Collaboration in Advanced Practice Nursing Essay

Collaboration in Advanced Practice Nursing - Essay Example Nies, Cook, Bach, et.al. (2009) tell us that measuring health care outcomes is important. However, to do this, there must be a common definition of what a care delivery outcome is. To help provide that definition, as well as identifying potential outcomes relevant to advanced practice, a concept analysis has been done. Walker and Avant originally brought about the use of concept analysis for nursing. They wanted to bring a common language to the many concepts that nursing used in their professions. A concept analysis should be done at anytime that a concept is not clear and well understood. There are other methods which can be used, concept synthesis and concept derivation. Concept synthesis is used when there are concepts that require development based on evidence that has been presented (McEwen & Wills, 2007). When concept derivation is used it usually comes from a perspective as there is little available to lead the researcher in the right direction. There are several steps identified in McEwen and Wills, (2007) in performing a concept analysis. ... The concept selected as stated earlier is "Concept analysis of outcomes for Advanced Practice Nursing.". The authors relayed the determination of their aims and purposes for the analysis to the reader through the use of a historical approach to outcomes and definitions to help define the concept and the language to be used. The history tells the reader that outcomes have been measured since the time of Florence Nightingale and that those outcomes at that time were mortality and morbidity, post op days, complication rates etc. Then there was benchmarking and outcomes became more defined from several perspectives, including those of clinical, economical, medical and humanistic. Many of those same things are used now including symptom control, rehospitalization, dissatisfaction, frequency of any particular service and safety. Definitions were given to us by these authors to assure that the reader was using the same language. There is discussion to say that the term outcome is used in a variety of contexts and that it is not always used in the same concepts therefore, unless defined, it may be difficult to use. The author tells us that for the use of this analysis the work outcome means coming out of or resulting from the use of a process (Nies, et.al., 2009). An outcome may also be a consequence, aftereffect, aftermath, issue or event. Defining attributes in this concept analysis were defined as the characteristics of a concept that recurs in the usage of a term (Nies, et.al., 2009). Outcomes are the end result. Outcomes require some action to produce and within that action there must be a temporal component that provides an end result. In giving a model of outcomes it was determined that it would include an event, a

Understanding the Childhood Essay Example | Topics and Well Written Essays - 2500 words

Understanding the Childhood - Essay Example The essay "Understanding the Childhood" talks about the maladjustment or maltreatment during childhood which more often than not surfaces in some form of societal contradictions and confrontations in a child’s later life. The paper also discusses a school, not as an institution that had strict administrative procedures. The primary right of a child is not to be affected by social prejudices and legal structures, if any, that might be prevalent against their parents. All actions taken by legal, social, governmental and non-governmental bodies that might affect children must be taken with the best interest of concerned children in mind. United Nations has also declared in its charter that, except under extraordinary circumstances, therefore, State should ensure that a child is never separated from their parents. The world body has also been unambiguous in its censure of illegal human trading in children and has directed State to take the most stringent measures to prevent any su ch nefarious activity. A child, like any other adult human being, will be entitled to freedom of opinion, thought and expression and will also be entitled to their right of privacy. However, Helen Penn draws our attention to the fact that notions of childhood is not the same in every region of the world and varies much wider than can be conceived by a Westerner. Just to place her argument in proper perspective, hence she draws the example of poverty as viewed in the Western world and elsewhere.