Clinical Practice Essays


Should Clinicians Use Evidence Based Practice

clinical outcomes cannot be underestimated because of the significance of research evidence in clinical practice. Therefore, clinical must ensure that their use of this approach when working with clients is based on evidence and practice as well as understand that it does not address all questions in clinical practice though it helps lessen errors. References Lilienfeld, S. (2014, January 27). Evidence-Based Practice: The Misunderstandings Continue. Retrieved August 7, 2016, from https://www.psychologytoday.com/blog/the-skeptical-psychologist/201401/evidence-based-practice-the-misunderstandings-continue Mullen, E.J. & Streiner, D.L. (2004).The Evidence For and Against Evidence-Based Practice. Brief Treatment and Crisis Intervention, 4(2), 111-121. Rosenberg, J. & Rosenberg, S.J. (2013). Community mental health:… Continue Reading...

Systematic Review

Alyousefi, N., Tashkandi, M. & Straus, S. E. (2013). A Systematic Review of Recent clinical practice Guidelines on the Diagnosis, Assessment and Management of Hypertension. PLoS One, 8(1), e53744. doi: 10.1371/journal.pone.0053744. Retrieved 6 September 2016 fromhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3547930/#pone.0053744.s002 Cochrane.org. (2005). Unit One: Background to Systematic Reviews. Retrieved 6 September 2016 fromhttps://ph.cochrane.org/sites/ph.cochrane.org/files/uploads/Unit_One.pdf Harris, J. D., Quatman, C. E., Manring, M. M., Siston, R. A. &Flanigan, D. C. (2014). How to Write a Systematic Review. American Journal of Sports Medicine, 42(11), 2761-8. doi: 10.1177/0363546513497567.Retrieved 6 September 2016 from http://www.ncbi.nlm.nih.gov/pubmed/23925575 Paperity team. (2016). A Systematic Review of Recent clinical practice Guidelines on the Diagnosis,… Continue Reading...

Myelodysplastic Syndrome

Santini, V., & Buske, C. (2014). Myelodysplastic syndromes: ESMO clinical practice Guidelines for diagnosis, treatment and follow-up. Annals of Oncology, Vol 25, Issue 3, iii57-iii69. Retrieved from Oxford Journals: http://annonc.oxfordjournals.org/content/25/suppl_3/iii57.full Germing, U., Kobbe, G., Haas, R., & Gattermann, R. (2013).. Deutsches Arzteblatt International, Vol 110, Issue 46, 783 -- 790. Retrieved from National Center for Biotechnology Information, U.S. National Library of Medicine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3855821/ Leukemia and Lymphoma Society. (2016). Myelodysplastic syndromes (MDS). Retrieved November 11, 2016, from Leukemia and Lymphoma Society: https://www.lls.org/disease-information/myelodysplastic-syndromes MDS Foundation. (2014-2017). Understanding Myelodysplastic Syndromes (MDS). Retrieved November 11, 2016, from MDS Foundation: http://www.mds-foundation.org/what-is-mds/ Continue Reading...

Relationship Between Np Student and Preceptor

this relationship is for the NP student to develop leadership, examination, coaching, and discussion skills as a foundation for clinical practice. Moreover, the professional relationship encompasses the process through which information, concepts, principles, and research are incorporated with practice so as to provide professional nursing care (Upstate Medical University, 2016). Communication and collaboration is another key element between the relationship between the NP student and the preceptor. Taking into consideration that the prevailing healthcare system is intricate, there is a progressive significance of collaboration and communication amongst healthcare professionals. For starters, collaboration is a significant and beneficial component required… Continue Reading...

Assessment Process

that stays unfinished (Robert, 2016). Complicated Grief Therapy (CGT) CGT can be used in clinical practice flexibly. It, however, has 16 sessions each of which lasts 45 to 60 minutes. Each session includes a section for a review of the previous week, work in session and assignments for the forthcoming week. Here are the details: Session 1 The first session is meant for orientation to CG and the ensuing treatments. The main objective of session 1 is to unveil information regarding one's early relationships with family, the diseased, other possible losses and the narrative of the death and current relationships. The… Continue Reading...

