Evidence-Based Practice Free Essays

The term Evidence-based practice is relatively new, yet in the last decades, EBP had a great impact on nursing practice, education and as a science in general. There is a broad agreement by scholars and publications upon EBP definition as â€Å"problem-solving approach to clinical decision-making that integrates the best available evidence and clinical expertise, along with patient preference and values† (Hain Haras, 2015). Meanwhile, ethics is rooted in ancient Greek philosophical inquiry of moral life and relates to a system of principles that can considerably change previous thoughts, actions, and decisions (Doody Noonan, 2016). We will write a custom essay sample on Evidence-Based Practice or any similar topic only for you Order Now More particularly, The nursing code of ethics stands as a central and necessary mark of a profession. It functions as a general guide for the profession’s members and as a social contract with the public that it serves. The code list nine provisions that makes explicit the primary goals, values, and obligations of the nursing profession and expresses its values, duties, and commitments to the society of which it is a part. The relationship between evidence-based practice and ethics is obvious in many ways Empirics and ethics are fundamental patterns of knowing in nursing: Empirics and ethics are actively participating in being fundamental patterns of knowing that shaped nursing as distinguish discipline. We gain empirical knowledge from research and objective facts. This knowledge is systematically organized into general laws and theories. One of the ways we employ this knowledge is through the use of evidence-based practice (EBP). likewise, ethical knowledge helps one develop our own moral code; our sense of knowing what is right and wrong. For nurses, our personal ethics is based on our obligation to protect and respect human life. Our deliberate personal actions are guided by ethical knowing (Vaughan, 2014). The â€Å"Code of Ethics for Nurses† can guide us as we develop and refine our moral code. Certainly, empirical knowledge is essential to the purpose of nursing, but nursing also required to be alert to the need to express the uniqueness of individual and to have an appropriate parameter that can judge and appraise these evidence on ethical manners. The knowledge of ethical code can provide answers to the moral question during the application of EBP. According to Carnago ; Mast (2015), each pattern of knowledge in nursing is separated but interrelated and interdependent to each other, and none of them alone should be considered sufficient. The overall purpose of EBP and nursing code of ethics is almost identical: The second provision of the code clearly states that â€Å"The nurse’s primary commitment is to the patient, whether an individual, family, group or community† (ANA, 2015). This commitment is to the health, well-being, and safety of the patient across the lifespan and in all settings in which health care needs are addressed. The principle of beneficence, which promote the well-being of others and non-maleficence which refers to the †obligation to not inflict harm on others. Once again, many statements in our Code reflect this important concern for avoiding harm to those we serve. The nurse upholds patients’ interests by influencing and managing those who provide direct care and fostering positive team approaches to facilitate safe, quality care. Similarly, the definition of evidence-based practice emphasize the use of best available evidence which most probably will benefit the patient and ensure the safety of that course of action through utilizing only approved and extensively tested evidence. While, a great attention to preserve the uniqueness of individual values and preferences. the Code of Ethics basic principles and definition of EBP simultaneously stress the importance of using best current evidence that ensures achievement of the desirable outcome (Stokke, Olsen, Espehaug, Nortvedt, 2014). To conclude, Nurses encounter and address many ethical dilemmas on a daily basis. Since nursing actions aim to improve the health and wellbeing of patients which best manifested by using EBP, it is inevitable and expected that nursing practice has an ethical dimension. Nurses, therefore, have a duty to develop not only an awareness of the ethical dimension of practice but also strategies to practice ethically. Fortunately, The original ANA Code of Ethics for Nurses With Interpretive Statements was released in 2001, and it was revised in 2015. This update ensures that the Code of Ethics continues to be relevant to the transformations in health care delivery and modern clinical practice advances. No matter how important technical and scientific expertise in nursing may be, providing nursing care must always be characterized as an ethical founded undertaking. By incorporating evidence-based decision making and intersecting it with traditional principles of ethics (beneficence, non-maleficence and justice), nurses are fostering care strategies for individuals and populations while addressing underlying systems issues that may impact care including facilitating a culture of safety that supports reporting errors and near misses which is vital for modern date practice (EBP) and promoting a healthy work environment of respect and c How to cite Evidence-Based Practice, Papers

