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NUR 450 Capstone Project


NUR450 Capstone Project

NUR450 Capstone Project


Oneof the limitations of this study is the fact that it uses a smallsample of registered nurses to generalize the behaviors of severalprofessionals. A small sample cannot give an accurate illustration ofthe health practices of nurses. In addition, the data acquired willbe informed since all the study subjects are women, yet there aremale nurses. In many cases, the health habits between men and womenvary significantly, hence the results that would be obtained fromthis study would not represent accurate health characteristics of thenursing fraternity. Third, the research does not cater for ethnic andracial differences. Since 85% of the study subjects are Caucasians,the results will be unsuitable for generalizing health habits sinceit does not consider health practices that could arise from cultural,racial, and ethnic differences among nurses (Bartter, 2001).


Thisis an example of a null hypothesis because portrays absence of arelationship between the pain level of clients who undergoacupuncture and those who do not undergo the process. In case thishypothesis is expected, the research will conclude that acupunctureis not an efficient pain management strategy because as patients whohave undergone the treatment approach experiences the same level ofpain to their colleagues who have not been treated using the process(Bartter, 2001).


Beneficenceethics – These are research standards that guides an investigatorin calculating and considering the extent of prospective harm andbenefits of a study to the participants, as well as the generalcommunity. The ethics demand that researchers should be receptive tothe welfare and requirements of the individuals taking part in theresearch. In addition, the researchers should ensure to reflect thesocial and cultural values of the research subjects’ work (Bartter,2001).


Ifa researcher is conducting research on a new sexually transmitteddisease on the patient, revealing the identity of the person can makethe patient be discriminated by his or her colleagues. However, insome cases, it is impossible to hide the identity of the patient theinvestigator should weigh the benefits and drawbacks of revealingconfidential of a patient. In case the information could make damagethe reputation of a patient or lead to discrimination, but theinformation could help other vulnerable people to the condition avoidsuffering from a similar fate, it would be worth for the patient torisk his or her reputation. Nonetheless, the researcher has anobligation of painting a positive image of the patient and convincesthe target audience that the purpose for revealing the confidentialinformation is educating the public, and not spoiling the reputationof the research subject.

2).Holistic nursing care

Casestudy A: The first approach when treating the patient would beaddressing her mental distress, as well as assuring her that she canstill get another child. In addition, a nurse should create afriendly and comfortable environment that will help the patient torelax and forget about the unfortunate incident that made her loseher child. The nurse can also suggest to the patient that she canconceive with the assistance of advanced technologies such as theinvitro method that aims at placing donated ovum in her embryo, thenfertilizing it inside her body. Lastly, give positive testimonies ofpatients who have successfully overcome such situations in the pastcan also help to alleviate the patient’s suffering (Dossey et al.,2005).

Casestudy B: The nurse in charge of training the 86 years old man shouldhelp the patient to develop self-awareness and relaxation. Once thepatient develops a sense of awareness, he will understand that he isunique and can live longer despite the fact that he is suffering fromdiabetes mellitus, which kills people of his age within a shortperiod. The nurse will use the unitary human being principles whenaddressing the old man’s condition. This treatment approachcapitalizes on four-dimensional (pan-dimensional), irreducible andindivisible energy patterns that are specific to individuals, andwhich cannot be determined through observing, analyzing, ordescribing the parts. Once the nurse has educated the patient on thesignificance and changes that he should make to lengthen his life,the old man will willingly observe the changes that will help tomanage his diabetes mellitus condition effectively (Dossey et al.,2005).

3.Cultural care

Casestudy A:

Oneof the questions that the discharging nurse should ask the Vietnamesewoman before discharging her would include:

a)“Howmany times should you administer a drug to child in a day?”

Thisquestion is relevant because it will assist the nurse to identifywhether she knows the frequency of administering the dose in order toavoid skipping doses, or even taking larger doses than recommended(Dossey et al., 2005).

b)“Atwhat time, and in how much amount will you administer a dose to thechild?”

Thisquestion will assist the nurse to determine whether the motherunderstands the right time to administer the dose to the child, aswell as the right quantity of drug to administer the child (Dossey etal., 2005).