Main Themes in the Film Yentl

to modify extant Jewish values. Nursing Implications How will your added insights influenced your care in clinical practice? Give specific examples? One can undoubtedly witness stark differences in IHD's (ischemic heart disease's) incidence, prevalence, and burden among females as compared to males. A uniquely female IHD trend is surfacing, while some experts suggest the Yentl syndrome remains alive and kicking even fifteen years following initial observations. Literature explains that when a woman can effectively look like a man (and exhibit male-like-pattern obstructive coronary artery disease (CAD)), they will more likely be diagnosed as well as treated for their ailments just like… Continue Reading...

Asian Bioethics and Towards Reconciliation

East Asia being Confucian ethics. Bioethics has yet to be integrated with clinical practice in China in a formal. This does not mean that medical ethics in China do not exist. In fact, medical ethics have a long tradition in China but mainly with regards to outlining the physician-patient relationship. However, the traditional study of ethics and the practices of medical science do not frequently collide and bioethics has yet to develop as a fully fledged academic or pragmatic endeavor. Within the last ten years, the life sciences in China have been responding to the need to infuse ethics into… Continue Reading...

Saint Leo University Master Social Work Program

work program will help me further master social work, especially clinical practice. It will help me improve my strategic thinking skills and so better my ability to solve problems at the strategic level. I am looking to the program to guide me on learning the best ways to solve problems in the field of social work and clinical practice. I expect to find a lot of value in the course since it is practical. I will also look to deeply comprehend the foundational concepts of social science. Also, I am looking to improve my learning abilities and ability to… Continue Reading...

Use Of Chlorhexidine to Prevent Healthcare Associated Infections

In the U.S healthcare environment, the clinical practice guidelines are the effective healthcare protocol to enhance patient’s safety as well as achieving evidence-based practice. The clinical guidelines provide recommendations to the best available practice to assist clinicians and other healthcare professionals to deliver best and quality care. More importantly, the clinical practice guidelines are designed to optimize patients’ care using the systematic assessment and evidence based review to assess pros and cons of the alternative care options. The guidelines serve as the strongest resources to assist the healthcare professionals to make clinical decisions as… Continue Reading...

Proposal Review

the issues addresses. However, the structure and purpose of E1 doesn't directly contribute to clinical practice, but provides information that could be the basis for a study beneficial for clinical practice. On the other hand, the successful completion of G1 study would be beneficial to and contribute positively to clinical practice, specifically, in the management of persons with Parkinson disease. Proposed Study For both proposals, the study participants have been clearly established, the intervention methods clearly identified and the application procedure well illustrated. The various measurements to be undertaken as to determine effects of the intervention have been well… Continue Reading...

Change Framework to Lateral Violence in Nursing Practice

Introduction Lateral violence includes all acts of intimidation, humiliation bullying, unwarranted criticism and angry outbursts among other forms from a worker directed to another working (Clarke, 2014). In my current practice, most experienced nurses often feel superior to their inexperienced junior nurses. Therefore, they treat them with contempt as they feel they are more knowledgeable than them. For instance, one nurse may respond with an outburst on anyone enquiring of something that a colleague may have already have explained or considered it a too obvious. In some instances, one nurse may be disrespectful to others and refuse to engage another… Continue Reading...

Human Theory Of Caring

time. When it comes to unique contribution, the theory of human caring is a means of uniquely contributing to my clinical practice. How is this? It can be found in Watson’s model and how she makes seven assumptions: 1. Caring can be successfully shown as well as practiced only interpersonally. 2. Caring is comprised of carative aspects resulting in satisfaction of particular human needs. 3. Successful caring allows for the promotion of health plus individual or family growth. 4. Caring responses accept patients as they are now and what they may become. 5. A caring environment is one that provides… Continue Reading...

