American Association of Critical Care Nurses, 2014, p. 1). A proposition about two or more concepts states an association between the concepts, including the relation between the concepts or the effect of one concept on one or more other concepts. An example of a statement of the relation between two concepts is, “Socio-demographic characteristics are related to perceived stigma” (Mwangi, 2013). An example of a statement about the effect of a concept on other concepts, which typically involves the effect of some intervention on some outcomes, is, “Information about walking exercise has a positive effect on symptoms, fatigue, emotional distress, and physical function” (Mock et al., 2007)Nursing theories usually focus on experiences of health conditions and health-related events. Examples of health conditions

 

 

include such medical diagnoses as congestive heart failure cancer, and diabetes. Examples of health-related events include pregnancy, childbirth, the postpartum period, and aging. The health condition or health event of interest provides a context for a theory. For example, the concepts of exercise intervention, fatigue, and emotional distress and the propositions about those concepts could make up a theory about the effects of an exercise intervention on fatigue and emotional distress experienced by men with colon cancer. Alternatively, the concepts of fatigue and emotional distress might make up a theory about the relation between fatigue and emotional distress during the postpartum period.

Types of Theories Three types of theories are descriptive, explanatory, and predictive. Descriptive theories simply describe some phenomenon. They typically comprise one concept and one proposition that is a definition or description of the concept. An example of a descriptive theory is the theory of fatigue. In this ccase, the theory concept is fatigue. The theory proposition asserts that fatigue is a multidimensional concept defined as behavioral, sensory, and affective experiences (Piper et al., 1998).

Explanatory theories specify how concepts are related to each other and, therefore, provide explanations for phenomena. They consist of two or more concepts, the propositions that are definitions or descriptions of each concept, and the propositions that specify the relation(s) between the concepts. An example is the theory of chronic pain (Tsai, Tak, Moore, & Palencia, 2003). The theory concepts are chronic pain, physical disability, social support, age, gender, perceived daily stress, and depression. The propositions that are definitions of each concept are as follows:

Chronic pain is defined as the frequency and severity of pain (Tsai et al., 2003).Physical disability is defined as the frequency and extent of mobility, walking, bending, and hand and finger function (Tsai et al., 2003). Social support is defined as “perceived levels of social support . . . [including] (a) provision of attachment/intimacy, (b) social integration, (c) opportunity for nurturant behavior, (d) reassurance of worth, and (e) availability of informational, emotional, and material help” (Tsai et al., 2003, p. 162). Age is defined as age in years (Tsai et al., 2003). Gender is defined as male or female (Tsai et al., 2003). Perceived daily stress is defined as “the degree to which older persons experience daily stress from irritating, frustrating, or repeated occurrences in their lives” (Tsai et al., 2003, p. 162). Depression is defined as the frequency of depressed mood symptoms within the past week (Tsai et al., 2003). The following theory proposition specifies the relations between the concepts: Chronic pain, physical disability, social support, age, and gender are related to perceived daily stress, which is related to depression.

Predictive theories specify how a concept affects one or more other concepts. They are made up of two or more concepts, the propositions that are definitions or descriptions of each concept, and the propositions that specify the effect(s) of one concept on one or more other concepts. An example is the theory of the effects of simulated conflict management training (Pines et al., 2014). The theory concepts aresimulated conflict management training

 

 

exercises, stress resiliency, psychological empowerment, and conflict management style. The propositions that are definitions of each concept are as follows:

Simulated conflict management training exercises are defined as “didactic and simulated training using a variety of scenarios for learning resiliency skills, enhancing perceptions of empowerment and increasing knowledge of personal styles of conflict management” (Pines et al., 2014, p. 87). Stressr resiliency is defined as “the ability of an individual to adjust to adversity, maintain equilibrium, retain some control over the environment, and move in a positive direction” (Pines et al., 2014, p. 86). Psychological empowerment is defined as “the individual’s perceived sense of meaning and purpose, competence, self-determination, and impact on the work role” (Pines et al., 2014, p. 86). Conflict management style is defined as “[depending] on the situation and the parties involved and [involving] a choice of methods to manage a situation. . . . [The five] conflictmanagement styles [are] accommodating, avoiding, collaborating, competing, and compromising. Accommodating is unassertive and cooperative and allows the other person to dominate. Avoiding is both uncooperative and unassertive and is characterized by the individual’s avoidance of taking any action. Collaborating is assertive and cooperative and represents an attempt to find a solution to the conflict. Competing is assertive and uncooperative. Finally, compromising is intermediate in both assertiveness and cooperativeness and partially satisfies the needs of each party. With competing, [an individual] assertively pursues personal concerns at the expense of the concerns of another. In compromising, the object is to find a mutually agreeable solution that partially satisfies both parties. Resiliency and empowerment reflect application of the appropriate strategy/style in response to the situation” (Thomas & Kilmann, as cited in Pines et al., 2014, p. 86). The following theory proposition specifies effects: Simulated conflict management training exercises have a positive effect on stress resiliency, psychological empowerment, and conflictmanagement style (Pines et al., 2014).

