...Passion has long been used as a central theme in many poems throughout time. It is defined by Merriam-Webster dictionary as "a strong feeling of enthusiasm or excitement for something or about doing something". It also defines it as "a strong sexual or romantic feeling for someone". Symbolism is widely used by poets to relay these emotions. In the poem "Sexual Fire From Within" by Peter LeBuhn, the author uses a fire to present a vivid picture of the passion and desire he has toward a woman. Three elements are needed to start a fire. These are heat, fuel, and oxygen according to the National Park Service. That seems simple enough, but how does that apply to this poem? The author states in his own words that "Many words that are written and spoken are from real life and feeling. This is what I attempt to convey to the reader as I write, to pull the reader into the experience as I write." In this poem the author uses a fire as a symbol for the passion and desire that rage within him. The first element in starting a fire is an ignition source. "Heat comes first from the ignition source" as explained in the Fire Triangle by the National Park Service. It would seem that there is a fire ready to be started at any moment given the right ingredients. In this poem one ignition source is the poet's lover's touch. The first two lines of the poem affirm that. It clearly states, "There is a fire within us...that only needs touch to bring forth flame". This simple touch is the spark...
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...Dying To Be Thin 47% of young girls reported that they wanted to lose weight because of pictures in magazines that they saw. Movies, magazines, and the media all contribute to girls not being comfortable in their bodies because of airbrushing the models or making the actors excessively workout or diet to get to a specific size. Famous people are supposed to be role models to teen girls, but the way the famous people are portrayed actually makes young girls not love their bodies and themselves. As girls reach a certain age, they begin to look at their bodies differently and want to see a change. These girls will try anything like dieting, diet pills, or even starving themselves to see this change, but the emotional and physical effects are never thought of when trying to lose weight a certain way. Average sized people should be portrayed more in the media because of the medias impact on body image perception of young women. Anorexia is a disease that involves unusual eating habits and self-starvation. The people who are affected are mostly young women, but people of either gender can become anorexic at any age. The most common cases of anorexia are found in young females, athletes, and people portrayed in the media. There are many physical effects that an anorexic person will experience. Weak bones are a common negative effect which really hurts an athlete. Hair loss and skin discoloration are other effects that effect both men and women. Other diseases can result from anorexia...
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...Research and Evidence Based Practice in Nursing Nurses are constantly challenged to stay up to date with new information to provide the best quality care to their patients. They are often challenge by offering ideas on how to approach old and new problem in health care (LoBiondo-Wood, Geri, and Judith Haber, (2014). Research in nursing is ongoing processes which provide continue education for all health care providers. Research allow health care providers especially nurses to advocate for their patients and provide best possible care they need (Hundley, Vanora, 2015). The purpose of this discussion is to explain the meaning of research and evidence based practice in nursing with example of each and a research and clinical sample question. A research...
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...Nursing Interventions for Patient Safety Nursing Interventions for Patient Safety The evolution of nursing is one that is rich in history and clinical practices and has existed for hundreds of years for health care issues. This author has work experiences from 1978 to 1996 as a nurse and nursing consultant in long term care and has a personal interest in how the use of restraints has evolved to a patient focused and caring approach that has reduced the rates of restraint use and patient injuries. Nursing evidence based practices for patient safety evolves from current technological advances, research and nursing theory. The purpose of this paper is to address how nursing clinical practices evolved for the use of patient restraints in health care facilities. Identification and Discussion of Health Care Issue The Centers for Medicare & Medicaid Services (CMS) defines a physical restraint as “any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body” (U.S. Department of Health and Human Services, 2001). Physical force can be human, mechanical devices, or a combination. Some Items that can be used to physically restrain people include bed side rails, waist belts, vests or jackets, hand mitts, arm and leg restraints. This author has witnessed wheel chairs being tied to hallways handrails; patients...
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...This study finding is contradicted with Geri (2005) who stated that the more experience increases the cognitive resources available for interpretation of data resulting in increased knowledge. Finally the researcher investigated the correlation between participants' knowledge and practice and their work area It revealed that no correlation what so ever between work area and their level of knowledge and practice regarding administration of selected positive innotropics. 9-Conclusion Based on the findings of the current study, it can be concluded that critical care nurses have inadequate knowledge and practice regarding selected positive inotropics and no correlation were existed between years of experience ,work area and their level of knowledge and practice. 10-Recommendation - Repetition of the study on a larger population . - Monitoring nursing interventions regarding administration of positive innotropics - Carrying out educational programs about calculation of IV high alert medications doses. -Incorporation of inotropics topic in nursing and pharmacology curricula . -Training of nurses on metric system , IV drug dosage calculation and rate of its dilution....
