Evidence Base Practice, Essential And Safe Decision Making...

Introduction Evidence base practice is essential in nursing practice. It incorporates 3 key components which are clinical expertise, patient values, and best research evidence in order to provide the most effective and safe decision making for patient care. Neglecting a key component can affect the accuracy and efficiency of a research. Clinical expertise is based on a clinician’s experience, skill, education level and understanding in a certain area of nursing practice. Patient values can impact evidence base practice depending on their needs, preferences, expectations, values, understanding, and concerns. Best research evidence can be obtained from clinical research with supporting evidence base literature and sound methodologies. Each component will be discussed in further detail and how it links to clinical decision making by registered nurses in order to achieve the best evidence-based practice available. Component 1: Clinical Expertise Clinical Expertise is an important component in creating evidence-based research (Friesen-Storms, Moser, Loo, Beurskens Bours, 2015). Clinical expertise is about a clinician’s knowledge, skills, education level and experience in a certain area that can be used to achieve more accurate and reliable scientific evidence and research (Facchiano Hoffman Snyder, 2012). Clinical expertise is required to assist with clinical decision making such as identifying what the problem is, locating best evidence research through databases,Show MoreRelatedNursing Informatics Improves Patient Safety1557 Words   |  7 PagesPerioperative Nursing Informatics Improves Patient Safety The role of the informatics nurse is changing to be important in providing safe quality care to patients. Historically, nursing informatics was believed to be using computerized technology for charting. Today, this role has changed to a technology that is used to provide patients and families with high quality and safe care by using up-to-date and accurate information through data information (AORN, September 2013). The role of the perioperativeRead MoreInterview With A Certified Nurse Practitioner1446 Words   |  6 Pagesthe sphere of nursing practice. The roles of Advanced Nurse Practice practitioners are expanding, taking up a multitude of roles across a diversified healthcare specialties. Advance Nurse Practice practitioner stands as leader in this comprehensive profession bridging the gap in management and clinical aspect of care (McDermott Morant, 2010), reflecting the complexity of culture, organization and practice setting (Hyrkas Dende,2008) to improve the quality of p atient care. This paper is about theRead MoreSkills and Competencies818 Words   |  4 Pagesis essential in every area of life, but it especially critical in the field of nursing. Nurses are responsible for understanding and for being understood. They are required to both listen carefully and report information accurately and efficiently. Effective communication skills in nursing create a high level of customer satisfaction and excellence while preventing medical mishaps (Oman, n.d.). Nursing for the Future Competency (NOF) in communication will interact effectively with patients, familiesRead MoreA Nurse with the Most Knowledge and Skill is an Advanced Practice Nurse789 Words   |  4 PagesAn advanced practice nurse is thought to be intimately linked to advanced knowledge and skill. In defining the advanced practice nurse and giving insight on the principal foundation of advanced practice, the International Council of Nurses states that an advanced practice nurse is a registered nurse who has developed the skilled knowledge base, multifaceted decision making skills, and clinical proficiencies for extended practice. Completing an advanced nursing degree increases and develops advancedRead MoreEvaluation Of A Nursing Internship Experience Based On An Educational Program For Wound Assessment And Documentation1451 Words   |  6 Pagesregulatory requirements over hospital-acquired conditions, health care executives, leaders, and providers are increasingly challen ged to keep patient safe and deliver quality patient care. In 2008, the Centers for Medicare and Medicaid Services (CMS) stopped reimbursing hospitals for cost associated with treating hospital-acquired stage III and IV pressure ulcers. According to CMS, Pressure ulcers and skin breakdown are serious patient care issue because most are considered reasonably preventable. PreventingRead MoreWhat Do Nurses Really Do?1711 Words   |  7 Pagesand role of nurses. None of these ideas truly portray nurses and what they do. Nurses are with the patients more than the doctors. People do not realize how little they will encounter the doctor in the hospital until they are actually in the hospital. People quickly realize how important nurses are. Because nurses interact with their patients constantly, nurses are the ones who know the patients best. In the article â€Å"What Do Nurses Really Do?†, Suzanne Gordon explores what nurses truly do. SheRead MoreThe Role Of Theory Guided Practices On Patient Care Practices846 Words   |  4 PagesNurses are expected to place the care and treatment of each patient as their highest concern, but they may disagree on the exact method to use. Theory-guided practices involve patient care practices that are often too new to have developed research supporting their effectiveness, while evidence-based practices rely on tested and tried techniques to enhance patient care. Nursing practice theories are the narrowest in scope, detailing specific responses to situations that nurses may face, such asRead MoreWho Is Associate Degree Or Bachelor Degree?967 Words   |  4 PagesWhen making the decision to become a nurse there are more choices you will come across that need to be made. You can become a registered nurse in two ways; an associate degree or bachelor degree. These two options are available for one that would want to work as a registered nurse after passing your nursing boards. Some things may play a part in your decision. How much time you have for school may play a big part in your decision. Associate’s degree is a two-year program after you complete a listRead MoreWhat Learning Has Occurred And How This Will Influence Future Practice As A Staff Nurse Working1347 Words   |  6 PagesChapter 6 Overview The final section of this dissertation will focus on reflecting upon the experience of undertaking a dissertation, what learning has occurred and how this will influence future practice as a staff nurse working in the NHS. The author will utilise Rolfe, Freshwater and Jasper’s (2001) model. The author chose this model as it is a simpler model than Gibbs (1998) model, Rolfe et al (2001) poses the questions ‘What? So what? And Now what?’ The author felt due to its simplicity thatRead MoreHow To Improve The Healthcare System?1239 Words   |  5 Pageshealthcare system. The aims were to lead all healthcare professionals to fundamentally better care. Since implementation of the strategies presented in these reports it has led our healthcare to a safer, more effective, patient centered, timely, efficient and equitable system. Every report in the Quality Chasm series requires specific research to further develop the evidence base related to quality care. â€Å"Research targeting quality improvement has been supported and implemented by various stakeholders

The Great Gatsby American Dream Essay - 1731 Words

The Great Gatsby is a novel that illustrates the society in the 1920s and the associated beliefs, values and dreams of the American population at that time. These beliefs, values and dreams can be summed up be what is termed the American Dream, a dream of money, wealth, prosperity and the happiness that supposedly came with the booming economy and get-rich-quick schemes that formed the essential underworld of American upper-class society. This underworld infiltrated the upper echelons and created such a moral decay within general society that paved the way for the ruining of dreams and dashing of hopes as they were placed confidently in the chance for opportunities that could be seized by one and all. Scott Fitzgerald illustrates the†¦show more content†¦The transformation between James Gatz and Jay Gatsby is an example of how people can transform themselves according to their ambition for wealth and prosperity. The use of illegal activities to gain Gatsbys wealth is alluded to in the book, this shows the extent of how the American Dream circumvented the moral revulsion and pushed people who were crazy about money into crime - driving the moral standing of wealthier citizens into the ground. To Gatsby, his dream was symbolised by Daisy, Gatsby even says that her voice sounds like money, a direct correlation between Daisy and the wealth and happiness that Gatsby would supposedly enjoy if only he could have married Daisy but could still enjoy if he had married her five years later. His pursuit of happiness with Daisy was the ultimate cause of the degradation of Gatsbys morals and realistic dreams. This is because he held an unrealistic view of life and how he could recreate the past. His dreams had distorted reality to the point where when his rationality realised that the image of life and of Daisy did not coincide with the real life version his mind did not grasp that perhaps the dream had receded to the point of no return, consequently his dreams help ed toShow MoreRelated The Great Gatsby - The American Dream Essay767 Words   |  4 Pagesmade by Marius Bewley’s critical essay â€Å"Scott Fitzgerald: The Apprentice Fiction†, â€Å"Fitzgerald’s ultimate subject is the character of the American Dream in which, in their respective ways, his principle heroes are all trapped.†, can be justified through Scott Fitzgerald’s novel The Great Gatsby and his short story â€Å"Winter Dreams†. In both pieces of literature, Fitzgerald explores and comments upon Americans and their pursuit of the American Dream through Jay Gatsby and Dexter Green’s pursuit of theirRead MoreEssay On The American Dream In The Great Gatsby933 Words   |  4 PagesThe Great Gatsby Essay The Great Gatsby has always been a great book, but have you ever wondered what the meaning of â€Å"The American Dream† is..? To me the american dream†¦ is anyone and everyone can come here to american and achieve their goals, they can have better lives here in the US, they can be more successful when they put their minds to it. Fitzgeralds was making it seem that the rich or more money you have the happier youll be, the better off you are in life. He paints a picture makingRead MoreThe Great Gatsby American Dream Essay1940 Words   |  8 PagesKaylie Skoumal Mrs. Sabers English II 6 October 2017 Destruction of an American Dream â€Å"The American Dream is that any man or woman, despite of his or her background, can change their circumstances and rise as high as they are willing to work† (Fabrizio Moreira Quotes). Jay Gatsby believed that he could achieve his American Dream of being successful and marrying Daisy by working extremely hard in his lifetime. He labored to make a great amount of money through a disreputable way with Meyer Wolfshiem. HisRead MoreEssay on The Corruption of the American Dream in The Great Gatsby1302 Words   |  6 Pages On April 10, 1925 F. Scott Fitzgerald published The Great Gatsby, a novel that would later become one of the best known pieces of classic literature in history. However, at the time of its publication, Gatsby was fairly unpopular ad the reviews were never consistent. As shocking as it may seem, I believe it is because Fitzgerald’s intelligence and creativity levels were way ahead of his time, which is evident when one pays close at tention to the themes of the novel. ForgivenessRead MoreEssay On The American Dream In The Great Gatsby1001 Words   |  5 Pageshas been a place â€Å"where dreams come true,† from when the colonists aspired freedom and liberty to present day where Americans pursue wealth and success. However, throughout the twentieth century, this concept of the â€Å"American dream† seemed to have deceived the commonwealth as those who aspired success found themselves poor and deprived of the benefits the American dream promised them. This idea of the corruption of the American dream is prominent in the novel The Great Gatsby, as the author F. ScottRead MoreThe Great Gatsby American Dream Essay1496 Words   |  6 Pagesforward in his head like a blind man knocking over the solid furniture.