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Clinical Supervision in Practice and District Nursing

Share this: Facebook Twitter Reddit LinkedIn WhatsApp CLINICAL SUPERVISION IN PRACTICE AND DISTRICT NURSING: A LITERATURE REVIEW The following research reports a systematic literature review of studies which have assessed the development, implementation and outcomes of clinical supervision within practice and district nursing. 1.0 ABSTRACT Background – The demands which are being placed on nurses within the modern health care environment continue to increase. It is important that effective measures are identified which provide appropriate education, support and quality control for nurses to ensure that they can meet these demands. One such approach is referred to as clinical supervision. Through this, a nurse can be supervised by a more superior colleague who can oversee their actions and make interventions when necessary. Aims – This literature review will critically review research which has assessed the development, implementation and outcomes of clinical supervision in practice and district nursing. This will enable an assessment of the effectiveness and efficacy of clinical supervision within this group of health care workers. Methodology – A systematic literature review was conducted. Relevant articles were identified via computer based searches, manual searches and internet-based searches. Results – It was found that clinical supervision was developed based on a set of standards but that more work is required to improve the dissemination of these standards, role definitions and to standardise the process of supervisor selection and training. A need was also identified for supervisors to me made more available for both nurses and the supervisors themselves. Finally, the perceived benefits of clinical supervision in terms of support, socialisation into ward culture, providing clinical experience and improving the nurses’ job satisfaction were discussed. Further research is recommended to developed standardised and validated assessment tools to enable empirical analyses of the effect of clinical supervision on nurse performance and the quality of care provided to patients. Conclusions – Clinical supervision is seen to be an effective way of providing support for practice and district nurses. However, more work is needed to ensure that it is more feasible and that it is not viewed as a form of control or assessment by the nurses. Keywords – Clinical Supervision Practice District Nursing Evaluation What do we already know about the topic? Clinical Supervision focuses on providing nurses with education, support and management (quality control) Health care workers perceive that clinical supervision aids support, skill development, team building, provides a monitor and helps colleagues to share information Little research has critically analysed the effectiveness and efficacy of clinical supervision for practice and district nursing What does this study add to the knowledge in this topic? Clinical supervision standards have been developed but they need to be more effectively disseminated, standardised and the roles need to be better defined This review highlights the need for there to be an increase in the availability of supervisors for both nurses and the supervisors themselves Standardised assessment tools need to be developed and validated to enable an assessment of the effect of clinical supervision on nurse performance and quality of care 2.0 INTRODUCTION The world of nursing has gone through a period of significant change over the last ten years. In the acute nursing environment, nurses are using increasingly more complex health care interventions and have to incorporate the use of advances in both medical technology and disease management. Within primary care, nurses are required to face the burden of chronic disease and to facilitate patients beginning to self manage their own health. Such changes have been made as a result of Governmental policy and strategic approaches (Wanless 2002, Wanless 2004). Such changes have resulted in there being a range of extra demands being placed upon the nurse, both during and after their training. The Royal College of Nursing (2004a and 2004b) acknowledged the change which is occurring and stated that nurses’ continuous education needs to be assessed and adapted to meet the changing role of the nurse. Changing have particularly taken place within the education of student nurses through the implementation of Project 2000 (UK Central Council for Nursing, Midwifery and Health Visiting 1986)Nurses are now required to undertake tasks which were traditionally performed by doctors. Through these changes the need for effective CLINICAL supervision within nursing has become ever more salient. As a result of the potential effects which a supervisor nurse relationship can have on the nurse’s learning, their experience of training, their subsequent performance on the training course, their future effectiveness as a nurse and ultimately on the quality of the care which is provided by the nurses, it is an important topic to consider within the fields OF BOTH PRACTICE AND DISTRICT nursing. 