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...Prevention of Medication Errors in Nursing Practice Breton Sloop NU 332 Foundations of Nursing November 11, 2015 Teresa Faust Mary is a critical care nurse at a busy urban hospital, who is trying to catch up on her morning medication administrations. Her patient had required several procedures that morning, due to an alteration in his condition, and now Mary is behind schedule. The patient is intubated, so she decides to crush the pills, and administer them through his nasogastric tube. The patient’s medication is already late, but in her dash to give the medication as quickly as possible, she fails to notice the “Do Not Crush” warning on the electronic medication administration record (MAR). She then crushes an extended-release calcium...
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...AACN Statement of Support for Clinical Nurse Specialists The American Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe...
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...Running head: MY NURSING PHILOSOPHY My Nursing Philosophy and How Nursing Impacts My Life Liza Guillen Broward College My Nursing Philosophy and How Nursing Impacts My Life In order to fully understand my personal nursing philosophy I had to first begin to research the meaning of the word philosophy. Philosophy: the rational investigation of truths and principals of being, knowledge or conduct (http://dictionary.reference.com/browse/philosophy). Nursing can be defined differently by each individual. The word nursing comes from the Latin word nutricius, which means “nourishing.”(Nursing Today). To nourish is to provide any type of care necessary to promote; maintain life and growth. But what does care really mean? Well caring is defined as “feeling and exhibit concern and empathy for other” (the free dictionary). A nurse incorporates all of these meanings into not only patient care but to a way of life in order to truly believe and live by his or her own philosophy of nursing. Dr, Jean Watson’s caring theory incorporates three main elements of caring into her theory which are carative factors, the transpersonal caring relationship, and the caring occasion/caring moment (Watson, 2001). These elements describe the trusting relationship a nurse must create with the patient, the time and space to do so, and the how a nurse extend beyond their own sense of self to understand and care for others as unique beings. I believe these elements guide nurses to serve...
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...University: NRS-430V November 10, 2013 There was a time when a being Registered Nurse (RN) was sufficient and society did not express concerns on how an education was obtained. The baccalaureate nursing program is considered to be the beginning level of professional nursing. The nursing profession is often confusing mainly because of the various entry levels into the nursing field (Creasia & Reid, 2011 p 25). The ways it can be received are from a hospital diploma program, community college or four-year university. Nursing is a wonderful and humbling profession and it is often a self-disciplined one. No longer is it mainly focused on direct patient care and clinical skills, but one of more complexity that requires advanced skills, assessments, critical thinking, leadership, clinical decision making, case management, health promotion, and collaboration with other discipline of healthcare (Rosseter 2012). There are two types of RN’s, an Associate Degree Registered Nurse (ADN) and a Baccalaureate of Science Degree Nurse (BSN). Both of these types of graduates sit for the same examination to become licensed which is called the NCLEX-RN. However, there are differences in competencies between the two. In relation to nursing, competencies are defined by education and skills for each nursing titles (Hardy, 2013). The ADN is usually comprised of being a two or three year program and is found in community colleges or junior colleges. The programs are more directed to patient care,...
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...Why RN TO BSN The Need for Highly-Educated Nurses In the 21st century, the health challenges facing the nation have shifted dramatically. The American population is older—Americans 65 and older will be nearly 20 percent of the population by 2030—as well as more diverse with respect not only to race and ethnicity but also other cultural and socioeconomic factors. In addition to shifts in the nation’s demographics, there also have been shifts in that nation’s health care needs. Most health care today relates to chronic conditions, such as diabetes, hypertension, arthritis, cardiovascular disease, and mental health conditions, due in part to the nation’s aging population and compounded by increasing obesity levels. While chronic conditions account for most of the care needed today, the U.S. health care system was primarily built around treating acute illnesses and injuries, the predominant health challenges of the early 20th century. The ways in which nurses were educated during the 20th century are no longer adequate for dealing with the realities of health care in the 21st century. As patient needs and care environments have become more complex, nurses need to attain requisite competencies to deliver high-quality care. These competencies include leadership, health policy, system improvement, research and evidence-based practice, and teamwork and collaboration, as well as competency in specific content areas such as community and public health and geriatrics. Nurses also...
