Ethnomedicine has been historically defined as any healthcare system not present in the West; now, ethnomedicine is defined as the any cultural beliefs which surround healing in a community. The Hmong—an ethnic group located within present day Laos, Vietnam, and Thailand—have a particular system of ethnomedicine which is described as personalistic. Within a personalistic system, an active agent is the underlying cause of a disease—or etiology. Humans can be the cause of the disease as well as a number of non-human and supernatural agents. When Lia Lee began seizing at three months of age, her parents understood that the active agent which caused her epilepsy was a door slamming which caused her soul to fly from her body, an illness called quag
The Gibbs’s reflective cycle comprises of six stages, which are description, feeling, evaluation, analysis of the incident, conclusion and an action plan. I used these stages as a guidance tool during the process of reflective essay about my critical incident (Parsons and White 2008). Nursing in the past was more habituated and ritualistic than rational and precision. Nurses were not encouraged to question their practice let alone reflective practice. In early 1970s nursing started to move away from routines and rituals towards research-based practice (James and Clarke 1994).
I will be using Driscoll model of reflection (2007) to guide my thought and refine my ideas. Confidentiality will be maintained by not mentioning any names as per Nursing and Midwifery Council (NMC) code of conduct (NMC, 2015). Driscoll’s model of reflection (2007) contains three stages, which are (What, so what and now what). It involves deception, analysing and reflecting on the situation (Driscoll, 2007). I have used this model before in many causes, which make it easier to be used again in this case.
Running Head: ADVANCED PRACTICE LEADERSHIP 1 Advanced Practice Leadership 4 Advanced Practice Leadership: An Ethic of Care Name Course University Instructor Date Advanced Practice Leadership: An Ethic of Care The Advanced Nursing Practice Leadership Dynamic Perhaps more so than any other profession, nursing has been described as a caring profession and defined by an ethos of care. When asked why they entered the profession, many nurses will respond that they simply love caring for people. However, nursing has also struggled for legitimacy and respect over the years and sometimes resisted being solely defined as a caring vocation. Particularly, nursing leaders have struggled to merge caring and evidence-based practice as they
Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011). Purpose of Self-Care Deficit Nursing Theory Dorothea Orem (as cited in Taylor & Renpenning, 2011) described her purpose in formalizing the Self-Care Deficit Nursing Theory as a way of defining the structure of nursing and explaining knowledge, rules and roles of nursing. Orem was attempting to answer the question of why, when and how a nurse is needed in the care of a patient (Smith & Parker, 2015). According to Younas (2017), self-care deficit nursing theory is also a practical effort to delineate the patient role along with that of the nurse. The purpose of this theory, being to define both nurse and patient roles and nursing as a profession, is seen as a strength of the self-care deficit nursing theory.
Impact of IOM Report on Nursing Education The Institute of Medicine (IOM) is a Non-Governmental (NGO) and non-affiliated organization. The organization is considered as very prominent and influential. The major role of IOM is to provide recommendations and advice to the government and private sectors. It was founded in 1970 and has been a torch bearer and cause for many signs of progress in nursing like nursing practices, procedures, and education A recent report from IOM has been related to the relevance and importance of higher education for nurses. The report has been viral on various medias and conferences.
On the example of Flu - nurse should first educate patients about transmission route, yearly vaccinations, washing hands, avoiding close contact with sick people, cover mouth and nose when sneeze or cough( this would be breaking mode of transmission link). In a hospital, setting nurse can be one of the carrier or transmitters of the flu ( or other communicable diseases). Influenza vaccinations are mandatory, or mask has to be wear to prevent spreading flu, hand washing is not less important. 2. To prevent Salmonella, nurse should educate
The development of advanced practice nursing roles has become a global trend as healthcare providers explore more options for providing healthcare services. Initially there was no formal education caring for the sick the earliest nurses learned their skills through oral traditions passed from generation to generation. In contrast the comparatively long evolution of specialist nurses, Ford and Silver (1967) initiated the nurse practitioner concept role at a slower pace. Per Shepher (2012) the introduction primary health care pediatric role in the United States (U.S) occurred in 1965. Roles were founded on the morality of the expanded role of specialist nurses, which openly incorporated traditional medical diagnostic skills.
