Reducing the Use of Restraint and Seclusion Among Adult Psychiatric Patients
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A 12 page literature review assessing accumulated knowledge in reducing the use of restraints and seclusion among adult psychiatric patients. Recent research indicates that organizational processes and caregiver training have greater influence on avoiding the "critical incident" than does the use of restraints and seclusion. Bibliography lists 23 sources.
Filename: KSnursPsycSec.rtf

Reengineering Of Health Care Systems
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This 19 page paper looks at the current situation in the infrastructure of the health care services, and consider the need for improved quality by greater emphasis on the nursing aspect rather than financial measures. The paper undertakes a literature review and uses the results of this to propose a new model for the health care systems, with a proposal for a study to look at the hypothesis formed and test the paradigm.
Filename: TEresthc.wps

Reflection and Research in Reminiscence Therapy
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A 27 page paper combining personal reflection on nursing practice with a literature review and analysis of research to formulate a method of putting research into practice. Even though reminiscence therapy gains mixed reports in formal research efforts, its benefits appear to be clear. Nurses using reminiscence therapy are not encouraging their patients to retreat into the past and therefore cease living in the present, but rather facilitating their patients’ ability to complete their life reviews and to gain a measure of satisfaction from the cumulative effect of the events of their lives. Bibliography lists 30 sources.
Filename: KSnursRemini2.rtf

Reflection Process Recording
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3 pages in length. Much of life's attempts at communication is fraught with misunderstanding or misconstrue. In the field of nursing, this reality can be deadly. One of the many ways to uphold a working system of checks and balances is through the practice called process recording. Nursing - more than virtually all other profession - relies upon the mastery of the health caregiver to maintain open communication with the patient; as such, it is a daunting task to verify each and every process without the help of creating a record of interaction. Behind the overall concept of process recording is to provide an opportunity for self-reflection in relation to the way in which interpersonal communication is approached. Bibliography lists 2 sources.
Filename: TLCreflect.rtf

Reflections on Nursing
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A 7 page paper reflecting on experiences with elderly patients, especially those confined to a skilled nursing facility (SNF). These individuals would prefer to be elsewhere, of course, but most determine to be as positive as possible given their circumstances. The paper is the product of personal reflection that mentions Erickson and Orem, but is written in the first person. Bibliography lists 4 sources.
Filename: KSnursReflect.rtf

Reflections on Nursing & Learning
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An 8 page sample essay that provides reflection, evaluation and analysis on earning a BSN from the University of Phoenix. The writer offers suggestions on how this experience impacted and benefited the student. Bibliography lists 2 sources.
Filename: khbsnup.rtf

Reflective Learning Document
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This 5 page paper is a reflective document put together using Gibbs’s reflective model. The paper considers the treatment of a patient with learning disabilities who has been diagnosed with type II disabilities. The paper focuses on the care to ensure the patient learns how to mange their condition. The bibliography cites 6 sources.
Filename: TErefcare.rtf

Reflective Learning Document; Healthcare Promotion
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This 5 page paper is a reflective learning document, discussing the cognitive domain, affective domain and psychomotor domain with reference to a nurse's course on health promotion. The bibliography cites 6 sources.
Filename: TERLHCprom.rtf

Reflective Learning; CPA and a Schizophrenic Client
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This 4 page paper uses Gibbs (1988) reflective cycle to review a scenario where a CPA is prepared for a client with paranoid schizophrenia. The bibliography cites 10 sources.
Filename: TECPAreflect.rtf

Reflective Practice in Psychiatric Nurse Training
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A 24 page overview of the reflective process in psychiatric nursing. Includes an extensive literature review and a proposal to evaluate the degree to which psychiatric nurses at a major psychiatric hospital are exposed to the reflective process in on-the-job training and the degree to which they consequently employ the reflective process in their professional lives. Bibliography lists 30 sources.
Filename: PPpsyRfl.rtf

Reflective Thinking in Nursing
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A 6 page overview of the concept of reflective thinking. Highlights the contentions of Bert Teekman’s “Exploring Reflective Thinking in Nursing Practice”, published in a 2000 edition of the “Journal of Advanced Nursing”. Provides a brief literature review detailing the manner in which various authors emphasized the importance of reflective thinking. Emphasizes that rather than consisting of a series of uncontrolled ideas, such as those that occur in one part of the cognitive processes, reflective thinking is focused and controlled. Bibliography lists 10 sources.
Filename: PPnrsRfl.wps

