Sunday, November 10, 2019

Personal practice related to ANA scope of practice Essay

As a nurse, one must follow a scope of practice, what is expected of them within their role of the nursing profession. These guidelines shape the responsibility of the professional nursing organization and serve to protect the public. According to, Nursing’s Social Policy Statement: The Essence of the Profession (American Nurses Association, 2010, p. ) defines contemporary nursing: â€Å"Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. † I believe my role, as a nurse is consistent with the scope of practice outlined by ANA and the contemporary definition cited. As a nurse, I strive to be clinically competent and aware of the constant challenges that one faces on a daily basis. Being well informed promotes health and prevents further illness and injuries. One goal I try to set aside every week is to attend a weekly ground rounds meeting, where additional education is provided on a specific case study. This opportunity allows me to stay current and up to date on new medications available, research findings and team collaboration feedback from staff on effective treatment options for optimal patient outcome. In addition, completing required competencies and being a member of Oncology Nursing Society also strengthens my knowledge and skill in providing the best evidence based practice to an individual and their families. Being a resource nurse for my unit allows me the opportunity to share my knowledge with the staff and actively participate in mentoring young nurses build a strong foundation and develop critical thinking skills. Education is critical in the nursing profession. Lifelong learning must be an ongoing process due to the rapidly growing population and technology advancements in our society today. I believe it is the responsibility of the nurse to facilitate this process and collaborate with other nurses in their field to continue to work together to strengthen the role of the nurse in an environment that requires continuous education and competencies. â€Å"Registered nurses must continually reassess their competencies and identify needs for additional knowledge, skills, personal growth, and integrative learning experiences† (American Nurses Association, 2010 p. 13). State legal regulations and professional standards of nursing The Ohio Board of Nursing defines nursing and the scope of nursing practice. Rules and regulations are in place to determine compliance set in motion by the Nurse Practice Act. Responsibility is outlined by establishing standards for nursing education programs, eligibility to sit for the state licensure exam, renewal criteria of that license, and setting standards for continuing education to meet renewal criteria. The Board is also responsible for defining the standards of delivering safe nursing care for registered nurses and protecting the community with these standards. Another role the Board is responsible for is reviewing and investigating violations of this Nurse Practice Act and determining if a nurses license is to be denied, revoked, suspended, or restricted in any way (Ohio Nurses Association). It is essential that nurses maintain an understanding of the legal regulations within their nursing practice. The Ohio Board of Nursing requires all Ohio nurses to have continuing education on Ohio law with a total of 24 continuing education hours every two years for license renewal (Ohio Board of Nursing). As a professional, I feel it is my primary responsibility to understand the law and regulations defined before me, this knowledge allows me to safely practice nursing care and deliver the best care to my community. I have worked in other states as well, and of those states I have worked, Ohio is the only one requiring a continuing education credit with a focus on state law and regulations. I feel every state should have continuing education credit requirements for renewal and at least one of the required credits have a focus on law. It is important as a professional to have knowledge of this. To have a check and balance system in place to make sure one is justly maintaining these standards and expectations in delivering a safe competent nurse to our community is vital to the population as a whole. Provisions 7, 8 and 9 â€Å"Provision 8 describes the nurse’s moral obligation to society. Provision 9 describes the responsibilities of the nursing profession to both the individual nurse and society in general. Provision 7 provides the necessary linkage between individual competence and evolving professional standards of practice, in addition to giving nurses a responsive and collaborative role n health policy for the overall advancement of the profession† (Fowler & Association, 2010, p. 91). Initially, these Provisions were never intended to be carved out of stone, but historically, they have been a guide and continue to be a guiding force of moral and ethical standards to follow. I pride myself on working for a hospital that fosters an environment on ethical integrity and professionalism. Because of this strong thread, it motivates me to do more, achieve more, and be more than I am today. I want my patients and my community to feel that they are receiving the best nursing care. An example I recently explored was implementing a grid to follow based on patient’s diagnosis and treatment pathway prior to admission to the floor. I work in the hospital’s rapid admissions unit. My goal is to have the patient to their room in 30 minutes or less. Of recent, we have received a lot of admissions for pancreatitis, however, I have noticed that the patient arrives to my unit without pain management options, i. e. PCA pump. This has delayed the patient’s comfort and care prior to arrival to HRAU leaving me scrambling to get pain orders, equipment and recover any customer service issues. This grid allows a framework to use as a guide of anticipated orders and outcomes. I presented this grid to my nursing manager, our staff and the ER manager and charge nurses for their collaborative input and suggestions. So far it has been effective, and we are working on additional areas to cover as well. Nursing is continually evolving and as a professional it is our job to facilitate education within our community of nurses so we can better serve our patient population. Philosophical forces influencing practice Philosophy is an attitude toward life and that attitude evolves from every nurses belief system. One’s attitudes are shaped by their environment and an accumulation of life experiences, I define nursing as a way to give back. Giving good nursing care doesn’t stop at being knowledgeable about medicine and having the very best in technology. It goes beyond, by reaching that individual on a spiritual level and connecting with them. I have always believed that one cannot be taught how to show compassion, an individual either possesses that ability or they do not. I have always believed that that is one of my strongest qualities, and this has been reconfirmed back to me by my patients through the years. To truly interact with a person you need to gain their trust, once that has been achieved through a therapeutic environment, healing is then possible. Ethical principles influencing practice There are standards in place to dictate the need to protect patient’s values, beliefs, culture and safety. It is difficult at times, when dealing with challenging patients and having to handle the stress of our jobs to remain open and unbiased. It is nice to have a reminder that our patient’s values come first and respect their choices. Our role is to educate them about their treatment plan and make sure they are well informed, while letting go of our own attitudes. Determining, nursing practice are essential for dealing with day-to-day ethical issues (Jormsri, Kunaviktikul, Ketefian & Chaowalit, 2005). I recently had an Asian woman who presented with abdominal pain and requested to have cupping performed by a healer specialized in the field. I was initially at a loss, how was I going to find someone to perform cupping. I wanted to help this woman and when I asked my colleagues and manager they had no suggestions. So I contacted the department that handles cultural awareness and was able to get a lead on whom to call. After, two hours of my day spent looking for someone to call, I finally had my answer. I came back to give my patient an update on the progress and she was so relieved. It was like you could see the anxiety drain out of her. By the end of the day, the therapist arrived to do cupping with her and she was relaxed and expressed that she truly felt like I heard her. It was not easy and I did find myself getting frustrated with the process of trying to make something work that I knew very little about. I’m happy I followed through with it, because in the end every patient has a right to believe what they believe, even though her values and attitude toward medicine is very different than my own, I was able to put aside my own views and attitude and really help someone else. Conclusion Many might say nursing is a science and some might say nursing is an art. I believe it is both. To be a successful nurse one must have the passion to continue their education and apply their knowledge through the science of nursing, and have the efficacy and compassion to provide the art of caring. Without caring the nurse is unable to connect with the patient and if the nurse cannot connect, trust will not develop between the nurse and the patient. I have always believed nursing is a calling and it is one of the most challenging jobs to have, but by far it has been the most rewarding.