3.0 BACKGROUND Much has been written about the practitioner as facilitator, supervisor, assessor and role model, and the overlay of role functions (Windsor 1987, Hughes 1990, Donovan 1990, Bailey 1992). Despite this, there is still a lack of consensus within the literature in terms of a clear definition of what is meant by the term ‘supervisor’ (Hagerty 1986, Phillips et al 1996a, Phillips et al 1996b). It has been argued that the task of defining the term supervisor is made more complicated by the fact that other terms are used, such as assessor, facilitator and mentor, to describe the same role (Phillips et al 1996a, Phillips et al 1996b). As a result of the wide range of aspects of the role which is played by a supervisor, it can be stated that a definition of supervisor can only be a general description as anything more specific would run the risk of excluding important elements of the position (Davies et al 1994). For the purposes of the following review, the definition of supervision which was provided by Zwolski (1982) will be adopted: ‘Supervision is a relationship which is aimed at guiding the novice towards an established place within the profession’ (Zwolski 1982) In the nursing profession the aims of the supervisor will be to form a relationship with their nurses which enables them to be successful during their training and throughout their subsequent career. Jarvis (1995) emphasised that it is important to focus on the supervisor’s role as a function and as a relationship with the nurse rather than being about them as a teacher or practitioner. Through this role the supervisor can help to narrow the gap between theory and practice (Pelosi-Beaulieu 1988, Armitage and Burnard 1991). Butterworth and Faugier (1994) theorise that the role of clinical supervisor has three key elements, namely Education, Support and Management (through quality control). However one conceptualises clinical supervision within practice and district nursing, the benefits of the process have been demonstrated through previous research. It has been found that nurses require their supervisor to provide a good role model and to provide a source of support, particularly in the earlier years of a nurse’s career (Gray and Smith 2000). Research has indicated that nurses tend to leave the profession because they cannot cope with the demands of training or the job itself (Fulbrook et al 2000) or because of more personal factors (MORI 2003). It may be that clinical supervision has a broader role to play here in reducing the probability that a nurse will leave the profession. Based on questionnaire research, Thomas and Reid (1995) identified five important benefits of clinical supervision. They were support, skill development, team building, monitoring clinical performance and the sharing of information. The following review will consider research which has focussed on the clinical supervision within practice and district nursing. 4.0 METHOD A systematic review aims to integrate existing information from a comprehensive range of sources, utilising a scientific replicable approach, which gives a balanced view, hence minimising bias (Hart 1998). In other words, a scientific approach will help to ensure that research evidence is either included or excluded based upon well defined and standardised criteria. This should ensure that the possible effects of researcher bias should be kept to a minimum. Brealey and Glenny (1999) also states that systematic reviews provide a means of integrating valid information from the research literature to provide a basis for rational decision making concerning the provision of healthcare. 4.1 SOURCES OF DATA The methodology employed within the research will involve obtaining data from three key sources: Computerised searches, Manual searches, and the Internet. Each of these data sources will now be considered in more detail. 4.1.1 COMPUTERISED SEARCHES Multiple databases, both online and CD–Rom will be accessed to retrieve literature because they cite the majority of relevant texts. (Loy 2000) The computerised bibliographic databases are:- MEDLINE EMBASE CINAHL PSYCHINFO British Nursing Info BNI Cochrane Science Direct(All Sciences Electronic Journals) However because articles may not be correctly indexed within the computerised databases, other strategies will be applied in order to achieve a comprehensive search (Sindhu
ITS 531 VIU Engineering Science Robotic Applications & Self Driving Cars Discussion.