Rebooting My Life Essay Example For Students

Rebooting My Life Essay Have you ever wondered what it would be like to move away from your home to a new place, to do something you want to do? When I was eighteen, I found out all the horrors and pleasures upon moving from Cameron, Oklahoma where there isnt even a general store we only had on convenience store to Pittsburgh,Pennsylvania where they had a Starbucks on every corner; just to attend culinary school. The day my adventure began still resonates with me. It was a clear summer day of July 2008; not even a cloud in the sky . The warmth of the sun bearing down on my pale skin,and the gentle breeze rolling in like a ocean wave across my hair, while my mother and I sat outside her modern brick house, which, always seemed to smell like homemade marinara; The smell so intoxicating it could make the meanest of people happy. Since i just graduated about a month ago, so we began to talk about the future and what i wanted to do with my life. Mother asked, Where would you like to go for college?   I replied, I would like to go to culinary school at the Art Institute of Pittsburgh.   Looking appalled, she exclaimed, Why would you wanna go to Pittsburgh!   I said that i heard about this school form an advisor that came to my school my last year. I tried to explain my reason; However, with everything i said she seemed increasingly upset. I could see her soft chocolate brown eyes widen from behind her thick, plexiglass-like glasses, and she constantly ran her hands through her short, golden brown hair, just like she did whenever she became upset. Even though she was upset, she still maintained good pose. not a single wrinkle in her emerald green shirt that transitioned into black. ot even a wrinkle on her translucent pale skinned face. Standing, she brush some dirt off her black slacks,stormed off, her black and emerald shoes stomping to showing her anger . I knew the battle will be rough. After hours of fighting, I finally convinced her to let me go. Couple of weeks later she took me the the bus station, a cold, bleak place that smelled like iron and sawdust, and housed sad and lonely people. My mother bought me a ticket and kissed my forehead just like we all do when we say goodbye to a loved one. She walked out, got into the car, and she drove away I felt a loneliness sink in for the first time; I felt sad almost to the point where i could just sit down and cry. Looking around at all the empty green and yellow plastic chairs. I grabbed my bags and sat down,waiting for my bus to arrive, and my life to begin. I finally arrived a hour later, I got on the bus to begin my 14 hour trip while looking around at the people they all looked like they should have been on Unsolved Mysteries. I feared the worst, and not sleeping a wink the whole way there. When I finally made it to Pittsburgh, I took a shower, for I stunk so badly that a skunk would not even come around me. Then I made my way out in the streets of pittsburgh. The streets were alive with all the people and loud sounds of city life. It was all like a dream come true. I made my way to the Art Institute where, I met my advisor Kelly; she wore a long red flowing dress and reddish black high heels, her hair as black as night, her eyes were the prettiest hazel eyes I had seen. She lead me up to a room to fill out paperwork. while I applied for my financial aid she went to check something for me . .u0bd026d2b4fad8604f4fe7698d790eb1 , .u0bd026d2b4fad8604f4fe7698d790eb1 .postImageUrl , .u0bd026d2b4fad8604f4fe7698d790eb1 .centered-text-area { min-height: 80px; position: relative; } .u0bd026d2b4fad8604f4fe7698d790eb1 , .u0bd026d2b4fad8604f4fe7698d790eb1:hover , .u0bd026d2b4fad8604f4fe7698d790eb1:visited , .u0bd026d2b4fad8604f4fe7698d790eb1:active { border:0!important; } .u0bd026d2b4fad8604f4fe7698d790eb1 .clearfix:after { content: ""; display: table; clear: both; } .u0bd026d2b4fad8604f4fe7698d790eb1 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u0bd026d2b4fad8604f4fe7698d790eb1:active , .u0bd026d2b4fad8604f4fe7698d790eb1:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u0bd026d2b4fad8604f4fe7698d790eb1 .centered-text-area { width: 100%; position: relative ; } .u0bd026d2b4fad8604f4fe7698d790eb1 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u0bd026d2b4fad8604f4fe7698d790eb1 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u0bd026d2b4fad8604f4fe7698d790eb1 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u0bd026d2b4fad8604f4fe7698d790eb1:hover .ctaButton { background-color: #34495E!important; } .u0bd026d2b4fad8604f4fe7698d790eb1 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u0bd026d2b4fad8604f4fe7698d790eb1 .u0bd026d2b4fad8604f4fe7698d790eb1-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u0bd026d2b4fad8604f4fe7698d790eb1:after { content: ""; display: block; clear: both; } READ: Maggie Obituary EssayShe came back a couple minutes later, and she told me that I did not have enough money to attend this semester. I was devastated! So worried about what I could do for money, at that moment i got up and left the institute. Walking down the street that smelled like fresh water and good food due to some food vendors that seem to be around every corner, i started to cry. I keep telling myself that i made it this far,and to not be able to afford my schooling. I became determined, the more i thought about what happened, and what i needed to do to make it in ,and get my diploma A couple of months passed I had stayed in the city, and found me a job as a alternative model; for a modeling group in city. It was fun dressing up in different outfits, even though some of the outfits looked old and tethered they were as soft as newborn puppys fur, smelling like fresh linen and lavender. Even though I had the money I needed for enrollment, the paperwork filled out, and i have been talking to kelly for the past couple months about my enrollment i was still scared, like a child lost in a store not able to find my mother. Nerveless I enrolled in school. I went every semester for that next two years. Even though the first couple months was rough trying to balance work and go to classes, but i surpass that, while remaining a model on the side to keep up my financial needs. I felt great at my graduation to see all the red and white caps and robes like a abstract painting from a museum. I knew that even though I had a rough and scary time getting to this point; i had finally succeeded in my goal, to become a licenced cook. Just like Walt Disney said All our dreams can come true if we have the courage to pursue them.   I believe in that now that i have experienced it for myself.

