Thursday, November 21, 2019
Analysis of Implementation of the Doctorate in Nursing Practice Degree - Research Paper Example Doctorate level practice is one of the highest levels of nursing practice, and it involves top-notch training based on nursing science. The two categories of doctorates may coexist inside the same nursing education division. The predominant research-oriented doctorate program in nursing Ph.D., whereas the practice-focused discipline is Doctor of Nursing Practice (DNP) though recently introduced. The latter is seen as a counter-PhD because the proponents feel that former doesnÃ¢â¬â¢t have a practical aspect. It is for this reason that much contrary views have arisen. The inception of the Doctorate in nursing practice by the American Association of Colleges of Nursing has got some mixed reception within the nursing profession. The proponents have grounded on the fact that unlike tradition doctoral programs, the DNP program will emphasize practice-oriented direction and offer an alternative to research-oriented doctoral programs. The first reason to move to this program is due to the shifting of the nationÃ¢â¬â¢s intricate health-care environment. It requires high level of scientific skills and practices proficiency to provide quality treatment outcomes (Aacn.nche.edu, 2014). Various institutions such as joint commission and foundations and the institute of medicine have supported this program and called for a re-look on the nursing profession that prepares practical aspect of nursing. Another major factor that builds impetus for change of the nursing culture at doctorate level include: the speedy expansion of comprehension underlying practice; inclined health care complexities; widespread concern over patient safety and quality of health and scarcity of nursing workforce. This demands a high standard of preparation of nursing practitioner who can be able to design, assess, and evaluate patient care. The shortage of practice-focused nursing faculty has made the DNP attract increased learning expectation of nursing community to fit the existing gap.
Wednesday, November 20, 2019
Organizational Development - Research Paper Example Table of Contents Overview of the Case 2 Diagnosis of the Ben & JerryÃ¢â¬â¢s Organisation 4 Determination of the Business- Under Organised or Over Organised 5 Approaches to Launch for OD Effort 5 Further Logical Steps for the Organisation 6 Bibliography 8 Diagnosis of the Ben & JerryÃ¢â¬â¢s Organisation Diagnosis is a phenomenon that is essential in finding the reason of anything that is happening. In Ben & JerryÃ¢â¬â¢s organisation, the root causes of the problem are inefficient leadership style of the managers in the top level and the breakdown in the ethical work climate. The leadership style has been mentioned ineffective on the grounds that clear and significant goals are missing in the organisation. There is evidence of situations when the goals seemed ambiguous and thus misleading for the team members in the organisation. Managers are inefficient in becoming leaders as they are unable to incorporate the feeling of oneness among the team members in the organisation. As a result of this failure on the part of the style of leadership, there aroused lack in the perception of common goals and missions and this factor initiated the problem. The other cause of the problem that represents the ethical work culture within the organisation has also resulted due to the failure of the management to resolve problems. The unclear set of goals and objectives in front of the team members initiated problem in the ethical perspective of the job. The political concern in the organisational objective even initiated failure in maintaining the cohesive work climate within the organisation. The issues that hampered the ethical working culture are the ambiguous line of responsibility and authority along with the lack of control in the operations. Determination of the Business- Under Organised or Over Organised The diagnosis of the causes of the problems states that the business at Ben & JerryÃ¢â¬â¢s is under-organised. The concerns depict that the organisation was unable to handle the challenges in the dynamic market place and also within the workforce. The workforce in the organisation was of the view that the organisational goals and objectives misled them and they were incapable of setting their individual priorities for fulfilling the ultimate objective of the organisation. The tasks in the organisation were charged to be Ã¢â¬Ëhalf-finishedÃ¢â¬â¢ by the members. With the ongoing process of the task, the organisation took another task and in this course the former task remained unfinished forever. There was even lack of time to be allocated to a particular task to get it completed within stipulated time. From the point of view of the interviewees of the organisation, the general members and the founders are both the strength and weakness of the company. One of the founders would go for betterment of the quality with development of flavour and funkier promotions of the products. On the other hand, one general manager would strive to initiate certain other aspects that in turn increase the organisationÃ¢â¬â¢s expenses. The factor of organising the entire structure of the business was the primary requirement in the organisation for certain point of time. Weakness in the internal base of the organisation has been due to the under organised form. Approaches to Launch for OD Effort The approach that was followed to handle situation in Ben & JerryÃ¢â¬â¢s organisation had a valid reason to be incorporated. The
