Friday, January 31, 2020

A Comparison of Competencies between Associate and Bachelor Degreed Nursing Graduates Essay Example for Free

A Comparison of Competencies between Associate and Bachelor Degreed Nursing Graduates Essay Nursing is complex, and within the profession there are many spectrums of career possibilities. Nursing is based on a foundation of caring and what draws many to the profession is a commitment of service. The knowledge and education sought to prepare nurses however differs between the two â€Å"entry† level paths of associate degreed nurses and baccalaureate degree nurses and thus forms a difference in the way they perform their professional practice. Associate Degreed Nurses Associate degree nursing programs were developed in the early 1950’s as a response to postwar shortages (Creasia, Friberg. 2011) they were intended to be two years in duration and designed to prepare the graduate for bedside care in the secondary setting. These program quickly became successful and programs spread across the United States at a record pace. The associate degree program were found to be clinically sound and offered heavily hands on approach, they traditionally graduate nurses that are task oriented and perform well. Associate graduates are tested via the NCLEX after program completion to obtain licensure. The associate degreed path remains the major point of entry into the profession today. The educational prerequisite of the associate degree nursing program are not as robust in sciences often eliminating the need for organic chemistry and advanced mathematics. The associate degree nursing path also is remedial as compared to the BSN in the liberal arts, often leaving the graduate with subpar communication skills when compared to the BSN counterpart. Baccalaureate Degreed Nurses Baccalaureate degree programs are traditionally structured as four year programs with the nursing clinical focus at the latter two years. Programs differ from Associate programs in that there are courses required which  focus on the professional development of the student, and thus the growth of the profession. Baccalaureate programs prepare the graduate for scopes beyond bedside care. Leadership and research roles favor the bachelors prepared graduate. The advanced professional focus allows the graduate to view the practice beyond the task orientation of the associate degreed nurse. A comparison study (Ginger, N. Davidhizar, R., 1990) found that baccalaureate nurses were more concerned with research methodology, teaching of the individual and the group, and community assessments. The study concluded that the baccalaureate nurse was more process driven than the task oriented associate degreed nurses. Healthcare today is composed of a multiple disciplinary team of practitioners with varied levels of education, preparing nurses at the minimum of the baccalaureate level has been a push of many professional organizations. Recent research (Aiken, 2008) has confirmed a strong link in the educational level of nurses and improvement in patient mortality. The study found when the institution increased the percentage of baccalaureate prepared nurses by 10% that the corresponding mortality decreased by 4%. Practical Comparison One of the situational comparisons that I feel would demonstrate the practice focus differences of the two educational preparations is in dealing with imminent death and dying. Throughout the career of any healthcare provider we will be faced with this challenge, and while there are many task associated with the algorithm of advanced life support or complexity of the hospice patient, there are multiple psych social aspects to consider. The baccalaureate nurses educational preparation allows her to focus on the causes of the underlying pathophysiology, understand the chemistry of the multiple medications involved and problem solve for alternative treatments is initially unsuccessful. The baccalaureate nurse is able to communicate effectively with the healthcare team and reassuringly guide the family thru this difficult process. In my years of practice I feel that clinical experience and confidence can elevate the associate degreed nurse to a comparable level in this situation as well but I have seen that the baccalaureate graduate achieves this standard well before the counterpart. Patient presentation has become more complex and the array of treatments available seems almost endless. Our patients and their families deserve the  best outcomes from the best prepared team.

