My professional and academic goals related to wardens school of nursing free essay sample

My Professional and Academic Goals related to Waldens School of Nursing Perspectives I have been a nurse for 14 years, mostly in the Emergency Department, and have become aware of the growing population and the need for Family Nurse Practitioners (FNP’s). According to Walden’s University Catalog (DEC. 2013a), FNP’s are defined as â€Å"advanced practice registered nurses with the knowledge and skills to assess and manage health issues in patients of all age groups, from birth through senior years. † My goal as a FNP is to provide advanced health care with a holistic approach including: disease prevention, health maintenance, health promotion, restorative care, and a positive social change. I have chosen Walden University through high recommendations from my colleagues. They have enlightened me on the positive impact Walden School of Nursing has made in their personal and professional careers. Walden’s vision and mission statement reinforced my decision to become a part of the Walden Family Nurse Practitioner School of Nursing. We will write a custom essay sample on My professional and academic goals related to wardens school of nursing or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page According to Walden University Catalog (DEC. 2013b) their vision is focused on a distinctive different 21st –century learning community that provides immediate solutions of critical societal challenges and advancing global good. My vision agrees that healthcare professionals need to focus on advanced 21st century technology and the societal challenges that arise and promote a positive social change. Walden University Catalog (DEC.2013b) defines positive social change â€Å"as a deliberate process of creating and applying ideas, strategies, and actions to promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies. Positive social change results in the improvement of human and social conditions. † I plan to implement social change with the knowledge and education that the Walden School of Nursing provides while supporting and recognizing the many cultures in the community.

Free Essays on A White Heron

Short Stories can be interpreted in Many Ways Any type of literary work can contain secret messages throughout the story, and it’s up to the reader to analyze and figure these hidden messages out. Some stories contain themes that are obvious, but that doesn’t mean that they don’t have other underlying themes. If the reader reads a literary piece more than once, then they’re apt to pick up much more than when they read it first. In Sarah Ornes Jewetts’, A White Heron, it sounds like a simple story at first, but once it’s analyzed and picked apart, there are many more aspects to the story that are revealed. This story is about an innocent, naà ¯ve girl named Sylvia who matures throughout the story and realizes the importance of keeping the secret of the white heron. When the reader first starts to read A White Heron, it sounds like a simple story about a young, curious girl living with her grandmother on a farm, and a bird hunter who is looking for a heron that the young girl has seen before. This hunter is willing to pay anyone who shows him where the heron is located ten dollars, because the Heron is a very valuable bird that usually isn’t found in that climate. The little girl locates the nest of the herring, but decides not to tell the hunter. After that scene the story ends. Sylvia, the little girl in this story, is portrayed as a young, innocent, curious girl who is discovering the world. By the end of this story, it is quite clear that she has matured a great deal for a nine year old. Sylvia started establishing morals that she will live by for the rest of her life. In the beginning of the short story, A White Heron, Sylvia was very much afraid of the woods which were in the back of her grandmother’s farm house. â€Å"They were going away from the western light, and striking deep into the dark woods..† (Jewett, 183). Her grandmother always warned her about the dangers of the woods, and never to go... Free Essays on A White Heron Free Essays on A White Heron The short story â€Å"A White Heron† written by Sarah Orne Jewett is the story of a young girl and how she becomes her own person in a time when women were supposed to be loyal like dogs toward men. The current views and the beginning of change in those views that some of society held towards the independence of women in the late 1800s can be seen through the character portrayals in â€Å"A White Heron.† In the opening of the story, Sylvia is alone in the woods driving home her cow when she runs into a young man. As the man approaches she refers to him as the enemy, and in a way he is. In the story Sylvia, her grandmother, and even the female cow are living a life that is free of males, yet happy. Suddenly, in comes this hunter to throw off the balance of the independent and female dominant life Sylvia knows. When Sylvia and the hunter return to Sylvia’s grandmother, Mrs. Tilley’s house Sylvia believed Mrs. Tilley had misunderstood the situation and made a mistake in allowing him to stay. The story also showed change when it mentioned the awakening of Mrs. Tilley’s â€Å"long slumbering hospitality,† reminding the reader of how secluded the women were (Charters, 391). Jewett shows men as being proud and always in search of a prize, rather than companionship. When the hunter began to converse with Mrs. Tilley he claimed a love for birds and that he had a great collection of them, in this way he wanted the birds as a prize he could display rather than a companion or friend. With this character and his display of stuffed dead birds, it relates how women were also viewed in this time. In this time women could be considered prizes, part of a man’s belongings to be displayed and admired. It can also be said that women were not expected to really live their life, but instead to become dead inside like the birds were dead. Love for men was similar to ownership. In the story Mrs. Tilley is an older woman who is easily able to rever... Free Essays on A White Heron How does an individual discover ones self? What might a person give up in order to do so? Sylvia, a character from Sarah Orne Jewett’s short story, A White Heron, goes through a plethora of events and personal decision making while unknowingly finding herself. Mrs. Tilley, Sylvia’s grandmother, chose Sylvia to live with on a farm in New England near the woods. Mrs. Tilley thinks Sylvia takes after Dan, her only child still alive other than Sylvia’s mother. Sylvia promptly fell in love with the countryside and would never wish to go home. Whether Sylvia was at home or on the farm, she always did choirs around the house to help out. Miss Moolly, an old clever cow, had to be walked back through the woods into the barn. Knowing how difficult this really was, Sylvia decided to give it a try. After a quick game of hide and go seek, Miss Moolly and Sylvia were on the path and on their way. As the cow stopped for a drink of water, Sylvia heard a loud whistle. She left the cow and attempted to hide behind a bush, but it was too late. A young man spotted her and asked her if she could tell him the way to the main road or where he could find a place to stay the night. Cautiously, Sylvia brings the young man back to grandma’s house. Mrs. Tilley welcomes the gentlemen with a meal and a room to stay in. After dinner the young man and Mrs. Tilley have a conversation about why the young man is out in the woods. The young man explains that he is a bird collector and only needs one more bird, a White Heron, to complet ! e his collection. The man offers Mrs. Tilley ten dollars for any assistance he might get. Immediately the grandmother explains to the man that Sylvia knows where to find such a bird, and she can help him find it. While listening in on the conversation, Sylvia finds herself in a bind. Sylvia knows that her grandmother needs the money, but she also realizes she is the only hope in completing the young man’s coll... Free Essays on A White Heron Short Stories can be interpreted in Many Ways Any type of literary work can contain secret messages throughout the story, and it’s up to the reader to analyze and figure these hidden messages out. Some stories contain themes that are obvious, but that doesn’t mean that they don’t have other underlying themes. If the reader reads a literary piece more than once, then they’re apt to pick up much more than when they read it first. In Sarah Ornes Jewetts’, A White Heron, it sounds like a simple story at first, but once it’s analyzed and picked apart, there are many more aspects to the story that are revealed. This story is about an innocent, naà ¯ve girl named Sylvia who matures throughout the story and realizes the importance of keeping the secret of the white heron. When the reader first starts to read A White Heron, it sounds like a simple story about a young, curious girl living with her grandmother on a farm, and a bird hunter who is looking for a heron that the young girl has seen before. This hunter is willing to pay anyone who shows him where the heron is located ten dollars, because the Heron is a very valuable bird that usually isn’t found in that climate. The little girl locates the nest of the herring, but decides not to tell the hunter. After that scene the story ends. Sylvia, the little girl in this story, is portrayed as a young, innocent, curious girl who is discovering the world. By the end of this story, it is quite clear that she has matured a great deal for a nine year old. Sylvia started establishing morals that she will live by for the rest of her life. In the beginning of the short story, A White Heron, Sylvia was very much afraid of the woods which were in the back of her grandmother’s farm house. â€Å"They were going away from the western light, and striking deep into the dark woods..† (Jewett, 183). Her grandmother always warned her about the dangers of the woods, and never to go...

