Wednesday, August 14, 2019
Baccalaureate Nurses vs. Associate Nurses Essay
Is having a Baccalaureate Degree in Nursing (BSN) better than an Associate Degree in Nursing (ADN)? Why should nurses get a BSN? Many nurses ask themselves these questions. Hospitals are pushing for nurses to advance their education. If there is an ADN nurse and BSN nurse applying for the same position most likely the BSN nurse will receive the job before the ADN nurse because ââ¬Å" the additional course work enhances the studentââ¬â¢s professional development, prepares the new nurse for a broader scope of practice, and provides the nurse with a better understanding of the cultural, political, economic, and social issues that affect patients and influence health care deliveryâ⬠(ââ¬Å"American Association of Colleges of Nursing,â⬠p.1). Different Education Routes for Nurses Diploma graduates, Associate graduates, and Baccalaureate graduates are the three education routes for licensures of Nurses. Even though all three programs sit for the same National Council Licensure Examination for Registered Nurses (NCLEX-RN), this exam verifies only ââ¬Å"minimal competency to provide safe, basic careâ⬠(Haverkamp & Ball, 2013, p. 144). ADN vs. BSN Competencies Many say that Associate nurses are trained strictly on clinical skills, whereas Baccalaureate programs ââ¬Å"emphasize evidence-based clinical practice and leadership through course work that includes research, statistics, population-based care, nursing management, and the humanitiesâ⬠(Haverkamp & Ball, 2013, p. 144). This meaning that, Baccalaureate nurses receive training that allows them to look at the whole picture, like why and how things happen and what they can do to prevent them. Associate nurses as a Member of the Health Care Team, ââ¬Å"refer patients and their families to resources that facilitate continuity of care; health promotion, maintenance,à and restoration; and ensure confidentialityâ⬠(Texas Board of Nursing). Whereas a Baccalaureate nurse as a Member of Health Care Team, ââ¬Å"use multiple referral resources for patients, families, populations, and communities, considering cost; confidentiality; effectiveness and efficiency of care; continuity and continuum of care; and health promotion, maintenance, and restorationâ⬠(Texas Board of Nursing). Patient Care Situation An example in the difference of education between Baccalaureate nurses and Associate nurses is shown here. The patient was admitted for Diabetic Ketoacidosis, not taking home medication because he was homeless and lacked health insurance. Nurse A, admitted this patient and cared for the patient for three days. On the third day the patient was to be discharged, keep in mind this patient came to the hospital because he is a Type 1 diabetic and was admitted for Diabetic Ketoacidosis and was not taking any of his insulin because he could not afford them. Upon Nurse A telling the patient he was going to be discharge the patient became irritated and started to become angry and stated ââ¬Å"I am homeless, how am I suppose to pay for my medications that I need, and I will just come right back to the hospital because I wonââ¬â¢t be able to take any of my medications.â⬠Nurse A, being an Associate nurse thought to herself what am I suppose to do? Nurse A then stated to the patient ââ¬Å"The doctor has discharged you so you are medically stable to leave.â⬠Nurse A explained to the patient that the doctor wrote prescriptions for him to take and fill so that way the patient would have his medication. Again the patient stated ââ¬Å"How am I suppose to pay for my medication if I am homeless and have no money.â⬠Nurse A was stuck in what she needed to do. So during morning rounds with Case Management Nurses which carry a BSN, Nurse A expressed the patients concerns and their response was well let us take a look at every resource that we have and maybe we can voucher his medication for one month and possible sign him up for some type of health care that will help him with his insulin and other medications that he needed. The next thing the Baccalaureate nurse did was go into the patientââ¬â¢s room asked a variety of questions and came back out of the room and told Nurse A, that the patient qualifies for state health insurance and that she will work on the vouchers for his medication for a month. The Baccalaureate nurse explained to the Associate nurse that she would have toà go further up in the chain of command to get the medications vouchered. The Baccalaureate nurse also gave the patient resources that would help him with his troubles in life, examples were housing for the homeless, churches that donate clothes and food to the homeless. What if the Nurse had a BSN? If the nurse taking care of this patient had a BSN they would have started to collaborate with the Case Manager about vouchering his medications and helping him find health insurance upon admission. Examples of what the Baccalaureate nurse would do are: find resources for the patient for food, shelter and health insurance on the day the patient was admitted, or have made a case management referral. Whereas the Associate nurse was focused on treating the patients and the illness and verifying and following the doctors orders. This is an example of how a Baccalaureate nurse was able to apply leadership and critical thinking skills while the Associate nurse was unable to. The Associate nurse struggled with the situation that arisen on the day of discharge. For the three days the Associate nurse had the knowledge base to treat the patient illness; taking