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Journal of Nursing : DI

  • Evidenced Based Guidelines: Ischemic Heart Disease
    Madeleine Augier RN BSN
    Evidenced based guidelines to provide primary prevention and improve correct diagnosis and treatment.
  • Importance of Interprofessional Collaboration, Communication and Teambuilding,
    Kaitlin Graye, BSN, RN
    Collaboration is especially significant in the healthcare environment to meet the increasingly complex demands of patients with multiple co-morbidities. This article discusses the importance of interprofessional collaboration, communication, and team building.
  • Cardiomyopathy: A Closer Look at the Disease
    Cherrie Deguzman, Heather Miller, & Brianne Gallagher
    Heart disease is a wide term used for a variety of diseases that affect the heart. Heart disease is the leading cause of death in the United States. Cardiomyopathy is one of the types of heart disease that affects about 50,000 Americans annually. There are four types of cardiomyopathy: dilated, hypertrophic, restrictive, and arrhythmogenic right ventricular dysplasia (National Heart Lung and Blood Institute, 2007). This article will detail the different types of cardiomyopathy as well as the causes, treatment, sign and symptoms, diagnostic procedures and prevention. It will also cover ways to live with cardiomyopathy and end of life care.
  • Retro-Clival Hematoma In The Pediatric Emergency Department
    Richard. Pearson
    An unusual presentation of Retro-clival hematoma in the pediatric population
  • Factors Influencing Nurse Medication Errors
    Skip Morelock PhD, RN, NEA-BC Clinical Professor of Nursing Collin College
    This article explores the medication errors and the phenomena of nurse distractions. Nurses are intimately involved in the medication administration process. Even though the parameters of selection, dosing, compounding, and dispensing medication remain under the purview of other allied health professionals, the nurse represents the last safety checkpoint between the medication and the patient and efforts should be directed toward removing obstacles which are negatively impacting this process. It has long been suspected that nursing distractions whether by patient, family, coworkers or others, are facilitating the occurrence of errors in the hospital setting. There are practices which are discussed which may ameliorate this threat to some extent if employed consistently and judiciously.
  • Patient’s Wishes and Dying with Dignity
    Kalyn Woodington RN
    After the palliative care made rounds on the afternoon shift, they were able to get a hold of Mr. D’s only relative: a niece who was not close with him but apparently had called the ambulance for him to come to the hospital.
  • New Innovation for Chronic Kidney Disease
    John Cope, RN Simmons College
    This body of work looks at new and innovative treatments that are being researched and developed for the treatment of chronic kidney disease.
  • Characteristics of various Nursing Paradigms and nursing theories within the Totality and Simultaneity Paradigms
    Ahtisham Younas, BSN, MN (c) (Memorial University of Newfoundland, Canada)
    This paper is an attempt to explore the conceptual basis and characteristics of various paradigms in nursing. It will exemplify how nursing theories and models fit within a certain nursing paradigmatic classification. Therefore, this paper will also present an example of how various nursing theories fit within the totality and simultaneity paradigms.
  • Is Reform Needed in License Disciplinary Procedure?
    John Alan Cohan, Attorney at Law
    Discussion of disciplinary proceedings in California and the need for changing harsh disciplinary standards.
  • Building Trusting Work Relationships in Healthcare and Beyond
    Pablo Velez, PhD, RN, Sherry Nooravi PsyD.
    In an effort to help leaders in various types of healthcare organizations learn how to build trust and strong work relationships within their organizations, eight chief nursing officers (CNOs) from healthcare organizations throughout California were interviewed. All the CNOs were asked the same structured questions. A review and analysis of those interviews revealed the following five dimensions as key ingredients: authenticity, work ethics, communicating and sharing news, history and reputation, and creating a supportive and empowering environment. Our results include the definitions of trust by the eight CNOs, the Four R’s of building trustworthy relationships and an acronym of SHARE. We discuss what CNOs describe as “trust blockers,” actions a CNO can take that would break the employee’s trust. The results of this research can be used in a variety of ways including incorporating them into leadership development training aiming at strengthening their personal leadership styles and improving workplace environments by creating and role modeling a more open communication culture.
  • Are Canadian Nurse Practitioners here to stay?
    Yureve Govind, MD, MBA
    This paper outlines articles that take a closer look into the role of NPs in the Canadian health care system, and how their roles have evolved in response to an ever-changing health care environment.
  • Yoga and the Benefits to Adults with Chronic Obstructive Pulmonary Disease
    Mary Tencza MS RN
    A leading cause of decreased quality of life and debility due to diminished gas exchange, chronic obstructive pulmonary disease (COPD) progresses slowly with no known cure. The overall effect on other systems and the emotional toll placed on these patients makes activities of daily living exceedingly impossible to manage. The purpose of this article is to conduct a review of the literature to determine the benefits derived from practicing yoga on one’s quality of life and pulmonary functions for those diagnosed with COPD with a special focus on the author’s current practice in home health. In addition The Yoga Sutra and Bhagavad Gita will be reviewed to offer a holistic approach to care.