DID THE US OR SOVIET UNION CAUSE THE 1962 CUBAN MISSILE CRISIS Essay

DID THE US OR SOVIET UNION CAUSE THE 1962 CUBAN MISSILE CRISIS - Essay Example Germination of political conflict between these two nations commenced since very aftermath the World War II. During the Second World War, United States and Soviet Union, mutually, played leading role in putting an end to the terror and devastation of the Third Reich. However, end of the War helped them to evolve as two superpowers, capable of dominating the entire global politics. While the United States emerged as a titan among Western nations, the Soviet Union became its Eastern answer1. The conflict of power became inevitable as both nations were trying to prove their respective supremacy and rather than providing priority to the development of international political situation, they took further interest in opposing each other’s policies.2 The conflict between United States and Soviet Union also commenced on a different ground that is their respective ideology towards socio-cultural and socio-economic aspects. While capitalism dominated the ways of American approach towards determining the nature of socio-political factors, socialist approach was adopted by the Soviet Union to earn support of nations in their favor. During the post World War II period, United States not only made aggressive attempts to receive control over political and economic affairs in the international context, consequently, with an intention to reduce power and support of the Soviet Union, it tried to point out the flaws in the socialism that Soviet Union was trying to assert. Soviet Union, on the other hand, also vehemently criticized American tendency of economic imperialism and attempted to assert that socialism is the only way to survive the grasp of American capitalist aggression.3 Result of such attacking and counter attacking became more evident as the entire domain of international politics was divided into two specific groups: â€Å"On one side were the

GDP Essay Example | Topics and Well Written Essays - 500 words - 2

GDP - Essay Example Firstly, it fails to include harmful side effects in its calculations. For instance, economic â€Å"bads† like pollution are excluded in GDP statistics. This, therefore, implies that GDP fails to take into account the social well-being of individuals as it ignores activities that affect people’s living standards. Secondly, GDP fails to take into account leisure or human costs as well as the revenue that is generated during such times. Additionally, no consideration is given to how hard individual work to produce output (Mankiw, 2012). The GDP measure also fails to take into accounts things such as love, volunteering, vibrant and supportive community and friendships even though they contribute to social well-being of individuals. Finally, GDP statistics does not take into account underground economy. These are cash transactions that occur outside of recorded marketplaces, and they can be both legal and illegal. Legal ones are undertaken to avoid taxes while illegal ones include trafficking in illegal drugs (Baumol & Blinder, 2011).   Yes, economic growth and productivity can align to Saint Leos Core Values. For instance, a country needs to put in place some policies in order to achieve high economic growth. First, the citizens need to be responsible stewards. They need to use the resources they are endowed with efficiently, effectively and economically. By putting the little resources they may be endowed with to maximum use, they will ensure that there are little or no wastages at all. Secondly, the country’s leadership should be of high integrity. This will ensure that the country excels economically and lives its goals by being consistent in economic performance. Finally, an increase in GDP indicates an economic growth that in turn results in a collective growth in well-being. Leaders should strive to create a socially responsible environment that is able to challenge every

Immigration Issue of the United States Essay Example | Topics and Well Written Essays - 500 words - 14

Immigration Issue of the United States - Essay Example Population growth is an essential role in a healthy economy. Statistically, immigrants and their families will account for sixty percent of the United States’ population after forty years (Pawlick and Finley 2). With this huge number, the US could take advantage of them by providing them and their children the amenities they need to live their social life normally. Giving proper and quality education to the migrant children will reflect positively in the future of the country. The educated migrant generation can create a diverse human resource environment locally, which will eventually address and eliminate cultural issues like racism very effectively. Similarly, they will follow the social norms and traditional values of the US better than the Native Americans for want of proving that they deserve to live with dignity in the country by ensuring their civil and political rights as citizens of the US. These points show that the increasing number of immigrants is going to affect many aspects in a positive way for the United States. One of the biggest legal issues about migration is the absence of necessary documents held by the migrants in order to become an American citizen. These people use others’ documents and Social Security numbers to avoid troubles or deporting (Pawlick and Finley 3). The legal complications related to falsification or forging of documents will lead to the arrest of the migrant, and in case of couples or individuals with children, this situation will grow riskier impacts. From my perspective, the government should make it easier for immigrants to attain official documents in order to address this issue appropriately.  

