A nursing assistant wheels Margie Whitson back to her room at Golden Oaks Rehabilitation Center and helps her back into bed. Golden Oaks is located on the grounds of Marion General Hospital, owned and operated by the hospital board of directors.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

Scenario Summary
A nursing assistant wheels Margie Whitson back to her room at Golden Oaks Rehabilitation Center and helps her back into bed. Golden Oaks is located on the grounds of Marion General Hospital, owned and operated by the hospital board of directors.
It has been a very difficult day. Margie takes a deep sigh as she leans back into bed and says, “I’ll get into night clothes in a few minutes if that’s alright. I’d just like to sit here and think for a little while.” The nursing assistant nods in agreement
Margie has just attended the funeral of her son William, who died this week after several years of poor life quality in the same nursing facility. William’s first stroke happened 3 years prior; two more strokes followed, and he lingered in poor health at the center over the intervening time. Margie is now 95 years of age, and William was 73 when he passed this week.
The last 5 years have simply been devastating for Margie. First her husband Earl passed on at the age of 88. They had been married for 68 years, most of them wonderful and successful years together, until the medical problems began. They had one other son, Jacob, who died in a motor vehicle accident in his 30s.
As Margie sits in the quiet of her nursing home room, she faces the reality that she is utterly and completely alone in the world. She and Earl had hoped for grandchildren, but that never happened, and Margie’s family is simply all gone now. Margie’s own health is poor. A hip fracture 10 years ago slowed her down significantly, and a heart attack 2 years ago nearly took her life. But she survived due to good emergency medical care and quick placement of an electronic pacemaker. Margie’s heart rhythm is now 100% paced, meaning that her heart will not function effectively without the pacemaker; she is completely dependent on the pacemaker for her survival.
Margie is a woman of great personal faith, raised that way, and she raised her sons that way. She believes strongly that Earl, William, and Jacob are waiting for her in heaven. And as she sits alone in her nursing home room, the realization comes to her—the only thing keeping her from joining her family in heaven is this pacemaker. And the pacemaker is nothing more than an electrical device. It was turned on to save her life 2 years ago, and now it can be turned off. She should have the right to turn it off! Margie presses the nurse call button and says, “I need to see that lady who’s in charge of this place, and right now please.”
When Nursing Home Administrator Cindy Mackin enters the room and listens to Margie, she can hardly believe what she is hearing. “I’m telling you I just want you to turn it off. I’ve had enough; there is nothing left for me here on earth and I just need to go now and be with my family.” Cindy responds, “Now, Margie, you’ve had a terrible time lately, and naturally you are grieving the loss of your son right now. Things will look better tomorrow.” But Margie does not think so. She says, “Call Dr. Vijay for me; he turned this thing on, and he can turn it off. I insist.”
Cindy realizes that Margie does have a right to discuss this or any other matter with her doctor, and she arranges a visit for the following week. At the cardiology clinic, Margie is increasingly insistent about her demand to deactivate the pacemaker. Dr. Vijay comments, “Margie, I’ve practiced cardiology for nearly 20 years now, and frankly I have never had this request. The pacemaker is keeping you alive, and that is of course what we do in medicine—we save lives. I do not feel that I can ethically deactivate your pacemaker. I know that you have had some very difficult experiences lately, and perhaps you will feel differently with a little time passing.”
Returning to Golden Oaks, Margie is absolutely fuming, and now she is determined. The same determination that carried her through life and made her such a great wife and mother is now rising in her to make her own decision about how and when to end her own life. She asks to see the Golden Oaks social worker, and Jane Robison, MSW, is summoned. After more than an hour of discussion and exploration of every option that Jane can imagine, Margie persists in her request. “Well, Margie, we do actually have a process to help in difficult situations like this, when patients, families, and doctors disagree, through the hospital ethics committee, and I think that we should take your case there for review. I happen to know that the ethics committee meets next Friday, and the chairman is a colleague of mine who is our director of social services.”
Your Assignment
You are David Jamison, MHA, ethics committee chairman at Marion General Hospital. Coming before your committee today is the case of Margie Whitson, age 95, who wishes to have her pacemaker deactivated. Her physician, Dr. Rana Vijay, has declined to honor her request in this matter, citing ethical concerns with such an action. It will be your job to thoroughly analyze the issues in this case and to make a recommendation from the ethics committee.
Prepare a three page paper analyzing the key issues in this case and stating a recommendation. Be sure to include the following steps in your analysis.
I. Identification
Identify the dilemma.
What morals are involved?
What morals are in conflict?
II. Information
Get as much information as possible about the dilemma.
Often this step is taken too quickly, without enough solid and detailed information, leading to bad decisions.
III. Communication
Talk with other healthcare professionals on the case.
Do they agree that there is a dilemma?
Do they concur with your understanding of the dilemma?
Do you know everything that they know about the case, and vice-versa?
IV. Choice
When all the talking is done, a choice needs to be made about what to do regarding the dilemma. A choice must be made. Even choosing not to decide is a decision!
Your role here is to prepare a recommendation on behalf of the ethics committee, with input from all participants, considering the best outcome for the patient as the ultimate goal and highest priority.
Key Players
Margie Whitson Patient, Female
Rana Vijay, MD Cardiologist, Male
Jane Robison, MSW Social Worker, Female
Cindy Mackin, CNHA Rehabilitation Center Administrator, Female
David Jamison, MHA (This is your role.) Ethics Committee Chairman, Male

