Critical Incident Stress: EMS Personnel And Firefighters
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6 pages in length. Reaction to critical incidents, such as tragedies, deaths, serious injuries, hostage and/or threatening situations, require the human being to respond in a way that intensifies the inherent stress related to Emergency Medical Services (EMS). Those within the rescue field are prone to inordinate levels of stress over and above many other professions; as a result, extremely traumatic or overwhelming situations sometimes spawn a damaging psychological reaction called Critical Incident Stress. Those who are involved with events that are far more serious than others will attend Critical Incident Stress Debriefing (CISD) as a means by which to diffuse some of the internal emotional buildup caused by post-traumatic stress, but sometimes that is not enough to address the extent to which an Emergency Medical Technician (EMT) or firefighter is suffering. Bibliography lists 5 sources.
Filename: TLCcrtin.rtf

Critical Issue/Nursing Shortage
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A 3 page research paper that addresses a critical issue in nursing--the nursing shortage. Today's nursing shortage is driven social and demographic changes that are unprecedented, which makes this shortage markedly different from nursing shortages that have occurred previously. Therefore, solutions that have alleviated previous shortages will undoubtedly prove insufficient to address the current situation. The nursing shortage that healthcare is now experiencing requires new solutions, new answers. Bibliography lists 2 sources.
Filename: khcrisns.rtf

Critical Reflections: The Concepts Of Critical Thinking, Advocacy And Decision-Making Within The Hospital Atmosphere
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11 pages in length. The writer recounts the situation of an 86-year-old man who sought emergency treatment for chest pain. Had it not been for the nurse's intuitive and critical thinking abilities, the family would not have been able to spend the man's last hours with him. Addressed is the importance of critical thinking, advocacy and decision-making within the hospital environment. Bibliography lists 7 sources.
Filename: TLCcrthk.wps

Critical Thinking in Nursing
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A 5 page paper which discusses many different aspects of critical thinking as it applies to the field of nursing. Critical thinking is very essential to any successful endeavor in relationship to the health industry, and especially in relationship to operative matters, where an individual’s life is in the hands of the professional. In light of this truth, several different descriptions of critical thinking are detailed, along with information regarding the instruction of critical thinking in the classroom of nursing students. Bibliography lists 3 sources.
Filename: RAthink.wps

Critical Thinking in Nursing Practice
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This 3 page paper looks at definitions of the term nursing. Critical thinking in nursing is discussed. Bibliography lists 4 sources.
Filename: SA329Nur.rtf

Critique of “A Winning Combination: Women, Literacy and Participation in Health Care”
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A 5 page paper critiquing a study published in 2002. It is the report of a study conducted to assess the reading levels of 50 women patients and then judge the reading levels of patient education materials that the women might receive from health care providers. The purpose of the study was to assess the relevance of a specific clinic’s instructional materials to the women of the local area. This particular study is useful but has some design and implementation shortcomings that should be addressed in future efforts. Bibliography lists 1 source.
Filename: KSnursArtRevWom.rtf

Critique of “Anger in Adolescents: Sex, Ethnicity, Age Differences, and Psychometric Properties”
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A 3 page paper reviewing the report of a study seeking to discover how ethnicity, sex and age affect teens’ anger and hostility scales. The authors sought to determine whether the State-Trait Anger Expression Inventory (STAXI) is reliable for younger adolescents as well as older ones in which its reliability has been established. The study included children 11-16 years from black, Hispanic and white populations to find that the instrument does appear to be valid with each. Bibliography lists 1 source.
Filename: KSnursRevAngerStu.rtf

Critique of “Critical Thinking, Perceived Health Status, and Participation in Health Behaviors”
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A 6 page paper analyzing a study in nursing research published in a journal in 2004. The implications for nursing is that nurses should seek to reinforce patients’ decisions to initiate health behaviors at the outset, in an effort to call them back to the place where they applied critical thinking skills to arrive at a determination to begin health behaviors. Bibliography lists 4 sources.
Filename: KSnursArtReCrTh.rtf

Critique of “Nurse Practitioners and the Problem of Discounting”
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A 4 page critique of a qualitative study using grounded theory as its theoretical framework. Martin and Hutchinson (1999) set out to identify social and operational problems faced by Nurse Practitioners (NPs) in their daily routines, focusing on negative aspects of the NP position. Though their motives are sound, the conclusions they reach as a result of their study likely should be viewed as a beginning point of investigation rather than as any sound conclusion regarding the state of NP practice. Bibliography lists 1 source.
Filename: KSnursResCritQual.rtf

Critique of “Promoting Responsiveness between Mothers with Depressive Symptoms and Their Infants”
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A 4 page critique of a quantitative nursing study, which analysis to be sound. This study is one that can be quite useful in practice in that it illustrates that interactive coaching intervention is beneficial to mothers and children where mothers are suffering from depressive tendencies. This study indicates that positive support is beneficial. Bibliography lists 1 source.
Filename: KSnursResCritQuan.rtf