CALPUFF-CALMET Modeling System

CALPUFF-CALMET Modeling System 1. Introduction Nowadays, due to the fast expansion of industrial development and population increase, air pollution has become one of the most serious problems in the world, especially in large cities and consequently, the problem of air pollution and its control has become increasingly. Fossil fuel combustion, especially which based on oil and coal is one of the major causes of the environmental problems affecting both local and global levels. However, several countries are still using fossil fuels as primary energy, especially in developing countries. Electricity consumption in Iran has experienced a considerable growth during recent years because of economical development, industrialization and population increase. In 1973, electric energy generation per capita was 310 kWh, which increased to 2935 kWh in 2008. Electricity generation using fossil fuels has destructive effects on environment. Due to Irans environmental conditions, electricity generation is mainly performed by thermal power plants, so that near 85% of the required electric energy is produced by thermal power plants. Gas-fired power plants are the dominant part which accounted up to 62% of total power generation. Oil-fired power plants generated 22.4% and 14.7% produced from hydroelectric plants. Although hydroelectric plants make 14.7% proportion of plants in Iran, these plants have generated only 5.1% of the power due to a fall in precipitation over the past few years. Natural gas (71.3%) is the largest source of fuel for electricity generation followed by heavy oil (15.8%) and gas oil (12.4%). Although, the main fuel of power plants is gas, the environmental problems are still concerned Air quality is a major determinant of human health. Meteorology plays a great role in determining air quality changes downwind of emission sources. Both the wind and atmospheric stability greatly affect dispersion conditions. Local influences due to terrain and land-cover factors can also be important. Air dispersion and deposition models are tools for estimating concentrations of air pollutants and deposition rates due to industrial or other emission sources (Prince Rupert Airshed Study). Air quality models are instrumental in providing valuable insights into the processes involved in the transport, dispersion and chemical transformation of pollutants in the atmosphere .These models use mathematical equations and numerical methods to describe the concepts involved in the atmosphere. In recent years, CALPUFF model has good performance in the simulation of many kinds of pollutants under complicated topography, especially in the area larger than 50 km. CALPUFF can be run in any specific location around the world, and for any modeling type period selected by the user. Due to its flexibility, CALPUFF has been used in several research studies. Over the past years, several CALPUFF-aided case studies have been published. Shiyao Li et al. (2016) used CALPUFF model to simulate the spatial distribution of sulfur dioxide in Urumqi and analyzes the source contribution to areas where the SO2 concentration is high. Prueksakorn et al. (2014) applied WRF/CALPUFF modeling system and multimonitoring methods to investigate the effect of seasonal variations on odor dispersion in Changwon City of South Korea. Abdul-Wahab et al. (2011) used CALPUFF software to measure and simulate the dispersion of sulfur dioxide (SO2) at the Mina Al-Fahal Refinery in the Sultanate of Oman. Abdul-Wahab et al. (2013) used CALPUFF to study the effect of meteorological conditions on the dispersion of an accidental release of hydrogen sulfide (H2S). Abdul-Wahab et al. (2015) applied CALPUFF to assess the quality of the proposed Miller Braeside quarry expansion in Canada. Hyung-Don Lee et al. (2014) used WRF-CALPUFF software to simulate concentration distributi ons of typical air pollutants (PM10 and SO2) in the Ulsan Petrochemical Industrial Complex (UPIC), and statistics are computed to determine the models ability to simulate observations. In this study, a CALMET diagnostic model nested to WRF model simulation is evaluated by comparison to surface air measurements, along specific periods. Then the CALPUFF dispersion model was used to simulate and predict the concentration of SO2, NOX, CO and PM10 that are emitted from the Shahid-Montazeri power plant (SMPP) of Esfahan, Iran.   The main goal of this study is to evaluate the capability of the CALPUFF model to simulate the concentrations of SO2, NOX, CO and PM10 in the nearby of power plant for special topographical and climatological conditions of the study area. First, the amounts of pollution exhausted from the stacks and the ambient concentrations of pollution due to the emitted gases from the stacks of Shahid-Montazeri power plant have been monitored in four receptors (Figure 1). Then the ambient concentration levels of pollution have been simulated for the receptors, using CALPPUF Lagrangian Gaussian puff model. Finally, the comparison of model prediction results and the monitored concentrations have been done through statistical analysis. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 2. Model description Technical description of CALPUFF-CALMET modeling system CALPUFF is one of the US Environmental Protection Agencys (EPA) preferred models for assessing transport of pollutants and their effects, on a case-by-case basis, or for certain near-field applications involving complex meteorological conditions. The modeling system consists of three main components and a set of preprocessing and post processing programs. The main components of the modeling system are CALMET (a diagnostic 3-dimensional meteorological model), CALPUFF (an air quality dispersion model) and CALPOST (a post processing package). CALMET is a diagnostic meteorological model which can make use of topography, land type, meteorological observation data and meteorological simulation data to diagnosis of wind and temperature fields based on the mass conservation equation. Besides the wind and temperature fields, CALMET determines the 2D fields of micro meteorological variables needed to carry out dispersion simulations (mixing height, Monin Obukhov length, friction velocity, convective velocity and others). The quality of a meteorological preprocessor is one of the main determinants of the overall quality of the air dispersion model, and this is particularly true for the CALPUFF/CALMET modeling system in a wide range of conditions. The main purpose of CALMET is to obtain the best possible meteorological data based on the available information. In particular, CALMET can receive measured data, modeled data (i.e., generated by a meteorological model like MM5 or WRF), or both. When a high-resolution terrain data set is available, CALMET is capable of using this information to estimate local deviations from meteorological data measured or modeled at a coarser resolution (Scire J.S). CALPUFF is a multi-species non-steady-state puff dispersion model that simulates the effects of time and space varying meteorological conditions on pollutant transport, transformation, and removal. CALPUFF allows the use of on-site turbulence measurements of the horizontal and vertical Gaussian dispersion coefficients, but also allows for the use of similarity theory and micrometeorological variables, derived from meteorological observations and surface characteristics, to obtain these coefficients. CALPUFF utilizes a Gaussian puff formulation to calculate the concentration of a pollutant (or spores, in our application) at any given location downwind, and the deposition at users specified locations at ground level (Use of a complex air pollution model to estimate W. Pfender). CALPOST can extract CALPUFF simulation data according to customers demand (Spatial distribution and source analysis of SO2 concentration in Urumqi). 3. Methodology a. Description of study area and model domain Isfahan is located in the central Iran inside the plains stretching along the Zayandeh Rood River. The city is located in a relatively mountainous area in the center of the Iranian Plateau and stretches from the snowy Zagros Mountains in the West to the East and North-central deserts of Iran. There exist a variety of climatic conditions in the city thanks to regions with different altitudes. The outstanding features of Isfahan are little rainfall, average less than 125 mm. Isfahan is located in 32.67N, 51.83E, and elevation 1550-1650 m, with more than 1.7 million population (https://amar.sci.org.ir/index_e.aspx). There are more than a million automotive and heavy duty vehicles using diesels, gasoline, and natural gas in Isfahan. This city is known as the largest industrialized region in Iran, where there are many industrial states, steel companies, and etc. There is also one of the biggest electric power plant of Iran. Shahid-Montazeri steam power plant of Esfahan is located 15 km to the northwest of Isfahan along the Isfahan-Tehran highway next to Isfahan Refinery and Petrochemical Complex in a 2.2 million m2 land (Evaluation of synchronous execution of full repowering and solar assisting in a 200 MW steam power plant, a case study) (Figure 1). This power plant has 8 similar steam units each with a capacity of 200 MW. Montazeri plant is a steam power plant which is recently use natural gas. However, Montazeri uses heavy oil during the cold days due to increasing the domestic heating. The study area is located around as Montazeri power plant, with a total capacity of 1600 MW and two large smoke stacks (205 agl-m height, above ground level meters height and 1725 base elevetion) with four independent liners (one per boiler) in the same concrete shaft that are selected point sources (Figure 2).   Therefore, it should be considered as eight different point sources practically located at the same point; alternatively, it can be considered as a two point sources, with an emission and stack section as the sum of the four liners (Validation of CALMET/CALPUFF model simulations around a large power plant stack). In this study, dispersion of SO2, Nox, and particulate matter (pm10) emitted from the Montazeri power plant over the Esfahan basin was evaluated for two periods of days (from 10 to 31 January 2000). A simulation domain of 100100 km2 was selected by the power plant positioned at the center, in order to cover any pollutant source local impact. This area is divided into 10000 grids, the size of which is 1 km 1 km. The southwest corner of the domain is located at longitude 50.96E, latitude 32.35N. The northeast corner is located at longitude 52.03E, latitude 33.24N and the elevation of the study area varies from 1500 to 2800 m. Table 1 represents the information model input which is used for defining the case study meteorological domain. b. Emission data The main sources of pollutants in Montazeri power plant are resulted from exhaust gases of the stacks which cause air pollution in the power plant area and its surrounding. The values of SO2, NO, NO2 and PM10 emissions from the stacks of Montazeri power plant have been measured by Testo 350-XL device for gases and ISOSTACK BASIC device for particulate maater, during the period of simulation. The data of stack characteristics and the emission rate of the pollutant have been presented in Tables 2. This release huge quantities of sulfur dioxide due to Steam power plants of Iran are not equipped with FGD systems to reduce SO2 emissions, and thereby, the emission factor of this pollutant is only influenced by electricity generation efficiency and sulfur percentage of the consumed heavy oil. In this study, we used data observed from four monitoring station to measure so2, nox and pm 10 (figure 1). Location of the monitoring stations (receptors) has been presented in Cartesian coordinate system in Table 2. Measurements at the monitoring station were done based on the average hour concentrations. c. Meteorological data Surface hourly observations in TD-3505 format were obtained from the Integrated Surface Hourly Database (ISHD) supported by the US National Climatic Data Center (NCDC) . Data was extracted hourly for the entire modeling period from March 10, 2012 at 00h00 UTC to March 12, 2012 at 23h00 LST. Due to the large number of missing data of the other surface meteorological parameters (such as: pressure, ceiling height and cloud cover) only temperature and wind speed were validated.   The purpose of extracting this data was only to evaluate the accuracy of the calmet model to simulate the vertical profiles of wind and temperature. Figure 3 shows the location of the meteorological station used in this study and a description of the surface stations is provided in table 3 d. Modeling approach The initial phase of CALPUFF modeling system involves the derivation of three dimensional meteorological wind fields for the study area using CALMET a diagnostic meteorological model (Estimated Public Health Exposure to H2S Emissions from a Sour Gas Well Blowout in Kaixian County, China). The input of CALMET model includes geophysical data (land use categories and terrain elevations), meteorological data (surface and upper air meteorological observations or meteorological fields generated by prognostic models) (A study of the effects of vehicle emissions on the atmosphere of Sultan Qaboos University in Oman). Due to lack of the surface and upper air meteorological data in the study area we used the Weather Research and Forecasting (WRF: version 3.5.1) model to simulate of meteorological conditions. The Weather Research and Forecasting (WRF), a prognostic meteorological model, was used to calculate the hourly three-dimensional meteorological fields For CALMET model (Applications of WR F/CALPUFF modeling system and multi-monitoring). The WRF model description presented in Table 2. Initial conditions and boundary conditions are provided by the 1.0 degree National Centers for Environmental Prediction (NCEP) Final Analysis (FNL) at 6-h intervals (Use of high-resolution MM5/CALMET/CALPUFF system: SO2 apportionment to air quality in Hong Kong). Data in WRF output files can be interpreted and converted to a format compatible with CALMET by CALWRF program (Scire et. al.2000b). CALMET requires geophysical data to characterize the terrain and land use parameters that potentially affect dispersion. Terrain features affect flows, create turbulence in the atmosphere, and are potentially subjected to higher concentrations of elevated puffs. Different land use types exhibit variable characteristics such as surface roughness, albedo, Bowen ratio, and leafarea index that also affect turbulence and dispersion (The use of an atmospheric dispersion model to determine influence regions in the Prince George, B.C.). Terrain elevation for the CALMET was obtained using the TERREL processor. The model was executed with terrain maps provided by Consultative Group on International Agricultural Research (CGIAR) and the Consortium for Spatial Information (CSI) website (http://www.cgiar-csi.org/data/srtm-90m-digital-elevation-database-v4-1), Data were collected as part of the Shuttle Radar Topographic Mission (SRTM) and processed by CSI into 5 x 5 degree tiles at 90-metre resolution. Land characteristics in the domain were extracted using the CALMET pre-processor CTGPROC. The input land use maps were obtained from the United States Geological Survey (USGS) websites in GeoTIFF format. Terrain characteristics map in the study area has been displayed in Fig. 3. To provide meteorological input to the CALPUFF model, the CALMET diagnostic model and WRF mesoscale prognostic model were coupled. The CALPUFF model uses the output file from CALMET together with source, receptor, and chemical reaction information to predict hourly concentrations. e. Statistical Data Analysis To determine the reliability of the simulation data, verification of simulated values using the WRF and CALMET models was conducted for surface temperature and wind speed at surface monitoring station using several statistical indicators. The statistical verification of model performance in this study was performed using four statistical indicators namely the Bias Error (B), Gross Error (E), Fractional Bias (FB), Normalized Mean Square Error (NMSE), Root Mean Square Error (RMSE) and Index of Agreement (IOA). The formulas used to derive these four indicators are given in Equations

