Dwight Eisenhower's "Military-Industrial Complex" Warning
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A 3 page paper relating this former president's 1961 warning to current nursing practice. "See your doctor." "Ask your doctor about ____ and if it's right for you." So go pharmaceutical companies' advertising directly to consumers who cannot directly purchase their products. As health care costs continue to spiral despite efforts to contain the rate of increase, pharmaceutical companies spend millions on advertising to those powerless to purchase the prescription drugs they tout. This appears to be a symptom of the "military-industrial complex" that Dwight Eisenhower warned against on leaving office in 1961. Bibliography lists 4 sources.
Filename: KSchelation2.rtf

Early Feeding After Colon Rectal Surgery
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A 16 page paper. Historically, it has been believed that early oral feeding following colon rectal surgery is not possible. Instead, the traditional protocol is to withhold oral feeding until the resolution of ileus. These beliefs are based on practices that are more than 100 years old. Science has come a long way since then. This essay reviews five separate journal articles that report outcomes and results of early feeding protocols, including one that presented a review of the literature. In each case, early feeding was consistently shown to be safe and beneficial. The writer also comments on the implementation of postoperative early feeding. Bibliography lists 5 sources.
Filename: PGfdhsp.rtf

Eating Disorders
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A 5 page research paper that gives a general overview of this topic. Bibliography lists 5 sources.
Filename: kheatdis.rtf

Economics and Nursing
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This 4 page paper looks at issues of economics and nursing. The first part of the paper defines the terms economics, supply and demand, macroeconomics, microeconomics, elasticity and inelasticity. The second part of the paper summarizes three articles concerning supply and demand of nurses. The bibliography cites 5 sources.
Filename: TEecnurse.rtf

Economics and the Elderly
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A 5 page paper discussing the concerns of the elderly today in regards to economics. With many people living longer and the impending reality of the baby-boomers who are creeping into the golden years, the issues which are involved in regards to economics and the elderly has changed quite a bit in the past few years. The constant threat of Social Security issues is also a major concern which is addressed. Bibliography lists 5 sources.
Filename: ElderEcon.wps

Education in Emergency Nurse Triage
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A 20 page paper discussing the concept of triage and the education of triage nurses in emergency departments. Triage is the process and practice of categorizing emergency room patients according to physical need to be seen by a physician. Triage categorizes patients according to physical need so that those who need to be seen first are, those who can wait do. The state of triage education is such that triage nurses may be greatly experienced and well trained, or they may be barely conversant in the concept. Efforts are underway to ensure that nurses performing triage duty are qualified and experienced. Bibliography lists 15 sources.
Filename: KSnursTriage.rtf

Education Needs Assessment
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A 6 page paper discussing identification of an educational need and considerations in overcoming operational and administrative resistance to instituting an educational program. This is the report of an educational needs assessment and analysis at a long term care facility. The initial assessment indicates that a need exists in further training and education in techniques and rationale of infection control in the institutional setting. Bibliography lists 7 sources.
Filename: KSnursEduAs.rtf

Education Needs Assessment: Use of Restraints
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A 7 page paper discussing the need for an in-house short course program addressing the use of physical and chemical restraints of elderly nursing home residents. Restraints are notorious for being misused; what is discussed less in the popular press is the benefit that they can provide. The purpose of such restraints is to prevent injury stemming from patients’ attempts to do something for which they need assistance. The use of restraints both supports and contradicts the ethical principles of autonomy and beneficence, and an in-service refresher can serve to reconcile that contradiction. Bibliography lists 6 sources.
Filename: KSnursEduAsRes.rtf

Education Program Proposal
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A 22 page paper presenting the full proposal for an innovation program at a large hospital. Program goals include (1) enabling insulin IV drip on the medical ward, rather than transferring the patient to ICU; (2) assisting patients to gain and maintain control over their blood glucose levels; and (3) encouraging continuous improvement in nursing knowledge and patient education. The program's theoretical base is a combination of planned behavior and the health-belief model in which the patient believes a problem exists and that treatment is effective. Outgrowth of the program will include greater patient education for better self-management of their diabetes. The paper includes sections addressing implementation and evaluation. Bibliography lists 22 sources.
Filename: KSnursEduPropDps.rtf