Thursday, January 23, 2020

Research Fraud in Allegra Goodman’s Intuition and Carl Djerassi’s Canto

Inspiring a 2002 feature film in which Leonardo DiCaprio portrays him, Frank William Abagnale, Jr. is arguably one of the most memorable fraudsters of our time. Abagnale assumed several different identities and forged checks worth millions of dollars. This type of fraud, known as financial fraud, is what many people first think of when the word â€Å"fraud† is mentioned. There are, however, other definitions of the word. One area of particular interest to us is the use of fraud in the field of science and research. This is an issue in both Allegra Goodman’s Intuition and in Carl Djerassi’s Cantor’s Dilemma. In both novels, the characters sort of skirt around the issue (at least at first) as this is a very taboo topic no matter the subject area. However, not all scientific fraud is created equal. Goodman seems to use a much more conventional approach by demonstrating outright fraud, while Djerassi, who is more privy to the real world that sc ientists face, gives us a more subtle view. Intuition’s Cliff Bannaker and Cantor’s Dilemma’s Jeremiah â€Å"Jerry† Stafford were both expected to yield results in the experiments that they conducted. Pressures existed to complete and publish the results before other labs could do the same and, thus, be credited with the discovery. Because both scientists were working at smaller labs with fewer employees and a smaller budget, time was a very important factor in any decision that was made. Long, sleepless days and weeks went by for these men and I can only assume that this, coupled with the pressure they experienced from their superiors, contributed to the way that they dealt with problems that arose in the course of the experiments. Jerry snuck in to the laboratory to correct an er... ...detrimental effects on cancer patients who are being treated with the supposed new working method. Not to mention the possible psychological pain the false results could give them in which they think there is a new miracle cure for their condition and they gain hope which is dashed when they realize that it does not actually work. Scientific fraud is unethical, as all fraud is, and should obviously not be committed by anyone. Even ex-con Frank Abagnale, Jr. was eventually caught and now runs a financial fraud consulting company and is a consultant for the Federal Bureau of Investigations. Cliff and Stafford both move on with their individual lives after the incident and, I am sure, did not commit fraud again (as is the case with Abignale). Only an idiot or a crazy person would try to commit the same crime for which they have already been caught a second time.

Tuesday, January 14, 2020

Why Did Henry Break from Rome in 1534?

Why did Henry break from Rome in 1534? There are many reasons to why Henry broke with Rome. In this essay I am going to show you the main reasons why Henry broke with Rome and which one I think is most important. I think the most important reason why Henry broke with Rome was because he wanted power. The reason he wanted power was because it would solve all his problems. In a textbook it said, Henry also wanted to control the church. Since medieval times there have been struggles over whether priests should listen to the King or the Pope.Henry wanted to control the church in his own country. Henry knew that if he could control the church, he would be able to use the church’s money as he was bankrupt. Also, if he had power he would be able to divorce Catherine of Aragon, and marry the love of his life, Anne Boleyn. Then Anne Boleyn would be able to give Henry an heir. Once Henry had control of the Church, he persecuted those who opposed him. He even cut off the he head of his c lose friend, Thomas More, because More wouldn’t accept Henry as head of the Church.This evidence, from a textbook, show that Henry was greedy for power and would kill anyone who got in his way. As you can see, power gave Henry everything he needed and that’s why I think Henry broke with Rome. Another reason to why Henry broke from Rome because of his desire for a son. He wanted this so that the Tudor dynasty could continue. Henry knew Catherine of Aragon had now chance of giving him a son. She has had lots of miscarriages and still births.If he broke from Rome he could divorce Catherine and marry Anne Boleyn who had more chance of giving him a son. Catherine’s last pregnancy had been in 1518. Henry didn’t stop sleeping with her until 1524 when he was sure Catherine wouldn’t give him a son. As you can see, this shows Henry would do anything for a son and that’s why Henry broke with Rome. The next reason to why Henry broke with Rome was becaus e he wanted to marry the love of his life, Anne Boleyn. Henry loved Anne so much he even wrote love letters to her, despise how much he hates writing.One of the love letters said; Since I parted with you I have been advised that the opinion in which I left you is now altogether changed, and that you will not come to court†¦ the which report being true I cannot enough marvel at, seeing that I am well assured I have never since that time committed fault. This love letter sows that Henry is trying to show off to Anne Boleyn. But to make Anne Boleyn his wife he needed a divorce which meant he had to break from Rome. This shows that Henry broke with Rome to marry Anne Boleyn who he thinks is the love of his life.Another reason to why Henry broke with Rome was because he had problems with the church. Henry was jealous because the Pope had control over the churches in England. Also, the Pope wouldn’t give Henry a divorce from Catherine because it was against the Christian laws. This was one of the main reasons that Henry broke from Rome. Henry wanted to choose the archbishops and priests of the churches. There was already a rivalry between the pope and Henry but when the pope said no to the divorce, it made it even worse. As you can see, the rivalry between the Pope and the King was enough for Henry to break from Rome.The next reason is that Henry was bankrupt. He used all his money on very expensive wars in Europe and had no money left. If he broke with Rome, he could use all the money the church had. So from 1536-39 Henry closed down all the church’s so he could use their money. As you can see, Henry only broke from Rome so he could use the church’s money. The last reason that Henry broke from Rome was because of his conscience. In the bible it clearly states that if you marry your brother’s wife, in Henry’s case Catherine of Aragon, they shall be without children.Thinking this was why Catherine didn’t give him a son H enry wanted to marry Anne, so the curse would be broken. But to divorce, Henry needed the Pope’s permission which he didn’t have. That’s why he broke from Rome. As you can see there are many reasons to why Henry broke with Rome. I think the main reason was because he wanted power. Power would solve all his problems from financial things to an heir. That’s why I think that the main reason of why Henry broke from Rome was because he wanted power.

