The Competencies Between BSN and ADN Nurses Essay Example for Free

The Competencies Between BSN and ADN Nurses Essay What is the difference between associate and baccalaureate degree nursing? The associate degree is a two to three year entry level tertiary education nursing degree. The associate degree like the baccalaureate degree can sit for NCLEX-RN and be licensed as a registered nurse. The bachelor degree is a four year academic degree in the science and principles of nursing (Wikipedia). The baccalaureate degree prepares professional nurses for a role away from the bedside and opens up new opportunities for career advancement and higher salary, such as administration, research, consulting, and teaching. These positions not available to the associate degree nurses. The baccalaureate degree goes beyond the associate degree by a more in-depth scholastic requirement of physical and social sciences, nursing research, public and community health, nurse management and the humanities with a better understanding of issues that affect and influence health care today such as cultural, political, social and economic factors. Health care is rapidly evolving and so the role of the professional nurse must change accordingly. Nurses today are a large part of the interdisciplinary team, and as the primary providers responsible for direct patient care and education, the better educated the nurses caring for the patient, the safer the delivery of care will be given. A strong education will have an impact on a nurse’s ability to practice and all patients deserve the best educated nurse’s available. Education is the key to the registered nurses career advancements. Nurses with a bachelors degree are better prepared for the demands of nursing today in roles of leadership, case management and health promotion, and the ability to practice in a variety of inpatient and outpatient settings. A growing body of research reinforces the belief that shows a connection between baccalaureate education and lower patient mortality rates. (American Association of Collages of Nursing). Multiple nursing councils have issued a statement asking all registers nurse’s to advance their education in the interest of quality and safety across healthcare settings to meet the nations needs to deliver safe, effective patient care (Education Advancement of Registered Nurses. ) As the needs of the public grow, the expectations of quality educated nurses grow and become more complex. Evidence based research supports the theory that nurses prepared in a bachelor degree program are more likely to complete the graduate level of education. Job growth, is expected to be the greatest in higher education positions. Nurses with a baccalaureate degree or higher are more marketable than the associate degree nurse, as shown by the fact that BSN nurses have stronger communication and problem solving skills and are more proficient in the ability to make nursing diagnoses and evaluate nursing interventions (Giger and Davidhizar, 1990 fact sheet ). The baccalaureate nurse’s demonstrate higher competency in communication, leadership, professional integration, and research evaluation. (Phillips et al. , 2002 fact sheet ). Differentiated Nursing Practice is the new model of care†(fact sheet), it is defined by level of education, clinical skills, job descriptions, pay scale, and decision making participation. These models of care can be the stepping stone to advancement within the organization with the foundation being experience, education, certifications or other indicators of professional excellence. Evidence of a differentiated practice can foster positive outcomes in ways of job satisfaction, staffing costs, turnover rates, and lower adverse outcomes such as medication errors, patient falls and injuries to staff and patients. fact sheet). As a patient is admitted to the hospital either through the emergency department, operating room or the clinics, case management is involved at the moment of admission, the case manager must have an educational background to support the needs of the patients future past the hospital admission. Is the patient going to be able to care for themselves at home with or without a caregiver? Will they need a long term care facility, will they need just a few weeks in a rehabilitation center before going home? Could they benefit from an advanced care hospital before a rehab or extended care facility? These are the questions that a case manager must answer as part of the multi interdisciplinary team. Without a higher level of education the case manager would not be able to take in all the issues from injury and/or illness to culture and environment to make an educated nursing diagnosis and facilitate the needs of the patient. As the diagnoses become more of a multi systems dysfunction, the bigger the challenge for the entire medical staff, to coordinate total care for the patients. As a graduate from a BSN nursing program the case manager has the education to address all the issues.

