...was asked by my supervisour to come assist the registered nurse with Emily(name changed) became very sick with a bad stomach bug during her camp visit. For the next three days, I spent a couple hours each day caring for Emily along with other staff members. Everytime I helped her, I would hold back her hair while she threw up, cover her in blankets because of the fever, and then hold the bucket again as she threw up the medicine ment to bring down her fever. Emily didn't know who I was from any of her other caregivers and I was content to make her as comfortable as possible during my assigned...
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...Since I always have interest in helping people, I recently graduated from B.Sc. Nursing and now working in Tribhuvan University Teaching Hospital. The main purpose why I have chosen this subject as B.Sc. Nurse has two fold, both to use my time for assisting sick and disabled and to try a hard at working in the medical environment. When I was looking into career options, nursing attracted my attention on so many levels. And I am pretty sure both purposes have been successfully met. Ever since I was asked for my aim I was sure about it. I want to be a helping agent. So I decided to become a nurse and I am assured that I made an important decision. I accomplished my School Leaving Certificate from Banepa. I never say I was extra talented and ploy student but I was always hardworking and reliable. Then I got admission in St Xaviers College. It's like a triumph to get admission there. Chasing my dream to become advanced and qualified nurse I applied in Institution of Medicine, Tribhuvan University. Hence I became a registered B.Sc. nurse from Tribhuwan University. I really enjoy seeing that even with my limited knowledge I was able to make a difference in the daily routine of the hospital. My best reward was the grateful smiles of the patients whom I could entertain with my personal stories and divert from the depressing daily reality. As for myself, I would say that these people were also real support for me as we develop a very friendly relationship that allowed me to short the...
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...Critical Reflection on current clinical knowledge and development Within this assignment I will critically reflect on my clinical knowledge to date and consider my future development needs with a focus on my final management placement and future career as a registered nurse. I have chosen two areas which I feel are relevant to my future development needs namely Quality Assurance and Multidisciplinary/Agency team working and using the Gibbs model (fig. 1)as a framework will reflect upon my own learning experiences and achievements to date and write an annotated reflection highlighting my development needs from which I will formulate a Personal Development Plan. This undertaking demonstrates my commitment to the need for continuing professional development in order to enhance my knowledge, skills values and attitude needed for effective nursing practice (proficiency 4.1) and will address deficits in my knowledge and skills and identify any shortcomings within my own or others practice and help me cope with practice related issues experienced within my previous placements. I have chosen Gibbs reflective model as a basis for reflection as I feel it is easily understood and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, conclusion and reflection upon the experience to consider a solution if the situation arose again (Brooker & Nicol 2003). It has been advocated that reflective practices are a method of bridging the gap between...
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...attainment of a goal, and leadership exists at all levels” (Faugier & Woolnough, 2002). Leadership can further be designated as formal or informal. A formal leader is one that is associated with a particular title or position while informal leaders guide through their ability to influence others. They make a positive contribution or inspire others despite the strains of the healthcare system (Gillis, 2003). Kouzes and Posner have found that for people to follow someone willingly, they must believe the leader is honest, competent, forward-looking, and inspiring (2002). The nursing profession faces many challenges in developing future nurse leaders. All nurses, regardless of roles, from direct care to top management positions, need powerful leadership skills. This is because anyone who is looked to as an authority (such as a nurse taking care of a patient) or who is responsible for giving assistance to others is considered a leader (Mahoney, 2001). Cook describes a clinical nursing leader as one who is involved in direct care and who...
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...Instructor’s Foreword Movies tell us that in the wake of a murder, detectives would stretch what appear to be pipe cleaners, or a very taut yarn, through the bullet holes left in walls, in lamps, in the hollow doors of haunted rooms. The yarn was there to demonstrate the location of the shooter – or indeed, shooters – relative to the victim. But the fact is that other forces might have conspired in the murder. (Poison may have been used; bullets may have been fired only as an afterthought; perhaps they were fired by the victim himself, before he died . . .) Yarn can tell us the story only in certain circumstances. As a researcher and a writer, Matthew Gribble analyzes his crime scene with diligence and care. The crisis: The shortage of nurses in America. The question: How and why did this shortage become a persistent problem? Matthew affixes strings of yarn to a number of gunshots: the increasing average age of the workforce, long hours, work that is often menial or clerical, and finally, relatively low salaries. But these strands lead to new questions, wider causes which have nothing to do with social yarn. These new questions have to do with rhetoric and the enduring association of nursing with “women’s work” and “femininity.” Matthew has the audacity to ask how the rhetoric of femininity actually functions. How and why are we compelled to accept images and tropes as ‘normal’ or ‘natural’ when they are anything but normal and natural? Is it possible that the rhetoric of nursing...