Educational Needs Assessment
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A 5 page paper proposing an educational needs assessment at a large New York City hospital, for the purpose of enhancing diabetic education among patients. The initial assessment indicates that a need exists in further training and education in techniques and rationale of diabetic teaching in the hospital setting; the paper addresses surveying health care workers; administrative resistance; staff resistance; and the need for better patient education. Bibliography lists 5 sources.
Filename: KSnursEduAsPub.rtf

EECP Business Plan
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A 10 page paper providing a business case for adding Enhanced External Counter Pulsation (EECP) technology to the services offered by the hospital to treat coronary artery disease, specifically angina pectoris and congestive heart failure. The income that the hospital can expect from offering this service is much less than that associated with invasive treatments such as bypass surgery and angioplasty, but the greatly reduced cost of EECP treatment also makes it more accessible to those without sufficient insurance coverage and to those for whom insurers are reluctant to approve more invasive approaches. Includes financial analysis, a marketing plan and exit strategy. Bibliography lists 8 sources.
Filename: KSnursEECPbizP.rtf

EECP Development Plan
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A 4 page paper providing a developmental plan, resource requirements and organizational structure for a new Enhanced External Counter Pulsation (EECP) treatment center at Coney Island Hospital. EECP qualifies as what Harvard’s Clayton Christensen terms a “disruptive technology,” a simpler approach to treating coronary heart disease in a far more cost effective manner than either open heart surgery or angioplasty. Bibliography lists 4 sources.
Filename: KSnursEECPdevPln.rtf

EECP Financial Plan
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A 5 page paper providing an executive summary and financial plan for a series of papers developing an EECP center at a large city hospital. Financial analyses include monthly cash flow for the first nine months; projected cash flow for the first five years; and projected balance sheets for the first five years. Spreadsheets available. Bibliography lists 3 sources.
Filename: KSnursEECPfinan.rtf

Effect Of Teams On Nurse Retention - Human Dynamics
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This 8 page paper presents a case history of one trauma center that decreased their turnover rate from 58 percent to 15 percent and have a list of nurses who want to work at the center. This essay reports the process this center used to develop empowered teams that led to such remarkable success. Bibliography lists 5 sources.
Filename: PGnrstm.rtf

Effective Nursing Leadership, Management
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A 3 page research paper that discusses the difference between nursing leadership and management and the use of power. Bibliography lists 2 sources.
Filename: khenlmgt.rtf

Effective Treatment of Childhood Obesity
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A 36 page research paper that examines the pandemic of childhood obesity. This literature review examines the empirical research on the topic of childhood obesity in order to discern the efficacy of treatment options for this epidemic, which is plaguing the industrialized nations. Conclusions are then drawn concerning the efficacy of these proposed treatments and/or programs and how the literature suggests that childhood obesity should be addressed in light of this data. The review concludes by discussing the implications of this research in regards to possible future studies that will add to this body of knowledge and contribute to the goal of effectively coping with this societal problem. Bibliography lists 19 sources.
Filename: khchfat.rtf

Effectiveness of Sex Education in Teen HIV Prevention
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A 14 page research paper that offers a research study proposal. The hypothesis for the proposed study is that a sex education program that significantly affects the attitudes and norms of participant adolescents and creates positive cognition toward abstinence and delayed sexual behavior can be termed to be effective, as this result can logically be assumed to have a positive effect on the incidence of HIV among adolescents/young adults. The proposal outlines the parameters of the problem and provides background information on the issues, which states the purpose of the proposed study. A literature review provides context, as it summarizes previous research on this topic. The proposed methodology, data collection and analysis are then summarized. Samples of a parental/guardian consent form and a participant asset form are also included. The proposal also includes a 1 page abstract. Bibliography lists 12 sources.
Filename: khhivten.rtf

Effects Of Chronic Illness On Growth And Development
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A 15 page paper. The writer first explores the effects of chronic illness on a child's growth and development, in general. Areas include: intellectual with research regarding the development of the brain as well as Piaget's stages of cognitive growth; emotional that includes both Erikson's and Freud's stages of development; social; and physical effects. An emphasis is then placed on a five-year old child who has asthma. How the child compares to the developmental stages is discussed as well as her interrelationships with family and peers. The writer provides an explanation and diagnostic symptoms for pediatric asthma. A nursing plan is then written with goals and intervention steps. Bibliography lists 17 sources.
Filename: PGasthm.wps

