Script Writing Between Patients And Nurse Essay Paper

Script Writing Between Patients And Nurse Essay Paper

Have you been to the hospital before? Did the nurses treat you good? Well, if you answered yes to the questions then you will love this paper. I will be writing about nursing roles. Specifically I will write about caregivers and teachers in nursing. I will describe how the nursing roles reflecting in the video, I will discuss differences and similarities, and list characteristic of professional nursing behavior. I hope you like my paper.
All nurses are caregivers that are their job to care for those who are sick or unwell. An example of a caregiver is a nurse. Florence Nightingale was caregiver she helped the soldiers with wounds. Nightingale cared so much that she made sure that the sheets that the soldiers slept on were clean. She cut the death rate of the soldiers down by 23 that’s 66%. Nightingale made sure that the soldiers had fresh air and water for the soldiers and good healthy food to eat. The nurses in the Patient Perspective 1 were also caregivers. The nurses saved their patients lives. In the video one of the patients was a little girl and she was feeling scared and the nurse comforted her and she eventually started walking again. There are some nurses that are teachers, they teach other nurses and their patients too. Florence Nightingale is a good teacher she leads by example and she’s also a pioneer. Back in Nightingale’s time nursing was not a common occupation but in our time it is very common. If it were not for Nightingale maybe still today nursing still would not be a common occupation. In Patient Perspective 1 the nurses were very good teachers. A teacher is many things a teacher can be an educator, a tutor, an instructor, and a master. They taught the patient what was going on what was going to happen Script Writing Between Patients And Nurse Essay Paper

 

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nursing influences such as Dretske, Murray, and Lipsey. Kolcaba (2003) also referenced governing bodies such as the American Nurses Association, International Council of Nurses, and the Health Resources and Services Administration. Kolcaba’s literature review for the concept analysis included several disciplines; nursing, medicine, psychology, psychiatry, ergonomics, and English (Kolcaba & Kolcaba, 1991). In 1992, Kolcaba completed another extensive literature review to incorporate holism into comfort theory. According to Research Gate (2015) Kolcaba’s research has been cited 547 times.
Comfort theory has been adopted by many in the health care field. Southern New Hampshire Medical Center adopted comfort theory when they successfully sought Magnet Recognition Status. Components of comfort theory have been incorporated in the National Intervention Classification, the national Outcomes Classification, and the North American Nursing Diagnosis Association. The American Society of Peri-Anesthesia Nurses composed Comfort Management, a model initiated by nurses based on the comfort theory. The Comfort Questionnaire has been certified by the Agency for Healthcare Research and Quality since 2003. The Comfort Questionnaire has been translated into Spanish, Portuguese, Italian, Turkish, and Farsi and Comfort Theory and Practice: A Vision for Holistic Health Care and Research has been translated into Japanese, attesting to the theory’s international appeal and utility.
Assumptions
The four assumptions in comfort theory are: The need for comfort is basic; persons experience comfort holistically; self comforting measures can be healthy or unhealthy; and when achieved in healthy ways, enhanced comfort leads to greater productivity Script Writing Between Patients And Nurse Essay Paper

Telenursing is defined as the delivery, management, and coordination of care and services provided via telecommunications technology within the domain of nursing (American Association of Ambulatory Care Nursing, 2004). The terms “telehealth nursing,” and “telenursing,” are used interchangeably. To illustrate telehealth nursing the terms “home telehealth nursing” and “telehomecare nursing” are expressions having the same meaning. Both of these terms describe using technology and advancements in health care in the home care setting, in order to deliver nursing care remotely by a qualified health care provider.Script Writing Between Patients And Nurse Essay Paper

Telenursing dates back to the 1970s when hospital caregivers reached out to offsite experts for consultation. Due to a lack of technology this type of consultation was done primarily by phone. Nurses were responsible for gathering medical information over the phone without seeing their patients. This made a true assessment nearly impossible and symptoms were often missed.Nursing theory guides nurses and gives them a framework that supports independence and autonomy in nursing. Prior to the advent of nursing theory, nurses were considered to be assistants to the physician. Nursing theory guides nurses to follow their own professional parameters not just those of medicine. Theories define and clarify nursing and the purpose of nursing practice to distinguish it from other caring professions by setting professional boundaries (McEwen & Wills, 2011).
Importance of nursing theory
The nursing profession bases itself on the numerous theories that guide the practice of nursing. Theory is argued to be important in the establishment of the unique body of knowledge essential for nursing to be recognized as a profession and as a means of improving patient care (Kenny, 2002). These sets of concepts make assumptions about behavior, health problems, patient population and environment that are logical and consistent with every day observations and supported by past research in the same or related areas (“Application of Theory in Nursing Process”, 2011).
This author works in a facility that embraces the Jean Watson theory of caring. There is a Caritas committee that is overseeing the creation of Caritas rooms on all units where possible. The theory of nurses taking care of themselves as well as the care of their patients is highly regarded in the facility.
In this paper another important theory will be examined, which is the theory of comfort. The reason this theory was selected is that this author works in the highly competitive field of same day surgery. Area Surgi centers are the competition. Script Writing Between Patients And Nurse Essay Paper