The Origins and Types Of Behavioral Therapy

therapy is “the most popular model of psychotherapy used in contemporary clinical practice,” (p. 17). The literature on cognitive-behavioral therapy shows that it can be effective for multiple types of clinical disorders from addictions and mood disorders to psychotic disorders like schizophrenia (Butler, Chapman, Forman & Beck, 2006). All types of behavior therapies use the underlying principles of basic behaviorism, including positive and negative reinforcement. The first stage in any behavioral therapy is self-monitoring and self-awareness (Herkov, 2016). When the client is a young child, such as a child with ADHD, the parents can help the child develop the… Continue Reading...

The Link Between Mental Health and Trauma Informed Care

can result in better patient outcomes as well as more effective and fulfilling clinical practice. This essay discusses how trauma-informed care informs the provision of mental health care in Australia at a policy level and for consumers. Also, the essay highlights how this approach will influence the author’s mental health nursing practice. Before progressive further, it is important to have a comprehensive understanding of what trauma-informed care entails. Trauma-informed care involves recognising the existence of traumatic experiences in mental health patients, the significant effect of trauma on those patients, as well as their care experiences (Isobel & Edwards 2017).… Continue Reading...

Confidentiality Breaches & Informed Consent when Testing New Drugs

Confidentiality Breaches in clinical practice The confidentiality and privacy of patients are considered as one of the fundamental freedoms that they should enjoy and are safeguarded under Health Insurance Portability and Accountability Act of 1996 (HIPPA). It is also a precept of the American Medical Association’s Code of Ethics and the Hippocratic Oath. The breach of confidentiality is unethical and illegal. Medical professionals are under the obligation of protecting the patient’s confidentiality. Confidentiality and privacy prohibit medical providers from unlawful disclosure of the patient’s information. Some of the inappropriate disclosures… Continue Reading...

Dreams the Unconscious Mind and Defense Mechanisms

psychoanalysis. In this article, Hebbrecht (2013) presents several case studies from clinical practice to illustrate some of the ways dream recollection can be stimulated during therapy, and how dreams can be used to unlock the unconscious mind. Each case study is analyzed and presented differently, one to demonstrate the manifestation of countertransference in therapy, another to reveal the mechanisms used in systematic dream analysis, and a third to show therapists how to reflect and process changes in the client’s dream content. The visual language of dreams may have metaphysical meanings, but psychoanalytic theory is less interested in the meta-narrative… Continue Reading...

Suicide Among Psychiatric Patients

understand how to recognize risk factors, and establish a clinical practice environment that prevents suicide. Minimizing suicidal tendencies requires different types of treatment interventions individually tailored for at-risk patients, as well as implementing best practices for creating a clinical environment that reduces risk. Best practices may also include preparing, teaching, and training nursing staff, especially when working with at risk populations. Both psychiatric patients and psychiatric nursing staff can be considered target populations for an intervention designed to prevent suicide in the clinical setting. Preliminary research questions using the PICO (patient/population, intervention/issue, comparison, and outcome) model include the following:… Continue Reading...

The U.s Economy and Health Care

2012). Thus, contemporary surgical units measure individual surgeons’ costs and results. Consequently, clinical practice heads engage in more informed and constructive dialogue on ideal treatment and care process standardization for decreasing variability expenses and limiting employment of costly materials and procedures which fail to produce demonstrably better results. A comparison of procedures across nations in case of identical ailments shows key improvement opportunities. Swedish and German hospitals require 8500 dollars for complete joint replacement (this covers all technical and clinical services, minus outpatient rehab). For America, the comparable cost is no less than thirty thousand dollars! (Kaplan & Porter,… Continue Reading...

Nursing Mindfulness and Its Impact

psychiatric nurses to comprehend how to pinpoint such risk factors and institute a clinical practice setting that dissuades suicide. More importantly, nursing practice encompasses the execution of best practices for generating a clinical setting that diminishes risk such as mindfulness meditation. Summary of Literature Review The mindfulness meditation theory is deemed to the most prospective one in treating addictive disorder patients. The safety of these models is guaranteed if carried out in the framework of clinical studies. In recent periods, associated interventions together with practices in the role of corresponding clinical aid for the treatment of several mental and… Continue Reading...

