The Future of Nursing Essay Example | Topics and Well Written Essays - 750 words

The Future of Nursing - Essay Example Among the key contents of the report are recommendations by IOM on the future of nursing education in America. The report recommended that nurses should adopt the culture of full implementation of what they acquire during their education and training. American nurses should be proficient in their duties through the pursuit of education up to higher levels of learning to promote perfection, consistency, and coherence in nursing care. Recommendations outline in the report advocate full collaborating among physicians and other health care professionals in redesigning the health sector. Similarly, the report outlines enhanced information base for nurses, efficient labor planning, and improved data collection. The second recommendation of the report emphasized the need to revolutionize nursing education sector by achieving higher levels of education and training for all professionals. Recommended reforms in education are imperative in providing consistent and coherent academic progression in nursing education. Over the past, American nursing sector underwent several reforms aimed at enhancing the value of education for professionals. Reforms in nursing education are imperative in improving competence among professionals. Most reforms in American nursing education had positive impacts on the minimum level of education required for professionals before accreditation. For instance, reforms in the nursing sector outlined provision for a minimum of as Bachelor of Science in Nursing Degree. IOM report recommended that at least 80 percent of nurses in every federal health care facility should have a Bachelor of Science in Nursing (Aiken, 2011). Reforms shifted the focus towards employing only nu rses possessing Bachelor of Science in Nursing. The change of demand to Bachelor of Science in Nursing has prompted revision of curricula in the institutions of higher learning providing the course. Apparently, most nurses in

The Cool Web Essay Example for Free

The Cool Web Essay In their respective poems, the poets examine language and the importance of it in our life and culture. Robert Graves uses a metaphor of a web to depict language, one that gives form, structure and release to daily events. The image of language being constructed like a web is reflected in the structure of the poem, in iambic pentameter form. Graves describes in the first stanza how children are unable through words to describe how hot the day is. They are completely dumb and unable to express their discomfort, and in this manner lessen its intensity. The black wastes of the evening sky alludes also to the negativity and oppression that daily living inflicts. How dreadful the tall soldiers drumming by reinforces this, suggesting war, reinforcing also the feeling of conflict and negativity. The second stanza turns the poem around, starting with But. Graves explains how we have speech to chill the angry day, to dull the roses cruel scent. The philosophical proposition of speech as a release, as a poultice or panacea, is amplified through the poets use of repetition.  But we have speech, to chill the angry day, And speech, to dull the roses cruel scent.  We spell away the overhanging night,  We spell away the soldiers and the fright. The second half of the stanza, on a conspicuous level, describes the craft of a poet. It also insinuates language as a form of magic, as if poets are magicians who have power over the natural world. The third stanza links directly back to the title of the poem, describing language as a cool web that winds us in. It also carries a warning of withdrawing too much from emotion, joy or fear:  We grow sea-green at last and coldly die  In brininess and volubility. Language is here described as an Ocean, one that if we immerse ourselves too deeply in, we drown in brininess and volubility. Graves choice of elaborate words demonstrates the power of language. The final stanza is also a warning, a warning that without words and language to provide rationalisation, form and structure to our thoughts and emotions we shall go mad no doubt and die that way. The poet is ambivalent in his viewpoint, arguing that we need a balance between verbosity and losing self-possession of our tongues, that without the escape language and poetry offers we are like children, dumb to express ourselves. In Edward Thomas poem, Words, he suggests that eloquence and language are not voluntary. The poem uses enjambment, reflecting the flow of inspiration and free thought. Addressing words directly in his poem, he asks for inspiration:  Will you choose  Sometimes   (.) Choose me,  You English words? Thomas insinuates that words choose the poet or writer, contrasting with Graves opinion (as suggested in his poem The Cool Web) that we have control over our use of language. Thomas compares inspiration coming to the poet as wind, whistling through as if through a crack in a wall, or a drain. The imagery of words being weightless and almost supernatural is amplified by their comparison to light as dreams. The reference to words being as precious as poppies can be interpreted perhaps as opium dreams, and corn is the basis of bread. Through these comparisons the poet implies that language and words are a basic need of human culture, as necessary as bread and dreams the allusion to dreams being an escape from reality, and also a source of inspiration. An old cloak implies familiarity. The majority of the second stanza appeals heavily to the senses, using aural imagery:  Sweet as our birds  To the ear,  As the burnet rose  In the heat  Of Midsummer  Thomas also describes the mystery of words and language by comparing them to the races of the dead and unborn. The similarities between words and the dead and unborn alludes to the idea that there are poems and books not yet written, the dead implying potentialities not reached and the unborn suggesting poems and inspiration growing and developing within poets. The verse describes natural beauty, depicting roses, yew trees, hills, and streams after rain implying that words are also natural beauty. In the third stanza, Thomas alludes to the different dialects of Wiltshire, Kent and Herefordshire, drawing attention to the diversity of the English language. From the names, and the things / No less.  The final stanza eulogizes the act of writing a poem, addressing inspiration directly as you again.  Let me sometimes dance  With you,  Or climb  Or stand perchance  In ecstasy,  Fixed and free  In a rhyme,  As poets do.  Thomas personifies language and inspiration a tactile being, Let me sometimes dance / With you, also reflecting back on his previous description of poetry being dream-like, Or stand perchance in ecstasy. Fixed and free describes the rigid backbone of a poem, the technical structure and form, but also the freedom the language gives it.