Iraq War Is Both Necessary and Justified Essay -- Political Politics

Iraq War Is Both Necessary and Justified This essay is in defense of the Iraqi War. President Bush’s vocal critics state that American troops’ have been sacrificed in the Iraq War. First of all, the word â€Å"sacrifice† means that a person voluntarily does or gives up something at his or her own free will (like a bunt to advance a runner in baseball or Catholics sacrificing and giving up chocolate for Lent). I don’t believe that any of those soldiers that have been killed in the war deliberately intended to die or were â€Å"sacrificed† as Michael Moore has erroneously stated. And I’m sure that if President Bush knew the names of those soldiers that were going to be killed, I’m certain he would have ordered those individuals to stay on U.S. military bases and not engage in combat in Iraq. Secondly, in World War II over 405,000 American military personnel had been killed, and that happens to constitute over 400 times the sacrifice that our nation has made in the combined Afghan/Iraq Wars. And besides that horrendous astronomical figure over 671,000 American soldiers were wounded during WWII. I agree with the anti-war pundits that each American life should be valued, but when you analyze â€Å"sacrifice† in its true context, look to the past to equate the true cost of freedom. The World Trade Center twin-towers catastrophe was very comparable to Pearl Harbor on December 7, 1941, and in fact more people died on September 11th on U.S. soil than were bombed and killed at Pearl Harbor. Now here’s where the liberal mindset suddenly turns philosophical. â€Å"The Iraq War should not be fought and it cannot be validly compared to WWII,† they will argue. President Bush does not like or want war, but sometimes war is the only viable measure to take. I stro... ... Palestinian suicide/homicide bomber’s family $30,000 of â€Å"oil for food money† just to ensure that terrorism in the Middle East would thrive and continue. The same attitude that prevailed among the demented German Fascists exists among the radical Islamic Fascists: â€Å"Blame it all on the Jews!† The United States of America protects all of the free world including anti-war protestors in Canada, Europe and even here in America. The USA is the greatest force for good the world has ever known, but our nation can only continue being great through strength, economic prosperity, free enterprise and courage to act, to demonstrate leadership and to defend what is right, what is just and what is necessary. And there’s one final thing to say to all anti-war liberals. How much money is Al Qaeda donating to the hurricance victims? Get on the right side of the fence and stay there.