Why Our President Has To Leave :: essays research papers

This is an essay about why I think Bill Clinton should resign, and also why I think he won't. You see, Bill Clinton is a man without morals. Well, actually that's not quite true. He does appear to have morals; he just sacrifices them to expediency whenever the opportunity arises. If absolute selflessness with respect to one's values were a virtue, Bill Clinton would be the most virtuous president the United States has ever had. Fortunately, most people do not hold this view of morality or ethics (I hope!). The majority of people still seem to hold integrity in some esteem. If they do, and I am right about Clinton's complete lack of principles, then hopefully this short essay will find a few receptive minds. Firstly, let me review the evidence for my contention that Clinton should resign or be impeached. Now, to like-minded people, that must sound like an almost interminable proposition. Don't worry though, I will limit it to just the "bare" facts of the Lewinsky affair. 1. Bill Clinton had sex with an intern in the White House. 2. He lied under oath in a deposition to a grand jury. 3. He lied to the American people. 4. He attempted to cover up his illicit affair, and obstruct an investigation. Do these offences merit his impeachment or resignation? The primary defense of his actions has been the argument that what he does in his private life does not affect the fulfillment of his public duties as President. It's not hard to knock this contention on the head. Clinton is a public employee. Consider what would happen to any employee caught having sex with one of his staff in his office, during work hours. You'd get very short odds on whether he'd last the rest of the day. Being President of the United States of America is probably the most important job in the world. It carries enormous power, influence and prestige. It consequently necessitates a commensurate level of responsibility and gravity. And here we have a President conducting a year long affair with an intern less than half his age. Yes, the President is entitled to have a private life. But, no President is entitled to put his private life ahead of the interests of the nation. And Bill Clinton was clearly more interested in attending to Miss Lewinsky than to the affairs of the nation. So, whether or not you think Presidents are elected to show moral as well as political leadership, one cannot escape the fact that Clinton subjugated his public responsibilities to his private interests.

