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Wednesday, January 29, 2020

Associate versus baccalaureate degree in nursing Essay Example for Free

Associate versus baccalaureate degree in nursing Essay According to the JAMA Network, registered nurses in the United States are able to receive their basic education in a ADN and BSN program in colleges and universities Although there are a variety of educational programs preparing RNs, some studies have suggested that baccalaureate-prepared nurses are more likely to demonstrate professional behaviors important to patient safety such as problem solving, performance of complex functions, and effective communication. (Educational Levels, n. d) A large number of situations have been reported in the research studies reviewed. No major differences are noted between the cognitive abilities of students in baccalaureate and associate degree programs. (Davis-Martin, 1990, p. 2) Associate degree nurses are able to perform well in technical roles for which they have been prepared, as well as in some leadership roles for which they were not originally prepared. I am a prime example of that associate degree nurse who has been performing in leadership roles over the years this is due to on the job training and attending management courses. Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching, and leading. (, 2) As a result of the many changes in health care along with the changing needs of patients, it is necessary for nurses to advance to higher levels of education. Having many years of experience seems to not carry as much value as does the level of education in the nursing world. When I graduated almost 34 years ago from nursing school, the positions held by ADN nurses were more of a charge nurse role. Most of the management positions were held by BSN nurses. As health care systems throughout the world are changing, studies have shown that â€Å"quality patient care hinges on having a well educated nursing workforce; lower mortality rates, (Ed. ). (). The AACN Essentials of Baccalaureate Education for Professional Nursing Practice (Ed. ). : . []. http://dx. doi. org/. Retrieved from Davis-Martin, S. (1990, Jan 1990). Pub Med NLN Pub [Abstract]. NLN Publ, 15-2339: 109-45. http://dx. doi. org/ncbi. nlm. nih. gov/pubmed/2406700 Rosseter, R. J. (n. d). Creating a More Highly Qualified Nursing Workforce [Fact Sheet]. Retrieved from American Association of Colleges of Nursing (AACN) Educational levels of Hospital Nurses. (n. d). JAMA Network. http://dx. doi. org/jama. jamanetwork. comnurse after a quick assessment of the situation made appropriate arrangements for a meal ticket for the family member along with a free parking pass. As a result of the advanced educational knowledge received in her BSN course of study the charge nurse was able to incorporate critical thinking skills, prompt and adequate treatment  of the human response, communication skills along with an holistic approach to health care she was able to minimize a negative outcome for the patient and family member hence solved a situation that could have had far reaching effects. As a result of having a BSN I will be provided with more of an in-depth study in all areas of physical science, research, ethical decision making, leadership, accountability, critical thinking and effective communication. Having the education and knowledge nurses will be able to see the entire picture thus enhancing performance. The BSN nurse is well prepared to meet the demands of today’s ever changing health care systems throughout the world. fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels†. (Rosseter, Para 1). Medical facilities that are applying for their Magnet status are encouraging their ADN nurses to obtain a BSN degree, and are no longer hiring ADN nurses. Prime example my hospital just this month completed our Magnet journey and received qualification status. Due to the increase in online RN to BSN programs,  many nurses fifty years and older are returning to school. I happen to be one of them. There area few situations involving the difference in competency between BSN nurse versus an ADN nurse that I have witnessed. One situation a patient was scheduled for a colonoscopy and was told to arrive at 8:00 am for a 9:00 am procedure. The patient was also given an order from the physician’s office to have labs drawn after her procedure so that upon her next office visit the following week the results will be available. The patient realized at 8:45  am she was not called to the pre- op area. An ADN nurse was in the process of escorting another patient to the discharge area and was confronted by the patient and family who at this point were very angry. The nurse stated â€Å"I have no control of the physician he is always late and besides we are very busy and short staffed today† The BSN nurse who was in charge that day, apologized for the delay of the physician who had an emergency in the outpatient GI clinic and for staff not keeping her and family member informed of the delay. She also went on to ask if the physicians  office had requested anything for her to have while on her visit today, since she lived five hours away and had an office appointment next week. The patient replied â€Å"I have some lab work that he wants me to have before coming to see him next week†. The charge nurse (BSN) called the lab made arrangements and had the patient escorted to the lab in a wheelchair to have labs drawn. Upon her return after being pre-op-ed her physician arrived in 15minutes. During the assessment of the patient it was discovered that the family member was a diabetic.

