Thursday, November 28, 2019

Essay Examples on The Civil War Essay Example

Essay Examples on The Civil War Paper 1st Essay Sample on The Civil War Many historians agree that the Harpers Ferry raid was to the Civil War what the Boston Massacre had been to the American Revolution. They were both incendiary events. Defenders of the union generally condemned Brown and called the raid the work of a madman. Everywhere the threat of slave insurrections fed fears, and the uproar strengthened the hand of secessionists who argued that the South needed to rid itself of northern influence. The eventual view in the living North that John Brown was a martyr, combined with the abhorrence of Brown by the masses in the South showed that a Civil War was imminent. The North and the South had an ideological difference about the practice of slavery. What the North considered incorrigibly evil, the South considered a positive good. The conflict between the North and the South sprung from the slavery issue and men like John Brown were part of the causes of the war. To his men and to Frederick Douglass, Brown made clear that he intended nothing less than to provoke a slave insurrection. All evidence points to that motive. Brown constantly warned his conspirators that such a raid might fail; yet even in failure he hoped a sectional crisis would unfold leading to the destruction of slavery. Browns contradicting statements has provoked speculation over the man and his hidden motives. Some saw Brown as an insurrectionist, others as a self-deluded martyr, and still others as insane. (Document A) The way Brown conducted the raid was disappointing to many intellectuals in the North, as they saw that violence was not the answer to the slavery question. However, men like the transcendentalist Henry David Thoreau, (Document B)s saw Browns raid as a confirmation of the living Norths commitment to the egalitarian roots of the new nation. 2nd Essay Sample on The Civil War We will write a custom essay sample on Essay Examples on The Civil War specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Essay Examples on The Civil War specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Essay Examples on The Civil War specifically for you FOR ONLY $16.38 $13.9/page Hire Writer On paper the North was far stronger than the South.It had two and a half times as many people, and it possessed far more ships, miles of railroad, and manufacturing enterprises. Southerners, however, had the advantage of fighting on home ground with better military leadership.But Union superiority in manpower was not so great as the gross figures suggest.Half a million people scattered from Dakota to California, could make no substantial contribution to Union strength.And every year Union regiments were sent to the West to fight Indians.Hundreds of thousands of Americans in loyal border states and in southern Ohio, Indiana, and Illinois worked or fought for southern independence. Though, every state furnished men for the other side, there was little doubt that more Federals than ConfederatesThe South had superior officer personnel.For twenty years before Lincoln’s inauguration, southern officers had dominated the U.S. Army. Another source of southern confidence was cotton. Secession leaders expected to exchange that staple for the foreign manufactured goods theyThe South’s most important advantage was that it had only to defend relatively short interior lines against invaders who had to deal with long lines of communication and to attack a broad front. The Confederacy also had no need to divert fighting men to tasks such as garrisoning captured cities and holding conquered territory.In a short war, numerical superiority would not have made much of a difference.As the war continued, however, numerical strength became a psychological as well as a physical weapon. During the closing years of the conflict, Union armies, massed at last against critical strongholds, suffered terrible casualties but seemed to grow stronger with every defeat. Any staggering Confederate losses sapped the southern will to fight.

Sunday, November 24, 2019

Diets for Pets with Medical Disorders essays

Diets for Pets with Medical Disorders essays DIETS FOR PETS WITH MEDICAL DISORDERS Homemade Diets For Pets with Skin Disease (Allergic Conditions) The most common skin disorder seen in many veterinary practices is allergic (atopic) dermatitis. This condition results in itchiness after exposure to environmental (usually airborne) allergens (foreign proteins which induce allergies.) True food allergies are quite rare in pets. Food intolerances, in which the pet develops and allergic response to a non-nutrient in the food (such as an additive,) occur in pets but the true incidence is hard to gauge. While dietary therapy is not a mainstay in the treatment of itchy pets, feeding the best, most natural and holistic diet possible is recommended. Diets designed for pets with gastrointestinal disease can be useful for pets with skin disorders with some modification. These modified diets are used to assess and treat food allergies as well as assess any improvement in the pet with any skin disorder, including atopic dermatitis. Keep in mind that even itchy pets without true food allergy may still show improvement when fed the diet used to test and treat food allergies. Controlled Diets for Adult Cats with Skin Disease (Allergic Conditions) Multivitamin/mineral supplement (added as clinical signs improve after the feeding trial, as long as the pet does not relapse if using flavored products.) This diet provides 352 kcal, 31.1 gm of protein, 25.1 gm of fat, and it supports the daily calorie needs of a 10 pound cat. 1. 4 1/2 ounces of cooked venison can also be used in place of the rabbit. 2. 1/2 cups of rice or 3/4 cups of boiled potato with skin can be added to the diet if desired. 3. Vitamins and minerals can be supplied as follows: A natural product from Standard Process (Calcifood Wafers or Calcium Lactate) can be used (use 1-2 Calcifood Wafer or 2 Calcium Lactate tablets.) ...

