Competencies Variations Between Associate Degree and Baccalaureate Degree Nurses Essay

Competencies Variation between Associate Degree and Baccalaureate Degree The difference in competencies between the associate degree and Baccalaureate degree nurse has been a topic for discussion for many years. Prior to the modern practice of nursing the sick was taken care of by non skilled persons such as sinners, saints or mothers (Fact Sheet). Modern nursing began with Florence Nightingale, but has evolved over the years to become a rich history that includes advances in education of nurses, thus forming three entry level of nursing, Diploma, Associate and Baccalaureate of nursing. This discussion will address the difference in competencies between the associate degree and Baccalaureate degree nurses. The ADN program was started to facilitate the need of nurses in the post war years. This is a two years program that teaches the nurse to provide comfort the physiologic stability and peaceful death. (Yoder 2010). This program was also seen as an ideal course for those who prefer a faster and inexpensive route of becoming a registered nurse. Even though the bedside practice of the ADN and BSN nurses are similar, the ADN nurse focuses on the practical assistance more than the theory. The difference in competencies can be seen in the extra two years required for the BSN program. These graduates are exposed to more prerequisites theory, leadership management, research and community based health courses. (Spensor 2008). They are more prepared for the ever changing heath care field because their main focus, are evidence –based practice. They are taught to think independently, use judgment, critical thinking, reasoning and decision making skills, to understand the situation at hand before providing care, and by utilizing these skill they are better able to work within interdisciplinary team and have better patient care outcome. An example of this was observed in a patient care situation on a med surgical unit, where the ADN nurse was taking care of a patient with history of uncontrolled diabetes and hypertension who was about to be discharged. His blood glucose was regularly monitored, medication was dispensed appropriately and she made sure that he was receiving the appropriate diet tray from the kitchen. However when his call light was answered by the BSN nurse she noticed that he had a packet of potato chips and some cookies on his bedside table that was open. She addressed his need, then told him that she noticed the cookies and potato chips at his bedside, which he admitted to be snacking on, and added that the cookies were sugar free and chips were not very salty and that was all he could really afford. The BSN nurse was able to address the situation at hand and was able to teach the pt that even though a packet may read sugar free did not mean it was ok to have. Since it can be loaded with carbohydrates, which break down into sugar. She then collaborated with interdisciplinary team of dietician and social services to prepare this patient for discharge, where this patient and his family were taught how to comply with his diet, by learning how read labels, choose foods, and the important of doing so. Social services ensure that he was provided with the information of community based resources in his neighborhood that will attend to his financial as well as his social needs. Even though the ADN nurse’s bedside nursing was appropriate, it was clear that the two extra years of understanding the concept behind the skills separated a nurse that use critical thinking from one that performed task. In response to the ever changing healthcare system a higher degree of nurses are sought. Therefore the nursing programs help to equip graduates to provide excellent and holistic care while encouraging them to achieve lifelong quest for knowledge and the pursuit of advance professional degree.

The Range of Statistical Data Sets

The Range of Statistical Data Sets In statistics and mathematics, the range is the difference between the maximum and minimum values of a data set and serve as one of two important features of a data set. The formula for a range is the maximum value minus the minimum value in the dataset, which provides statisticians with a better understanding of how varied the data set is. Two important features of a data set include the center of the data and the spread of the data, and the center can be ​measured in a number of ways: the most popular of these are the mean, median, mode, and midrange, but in a similar fashion, there are different ways to calculate how spread out the data set is and the easiest and crudest measure of spread is called the range. The calculation of the range is very straightforward. All we need to do is find the difference between the largest data value in our set and the smallest data value. Stated succinctly we have the following formula: Range Maximum Value–Minimum Value. For example, the data set 4,6,10, 15, 18 has a maximum of 18, a minimum of 4 and a range of 18-4 14. Limitations of Range The range is a very crude measurement of the spread of data because it is extremely sensitive to outliers, and as a result, there are certain limitations to the utility of a true range of a data set to statisticians because a single data value can greatly affect the value of the range. For example, consider the set of data 1, 2, 3, 4, 6, 7, 7, 8. The maximum value is 8, the minimum is 1 and the range is 7. Then consider the same set of data, only with the value 100 included. The range now becomes 100-1 99 wherein the addition of a single extra data point greatly affected the value of the range. The standard deviation is another measure of spread that is less susceptible to outliers, but the drawback is that the calculation of the standard deviation is much more complicated. The range also tells us nothing about the internal features of our data set. For example, we consider the data set 1, 1, 2, 3, 4, 5, 5, 6, 7, 8, 8, 10 where the range for this data set is 10-1 9.  If we then compare this to the data set of 1, 1, 1, 2, 9, 9, 9, 10. Here the range is, yet again, nine, however, for this second set and unlike the first set, the data is clustered around the minimum and maximum. Other statistics, such as the first and third quartile, would need to be used to detect some of this internal structure. Applications of Range The range is a good way to get a very basic understanding of how spread out numbers in the data set really are because it is easy to calculate as it only requires a basic arithmetic operation, but there are also a few other applications of the range of a data set in statistics. The range can also be used to estimate another measure of spread, the standard deviation. Rather than go through a fairly complicated formula to find the standard deviation, we can instead use what is called the range rule. The range is fundamental in this calculation. The range also occurs in a boxplot, or box and whiskers plot. The maximum and minimum values are both graphed at the end of the whiskers of the graph and the total length of the whiskers and box is equal to the range.