Empirical Indicators and Other Empirical Methods Most theory concepts and propositions cannot be directly observed or measured. Instead, each concept must be connected to an empirical indicator, which serves as a real-world proxy—or substitute—for a concept. Empirical indicators that are particularly useful for advanced practice nurses are assessment tools and intervention protocols. Assessment tools include various types of questionnaires, such as checklists and rating scales, which contain one or more items. For example, postpartum mood disorder is assessed by the 21-item Neuman Postpartum Mood Questionnaire (Fashinpaur, 2002), or as a one-item rating scale that asks the woman to indicate, on a scale of 0 to 10, the extent to which she feels depressed. One-item assessment tools are particularly useful in advanced practice nursing because they do not impose a burden on patients, which may occur when a tool with many items is used. One-item assessment tools also are useful because they do not impose an undue burden on the advanced practice nurse, which may occur with use of a multi-item tool that requires calculation of a score.

Conceptual Models

 

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Theories are developed through a melding of science and art in the form of creative conversion of ideas stemming from provocative facts (Levine, 1966; 1991) observed in practice and in the literature. These facts are noticed because they fit with the observer’s frame of reference about nursing, which also is called a conceptual model of nursing. Among the best-known conceptual models are Levine’s Conservation Model, Neuman’s Systems Model, Orem’s Self-Care Framework, and Roy’s Adaptation Model. Overviews of these and other conceptual models of nursing are found in Appendix N-1 of Taber’s Cyclopedic Medical Dictionary (Fawcett, 2013). A comprehensive analysis and evaluation of each of these and other conceptual models of nursing is given in Fawcett and DeSanto-Madeya’s (2013) book Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories.

Each conceptual model of nursing is made up of concepts and propositions that are more abstract and general than those of a theory. Examples of concepts from Roy’s adaptation model include stimuli andgeneral than those of a theory. Examples of concepts from Roy’s adaptation model include stimuli and adaptation. For example, the following proposition defines a conceptual model concept: Adaptation is defined as “the process and outcome whereby thinking and feeling people, as individuals and in groups, use conscious awareness and choice to create human and environment integration” (Roy, 2009, p. 26). An example of a proposition that links the concepts of stimuli and adaptation is as follows: Stimuli are related to the physiological, self-concept, role function, and interdependence modes of adaptation (Fawcett, 2003).

Conceptual–Theoretical–Empirical Structures for Theory Development Theory development involves specification of a conceptual–theoretical–empirical (C-T-E) structure made up of three components:

A conceptual model A theory Empirical indicators and other empirical methodsTheory development is the product of research, which is a systematic process of inquiry (Fawcett & Garity, 2009). Thus, every study is explicitly or implicitly designed to develop a theory by means of generation of new theory or testing of an existing theory. Theory-generating research is descriptive research, the findings of which are new descriptive theories. Theory testing research can be descriptive, correlational, or experimental research. The findings of descriptive theory-testing research determine the empirical adequacy of an existing descriptive theory. The findings of correlational theory-testing research determine the empirical adequacy of an existing explanatory theory. The findings of experimental theory-testing research determine the empirical adequacy of an existing predictive theory. Although the conduct of research typically is thought of as a rigorous scientific process, it is also a creative endeavor involving an appreciation of the beauty of logical reasoning and the “aha” moments that come when developing elegant C-T-E structures, designing studies, and interpreting data.

 
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Pediatrics Essay Topic – nursing homework essays

Pediatrics Essay Topic

Pediatrics Essay Topic

The adoptive parents were so excited when the new infant son was placed in their arms and they took him home. As far as everyone knew, the baby was healthy and was growing at an acceptable rate. However, at about 6 months, he started experiencing numerous infections. A review of the biological mother’s past history does not reveal any clues and the father’s history is unavailable, so the parents agree to genetic testing to determine if there might be a genetic reason for these infections.

  1. The test results reveal a deficiency of B lymphocytes and an inherited X-linked recessive gene. What nursing care should the nurse prepare for?
  2. What treatments should the nurse prepare to discuss with the parents?
  3. Establish some expected outcomes for this situation.