Please,I need 3 pages, double spaced, each of the 4 items as stated above ( Write a concise annotation that summarizes the central theme of the article. Please include discussion regarding.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

Please,I need 3 pages, double spaced,
each of the 4 items as stated above ( Write a concise annotation that summarizes the central theme of the article. Please include discussion regarding:
§ How this information will inform your practice (AS A PRACTICAL NURSE)
§ Impact on the client’s health
§ Relation to the Practical Nursing Conceptual Framework (2012) ) should be 1 paragraph each.
please any quotation or paraphrased used from the article should be reference – page #

Consider how your expectations have changed throughout this course regarding your evidence-based nursing practice and the role of research in it.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.
Portfolio Artifact
Consider how your expectations have changed throughout this course regarding your evidence-based nursing practice and the role of research in it. How do you expect to utilize nursing research and other kinds of evidence in the future? How do you anticipate this will affect others you work with? Summarize these reflections in a 2- to 3-page paper.
Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources. Refer to the APA Publication Manual to ensure your citations in the text and reference list are correct.
Resources
There are many different images of a professional portfolio. Most professionals are familiar with résumés, but use of a professional portfolio as both a retrospective and prospective archive is a fairly new idea in nursing. Anderson, Gardner, Ramsbotham, and Tones (2009) describe how portfolios have different structures for learning assessment and competence validation. Portfolios go beyond career changes, additional education, and expanded community service activities. Some academicians submit an academic portfolio when they apply for promotion and/or tenure. A nurse researcher may track proposals, funding received, publications, and presentations with a research portfolio. A nurse who works as an independent consultant uses a consulting portfolio to track work product. Nurses can similarly focus their portfolios to reflect career accomplishments, credentialing, and future goals.
Reference:
Anderson, D., Gardner, G., Ramsbotham, J., & Tones, M. (2009). E-portfolios: Developing nurse practitioner competence and capability. Australian Journal of Advanced Nursing, 26(4), 70–76.

what the studies reveal about the current state of knowledge on this topic. Point out consistencies and contradictions in the literature, and offer possible explanations for inconsistencies.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

Reviewing the Literature
You have learned about the abundance of research literature available to nurses and how to access it. Now you will tap into those resources to find research that is of relevance and value to your own practice.