From trains leaving the station to maidens tied to trainsor, changes in the use of narrative in early America cinema essays

From trains leaving the station to maidens tied to trainsor, changes in the use of narrative in early America cinema essays Although it may be difficult to conceive of in our modern era, as film has taken its place alongside the long-accepted artistic mediums of painting and sculpture as an art form,' during the early era of silent film this was far from the case. At the beginning of the 20th century, film had the status more of a modern technological curiosity or freak show' rather than the status of art. The earliest works of film of the very end of the 19th century encouraged the viewer to simply marvel at the moving picture' before his or her eyes, almost regardless of its content. Quite often these early clips of film had no narrative to speak of. The purpose of such shorts was to simply show the nature (and the limits) of the medium and to capture, however imperfectly, dancers, actors, and other noteworthy individuals of the day in motion, much like a moving newspaper. This changed with the Lumiere Brother's early efforts at cinema. The brothers showed such novelties as a train that caused audiences to scream in 1895. By simply moving the camera, film became more than a simple catalogue of moving life. The images of the film, because of the placement of the camera used by the brothers, were designed to elicit surprise and horror. However, the film's sensational reaction did little to elicit a widespread public belief in the artistic possibilities of the new medium. One of the Lumiere brothers explicitly said that the medium had no future, viewing it as mere trickery holding the possibilities for commercial use. (Lumiere Brothers Films History, 2004) However, gradually film began to take on a narrative, and by extension, a more artistic component similar to plays and novels. As early as 1903, the film "Life of an American Fireman" combined stock footage of actual fires, firemen and fire engines with dramatized scenes that the director Edwin Porter shot in a staged fashion ...

Racial Self-Loathing in the Bluest Eye Essay Example | Topics and Well Written Essays - 750 words

Racial Self-Loathing in the Bluest Eye - Essay Example The MacTeer family shares several elements with Morrison's family, fighting poverty during the Great Depression, with a grandfather who played the violin and a mother who sang. When Morrison was emerging as a writer during the 1960's, the â€Å"Black is Beautiful† movement was in full swing, with the primary goal of reestablishing the notion that African-Americans could be beautiful. In this novel, Pecola Breedlove's development serves to express Morrison's vitriol toward the racial self-loathing that typified the black experience when Morrison was growing up. The desire that blacks felt in those years to be accepted as beautiful in the majority white culture caused the characters of the novel to hate their own color and feel ashamed of their cultural background. This self-loathing becomes a generational tradition, moving down from one set of parents to their children, and so on. Pecola Breedlove wants to emerge from the darkness of living as a black girl: â€Å"Here was an u gly little black girl asking for beauty...a little black girl who wanted to rise up out of the pit of her blackness and see the world with blue eyes† (174). She wants to have blue eyes so badly that she goes through the primitive ritual that Soaphead Church gives her, feeding a packet of meat to a dog on the porch, and divining from the dog's response what would happen to her. Interestingly, the dog chokes on the meat, â€Å"his mouth chomping the air, and promptly [falls] down...[moving] like a broken toy around the yard† (176). There is a reason, though, why Pecola is willing to go to such grotesque lengths to change her appearance. Pecola's genuine African-American features make her ugly, at least according to the white way of seeing things. The physical traits that she has will ensure that she will always be the subject of that prototypical racism – the same hatred that would teach that â€Å"[t]o give the black girl a white doll in the early sixties was to mainstream the black girl into the culture, to say that she was worthy of the same kind of doll that a white doll would have† (Early 414). Because this idea was so firmly entrenched when Morrison was a child, she grew up thinking that her blackness created a connection with a time of primitive and uncivilized ways. Pecola ultimately feels that she must be hideous and that tragedy will befall her, because she lacks white skin – and blue eyes. Indeed, she says that everyone would like her if she had blue eyes (46). In the years when Morrison was growing up, black society in the United States was still caught up in an imitation of unrealistic modes such as that which would be later perpetuated as the myth of Barbie, who is â€Å"anything but real† (Hooks 610). In other words, black artists tried to paint like an ideal of white artists instead of like themselves; black singers tried to sound like an ideal of white singers instead of like themselves, all pursuing a fa lse dream that was not attainable. The Harlem Renaissance and the advent of the jazz movement had yet to make their dent in this imitation – but those days were not far off. Pecola clearly wants to imitate the ways of white society; indeed, the reason that she loves Mary Jane candy is that she thinks eating it will turn her white: â€Å"Smiling white face. Blond hair in gentle disarray, blue eyes looking at her out of clean comfort...To eat the candy is somehow to eat the eyes, eat Mary Jane. Love Mary Jane. Be Mary Jane†