Thursday, November 21, 2019

TROUBLE BREWS AT STARBUCKS--Case Study Case Example | Topics and Well Written Essays - 500 words

TROUBLE BREWS AT STARBUCKS-- - Case Study Example Essentially, the 5Cs analysis, which was initially the 3Cs strategy, includes elements such as customer, company, collaborators, climate and competitors. The key aspects that Schultz had in mind were customer, competitors, and the company itself in order for the vision to expand Starbucks to be realistic. In essence, Schultz intended for Starbucks to serve coffee at its outlets with the same taste of that made at home and factored in the growing competition from entrants such as McDonalds, which was winning its customer base. The main target market for Starbucks as part of this vision was to be the people that prefer to brew their coffee from home because not many chain stores served coffee that was of their desired quality. The value positioning to customers would be that Starbucks would be able to serve coffee that was the same as that brewed at home hence saving their customers the hustle of having to only rely on home ground coffee with the taste that they know. Additionally, Schultz also examined Starbucks position and sought to remain relevant in the market by providing its needs and meeting customer satisfaction while register ing profits. Schultz vision met resistances, but Starbucks later bought into the idea in which the first step in implementation based on the 4Ps marketing mix was to create a place or atmosphere that customers would relax in. The idea was to create the third place after home and work where their target market would enjoy the ambience of Starbucks while sipping on a cup of coffee (3). The ambience of the ‘third place’ included the access to music, books, and movies as part of its product delivery options, which was successful in increasing customer flow to their stores (7). The other factor was that Starbucks also targeted areas with heavy population flow such as airports, which succeeded in capturing a wider target market. Secondly, Starbucks also trained its staff on the

Wednesday, November 20, 2019

Human Resource Management Essay Example | Topics and Well Written Essays - 1500 words - 10

Human Resource Management - Essay Example 155). Human resource planning is the process in which the organization determines and lays strategies to acquire, and maintain the right quantities of human resource pool, in the right ratios of skills ,character and knowledge to fit the organization demands at current and in the future .In a period of recession the strategies employed largely depend on the mission, vision as well as its strategies and functions .Organizations will in most times plan in anticipation of a recession .most organizations result to more efficient utilization of the available human capital especially in states in which large payoffs are required in cases of lay offs .It is inescapable to lay off in cases of large loss making sessions as has been experienced by ZAIN mobile company which operate in parts of Asia and Africa (Punnett, 2004, p. 155).. The other strategy is diversification of product lines to produce more demanded goods such as consumable goods. Companies usually take a thorough evaluation of their product or services and take note of their potential risks .survey conducted in over 130 firms in Europe and America including Microsoft corporation shows that firms engage in revenue generating rather than cost cutting strategies ,this however is common to small startup firms with large widespread firms engaging in cost cutting strategies such as low investment thus cutting on new recruitments .In response to their new skills requirement they result in hiring on contractual basis ,and limited to specific skills .Generally during recession most firms engage in short term human resource planning due to the uncertainties associated with recession ,a good example is the General motors company (Storey, 1999, p. 130). It should be noted that firm sizes affects their response to human resource planning which is largely based on firm size

Monday, November 18, 2019

Personal Statement on Philosophy of Education Research Paper

Personal Statement on Philosophy of Education - Research Paper Example From the understanding of the historical literature philosophy of education, it is worth noting that a learner or every child must be identified as a unique individual who needs to secure knowledge towards stimulating intellectual, emotional, social, and physical growth and maturity. Therefore, as an educator (Dhawan 79), it is my desire to help each student to meet his or her fullest potential in educational growth and maturity by providing for them with a safe environment that supports risk-taking and inviting sharing of ideas towards their knowledge growth and development. Notably, I believe that the three educational philosophy elements that I must apply to achieve these goals. These elements are usually conductive towards establishing proper learning and developing an environment in every learner’s education or learning process. These elements include the expectation of the teacher as the guide to any educational process; learners should be allowed to follow their natural curiosity and the same should to direct the learning process, and the last element is promoting respect among the learners. Therefore, it is understandable that it is my role as a teacher to guide and provide access to information to the students rather than being the primary source of the information to the students or learners. Hence, the learner should be in the forefront in search of knowledge such that their search of knowledge is quenched as they learn to provide an appropriate answer to their questions.... Hence, the learner should be in the forefront in search of knowledge such that their search of knowledge is quenched as they learn to provide an appropriate answer to their questions (Kilpatrick 38). Thus, the construction of knowledge needs the opportunity for discovering new practices and skills in authentic situations (Frankena 90). Therefore, as a teacher I understand that adequate access to hand on activities, as well as adequate space and time to students, is vital enable them to use the identified material to apply and reinforce acquired knowledge thereby allowing them with an individual opportunity to construct and discover knowledge. Additionally, other than providing learning materials and self-discoveries opportunities to the learners, it is vital to ensure that these materials are relevant and meaningful to the life and the interest of the learner. Achieving these targets can only be met through a constructive and thoughtful curriculum that revolves mainly around or foste rs intrinsic interests that motivate and stimulates the learner’s passion and interest (Kilpatrick 35). Therefore, curriculum is a vital tool that will help me to follow the right path towards helping the learner to achieve his or her interests and goals objectively and successfully (Elias 213). Notably, an effective curriculum can only be generated from learners’ ideas and set goals rather than creating the curriculum for educator’s self-imaginations (Frankena 132). In other words, as an educator, I will give students the opportunity to help in negating a curriculum and this will be achieved through viewing and analysing their interests. It is worth noting that when the students are taught by their own the curriculum, they will