Nurses who engaged in telenursing practice today assess, plan, intervene, and evaluate the outcomes of nursing care. They do this using technologies such as the Internet, computers, telephones, digital assessment tools, and telemonitoring equipment. Todays nurses can examination their patients complete electronic medical history while talking to and viewing their patients by way of a monitor. This system allows for fewer errors and missed symptoms and a better outcome for the patient.Define a critical thinking task that your staff does frequently (Examples: treat high blood sugar, address low blood pressure, pain management, treating fever etc.). Create a concept map or flow chart of the critical thinking process nurses should take to determining the correct intervention. Include how much autonomy a nurse should have to apply personal wisdom to the process. If the critical thinking process was automated list two instances where a nurse may use “wisdom” to override the automated outcome suggested. Note the risks and benefits of using clinical decision making systems.
A critical thinking task that staff on our unit are frequently challenged with is treating low blood glucose levels, which are considered to be a blood glucose level less than 80 mg/dl. The flow chart that follows is what our diabetic educators would like to see being done by nurses to address low blood glucose levels. Script Writing Between Patients And Nurse Essay Paper

Nursing theory can be applied to resolve nursing problems or issues, irrespective of the field of practice. A nursing theory benefits nurses and the patients that are in his or her charge. . Depending on the issue or problem that is needed to be solved determines what theory needs to be used. Nursing theory started with Florence Nightingale. She believed that a clean environment would promote better health. Virginia Henderson’s need theory emphasizes the need to ensure that the patient’s independence is being increased while in a health care facility. Ensuring that a patient can increase his or her independence allows for them to experience better outcomes upon discharge home. This is just two examples of nursing theories that were used and are still being used today, in every area of the nursing practice.
Patricia Benner’s Novice to Expert Theory discusses how a nurse can increase his or her knowledge and skills without having to learn about theory. In her theory, nursing skills and experiences are what is required to become an expert. Each step a nurse takes to build up their skills to master the expert level is built upon the previous steps. The nurse needs to have a good foundation in order to move them closer to obtaining the expert level. Benner’s theory also showed that practicing nurses can and should form theory (Current Nursing, 2013). Benner’s theory has five levels: the novice, advanced beginner, competent, proficient and expert. The novice needs to be told what to do. Advanced beginner can recognize components that reoccur. A competent nurse is one that has had two-three years in the same type of situations. The proficient nurse starts to look at the whole picture and starts to critically think. Script Writing Between Patients And Nurse Essay Paper

Patients are responsible for their own health care at home once they leave a provider 's office or a hospital. Most patients often do not follow the prescribed treatment plan prescribed by their physician or provider.

Nursing is a profession that I have always been fascinated with. Nursing is defined as "health promotion, health maintenance, health restoration and providing care to the sick and dying" (Kozier and Erb). There are five values essential to nursing, which include altruism, autonomy, human dignity, integrity and social justice (AACN). Nursing is a profession in which the nurse uses caring as a central concept. Some other characteristics of the nursing profession include art, science, advocacy, and offering holistic care. Nurses use critical thinking in order to problem solve because every patient is unique. The nursing process when assessing a patient includes, data collection, analysis, planning, implementing, and evaluation. Nurses need to be able to deal with change in stressful, fast paced, hectic environments. The treatments and technology is constantly changing therefore nurses need to be able to make quick and important decisions. Script Writing Between Patients And Nurse Essay Paper

When people think of a nurse they normally come to the conclusion that most nurses are women. I would have thought the same, due to the qualities I have mentioned. I would like to research why men are entering the nursing profession. I feel that a male would join the profession because of the hours a nurse works. Men who like to fish and hunt can work as a nurse three days a week full time and have four days to enjoy leisure activities. The nursing profession is drawing more men into the field and usually thought for the same reasons as women. By a series of an observation, a survey, an interview, and a personal history, I will prove that men join the nursing profession because of money.

A profession is more than just learning a set number of skills or acting in a particular way. Even though nurses do not have complete autonomy in decision-making and practice, Nursing should be considered a profession because it requires an extended education and has a theoretical body of knowledge. No one factor can delineate a job from a profession. To act professionally, means to administer care in a conscientious and knowledgeable way without impeding harm on others. The nursing profession remains committed to the care and nurturing of both healthy and ill people, individually, or in groups, or communities (Cherry & Jacob, 2008).Script Writing Between Patients And Nurse Essay Paper