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...feel that understanding myself will enable me to feel less vulnerable when patients express themselves. By developing skills of self-awareness I will be able to respond in a more appropriate way, thus helping the patient and decreasing feeling of embarrassment that may arise. Obtaining self-awareness will place me on a constant voyage of self-discovery. As a nurse doing self-evaluations at regular intervals will enable me to see how far I have come, identify what I still need to learn, and plan how I am going to get there. Burnard, P. (1992). Know Yourself! Self awareness activities for nurses. Scutari, London: Perry and Hollinster. Rawlinson, J. W. (1990). Self-awareness; conceputual influences, contribution to nursing approaches to attainment. Nurse Education Today, 10(2),...
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...Future of Nursing Report Nursing comprise the largest group of health care workforce in the United States (US), with more than 3 million members (Institute of Medicine (IOM), 2010). Nurses can play an important role in helping to fulfill the goals set by the Affordable Care Act in 2010 (IOM, 2010). However, many obstacles are blocking nurses to advance change in the health care settings. These obstacles need to be lifted for nurses to better position themselves to advance health and lead change. The goals of this paper is to discuss the Institute of Medicine (IOM) report with the Robert Wood Johnson Foundation (RWJF) committee “Future of Nursing: Leading Change, Advancing Health”, the importance of the IOM report on nursing workforce, Campaign for Action, state-based action coalitions and initiatives. IOM report, "Future of Nursing: Leading Change, Advancing Health" In 2008, the IOM, in collaboration with RWJF, launched an initiative to meet the challenges of the nursing shortage to transform the nursing profession (IOM, 2010). With the RWJF initiative on the Future of Nursing, the IOM appointed the Committee with the intention of creating a roadmap to fulfill the RWJF objectives for the future of nursing (IOM, 2010). The RWJF recommends nurses to utilize the fullest extent of their training and education; pursue higher education and training via an educational system that promotes ease of academic progression; collaborate with inter-professionals and physicians as full partners...
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...Evolving Practice of Nursing and Patient Care Delivery Models The Speech Hello, my fello nurses. Thank you for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility...
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...Student: ____________________ Date: _3/25/12_____ Topic: Hourly Nursing Rounds to Improve HCAHPS Scores * Clearly state the proposed project (what do you plan to do): Implement hourly nursing rounds on the Progressive Care Unit at SPGH to improve patient satisfaction. Hourly nursing rounds have been shown in evidenced based practices to not only improve patient satisfaction but also help to reduce patient falls and reduce the occurrence of decubitus ulcers. Not only does hourly nursing rounds help the before mentioned items it also serves to reduce the call light usage by patients thereby increasing productivity for nurses (Culley, 2008). The proposed project includes education of the nursing staff on PCU to the initiation of hourly nursing rounds, including evidenced based research showing how regular rounds helps to improve patient satisfaction and safety. Described potential or real barriers and solutions (financial, political, social, etc) and methods that will or could be used to address these barriers: Some potential barriers could be reluctance by the nursing staff to participate in the hourly nursing rounds due to the feeling that they do not have enough time to complete these hourly rounds. By providing the unit with appropriate staff and helping to reduce or eliminate their fears by providing them with the research gathered can hopefully achieve this goal. Also by showing them that call light frequency will be lower when hourly rounds are...
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...I believe the media can both positively and negatively influence the public’s image of nursing. Showtime airs a program called Nurse Jackie in which she is portrayed in a dual light both as an advocate for her patients care despite being harsh, brash and ruffling feathers along the way. She is involved an extra marital affair and she is dealing with a problem with personal drug addiction and consequently steals medications from the pyxis to get her fix. I appreciate the program for its humorous side as it provides some real examples of day to day struggles in nursing care. The program does not portray nurses as being perfect but as humans that deal with some of the same daily struggles the public may be dealing with also. It is representative of how we dedicate our lives to caring for others but sometimes forget to put ourselves on our own list of priorities. Nurses are caregivers at home and work hence we may lose ourselves somewhere along the way. Having worked in nursing for a very long time I have practiced with many nurses who have fallen into drug addiction as portrayed in Nurse Jackie. It is perhaps a negative view portrayed for nursing, but it is also a portrayal of real life that we must be willing to accept as well. I have worked with other nurses who were appalled by the program about Jackie. Negative or positive it is a realistic example of what some nurses go through in their lives. Another program that is now cancelled portrayed the CNO at a hospital...
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