Reflex Sympathetic Dystrophy: Chronic Pain And Depression
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A 6 page paper that incorporates and introduction, problem statement, purpose of study, literature review, independent and dependent variables, hypothesis and implications for nursing. The paper identifies the two types of RSD, describes and explains what reflex sympathetic dystrophy is, its incidence, some of the causes and the effects and the correlation between chronic pain and depression. Statistical data included. Bibliography lists 7 sources.
Filename: PGrsd.rtf

Refusal of Palliative Care/Bioethics
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A 9 page research paper that offers a hypothetical example of a clinical bioethics case report, concerning Joyce, a 68-year-old woman suffering from metastasized liver cancer, who refuses pain medication. Joyce is in agony and her torturous existence, her moans and the fact that she writhes in pain, is affecting all those around her, her daughter, the healthcare professionals responsible for her care, and her fellow patients. Discussion and bioethical analysis is offered. Bibliography lists 6 sources.
Filename: khrefpan.rtf

Registered Nurse Safe Staffing Act of 2009
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A 3 page summation and discussion of the Registered Nurse Safe Staffing (RNSS) Act, which would require that hospitals develop "valid, reliable unit-by-unit staffing plans," which would be developed in coordination with input from the registered nurses (RNs) based in each unit and, therefore, designed to accommodate each "unit's unique characteristics and needs" (ANA, 2009). The writer supports the bill and calls for other nurses to do so as well. Bibliography lists 3 sources.
Filename: khrnss.rtf

Regulatory Influences on Curriculum Presentation
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This 8 page paper consists of 12 power point slides and the speaker notes for those slides on the topic of what should be done in curriculum design to address the regulatory controls and influences from outside agencies. Bibliography lists 8 sources.
Filename: MHRegInfCurr.rtf

Rehab Nursing
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A 14 page research paper that offers a comprehensive literature review pertaining to nursing practices in rehabilitation. Bibliography lists 12 sources.
Filename: khrehnur.wps

Relationship between Immobility and the Increase in UTIs in Stroke Patients
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This 16 page paper provides an overview of a study of the relationship between immobility in patients who have suffered from a stroke and the development of urinary tract infections (UTIs). Bibliography lists 10 sources.
Filename: MHUTIStr.rtf

Relevance Of Transcendence To Nursing
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A 15 page research paper. The concept of transcendence refers to the awareness of an individual that goes beyond normal physical boundaries. For more than a decade, the relationship between health, recovery, coping and spirituality have been a focus of the literature. This paper explores and investigates what transcendence means, how spirituality is defined and described and how these relate to both the person who is ill and the person who is aging. The writer then reports seven spirituality themes that are important to nurses. The writer also discusses how nurses can help patients enhance their spirituality. Bibliography lists 12 sources.
Filename: PGspnr.wps

Relieving the Shortage of Nurse Educators
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An 11 page paper discussing the shortage of nurse educators and offering alternatives for alleviating this shortage that exacerbates the larger nursing shortage. In a self-perpetuating cycle, the nursing shortage now has begun promoting itself by means of a shortage of nursing educators. Nearly 33,000 qualified applicants were turned away from four-year and graduate programs in 2004 because of the shortage of educators, almost 4,000 of those were applying to graduate school and could have become educators themselves. The paper suggests opening additional graduate school spaces; develop creative means of recruiting graduate students; improving the image of nursing and its working conditions; recruiting non-nurses to teach courses such as process flow and management; and enlisting the aid of private insurers that recognize the financial benefits of greater numbers of nurses. Bibliography lists 11 sources.
Filename: KSnursShortEdu.rtf

Reminiscence Therapy Intervention
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An 8 page paper discussing a method of reducing depression among older individuals through encouraging them to revisit the past and conduct a life review. The concept of reminiscence therapy seems rather simplistic, but its simplicity may be one factor that makes it so effective. Research and observation both conclude that reminiscing effects positive change in depressive status among seniors. Nurses choosing it as an intervention can benefit from it as well. Bibliography lists 20 sources.
Filename: KSnursRemini.rtf

Remote & Regional Issues/Australia’s Nursing Shortage
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A 10 page research paper that explores the differences between remote and rural nursing and urban nursing in Australia and in reference to the current nursing shortage. Bibliography lists 15 sources.
Filename: khrranur.rtf