Meaningful Usage Of Health Information Technology Hit

effect intra- and inter- state information flow. Incorporation of HIT into clinical practice has led to meaningful improvements when achieved thoughtfully for instance, $27 billion gained from the fulfilling CMS incentive scheme conditions. HIT provides professionals with necessary information that facilitates the delivery of more coordinated and improved care, creating the ideal opportunity to eventually bend the healthcare sector’s cost curve for instance, outpatient departments that use EHR have a new of $142 million in savings. Introduction How can one define health information technology’s (HIT’s) “meaningful use”?What is the reason underlying its significance for healthcare providers as well as… Continue Reading...

The Role Of Senior Manager in Eldercare

Introduction: The Role of Senior Manager in Eldercare Eldercare organizations can exhibit various organizational structures depending on their role in the community, their size, mission and vision, and strategic objectives. Most eldercare institutions will, like other healthcare organizations, have hierarchical organizational structures with senior or executive leadership at their zenith. The purpose of this case assignment is to show that senior managers in healthcare organizations will encompass a wide range of specific skills and competencies, including those related to coordination, strategic planning, capital budgeting and cost accounting, marketing, advocacy, and interfacing with policymakers, community allies, and stakeholders. The role of… Continue Reading...

Healthcare Management for Eldercare Advocacy Organization

Using IT, it will be possible to track the patient in real time as a standard of clinical practice. What this means is that hospital stay will be minimized, because patients can be monitored at home and interventions carried out away from the hospital (CGI GROPU, 2014, p5) The delivery of healthcare services is fast moving into the home and it involves a number of people, devices and technologies. It cuts across different residential environments. Spearheading this shift are a number of factors such as; the ever-increasing cost of healthcare, increasing elderly population size, prevailing rates of chronic conditions,… Continue Reading...

Healthcare Advocacy Team & Technology

the backend and the front end of this implementing team. They should be active in clinical practice. Second is the project manager who connects the EHR supplier with the implementing team, they keep track of the milestones, tracking the progress and addressing the day to day issues that may come up. Lastly is the lead super user who customizes the EHR software to the organizational needs and creates workflows and standard operating procedures (SOPs) to deal with issues raised by front-line users (Hodgkins, n.d) Setting goals and empowering the team According to WHO, goals are broad statements that describe… Continue Reading...

Rounding by Nurses in the Progressive Care Unit

during their hospital stay (T)? PICOT questions are useful for addressing clinical practice issues as they represent an effective way to conduct an evidence-based clinical inquiry. The PICOT acronym helps the researcher to organize the focus of the clinical inquiry (Melynk & Fineout-Overholt, 2015). The P stands for population of interest, the I for intervention or issue of interest, the C is for the comparison of interest, the O is the outcome expected and T is for the time for the intervention to achieve the outcome. For the PICOT format not, all components are necessarily based on the presented clinical… Continue Reading...

Indwelling Urinary Catheter Care

of treatment and prevention strategies for further improvement. Peter (2018) evaluates the effectiveness of clinical practice guidelines on maintenance of indwelling catheters among an experimental and control group using a pre and posttest using evaluative approach was measured in this study. The objective of the research was to assess the insertion practice of the indwelling urinary catheter and asses the maintenance practice of the indwelling catheter. This was a quasi experimental non- equivalent control group pre test and post test design used over a period of one year. Demographic data were collected from nurses and patients. The present study showed… Continue Reading...

Social Network Map

a social network map is important for professionals in clinical practice because clinical practitioners are increasingly realizing the significance of informal social support in their practice (Tracy & Whittaker, 1990). In essence, analysis of social support resources is necessary in identifying routine practices and assessment that are clinically beneficial. Consequently, several social network mapping techniques have been developed to help an individual assess his/her social and environmental resources (Tracy & Abell, 1994). Social network maps gather information regarding an individual’s social network in terms of size and composition, relationships, and frequency of contacts with others. This paper provides my… Continue Reading...