Friday, November 15, 2019

The impact of professional nursing education in quality of care

The impact of professional nursing education in quality of care INTRODUCTION: In the most basic sense, the current global nursing shortage is simply a widespread and dangerous lack of professional and skilled nurses who are needed to care for individual patients and the population as a whole. These causes include nurse short-staffing, inadequate resources for nursing research and education, the increasing complexity of health care and care technology, and the rapidly aging populations in developed nations. Because studies have shown that an inadequate quantity of professional nurses in clinical settings has a significant negative impact on patient outcomes, including mortality, the nursing shortage is literally taking lives, and impairing the health and wellbeing of many millions of the worlds people. It is a global public health crisis (ICN, 2004). There is a predicted shortfall of qualified nursing staff in both low and high-income countries. The growing shortage of health care workers has become an international challenge (Sorgaard, 2010). The authors believe that Saudi Arabia is not exempted to the current global nursing shortage due to lack of professional nurses. To understand the Saudi shortage in nurses, one has to understand the Saudi dependence on foreign nurses. Saudi education system has only focused on high paid, prosperous, and prestigious jobs like doctors, engineers, and lawyers and left basic yet complementary job as nursing way behind. This lack of attention to necessary and complementary jobs, has led the Saudi education system in creating less than 20 percent of the nursing staff working in Saudi today, which in return led into todays significant shortage in qualified and competent Saudi nurses and to high rate of foreign nurses (Aldossary, 2008). While the institute program in Saudi Arabia consists of nursing studies for three years and results in a diploma in nursing. The program prepares nurses to assume roles as technical nurses, considered by some to equate with that of a practical nurse in the Un ited States (Tumulty, 2001). In the United States, there are registered nurses (RNs) or Professional Nurses and practical nurses (PNs) or LVN (Licensed Vocational Nurse) / LPN (Licensed Practical Nurse), CNA(Certified Nurse Assistant) also called vocational nurses (VNs), or Practical Nurses. While registered nurses are able to perform certain duties or provide treatments that practical nurses cannot, such as administering blood, this is not what primarily sets them apart. The most notable difference is in the education they receive. As far as the scope of practice is concerned, each state has a separate nursing board which governs what nurses are legally able to do (Ellis Hartley, 2004). In the hospital setting, professional /registered nurses are often assigned a role to delegate tasks performed by LPNs and non-professional unlicensed assistive personnel such as nursing assistants (Ellis Hartley, 2004). Skilled nursing of a professional nurse is vital to the patient outcome (Gordon, 2005). But due to economic crisis and poverty, significant work must be done to have more professional nurses. Graduates, due to poverty and worldwide economic crisis prefer to have non-professional program to quickly acquire work due to the short courses offered in non-professional programs. (Turale, 2010). Therefore, the authors believe that whether a nurse is a professional or practical, all nurses must remember as what has been stated in nurses pledge by Florence Nightingale: I solemnly pledge myself before God and in the presence of this assembly to pass my life in purity and to practice my profession faithfully. I will do all in my power to maintain and elevate the standard of my profession and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling (American Nurses Association, 2010). II. BACKGROUND: The following different levels of Nursing Education gives us the background on the difference between a professional and vocational nurses: Nursing Assistants are defined by law as people who assist licensed nursing personnel in the provision of nursing care. The authorized duties for CNA or Certified Nursing Assistant include assisting with their clients daily living activities, such as bathing, dressing, transferring, ambulating, feeding, and toileting. CNAs also perform tasks such as measuring vital signs, positioning and range of motion. Their duties are limited to tasks commissary by the registered or licensed practical nurse in acute-care field. Their tasks such as vital signs, , assessing patients well-being, administering hygienic care, assisting with feeding, giving basic psychosocial care, and similar duties. Diploma degree are hospital based educational programs that provide a rich clinical experience for nursing students. These programs are often associated with colleges or universities. Baccalaureate degree programs located in senior colleges and universities and are generally four years in length. Masters p rograms provide specialized knowledge and skills that enable nurses to assume advanced roles in practice, education, administration, and research(NWJobs, 2010). The Doctor of Nursing Practice (DNP) is an advanced-level practice degree that focuses on the clinical aspects of nursing rather than academic research. The curriculum for the DNP degree generally includes advanced practice, leadership, and application of clinical research. The DNP is intended primarily to prepare registered nurses to become advanced practice nurses. Advanced practice roles in nursing include the nurse practitioner (NP), certified registered nurse anesthetist (CRNA), certified nurse midwife (CNM), and the clinical nurse specialist (CNS). Nurse anesthetist programs may use the title Doctor of Nurse Anesthesia Practice (DNAP) for their terminal degree (Dracup, 2005). According to the American Association of Colleges of Nursing (AACN), transitioning advance practice nursing programs from the graduate level to the doctoral level is a response to changes in health care delivery and emerging health care needs, additional knowledge or content areas have been identified by practicing nurses. In addition, the knowledge required to provide leadership in the discipline of nursing is so complex and rapidly changing that additional or doctoral level education is needed (Dracup, 2005). At the moment only fewer Saudi nurses had bachelor of science, masters or doctoral degree, but the government start to increase and expand. A lot of nursing continue lead degree will be graduated within few years to assume leadership position in the health field. The kingdom has a great need for well educated Saudi nurses (Tumulty, 2001). However, in recent years, questions have been raised about whether nursing is a profession or an occupation. This is important for nurses to consider for several reasons, starting from differentiating the terms à ¢Ã¢â€š ¬Ã¢â‚¬ ºprofession and à ¢Ã¢â€š ¬Ã¢â‚¬ ºoccupation, professional and à ¢Ã¢â€š ¬Ã¢â‚¬ ºvocational nurse. An occupation is a job or a career, whereas a profession is a learned occupation that has a status of superiority and precedence within a division of work. In general terms, occupations require widely varying levels of training or education, varying levels of skill, and widely variable defined knowledge bases. Indeed, all professions are occupations, but not all occupation is profession (McEwen ,2007). Therefore based on à ¢Ã¢â€š ¬Ã¢â‚¬ ºnursing as an occupation, a professional nurse is a healthcare professional who, in collaboration with other member of a healthcare team, is responsible for treatment, safety and recovery of acute or chronically ill individuals; health promotion, and maintenance within families, communities and population; and treatment of life-threatening emergencies in a wide range of healthcare settings (Craven, 2009). Current shortfall in workforce and educational: The number of nurses currently in the workforce based on their educational preparation: those with undergraduate education (diploma, associate, baccalaureate degrees) and those with graduate education (masters and doctoral degrees) (Health Resources and Services Administration. Much higher number of nurses prepared at the diploma/associate degree level compared to all