Patient-centred care is a fundamental issue Essay

There are many issues associated with the transition from graduate registered nurse into practicing registered nurse. Recent studies have found the phase to be a stressful period for many graduates the main challenges were fitting into social groups, delegation, hostility and patient-centred care (Rush et al, 2013); (Feng & Tsai 2012). However, research has shown that with appropriate education, guidance and support the transition can create better staff and patient satisfaction, resulting in lower turnover rates (Orsini, 2005). This research highlights the need to develop appropriate pathways and evidence-based management for new graduate nurses. This essay will endeavour to outline the evidence-based practice for the management of patient-centred care and hostility in the workforce, in conjunction with the transitioning to registered nurse phase. It will be centralised around class discussion forums and how they impacted personally (Appendix 2A, 2B, 2C) in order to applicably manag e future situations. Patient-centred care is a fundamental issue which was discussed at great length during one of the forums (Appendix 2A). It seemed most students had their own opinion already formed about patient-centred care and in turn their own experiences. It was a topic which I felt needed further understanding due to a lack of consistency with student viewpoints and due to it being an ill managed issue within healthcare services. A recent study examining the barriers to overcome patient-centred care found that 64% of nurses were aware of deficits in standards of care, but felt they did not have enough time to perform vital nursing tasks such as addressing patient’s concerns and providing relevant information to both the patient and their family (West, Barron, & Reeves, 2005). Furthermore, nurses reported that a lack of staff, space and equipment were also to blame (West, Barron, & Reeves, 2005). Kvale & Bondevik, (2008) state that patient-centred care is a term which is globally used yet it is difficult to define, resulting in challenges in implementing appropriate interventions. This may be a result of patients differing satisfactions and expectations such as personal beliefs, ideas and opinions which are individual (Okougha, 2013). Research suggests that graduate registered nurses require guidance and education in order to gain confidence and empowerment (Glynn & Silva, 2013). A recent study found that when education was provided to nurses in relation to current patient-centred care and how to improve it, 90% of nurses positively changed their behaviour to increase patient satisfaction (Okougha, 2013). As a graduate registered nurse I need to have a profound and comprehensive understanding about patient-centred care and how to implement it in order to provide safe and effective management to all my patients. According to Cronin, (2004) patient-centred care is recognising each patient as an individual; building therapeutic relationships including with family and friends; and involving a multidisciplinary team. This in turn provides differing perspectives on the issue. The World Health Organisation uses the word ‘responsiveness’ in regards to patient centred care and states â€Å"recognising responsiveness is an intrinsic goal of the health care system and reinforces that the health care systems are there to serve the people† (World Health Organisation, 2000). A recent qualitative study examined patient’s perspectives in relation to patient-centred care (Griffiths et al, 2012). It found that although patients were different and required diverse needs, they also shared many similarities such as requiring empathy, listening, communication and non-judgemental patient-centred care (Griffiths et al, 2012). There was also concern if current education can develop a nurs e’s preparedness in delivering quality care (Griffiths et al, 2012). One of the participants stated â€Å"you might be the best clinician in the world but if you can’t communicate and you can’t listen properly to people and you don’t take on board and understand what they’re saying you may as well go dig the street† (Griffiths et al, 2012). Furthermore another participant stated â€Å"†¦each individual should be [evaluated] and their needs be assessed and implemented on that particular individual†¦I just feel it’s a conveyor belt system. Get them in and get them out sort of thing† (Griffiths et al, 2012). In another qualitative review which explored nurse’s perspectives on patient-centred care, suggested time management was the largest barrier preventing them from communicating effectively with their patients (Chan et al, 2012). One nurse stated â€Å"sometimes, I have to deal with 20 patients in one single shift†¦ if one needs 10 minutes and there are 20 patients in total, how much time would we have to spend on this? Don’t we need to do other tasks?† (Chan et al, 2012). According to the Australian Commission on safety and quality in health care, (2011) effective patient-centred care is employed through training health professionals to communicate simple information suc h as pharmaceutical knowledge and provide educational material which increases a patient’s self-assurance and understanding. Additionally, initiating patient surveys is an effective tool in order to determine the most appropriate interventions (Australian Commission on safety and quality in health care, 2011). Current research has found that better patient satisfaction and patient-centred care, results in a decreased length of stay; reduces readmission; decreases rates of hospital acquired infections; and improves preventative services (Boulding et al, 2011); (Flach et al, 2004). It is therefore imperative that all graduate nurses have an understanding about patient-centred care and successfully implement appropriate interventions. Patient-centred care has encouraged me to re-think how I view and treat my patients. Current literature has highlighted the importance that patient-centred care plays in delivering quality and safe care as a graduate registered nurse. In respect to Appendix 1, the toolkit and strategies developed from the discussion forums have provided me with a clearer understanding in how to manage effective patient-centred care. The strategies developed are simple and easy to follow and include recognising each patient as an individual; and focus on communication to build a therapeutic relationship. I now understand the importance of having a structured support network within the workplace in order to maintain regular support and direction. In future practice as a graduate registered nurse I will endeavour to find an appropriate mentor which will provide insightful knowledge and realistic expectations. As stated in Appendix 2A I now recognise it is necessary to have an understanding about patient centred care in order to successfully manage a patient’s individual needs. Without knowledge within this area a nurse is unable to properly care for their patients. Hostility in the workforce was another topic which swayed my attention during the discussion forums (Appendix 2B). It was an issue which I had not considered to be a problem once becoming a registered nurse and working within a professional group. However, as the class discussed their own personal experiences in regards to being a student and coming across hostility, I too remembered that nurses are often intimidating and unapproachable during clinical placements. This issue is important as research has suggested graduate registered nur ses demonstrate vulnerability which can easily lead to bulling or hostility in the workforce (Hickson, 2013). Hostility in the workforce has been viewed as a rite of passage, suggesting new graduates need to experience the language, culture and rules of the workforce (Hickson, 2013). In a study conducted by McKenna et al, (2003) it found many new graduates experienced some form of hostility but due to fear they did not report the occurrence. The study also highlighted that new graduates felt resentment in the form of interpersonal conflicts; blocked learning; emotional neglect; feeling undervalued; lack of supervision; threat of rumours or lies being spread in response to speaking out (McKenna et al, 2003). In another recent study it found that 46% of the nurses identified hostility in the workforce as serious or somewhat serious (Stanley et al, 2007). It also discovered that 65% of the nurses had observed hostile behaviours by fellow co-workers (Stanley et al, 2007). Furthermore, Simon, (2008) revealed that 48% of nurses that were less than five years in a unit were the most frequently bullied. Additionally, 31% of new graduates reported they were bullied significantly generating intent to leave (Simon, 2008). In respect to Appendix 2B, this issue is vitally imp ortant to me as I have seen first-hand how hostility in the nursing environment can occur. I can appreciate that as new graduates we need guidance and support during such a vulnerable transition. I furthermore recognise how hostility and bullying can impact on a nurse’s performance, job satisfaction and patient safety. It is therefore imperative that I have an understanding about appropriate strategies for resolving these issues. According to the American Nurses Association, (2012) any form of abuse against nurses is a violation of inherent worth, dignity and human rights. Also that abusive behaviour by a nurse is viewed as violence against the nursing code of ethics (American Nurses Association, 2012). Growe, (2013) suggests hostility can also be described as bullying, lateral violence, horizontal violence and disruptive behaviour. Additionally, it is behaviour that is persistent and ongoing; unwanted comments or actions affecting a person’s dignity, and overt and covert actions which threaten the performance of a health care worker (Growe, 2013). A study conducted by Kelly and Ahern, (2009) reviewed the perspectives of new graduates in Australia. They discovered there were three key themes which prevented a successful socialisation process (Kelly & Aher n, 2009). They included language barriers, which required the nurses learn the culture of the language; ‘eating their young’ or power games and unpreparedness (Kelly & Ahern, 2009). One graduate nurse stated â€Å"I think that a lot of RN’s out there are on a power trip and think that the best way to teach students is by humiliating them and putting them down as much as possible and saying, surely you know that† (Kelly & Ahern, 2009). Another graduate stated â€Å"The sharpness of some of the staff, the way some of them speak to you has become an increasing burden† (Kelly & Ahern, 2009). In another recent qualitative study, it reviewed registered nurses’ perspectives in regards to graduate nurses (Baumberger-Henry, 2012). It found two themes which involved lacking confidence and fitting in with the units culture (Baumberger-Henry, 2012). One nurse stated â€Å"†¦not knowing what to do and having to request assistance is perceived as a weakness tha t contrasts the need to feel independent†¦keeps the advanced beginner from asking questions, creating a catch 22 situation†¦other nurses view new graduates as weak and burdensome† (Baumberger-Henry, 2012). Another participant stated â€Å"some nurses turn their backs when new graduates ask a question†¦sometimes new graduates don’t make it just because of other personalities†¦Ã¢â‚¬  (Baumberger-Henry, 2012). It is clear from the evidence that hostility in the workforce is a widespread issue. Furthermore, it can be seen that graduate registered nurses are the ones most at risk and burdened with this problem. It is therefore necessary that all nurses have an appropriate understanding about how to deal with these situations effectively in order to create job satisfaction. According to Vessey et al, (2012), workplace hostility can be decreased by involving the whole nursing team, providing information on what is good and bad practice, and making the staff more aware of the issue. Hostility in the workforce has made me apprehensive about starting out as a new graduate in the health care setting. However, from current literature I feel more confident in recognising signs of hostility or bullying, and feel capable in addressing the problem with either my mentor, or if applicable, senior staff. From the toolkit in Appendix 1, the strategies were developed for graduate nurses like myself. They suggested simple strategies which may help prevent other nurses from becoming annoyed and frustrated with new graduates. The strategies include using a communication tool such as ‘SBAR’ in order to appropriately address what needs to be done; not to take conflicts personally; know your own scope of practice in order to maintain safe and competent work; skill up to gain additional knowledge and experience; and know your professional boundaries. From the current literature and toolkit strategies I now have a deeper understanding about the impacts of workplace bullying and how it affects graduate nurse’s performance and job satisfaction. By having a clearer understanding a bout the issue I feel confident in being able to apply these strategies when challenged with a similar circumstance. This