In preparation for this assignment, complete the following:

Select a topic
Formulate a research question that is relevant to your nursing practice and is also of great interest to you.

Gather the literature
Locate five or more full-text research articles that are relevant to your research question. Include at least one systematic review and one integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least three of these articles are available as full-text versions through Walden University’s library resources.

Prepare to summarize and synthesize the literature
Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to discuss a minimum of five articles. You may wish to create a literature review summary table, as suggested in Chapter 6 of the Burns & Grove textbook, to help you organize your thoughts. Column headings might include: Author, Type of Study (Qualitative vs. Quantitative), Sample, Design, Theoretic Framework, Data Collection Approach, and Key Findings.

In a 5- to 8-page paper, address the following:
Synthesize what the studies reveal about the current state of knowledge on this topic. Point out consistencies and contradictions in the literature, and offer possible explanations for inconsistencies.
Provide preliminary conclusions on whether the research provides strong evidence to support a change in practice, or whether further research is needed to adequately address your inquiry.

Note: You are invited to critically evaluate any aspect of these studies—for example, a study’s design, appropriateness of the theoretic framework, or data sampling methods. But it is understood that certain technical aspects of a standard review of literature have not yet been covered in this course. Your conclusion in this review should be “preliminary” for two reasons. First, five studies are almost certainly not enough to reflect the full range of knowledge on this particular question. Second, you are probably not yet familiar enough with research methodology to be able to evaluate all aspects of the studies.

This week’s readings describe unethical research of the past, such as the study of syphilis among African-American men in which treatment was withheld, and the study in which live cancer cells were injected into elderly patients.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.
This week’s readings describe unethical research of the past, such as the study of syphilis among African-American men in which treatment was withheld, and the study in which live cancer cells were injected into elderly patients. Controversial research continues today, even if few cases display such obvious breaches of ethics as these examples.
In preparation for this Discussion, select a current, relatively high-profile case involving research ethics—preferably one that you have followed in the media. (If none comes to mind, do research on the Internet to familiarize yourself with recent cases.) As you review the case, consider the ethical principles, addressed in the readings by Ioannidis (2005) and Wolf, Walden, and Lo (2005), which demonstrate important ethical principles, which might have been breached by the researchers and/or organization(s). Also, consider the concerns expressed by researchers in the readings by Yakov, Shilo, and Shor (2010), Olsen, Wang, and Pang (2010), and Newcomb (2010) and the influence of culture when conducting research.
With these thoughts in mind:
• Post an account of the case, addressing these points:
o Briefly describe the case and the ethical issues at stake.
o Of the ethical principles you learned about this week, which do you think were breached by the researchers or organizations in this case? Why do you suppose this happened?
o Suggest how the research might have been conducted to avoid or minimize the ethical problems. What benefits might have been lost as a result? Why is this a good trade-off?

In this Discussion you will explore the phenomenological study “Lived Experiences of the Time Preceding Burnout” from a few different perspectives.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

In this Discussion you will explore the phenomenological study “Lived Experiences of the Time Preceding Burnout” from a few different perspectives.
In preparation, recall your initial reactions to reading this article. What new ideas and questions came to you as you read the study? Now recall how this week’s reading by Hardcastle, Usher, & Holmes (2006) characterized the purposes of phenomenological research. Was this an appropriate design for exploring the article’s research problem? Consider, too, how a different qualitative research design would have changed the study.
With these thoughts in mind:
• Post your thoughts on the research article, addressing these points:
o Identify and describe some of your initial reactions to the article. What jumped out at you? Did this article spark a desire in you to design a similar study? Why or why not?
o Now evaluate the choice of this qualitative design in light of the study’s research problem. Explain why it is or is not an appropriate design choice.
o Identify another qualitative design the researchers might have used for this topic. Briefly describe how this would have changed the study

Briefly describe the advantages of the type of analysis (i.e. meta analysis, systematic, or integrative review) used in the research study you reviewed.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.
Differentiating Literature Reviews