Critique of "Pressure Ulcers: Prevalence, Staging, and Assessment of Risk"
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A 4 page review of a research study seeking to determine the usefulness of standard risk assessment scales. The authors note that the Barthel Index provides an alternative to both the Norton and Braden scales, particularly among an older population. As pressure ulcers are increasingly common with advancing age, use of the Barthel Index could prove to be of particular appropriateness. The clinical significance of the study is that both the Norton and Braden scales are useful among the general hospital population and provide an indication of risk that is reliable enough to be used as the basis of prevention strategies. Bibliography lists 3 sources.
Filename: KSnursArtRvPresUl.rtf

Critique of Client Presented with Multiple Substance Abuse, Physical and Mental Health Problems
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This is a 5 page paper giving a critique of a client who was assessed with multiple substance abuse, physical and mental health problems. A client was presented to the counseling team who was assessed to have multiple substance abuse, physical and mental health problems. The female client is 25 years of age, of Hispanic origin, homeless and currently unemployed. Assessment of the client found that she is HIV positive, bipolar, has a sexual addiction and also abuses cocaine and alcohol. The client was uncooperative during initial assessment with the counselor. In a critique of the client, it must be determined the possible causes of her afflictions and to what end the counseling team can offer assistance through an education of her symptoms. Bibliography lists 6 sources.
Filename: TJclienC1.rtf

Critique of News Article on MRSA
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This 8 page paper critiques an article on MRSA, points out its biases and explains why it is important that the news media report things accurately. Bibliography lists 9 sources.
Filename: HVMRSACr.rtf

Critique of Nursing Articles
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This 6 page paper briefly critiques 7 articles about nursing practice, values and autonomy. Bibliography lists 7 articles.
Filename: HVCriNrs.rtf

Critique of Qualitative and Quantitative Nursing Research Articles
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A 10 page paper critiquing one qualitative and one quantitative nursing study. The studies differ in every respect in terms of subject matter and participants, but illustrate a common theme supporting evidence-based practice. The articles are critiqued according to different criteria because of the differences in their natures. Bibliography lists 3 sources.
Filename: KSnursResCrQualQuan.rtf

Critique of Qualitative Study/Nutrition
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A 7 page article critique that describes a qualitative study undertaken by Tanofsky-Kraff, et al (2005), which investigated the relationship between dieting, childhood obesity and eating disorders. Bibliography lists 5 sources.
Filename: khnukid2.rtf

Critique of Student Nursing Ethics Paper on Patient Autonomy
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A 5 page paper which critiques a student paper supporting the position that the primary responsibility of a nurse or healthcare professional is to the patient and these wishes take precedence over those of the family and community. Bibliography lists 3 sources.
Filename: TGpatcare.rtf

Critique of the Theory of Caring
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This 7 page paper evaluates the theory of caring based upon a model found in Chinn & Kramer's Theory of Nursing. Various elements of the theory are discussed inclusive of its importance and accessibility. Bibliography lists 2 sources.
Filename: SA141cre.rtf

CRITIQUE: “BATHING PREMATURE INFANTS: PHYSIOLOGICAL AND BEHAVIORAL CONSEQUENCES”
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This paper, written in a crital style, examines the validity of a study about bathing premature infants, which was published in 1998 in the American Journal of Critical Care.
Filename: MTbatinf.rtf

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

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

Cultural Aspects of Tuberculosis Along the US-Mexico Border
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An 11 page paper discussing cultural beliefs that may inhibit successful treatment and prevention of tuberculosis along the border region between the US and Mexico. TB is much more prevalent among the Mexican population, and particularly among those born in Mexico rather than in the US. Public health care largely has been ineffective in reducing the number of new TB cases along the border region, but those individuals in public health who are working to seek out those in need of health care appear to be having a positive effect. Increased economic opportunity likely will result in greater numbers of individuals seeking out health care for themselves and their families. For now, those of Mexican heritage prefer to take care of their own. Bibliography lists 13 sources.
Filename: KSnursTBMex.rtf

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

Cultural Considerations and the U.S. Health Care System
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A 6 page consideration of the structure of the U.S. Health Care System and the implications this structure holds in terms of culture. Bibliography lists 6 sources.
Filename: PPmedSysCulture.rtf

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

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

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

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

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

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

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

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

CULTURALLY COMPETENT CARE AND HOLY REDEEMER
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This 10-page paper examines the potential implementation of culturally competent care at Holy Redeemer, a clinic that cares for HIV/AIDs patients from a wide variety of demographics. Bibliography lists 7 sources.
Filename: MTcultcomp.rtf

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

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

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

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

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

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

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