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...STUDIES IN PROFESSIONAL LIFE AND WORK Mike Hayler University of Brighton, UK Autoethnography, Self-Narrative and Teacher Education examines the professional life and work of teacher educators. In adopting an autoethnographic and life-history approach, Mike Hayler develops a theoretically informed discussion of how the professional identity of teacher educators is both formed and represented by narratives of experience. The book draws upon analytic autoethnography and life-history methods to explore the ways in which teacher educators construct and develop their conceptions and practice by engaging with memory through narrative, in order to negotiate some of the ambivalences and uncertainties of their work. The author’s own story of learning, embedded within the text, was shared with other teacher-educators, who following interviews wrote self-narratives around themes which emerged from discussion. The focus for analysis develops from how professional identity and pedagogy are influenced by changing perceptions and self-narratives of life and work experiences, and how this may influence professional culture, content and practice in this area. Autoethnography, Self-Narrative and Teacher Education Autoethnography, Self-Narrative and Teacher Education STUDIES IN PROFESSIONAL LIFE AND WORK The book includes an evaluation of how using this approach has allowed the author to investigate both the subject and method of the research with implications for ...
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...AN INDEPENDENT VOICE FOR NURSING Work Engagement, Moral Distress, Education Level, and Critical Reflective Practice in Intensive Care Nurses nuf_237 256..268 Lisa A. Lawrence, PhD, RN Lisa A. Lawrence, PhD, RN, Instructional Faculty, Nursing Department, Pima Community College, Tucson, AZ Keywords Critical reflective practice, education level, moral distress, registered nurse, work engagement Correspondence Lisa A. Lawrence, PhD, RN, Nursing Department, Pima Community College, Tucson, AZ E-mail: llawrence@pima.edu AIM. The purpose of this study was to examine how nurses’ moral distress, education level, and critical reflective practice (CRP) related to their work engagement. The study is relevant to nursing, given registered nurse (RN) documented experiences of job-related distress and work dissatisfaction, and the nursing shortage crisis. A better understanding of factors that may enhance RN work engagement is needed. METHODS. A non-experimental, descriptive, correlational design was used to examine the relationships among four variables: moral distress, education level, CRP, and work engagement. The sample included 28 intensive care unit RNs from three separate ICUs in a 355-bed Southwest magnet-designated hospital. RESULTS. There was a positive direct relationship between CRP and work engagement, a negative direct relationship between moral distress and work engagement, and CRP and moral distress, together, explained 47% of the variance in work engagement. Additionally...
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...Analyzing knowledge for practice Chapter 1: Introduction Nowadays, there is an increasing attention being given towards non-communicable diseases such as diabetes and hypertension from all over the world as well as in Malaysia. In health clinics and hospitals, we are seeing increasing number of patients who are diagnosed with diabetes. Diabetes is a phenomenon which is becoming more common but there is a plenty ways which could be done to reduce the severity of any complications from this disease. Generally, there are three main types of diabetes. It includes Type 1 diabetes (juvenile diabetes), Type 2 diabetes, and gestational diabetes (during pregnancy). Type 1 diabetes (Insulin Dependent Diabetes Mellitus) should consume insulin daily in order to survive. Meanwhile, type 2 diabetes (Non-Insulin Dependent Diabetes Mellitus) is the most common type of diabetes. Whereas, gestational diabetes is another type of diabetes where there is a high blood sugar level which is diagnosed during pregnancy. Diabetes Mellitus which is a well-known chronic illness requires a comprehensive of medical care by the expertise team. The risk of long term complications needs full support from various professionals to conduct diabetes care. Acute complications can be prevented via ongoing patient self-management education and awareness of illness. Patient self-management education and problem solving skills development are necessary to be provided in diabetic clinic plan through a variety...
