development‚ which can be expressed through the Middle Range theory. Grand theory and Middle Range theory assist in understanding of human interactions. Middle Range theory are more operational when compare to the conceptualization of the Grand theory (McEwen‚ 2014b). Middle Range theory is built upon Grand theory‚ it describes‚ explain or predicts phenomena. Middle Range theory are less abstract and more operational‚ it is more applicable in nursing practice. It is to guide nursing interventions and enhance
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Another physiological process that sleep deprivation can affect is the plasticity of the hippocampus. When applied in stressful environments‚ the amount of glucocorticoid production increases (McEwen‚ 1999). This increase in stress hormones correlates to the atrophy or the shrinkage of the hippocampal region. While this correlation is strongly related‚ other factors do in fact play a part in hippocampal atrophy. For example‚ the amount of dentate gyrus neurons in the brain could also have an effect
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outcomes and are consistent with current professional knowledge”. The Institute of Medicine’s 2001 article‚ To Err Is Human released the statement that medical errors were responsible for between 44‚000 and 98‚000 deaths annually in the United States (McEwen and Willis‚ 2014). An immediate demand for accountability and quality in the health care system requested and many quality improvement/management initiatives were undertaken that directly impacted the discipline of nursing. A recent announcement
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The situation that I acted as leader and change agent is when I worked in a med/surg floor‚ we used to have the endorsement to be given in group. The unit educator would supervised the endorsement and write notes. At that time I have to come half-hour earlier to catch the meeting and I really like the way that this unit work because having more than one nurse to write notes and any changes occurred at the prior shift will minimize the risk of misunderstanding or miscommunication. Other units do not
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brought modern and rejuvenated nursing practice that we are experiencing today. “According to Avant and Walker‚ concept analysis is the approach to clarify the meanings of terms and to define terms so that writers and readers share a common language”‚ (McEwen & Wills‚ p.58‚ 2014). On the other hand‚
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; Roy‚ C. (1991). The Adaptation Model. Norwalk: Appleton & Lange Chitty‚ K.K.‚ & Black‚ B.P Clayton State University [CSU]‚ (2015). Application of Roy’s adaptation model (RAM). Retrieved from http://www.clayton.edu/health/Nursing/Nursing- Theory McEwen‚ M.‚ and Wills‚ E Lippincott Williams and Wilkins Nursing Theory (2013) Senesac‚ P. (2013). Implementing the Roy Adaptation Model: From theory to practice. Retrieved from http://www.bc.edu/schools/son/faculty/featured/theorist/Roy_Adaptation_ Model/Practice
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Prostate Cancer in African American Men Prostate Cancer is the gland below a man ’s bladder that produces fluid for semen. Prostate cancer is common among older men. Prostate cancer is a silent killer‚ and because it grows slowly‚ many men have no idea it ’s there It is rare in men younger than forty. Risk factors for developing prostate cancer include being over sixty five years of age‚ family history‚ being African American‚ and some genetic changes. There is an estimated of 241‚740
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(6th Ed.). St. Louis: Mosby. Kendig‚ H.‚ & Brooke‚ L. (2004). Understanding community nursing for older individuals and carers. In Nay‚ R.‚ & Garratt‚ S. (Eds.). Nursing Older People: Issues and Innovations. (6th Ed.). Sydney: Churchill-Livingstone. McEwen‚ M. (2002). Community-Based Nursing An Introduction. (2nd Ed.). Sydney: SAUNDERS Elsevier Science. Ronch‚ J. A.‚ & Goldfield‚ J. L. (2003). Mental Wellness in Aging – Strengths-Based Approaches. USA: Health Professionals press. Williams‚ R. W.‚ &
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experience‚ clinical knowledge and practical knowledge. (McEwen &Wills 2014).She also identifies seven domains of nursing practice: Helping role‚ Teaching or coaching function‚ Diagnostic client monitoring function‚ Effective management of rapidly changing situations‚ Administering and monitoring therapeutic interventions and regimes‚ Monitoring and ensuring quality of health care practice‚ Organizational and work role competencies (McEwen &Wills 2014).In my present role as unit educator‚ I have
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Nurses use theory to help guide them in their nursing practice. Paradigms are the way we look at knowledge in a discipline such as nursing (McEwen & Wills‚ 2014). They take into account different values. Grand nursing theories utilize three paradigms: human needs‚ interactive and unitary process. These paradigms take into account the nature of human beings and how they do‚ or do not‚ interact with their environment and health care providers. The human needs paradigm evaluates basic human needs
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