Chapter 10 –discussion question #1-2 & exercise 1 & 7 When submitting work, be sure to include an APA cover page and include at least two APA formatted references (and APA in-text citations) to support the work this week. All work must be original (not copied from any source).1. Based upon the current state of the art of robotics ap- plications, which industries are most likely to embrace robotics? Why? 2. Watch the following two videos: https://www. and https:// for a different view on impact of AI on future jobs. What are your takeaways from these videos? What is the more likely scenario in your view? How can you prepare for the day when humans indeed may not need to apply for many jobs? 3. Identify applications other than those discussed in this chapter where Pepper is being used for commercial and personal purposes.4. Conduct research to identify the most recent developments in self-driving cars.
ITS 531 VIU Engineering Science Robotic Applications & Self Driving Cars Discussion

WSU Management Information Systems Supply Chain & Production Scheme Discussion.

I’m working on a management discussion question and need an explanation to help me learn.

Arguably the heart of any business is it’s supply chain, a major business function. Review the following video’s then discuss effective and efficient supply chains, and how they might have been affect by COVID-19.1. The Future of Delivery in Our New On-demand Economy.To help you in writing your post review these 2 articles which talk about the bullwhip effect. Do you understand it? a 2-4 paragraph reflection on what you learned from the videos as well as the supplied documents.Main discussion should be at least 300 words or more
WSU Management Information Systems Supply Chain & Production Scheme Discussion

“I am aweary, aweary; / I would that I were dead!” (11-12 Tennyson) This excerpt from Mariana, provides evidence for an always present theme in the poetry of Alfred Lord Tennyson, that is death. Tennyson was a Victorian era poet unafraid to explore death, and mourning. In fact, many of Tennyson’s most renowned poems are those about or centering on death, including “Mariana”, “In Memoriam” and “The Charge of the Light Brigade.” Besides Death, Tennyson explored other topics in his poetry in great depth, That is the relationship between science, and religion. Tennyson was a Poet Laureate under Queen Victoria and was more then willing to explore the topics of the day, science and religion. Besides that, Tennyson was patriotic and proud of England and wrote numerous poems about England, many were wrote even though being a Laureate did not always require it of him. When close friend Arthur Henry Hallam died suddenly, Tennyson was just 24. Tennyson would spend the next ten years of his life writing poems dedicated to Hallam, and published them as “In Memoriam” in 1850 (SparkNote 1). Hallam’s death would deal a serious blow to Tennyson’s religious beliefs, and motivate him to pen these doubts, an through exploration of death, specifically Hallam’s in his long poem “In Memoriam.” Though he questioned religion at times, he reserved doubts of science as well. But, Tennyson did think of evolution as progress, and worried about this conflict with the bibles theory of creation, and felt that regardless of scientific discovery, he felt it was necessary to keep faith in God. (SparkNote 1). Tennyson grew to have mixed feelings about scientific discovery. In his poems Tennyson did not marvel at natures great wonders, but instead feared what her wonders mean, especially for his christian faith. (123Helpme). Tennyson would find he faith weaken by scientific finding in geology and biology. He felt that nature was no longer God’s creation, but an entirely separate force (123Helpme). Tennyson would toy with these ideas for much of his career, letting he doubt of God, and his fear of scientific revelation become evident in his poetry. This sentiment would reflect most Victorian Christians, whose faith in the bible was being challenged by Charles Darwin and his theory of Natural Selection. Tennyson would continue with his troubles with religion in a poem called “Locksley Hall” in which the speaker feels tempted to abandon modern society, and go back to a barbaric lifestyle in the jungle. (SparkNote). Tennyson would even toy with the idea of a Godless world in “In Memoriam”. However, by the end of “In Memoriam” Tennyson seems to arrive at the conclusion that we should have faith in scientific progression, and our religion. In a sequel to “Locksley Hall” Tennyson’s speaker has grown skeptical of science and has a re-affirmed belief in god. (SparkNote). Tennyson would never let go of a theme of death, and in many poems he glorified death, or those characters that died that he wrote of. “The Charge of the Light Brigade” is one example. Tennyson would would deal with a troubled childhood often seemed to embrace optimism, but after Arthur Hallam’s death, he began to write depressed and tragic poems. Yet, his poems also carried a theme of the need to persevere, and about what pessimism can do to the human spirit. (SparkNote 2). He would write about these themes for most of his career, and “The Charge of the Light Brigade” embodied those themes exactly, because as the British Cavalry rushed towards Russian Cannons, they kept charging, regardless of the impending doom that awaited them. Tennyson would also include another theme, patriotism. Tennyson was Poet Laureate of England, a position that required him to write poems for the state. His poems often centered on Heroic sacrifice, Like “Charge of the Light Brigade.” He also wrote “Idylls of the Kings” arguably one of his most recognized works, It centered around the chivalry of old age England, and it’s heroic Knights of the Round Table. His poems about a queen reigning alone without her husband, Much like his Queen Victoria, and the heroic struggles of British knights painted the perfect patriotic picture. (Cliffnotes). Even in his patriotic poems, death, his prevailing theme, played significant roles as the ultimate form of patriotism, charging blindly for your country, or dying after living a life by the code of chivalry. Most critics considered “Idylls of the Kings” one of his most important pieces of work. The mystic past of King Arthur and his knights Tennyson also used another theme. He wrote of lost love. In Mariana, he writes of woman whose love left her. She mourns her loss, and can not deal with the despair and depression. She contemplates suicide, and does do much more then that. The poem it self lacks any real progression, but instead focuses on the losses she has suffered. (Dempsey 1). This poem like others, such as “The Lady of Shalliot” describe a woman who has lost the ability to do anything short of yearn for their lover. (SparkNote) This depiction is common to Tennyson’s love poems. He often has his characters as being unable to do anything without their partner, having lost all lust for life. Some feel that this might even be a relation to the loss of his own friend Hallam, whom he spent many years mourning.