other categories and the relatively small number of nurses prepared with graduate degrees. The limited number of nurses prepared with graduate degrees presents a significant problem for educating future nurses and furthering effective nursing practice; masters-prepared clinicians are needed to teach and provide primary care, and doctoral faculty are needed to teach and conduct research. Without an adequate number of nurses prepared at the graduate level, we will be unable to educate enough nurses to meet the demands for care at all levels in the near future. Experts predict we will experience a nurse shortage of anywher e from 340,000 to more than 1 million by 2020; shortages will occur in hospitals, in nursing homes, in home health care, and community health centers (HRSA, 2010). Nurse shortage projections are based on the increase in anticipated demand for health care demands that are projected to increase dramatically due to our aging population and higher numbers of insured patients with access to care as a result of a reformed health care system (Wharton School, 2009). The percentage of the population 65 years or older steadily increases as the baby boomer generation approaches age 65; by 2030, 20% of the population will be above the age of 65, almost doubling the current rate of 12% (Institute of Medicine (IOM, 2008). Simultaneously, the demand for health services will increase as previously uninsured people gain access to health care insurance. Massachusetts, which recently increased the percentage of the insured population to 90%, has experienced significant primary care shortages (Cooney, 2008). As the population ages and health care resources become more strained, the focus and location of care delivery will need to change from acute care provided in hospitals to primary care, which includes disease management, care coordination, and prevention of disease delivered in community settings, in clinics, ambulatory care centers, and in the patients home. In the future, we will need many more advanced practice nurses (nurse practitioners, nurse anesthetists, nurse midwives, and clinical specialists) to assume a greater responsibility for the delivery of health care IOM, 2008). Need for Education in nursing, Masters, Baccalaureate, and Doctoral: To design strategies that lead to an adequate nurse workforce, we first need to examine how nurses enter the workforce. The nursing profession is unique in its complicated mix of educational models, which is not only confusing to the public, legislators, nurses, and potential nursing students but also contributes to a lack of professional unity and professional recognition. As a result, nurses are fragmented in their interests and do not have the political clout of other professions when advocating for patients or better working conditions. The recognition of the need for baccalaureate nurse education is not new. In 1920, the Goldmark Report, funded by the Rockefeller Foundation, proposed educating nurses in academic institutions along with other professionals, arguing that this would more adequately prepare nurses to meet the needs of society and improve the status of the nursing profession (Ellis Hartley, 2004). At that time, nurses were being educated in hospital-based diploma schools that continued to be the major provider of nursing education until associate degree programs began in the 1950s. Associate degree nursing education was proposed as a solution to a severe nursing shortage (Fondiller, 2001). In 2004, the American Organization of Nurse Executives (2004) argued for baccalaureate-level educational preparation for all future nurses. Furthermore, the baccalaureate degree was needed for nurses to function as an equal partner in patient care. Most recently, the Carnegie Foundation report, Educating Nurses: A Ca ll for Radical Transformation, called for significant changes in nursing education with the establishment of the baccalaureate degree for entry into professional nursing practice being a necessary first step. The report falls short however in recommending more of the same, by calling for the creation of a more seamless transition from ADN to BSN programs (Benner, Sutphen, Leonard, Day, 2010). A large amount of empirical evidence exists to support a difference in performance and patient outcomes (Aiken, Clarke, Sloane, Silber, 2003; Estabrooks, Midodzi, Cummings, Ricker, Giovannetti, 2005; Kutney-Lee Aiken, 2008). In 1988, Johnson published a meta-analysis of 139 studies exploring the differences in associate and baccalaureate performance. These studies revealed significant differences between associated degree in nursing (ADN) and bachelor of science in nursing (BSN) nurses, with baccalaureate-prepared nurses demonstrating greater professional performance in the areas of communications skills, knowledge, problem solving, and professional role. In 2001, Goode and colleagues surveyed 80 chief nursing officers from academic medical centers to determine their perception of differences in nurse performance based on education level. Respondents reported that baccalaureate-prepared nurses demonstrate greater communication, coordination, and leadership skills; more professiona l behavior; and a greater focus on patient psychosocial care and patient teaching than associate-prepared nurses (Goode et al., 2001). Although estimates vary on the need for more health care providers in the future, there is agreement that a shortage of primary care providers currently exists in rural and other underserved areas (Kirch Vernon, 2008) and severe future shortages predicted in community health centers (National Association of Community Health Centers, Robert Graham Center, The George Washington University, 2008) and in the countrys more than 6,080 designated primary care shortage areas in the United States (HRSA, 2006). A major contributing factor to the current and future nurse shortage is the lack of nursing faculty available to educate nurses. The student demand for nursing education is currently at an all-time high, but a faculty shortage has created a severe bottleneck in nurse education, leaving nursing schools unable to meet the demands for education. An estimated 50,000 qualified applicants were turned away from baccalaureate nursing programs in 2008, primarily due to faculty shortages. Of the 84% of U.S. nursing schools in 2006-2007 attempting to hire new faculty, 79% reported difficultly in recruitment due to a lack of qualified candidates and the inability to offer competitive salaries (AACN, 2010). In their 2007 annual survey of colleges of nursing, the National League for Nursing (NLN) reported 1,900 unfilled faculty positions nationwide, an increase of 23% from the previous year in the number of full-time faculty vacancies and a disturbing trend in the shortage cycle (Kaufman, 2007). A n estimated 25,100 nurses have doctoral degrees, and their numbers are not increasing at the rate needed to meet demand. From 2003 through 2008, the number of nursing PhD graduates increased on average by about 31 new graduates each year. Disappointingly, enrollment in PhD nursing programs increased by only 0.1% or 3 students from the fall of 2007 to the fall of 2008 with the total doctoral student population in 2008 reaching 3,976 (AACN, 2010). Although academic education and professional qualification are but one aspect of clinical competence (the others being clinical skills and professionals attitudes), the change of nurse teaching from work-based apprenticeship to academic education and the parallel development of increasingly specialized nursing roles [58,59]) contribute to an alteration of what is considered to be necessary qualifications among nursing staff. This may cause additional strain on the substantial proportion of clinically oriented staff who lack formal (nursing) qualifications. We believe the importance of the present study lies in the focus it has on working conditions of sub professionals in acute psychiatry. As we have argued above, there is an increasing and probably worldwide lack of nursing staff in the health services and increased use of health care assistants is reported e.g.