Influence of Management Style on Employee Behavior

Introduction The influence of managerial style on employee behavior is manifested in a number of fashions including the leadership styles adopted by managers in the management of their employees. The behavior of employees significantly affects their conduct, attitudes and interactions with customers when in essence this behavior is largely dictated by the management style of top executives within the organization.Advertising We will write a custom coursework sample on Influence of Management Style on Employee Behavior specifically for you for only $16.05 $11/page Learn More A number of leadership styles can be adopted in the running of organizations; a leadership style refers to the methodology and approach adopted by management in the provision of organizational direction, implementation of set targets and motivation of the human capital. Lewin, (1939) Autocracy In the running of day today matters within the organization, management may be autocratic or authoritarian, this management style has been misused by some managers (especially the general manager in the second resort) to mean ordering people around or bossing employees around and this has got absolutely no place in the contemporary leader’s repertoire. It may be likened to the phrase â€Å"I want you to†¦..† It finds application in instances when the management informs employees on what is to be done. Adler et al (2008) The most appropriate situation to use this style is perhaps when the employees have all the requisite information at their disposal on how they want a particular task executed and there is minimal time to execute this task. This approach should only be used in rare occasions because if management wants to influence and inculcate higher levels of commitment and motivation, then the democratic or participative style should be applied. The authoritarian style is the one applied by the general manager of the second resort visited by the resea rcher in Fiji. In this resort, he was found screaming instructions to the workers and the first impression was that the manager was overbearing on the employees and dictatorial. Instead of motivating the employees in his resort, he keeps complaining and whining about them calling them lazy and reprimanding them in public. He blames their culture for failing to inculcate desirable work values in them and blames everything around him including what he considers an odd and impossible system of owning land around the country. This also caused him to be at odds with the local chief. The effect of this leadership style is seen clearly when the researcher (a customer in the resort) leaves with less enthusiasm having sampled a paltry 23 bulas out of the possible 41.Advertising Looking for coursework on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Asked about his future plans, the manager is quick to discount any involvement of the locals in improving performance and instead recommends that he intends to bring in hired expatriates from Auckland in New Zealand to teach the locals on how best to be hospitable. His mentality of blaming the local culture is mistaken because in the previous resort visited by the researcher, employees were very pleasant to customers and highly motivated and this was as a result of their hospitable culture (the Fijian culture). Democracy The democratic approach by contrast is the one that involves both the leader and the employees in the decision making process. Hofstede (1977) It can be represented by the phrase â€Å"lets work together to solve this†¦..† this is what is being applied by the general manager in the first Fijian resort. In this resort, an impressive 39 bulas (greetings) were sampled out of the possible 41 and this indicated a labour force that is not only highly motivated but also one with high levels of job satisfaction, this pleasantness translates directly in the way employees treat their customers as was experienced by the researcher. The use of this management style does not show weaknesses but instead builds a strong rapport and understanding between the employees and their leader. Intelligent managers are able to understand that they do not have all solutions to the organization’s problems, they may have part of the solution but the employees (being competent and skillful) have the other solutions. In order to tap into their resourcefulness therefore, the manager in the first resort works in close collaboration with his employees and instead of being quick to introduce new ideas sees that the existing ideas are working well and therefore builds on them. In his own words, he has done absolutely nothing to change the employees natural hospitality rather he has taken advantage of the available local assets that he found in their traditional culture and village life. Reference List Adler, N., Gundersen A. (2008).Inter national dimensions of organizational behavior. Mason, OH:Thomson.Advertising We will write a custom coursework sample on Influence of Management Style on Employee Behavior specifically for you for only $16.05 $11/page Learn More Hofstede, G. (1977). Culture and Organizations: Software of the Mind, New York: McGraw-Hill. Lewin, K., LIippit, R. and White, R.K. (1939). â€Å"Patterns of aggressive behavior in experimentally created social climates.† Journal of Social Psychology, Vol.10, 271-301 This coursework on Influence of Management Style on Employee Behavior was written and submitted by user Mohammed Drake to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Hemp Legalization Essays - Biofuels, Hemp, Herbs, Sustainability