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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Jane Doe’s case – nursing homework essays

Jane Doe’s case

Jane Doe’s case

Instructions
Now that you have had an opportunity to explore ethics formally, create a reflective assessment of your learning experience and the collaborations you engaged in throughout this session. You will submit both of the following:

  • A written reflection
  • An oral presentation using a PowerPoint narrated slide show.

For the written reflection, address Jane Doe’s and respond to the following:

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  • Articulate again your moral theory from week eight discussion (You can revise it if you wish). What two ethical theories best apply to it? Why those two?
  • Apply to Jane Doe’s case your personal moral philosophy as developed in week eight discussion and now. Use it to determine if what Jane Doe did was ethical or unethical per your own moral philosophy.
  • Consider if some of these examples are more grave instances of ethical transgressions than others. Explain.
  • Propose a course of social action and a solution by using the ethics of egoism, utilitarianism, the “veil of ignorance” method, deontological principles, and/or a theory of justice to deal with students like  Jane. Consider social values such as those concerning ways of life while appraising the interests of diverse populations (for instance, those of differing religions and economic status).

For the oral presentation, briefly summarize your feelings about taking a course in Ethics and explore your process of transformation in this course.

  • Discuss your experiences of the course, your beginnings, and where you are now. Consider your interaction in discussions.
  • Should health care workers be required to take a course in Ethics? Why or why not
  • attachment

    moraltheory.docx

  • attachment

    ETHC445Week8AssignmentRubric.docx

Required Resources Read/review the following resources for this activity:

· Textbook: Chapter 13

· Lesson

· Narrated PowerPoint Tutorial  (Make sure to review this tutorial before you begin recording.)

Introduction In this session, you have been considering moral-ethical dilemmas you yourself faced or that you know of that you either resolved or failed to resolve, but hopefully learned from. You may never have given much thought to ethical theory nor what ethical premises/paradigms you have unconsciously held.

You will be focusing on this case for this assignment:

Jane Doe is a nursing student at University X. Jane is in week eight of a course entitled: “Introduction to Ethics”.

For the week one discussion, Jane copied work done by her friend John Doe in the same class two months ago (with a different professor). John told Jane it was okay to use his work as John’s professor never checked any work in the class using Turnitin.com. John claimed to have earned an A on the work also.

In week two, Jane went to StudentPapering.com and paid ten dollars for a week two essay done by a student (not John Doe) who took the same course four months ago. StudentPapering promises that all its archived work is of excellent quality and cannot be detected as copied. Jane then uploaded an exact copy of the work for the week two assignment.

In week three, Jane paid a worker at PaperingStudent.com ten dollars to write for Jane a brand new essay after Jane shared with the worker the essay assignment instructions. In week four, Jane relied on her knowledge of Esperanto. She felt pressed for time and found an article by a professor from Esperanto on the week four topic. She translated Esperanto into English using Moogle Translate, and the translated text served as her week four paper.

In week five, Jane was running late again. Jane purposely uploaded a blank paper hoping that she would later claim it was an innocent mistake and not be assessed a late penalty. In a previous course on History, she had done the same (with an earlier paper from the History class rather than simply a blank) and had not seen any late penalty assessed. In week six, Jane took work she did in a nursing course from a year ago and submitted that for her discussion posting in her current class. She simply copied and pasted the work she had labored intensively on a year ago (even though University X forbids this practice as ‘self-plagiarism’). Jane was confident her Nursing instructor never checked that work using Turnitin.com or another method. In week seven, Jane copied and pasted work found on website.com for the paper. Jane did not use any quotation marks or other documentation to show the text was not by Jane.

Since Jane’s Ethics professor did not check papers and posting for any issues by using Turnitin.com or another method, the professor graded all of Jane’s work unaware of Jane’s actions throughout the weeks of the class. Jane feels her actions are morally justified both because her economic situation requires her to work too much to devote time to school (although other students are well-off enough to have such time) and her religion forbids cheating, but Jane ignores her religion’s teachings.

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An understanding of the cardiovascular and respiratory systems

Module 2 Assignment: Case Study Analysis

 

An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.

Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

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An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

Assignment:

Scenario 4: 45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.

In your Case Study Analysis related to the scenario provided, explain the following

  • The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these processes interact to affect the patient.
 
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Vulnerable Populations Essay – nursing homework essays

Vulnerable Populations Essay

Vulnerable Populations Essay

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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Nursing Research And Evidence Based Practice.