Using Evidence Based Practice to Resolve a Nursing Issue

determine the best evidence that can be used or implemented in clinical practice. Research and EBP go hand in hand in that while one will generate new knowledge, the other will make practical use of the knowledge and make use of the knowledge by implementing it into clinical practice. EBP is supported by research since any new clinical practice has to be backed up by information and data that is discovered using research. Unlike research, EBP is not concerned with the development of new knowledge or the validation of existing knowledge. The main purpose of EBP is to make… Continue Reading...

Mobile Information Technology

and similar sources as a stumbling block towards the successful adaptation of the said information into clinical practice. Mobile information technology serves as a more uniform and organized information conduit. The CMD was also of the opinion that there are specific approaches healthcare institutions ought to adopt in an attempt to improve outcomes in the delivery of care by harnessing mobile information technology. Towards this end, the CMD advised that in addition to sorting out information to separate meaningful from the less-meaningful information (to avoid information overload), healthcare institution ought to find a way to convert the said info… Continue Reading...

Behaviorism Psychoanalysis and Hte Psychology

applying theory towards therapeutic interventions. Each of these movements can be applied towards clinical practice, in areas as diverse as education, organizational/industrial psychology, or on psychopathology. The primary application of psychology no matter what the theoretical orientation is to help people. The theories behind behaviorism have been instrumental in promoting evidence-based practice in psychology. Most psychologists, even those who are grounded more on another movement such as psychoanalysis or HTE, “would still agree that they are concerned to observe and understand the behavior of organisms,” (Staddon, 1973, p. 25). The inner mental life of beings is important from a… Continue Reading...

Self Management in Nursing

Ritter, P. L., Laurent, D., & Hobbs, M. (2001). Effect of a self- management program on patients with chronic disease. Effective clinical practice: ECP, 4(6), 256-262. Lubkin, I. & Larsen, P. (2013). Chronic illness: Impact and intervention. Jones & Bartlett Publishers. Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370. Northington, L. (2018). The novel project. Journal of Intensive and Critical Care Nursing, 1(1). Pavlov, I. P. (1927). Conditional reflexes: an investigation of the physiological activity of the cerebral cortex. Oxford, England: Oxford Univ. Press. Schilling, L. S., Dixon, J., K., Knafl, K. A., Lynn, M. R., Murphy, K., Dumser, S., &… Continue Reading...

Postpartum Depression and Gilman Yellow Wallpaper

field of inquiry when Gilman wrote her short story; there would have been no DSM to guide clinical practice and the social sciences remained governed by superstition and bias, evident in the way the husband infantilizes his wife by placing her in a nursery. Now, the narrator would have been offered a full screening including psychological assessments that would indicate whether the postpartum depression is correlated with other mental or physical health issues. Contextual variables like identity and self-concept would also need to be taken into account, and a full range of options available to the woman. Of course,… Continue Reading...

Role and Importance Of Bilingual Interpreters

of this project would be its contribution to change in clinical practice, which would in turn help improve the quality of care and health of elderly Hispanic diabetics. As previously indicated, this patient population experiences challenges when seeking for healthcare services for their condition due to language barriers. Language barriers emanate from the fact that most of these patients are only eloquent in their native language and not proficient in English. Consequently, elderly Hispanics are classified as Limited English Proficient (LEP) patients because they are only eloquent in their native language. The language barrier problems in turn compromise patient-provider… Continue Reading...

How Statistical Data Influences Evidence-based Practice

questions by using an evaluative and qualitative approach. EBP is a problem-solving approach to clinical practice and involves the search for and critically appraising the most relevant evidence, one\\'s clinical experience and the preferences of the patient (Fortunato, Grainger, & Abou-El-Enein, 2018). The process involved in EBP allows the practitioner to assess research, clinical guidelines, and other information resources that are based on high-quality findings and apply the results obtained to improve their practice. Since EBP heavily relies on research and searching for available evidence to support a hypothetical question in order to solve a current problem, it is… Continue Reading...