Friday, November 8, 2019

Essay Mills and Why to Avoid Them

Essay Mills and Why to Avoid Them Essay Mills and Why to Avoid Them Struggling with deadlines? College life feeling stressful? You might be tempted to take a shortcut, especially if someone points you toward an essay mill. But what are essay mills exactly? Wrong kind of mill. Sorry. To help out, we’re here to explain what they are and why you should NEVER use them. Essay Mills and Essay Banks Some online businesses offer essays to students at a price. These come in two main types: Essay mills provide custom essays based on a specified topic, word count and deadline Essay banks sell pre-written essays, which are cheaper but less tailored These businesses sometimes say that the essays they sell are just â€Å"templates† that students can use to generate ideas. However, using an essay mill is widely seen as cheating. The Problem Maybe you’ve read the descriptions above. But maybe you still think it sounds like an easy way to get a paper done without all the hard work of researching and writing it. Think again. If you use a paper from an essay mill or essay bank, you will regret it for several reasons: Using someone else’s words without citing them clearly is plagiarism If you are caught submitting a paper from an essay mill, it will count as academic fraud Colleges have software, such as Turnitin, designed to spot plagiarism Papers from essay mills can cost hundreds of dollars and there is no guarantee of quality As a result, using an essay mill could leave you poorer and get you kicked off your course! Essay Mills vs. Proofreading But what if you still need help on a paper? If essay mills are a bad idea, what is your alternative? Well, the good news is that we can help! Having your work proofread has many advantages. We can: Correct your spelling, grammar, and punctuation Make sure your vocabulary is academic and that terminology is consistent Check that all of your sources are referenced correctly Tighten up your writing to make sure it is clear and concise And all of this without making any major changes that could count as plagiarism. You will, of course, have to do the research and writing yourself. But that is how you learn things in the first place! The key is that we’re here to support you.