TABLE 13.1 

Highlights of Unethical Research Studies Conducted in the United States

Research Study – Hyman vs. Jewish Chronic Disease Hospital case

Year- 1965

Focus of study- Doctors injected cancer-ridden aged and senile patients with their own cancer cells to study the rejection response.

Ethical principle violated- Informed consent was not obtained. There was no indication that the study was reviewed and approved by an ethics committee. The two physicians claimed they did not wish to evoke emotional reactions or refusals to participate by informing the subjects of the nature of the study (Hershey & Miller, 1976).

Research study- Ivory Coast, Africa, AIDS/AZT case

Year- 1994

Focus of study- In a study supported by the US government and conducted in the Ivory Coast, Dominican Republic, and Thailand, some pregnant women infected with HIV were given placebo pills rather than AZT, a drug known to prevent mothers from passing on the virus. Babies were in danger of contracting HIV unnecessarily.

Ethical principle violated- Subjects who consented to participate and randomized to the control group were denied access to a medication regimen with a known benefit. This violates a subjects’ right to fair treatment and protection (French, 1997; Wheeler, 1997).

Research study- Midgeville, Georgia, case

Year- 1969

Focus of study- Investigational drugs were used on mentally disabled children without first obtaining the opinion of a psychiatrist.

Ethical principle violated- There was no review of the study protocol or institutional approval of the program before implementation (Levine, 1986).

Research study- Tuskegee, Alabama, Syphilis Study

Year- 1932–1973

Focus of study- For 40 years the US Public Health Service conducted a study using two groups of poor black male sharecroppers. One group included those who had untreated syphilis; the other group was judged to be free of the disease. Treatment was withheld from the group having syphilis even after penicillin became available and accepted as effective treatment. Steps were taken to prevent the subjects from obtaining it. Researchers wanted to study the untreated disease.

Ethical principle violated- Many subjects who consented to participate were not informed about the purpose and procedures of the research. Others were unaware that they were subjects. The degree of risk outweighed the potential benefit. Withholding of known effective treatment violates the subjects’ right to fair treatment and protection from harm (Levine, 1986).

Research study- San Antonio Contraceptive Study

Year- 1969

Focus of study- This study examined side effects of oral contraceptives in 76 impoverished Mexican-American women who were randomly assigned to an experimental group receiving birth control pills or a control group receiving placebos. Subjects were not informed about the placebo and pregnancy risk; 11 subjects became pregnant, 10 of whom were in the placebo control group.

Ethical principle violated- Informed consent principles were violated; full disclosure of potential risk, harm, results, or side effects was not evident in the informed consent document. The potential risk outweighed the benefits of the study. The subjects’ right to fair treatment and protection from harm was violated (Levine, 1986).

Research study- Willowbrook Hospital Study

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Year- 1972

Focus of study- Mentally incompetent children (n = 350) were not admitted to Willowbrook Hospital, a residential treatment facility, unless parents consented to their children being subjects in a study examining the natural history of infectious hepatitis and the effect of gamma globulin. Children were deliberately infected with the hepatitis virus under various conditions. Some received gamma globulin; others did not.

Ethical principles violated- The principle of voluntary consent was violated. Parents were coerced to consent to their children’s participation as research subjects. Subjects or their guardians have a right to self-determination—that is, they should be free of constraint, coercion, or undue influence of any kind.

Research study- UCLA Schizophrenia Medication Study

Year- 1983

Focus of study- The study examined the effects of withdrawing psychotropic medications of 50 patients being treated for schizophrenia; 23 subjects suffered severe relapses after their medication was stopped. The study’s goal was to determine if some schizophrenics might do better without medications that had deleterious side effects.

Ethical principles violated- Although subjects signed an informed consent, they were not informed how severe their relapses might be, or that they could suffer worsening symptoms with each recurrence. Informed consent principles violated; full disclosure of potential risk, harm, results, or side effects was not evident in informed consent form. Potential risks outweighed the study’s benefits. The subjects’ right to fair treatment and protection from harm was violated (Hilts, 1995).

 

 

In 1973 the first set of proposed regulations on the protection of human subjects were published. The most important provision was a regulation mandating that an institutional review board must review and approve all studies. In 1974, the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research was created. A major charge brought forth by the commission was to identify the basic principles that should underlie the conduct of biomedical and behavioral research involving human subjects and to develop guidelines to ensure that research is conducted in accordance with those principles (Amdur & Bankert, 2011). Three ethical principles were identified as relevant to the conduct of research involving human subjects: the principles of respect for persons, beneficence, and justice (Box 13.1). Included in the report called the Belmont Report, these principles provided the basis for regulations affecting research (National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, 1978).

 
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