Education and Leadership in Perioperative Nursing

to how nursing leaders in practice and academia work together and with the rest of the leaders in clinical practice and higher education. Such a shift is the only way to realize the full benefits of academic nursing, especially in this age where collaborations are mandatory for success. (Sebastian et al., 2018) Freshly graduated nurses are most times not skillful enough to get into leadership. After graduation, and while in the workforce, these nurses need some time for self-discovery, where they analyze themselves critically to know what their strengths are, what their weaknesses are, their fears, their threats, and… Continue Reading...

Cost Effectiveness Analysis for Evidence Based Project

on how the proposed intervention is likely to work in daily clinical practice. As shown in the cost-benefit analysis in Appendix A, the development and implementation of this evidence-based project would incur some costs. Some of these costs relate to provider survey deployment and analysis, data collection, data analysis, collaboration with healthcare providers and patients, and printing. Additional costs include staffing, equipment, and training costs on the implementation of the proposed intervention. These costs would include both direct and indirect costs incurred by the researcher in development and implementation of the project in the selected healthcare facility. The measurable… Continue Reading...

Healthcare System and Practice Guideline

require change or upgrading. This is facilitated through the establishment and advancement of clinical practice guidelines. The selected healthcare system practice guideline is Management of Diabetes Mellitus in Primary Care (2017). This particular guideline delineates the important decision points in the Management of Diabetes Mellitus (DM) and provides well-outlines and wide-ranging evidence based recommendations assimilating prevailing information and practices for practitioners throughout Department of Defense (DoD) and Veretan Affairs (VA) Health Care Systems. Diabetes mellitus is an illness that is caused either by an absolute or relative deficiency in insulin giving rise to hyperglycemia. Type 1 DM (T1DM) is… Continue Reading...

Plan for Professional and Personal Growth

certification at the beginning of 2021 and plan for my next promotion in clinical practice by February 2021. The other major step in my career growth will be in June 2021 when I will start consulting practice in nurse practitioner role. I will also engage in mission trips i.e. healthcare missions to Africa and South America to help enhance my practice as well as participate in any emerging continuing education programs and annual professional conferences. I will enroll for a second doctorate degree in August 2020 to specialize in the role of a Family Nurse Practitioner. My vision is… Continue Reading...

Factors for Keeping Employees

sociological phenomena. However, when it is deployed for healthcare and nursing use cases, it pinpoints ways to alter clinical practice as a means of positively affecting patient care. Three Conceptual or Theoretical or Methodological Issues: These issues are predicated on the dearth of research about the phenomenon explored within this paper. There are too few research studies focused on Hispanics (as opposed to other historic minority groups), CHF (as opposed to other forms of heart disease, and CHF instead of other types of heart failure. Summary: There are multiple socio-economic issues contributing to this phenomenon, which can be ameliorated… Continue Reading...

Intervening to Prevent Diabetes

& Sons, Incorporated ProQuest Ebook Central, http://ebookcentral.proquest.com/lib/touromain-ebooks/detail.action?docID=484874 Leach, M. J. (2006). Evidence?based practice: A framework for clinical practice and research design. International Journal of Nursing Practice, 12(5), 248-251. Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international, 15(3), 259-267. Rubin, A. (2011). Teaching EBP in social work: Retrospective and prospective. Journal of Social Work, 11(1), 64-79. Schillinger, D., Grumbach, K., Piette, J., Wang, F., Osmond, D., Daher, C., ... & Bindman, A. B. (2002). Association of health literacy with diabetes outcomes. Jama, 288(4), 475-482. Continue Reading...

Patient Care and the Affordable Care Act

a syringe while undertaking an injection in an intramuscular region instead choosing aspirating intramuscularly. During subsequent training on clinical practice and subsequent personal reviews it was highlighted that following medical practice reviews relating to intramuscular injections aspirating intramuscularly is no a standard practice anymore. From evidence based practice reviews there is no evidence to support the practice as a conventional medical practice and evidence indicate that aspirating intramuscularly can result to cause trauma among some patients. From this past experience, subsequent reviews and evaluation using Evidence-Based Practice, it is asserted the use of EBP in nursing practice is important.… Continue Reading...