The Integration of CamStudio and Windows Movie Maker Into the Education Programs Argumentative Essay

The Integration of CamStudio and Windows Movie Maker Into the Education Programs Argumentative Essay. Description of tools The integration of CamStudio and Windows Movie Maker into the education programs could be beneficial for enhancing the students’ involvement into the curriculum as well as improving their computer literacy in general. CamStudio is a tool which records all screen and audio activities displayed on the personal computer, creating standard video files in AVI format. This program can be used for demonstrating the teaching videos for any software program as well as creating the videos for answering the frequently asked questions. Windows Movie Maker is a tool which allows creating and editing videos which can be used for the educational purposes. It enables users to combine several fragments from various videos as well as changing the original sound of the video, replacing it with the desired sound effects if necessary. The choice of these tools can be explained with the benefits of integrating the multimedia assignments into the course as an effective alternative to lecturing and traditional tasks. The multimedia visual aids are helpful for generating the learners’ interest, capturing their attention and involving their visual memory for memorizing the materials. Introduction The context for the implementation of these tools is teaching English lessons for international students. It is possible to use the products of the tools for learners of various grade levels, ranging from primary to high school. This project is aimed at high school students. The videos created using these two programs can be used for teaching new words and word combinations. It is possible to use the products of the programs as demonstrations for explaining the meaning of words in the context without using the translation into the students’ mother tongue. The demonstration of the videos from the computer screen created by using CamStudio will capture the learners’ attention and focus it on the course materials. It is possible to remove the mouse cursor for pointing at the objects under analysis, enter the text and then make corrections or underline it if necessary, selecting synonyms or emphasizing the peculiarities of the spelling of the words. Windows Movie Maker can be used for processing movies and songs in English for adapting them for the international students by adding the necessary inscriptions and changing the structure of the video. This tool would enable the educator to add some special effects and change the original sounds for making the videos more appealing for learners. Implementation The goals for the project include enhancing the students’ involvement into the program and developing their computer literacy. At the end of the period, the students will learn some of the options of the tools and will be able to work with the programs by themselves. The assignments created by using the multimedia devices will meet the general requirements of the curriculum concerning the language materials used in them. The students will be only partially involved into the project by teaching them only the basic options of the program so that to avoid overloading them. The main focus remains on teaching English and the tools are only methods for achieving this primary goal. Students will be encouraged with new methods and interesting assignments and it will have a positive impact on their learning achievements. Communication of the plans to parents and administration is not compulsory because the tools can be downloaded for free and their implementation does not require any changes in the curriculum. Outcomes The students’ involvement into the project would be only partial so that to avoid overloading them and balance the existing curriculum and the new types of assignments. Student will learn only the basic options for working with the tools, and it would be useful for them but not too difficult. Contributing their ideas for the use of new tools in the classroom activities, students would feel that they are involved into the development of the curriculum and become more critical thinkers. The main hurdles for the implementation of the project include the technical problems and the organization of the class for working on the new types of assignments. These difficulties can be overcome by checking the equipment several times and developing detailed instructions for students. Samples The two samples of the assignments created by using CamStudio include the lesson for learning 100 common English words and the lesson explaining the meaning of the idioms to beat around the bush and to string somebody alone. In the first sample, a teacher uses the mouse cursor for pointing at the pronounced words, while in the second one the discussed words are marked and replaced with their synonyms. The two samples created by using Windows Movie Maker include excerpts from a movie and ABBA’s song with subtitles. Using the subtitles and inscriptions is helpful for adaptation of the videos and enhancing the learners’ understanding of the materials. Windows Movie Maker allows also changing the structure of the video and selecting only particular fragments from it for concentrating the learners’ attention and deleting the complicated fragments which would be not understandable for students. Reference List CamStudio Open Source. Web. Windows Movie Maker. Web. The Integration of CamStudio and Windows Movie Maker Into the Education Programs Argumentative Essay