Participating in team work is a significant part of a nurse’s daily schedule. Understanding the way a team functions is essential. After all this can lead to better utilization of a team within any organization and further enhance the outcome. Nursing could certainly benefit from a high performing team after all, “teams make fewer mistakes than do individuals” (Miller, Riley, & Davis, 2009, p. 248).Therefore, steps need to be in place to make sure the teams are functioning at high capacity. One way to monitor the team’s success is to employ a team assessment questionnaire. The team questionnaire provides insight into the areas of the team that are functioning and addresses areas that may need redesign. The questionnaire ultimately provides direction for the team by utilizing thought provoking questions. When utilizing the questionnaire to evaluate the benefits of a team huddle. The questionnaire pointed to a deficiency in the area of roles while most of the other areas such as activities, relationships and, environment scored well; there was still opportunity for improvement. The purpose of this paper to evaluate the outcome of the team based on findings from the teamwork questionnaire.
A team consists of two or more individuals who come together for a common purpose (Baker, Day, & Sales, 2006). A recent team initiative called a huddle was instituted at my facility on several pilots units. These initial huddles proved to be successful and were implemented on my unit three weeks ago as a directive by our senior management. The huddle is a brief nursing team meeting that takes place several times a day and lasts about five to ten minutes. The huddle time will vary thought out the day in order to include all nursing shifts and personnel.Script Writing Between Patients And Nurse Essay Paper

Nursing is a profession because it requires strong critical reasoning, clinical judgment, communication, and assessment skills. The professional nurse also requires the development and demonstration of an appropriate set of values and ethical framework for practice (The Essentials of, 2008). Nursing as a profession has a code of ethics for practice (Potter, & Perry, 2009). Code of Ethics requires nurses to treat colleagues, students, and patients with dignity and respect and states that any form of harassment, disrespect, or threatening action will not be tolerated (Clark, & Springer, 2010). In addition, the ANA established the Center for Ethics and Human Rights to discuss the complex and ethical human rights issues confronting nursing (Potter, & Perry, 2009). Nurses embrace their responsibility to regulate their own practice and take responsibility for their own competence (Sportsman, & Wieck, 2010). Nurses are clinically skilled with developed interpersonal skills; they are committed to advancing the professions (Sportsman, & Wieck, 2010). Nurses strive to see patients receive the best quality care possible. Script Writing Between Patients And Nurse Essay Paper

Many people only imagined of nurses working in a hospital so as to help the critically ill patients. This is however a wrong perception as nurses can work virtually in all setups. They have their duties cut out in almost all aspects of life that many of us can never imagine. It is true that nurses are critically important in the hospitals and that this is the place that they have most of their work in. They however are needed in other sectors and do not only have to work on helping the sick to get well, they can be involved with healthy people to help them to remain healthy. Nurses can work in schools, judiciary, insurance companies, prisons, homes and in corporations. Nurses are involved in all stages of the human life from before birth up to and after death. They help with the pregnant women in the prenatal clinics to make sure that the mother maintains good healthy habits. They offer help during birth and are also involved with the mother and the child during the post natal clinics. During the life time of the child and in adult age one will have several encounters with nurses for both curative and preventive help. Nurses also help people deal with loss after death.Script Writing Between Patients And Nurse Essay Paper

History Of A Nurse Career
Nursing career is an old one. It is believed to have started in the 1500 when for the first time there was a wet nurse. These are nurses that took care of babies that lost their others during birth or a short while after birth. The wet nurses were also hired by mothers who were busy and could not afford quality care to their children. Others hired mothers to breast feed their children. During the war, there were nurses that were taught on how to offer quality care to people that got wounded during the war. Since then, the nursing career has grown and nurses can now work on-their-own and decide the best care to give to their patients.Script Writing Between Patients And Nurse Essay Paper

A Good Nurse
A nurse is required to be compassionate. They are supposed to treat patients with love even though the patients may not be good in return. A good nurse should be qualified enough and able to work alone with minimum guidance. It is not advisable to go to a nurse that will always be looking up for help from other nurses. In many case, nurses have a lot of work and are thus required to do many things at the same time. A good nurse should therefore be able to multitask.

Nursing is a profession which ensures the promotion of health. The duty assigned to nurses is very sensitive in nature as they deal with people’s health. They advocate people about their diseases and other health issues. When it comes to writing of an essay or research paper on nursing then you have to be careful. In nurse essays, you are going to brief readers about the services of nurses and tasks assigned to nurses, how are they going to deal with illness of the patients, so you have to be very selective in choice of your words. It is a problem usually people face that how to get the plagiarism free nursing essay.Script Writing Between Patients And Nurse Essay Paper

Nursing is a type of profession which you can write a lot about. You need to write essays, research papers, term papers and other assignment papers for the better understanding of the subject and profession. Usually the writers or researches feel sick about writing an essay or research papers. They think instead of brain storming and spending too much time, we can get these essays handy by coping material for it. It is very unethical to copy someone’s content without his/her permission. Most of the people, these days interested in finding original essays written on nursing but they fail to find one. This article provides you with true piece of information related to the plagiarism free nursing content.

One of the factors that have led to rise in the cost of medical health care is poor management, which has led to elevated administrative costs. The induced high costs of operations in the health care services has led to increased costs of provision of medical services to patients, thus leading to rise in overall health care costs (Larson & Muller, 2003). Managed Health Care has negatively influenced this factor by introducing a series of follow up programs, which have in turn increased administrative costs. Although some of these programs have enhanced service delivery and management; they require extra operation expenses which contribute to increase in cost of medical service provision (Larson & Muller, 2003).  Script Writing Between Patients And Nurse Essay Paper

Another factor that has contributed to the rise in costs of medical health care is aging of the population. The aging population has increased demand for medical services, and this has led to increase in the cost of medical care. The Managed Health Care has positively influenced this factor through provision of cost sharing incentives for aging population. In cases where health care provision costs are too high, the Managed Health Care intervenes and intensively manages the situation by contracting with respective providers of the health care services (Larson & Muller, 2003).