The Suffrage Movement in the United States essays

The Suffrage Movement in the United States essays The Suffrage Movement in the United States Women vote today because of the woman suffrage movement, a courageous and persistent political campaign that lasted over 72 years, involved tens of thousands of women and men, and resulted in enfranchising one-half of the citizens of the United States. Inspired by idealism and grounded in sacrifice, the suffrage campaign is of enormous political and social significance yet it is virtually unacknowledged in the chronicles of American history. Had the suffrage movement not been so ignored by historians, women like Lucretia Mott, Carrie Chapman Catt and Alice Paul would be as familiar to most Americans as Thomas Jefferson, Theodore Roosevelt or Martin Luther King, Jr. We would know the story of how women were denied the right to vote despite the lofty words of the Constitution, how they were forced to fight for their rights against entrenched opposition with virtually no financial, legal or political power. If the history of the suffrage movement was better known, we would understand that democracy for the first 150 years in American included half of the population. And we would realize that this situation changed only after the enormous efforts of American citizens in what remains one of the most remarkable and successful nonviolent efforts to change ingrained social attitudes and institutions in the modern era. For women won the vote. They were not given it, granted it, or anything else. They won it as truly as any political campaign is ultimately won or lost. In addition, they won it, repeatedly, by the slimmest of margins, which only underscores the difficulty and magnitude of their victories. In the successful California referendum of 1911, the margin was one vote per precinct! In the House, suffrage passed the first time by exactly the number needed with supporters coming in from the hospital and funeral home to cast their ballots. In the Senate, it passed by two votes. ...

Wednesday, November 6, 2019

Buying Diamonds the Right Way and for the Best Price Essays

Buying Diamonds the Right Way and for the Best Price Essays Buying Diamonds the Right Way and for the Best Price No matter what you see on the internet or read in books, you will never know enough about diamonds. Diamonds are the worlds most precious stones developed over billions of years under the earths surface. The enormous pressure and heat of the earths mantle transforms carbon into diamonds, the worlds most cherished gem. Diamonds are what join two people together in marriage. They are used for special occasions such as, engagements, anniversaries, birthdays, Christmas, Valentines Day, and so on. But what it comes down to is money. Diamonds probably rank number five in major expenses in your life after housing, college tuition, wedding expenses, and cars. After all of these expenses, wouldnt you want to save some money wherever you can? What many people dont realize is how much they overpay for diamonds. Do you want to overpay for diamonds that sometimes arent even the best quality? I dont think so. This is why you should buy diamonds at a wholesale price from Crystal Gems Inc. My dad is the owner and president of this diamond company. He has been working in the diamond industry for 25 years and has a tremendous amount of experience. He purchases loose diamonds directly from the largest manufacturing companies in India. He is knowledgeable on the 4 Cs, cut, color, clarity, and carat weight. He knows the industry and monitors the market conditions. He purchases diamonds in large quantities so he can get the lowest prices from the cutters. He then sells the diamonds to jewelry stores and the big chain stores at competitive prices. Crystal Gems is a highly reliable organization in Chicago with a great reputation. At Crystal Gems, taking care of customers is their number one priority. They will give you the best quality diamond at a wholesale price. So dont you want a great bargain? Well, good news, you can get that bargain. He can also help you connect with some of the biggest diamond dealers around the world because he has many overseas relationships with other businesses. Getting the right price for your products is very important and is often overlooked. Many times people just grab what they see right away instead of actually doing their research and looking for the best quality at the best price. Dont be an average Joe and hop on the bandwagon. I am a strong believer of getting what you pay for. Blindly overspending money when a little research could save you thousands in the diamond market upsets me. People are throwing away money they have worked hard for without even knowing it. So when you are looking for that perfect diamond make sure you go to Crystal Gems. They will get you the diamond you are looking for at a wholesale price guaranteed. Thank you.