[30]. Although the evidence on a general level suggests that more use of less qualified staff will not be effective in all situations [60], due to what is said above it is increasingly important to recruit, retain and qualify also sub professionals, and a condition for this is the quality of their working environments. The important sourses of professional direction: Nursing Social policy statement (ANA), is an important document it describes the profession of nursing and its professional framework and tasks to society, the second nursing scope and standards of practice is also important has been developed by the (ANA), nursing standards which are authoritative by the profession by the profession wich the quality of practiced, service, or education can be evaluated quality patient care. The third code of ethics for nurses with interpretive statements, this code is alist of provisions that makes explicit the primary goals, Values .fourth state boards of nursing one of the important sources of professional direction . A professional nurse is accountable for embracing professional values, maintaining professional values, maintaining competence, and maintenance and improvement of professional practice environments, also nurses is accountable for the outcomes of the nursing care. Increasd knowledge of germs and diseases, and increasd training of doctors, nurses needed to understand basic anatomy, parhophysiology, physiology, and epidemiology to provide better care. To carry out adoctors orders, and must have some degree of understanding of cause and effect of environment . Quality of Care: The quality of care can be more precisely described as seeking to achieve excellent standards of care. It includes assessing the appropriateness of medical tests and treatments and measures to improve personal health care consistently in all areas of medicine. Nurses professional socialization is recognized as an essential process of learning skills, attitudes and behaviors necessary to fulfill professional roles are also involved in evaluating and modifying the overall quality of care given to groups of clients. One of the essential parts of professional responsibility, nurses and all other health care providers work together as an interdisciplinary team concentrate on improving client care (Kozier, 2008). A divergence between demand and supply that is evidenced in insufficient nurse staffing with significant implications for patient quality is what Nursing profession faces continuously. Many believe this shortage of registered nurses is entrenched in long-standing problems related to the value and image of nursing and the limited role nursing has had in identifying priorities within health care delivery systems (AACN, 2010). Many institute graduates are relegated to functioning at a level barely above a nurse aide. Thus, the already scarce Saudi nurses are disadvantaged and underutilized. Saudi Arabia is increasing its proportion of indigenous nurses who will be able to deliver culturally appropriate high quality care (Aldossary, 2008). The author predicted shortfall of qualified nursing staff in both low and high-income countries. Restructured health care systems and social values has made lack of nursing personnel which concern for health care administrators, politicians and the nursing professions. The shortage in health care workers growing and has become an international challenge (Sorgaard,2010). One of the central professional self regulation is the ability to maintain and control a professional register. To this end self regulating professions, like nursing, have been responsible for controlling their register which is done through the setting of the standards to be achieved before entry is possible . In addition, the professions also have responsibility for the removal of practitioners who are considered unfit to practise (Unsworth, 2010). Outlines how quality of nursing care and good character are fundamental to practise as a nurse or midwife and how the overriding concern relates to safe practise and protection of the public. As such, good health is not to be interpreted as the absence of a particular condition or disease but rather that the individual is capable of safe and effective practise without supervision. The guidance also defines good character as relating to the persons conduct, behavior and attitude, as well as any convictions or cautions that are not considered compatible with professional registration and that might bring the profession into disrepute. (CHRE (2009) have recently reviewed the quality of care requirements of the all of the health profession regulators and they have recommended that the term good in relation quality of care should be amended within the legislation to ensure that this is not used by other bodies as a bar to entry into the professions. CHRE reaffirm the view held by the regu lators that considerations about health are restricted to whether the individuals health, with any necessary reasonable adjustments, would impair their fitness to practise. The notion of good character is based upon the requirement under the Code of Professional Conduct (NMC, 2008c) for nurses and midwives to be honest and trustworthy. For an individual to satisfy the good quality of nursing care character requirements, they must be capable of safe and effective practise without supervision. This is, therefore, the threshold set by the regulator for any action which may be taken against an individual student in terms of their conduct. If the students attitude, behavior, conduct (including convictions) or quality of care calls into question their ability to satisfy the requirements of the quality of care and good character then action may be required to investigate the allegations and to make a determination about whether the nurses would be capable of safe and effective practise wit hout supervision at some future point. The notion of good character has also been open to criticism not least because of difficulties in defining how a good character is measured (Sellman, 2007) and because the concept of being of good character is not transferable to potential registrants from within the European Union (CHRE, 2008a,b). The Nursing and Midwifery Council ( NMC) have produced a definition of impaired fitness to practise which relates to the suitability of the individual to remain on the professional register without restriction, if at all (NMC, 2004). Aim / Objective: To show the impact of professional nurses and nursing education that affect the quality of care for the patients. IV. Method: Literature review is considered a baseline tool that precedes the actual qualitative or quantitative research. In order to have a research, the researcher needs to read the related articles that have researched the topic. Data base research: Inclusive criteria: nursing articles, articles published after 2000, English language studies, primary sources Exclusion criteria: articles published before 2000, secondary sources Pubmed: Mesh terms: Professional, and Non-Professional Nurses, Occupation, Profession, Quality of Care Number of hits: The first hits 43. 17 abstracts were read and 17 articles were chosen. The second hits 273. 23 abstract were read and 26 articles were chosen. Total search publication articles were chosen and read completely is (43) that will be used by the author in literature review.19 of the chosen articles the authors will use in the results. V. Research Ethics: The authors should consider the research ethics in all processes and follow the Codes and Policies of research ethics including; Honesty in all scientific communications, report data, results, methods, procedures, and also the publication status. Competency, to maintain and improve our own professional competence through lifelong education and learning. Objectivity, disclose personal interests that may affect research. Respect for intellectual property, no plagiarism done by the authors (Resnik, 2010). The authors foundation from the article was clear and the researchers displayed respect for human dignity. The author did the job for searching by honest and professional way, without hidden or disappear any good or truth result (Polit Beck, 2008). VI. Relevance: The author conveyed the information through this research to increase awareness for the staff nurses about knowing the impact of professional nurses and the levels of nursing education in the quality of care for the patients. Level of nursing education acquired by a nurse has significant implications for patients quality of care and safety.