Health and Poor Populations

J. E. (2014). Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes research and clinical practice, 103(2), 137-149. Institute for Research on Poverty. (2013). Poor and in poor health. Retrieved from https://www.irp.wisc.edu/wp/wp-content/uploads/2018/05/PoorInPoorHealth.pdf Osborn, R., Squires, D., Doty, M. M., Sarnak, D. O., & Schneider, E. C. (2016). In new survey of eleven countries, US adults still struggle with access to and affordability of health care. Health Affairs, 35(12), 2327-2336. Continue Reading...

Nursing Shortage Essay

broad and diverse field, encompassing a wide range of specializations within clinical practice. In addition to clinical practice, nurses can work in education to teach the future generation of nursing professionals. A nursing shortage may refer to any specific situation in which there are fewer nurses than are required to meet current or projected patient demands. Nursing shortages generally occur in specific geographic regions. Areas that are especially vulnerable to nursing shortages include those in which the patient population is growing while the nursing staff is shrinking. Currently, nursing shortages have become chronic issues around the world but do… Continue Reading...

Nursing Theory Research and Practice

the diagram. Nursing theories have been developed as a way of trying to explain the fundamental importance of clinical practice (INSCOL, 2014). Even though these theories are used to guide practice, it is true to claim that most of them have not been put to the test as a way of determining whether the proposed nursing actions produce the claimed effects. If nursing asserts itself as the professional practice it is a professional practice environment must be supported and practiced. In order to enhance the outcome of patients and nursing staff then the professional nursing practice must be supported (INSCOL,… Continue Reading...

Medicare Access Reauthorization Act or Macra

which will also be inclusive of a new classification of performance measures known as “ clinical practice Improvement Activities” (CPIA). The compound score of MIPS will be determined by the performance of the physician in the four areas. This score is the one to determine the payments adjustments annually. The law dictates that CPIA which is defined more in rule-making, will be the one to measure things like patient safety, care coordination, access, patient management, and population health management. It is interesting that ‘certified’ PCMHs will obtain all the points for the classification of CPIA. Although the term PCMH (patient-centered… Continue Reading...

Obstructive Sleep Apnea

Apnea. Journal of Thoracic Disease, 7(5), 920-929. Silber, M.H., Krahn, L.E. & Morgenthaler, T.I. (2016). Sleep Medicine in clinical practice (2nd ed.). New York, NY: CRC Press.   Continue Reading...

Minor Child Sexual Assault

& Biswas, P. (2006). Behavioral and psychological assessment of child sexual abuse in clinical practice. International journal of behavioral consultation and therapy, 2(1), 17. Rutter, M. (2007). Resilience, competence, and coping. Child Abuse and Neglect 31(3), 205-209. Zastrow, C.H. (2003). The Practice of Social Work: Applications of Generalist and Advanced Content. Brooks/Cole-Thomson Learning, California.   Continue Reading...

Christianity and Psychology Personal Theory

profession of psychology: Perhaps the boldest model yet. In Edward P. Shafranske (Ed.), Religion and the clinical practice of psychology (pp. 297-326). Washington, DC: American Psychological Association. Meadors, K. (2009). Counseling theories and techniques. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.468.5996&rep=rep1&type=pdf McCarron, J. M. (2004). An integration of Biblical principles in counseling: Psychology filtered through scripture. (Master’s Dissertation, Liberty University). Retrieved from https://digitalcommons.liberty.edu/cgi/viewcontent.cgi?article=1158&context=honors Nielsen, S. L., Szentagotai-Tatar, A., Gavita, O. A., & Lupu, V. (2013). Self-acceptance and Christian theology. The Strength of Self-Acceptance: Theory, Practice and Research, 39-64. DOI: 10.1007/978-1-4614-6806-6_3 Roberts, R. C. (1997). Parameters of a Christian psychology. In R. C. Roberts,… Continue Reading...