essay has reviewed the evidence-based practice for the management of patient centred care and hostility in the workforce. It was conducted in conjunction with the transitioning to registered nurse phase. By examining current literature and differing perspectives on these issues, a clearer understanding about their impacts and managements strategies have been developed. It is important that all nurses have an adequate understanding about patient centred care and hostility in the workforce given their impacts on quality patient management and safety. The toolkit in Appendix 1 has provided insightful strategies in order to help graduates deal with these situations once within the workforce. In regards to Appendix 2A and 2B, these topics have provided me with a deeper understanding about expectations as a graduate registered nurse. Additionally, they have allowed me to gain insight and preparedness in relation to entering the workforce. It is evident that having a clear understanding about both issues is vital in order to be successful within nursing in future industries. References American Nurses Association. (2012). Combating Disruptive Behaviours: Strategies to promote a healthy work environment. Retrieved 22/5/2013 from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol152010/No1Jan2010/Combating-Disruptive-Behaviors.html Australian Commission on safety and quality in health care. (2011). Patient centred care: improving quality and safety through partnerships with patients and concurmers. ACSOQHC, Sydney. Retrieved 24/5/2013 from: http://www.healthissuescentre.org.au/documents/items/2012/02/405982-upload-00001.pdf Baumberger-Henry, M. (2012). Registered nurses’ perspectives on the new graduate working in the emgerncy department or critical care unit. Journal of Continuing Education in Nursing, 43(7), 299-305.doi:10.3928/00220124-20111115-02 Boulding, W., Glickman, S., Manary, M., Shulman, K., Staelin, R. (2011). Relationship between patient satisfaction with in patient care and hospital readmission with in 30 days. American Journal of Managed Care, 17(1), 41-48 Chan, E., Jones, A., Fung, S., & Wu, S. (2012). Nurses perception of time availability in patient communication in Hong Kong. Journal of Clinical Nursing, 21(7), 1168-1177. Doi: 10.1111/j.1365-2702.2011.03841.x Cronin, C. (2004). Patient Centred Care-An overview of Definitions and Concepts. Washington DC: National Health council Feng, R., & Tsai, Y. (2012). Socialisation of new graduate nurses to practising nurses. Journal of Clinical Nursing, 21(13), 2064-2074. Doi:10.1111/j.1365-2702.2011.03992.x Flach, S., McCoy, K., Vaughn, T., Ward, M., Boots-Miler, B., Doebeling, B. (2004). Does Patient centred care improve provision of preventative services? Journal of General Internal Medicine, 19(10), 1019-1026 Glynn, P., & Silva, S. (2013). Meeting the needs of New Graduates in the Emergency Department: A qualitative study evaluating a new graduate internship program. Journal of Emergency Nursing, 39(2), 173-178. Doi:10.1016/j.jen. 2011.10.007 Griffiths, J., Speed, S., Horne, M., & Keeley, P. (2012). A caring professioinal attitude: What service users and carer seek in graduate nurses and the challenge for educators. Nurse Education Today, 32(2), 121-127. Doi: 10.1016/j.nedt.2011.06.005 Growe, S. (2013). Bullying/Lateral Violence/ Horizontal Violence/ Distruptive Behavior in the workplace. Nevada Rnformation, 22(1), 6 Henderson S. Power imbalance between nurses and patients: a potential inhibitor of partnership in care. Journal of Clinical Nursing 2003,12(4), 501–8. Hickson, J. (2013). New Nurses’ perceptions of hositilty and job satisfaction: magnet versus non-magnet. The Journal of Nursing Administration, 43(5), doi:10.1097/NNA.0b013e31828eebc9 Kelly, J. & Ahern, K. (2009). Preparing nurses for practice: A phenomenological study of the new graduate in Australia. Journal of Clinical Nursing, 18(6), 910-918. Doi:10.1111/j.1365-2702.2008.02308.x Kvale, K., & Bondevik, M. (2008). What is important for patient centred care? A qualitative study about the perceptions of patients with cancer. Scandinavian Journal of Caring Sciences, 22(4), 582-589. Doi:10.1111/j.1471-6712.2007.00579.x McKenna, B., Smith, N., Poole, S., Coverdale, J. (2003). Horizontal violence:experiences of registered nurses in their first year of practic e. Journal of Advanced Nursing, 42(1), 90-96 Okougha, M. (2013). Promoting patient centred care through staff development. Nursing Standard, 27(34), 42-46 Orsini, C. (2005). A nurse transition program for orthopaedics: creating a new culture for nurturing graduate nurses. Orthopaedic Nursing/ National Association of Orthopaedic Nurses, 24(4), 240-246 Rush, K., Adamack, M., Gordon, J., Lilly, M., & Janke, R. (2013). Best practices of formal new graduate nurse transition programs: an integrative review. International Journal of Nursing Studies, 50(3), 345-356. Doi: 10.1016/j.ijnurstu.2012.06.009 Simon, S. (2008). Workplace Bullying experienced by Massachusetts registered nurses and the relationship to intention to leave the organisation. Advance Nursing Science. 31(2), 48-59 Stanley, K., Martin, M., Michel, Y., Welton, J., Nemeth, L. (2007). Examing lateral violence in the nursing workfoce. Issues Mental Health Nursing. 28(11), 1247-1265 Vessey, J., Demarco, R., Gaffney, D., & Budin, W. (2009). Bullying of staff registered nurses in the workplace: a preliminary study for developing personal and organisation strategies for the transformation of hostile to a healthy eorkplace environments. Journal of Professional Nursing:Offical Journal Of The American Association Of Colleges Of Nursing, 25(5), 299-306. Doi:10.1016/j.profnurs.2009.01.022 West, E., Barron, D., & Reeves, R. (2005). Overcoming the barriers to patient-centred care: time, tools and training. Journal of Clinical Nursing, 14(4), 435-443. Doi:10.1111/j.1365-2702.2004.01091.x World Health Organisation. (2000). The World Health Report 2000- Health System: Improving Performance. Geneva, World Health Organisation, 1-215 Appendix 1 Discussion Forum 1 – Learning and Teaching being a teacher and a learner in a health care environment 1. List strategies that can reassure a graduate registered nurse that a patient’s learning needs are met | Strategy | Rationale| 1.| Build rapport.| This reduces fear and anxiety, allowing patients to ask more questions and be involved in their own treatment.| 2.| Get them to repeat what you say in their own words.| This reassures they have understood what you have explained.| 3.| Write important information down and/or provide educational material.| This allows patients to reflect on information in their own time.| 4.| Ask the patient what the need clarifying.| Some patient may withdraw from asking simple questions as nurses appear too busy. | 5.| | | 2. List strategies that will ensure that a graduate registered nurse can be a lifelong learner in a health care setting | Strategy | Rationale| 1.| Communicate clearly| To improve interprofessional communication; increases trust and respect. | 2.| Recognise each patient as an individual with their own needs| To develop quality patient centered care.| 3.| Focus on patient centered communication to build therapeutic relationships| This help improve effective patient centered care and provides and safe and quality nursing.| 4.| Create a career vision| Provides a pathway in which goals can then be developed and attained.| 5.| Develop a professional portfolio| Provides a reference point to store and sort important information and documents.| Discussion Forum 2 Workforce issues and challenges 1. List strategies that will ensure that a graduate registered nurses are effective team members | Strategy | Rationale| 1.| Participate in further education| Shows enthusiasm and provides further knowledge.| 2.| Seek critical feedback from senior staff| Outlines how one is perceived and thus they will have a deeper understanding about themselves.| 3.| Always use professional and polite language. | Encourages rapport and friendliness within the staff| 4.| | | 5.| | | 2. List strategies that a graduate registered nurse can use to reduce their theory practice gap. Give a GRN specific rationale to support each strategy | Strategy | Rationale| 1.| Establish a bond with a mentor or preceptor.| As a GRN this will provide support and guidance in order to applicable use theory in practice.| 2.| Develop effective communication skills.| This establishes rapport with patients and other colleagues. | 3.| Write reflections.| Allows GRN to identify their strengths and weakness | 4.| Skill up where possible| This provide GRN with further knowledge and understand in a particular field| 5.| | | Discussion Forum 3 Workplace issues and challenges 1. List strategies that will empower a graduate registered nurse to work effectively in a hostile and aggressive environment | Strategy | Rationale| 1.| Assertive communication| By using communication tools and assertive language, GRN can effectively explain what it is they need in a professional manner. | 2.| Scope of practice| It’s important to know one’s own scope of practice in order to provide safe and quality nursing care.| 3.| Professional Boundaries| Important in order to not cross any professional boundaries, impacting on employment status.| 4.| Know where to report in your health facility| Many healthcare setting have their own way of reporting workplace violence, so it’s important to know how to manage the situation. | 5.| Mediate – â€Å"in house†| this is generally the first step, talking to the NUM, in order to try to resolve the issue before it get too out of control| 2. List strategies that a graduate registered nurse can use to delegate tasks effectively | Strategy | Rationale| 1.| Delegate to the right person| Important to know their competencies and qualifications, this can be achieved simply by asking.| 2.| Make sure timing is right| Be sure not to delegate to a person who appears very busy as this can cause conflicts and also poor management.| 3.| Use appropriate positive words| Provide the reason why you need the help and why you cannot complete it, in order for the other person to fully understand. | 4.| Never redo delegated tasks| As this will diminish authority and allow other nurses to ‘walk over’ you. | 5.| | | Discussion Forum 4 Ethical and Legal Issues and Challenges 1. List strategies that will empower a graduate registered nurse to transition effectively to their new roles and responsibilities | Strategy | Rationale| 1.| Find a mentor.| Provides necessary leadership, support and guidance.| 2.| Develop good organisational skills.| This increase time management and maintains patient safety.| 3.| Never be afraid to ask questions| This increases knowledge and understanding and thus decreases adverse events.| 4.| Understand yourself and limitations.| Helps to identify what learning pathways may need to be further established.| 5.| | | 2. List strategies that a graduate registered nurse can use to advocate for best practice policies to be followed | Strategy | Rationale| 1.| Know when to partake in mandatory reporting| Important in order to provide safe nursing practice.| 2.| Know who to talk to if a problem arises in the workforce| Provides a support network. | 3.| Seek advice from regulatory councils| Provides further knowledge and guidance into a situation in regards to the law. | 4.| Collaborate as an interdisciplinary team| This provides safe and effective care to all patients. | 5.| | | Appendix 2A Reflection: Patient-Centred Care During the discussion forums in my tutorial class, patient-centred care was one of the topics which grasped my attention. The forum provided an insight into what is involved in patient-centred and examined some effective strategies. I found this topic interesting as the class shared their experiences and viewpoints on the issue. One participant shared that when recently working in aged care as an assistant nurse, patient care was often carried out in regards to time restraints and thus resulting in patients being rushed through their daily cares and/or being woken up very early to accommodate nursing staff. I found this very worrying as I don’t believe that the described experience is appropriate patient-centred care and therefore these aged care patients are not being effectively cared for. However, it also made me wonder where else in the clinical setting is patient-centred care being ill-managed? The discussion forum outlined that patient centred care is providing adequate cares, gathering appropriate information, respecting values, educating the patient, involving their family and friends and providing emotional support. Also, without knowledge within this area, a nurse is unable to successfully care and manage their patients. It is important to have an understanding about patient centred care in nursing as effectively that’s what nurses should be advocating. Patient centred-care is individual and requires building a therapeutic relationship to allow the patient be actively involved. Additionally, patient-centred care is vital role in providing safe and appropriate treatment to all patients. This forum topic has provided me with a deeper understanding about the importance patient centred care in order to be a