Wednesday, November 13, 2019

Battle Of The Boys :: essays research papers

Battle Of The Boys   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Shape of my Heart Or Bye, Bye, Bye? Backstreet Boys or N’Sync? The latest rage is the five Boys that make up a boy band. What most teenagers don’t consider is what makes each group unique. A boy band must be judged on their personal style, their singing, and music and, there is always their performance ability. All of these should be considered when choosing a favorite boy band.   Ã‚  Ã‚  Ã‚  Ã‚  When teen-age girls see the Backstreet Boys on the television they go crazy. When the Backstreet Boys are on TV everyone sees five young men dressed in clothing that most people can not afford. The clothing they wear is preppy and expensive. Companies are always competing to have the Backstreet Boys. LL Bean, Abercrombie and Fitch, Structure and Gap. Now that is just what they wear, when you look at them you can tell who is the more popular guys are. Nick Carter the blond haired blue eyed guy that is considered the hottest guy in the group that most girls fall for. Nick usually wears the more expensive and preppy style of clothing. While Backstreet Boys had Nick and the preppy style of clothing, N’Sync had the more everyday clothing that you see on a lot of people in your every day life. N'Sync has their share of over priced clothing but they wear what they can afford. When you look at N’Sync all of them have good looks but the one that Most girls go for is Justin Timberlake. He has the blond curly hair and the wonderful green eyes. Another thing that makes him so attractive is that he is always willing to help any charity organization.   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Neither Backstreet Boys nor N’Sync would be all that popular if it wasn’t for their music abilities. Both bands Sing and produce they’re own music and occasionally a cover song. What make the bands different are the writers of the music. Backstreet Boys are not the best in the category. The Backstreet Boys usually have other people write their music and then the five of them look the music and decide if they want to sing it or not. Occasionally one of the Backstreet Boys will write a song on a CD like on their millennium album Brian form the Backstreet Boys wrote a ballad to his mother called the perfect fan. But on the other hand their big hit I want it that way or shape of my heart was written by one of their writers.