† All people have their own big dreams circulating their minds and a sort of desperation to achieve them, no matter where they grow up or live, but where someone comes from might influence what it is they’re longing for. In his novel, â€Å"The Great Gatsby,† he demonstrates the delusive and far-fetched concept of the American dream in men of West Egg compared to those of the Valley of Ashes and East Egg by describing the different lifestylesRead MoreThe American Dream In The Great Gatsby Essay1158 Words   |  5 Pagesâ€Å"It is the elusive Gatsby, the cynical idealist, who embodies America in all of its messy glory.† Clearly as Adam Cohen asserts in his New York Times article â€Å"Jay Gatsby, Dreamer, Criminal, Jazz Age Rogue, Is a Man for Our Times†, this phenomenon is indeed true in that the American Dream is presented in F. Scott Fitzgerald’s The Great Gatsby as an idea that has been depraved into a dream characterized by the constant shift in ethics and fraudulence centered around materialistic visions of opulenceRead MoreEssay On The American Dream In The Great Gatsby954 Words   |  4 PagesGatsby changed Nick’s mi nd on the American dream and what it really is.Nick’s original thoughts on the American dream â€Å"...become again that most limited of all specialists, the ‘well-rounded man.’†(Fitzgerald 6),were much like his families in the beginning.Later after the events in his time with Gatsby Nick sees the error of his ways and returns to the Midwest giving up on his bond market dream.†Gatsby was never in it for the money and this revelation eventually caused Nick to give up his questRead MoreGreat Gatsby American Dream Essay923 Words   |  4 PagesThe novel The Great Gatsby by F. Scott Fitzgerald is about the struggle of achieving the American dream, and how much a person is willing to do to reach it. The book’s focus is on the obsession of Gatsby, the protagonist, and his feelings for Daisy, a married woman who he was previously involved with. The novel also focuses on Gatsby’s determination to make her fall in love with him by the gli tz of money and power. Fitzgerald uses the symbols of wealth, superficiality and irresponsibility to conveyRead MoreThe Great Gatsby and the American Dream Essay933 Words   |  4 Pagespower are the core principles of The American Dream. Pursuit of a better life led countless numbers of foreign immigrants to America desiring their chance at the vast opportunity. Reaching the American Dream is not always reaching true happiness. In F. Scott Fitzgerald’s The Great Gatsby, Jay Gatsby achieves the American Dream, but his unrealistic faiths in money and life’s possibilities twist his dreams and life into useless life based on lies. Jay Gatsby believes he can buy happiness. For example

Cons of Merit Pay Free Essays

What is merit based pay and does it improve education? Merit base pay is based on your performance, it provides bonuses for workers who perform their jobs effectively, according to measurable criteria. In merit pay an effective way to bolster student achievement and create more effective teachers? While the federal push fur teachers merit pay has only just now found its footing, Louisiana schools started implanting merit pay programs as early as 2003, under TAP, the Teacher Advancement Program. TAP falls under the umbrella of the National Institute for Excellence in Teachers (NIET), which is committed to ensuring that highly skilled, strongly motivated teachers are competitively in American’s classroom (Mick NP). We will write a custom essay sample on Cons of Merit Pay or any similar topic only for you Order Now Merit pays should not be the system of use in schools. The purpose of this paper is to persuade the State Superintendent not to have this merit pay. I will be listing some of the Cons to this topic and discussing them. Some points I will be touching on are , teachers can’t control students lives, and they cant give out grades to students they don’t earn, and the fact that all students learn at a different pace. Although popular in public opinion polls, merit pay- also called performance pay- faces stiff opposition from teacher organizations when linked to student test scores (Wiley NP). While outside of school teachers can’t control their students lives. Teachers are in the school to teach the students, and to make sure they have them ready to advance to the next level. A teacher is not the only influences on students achievement, family background, home life, prior teachers, and students mobility also are influences on students studies. Student performance is influenced by a lot of things out of teacher’s control. There is a strong connection between poverty and low test scores among students. Teachers cannot control many of these external factors that would lower a students performance. So how can they be properly evaluated when so many things are out of their hands? The results of unpleasant, and non cooperation with the students, is why there is lower grades and more students not passing the classes. Teachers cannot force a student to work, a lot of students that go to school, are there to learn, which causes distractions to the students who are there to learn. If a student isn’t there to learn, this makes it very difficult for the teacher to teach them, which is totally unfair to the teacher. Students that come from broken up families sometime have a hard time