Monday, November 18, 2019
Holder in Due Course - Case Study Example In the case study, Talcott sent a check for $5700 on January 15th to Guarino, who presented it to Stuart Any Kind Store for cash. In this case, Guarino was the holder or bearer of the check. Upon confirmation of the validity of the check from the drawer, the check was approved for cashing of $5700 check. Any Kind cashed the GuarinoÃ¢â¬â¢s check after deducting the service fee of 3 percent or a value equivalent to $171. In order for the holder to qualify as the holder in due course, they must have obtained the instrument in good faith (Mann & Roberts, 2013). In this case, Any Kind Store became the holder in due course of the $5700 check after paying the value of the check to the holder. Any Kind Store was the proprietor of a negotiable instrument which they had taken for value and in good faith. They had given a consideration equivalent to the face value of the check less a 3% discount charges to the holder of the check in accordance with the requirements for the holder in due cours e. When Guarino presented the second check for cashing to Any Kind Stores, the accountant called upon the person who had approved the first check in order to approve for the payment. They called Talcott the drawer to confirm the validity of the check. The drawer approved the $5,700 check for payment after which Any Kind cashed for the holder. In this regard, Any Kind became the holder in due course since they had exercised appropriate care to ensure the check was valid and without defect. However, they did not make an inquiry to about the validity of the $10,000 check of which they had already cashed for Guarino.
Friday, November 15, 2019
Reflective Nursing Essay | Leadership in AE For the purpose of this assignment I will explore my personal and professional development in my third year and throughout the entire course. In this assignment I will reflect on an episode of practice that happened in the accident and emergency department during my placement there. I will discuss my leadership role, supervision and delegation to others whilst I managed the minors area on a morning shift. I have chosen to reflect on this episode of practice as this is one of the first times I was truly allowed to manage an area during this time I was able to delegate to others, question my leadership style and make clinical decisions. I will use reflective practice to critically analyse my delegation and supervision of others and analyse my own professional development. Throughout this reflection I will also look into the theory that underpins the following areas, Clinical Decision Making; Leadership, Management and Teamwork; Delegation and Supervision of others and Continuing Professional Development. The main focus of this assignment will be my delegation and supervision of others as this is a very important part of being a nurse as the NMC (2008) says You must establish that anyone you delegate to is able to carry out your instructions and that You must make sure that everyone you are responsible for is supervised and supported. To critically analyse this I will use a recognised model of reflection, I have researched a number of different models of reflection to find one that is suitable for this and that Im comfortable using. Some of the models I have looked at include Johns model of reflection as cited in Siviter (2008) But I found that this to be to rigid and does not help me discuss my own development as well , and also requires the reflector to work under constant supervision and keep a diary. Another model I considered was Rolfe et al (2001) framework for reflective practice, but I found this not to be structured enough to adequately explore my development and create future action plans. The final model I looked at is the Gibbs (1988) model of reflection as cited in (Siviter, 2008). The Gibbs model is well structured and easily guides the reflector through the process allowing them to explore the reflection in depth and allow action plans to be created. I have chosen this model as I have used this mode l in the past and feel comfortable using it and I feel it is well suited to this episode of practice. During this assignment I will use a pseudonym