Moral Values swings the election essays

Moral Values swings the election essays On November 2, 2004, the American people were faced with one of the most important elections of our time. Previous days before Election Day, it seemed as if John Kerry had the popular vote. In the aftermath of the elections, President Bush won the Electoral College vote as well as the popular vote. Before and after the elections, many polls where conducted on which was the major factor for choosing a candidate. It turns out that moral values was a hidden but a major factor. To understand moral values, one must analyze what issues fall under this category and why it cost John Kerry the title of becoming President. Conservatives will say that a same-sex marriage goes against moral values. President Bush is even trying to ban same-sex marriages nationwide. John Kerry on the other hand, supports gay marriages and would leave the constitutional amendment for the states to decide. In exit polls conducted by The Associated Press, 79% of Bush voters choose moral values. If moral values were the major factor among Bush voters, this would imply that about half of the people in this country are against gay marriages. Kerry would have the disadvantage on this issue. Another issue that is brought up when talking about moral values is abortion. Although they have always stirred up controversy, it can not be compared to the Partial Birth Abortion. It was banned in this country by President Bush. Kerry, however, was against banning the partial birth abortion. Kerrys position of being personally opposed to abortion but supports abortion rights is the very thing that contradicts his personal view. This is one of the main reasons why many Americans believe he is a wishy-washy. A candidate should stand firm in what he or she believes, not try to fit into mainstream culture. Finally, the way the candidates projected their faith was also important. Ke ...