Research on ICU Psychosis
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A 3 page that examines 3 journal articles on ICU psychosis. The writer uses tutorial language in order to aid the student in writing his/her reactions as a nurse to this literature. Bibliography lists 3 sources.
Filename: khicup.rtf

Research Proposal on Whether or Not the Pain Needs of Cognitively-Impaired Residents of Nursing Homes are Being Met
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This 15 page report discusses the development of a research study addressing the question presented in the title. Existing literature is reviewed and a study proposal addressing two nursing models is presented. Bibliography lists 15 sources.
Filename: BWpainmd.rtf

Research Proposal: Medical/Surgical Nurse Documentation
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A 15 page paper proposing research into the completeness and appropriateness of nurse documentation at a teaching hospital for a period of one month. Nurse documentation formerly was a topic that was discussed only as a matter of instruction and requirement for complete patient records. Though that perspective remains valid in today’s health care environment, the issue of nurse documentation has taken on a far greater role in both practical and administrative terms. Nurse documentation must be appropriate, and for a variety of reasons. Of course the issue of patient safety and completeness of care remains the leading one, but reimbursement by third-party payers increasingly is dependent on appropriate nurse documentation. The need for appropriate nurse documentation is only expected to increase in the future. Bibliography lists 24 sources.
Filename: KSnursRePrMed-Surg.rtf

Research Study Proposal/Hand washing
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A 15 page study proposal that addresses the problem of non-compliance of hospital personnel with proper hand hygiene protocols. The writer outlines the problems with infection caused by non-compliance, offer a literature review of hand washing in the literature and proposes a study designed to improve hand sanitizing compliance through an educational intervention and the introduction of easily accessible alcohol rub sanitizer throughout the proposed study site. Bibliography lists 12 sources.
Filename: khprohan.rtf

Resistance of the Family to Death and the Impacts on the Dying Process for People with HIV/AIDS
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This 5 page paper provides an outline and annotated bibliography for a future project on resistance by family members to the process of death and dying for HIV/AIDS patients. Bibliography lists 9 sources.
Filename: MHAIDFAM.rtf

Resolving the Problem of Injuries in Nursing
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This 5 page paper focuses on the fact that nurses become injured frequently as they have to move patients. Resolutions for the problem are considered. The plight of the oncology nurse is used as an example. Bibliography lists 2 sources.
Filename: SA320onc.rtf

Respiratory Care/Geriatric Case Study
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An 11 page research paper that offers a scenario of a patient with suffering from shortness of breath. A male patient on admission displayed shortness of breath and ankle swelling. The patient has a history of myocardial infarction, angina, hypertension, hypercholesterolemia, and peripheral vascular disease. His current diagnosis includes worsening CCF, pneumonia (severe), chronic renal failure and shortness of breath. The patient is mobile with assistance with 28 percent humidified oxygen. The following assessment looks specifically at the patient's difficulty in breathing and what this entails in nursing care. Bibliography lists 25 sources.
Filename: khshobr.rtf

Respiratory Therapist
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A 4 page research paper that discusses respiratory therapy and how it differs between the environment of an acute care hospitals and that of a long-term care facility, such as a nursing home. Bibliography lists 2 sources.
Filename: khrts.rtf

Responsibilities Of The Hospice Social Worker
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In this 15 page research paper, the writer investigates hospice care and specifically hospice social workers. Beginning with a description of hospice care, then following with an explanation of the many and diverse responsibilities of the hospice social worker and concluding with a proposal for a research study investigating the level of job satisfaction among hospice social workers. Bibliography lists 12 references.
Filename: Hosp.wps

Restraint Use in Patients with Dementia
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A 7 page nursing research proposal to investigate the effects of reminiscence therapy on older patients with dementia. Maintenance of the use of reminiscence therapy can be but does not need to be as formal as the study establishing its value. Nurses and others with direct contact with patients can ask patients questions designed to elicit patients’ memories, and of course the plan can be extended to full therapy sessions. Use of the depression scale over time provides quantifiable changes in patients’ attitudes and outlooks. Bibliography lists 17 sources.
Filename: KSnursResResDem.rtf

Retention Of New Grads In An ICU
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This 5 page paper discusses the problem one hospital is having retaining new grads they hire for the ICU. The paper identifies the problem then discusses typical turnover rates in hospitals and the reasons for the turnover as shown by research. Recommendations are made to correct some of the problems. Lewin's force-field analysis illustrates the forces for and against change. The writer comments on resistance to change. 1 Table included. Bibliography lists 8 sources.
Filename: PGnricu.rtf

