Scenario: You begin your career in an acute care hospital as a newly licensed RN. During your orientation, you observe your preceptor checking gastric feeding tube placement by injecting air and auscultating the abdomen, stopping continuous enteral tube feedings before a patient is turned or repositioned, and routinely inserting rectal tubes for patients with diarrhea. You know that ALL three (3) of these practices are currently NOT supported by nursing evidence. When asked, your preceptor responds, “This is the way we have always cared for patients with tube feedings and diarrhea.” You prepare to talk to this peer about necessary […]
Directions: Complete the Problem on page 579 of the text as a three to four page paper. For a general description of Marcus Welby Hospital see page 369 of the text. You are outside counsel to the Marcus Welby Healthcare Corporation, which among its other operations owns a durable medical equipment (DME) subsidiary, which sells equipment for home use such as crutches, wheelchairs, and oxygen concentrators. You learn that the subsidiary has had certain business practices about which you have some question under the Medicare and Medicaid Anti-Fraud and Abuse provisions: • Salesmen regularly offer home health agency employees a […]
Please respond to ONE of the following prompts. Describe an example of how you as a professional nurse have used ethical theories or ethical principles in a clinical practice setting. OR In your clinical setting, consider the many times and various ways in which you acted as a patient or family advocate. Which model did you follow in advocating for the patient: rights protection model, values-based model, or respect for persons model? Would having used a different model have changed the outcome? Were there also instances when you chose not to be an advocate for a particular patient? What circumstances […]
Mrs. R., an 87- year- old patient, has a past history that includes coronary artery disease, a previous stroke, and advanced Alzheimer’s disease. Ten days ago, Mrs. R. was hospitalized for aspiration pneumonia and has been ventilator dependent since being admitted to the intensive care unit in a small rural hospital. Family members visit daily and have repeatedly voiced their concern to the nursing staff about the continued ventilator support that Mrs. R. is receiving, most notably the fact that Mrs. R. would never have wanted such care. They also note that Mrs. R. has not recognized them in past […]
1. What are the nine criteria of causation that were proposed by Sir Austin Bradford Hill (1965)? Define them and give an example for each. 2.What is the difference between prospective and retrospective study design? Cite at least one example of each.
1. What are the different modes of survey administration? 2.List some biological measures and the methods used to collect the data. In addition, be sure to clarify the distinction between primary and secondary data sources / data collection methods. Give some examples from the text or the literature.