blood sugars, administering insulin and bringing the patient back to holistic level of wellness. Conclusion In conclusion, it is important for all nurses to further their education. Baccalaureate nurses can provide better care for their patients and educate their patients about their disease process in depth and use the resources available to all nurses. They are also able to provide better patient outcomes through their advanced knowledge. Baccalaureate nurses also have opportunities for career advancement in all sorts of different positions whereas the Associate nurses are most likely staying in patient care areas. Baccalaureate nurses can move up and work as Nurse Managers, Case Managers, Quality Management and Infection Control. The encouragement for all nurses to advance their education is a quality step in the right direction for delivering excellent and safe patient care. References American Association of Colleges of Nursing. The Impact of Education on Nursing Practice. (n.d). Retrieved from http://www.aacn.nche.edu/media-relations/fact-sheets/impact-of-education Haverkamp, J. J., & Ball, K. (2013, August). BSN 10: What is Your Opinion? AORN Journal, 98(2), 144-152. http://dx.doi.org/10.1016/j.aorn.2013.06.006 Texas Board of Nursing. (December 2011). Differentiated Essential Competencies of Graduates of Texas Nursing Programs. Retrieved from http://www.bon.texas.gov/about/pdfs/delc-2010.pdf
Evaluate the current applications of nanotechnology in medicine Essay - 2
Evaluate the current applications of nanotechnology in medicine. Discuss the potential future of nanomedicine based on current issues - Essay Example Nanotechnology is hence an important innovation in medicine and is essential since it has solutions to the technology demanding medicine field. Nanotechnology has been successfully launched in medicine although it holds much potential in the future that what has already been implemented. Delivering of medicines and drugs has been made possible using the technology whereby the nanoequipments are used and they have zero degree of harming the other parts of the body (Bhushan, 2004, p.3). In the fight against cancer, nanoparticles have been found very effective since it is easy to detect the cancerous cells and put anti-cancer gold nanoparticles in them. The Nano shells are very effective in fighting cancer since they have the ability to absorb radiations of high wavelength (Ferrari, 2005, p.366). The Nano shells are inserted into the tumor cells and radiation treatment is applied and they absorb the radiations and heat up killing the cancerous cells (Ferrari, 2005, p.392). This success story of nanotechnology has given heat to other ongoing researches on the utilization of the technology in medicine. In surgery, nanotechnology has been used although a lot is yet to come. Small surgical instruments are been used to perform microsurgeries in any body part without damaging the surrounding cells (Bhushan,2004, p.3). It has an advantage over normal surgical methods since it is precise an accurate and has improved visualization due to Nano cameras in the Nano instruments. Such technology has been used only in a few hospitals all over the world and has proved very accurate and can even be done to tissue and gene levels Nanotechnology has been applied in antimicrobial coatings to dress wounds so that further infection is reduced by formation of biofilms on the wound. This technology has helped fast healing of wounds from accidents or from surgical procedures (Cleaveland, 2007). Medical
Tuesday, August 13, 2019
Expand the report that will be send later. Focusing on training and Research Paper
Expand the report that will be send later. Focusing on training and development, staff turnover, reward and benefit as well as r - Research Paper Example The company achieved a 27% revenue growth over the three years ending in 2007 (Seeking Alpha 2011). This paper will evaluate whether the recruitment and selection, training and development, staff turnover, and reward and benefit policies of McDonalds are strategic or not. The paper will analyse if those policies have assisted the organisation to achieve its goals and objectives. Recruitment and selection The market success of any business largely depends on its product quality and service efficiency. It is clear that high quality products can be designed, produced, and delivered only if high quality people are employed. AsRioux and Bernthal (1999) point out, for any business like McDonalds offering customised services, efficiency in employee recruitment, selection, and retention is particularly vital to meet customer satisfaction and thereby promote market share growth. While analysing McDonaldââ¬â¢s recruitment and selection policy with reference to related practices such as trai ning and development, staff turnover, and rewards and benefits, the policy seems strategic. ... 004, the company employed 43,491 people in its restaurants and they embraced 40,699 hourly paid workers, 2,292 managerial personnel, and 500 office staff. McDonaldââ¬â¢s US franchisees employed further 25,000 people in 2004 (The Times 100, n.d). Most of the McDonaldââ¬â¢s employees are paid based on an hour-rate system and those employees are referred to as crew members. In order to ensure the efficiency of employee recruitment and selection process, McDonaldsââ¬â¢ management has specifically outlined skills and behaviours that an applicant should possess. According to this, ââ¬Å"for each position there is a job description outlining typical duties and responsibilities and a person specification defining personal skills and competences.