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...Nurse Education in Practice (2008) 8, 103–111 Nurse Education in Practice www.elsevierhealth.com/journals/nepr Belongingness: A prerequisite for nursing students’ clinical learning Tracy Levett-Jones a a,* , Judith Lathlean b,1 School of Nursing and Midwifery, The University of Newcastle, Callaghan, NSW 2308, Australia School of Nursing and Midwifery, The University of Southampton, Nightingale Building (67), University Road, Highfield, Southampton SO17 1BJ, United Kingdom b Accepted 4 April 2007 KEYWORDS Belongingness; Nursing student; Learning; Clinical placement Introduction Summary The concept of belongingness has intuitive appeal. Human beings are social creatures; the need to belong and be accepted is fundamental, and social exclusion can be devastating. This paper reports on the selected findings from the qualitative phase of mixed-methods study that explored nursing students’ experience of belongingness while on clinical placements. The 18 interview participants in this study were from Australia and the United Kingdom. They provided a range of perspectives on belongingness and how it influenced their placement experience. Central to this discussion was their strong belief that belonging is a prerequisite for clinical learning. This theme dominated all of the interviews. Given that the primary purpose of clinical placements is for students to learn to nurse, there needs to be a clear understanding of the relationship between belongingness...
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...Women Solutions HSM/240 November 1, 2012 Women Solutions Women Solutions Women Solutions 600EastBoulevard 11/1/2012 Women Solutions 600EastBoulevard 248-259-3058 248-259-000 11/1/2012 Founder, Shirley Jones A proposal for seeking funding a non-profit organization that will provide transitional housing and support services for Woman infected with HIV/AIDS living in Detroit Founder, Shirley Jones A proposal for seeking funding a non-profit organization that will provide transitional housing and support services for Woman infected with HIV/AIDS living in Detroit Women Solutions non-profit organization 660 East Grand Boulevard 248-259-9999 ext-123 November 2, 2012 National HIV Housing Coalition | 727 15th St NW # 200 Washington, DC 20005 To Whom it Concerns,I Shirley Jones the founder of the non-profit organization Women Solutions organization is proposing a $1,865,000.00 grant to propose a partnership with CHAG to assist homelessness among HIV/AIDS infected women. Women Solutions organization recognize the social problem that is affecting the Detroit Michigan area. Women Solutions propose to provide transitional housing and emotional support for women infected with HIV/AIDS living in Detroit. I have chosen National HIV Housing Coalition to request assistance because Women Solutions organization shares the same goal in assisting with the housing stresses that HIV/AIDS infected person undergo. Women Solution organization...
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...department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the hectic and chaotic environment in which they work. The main work stressors included the large number and continuous influx of patients, the increased patient acuity, and the lack of skilled nursing staff. Emergency physicians are tasked with seeing a large number of patients, treating their illnesses and arranging for disposition—either admitting them to the hospital or releasing them...
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...analysis 2.3.1 Rigour and trustworthiness 2.4 Chapter summary CHAPTER 3: CATEGORY ONE: THE CURRENT DILEMMAS 3.1 Existing problems 3.2 More fail theory than practice 3.3 Differing agendas 3.4 Chapter summary CHAPTER 4: CATEGORY TWO: THE PROCESS OF MANAGING A FAILED CLINICAL ASSESSMENT 4.1 Identifying the weak student 4.2 Developing a plan of action 4.3 The decision to fail 4.4 After the deed is done 4.5 Chapter summary CHAPTER 5: CATEGORY THREE: FAILING TO FAIL 5.1 Leaving it too late 5.2 Personal consequences 5.3 Facing personal challenges 5.4 Experience and confidence 5.5 Chapter summary PAGE 1 2 3 4 6 6 6 10 11 11 12 12 13 14 14 16 16 19 20 20 23 24 26 28 28 32 36 41 45 47 47 52 55 60 62 1 CHAPTER 6: CATEGORY FOUR: DOING ENOUGH TO PASS 6.1 Not bad enough to fail 6.2 Giving the benefit of the doubt 6.3 Consequences of failing to fail 6.4 Chapter summary CHAPTER 7: CONCLUSION AND RECOMMENDATIONS 7.1 Conclusion 7.2 Recommendations for mentorship preparation 7.3 Recommendations for nurse education programmes 7.4 Recommendations for future...