Quality Management Essay example -- Business Management

Deming’s 14 points were first applied to Japan and United States manufacturing but the philosophy can be applied to many different industries now. The theories can be applied to healthcare, including Long Term Acute Care Hospitals (LTACH). These types of hospitals are not as common to people, but were created to deliver care based on patient’s needs. This paper will look at an LTACH located in Denver and like many healthcare facilities, employee morale is down due budget cuts and the rising cost of healthcare. A total quality management program could potentially help the facility develop new processes that allow for positive changes. Deming’s 14 Points could be applied to this hospital and help give direction to the leadership staff of the philosophy needed to make the changes. Dr. W Edwards Deming was a statistician who did not use the word total quality management, but can be accredited with the first movement of these types of programs (Gautschi, 1992). The end product is different than manufacturing but the idea of getting the best possible end product is the same. To understand why the program would help the hospital the organization needs to be explained. Deming’s 14 could be used in the transformation because of theory base of statistical information. Deming’s 14 points would also bring direction and needed transformation to the hospital. Background of hospital The intent of long term acute care is to allow people to move from the acute care hospitals into an environment where they can get more attention and services for a longer period of time (http://www.aha.org/advocacy-issues/postacute/ltach/index.shtml). With four Chief Executive Officers, three Clinical Directors and four Human Resource Managers in the pas... ...be applied to many industries including long term acute care hospitals. By measuring and analyzing statistical information, managers can help to implement a new quality management program. The most important pieces for this hospital would be adopting the philosophy, always trying to improve and self-education. The hospital will also need to institute leadership to begin the process. Without the leadership, the changes necessary will not occur. Works Cited Albert, J., & Gilligan, K. (1990). Ready for quality? How one hospital introduced the Deming method. Hospital Topics, 68(2), 7. Cohen, P. (n.d.). Deming’s 14 points. Retrieved from http://www.hci.com.au/hcisite2/articles/deming.htm Darr, K. (1990). Applying the Deming method in hospitals. Hospital Topics, 68(1), 4. Gautschi, D. F. (1992). 14 points to improve quality. Design News, 48(17), 224.

Value of Higher Education

Abstract This paper shall argue that despite the costs of a higher education, a college or university education is of great value to every individual. Higher education prepares an individual for the working world through the imparting of specialized knowledge. A Higher education allows individuals to earn more at the end of their degrees, making up for the cost incurred during the pursuit of the degree. College education helps to provide students with critical thinking and communication skills that lasts a lifetime.A higher education helps an individual grow as a person, by exposing them to a wealth of knowledge and resources. College education helps students establish interpersonal networks, which include peers as well as professionals. Higher education teaches students about discipline and hard work, as well as about success and challenges. This paper shall conclude by noting a number of things students can do to get more value from their college or university education and by outl ining some of the ways I as a student wish to further my career in accounting by graduating from the University of Phoenix.The Value of a Higher Education Higher education requires a considerable investment of time and money, as wall as a considerable lifestyle change. Those entering college or a university must not only be willing to pay tuition cost and school fees, and study for many years to get a degree, they must also arrange the rest of their lives around classes, exams, semesters, and summer breaks. Given the gargantuan effort it requires to secure a higher education, some may reasonably question the value of a college degree. It is well known that many successful and affluent people in our society†¦