An important step in the research process is reviewing the current body of literature to better understand the subject or topic in which you are interested. By conducting a review of the literature, you are building foundational knowledge about the topic and from which you will build new insights. The literature provides one form of evidence. In addition, recall that some research studies review the body of literature for you and then report their findings. These types of studies are called a meta analysis, systematic review, or integrative review. Frequently, meta analysis and systematic review are used interchangeably; however, they do use different strategies when reviewing the body of literature on a topic. Also recall the differences between systematic and integrative literature reviews as identified in your readings by Houde (2009) and Krainovich-Miller et al. (2009).

The first step in locating literature on a topic is employing good search techniques. Review the strategies presented in the readings and the web resources presented in the Learning Resources.

To prepare for this Discussion, locate a full-text research article that is a meta analysis, a systematic review, or an integrative review in the Walden Library. Read through the article and then respond to the following:

With these thoughts in mind:

• Post your comments, addressing these points:
o Briefly summarize your article and the type of analysis conducted (i.e., meta analysis, systematic review, integrative review). Include the citation for your article.
o Using the evaluation criteria presented in Chapter 6 of your Burns & Grove textbook, share a strength or weakness of your study.
o Briefly describe the advantages of the type of analysis (i.e. meta analysis, systematic, or integrative review) used in the research study you reviewed.
o What key words did you use when conducting your search?

HELPFUL RESOURCES below
Article: Becker, P. T. (2005). Conceptual frameworks: Issues for manuscript review and the dissemination of research findings. Research in Nursing and Health, 28(5), 363–364. Retrieved from: http://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?sid=716c6850-6ac5-47d0-b437-7acba33ac3ea%40sessionmgr14&vid=1&hid=126&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=rzh&AN=2009041374
Article: Chen, L., Murad, M., Paras, M., Colbenson, K., Sattler, A., Goranson, E., et al. (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis. Mayo Clinic Proceedings, 85(7), 618–629. Retrieved from:
http://search.proquest.com.ezp.waldenulibrary.org/docview/521081493
Article: da Silva, F., Jacob, E., &Nascimento, L. (2010). Impact of childhood cancer on parents’ relationships: An integrative review. Journal of Nursing Scholarship, 42(3), 250–261. Retrieved from: http://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?sid=1f50c028-eda3-4fdc-9871-7dd0817a1bc2%40sessionmgr14&vid=1&hid=126&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=rzh&AN=2010763499
Article:Houde, S. C. (2009). The systematic review of literature: A tool for evidence-based policy. Journal of Gerontological Nursing, 35(9), 9–11. Retrieved from:
http://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?sid=96dcb300-138f-4c34-a070-f3bda9c09618%40sessionmgr10&vid=1&hid=126&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=rzh&AN=2010413502
Article:Krainovich-Miller, B., Haber, J., Yost, J., & Jacobs, S. K. (2009). Evidence-based practice challenge: Teaching critical appraisal of systematic reviews and clinical practice guidelines to graduate students. Journal of Nursing Education, 48(4), 186–195. Retrieved from: http://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?sid=178550b0-eed9-4bff-a107-817cd9631f93%40sessionmgr14&vid=1&hid=126&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=rzh&AN=2010261071

Walden University Library
Searching and Retrieving Materials in the Research Databases

Search Tips: Basic and Advanced
Boolean Explained
http://www.lib.berkeley.edu/TeachingLib/Guides/Internet/Boolean.pdf
Boolean Searching
http://catalog.loc.gov/help/boolean.htm
Indiana State University Library Guides (n.d.). Literature reviews: Database search strategies. Retrieved from
http://libguides.indstate.edu/content.php?pid=118904&sid=1065428

Optional Resources
Websites
National Institute of Nursing Research
http://www.ninr.nih.gov/Training/OnlineDevelopingNurseScientists/
With these Learning

Understanding the different nursing theories will assist you as you read the professional nursing literature, research studies guided by theory or a framework, and as you consider your own research projects.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

In order to guide evidence-based practice, it is essential that nurses understand and critique different theories to effectively implement them into practice. In addition, understanding the different nursing theories will assist you as you read the professional nursing literature, research studies guided by theory or a framework, and as you consider your own research projects. In this Application Assignment, you will further examine one theory by searching for information on implementation in your area of practice.