Hemp Legalization Essays - Biofuels, Hemp, Herbs, Sustainability Hemp Legalization Hemp Legalization As I read over this article, I became more and more furious with the government. Ralph Nadar, the presidential candidate for the green party, talked about his plan to legalize the growth of commercial grade hemp, but the government showed how overbearing it is. One thing that the government said was that if the growth of commercial grade hemp did become legalized, then there would be so man rules and regulations on the growth of it that if would be virtually impossible to grow. The article mentioned that by legalizing the growth of commercial grade hemp, it would raise the economy of the U.S. by bringing in more money by producing stronger rope and more paper than and tree or plant. One fact that the article failed to mention that the growth of commercial grade hemp would produce more oxygen in the air and also make the ground more fertile in off seasons. The article shows that the government is just trying to find ways to keep the economy from booming and the environment from being clean.

Iraq War Military History - Battle of Fallujah

Iraq War Military History - Battle of Fallujah The Second Battle of Fallujah was fought November 7 to 16, 2004, during the Iraq War (2003-2011). Lieutenant General John F. Sattler and Major General Richard F. Natonski led 15,000 American and Coalition troops against approximately 5,000 insurgent fighters led by Abdullah al-Janabi and Omar Hussein Hadid. Background Following escalating insurgent activity and Operation Vigilant Resolve (First Battle of Fallujah) in the spring of 2004, U.S.-led Coalition Forces turned fighting in Fallujah over to the Iraqi Fallujah Brigade. Led by Muhammed Latif, a former Baathist general, this unit ultimately collapsed, leaving the city in the hands of the insurgents. This, along with the belief that insurgent leader Abu Musab al-Zarqawi was operating in Fallujah, led to the planning of Operation Al-Fajr (Dawn)/Phantom Fury with the goal of retaking the city. It was believed that between 4,000–5,000 insurgents were in Fallujah. The Plan Located approximately 40  miles west of Baghdad, Fallujah was effectively surrounded by U.S. forces by October 14. Establishing checkpoints, they sought to ensure that no insurgents were able to escape the city. Civilians were encouraged to leave to prevent being caught in the coming battle, and an estimated 70–90 percent of the citys 300,000 citizens departed. During this time, it was clear that an assault on the city was imminent. In response, the insurgents prepared a variety of defenses and strong points. The attack on the city was assigned to the I Marine Expeditionary Force (MEF). With the city cordoned off, efforts were made to suggest that the Coalition attack would come from the south and southeast as had occurred in April. Instead, I MEF intended to assault the city from the north across its entire breadth. On November 6, Regimental Combat Team 1, consisting of the 3rd Battalion/1st Marines, 3rd Battalion/5th Marines, and the U.S. Armys 2nd Battalion/7th Cavalry, moved into position to assault the western half of Fallujah from the north. They were joined by Regimental Combat Team 7, made up of the 1st Battalion/8th Marines, 1st Battalion/3rd  Marines, the U.S. Armys 2nd Battalion/2nd Infantry, the 2nd Battalion/12th Cavalry, and 1st Battalion 6th Field Artillery, which would attack the eastern part of the city. These units were joined by about 2,000 Iraqi troops as well.   The Battle Begins With Fallujah sealed, operations began at 7:00 p.m. on November 7, when Task Force Wolfpack moved to take objectives on the west bank of the Euphrates River opposite Fallujah. While Iraqi commandos captured Fallujah General Hospital, Marines secured the two bridges over the river to cut off any enemy retreat from the city. A similar blocking mission was undertaken by the British Black Watch Regiment south and east of Fallujah. The next evening, RCT-1 and RCT-7, backed by air and artillery strikes, commenced their attack into the city. Using Army armor to disrupt the insurgents defenses, the Marines were able to effectively attack enemy positions, including the main train station. Though engaged in fierce urban combat, Coalition troops were able to reach Highway 10, which bisected the city, by the evening of November 9. The eastern end of the road was secured the next day, opening a direct supply line to Baghdad. Insurgents Cleared Despite heavy fighting, Coalition forces controlled approximately 70 percent of Fallujah  by the end of November 10. Pressing across Highway 10, RCT-1 moved through the Resala, Nazal, and Jebail neighborhoods, while the RCT-7 assaulted an industrial area in the southeast. By November 13, U.S. officials claimed that most of the city was under Coalition control. The heavy fighting continued for the next several days as Coalition forces moved house-to-house eliminating insurgent resistance. During this process, thousands of weapons were found stored in houses, mosques, and tunnels connecting buildings around the city. The process of clearing the city was slowed by booby-traps and improvised explosive devices. As a result, in most cases, soldiers only entered buildings after tanks had rammed a hole in a wall or specialists had blasted a door open. On November 16, U.S. officials announced that Fallujah had been cleared, but that there were still sporadic episodes of insurgent activity. Aftermath During the Battle of Fallujah,  51 U.S. forces were killed and 425 seriously wounded, while Iraqi forces lost 8 soldiers with 43 wounded. Insurgent losses are estimated at between 1,200 to 1,350 killed. Though Abu Musab Al-Zarqawi was not captured during the operation, the victory severely damaged the momentum the insurgency had gained before Coalition forces held the city. Residents were allowed to return in December, and they slowly began rebuilding the badly damaged city. Having suffered terribly  in Fallujah, the insurgents began to avoid open battles, and the number of attacks again began to rise. By 2006, they controlled much of Al-Anbar province, necessitating another sweep through Fallujah in September, which lasted until January 2007. In the fall of 2007, the city was turned over to the Iraqi Provincial Authority.