for any patients I discuss to maintain confidentially in line with the NMC (2008) on confidentiality. Desciption I was working on a morning shift in the Minors area of the Accident and Emergency department with my mentor and her other third year student. The nurse in charge asked us if we wanted to take it in turns the run the minors depart for half the shift each. I was given the task of running the area for the morning half the shift. In addition to my mentor and the other student there was a HCA also assigned to the area. The minors area was not particularly busy this morning there was 3 patients in the area with another 2 or 3 waiting to be seen. One of the Doctors working with is in the area asked if I could do an ECG on one of the patients then refer them up to the cardiology ward as they needed to be admitted. I decided that I would hand the patient over to the ward as I had the patients full history and I would delegate the task of the ECG to the other student as I knew she needed to do this for her skills, my mentor went with her as she needed to be supervised to complete this skill. O n my way to make the phone call, a paramedic crew brought a child in the paediatric area of the minors bay. When a patient is brought into the area there paperwork has to be completed including observations. I decided to delegate this to the HCA as the other patient urgently needed to go to the ward. I asked the HCA to do a complete set of observation on the child who responded when I get round to it I explained to her that the observations were more important at that time than stocking a cupboard. After making the phone call I returned to the child and the HCA to ensure the observations where completed correctly and noted the Childs observations were not normal and may indicate acute appendicitis as I had seen this on a previous shift, at this point I took the results to the doctor and explained what I felt the doctor agreed and moved the child up in the waiting list to be seen next. Thoughts and Feelings When I was asked to run the minors area initially I felt very excited about this as I have not had many management opportunities during my course and I was getting to manage an area I have always been interested in and hope to eventually work in. When I started to get into the management role I started to find myself getting more and more anxious as I have never really worked in this environment before and that previous experience had been limited to wards which had more set routines. I felt comfortable being able to delegate to the third year student as I knew she would be competent to do the task I asked her I also felt confident in asking the HCA to complete observations as I knew they had training to work in this area. I feel that I could have asked the HCA in a different way to complete the observations as I felt the way I handled it was wrong and it led her to resent me for the rest of the shift because I was short with her. Overall I enjoyed the experience and felt a great dea l of satisfaction when I was able to identify a potentially critically ill patient and make the appropriate referral using my clinical judgement. Evaluation What I feel that was positive about this situation is I was able to practice my leadership and delegation skills which previously I have not had the opportunity to do. It has also given me a good insight into the importance of time management and prioritising tasks. This episode has given me a small insight into the importance of quality assurance because I had to check the observations and also allowed me to recognise my own limitation as I knew there was nothing I could have done for the child without referring to a doctor. What was negative about the situation I feel was my team working and management style could have been better as I could have explained to the HCA in more positive way. I feel I may not have needed to delegate the task of observations as I could have made the call and managed to complete the observations in a timely and safe manner. Analysis Delegation and supervision of others is an integral part of being a registered nurse. Delegation is defined as the process of transferring a task to a competent individual and giving them to authority to complete a selected nursing task in a selected situation Hanston Jackson(2004).
Wednesday, November 13, 2019