Prescription drugs and growth in technology are also among the factors that have led to increased costs of medical care services. Inflation has led to high cost of acquiring prescriptive drugs, adopting current technology, and general increase in the cost of medical services (Larson & Muller, 2003). The intervention by Managed Health Care has enabled provision of economic incentives for the management to adopt affordable technological procedures/systems, and acquire effective but less costly medical prescriptions/drugs, and other forms of care. This step has positively impacted on the cost of health care services through reduction of medical bills (Larson & Muller, 2003). This is appositive influence that has led to reduction in the costs of health care services.  Script Writing Between Patients And Nurse Essay Paper

Rise in incidences of chronic diseases among the population has also led to an increase in medical costs. Chronic diseases require long periods of treatment, and this poses a high demand on health care services. Managed Health Care has provided financial incentives for patients suffering from chronic illnesses, and at the same time set up programs to enhance efficient use of health care facilities and medical practices. Some of these programs include controlled quality improvement, resource management strategies, and resource relevancy/utilization review. This is actually a positive influence to enhance reduction in costs of medical services (Larson & Muller, 2003).

he intention of this research is to conduct an investigation into the medical risks in adolescent pregnancies in Sub-Saharan Africa. Available literature shows that Sub-Saharan Africa experiences higher rates of medical complications and maternal deaths, resulting from adolescent pregnancies (Farber, 2009). Various studies that explore this challenge are united on the fact that cultural factors, poor access to prenatal medical services and peer pressure are the leading factors that contribute to the medical challenges and prenatal deaths of adolescents (East & Felice, 1996). Available statistics show that the age of marriage is relatively lower in Sub-Saharan Africa than in other parts of the world.Script Writing Between Patients And Nurse Essay Paper

This is mainly because of the fact that girls in Sub-Saharan Africa tend to be forced into marriages below the age of 18. Some of the factors that contribute to early pregnancies are that young girls come under heavy societal pressure to engage in sexual activities with relatively older men. Despite the inclusion of sex education into the schools’ curriculum, studies have found out that a significant percentage of young girls are still vulnerable to early pregnancies (East & Felice, 1996).

Lack of efficient systems to enforce community sensitization has been cited to be among the main reasons, which contribute to early pregnancies in schools. Statistics show that nearly 70,000 adolescents die of pregnancy related complications in the developing world. This study will focus on the medical risks that are associated with adolescent pregnancies every year. The study will also seek to expose the factors that are central to these risk factors with a goal of establishing the most suitable remedial actions that could be adopted. The study will also seek to expose weaknesses in the current approaches that have attempted to address the question of teenage pregnancies.Script Writing Between Patients And Nurse Essay Paper

Various studies that have explored the matter of adolescent pregnancies tend to focus on the medical and psychosocial perspectives of the problem. Other studies have tended to focus on the factors that contribute to adolescent pregnancies in Sub-Saharan Africa (Neinstein, 2007). Research of particular cases in the region has indicated that pregnant adolescents do not readily access prenatal care. One of the reasons behind this challenge is that the stigma, associated with adolescent pregnancy, makes it difficult for the girls to seek or receive support from their parents or elders (Arai, 2009). These girls do not have stable incomes and have to rely on dependants to cater for their medical needs during pregnancies.Script Writing Between Patients And Nurse Essay Paper

The high poverty index in Sub-Saharan region means that the dependants, on whom these girls rely, lack the means to take care of their prenatal medical needs (Cherry, 2001). Another reason that shields the girls from quality healthcare services during pregnancies is that the gender disparity in Sub-Saharan Africa makes it difficult for the girls to access medical care in their homes. Usually, girls do not access means of self-sustenance as boys do. Usually, the challenge lies in the fact that girls tend to seek support from elderly dependants, which makes them vulnerable to different systems of abuse within the domestic circles. At the age of 18 and below, most girls in Sub-Saharan Africa are still at low levels of education (Schneider, 2010). They lack the knowledge and skills to take care of themselves, when they become pregnant. As a result, many of them become vulnerable to medical complications that accompany pregnancies.Script Writing Between Patients And Nurse Essay Paper

Research has shown that adolescents are more likely to suffer from premature births than mature women are. The period of pregnancy exerts some form of psychological imbalances in the adolescent, which makes them develop certain medical complications that cause premature death. Naturally, the state of mind is important in determining the capacity of the adolescent to hold the pregnancy. Comparatively, mature women are more mentally stable than adolescents, who have to fight with the stigma that comes from the family and members of the society. The adolescents tend to adopt a siege mentality. They acknowledge the fact that the immediate society does not endorse their state of pregnancy.