Sunday, November 10, 2019

Organic Food Nutrition Essay

Most grocery stores now sell food products labeled â€Å"organic† due to the increase of demand. Organic food became popular in the 1990’s and has since remained a trend. Although there are more and more supermarkets stocking organic food products on their shelves, non-organic food products seem to outnumber the amount of organic food products. Organic food products are labeled with a green and brown sticker that says USDA ORGANIC. When most Americans see this label they think that what they are buying is better than the average product. But do they have any proof that organic is better? For some reason all a product needs is a little sticker that says organic, and people automatically believe that it is healthier. No one ever stops to ask what this sticker means. Instead they just trust that organic is healthier than the produce that is being sprayed with chemicals. The rise of organic food has created an illusion that organic food is healthier and has nutritional benefits that exceed those of conventional food products. What is organic food? To understand this illusion that the government creates, the definition of organic must be addressed. According to Robert Paarlberg, the author of Food Politics, â€Å"organic foods are produced without any human-made (i. e. , synthetic) fertilizers or pesticides† instead â€Å"organic farmers use composted animal manure and plant cover crops they can later turn into soil† (Paarlberg, 139). This definition suggests that organic farming is not necessarily free of toxic chemicals, but that the chemicals used on organic farms are natural chemicals, or in other words, chemicals that appear in nature. Another definition of organic food is that it is â€Å"produced by farmers who emphasize the use of renewable resources and the conservation of soil and water to enhance environmental quality for future generations† (Preface, 1). Most people who grow or buy organic products link it to being green and environmentally friendly. If organic farmers are not using fertilizers or pesticides then less toxic fumes are going into the air. Therefore, by buying organic products they are doing their part in creating a better place to live. Others, however, buy organic food because they think that organic is more nutritious. Healthier or Not? There is no evidence that organic food products are healthier than conventionally grown food. According to Samuel Fromartz, the author of Organic, Inc. , â€Å"ninety percent of ‘frequent’ organic buyers think that they’re buying better ‘health and nutrition’† (Organic, 1). Ninety percent of people believe this because this is what they are told from others around them. Like most things organic food has its limitations as well. In the book Controversies in Food and Nutrition, the authors state that organic foods â€Å"are not necessarily healthful or safe. A high-fat food that is made form organic products remains high in fat† (Goldstein &ump; Goldstein, 197). Being organic does not make a difference in how much fat a product contains. Although organic might mean that there are no non-natural chemicals used in the production it does not mean that it is healthy. Goldstein quotes Galleghar, the author of a magazine article in Kiplinger’s Personal Finance Magazine, â€Å"you can buy organic chocolate bars, ice cream and cookies-all made with ingredients that are pesticide-, chemical-, antibiotic- and hormone-free- but they’ll be laden with fat, sugar and calories† (Galleghar, 81-82). Galleghar argues a strong point, because organic defines how the ingredient was grown or produced, not the amount of fat, sugar, or calories it has. Thus, organic food is not healthier than non-organic food. Organic food does not provide any remarkable nutritional benefit when compared to non-organic food. In the opinion of Dr. Alan Dangour, a doctor interviewed by Karen McVeigh, â€Å"‘there’s no good evidence that consumption of organic food is beneficial to health based on the nutrient content’†, he also states â€Å"that while small differences were found between organic and conventionally produced food, they were ‘unlikely to be of any public health relevance’† (McVeigh, 7). These quotations suggest that although there may be a slight difference between organic and conventional food products, it is not of any importance to society, therefore the government does not publish this information. The United States Department of Agriculture claims â€Å"organic produce will contain much lower levels of agrochemical residues than conventionally produced food† (www. nal. usda. gov). Lower levels of agrochemical residue sounds like a good thing. However, how much of a difference do these lower levels make? The website also states that â€Å"measured residues on most products, both organic and non-organic, do not exceed government-defined thresholds for safe consumption† (www. nal. usda. gov). Despite the fact that the residue on organic food may be less than the residue on nonorganic food neither of them exceed government regulations. However, the USDA might be conservative in their estimates of how much is safe due to pressures from the pesticide industry. The USDA seems to say that the only important aspect about the food we eat is that it has passed government regulations, therefore, we should not worry about the issue of safety any more. Local Farms? Another effect organic food has on society is the belief that organic food comes from small, local farms. In the article Paradise Sold: What Are You Buying When You Buy Organic? published in The New Yorker, Steven Shapin a Professor of science at Harvard states that, â€Å"much of the organic produce on the market comes from large farms turning a huge profit from the organic label† (Shapin, 1). Because of the increase in demand for organic food, big farming corporations grow organic produce in order to create more capital for themselves. It is important to know that organic does not mean local, and local food does not mean organic. For example, supermarkets like Whole Foods, or Trader Joe’s are very big businesses. In order to stock the shelves of a place like Whole foods a small local farm would not be able to carry out the job, instead big organic retailers need big organic suppliers such as Earthbound Farm. Earthbound is one of the nation’s largest growers of organic produce. Their greens â€Å"are produced on giant farms in six different counties in California, two in Arizona, on in Colorado, and in three Mexican states† (Organic, 1). When a company produce comes from more than one place the piece of produce can no longer be considered local. Thus, the illusion that organic food comes from neighborhood farms is entirely false. Escherichia coli Much like conventional food, organically grown foods can carry bacteria. Author Robert Paarlberg writes, â€Å"in 2006, bagged fresh spinach from a California farm in its final year of converting to organic certification was the source of E. coli infections in the United States that killed at least three and sickened hundreds† (Paarlberg, 145). Although organic food may have a special sticker, which makes consumers think that the product is safer to eat, there are examples of organic food not being safe to consume. Myrna and Mark Goldstein, the authors of Controversies in Food and Nutrition seem to agree with the above claim because they state that, â€Å"the manure that organic farmers may use could contain bacteria. ‘The only real difference between organic and nonorganic food is in the growing- and that’s not a big enough difference to protect your health from bacteria’† (Goldstein, 198). Due to the fact that the growing process is the only difference between organic and nonorganic foods, the risk for E. coli is not any different between the two products. Knowing the truth about where our food comes from is important because the food that goes into our bodies affects our health and well-being. The illusion created by the organic sticker only creates false hope that organic food is healthier and has nutritional benefits that exceed those of conventional food products. While many people continue to assume that the organic seal means that the produce is healthier and safer, one should remember that the seal only indicates how the product was produced.

Friday, November 8, 2019

R. Buckminster Fuller Essays - Buckminster Fuller, Futurologists

R. Buckminster Fuller Essays - Buckminster Fuller, Futurologists R. Buckminster Fuller Richard Buckminster Fuller was an enginer, mathemitican, and an architect. Twice expelled from Harvard University, buisiness disasters and the death of his four year old daughter brought him close to suicide. He decided to devote his life to proving that technology could save the world from itsself, providing it is properly used. He examined a vertorial system of geometry, Energetic-Synergetic geometry, based on the tetrahedron which provides maximum strength with inimum structure. This led to his patent of a geodesic dome in 1947, a building the strength of which need only increase as the log of its size. Fuller was a research professor at Carbondale, Southern Illinios University, from 1959 to 1968. In 1968 he became a university professor and retired in 1975.

