Thursday, November 28, 2019

Individual Analysis free essay sample

Nursing is an ever-changing and growing profession. Tools such as, the scope and standards for nursing, state nursing legal regulations, code of ethics, and general principles of philosophy are used to set standards and promote growth within the profession. I use these principles and standards daily in my career as a registered nurse (RN). In this paper I will discuss the importance of these factors in my career, and how they all contribute to making outcomes successful for all involved. American Nurses Association Scope of Practice There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. We will write a custom essay sample on Individual Analysis or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility, by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be performed and coordinate care with the appropriate members of the team; such as nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. â€Å"The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loops from each component† (ANA, 2013; p.3). Specific State Legal Regulations The Ohio Nurses Association (ONA), has set up legal regulations for those who practice nursing. â€Å"The regulation of nursing practice is essential to the protection of public health and welfare† (ONA, 2012; p.1). These regulations set up the standards for becoming an RN. One of the first standards is that an RN will be licensed only after completing an â€Å"educational program approved by the state board of nursing and pass a licensing examination before a license to practice is granted† (ONA, 2012; p.1). To become an RN, I completed my associate degree in nursing (ADN) at Columbus State Community College. I then passed the National Council Licensure Examination (NCLEX) to receive my license. Provisions 7, 8, 9 â€Å"Provision 7 challenges the nurse to participate in the profession’s contributions to society by being actively engaged with its progress and development† (Fowler, 2010; p. 91). Education is a constant element in my career as a nurse. At the state level, I am required to have a set amount of continuing education hours every two years to carry a valid nursing license. Through my hospital, I must be current with my cardiopulmonary resuscitation (CPR), be familiar with changes in policies and procedures, and be familiar with the different diagnoses on my unit; such as ischemic strokes and subarachnoid hemorrhages. I am also continuing my education by taking classes to earn my bachelor of science in nursing (BSN). It is not only my responsibility to further my education, but it is also important for me to help others continue their education as well. I have done this on my unit by orienting new nurses. This is important because not only does it educate others, but it also helps reinforce what I have learned during my time as an RN. In the hospital that I work at I am in continuous contact with different cultures and ethnic groups. Without utilizing provision 8, my care for patients would significantly suffer. By having a genuine respect for my patient’s culture and values, a new level of trust can be made. Having trust in the medical field is a must, especially for an ethnic group that may be a minority in the community. â€Å"Provision 8 emphasizes culturally diverse worldwide populations, respect for persons and their ways of life, and cultural values, imposition, sensitivity, and competence† (Fowler, 2010; p.114). Social ethics are the primary focus of provision 9. â€Å"There are three major functions of social ethics, all which fall within the legitimate, if not essential sphere of the professional nursing association: reform of the profession, epidictic discourse (which is a type of public values-based speaking), and social reform† (Fowler, 2010; p.123). Learning about this provision has made me realize that I need to become more involved in social matters relating healthcare. An example of a nurse, who fought for social change, is Margaret Higgins Sanger. According to (Fowler, 2010; p.130), Sanger fought for women’s right to use contraception. She fought by educating other women through her publication The Woman Rebel. There have been many other nurses that have shaped the profession of nursing, healthcare, and social issues. Philosophical Forces In my personal and professional life I strive to do the ‘right’ thing. Before making a big decision I try to outweigh the good and the bad. â€Å"Moral philosophy is the philosophical discussion of what is considered good or bad, right or wrong, in terms or moral issues. Moral issues are those which are essential, basic, or important. They deal with important social values or norms, such as respect for life, freedom, and love; issues that provoke the conscience or such feelings as guilt, shame, self-esteem, courage or hope† (Burkhardt Nathanial, 2008; p. 29). As a nurse, I feel that I need to have a strong moral philosophy that I will not walk away from in order to protect my patients. My personal moral philosophy is to do what is best for the patient, by keeping them free from harm, and respecting the individual’s values and wishes. Ethical Principles and Theories Ethical principles and values influence my practice in nursing. The ethical standards beneficence, respect for human dignity, justice, and autonomy help to keep the patient free from harm (Noble-Adams, 1999). During bedside procedures, for instance central line placement, these standards should always be in place. As a nurse, I must make sure that the procedure would in fact benefit the patient and that the patient is free from harm. Before even beginning the procedure, informed consent must be signed by the patient. If the patient is unable to do so the patient’s power of attorney must be informed and sign. While the central line is being placed I must make sure that the patient privacy is being achieved, and that the proper techniques are being used to keep the patient free of infection. This is just one example of how ethical principles and theories are used on my nursing unit. Without these principles and guidelines, I am not able to grow as a nurse. Everyday decisions about the care I give to my patients will be guided by basic philosophy and ethical standards. I feel that in my four years of nursing, my practice has been consistent with these standards. As an RN, I feel it is important to always seek improvement in all aspects of my career. Taking a step back and self-reflecting will allow me to find areas of improvement necessary to improve the care that I give to my patients.