Studies have shown that many adolescents contemplate both suicide and abortion at some point (Males, 2010). Many others attempt unsuccessfully to procure abortion. Both practices tend to affect the health of the babies and the young mothers. A combination of these two factors often leads to abortion. The state of pregnancy involves heavy psychological and physical challenges to the adolescents (Males, 2010). Some of the young mothers have not developed sufficiently to enable them handle the challenges that come with pregnancy (Linsley, Kane & Owen, 2011). The biological strain that accompanies pregnancy often leads some of the adolescents to experience increased physical strains that could develop into adverse consequences such as premature births and miscarriages (Males, 2010).Script Writing Between Patients And Nurse Essay Paper

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Research has indicated that adolescent pregnancy is also associated with poor access to contraceptives (Males, 2010). The outlying areas outside the African metropolis have poor access to contraceptives because governments and donors cannot easily access these regions. Lack of contraceptives places significant challenges on sexuality and reproductive health matters for adolescents. The levels of vulnerability to teenage pregnancy are usually linked to the vulnerability to sexually transmitted diseases. The frequencies of adolescent pregnancies have also been correlated with the amount of exposure and the levels of permissiveness for the African societies in the Sub-Saharan parts of the continent.Script Writing Between Patients And Nurse Essay Paper

The problematic transition of girls into the state of womanhood is also quoted to be among the key factors that influence adolescent pregnancies in Sub-Saharan Africa. Cultural factors that determine the transition of girls into women lack sufficient structures to cater the health needs of the girl child (Dean, Ducey & Malik, 1998). These deficiencies ultimately expose the young women to health challenges, when they become pregnancy before the age of 18. The major implications of the health challenges that relate to adolescent pregnancy are that they affect adversely on the state of health of the expected newborn babies. Research, conducted in Sub-Saharan Africa, has related the high incidences of infant mortality rate to the adolescent pregnancies (Dean, Ducey & Malik, 1998). Children, born of adolescent mothers, are more susceptible to health complications than those, born of mature women are.Script Writing Between Patients And Nurse Essay Paper

One of the prevalent health challenges in adolescent pregnancies is low birth weight. Research literature shows that children born of adolescent mothers are more likely to exhibit the problem of low birth rate than those, born of relatively mature mothers (Dean, Ducey & Malik, 1998). The health practices and lifestyles of girls who fall pregnant during adolescence usually expose them to certain health risks that affect the development stages of the baby. In an effort to conceal the outward symptoms of pregnancy, girls will tend to adopt certain nutrition practices in order to maintain smaller shapes of their bodies. For instance, some of them will tend to avoid meals or turn to junk food in the hope of maintaining their pre-pregnancy bodies. Some of these practices have been blamed for the low birth weight of their babies.Script Writing Between Patients And Nurse Essay Paper

There is often the tendency among pregnant adolescents to seek medical attention during the third trimester of their pregnancies. Various social and psychological reasons account for this. The lengthy periods that are taken before the adolescents seek prenatal medical care have been cited among factors that complicate the maternal health of expectant adolescents (Leik, 2007). Biological development of adolescents varies across individuals. Despite the fact that scientific research has proved that girls are reproductively mature by the age of 13, other findings show that this age is associated with higher levels of vulnerability in the cases of pregnancies (White & Truax, 2007). The indication that biological factors of adolescents influence their general growth is explained by the fact that more adolescents are more susceptible to fistula and other complications that relate to childbirth. Past statistics have also indicated that the maternal mortality rates are likely to be higher among adolescents than in mature women.Script Writing Between Patients And Nurse Essay Paper

Numerous studies have been tasked with the responsibility of explaining the biological impacts of early pregnancies on adolescents, few studies have attempted to explore the kind of association that exists between the psychological and biological factors. Researches conducted on adolescent pregnancies in Sub-Saharan Africa have indicated that the mental development of the adolescents has a significant impact on the health status of the adolescents during pregnancies (Seidman, 2008). Sub-Saharan Africa is largely patriarchal in terms of its socio-cultural organizations. This part of the continent is regarded as a place for the systematic subjugation of the rights of women. Sociological studies have offered the explanation that the patriarchal edifice regards the women’s body as a terrain for conquest. It is because of this reason that young women below the age of 18 are brought under the influence of the domineering power of patriarchy.Script Writing Between Patients And Nurse Essay Paper

Sociologically, the high incident of adolescent pregnancy in Sub-Saharan Africa is culturally perceived as the outward manifestation of triumphant patriarchy. The patriarchal edifice considers free women as agents inimical of its power. Adolescent pregnancies have been considered variously as a device for the patriarchal world order to place the resurgent feminism within controls. Notably, societies that exhibit higher levels of matriarchal influence are less likely to show high incidences of adolescent pregnancies. The manifestation of these powers hints at a latent struggle for control of cultural and social power across the gender divide. Similarly, societies that invest more in the education of the girl child are less likely to suffer from the phenomena of early pregnancies as compared to societies that block the movement of women into positions of power.Script Writing Between Patients And Nurse Essay Paper