Tuesday, November 5, 2019

Most Popular Articles April 2008

Most Popular Articles April 2008 Most Popular Articles April 2008 Most Popular Articles April 2008 By Daniel Scocco Below you will find the most popular articles of the past month. Check them out to make sure you have not missed any. English to Become the Official and Obligatory Language of the Internet: The Central Authority for Internet Control (CAIC) announced today that they plan to make English the official and obligatory language of the Internet, and that by 2010 all the web pages should already be using English exclusively. Let’s Keep Some of the Old Verb Forms: When it comes to some irregular verbs, I really hate to see the old past participle forms â€Å"regularized† to the dominant â€Å"-ed† ending. How and Where to Publish Your Short Stories: One reader asks: â€Å"What advice would you give to someone who has bags of passion and loves life and just happens to have lots of stories and would like to know how to publish or where to publish?† That vs. Which: Before I come on to the â€Å"that†/†which† rule, just a reminder that â€Å"who† should always be used when referring to people. Five Words You Can Cut: One of the best ways to make your writing stronger is to cut unnecessary words. Many people tend to over-write, often in a similar way to how they would speak. Words creep in that add no meaning and can make a piece of writing sound vague and woolly rather than confidence and precise. Funny Images Conjured up by Web Comments: Sometimes I’m more amused than annoyed by spelling errors and incorrect word choices that I see in blogs and comments. Keeping a Writers’ Notebook: If you’ve ever had aspirations towards fiction-writing, you’ve doubtlessly heard the advice to keep a notebook on you at all times, to jot down those elusive flashes of brilliance that come at the most inopportune moments. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the General category, check our popular posts, or choose a related post below:The Royal Order of Adjectives 75 Synonyms for â€Å"Talk†When to use "an"

Sunday, November 3, 2019

The American writer Ursula LeGuin's The Ones Who Walk Away from Omelas Essay

The American writer Ursula LeGuin's The Ones Who Walk Away from Omelas - Essay Example In the text’s description of city Omela it’s clear that there is an almost satirically good description of the on-goings. For instance, Le Guin writes, â€Å"The horses wore no gear at all but a halter without bit. Their manes were braided with streamers of silver, gold and green† (Le Guin). Here one sees that even the animals residing in the city were of a glorious nature. In terms of the social order, it’s noted that in large part there is no overriding government structure in this society. Le Guin states, â€Å"I do not know the rules and laws of their society, but I suspect that they were singularly few. As they did without monarchy and slavery, so they also got on without the stock exchange†¦Ã¢â‚¬  (Le Guin). It seems in advancing this notion of government Le Guin is indicating that the society is so well functioning and efficient that it does not need any government structure to regulate anti-social behavior. The story also greatly considers t he nature of the individual. In large regards it seems to flesh out the notions of the individual as a means of establishing their conscious awareness of the society, as well as their happiness. Consider Le Guin when she writes, â€Å"How can I tell you about the people of Omelas? They were not naive and happy children--though their children were, in fact, happy† (Le Guin). ... The child is described as either feeble minded, or made so through malnutrition and fear. The child is even horrifically described as screaming that it will be good if it is let out. The child is perhaps the most indicative element of the city of Omela as it indicates that even as the individuals in the society enjoy considerable happiness and social cohesion there is still an aspect of their existence that is sinister. The story also indicates that occasionally an individual will leave Omela after learning the reality of the child’s situation. While it seems in part that Le Guin is making a statement about the nature of scapegoats in society, what one makes of the child in the basement is more a reflection on the individual reader than the story itself. In conclusion, this essay has considered the nature of society and the individual in Ursula Le Guin’s ‘The One’s Who Walk Away From Omelas’. In terms of society it’s demonstrated that the text presents a utopian world that is loosely described, allowing the reader to implement their imagination. The individuals are presented as conscious and intelligent. Ultimately, at the center of the story is a moral choice that is meant to reveal aspects of human character and nature of

Immigration Essay Example | Topics and Well Written Essays - 1500 words - 2

Immigration - Essay Example However, resources are limited in their quantity which means that the government must introduce policies that reconsider the allocation of resources in each of the public and social sectors. This paper will specifically focus on the impact of immigration on the providence of high quality health care services to the population. As of 2012, there were 1,031,631 people who acquired a legal permanent residence status in the United States (Department of Homeland Security, 5). Of these the largest percentage of people came from India, China, Philippines, and Korea (Department of Homeland Security, 10). However, the total figure only reflects the number of legal residents who were permitted for a residential status. There are a significant number of individuals who also represent the portion of population who have arrived illegally. These include people who were admitted as temporary workers but chose to stay, aliens, refugees, and others. It is estimated that the number of unauthorized immigrants in United States was about 11.5 million as of 2011 (Nwosu, Batalova, and Auclair, n.pag.). These unauthorized immigrants mostly reside in the states of California, Texas, Florida, and New York. Of the total unauthorized figure for immigrants, a large proportion of them were born in America while the rest came from Asia, South America, Europe, and other parts of the world (Nwosu, Batalova, and Auclair, n.pag.). Considering the distribution of the figures by country, Mexico is the top most country with an estimated 59 percent of illegal immigrants in the United States who belong to the country. With a large number of immigrants entering the United States illegally and million others who are already depending upon reliable, high quality health care services, the country is facing serious problems relating to the provision of health care services to all of its