adjusting to living with one parent for a period, and then staying with the other parent for awhile. Families today are so much busier with both parents working that they do not care like they should about their child’s education. More kids are left alone, due to parents being gone which leaves them unsupervised, allowing the kids more freedom and keeping them from doing their studies. Parents are to tired by the time they get home that they neglect to make sure the studies are completed. In today’s society, it takes two parents incomes to make a living, which is making homework a problem in the households. So much is crammed into one days studies, teachers send a lot of extra work home with students, which some kids don’t have the help they need to get this work done. Some studies today that kids are doing, need the help of a teacher, and when sent home, on one is able to help. It isn’t fair for a teacher to have to try and make a student learn that doesn’t want to be there. Grades are mandatory at school. Teachers have to give out grades because it helps to see what level a student is at, so they can see what they need help on and if they are ready for advancement. If grades weren’t given out, many students wouldn’t do their studies, or focus on learning, , and it would make it difficult to know if a student is ready for advancement. Teachers should use the same grading scale so all students are graded equally. Rewards shouldn’t be given out for high scores, or for schools with the best improvement. This would favor teachers in wealthy neighborhoods whose students came to school with excellent skills. Some schools scores are already to high to show any improvement. Grades are sometimes given out to students that have been dishonest and cheated to get a better grade. Some students think that some kids get a better grade because they are teachers pet, or because he or she plays sports and they need them on the team, so they get a grade they don’t deserve. Grades really help the students and organize teachers to realize what the individuals have completed and not completed. Money that is giving for test results, will worsen the problems of teachers cheating, erasing answers on tests. It will also avoid consequences of The NO Child Left Behind Act (NCLB). Giving grades out, make sure the teachers are teaching all of the lessons, and not skipping through, so all students are getting the whole lesson. Individual students all have to work at different paces, but sometimes this doesn’t happen. No one will want to teach challenging kids. When you reward teachers for student achievement nobody will want to teach who live in challenging communities and have a hard time succeeding (Solomon NP). Teachers of honor students have a much easier time teaching their classes, these students work at their own pace and don’t need much assistant from a teacher making this teachers job a lot easier. Test score would be a lot higher. A teacher in a class that may have special educational students, or students that are just a little slower, or have problems learning, make this teachers job a lot harder. These students all need extra help from their teachers, which takes a lot away from a teacher trying to teach their studies each day. This can sometimes cause a teacher to fall behind. When students are struggling, teachers shouldn’t get penalized for wanting to take the extra time needed in helping this student understand the studies they are doing, the teachers should have helpers that can cone in and help take some of the stress of the teachers. These students are more than likely nit going to pass the necessary test required for them to take. Many people believe that merit pay will motivate teachers and give the incentive to work harder and teach better. Others think it will cause competition among teachers rather than fostering the cooperative needed for school improvement. Sharing is an important part of the teaching profession. Teachers mentor each other, discuss teaching strategies, share lesson plans, collaborate on how to deal with difficult students and parents, and provide a support system for each other. Teachers competing for merit pay could negatively influence that sense of sharing and collaboration. (Kaplin NP). In a merit pay system, it wouldn’t be fair if two teacher are both doing what they should be doing and one class scores really high and the other cores much lower and both teachers did everything they could to make sure the students were ready for tests. As you can see, I have talked about several cons such as, why teachers can’t control their students, why teachers give out grades, and also how all individual students work at a different pace. As we went through and noticed the cons, a big factor that comes up and is part of all of them is some students do not care, and if they don’t care, they are not going to try. Students that don’t care can cause distraction in the class which can keep other students from learning. Students have to try their best and care about their education, or it’s not going to get them anywhere in life. Parents need to make their children really understand the importance of a good education and how they need this to make their life a lot better. If a student neglects to get the studies they need, they will realize somebody how important it was to stay in school, and do their best. Sometimes it’s too late to do anything about it. Merit Pay for teachers have it’s pro’s and con’s. It says it is questionable whether Merit pay has anything to do with students success, but it is always a positive thing when teachers are receiving more pay and in a society that does not value teachers as professionals. Opponents to Merit Pay argue that a better solution to the current educational crisis is to pay all teachers more. Rather than design and regulate a messy Merit Pay program, why not pay teachers what they are already worth (Lewis NP)? How to cite Cons of Merit Pay, Papers