The use of sex as an instrument of patriarchal control has also been quoted as one of the factors that influence teenage pregnancy. The struggle for the domination of the patriarchal mindset has often included the desire to possess and subdue a woman’s body. It is within this context of understanding that the health challenges, facing pregnant adolescents, have been contextualized within the cultural milieu of the Sub-Saharan setting. Some studies have attempted to explore the cultural links that determine the state of reproductive health of the African girls (Seidman, 2008). This cultural link and social matters must be understood together with some of the cultural practices that include female genital mutilation. Female genital mutilation (FGM) remains a rampant practice in many communities of Sub-Saharan Africa. Generally, FGM is based on the need to control the sexuality of the African girl child in order to keep her place and profile in the society (Dean, Ducey & Malik, 1998).Script Writing Between Patients And Nurse Essay Paper

Pregnant adolescents comprise a vulnerable segment to HIV and AIDS pandemic. Sub-Saharan Africa is one of the regions that are adversely affected by HIV and AIDS pandemic (Dean, Ducey & Malik, 1998). The high levels of vulnerability and prevalence have been linked to socio-cultural factors and poor access to resourceful information. Generally, the continent is challenged in terms of the budgetary allocations necessary to contain the spread of diseases. The naivety of the adolescents exposes them to the disease as they lack sufficient information on matters of sexuality. The high incident of teenage pregnancy illustrates the fact about the shortage of contraceptives and inaccessibility of knowledge and information. Up to this level, it might be argued that the health challenges, facing pregnant adolescents in Sub-Saharan Africa, result from a multiplicity of factors that range from medical, educational, cultural, and socio-economic.Script Writing Between Patients And Nurse Essay Paper

Evidence-Based Practices

In the course of time, various steps have been taken into place with the objective of arresting the high incidence of adolescent pregnancies. Generally, two approaches have been used in an effort to increase the knowledge levels of adolescents and shield them from the adverse effects of early pregnancies. The first approach has been the development of a knowledge–based system of managing the prenatal needs of the underage mothers. These needs are divided into the health needs and the psychosocial needs. The pregnant adolescents are regarded as a vulnerable section of the society who cannot manage their situation in a manner that allows them to integrate sufficiently with the larger society.

The prenatal care offered to the adolescent mothers is aimed at assisting them carry on with the pregnancies in ways that are not injurious to their reproductive health. The programs are designed to take care of the health needs of the pregnant adolescents and the unborn babies. This part of the program is meant to fill into the gaps, created by the socio-economic deficiencies and social stigma, which prevent the pregnant adolescents from seeking or accessing prenatal care. The need to balance the emotional, psychological, and physical needs of the adolescents forms the integral part of this intervention strategies. Past studies have also argued for the need for the adolescents to be equipped in terms of the basic knowledge about childcare to prepare them for the task of motherhood.Script Writing Between Patients And Nurse Essay Paper

Research on adolescent pregnancies has shown that the young mothers are faced with daunting psychological challenges during the early parts of motherhood. According to these studies, the pregnant adolescents find themselves in an intricate situation, concerning self-identity. On the one hand, the adolescents have lost their identity as children. The pregnancy and the coming of the baby mean that they have transcended into the process of motherhood. On the other hand, the adolescents have not matured psychologically into the role of motherhood. This lack of a clearly identified role imparts on them challenges that require tender psychological counseling.Script Writing Between Patients And Nurse Essay Paper

Another remedial approach that has been directed towards pregnant mothers involves preventive care. This involves the systematic sensitization of the young girls about the possible dangers of unprotected sex. This kind of response should take place both in formal and informal levels. Informally, the vulnerable groups are to be introduced into a comprehensive body of knowledge that prepares them for the possible impacts of adolescent pregnancies. This information section is created out of the awareness that those school curriculums are not sufficiently structured to cover the expansive field of reproductive health. Past studies that have explored the apparent mismatch between curriculum designs and reproductive health have cited time limit as one of the challenges that cause inefficiency in the dissemination of the information.Script Writing Between Patients And Nurse Essay Paper

One of the strengths of this study is that it attempted to situate the problem of teenage pregnancy within a multiplicity of perspectives. Particularly, the inclusion of the cultural perspective into the study was resourceful in the sense that it would provide deeper insights for the health care workers into the problem of adolescence pregnancy. The occurrence of adolescence pregnancy is understood as a social problem with diverse connections and linkages with different forces. Another important strength of this research is that it incorporates combined strategies that aim at preventing adolescence pregnancies and providing antenatal care for pregnant adolescents. This dual approach enables the study to combine the various factors that are integral to the remedial strategies, regarding adolescent pregnancies in Sub-Saharan Africa.