Mobile Phone Communication and Development of Intimacy

Mobile Phone Communication and Development of Intimacy Introduction Intimacy entails development of feelings of closeness and belonging between two individuals involved in an intimate relationship. The closeness, which develops over some time, involves the two people having knowledge and experience of each other thereby giving room for the development of awareness and affective behaviors (Morris 2002, par. 3).Advertising We will write a custom essay sample on Mobile Phone Communication and Development of Intimacy specifically for you for only $16.05 $11/page Learn More On the other hand, the intimate interactions are the interpersonal associations, which develop out of repeated interactions between two individuals and fulfillment of the emotional needs of each other. Social psychologists indicate that the late adolescence and premature adulthood stages of life-span development are the most important stages for development of interpersonal associations in an individual. This also involves the period when most ind ividuals are occupied with the urge of experiencing romantic and intimate relationships. Research studies indicate that development of intimate relationships follows the development of self-experience and self-formation. In this case, self-formation entails the way in which an individual presents oneself to others and to him/herself in the society. The social environment plays a major role in shaping the development of oneself in that an individual’s characteristics are attributable to the way that individual presents oneself to the society (Goffman 1973, par. 2). In the theory, Front and Back regions, it is indicated that, in the day-to-day interpersonal interactions, a social meaning is attached to how one individual’s roles or appearances are perceived by others and the society at large. This then implies that for two individuals to develop a connection, they must be engaged in a physical interaction, which will then lead to development of an emotional connection an d thus intimate relationships. However, with the emergence of technological changes, the perception of intimacy and thus development of intimate relationships has changed to a great extent. Besides the society playing a major role in the development of self-experience and self-formation, the mediated interactions such as mobile phone communications has added to the options an individual explores when undergoing self-differentiation. This essay is aimed at evaluating the impact of using the mobile phone as a medium for development of intimate relationships on the current perceived meaning of intimacy. The essay further compares the perception of intimacy in an ordinary society and in a mediated environment in order to acknowledge the major changes that have occurred in the contemporary society as a result of technological changes. Intimacy in the Contemporary Society The above discussions indicate that development of intimacy follows the development of self-experience and self-format ion. In the ancient society, the two processes were mainly dependent on social factors, which determine their formation and appropriation.Advertising Looking for essay on social sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More In the contemporary society, which is characterized by new methods of telecommunication and visual technology, the process of self actualization has changed largely affecting most intimate relationships. In this case, self-formation is more spontaneous and undefined in that a person will always rely on various resources within his/her reach, which are perceived to be important in the process of self-identity (Thompson 1995, p. 207). This individual enjoys the freedom of exploring a variety of media resources such as the television, the internet, films, and movies, which provide figurative materials that guide a person through self actualization. Thompson (1995, p. 208), states that when the process of self-formation is guided by the media, its connection to the society or the social factors that govern the process is slackened but not obliterated. The connection between the social factors or milieu and self-formation can remain loose for as long as the mediated interaction between two individuals is sustained. The situation further offers an individual non-local familiarity of the other person (Miller et al. 2007, par. 14). On the other hand, social psychological studies indicate that development of intimacy is pegged on the development of familiarity and closeness between two individuals in a social setting. Through expressions better known as the front, an individual is able to display the expected impression to others. The front will therefore influence self-formation in the sense that when an individual interacts with others in the society, chances are that this individual will tend to act in such a way to impress others. In addition, a person who realizes self-formation thr ough his/her physical interaction with others in the society will be better placed in terms of understanding what other individuals and the society at large expects of someone. The Front and Back theory posits that the front can be anticipated through a variety of expressions and signs. Through these expressions, an individual displays certain characteristics such as appearances and manners, which can tell others about his/her status in society. On the other hand, the back or the secondary presentations displayed by an individual are observed in mediated interactions such as through a mobile phone conversation (Thompson 1995, p. 209). In such a situation, it is hard to feel or create an impression of what the other person displays. Research studies indicate that relationships built on the foundation of mediated interactions are characterized by contradicted truths behind expressions and they are bound to face many conflicts and differences. This is because the two individuals involv ed in such a relationships feel less bound by the social norms or responsibilities defining them.Advertising We will write a custom essay sample on Mobile Phone Communication and Development of Intimacy specifically for you for only $16.05 $11/page Learn More It is worth noting that mediated communication and interaction between two individuals in a relationship brings with it a new form of intimacy, which differs in certain aspects with what has been regarded as intimacy for decades. In the ancient society, intimacy was characterized by reciprocity whereby one positive action is met with an equivalent positive response. Therefore, utterances and actions are exchanged between the two individuals in such a way that conflicts are resolved easily and thus intimacy rules. Meanwhile, a relationship founded on the basis of mobile phone conversations can also experience reciprocity of some kind but fail to display the fundamental characteristics of the intimate re lationships existing between individuals sharing the same milieu (Fehr Gachter 2000, par. 1). Looking at the characteristics of intimacy in the context of mediated environments, it is thus evident that media has brought with it a new form of non-reciprocal intimacy free of any formal commitments associated with reciprocity. This is a form of intimacy that can exist between a wide range of individuals sharing divergent views, social backgrounds, and localities over a long period of time. Conclusions This essay explores the various ways in which the perception of intimacy in the modern society varies from that held over the decades in the ancient society. This is achieved through critically analyzing the principles of two theories, the front and back theory and the theory of self-formation and experience. From the discussions above, it can be noted that intimacy is a poignant or bodily connection that exists between two individuals sharing the same locale or different locales. In the ancient society, intimacy was known to develop when two individuals sharing the same locale came together to share actions and utterances in a reciprocal manner. However, with the emergence of modern technology, new forms of intimacy arose in the contemporary society. These forms are characterized by non-reciprocity and wide geographical distances between the two partners. Reference List Fehr, E, Gachter, S 2000, ‘Fairness and retaliation: the economics of reciprocity,’  Journal of Economic Perspectives, vol.14, no. 3, pp. 159-181. Goffman, E 1973, The presentation of self in everyday life, The Overlook Press, New York.Advertising Looking for essay on social sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More Miller, RS, Perlin, D Brehm, SS 2007, Intimate relationships, 4th edn, McGraw-Hill, Toronto. Morris, D 2002, People watching: the Desmond Morris Guide to body language,  Vintage, New York. Thompson, MB 1995, The media and modernity: a social theory of the media, Polity Press, Cambridge.

Current Market Conditions Competitive Analysis_365 Essay

Current Market Conditions Competitive Analysis_365 - Essay Example First is the price that has an inverse relation, that means consumers want to buy more when the price is low, and will buy less when it is high. Next is the income wherein the effect of buying depends on the income. But this type of reasoning depends on the kind of commodity. For normal goods, as income increases demand also increase, and demand for product decrease as income lessens. Next is Tastes and preferences of consumers; Demand is also affected by consumers taste and preferences, particularly now, that consumers have become health conscious. Another aspect is the consumers’ expectations. When consumer anticipates a price increase, tendency is to stock up, because this is an expectation of what to happen. A demand for instance, is affected by weather, Consumption increases during hot weather, and decreases in winter. The dictionary has defined equilibrium price as the quantity of goods buyers are willing to buy and the quantity of goods sellers are willing to sell. The equilibrium price is found in a diagram where supply and demand interacts . P1 and Q1 are the points of equilibrium where supply = demand. At any price above P1, supply exceeds demand price below P1demand exceeds supply. (tutotr 2u) Target market of the new Cola drink is the American consumers, who, according to Huffpost Healthy Living, (05, July, 2012), half of the number of American surveyed, drink soda on a daily basis, with an average of 2.6 glasses. Study of Diechert, Mehga, et. al ( Feb 22, 2006)shows soft drink industry has a market share of 46.8 % that competes with that of non-alcoholic drink Business wire( February 04, 2011) estimates soft drinks’ global market to have a volume of 465.4 billion liters, which is an increase in the consumption of 16.7% since 2006. Clearly, this is an indication that the soft drink industry is still strong and a profitable industry. Outside U.S., there is an indication that Coca-Cola does not retain sales

Final Essay Example | Topics and Well Written Essays - 2000 words

Final - Essay Example This is of Italian origin and speaks about the intricacies that surround the human condition (Petsko 2). These works of the Italians tell something about their culture. They value relations between the human and the society with them. Together with it, there is an association of different cultures all packed in to the Divine comedy; something to be regarded as a hybrid that becomes a new level of critical analysis for the society (Papastergiadis 40). Cultures are diverse and they are very colourful since it speaks about identity of every individual. However, one thing to consider in modern world now, especially in America is that arts start to become a burden and its relevance is deteriorating in the context of the modern American society since universities now starts to do cost cutting on the arts and humanities (Petsko 1). This is now a sad situation that I really abhor. The world now becomes a business place and through globalization, America starts to be so hegemonic and homogene ous (Steger 82). This made art a commodity only for entertainment and art as an education becomes a burden (Petsko 1). America now starts to be so insensitive about the importance of arts and humanities for the development of an individual. ... Different priorities happen. Welfare over profit becomes the mode of most societies nowadays (Petsko 1). Cost cutting occurs and the irrelevant ones affected especially the arts. However, the American society now, due to globalization, has become so unappreciative of the arts and undermining its value (Nussbaum 8). Curriculums are changed to be so responsive to the profit driven world that constantly robs the people of the society their right to a decent living (Petsko 1 and Steger 75). Given this case, why did the Americans start to shun out other cultures and view them as not that relevant to the conditions of America now? Globalization is the answer. Globalization starts to exert a hegemonic in all forms especially culture especially in terms of the popular (Steger 81). Even if we say that culture is something intrinsic and relevant to one particular group or society, they have been undermines by these hegemonies. Hybrid then becomes a form of resistance (Papastergiadis 49). This becomes a strong that can at least sustain the field of arts and humanities in other countries present in the world though I always put into consideration that even if this resistance is indeed plausible, it still cannot exert a very strong condition for it to prevent the diminishing value that the arts and humanities, ultimately culture in its totality, cannot be regarded as strong enough. In the present wave of occurrence, I somehow detest the political moves of the America in the global arena since they are regarded to be one of the strongest forces that uphold globalization. This something that I do not really like at all because globalization then becomes a tool for America to be undemocratic and inconsiderate of other cultures which could be a reflection of