Howard Zinn: Use and Abuse of History Summary

Response to Howard Zinn article History is something we constantly refer to progress ourselves as humans, we learn from our mistakes and continue to strive from our successes. But who is to say what is a horrible mistake or a courageous act of valor? That which was documented about what happened so long ago, was done by a person who spread the story or wrote it down from their perspective. Howard Zinn’s argument that there is no such thing as impartial history clearly illustrates that when history is recorded there is always two sides to the story, that things are either left out or kept in to sway the reader to one side or the other. Everyone is biased, whether they know it or not, in possessing fundamental goals, purposes and ends. † (Zinn, Use and Abuse of History,51) Not only can history be recorded partially but also it can be preached partially. By that I mean that in today’s society many things are censored, not published or not publicized. If they don†™t share a view that the government doesn’t like, that a publisher knows will not sell a book or that will cause negative controversy the history probably won’t make it to the eyes of the public. (Use and Abuse of History,62).History is partial because no matter who tells it, all the details cannot be accounted for, things are left out or over emphasized to prove a point or show a certain view. In today’s school system children learn history the way it has been mandated by the government not out of teacher’s discretion. The way history is taught in America is very partial, the idea that America is this country that is oh so glorious and built on the fundamentals of a perfect and morally strong society is over-glorified. The story of Christopher Columbus is a great example that Zinn uses.American’s teach their youth about the courageous sailor who founded the new world and the glory he brought. But leave out the side notes of the genocide he had s tarted and the ruthlessness of slavery all for his own personal glory. (Use and Abuse of History 56-57) Two sides of the same story, though both sides are never told. The idea that the founder of a country was a ruthless murderer would never swing in elementary schools, no matter how much of a reality it is. â€Å"One must inevitably omit large chunks of what is available in historical information. But what is mitted is critical in the kind of historical education people get† (Use and Abuse of History 56). It is insane to think that children should be taught every shred of history in school, they focus on the main points but again these main points are synthesized to show what a regulated counsel of officials decides is appropriate knowledge to learn. The books however that detail accounts that hold a darker look at the events or people like Christopher Columbus are not hidden or burned. Instead they are out there but they are not brought to students in silver platters and sh oved down their throats.Rather they are off to the side and are available to those who look but if the schools do such a good job and proving how much of a hero Christopher Columbus was who would ever look for such a book? History is partial because society’s elected officials choose what is put in the public eye, the officials decide what the social norm for history will be and they over emphasize glory and nationalism for the sake of our their nation’s pride not because it is the right side of the story, but what the public will perceive as the right story. Whenever someone says, ‘history proves†¦Ã¢â‚¬â„¢ and then cites a list of historical facts, we should beware. We can always select facts from history (there are lots to choose from) to prove almost anything†¦ † (Violence and human nature 41) The way we can use and abuse history is as easy as putting someone’s name into Google and hitting search. People can pick and choose what facts ab out something they wish to argue, again pushing for the partial use of history to make a point. An extreme example of course would be Adolph Hitler, you ask a student about Hitler their immediate response would be he was a monster.Many would agree, but what he did for the economy of Germany and how he brought a starving and poor country back to power can be considered in respects a tremendous act of great leadership and planning. (Trueman , The Nazis and the German Economy) The way history is presented is in a way that makes the presenter (the government) look good in the eyes of its citizens. The picking and choosing of facts only furthers the stereotype that â€Å"the world had good guys and bad guys, good countries and bad countries, and ours was good† (Violence and Human Nature 41).It makes sense in a way that it keeps the masses satisfied with their style and way of government. If the complete history of the U. S. governmental flaws and acts of murders were to be publish ed and used in schools of course the reaction would be to demand change and seek a new way of doing things. But that in itself would be using history in a partial way and again proving history his used to prove points and emphasis ideas based on who is telling them.Zinn’s idea that being partial is inevitable (Use and Abuse of History 51) cannot be denied, history is always told to prove a point and a point cannot be proven unless ideas are supported with the right facts chosen by those who document them. The ideas, beliefs and values we hold so strong to ourselves dictate the way we see art, literature and the world. The way we see history and record history is also based again on our values and beliefs, what we set in our mind to be so great, honest and true such as our country can be clouded by how attached we are to these values and beliefs we have. The chief problem in historical honesty is not outright lying. It is omission or deemphasis of important data. The definitio n of important, of course depends on one’s values. † (Use and Abuse of History51) The values that we hold to ourselves have come from our upbringing, from what we are taught growing up. It is no wonder that American’s see their country as beautiful, free and the birth of the ideal American business dream. Taking into my own perspective, â€Å"The Ludlow Massacre† (Use and Abuse of Hitory, 51-53) I initially held the idea that the American government always promoted the growth of its economy in positive measures.From what was taught to me in history class the only struggle I had known about in the America’s regarding the economy was the great depression and slavery. After reading that part of the article it seems very clear to myself why that was kept away from the public. The stock market crash, the great depression and slavery are all pieces of American history that are unavoidable that are known by the general public, but the Ludlow Massacre becau se of the scale and the remoteness of the incident, the American government was able to sweep it away out of view of the public eye.The depression and slavery were both triumphed by the government of America, where it was able to lead their country to economic prosperity and end slavery. But as for the massacre, they burned children and killed hundreds. If this were made general knowledge it may perhaps alter some beliefs of values held in the economic pride of the United States. I see that values lter how you view things because they’re essentially what you believe to be true, and the way history is portrayed it is clear to see that it is partial and that it does take sides. Zinn is very clearly telling the readers that history cannot be told as a whole, bits and pieces are left aside at the discretion of the author. A tiny part maybe left out, but the moral value it can hold can be tremendous even belief altering, that is why history it seems in a sense is regulated and a p roduct that is designed for the general public.The concept that history â€Å"inevitably takes sides† (Use and Abuse of History 51) is a main point in how Zinn argues that history is partial. A bias is always present no matter who the scribe is because the scribe themselves is on a side, or he/she has certain views that alter how they record or present the event they have witnessed. (Use and Abuse of History 51) If this bias is always present is there really a right and wrong way to see two sides given in history?There is also countless other factors that are prevalent in regards to a bias opinion; is this the idea the publisher wants to display, will this spark controversy, will this get my point across, will this show we are superior? (Use and Abuse of History, 59) Zinn brings forward many ways that would sway a historian to push one side of the story more than the other. â€Å"there is a conservative bias to history a tendency to emphasize what previous generations have e mphasized. The motive for that is safety, because the historian who breaks the pattern causes stares and suspicions. (Use and Abuse of History,59) The social norm stands dominant in the way history is engineered for the public, I think that it is harder for historians to avoid certain tendencies in what is written because of who will publish it and what controversies it will cause, and especially who will pay for it. History it seems today is more of a business to promote ideas and beliefs that are inside the box, it promotes uniformity in the believers of the past, that those who learn about history’s dark secrets must choose to, that nothing beyond the social norm will be willingly presented to them in fear that their ideologies and beliefs will change.History’s partial system of facts and the idea that entire civilizations are morally horrid or angelic is so biased because that is the way history has always been. Every story told is nothing but a point of view, that one side of a story always remains dominant to another that portrays a negative outcome for the storyteller. Howard Zinn’s idea that there is no such thing as impartial history because of how it is twisted to either include or ignore things or to emphasize or deemphasize certain ideas seems to do nothing but prove valid.History is something that has always been partial to emphasize values and ideas to prove something and make sure people interpret it in a certain way. The idea that you cannot ignore the past has a different meaning to me now, you can choose to ignore certain pieces of the past. History’s conservative outlook constantly pushes the same values and ideas this is because we specify which ideas and values should be pushed. The way history is sliced and diced reflects what the government and publishers think how we should view history.Events of the past are pushed to the side so that ideas of morality and righteousness still stand strong, even though our el ected leaders of the past commit crimes it isn’t in the best interest of the general public that this information become readily available. (Use and Abuse of History 56-62) Zinn’s arguments prove to show that history is partial, that things are left out for certain reasons and things are emphasized to prove points.History can never be impartial because there will always be a degree of bias in whoever records it, neutrality can never really present when describing a conflict because even the idea of neutrality is a personal opinion. History itself is a product to be consumed by the masses, the ideas are ingested and regurgitated so the social norm remains strong and that certain ideologies are always held. Bibliography: 1. Trueman, Chris. â€Å"The Nazis and the German Economy. † The Nazis and the German Economy. History Learning Site, n. d. Web. 10 Oct. 2012. . 2. Zinn, Howard. The Use and Abuse of History. Coursepack