Effects of DOT on LA TB Patients
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A 19 page research paper that is intended as a guide to a student researching the effect of directly observed therapy (DOT) on tuberculosis (TB) patients. This guide encompasses only the first three chapters of the hypothetical study, that is, from the introduction through the description of the methodology. A literature review is also included. Bibliography lists 18 sources.
Filename: khdotla.rtf

Effects of Stress
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A 5 page research paper that examines stress. Stress experience exists for “all human beings in all ages in varying degrees” (Lunney, 2006). It can be positive or negative producing both positive and negative effects. What is thought of as “stress” in the public mindset is actually stress overload, that is, which is what occurs when negative stressors become excessive. As established by Selye in the 1950s, this can produce “fight-or-flight response,” which if prolonged can lead to psychological and/or physical illness (Lunney, 2006). As this suggests, this topic is of particular interest to nursing because excessive stress has become so pervasive in contemporary society. Examination of literature pertaining to excessive stress reveals the physiological mechanisms that are triggered by stress, their effects both physically and psychologically, as well as suggests nursing interventions. Bibliography lists 5 sources.
Filename: kheos.rtf

Effects of Stress/Type 1 Diabetes
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A 10 page research paper that proposes the framework for a hypothetical research study and includes an extensive literature review on the effects of stress on type 1 diabetics. The writer proposes that the effects of stress, both physiological and on behavior, should be examined in regards to adolescents with this disease. Bibliography lists 7 sources.
Filename: khty1d.rtf

Ehrenreich And English's "Witches, Midwives, And Nurses: A History Of Women Healers"
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5 pages in length. The topic of this book evokes a sense of patriarchal control and unmitigated ignorance with regard to the 'science' of medicine and how it has evolved during the past few hundred years. Women's contributions, disregarded and shunned until very recently, have historically been overshadowed by oppressive patriarchal perspectives; by chronicling the events that have occurred throughout the centuries in relation to women and the medical community, Ehrenreich and English help to illustrate just how despotic the entire male-based medical profession has been, particularly in light of the unpleasant legacy left by the witch hunts of old. Bibliography lists 5 sources.
Filename: TLChealr.rtf

Eight Article Reviews
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A 5 page paper reporting the basics of 8 articles on diabetes education of staff nurses and patients. Article information is presented in table form only (no text explanations) including author, theory, objective, method, data analysis and findings. Some articles include notes on personal thoughts. Bibliography lists 9 sources.
Filename: KSnursArtT.rtf

Elder Abuse
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Most people are aware that there are laws that exist to protect children and animals from abuse. Many are not aware that there are laws that protect adults such as the elderly and disabled. Few people are aware of the magnitude of the problem or the consequences. Elder abuse affects all the systems that the individual is a part of, from the individual level to family, friends, social institutions, care providers, government agencies and American societal norms. The America belief system includes a responsibility to protect those who are not able to care for themselves. This 8 page paper examines the issues of elder abuse and the means that are in place to protect vulnerable adults. Bibliography lists 8 sources.
Filename: Elderab.doc

Elder Neglect in Nursing Homes
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A 10 page research paper that offers an overview of the topic of neglect and abuse of elderly patients in nursing homes and other long-term care facilities, such as assisted living homes. This also includes issues relating to nursing care of the elderly, as influenced by the nursing theory of Dorothea Orem. Bibliography lists 10 sources.
Filename: khelorem.rtf

Elderly Pain Mgmt/Home Care v. Institutions
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A 10 page research paper that examines the topic of pain management with elderly patients. While there is general consensus that pain management in elderly populations is being under-treated, the literature on this subject is less clear as to whether the best environment for elderly pain management is provided by home environments or institutional settings, such as nursing homes and hospitals. Examination of the literature on elderly pain management reveals that each environment has its own particular set of problems, which must be overcome in order to solve the problem chronic under-treatment of pain in elderly patients. Bibliography lists 10 sources.
Filename: kheldpn.rtf

Elderly Patients & Depression
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A 5 page research paper that offers a hypothetical research study proposal, designed to investigate the extent to which depression is a complicating factor in elderly prognoses. Research suggests that this topic has not been fully explored and may be a factor in facilitating the goal of positive nursing outcomes. Bibliography lists 4 sources.
Filename: khgerdep.rtf