  • When Doing The Right Thing Leads to the Wrong Results
    Tracy Nelson-Bungert, RN, MSN
    Reprimanding nurses for medication errors contibutes to a culture of evasion and silence and does not address the reason behind the mistake.
  • Recognizing Heart Disease As a Women's Disease
    Maureen Kroning RN EdD Associate Professor of Nursing at Nyack College School of Nursing
    There are noted differences among heart disease signs between men and women. Coronary Heart Disease can go unnoticed in women until they actually suffer a heart attack (NIH). Thus it is essential women are aware of the signs and symptoms, risk factors and healthy life style choices to prevent the devastating effects of heart disease. .Seeking early treatment when symptoms present is vital in improving the outcome of heart disease. It is important to teach women how to incorporate prevention strategies such as: consuming a healthy diet, maintaining optimum weight, maintaining an active lifestyle, maintaining both normal blood sugar and blood pressure levels as well as avoiding risk factors such as smoking, drinking alcohol limit their stress and any unhealthy behaviors that can lead to heart disease. Advocating for women and promoting education regarding health issues affecting women needs to be a priority so heart disease in women can be prevented and effectively treated.
  • Barriers to Patients Undergoing Methadone Maintenance Therapy
    Ashley Giordano, Lindsay Harrington, Courtney Letourneau, Laura Smith, & Sara Vermouth
    Methadone maintenance therapy is one method utilized to combat opioid addiction and is an effective treatment in the abstinence from opiates. The purpose of this article is to communicate comprehensive information to healthcare providers about methadone as a medication, and the treatment guidelines of maintenance programs in the hopes of diminishing the stigma attached to methadone maintenance therapy. Through a comprehensive literature review, information regarding mechanism of action, maintenance therapy program guidelines, different barriers to treatment, and how to overcome these barriers were collected and reviewed.
  • The Far Reaching Impact of a Child
    Michelle Gosselin, RN, CEN
    Emergency care of pediatric patients leaves a deep impact to nurses career and lives. When these young lives are altered or end, how is the profession caring for the nurses left behind. This article explores the need for awareness and support during these trying times to return the nurse back to wellness.
  • Medication Induced Bradycardia
    Gina Noggle RN BSN
    In medicine there is never a playbook about how things are going to unfold and this is especially true when it comes to recovering from surgery and anesthesia. For example, sometimes as nurses we give medications to treat one symptom and unintentionally cause another.
  • Clinical Considerations for Patients with Active Clostridium difficile Infection
    Donna Boyer,RN,WCC James McShane,BA,RN
    This article addresses the probable significant environmental Clostridium difficile (c. difficile) spore contamination that occurs when patients with active C. difficile infection are utilizing low air loss mattress therapy. We site published works that have proven environmental contamination exists in the absence of low air loss therapy. We assert that by virtue of the mechanism of action of low air loss surfaces, significantly increased environmental soiling is inevitable. Therefore, the risk of spreading infection is significantly increased. We are calling for additional research to determine the extent of increased contamination that occurs when low air low therapy is used on patients with active C difficile infection.
  • Diabetes Insipidus
    Karen Resseguie-Vickstrom, BSN, BBA, MBA (current DNP student)
    ABSTRACT: Diabetes Insipidus (DI) is a deficiency response to the antidiuretic hormone (ADH) also known as vasopressin. There are two types of vasopressin (V) receptors known as V1 and V2 in which the V1 receptors located in the vascular smooth muscles cause vasoconstriction whereas V2 receptors located on the tubular cells of the cortical collecting duct control the reabsorption of water via the kidneys. DI effects the renal mechanisms of the water reabsorption which is particularly imperative for maintaining body fluid osmolality. Edification that medication management is available in conjunction with readily accessible liquids at all times to replenish the enormous losses that occur through urination in addition to enforcement that this disease can easily turn to life threatening if not managed properly. PURPOSE STATEMENT: The principle of this article is to aide nurses and advanced specialty nurses in providing educational awareness to parents whom have a child with Diabetes Insipidus as it correlates with an insufficient response to the antidiuretic hormone (ADH).
  • A Difficult Patient
    Catherine Stevens
    managing a difficult patient in the PACU setting. In my nursing career, there are many different types of challenges. Job challenges, schedule challenges and patient related challenges. No matter what type of nursing I have encountered there are always difficult patients that test my nursing skills. Whether the demands are related to technical skill, assessment or cultural understanding, I enjoy that critical thinking that is required to rise to the occasion. As a seasoned nurse I feel that technical challenges have become easier to handle, while the social or cultural challenges have my increased interest. I continue to obtain as much education as I can to assist my nursing challenges.
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