Persuasive Research PaperFinal Version Essay Example | Topics and Well Written Essays - 1500 words

Persuasive Research PaperFinal Version - Essay Example Some brides experience the intercourse slightly discomforting and unsatisfying. Rather than accepting that this is a usual, normal experience that will eventually be go away through repetition, she could sustain a negative form of fear or anxiety which will ruin the marriage. This usually results in depression. This essay argues that postnuptial depression or post-wedding blues among newlywed women is very real and common. Postnuptial depression is a widespread, but rarely studied issue. Signs involve buying Martha Steward Weddings in secret, attending bridal shows simply to know the current trend in the market, and trying to make an appointment with the wedding planner because she misses her. Postnuptial depression may not be classified as a clinical finding, yet it has moved into the marriage dictionary in recent years, and newlywed women will attest to its reality. The depression normally happen soon after the wedding, according to psychiatrists, as newlywed women start realizing that dreams of how their relationship or spouse will change after the wedding are too idealistic. Worse, as soon as the excitement of the wedding dries out, couples are forced to abandon their deeply treasured and often enduring ‘bride and groom’ limelight and simply deal with reality. A San Francisco psychologist, Dr. Michelle Gannon, reports there has been an increase recently in the number of newlyweds who seek help for their postnuptial depression. According to psychiatrists, most people feel a certain extent of disillusionment after the wedding, but 5 to 10 per cent of newlywed couples experience severe enough regret, disappointment, or unhappiness to compel them to look for professional counselling. The medical head of the Moonview Sanctuary in California, Dr. Terry Eagan, refers to post-wedding blues the undisclosed sorrow—women who suffer from it are usually quite ashamed to disclose it to anyone. One newlywed woman admitted that â€Å"A lot of my friends had

Kenneth Clark, Katharine Hepburm, Harvey Milk, and Fred korematsu, and Essay

Kenneth Clark, Katharine Hepburm, Harvey Milk, and Fred korematsu, and all tried to create social change in areas of sexual or racial discrimination - Essay Example Although, Tracy Seth (John Holiday) and Margaret (Mary Nash) are divorced; Tracy feels that their family reputation must be protected (Cukor et al, 278). The novel Milk written by Milk Harvey (Sean Penn) covers the difficulties that Milk; a gay activist has to contend. Harvey tries harder to get people to understand and appreciate the sexual preferences of gays in the community (Jinks et al, 212). Kidd presents Dexter with an opportunity to get closer to Tracy. Dexter revealed that Kidd had an innuendo Laden cover up from her Tracy’s father Seth (John Holiday). Tracy’s family Margaret and Dinah (Virginia Weilder), Tracy’s sister, warmly; which disappoints Tracy. During her interaction with Mike, Tracy discovers the admirable qualities that he possesses (Nourmand & Graham, 256). Tracy finds herself wind up in confusion, between her ex-husband the Fiance and Mike, the reporter. To ease her mind, Tracy drinks for the second time in her entire life. She then resorts to a friendly swim with Mike. George gets to see the two, and he appears filled with Jealousy. Tracy uses the opportunity George presents, when confronting her of what he did the previous night, as an opportunity to break up with him on her wedding day. Mike proposes to marry Tracy, who declines in a nice way. When Dexter, her ex husband, asks for Tracy’s hand in marriage; she gladly gets a ccepts (Nourmand & Graham, 256). On the other hand, Harvey, later on, in his quest to fight for the gay rights, receives appointment as a Supervisor in the San Francisco’s board, in the year 1977. Milk takes pride in being the first gay man assimilated in the public office, in America. This way he not only succeeds in materializing the gay rights, but also used the opportunity to fake relations with the political society; from political officials to the union