Multimedia As a technology, it is called multimedia. As a revolution, it is the sum of many revolutions wrapped into one: A revolution in communication that combines the audio visual power of television, the publishing power of the printing press, and the interactive power of the computer. Multimedia is the convergence of these different professions, once thought independent of one another, coming together to form a new technological approach to the way information and ideas are shared. What will society look like under the evolving institutions of interactive multimedia technologies? Well, if the 1980Ã¢â¬â¢s were a time for media tycoons, the 1990Ã¢â¬â¢s will be for the self-styled visionaries. These gurus see a dawning digital age in which the humble television will mutate into a two-way medium for a vast amount of information and entertainment. We can expect to see: movies-on-demand, video games, databases, educational programming, home shopping, telephone services, telebanking, teleconferencing, even the complex simulations of virtual reality. This souped-up television will itself be a powerful computer. This, many believe, will be the worldÃ¢â¬â¢s biggest media group, letting consumers tune into anything, anywhere, anytime. The most extraordinary thing about the multimedia boom, is that so many moguls are spending such vast sums to develop digital technologies, for the delivering of programs and services which are still largely hypothetical. So what is behind such grand prophecies? Primarily, two technological advances known as digitization (including digital compression), and fibre optics. Both are indispensable to the high-speed networks that will deliver dynamic new services to homes and offices. Digitization means translating information, either video, audio, or text, into ones and zeros, which make it easier to send, store, and manipulate. Compression squeezes this information so that more of it can be sent using a given amount of transmission capacity or bandwidth. Fibre-optic cables are producing a vast increase in the amount of bandwidth available. Made of glass so pure that a sheet of it 70 miles thick would be as clear as a window-pane, and the solitary strand of optical fibre the width of a human hair can carry 1,000 times as much information as all radio frequencies put together. This expansion of bandwidth is what is making two-way communication, or interactivity, possible. Neither digitization nor fibre optics is new. But it was only this year that AmericaÃ¢â¬â¢s two biggest cable-TV owners, TCI and Time Warner , said they would spend $2 billion and $5 billion respectively to deploy both technologies in their systems, which together serve a third of AmericaÃ¢â¬â¢s 60m cable homes. Multimedia :: science Multimedia As a technology, it is called multimedia. As a revolution, it is the sum of many revolutions wrapped into one: A revolution in communication that combines the audio visual power of television, the publishing power of the printing press, and the interactive power of the computer. Multimedia is the convergence of these different professions, once thought independent of one another, coming together to form a new technological approach to the way information and ideas are shared. What will society look like under the evolving institutions of interactive multimedia technologies? Well, if the 1980Ã¢â¬â¢s were a time for media tycoons, the 1990Ã¢â¬â¢s will be for the self-styled visionaries. These gurus see a dawning digital age in which the humble television will mutate into a two-way medium for a vast amount of information and entertainment. We can expect to see: movies-on-demand, video games, databases, educational programming, home shopping, telephone services, telebanking, teleconferencing, even the complex simulations of virtual reality. This souped-up television will itself be a powerful computer. This, many believe, will be the worldÃ¢â¬â¢s biggest media group, letting consumers tune into anything, anywhere, anytime. The most extraordinary thing about the multimedia boom, is that so many moguls are spending such vast sums to develop digital technologies, for the delivering of programs and services which are still largely hypothetical. So what is behind such grand prophecies? Primarily, two technological advances known as digitization (including digital compression), and fibre optics. Both are indispensable to the high-speed networks that will deliver dynamic new services to homes and offices. Digitization means translating information, either video, audio, or text, into ones and zeros, which make it easier to send, store, and manipulate. Compression squeezes this information so that more of it can be sent using a given amount of transmission capacity or bandwidth. Fibre-optic cables are producing a vast increase in the amount of bandwidth available. Made of glass so pure that a sheet of it 70 miles thick would be as clear as a window-pane, and the solitary strand of optical fibre the width of a human hair can carry 1,000 times as much information as all radio frequencies put together. This expansion of bandwidth is what is making two-way communication, or interactivity, possible. Neither digitization nor fibre optics is new. But it was only this year that AmericaÃ¢â¬â¢s two biggest cable-TV owners, TCI and Time Warner , said they would spend $2 billion and $5 billion respectively to deploy both technologies in their systems, which together serve a third of AmericaÃ¢â¬â¢s 60m cable homes.