Tuesday, January 21, 2020

In Praise of Folly - Erasmus Dichotomy Essay -- In Praise of Folly Es

In Praise of Folly - Erasmus' Dichotomy      Ã‚   The Silenus box is a "case carved like an ugly Silenus" that can be "opened to reveal beautiful, precious objects" (Erasmus 43, footnote). This box appears in Erasmus' Praise of Folly as a metaphor for the central claim in the novel, which is that that which appears to be Folly (ugly) externally, is wise (precious) within. Erasmus reveals this dichotomy on three levels: in the image of the box itself, in his genuine praise of Folly, and in the structure of the novel as a whole. Erasmus, using the female voice of Folly, introduces his reader to the image of the Silenus box early in the text, thereby allowing his reader to carry the image with her for the rest of her time reading (and see its metaphoric nature when appropriate). Folly makes the introduction, saying, "All human affairs... have two aspects quite different from each other." She then goes on to explain that this means, according to Plato, that things that "appear 'at first blush'... to be death, will, if you examine [them] more closely, turn out to be life... in brief, you will find everything suddenly reversed if you open the Silenus" (43). In more direct terms, something which on its surface seems one way (the 'bad' way), has opposite ('good') guts. In The Praise of Folly, the pair of opposites that Erasmus focuses on is that of folly and wisdom. By including a passage dedicated to the description of the Silenus, Erasmus gives his readers a concrete picture to grasp onto that stands for the novel's link between this pair of opposites, which is that wisdom comes under the wrapping of folly. The passage allows the reader to understand this central concept more easily. The concept, in its many manifestations, c... ...this same literary tradition, Rabelais utilizes this peculiar narrative technique in Gargantua and Pantagruel, where he too hides the wisdom in his work behind the veil of foolish, and even vulgar, language. Erasmus' inclusion of the passage explaining the Selenus box allows it to be a metaphor for the central concept in the novel. Through its presence, Erasmus gives us, his readers, a tool with which to separate the layers of his text. Without it, we might be stranded (after reading) with the inaccurate belief that Erasmus was a babbling hypocrite, with contradictory ideas sprinkled throughout his work. But, I suppose, we could have just attributed that fault to Folly, who is always more than willing to accept such a title. Work Cited Erasmus, D. 1511. In Praise of Folly. (Translated by L. Dean and republished by Hendricks House Farrar Straus. 1946.)

Monday, January 13, 2020

From Nature and Culture in the Iliad: the Tragedy of Hector Bibliography

From Nature and Culture in the Iliad: The Tragedy of Hector. Copyright 1975 by The University of Chicago. The University of Chicago Press. In his Chicago University Press article Nature and Culture in the Iliad: The Tragedy of Hector, James M. Redfield describes how â€Å"A Homeric community consists, in effect, of those who are ready to die for one another†, and the heroic role that the warriors from such a â€Å"tight-knit community† must achieve through action. He continues to mention how society contributes to the encouragement of this certain social task and the desire for the status of heroism.Among these nations and warriors, there is â€Å"a double meaning of combat: Defensive yet aggressive and altruistic yet egotistic†. The lengths these men go to in order to attain what they seek is imperative to the negative effects it also has. The heroes of these communities are praised by society and they are portrayed as being god-like, but â€Å"All of this is o nly a social illusion; the hero may appear god-like but he is only mortal. †Their people put them onto a pedestal, and that praise alone gives them privileges over the average citizen.Knowledge of these privileges puts pressure on someone who is defending their nation. Their job is to protect their people, however; if a nation isn’t at war then the warriors wouldn’t be able to prove themselves. So they are then obligated to seek out another nation and use force against that land, which can have a detrimental outcome. This creates a â€Å"paradox†. â€Å"To die for something, he says, is better than to die for nothing – and that is, after all, the alternative. † These warriors legitimize themselves by showing off the virtues that are of necessity on and off the battlefield.On the battlefield they, without hesitation, instinctively act in the way needed to survive. Yet, simultaneously, they’re capable of analyzing the situation and absor b the fact that, ultimately, the cost of their duty is indeed with their own lives. When on the battlefield, the warrior is able to see past society’s â€Å"solid and enduring† culture for what is truly is. In the soldiers’ perspective, the things valued in culture among society are â€Å"secondary†. â€Å"For the warrior, culture appears as a translucent screen against the terror of nature. † Living a meaningless life isn’t going to give onor, privileges, or most importantly remembrance. Regardless, if their army started the war or not, they will be remembered by their people. To these men, it is more honorable to go down fighting rather than to stand for nothing. These are the very things that cause the people to esteem the warriors and what separates society from the men engaged in war. These men become heroes because of their mere mortality and they â€Å"can choose to die well†. It is perceived by me, that Redfield recognizes thi s and holds a great level of respect for the men of valor during that age.I can acknowledge how great these men were and what they did for their people. I also realize how we can closely relate them to the soldiers in our lives that come home from stints at war, and how being on the battlefield changes their mentality towards certain things. In my opinion, there was a miniscule yet substantial message hidden here that we can all learn from. In today’s society, we do not hold enough respect for the men and women who put in so much dedication to protecting their country’s people and how life-threateningly dangerous it is.