Florida V Riley Case Brief Essay

Legal Citation: 488 U. S. 445, 109 S. Ct. 693, 102 L. Ed. 2d. 835 (1989) Procedural History: The respondent, Michael A. Riley, was charged with possession of marijuana under Florida law. The trail court granted his motion to suppress; the Court of Appeals reversed but certified the case to the Florida Supreme Court, which rejected the decision of the Court of Appeals and reinstated the trail court’s suppression order. The Supreme Court granted a writ of certiorari for Florida to review the decision of the Supreme Court of Florida. Question: Is surveillance of the interior of the partially covered greenhouse in a residential backyard from a vantage point of a helicopter located 400 feet above the greenhouse constitutes as a ‘search,’ for which a warrant is required under the Fourth Amendment and Article I, Section 12 of Florida Constitution? Facts: In this case, the Pasco County Sheriff’s office received an anonymous tip that marijuana was being grown on the respondent’s property. When the investigating officer discovered that he was not able to see the contents of the green house by the road. All he was able to see was a wire fence surrounding the mobile home and the greenhouse with a â€Å"DO NOT ENTER† sign posted on the property. He then circled twice over the respondent’s property in a helicopter at the height of 400 feet. With his naked eye, he was able to see through the openings in the roof, since there had been two missing panels, and identify what he thought was marijuana growing in the structure. A warrant was later obtained based on these observations, continuing the search revealed marijuana growing in the greenhouse. Which lead, the respondent, Michael A. Riley, to be charged with possession of marijuana under the Florida law. Decision: No. The surveillance of the interior of the partially covered greenhouse in a residential backyard from a vantage point of a helicopter located 400 feet above the greenhouse does not constitutes as a ‘search’ for which a warrant is required under the Fourth Amendment and Article I, Section 12 of Florida Constitution because helicopters are not bound by the lower limits of navigable airspace allowed to other aircrafts. Any member of the public could have legally have been flying over Riley’s property in a helicopter at the altitude of 400 feet and could have observed Riley’s greenhouse. Nothing implied that the helicopter interfered with respondent’s normal use of the greenhouse or the other parts of the curtilage. Therefore, the police did not violate his Fourth Amendment, right to privacy. Judgment: Reversed Principle of Law: The reason the court reserved the decision of the Supreme Court of Florida is because there is nothing in the records that suggest the helicopters flying at 400 feet are sufficiently rare in this country to lead substance to respondents claim that he reasonably anticipated that his greenhouse would not be subject to observation from that altitude.

The Real Possibilities of Cloning essays

The Real Possibilities of Cloning essays On February 22, 1999 news was announced that Dolly the lamb was the first successful animal cloned. Unlike the other cloning experiments done over the past 15 years, this was the first successful clone made with an adult cell. The cell was used to activate and program the egg from which Dolly grew. Past clones involved using the cell from a fertilized embryo in the early stages of development. As news of Ian Willmut's cloned lamb got out across the globe, many people feared what they thought could possibly never come true. With the technology to clone identical animals, can humans be cloned too? Since then topic of discussion throughout the scientific world has centered on the cloning of humans. Recently, The University of Texas lab cloned the first headless creatures, headless mice. Since then, headless tadpoles have also been born at The University of Blath. This discovery is even more chilling because it opens up the door to headless humans, for purposes such as organ banks. Headless human production could also be used as a means for testing out new treatments for diseases such as cancer. Controversy is coming up more often considering the morals and ethics of cloning. Is headless cloning opening the gate to human immortality? Is a headless clone ever a living creature? Many people are beginning to wonder if cloning will be beneficial to our country. The cloning of animals as well as human cloning could prove very beneficial to our nation. For instance, cloning research would be very beneficial to improving the vitro fertilization process. Vitro fertilization is when a woman's egg is removed from her uterus, fertilized by a sperm donation, and replaced back in the uterus. John Robertson, an authority on reproductive technology and the law at the University of Texas School of Law says, "Even if they only produced three or four embryos, it could greatly improve the odds that it will work (Robertson, 3)." This c...