Paternalism, this article elaborated on advocacy as the main drive to health care decisions. The patient is the core of focus when we make health care decisions at all levels. “Advocacy is the center of nursing care” (Zomorodi and Foley, 2009, p.1748). We have to stand out for our patient at every circumstance to see that they are well cared for during hospital visit when they get home after discharge and when we make health care policies to cover them. The article also express paternalism as Zomorodi and Foley (2009) explained paternalism a decision take to denied patients of certain right base on their health situation.
(2016) in the Philippines utilizing cross-sectional study shows that there is a gap appreciating disaster nursing protocol in their own workplace. While, Romer & Hebda (2013) enumerates roles of bedside nurses during a disaster utilizing five tier triage systems. The study putted thrust on how nurses should respond in times of disaster focusing on the safety of the patient as well as the nurses’ safety. However, it has not test the level of compliance to the hospital protocol in order to assess implication to existing incident command systems. Ciottone et.al (2016) differentiating the role of nursing during preparedness and response phase of disaster management, the study emphasized that preparedness is focus on personal and professional preparedness.
Opioid therapy was used in three patients (14%). The complications observed in this group were a recurrence of the disc herniation after 18 months requiring surgical treatment in one patient, a seroma that resolved spontaneously with complete recovery in one patient, and a dural tear that resolved with conservative treatment prolonging hospital stay to 48 hours in one patient. When comparing Group 1 (OD) with Group 2 (MED), the only statistically significant differences found were for the following variables: the size of the incision, length of hospi- tal stay, operative time, and immediate postoperative pain at the incision. The two former variables were greater in the OD group (P 0.01 and P 0.05, respectively), and the latter two were greater in the MED group (P 0.01 in both) (Tables 1 and 3). The VAS score (Fig.
Having grown up in a community underserved in mental health care, my beliefs are commensurate with the National Health Service Corps’ in that access to health care is a basic human right. As a Psychiatric Mental Health Nurse Practitioner I will strive to increase access to mental health care for individuals in underserved communities as a nurse in a community-based practice. National Health Service Corps’ mission to increase accessibility of quality health care will benefit from my commitment to serving individuals without health insurance and those living in rural and urban areas where mental health care services are limited. Through the incorporation of the principles of psychology, psychiatry and social work, I will provide my patients
The question ask What ethical issues have arisen or might arise from use of technology and informatics in Professional nursing ? From Hood An EHR stores client health information digitally in a secure database . When consumers receive care from an integrated health system , EHR can be accessed nearly seamlessly section 1561 of the 2010 Affordable Care Act sets regulations for EHR use across the care continuum and for the security of the protected health information contained in them , and sets specific dates for regulation implementation . (Health IT.gov, 2010 ). Sometimes the Nurses get busy and forget to log off the computer leaving information expose for family members to see .
The current healthcare reform movement is calling for health institutions to evaluate and redesign the historical approach to healthcare in order to reduce costs and improve outcomes for the population. Unfortunately, “the health sector itself has little or no direct control over most of the underlying conditions required for health” (Braveman & Gruskin, 2003, p. 541). These underlying conditions can best be described as the social determinants of health (SDH) defined by the World Health Organization (WHO) as “the conditions in which people are born, grow, live, work [and] age,”. The Ottawa Charter (1986) further defined the prerequisites for health a bit more clearly as peace, shelter, education, food, income, a stable eco-system, sustainable
14 Sept. 2015. Abraham Hockenberry was the founder of pediatric science.The first children 's hospital was in Pennsylvania, Philadelphia in 1885 Taylor, M. "The History of Pediatric Nursing." The History of Pediatric Nursing. Journal of the Medical Library Association 94(2), 128-136, 18 July 2007. Web.