Hitler Speech Essay Example for Free

Hitler Speech Essay Adolph Hitler is known by his charismatic personality, his strict military background, and his expressive and formal attitude in giving speeches. Hitler’s speech given on the 26th of September 1938, among all the millions of words that he addressed to his audience, is the most enthusiastic, optimistic, and motivated speeches I’ve read. Hitler started off his speech insisting to solve the problem he has in Europe, he showed that he is persistent, determined and eager to do so. Withdrawing and not resolving the issue was not one of his options, he was strong minded to get to the bottom of it. Hitler believed that, with the faith of God, he will succeed. Hitler used unusual words when addressing specific people and countries. Him using terms such as ‘crazy so-called’, illustrates that he was doubtful and alleged that these statesmen of Europe were not even qualified enough for their positions. Moreover, he also labeled the new states they formed as â€Å"so called states†; Hitler didn’t even identify them as real states. So-called is type of slogan used to falsely think of something. Europe thought it had skilled and entitled statesmen whom formed new states, but to Hitler; they were anything but eligible statesmen whom formed anything but upright states. Hitler, later in his speech, mentioned a person named Mr. Benes; he introduced him as â€Å"This Mr. Benes†. For Adolph Hitler to use such expressions, that proved that he pitted him, and didn’t consider him as respectful human. Hitler knew all his lies. While giving his speech he was sending a message showing that he wasn’t fooled nor tricked. Part of the speech that grabbed my attention personally was â€Å"Now the shameless part†¦.. t their own brothers† because of 2 reasons. He described the policies that were implemented by the government as terrible policies, but he didn’t mention any specific word stating that, instead by saying â€Å"policy which†¦. shoot at their own brothers† it perfectly showed exactly what kind of policies they were, policies so dreadful to fact it will turn them against each other and start a civil war. Hitler compared himself with Mr. Benes mentioning himself as decent solider, but Benes; as a sneaky man, who did not play by rules. He proclaims that he will stand against him and declare war if he has too, and he will stand by his people and protect them by saying he is their soldier. Hitler demonstrated himself as a patient man, he dealt with Benes in a sophisticated way. Hitler was so determined in gaining Germany their freedom, one way or another. Hitler was threating Mr. Benes. He showed it by giving him an offer, if he didn’t accept it, Hitler would start a war. This indorsed his strength and power, he never took no for answer. If Hitler wants something he fights for it. What made Hitler make such threats is because Mr. Benes made him wait for so long, and it exceeded his patience. Another thing I liked personally in Adolph Hitler’s speech is when he talks about himself and his public, he makes it sound as if they are all equal, and they stand side by side, all of them together. He didn’t make them feel he was a leader and that they had to follow and obey him. Hitler ended his speech with convincing his public, all the German people both men and women to fight with him, stand with him by his side against Mr.  Benes. He motivated the public and encouraged them; moreover he was building confidence in them when saying they are stronger than before. Hitler also gave them an example of himself when he was an ordinary soldier, commenting that he didn’t have doubts of succeeding, and having faith in victory. I think we was trying to point out to the public that, even though you are just a normal individual (just like himself back then), it won’t prevent you from conquering your enemy. To come to a conclusion, from my point of view, I see this speech as a motivational speech to the public to fight against whoever isn’t fair with them. It was also a kind of threat to Mr. Benes, threating him to make his decision faster or else, Hitler will start a war against him. Hitler dealt with his issue patiently, even though his patience came to an end, he didn’t attack his enemy aggressively; He simply warned him. Generally speaking, Hitler was a worldly wise man, a supreme leader, and role model to many.