Casestudy B:

Accordingto the Islamic culture, a Muslim woman should not expose to a manother than her husband. As a male ER nurse, he should look for afemale nurse to attend to a woman instead. However, if a female nursewho can check her up is not available, the nurse should first informthe patient of the situation. In many cases, their husbands or thenext of kin accompany Muslim women. The nurse should inform thehusband or the relevant authority that he intends to treat her,despite the fact that it is against Islamic ethics (Bartter, 2001).

4.Ethical Considerations in Nursing Practice

A.Specific violations of ethical principles:

Autonomy:the hospital staff should have let the family choose whether to placeRJ in tertiary care center. In addition, the staff violated theautonomy ethics through pushing RJ’s family to change his code ofstatus, and yet they wanted to allow him extra recovery time toobserve whether his condition would improve (Bartter, 2001).

Beneficenceethics:The patient had expressed his fear towards the surgical operation,but the surgeon assumed his concerns that it was regular fear thatmany people about to undergo a surgical operation experience. Thesurgeon should have investigated the health background of RJ, as wellas his family background to determine the suitability of a surgicaloperation instead of generalizing patients’ feelings towardssurgical operations. The hospital failed to act in the best ofinterest of RJ regarding his fear for the operation (Bartter, 2001).

Nonmaleficenceethics:The hospital staff proceeded to operate the patient withoutconducting due diligence that would have helped them to discover thereasons he feared the operation. In addition, the surgeons knew thathe was overweight by 50 pounds, but they did not carry out tests todetermine suitability of the operation on the patient (Bartter,2001).

Justice:The hospital staff was in the hurry to take the patient from thegeneral medical, surgical care, which the family wanted him to staylonger to observe whether he could overcome his vegetative state. Thestaff kept searching for a long-term rehabilitation program sincethey claimed that RJ could not overcome his sickness (Bartter, 2001).


Theaction of assuming that the patient was just scared because he hadnever been into the theater was justifiable considering that thepatient was healthy, other than the 50 pounds excess weight. However,the assumption was dangerous since the physicians failed to evaluatethe patient’s close family. In addition, the facility was justifiedto search for a long-term rehabilitation program because RJ’schances of overcoming the paralysis were minimal. In addition, herequired professional physical assistance such as regular suctioningof copious secretions from his tracheomy. In case the family allowedthe family to take the patient prior to treating him, they wererisking his health since his family members required the professionalskills required for taking care of RJ.


Professionalismrefers to the polite behavior, experience, and good judgment thatpeople trained in a given profession uphold during execution of theirprofession.

Iexpress professionalism at my field of work through offering servicesbased on a specialized area. This ensures that clients receive highquality job because I have advanced knowledge in the field. Inaddition, I ensure to provide reliable services to all the clients.In case I do not solve a problem, I ensure to seek assistance fromanother skilled person in the sector instead of giving excuses toclients that I do not have skills in the field. Lastly, I ensure thatevery client is served with the highest honesty and integrity so thatthey can get the highest value for their investment capital(Thistlethwaite &amp Spencer, 2008).

6.Mission and philosophy of nursing of the division of nursing

A).The aspects of mission statement that are evident in the coursework,in the RN-BSN coursework program include the dedication to developingtruly knowledgeable persons who strive to attain value, as well asinculcate peace, truth, justice, and service.

Inaddition, the program enhances students’ development ofprofessional skills, knowledge, and the inquiry capacity. The programis designed to equip students with skills for working in a dynamichealthcare system for an international community.

B).The culture of faculty interactions with students embraces individualuniqueness of every student and struggles to attain an environmentthat would facilitate of an entire person with respect tointellectual, physical, moral, social, spiritual, and aestheticpersonality of humans.


Thistlethwaite,J., &amp Spencer, J. (2008). Professionalismin medicine.Oxford: Radcliffe.

Bartter,K. (2001). Ethicalissues in advanced nursing practice.Oxford: Butterworth-Heinemann.

Dossey,B. M., Keegan, L., &amp Guzzetta, C. E. (2005). Holisticnursing: A handbook for practice.Sudbury, Mass: Jones and Bartlett.