The only flaw of this study is that it limits its methods towards the Sub-Saharan situation. The challenge of adolescent pregnancies is complicated and relative to cultural factors. It would mean that the applicability of the methods, adopted for this study, is only limited to the Sub-Saharan Africa situation. Implicitly, the study cannot be generalized to apply to other situations such as the United States of Africa and parts of Europe that continue to experience high incidents of adolescent pregnancies. However, this study would prove resourceful in addressing the topic of adolescent pregnancies in areas and regions that have a string cultural element to the problem.Script Writing Between Patients And Nurse Essay Paper

In this study, I have learnt about the various factors that determine the high incidence of adolescent pregnancies in Sub-Saharan Africa. I have also learnt about the various causative factors together with the possible remedies that might be embraced by social workers to address the challenge. From the literature, I also learnt about the various health and psychological impacts of adolescent pregnancies on the vulnerable groups. The study showed that the high prevalence of adolescent pregnancies in Sub-Saharan Africa is influenced by environmental and cultural factors that are peculiar to the African region. The study also revealed that there is a dominant factor of socio-economic challenges, which determine the nature of adolescent pregnancies.Script Writing Between Patients And Nurse Essay Paper

The different studies showed that poverty, low levels of education, and weak approaches to curriculum on reproductive health appeared as some of the determining factors of adolescent pregnancies. The literature explored also revealed that the incidents of adolescent pregnancies are linked to the degree of permissiveness of the society. It could be argued that adolescent pregnancies are a factor of various societal and individual factors that work together to determine the degrees of vulnerability of the teenagers. A comprehensive understanding of these factors would provide health practitioners with the best possible approaches of tacking the challenge. The study was based on a general approach that seeks to find a solution through the manipulation of the different structures that determine the nature and occurrence of adolescent pregnancies.Script Writing Between Patients And Nurse Essay Paper

The intervention of health workers should be based on a comprehensive approach that combines cultural, medical, and psychological remedies for the challenge of adolescent pregnancies in Sub-Saharan Africa. Health workers must appreciate the fact that adolescent pregnancies are vulnerable and require close healthcare observation. Preventive measures such as increasing of awareness should be adopted for the purposes of increasing the knowledge and skills for the vulnerable groups. This could be done by conducting outreach missions to sensitize populations on the need to adopt safer practices.Script Writing Between Patients And Nurse Essay Paper

Health workers should emphasize more on the sensitization of the vulnerable groups on the aspects of reproductive health with specific emphasis on adolescent pregnancies. Health workers should adopt approaches that seek to prevent teenage girls from the possibility of early pregnancies. Some of the approaches could include outreach programs that are directed towards sensitization and creation of awareness for the vulnerable, regarding the matter of teenage pregnancies. The creation of awareness must relate to the nature of associations between the various causative factors and the possible remedies to the challenge of adolescent pregnancies in Sub-Saharan Africa.Script Writing Between Patients And Nurse Essay Paper

The second level of intervention should include psychosocial and prenatal therapies for victims of early pregnancies. Health workers should be cognizant of the cultural element in Sub-Saharan Africa so that they treat the girls in their totality as individuals, whose lives are largely determined by cultural factors. The identification of the negative influences and the promotion of positive attributes should dominate the strategies to be adopted by the health workers. Ultimately, the merit of this study lies in its recognition of the diverse and complex nature of human beings. The awareness of the complex interplay of factors that determine the occurrence and prevalence of adolescent pregnancies in Africa is fundamental to the general process of remedying the situation. The cultural, socio-economic, psychological, and medical approaches to the challenge of adolescent pregnancies are fundamental to resolving the challenge of adolescent pregnancies in Sub-Saharan Africa.Script Writing Between Patients And Nurse Essay Paper

Overuse and misuse of medical facilities and resources has also contributed to rise in the cost of medical health care. The intervention by Managed Health Care has enhanced controlled delivery of medical services including controlled inpatient admissions and the duration spent by admitted patients in hospitals. Through these restrictive measures, hospitals have been able to efficiently use the available resources and cut down costs incurred when offering medical care services to patients (Larson & Muller, 2003).  Script Writing Between Patients And Nurse Essay Paper

Another factor that has contributed to the rise in the cost of medical health care is malpractice. The unnecessary medical tests, drug administration and prescriptions have contributed to high irrelevant medical bills which are not necessary. In order to reduce such practices, the managed health care has invented, and implemented programs in health care facilities for reviewing the necessity of various medical tests, procedures and other medical practices before they are put into action. This has enhanced the relevancy of most of the medical tests and prescriptions given to patients, thus reducing overall medical cost (Larson & Muller, 2003).Script Writing Between Patients And Nurse Essay Paper

‘Consumer driven approach to health care systems’ can be described as a plan involving third tier insurance of health, where by members are allowed to use personal accounts for health savings and directly paying routine medical health care expenses. At the same time, the high deductible policy of health insurance protects these members from disastrous expenses on medical care. Although the policy costs less, the user is supposed to make payments of routine medical claims by means of a pre-funded account. Failure to maintain the account balance, the user may be required to pay claims just like any other deductibles (Finkelman, 2001).Script Writing Between Patients And Nurse Essay Paper

This system actually relates with the problem of the current system of health care provision in terms of cost influence. The system has both benefits and limitations pertaining provision of health care services. One of the benefits associated with the system is that, patients are given greater control over their expenses, as well as budget on health care services. In this aspect, the approach allows consumers to make own decisions concerning the type of medication to receive. This allows individuals with middle income level to go for affordable medical care services, among the services available (affordable treatment option). The system also allows patients suffering from chronic illness to make a strict follow up of their treatment schedule or regime (Finkelman, 2001). It is claimed that this approach is beneficial in the long run because the use of health reimbursements arrangements induces competition in the health care systems by enhancing availability of free market variables, which leads to price reduction and improvement of healer care services. The main problem with the system is that it allows less wealthy consumers to avoid or ignore appropriate and necessary health services due to cost burden or inability to make appropriate decisions (Finkelman, 2001).   Script Writing Between Patients And Nurse Essay Paper

Approval’s thesis consulting encompasses comprehensive support throughout the entire process. Having worked with over a thousand client students across the globe throughout their master’s thesis and doctoral dissertations, we have the solution to just about all the roadblocks you may experience along the way. Our services are comprehensive, and are geared towards help in allowing you to receive the approval needed on the work.