Sunday, November 24, 2019

Influence of organizational image on outcome

Influence of organizational image on outcome It is true that the image of an organisation reflects its brain in terms of performance of the organisations. In university institutions for example, the organisational environment may create excitement and hence foster high quality education and learning.Advertising We will write a custom essay sample on Influence of organizational image on outcome specifically for you for only $16.05 $11/page Learn More Thus the organisational structure and the management style adopted by the institutional may inspire and motivate the learning processes or may fail to encourage learning culture in students in the university. The aim of every university is to help learners acquire skills, knowledge and experience while also helping them become flexible in their thinking and conceptualisation so that they are able to meet complexities in their day-to-day lives. Universities therefore focus to help each student explore and recognize various alternative worldviews, practices, technologies and innovations among others. These desired changes in learners are achieved by involving all the personnel in the universities including lecturers and subordinates; the management, resources and the learners themselves. According to Beer and Nohria (2000, 140) an ideal organisation should be able to balance between the O and E strategies. This implies that an institution should be able to balance between meeting the needs of the students and the needs the university staff and be able to integrate the ideas of the organisation. The institution’s management should be ready to listen, debate and also willing to learn from both sides. The management should be ready to integrate the ideas of the university staff particularly the lecturers and technicians who constantly interact with the students as well as the students’ views on the direction of their learning. This means that the institution should be able to use the students and the university staff as the c onsultants besides the outside consultants to be able to ensure quality outcome in students. An institution’s image is also enhanced by the level of motivation it offers to the university staff and the students. Recognizing the performance and commitment of the staff in achieving the objectives of the university also encourages the students to follow in the footsteps of their lecturers and other staff who are working hard to help them achieve their goals. The staff may be given monetary rewards or other forms of rewards which encourage achievement of the organisational culture and objectives. The students on the other hand may be awarded scholarships, opportunities for exchange programmes with other universities in other countries or opportunities to represent the universities in forums and congressional meetings. The students hence practically learn the importance of giving rewards and various reward schemes that could be applied in their real working experience. According t o Beer and Nohria (2000, 140) giving of rewards represent a fair exchange of values between the institution and individuals in the institution.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The management’s commitment to providing of total-quality training programs to students and the university staffs also reflects the quality of outcome from the university (Morgan 2006, 106). The university’s commitment to provide resources to facilitate learning and the university’s openness to help learners experiment on their talents help promote diverse quality outcome. Universities should be able to access the status and the progress of every programme it offers to students and other customers and review them to be able to align them with the goals of the institution. It should also be able to review the capacity of its teaching staff as well as other staffs who suppo rt the teaching and learning process in meeting the objectives and be able to improve their capacities. When the university encourages experimentation through provision of adequate and modern facilities, the students as well as the university staff are better enabled to expand their knowledge, skills and experience and therefore they become very innovative and creative in tackling challenges. Besides, both the university staff and the students become more receptive to new ideas. In achieving the goals of the university as well as that of its stakeholders, the university has to eliminate the boundaries that may exist in its communication processes so as to achieve high-involvement of all the individuals in the institution. Reference List Beer, M., Nohria, N., 2000, Cracking the code of change. Harvard Business Review, 78 (3): 133-141. Boston: Kluwer Academic Publishers. Morgan, G., 2006, Images of organization, updated edition. California: Sage Publications.

Thursday, November 21, 2019

Morbidity and Mortality Weekly Report on the disease Cryptosporidiosis Essay

Morbidity and Mortality Weekly Report on the disease Cryptosporidiosis - Essay Example Cryptosporidium hominis, Cryptosporidium parvum, Cryptosporidium meleagridis, Cryptosporidium felis and Cryptosporidium canis have been identified as the major types of Cryptosporidium that cause infection in humans. While presence of C. canis, C. felis and C. meleagridis has been confirmed in AIDS patients. They have the capability to infect both immuno-competent and immuno-compromised individuals (Tzipori, p. 884-886). It considered an important source of morbidity and mortality in young children. Every year about 400-500 people in New York alone are infected by the parasite. It has been known to cause short term diarrhea in young children but if severe may even cause long term problems in immuno-compromised persons (Guerrant, p. 707-13). This parasite is usually found in the soil food and water, or surfaces that are known to come in contact with feces. It is how ever not known to spread via contact with blood (CDC). Most Infections tend to spread by the oral-fecal route. That entails the droppings of an infected animal and the transmission of the parasite via the mouth. This parasite can also spread by person to person, by eating contaminated food and by drinking contaminated water. It is in fact because the parasite is transmitted via the oral fecal route that it is often found in people with poor hygiene, diapered children and people with diarrhea. The infection can also spread by eating contaminated, uncooked food and also by touching hands which may be infected with the parasite to the mouth. Exposure to feces via sexual contact may also be one more source of infection (CDC). Never the less it is important to note that a short term infection may have long term consequences (Guerrant, p. 707-13). The degree of in fection is usually directly related to the severity and onset of disease. Some adults with incompetent immune systems such as seen widely