Decide which theory you wish to implement into your practice. As part of your selection process, consider how you would integrate one of these theories into your specialization or into addressing a challenge in healthcare today.

In preparation:
Select one theory presented in your Parker and Smith textbook (Chapters 4-30) that you believe could be useful in your practice setting.
Locate a minimum of two articles in the Walden Library that discuss this theory. Focus on how this theory is used in practice.
Select and use one of the evaluation criteria from Parker and Smith’s text for directions and develop a detailed critique applying the evaluation criteria to the theory you have selected. These criteria are found in Chapter 3 of Nursing Theories & Nursing Practice

o Johnson (p. 27)
o Chinn & Kramer (p. 28)
o Fawcett (p. 28)
o Meleis (p. 28)
Include a detailed critique of the theory, using the evaluation criteria you have selected. Your comments should be supported by both experiential information and appropriate references. Apply the evaluation criteria to the theory you have selected.

Develop a realistic plan for how you would utilize this theory in practice. The plan should include the steps towards implementation, as well as the actual plan.

In a 2- to 3-page paper:
Provide an overview of the theory you have selected (introduction, purpose, and rationale).
Provide a description of the theory (purpose, concepts/definitions, relationships/structure, assumptions).
Provide a critical appraisal (clarity, simplicity, generalizability, accessibility, importance).
Develop a plan for implementing the theory into your practice setting.
Discuss the barriers or challenges to implementing this plan.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources. Refer to the APA Pocket Guide to assure your citations in the text and reference list are correct

How are global factors, including nurse migration, affecting nursing and health care delivery?

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

How are global factors, including nurse migration, affecting nursing and health care delivery?
What can the United States learn from other countries in formulating policies to reform and improve the U.S. health care system? Include specific examples of the country you compared the United States with in terms of cost, access, and health outcomes.

Address the role of women as army nurses. What opportunities did it create? Did it have a great affect on one region than the other? Why or why not?

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

Address the role of women as army nurses. What opportunities did it create? Did it have a great affect on one region than the other? Why or why not?

Identify and describe three factors that contribute to the nursing shortage in the United States.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

Identify and describe three factors that contribute to the nursing shortage in the United States.

Give three examples that describe and differentiate the roles of hospitals and nursing homes in providing long term care.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

Give three examples that describe and differentiate the roles of hospitals and nursing homes in providing long term care.

Describe at least three major trends that have occurred within the hospital sector.

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

Describe at least three major trends that have occurred within the hospital sector.

Describe the models associated with, Edward C. Tolman(cognitive) and Robert C. Bolles (neurophysiological and evolutionary) in which you analyze the cognitive, neurophysiological, and evolutionary theories

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

Describe the models associated with, Edward C. Tolman(cognitive) and Robert C. Bolles (neurophysiological and evolutionary) in which you analyze the cognitive, neurophysiological, and evolutionary theories

Comparative methods of appraising the performance of a nurse would include?

Is this your question too? Our experts can help you prepare an answer and you can learn from the assignment. You can email your assignment to assignment@tutehelp.com or Click Here to Instantly Upload Assignment Online or visit our Service Page to know more about us.

Comparative methods of appraising the performance of a nurse would include? a. recording poor, average, and good behavioral incidents. b. comparing the nurses performance to that of every other nurse in the department. c. recording the number of times the nurse was observed performing key work behaviors. d. obtaining performance appraisals from patients, doctors, and other nurses.