Education homework help

essay writing help Education homework help. Disease Research PaperDESCRIPTIONNutrition research contributes to our knowledge and understanding of the prevention and treatment of chronic diseases.ÿ Nutrition research informs evidence-based practice guidelines and policies that aim to improve health outcomes.ÿ Nutrition professionals should be prepared to share their expertise and contribute to nutrition research throughout their careers.Instructions Research Paper Instructions?ÿ Identify Reflux (GERD) & Esophagitis disease and disorder?ÿ Write a research paper about the identified disease or disorder.oÿÿ Describe the etiology (the cause) of the disease or disorder.oÿÿ Analyze a perspective or argue a point (position).oÿÿ Your goal is to present your own interpretation or evaluation or argument grounded on the evidence (research) available (or not available, depending on your perspective).oÿÿ Include references from the Cochrane Review, USDA Nutrition Evidence Library, AND Position Papers, AND Evidence Analysis Library, and the WHO Evidence Based Nutrition Interventions.oÿÿ Discuss the gaps in knowledge.?ÿ Prepare your research paper using APA format. Use scholarly (peer reviewed) articles; a minimum of 5 references are required.ÿ 5-6 pages is required.?ÿ You must use PowerPoint (or other presentation software) for your presentation.Criteria for Evaluation of the Research Paper = Total of up to 100 pointsÿ vÿ Research paper on a disease or disorder that either analyzes a perspective or argues a point with the goal of presenting your own interpretation or evaluation or argumentvÿ Double-spaced, 5-6 pagesvÿ Spelling, syntax and grammarvÿ A minimum of five references from peer-reviewed journals (scholarly articles). Additional references may be used from books or approved websites (government, WHO, research institutions).ÿ In-text citations should be written using APA style; include a reference page.ÿ Please inquire with the instructor for any questions regarding references and sources.oÿÿ APA Format Research Paper Guide: for Evaluation of the Research Paper Presentation = Total of up to 50 pointsÿ ?ÿ Clear description of the etiology (Cause)?ÿ Clear presentation of the analysis of a perspective or argument of a point (position)?ÿ Engaging presentation?ÿ Creativity?ÿ Effective use of slides, images and media?ÿ Flow of presentation?ÿ Adherence to time limitsCriteria for Peer Evaluation of the Research Paper Presentation = Total of up to 10 pointsÿ ?ÿ A scale of 1 to 5 (highest) will be use to evaluate the criteria below:oÿÿ Clarityoÿÿ Engagingoÿÿ Creativityoÿÿ Organizedoÿÿ Style?What is a Research Paper?”Research paper.” What image comes into mind as you hear those words: working with stacks of articles and books, hunting the “treasure” of others’ thoughts? Whatever image you create, it’s a sure bet that you’re envisioning sources of information–articles, books, people, artworks. Yet a research paper is more than the sum of your sources, more than a collection of different pieces of information about a topic, and more than a review of the literature in a field. A research paper analyzes a perspective or argues a point. Regardless of the type of research paper you are writing, your finished research paper should present your own thinking backed up by others’ ideas and information.To draw a parallel, a lawyer researches and reads about many cases and uses them to support their own case. A scientist reads many case studies to support an idea about a scientific principle. In the same way, a history student writing about the Vietnam War might read newspaper articles and books and interview veterans to develop and/or confirm a viewpoint and support it with evidence.A research paper is an expanded essay that presents your own interpretation or evaluation or argument. When you write an essay, you use everything that you personally know and have thought about a subject. When you write a research paper you build upon what you know about the subject and make a deliberate attempt to find out what experts know. A research paper involves surveying a field of knowledge in order to find the best possible information in that field. And that survey can be orderly and focused, if you know how to approach it. Don’t worry–you won’t get lost in a sea of sources.In fact, this guide is designed to help you navigate the research voyage, through developing a research question and thesis, doing the research, writing the paper, and correctly documenting your sources.?( Accessed on Feb. 2, 2017)Education homework help

