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Truth in Patient Care
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An 8 page research paper/essay that discusses the ethics involved in telling the truth to patients. Healthcare practitioners are routinely faced with the responsibility of informing patients about the details and implications of their prognoses. No one enjoys being the bearer of bad tidings when a prognosis offers little hope. Also, it can be difficult to handle patient care when family members insist on sheltering a relative from the knowledge that they have a chronic condition. In other words, when, where and how to convey the truth of a prognosis is a recurring problem in healthcare in general and one that specifically impacts nursing. The writer explores ethical considerations, referring to Kantian ethics and cases cited in nursing literature. Bibliography lists 5 sources.
Filename: khtipc.rtf

Two Approaches to Understanding Health
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A 5 page discussion of the diversity of definitions of health which are in play. The author contrasts the approach of defining health from the aspect of the presence or absence of disease with the approach of defining health from the perspective of physical, mental, spiritual and social well-being. Bibliography lists 4 sources.
Filename: PPhealthV.rtf

U.S. Health Care System
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A 3 page research paper that discusses the American system. According to an online dictionary, www.businessdictionary.com, a "health care system" is defined as a "Complex of facilities, organizations, and trained personnel engaged in providing health care within a geographical area." If one considers only this extremely broad definition of a "health care system," then, yes, the manner in which health care is delivered in the U.S. is a "system." However, there are scholars who express an evaluation of the way that health care delivery functions in the US that is so negative that one can also easily make the argument that the delivery of health care in America is too dysfunctional to be considered to be a "system," as the term "system" implies organization and comprehensive service. Bibliography lists 4 sources.
Filename: khusahc.rtf

U.S. Nursing Shortage
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A 4 page research paper that summarizes and discusses the nursing shortage in America. The current U.S. nursing shortage began in 1998 and resulted from a combination of social and economic factors, which included the “little growth in RN (registered nurse) wages, demographic changes in the RN workforce that decreased the supply of working RNs and a stressful hospital workplace environment” (Buerhaus, et al, 2007, p. 853). Currently, the U.S. Department of Health and Human Services predicted that by 2010, there the nursing shortage will have reach the level of 29 percent, which translates to more than 800,000 nurses (Chandra and Willis, 2005). This examination of literature briefly summarizes this situation and the negative impact that it has on the American healthcare system. Bibliography lists 6 sources.
Filename: khusnur2.rtf

U.S. Nursing Shortage
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A 6 page research paper, which includes a brief abstract, which addresses the problem of the U.S. nursing shortage. This examination of the shortage, first of all, looks at the causes for the shortage and then explores the possible solutions that have been proposed, before offering conclusions. Bibliography lists 10 sources.
Filename: khusnurs.rtf

Unionization of Nursing and It's Impact on Patient Care
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8 pages. Discusses the pros and cons of unionization of nurses, and how it affects the employers and patients as well. Bibliography lists 7 sources.
Filename: JGAnurdl.wps

Urinary Incontinence, Orem’s Self-Care Deficit Model, and Advanced Practice Nursing
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This 7 page paper provides an overview of an article by Francie Bernier called “Relationship of a pelvic floor rehabilitation program for urinary incontinence to Orem's Self-Care Deficit Theory of Nursing: Part 1” which considers the impact of the problem of urinary incontinence and the application of nursing theory in defining protocols for care. This paper relates the findings to Dorothea Orem's Self-Care theory. Bibliography lists 6 sources.
Filename: MHDOremA.rtf

Use of Restraints in Healthcare
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A 14 page examination of the use of restraints in healthcare. The writer introduces the topics and discusses its ramifications for nursing, then offers a literature review and considerations for practice before discussing conclusions. Bibliography lists 7 sources.
Filename: khuseres.rtf

Use of the Advance Directive
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A 6 page paper presenting a case involving an advance directive followed by discussion of the case, the patient’s wishes, the medical team’s responsibilities and the decisions that one family faced in the presence of an advance directive. Health care professionals and family members may not find all the guidance they need contained in such a directive, leading them to the necessity of making informed and moral choices according to their understanding of the patient’s intentions and the type of need at hand. Bibliography lists 5 sources.
Filename: KSnursAdvDir5.rtf

Uses for SNF Information
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An 8 page paper assessing the information flows becoming possible with one skilled nursing facility’s (SNF) attention to automating much of the information needed for patient records, managed care negotiations and Medicare. Five full-size, color diagrams illustrate the SNF’s information types, flows and uses. Bibliography lists 3 sources.
Filename: KShlthCarInfoMap.rtf

Using Leininger's Theory to Increase Cultural Understanding Among Nurses
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An 8 page paper assessing the need for and value of diversity in healthcare, specifically in the hospital setting among nurses using Madeleine Leininger's Cultural Care Diversity and Universality Theory as a guide. Leininger's theory should be useful in efforts to increase diversity within the nursing staff as well enhancing nurses' and patients' understanding of each other. Bibliography lists 7 sources. Includes an outline.
Filename: KSnursDivNdLein.rtf

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