Sunday, November 10, 2019
Dream House As I get closer and closer to the island the house that I have always dreamed about awaits me. I can see it from a mile away. Everyone has that house that they ,have always dreamed about. It is so massive, that it is the most noticeable construction on the island. My own private plane lands on the landing strip located next to the house. As soon as I get off the plane, I then begin my voyage down the path that leads to my dream house. I am anxious to get to the house that I will spend the rest of my life in. Everything that surrounds me is simply amazing including all the trees and plants. It feels so good to be at a peaceful place and all you can hear are the birds chirping, smell the salt sea air. A nice tropical breeze on your skin, and warm white sand on my feet. As I draw nearer to the end of the road, my dream starts to appear. After all these years, I can now see my residence up close. Nothing could ever compare to the sight of my house. Nothing could have compared to the moment I was experiencing. What is better than looking at something you designed? My house is a five-story dream that lies on a twenty-acre lot. As I come near to the entrance of the house, four columns that lead to the most elegant doors in the world then surround me. The doors were made of mahogany with glass stained windows in the center of the each door. Each handle was made of brass along with brass frames. As I continue to walk around my house, I come across five windows that seem to overlook the houseÃ¢â¬â¢s entrance. On each window, there are black shutters. The porch then continues to the backside of the house, as I am able to look over the ocean. When I look down at the ocean, I can see that there are two piers that protrude out in the ocean. The walls of the house are made of a good material to avoid damage from any weather. The outside of my house has an amazing view and I can only imagine what the rest looks like. On the inside of my house, I am able to stand in the middle of the living room and look up all five stories of the house. An elevator is to the right of the living room that is able to go to each story of the house. Each floor has two bathrooms (one full and one-half) with two to three bedrooms. When I walk in the kitchen, it is easy to see that any cook would love this kitchen. It has stainless steel appliances all shiny and gleaming. Just waiting for me use. As I look around I see every kitchen tool or gadget that one could ever think to use. It has a coffee maker in the wall that will brew fresh coffee all day. A grill that will be used to grill shrimp. I am standing in this kitchen just thinking of all the things I want to prepare. The best part of the kitchen is the counter in the middle that is a self-cleaning countertop for cutting and cleaning foods. I then walk to the back yard. Surrounding me is an outdoor oasis. I walk toward the road the first thing; I come across a full size basketball court. As I look to the right of the basketball court, I see a tennis court. The best part about my backyard is the bar that is in between the basketball court and tennis court. As I, approach the opposite side of the yard there is in ground pool. The great thing about the pool is that it is connected to a pool that is inside the house. I put my toe in and realize that it is heated. I can swim day or night. To the east of the house, there is a white gazebo. While you are sitting in the gazebo, you are able to see anything or anyone that enters or leaves the house. Everything I ever imagined was at my house. I planned this out very well to have all my needs and more. As my plane starts to leave to go home, I am able to take one last long look at the house that I had mastered. What I had experienced was my dream home. I could only think to myself, Ã¢â¬Å"This is my dream house and no one elseÃ¢â¬â¢s, my dream house. Ã¢â¬
Friday, November 8, 2019
Compromise of 1850 The issues related to slavery were still burning in the middle of the nineteenth century. The tension can be illustrated by the debate concerning the Compromise of 1850. It is possible to consider three viewpoints on the matter to see three major arguments which existed in the American society of that time. John C. Calhoun, Daniel Webster and Henry Seward gave speeches that embody the three arguments.Advertising We will write a custom essay sample on Compromise of 1850 specifically for you for only $16.05 $11/page Learn More Calhoun was an advocate of slavery and criticized the compromise as he stressed that the newly created state, which was agricultural, had the right to adopt the effective ways which were used in other Southern states. The politician stressed that Southern statesÃ¢â¬â¢ interests were often Ã¢â¬Å"sacrificed. however oppressive the effectsÃ¢â¬ could be (Calhoun, 2010). Even though Webster was largely against proliferation of slavery, he also noted that it was logical for a new state to become a slavery state. Unlike Calhoun, the politician did not consider the interests of the North and the South, but he stressed that there was some legislation and acts which addressed the issue and there was no need in inventing new regulations (Webster, 2010). In contrast to the two arguments mentioned above, Seward appealed to the GodÃ¢â¬â¢s law, he did not consider interestsÃ¢â¬â¢ or laws of people. The politician stressed that Ã¢â¬Å"no climateÃ¢â¬ could justify slavery and all people were created equally free (Seward, n.d.). Thus, he claimed that new states had to be free from slavery due to the higher law. In my opinion, SewardÃ¢â¬â¢s argument is the most compelling as the politician articulated the ideas which were in the air at that time. He was brave (and persuasive) enough to reveal the wrongs of the American society. Clearly, his argument is the strongest as he appeals to the law of nature, the greater law. Reference List Calhoun, J.C. (2010). Proposal to preserve the Union. Web. Seward, W.H. (n.d.). William Henry SewardÃ¢â¬â¢s higher law speech. Web.Advertising Looking for essay on history? Let's see if we can help you! Get your first paper with 15% OFF Learn More Webster, D. (2010). Speech to the U.S. Senate in favor of the Compromise of 1850. Web.