â⬠(The Times 100, n.d). The McDonaldââ¬â¢s recruitment policy makes its individual restaurants responsible for appointing adequate number of hourly-paid workers. The companyââ¬â¢s Management Recruitment department coordinates all activities associated with the recruitment process (McDonaldââ¬â¢s Restaurants Limited 2004). In order to recruit skilled and efficient hourly-paid employees, the organization follows some typical requirement approaches including advertising in restaurants, local job centres, career fairs, and other local facilities (The Times 100, n.d). Throughout the company history, it seems that McDonaldââ¬â¢s management mainly uses advertising in restaurants technique to hire quality staff. The company believes that this recruitment policy would assist to find out quality workers from local people and/or friends of existing workers. The management collects applications from huge number of candidates and prepares a short list of applicants to be interviewed based on specific criteria. Over 60% of the McDonaldââ¬â¢s crew members are aged 20
Monday, August 12, 2019
Biomes and Diversity Assignment Example | Topics and Well Written Essays - 250 words
Biomes and Diversity - Assignment Example This big shift with the invention of farm implements and tools enabled Man to vastly increase his food supplies, stabilize food sources, made food production a secure and predictable undertaking and this incidentally also allowed the arable land to support a much higher population density. Increased food availability made the entire human population grow exponentially. It has also put pressure on the other species of plants and animals, as there is a growing competition for the available food, space, and other requirements for life. Ever since Man burst unto the scene, so to speak, a good number of species had become extinct due mainly to Mans prolific activities. It is a dangerous development, as biodiversity is necessary for ensuring survival of the remaining species. There are strong ancestor-descendant links between various species and their biomes, so the main concerns should be both conservation (wise use) and preservation (leaving untouched). The past century saw the extinction of about 100 species of birds, mammals, and amphibians (Hassan & Scholes, 2005, p. 105) but this background (natural) extinction rate is expected to be 10,000 higher in the next two centuries if based on ancient fossil records, current trends, and computer modeling of extinction rates (M iller & Spoolman, 2011, p. 191). The loss in genetic diversity becomes a serious threat to Mankinds survival as well, because of the links that was mentioned earlier. There are still many undocumented species, in addition to those already well known, which can provide ecological, economic, and medicinal benefits to Man. People can help to slow down the extinction rate by avoiding environmental degradation, reducing their carbon footprint, minimize pollution, mitigate climate change, refrain from introducing invasive or harmful species to a biome, prevent over-exploitation of open common
Sunday, August 11, 2019
Management Science Essay Example | Topics and Well Written Essays - 1500 words
Management Science - Essay Example It could be used to test various possibilities without any major risks regarding the inventory levels, leftovers, lost or theft, etc. As mentioned earlier, the main advantage of models is that they allow tremendous flexibility in terms of making changes, experimentation, etc. Various models exist such as budgeting models, debt analysis models, etc. Although there is a lot of comfort that comes with the usage of business models; however, most people who form those models do not follow a particular framework of model development. The basic problem arises when people start working at the top left hand corner and start moving and copying cells and introducing variables in a haphazard manner. It is also a wrong approach to develop formulae when you need them. We might end up developing a model, the quality of the model development process and the developed model suffers (Spreadsheet model for managers, 2010). All business related curriculums teach their students about spreadsheet model and how to model problems faced by businesses, however, very few focus on teaching a particular framework that can be utilized for building a proper high quality model. There are several problems that one may encounter while modeling business models in spreadsheets. The few very common problems are: One major problem that one might encounter while modeling on spreadsheets is that they do not have a proper structure for designing or laying out the model. We can quickly jump on model formulation, however, we would realize while developing the model that we need to bring in a proper structure or some sort of rules as the model stretches to more than one sheet. Models spread on more than one sheet could get pretty complex, and difficult to extend or edit if in case the requirements or the basis change. Another problem with spreadsheet modeling is that there could be several mistakes while copying formulae. The formulae
Saturday, August 10, 2019
LOVE Response papers week 7-- research Assignment