Normally, the thesis research process starts after the completion of your Comprehensive Exam and the Pre-Dissertation requirements. By this point, you should have a compelling research gap for your study, with some background literature review and data collection details. We can start our collaboration here, and Approval will make sure that you receive all of your deliverables and revisions on time. If you’ve received feedback on completed work, you can contact us to build a personalized Dissertation Editing Plan together.Script Writing Between Patients And Nurse Essay Paper

Many institutions we work with require multiple rounds of review prior to the committee approval, which means that you will need to make very efficient progress through all the dissertation requirements. Whether you are just getting started on your dissertation process or have been working on addressing feedback for weeks and months now, we can help you to find a customized plan for how we can be a part of your team until you reach the graduation stage.

We specialize in just about all research topics and degree programs, and we work the most often with clients pursuing their PhD, DBA, EdD, DNP, PsyD, DrPh and DMin degrees. Normally, the process is as follows:

We can extend on your pre-dissertation Topic Approval to further provide motivation for the remainder of the study. This includes any feedback you have on your problem statement, or help with formulating your research questions, purpose statement, and conceptual/theoretical framework.Script Writing Between Patients And Nurse Essay Paper

The Literature Review requirements differ by institution, but the key idea is that you will need to provide ample support in the form of recent studies addressing your topic, in addition to seminal sources extending the conceptual/theoretical framework and building the methodological approach for your study. Our assistance is tailored to providing full support with all literature search and providing adequate synthesis and critical analysis of all sources being used to motivate your doctoral research.Script Writing Between Patients And Nurse Essay Paper

Methodology

We can develop your Methodology, including the rationale for the approach, population of focus, sampling scheme, data collections process, and the data analysis plan. We will be able to set up a step-by-step protocol to help you move forward to the data collections process as quickly and as efficiently as you possibly can. Our firm specializes in both qualitative and quantitative methodologies, including the mixed methods approach where qualitative findings may be utilized to interpret the quantitative findings, and vice versa. Many clients also decide to work with us on their IRB application and data collection protocols (see Institutional Review Board). Our team has great knowledge of step-by-step content analysis and thematic analysis procedures, with our expertise focused on phenomenology, case studies, grounded theory, ethnography, and narrative inquiry for qualitative studies. In the realm of quantitative methodology, our statistical consultants are some of the most accomplished researchers in the industry with deep backgrounds in all quantitative study designs. For more guidance, you can visit the Qualitative Research Design Guide and Quantitative Research Design Guide pages.Script Writing Between Patients And Nurse Essay Paper

Data Analysis

We offer the most comprehensive qualitative analysis and quantitative analysis support provided anywhere for your Data Analysis. We can take your data analysis plan and run all the step-by-step procedures required for accurately reporting all of your study results and findings. Most of our clients prefer NVivo or MAXQDA for qualitative research and SPSS for quantitative research, although we are quite flexible and adept at utilizing just about any software packages.Script Writing Between Patients And Nurse Essay Paper

The Discussion and Conclusion sections usually begin by providing the interpretation for your data analysis results and findings. In addition, you will also need to explore any limitations of the study, as well as recommendations for future studies and implications for positive social change. This is also the chapter where we can make a connection between your data analysis results and the earlier chapters of your dissertation where you first established the research gap. Combining our research expertise along with our analytical expertise, this section is normally a breeze!Script Writing Between Patients And Nurse Essay Paper

For clients who work with us throughout the entire dissertation process, APA editing is provided free of charge. We specialize in editing and formatting styles including APA, MLA, Chicago, Harvard, CMOS, and even Turabian. Our editors mostly have English and Journalism backgrounds with many years of service in academia, and we will be able to assemble and compile an approval-ready dissertation within even the quickest turnaround times needed.

Defense Preparation

In addition to a PowerPoint to be utilized for your final defense, we can help by providing assistance with the actual preparation. Our team will be able to add speaker notes on every slide to let you know exactly how to respond to your PhD committee members, and we can also provide a mock oral defense session with unlimited expert feedback until you feel ready!Script Writing Between Patients And Nurse Essay Paper

ProQuest and Peer-Reviewed Journal Publication

Many of our clients like to publish their PhD dissertation manuscripts via ProQuest for future viewing by other scholars. Many clients who stay in academia after graduation also pursue peer-reviewed journal publication with us. We will be able to identify a suitable journal for publication and work with you to establish the submission requirements as well as to properly format the journal according to the specific requirements. Script Writing Between Patients And Nurse Essay Paper

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