Sunday, January 5, 2020

Father and Son - 1952 Words

The relationship between a father and a son is not solely filled with love but one that can create pain and the sense of longing. This relationship assists in making a boy recognize right from wrong. The author of In Our Time, Ernest Hemingway, cleverly uses short stories to create Nick Adams, a fictional character whose life is analogous to Hemingway himself. Salman Rushdie also writes in parallel to his situations. However, he uses a different approach in his writing style to show the adventure of the protagonist in Haroun and the Sea Of Stories. The authors share common themes, which is failed marriages and the absence of a mother. Through analysis of the novels, one may be able to recognize the different perspectives of both authors on†¦show more content†¦In another story, â€Å"Cross-Country Snow,† Nick shows his notion of fatherhood. In essence, all of Nick’s accounts are parallel to the life of Earnest Hemingway and these stories in particular will show Hemingway’s outlook on the view of paternity. In his foundational story â€Å"Indian Camp,† Hemingway reveals information on the Nick’s relationship with his father. This story initially focuses on Nick’s father’s job. Though unintentional, Henry Adams allows his young child to be exposed to intense situations and concepts before he is able to comprehend their importance (Clark). The amount of importance the doctor gives to his duties and responsibilities is shown during the medical procedure. He stays composed while performing the caesarean birth and put aside his own child’s woe. The story provides an image of a father in apparent control, reassuring his son that they will rescue the damsel in distress (Narbeshuber). In many families, the father usually serves as a provider. However, that quality is not the only factor that measures the success of the father. In most cases, fathers have to leave their homes to earn for the sake of his family while the mother stays back to take care of the hou sehold (Tasten). Since Henry Adams is a doctor, it is safe to assume that his work would require a lot of time out of the house. However,Show MoreRelatedEssay Father and Son984 Words   |  4 PagesFather and Son Just whom is Edmund Gosse’s Father and Son written for? Is it for the Father, or for the Son, or, as Edmund Gosse tells us, for the public, so they can have a record of life in a rigidly religious family? Edmund begins his book by telling you that it is a historical record, an important chronicle that is to be used, basically as a reference for a period of time. Yet, in the first sentence of the first chapter, we can see that this is truly not his purpose. The first wordsRead MoreFathers and Sons by Ivan Turgenev1029 Words   |  4 PagesNihilism is the belief that any traditional values, morals, or ideas are unfounded, denying any objective idea of truth, especially moral truths. We see this concept used in the novel Fathers and Sons, by Ivan Turgenev. Turgenev uses the recurring idea of Nihilism to illustrate the development of characters and their change in attitude as the book progresses. He emphasizes character analysis, as well as comparing emotional aspects by usi ng minor characters to alter major characters and their emotionsRead MoreThe Generational Conflict Of Fathers And Sons1382 Words   |  6 PagesYevgeny Bazarov, the main character in Ivan Turgenev’s novel, Fathers and Sons is fascinatingly complex—full of passion and contradictions. Rude and unsympathetic to everyone, including his loving parents, members of his own generation nonetheless respect him greatly for his ideals and intellectual acumen. 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ThroughRead MoreFather Son And The Father1353 Words   |  6 Pagesfather son relationship by making the son superior to the father. The chaos of this power dynamic is exemplified when Stevens is asked to restrict his father’s duties around the house, due to his decreasing health. Stevens enters his father’s chambers to deliver the message and recalls dictating The fact is, Father has become increasingly infirm. So much so that even the duties of an under-butler are now beyond his capabilities. His lordship is of the view, as indeed I am myself, that while Father