US Social Security vs. Canadian Social Security

US Social Security vs. Canadian Social Security Introduction The increasing challenge posed by an increase in the elderly population creates the need to deploy social security services. Demographic patterns on the provision of social services are estimated to increase drastically in the future.Advertising We will write a custom research paper sample on US Social Security vs. Canadian Social Security specifically for you for only $16.05 $11/page Learn More In the United States, the notable demographic trends that are likely to impose significant pressures on social security includes the anticipated retirement of the baby boomers cohort, a reduction in the fertility rates and increases in life expectancy are estimated to pose a large increase in the old-age dependency ratio (Feldstein Liebman, 2002). The main purpose of this paper is to compare and contrast the United States with the Canadian social security system. The paper provides an overview of the United States and Canadian social security system, af ter which the paper discusses the objective similarities and differences between the two systems. In addition the paper also provides a subjective analysis that is based on the current evaluation of the United States social security system against the Canadian system. Basing on the research, the paper provides recommendations for improving the United States social security system. Introduction to the United States Social Security system In the US, social security mainly involves the Old-Age, Survivors and Disability Insurance (OASDI) scheme that is administered by the federal government. Social Security in the United States was first adopted during 1935; subsequent amendments have resulted to the inclusion of social welfare and social insurance. Major components of the United States social security also include the Supplemental Security Income, various unemployment benefits, offering aid to the needy families, grants issued to the states by the federal government for the purposes of Medical Assistance Programs (Medicaid), Health Insurance for the Aged and Disabled (Medicare) and the Patient Protection and Affordable Care Act (Giles, 2005). Social security in the United States is mainly financed using dedicated payroll taxes that are referred to as the Federal Insurance Contributions Act tax. Social security in the United States is largely concerned with the benefits associated with retirement, unemployment, cases of disability, death and survivorship (Hyman, 2010).Advertising Looking for research paper on public administration? Let's see if we can help you! Get your first paper with 15% OFF Learn More Social Security in the United States is considered as the largest government program in the globe that takes a significant portion of the federal budget. In addition, social security is the biggest social insurance program in the United States. It is estimated that social security in the United States has helped to keep 40 percent of peopl e aged over 65 years out of poverty. Introduction to Canadian social security Canadian social security comprises of approximately 2.3 percent of the Gross Domestic product, the Pay-as-you-go component Canadian social security is relatively small compared to the United States. Old Age Security (OAS) program is one of the core elements of elderly income transfers in Canada. The Guaranteed Income Supplement is used to increase the income levels for aged individuals in Canada. Another important element of Canadian social security is the Canadian Pension Plan and the Quebec Pension plan, which are mainly funded by the joint monetary contributions from employers and employees. Canadians contribute 4.95 percent tax on their income from USD 3500 to USD 41000 (Orszag Diamond, 2005). Social security in Canada mainly involves the government programs that are adopted with the main objective of offering assistance to its citizens and covers diverse programs that are mostly run by the provinces. In Canada, the social safety net is mainly concerned with the transfer payments that are directed at low income citizens only. It does not incorporate expenditures associated with healthcare services and education (Weisbrot Baker, 2001). Similarities between the United States and Canadian security services In the US, social security denotes the funds that the individuals pay during their working life, which mainly comprises of the retirement benefits during old age. This is a similar approach under the Canadian social security that is implemented using the Canadian Pension Plan. In the United States, employees contribute 5.65 percent of their earnings towards their social security and Medicare, which is used for offering medical insurance for aged and retired people.Advertising We will write a custom research paper sample on US Social Security vs. Canadian Social Security specifically for you for only $16.05 $11/page Learn More The social security premium s in the US are capped at earnings of USD 106,800 while there is no capping of the premiums for Medicare (Hyman, 2010). Canadians contribute 4.95 percent of their total earnings towards the CPP. Socialized healthcare plan in Canada are somewhat similar to the Medicare program in the context of the United States (Orszag Diamond, 2005). Another similarity between the United States and Canadian social security systems is that they both make use of the pay-as-you-go scheme, although the United States system is relatively high compared to the Canadian system. Bo the social security systems can be considered to a hybrid between the PAYGO plan and a fully financed program (Hyman, 2010). Differences between the United States and Canadian social security system A notable difference between the two systems is the scope of coverage of social security. In this context, the Canadian social security system does not have provisions for education and healthcare expenditure, which are provided in t he social security system in the United States (Giles, 2005). The second difference between the two systems is that the United States expenditures on social security are relatively higher compared to the Canadian expenditure on social security. For instance, the Old Age and Survivors comprise of 6 percent of the United States GDP, compared to Canada that allocate 4.2 percent of its GDP. In addition, Canada spends relatively twice as much as the amount that the United States spends on unemployment benefits (Hyman, 2010). Another difference between the two systems is that the CPP is a reserve fund that is invested in the market; this is contrary to the social security funds that are invested in government securities and bonds. Investing the CPP in the market resulted to 5 percent marginal difference between the returns in the United States and Canada. Evaluation of current US system against the Canadian system It is arguably evident that Canadian social security has a better establish ment compared to the United States social security system. There is a potential that the Canada Pension Plan fund will grow since it is invested in the market, making significant contributions towards its future sustainability compared to the United States social security funds that are invested in government bonds. Another reason that contributes to the effectiveness of the Canadian pension Plan when compared with the US social security system is that the benefits of the CPP are relatively lower compared to the benefits of the United States social security. The generosity of the United States social security questions its sustainability in meeting the future demands posed by the aging population (Weisbrot Baker, 2001).Advertising Looking for research paper on public administration? Let's see if we can help you! Get your first paper with 15% OFF Learn More Recommendations to improve the United States social security system Improving the efficiency of the United States social security requires the reinforcement of insurance and financing. With regard to insurance, it is important to maintain an appropriate balance in terms of social and individual responsibility. With regard to financing, establishing a suitable balance between pre-retirement funding and the use of the common PAYGO method will serve to address the potential challenges imposed by the demographic trends in the United States. References Feldstein, M., Liebman, J. (2002). The Distributional Aspects of Social Security and Social Security Reform. Chicago: University of Chicago Press. Giles, C. (2005). US social security is among least generous. Web. Hyman, D. (2010). Public Finance: A Contemporary Application of Theory to Policy. New York: Cengage Learning. Orszag, P., Diamond, P. (2005). Saving Social Security-A Balanced Approach. Washington DC: Brookings Institution Pres s. Weisbrot, M., Baker, D. (2001). Social Security: The Phony Crisis. Chicago: University of Chicago Press.