Monday, January 6, 2020

Introduction. The Book Of Acts Is Often Referred To As

Introduction The Book of Acts is often referred to as the Acts of the Apostles; however, the goal of this paper is to demonstrate the importance of the acts of the Holy Spirit in this book. Drumwright points out that in the 68 chapters of the Synoptic Gospels there are only 34 references to the Holy Spirit. Compared to the 28 chapters of Acts there are 56 references to the Holy Spirit. The abundance reveals Luke’s desire to reveal the person, presence and power of the Holy Spirit. This paper outlines how Luke unfolds the personal and powerful Holy Spirit who presses believers to bring the gospel to the world, thus empowering the fulfillment of the Great Commission (Acts 1:8). The Holy Spirit in Acts Luke introduces the reader†¦show more content†¦Peter states that Jesus received the promised Holy Spirit from the Father. Afterward, Jesus poured the Spirit out onto the believers (Acts 2:33). The Apostle Peter makes the idea clear that the gift of the Holy Spirit is not only for those who are listening to him, but for all who will believe. Peter refers to the Prophet Joel when he says the promise of the Holy Spirit is for their â€Å"children and all who are afar off.† (Acts 2:39a) Drumwright points out that â€Å"six times in Acts the Spirit’s ministry is described as ‘the gift of the Holy Spirit.’† The gift of the Spirit empowers people for service, witness and mission for God. Luke also demonstrates that the Spirit instructs, informs and animates the community of believers. God has bestowed the Holy Spirit to allow those in Jesus to see, hear and speak with His supernatural power and insight. All the above characteristics speak to the person of the Holy Spirit. Scripture uses the effect of filling (Acts 4:8; 7:55; 9:17; 11:24; 13:9), indwelling (Act 6:5; 10:44) and baptism/immersion, (Acts 1:5; 2:38; 11:16) in the Holy Spirit to express how the Spirit is obtained by believers. The Holy Spirit is not new, â€Å"Filling with the Spirit was a phenomenon believers also experienced at various times in the Old Testament economy (Exod. 35:30-34; Num. 11:26-29;1 Sam. 10:6, 10).† When the Spirit makes an appearance in the Old Testament, He usually speaks with or directs the actionsShow MoreRelatedComparative Scriptures : The Bible And The Quran836 Words   |  4 Pagessignificant religious books across the world. They contain a plethora of similar principles and recounts, however, comprise of a great sum of differences. The first sections of the Bible, recognized as the Old Testament, consists of books of the Hebrew Bible, or Torah. The Quran is the main religious text of Islam. Muslims believe it to be a message from God, the Allah, to hum anity. In general, differences between stories the two books often stems from dissimilarities between the books themselves. In relationRead MoreErving Goffmans Insight on Face- Work in His Essays on Face-to-face Behavior629 Words   |  3 PagesIntroduction Erving Goffman (1922-1982) held the position of Benjamin Franklin Professor of Anthropology and Sociology at the University of Pennsylvania. He served as President of the American Sociological Association in the year leading up to his death in 1982.Goffman is considered as the pioneer of the study of face-to-face interaction and has made a substantial contribution to microsociology. His works are frequently cited throughout literature. 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