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...An old ancient Chinese proverb says, “Women hold up half the Earth.” The corporate world is on the forefront of believing these words. Women of the world today are being acknowledged as the key to economic success. Organizations all over the globe are learning the opportunities of opening up to diversity and adding women to their boardrooms. Ignoring talent in half the population is not the best method for an organization to create a successful and effective board. Urban Outfitters Inc. has not always been a top contender in the diverse corporate world. In this report, we will investigate how Urban Outfitters Inc. reluctantly took a step in the direction of updating the faces of their executive boardroom. We will discuss the challenges and changes gender diversity in the corporate work world meets. We will look at meaningful observations of board effectiveness in the boardroom and the workforce. Introduction Boardroom diversity is highly advocated by companies and investors. Boardrooms hold the main responsibility to ensure human talent planning coincides with developing policies and procedure concerning diversity and diversity issues within an organization. Boardrooms need talent management and ultramodern thinking to build company revenue. Organizations use warm and fuzzy words about diversity, yet only give lukewarm responses in practices. Diversity was sighted as a legal issue in the past; now organizations are opening up to accepting that diversity is not a...
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...Employment Edwina Pio Abstract Nations, organisations and ethnic minority migrants are compelled to deal with issues emerging from the perceptions and politicisation of ethnicity. Issues of ethnicity are often fore grounded in the zone of work where the complexities of migration, ethnicity, gender and employment intersect. This paper highlights the perceptions of university business students in a New Zealand university with reference to ethnic minority women and employment. Through a study of various databases and the construction of parables on ethnic minority women in New Zealand, the experiences of recruitment and selection, diversity management and career progression emerge as themes in the perceived employment experiences of ethnic minority migrant women. The paper argues for the need to highlight narratives of ethnic minority women through creative pedagogy in order to sensitise business students and future managers to the consequences of migration and a need for the intelligent utilisation of human resources in a world that is increasingly multicultural. Introduction Historically New Zealand (NZ) is a country of immigrants though these immigrants in the 19th and early 20th century were primarily Caucasians from Anglo Saxon countries. However, in the 19th century, there were a few migrants from China who came to NZ to work in the gold mines of Otago, as well as Indians who found employment as scrub...
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...Arts and the Education of Artists: Art and Story CONTENTS SECTION ONE: Marcel’s Studio Visit with Elstir……………………………………………………….. David Carrier SECTION TWO: Film and Video Narrative Brief Narrative on Film-The Case of John Updike……………………………………. Thomas P. Adler With a Pen of Light …………………………………………………………………… Michael Fink Media and the Message: Does Media Shape or Serve the Story: Visual Storytelling and New Media ……………………………………………………. June Bisantz Evans Visual Literacy: The Language of Cultural Signifiers…………………………………. Tammy Knipp SECTION THREE: Narrative and Fine Art Beyond Illustration: Visual Narrative Strategies in Picasso’s Celestina Prints………… Susan J. Baker and William Novak Narrative, Allegory, and Commentary in Emil Nolde’s Legend: St. Mary of Egypt…… William B. Sieger A Narrative of Belonging: The Art of Beauford Delaney and Glenn Ligon…………… Catherine St. John Art and Narrative Under the Third Reich ……………………………………………… Ashley Labrie 28 15 1 22 25 27 36 43 51 Hopper Stories in an Imaginary Museum……………………………………………. Joseph Stanton SECTION FOUR: Photography and Narrative Black & White: Two Worlds/Two Distinct Stories……………………………………….. Elaine A. King Relinquishing His Own Story: Abandonment and Appropriation in the Edward Weston Narrative………………………………………………………………………….. David Peeler Narrative Stretegies in the Worlds of Jean Le Gac and Sophe Calle…………………….. Stefanie Rentsch SECTION FIVE: Memory Does The History of Western Art Tell a Grand Story?……………………………………...
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