Elderly Patients & Falls
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A 10 page research paper that examines nursing and medical literature relating to falls and the elderly. This literature review discusses the significance of falls the elderly; intrinsic and extrinsic risk factors; precautions/interventions that can be taken and the negative drawbacks to the use of side rails. Bibliography lists 7 sources.
Filename: khelfals.rtf

Elderly Patients/Loss of Independence
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A 10 page research paper that investigates this topic. While safety is a consideration for all patients, it is a particularly intense consideration in regards to when an elderly patient is hospitalized. Elderly patients who have previously been active can resist the loss of their independence and have trouble accepting a new reduced level of activity while hospitalized. Furthermore, an elderly patient may become confused in new surroundings and this may acerbate the tendency to wander or try to maintain their usual degree of independence. This can be inherently dangerous. An elderly patient who attempts to climb out of hospital bed with the bed rails raised can become entrapped and injured. They can fall while trying to get to the bathroom and falls for the elderly can be potentially fatal. This literature review looks at the factors that can impact how elderly patient adjust to a loss of independence. Bibliography lists 7 sources.
Filename: kheploi.rtf

Elderly/Physical Changes & Dependency
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A 5 page research paper that examines the dependency needs of the elderly from a nursing perspective. The natural decline in abilities as one ages can cause increased dependency needs, which can threaten an elderly individual's sense of identity and his or her connections with others and the greater outside world. However, literature on this topic shows that there are numerous nursing interventions and strategies that can help to lessen dependency issues. Also, the literature suggests that this is an area of nursing care that needs to be explored further in order for nurses to evaluate their own contributions to encouraging "learned" dependent behaviors. Bibliography lists 7 sources.
Filename: kheldep.rtf kheldep.rtf kheldep.rtf

Elective Cesarean Section
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A 6 page research/reaction paper to the issue of whether or not the medical community should encourage elective cesarean section, which is becoming an increasingly popular choice for busy working women. The writer looks at the various issues involved in this debate. Bibliography lists 10 sources.
Filename: khecsec.rtf

Electroconvulsive ("Shock") Therapy
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A 12 page paper that considers the topic of ECT in terms of nursing over the past 5 decades. This paper provides an overview of the literature which suggests the changing perceptions of ECT and the increasing use of it in recent years as a specific element of individualized treatment. Bibliography lists 17 sources.
Filename: Electro.wps

Electronic Data Security’s Impact on Nursing
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An 8 page paper discussing how the Health Insurance Portability and Accountability Act (HIPAA) of 1996 might affect nurses’ approach to their jobs. There is no question that HIPAA will change the way that nurses work. The only question at present is how it will change work processes and work flows. It appears to have ability only to complicate nurses’ already-full days. Bibliography lists 8 sources.
Filename: KSnursHIPAAnurs.rtf

Elements of Psychiatric Nursing Practice
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A 4 page research paper that draws on the nursing model of Hildegarde Peplau, as she is acknowledged to be one of nursing's leading theorists, as she was one of the first to emphasize the importance of the nurse/patient relationship. Peplau's model specifies three phrases in this relationship: orientation (meeting the patient, establishing a relationship), exploitation (the patient takes advantage of the nurse's expertise) and termination (discharge plan is initiated). When Peplau formulated her model of psychiatric nursing, Interpersonal Relations in Nursing, the routines of mental institutes tended to reinforce illness (Sills, 1999). Peplau taught nurses to nurture mental health, to conduct research and seek methods for interrupting the illness maintenance systems (Sills, 1999). This examination of psychiatric nursing practice looks briefly at research literature in order to demonstrate how Peplau's model remains applicable today. Bibliography lists 6 sources.
Filename: khelepep.rtf

Emergency Nurses Association
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A 4 page research paper that offers an in-depth look at this nursing organization. Bibliography lists 4 sources.
Filename: khena.rtf