Ray Bradbury Once Said, “Collecting Facts Is Important.

Ray Bradbury once said, â€Å"Collecting facts is important. Knowledge is important. But if you don t have an imagination to use the knowledge, civilization is nowhere† (www.brainyquote.com). This powerful quote said by the author of the novel, â€Å"Fahrenheit 451,† provides insight to the overlying problems found in the futuristic utopian society. Ray Bradbury is well known for his masterful use of words to fill his novels with theme. Do we, as readers, pick up on the many universal ideas, or themes, authors provide in short stories, novels, or even social media postings? Theme, as Portable Literature Reading, Reacting, Writing states, is the â€Å"central or dominant idea [of a work of literature]; however, many people confuse theme with the enter†¦show more content†¦Amanda Barrett states that â€Å"Fahrenheit 451† provides â€Å"warnings against the danger of censorship and the more subtle loss of imagination and creativity† in the bookless society (Barrett, 2). Books are a vital part of a functional society because they evoke emotions that would ultimately vanish if the use of books was banned. When Beatty stopped by Montag’s house, he tried to explain why the society banned books. The use of books, long films, and long hours spent studying at school gradually declined as the society started moving at a faster pace. Beatty brings to light another reason books were banned when he says, â€Å"The bigger your market, Montag, the less you handle controversy, remember that!† (Bradbury, 55). According to Beatty, censorship grew in the society of â€Å"Fahrenheit 451† in order not to offend every minority group. Censorship was supposed to help the people in the society grow as equals; however, the suppression of books and other learning aspects hindered the people and bottled up the emotions that are needed for a functional, growing society. Another theme found in Ray Bradbury’s novel, â€Å"Fah renheit 451,† is ignorance versus knowledge. Ignorance versus knowledge was another dominant idea presented in the novel because the fireman burned the knowledge found in books to ignorantly fulfill the society’s levels of happiness and stability. The societyShow MoreRelatedFundamentals of Hrm263904 Words   |  1056 PagesContinuous Improvement Programs 18 Work Process Engineering 19 How HRM Can Support Improvement Programs 19 How HRM Assists in Work Process Engineering 19 Chapter 2 Fundamentals of Strategic HRM 28 Learning Outcomes 28 Introduction 30 Why Is HRM Important to an Organization? 30 DID YOU KNOW?: A Management Recap 31 The Strategic Nature 32 The HRM Functions 33 Staffing Function 34 Training and Development Function 35 Motivation Function 36 Maintenance Function 37 How External Influences Affect HRM 38Read MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesCity Sao Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo Editorial Director: Sally Yagan Director of Editorial Services: Ashley Santora Acquisitions Editor: Brian Mickelson Editorial Project Manager: Sarah Holle Editorial Assistant: Ashlee Bradbury VP Director of Marketing: Patrice Lumumba Jones Senior Marketing Manager: Nikki Ayana Jones Senior Managing Editor: Judy Leale Production Project Manager: Becca Groves Senior Operations Supervisor: Arnold Vila Operations Specialist: Cathleen Petersen