LOVE Response papers week 7-- research - Assignment Example Single-subject research design focuses on the behaviour of an individual subject tested over treatment variables. By focusing on the behaviour of the individual subjects better identification of potential sources of error and to control errors is an advantage (Francis, 2011, p. 387). It is a design that can be applied when the sample size is one or when a number of individuals are considered as one group (Wasson, 2003). Therefore causal relationship between variables is established even using one or little group and it provides a good demonstration that a variable has an effect on behaviour being observed (Francis, 2011, p. 387). On the contrary, generality is questionable when using a single subject design since experimental situation is tightly controlled to reduce error variance. Plus the fact that some variables cannot be easily controlled especially variables that are innate in person, such as personality and intelligence that cannot be easily controlled and may affect the result of the study remarkably (Francis, 2011, p. 388). With the proper knowledge on the use of a single-subject design, a sample research question can be formulated as ââ¬Å"Effect of positive reinforcement in work performance.â⬠By using the ABAB design, control condition is followed by an experimental condition, which is followed by an additional control condition and experimental condition (Wasson, 2003). In the sample research question, baseline work performance phase is the pre-experimental phase which will be recorded and will be taken as the control condition followed by the implementation of the positive reinforcement as the experimental condition then by another control condition and another experimental condition which is the reinforcement phase. In which all behaviour in all situations, controlled and experimental, will be observed and recorded for analysis. The formulated single subject-research has the definite possibility of attaining a good
Friday, August 9, 2019
The International Aviation Policy Term Paper Example | Topics and Well Written Essays - 2750 words
The International Aviation Policy - Term Paper Example Air transportation is one of the leading industries across the globe and it also wields significant influences on the larger social, political, and economic mechanisms. For instance, air transport can positively contribute to a regionââ¬â¢s economic growth, but there has to be an underlying demand. This essay is divided into two parts. Part one discusses the social, political, economic, geographical, infrastructure, and demographic influences on air transportation. Part two addresses the impact of air transportation liberalization on market, traffic patterns, and fares; carrierââ¬â¢s financial performance; and future prospects of carriers based in a global environment. Part I: International Regulatory and Oversight The absence of air transport, just like with any other operations in the economy, can confound economic progress. Where there have been more or less complete stiffening of regulations that interfere with or oppose the liberalization of markets, have been ââ¬Ësocia l regulationââ¬â¢ (Wald, Fay, & Gleich, 2010). This involves issues like labor and consumer security, defense, safety, and environment. These are domains that have been usually addressed at the global arena by the International Civil Aviation Organization (ICAO) together with a number of unusual international agreements like the Warsaw Convention (MacKenzie, 2010). Of late, national or regional programs have also acquired global importance such as the USââ¬â¢s launching of more rigid security strategies (e.g. passenger information requirements), and the expansion of carbon trading inside the European Union (EU) to include all air transport. International air transport is currently a leading partner of globalization and is persistently redesigning itself to deal with the pressures of the social and economic integration that the process of globalization brings about. In economic terms, globalization takes place to foster a deepened division of labor and helps economies take adva ntage of their comparative advantage more fully (Wensveen, 2011). Possibly, though, more essentially, globalization promotes workforce and technology transfers and facilitates the energy that goes with entrepreneurial ventures to encourage the growth of new technologies and mechanisms that boost international interests. Another group of factors to be taken into account in evaluating international aviation policy are political and economic settings. The five basic known catalysts of stable international air transport are trade expansion, developments in the quality of service, cost adjustments, political disorder, and GDP rate. Political disorder would involve terrorist activities and protectionism. Although protectionism weakens trade expansion it seems as well to reduce foreign direct investment (FDI) (Wensveen, 2011). These restrictions weaken trade and boost capital costs eventually. Political disorder also boosts costs through regulation and defense. Such costs put service provi ders and shippers into a more disadvantaged position and reduce air travel. Changes in costs, specifically the costs of fuel, are a continuing hazard; increases in the costs of actual fuel before was zero (Wald et al., 2010). In the coming years this will cease to be the case as actual fuel costs will escalate. This kind of changes severely affects international aviation policy. The third group of factors is geographical, infrastructural, and demographical. Geography affects international aviation policy because cargo airlines choose to carry out their operations from airport near to their target markets. Some researchers studied
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