Excel 1 Assignment-- Assignment Example | Topics and Well Written Essays - 750 words

Excel 1 -- - Assignment Example The new value was used to determine the percentage reduction for each category. The findings show that both salaries & wages and employee benefits reduced by 10%, while the supplies and services reduced by 1% each. There were no reduction in capital outlays, central services, and transfers because values were zero. Besides, the total expenditure Arapahoe County 2014 budget reduced by 5% ($256,027). The rationale for adopting such a method aims to reduce the funds that originated from the general funds because those were the only funds that were impacted. Besides, the approach ensured we keep intact the essential services. From the analysis of the budgetary expenditure of the County Attorney Department, it is apparent that a percentage reduction of 10% is likely to reduce to the general budget by 5%. Therefore, department needs to adopt and implement a reduction of 10 percent. A reduction of departmental salaries, & wages, and employee benefit will reflect a similar reduction margin for the Arapahoe County budget. Although the salaries, wages, and employees result in 10% reduction, the suppliers and services reduce by 1%. We need to reduce the expenditures originating from the general funds by 10 % to 1 %, which I think is possible to ensure our institutions is in a better position to handle the problem of increasing spending. The impact of these changes brings a reduction of the total budget by 5%, which is a significant step toward the realisation of spending adjustment. It should be noted that my recommendation did take into account all the source of expenditures that come from the general fund. Th erefore, this should not raise an alarm but should act as a model for future decision-making. The model aims to achieve exactly 10% reduction from the general fund to ensure availability of funds for another department that has scaled up their activities and hence need additional funds. For that reason, the department should provide some measures are in place to

Edvard Munch Essay Example | Topics and Well Written Essays - 500 words

Edvard Munch - Essay Example One of Munch's most widely recognized paintings is "The Scream". The painting depicts the fear and agony that Munch carried with him as he came to terms with the loss of his family through death and illness. The figure is seen haunted by the dark figures lurking in the past as he gapes in horror at the future ahead of him. The colors are dark and surreal which merge to form a vaguely recognizable landscape. As the colors swirl into the central theme of the canvas, they distort and twist the face of the subject. A tortured soul gripped with the fear of the impending apocalypse with nowhere to run. Munch pulls us into the horrifying world of loss and torment and in doing so we begin to hear "The Scream". "The Kiss", painted in 1897, comes from Munch's middle life and is a continuing theme of the love and women that populate his art. In "The Kiss", we see the image of lovers wrapped in embrace, alone and secure. The picture develops the figures as one body, faceless and without form as they meld into an inseparable image. Joined. yet isolated, they are serene as they are set away from the window and the outside world.