Retention/Recruitment & Canadian Nursing Shortage
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An 8 page research paper that discusses Canada’s nursing shortage. There is currently a severe nursing shortage in all of the industrialized countries of the Western world, including Canada. Experts predict that the nursing shortage in Canada will worse over the course of the next decade and this prediction appears to be accurate as the number of registered nurses (RNs) working the rural regions of Canada have already decreased from 65.2 per 10,000 in population in 1994 to 62.3 in 2000 (Belkus and MacLeod, 2004). This literature review focuses on strategies that are being implemented regarding the key issues of retention and recruitment of nurses, as these factors have a significant influence on how the nursing shortage impacts specific organizations. Bibliography lists 16 sources.
Filename: khrrcns.rtf

Returning to Work After Back Injury
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A 6 page paper discussing the process by which a Return to Work (RTW) Plan is developed for an injured worker in Australia. Comcare prescribes seven steps, ending with the recovered worker assuming full pre-injury duties. The paper places the process and the role of the care provider within the theoretical framework of Roy’s Adaptation Model. Bibliography lists 6 sources.
Filename: KSnursBkInjAu.rtf

Review of “Applying Airline Safety Practices to Medication Administration”
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An 8 page paper reviewing a quantitative nursing research article that won MedSurg Nursing’s writer’s award for its design and reporting. Published in 2003, the hypothesis of the study was that medication errors would be reduced if nurses followed the pre-flight checklist procedures required of airline flight crews. The results found indicate that it is directly applicable to being included in evidence-based practice as a goal to attain. Bibliography lists 8 sources.
Filename: KSnursResRevQuan.rtf

Review of “From ‘Death Sentence’ to ‘Good Cancer’: Couples’ Transformation of a Prostate Cancer”
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A 6 page paper assessing this qualitative study undertaken to assist in informing nursing practice. The focus of this study by Maliski, Heilemann & McCorkle (2002) was to gain insight on how couples coped with the diagnosis of prostate cancer and how they navigated through the decision-making process to prostatectomy and beyond. The investigation and design are sound, but the lack of previous research leaves the current researchers with little guidance in their own study. The paper concludes that the effort is a good one, but is not generalizable to the larger population in that its sample consisted only of a rather homogeneous group in terms of ethnic, socioeconomic and educational backgrounds. Bibliography lists 5 sources.
Filename: KSnursArtRevPros.rtf

Review of “Improved Rates of Compliance with Hand Antisepsis Guidelines: A Three-Phase Observational Study”
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A 6 page review and critique of an article published in the American Journal of Nursing in 2001. Researchers established baseline values regarding how often health care workers washed their hands in two ICUs in a single hospital; introduced a waterless alcohol-gel hand sanitizing agent; and recorded subsequent incidence of hand antisepsis following that introduction. They found that workers increased their hand antisepsis activities by a significant rate using a combination of soap-and-water washing and cleaning with the alcohol-gel agent. Bibliography lists 2 sources.
Filename: KSnursArtRevHand.rtf

Review of “Occupational Stress and Job Satisfaction in Mental Health Nursing: Focussed (sic) Interventions via Evidence-based Assessment”
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A 5 page paper reviewing the report of a qualitative study of stress among nurses in Britain’s National Health System. Cottrell (2000) provides a quite useful and highly relevant study directly applicable to the issue of stress among nurses. Though the author does not provide any research-supported follow-up on the intervention portion of the study, he provides alternatives that appear to be quite reasonable and naturally present the opportunity for further research in the future. Bibliography lists 1 source.
Filename: KSnursArRevStres.rtf

Review of “Predicting Family Health in Families of Young Adults with Severe Mental Illness”
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A 6 page paper evaluating components of a nursing research article including the literature review, theoretical framework, methods, validity and ethics. The paper concludes that the article reports a study that is well designed and one in which the researcher jealously guarded against introducing bias. Bibliography lists 3 sources.
Filename: KSnursFamHlthRev.rtf

Review of "An Alternative Approach: The Unfolding Model of Voluntary Employee Turnover"
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A 6 page paper reviewing and discussing this study of why nurses chose to leave their jobs in the mid-1990s. The paper discusses the general focus of the study but concentrates on assessing the authors' use of statistical analyses for appropriate tests, reliability and validity. Bibliography lists 4 sources.
Filename: KSstatArtRevEmp.rtf