t’s a 30 minute presentation on WholeFood Case Study. Create slides for your presentation on this topic. Annotate each slide with what you want to say about the slide — either by adding notes at the bottom of the slide or in a separate document. (Using

t’s a 30 minute presentation on WholeFood Case Study. Create slides for your presentation on this topic. Annotate each slide with what you want to say about the slide — either by adding notes at the bottom of the slide or in a separate document. (Using.

t’s a 30 minute presentation on WholeFood Case Study. Create slides for your presentation on this topic.Annotate each slide with what you want to say about the slide — either by adding notes at the bottom of the slide or in a separate document. (Using Microsoft PowerPoint.) The 4 case questions need to be answered are:What steps has WholeFoods taken inappropriately planning strategy? Assuming WholeFoods must develop a new business model, how should they go about this?What opportunities and threats can be identified through examining WholeFood in the context of the competitive forces model and competitor analysis?What has created the durability of WholeFoods’market presence? What has given them their competitive advantage?What functional level strategies have WholeFoods employed? Have these strategies been successful?There should have a total of 15 quiz questions(multiple choice) in a separate Excel file. You can see the Quiz Question Template on another file.Please look at the presentation fomat&flow for detailed instruction!!!
t’s a 30 minute presentation on WholeFood Case Study. Create slides for your presentation on this topic. Annotate each slide with what you want to say about the slide — either by adding notes at the bottom of the slide or in a separate document. (Using

Interior Design 101 UCSD Life of Architect Zaha Hadid & Deconstructivity Essay

Interior Design 101 UCSD Life of Architect Zaha Hadid & Deconstructivity Essay.

Project :Pick a famous Architect or Designer and research them. I have provided a list
to inspire you. RESEARCH PAPER: Once the architect/designer /space is selected,
write a research paper (minimum: 6 typed pages, Double spaced, 12 pt. font) using at
least 3 bibliographies. Your bibliographies must be cited in the body of the research.
Please read, research and digest the information then write the research paper based
upon what you have learned about your “client”. Tell the reader what interested you in
this person. Discuss the significance of their work in a historical perspective. If currently
living, describe their work in the past and suggest a forecast of what the work may
mean to the future. Incorporate at least five adjectives that describe the work of your
“clientIn a PDF file , include a title sheet with your name, class day and time and
assignment and professor with your research paper.
INTRODUCTION TO INTERIOR DESIGN 101 Research Project From the list below,
select a name to be your Client for the research Project
1. Zaha Hadid (Architect)
2. Lilian Rice (Architect)
3. Howard Van Doren Shaw (Architect)
4. Dorthy Draper (Designer)
5. Louis Comfort Tiffany (Designer)
pick only one
Interior Design 101 UCSD Life of Architect Zaha Hadid & Deconstructivity Essay

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