Emergency Response Disaster Management
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A 20 page paper discussing issues surrounding emergency response as it relates to disaster management. The paper discusses emergency response resulting from the terrorist attacks of September 11, 2001, but it also discusses events such as Hurricane Fran in 1996, centering on the coast of North Carolina where the category 3 storm made landfall. The key to effective emergency response - excluding the training that can be seen as being a constant value – lies in the quality of communication between diverse teams and agencies responding to the event that has generated a crisis. The purpose here is to address two primary questions: “Are emergency responders equipped to communicate with others outside of their departments in time of crisis? [and] What are strategies to improve communications?” The paper concludes that emergency response in urban areas is highly effective, but that the same efforts in rural areas can be hindered by communication deficiencies. Bibliography lists 11 sources. A companion 16-slide Power Point presentation is available.
Filename: KSnursEmerResp.rtf

Emergency Room Organization and Administration
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A 5 page paper assessing 5 Internet sources discussing aspects of improving patient care while striving to make ER operation more efficient. The paper discusses a Texas effort to transfer Medicare patients from rural to urban hospitals; the use of software to track patients’ progress through the ER; and the use of “product” process flow to achieve Total Quality Management (TQM) principles of increased quality with simultaneous increased efficiency. MLA-style bibliography lists 5 sources.
Filename: KShospERorg.rtf

Emergency Treatment and Labor Act (EMTALA)
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A 4 page overview of the conditions stipulated by this law. The author reviews a recent case where a woman in premature labor admits to the ER and is subsequently admitted. When her infant is born it only lives two hours because it did not receive adequate care because of a technicality in EMTALA. Bibliography lists 3 sources.
Filename: PPnrsemtala.rtf

EMPHYSEMA
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This 3 page paper gives a scholarly overview of the disease, emphysema, with an emphasis on clinical research. Bibliography lists 5 sources.
Filename: MBempyh.rtf

Empowerment in Nursing
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A 6 page paper discussing empowerment in nursing. True empowerment can enable nurses to provide much needed help and innovative thought to the field of health. A discussion of the basics of empowerment is detailed as it applies to the complicated industry of nursing, illustrating that it is a reality that requires participation by all individuals involved in the health profession if it is to work. When empowerment is given to nurses, the benefits are great and the involvement of all concerned results in many positive realities. Bibliography lists 6 sources.
Filename: Nursepower.wps

Enhancing Cultural Competency
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A 3 page research paper that addresses the topic of cultural competency in nursing. Census statistics indicate that the population of the US is annually becoming more culturally diverse. This fact poses a challenge to healthcare professionals as providing care that is culturally congruent with the patient can significantly affect the likelihood of positive patient outcomes. As this suggests cultural competency constitutes a significant nursing area of interest. This literature review examines specifically the role of nurses in enhancing their opportunities for strengthening cultural competency. Bibliography lists 3 sources.
Filename: khecc.rtf

Enhancing Evidenced-Based Practice in Nursing
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A 7 page paper discussing the trend toward evidence-based practice. The concept of evidence-based nursing is an attractive one that calls for abandoning closely-held, longstanding attitudes toward many of the duties of nursing. There are problems with making that shift, however, not the least of which is the time required to search and study current literature. Nursing leadership can help to overcome this significant barrier. Bibliography lists 12 sources.
Filename: KSnursEvid.rtf

Enhancing Outcomes by Revising a Protocol Based on Evidenced Based Practice
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This 3 page paper provides an overview of the issue of falls in the hospital setting and methods for enhancing oucomes through the use of a prevention protocol. Bibliography lists 3 sources.
Filename: MHArtRev2NL.rtf

Ensuring the Competency and Accountability of Temporary Agency Nurses in the Hospital Environment
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A 9 page analysis of the use of temporary agency nurses to supplement shortcoming is permanent nursing staff. This paper asserts that although the use of temporary nurses is justified in certain situations, this use must occur with managerial provisions in place to insure competence and accountability. The recommendation is made that clinical pathways are an appropriate mechanism for insuring this. Bibliography lists 6 sources.
Filename: PPnrsTmp.rtf

Enteral-Nasogastric Feeding in Children
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A 3 page paper discussing enteral-nasogastric feeding of children and its ethical implications. Of course enteral feeding is good for the patient, but the fact is that sometimes it can cause harm. This is certainly contrary to the principle of non-maleficence, but it is in the spirit of trying to provide benefit to the patient. Though both can be seen as being present, it is the intention of beneficence rather than the possibility of harm that should guide the use of enteral feeding. Harvard-style bibliography lists 6 sources.
Filename: KSnursNasoFed.rtf