Wednesday, November 6, 2019

Early Film essays

Early Film essays Film goes as far back as the late 1800s, back to Thomas Edison. Although he had no intention on creating moving pictures at the time, fate still had a shift of events that changed history. Then in 1891 Edison created the Kinetoscope which became quite popular throughout America when parlors featuring the Kinetoscope were opened in 1984. He eventually dismissed the potential of the Kinetoscope believing it to be just another fad and would at some point die out. Little did he know how his discovery would not only be popular in America, but soon become a sensation throughout world. A little over a year later in Paris, France cinematographers Louis and August Lumiere created a way to combine Edisons Kinetoscope with the magic lantern which led them to their next invention (handcranked cameras) that enabled them to shoot, print, and project moving pictures. Although they were limited to film only 15-20 seconds of film at a time, these Frenchmen travelled the world to create shorts films of people, places, and events. Soon after when they had their first film strips available and ready they gave their first viewing audience access at the Grand Caf in Paris on December 28, 1895. Between 1896 and 1906 a French illusionist, George Melies, was a true artist when it came to putting stories and fantasies onto film and was also known by many as the father of narrative film. His most famous film A Trip to the Moon inspired and influenced upcoming filmmakers to step out of the box of imagination and that not all you see in film has to be real, but fictional entertainment. However, not even Melies could predict what was in store for future audiences when it came to film evolution. Especially in 1903 when Edwin S. Porter created a popular and intense Western called The Great Train Robbery. This film established the basic principles of continuity editing and expanded the vocabulary of the alrea...

Monday, November 4, 2019

Medical Uses and Dangers of Marijuana Research Paper

Medical Uses and Dangers of Marijuana - Research Paper Example benefits and side effects. Although marijuana is not unique in that its implementation has both a series of side effects and benefits, this analysis will attempt to categorize this, discuss their nature, and draw inference as to the overall balance sheet with regards to whether medical marijuana is worthy of continuing to be used as a drug due to the preponderance of its inherent benefits or should be discontinued as a drug/treatment as a function of the risk it poses to the individual. First and foremost, the analysis will need to consider the question of what specific disease is attempted to be treated with marijuana. This issue is central to a full and nuanced understanding due to the fact that medical marijuana basically breaks down into two subgroups (Gold 29). The first of these is concentric upon how the drug can assist terminally ill patients in reducing the overall level of pain they experience before eventually succumbing to a known disease. Secondly, medical marijuana has been known to be used to assist those patients who are not necessarily predisposed to death in that it has been used to treat patients with glaucoma and those patients who are undergoing heavy doses of chemotherapy/radiation. ... These include but are in no way limited to the following: lip cancer, tongue cancer, cheek cancer, esophageal cancer, and lung cancer but to name a few (Cohen 655). Similarly, it has been proven that smoking marijuana also demonstrably weakens the body’s immune system. This is of vital importance to many individuals who will be taking it to assist in providing them with a means to survive a given illness or extreme situation that requires such a method. In this way, the individual is likely to prolong the amount of time that they are suffering from an illness due to the fact that the prolonged use of marijuana has a negative effect on the total white blood cell count and the body’s inherent ability to fight off infection. In addition to the increased risk of a litany of cancers, the user is also at a highly increased risk of respiratory illness due to the fact that inhaling the smoke from even 1 joint per day can noticeably affect the bronchial linings in the air way wh ich serve to protect the individual from a host of airborne viruses. Additionally, as many people are well aware, the amount of tar in a single cigarette is itself one of the most harmful factors of smoking as it is this specific action that causes a plaque like buildup to form within the lungs of the user over time (Earlywine et al 234). A little known fact is that a single joint contains 4 times the level of tar as a single cigarette. In this way, the individual can see that even smoking a single joint per day is the equivalent of smoking 4 cigarettes with respect to the overall level of tar and the negative health effects that this portends for the user. As well as

Friday, November 1, 2019

Healthcare systems Assignment Example | Topics and Well Written Essays - 750 words

Healthcare systems - Assignment Example In the United States, there are bodies that have been put in place to manage information about the health care providers. These bodies are the NPDB and the HIPDB. The NPDB is a federal data bank in the United States that was created to serve as a store for information about health care providers in the United States. The Medicare and Medicaid Patient and program Protection Act of 1987 led to the development of NPDB. This aimed at protecting the beneficiaries of health care from unfit health care practitioners. The NPDB not only not keep information about adverse professional society actions against physicians and dentists quality of care but also tracks all payment made that are not in accordance to the health care ethics. The other data bank in the United States is the HIPDB. This data bank was established by the Health Insurance Portability and Accountability Act of 1996.It was purposely created to fight fraud and abuse in health insurance and health care delivery to the people. HIPDB contains information about actions by the licensing agencies against provision, supply and delivery of health care. The two data banks are different in that while NPDB contains information about professional conduct and competence in health care delivery, HIPDB contains information about judgments made against health care providers. In the health care sector there may arise issues about funds. Decisions on who to pay, for what to pay, and how much to pay create risk and incentives which in turn affect the type of and amount of health care service offered. This necessitates the coming in of payment systems which play an important role in the health sector. Different payment methods can lead to different outcomes. The criteria used in payment and reimbursement are critical to determine the diverse outcomes. However, hospitals can decide to use the per